India has the World’s largest burden of tuberculosis and approximately 15- 20% of these cases have extrapulmonary disease (EPTB). The diagnosis of tuberculosis from tissue specimens is usually made by histopathological examination (HPE). However, histopathology does not always give specific findings and needs more than one week for final reporting. In 2013, WHO endorsed Xpert MTB/RIF assay for the rapid diagnosis of EPTB. In the present study the efficacy of this assay to diagnose tuberculosis from tissue specimens was assessed, taking composite reference standard (CRS) as reference standard. A total of 63 consecutive specimens of EPTB (June 2016 to May 2017), one showed the growth of non-tubercular mycobacterium on culture and was excluded from the study. Among the remaining 62 specimens, the most common were female genitourinary specimens (endometrial biopsies)- 30.64%, followed by vertebral tissue 29.03% and bone tissue 9.68%. The positivity shown by smear microscopy and HPE was 12.9% each, culture 14.52% and Xpert MTB/RIF assay 32.26%. The sensitivity and specificity of Xpert MTB/RIF assay in comparison to culture were 100% and 79.25% respectively. Whereas, CRS which includes smear microscopy, culture, histopathological, clinical and radiological findings, as reference standard, Xpert MTB/RIF assay showed sensitivity 64.52%, specificity 100%. This study suggests that Xpert MTB/RIF assay has good diagnostic potential for the rapid diagnosis of tuberculosis in tissue specimens, which could help in the timely initiation of antitubercular treatment and prevention of progression to irreversible changes.

PT. Bank Mandiri (Persero) unit Jakarta Bintaro Jaya 1 is a branch under the coordination of Regional V Jakarta 3 area of Jakarta beautiful cottage consisting of 12 units of micro office. Where this Bank has a commitment to provide ease of credit distribution as additional business capital for UM or UMKM entrepreneurs. More than 80 percent of business units in Indonesia are UM/UMKM. During the period of 5 years (2010-2014) the provision of UM/UMKM credit has decreased. In addition, the number of non-performing loans (NPLs) from the UM/UMKM sector has increased significantly. The relationship quality management (CRM) index has declined over the last five years, so there needs to be an effort to improve relationship quality (CRM) and service quality. Thus it will be able to improve the image of banking (brand image) so that the bank can build and maintain customer loyalty (customer loyalty). The purpose of this research is to develop brand image and customer loyalty with CRM and service quality). Analytical unit of micro credit business loan debtor, population 558 and samples 85 customers with slovin technique. Analysis method with quantitative analysis. Analysis technique with Path analysis with 2 sub-structures, followed by determination analysis (R Square), Partial test of hypothesis (t test) and simultaneous (F test) with alpha 5 percent. Before the analysis with multiple linear regression first in the test of research questionnaire with validity and reliability test and classical assumption. SPSS version 22.0 analysis tool. The result of this research is that Customer Relationship Management and Service Quality have an effect on Brand Image and Customer Loyalty either partially or simultaneously. Brand Image and Customer Loyalty are still influenced by other variables apart from Customer Relationship Management and Service Quality, therefore further research is needed.

Synovial sarcoma is a translocation associated sarcoma characterized by SS18 – SSX1/2 fusion. It is one of the common adult soft tissue sarcomas predominantly affecting lower extremities. In resource poor settings, exact characterization by molecular methods may not be feasible always. In our study we attempted to study the clinical profile, histomorphology and immunoprofile of cases diagnosed as synovial sarcomas. Forty two cases diagnosed as synovial sarcomas based of presentation, histomorphology and immunopanel were analysed .The median age of presentation was 26 years with male to female ratio of 1.5:1. Majority of the sarcomas were of monophasic type (83%) with predominant hemangiopericytomatous pattern (67%) followed by fascicular pattern (48%). Tumor size was greater in adults older than 20 years when compared to younger age group. Tumors with large areas of calcification were seen with significantly low mitotic index.

