The key issues of implementing internet marketing are revealed. Specified for one of the varieties of online marketing– conversion marketing. The general principles for determining the model of Internet marketing conversion are revealed. The basis of formalization of the general model of Internet marketing is offered. The main tasks of the solution of key tasks of the conversion Internet marketing are outlined.

Abstract: Protein- energy malnutrition, wasting and inflammation are frequent complication among patient with Chronic kidney disease (CKD). Malnutrition is associated with cardiac co-morbidity, inflammation and poor survival in CKD patients. Serum albumin is a well-known negative acute phase protein, marker of nutrition in CKD patients. C-reactive protein (CRP), the major acute phase response (APR) protein is elevated in these patients. High CRP levels are linked to the degree of atherosclerosis in coronary, peripheral, and extracranial brain arteries. The aim of the present study was to investigate nutritional factor (albumin) and CRP levels in CKD patients. This cross –sectional study was carried out in the Department of Biochemistry in collaboration with the Department of Medicine, Guru Gobind Singh Medical College & Hospital, Faridkot .Study involved 100 pre dialysis CKD patients (age 40.5 ± 12.3 years) admitted indoor and attending outdoor .Following investigations were carried out –CRP by fluorescence immunoassay method utilizing latex particles coated with CRP monoclonal antibodies (I-chroma). Serum albumin levels on fully automated chemistry analyzer Renal function by estimated glomerular filtration rate (eGFR). The data was later statistically analyzed. The study patients included 57 males (57%) and 43 females (43%) with average age of 40.5±12.3 years. The mean GFR was 38.3 ± 16.4 ml/min/1.73m2. The mean value of CRP was 10.93 ± 1.42 mg /dl. 67% of patients had elevated CRP (> 6 mg/L) with low serum albumin levels were present with mean value (3.02 ± 0.17 gm/dL). This study showed that low albumin and high CRP levels are the main predictors for death. There was a significant difference between CRP and albumin levels in CKD patients (P<0.001). Measuring CRP as a marker of inflammation can be helpful in managing these patients and Low levels of albumin are a marker of poor nutritional status in CKD patients. Our results indicate that CRP(as marker of inflammation) and albumin(as marker of nutritional status ) were very closely related to each other ,as the levels of CRP increased the albumin goes on decreasing due to degree of inflammation , malnutrition and decreased synthesis by liver exists in pre-dialysis CKD patients.

This paper investigates the mechanical properties of an aluminium oxide reinforced Eposand composites. The matrix a brand of epoxy was obtained from Shell Petroleum Development Company (SPDC) and reinforced with particulates of alumina in micro-scale. The resin and hardener were mixed and compounded in the ratio of 2:1 and through the application of centrifugal force was thoroughly compounded with the fillers. Two main mechanical tests of tensile and compression where carried out to obtain tensile, compressive, and yield strength of the composites. Four samples of 10%, 20%, 30%, and 40% by weight of alumina with five replications each were prepared and subjected the tests in accordance with ASTM D3039 and ASTM D3401M for tensile and compressive tests respectively. Maximum compressive strength of 133.3 MPa was recorded for 30% of filler, while maximum tensile strength of 7.9 MPa was obtained 10% of filler. An optimal yield strength of 3.4 MPa was recorded at 20% weight of filler. The analysis showed that the compressive strength increases with increase in percentage weight of alumina.

Projects remain the instruments of choice for policymakers in national and international development. In Africa and other third world countries, development projects play a great role in providing basic social services. The main focus of this study was to access effects of monitoring and evaluation on successful implementation of projects in non-governmental organizations of Kajiado County. The study covered a population is 110 employees and used stratified random sampling where 50% of the entire target population formed the sample size 55) of the study. Data was collected from both primary and secondary sources using questionnaires. The findings were presented using graphs, pie charts and table diagrams respectively depending on the techniques. Based on the study findings, monitoring and evaluation 95% said it affects successful implementation of projects in non-governmental organizations of Kajiado County while 5% disagreed, on staff training 88% said it affects successful implementation of projects in non-governmental organizations of Kajiado County while 12% disagreed, The researcher recommends that monitoring and evaluation of project since it is very essential in improving performance, is also very complex, multidisciplinary and skill intensive processes. In relation to staff training the nongovernmental organizations should be able to improve the competency of personnel. It was highly recommended that monitoring and evaluation of project since it is very essential in improving performance, is also very complex, multidisciplinary and skill intensive processes.

