Photosynthesis or green synthesis of silver nanoparticles has been shown an ecofriendly and cost effective approach with a great significance of biomedical Applications. Plant extracts may act both as reducing agents and stabilizing agents in the nanoparticles formation. We therefore synthesized silver nanoparticles using Syzygium cumini methanol seed extract which is found to be most enriched in Phytonutrients, and had strong anti-glycoxidative potential. In this chapter, the Characterization of silver nanoparticles of S.cumini (ScSNPs) methanol seed extract was performed and their role on glucose stressed cardiac cells was studied. Nanoparticles synthesis is based upon its size, shape, disparity and surface area. After mixing with silver nitrate solution the colour changes from yellow to dark Brown confirming the formations of nanoparticles. This colour change is due to the Excitation of surface plasmon vibrations. We have synthesized the silver nanoparticles after 48 h of incubation but sometimes it takes more/less time depends upon the rateof bio-reduction of silver ion due to the presence of reactivity of enzymes and components exist in plant extract. The silver ions bind to the secondary metabolites inS. cumini and getting reduced. This complex of silver ion and metabolite interacts with other complexes and contributes to the formation of silver nanoparticle, which is a critical phenomenon and affected by pH, temperature, concentration and electrochemical gradient of silver ion. The plasmon resonance is acombined resonance of the conducting electrons of silver nanoparticles and scatteroptical light elastically with significant efficiency our study reveals that the polyphones and amines in S. cumini contribute to the formation of synthesis of silver nanoparticles and might go through a two-step redox process.

Dengue virus is the most important mosquito-borne viral disease in the world. Co-circulation of the four types of dengue viruses and expansion of dengue epidemic give rise to infection enhancement and a big expansion of clinical aspects of the disease. Infection with dengue virus (DENV) causes diseases ranging widely in severity, from self-limited dengue fever to life-threatening dengue hemorrhagic fever and dengue shock syndrome. But atypical manifestations of dengue fever are rising day by day but they may be under reported. Here in we report a case of 6 years old girl presented with sudden onset of abdominal pain and was diagnosed as classical dengue with ascites and pleural effusion. Pleural effusion and ascites are evidence of plasma leakage which appear in patients of Dengue hemorrhagic fever but not present in Classical Dengue or Dengue fever. Classical Dengue is a common disease in Bangladesh but there have been no reports of Dengue fever or Classical Dengue in association with pleural effusion and ascites.

Date Palm (Phoenix dactylifera) is considered as the "tree of life" as it has contributed in so many ways to all aspects of life for thousands of years. Dates are implicated to possess medicinal properties in addition to its nutritional value. This is the first study to isolate and identify the phylloplane mycoflora associated with date palm from Shuqaiq region of Jizan province. Potato Dextrose media was used for the growth of mycoflora which was inoculated by 0.5cm direct pieces of the diseased parts leaves of the date palm. A qualitative and quantitative assessment of mycoflora was carried out by the fungal cultures on the petri plates and the slides were identified by microscopic and macroscopic characteristics.The mycoflora isolated belongs to the four classes of fungi Zygomycotina, Oomycotina, Basidiomycotina and Ascomycotina. Forty three isolates represented by fourteen genera Absidia, Aspergillus Botrytis, Curvularia, Epicoccum, Penicillium, Periconia, Phoma , Phytopthora , Rhizoctonia, Rhizopus, Saprolegnia, Syncephalastrum and Ceratocystis were isolated during this study.The diverse group of genera isolated are phytopathogenic and are the causal organisms for a number of important date palm diseases. This leads to poor health and fruit quality and hence the diseases need to be controlled and the palm protected.

