Periductal stromal sarcoma is a rare lesion. It was considered to be a variant of phyllode tumor whereas they are morphologically different. Our patient was a 39 years old, with no previous history, who presented a nodular formation at the level of the inferior-internal quadrant of the right breast operated in 2015 with the realization of a nodule excision. The histological examination carried out was in favor of the diagnosis of a periductal stromal sarcoma with tumoral surgical excision limits. 2 years later, she presented a recurrence at the level of the tumor scar. A bilateral digital mammography was performed which showed an appearance in favor of a tumor recurrence of 63 mm of major axis at the level of the inferior-internal quadrant of the right breast. She was given a biopsy excision communicated to our structure. The diagnosis of the recurrence of a periuctal stromal sarcoma has been retained. The number of studies available on periductal stromal sarcoma (SPP/PSS) is currently limited and a therapeutic strategy for the PSS has not yet been determined. The histological diagnosis of PSS is based on the criteria established by the AFIP, and surgery with significant margins is the cornerstone of treatment.

The definition of health expanded to include mental wellbeing, and during the current difficult times in the Middle-East in regards to economics, politics and all the health issues it results in, the need for a better mental healthcare is of grave importance. However, the field of psychiatry is culturally-dependent on factors that might interfere with its goals. The main need is to eliminate stigma towards mental health services facing the progression of mental healthcare services. To minimize public stigma towards mental health treatment and to improve the acceptance of people with mental health problems in order to attain the highest quality of life. This is a cross-sectional study which involved the collection of socio-demographic and a stigma scale towards mental health treatment. The subjects were selected from four health centers in the Kingdom of Bahrain. This study established the mean level of perceived stigma towards mental health treatment in the study population was 6.99±2.89, considerably as moderate levels of stigma towards mental health treatment. Some of the demographic factors identified to effect the stigma towards receiving mental health treatment were occupation and gender. This study showed moderate amount of stigma towards mental health treatment and increasing mental health awareness among the population is necessary. Further studies should be encouraged to tackle other factors affecting stigma towards mental health treatment

Pseudomonas aeruginosa is a dangerous bacterium causing nosocomial infections and difficult to treat because of its broad resistance to antibiotics. Siwak sticks, root of Arak tree (Salvadora persica) has been widely used since 7.000 years ago and has many benefits including antibacterial effect. Thus, research on whether siwak (Salvadora persica) stick extract has antibacterial effects need to be done by measuring the minimum inhibitory concentration (MIC) and the minimum bactericidal concentration (MBC). This experimental research was intended to explain such effect. This research used the dilution test of siwak (Salvadora persica) ethanol extract against Pseudomonas aeruginosa. Growth of bacteria on eleven different concentrations of each tube (80%, 70%, 60%, 50%, 40%, 20%, 10%, 5%, 2.5%, 1:25%, 0.625%) was observed by viewing tube clarity after incubation at 36 oC for 24 hours to measure the MIC. MBC was measured by the growth of bacteria on plates as a result of the bacteria cultivation from each tube. Replication was performed four times and the results were analyzed descriptively. In the MIC test, tubes with concentration of 80% to 20% were clear and tubes of 10% to 0.625% were cloudy. In MBC test, tube with concentration of 80% to 60% were not overgrown with bacteria and tube of 50% to 0.625% were overgrown with bacteria. In conclusion, MIC of siwak (Salvadora persica) stick extract against Pseudomonas aeruginosa is 20% and the MBC value of siwak (Salvadora persica) extract against Pseudomonas aeruginosa is 60%.

