Malakoplakia has been rarely reported in renal transplant recipients. We discuss two renal transplant recipients with malakoplakia involving renal allografts. Both transplant recipients were managed with reducing the doses of immunosuppressive medications and long-term oral antibiotic therapy. The renal allograft functions remained stable and imaging studies did not show progression of the disease. Our data suggest reducing the immunosuppression and long-term antimicrobial therapy to achieve long-term renal allograft survival.

This research was conducted to examine the effect of commissioner activities, free cash flow, institutional ownership, leverage and company sizes on profit management of transportation companies in indonesia stock exchange (BEI). where the sample is a transportation company on the Indonesian stock exchange. The sampling technique used was purposive sampling. the number of samples based on transportation companies in the Indonesia Stock Exchange (IDX) is 34, but 4 companies are not delisted and 30 companies are processed to conduct research. The research technique used is the classic assumption test, normality test, autocorrelation test, heteroscedasticity test, multicollinearity test, coefficient of determination, T test, and F test. This study uses independent and dependent variables. The variable results of the board of commissioners do not affect earnings management, free cash flow does not affect earnings management, institutional ownership affects earnings management, leverage does not affect earnings management, and company size influences earnings management.

The effect of leaf extract of Momordica charantia on sexual behaviour of male wistar rats was evaluated in this study. The animals were randomly divided into three (3) groups of six (6) rats each. Group one (1) serving as control received distilled water while, groups two (2) and three (3) received 200mg/kg and 400mg/kg of the hydromethanol (20%:80%) extract respectively. Parameters assessed included the mount frequency (MF), mount latency (ML), intromission frequency (IF), intromission latency(IL), ejaculation frequency(EF) and ejaculation latency(EL). Results showed that the parameters were not significantly altered after 30 days treatment with 200mg/kg and 400mg/kg extract. It was concluded that M. charantia may not affect sexual activity in male wistar rats within the administered doses.

The research for student preferences to study in college or studying while working is scarce. There is a difference between full-time mode and the online learning mode preferences. Since the research on this characteristic is scarce, we are conducting a sample for 203 vocational high school students from 20 schools. The findings show that vocational high school student prefers online learning, working, and studying compare to being full-time student. These findings show that Higher Education should deliver good attributes that could support their needs to learn and also to work. They also want a gradual method of payment, competitive price for tuition, since they are preparing to pay the tuition with their own money, moreover the prefer online learning.

Introduction: Non-alcoholic fatty liver disease (NAFLD) has become a public health problem worldwide due to rising incidence of obesity and Type 2 diabetes mellitus. NAFLD is a common liver disorder that is strongly associated with insulin resistance and Type 2 diabetes mellitus. As a result of epidemic increase in hypertension, obesity, hypertriglyceridemia along with diabetes mellitus, prevalence of NAFLD and metabolic syndrome have increased globally. Objective: The aim of this study was designed to determine the proportion of NAFLD and metabolic syndrome in T2DM patients. Methodology: This was a cross sectional descriptive study conducted in medicine department, Rajshahi medical college, Rajshahi among ninety one T2DM patients. Abdominal ultrasonography for NAFLD detection and grading as well as measurement of blood pressue, BMI, waist circumference, HbA1c, lipid profile, liver function tests were done. All data were analysed by SPSS 16 and p value <0.05 was assumed as statistically significant in this study. Results: Out of ninety one DM patients 2/3rd (67%) were male and remaining 1/3rd (33%) were female. Mean age of them was 51.43±6.24 years. Among study population 80.2% were obese, 31.8 were hypertensive and 72.5% had hypertriglyceridemia. Proportion of NAFLD and metabolic syndrome in T2DM patients was 60.4% and 61.5% respectively. 52.7% had mild whereas 47.3% had moderate fatty change in liver. Female had proportionately higher NAFLD than male. It was also observed that NAFLD was proportionately increased in higher age group but both age and gender were statistically insignificant (p>0.05). Long standing and uncontrolled DM was significantly associated with higher proportion and severe form of NAFLD respectively (p<0.05). Hypertension was not significantly associated with frequency and severity of NAFLD (p>0.05) but increased BMI and waist circumference were significantly associated with increased occurance of NAFLD (p<0.05). Increased triglyceride and low HDL were significantly associated with both higher proportion and severity of NAFLD (p<0.05). AST, ALT and AST: ALT, serum bilirubin and albumin level were within normal limit in all study population. Metabolic syndrome was significantly associated with NAFLD (p<0.05). After calculation of BAAT score 65% T2DM patient with NAFLD had probable chance of fibrosis in liver. Conclusion: From this study it can be inferred that NAFLD is strongly associated with type2DM and metabolic syndrome and diabetic people should be kept under supervision and periodic clinical and laboratory evaluation to avoid progression of NAFLD to steatohepatitis and chronic liver disease.