The client M.H was 23 years old male, referred by his psychologist for the management of his addiction that he sniff and injects heroin, aggressive behavior, restless and body pain. An assessment was done through Clinical interview, Behavioral observation, Subjective ratings, Anger scale and Mental Status Examination which results shows the client was orientated to person, place and time. Other subjective ratings like aggressive behavior of client which he rate on 10 scale and insight about addiction on 5. The client was diagnosed with “other (or Unknown) Substance Withdrawal”. Different management techniques were used like, Distraction techniques, Psychoeducation and Disease concept were given to the client. The overall response toward therapeutic intervention was productive. Total number of 10 sessions was done with the client

The exploration of antibiotic and antiseptic resistance in the hospitals are happened by various reasons including continuous usage of same antiseptics and disinfectants for surface cleaning, inappropriate and misuse of antimicrobials, No follow up of the patients and discontinuation of the course of drugs. This may create a demand for new and long term effective drugs against antibiotic resistance. Comparing to the chemicaly fabricated drugs, metals are considered as the better choice of replacement. From the ancient times, the basic understanding of antimicrobial properties of metal particles like silver, mercury, copper and arsenic are quite available in practice; but their scientific evidences are lacking. Thus this study may provide some information related to the determination of in vitro antibacterial activity of various concentrations of silver solution against several bacterial pathogens isolated from wounds. The evident record of this study highlighted that 10-2 mM silver solution showed maximum bactericidal effect on Staphylococcus aureus, Providencia rettigeri and Pseudomonas aeruginosa with 17mm, 16mm and 16mm inhibitory zone respectively. Other test bacterial species also inhibited but not upto the mark. We may recommend the high concentration of silver solution in the form of antiseptic spray as surface bactericidal mask for wound management.

Contact dermatitis is an inflammatory response of the skin as a result of exposure to an exogenous agent. It is divided into two main types: 1. Contact Irritant Dermatitis (CID) 2. Contact Allergic Dermatitis (CAD). The prevalence of CAD in the general population has been reported to vary from 1.5-5.4%. The aim of the present study was to evaluate the precipitating and aggravating factors in CAD and study to evaluate the results of the patch test in patients having allergic contact dermatitis. Methods: A total of 50 patients of either sex with clinically suspected contact dermatitis who attended the Out Patient Clinic of Dermatology Department of Prathima Medical College, Nagnoor, Karimnagar. These patients were later subjected to a patch test after taking informed consent. The test units were thus prepared were stuck on the upper back of the patient in the vertical role in paravertebral position. Gentian violet was used for writing the numbers an occlusion of 48 hours was kept and the chambers were removed after the patient rendered to the clinic after 2 days. Results: The morphological pattern of lesions observed in Contact Dermatitis cases were Lichenification in male 40%, 18% was dry scaling 16% cases had erythema, cracking and fissuring. In female 32% had Lichenification and 22% had cracking and fissuring, dry scaling 24%, 16% each had erythema, papulovesicular and hyperpigmentation. Distribution of single and multiple antigens was studied in the patients. 76.92 % of the male had single antigen and 62.5% of the female was detected with a single antigen. Two antigens were found in 12.5% male and 4.16% female. Conclusion: Within the limitations of the present study it is concluded that contact dermatitis is very common in patients reporting to dermatology OPD. The most commonly affected were female house workers. Lichenification was the commonest morphological pattern followed by dry scaling, erythema, papulovesiculation, oozing, and depigmentation. Patch test was able to reveal the etiology in 70% of the patients. Potassium dichromate is the common sensitizer followed by Parthenium in this group of the population.

Forest and its bi-product (often called as biomass) are the essential part of environment. Forest is directly or indirectly serving human being from the very beginning. Three forest ranges of Gorakhpur district of Uttar Pradesh namely Banki, Tilkonia and Pharenda are the reserved forest which have Sal (Shorea Robusta) and Sagaun (Tectona Grandis) as the dominant species. The biomasses generated from the three forest range are mainly dry leaves and twigs which are generally used as litter. The biomass production of three forest ranges are 2782.91 Kt. The trees are mostly mature in which the results state that the Sal plantation forest are with less Above Ground Biomass. It is revealed that plantation forest has large tree population with less DBH class. The plantation forest has greater carbon stock as well as great carbon sequestration potential than any other forest.

Reward plays a vital role to establish the attitudes of employee towards their job and the organization. There are several forms of reward that an organization can provide. However, this paper examines which types of rewards play significant role to motivate employees for achieving task and extra task behaviors. Based on the previous research and the suitability of data collection, the research method has chosen for this study is a quantitative approach. A variety ofthe finding is available from this research, such as: the reward practices of the sector presented in this study, why employee thinks non-financial rewards are important to them rather than financial rewards or vice versa. At the same time, this study also identifies whether female employees are considering non-financial rewards as motivating factors for them than men or not. Furthermore, it discloses that job position (managerial and nonmanagerial) has a considerable impact on reward perceptions. However, the results and conclusion are only applicable to the chosen organization.

