Odontomas are mixed benign hamartomaous malformation of odontogenic origin. Mainly two type complex and compound Odontomas, complex type more often seen in premolar and molar region of mandible, compound type more often seen in anterior maxilla. They commonly occur in permanent teeth. They are generally assymptamatic, detected on routine radiographic examinations or radiographs are taken to determine the reason for failure of a tooth to erupt. Odontogenic tumor treated by surgical enuclieation of lesion. Here we report a case of complex Odentomas in an 11 year old girl that cause distal displacement of maxillary lateral incisors, which is rare occurrence.

This study aims to examine, analyze and explain the impacts of compensation, career development and employee engagement to employee’s performance partially and simultaneously (Case Study at PT Bank XYZ). The research design used is quantitative descriptive research causality involving 30 respondents. Sources of data are from primary and secondary data, primary data obtained from questionnaires distribution and secondary data obtained from journals and books. Data analysis used model test using smart application PLS 3 that consists of test outer model and inner model. The results showed that compensation, career development and employee engagement partially have a positive impact on employee performance, while they have a positive and significant impact on employee performance simultaneously. The independent variable has the greatest impact is the employee engagement.

Pemphigus is a group of mucocutaneous blistering disease which can be seen involving only the oral cavity also. The cutaneous lesions are preceded by oral lesions in many cases reported in the literature. This condition is very painful and it affects the quality of life of the patient. Early diagnosis of the disease will improve its prognosis and quality of life of patients as severe conditions are life threatening. Here were are reporting a similar case of Pemphigus Vulgaris.

Postpartum Hemorrhage in atonic uterus with ‘C’ section is an important complication and commonly encountered condition. We in the present study tried to evaluate the effectiveness of B-Lynch suture to control PPH in atonic uterus. The study was conducted on n=100 patients in the Department of Obstetrics & Gynecology, Rajiv Gandhi Institute of Medical Sciences [RIMS] Adilabad during Feb 2016 to Dec 2017. 50% of patients were in age groups 20-25 years and 26% belonged to age groups 25-30 yrs and 24% were in the age group of 30- 35 yrs. Primi gravida was in 75% of the cases and 25% of cases were second gravid. Hydramnios was present in 20% of cases PET was in 25% of cases, prolonged labour was in 30% of cases and Previous LSCS and PET was present in 25% of cases each. In 76% of cases no blood transfusion was required, 15% of cases required 1 unit blood transfusion, and 9% required 2 units’ blood transfusions. The complications due the procedure were nil and mortality was nil. Conclusion: The B-Lynch suture is still one of the best methods to control Postpartum Hemorrhage PPH in atonic bladder especially in low resource settings. If used properly it can control PPH without need of blood transfusions and complications and the procedure also preserves the uterus functions and future fertility

Corporate governance is mechanism use to improve firm performance and value because it reduces the level of expropriation of the company’s assets by the management and it also improves the level of expected cash flows that can be distributed to shareholders in form of dividends. The study examines how corporate governance has affected corporate performance under pre and post adoption of IFRS. The findings show that corporate governance is more effective in explaining and predicting corporate performance of listed deposit money banks in Nigeria after the adoption of IFRS better than before the adoption. In view of this, the study recommends that there is need to encourage application of IFRS principles by banks and other institutions to enhance corporate performance of deposit money banks in Nigeria.

Abstract: Vesico-uterine fistula (VUF) is an uncommon urogenital fistula. Menouria is an important clinical feature of this fistula. A case report of VUF following cesarean sections is reported. There were several investigations done to arrive at a diagnosis of VUF. This case was successfully managed by surgical repair. One year following the repair she conceived and currently she is ten weeks of pregnant. VUF can be prevented by good surgical techniques.

This work sets the objective of analyzing the impact that taxation can have on economic growth and poverty in Morocco. This analysis is conducted through a computable general equilibrium model where the macro-micro link is established. The splitting of the household agent into a quintile makes the model a powerful instrument for analyzing the effects of these policies on the behavior of the different classes of households.

