Abstract: Despite achievements in antenatal health care, the incidence of maternal mortality and morbidity remains high in India. Lack of efficient obstetric services at primary level lead to more referrals. This study addresses scenario of obstetric care in women referred to a Rural Medical College Hospital located in Central India. This was a prospective observational study conducted in a tertiary care Institute in Ujjain, Madhya Pradesh over a period of 1 year from July 2016 to June 2017. Various parameters studied include distance of referral center, time from referral decision to hospital admission, causes for referral, mode of delivery; and maternal and perinatal outcome. Total number of referred cases in study period was 100 which were 6.68% of total deliveries in the hospital. Fifty percent cases were referred from the city District hospital and travelled less than 10 kilometers reaching within 6 hours of referral. Most common cause of referral was preeclampsia (16%) followed by previous cesarean delivery and fetal distress (13%). Fifty two underwent emergency cesarean delivery, 43 had a vaginal delivery and 4 cases were managed conservatively. Perinatal mortality was 13 and 24 required NICU admission. Inspite of financial aids provided by Government of India majority of referrals were from city District hospital indicating lack of efficient operative facilities and emergency obstetric care. Strengthening of infrastructure, qualified medical and paramedical staff of Civil Hospital may help in improving maternal care. Triage at primary centers might help in lessening burden on tertiary centers and also facilitate specific referral.

Exchange rate is an important macroeconomic variable that economic planners, policymakers as well as governments all over the world monitor very closely. This may be because volatility in exchange rate is capable of putting an entire nation in an acute state of disequilibrium. In Nigeria, economists and other stakeholders have continued to make relevant efforts to restore normalcy/stability to the nation’s exchange rate that has been subjected to severe rate of volatility in recent years. The Nigerian industrial sector remains a potentially viable alternative amidst the incessant widespread calls for diversification of the Nigerian economy. As such, it is not against conventional wisdom to say that since industrialisation may involve importation (of raw materials), exportation (of finished goods) or both; one may not be wrong to expect a link with exchange rate. Therefore, this study investigated the relationship between exchange rate volatility and industrial sector performance in Nigeria using quarterly time series data spanning from 1980Q1 to 2016Q4. The researchers relied on the use of OLS multiple regression technique for analysis while exchange rate volatility was generated using Exponential Generalised Autoregressive Conditional Heteroskedasticity (EGARCH). The result showed that exchange rate volatility is inversely related to industrial sector performance (using industrial sector contribution to GDP as a proxy) in Nigeria. Furthermore, trade openness was observed to have a negative sign (though statistically insignificant) while exchange rate and interest were also found to be strong and significant positive drivers of industrial sector performance in Nigeria. Following the findings, the Nigeria government and other stakeholders are advised to hasten efforts to arrest the perennial fluctuations in exchange rate in the country in order to stimulate expansion of productivity in industrial sector.

Glomerulonephritis (GN) is a common cause of end stage renal disease (ESRD). Electron microscopic studies bestowed significantly to the understanding of the pathogenesis of the disease process in GN. Its value has been strongly confirmed in diagnosis of glomerular diseases. To establish the role of electron microscopy in the diagnosis of glomerular diseases, in order to introduce services and to improve the histopathological standards of diagnosis of renal disease. Different patterns of EM in the different types of glomerular diseases in 132 renal biopsies from patients with glomerular diseases were evaluated. These specimens were stained and examined under the light microscopy (LM) then compared by transmission electron microscopy (TEM) findings. The most frequent types of glomerular disease was minimal change disease (22.7%), followed by lupus nephritis (20.5%). LM failed to diagnose the minimal change disease and Alport’s syndrome. In this study EM was found necessary in diagnosis of 37 cases (28%), supportive in diagnosis of 17 cases (12.9%) and not required in 79 (59.8%) of cases. The current study supported what had been concluded in the previous studies; EM still has an integral role and necessary for diagnosis of certain glomerularpathies e.g. minimal change disease.