Introduction: Epidermomycoses are superficial yeast infections that affect the epidermis outside the intertrigo. The aim of our work is to draw up a clinico-epidemiological profile of epidermomycoses diagnosed in the mycology parasitology laboratory of the Avicenne military hospital in Marrakech. Materials and methods: This is a retrospective study carried out over a period of 6 years (January 2013 to December 2018) including all the cases of epidermomycosis diagnosed. After collecting clinical information, a direct examination of the samples is carried out before culture on Sabouraud media with incubation at 27 ° C. The identification of the identity was based on the speed of growth, macroscopic aspects and microscopic colonies. The identification of yeasts was based on the filamentation and assimilation of sugars test: Api 20C. Results: Epidermomycosis was confirmed in 108 cases or 57% compared to all of the samples examined. The sex ratio M / F is 0.74, the average age is 35.5 years. Outpatients are the majority (86%). the prevalence of superficial dermatophyte mycoses was 81.4% followed by yeasts (14.6%) and molds (4%). Isolated dermatophytes are dominated by a single species Trichophyton rubrum (92%), yeasts by Candida albicans (45%) Conclusion: Epidermycosis is still a frequent reason for consultation in dermatology. In the face of any clinical suspicion, the mycological diagnosis remains the diagnosis of certainty and for therapeutic orientation.

Background: An Intrauterine Fetal Demise (IUFD) is a major obstetrical catastrophe at any gestational age but the emotional pain and distress caused by this event increases in direct relation to the duration of pregnancy. The objective of the present study was to determine the incidence and possible causes of Intrauterine Fetal Demise (IUFD), and to determine preventive measures. Methods: Retrospective observational study was done from Jan 2019 to Dec 2019 at Government General Hospital, RIMS, Kadap, AP, India. Inclusion criteria were all the pregnant women with IUFD delivered at the centre, at or above 24 weeks of gestation. The methodology followed were parameters of assessment for analysis were maternal age, parity, probable causes for IUFD, mode of delivery, maternal complications Statistical data were analyzed using SPSS version 25. Results: The incidence of IUFD was 29/1000 live births delivered during the reporting period. IUFD incidence was higher in multiparous women compared to primiparous women. The rate of IUFD was almost similar between sex of the baby was analyzed. 49.4% of fetuses had signs of maceration. The major cause of IUFD was severe preeclampsia (48.1%) which included HELLP syndrome, IUGR, Abruption. Maternal anemia (20.4%), anhydramnios (6.3%) were some of the other important causes of IUFD. Conclusions: This study was conducted to determine the incidence of IUFD and associated maternal risk factors. By understanding the contributing factors, we can seek ways of avoiding recurrence of IUFD by proper antenatal care and early diagnosis of obstetric complications and its appropriate management.