India and Pakistan fought three wars (1948, 1965, and 1971). In May - June1999, once again Kashmir became the focus of World attention when India and Pakistan fought a limited war in Kargil heights located in the valley. Kashmir issue has been discussed many times between India and Pakistan. On 2 July 1972 Shimla accord, signed by Indra Ghandi and Zulfiqar Ali Bhutto. On21 February 1999 the x-Prime minister of Pakistan Nawaz Sharif and Atal Behari Vajpayee singed Lahore declaration .In July 2001 General Pervaz Musharaf visited India and attended Agra summit. When General Pervaz Musharaf took over the control of Pakistan, he changed the Kashmir policy, after9/11 Kashmir issue turned into a new and critical direction. India says Pakistan involves in terrorism in Jammu and Kashmir and on the other hand Pakistan without of the opinion and says that Kashmiris are fighting for their self determination

Yoga is one of the six orthodox systems of Indian philosophy which is viewed as a physical, mental and spiritual discipline that confers a sound body and sound mind. One of the main aims of practice of yoga is to have good cognitive control. Pre-University education is a very important stage in the educational ladder of students. At this stage students are in need of good cognitive abilities. While there are no studies done on this group about the effects of yoga, this study was undertaken to assess the effect of short term practice of yoga among Pre University students. Executive function was tested with Golden version - Stroop Color and Word test in control group, before and after the intervention among yoga group. Results were statistically analyzed using Bonferroni post hoc test. Students in yoga group had performed better than the control group. Short term practice of yoga had a beneficial effect on cognition – selective attention and cognitive flexibility in the Pre-university students.

The study on business ethics practices in organization: A key to sustainable development in selected banks in south east Nigeria was motivated by the need to provide solutions to the problem of sustainability and business ethics practices in organization: key to sustainable development in banking industry in south east Nigeria. The study set out to accomplish the two specific objectives from which appropriate research question and hypothesis were postulated. The study adopted survey design. The population of the study was staff of selected banking industries in Abia state, Anambra state, Ebonyi state, Enugu state and Imo state in South East Nigeria. A sample size of 337 staff was determine from the total population of 2148 population using Taro Yamani sampling technique. The hypothesis were tested using regression analysis with the aid of statistical package for social sciences (SPSS) version 20. The major findings of the study were that ethical value has a significant positive effect on sustainable development of an organisation. There was a significant positive relation between customer loyalty and sustainability of an organization. The study recommended that the top management should invest in human capital in the area of modern banking system and that because of globalization on the job training has to gain way to out sourcing for best practices in global banking industry

Herpes viruses as CMV, EBV and HHV-6 are the most common cause severe morbidity and mortality in immunocompromised individuals. Reactivation of the virus is seen during periods of down-regulation of the immune system, such as coinfection with other pathogens. So, this study was conducted to detect the presence of Human herpes virus-6 infection in patients with chronic hepatitis C virus (HCV) infection and to point out the effect of HHV 6 -HCV co-infection on Alanine Amino Transferase (ALT) and Aspartate Amino Transferase (AST) liver enzymes. Nested polymerase chain reaction was carried out on extracted DNA from sera of both groups with hepatitis C and control group. Serological investigations were carried out as well. Fifty-three serum samples with HCV-RNA were examined, (25%) were positive HHV-6 DNA, (82%) were positive for HHV-6 IgG antibodies and (22%) were positive for HHV-6 IgM antibodies; among control specimens (18.5%) were positive for HHV-6 DNA infection, (61%) were positive for HHV-6 IgG antibodies and (14.5%) were positive for HHV-6 IgM antibodies. Moreover, the activity levels of ALT and AST liver enzymes were significantly higher in HHV-6 positive patients than that of HHV-6 negative patients. This indicates to the prevalence of HHV-6 infection is common in chronic HCV patients, that increase the severity of liver inflammation.

Abstract: Ciliated epithelial cells are fairly common in gynecologic lesions; however malignant growth showing these elements and occurring in the ovary are very rare. In the case under discussion, the ovarian tumour coexisted with an endocervical growth with different morphology. 90% of ovarian endometroid tumour showed ciliary processes in our patient and these findings are discussed with a comparison to the available literature on this subject.

