Abstract: Struma ovarii is an ovarien teratoma which predominantly contains thyroid tissue. Because of its rarety, the diagnosis and the managment of the tumour have not been clearly defined. We report a case of malignant papillary struma ovarii not suspected in preopertive. The chirurgical treatment of our patient was total hysterectomie, bilateral salpingo-oophorectomie and biopsies comleted with thyroidectomie and radioactive iodine ablation wish was decided in multidisciplinary consultation meeting. Through this observation, we discuss the diagnositic, management and outcome features of these particular tumors.

One of the catastrophic aftermath effects of the Structural Adjustment Program is the continuous fluctuations in exchange rate in Nigeria. The possible spillover effects of exchange rate fluctuations on trade balance in the country have generated a serious concern among scholars in the recent time. However, mixed results have been observed from the past studies which created a vacuum in the literature in which this study would fill. Consequently, this paper employed Cointegration, Granger Causality and Fully Modified Least Squares (FMOLS) approach to address the objective of the study. The findings that originated from this study are as follows; the exchange rate fluctuations have a negative impact on imports in Nigeria, though not statistically significant. Meanwhile, the impact of exchange rate is positive on exports though not significant in Nigeria as well. Also, economic growth and exchange rate have an inverse relationship in the country. In the same vein, exchange rate has a negative impact on trade balance. Similarly, there is a unidirectional causal relationship between imports and exports in one hand, and exchange rate and economic growth on the other hand in Nigeria. This implies that exchange rate fluctuations have not been favourable to balance of trade and economic growth in Nigeria. Moreover, on the basis of the findings above, it is paramount this paper recommends the following; firstly, the policy makers in Nigeria should embark on policy measures that will ensure the stability of the country`s exchange rate. Also, the Nigerian government should put appropriate mechanism that will ensure the competitiveness of the locally made products both in Nigerian and the world markets. The government should have a political will to embark upon aggressive exports promotion of the locally produced goods in the country.

Pregnancy related acute kidney injury (PRAKI) contributes to 3.7% of overall acute kidney injury cases in Indian subcontinent. It is a major cause of maternal and foetal morbidity and mortality in developing countries. To find out the maternal and foetal outcome in cases of pregnancy related acute kidney injury. A total of 50 patients with PRAKI were enrolled in this hospital based observational study. Cases were divided according to KDIGO criteria and maternal and foetal outcome were analysed in relation to age, parity, pregnancy status, mode of delivery, etiological factors and need for dialysis. Out of 50 cases mortality was 14% (7 cases). Aetiology was found to be multifactorial with sepsis in majority of cases (92%) and maximum cases were in the postpartum period. All the expired cases belonged to multipara group and all having anaemia and toxaemia of pregnancy. Out of 17 dialysed patients 29.4% (5 cases) expired

This research aims to determine the effect of Good Corporate Governance (GCG) which proxied by the General Meeting of Shareholders (RUPS), Number of Commisioners (JDK), Number of Board Directors (JDD), Institutional Ownership (KI), and Audit Committee (KA) on profitability as measured by Operating Income Operating Costs (BOPO). The Sampling Technique used by this research is Purposive Sampling Technique which is using as many as 30 bank's Yearly Financial Reports that are listed in the Indonesian Securities Market on 2012-2016. Panel Data Regression used by this research as Data Analysis Method. This Research results show that the RUPS has a positive effect on BOPO as much as 6,546831 with a probability value of 0.0001 < 0.05. Means that RUPS had a significant effect on BOPO. The effect of JDK on BOPO is - 1.808941 with a probability value of 0.0725> 0.05, so the JDK has no significant effect on BOPO. The effect of JDD on BOPO shows the amount of -2.440531 with a probability value of 0.0159 <0.05, so it can be concluded that JDD has a significant effect on BOPO.The KI effects on BOPO is 2.576708 with a probability value is 0.0110 <0.05, so KI has a significant effect on BOPO.The KA effects on BOPO is 0.747203 with a probability value of 0.4562> 0.05, so it can be concluded that KA has no significant effect on BOPO. This means that every change of committee assuming other variables remain (Ceteris Paribus), then BOPO does not experience changes.