According to the development trend of the transportation industry and rapid economic growth, China has carried out strategic layout and planning routes for the transportation industry. The National Development and Reform Commission have also issued a number of documents that promote the construction of a modern transportation system, and promote transportation projects such as railways, waterways, airports, and urban transportation. Besides, it continuously invests large amounts of money in companies in the transportation industry. The mission of companies in the transportation industry is of great importance. It can be seen that China’s transportation industry is at a stage of rapid development, and it has received strong support from the government. Nevertheless, it still has a long way to go. To improve the transportation infrastructure of the nation, companies in the transportation industry must strive to improve their corporate performance. This paper empirically investigates the impact of factors such as financial factors, internal operations, and corporate growth on the corporate performance of listed companies in the transportation industry, with the aim of helping listed companies in the transportation industry to develop a sound corporate strategy and conduct standardized and effective management to improve corporate performance. This paper selects data of 42 listed companies in the transportation industry from 2012 to 2016, and utilizes the fixed effect model that controls heteroskedasticity to analyze influencing factors of the corporate performance of listed companies in the transportation industry. Empirical results show that core ratio, return on personnel, long-term debt ratio, and quality of staff positively influences the corporate performance of listed companies in the transportation industry. Factors such as operation cost ratio, managerial cost ratio, size, and delay ratio have a negative impact on the corporate performance of listed companies in the transportation industry. Policy implications are proposed accordingly.

The purpose of this study was to determine the influence of lifestyle and price perceptions on purchasing decisions or guest decisions to stay at a hotel. The population is guests staying at the Patra Jasa Semarang Convention Hotel, with a sample of 98 respondents. The sampling technique in this study uses purposive sampling sampling method. The analytical tool of this study uses multiple linear regression where previously tested its validity and reliability. Test results show that lifestyle is proven to influence guest decisions in defense, and price perception has a positive influence on the decision to stay

The study measured the impact of exchange rate to financial remittance in Nigeria for the period 1990 to 2016 using the traditional ordinary least square method for estimation. Also, empirical and theoretical evidence from Nigeria. Africa and the continent was compared. The analyses of the OLS regression showed evidence that real effective exchange rate positively and significantly impacted on financial remittance in Nigeria. Similarly, estimates from the ordinary least square model provide evidence to show that exchange rate also positively significantly impacted on other macroeconomic variables such as money supply but negatively to economic growth under the period of the study. The result points to the fact that the macroeconomic variables and financial remittance in Nigeria if well managed can engineer the Nigerian economy to greater growth.

The existence in a country of groups of people that radically differ in culture, population and ethnicity may almost always generate fears of domination of minority groups by the majority groups. This paper examines the legal and political steps taken by the Nigerian Government to protect the interests of minority groups within its borders. Efforts have been made to discuss such steps as: state creation; fundamental human rights; federal character; resources derivation, allocation and utilization; and commissions set up to carter for the welfare of the minority groups. A brief discussion of minority questions on international plane is, also, undertaken. In order to achieve the above stated goals, reliance has been placed on the Constitutions of Nigeria 1979 and 1999, statutes, judicial authorities, international legal instruments and practical experiences. This is followed with recommendations and conclusion

The purpose of the study is to find out whether there is a long-term and shortterm influence of the development of the Islamic capital market on economic growth in Indonesia. The data used are monthly data from January 2011 to December 2017 with Islamic stock variables, Islamic bonds (sukuk), and Islamic mutual funds as independent variables, as well as economic growth as the dependent variable. This research uses longterm relationship and error correction models to see the existence of short-term relationships. The results of this show are the significant positive influence between corporate sukuk, the Jakarta Islamic Index and Islamic Mutual Funds on Economic Growth in Indonesia. Whereas in the short term there is no influence between corporate sukuk, the Jakarta Islamic Index, and Islamic Mutual Funds on Economic Growth in Indonesia. Based on the results of the study, it can be implied that Islamic capital market is able to become an alternative capital to increase economic growth in Indonesia with long-term analysis using ECM.

