The purpose of this study was to find out the effect of trust, security, quality of service and perceived risks on online purchasing decisions. To investigate thehypotheses of the research, data were collected through distributing questionarre with a samplesize of 385 samples.The questionnaire consisted of a list of statements submitted to respondents to obtain data relating to research. The methodology was conducted usingStructural Equation Modeling (SEM) program, and LISRELsoftware to perform factor analysis. The study revealed that trust variable on online Purchasing Decisions (PD) had positive and not significant effect with t-value of 1.38 and the estimated value of 0,19. The effect of Security Variable on Purchasing Decisions (PD) had a positive and not significant effect with t-value of 0.87 and estimated value of 0.12. The effect of Quality of Serivice (QS) on Purchase Decisions (PD) had a positive and significant effect with t-value of 6.03 and estimated value of 0.37. The effect of the Perceived Risk Variable on Purchasing Decisions (PD) had a positive and significant effect with t-value of 5.82 and estimated value of 0.44. The Quality of Serivice (QS) variable had a dominant effect on online purchasing decisions through Social Networking Websites compared to the Perceived Risk variables, Trust Variables and Security Variables

Fatigue is often cited as a contributing factor in air incidents and accidents. Usually, the words "fatigue" and "sleepiness" are used by aircrew to describe the same feelings, a questionnaire has been developed for subjective level assessment of fatigue and sleepiness among Moroccan aircrew. A 4-month prospective study including all aircrew (civilian, military) and air traffic controllers was conducted at the Aero-medical center of Rabat during their review visit. The questionnaire included the Pichot scale for fatigue and Epworth scale for sleepiness. It was filled anonymously. Out of more than 400 cards distributed, only 200 were exploitable. 23% of the subjects in the study had moderate fatigue. 6.5% of the sample presented moderate sleepiness and 4.5% had excessive daytime sleepiness. These two states seem to be preponderant in young aircrew population especially cabin crews. The occurrence of fatigue and daytime sleepiness in aircrew especially at the beginning of their career can be explained by the difficulty of adapting to aeronautical constraints. It is important to remember the countermeasures of fatigue to preserve aviation safety

The study was conducted in five major Binasoybean-2 growing areas of Bangladesh, namely Noakhali, Laxmipur, Chandpur, Barisal, Comilla. The major shares of total cost were human labour, power tiller, fertilizer and irrigation. The average total cost of production in field level of Binasoybean-2 is Tk. 31382.71. The net returns were Tk. 39738.40, Tk. 32353.80, Tk. 31467.89, Tk. 30499.63 and Tk. 20688.88 ha-1 followed by Chandpur, Laxmipur, Noakhali, Barishal, Comilla, respectively. The highest net return (Tk. 39738.40 ha-1) was found at Chandpur district and the lowest net return (Tk. 20688.88 ha-1) comes from Comilla district for Binasoybean-2. The undiscounted benefit cost ratio over full cost basis were 2.29, 2.02, 2.01, 1.98 and 1.65 for Binasoybean-2 in field level for Chandpur, Noakhali, Laxmipur, Barishal and Comilla, respectively. The highest Benefit Cost Ratio (BCR) is 2.29 in Chandpur district and the lowest BCR is 1.65 in Comilla district. The highest yield gap between research station and field level was in Comilla (397.50 kg ha-1) and lowest in Chandpur (83.50 kg ha-1). The yield gap between research station and farm level in percentage were 18.30, 8.49, 11.48, 40.43 and 21.30 for Binasoybean-2 in Noakhali, Chandpur, Laxmipur, Comilla and Barishal, respectively. Binasoybean-2 growers faced various constraints to Binasoybean-2 cultivation like, disease and pest infestation, non-availability of quality seed and fertilizer at proper time, lack of soil moisture during sowing time, lack of credit facilities etc. Binasoybean-2 production in the study areas is profitable. Binasoybean-2 farmers received higher return on their investment

Skeletal muscle metastases are an exceptional mode of revelation of broncho-pulmonary cancers, we report a case of a patient with lung cancer disclosed by skeletal muscle metastasis. The patient consulted for a painful mass of the left calf with significant weight loss, the medical imagery shows an intramuscular process and the ultrasonography guided biopsy shows an infiltration of the muscle with metastatic adenocarcinoma, immunohistochemical patterns suggested the pulmonary origin, the treatment included muscle resection and chemotherapy. Skeletal muscles metastases from lung cancer are rare and although indicative of a poor prognosis, the treatment is poorly codified and differs from case to case.

