January 2019

Introduction: We aimed to investigate the possible association between MS and hemogram parameters (RDW and MPV and neutrophil to lymphocyte ratio). Methods: We retrospectively analyzed the files of MS patients. Hemogram parameters were evaluated between attack and remission period and with control subjects. For each group, leukocyte count (WBC), neutrophil count (neu), lymphocyte count (lym), Hemoglobin (Hb), Hematocrit (Htc), mean corpuscular volume (MCV), red cell distribution width (RDW), platelet count (PLT) and mean platelet volume (MPV) levels were recorded. Statistical analysis was performed. Results: 48 MS patients’ age and gender were not significantly different from 51 control subjects. There was no statistically significant difference between study and control groups in terms of WBC, neutrophil count, lymphocyte count, neutrophil to lymphocyte ratio, Hb, Htc, MCV and platelet count (all p>0.05). RDW was significantly increased in MS patients within attack period. MPV was also significantly increased in patients with MS compared to control subjects. We showed that only RDW was significantly decreased, others not changed, in study group in remission period compared to attack period (p<0.001). Discussion and Conclusion: This is the first report in literature that pointed an association between MS and hemogram parameters; RDW and MPV. We initially showed that, increase in both MPV and RDW may suggest the relationship with inflammatuary response in MS patients’ attack period. Secondly, RDW should be a good marker of treatment follow up for MS patients due to substantial decrease in remission period. Prospective studies with larger cohort are needed for the sake of more meaningful suggestions.

Introduction: Coeliac disease is an autoimmune mediated enteropathy. It initiatesin genetically susceptible individuals upon ingestion of proline and glutamine proteins, commonly found in wheat, barley and ray. CD is perhaps the only multifactorial autoimmune disease where the antigenic trigger is well known and studied. In our study we have evaluated the clinical, laboratory, histopathology data as well as anthropometric measurements of 112 children diagnosed with CD. Material and Methods: The study included 112 children diagnosed with CD in the department of pediatrics, in “Mother Teresa” University Hospital Center, from 2010 to 2016. Thedata were collected during the first consultation with the patients and from the patient clinical records. The collected data are as follows: dermographic and anthropometric data, main complains of the patients, associated diseases, family history for CD etc. Besides these, data were collected from laboratory testing, hystopathology reports and duodenal biopsies. Results:The study included 112 children diagnosed with coeliac disease, out of which55.4%,(62 children), were females. The median age of disease outbreak was 7.16 ± 4.22 years. In 48.2% of the patients, the disease started at age 0 – 5 years. In 22.3% the disease started at age 6 – 10 years. Approximately ¼ of children diagnosed with coeliac live in the district of Tirana (25.7%), due to the high concentration of the population in this district. The main symptoms manifested by the patients are displayed in Table 7.From all cases we found only one asymptomatic patient. The most common complaints were weight loos/ short stature/ dystrophy, found in 26.8% of children; followed by chronic diarrhea in 13.4% of children. Abdominal pain was a complaint in 9.8%. We found anemia in 6.3 % of patients, vomiting in 5.4% and abdominal distension in 4.5%. 27.7 % of patients manifested a number of atypical, uncommon, symptoms of coeliac disease.51.8% or 58 children, about ¾ of them, had no associated diseases. Among all patients, 23.2% (26 children) had Type 1 Diabetes, 6.3% (7 children) had thyroiditis. Amongst patients with thyroiditis, 5 of them had also Type 1 Diabetes. In 26 children with coeliac disease we found other associated conditions such as epilepsy, autism. In 5.4% (6 children) a delay of expressive language was discovered. Some other uncommon conditions we encountered were gastropathy in 3.6% (4 children), various syndromes in 3.6%, ocular disorders in 1.8%, cardiac disorders in 1.8%, The duodenal biopsy was performed in 60% of the children. According to the histopathology reports in 13.2% of cases the intestinal mucosa resulted normal. 13.2 % resulted with stage M1 of coeliac disease. 20.8% resulted with stage M2, 28.3% resulted with stage M3a, 17% resulted with stage M3b and 7.4% with stage M3c.It is obvious that, in children affected by CD, the indicators of growth are delayed, according to the guidelines of World Health Organization (WHO). Children with CD are -0.8683 standard deviations under the optimal weight for age. They are – 1.3642 standard deviations under the optimal height for age and their BMI is – 0.3475 standard deviations under the optimal BMI for age. With regard to laboratory testing, we found low level of Hemoglobin in 39% of cases, low red cell count in 3.7%, low level of iron in blood in 64.9%, low level of MCV in 71.2%, increased level of AST in 55.1% and increased level of ALT in 14.7% of the children. Conclusion: For many a year coeliac disease was considered a disorder of the pediatric age, characterized by classic clinical manifestations such as steatorrhea and malabsorption. Though it is a frequent disease, CD is often undiagnosed and underestimated because of the variability of symptoms and heterogeneous clinical manifestations. From different studies, CD results under diagnosed in 1 – 3 % of general European population, both in adults and in children.Recognizing and understanding the various clinical presentations of CD allow us to establish an early diagnose, to start a gluten free diet as soon as possible, to achieve a normal growth and developent of the affectet children and to prevent the long term complications of the disease.