Present studies at home and abroad on V.S. Naipaul‟s novel In a Free State is not enough in the aspect of textual analysis. The in-depth studies in this aspect are wanted. This thesis aims to analyze the image existing in the title novella of In A Free State, one of the five novellas in the collection of In a Free state. By discussing the symbolic meaning of the three images and then comparing the symbolic meanings of these images, it can be inferred that Naipaul tends to criticize the mimic of the western civilization but praises the traditional African civilization.

Acute intestinal obstruction is a common surgical emergency that a general surgeon comes across and one has to accomplish the skills of diagnosing art of Surgery and knowledge of postoperative management, which carries gratifying results. With this in mind, we in this study the tried to evaluate the symptomatology of Intestinal Obstruction to study the various causes of intestinal obstruction modalities of surgical procedures and its outcome. Methods: The cross-sectional study was conducted at the Department of General Surgery, Prathima Institute of Medical Sciences, Karimnagar. A total of hundred patients belonging to both sex groups were included in the study. All patients were evaluated thoroughly from their history and clinical examination. Patients with signs and symptoms of acute obstruction were managed by appropriate surgical procedure after resuscitation and the diagnosis was established. The postoperative period was monitored carefully and all parameters were recorded hourly or fourth hourly basis depending upon the resuscitation and the diagnosis was established. Results: The most common involved age group was 31 - 40 having 40% of the patients followed by 14 – 50 has 38%. Adhesions are the most common cause of intestinal obstruction accounting for 36% of the cases. Malignancy of the large bowel was found to cause obstructive features with a single case being due to ascending colon growth, one case of small bowel tumor and the 7 is due to recto-sigmoid growth, 2 descending colon, thus a total of 11 cases of malignant obstruction. 39 patients who underwent surgical procedure had no complications. 25 patients had wound infection with wound gaping and had to be treated with secondary suturing. 8 patients who underwent surgery expired with an overall mortality rate of 8 %. Conclusion: Clinical radiological and operative findings put together can bring about the best and accurate diagnosis of intestinal obstruction. Intestinal obstruction with tuberculosis of the intestine is more likely to develop postoperative complications, proper anti-tubercular management is necessary to prevent mortality and morbidity.

In this paper, based on WuZhiWen's 2002 construction method on comprehensive index of financial fragility, respectively from the fragility of the financial market subsystem, the fragility of the banking subsystem, the fragility of the financial supervision subsystem and the fragility of the macro-economic environment subsystem, to measure the degree of China's financial fragility during the period of 1997 to 2016. Then taking the four subsystem indicators and comprehensive indicators into the Wurgler's 2000 model of capital allocation efficiency. The result shows that, firstly, China's financial fragility generally declined in 1997 to 2016, and the fragility of the financial supervision subsystem was the highest. Secondly, the financial fragility has an inhibitory effect on the capital allocation of China's real economic capital, which the financial supervision subsystem has a particularly obvious suppression on it.

Adverse events (AE) are an ongoing challenge in healthcare. Apart from having a significant impact on patient morbidity and mortality, AE also result in increased healthcare costs due to longer hospital stays. However, little is known about AE occurrence and their risk factors in Tunisian healthcare system. To determine the incidence of severe adverse events (SAEs) and identify risk factors associated with SAE during hospitalization in a Tunisian University Hospital. A case-control study with incident cases was conducted including all patients hospitalized in the Teaching Hospital Farhat Hached within a one-month period in 13 clinical units. Medical records for caseswere selected by using stratified random sampling. The sample size was proportional to the number of admissions in each of 13 clinical departments. Controls were matched by the service and the duration of hospitalization preceding the appearance of SAE. Risk factors were collected and analyzed by conditional stepwise logistic regression. Overall, 304 controls were matched to cases, totalizing 456 patients. Multivariate conditional stepwise logistic regression analysis showed that night-time admission, hospitalization in the last six months, difficulty of communication, longer surgical operation, biopsy, presence of at least two medical devices, exposure to peripheral venous catheter, exposure to more than four medications and blood transfusion were considered as independent risk factors of SAE occurrence. Our results highlighted care-related risk factors such as catheters, blood transfusion and polymedication, which underlined the need to strengthen the care safety by focusing efforts especially in the field of hospital hygiene and infection control as well as pharmacovigilance