Primary leiomyosarcoma of the broad ligament is an extremely rare tumor with very few cases reported in literature. We herein report a case of postmenopausal lady, diagnosed pre-operatively on ultrasound and CT as a degenerated fibroid/ ovarian tumor. Post operatively histopathological diagnosis proved to be a leiomyosarcoma. The patient was treated with adjuvant radiotherapy with a dose schedule of 50 Gy in 25 fractions over 5 weeks. Patient is on monthly follow up since 6 months with no complaints

Physicochemical analysis was carried out for products of sugarcane in an attempt to study the quality of main-product (sugar) from Halfa Elgadidah Sugar Factory at six periods (T1, T2, T3, T4, T5, T6) corresponding to (3, 6, 12, 24, 36 and 48) hours after harvesting, respectively, during 2007/2008 and 2008/2009 seasons. Randomized complete plot design with three replications was used in this study. The results revealed that the average levels of total soluble solids (TSS), sucrose, sweetness, reducing sugars, were 99.7%, 98.45%, 98.68%, 0.185%, Traces of ash were found in sugar samples, they did not exceed 0.04. Moreover, protein content not exceeding 1.0 in sugar samples, the colour ranged between 236– 268 and between 233.7–285.3 (IU) for the two seasons respectively. The relative viscosity ranged between 0.888–0.913 and between 0.884 – 0.903. The kinematic (absolute) viscosity of the sugar solutions ranged between 1.896 and 1.915 and between 1.894–1.914 centistokes for the two seasons respectively. The pH values of the sugar solution were in the range of 6.93-6.98 and 6.92–6.98 for the two seasons respectively. The moisture content ranged between 0.19–0.21% for the two seasons. The results showed that the optimum duration from cut to mill to produce a qualified sugar not exceeding 6 hours after harvesting.

How to replace the cumbersome and complicated program operation in the past through more natural human-computer interaction for the Following Robot. In this paper, Xtion Pro Live Somatosensory devices is introduced into the robot control system, and designed a kind of Following Robot based on bone identification. The full paper analyzes the overall design composition of the Following Robot and conducts experimental analysis. The results show that: On the basis of realizing target following, this robot can also recognize and execute target action, which greatly improves the maneuverability of the robot.

Purpose: The elderly population has been rising in recent years all over the globe. Anemia of Elderly (AOE) or geriatric anemia in old age group is being widely observed. Independent of its cause anemia has shown to affect physical function among elderly. Various studies have shown the prevalence of anemia in elderly aged >65 years as approximately 10% which rises to 50% in individuals aged >80 years. The study was conducted with the aim to evaluate and study hematological profile and etiological spectrum of anemia in elderly. Method: It was a cross-sectional study conducted from November 2014 to February 2016.Elderly anemics aged 60 years and above visiting Department of Medicine, GTB hospital were evaluated and studied. Results: Nutritional anemia was the most common cause of anemia in elderly. Folic acid deficiency was the most common nutritional deficiency. Conclusions: Nutritonal anemia is the most common cause of anemia in elderly living in low to medium group countires while Nutritional anemia, ACD and unexplained anemia are in equal proportion in west.Folic acid reserves deplete early in elderly and their monitoring can help in predicting poor dietary intake in at risk elderly and those living in senior citizen homes.

The purpose of this study is to determine the effect of corporate social responsibility disclosure and intellectual capital elements toward corporate value, with the financial performance as intervening variable. The populations of this study are manufacturing companies listed by the Indonesia Stock Exchange (IDX) within the period of 2015-2017. Data were collected by using purposive sampling method. Based on the mentioned criteria, 53 companies were selected as the samples of this study with 159 data. The analysis data method was using descriptive statistics and multiple regression analysis with Eviews software 9 versions. The finding shows that that (1) corporate social responsibility disclosure has a negative effect to financial performance; (2) Intellectual capital elements (VACA, VAHU and STVA) have positive significant effect to financial performance. (3) Corporate social responsibility disclosure has positive significant effect to corporate value. (4) Intellectual capital element (VACA, VAHU) has no effect to corporate value while intellectual capital element (STVA) has negative effect to corporate value. (5) Financial performance has positive significant to corporate value. (6) The financial performance has mediated the relationship between corporate social responsibility disclosure and corporate value. (7) The financial performance has mediated the relationship between intellectual capital elements (VACA, STVA) and corporate value but VAHU has not mediated.

