Plasma cell leukemia (LP) is a rare ailment that is defined by the presence in the peripheral blood smear of 20% plasma cells or circulating plasma cells that is greater than 2 G / L. There are two variants: the primary form occurring de novo, diagnosed directly in the leukemic phase and the secondary form complicating an already known multiple myeloma. We report in this work a case diagnosed in the laboratory of hematology of the CHU Hassan II of Fez of a multiple myeloma transformed into plasma cell leukemia. It is a rare entity but should not be neglected. Secondary plasma cell leukemia maintains most of the characteristics of multiple myeloma in contrast to primitive plasma cell leukemia. Our work aims to show the common characteristics of the primitive and secondary forms of this leukemia and to discuss the peculiarities of each one.

Increasing demand in energy facilitated the need of clean energy such as wind energy. Residences, buildings and commercial sites needs more power, but also continuous power. Important facilities such as wireless or radio sets requires small amount of energy, but with a continuous supply. This project was done to design and construct a vertical axis wind turbine for small scale use. After an introduction about the historical background of wind turbine, the report deals with a more accurate analysis of the main type of vertical axis wind turbine, showing their characteristics, advantages and disadvantages, differences between vertical axis wind turbine and horizontal axis wind turbine and their operations. The parameter of the wind turbines was discussed and the generators (stator) that can be used to connect the wind mill to the electricity grid are reported as well. Several statistics are also presented, in order to explain how the development of the wind energy in Nigeria. Results from trials shows that as the speed increases, there is increase in voltage and this in turn implies a watt change at different speeds. This also implies that when there is high wind, there is a higher rpm. The turbine fulfilled all specifications such as efficiency above 80%, 33Watt output power and likewise the capacity is adequate for its purpose and was proven to be efficient in generation of current.

This is a research paper focused on assessing experienced project managers/senior engineer’s perceptions of managing various project issues relating to a proposed underground radioactive waste storage DGF project in the UK. This empirical inquiry utilised an interpretive perspective. The scope for this research were project managers/senior engineers who were registered Chartered Engineers and experienced in managing deep civil engineering projects. The discrete population for this study was made up of individual managers/senior engineer’s (19) presently located on multiple, independent sites, and a total of 11 managers/senior engineers were determined as the resultant sample frame. The outcomes consisted of six (6) main themes, namely: Managerial, Technical Capability, Process, Costs, Project Administration, and Environmental Issues; and twenty (20) sub-themes raised from a literature embedded question. Very little management research, if any, has been conducted in this extremely provocative area and the paper exposes profound concerns relating to aspects of the management, which is academically unexplored in today’s demanding international nuclear civil engineering environment.

This paper describes the crucial role of Multimedia in our lives, one of the most important new technologies that we use daily. This paper explains the role and the effect of using Multimedia in education, business and learning. Consequently, this paper is evaluated and developed by using articles, online journals and primary data collection tools for gathering valuable information about the importance of Multimedia. In modern world, technological advancement leads to discover the powerful application of Multimedia. Internet and Social media have significant contribution to improve Multimedia. As the unstructured data in form of images and pictures are increasing at a rapid speed, Multimedia is helpful to convert the data into information. This paper is going to help people to expand their knowledge and information about Multimedia and its strong influences on business and education. The paper shows how technological innovation can be used by external stakeholders to direct and promote innovation in business.

Staphylococcus aureus (S. aureus) causes a wide spectrum of clinical disorders with pathogenic factors such as various toxins. The aims of this study were analysis of the prevalence of pvl gene among MSSA, MRSA, HA-MRSA, CA-MRSA and MSSA+MRSA groups in Iran. The prevalence of Panton-valentine leukocidin in Iran was searched from searching engines such as Google, Google Scholar, PubMed, Sciverse and so on. The terms PVL, MRSA, MSSA, Iran were investigated. Data was entered in Excel and Graph Pad Prism 6 for the analysis. Both children and adults were included in the study. Twenty-one previous publications on pvl gene prevalence were found. According to the results, the most prevalence of pvl gene was in MRSA, particularly in CA-MRSA group. However, the prevalence among HAMRSA and MSSA groups was 17 and 25 percent respectively, showing a growing number of these strains encoding Panton valentine leukocidin toxin. The highest prevalence of pvl gene among previous publications was detected in CAMRSA (74%), followed by 66.26% in HA-MRSA, 60% in HA+CA MRSA, 50% in MSSA+MRSA and 40.9% in MSSA+MRSA. On the other hand, the lowest prevalence was found in MSSA (3.3%) and 6% in MSSA+MRSA. Furthermore, previous hospitalization, carrier subjects, and age of them were possible risk factors in this case. The prevalence of pvl gene is significantly higher in MRSA than MSSA (p<0.05) and likewise higher in CA-MRSA than HAMRSA strains. There is an increasing rate of presence of pvl gene in MSSA and HA-MRSA, showing transmission of related SAG prophage to methicillin susceptible and also healthcare associated strains. Previous hospitalization, carrier subjects, and age of them were possible risk factors in this case.