Hydatid disease is a global parasitic zoonosis with a very low incidence of 1 in 30,000 during pregnancy, with liver as the main organ to occur in it. Their diagnosis would depend on their clinical or radiological presentation, but the main problem during pregnancy would be their management. Here in, we present our case of accidently discovered liver hydatid cyst during pregnancy that was managed by albendazole therapy

The present aimed to assess the utility of serum transferrin receptor (sTfR) and sTfR -ferritin index in diagnosing iron deficiency anemia (IDA) in children. Ninety children≤ 12years of age with anemia (6-59 months; Hb<11g/dl and5-12years Hb<11.5g/dl) were recruited. Serum iron, total iron binding capacity, percent transferrin saturation (%TS) and serum ferritin were measured in all patients. Sixty-two children with IDA (SF<15µg/l and/or %TS<16) were included in the study. Thirty-five controls were also studied (non anemic children without ID). sTfR was measured (ELISA) in patients and controls and ROC curve made. sTfR was significantly (p<0.001) higher in patients (6.0 ± 2.9 µg/ml) as compared to controls (1.2 ± 0.6 µg/ml). sTfR-F index showed a similar trend. The area under the ROC curve for sTfR was 0.985 indicating good diagnostic ability. The sensitivity and specificity of sTfR ≥ 2.25 µg/ml for diagnosis of IDA was 90.3% and 94.1% respectively. sTfR and sTfR-ferritin index are useful tests for the diagnosis of IDA.

Introduction: Fingerprint patterns have been normally used for identification of an individual. The fingerprint design whorl might be winding, oval, roundabout or any assortment of a loop and record for around 30%. Arches are the basic type up till now uncommon (about 5%). As blood group system and dermatoglyphics have genetic inheritance, studies have shown that there is association between finger print pattern and blood group. Material and Methods: This is a prospective and single centre study was conducted among 90 subjects over a period of 6 months at Department of Anatomy and Physiology, Tertiary care Teaching Hospital. Inclusion criteria: Students who were aware of their blood group and whose age ranges between 17-25 years. Exclusion criteria: Individual with any hand deformity like permanent scars on fingers which may be congenital or acquired due to trauma on fingers. Individuals suffering from any chronic skin disease, having worn fingerprints or extra or bandaged fingers. Result: Of the 90 samples, 56 were males and 34 females, which correspond to 62.2% of male and the rest female. In this study, the maximum number of subjects were in the age group of 20-22 years which were 40% (n =36) of total followed by age group 17–19 years having 34.4% (n = 31) in this group and 25.5% were 23-25 years. In our study, the most of subjects had „O‟ Blood Group 43.3% (n =39) and least were AB Blood Group 7.7% (n = 7). It was observed that percentage of whorls was highest in B blood group (43.6%) and lowest in A blood group (37.3%). Also, percentage of arches in A blood group was highest (16.8%) as compared to lowest in O blood group (4.8%). Similarly, percentage of loops was highest in O blood group (51.80%) and lowest in AB blood group (46.0 %). Conclusion: The fingerprint used as a traditional, effective, and unique identification method of an individual, in future it allows researchers to investigate with various diseases other than those are raised with age but also helps to explore different antibodies or reactive process of human body in several diseases. Also, similar study helps to predict the risk of any kind of diseases in early age of an individual.