Human cysticercosis is caused by encysted larvae of Taenia solium. This parasitic disease is endemic in developing countries like India. Most frequent reported locations are skin, subcutaneous tissue, skeletal muscles, mucus membranes, heart, eye & CNS. Head & neck (excluding orbital & neurocysticercosis) is an uncommon location for cysticercosis. We reported a case of cysticercosis cervical swelling resembling cervical lymphadenopathy in a 25 years old female patient who presented with painless left cervical swelling. Clinical diagnosis considered was tubercular lymphadenitis. On microscopic examination excised tissue comprised of skeletal muscles with cysticercosis cellulosae. We reported this case of cysticercosis because of its unusual presentation as cervical swelling mimicking cervical lymphadenopathy. It is a preventable disease. Personal and household hygiene is very important. Histopathology is the reliable method for confirming the diagnosis.

Nowadays the automotive industry in Indonesia is becoming increasingly competitive, causing an intense competition among the ATPM (Single Agent of Brand Holders), as well as competition between existing automotive manufacturers (sole agent) and newcomers. In the midst of the current business industry and its competitive environment, various strategies were implemented by the company in order to maintain its customers, and to win the competition by increasing its market share. Customer satisfaction has become one of important focus for many companies. This study aims to examine and analyze the effect of product quality and after-sales service on customer satisfaction at an authorized Mazda Serpong Dealer, Tangerang. The sample used in this study were 200 respondents from customers at Mazda Dealer Serpong, Tangerang. Sample size determination using Hair’s formula. Hypotheses of the study analized by using multiple linear regression performed with SPSS 2.4. The sampling technique uses purposive sampling. The results showed that the quality of the product significant and positive affect on customer satisfaction. And after-sales service is also significant and positive affect to customer satisfaction. Other results shows that the quality of products and after-sales service of significant and positive affects on customer satisfaction simultaneously

Background: Several studies all over the world have proposed the association of Papillary Thyroid Carcinoma with Hashimoto Thyroiditis, Lymphocytic Thyroiditis and Multinodular goitre. Papillary Thyroid Microcarcinoma (≤ 1cm size lesions) which are detected incidentally on histopathological examination of thyroidectomy specimens can progress to clinically evident Papillary Thyroid Carcinoma if left untreated. In this study, we aim to determine the types of lesions associated with Papillary Carcinoma Thyroid and to study the most commonly associated lesion, age group and gender affected. Materials and Methods: A total of 74 cases of Papillary Thyroid Carcinoma who underwent thyroidectomy at a tertiary care hospital in Kerala were included in the study. The association between types of lesions, age group and gender were studied and the data obtained was analyzed using Chi Square test. Results: Mean age of the study population was 47 years and majority were females (86.5%). Out of 74 cases of Papillary Thyroid Carcinoma, 58 cases (78%) had associated lesions. The most common associated lesion with Papillary Thyroid Carcinoma was Multinodular goitre (59%), followed by Lymphocytic Thyroiditis (50%) and Hashimoto Thyroiditis (16%).Among the 74 cases, 17 cases (23%) were of Papillary Thyroid Micro carcinoma. Conclusion: It was found that there was significant prevalence of associated lesions with Papillary Thyroid Carcinoma. Hence all non neoplastic lesions of thyroid which are usually managed conservatively require a strict follow up to rule out the possibility of developing Papillary Thyroid Carcinoma. This will go a long way in preventing the morbidity and mortality that could arise in Papillary Thyroid Carcinoma.