Salinity and bad quality irrigation water is very common problem in Pakistan due to limited rainfall, more evapo-transpiration and high temperature. So, there is need to select salt tolerant plants. In view of that a pot experiment was conducted to study the growth performance and ionic composition of Conocarpus erectus L. under saline – sodic conditions. Sixteen treatments i.e. (T1=<4(dSm-1) + <15 (mmol L-1)1/2, T2= 20(dSm-1) + 20 (mmol L-1)1/2, T3= 20(dSm-1) + 40 (mmol L-1)1/2, T4= 20 (dSm-1) + 60 (mmol L-1)1/2, T5= 20 (dSm-1) + 80(mmol L-1)1/2, T6= 20(dSm-1) + 100 (mmol L-1)1/2, T7= 30(dSm-1) + 20(mmol L-1)1/2, T8= 30(dSm-1) + 40(mmol L-1)1/2, T9= 30 (dSm-1) + 60(mmol L-1)1/2, T10= 30 (dSm-1) + 80(mmol L-1)1/2, T11= 30(dSm-1) + 100 (mmol L-1)1/2, T12= 40(dSm-1) + 20(mmol L-1)1/2, T13= 40(dSm-1) + 40(mmol L-1)1/2, T14= 40 (dSm-1) + 60(mmol L-1)1/2, T15= 40 (dSm-1) + 80(mmol L-1)1/2 and T16= 40(dSm-1) + 100 (mmol L-1)1/2) were evaluated in order to assess their effect on plant growth and ionic composition. Results revealed that increasing levels of salinity and sodicity had negative effect on all plant growth parameters i.e. plant height, number of leaves and branches. While owing to dual stress of salinity and sodicity minimum percentage increase over control was noticed in T16 having EC (40 dSm-1) and SAR 100 (mmol L- 1)1/2. Results showed that sodium concentration increased with increasing salinity/ sodicity, while potassium in leaf samples was decreased. Maximum K/ Na was depicted in control while minimal at the highest level i.e. T16.

The existence of taxes in a country is a very important source of income in supporting national development. Developed countries are required to manage their taxes effectively and efficiently. Differences in the taxation system in each country become things that need to be studied more deeply for each country. Assessments are conducted to see the application of a good or complex system implemented in a country. A dministration of taxation as a system is a set of elements of legislation, facilities and infrastructure, and taxpayers are interrelated jointly perform the functions and duties to achieve certain goals. The rates of income tax in each country are regulated in regulations based on policies set by each country, such as Indonesia is regulated in Law no. 36 of 2008 which is one part of the tax administration. Comparison of income tax rate and value added tax in each country to be one of the reference writers to know which countries between Indonesia, Malaysia, and Thailand that have tax system and tax rate effective and efficient. Optimization of tax revenue not only on tariffs, but also through a combination of tax structures that can minimize tax evasion, and tax smuggling.

Pigeonpea (Cajanus cajan (L.) of Fabaceae family belongs to genus Cajanus usually grown in semi-arid tropics of Asia and Oceania, Africa and America. This crop has been a best source for improving food and soil quality amongst farmers. However, its seed have been always questioned for purity. This problem is managed by using polymorphic SSR markers. In present study, a DNA fingerprints generated by seven SSR markers and hybrid testing is performed on Pigeonpea test samples along with parental lines. The seed samples of pigeonpea were germinated in laboratory and three week old leaves samples were used for DNA isolation by CTAB method. A total of 9 alleles were observed in three test samples using three primers out of seven primers. The screening of the allelic data associated with the three cultivated varieties, revealed markers (CcM0246) displayed unique allelic profiles for one variety. Yet, the genetic fingerprinting data is not well resolved to potentially distinguished two bands of hybrid that are merely of 4-8 bp to confirm hybrid testing of seed. Hybrid Testing of pigeonpea may be confirmed including more SSR primers prepared from genomic DNA of pigeonpea.

The aim of the present study was to compare the efficacy of oral versus vaginal misoprostol in the induction of labor after 34 weeks of gestation to 40 weeks gestation and to find out any variation in the maternal and fetal outcome. Methods: This study was conducted in the Department of Obstetrics and Gynaecology at Prathima Institute of Medical Sciences, Karimnagar, and Telangana state for the period of one year. In the present study 100, antenatal women who are more than 34 weeks of gestation and who need induction of labor were selected for the study. To calculate the EDD, calculated using Naegele’s Formula. Women divided into Group A – 50 pregnant women, aged 18-32 years; with oral administration of 25 mcg Misoprost every 4th hourly, maximum of 6 doses (150mcg). Group B - 50 pregnant women, aged 18-32 years, with vaginal administration of 25mcg Misoprost every 4th hourly, maximum of doses of 6 doses(150mcg). In all the patients, the cervical status was assessed by using Bishop's score prior to induction. Repeat bishop's score was assessed at 4th hour and then before every repeat dose. Results: Parity a total of 57 women was primigravida while 43 were multigravida. For oral group 29 cases (58%) were primigravida, 21 cases (42%) were multigravida for the vaginal group, 28 cases (56%) were primigravida, 22 cases (44%) were multigravida. Augmentation with Oxytocin Of the total, 45% of the cases were on Oxytocin while remaining was not. For Oral Group 27 cases (54%) required augmentation with Oxytocin. Failed Induction In the study group, nearly 3% of the cases failed induction. In Oral group Failed induction incidence was in 3 cases (6%). In the Vaginal group, there was no failure of induction. 75% of the cases had a normal delivery, 12% showed vacuum delivery followed by C section (10%) and 3% cases had the forceps delivery.