This study sought to compare the effects of debts on economic growth of Ghana and Nigeria. The specific objectives were to evaluate the impact of bilateral debt and also assess the impact of multilateral debts respectively on economic growth of Ghana and Nigeria. Ex-post facto research design was adopted for the study. Secondary data were sourced from Central Bank of Nigeria statistical bulletin, Debt management office Nigeria and Debt management division of ministry of finance Ghana. The regression analysis based on Ordinary least square (OLS) was used to test our null hypotheses. Two hypotheses were tested in the study. Findings from the study revealed that multilateral debts significantly impacted negatively on the economic growth of Ghana while its negative impact in Nigeria was not significant. Moreover, bilateral debt impacted significantly for Ghana but not for Nigeria. The study therefore concludes that the governments of Ghana and Nigeria should ensure that multilateral debts when contracted should be tied to self- liquidating projects and also for longer period of moratorium.

Fulminant myocarditis (FM) is a life-threatening disease with a rapid, progressive course of deterioration. The prognosis is favorable with appropriate management in the initial vulnerable stages. Here we report the first occurrence of FM in a healthy primigravid woman. We report the case of a previously healthy 30-year-old woman with FM in whom cardiac function normalized within 4 days with aggressive pharmacological support using positive inotropic drugs, intravenous steroids, high-dose immunoglobulin, and intravenous antibiotics. FM remains a challenging disease for diagnosis and treatment in clinical practice. This case serves to emphasize the importance of FM and its management. Myocardial failure due to FM can be reversible if treated early

The growing concern for Corporate Social Responsibility (CSR) activities and the importance of communication between organization and its stakeholders has led firms to become more committed and responsible to shareholders. The concern about how CSR activities positively and negatively affects shareholders perceptions has forced many companies to consider not only their financial performance but also their environmental and social impact on the society .This study, therefore, examines the impact of CSR activities on financial performance of Listed Industrial Goods Companies in Nigeria. The data were collected from the annual reports and accounts of the sampled companies for the period of ten years from 2005 to 2014. Data were analyzed using descriptive statistics, correlation and pooled Ordinary Least Square (OLS) regression via the use of STATA version 12.00. A panel data regression technique is employed. It was found that charitable donation, education and skills acquisition expenditure have positive and significant impact on the financial performance of listed industrial goods companies in Nigeria. Thus, the study recommends that industrial goods companies in Nigeria should increase their spending on donation and education and skills acquisition since they have positive impacts on their financial performance.

Propranolol is β-adrenergic receptor blocker with reported antioxidant effect and anti-inflammatory action , is used in treatment of hypertension mainly, and the main benefit in treatment patients with angina pectoris or myocardial infarction, add to role in central nervous system diseases as migraines and anxiety disorders, and tremor but rarely used in gynecology field in spite of many action either by beta receptor block or other mechanisms it acts with, such as anti _inflammatory, anticancer, antioxidant activity, pro_poptosis, and wound healing. In this review, we have discussed the various aspects of propranolol that can be applied in clinical gynecology in number of ways such as local contraceptive, in the treatment of Vulovaginitis by affected main criteria of Trichomonas and Guardia lamblia ,which is motility ,propranolol inhibited motility of both organism and consequence inhibition of the growth of both organism, for the treatment of genital hemangioma, We have also shed some light on experimental studies _ such as its effect on polycystic ovary and endometriosis

It has been observed from the literature over time that the bulk of recent studies on Nigerian FDI inflows and exports focused on non-oil exports while exports on oil has been ignored. In order to fill this gap, the study examines the relationship between FDI inflows and oil exports in Nigeria over the period of 1990 to 2016. Consequently, various diagnostic tests were carried out with the aid of the standard Augmented Dickey-Fuller (ADF), Phillips-Perron (PP) and Johansen Cointegration tests. The authors employed Dynamic Ordinary Least Square (DOLS) and Granger Causality approach to address the objective of the study. The findings that emerged in this study are as follows; FDI has a significant positive impact on oil exports in Nigeria. This confirms that the majority of foreign capital goes to oil and gas sector in this country. However, FDI and exchange rate have a significant negative relationship in the country. Furthermore, there is an existence of unidirectional causality which runs from FDI inflows to oil exports in Nigeria. Also, a unidirectional feedback flows from oil exports to exchange rate. Therefore, this paper recommends that the policy makers in Nigeria should see foreign capital as the backbone behind the oil exports in the country. And the proceeds from oil exports should be diversified and invested in the non-oil sector of the economy in order to stimulate a favourable exchange rate which can serve as catalyst that can facilitate further inflows of FDI in the country.