Gender based violence is rising. Bangladesh stands second in the world in terms of violence against women in different forms like women battering, wife beating, domestic and dowry-related violence, acid attack, rape, physical and verbal harassment, fatwa, sexual harassment in the workplace, trafficking and prostitution, polygamy and child abuse. The rate of violence against women has dropped by 4.9 percent in between the years 2011 and 2015. Abusing rate was 87.1 per cent in 2011 which came down to 82.2 percent in 2015 and in the Daily Star newspaper came down to 80 percent in 2016. Around 72.6 per cent of women who are married in Bangladesh experience one or more such forms of violence it the hands of their husbands at least once during their marriage and 49.6 percent of lifelong married women suffered physical violence, 28.7 percent emotional violence, 27.2 percent sexual violence and 11.4 percent financial violence according to the Bangladesh Bureau of Statistics. Gender discrimination also leads to women having less opportunity. The literacy rate for women in Bangladesh is only 43.2%, while 61.0% of Bangladeshi men are literate. The unemployment rate for women is 70.7%, much higher than the 12.4% unemployment rate for men. Most of the victims, around 39.7 percent, of forced or coerced sexual intercourse, are aged between 15 and 19. Child marriage that legitimizes sexual abuse of minors must be stopped immediately. The government should enhance legal and criminal justice systems to prevent further violence and need interventions to change male attitudes.

PLMA is a recent, complex, and ingenious development with some added features of Classic LMA like Modified dual cuff ,Drain tube, positive pressure ventilation at higher peak inspiratory pressure. Study was to evaluate and compare the use of Proseal laryngeal mask airway and endotracheal tube with controlled ventilation in patients undergoing gynecological laparoscopic procedure. 100 patients, ASA risk I & II, posted for elective laparoscopic were recruited in the study. All the patients between 18 to 45 yrs of age were randomly divided in two groups Group PLMA and Group ETT (50 patients each). Attempt of insertion of airway device, Leak pressure, pulmonary ventilation, Hemodynamic; heart & MAP, gastric distention were recorded. All patients were of middle age group, comparable in weight. Mean duration of laparoscopy was comparable in both the groups. Significant rise in heart rate and mean arterial pressure seen in group ETT after induction of anesthesia .Changes in the end tidal CO2 and peak airway pressure after induction of anesthesia, before & after peumoperitoneum were comparable in two groups. After head low position peak airway pressure is slightly raised in Group PLMA. Gastric distension was noted higher in Group PLMA (8%).Incidence of sore throat (22%), nausea vomiting (14) airway trauma (14%) was higher in group ETT. Hemodynamic stability was better in PLMA group at time of induction and comparable in two groups at time of pneumoperitoneum and trendelenburg position along with pulmonary ventilation. Post operative sore throat, nausea vomiting was higher with endotracheal tube.

Thyroid diseases are among the commonest endocrine disorders. Hypothyroidism is an insidious condition in which the thyroid gland does not synthesize enough thyroid hormones to meet metabolic requirement of the body which is associated with subtle and nonspecific symptoms with significant morbidity. Hypothyroidism is the leading cause of several complications the commonest being overweight and obesity. The present study was undertaken to evaluate the BMI at the time of diagnosis in hypothyroid patients and compare with that of normal individuals. A comparative study was conducted, 100 cases of hypothyroidism at the time of diagnosis and 100 controls in the age group of 20-40 years, both Males and Females. BMI was calculated, data of T3, T4 & TSH levels were collected & compared between normal and hypothyroid subjects. It was found that hypothyroid subjects had a higher body mass index than the normal individuals. Hence maintenance of thyroid hormones at normal level and regular monitoring of BMI in Hypothyroid patients will help in early detection and prevention of Obesity and its related complications in future.

