Acute megakaryoblastic leukemia, or type 7 (AML 7), is a rare entity defined by a proliferation of blasts of which at least 50% are megakaryoblasts. It represents 0.5 to 2% of acute leukemias (LA) in children and 3 to 10% of acute myeloid leukemias (AML). Patients may have nonspecific symptoms. His diagnosis is based on the presence in the blood or in the marrow of blasts with typical morphology and expressing specific platelet antigens. This observation describes the clinical case of a 19-month-old infant with pancytopenia. The diagnosis of AML7 was made based on explorations of peripheral blood, myelogram, and immunophenotypic analysis. Chemotherapy has been started, with a poor therapeutic response. The patient died in a state of septic shock. We recall through a literature review the clinical, histological and immunophenotypic features of acute megakaryoblastic leukemia.

The presence of new media also influence and change the concept of journalism so that it brings forth the backpack journalist. This study aims to find out the construction of social reality conducted by the backpack journalist on the struggle of The Samin in maintaining the local wisdom of their ancestral heritage in the video "Samin v.s Semen 2015" in social media YouTube. Construction of local wisdom referred to in this study is the process of social dialectics experienced by The Samin on the process of externalization, objectivation, and internalization in maintaining the noble values that they believe. The paradigm of this research is interpretive paradigm using Roland Barthes semiotic analysis method. This study analyzed verbal and visual signs in the video that lasted 39 minutes and 25 seconds and divided into several scenes, such as the scene of Community of Samin, the arrival of artist Melanie Subandono and cement factory in Tuban. The results showed that in the process of externalization, people of Samin are those who adapt to the environment but still uphold their ancestral teachings. They see that the relationship with others and nature as a form of their relationship with the Creator, so they try not to conflict with the local people. Meanwhile, in the process of objectivation, they seek to interact or adapt to their socio-cultural world. This is what makes the Samin cannot refuse when required to have the Identity Card. While in the process of internalization, people of Samin associate with local people where they are in a similar environment. The Samin have identified themselves with the social institutions or social organizations to which they belong. In this internalization process, the Samin took a role in rejecting the construction of cement plants with other citizens as an effort to maintain their ancestral heritage.

Desmoplastic ameloblastoma (DA) is a rare subtype of ameloblastoma, exhibiting eloquent variation in its clinical, radiological and histologic appearance. In 2017 WHO classification of a head and neck tumour has further modified this entity and titled it as a histologic variant of conventional ameloblastoma. A tumour mimics benign fibro-osseous lesion for being often prevailing in the anterior region of jaws as a mixed radiopaque-radiolucent lesion. We present a case of desmoplastic ameloblastoma in a 55-year-old male with a painless swelling in the anterior region of right maxilla. Ct scan shows a mixed lesion with multilocular appearance. An incisional biopsy verified it to be a case of desmoplastic ameloblastoma. Partial maxillectomy was performed on the right side. The patient is on routine follow-up with no recurrence. The present case deserves emphasis because of its unfamiliar appearance, potentially aggressive nature and deceptive radiologic appearance maximizing the chances of misdiagnosis. So, the clinician should be alert enough to include desmoplastic ameloblastoma in the differential diagnosis of any lesion/growth with mixed radiolucent-radiopaque appearance having ill-defined borders and occurring in anterior maxilla or mandible.

Obstructive sleep apnoea (OSA) is increasingly being recognized as an important health issue in the last two to three decades. It is characterized by frequent episodes of upper airway collapse during sleep, causing recurrent arousals, intermittent hypoxaemia, sleep fragmentation and poor sleep quality. There is accumulating evidence that OSA is being considered as an independent risk factor for hypertension, glucose intolerance/diabetes mellitus, cardiovascular diseases and stroke, leading to increased cardiometabolic morbidity and mortality.

Acute pancreatitis is the acute inflammation of the pancreas. It can be resulted due to many causes. Acute pancreatitis due to non-steroidal anti-inflammatory drugs is not commonly observed in the clinical practice. Etoricoxib is a type of non-steroidal anti-inflammatory drugs which belongs to the group of selective cyclooxygenase two enzyme inhibitors. Etoricoxib induced severe acute pancreatitis is not reported in literature. Here we describe a patient with severe acute pancreatitis caused by etoricoxib. The improvement of symptomatology and the biochemical profile was remarkable after the omission of etoricoxib. This case highlights the importance of considering etoricoxib as a cause of acute pancreatitis which needs further exploration.