Phyllodes tumors of the breast are rare fibroepithelial tumors in their malignant form, the gravity lies in high risk of local recurrence. We report two observations of patients admitted for the management of local recurrence of phyllode breast tumor. The average age of our patients was 39 years old. The size of the tumor ranged from 10 cm to 30 cm in diameter, with a localization exclusively on the right. Surgical management consisted of a enlarged tumor resection, followed by radiotherapeutic complement. Histologically, it was a phyllode tumor initially benign with slowly progressive evolution, to a phyllode sarcoma at one patient, and to a liposarcoma in the other. The evolution towards a malignant transformation can be explained in both cases by incomplete previous excisional gestures. This underlines the importance of early diagnosis and surgical management responding to oncological rules

MGNREGA is the first government programme which assured legal guarantee for 100 days of work for the needy, in the country. The main objective of the MGNREGA is to ensure livelihood security to rural people with employment. It is expected that the guaranteed employment has to facilitate the rural poor and the unemployed persons. This income has to help to meet the day to today expenditure of the beneficiaries like basic necessities of life and additional income for small land holders, create rural assets and encourage the agriculture sector. Therefore, in this paper an effort has been made to examine whether the MGNREGA programme is successful in fulfilling the set objectives specially in the employment generation in the rural areas. In this direction the researchers have taken the data from 2006-07 to 2016-17 and analysed the same by using Compound Growth Rates and tried to examine the set of objectives of the programme. After the analysis of the data the paper comes out with the conclusion that to some extent the income from MGNREGA facilitates beneficiary Households to take care of their basic needs mainly through employment generation, income and this income has led to increase in consumption expenditure, calories intake and in turn ensured food security of the rural Households.

Introduction: The anterior ethmoidal artery (AEA) is an anatomical landmark; its position is important for recognizing structures of difficult access (frontal sinus) and to define skull base in surgery. The anterior ethmoidal artery crosses three cavities: the orbit, the ethmoid labyrinth and the anterior fossa of the skull. The aims and objectives of the study are to determine the course of the AEA and the distance of the AEA from the base skull. Material and Methods: A surveying radiological study was carried out on 100 coronal CT images from subjects who were exposed to paranasal CT imaging during a period April-July 2018 in a tertiary hospital. All CT images, along with indication of sinusitis were encompassed in the examination. The elimination being changed skull base anatomy due to earlier surgical interference, injury or tumour and age <18 years. Result: Among the coronal CT images analyzed, the male and female were noted to be 60 and 20 respectively. Out of 160 sides, AEA was identified in all the images studied (100%). The AEA was found below SB in 134 out of 160 (83.8%). On measuring the distance between the AEA and SB majority belonged to Group A (74 out of 134) in comparison to Group B (40 out of 134) and Group C (20 out of 134). The mean distance was found to be 1.43 mm, 3.8 mm, 5.72 mm in Group A, Group B and Group C respectively. The overall mean distance between the AEA and the SB was 3.65 mm. Discussion: The AEA is an anato-radiologic keystone for paranasal sinus and anterior skull base endoscopic operations. The presence of AEA in all of the pictures examined in this investigation is consistent with the reported range of 92-100 percent. In the ethmoidal air sinus, AEA was found to have a varied path. Conclusion: Due to differences in the length of the lateral lamella of the cribriform fossa, the distance between AEA and SB differs. The structure of the olfactory fossa varies. Despite the statistical limitations, the positional association between AEA and the depth of the olfactory fossa is noteworthy.