Fine needle aspiration cytology (FNAC) is a valuable adjuvant to preoperative assessment in patients with salivary tumors. The study aimed at studying the cytological features of benign and malignant salivary gland tumors, improving the diagnostic accuracy by using immunocytochemistry and correlating it with histopathology. A total of 46 salivary gland tumors including twenty three cases each of benign and malignant tumors with available histology were included in the study. We studied 23 benign tumors, Pleomorphic Adenoma comprised 86.7% of all benign tumors and rest three cases were diagnosed as Warthin’s tumors. Positive correlation with histology was obtained in 95% in Pleomorphic adenoma and 100% in Warthin’s tumors. Twenty three malignant salivary gland tumors comprised 11 Mucoepidermoid carcinoma,10 Adenoid cystic and 2 Acinic Cell Carcinoma. Positive cytohistological correlation was established in eight out of eleven Mucoepidermoid carcinoma (Diagnostic Accuracy=72.7%) and all cases of Adenoid cystic and Acinic cell carcinoma. Diagnostic accuracy of FNAC for malignant tumors was 95.65%. Our study shows that FNAC is a highly sensitive and specific technique for diagnosis of salivary gland tumors. Immunocytochemistry can act as adjuvant in diagnosing salivary gland tumors, however it did not help in improving the diagnostic accuracy of FNAC in our study .Kappa value of 0.88 in our study indicated an excellent agreement between typing of salivary gland tumors on FNAC and histopathology

This study focused on examining the effect of motivation on employee engagement in Nigerian Civil Service. The proxies for the motivation were intrinsic motivation and extrinsic motivation. The population of the study was made up of all the civil servants in the six states that make up the South-South zone of the country. Primary data were collected by the administration of copies of questionnaire to a sample size of 600 respondents who were selected using convenience sampling. Five hundred and eleven (511) copies of the questionnaire were completed and returned to the researchers. The data obtained were analysed using descriptive statistics and simple linear regression. Results show that there is significant relationship between intrinsic motivation, extrinsic motivation and employee engagement. Based on the results, it is concluded that there is significant relationship between motivation and employee engagement in Nigerian Civil Service. Consequently, it is recommended, among other things, that government should look into ways of better motivating their employees.

Stress is a stimulus or a stressful situation. If the situation is a stressful job situation, then stress on work can be caused by several factors, including workload and working conditions. The ICU nurse must monitor the patient's critical condition carefully and continuously. Hospitals are one form of health facilities, both organized by the government and society that serves to make efforts of basic health or referral health and supporting health efforts. Hospitals in carrying out their functions are expected to pay attention to social functions in providing health services to the community. ICU is one of the work environment that has high-stress tendency. It is possible since ICU nurses are exposed to patients with unsafe mental conditions, requiring particular attention for 24 hours/day. This condition requires greater physical energy with special nursing care as well. Also, critical patients demand the speed and accuracy of performing actions that are not always required in other nursing situations. Another opinion says that inadequate knowledge and skills are seen as a stress source of ICU nurses. A nurse in charge of ICU performs three main tasks, life support, monitoring the patient's condition and preventing possible complications. The type of research is observational with the quantitative approach, while the research design used is cross-sectional that is by examining the dependent variable, free and variable between simultaneously. With a sample of nurses 11 people. Data analysis method by univariate analysis and bivariate analysis. The workload of nurses who work in the ICU area of the majority "Medium" are five people (45.5%). The working conditions of nurses working in ICU areas of the majority "Medium and Hard" are four people (36.4%). The stress levels the work of nurses working in the ICU area of the majority "Medium" are five people (45.5%). There is Workload Relation with Stress Level of Respondent in ICU is p <0,05 (p = 0.032), no Relation of Working Condition with Stress Level Respondent in ICU Year 2017 is p> 0.05 (p = 0.775). The hospital has to give counseling, education and training of emergency and the use of supporting tools available in ICU room so that they can anticipate the obstacles faced during the working period.

The descriptive term ‗Orofacial Granulomatosis‘ has been used for any granulomatous process of unknown etiology involving the oral cavity, which on lesional biopsy shows lymphodema and non- caseating granulomas. The diagnosis is based on exclusion of possible systemic diseases and conditions that are capable of producing similar histopathologic and clinical features. Orofacial granulomatosis can be a distinct clinical disorder or can be an initial presentation of an underlying systemic disease such as Crohn‘s disease or spectrum of related disorders that may go undetected for a long period of time.