It is well known that nuclear grooves play a major role in the diagnosis of papillary carcinoma thyroid. Also grooves are found in many non- neoplastic lesions of thyroid. To calculate the percentage of nuclear grooves in histopathologically proven cases of papillary carcinoma and non –neoplastic lesions (hashimoto’s thyroiditis and colloid goiter). This retrospective study was carried out by reviewing the data and cytology smears of 21 histopathologically confirmed cases of papillary carcinoma thyroid and 10 cases each of hashimoto’s thyoiditis and colloid goitre. The percentage of nuclear grooves was calculated in oil immersion by counting 100 to 500 cells depending on the cellularity. The percentage of nuclear grooving ranged from 15% to 85% in the papillary carcinoma cases. Greater than 20% nuclear grooves were observed in 19(90.4%) of the cases. Nuclear crowding and overlapping, pale chromatin, nuclear grooves, nuclear enlargement and prominent nucleoli were seen in all (100%) the cases. Intranuclear cytoplasmic pseudoinclusions were seen in only 5(23.8%) of the cases. Histiocytes, metaplastic cells and multinucleated giant cells were seen in 12(57.1%), 10(47.6%) and 6(28.5%) of the cases. The percentage of nuclear grooves in non neoplastic cases overall observed was <10%. The sensitivity and specificity of grooves for PCT at >=20% were 90.5% and 100% respectively. Whenever in doubt, a diagnosis of papillary carcinoma can be offered confidently by this semiquantitative approach for grooves in combination with other features.

This paper comments on Shakespearean expositions based on Bradley Shakespearean Tragedy lecture II. This paper also sheds light on Shakespearean conflict to investigate that how expositions and conflict are interlinked. Analysis reveals that Shakespeare’s dramatic structure from exposition to end affects the hero and heroine while engages the audience in predicting process. Analysis also indicates that Shakespearean expositions are deep rooted in the actions and speeches of the protagonists or villains, disturb the inner state of mind and give a high rise to the conflict finally result in downfall and death of the self and others.

Measles virus belonging to the genus Morbillivirus in the family Paramyxoviridae. Measles virus is transmitted by aerosolized secretion deposit on upper respiratory tract mucosal surfaces. Measles is a highly infectious disease characterized by fever, respiratory symptoms, redness of eyes & maculopapular rash. The study was conducted in tertiary care hospital, Jamnagar. Children’s 0-15 years of age with suspected case of measles symptoms like fever, cough, redness of eyes & maculopapular rash attending at Hospital which included in the study. Serum samples were screened for measles IgM by ELISA method. Out of 143 samples, total 18 (12.59%) were positive for measles IgM Ab. among this 10 (55.56%) male and 08 (44.44%) female and 13 (72.20%) were 0-5 years of age and 05 (27.80%) were 5-20 years of age. This study recognized age, nutrional status of children, socioeconomic status vaccination status of children as important demographic and risk factor of measles virus infection in children.

This research aims to find solutions to the efficiency and effectiveness of the cost of sales promotion girl (SPG) that works for the company XYZ. This is a descriptive exploratory research, the object of research is data relating to the sales promotion girl (SPG) budget. The sample of this research is the cost of sales promotion girl (SPG) in the DKI group area. The financing method used is time driven activity based costing (TDABC). The result after comparing labor costs with the number of outputs / products sold, the activity based budget (ABB) with the TDABC financing method helped the company inform the performance of the sales promotion girl (SPG) for each store that has a status under capacity or over capacity. Finally, the result showed a significant effect of implementation activity based budgeting (ABB) with the time-driven activity based costing (TDABC) method succeeded in allocating a reduction in sales promotion girl (SPG) by 27 people from a total of 86 sales promotion girl (SPG) people working in the DKI group area. This research suggests the company to follow up on sales promotion girl (SPG) who has under capacity status to reduce the amount of sales promotion girl (SPG) so that it does not become a burden for the company XYZ.

