Myasthenia gravis is a rare disorder of autoimmune origin, caused by dysfunction of neuromuscular transmission. Clinically it manifested by a muscular weakness accentuated to the effort. We report the results of a retrospective study of 18 cases of myasthenia gravis in the department of neurology of the military hospital Moulay Ismail of Meknes during a period of 10 years. The sex ratio for our patients was 3.5. 67% of them were between 20 and 40 years old. The average deadline to diagnosis was two years. A personal history of Graves’ disease was present in 11% of our patients and type 1 diabete in siblings in 11% of cases. The inaugural symptoms were progressive in 50 % of the cases, affecting mainly the eye (94 %), the pharyngo-laryngeal region (67 %) the jaw (44 %), the roots of the members (33 %), the infringement of the respiratory muscles (22 % of the cases) and the fall of the head (6 %). The generalized form of the disease predominated at the time of diagnosis (67%), and the search for anti-acetylcholine receptor (anti-RAch) antibodies was positive in 89% of the cases. Thoracic imaging revealed thymoma in 33% of cases and thymic hyperplasia in 17% of cases. All patients received an acetyl cholinesterase inibitor. 33% of the patients in our series required a background treatment, consisting of corticosteroids alone (22%) or corticosteroids and immunosuppressive agents (11%). Thymectomy was performed in 56% of our patients

Chitala chitala (Hamilton, 1822) is an indigenous fish of freshwater lotic ecosystem belonging to the family Notopteridae of the Order Osteoglossiformes. This fish species has relatively larger market demand presumably because of having rich lipo-proteinaceous tissue at the ventral side of the body. Wild variety of Chitala chitala (Hamilton, 1822) was identified at the lower reach of Muhuri river of Tripura, India. As per IUCN criteria this fauna may be considered near threatened fish species in North-east India in general and Tripura in particular. In various corners of India this species was considered as preferred fish species. Morphometric character of the fish specimen showed hump-like structure just behind the head area, bar, transverse, silver at dorsal body area. Greatly compressed body, laterally, oblong and tapering towards caudal area. Dorsal fin, significantly smaller. Anal fin, very long; originated with the fusion of pelvic fin and also ended by fusion with caudal fin. Scales, tiny, sharp at ventral area of head. A specific fin formula was noticed in Chitala chitala (Hamilton, 1822).

Malignant phyllodes breast tumors (PT) have been reported to present with unusual characteristics, including aggressive growth and high potential of recurrences. We report a case of a 26 year old women presented to our constitution with local reccurence after several surgery of PT in the right breast, who necessited wide resection and reconstruction of the chest wall

Colon cancer is currently the third most common cancer in both men and women after lung and breast cancer. Incidence and mortality rates have been declining since the 1980's, partially due to improvements in screening and prevention. Colon cancer is the cancer that formed in the tissues of the colon (the longest part of large intestine). Most colon cancers are adenocarcinomas. Many studies have been done to elucidate the ability of iron to rule out colon cancer. Some of these studies encouraged using iron status as early predictors of gastrointestinal tumors. The aim of this study was to estimate level of serum iron and ferritin among colonic cancer patients according to gender, age, Hb and weigh levels. This study included 100 patients diagnosed as a colonic cancer. The majority of patients were male, 67 representing 67 % of respondents and only 33 were female representing 33%. Age distribution among patients demonstrates a majority of the age interval (40-60) years representing 46 %. The association between serum iron and ferritin was found to be significant with the level of Hb. In the distribution of study population according to weight, the majority was shown in weight between (51-70) kg representing 57 % of total respondents. Regarding correlation between serum iron, ferritin and weigh, no significant was found to be observed.

Eyebrow reconstruction is very challenging especially in cases of large defects exceeding half of the eyebrow length. In such cases, hair grafting is the first choice in women, whereas hair-bearing flaps are used in male patients desiring a wider and fuller eyebrow. We report a case of a female in whom a superficial temporal artery island flap allowed one-stage eyebrow repair with a very good aesthetic outcome

Different forms of allogenous and autogenous bone grafts have been studied for their potential use as bone substitutes. Although autogenous bone grafts is a treatment alternative for bone regeneration and repair they have several disadvantages like limitation of graft volume available, donor site morbidity and is technique sensitive. Thus, use of other materials like processed bovine dentine and Bone Xenograft (Bio-Oss) presents an alternative and a relatively simple technique for bone regeneration and repair. The main aim of this study was to determine the role of Processed Bovine Dentine and Bone Xenograft (Bio-Oss) in bone regeneration and repair and to compare these two groups histlogically. A total of ten healthy adult Albino male rats, aged 4 weeks weighing between 150 – 200gms were used in the study. Three round surgical defects of approximately 1mm in diameter were drilled in both the right and left femur. Processed bovine dentine was placed in the right femur and Bio-Oss was placed in the left femur. Group I: - Processed Bovine Dentine.Group II: - Bone Xenograft (Bio-Oss). Bio-Oss graft displayed osteoconductive properties and the best bone formation with complete resorption and organization of the grafted materials. Based on histological findings, though Processed Bovine dentine displayed osteoconductive properties its effect on bone formation was slower compared to that of Bio-Oss. The results of the present study supports that the use of Processed Bovine Dentine seems to be an alternative bone substitute, although less effective than Bone Xenograft (Bio-Oss).