The choroidal macular neovascularisation (NVC) of the young subject is a serious condition that threatens visual function. The decrease in marked visual acuity is related to the foveolar or juxta-foveolar localization of the neovessels. The therapeutic management of idiopathic NVC of the young subject is difficult due to frequent recurrences despite the treatment. The use of anti-VEGF (vascular endothelial growth factor) represented a turning point in the management of this condition. The intravitreal (IVT) injection of bevacizumab appears to be effective and well tolerated.

The basic aim of our study was to develop and evaluate the polyherbal soap by using different extracts (extracts of neem leaves, papaya leaves, aloe leaves, turmeric and tulsi leaves) having greater antioxidant and antimicrobial potential. Pre-eminently, basic soap was prepared using Coconut oil and NaOH (lye) and the different extracts were incorporated into the basic saponification reaction. The herbal formulation thus prepared was then consigned for the evaluation testing for the analysis of pH, Moisture content, foaming ability, foam retention time, saponification, Total Fatty Matter determination and antimicrobial activity. The results demonstrated that pH 7.5 – 8, moisture contents 8.6%, foam retention time 1.20 minutes, Saponification value was 210.375 mg/ml, 30% TFM for polyherbal soap. Also the evaluation tests showed that the poly herbal soap has satisfactory antimicrobial results as compared to standard antibiotic. Some human infections which are majorly caused due to wounds, acne or blisters; these strains of microorganisms are of greater benefit. Moreover, oils and extracts used are added to treat various skin infections and are perfect for daily usage.

The aim of the study was to study effectiveness of inhalation sevoflurane with the laryngeal mask airway (LMA) in children undergoing surgeries below umbilicus. Thirty premedicated children 3-12 years old with the American Society of Anaesthesiologists physical status of I to II were enrolled and received induction with sevoflurane 7% by face mask and maintained with 50% oxygen and 50% nitrous oxide mixture followed by 1.7% sevoflurane with LMA. Demographic data, induction time, number of attempts, LMA insertion, removal and recovery times, haemodynamic parameters, complications, Aldrete score and child’s behaviour score were recorded. LMA insertion was successful at the first attempt in 93% with sevoflurane. LMA insertion, removal and recovery times were (1.26±0.36, 2.76±0.51, 5.16±1.6 minutes respectively). Perioperative minor complications were there. Recovery milestones including Aldrete score in the group was (9.03) t 5 minutes and comparable at 15 and 30 minutes. There was a greater incidence of excitatory phenomena with sevoflurane. Haemodynamics were studied. Sevoflurane provided short LMA insertion, removal and recovery times in children undergoing minor surgeries below umbilicus with little perioperative complications. Agitation was seen with sevoflurane.

This study seeks to contribute to the ongoing investigation on the growth effect of foreign direct investment in Nigeria. The study utilized annual time series data for the period 1981-2016 and the OLS estimation technique. Apart from the long-run estimation, the study also captured the short-run dynamics using an error correction model. The findings show that the role of FDI remained muted both in the long-run and short-run. However, the study established that growth in gross fixed capital formation and the dynamics of the naira to U.S. dollar exchange rate play important roles in economic growth in Nigeria, at least in the long-run. The study therefore concludes that there is need for Nigerian government to evolve and implement policies that can drive the inflow of foreign direct investments into the productive sectors of the economy in order to enhance the productive capacity of the economy. Such policies should encourage a stable economic and political environment that will enhance the confidence in foreign investors in the domestic economy

The repair of eyelid needs a good knowledge of reconstruction techniques. The goal of this work is to study epidemiological and technical aspects of eyelid defects in our context, and to evaluate their functional and aesthetic repair. We report cases concerned by loss of eyelid tissue operated between September 2011 and September 2016. Epidemiological, clinical and histo-pathological aspects are described, the repair processes and various surgical techniques are discussed. Among the identified cases of eyelid defects, 74% were malignant tumoral pathology, while 26% were benign. The repair techniques used were suture, direct healing, skin graft, flap of Mustardé with mucous chondro graft, frontal flap and sub-mental flap. The eyelid defects need functional and aesthetic valid repair, the various reconstruction means should begin from the simple ones to more complex.