Aim and Objectives: The aim of this study was to determine the cephalometric skeletal and dental norm for orthognathic surgery for North Indian population using Burstone’s analysis and to test the hypothesis that there are racial and ethnic differences in cephalometric measurements between North Indian and Caucasians. Materials and Methods: A total of 120 young adults which consists of 66 males and 54 females, 18 26 years with well-balanced facial profile and minimum arch length discrepancies were chosen for the study. Lateral cephalograms with teeth in maximum intercuspation were recorded and analyzed with AutoCeph software. The mean values of cephalometric skeletal and dental variables of COGS (Cephalometrics for Orthognathic surgery analysis) analysis for North Indian males and females were compared with those Caucasians. P < 0.05 was considered to be statistically significant. Statistical Analysis: The statistical difference in the values of parameters between males and females of North Indian population was analyzed using unpair ‘t’ test whereas the difference between the study population and Caucasians was analyzed using one sample t test. Results: All the cephalometric parameters were found significantly less except convexity angle, maxillary and mandibular dental proclinations, occlusal plane angle. Maxilla and mandible was found prognathic and greater chin prominence in North Indian population compared to Caucasians. Conclusion: Significant difference in the cephalometric characteristics were found between Caucasians and North Indian population. Gender and racial/ethnic differences should be considered for diagnosis and treatment planning for orthognathic surgery for North Indian population.

Intramedullary spinal schwannomas are rare tumours and are usually associated with neurofibromatosis types 1 and 2. Intramedullary spinal schwannomas without neurofibromatosis are very uncommon. These tumours may present with slowly progressing sensory or motor syndrome. We report a case of 50 years female patient presenting with Intramedullary spinal schwannoma at D11 to L1 levels.

Background: There is evidence that support the use of high sensitive C-reactive protein (hs-CRP) to monitor cardiovascular risk in diabetic and non diabetic individuals. This study aims to assess hs-CRP level in Sudanese with type 2 diabetes mellitus (D.M) and obese individuals; as a risk factor for cardiovascular diseases. Materials and methods: This cross-sectional study was conducted in Khartoum-Sudan from April to December 2018, 50 diagnosed Sudanese patients with diabetes mellitus attending Alarbaeen hospital in Khartoum state and 50 obese Sudanese individuals were enrolled in this study. Blood samples were analyzed for cholesterol and hs-CRP levels using Mindray BS-200 automated analyzer. Results: There were no significant differences in hs-CRP and total cholesterol levels in type 2 D.M when compared with obese. Both diabetic patients and obese had high levels of hs-CRP and total cholesterol. hs-CRP and total cholesterol levels revealed no significant difference when male compared with female in type 2 D.M as well as in obese. The majority of the study participants were found to have hs-CRP level more than 3 mg/L, which indicate a high risk to have cardiovascular diseases according to American Heart Association. There was no correlation between hs-CRP levels and total cholesterol levels in the study subjects. Age showed inverse significant correlation with hs-CRP levels in type 2 D.M and no correlation among obese. In conclusion: The higher levels of hs-CRP with higher levels of total cholesterol may be a predictive factor for developing of CVD in Sudanese with type 2 D.M as well as in obese.

Asymptomatic bacteriuria spans all age groups from neonates to elderly. It is much more common in boys during first three months often in association with urologic abnormalities. During preschool years it is common in girls than boys. Presence of bacteriuria in childhood defines a population at higher risk for development of bacteria in adulthood [1]. The present study was carried out in Department of Microbiology, in a tertiary care hospital, over a period of one year from Jan 2016 – Dec 2016. A total of 100 childrens of all age groups and both sexes were selected for this study. In the present study sample size was equally divided among male and female. ABU +ve came in 7 male children’s, out of which 3 cases were belongs to 6-10 years age group, 4 cases belongs to 11-18 years of age group. ABU +ve came in 11 female children’s, out of which 6 cases were belongs to 6-10 years age group, 5 cases belongs to 11-18 years of age group. Recent advances in research support considering ABU a separate entity from symptomatic UTI. Furthermore, in contrast to historical recommendations, recent evidence demonstrates there is minimal benefit and potential harm associated with the treatment of ABU. The current recommendation is not to treat ABU in the pediatric population, with the exception of renal transplant recipients and children undergoing urologic procedures.