This was a prospective, multicenter, observational and non-interventional epidemiological study. Five hundred and fifty (550) male and female patients between 18 to 65 years with an established liver cirrhosis were enrolled. Patients recruited underwent screening of mental state by Mini Mental State Examination (MMSE). Patients with a score of MMSE > 24 were required to undergo Psychometric Hepatic Encephalopathy Score (PHES) examination to diagnose MHE. Subjects with an abnormal PHES score of -5 or less were diagnosed with MHE. Subjects with established MHE and those without MHE were assessed for quality of life (QoL). QoL was assessed for Health-Related Quality of Life (HRQoL) using the SF-36 questionnaire. The proportions for the physical component scores (PCS) and mental component scores (MCS) of the SF-36 were calculated and compared. Among the diagnostic scores the mean MMSE score was 27.5 ± 1.8. Of these subjects, 451 were found to have a MMSE score of 24 or higher and were administered the PHES examination. Two hundred and fifty-six (256) subjects (56.8%) had an abnormal score of ≤ -5 and were diagnosed as having minimal hepatic encephalopathy (MHE). Subjects were tested for quality of life through SF-36 questionnaire. Subjects with established MHE were found to have a significantly lower physical component score (PCS) compared to those without MHE. Frequency of Minimal Hepatic Encephalopathy was found to be 56.8% of patients with Chronic Liver Disease presenting to clinics. Impact of MHE on physical component of quality of life may be of clinical relevance.

There is currently a global effort to improve universal health coverage through the sustainable millennium development Goal. Nevertheless, much of Sub-Saharan African is still challenged by a dismal health system due to poor governance, corruption, extreme poverty and the lack of priority. The result is lack of health facility, poor health practitioner to patient ratio, with subsequent rise in maternal and child mortality. Much effort through appropriate health financing, training of health practitioner and socioeconomic development is needed to reduce the current health crisis.

This study analyzes in determining the choice of foreign tourists traveled choice. Empirical studies conducted among foreign tourists entering Indonesia using the mixed logit model. The model is noted that the importance of the decision multistage process because the probability of a foreign tourist on vacation in Indonesia is highly dependent on tourist motivation associated with the attributes of the destination, travel arrangements, the information collected, previous experience, and socio-economic characteristics of individuals, by using a samples of 238 taken from the two entrances international flights during July-August 2017. The policy implication lowered to increase understanding for decision-making related to tourism industry where they are faced with the choice tourist destination that is heterogeneous.

The purpose of this research was to adapt and clarify the criteria of the Greek general assessment framework of the Presidential Decree (P.D.)152/2013 in the physical education subject and to examine the tool’s validity and reliability. Secondary aims were a) the discrimination of the teachers according to their observed performance, and b) the examination of the effect of school grade in teaching effectiveness. The P.D. 152/2013 includes five categories analyzed in 15 criteria on a mixed four-level rubric (Incomplete, Sufficient, Very Good, Excellent). In the current research, the 10 observable criteria of three categories that relate to teaching were used. The criteria were analyzed in detail, clarified and adapted, according to international literature on physical education (PE) teaching effectiveness. Following the step-by-step upgrade of the rubric’s levels (the same indicator at all levels but each time with more qualitative characteristics), 41 indicators were developed. In order to examine the validity and reliability of the adapted tool, trained evaluators observed in person 40 PE lessons taught in early and in upper grades by 20 PE teachers. The lessons were assessed in every indicator of the rubric, and classified in one of the four performance levels. Principal Component Analysis, descriptive statistics, chi-squared and ANOVA tests were carried out to examine the construct validity of the tool. The results revealed that the adapted rubric to the PE subject included the three initial categories, seven criteria and 26 indicators and can be considered as a valid and reliable instrument for assessing PE teachers’ effectiveness.

Cancer Cervix is the second most common cancer in the world. Cervical cancer is the leading cancer and the leading cause of cancer deaths in women in developing countries. Overall, the mortality rates in developing countries are about four times (80-85%) than those in industrialized countries. The aim of this study is to find the knowledge and attitude of cervical cancer among married females of rural areas of Aligarh. The study was a cross sectional study. It was done in July –August, 2019. All the married females were included who gave consent for the study.100 females were included of registered areas of Rural Health and Training Centre, Department of Community Medicine, J.N. Medical College, AMU. Pre-testing of the questionnaire was done on 10 respondents; after which necessary changes were made, and the questionnaire was re-administered. Data entry was done. More than half of the females under study thought vaginal discharge and menstrual irregularity as the main symptoms of cervical cancer. Oral contraceptive pills and multiple sexual partners were considered main risk factors in more than 50 percent of females. Regarding preventive measures, good genital hygiene was known to most of the females under study. Surprisingly, PAP smear was unknown to almost all females under study.