Abstract: Adenoid cystic carcinoma (ACC) of the breast is a rare neoplasm. We report a case of 45yeras old female patient who consulted for a mastalgia. Clinical examination showed limited painful breast nodules. On ultrasound and mammography it was a well-limited mass without malignant signs. Core needle biopsy of the breast was done. Diagnosis was based on histopathological exam completed by immune-histochemistry. It’s a triple negative phenotype. The patient was treated by mastectomy plus radiotherapy and remains alive in remission.

This study aims to analyze the accountability process of the performance of government officials in the service of electronic Resident Identity Card (e-KTP) in Bantaeng Regency and analyze aspects that affect the accountability of the performance of government officials in the service of E-KTP in Bantaeng Regency. This research was carried out in Bantaeng Regency using qualitative approach, which is a method that has several theoretical perspectives with the type of case study. The research shows that the accountability of the performance of local government apparatus in e-KTP service at the Bantaeng Regency Population and Civil Registration Service still needs to be improved if it refers to several accountability indicators namely legal accountability and honesty, process accountability, program accountability, and policy accountability of the four indicators, indicators of local government must be able to improve the quality of the performance of the apparatus, especially from aspects of the process and program, although on the other hand there are some obstacles to the apparatus in carrying out their duties, functions and authority from these indicators. Indicators of legal accountability and honesty as well as policy accountability have run quite well, but these advantages must always be maintained in order to provide maximum service to the people of Bantaeng Regency.

The property of iron to get reversibly oxidized and reduced is essential for its metabolic functions. Severe iron deficiency can produce cardiovascular disease. Wide range of biochemical markers are implicated in the pathogenesis of anaemia like Serum Ferritin, Malondialdehyde and Homocysteine. The purpose of the study is to assess serum ferritin, homocysteine and plasma malondialdehyde levels in Iron deficiency anaemic patients and to find whether anaemic patients are prone to cardiovascular disease or not. A case control study was carried out at Lata Mangeshkar hospital, Nagpur in which serum malondialdehyde and homocysteine levels measured in 30 diagnosed patients of Iron deficiency anaemia in the age from 19 to 40 years were compared with healthy controls. Malondialdehyde was estimated by the method of Randox laboratory. Serum homocysteine was measured by using ELISA kits. The data was analysed for correlation between levels of homocysteine and malondialdehyde with serum ferritin in patients of Iron deficiency anaemia. Serum malondialdehyde levels in patients with Iron deficiency anaemia were higher i.e. 0.680+0.349 (ng/ml) than in controls which were 0.144+0.102 (ng/ml) with a statistically significant value of p <0.05.Statistically, there was also a significant rise in homocysteine levels in patients with Iron deficiency anaemia i.e.76.105+16.836(ng/ml) as compared to 27.57+12.11 (ng/ml) in controls. An inverse relation exists between serum ferritin and markers of oxidative stress. Iron deficiency anaemic patients have elevated levels of malondialdehyde and homocysteine than the control group and both these parameters may be common mediators in the pathogenesis of accelerated atherosclerosis.

Economic development of a village will be successful if there is participation from entrepreneurs who are expected to create jobs. Entrepreneurship is a development potential that can drive the economy of a village, therefore, it is very necessary to empower the businesses that are expected to be able to develop the potential of the village through innovation and creativity. So that this can be achieved, it needs support from various parties and one of them is a Village-Owned Enterprise (BUMDesa). BUMDesa is intended to strengthen village income, increase business opportunities, reduce unemployment and at the same time become the motor of the village economy. The existence of MSMEs with BUMDesa is supposed to go together, this is because if the economy wants to advance then the small businesses owned by the community must be supported by advanced and organized management. In addition there are other factors that can support the success and sustainability of a business, namely human resources. As a business manager, it is required to have an entrepreneurial spirit, where the spirit of entrepreneurship can be formed through the world of education and non-education and this is the duty of universities to provide supplies and motivate graduates to become entrepreneurs.