The classical economists have mostly focused their attention on the functioning of the market and not on the role of the state. The analyses of various democracies are based on the assumption that the State decisions once made are applied as intended by the authorities who are responsible for their practical implementation. The economics of regulation is situated at the intersection of the public economics and industrial economics, it explores different forms of government intervention in industrial activities to simulate either to control or even to reprove them. Public intervention can take different forms: in Europe the most common practice is the nationalization, it is the public monopoly of law. In the United States operation of this natural monopoly is assured through economic regulation, that is to say all means by which Governments directly influence the activity of companies while maintaining the framework of the private property. It is very important to distinguish between the economic regulation of an activity that focuses on the price and the determination of the structure of offer, and the social regulation concerning the conditions for the exercise in the activity and the physical characteristics of the products or services (protection of workers in their working conditions (health, security), rules of environmental protection or standardization of products (quality).

This investigation was carried out to study the effect ferritic-martensitic constituent on mechanical property and corrosion behaviour of medium carbon DP steel. Several stages of heat treatment were applied on the as-received medium carbon steel which composed of lamellarizing, quenching and tempering process. Asreceived medium carbon steel was assigned as a reference sample for comparison analysis. Mechanical property was evaluated using Vickers hardness to examine the effect of changing the ferritic-martensitic constituent of the medium carbon steel. Besides, the effect of this constituent on the corrosive behaviour of the medium carbon DP steel was investigated using 1 M hydrochloric acid solution.

A blood film or peripheral blood smear is a thin layer of blood smeared on a microscope slide and then stained in such a way to allow the various blood cells to be examined microscopically. This can be done by manual method or with automated analysers. This study is based on comparative study of manual method and automation (SC 120 auto slide maker and stainer) in making of blood films for evaluation.

In the era of technology security surveillance is rapidly increasing in most of the nations worldwide. Continuous security threats to public safety and national security demand use of such systems. The surveillance is often carried out by governments or governmental organisations, but may also be carried out by corporations, either on behalf of governments or at their own initiative. Depending on each nation's laws and judicial systems, the legality of and the permission required to engage in mass surveillance varies. It is often distinguished from targeted surveillance. No one can deny the fact that electronic surveillance systems offer advanced functionalities which threaten the privacy of those recorded in the video. In order to increase the public acceptance of surveillance systems, it is important that they obey the law of the state where they are installed and that their deployment strikes a balance between security and the need to protect privacy. There is an urgent need to balance the usage of electronic surveillance against its negative impact on privacy. In this research paper researcher is trying to discuss privacy issues and legal requirements associated with electronic surveillance.

More than 2 billion people in the world today suffer from micronutrient deficiencies caused largely by a dietary efficiency of vitamins and minerals. The public health importance of these deficiencies lies upon their magnitude and their health consequences, especially in pregnant women and young children, as they affect fetal and child growth, cognitive development and resistance to infection. Although people in all population groups in all regions of the world may be affected, the most widespread and severe problems are usually found amongst resource poor, food insecure and vulnerable households in developing country. Some efforts that have been done to solve the problem such as micronutrient fortification in rice, because it is the staple food consumed by more than 90% Indonesia’s population. The objectives of this research were determined and evaluated the stability of micronutrient level during rice fortification and cooking. The results showed that micronutrients decreased during rice fortification and cooking. The raw-fortified rice contained 38.52 - 59.91mg/L of iodine, 0.92-1.79mg/L of vitamin A and15.64 - 48.39 mg/L of iron depending on the concentration of the coating material used. After cooking, the fortified rice contained 3.00- 3.93mg/L of iodine,0.43 - 1.0 mg/L of vitamin A and 12.92-19.66 mg/lof iron. The levels of micronutrients, although experienced significant losses, still meet the daily needs according to the Regulation of World Health Organization.