This article is dedicated to define the role and influence of social network on civil society. The authors have done comparative legal research making a thorough analysis of those issues in the People's Republic of China and the Republic of Kazakhstan. They gave examples of positive and negative effects of social network on civil society. As one of the important tools of modern society, social network has an important role in the formation and development of civil society in every country. However, global and domestic social network lead role in threat response for violation and crime. State regulation is required concerning them. The authors used comparative legal and descriptive research method to reveal those issues and suggested proposal aimed at promoting and improving safe social network in the Republic of Kazakhstan.

A few studies concluded that EASI with oxytocin is a better method of induction than prostaglandin E2 gel whereas a few others observed that EASI efficiency similar to that of prostaglandin compounds. We planned a comparative study of oxytocin and prostaglandin E2 gel in induction of labour in high risk pregnant women from Tamil Nadu from a tertiary care health centre. This study was a prospective study carried out for high risk pregnant women admitted for a medically indicated induction of labor at Rajah Muthiah Medical College and Hospital, Annamalai University. A total of 100 cases were randomly distributed in two groups- 50 cases on cerviprime gel (study group) and 50 cases on oxytocin (control group). Changes in the Bishop scores, labor progress, various labor end points and outcomes of labor were assessed. In Cerviprime (Study group), improved Bishops Score was observed in 2 (4%) study subjects in whom initial Bishops Score was 0 whereas in Oxytocin (Control group), improved Bishops Score was observed in 1 (2%) study subject in whom initial Bishops Score was 0. Cesarean delivery was the outcome of intervention in 8 (16%) study subjects in Cerviprime (Study group) and 20 (40%) participants in Oxytocin (Control group). In both the groups i.e. Cerviprime (Study group) and Oxytocin (Control group), Hyper stimulation and Uterine Inertia were commonly noted Intra-partum complication whereas PPH was most common post-partum complication. Cerviprime can be used as a good tool for induction of labour and as a cervical ripening agent because of its safety to the mother and the foetus. Maternal outcome variables, i.e., induction-labour interval and induction-delivery interval are less in cerviprime as compared to Oxytocin.

This study assessed the growth rates of cotton production in West Africa under Nigeria‟s different policy periods. Time series data for a period of fifty five years (1960-2014) was collected from secondary sources and the analytical tools used were descriptive statistics, Ordinary Least Square regression model, t-test, and Exponential Growth Rate Model. Findings showed that the instantaneous growth rates of cotton production in Nigeria are – 4.5%, 8.9%, - 1.7%, and 1.5 % for pre – SAP, SAP, post – SAP, and the entire periods respectively and the compound rates of growth of cotton production in Nigeria are – 4.4 %, 9.3%, -1.7%, and 1.5% for the pre – SAP, SAP, post – SAP, and the entire periods respectively. The compound rate of growth of cotton production in the SAP era was found to be higher than that of the pre – SAP and post – SAP periods in Nigeria. By implication, the policy reforms in the SAP period were more effective in ensuring increased growth of cotton production in the country over that of other periods. Hence, the Structural Adjustment Programmes (SAP) was beneficial to cotton farmers with its multiplier effect on increased production in Nigeria.

The Effect of Carbamazepine on EEG tracings of some people with Seizure Disorders was studied on human subjects. This study conducted within 12-24 weeks was a prospective descriptive study involving 30 people with age range of 18-81years coming to University of Calabar Teaching Hospital (UCTH) on account of seizure disorders. The electrical activity of the brain was scanned with the placement of EEG Electro cap (with electrodes connected to the EEG equipment) on each person’s head while in sitting position and subjects were asked (at regular intervals) to close/open their eyes, hyperventilate and under photic stimulation. The results obtained from the voltage/amplitude showed no significant difference in the varying states of eye open and photic stimulation (734.23 ± 0.034) in all the regions of the head at p≤ 0.05. The background frequency showed a significant difference after carbamazepine treatment regimen (479.88 ± 0.86) in all regions of the head at p≤ 0.01 different from before treatment. From the total analysis obtained, carbamazepine decreases the voltage/amplitude, increases the background activity and reduces epileptiform activity observed during recording. From the results on voltage/amplitude of scalp EEG tracings of people, the treatment with the anti-epileptic drug has a dampening effect and suppresses the abnormal electrical impulse of the nerve cells in the human brain, thereby improving the transmission of electrical signals inside the brain. These results showed that carbamazepine reduces epileptiform activity which are indicated by spikes, sharp waves, electrographic seizures, and some other stereotyped phenomena which are strongly associated with seizures