Agency banking is the business carried out by an agent on behalf of an institution as permitted by the banking act in 2010. Through agency banking, banks have been able to recruit other businesses with a nationwide footprint to offer banking services on their behalf, allowing them to have branches in areas that were not previously commercially viable. This study sought to establish the contribution of agency banking services to financial performance of commercial banks in Kisumu City; A case of Equity bank. The study was guided by the following objectives: to establish the contribution of withdrawal of cash through agents financial performance of Equity banks in Kisumu County; to analyze the contribution of deposits of cash through agents on financial performance of Equity banks in Kisumu City; to establish the contribution of fund transfers from one account to another through agents on financial performance of Equity banks in Kisumu City. The study was anchored on financial intermediation theory and it adopted a descriptive research design which involves quantitative technique. The population size was equity bank managers and banking agents in Kisumu City. Sample size was selected using cluster followed by random sampling where the 56 banking agents and 4 managers were the respondents. Data was collected using questionnaire and analyzed data using frequency distribution, percentages, and SPSS helped in multiple regressions. The study found that cash withdrawal, cash deposit and cash transfer as agency banking services contributed to banks performance and the influence was statistically positively significant on bank performance. The study recommends that more banks should implement agency banking helping them to tap into more deposits and withdrawal eventually increasing financial performance. Bank management should initiate training sessions for their agents to equip them with financial skills needed to run the agents effectively. Security enhances operations of agents; the study recommends that the government of Kenya should thus improve security to enhance operation of the agents‟ bank.

The paper aims to study the sex ratio in districts of Bihar based on decennial census report and analyze the present trend of it. Sex-ratio is one of the most significant demographic and social parameter to show the status and condition of women in the society. According to Census 2011, the sex ratio of India was 943 while it was only 918 in Bihar, which was much less than the national average, as an outcome of patriarchal society, religious belief, traditions and customs aided with modern medical technology. Bihar along with Gujarat and Jammu and Kashmir experienced low sex ratio in 2011 in comparison to 2001 The sex ratio in Bihar has constantly been declining in spite of various social, educational, economic and political developments in the society from 1061 in 1901 to 918 in 2011, which is one of the grave concern and demographic threats for the state. The declining sex ratio is an indicator of low status of female and unequal roles assigned to males and females in Bihar.

The effectiveness of processes of life insurance companies is the prime concern for policyholders to choose a particular insurance company. Here researcher attempts to analyze the effectiveness of process related strategies of public and private life life insurance companies in perambalur district with the objectives of analyzing claim settlement time, ease of claim settlement formalities and policyholders’ dependence of insurance agent or insurance company employee for claim settlement. Here researcher adopts descriptive research design and used wellstructured questionnaire for data collection. 100 samples each from both public and private life insurance companies are collected using simple random method. From the data analysis it is concluded that public life insurance company is effective in process related strategies than private life insurance companies.

The purpose of this to determine the role of community on provision of teaching and learning resources in public primary schools in Nandi North subcounty. The study was informed by Epstein theory [34]. It employed descriptive survey design. The study targeted 104 public primary schools. It then took 30% of the target population to get 31 head teachers, 31 school chairpersons and 354 teachers. It used simple random sampling to select individual respondents. Cronbach alpha was used to test the reliability of the instruments which was found to be 0.72. Content validity of the instrument was determined by discussing the items in the instrument with the supervisors. Data was coded and analyzed with the aid of Statistical Packages for Social Sciences (SPSS) using descriptive statistics to help generate percentages, frequencies. The study found out that the community has not provided other relevant instructional materials adequately. The findings from teachers showed that the community has contributed 55.9 percent of leaning books to their schools. Moreover, 118(33.3%) teachers said yes when asked whether the community has provided other relevant items that can be utilized as instructional materials while 236(66.7%) said no. The study recommended that all stakeholders in the community be sensitized to participate in the provision of teaching and learning resources in schools. The researcher payed keen attention to research ethical issues and got the informed consent of the respondents and guarded against plagiarism and ensured confidentiality.