Abstract: The objectives of the study were: a) To identify the different risk factors in Early onset Preeclampsia. b) To study the Fetomaternal outcomes in that group. This was a one year cross-sectional study conducted in the Department of Obstetrics and Gynaecology at Gauhati Medical College and Hospital.100 mothers with Early onset Preeclampsia (EO-PE) (<34 weeks of gestation) were taken. Data about maternal risk factors, maternal complications, foetal and neonatal outcome were analysed and statistical significance determined. Primiparity, increasing BMI, family history of preeclampsia and male sex of the foetus were found to be important risk factors in development of EO-PE. All the maternal complications like eclampsia, sepsis, systemic disorders, ICU admissions and maternal deaths were higher in EO-PE. Greater number of patients with EO-PE progressed to develop severe preeclampsia. The rate of neonatal complications like abnormal umbilical artery Doppler, low birth weight, reduced APGAR score was higher in EO-PE. Incidence of NICU admissions and neonatal/perinatal deaths was also noted to be higher in EO-PE. Classification of preeclampsia into early and late onset has both etiological and prognostic value. Early detection, close monitoring, timely intervention by the obstetrician and good neonatal care by the paediatrician is the key for successful outcome in Early onset preeclampsia.

Banking plays an important role in the economic development of a country, where banks provide benefits to the mechanism of available sources of funds effectively and efficiently. In addition, banks provide financial services to all levels of society, so that the soundness of banks must be considered so that the economy is better. Therefore, it is very important to assess the performance of a financial institution. The purpose of the assessment is to determine the state of health of a bank. Where the soundness of a bank is seen from the performance of the bank that is assessed in terms of profitability, and the level of profitability is assessed through Return on Assets (ROA). Innovations made by banks on the basis of information technology have an extraordinary impact on efficiency and effectiveness. One of them is the existence of electronic banking products such as ATMs. This study aims to examine the effect of the Loan Deposit Ratio (LDR), NonPerforming Loan (NPL) and Net Interest Margin (NIM) on Return on Assets (ROA), as well as ATM as a moderating variable on the effect of Loan Deposit Ratio, NonPerforming Loans, and Net Interest Margin against Return on Assets. In Banks listed on the Indonesia Stock Exchange, from 2010 to 2017. Sampling using Purposive Sampling. The analysis technique used is multiple linear regression with SPSS 24. Research shows that Loan Deposit Ratio, Non-Performing Loans, and Net Interest Margin are able to explain Return on Assets. Research results show that (1) Loan Deposit Ratio has a significant negative effect on Return on Assets; (2) Non-Performing Loans have a significant negative effect on Return on Assets; (3) Net Interest Margin has a significant positive effect on Return on Assets; and (4) ATMs do not moderate the influence of Loan Deposit Ratio, Non-Performing Loans, and Net Interest Margin on Return on Assets.

The practice of defensive medicine (DM) including requesting unnecessary tests, procedures and treatments or avoiding risk taking is increasing worldwide. There is no data from the Arab world and Bahrain. It is vital to identify the drivers behind this growing practice in an attempt to combat it. In our study we aimed to estimate the practice of defensive medicine in primary care in the kingdom of Bahrain and to study the factors associated with it. We conducted a cross-sectional study between the months of March and June 2016 in all governmental health centers in the kingdom of Bahrain. Study participants were all the primary care doctors practicing clinically in those local health centers. A total of 247 physicians out of 285 (86.7%) completed the survey. Nearly all (86.6%) reported practicing defensive medicine. Taking more detailed history note taking (66.4%, 95% CI 60.5 -72.3) and ordering unnecessary tests than indicated 60.0%, 95% CI (54 -66.0) and avoiding risky procedures 59.0% (95% CI 53.0 -65.2), were there most common forms of DM practiced. Patient pressure, relief of anxiety and fear of legal claim, 86.4%, 65.0% and 62.0% respectively were the most common reasons given for the practice of DM. Significantly, physicians with more years of experience were less likely to practice DM and more likely to practice with extra hour of work per week (p< 0.05). We concluded that the practice of Defensive medicine is highly common among practicing primary care physicians in the Kingdom of Bahrain