Efficient and increased development of gaseous fuel as a complementary energy source requires a proper understanding of gas flow through pipeline networks and the required solution methods. This paper presents a comparative analysis of flowrate in loop gas pipeline systems using the Hardy Cross iterative method and Pipe 2016 (KYPIPE) computer program. A simple network model with four nodes, five pipe legs and two loops was manually analyzed based on the Hardy Cross procedure using Excel spreadsheet while comparing the effect of friction factors obtained from Moody’s chart, Colebrook’s implicit equation and Jain’s explicit equation on the result obtained from the Hardy Cross method. The accuracy of the result was validated by running a single period flow analysis on Pipe 2016 with the same network. Upon completion, a one-way analysis of variance (ANOVA) test was used to compare the four results while a T-test was used to double-check the three results obtained from the various friction factors based on Hardy Cross individually against the software’s result. Although, the mean plot showed that values obtained from Moody’s Chart and Colebrook’s equation compared more accurately with the software, the AVONA and T-test set at 5% significant level shows that no statistically significant difference exist between the results; making all friction factors suitable for use in gas pipeline flow analysis.

This is a case report describing an ectopic pregnancy occurring in the remnant stump following salpingectomy. A pregnancy implanted in this location appears very uncommon, thereby rendering the correct diagnosis challenging. This contribution comprises a case description, a presentation of the different diagnostic and therapeutic methods available to date, as well as a succinct literature review. We have also highlighted the requirement of performing salpingectomy by sectioning the isthmus of the uterine tube at the uterine horn, then coagulating the horn's intramural portion. Lastly, we have taken into consideration a series of practical recommendations.

Plant shutdown also known as “turnarounds”, is one of the most critical period in the oil gas refineries in the Kingdom of Saudi Arabia. Shutdowns have the ability to affect the plant’s financial future and commitments either in positive or negative way. A heat exchanger is crucial and important equipment in the oil gas refineries used for various processes and heat transfers. It also affects the duration of plant turnaround. When the operation of the plant starts the after turnaround, a failed heat exchanger within short duration of normal plant operation even though warranty of contractor exists, can create major loss in terms of money due to reduced downtime or production loss. Heat exchangers are subjected to different repairs including partial or full retubing by various methods or by simple plugging. Heat exchanger repair during the turnaround helps to reduce the down time loss (repair) of heat exchanger and will ensure the integrity for smooth running of plant. After studying the retubing of more than 75 heat exchangers, standardized procedure was incorporated to satisfy all the standard codes like ASME, TEMA, SAES, SES, NBIC and all the end users like Aramco, Sabic & its affiliates.

Introduction: Liquified petroleum gas can be used as a power source for combined heat and power technologies (CHP). CHP is the process of generating both electrical power and useful heat from a single fuel source. This study assess the effectiveness of health litracy and behavioral changes on the household gas cylinder usage and safety measures among women’s. Methodology: Descriptive design non experimental research approach was used to sample 100 respondents from rural areas Thiruvallur district. A structure interview schedule was used to collect data from the respondents. These were analyzed by using (frequency, percentage, mean and standard deviation and inferential (chi square) statistics. Results: In frequency overall knowledge aspects on household gas cylinder usage and safety measures, the pre test mean value is 7.85 with standard deviation of 2.1047 and post test score Mean is 11.34 and SD is 4.3256. Discussion: Based on the findings of the study to improved the Liquified petroleum gas gas cylinder usage and safety measures living of the people in the rural areas.

The 19th National Congress of the Communist Party of China emphasizes the construction of an innovative country, and the country cannot be separated from the support of innovative talents. Colleges and universities undertake the important task of talent training, which puts forward new requirements to cultivate mass entrepreneurship and innovation talents to meet the needs of social development. The spirit of Beidahuang is that the masses of the people in Heilongjiang Reclamation area have cultivated and refined the spirit of " painstaking efforts of pioneering spirit, the innovative spirit of daring to open, the unity spirit of pay attention to the interest of the whole, the service spirit of selfless dedication" under the specific historical conditions and extremely difficult environment. Based on analyzing the internal relation between the spirit of Beidahuang and the cultivation of the agricultural and forestry talents with mass entrepreneurship and innovation, this paper explores excavating the spiritual and material resources of the Beidahuang through the three modes of practical teaching. Youths in New Age may strengthen the professional base, devote themselves consciously to the construction of modernization agriculture, put their own actions into the social practice of realizing the great rejuvenation of the Chinese nation.

