Primary immune thrombocytopenia (IT) is one of the common causes of thrombocytopenia in otherwise asymptomatic adults. Though most of the patients with IT are asymptomatic the presentation can be varied from mild petechiae to severe hemorrhage such as intracranial haemorrhage. Subconjunctival haemorrhage is an extremely rare presentation of IT. We report a 15 year old previously healthy boy presented with bilateral subconjunctival haemorrhage which was ultimately diagnosed as immune thrombocytopenia which was resistant to Steroid as well as IV Immunoglobulin therapy and managed with Rituximab successfully.

Prostate gland of male reproductive system is about the size of walnut and surrounds the urethra. With increasing life expectancy, increasing awareness and better health services, lesions of prostate has become a common specimen received for diagnostic of both benign and malignant lesions which may have a very similar presentation but their management and prognosis is quite different. Most important investigation is the biopsy of the prostate. A histopathological study of features of the lesion gives best diagnosis. Our objective of study is to evaluate the spectrum and correlation of prostatic lesions with presenting complaints of the patient. It was a combined cross-sectional study conducted in Pathology Departments of both Bhaskar Medical College and Satya Diagnostic Centre, Himayath Nagar during the period from November 2015 to October 2017.

The present study aimed to investigate role of Attitudes towards medication, subjective norms and Perceived Behavioral Control in predicting Intentions of patients to take Anti-TB medication. The sample comprised of 147 patients with pulmonary TB, recruited from Gulab Devi Chest Hospital, Lahore. Correlation Research design was used. Urdu translated version of Theory of planned behavior questionnaire was used for assessment. Results showed that, Distance to hospital and Attitude of doctors and staff negatively predicted Intentions. However, Monthly family Income, Attitudes towards medication and Subjective Norms positively predicted Intentions. Results also revealed that high and low intenders were significantly different in terms of Behavioral, Normative and Control Beliefs. Findings of the present study highlighted the importance of environmental and patient related factors influencing the decisions to take medication. These factors should be considered while developing interventions to promote future medication adherence behavior as intentions drives behavior and patients has to be motivated in order to perform the behavior.

Endoscopy with endoscopic biopsy is currently the major method of diagnosis of gastrointestinal (GI) neoplasms. A total of 60 endoscopic biopsy specimens from upper and lower gastrointestinal tract were studied in the laboratory from November 2013 to October 2014 in the department of pathology, Acharya Shree Chander College of Medical Sciences and Hospital (ASCOMS), Jammu. Of these gastrointestinal biopsies 25 (41.66%) were from upper gastrointestinal tract and 35 (58.33%) were from the lower gastrointestinal tract. Among these upper and lower GI biopsies a total of 35 (58.33%) suspected neoplastic lesions were included in the present study. The biopsies that were included in the study comprised of 6 (10%) esophageal biopsies, 12 (20 %) gastric biopsies, 3 (5%) from GEJ, 4 (6.66%) from duodenum, 2(3.33%) from pyloro-duodenum, 1 (1.66%) from jejunum, 2 (3.33%) from ileum, 14 (23.24%) from colon, 12 (20%) from rectum, 4 (15%) from anus. There are only few studies on histopathological spectrum on GI endoscopic biopsies in Jammu region. ASCOMS is a tertiary care hospital where patients come from all over Jammu region. Analysis of biopsied material therefore can provide a fairly good estimate of spectrum of various gastrointestinal lesions (neoplastic/non-neoplastic/pre-neoplastic) in Jammu region as well as comparison of our results with similar studies in other institutions.