Research active status of Library and Information Science (LIS) in India has been studied using publications indexed in the Scopus database. ―Library and Information Science‖ as a search term in the All field tag fetched 387 records and the period of coverage from 2008 to 2016. The downloaded data were analyzed using MS Excel and VOS Viewer software applications. The analysis revealed that there are 160 authors from among 35 countries; 112 journals; 7 types of documents; 160 institutions; 1931 times cited by local and global references. 65.37% of publications are scholarly articles. The highest productive year is 2015 (Citation -183) and lowest is 2008 and 2009 (Citation-106 and 185). Of the 35 countries, India stands first, United State and Canada in the second and third places respectively. ―Annals of Library and Information Studies‖, ―DESIDOC Journal of Library and Information Technology‖, ―Library Philosophy and Practice‖ are the most productive journals involved in this study. Among the 160 authors, ―Mukherjee, B.‖ has earned the highest h- index value. ―University of Delhi‖ dominates other institutions in terms of a number of records.

Diabetes Mellitus is the most common endocrinological condition. We can see complications as a result of the changes in microcirculation and tissue collagen structure. In our study; we aimed to discuss the clinical features and wound evaluations of the patients who applied to our clinic with diabetic hand wound, as well as their treatments and results. Patients with diabetic hand wounds who applied to our clinic between 2013-2015 were included. Demographic data, type of diabetes, characteristics of hand wounds, laboratory values, culture results, abscess involvement, treatment methods, and treatment results of the patients were obtained. Nine of the 29 patients were female and 20 were male. The mean age was 63.62 ± 14.12. 22 patients had the wound in their right hand while 7 patients had it in the left hand. While 25 patients had finger involvement, 2 had volar part involvement and 2 had wounds in the dorsal part of the hand. 19 patients were treated with debridement and 10 patients were amputated. Flaps / grafts were applied to 5 of the patients. 8 patients had high sedimentation rates. The mean C-reactive protein value was calculated as 43.94. The mean HbA1c of the patients was 8.70 ± 1.74. The wounds of all 29 patients were treated successfully. Patients should be careful while they are using hand tools, cutting nails, and should wear protective equipment. Strict blood glucose control, aggressive debridement, and antibiotics in the treatment of these wounds can reduce the risk of amputation

This study aims to examine and analyze the effect of DER, ROA, EPS and MS on stock returns on telecommunications sector companies listed on the Indonesia Stock Exchange. This study uses annual data for the observation period from 2012 to 2016. The type of research is descriptive causality. The data used is panel data which is a combination of annual time series data and cross section processed using panel data regression analysis. The population is telecommunications companies listed on the Indonesia Stock Exchange in 2012 up to 2016 a number of 5 companies. The sampling technique used purposive sampling, found a sample of 4 companies with a 5-year observation to obtain a total observation of 20. Data were obtained from Sahamok. Data analysis in this study is panel data regression. The model used is Fixed Effect Model. The results of the analysis show that the DER variable has a significant positive effect, ROA has a significant positive effect, while EPS and MS have no significant negative effect on stock returns, namus simultaneously to the four variables DER, ROA, EPS and MS together can affect the stock return shown by data processing results that get R2 value of 82.44% of the telecommunications sector stock returns on the Indonesia Stock Exchange for the period 2012-2016.

Diabetes Mellitus type 2 is a group of disorders characterized by high glucose levels. Electrolyte abnormalities are commonly encountered in chronic diabetes mellitus type 2 patients. These patients usually have Potassium, Magnesium and Phosphate depletion. This study was conducted to investigate the electrolytes and lipid abnormalities in chronic type 2 diabetes mellitus in patients attending Rajiv Gandhi Institute of Medical Sciences and Hospital Adilabad. This study was conducted in the Department of General Medicine and Biochemistry, Rajiv Gandhi Institute of Medical Sciences [RIMS], Adilabad. The study included male and female subjects diagnosed with chronic diabetes mellitus type 2. Chronic diabetics were defined as those diagnosed with diabetes mellitus type 2 and on medications, for the duration of 5 years or more they were designated as Group I. Similarly age and sex-matched controls from the normal population were included in Group II as controls. Fasting blood samples will be collected in Vacutainer 10ml and serum fasting blood sugar, Serum Electrolytes and lipid profile will be estimated in fully automatic chemistry analyzer ‘Beckman Coulter Au 400’. The results obtained were recorded and analyzed using statistical software. Results: A total of 100 patients were included in the study divided into two groups Group I (diabetics) and group II (controls). The serum fasting blood glucose was measured in group I the mean values was 174.5 ± 25.6 mg/dl and in group II 96.5 ± 20.5 mg/dl the p values were found to be significant. The triglyceride levels as compared to controls the mean values in group I was 201.55 ± 35.8 mg/dl and group II was 190.5 ± 30.12 mg/dl the p values were found to be significant. The potassium levels were also elevated in the group I (diabetic) as compared to group II and the p values were found to be significant. It can be concluded that type 2 diabetes patients have abnormal lipid and electrolyte balance. The impaired mineral metabolism can result in disturbances in enzymatic activities, hormone secretions, and antioxidant levels. Therefore monitoring of these patients every 3 months will help in preventing the occurrence of long-term complications related to diabetes

