This study we investigated the effects of insulin spray treatment on skin wounds in diabetic rats. Thirty rats were used for experiment. Rats were divided into 3 groups. group 1 serve as control group. Group 2 was diabetic without treatment. Group 3 was diabetic and treated with insulin spray daily for eight days. Diabetus was inducted by injection of alloxan at dose 100mg\kg b.w. Artificial wounds (8-mm diameter) were created in all rats on the day 3 of the experiment. Wound gaps were measured at (Zero, 2th, 4th, 6th and 8th) days post wound (pw). Animals sacrificed at 8th day (p w). Serum was collected for biochemical analyses and wound tissues were excised for histological and immunohistochemical examinations. The results showed significance increase in liver and kidneys analysis, but significance decrease in total antioxidant capacity (TAC) and superoxide dismutase (SOD) in diabetic rats when compared with healthy rats. Level of Malondialdehyde (MDA) and nitric oxide (NO) were increased in group 2 & 3 in comparison to control group. Histological findings showed contracted wounds in insulin spray group. Microscopic finding showed septic wounds in diabetic animals in contrast to insulin treated rats, which displayed re-epithelization and remodeling in wound injury at 8th day (ip). It could be concluded that insulin spray is able to accelerate the process of wound healing in diabetic rats.

The purpose of this research is to analyze and determine the financial performance of Islamic banking in Indonesia and Islamic banking in Malaysia using the Dupont System, represented by the ratio of NPM (Net Profit Margin), TATO (Total Asset Turnover), ROI (Return On Investment), MER (Multyplyer Equity). Ratio) and ROE (Return On Equity). This research uses quantitative data, using secondary data sources by using library studies and library research using different test T in each ratio. Based on the results of the study, it shows that there are significant differences in the ratio of NPM, TATO, ROI and ROE. In contrast, for the MER ratio, there is no significant difference between Islamic banking in Indonesia and Malaysia.

Universities have formulated policies on the execution of examinations but, examination malpractices are still witnessed. Eradicating examination malpractices needs engagement in enquiry driven reform and probing teaching and learning and schooling realities to highlight what to be done and how. The study's main purpose was to evaluate policy-related strategies to curb examination malpractices among undergraduate students in Kenyan universities. The theory of Planned Behaviour guided the study. The sample size comprised of 450 participants; lecturers, dean of students (DoSs), heads of departments (HoDs), examination officers(EOs) and undergraduate students from the selected universities in Kenya. Proportionate stratified sampling was used to select lecturers and students, simple random sampling for HoDs and further purposive sampling for DoSs and EOs. The study adopted a mixed methods design and data was collected using questionnaires, interview schedules, focused group discussions and document analysis. A pilot study was carried out to check the reliability of the research instruments. Data was analysed using both qualitative and quantitative statistics and results interpreted using frequencies, standard deviations, means and percentages. Pearson’s Correlation Coefficient was employed to determine relationships between variables. The study findings on the existing policies related to examination malpractices have positive and statistically significant effect on curbing examination malpractices (r =0.669; p<0.05). The existing policies related to the examination malpractice have great effect on the degree to which students can practice examination cheating. Policies related to examination malpractices among undergraduate students include attaining minimum mark of 40 makes students engage in examination malpractices, overcrowded examination rooms which tempt students to cheat in examination, low lecturer/student ratio and lack of proper students’ records make students to lie. Universities are better advised to adopt good policies that can curb examination malpractices. The study recommended that academic departments to review the minimum pass mark since the policy of minimum mark encourages students to be lazy and definitely engage in examination malpractices. It is also recommended that DVC and the Registrar in charge of academics to make spot checks during examination as a way of monitoring what is happening during this process of examinations.

Performance assessment of the secretariat apparatus of the regional election commission on operational implementing elements that have the task of carrying out some of the technical tasks of election operations based on The Electoral Commission Regulation No. 22 of 2008 on organizational structure and working procedures of the Secretariat of the Electoral Commission. The method used in this research is qualitative method. Data collection techniques are carried out using participatory observations, interviews and documentation studies. Data analysis is done with descriptive techniques through three flow of activities that are one unity, namely: data reduction, data presentation and conclusion drawing. The results showed that the performance assessment of the secretariat apparatus of the regional election commission tends to show performance on quantity, quality and timeliness despite constraints on employee discipline and efficiency of target achievement.

In this novel, Kate Chopin vividly described unfortunate suffering and miserable fate of Désirée and her baby with racism as background in the novel, Armand owed the negroid features to Désirée whose origin was obscure even if her skin was whiter than her husband. Kate Chopin unveiled the fact that racism penetrated in the society enormously influencing the mind, action of the individuals living in that environment. Désirée, Armand and the innocent baby were all the victims of the slavery. This work has received considerable attention in that it created suspense by breaking the expectation of the reader. This paper analyze the novel by employing reader-response criticism to Désirée’s Baby, from the background of history, the description of environment, the image of characters and the design of ending, so that readers will further experience the pleasure of creation.

Primitive malignant melanoma of the nasal cavity is a rare tumour of uncertain aetiology and bad prognosis. Unlike skin melanomas, there are no risk factors and the disease is frequently diagnosed in old patients, which clinical complaints are normally non-specific and ranges from nasal obstruction, rhinorrhoea to epistaxis. In most cases this disease is diagnosed in advanced stages which make the treatment difficult.

Objective: The aim of this study was to evaluate the changes in mandibular and maxillary third molars in cases treated with and without extraction. Materials and methods: Pre-treatment (T1) and post-treatment (T2) radiographs were taken of 46 subjects who had been treated without extraction and 44 subjects who had been treated with extraction of premolars. Results: The increase of eruption space and the improvement of the angular position of third molars were statistically significant between extraction and non-extraction orthodontic treatment, whereas, there was no statistically significant difference between first premolar extraction and second premolar extraction. Conclusion: Third molar impaction for orthodontic patients can be predicted before treatment according to the size of retro molar space and the type of treatment with or without premolar extraction.