Fine needle aspiration cytology is a fast and easy method for diagnosing any accessible lesion. The majority of head and neck mass are usually superficial and easily accessible to needle biopsy. The study was undertaken to evaluate the diagnostic accuracy of FNAC in palpable lesions of head and neck along with an analysis of age, sex, anatomical site of distribution and histopathological correlation. It was an institution based descriptive study with cross-sectional design. The study was conducted in the Department of Pathology, Bankura Sammilani Medical College, Bankura, West Bengal. A total of 3670 patients were included in the study. A brief history and physical examination was taken from the patients. FNAC smears were stained with Leishman-Geimsa and Papaniculaou stain. Zeihl-Neelsen stain was done in suspected cases of tuberculosis. Surgically excised specimens were available in 142 cases, which were processed and stained with Hematoxylin and Eosin stain. Majority age group was 21-40 years and male to female ratio was 1ː 1.2. The site of lesion were distributed according –Lymphnode (46.83%), Thyroid (30.5%), Salivary glands (6.64%), and Miscellaneous (16.02%). Histopathological correlation was done in 142 cases and overall accuracy rate of FNAC was 90.14% with sensitivity of 92.8% and specificity of 86.66%. Positive predictive value and negative predictive value were 90.47% and 89.65% respectively. Palpable lesions of head and neck are readily accessible for FNAC, which aid in our diagnosis and hence proper treatment and management of the patient. Supplementation by a histological diagnosis often comes as an additional boon especially in suspicious and malignant cases.

Wheezing happens when the airways are tightened, blocked or inflamed making a person's breathing sounds like whistling or squeaking. A study was conducted to identify the most probable risk factors for pediatrics bronchospasm. Hence, a total of 205 patients, aged below 6 years, from inpatient admissions at Al-Zahraa Teaching Hospital, were enrolled. All children who presented with attacks of bronchospasm were clinically evaluated. It was found that 34.14% of the study group had a history of wheeze. Male patients and those of urban origin were more affected, (67.14%) and (74.29%), respectively. Wheeze was associated with prematurity, low birth weight and family history of asthma. There was an association of wheeze in first degree relatives (87.1% versus 32.2%) including children of those with asthma (64.3% versus 30.6%). Environmental factors and parental smoking showed clear difference from 50% to 12.8% respectively. Furthermore, overcrowding, atopy, persistent nasal snuffle, were all associated with wheeze. History of recurrent chest infection was found to be higher in those who had parental history of asthma (85.7% versus 39.8%). In conclusin, Family history and sblings asthma, parental smoking, atopy, overcrowding was risk factors of wheeze further studies are highly suggeste for further assessment

The Black Hairy Tongue (BHT) is characterized by a hypertrophy of lingual papillae in the posterior part of the back of the tongue which often take a brown to black coloration; its etiology is unknown but probably multifactorial: alcohol-smoking, poor hygiene prolonged use of antiseptics or oral antibiotics, digestive and metabolic disorders, etc. We report two observations of BHT where the diagnosis of candida was retained following the detection on several samples of the same species and the good clinical evolution under suitable antifungals. P atient aged 53 years, having as antecedent pathological a taking of cortico therapy for an eczema problem in the feet, the port of dentures with bad oral hygiene that presents itself for a brownish color in the tongue with no functional discomfort, no feeling of impasto or itching. The patient was put under Flagyl, canaflucan and protected amoxicillin without clinical improvement. Microbiological examination was performed, direct examination after culture showed the presence of yeasts. The culture on Sabouraud medium made it possible to isolate a candida. The identification using the gallery 20 C AUX objectified candida glabrata. The patient is put under Nystatin with a good clinical and biological evolution. P atient 67 years old, diabetic, chronic smoking, checked up for heart failure under stent, with dentures and excessive hygiene of the oral cavity. The one whounderwent a dermatological consultation for brownish coloring of the tongue, the diagnosis of BHT is retained. The mycological study confirmed the diagnosis of candida lusitaniae. The patient was put on nystatin tablet with good clinical progress. The purpose of our work was not to highlight a causal link between candida and the occurrence of this pathology but its incrimination in the process or maintenance of this lesion.