Spinal trauma is very common in orthopedic practice. There is a debate as to whether the surgical or conservative approach is more effective in the treatment of spine fractures. We in the present study tried to evaluate the outcomes of patients with spinal fractures treated with the conservative treatment and surgical treatment and overall outcome of treatment in the patients. Methods: In this prospective cross-sectional study conducted in the Department of orthopedics, MGM hospital attached to Kakatiya Medical College. A total of 30 patients were included in the study of which (n=15) patients were treated with conservative treatment based on the presentation of fractures and similarly (n=15) were taken for operative treatment depending on the type of fractures. A Detailed history of the injury was obtained they were clinically and radiologically evaluated for the thoracolumbar fracture. The radiographs included the anteroposterior and lateral views. Laboratory investigations were carried out before the surgery. CT and MRI scans were carried out to evaluate the relationship and instability of the spine. Results: The L1 vertebra was the most common to get fractured and most of the fractures (74%) were appeared at T12 and L1. AO type, A fractures were only studied with the majority of the fractures (66.6) were falling into AO type A3 (burst fractures). DENIS pain scale scores in conservative treatment, category 8 (53.3%) of patients were in the P3 category similarly in operative treatment 46.67 % of patients were in P1 category...

Mental health disorder is one of the major health problems, which requires early & effective treatment. WHO global burden of disease 2001 estimates four main psychiatric causes leading to disability, which is Depression, Alcohol abuse, Schizophrenia & Bipolar disorder. Although current psychotropic medicines have remarkable effect on mental illnesses, their utilization in clinical practice needs to be done regularly hence, current study aims to observe the utilization and prescribing pattern of various drugs used in department of psychiatry, according to various WHO drug use indicators. It is a prescription based prospective, observational study conducted on 1200 prescriptions of patients attending department of psychiatry for 18 months. Total of 3632 drugs were prescribed in 1200 prescriptions analyzed, where 48.4% (581) were males and 51.6% (619) were females, majority of the patients 56.25% (675) belonged to age group of 21-40yr, 85.67% (1028) individuals were married. Out of total drugs prescribed 2971 (81.80%) were psychotropic drugs. Average no. of total drugs & psychotropic drugs prescribed per encounter was 3.03 & 2.48 respectively. 1680 (46.26%) drugs were prescribed from the WHO EDL formulary (2016), all the drugs were prescribed by brand names, percentage of prescriptions with injectable drugs accounted for 4.75%. Polytherapy (>5drugs) was observed only in few prescriptions 26 (2.17%). This study advocated an overall rational utilization of psychotropic drugs with fewer deviations due to the prescription practices of healthcare providers, which needs an improvement, to ensure rational use of drugs.

Induced labour is one in which pregnancy is terminated artificially, any time after foetal viability is attained, by a method that aims to secure vaginal delivery. At term, upto 15 – 30% of pregnancies in obstetrics practice are induced for labour due to various foetal and maternal indications. Dinoprostone (Prostaglandin E2 or PGE2) has been shown to be the most effective agent achieving for cervical ripening. The present study is conducted with an aim of comparison between the two preparations i.e. dinoprostone vaginal gel vs dinoprostone vaginal pessary administration in a pregnant women with singleton pregnancy with vertex presentation for efficacy and safety in induction of labour. This tertiary level hospital base prospective observational study is done on 100 pregnant women out of which 50 pregnant women were given dinoprostone vaginal gel and 50 pregnant women were given dinoprostone vaginal pessary after obtaining informed consent. Data were collected on number of doses of drug required for delivery (58% required single dose in gel group vs 80% required single dose in pessary group), need of oxytocin augmentation for delivery (56% in gel group vs 30% in pessary group), induction to delivery interval (Mean 20.86 Hrs in gel group vs 16.88 Hrs in pessary group), mode of delivery (Vaginal delivery 46% in gel group vs 80% in pessary group), maternal complication (84% in gel group vs 90% in pessary group with no complication) for maternal outcome and for foetal outcome liquor characteristic (72% in gel group vs 88% in pessary group with clear liquor) and NICU admission (12% in gel group vs 6% in pessary group). Dinoprostone vaginal pessary is more effective for cervical ripening in induction of labour then dinoprostone vaginal gel