In the new global economy, workplace safety has become a central issue among companies all over the world. It is becoming difficult to ignore that this trend has also been happening in Malaysia especially the manufacturing sector. The worrying trend can be seen from the increasing number of workplace accident reported by Department of Occupational Safety and Health (DOSH), Malaysia in manufacturing companies. In recent years, researchers have shown an interest in studying the role of safety leadership to reduce workplace accidents. It is found that safety leadership plays a significant role in ensuring a safe and sound workplace. Due to this concern, this paper attempts to provide a conceptualization of safety leadership from the perspective of Malaysia’s manufacturing sector. It is proposed that positive safety leadership leads to reduction of workplace accidents. In response to this matter, it is hypothesized that the higher level of safety leadership will affect the lower level of workplace accidents. A questionnaire from Wu et al. (2008) will be adopted to explain the conceptualization of safety leadership, it is expected that the concept of safety leadership practiced in Malaysia’s manufacturing sector has a similar meaning from the perspective of western researchers.

This study was designed to examine the perspective of the student-teachers’ on the embedded soft skills program implemented in one of the public universities in Malaysian. The study sought to identify the most frequently learned soft skill elements in accounting courses; the relationship between awareness of the soft skills learned and the soft skills grade-performance evaluation; the most effective strategy used to adapt the soft skill elements; and, finally, to analyze the learning outcome achievement of the soft skills learned through accounting student-teachers’ perspective. The researcher surveyed 122 accounting student-teachers from the Faculty of Management and Economics (FME) using an adapted questionnaire from The Effectiveness of Academic Programs at Higher Education Institutions towards Lifelong Learning by Amaludin, Lee, Pandian, and Sirat [10] with coefficient alpha 0.92. The findings indicated the most frequently integrated soft skill elements in the accounting courses were critical thinking and problem solving. The relationship between awareness of the soft skill elements and marks of soft skills indicated the existence of a relationship that was statistically correlated at a p value less than 0.05with r= .460 for the highest relationship that existed between awareness of soft skill in leadership skills and marks of soft skills. Problem-based learning strategy was the most effective strategy used by the lecturers in adapting the soft skills learned, and the accounting student-teachers believed the learning objectives of the embedded 7 soft skill elements were achieved within the range of 57.4 to 88.5%.

Abstract: Rural health training centres (RHTCs) and urban health training centres (UHTCs) are an integral part of every medical college in India. These centres provide community-based learning for undergraduate (UG) and postgraduate (PG) students as well as interns, build capacity of the staff and facilitate field research. Objective of internship is to train the medical graduates in hospital and community settings. Many students do not take internship period seriously but would rather study for their pre-PG examination. This decreases their interest in internship training especially in rural postings. Interns demands the excuse for rural posing for various reasons like PG preparation, safety issue, too far, no basic facilities etc. The poor physical infrastructure of rural centre is the main hurdle for avoiding the rural postings. The shortage of qualified doctors in many of the rural areas leads to unqualified quacks, which are a greater threat to the lives of the patients. To some extent AYUSH doctors are catering to the needs of rural population and delivering some health care facilities.

Multidisciplinary approach is required for the management of paediatric mandible fractures. Any fault in the treatment might lead to asymmetry of the mandible followed by temporomandibular joint (TMJ) ankylosis. Etiology links to road traffic accidents, fall, sports injuries and interpersonal violence. Condyle is most commonly involved followed by symphysis, body and angle of the mandible. Treatment options include conservative management, closed reduction and open reduction-internal fixation. In this scientific article, we present a case report of a 12 year old female with fracture of right parasymphysis and left body of the mandible managed by open reduction-internal fixation - intermaxillary fixation whereas the right sagittal split of condylar head managed conervatively.