There is no exaggeration to assert that vaccination is one of the greatest scientific discoveries ever made. Generally, mothers’ misconception of vaccination was considered as one of the major barriers for better immunization coverage. Previous studies showed misconceptions on mothers’ knowledge towards childhood immunization. So, there is a necessity for the mothers to create unequivocal knowledge in order to develop positive attitude towards vaccination and thus improve their contribution to it for reducing the burden of dreadful infectious diseases. Objective: To develop and validate an educational booklet for treating mothers' misconceptions on vaccination. Design: A cross-sectional descriptive study design was adopted in this study for building and validating an educational booklet entitling "Treating mothers' misconceptions on vaccination." The construction of the booklet took place between June to December 2017 at Tanta district health offices through two stages: bibliographic survey; and manufacture of educational materials. Total sample size of 400 mothers of children under five years selected by using convenience sampling technique. Two-structured questionnaires were developed based on relevant literature and adopted throughout the study phases. The first one contained the following data: A) the first part included socio-demographic characteristics of the mothers as age, educational level, occupation, family size and residence. B) The second part included mothers' knowledge towards obligatory vaccination importance, contraindications, and side effects, in addition to all vaccines' mode, time and age of administration. C) The third part included mother’s practical knowledge she followed before, during and after vaccinating her child. Moreover, the second questionnaire was used for exploring the mothers and professional experts' opinions in relation to formulation of an educational booklet. Results: The study results indicated that, Out of 400 mothers included in the study, the mean age of the mother whose child undergoing vaccination is (22.00 ± 10.68) years. The predominant mothers have completed higher education, and occupational status showed that more than two-third (68.3%) were house wives. Regarding mothers' knowledge level, The proportion of mothers who lack the knowledge were as follows; vaccination contraindication (86.3%),Side effects (60.8%), BCG (51.5%), Hepatitis B (87%), MMR (92.5%), OPV (54.8%) and PENTA (94.5%). Conclusion: It was crucial to construct this booklet to ensure children' mothers' better understanding of the issues surrounding vaccination, treating their misconceptions and for improving their potentials of management of their children' vaccination care.

This thesis discusses the Commission's Decision No. 02 / KPPU-L / 2008 in a set of sanctions to change the treaty clause, namely: First, Do sanctions related change agreement has a clause in accordance with Article 47 paragraph (2) letter a of Law No. 5 of 1999, second, the consideration of the Business Competition Supervisory Commission Council to impose sanctions in the form of a clause to change the agreement. Third, how the implementation of the decisions related to the execution of the Commission. The results of the study to see that re-negotiate is not a form of administrative action of cancellation of the agreement. Cancellation of the agreement in question is the agreement null and void which resulted in the agreement never existed., This thesis discusses the Commission's Decision No. 02 / KPPU-L / 2008 in a set of sanctions to change the treaty clause, namely: First, Do sanctions related change agreement has a clause in accordance with Article 47 paragraph (2) letter a of Law No. 5 of 1999, second, the consideration of the Business Competition Supervisory Commission Council to impose sanctions in the form of a clause to change the agreement. Third, how the implementation of the decisions related to the execution of the Commission. In this study the authors describe and analyze associated with sanction in Case Decision No. 02 / KPPU-L / 2008 in the form of re-negotiate with the administrative action concerning the determination of the cancellation of the agreement as provided for in Article 47 paragraph (2) a and linked also with the objective requirements contained in Article 1320 of the Civil Code. The results of the study to see that re-negotiate is not a form of administrative action of cancellation of the agreement. Cancellation of the agreement in question is the agreement null and void which resulted in the agreement never existed.

Uterine sarcomas are rare tumours characterized by clinical and histopathological diversity and poor prognosis.We analyzed diagnostic, prognostic and therapeutic difficulties encountered with these tumors by insisting on the importance of early diagnosis.