In the past decade, academic world established a variety of fragile states index systems. They were generally based on the evaluation of society, environment, economy and government. Given that climate change has far-reaching impact for the quality of humankind and the development of a country, we have reasons to believe that climate change may have increased fragility of a country. We used analytic hierarchy process and established fuzzy synthetic evaluation models to identify when a sate is fragile, vulnerable, or stable. And we used the gray correlation method to analyze the correlation between climate change and each evaluation indicators. Then, we combined with Yemen's specific situation; we found that climate change makes its more fragile through the impact to food production, water supply, natural disasters and other evaluation indicators. We also demonstrated that Yemen will not become so vulnerable without these adverse weather effects.

This research needs to be done because employee performance at Indonesian Tourism Academy Jakarta for the last 5 years tends to decrease index. The purpose of this research is to analyze the influence of Trnasformational Leadership and Work Motivation on Employee Performance. The research method is quantitative research, the population consists of employees of Pariwiasta Academy Indonesia Jakarta, amounting to 52 employees. As for the sample using saturated samples. The analysis tool used is Multiple Linear Regression, followed by determination analysis (R Square), partial hypothesis testing (t test) and hypothesis test simultaneously (F test), alpha (tolerance error) 5 percent. Before spreading the questionnaire first in the validity and reliability test until all questionnaires are valid and reliable. In order to meet the criteria and requirements of multiple linear regression analysis, first classical assumption analysis such as normality test, multicollionerity and heterokedasitas test are done. Data processing tool SPSS version 21.0. The result of the research is that Transformational Leadership and Work Motivation have positive and significant impact on employee's performance either partially or simultaneously. From the results of determination analysis there are other factors that influence employee performance in addition to variables Transformational Leadership and Work Motivation. The better Transformational Leadership and Work Motivation will be the better Performance Employees at the Academy of Tourism Indonesia Jakarta.

This paper analyzes the significance of standing tall as Christian parents in an immoral society; a topic that was prompted by a statement written by the Atheists of Kenya entitled, ‘Rearing children without God’[1]. Basing discussions on library readings, descriptive survey and reflective experiences, the author tries to answer why Christian parents ought to stand tall and be moral in a decaying society. In the process, the paper answers two important questions; first, how Christian parents should live in an immoral society without being part of it. Further the question, how this Christian living touches or impacts on their children’s lives will be answered. Second, what biblical justification do Christian parents have for being moral within the context of an immoral society?

Combining with the actual conditions of Venezuela, we apply fuzzy synthetic evaluation models based on analytic hierarchy process to calculate the tipping point that makes the country fragile. Then, we establish a gray forecasting model and predict that the climate change will push the country to more fragile by indirectly affecting food production, water supply, natural disasters and economy in 3 years. Finally, we have reason to believe that the government can effectively mitigate the impact of climate change on the state fragility through some human intervention.

In Kenya there are obstacles to access to information at the county level which include among other issues-Language barrier. This has impeded public participation hindering county development. This is augmented by Kenya Institute of Economic Affairs report, World Bank report and First Devolution Conference report. The financial jargon used in Homa Bay County’s budget discourse texts hinders public participation which has formed a communication breakdown between the county government of Homa Bay and the public. Findings on Discourse Analysis from various linguists do not explain “discourse exclusion”, a peculiar case where the county government and the people are constitutionally mandated to engage in a discourse but fails to do so due to relevance. This research article looked into processing effort at both lexical and phrasal levels in order to analyze the processing effort at both the lexical and phrasal levels of the financial budget discourse texts of Homa Bay County Government. Theory used is Relevance Theory (Sperber &Wilson,2004)whose tenets include; cognitive effects, processing effort and contextual assumptions. The study used descriptive design; the research area is Homa Bay County Kenya. The population includes 428,911 persons who had attained the voting age of 18 years and budget discourse texts between 2014 and 2016.Snowballing was used to sample 43 members of the public, and 20 linguistic items that formed the budget discourse text between 2014 and 2016.Data collection techniques involved; use of questionnaires, structured oral interviews, tape recording and content analysis of available documents. Data analysis was done thematically and presented in textual and tabular forms and in line with literature and theory used; descriptive design was used. Findings show that phrasal processing effort is cognitively more involving than lexical processing effort. The study is significant in building pragmatic theories, editing and enhances public communication mechanisms for the wider economic development.