Prostate cancer became a major public health problem on the threshold of the third millennium. The trilogy rectal touch, PSA-iso forms and biopsy is the pillar of the diagnostic approach and a pragmatic reflection. This is a retrospective study including the analysis of the medical records of 1053 patients admitted between 2000 and 2015. The inclusion criterion is a rate of PSA-T between 4 and 10 ng / ml which corresponds to 783 patients (74.3%) constituting two groups, one of 253 (prostate cancer), the other of 530 (adenomas = control group). The aim of our study is to evaluate the interest of the PSAL / T ratio in the North African population. The median age of patients was 63 years, 70.3% were symptomatic. The median PSA-T is 6.9ng / ml with a PSAL / T ratio ranging from 7% to 32% with an average of 19%. The mean prostatic volume is 57 cm3. 32, 3% with prostate cancer. The sensitivity and specificity of the PSA L / T ratio according to the cut-offs were studied at the time of diagnosis of prostate cancer and the value of 17% was retained with the best compromise between specificity (68%) and sensitivity (57%). A PSAL / T ratio <15% is the best detection rate for prostate cancer (52%). The contribution of the PSA-L / PSA-T report is indisputable since the first contact with the patient in consultation; the results in the Maghreb are comparable to those found in the literature. This iso PSA form reduces many unnecessary biopsies when it is greater than 25%.

Emphasis on facial esthetics has become an integral part of dental treatment. There are many esthetic consequences of edentulism, among which facial disfigurement due to sunken appearance of cheeks and lips has a greater negative psychological impact on the individual. This clinical report describes an innovative, simple, effective and noninvasive procedure for fabrication of complete denture along with intraoral detachable cheek plumpers using Casted key and keyway to ensure a stable and aesthetic complete denture.

Abstract: Abnormal and heavy bleeding during menses is a one of the common menstrual abnormality during puberty and adolescence. Puberty menorrhagia is most often due to physiological immaturity of neuro hormonal mechanism of control of menstruation and ovulation. Sometimes it may be an expression of some hidden endocrinal or haematological disturbance. A prospective cross sectional study was carried out to analyse the demographic profile, clinical presentation and treatment outcome of 28 cases of puberty menorrhagia reported over a period of three years at Pravara Rural Hospital, Loni, Ahmednagar district in Maharashtra. It was observed that 54 percent of cases were in the age group of 13-14 years. The duration of symptom was less than three months in 61 percent cases. Anaemia was observed in 93% of cases, of which 50% cases had severe anaemia. Anovulatory DUB was the commonest cause (75% cases) for menorrhagia, other causes being Hypothyroidism (11% cases) and Idiopathic thrombocytopenic purpura (7% cases). Majority of cases responded to either progestogen therapy (64%) and remaining to either combination of oestrogen and progesterone (32%) or oestrogen (4%) alone. All cases were given haemostatic agents in the form of either ethamsylate or tranexamic acid.Oral iron supplements were given to all cases. Cases with hypothyroidism and idiopathic thrombocytopenia were treated with throxine and platelet transfusions respectively. Six cases (21.42%) required admission in intensive care unit for severe anemia with haemoglobin percentage of less than 2.5gram percent. One girl succumbed to congestive cardiac failure due to severe anaemia. She had reported in gasping condition in casualty. Puberty menorrhagia is one of the commonest menstrual abnormalities during adolescent age group. The heavy menstrual blood loss may result into anaemia and panic reaction in girl child and her parents. Early consultation with Gynaecologist, performance of necessary investigations and treatment with hormones, haemostatic and haematinic drugs usually give relief.

This study aims to analyze factors affecting accounting student academic performance in the first year study, i.e., gender, learning motivation, experience in the accounting courses, activeness in the student organizations, and scholarship. Data collection was done in December 2017 and this study ended up with 125 students of the Accounting Department, Jenderal Soedirman University, Indonesia, as a sample. By using OLS Regression, the findings show that learning motivation has a positive significant influence on student academic performance, meanwhile, activeness in the student organizations influences negatively on student academic performance. Moreover, the rest of independent variables in this study do not have a significant influence on the student academic performance. With the limited number of sample, this study still contributes in the accounting education research area, particularly on factors affecting student academic performance.