The research study investigates the effectiveness of solar management techniques on the outdoor thermal comfort in hot, arid climates within the context of higher educational facilities. Qatar University in Doha, State of Qatar, is establishing the contextual unit of analysis as it provides a case study for urban planning and design within an educational environment. The campus has dynamic outdoor spaces that have been treated using urban strategies and techniques to create the most desirable environment for its vast range of users including students, faculty and staff members. The aim of the study is to assess the effectiveness of the current solar management techniques at Qatar University campus based on user’s satisfaction. Therefore, the focused scope of analysis is targeting the shading devices that are found in the campus, which has been generally categorized as pedestrian shaded pathways with detached canopies and car parking shading structures. The thesis targets the following question: does the current shading devices on campus provide a satisfactory experience for users in addition to encouraging walkability and better utilization of outdoor spaces? By investigating the effectiveness of solar management techniques, it is possible to optimize the use of the current shading devices by relating their effectiveness to users’ satisfaction and thermal comfort. Based on the methodology of survey analysis, a sample of fifty questionnaires has been collected and analyzed with reference to the existing users of the campus. The survey questionnaire is reinforced by further direct impressionistic observation as a verifying methodology.

This study investigated the effect of human resource management practice on employee’s productivity in selected deposit money banks in Nigeria. The data for this study was sourced through the use of structured question distributed to the selected deposit money banks in Yola Metropolis. A total of 193 questionnaires were distributed but 166 were successfully retrieved and analyzed. The study employed descriptive statistics, multiple regression technique in estimating the effects of human resource management practice on employee productivity in the selected organization, correlation coefficient was also used to test the extent to which human resource management relate to employee productivity. The study revealed that human resource planning (HRP), recruitment and selection (RS), staff training and development (TRD) and performance appraisal (PA) were positively affecting employee productivity in the selected deposit money banks in Nigeria and were rightly signed, implying that they were consistent with the theoretical expectation of this study. The F-statistics 5.242014, which measured the joint significance of the parameter estimates, was found statistically significant at 5 per cent level as indicated by the corresponding probability value of 0.025272. This implies that all the variables of the model were jointly and statistically significant in affecting employee productivity in the selected deposit money banks in Nigeria. Finally, this result revealed that human resource management practice was positively and significantly affecting employee productivity in the selected deposit money banks in Nigeria.

The progress of the trade sector is related to the economic field so rapidly. It is accompanied by the development of science and technology, therefore the development of the economy will be more focused on the industrial sector. For this reason, Indonesia, which is one of the countries involved in world trade, needs to address industrial progress, especially related to the Industrial Design that is owned to provide legal protection against the Innovations (Novelty) produced. The method in this research is a normative/doctrinal study. The approach taken is through a legislative approach using materials as research sources that will be sought to be processed and subsequently will be analyzed to find answers of problem discussed. Based on the Research Results it could be stated that the registration Criteria of Industrial Design was to be registered with the new element criteria and as the first registers of the Industrial include a novelty element which must not be the same as the Industrial Design that has been disclosed previous. The right of industrial design legal protection would be coming up where there was an industrial design registration by the designer or owner of the design right, legal protection granted to the industrial design right is granted for a period of 10 years from the date of receipt (application) and cannot be extended again.

Hedging is one of the alternatives used to minimize risk in the company, especially the risk due to exchange rate fluctuations. It is possible to conduct hedging activities to protect the company from the risk of exchange rate fluctuations. The purpose of this study was to determine the effect of growth, leverage firm size, cash flow and liquidity of the hedging decision on non-financial companies. In this study, measurement companies use hedging or not will be seen in the annual financial statements. The object used in this study were non-financial companies listed in Indonesia Stock Exchange for the period 2015-2017. The analytical method is multiple regression. The results showed that leverage has a significant effect on hedging activity. The cash flow has a negative and significant effect on hedging activity.

The leaves of most plants contain two highly differentiated cell types in the epidermis guard cells, which constitute stomata, and trichomes. These cells, the spacing of which is the primary focus are usually separated from each other by pavement cells. Our understanding of the response of angiosperm stomata to environmental parameters remains imprecise because we know little about the mechanisms of stomata control modules. This research was carried out in the old Botanical Garden of the Agriculture University, Faisalabad from January 2019 to June 2019 to examine morphological studies of selected dicots plants leaves with biological active compounds for treatment of cancer using the compound light microscope also to predict algometric relationships between morphologically stomata traits in relation to gaseous exchange in leaf and required allocation of epidermal area to stomata. Epidermal cells varied from round, square to hexagonal with distinctive anticlinal cell wall and sunken stomata distributed on adaxial and abaxial were observed. Stomata are present in the upper and lower surface of the leaves helpful as adaptation for plants during photosynthesis process and stress condition to maintain the water usage.