Abstract: To measure the people knowledge about PHCC services & the satisfaction of people about PHCC services. A cross-sectional study done with simple random sampling technique the data has been collected by distributing an Arabic language questionnaire to users who had utilized health services provided by the primary health care centers in the following cities Buraydah, Onizah and Albukairiah in Al- Qassim reigon. A total number of 384 participants were enrolled in this study. The data was collected over a 3 months period (December 2014 to February 2015). Of 500 questionnaires distributed 384 (76.8% response rate) were collected and analyzed. Findings from the study showed that 297 (77.3%) of the subjects knew the difference between PHCC and hospitals, and 295 (76.8 %) knew the role of PHCC in immunizations. Less than half of the respondents 173 (45.1%) knew the role of PHCC in follow-up of chronic diseases. The overall reported satisfaction score was 50% of the participants were unsatisfied with the services .The study has concluded that the responder’s knowledge is sufficient about the PHCC services. On the other hand, the study showed that most of the responders were unsatisfied toward the PHCC services. Factors causing poor satisfaction were attributed to lack of qualified staff & adequate supervision.

The aim of this study is to evaluate the prevalence of different types of gingivitis and periodontitis and their distribution in males and females for patients attended to periodontal clinic over 15 months from October, 2015 to December, 2016.1)To evaluate the severity and incidence of those disease among group sexes and how specifically affect each sex group.2)To estimate the periodontal health condition of the community from the study sample.3)To instruct them about the importance of periodontal health and good oral hygiene.4)To make this study a reference study for comparison for other studies. The study was conducted on 1273 patients who attended periodontics clinic, ArAr dental center over 15 months from October, 2015 to December 2016. The sample consisted of 748 male patients and 525 female patients with age vary from 15 to 69. Information on sex, age, systemic diseases, medical history, dental history and periodontal status were obtained (probing, radiographs, plaque and gingival indices). According to data analyzed, gingivitis was more predominant than periodontitis and males are more affected by both gingivitis and periodontitis.

Abstract: Sickle cell disease is one of the commonest reasons for hospital admissions in Bahrain and it considered one of the most significant causes of morbidity and mortality. However, HRQOL in SCD patients is not well studied in this part of the world. SF 36 questionnaire was administered to a total of 1886 participants, through manual and online methods in Salmanya Medical comlex and health centers outpatient’s clinics, general society, and through SCD society, out of which 168 were excluded. Of the participants, 420 (24.4%) had SCD, 607 (35.3%) had chronic disease and 691 (40.2%) were disease free. SCD respondents scored significantly lower than the other two groups in HRQOL in all domains of SF-36, with the following means in role-physical 34.1 (SD 36.1), role-emotional 40.6 (SD 41.0) and general health 44.7 (SD 17.7) affected mostly P ≤ 0.001. Adults with SCD in Bahrain showed significant impairment in all domains of HRQOL when compared to the general population. We would recommend conducting further researches to evaluate the factors that may influence the HRQOL in SCD patients.

Smoking is recognized as one of the major risk factors for chronic periodontitis. RANKL/OPG axis is involved in the regulation of bone metabolism in periodontitis. The objective is to study the effect of smoking on salivary levels of RANKL and OPG in chronic periodontitis. Fifty five subjects with chronic periodontitis with ages range from 24-64 years and 25 apparently healthy volunteers their ages and sexes were matched with the patients were participated in this study. Patients who smoked a minimum of 10 cigarettes per day for 2 years were included in the smoker periodontitis group (25), the remainder of the patients who never smoked were assigned to the non smoker periodontitis group (30). Saliva samples were collected from all patients and control the levels of salivary level of RANKL and OPG were determined using enzyme linked immunosorbent assays. The current findings were showed that there are no significant differences in median levels of RANKL and OPG between smokers and non-smokers patients, (p>0.05). In addition there are no significant differences in ratio of RANKL/OPG between smokers and nonsmokers groups of patients (p>0.05). The present study revealed that cigarette smoking had no effect on the salivary levels of RANKL and OPG.