Occupational hazards are termed as workplace undesirable activities that can cause an injury or ill health among the health care workers at their work place Aluko et al., 2016. In discharging their duties, nurses encounter a variety of occupational health problems which may be categorized into biological, chemical, mechanical, and psychosocial hazards Manyele, Ngonyani, & Eliakimu, 2008. The main aim of this study is to determine the knowledge and attitude of clinical practicing nurses regarding occupational hazards at the selected hospital. A Descriptive Cross sectional design was used to assess the awareness of nurses regarding the occupational hazards and its management. A quantitative non experimental approach was applied. A sample n=200 registered nurses was drawn from the list of all registered nurses at Mayo Hospital Lahore through convenient sampling. A self-administered questionnaire was adopted from a previous study. The adopted questionnaire meets the basic purpose and objectives of this current study. All the questions were written and formulated simply. The data collection tool consists of closed ended questions with Yes and No for Knowledge and Likert scale of agreements and disagreements for Attitude. After the data categorized and entered in to the computer, it will be analyzed with the help of SPSS software (version 21). Religion and Knowledge of occupational hazards is having significant association (p value= .001). Furthermore Marital status of the participants is significantly associated with the knowledge and attitude towards the occupational hazards among nurses. The chi squire tests are having significant association (p value= .000) less than .05. Moreover Knowledge and attitude of occupational hazards showed a significant relationship with having Pearson chi square values (p values .000). In conclusion, the Knowledge ad attitude of occupational hazards was found to be associated with different factors such as Education, Marital status and religion etc.

The study therefore is intended to ensure the application of benchmarking as a managerial tool for effectiveness of organization with the following steps to: find out the quality of service MTN offers to the customers better than other system network and find out the extent of MTN affordability of service which act as an inducement in choosing other network. The study was to evaluate the application of benchmarking as a managerial tool for effectiveness of the communication Service providers. The population consists of 482 staff of MTN, GLO 9 Mobile, Airtel in Enugu metropolis, Enugu state. The study used the survey approach. The primary sources used were the administration of questionnaire to staff and distributors. 352 copies of the questionnaire were returned and accurately filled. The validity of the instrument was tested using content analysis and the result was good. The reliability was tested using the Pearson correlation coefficient (r). It gave a reliability co-efficient of 0.79 which was also good. The hypotheses were analyzed using f-statistics (ANOVA) tool. The findings indicated that the quality of service MTN offers has significant and positive effect to the customers than other system network F(95,n=352)=724.975,P<0.05; and that MTN affordability of service which acts as an inducement than choosing other network is to a great extent. F (95,n=352)=699.755, P<0.05; The study concluded that the quality and affordability of service MTN offers has significant and positive effect to the customers than other system network. The study Recommended that Quality of service is highly demanded of any organization that wants long-term sustainability to meet up with competitive advantage. Finally, affordability of service should be ensured for both the rich and poor at any point in time to increase market share.

Contaminated water may affect the health of millions of residents in the world. The main objective of this research work is to evaluate the drinking water quality in Sharg and Garb el-gash drinking water stations, which considered as important sources for civil uses, in Kassala city, eastern Sudan, during June 2016. For this purpose, chlorinated water samples were taken from drinking water pump station units and chemically analyzed at the laboratory of Kassala authority drinking water. The results revealed that, values of Acidity (7.5), Ammonia, Ammonium and Ferrous Cations; Nitrite, Nitrate, Fluoride and Chloride ions, Total Hardness were found to be: (0.03, 0.033, 0, 12.28, 0.03, 0.88, 0, 185) mg/l respectively. Turbidity were found to be 2.91 NTU, the results matched with both the Sudanese and world health organization standards. Hence, Kassala drinking water was free from chemical pollutants and almost suitable for domestic use.