The aim of this study is to evaluate crude extract, ethyl acetate, chloroform and butanol fractions of P. domestica for their in vitro antioxidant activities using 1, 1-diphenyl-2-picryl hydrazyl (DPPH) radical scavenging and reducing power assay on 1.25%, 2.5% and 5% concentrations. According to the results fraction of ethyl acetate showed maximum free radical scavenging up to 94% at the concentration of 5%, 93% at the concentration of 2.5% and 67% at the concentration of 1.25% followed by crude extract that showed 85, 54 and 41% activity at the concentrations of 5, 2.5 and 1.25% respectively. Chloroform fraction showed 70, 55 and 39% scavenging activity at 5, 2.5 and 1.25% concentrations respectively. While butanol fraction exhibited least activity i.e. 39, 36 and 9% on 5, 2.5 and 1.25% concentrations respectively. On the other hand, by reducing power assay method, ethyl acetate exhibited 90, 70 and 55% percent reducing power, followed by crude extract which exhibited 84, 62 and 41%, while chloroform extract exhibited 70, 42 and 28% and the least activity was shown by butanol extract i.e. 45, 22 and 12% at the concentrations of 5, 2.5 and 1.25% respectively. This study showed that ethyl acetate fraction exhibited best antioxidant potential and can be further isolated for biologically active constituents for further studies.

Synopsis: This article explores the state of the Church and the religious life in England prior to the Religious Revival, the rise of the Evangelical Movement and the subsequent foundation of the Church Missionary Society and its early missionary activity in the Muslim world. The Evangelical Movement in Britain led, eventually, to the formation of a large number of missionary societies including the Church Missionary Society; an important medium of the Church of England in spreading Christianity around the globe in general and in the Muslim world in particular.

Increased development in the industrial and transportation sectors today significantly increases the use of lubricants. This means that a significant amount of lubrication is needed to meet consumption needs in the industrial and transportation sectors. Palm Fatty Acid Destillate (PFAD) has a high enough potential to be used as a raw material for making oleochemical products, one of which is solid lubricant. This is caused by the composition of fatty acids contained in PFAD not much different from the composition of fatty acids found in palm oil. This study aims to determine the formulation of solid lubricants (grease) from PFAD and mixture metal soap (Al-Ca) as thickener which has characteristics close to SNI solid lubricants and know the quality of solid lubricants produced. The method used in the manufacture of solid grease (grease) consists of two stages. The first stage is the process of making mixed metal soap (Al-Ca) by mixing PFAD and Al(OH)3 - Ca(OH)2 and analyzing the mixed metal soap. The second stage is the manufacture of solid lubricants (grease) from mixed metal soap (Al-Ca) and PFAD as well as analyzing the resulting product. Based on the research that has been done, the optimum solid lubricant obtained according to SNI standards is in the composition of A1: B1, A1 is the ratio of Al (OH)3 : Ca(OH)2 = 90% : 10% and B1 is the ratio of metal soap: PFAD = 10 % : 90%, so the density is 0.95 gr / ml and the penetration value is 194 (250C), the melting point is 970C and NLGI 4.

In this work, the facies of blood serum were studied in patients with liver pathologies and pathological markers were identified, and information on their crystallographic features was given. To solve the set tasks, wedge dehydration methods, computer morphometry, biochemical, microscopic and statistical research methods were used. The work studied the correlation between the features of the change from the norm, the magnitude of informative biochemical blood parameters of patients with established diagnoses of liver pathology, as well as the qualitative and quantitative characteristics of the morphotexture of the solid phase facies of their blood.

Introduction: Medically Assisted procreation (MAP) does not guarantee the outcome of an attempt to conceive. Our goal was to study the factors that can predict the occurrence of pregnancy in stimulated women in our center. Methodology: This was a cross-sectional and retrospective study carried out from August 1, 2016 to January 31, 2018 at the YGESHRTH, comparing two groups of women under the age of 40 years, who had undergone ovarian stimulation during MAP. The first group (group I) consisted of women who had conceived following stimulation during MAP, and group II consisted of those who never conceived. Sampling was consecutive and exhaustive. Discontinuous variables were compared using the Khi-2 test and continuous variables using Student's t-test. A P-value of <0.05 was considered statistically significant. Results: Of the 263 women recruited for the study, 69 (26.2%) had a positive pregnancy test confirmed both by blood samples and ultrasound. The average age of the patients was 33 ± 4.4 years. A significant association was found between the age group of 25-30 years (p = 0.043), a height range of 1.70 - 1.80m (p = 0.001), the transfer of 03 embryos (p = 0.027), the ease of transfer of the embryos (p = 0.030) and the occurrence of pregnancy.