Abstract: Drop set training has been suggested as one of the best high intensity training techniques of all time. Though several studies have shown the effect of drop sets on limb muscles; there is a relative dearth of research on the effect of drop sets on spinal musculature. This study was aimed to determine the effect of drop sets on muscle strength and endurance of trunk extensors among trained men. Methodsː A randomized controlled trial was conducted for 6 weeks among 30 trained men recruited through convenient sampling. Participants were randomly assigned into two groups; experimental group that underwent drop sets and control group submitted to high load resistance training. A pre-test and post-test measurement of muscle strength and endurance for both groups was carried out using 1RM Strength Test and Biering-Sorensen test respectively. Data were statistically analysed by Pearson correlation and t-student tests, with a significance level of p<0.05. Resultsː At the end of the trial, significant changes are shown in pre-test and post-test scores of muscle strength (p=0.001) and endurance (p=0.003) of the trunk extensors in the drop sets training group. The findings proved that drop sets can simultaneously improve muscle strength and endurance of trunk extensors with short term training. Conclusionsː In conclusion, drop sets training achieved superior gains in muscle strength and endurance of the trunk extensors compared to high load training. In this context, this programme could potentially be used to improve trunk extensor muscle performance in trained men.

Many patients with gastrointestinal (GI) symptoms go through endoscopy often unnecessarily and without indication. Observational studies have generally shown poor adherence to international guidelines of endoscopy. This study aims to identify the common indications of GI endoscopy and the subsequent findings among the population of Al Kharj Province, KSA. We conducted a cross-sectional study on 516 patients who underwent upper or lower GI endoscopy at the Endoscopy Unit of King Khaled Hospital, Al Kharj, KSA in the period from March 2017 to March 2018. GI bleeding, dyspepsia and reflux symptoms were the most commonly reported causes for referral to endoscopy (26.8%, 19.6% and 10.7% respectively). Normal endoscopic findings were reported in 33% and 37% of the patients who underwent gastroscopy with dyspepsia and reflux symptoms, respectively). Only six patients (1.8%) of those who underwent colonoscopy had an indication of colorectal screening. Almost half of the patients 45 % (45/100) with dyspepsia 53% (27/55) unnecessary gastroscopy. High rates of unnecessary upper GI endoscopy are performed for inappropriate indication such as dyspepsia and reflux symptoms. Also, colorectal screening strategy has not been adopted by the physicians. We recommend the implementation of the recent international guidelines when referring patients to endoscopy to avoid the unnecessary invasive procedures.

The realization of the principle of justice in proving the settlement of consumer disputes through arbitration in Indonesia is important, with three reasons, namely first, there is a weakness of the consumer protection law because the formulation of substantial norms and formal law is contrary to other laws so that the formulation is not in the framework national legal system and difficult to be harmonized. Second, the legal norms for consumer dispute settlement with an inverse proof burden system have created injustice for consumers and producers and open up opportunities for other parties to manipulate adverse evidence. Third, no matter how well the consumer dispute resolution process, does not guarantee that justice is achieved unless the judge (arbitrator) is right and correctly divides the burden of proof and provides an assessment of the strength of the evidence submitted by the disputing party. Discussion of the problem of proof, using the normative legal research method that refers to norms and legal principles in the legislation or court decisions. This discussion is explorative on thought, concrete legal norms in the Indonesian consumer protection law and is prescriptive to offer the concept of problem solving of the problems presented. The conclusion of the discussion is that the consumer arbitration verification system in Indonesia is a model that comes from the presumption of liability principle with a reverse proof burden. The realization of justice in this system cannot be harmonized so that it needs to be adjusted to the principle of justice that is universally adhered to and the principle of justice characterized by the legal personality of the Indonesian nation, namely Pancasila justice.