Bacillus thuringiensis (Bt) was a positive bacteria ,It is forming spore,it was crystalline protein which was called cry protein. It was toxic against many types of teak insect, cotton insect. This bacterira was toxin against insect.It toxin was used in bioinsecticide.

The objective of this case is described as an unusual pathology and there should be taken into account as a differential diagnosis that is required a multidisciplinary attention to offer a better medical attention to patients. A young patient, who developed a periosteal osteogenic sarcoma, was presented likewise the different studies to get his diagnosis and treatment.

Lord prof PhD PhD Momtchil Dobrev-Halachev developed 2010 “Financially banking resource-based technological mafia-driven materialism” as a based principle materialismus since more than 17 century.08 “Theory of generating of crises”, 2010 “Theory and praxice of the Mafiotismus” and 2001 “ Theory of the mafia”. Based on these two theories this paper explane the establishment of the mafiotismus all over the world – principles, theory and praxis in European Union , European Commission and in the Republic Bulgaria , the practice of work of the George Soros as a example of that.

Vibration performance and energy harvesting potential of two in-situ stairs is evaluated using voltage output of an electromagnetic induction harvester prototype. First, the validation and benchmarking procedure is provided for a prototype electromagnetic induction harvester to assess 1) performance as a quantitative sensor for vibrations and 2) feasibility as a low-demand energy harvester. Secondly, the dynamic characteristics of two in-situ stairs are evaluated and compared to FEA and simplified analytical single-degree of freedom (SDOF) models. Lastly, the experimental dynamic response of the stairs is presented by using a single parameter: peak voltage response with the two-fold purpose of describing the performance and assessing the feasibility for energy harvesting. Using optimal mass and stiffness properties from previous research, the maximum voltage output under two time-history load cases reached 110mV per coil and was correlated to equivalent sinusoidal peak acceleration (ESPA) of 0.2% g for comparison to vibration criteria showing that both stairs are acceptable (< 1–2% g). Based on results, an improved harvester is being optimized for total power output, instead of only voltage.

Like other countries, in Niger porridge is the first complementary food for young children. At home, to make porridges, the use of flour or mixture of cereal-based flour of nutritional value remains to be desired. To make our contribution to the improvement of the quality of these flours, a flour enriched with seeds of cucurbits was produced. This flour is composed of a cereal (millet), leguminous (cowpea) and seeds of Cucurbitapepo and manufactured in an industrial environment to ensure the respect of the norms in the matter. After the tests at the factory and the analyzes in the laboratory, a recovery test is carried out on 3 malnourished children in an outpatient nutritional recovery center for the moderates. The mill-selected flour formula is made of 60% millet, 15% cowpea, 15% Cucurbitapepo seeds and 10% sugar. The calculated energy value is 438.58 Kcal and microbiological inferior to the standards. The weights of all children increased after 6 weeks, with a wei gain of between 1 and 3 kg. This can be used in nutritional recovery centers.

Health care personnel involved in the patient's surgical care are exposed to a high risk of contracting any infection during their work by not complying with established Biosecurity Measures. We emphasize the importance of complying with the Biosafety Measures to civilian personnel who participate in surgical procedures of the patient in the Naval Medical Center, evaluating the knowledge about the Biosafety Measures. The present study is observational, transverse and descriptive, where the survey “Questionnaire of knowledge on Biosafety Measures” was applied.

The problem of human trafficking in indonesia inseparable from the history of the indonesia country in the past that is in the era of empires and colonization that growing important role of slavery as well as the tribute in the form of human being in particular women and children to the king in power or the colonist. The victim of human trafficking increase over the day, this condition is certainly contrary to the value of justice. Law No. 21 of 2007 concerning Prevention of Crime in Human Trafficking (UUPTPPO) only regulates victims in general but does not specify clearly the victims of women and children. This study is normative legal research using the Conceptual Approach and the Law Approach. The results of the study show that the responsibility of the state for victims of trafficking is not in accordance with the objectives of the Republic of Indonesia based on Pancasila and the 1945 Constitution of the Republic of Indonesia. So that the responsibility of victims of trafficking from the perspective of human rights needs to be emphasized answer, namely institutions, laws and regulations related to human trafficking. Four dimensions of state responsibility for victims of trafficking, namely; (1) Prevention of Human Trafficking, (2) handling of victims, (3). Recovery of victims, (4). reintegration of victims. The concept of state responsibility for victims of Human Trafficking is the concept of passive service responsiveness because it is general in nature, while Human Trafficking is a special transnational crime that is thick with the dimension of crimes against humanity. The conclusion of this study is that there is a need to reconcile the protection of the national law against women and it is often a problem with the victim logical approach, besides that the government needs to optimize the state of the population, which is in fact the Protection and Corruption of Law No. 31 of 2014 in the absence of a loss, restitution and a group of people who were arrested.