This study was aimed to investigate the association between thyroid disorders and lipid profile in 122 patients (100 females and 22 males ) referred to the Specialized Center for Endocrinology and Diabetes at Al –kindy Hospital in Baghdad . For comparison, 60 healthy individuals (31 females and 29 males), who had no thyroid disorders, were also included in the study. Blood samples were collected from both patients and the healthy individuals. Enzyme Linked Fluorescent Assay (ELFA) technique through using Vitek Immuno Diagnostic Assay System (VIDAS) was applied to measure levels of the thyroid hormones (tri-iodothyronine T3, tetra-iodothyroxine T4) and thyroid stimulating hormone (TSH). From the results obtained, patients were classified into three groups: 40 were considered as belonging to the controlled * group ( 26 females and 14 males), 57 to the hypothyroidism group (52 females and 5 males) and 25 belonged to hyperthyroidism group ( 22 females and 3 males). Females constituted the vast majority of both healthy and thyroid disorders patients with percentages of (51.7%) and (81.96%), respectively. The results also declared that there was a correlation between increasing the cholesterol level and decreasing level of high density lipoprotein (HDL).

The incidence of oral squamous cell carcinoma remains high in India due to the social and cultural habit of tobacco, it accounts for about 5%of total cancer of the body. Despite evolution in management,the overall survival of patients has not been improved significantly during the past 20 years. Several clinicopathological parameters have been implicated in the prognosis, recurrence and survival, following oral cancer. This retrospective study aims at the study of clinicopathological parameters including regional lymph nodes and distant metastasis and its correlation with recurrence and death rates in patients with oral squamous cell carcinoma. In this retrospective study data collected from the registry of cancer ward, Victoria hospital and Government dental college, Bangalore from 2007-2014(8 years) in total, 283 patients with oral squamous cell carcinoma were included. The clinical staging and histopathological reports were analysed and chest X ray, MRI was used to assess the distant metastasis and these findings were correlated with recurrence and death rates of the patients.Statistical analysis was carried out using chi square test. Among 283 patients 159 were males (56.2%) and 124 were females (43.8%). Most of the identified squamous cell carcinomas were T4 (42%) and N2 (40.6%). Recurrence was identified in 40 patients, 85(30%) had regional nodal metastasis and 9 had distant metastasis, and 40 patients died out of 283.Squamous cell carcinoma of the oral cavity has a poor overall prognosis with a high tendency to recur at the primary site and extend to involve the cervical lymph nodes.

Single Cell Protein (SCP) can be obtained from various microorganisms by growing them on a number of types of substrates, including industrial products waste. This work focuses on non-conventional yeast Yarrowia lipolytica, and its application in the process of production of valuable components like SCP and amino acids. It also analyses the possibility of using obtained biomass as a dietary supplement for humans. Y. lipolytica is nonpathogenic to humans and has been approved for use in several industrial processes as it is generally recognized as safe (GRAS). The results of our analyses suggest that the Y. lipolytica A-101 – a strain growing in biofuel production waste is a good candidate for a source of high-quality yeast protein (40-50% of dried biomass) and exogenous amino acids (phenylalanine 3.9 g, isoleucine 4.4 g, leucine 6.8 g, lysine 7.0 g, methionine 1.2 g, threonine 4.8 g, tryptophan 4.7 g, valine 5.3 g/100 g of protein). Y. lipolytica A-101 biomass has also very low nucleic acids concentration (below 1%) due to activation of endogenous nucleases in the final stage of the stationary phase. These enzymes reduce the amount of nucleic acids in this biomass from a high level to one acceptable for human consumption. Moreover, Y. lipolytica A-101 biomass is safe and digestible since the yeast cells get killed in the drying process and has no leavening powder with destroyed cell wall. Y. lipolytica A-101 can be used as a nutritional supplement in human diet when an increased intake of amino-acids and SCP is required.

In the current study, the effects of three types of additive (lime, cement and cement kiln dust) on the plasticity of a soil are studied. The results of the study indicate plasticity index are affected by the addition of (cement, lime and cement kiln dust) and the effectiveness of these additives depends on the soil treated and the amount and type of additive used. The main results show that with increase of Additive the plastic limit increases and liquid limit decreases, hence decreases plasticity index and it is revealed that a change of soil texture takes place. While Addicrete BV does not effect on the Atterberg limits or the soil texture of the soil. Then the plasticity properties of the soils including liquid, plasticity and shrinkage limits as well as plasticity index were investigated and compared among the specimens in different mixture proportions. Atterberg limits (Plastic limit “PL”, Liquid limit “LL”, and Plasticity index “PI” = LL-PL) play an important role in soil identification and classification.

It is widely accepted that a safe and healthy workplace is key to ensure employee engagement. As manufacturing organizations are more prone to industrial accidents, the study focuses on the different employee health and safety initiatives taken by several garment factories of Dhaka, Bangladesh. The study uses both primary and secondary data. A complete questionnaire was set for personal interview. OHS manual, audit reports, websites, journals, Labor Act 2006, text books, gov’t publications etc. are among secondary source used. Finding of the study does not portray something very good. Existence of short and poor quality policy, unfurnished medical room, same happens with the first aid boxes, problems with temperature, ventilation, noise and lighting etc. are most common complications. Although the government has taken several actions along with international bodies, effectiveness of those activities is questioned. A unique guideline for safety improvement, training arrangement for employees, close monitoring of safety and health issues can prove very effective. There is urgent need for consorted action in the sector that envisions a decent work environment.