The study was done to compare results of different imaging modalities Computed Tomography (CT scan) and Magnetic Resonance Imaging (MRI) with operative or histopathological diagnosis and to determine the accuracy of each. Forty patients with clinically or ultrasonographically diagnosed intraorbital masses were enrolled in the study who did not have any contraindication for contrast enhanced CT or MRI. A correct diagnosis was made in 37 patients and an incorrect diagnosis in 3 patients on CT scan while correct diagnosis was made on MRI in 38 patients and incorrect diagnosis was made in 2 patients. The clinical, surgical and histopathological findings were used as the gold standard for making a final diagnosis in these patients. There was an excellent agreement between CT and MRI in predicting extraorbital involvement, intracranial extension and optic nerve involvement. CT predicted bony involvement and areas of calcification better whereas MRI was better in predicting extraocular muscle involvement.

Background: The aim of this study is to assess the effectiveness of COVID-19 on quality of life of dentists at health care centers in Saudi Arabia. Material and Methods: This study was conducted for two weeks. Sample was selected randomly and included 300 dentists from different specialty. Questionnaire about demographic data and effect of Covid-19 on quality of life were used. Results: A total of 204 (68%) of dentists who replied was work in government sector. Their average age ranges from 20 years to 50 years and most of the dentist who answered the questionnaire (45%) work for more than 10 years of service. The second part about the effect of the virus on the quality of life most of them (93%) they feel their safety is in risk during working hours. 87% of the participant dentist they had a symptom of depression and anxiety and (70%) of them they worried about being a source of infection for their family. For the dentists who work in private sector (40%) of them afraid from lose their job and facing a financial problem. Conclusion: Regarding to the result we found that COVID-19 pandemic had a negative effect on quality of life for the dentist in both sector the government and private.

Dental restoration is nowadays becoming key dental treatments, especially use of the composites and replacement of missing teeth using dental fixed partial denture. These can provide temporary relief to the patient, but it had long term side-effects. This article presents case reports of defective composite restoration interdentally, defective cantilever bridge, defective amalgam restoration.

As Jawaharlal Nehru Medical College faced the unprecedented challenges of Covid 19, it had put its entire thrust towards providing optimal care to Covid19 patients, by modulating its existing health care system, and the heroes that work therein. Sixty health care staff that were questioned for their varied responses during this project, showed a commendable commitment despite facing some shortcomings and being busy in a totally new work culture. It was also noted during this project that the administration at Jawaharlal Nehru Medical College had committed itself to facing this new health challenge with a clinical resiliency from its junior/ senior doctors and a solid support of the nursing and technical health care staff, who answered the call whenever the hospital needed them.

The study aimed at determining the effectiveness of rape prevention education facilitated by a police officer and/or a school nurse at reducing rape myths acceptance, improving rape victim empathy, and reducing rape risk behaviors among school adolescents. Quasi-experimental design with repeated measures was used and it was conducted among 228 adolescents in three public high schools in Ile-Ife, Nigeria. The adolescents were grouped into: Control Group; Nurse Facilitated Group; and Nurse-Police Facilitated Group. Rape Discourse Education (RaDE) was conducted for the Nurse Facilitated Group and the Nurse-Police Facilitated Group and data collection was in four waves. Findings showed significant effect on rape myths acceptance (ηp2 = 0.12) more than on other outcome variables and the effect was observed up to a six-month follow-up. Implication for rape prevention education in the school setting is documented.

Objective: In this study our main goal is to evaluate the predictive factors and maternal and foetal outcome of breech delivery in Rangpur medical college hospital. Method: This prospective observational study was carried out at Rangpur medical college hospital. From July 2019-Deccember 2019 where 51 singleton uncomplicated breech presentation admitted for delivery were included in the study. Results: During the study, mean umbilical cord length in LSCS and vaginal delivery group was 55.3±3.8 cm and 56.2±3.7 cm respectively. Mean placental weight in breech deliveries in LUCS and vaginal delivery group was 645±132 gram and 599±212 respectively. Cornu-fundus position of placental localization was the commonest in both the groups. Regarding the fetal outcome, 42.1% neonates suffered birth asphyxia in vaginal group while 37.5% suffered same problem in LUCS group. Higher (62.5%) percentage of children was born in LUCS group without any complications compared to 52.6% in vaginal group. Higher percentage (42.1%) of neonates needed admission in vaginal delivery group than LUCS group (37.5%) for different complications. 87.5% of LUCS group and 57.8% in vaginal group did not suffer from any maternal complications during delivery. No mortality was reported. Conclusion: From our study we can conclude that, short umbilical cord length and increased placental weight may be the important predictive factors for breech presentation.

Suicide is a growing issue of teen agers around the globe and also commonly seen in context of Pakistan. On regular basis we read in news or hear from people about huge number of suicides in many parts of Pakistan. The paper is written on the account of witnessing a young mental health client in psychiatry in patient services at a tertiary care hospital. The case was a huge learning for young healthcare professionals and novice nurses.

Post-tracheostomy brachiocephalic arterial injury (TABC) is a rare complication. We report the case of a 62-year-old patient ho required invasive ventilation through an orotracheal tube for asthma. He had suddenly showed a cataclysmic hemorrhage externalizing around the tracheal cannula with bright red blood. The exploration had revealed a breach of two centimeters at the level of the TABC. Ulceration of TABC after tracheostomy despite its rarity is a fatal complication that must be known by the resuscitators.