Abstract: The incidence of tuberculosis Disease is increasing all over the world mostly in poor, developing Countries. In Saudi Arabia: tuberculosis is a common disease due to the migration of people from the developing countries. Since the reported patient has a resected abdominal neoplasm, it may be overlooked or confused with recurrence of the malignant disease. We describe two patient with unusual form of extra-pulmonary tuberculosis both mimicking recurrence of neoplastic diseases. The first patient was a 51 year-old man who was operated on for Cancer head of pancreas which was confirmed histologically, the second patient was a 85 year-old man was operated for peri-amullary carcinoma, during follow up of both patient they developed cervical lymphadenitis which proved to be tuberculous, both patients treated successfully with isoniazid, rifampicin and pyrizinamide, no relapse of either malignancy or tuberculous lymphadenitis.

PRF along with various additives like Bone graft (BG) and Mineral Trioxide Aggregate (MTA) enhances periapical healing. This comparative clinical study was taken up to evaluate the periapical healing potential of plasma rich fibrin (PRF) as scaffold along with MTA and bone graft. Two patients with a history of trauma and large periapical radiolucent lesion were selected for this study. After access opening and biomechanical preparation, involved teeth were obturated with gutta percha using AH plus sealer. Subsequently periapical surgery was carried out and PRF was prepared by collecting blood from the patients. In the first patient, a mixture of PRF and MTA was placed into the periapical defect, while in the second patient a mixture of PRF and BG was placed. At 1 month, 3 month, 6 month and 1 year follow up was done for evaluation of clinical and radiographic healing. Both the patients remained clinically asymptomatic. Radiographically healing was found to be better with PRF and BG combination.

Damage of a dental needle during local anesthesia is very rare complication nowadays. We present such an occurrence in which the needle was lost in the pterygomandibular space during routine dental practice. Patient was referred to Oral & Maxillofacial surgery department where he was treated and the needle was removed. Postoperative period was uneventful. We attribute this to the utility of Cone Beam Computed Imaging that made the exact locating of the needle in the soft tissues possible. We underline the significance of CBCT to precisely locate the broken needle and to facilitate its surgical retrieval.

Fungal lung infections due to Geotrichum are opportunistic, usually occurring on an immunosuppressed person, particularly severe neutropenia, or an imbalance of the normal microbial flora. Geotrichum capitatum is the most widely reported species in human pathology.We report case of pulmonary geotrichosis due to Geotrichum capitatum in a patient with a chronic pulmonary disease type of chronic obstructive pulmonary disease (COPD)

Friction stir welding (FSW) is proved as a promising welding technology for joining dissimilar aluminium alloys. Aluminium alloys are used extensively within the aerospace industry for applications such as fuselage and wing skin panels due to their high strength to weight ratio. Therefore, an attempt is made to optimize the process parameters of friction stir welding using AA2024 and AA6061 age hardenable aluminum alloys in order to improve the tensile properties such as ultimate tensile strength (UTS) and tensile elongation (TE). A response surface method (RSM) based fuzzy grey relational approach (Fuzzy - GRA) is applied using four factors with three levels. The process parameters namely rotational speed (N), welding speed (F), axial load (P) and pin shape (PS). The results indicate a RSM based fuzzy grey relational approach improving tensile properties of FS welded AA2024 and AA6061 aluminum alloys when comparing to conventional grey relational approach. A quadratic relationship was also established between the process parameters and fuzzy grey relational grade.

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Periodontal disease is the second most prevalent clinical entity among oral diseases, and is recognized as a serious public health problem. Osseous destruction as a result of periodontal disease is classified according to clinical criteria into horizontal (or even) and angular (or vertical) osseous destruction. The detection and accurate assessment of the location, extent and configuration of the endosseous defect is important for the determination of the tooth prognosis, the treatment plan and the maintenance procedures. Radiographic examination is a complementing mean of great importance to obtain the diagnosis of periodontitis, even though it does not reveal the real state of cellular activity, but shows the consequences upon dento alveolar structures.