Though national surveys and cross-country data in India are unavailable, there are indirect indications from several smaller reports that Nonmelanoma skin cancer may be on the rise in India. The aim of this study was to analyze the Quality of Life of skin cancer patients. Retrospective cohort of patients operated for non-melanoma skin cancer in last 1 year and paid postoperative 4-month visit formed the study population. Inclusion criteria consisted of subjects operated for non-melanoma skin cancer and paid follow up visits having sufficient physical and mental capacity. 26 subjects fulfilled the selection criteria laid down thus included in this study. Study tools were records of patients, which were obtained from Medical Records Section. If any more information was required, study subjects were contacted. Out of total 26 study subjects, Basal cell carcinomas were found in 96.15% (n=25); squamous cell carcinoma was detected in 3.85% (n=1). Single location wise more lesions were located on the nose 12.77% (n=6) and forehead 8.51% (n=4). For most patients (69.23%), the lesion had not been previously treated. 57.69% subjects did not had any other associated co-morbid condition. Paired sample t-tests revealed a significant effect on DLQI item 1 (p=0.007), item 2 (p=0.042), and item 4 (p=0.002), with scores decreasing (improving QOL) after treatment. The change in total DLQI score demonstrated a trend toward significance, with overall QOL improving after treatment (p=0.038). Formerly commonly used dermatological Quality of life tools revealed minimal handicap at initial diagnosis and slight change after treatment of nonmelanoma skin cancer. Although the associations were uncertain, improvement in some aspects of well-being after treatment of nonmelanoma skin cancer was demonstrated

The use of phosphate solubilizing microorganism to dissolve phosphate content of phosphate ore instead of conventionally methods is an ecologically safe and economically reasonable. The objective of the present study is to study the factors affecting on dissolution of phosphate content in Abu Tartur phosphate ore by using fungus.The serial dilution method was performed to inoculums solutions to achieve microorganisms isolation which obtaining one fungus that has ability to dissolve phosphate ore and is identified by 18 sRNA as Aspergillus niger. The optimum conditions of bioleaching of Abu Tartur phosphate ore were 7 days incubation period at glucose-yeast extract medium, 2x106 SFU of A.niger for 50 ml medium, 0.5% Abu Tartur phosphate ore incubated at 30 °C. different carbon and nitrogen sources were evaluated which peptone was the best nitrogen source, glucose the best carbon source, the best diameter of conical flask base for bioleaching process was above 4.5 cm , no significant effect of addition factor, also there was decreasing in pH and increased in redox potential, initial pH 6, shaking flask is at 150 rpm. The efficiency of A. niger for phosphate content dissolution of Abu Tartur phosphate ore by applying all optimum conditions was 100%.

This study will analyze the impact of terrorism on foreign direct investment in Pakistan. Since Pakistan become non-Natto alley and play a vital role in “War of terror”, this also affected foreign direct investment (FDI) inflow in Pakistan. Therefore this studies empirically analysis the impact of terrorism on FDI inflow to Pakistan for the period 2001-2016. We applied OLS, ADF unit root, Cointegration analysis for the estimations and found that FDI inflow has adverse effect on FDI inflow in Pakistan. Government need to control the terrorist activities in country that might help to increase the FDI inflow to the country.

Organic reactions are typically carried out in the presence of solvents. Isolation of the pure products requires separation and purification steps, which result in a substantial decrease in yield and can be environmentally hazardous processes. A simple and efficient way to increase yields and reduce environmental impact is to conduct the reaction in the absence of solvent, which includes solvent free or solid-state reactions. Solvent-free organic reactions have drawn great interest, particularly from the viewpoint of green chemistry, and environmentally friendly solvent-free reactions have been investigated widely. Due to enormous advantages of solvent free reactions, various solvent free approaches are being discovered for ecofriendly synthesis of many compounds. Metal oxide nanoparticles in the form of nanocatalyst have emerged as viable alternatives to conventional materials in various fields of chemistry and attracted marvelous interest of chemists. This is because the activity of the catalyst resides in the exposed portion of the particles by decreasing the size of the catalyst, advantages such as more surface area would be exposed to the reactant, only negligible amount would be required to give the significant result and selectivity could be achieved, thereby, eliminating the undesired products. The nanocatalyst is inexpensive, stable, can be easily recycled and reused for several cycles with consistent activity. The current review enlists the various types of transition metal oxide nanoparticles involved in catalysis of the organic synthesis.

This study looks at the relationship between the airlines operating in the Middle East region and compares their capabilities with their results through secondary research in order to determine best practice. Understanding the cost leadership strategy is key. Carriers often switch strategies which lead to big decisions like depending on low fuel prices for distance or rely on capacity for more sales. Emirates Airlines is taken as a benchmark to instigate vigor for performance and profitability and secondary research is used to ascertain quality. The findings are that the company’s communication and performance building actions lead the airline to have a harmonious organizational culture resulting in more productivity and better product design and management. A skilled workforce and great leadership played crucial in determining a successful outcome. Cost leadership strategies played an important role in determining favorable managerial and business outcomes. Airlines in the region are rarely examined and hence this provides a more in-depth view of business actions that lead to good growth and profitability.

Myiasis is derived from Greek word mias and was coined by hope in 1840. It refers to invasion or infestation of tissues and organs of human beings by dipterous larva which feed on the host‟s living or dead tissue, liquid body substance, or ingested food for certain period of time. Cutaneous Myiasis is the most common type of Myiasis. It is subdivided into 3 types: furuncle, migratory and wound Myiasis. This article reviews current literature, various types and the agents causing it. It also discuses life cycle of each species and various treatment techniques.