Thyroid Dysfunction (TD) and Diabetes Mellitus (DM) are often found associated in the same patient and TD may affect the metabolic control of DM. TD is more prevalent in diabetics than in general population. The current study investigates the prevalence of TD in patients with DM, and explores its correlation with age, sex, type and duration of DM, and glycemic control (HbA1c levels). This was an observational, cross-sectional study of 212 patients with DM. All patients had undergone routine clinical and laboratory evaluations as per the standard clinical care. Medical data was collected and analyzed using Epi Info V3.5.4. Among the 212 DM patients evaluated, the overall prevalence of TD was 24.52%. The overall prevalence of TD was less in type-2 DM (T2DM; 24.46%) as compared to type-1 DM (T1DM; 37.5%); and slightly more in females (31.94%) as compared to males (28.65%). The prevalence of TD was high in the middle age (41-60 years) group (52.17%) as compared to other age groups. Subclinical hypothyroidism (SCH) was the most common type of TD (11.79%) with maximum prevalence (50%) in T2DM. Patients with DM reported a high prevalence rate of 24.52% for TD. Patients between 41-60 years of age had higher prevalence of TD. Prevalence was slightly more in more in females as compared to males. Our data suggests for screening of DM patients for risk of TD that might be helpful in secondary and primary prevention and possible better metabolic control

Visceral Leishmaniasis is a vector-borne parasitic infection caused by a parasite of the genus Leishmania. This disease, which is more frequent between children than adults, knew during these last few years in Morocco a significant surge especially in the region of Fez. The direct examination, based on the detection of the parasite or its nucleic acid, is undoubtedly the key to a definite diagnosis, along with serological techniques that were proven to be efficient and could also aid the diagnosis. This study highlights the benefit of rK39 rapid tests in visceral Leishmaniasis diagnosis through the retrospective of 75 patients suspected to have Visceral Leishmaniasis. We shall also compare our results with those of other authors in different countries.

Clear cell sarcoma of tendon and aponeuroses is extremely rare tumour, arises in deeper soft tissues, bound to tendons or aponeuroses. Despite histological similarity with cutaneous melanoma, it is distinct from it clinically, genetically. It is mainly seen between the ages 20 to 40 yrs and rarely occurs in children. Here we report a case of clear cell sarcoma of soft tissue arising in the left foot of a 12 year old child

Features of Military English Science and Technology (MEST) have been introduced, and accordingly its translation principles are put forward. At the same time, difficulties in the translation of MEST are analyzed, that is, a large number of professional terms, abbreviations and old words with new meanings making it difficult for translators and interpreters to understand. Meanwhile, MEST are not open to the public, which also reduces translators‘ chances to learn professional materials, resulting in underdeveloped translation studies. To be engaged in translation and related research on MEST, translators must have excellent English language skills, extensive scientific knowledge and solid Chinese language skills to ensure the accuracy of information transmission and to enhance the readability of the translation.

Diabetes Mellitus is the most common endocrinological condition. We can see complications as a result of the changes in microcirculation and tissue collagen structure. In our study; we aimed to discuss the clinical features and wound evaluations of the patients who applied to our clinic with diabetic hand wound, as well as their treatments and results. Patients with diabetic hand wounds who applied to our clinic between 2013-2015 were included. Demographic data, type of diabetes, characteristics of hand wounds, laboratory values, culture results, abscess involvement, treatment methods, and treatment results of the patients were obtained. Nine of the 29 patients were female and 20 were male. The mean age was 63.62 ± 14.12. 22 patients had the wound in their right hand while 7 patients had it in the left hand. While 25 patients had finger involvement, 2 had volar part involvement and 2 had wounds in the dorsal part of the hand. 19 patients were treated with debridement and 10 patients were amputated. Flaps / grafts were applied to 5 of the patients. 8 patients had high sedimentation rates. The mean C-reactive protein value was calculated as 43.94. The mean HbA1c of the patients was 8.70 ± 1.74. The wounds of all 29 patients were treated successfully. Patients should be careful while they are using hand tools, cutting nails, and should wear protective equipment. Strict blood glucose control, aggressive debridement, and antibiotics in the treatment of these wounds can reduce the risk of amputation

Pseudomonas aeruginosa is a true opportunistic pathogen and is responsible for causing a variety of infections in clinical settings in both immunocompetent as well as immunocompromised hosts. However, in most cases, P.aeruginosa infections occur in patients who have been compromised in some way, e.g. chronic Diabetic Patients. Methods: In this study a total of 280 (10.98%) P.aeruginosa isolates were obtained out of 2549 samples collected for a period of 5 years. The isolates were selected on the basis of their growth characteristics on Blood agar, MacConkey agar and Nutrient agar medium. Colonies were subjected to series of biochemical tests to identify the species. Antimicrobial susceptibility testing of all the confirmed P.aeruginosa isolates was performed by automated walkaway 96 using NBC 42 and conventionally comparing with Kirby–Bauer disc diffusion method for further confirmation and results were interpreted according to CLSIs guidelines. Results: The prevalence of this pathogen was 10.98% and most of the isolates were mostly isolated from pus/wound swab cultures, followed by urine & sputum cultures, mostly isolated from critical areas such as ICU’s.

Marketing efficiency as a concept is strongly linked to many of the core organizational results, such as long-term growth, stability, customer satisfaction, competitive advantage, and strong market orientation. Marketing effectiveness depends on the company's goals. Due to the growing demand for marketing professionals, one needs to focus on a system where both short-term and long-term financial impact can be measured on the company's market investments. Marketing effectiveness measurement is a business process that shows the results of specific marketing decisions. The effectiveness of marketing activities should be defined as the return on the funds invested in these activities.

Tuberculosis, inspite of advances in diagnosis and therapeutics still continues to be the leading cause of mortality and morbidity in many developing countries even today. It is one of the major killer infectious disease. In recent years, two important factors which heavily complicate the treatment outcome of tuberculosis patients are MDR-TB and XDR-TB.The mortality in Tuberculosis mainly due to delay in diagnosis. India has the highest TB burden accounting for 1/5 th of Global incidence. The most common form of TB is pulmonary tuberculosis. The sputum microscopy and culture both of them are backbone for the diagnosis of Tuberculosis. The present study aimed to compare and evaluate the of Trisodium Phosphate solution as sputum concentration technique by smear microscopy (Zeihl Neelsen Technique), to compare the smear microscopy. Sputum samples of suspected 150 cases of pulmonary tuberculosis attending Thoracic Medicine and General Medicine OPD at Thanjavur Medical College, (Tamil Nadu) were collected and processed for smear microcopy. Among the 150 sputum samples, AFB positivity in unconcentrated sputum microscopy by Zeihl Neelsen Technique-33(22%),AFB positivity in concentrated sputum microscopy by Zeihl Neelsen Technique-37(25%).The present study confirms that the importance of Trisodium Phosphate solution for sputum concentration technique for the smear microscopy by Zeihl Neelsen Technique.

It is not hard to find plenty of children’s poetry in ancient China, exhibiting children’s creative contents and literary skills. Taking examples mainly from Fifty Selected Children's Poetry in Ancient China: English Translation and Appreciation, this paper applied the Three-Level Criteria of poetry translation by Dr. Wang Feng to analyze several English translations of children’s object-chanting poetry in ancient China. In children’s object-chanting poetry translation, at the macro-level, the criterion is Harmony; at the middle level, the theory of “resemblance in style, sense and poetic realm”; at the micro-level, the criteria of Eight Beauties, centered on the beauty of emotions and images. Based on these analyses, this paper aims to test the validity of the "Three-Level Criteria of poetry translation" and hopes to guide and promote the theoretical and practical studies on the English translation of children’s poetry in ancient China from a new perspective.

Mesenchymal hamartoma of liver is the second most common benign liver tumor in children after hepatoblastoma. First described in 2006 as multicystic biliary hamartoma, it generally presents as large multicystic mass in less than three years of age.We report one such case in a 3 year old male child who came with history of fever and rash and was incidentally diagnosed with a cystic mass in the liver. Partial hepatectomy was done which on microscopy revealed epithelial structures in loose connective tissue stroma along with cystically dilated spaces lined by columnar and flattened epithelial cells, typical of Mesenchymal Hamartoma of liver. We are presenting this case because of its rarity.

T-Cash is one of the Pioneers of provider-based e-money services. Although T-Cash is declared successful, consumers are still afraid to use it Because Cultivating trust and attracting customers will save money on apps is not an easy thing. The purpose of this research is to know the result of testing the influence of information quality, security and quality of T-Cash e-money payment service application system to customer satisfaction and customer retention and partially simultaneously. This research uses AMOS Structural Equation Model (SEM) software. From the results of the data analysis can be known variable quality of information, security and application system Significantly Affect quality customer satisfaction and retention and customer satisfaction itself Significantly variable variable influences customer retention.