Disharmony (inconsistency) of laws and regulations is due to the existence of sectoral egos between ministries / institutions in the process of planning and legal formation. In 2016 15 harmonized draft laws, 64 draft Government Regulations and 7 draft Presidential Regulations. Regulation of land rights still raises many problems with regard to sectoral, departmental and local (regional) activities. In its assessment, this occurred due to a discrepancy between what was regulated by Law Number 5 Year 1960 concerning Basic Agrarian Principles Regulations (hereinafter referred to as UUPA) with other laws. The main objective of this study is to determine the impact of the implementation of various laws and regulations related to land and provide options for synchronizing / harmonizing so that the legal framework for land management in Indonesia is compatible with what is mandated by the constitution. The method used in this study is normative legal research using for approaches namely historical approach, statue approach, conceptual approach, and philosophical approach. This study uses primary, secondary and tertiary legal materials. Meanwhile, analysis of the subject matter and legal material was carried out in a descriptive analytic manner. This study concludes that there is still overlapping substance in natural resource regulation because each sector adheres to sectoral laws with the same degree of law. This overlap occurs because there is no one ministry / department authorized to coordinate natural resource related policies and their implementation. Sectoral laws whose publishing process through the legislature does not guarantee free from overlap, because the discussion of sectoral laws is carried out through commissions that are different according to their respective fields. Harmonization tasks that are charged to the Ministry of Law and Human Rights cannot always be expected to have maximum results due to various obstacles.

Purpose: The current study was conducted to compare between the effects of cryolipolysis and liposuction in abdominal adiposity in females. Subjects and Methods: Thirty females suffering from localized fat deposits at the abdominal area were involved in the study. Their Body Mass Index(BMI) between 30 kg\m2 -34.9 kg\m2.Participants age was ranged from 30-40 years. They were classified randomly and equally into two groups Group I: This group was composed of fifteen female suffering from localized fat deposits at the abdominal area. They were received cryolipolysis program for three months one session every two weeks plus aerobic exercise training three times/week for six month. Group II: This group was composed of fifteen female suffering from localized fat deposits at the abdominal area. They had liposuction for the treatment of abdominal adiposity The study was started from the 2nd week after the operation they were received aerobic exercise training three times/week for six months. Both groups were received the same dietary regime. Results: Group I, II showed significant reduction in body weight, BMI, skin fold, and waist circumferences but there was no significant differences between both groups. Conclusion: cryolipolysis plus aerobic exercise training showing the same effect of liposuction plus aerobic exercise training in the treatment of abdominal adiposity in females.

Background: The family dysfunction is a situation that can directly affect the development of the individual by facilitating the presence of various pathologies, including depression. Taking into account that the work environment could change a subject and this in turn, to the family function, it is important to study military assets to obtain information that may be useful to the institution for its feedback. Objective: To identify the association between the Family Function and the depressive disorder in active military personnel in the Naval Hospital of Specialties of Veracruz. Material and method: Cross-sectional, analytical, observational and prospective design between the months of October 2017 and March 2018, within the Naval Hospital of Specialties of Veracruz (HOSNAVER). The population of active military members assigned to HOSNAVER, over 24 years of age, of both sexes was included. Results: 209 participants were studied, with prevalence for family dysfunction in 57.4% of cases and depressive disorder of 9.5%. The prevalence of family dysfunction in patients with MDD was 100%, while in the group without MDD it was 52.9%, obtaining from these an OR of 36.5 with a value of p <0.05. Conclusions: There is a positive association between family dysfunction and depressive disorder.

Sanitation is vital for human health, sanitation generates economic benefits, sanitation contributes to dignity and social development, sanitation helps the environment improving, sanitation is achievable. Improvements in sanitation and water supply are crucial to the substantial decrease in disease and deaths. Besides, better sanitation and water supply has positive energies in improving education, decreasing gender disparities, reducing work burden on the families, and providing many others social benefits. The present paper mainly study on the effectiveness of government programmes and rural sanitation in India particularly Chitradurgataluka, to explore the healthy practices of the community to bring about sanitation. The paper depended on primary and secondary source of data.

Background: Microbes play an important role in the area of biodegradation. In order to reduce the damages caused due to oil spills, preliminary study on the role of Myroides odoratimimus obtained from chicken in the biodegradation of diesel hydrocarbons. Objectives: Production of Lipase from Myroides odoratimimus (SKS 05) through solid state fermentation using different substrates and characterization of Lipase enzyme produced from fermentation. Checking its purity through HPTLC analysis. Methods: Lipase enzyme production through submerged and solid state Fermentation. Selection of substrate to increase lipase production and check the effect of various parameters in lipase activity like pH, temperature, incubation period, carbon source and moisture level. Partial purification of lipase using column chromatography and quantification of partially purified lipase using HPTL. Results: The present study reports that the production of lipase by Myroides odoratimimus (SKS 05) using different oil cakes. Groundnut oil cake was found suitable for maximum lipase production and its activity increases at temperature 35 to 40 °C, pH8, moisture level from 50 to 60% and glucose used as a sole carbon source. Conclusions: Lipase production from Myroides odoratimus can be enhanced using substrates and maintaining optimium conditions. The produced lipase can be used for industrial as well as biodegradation purpose

The development of technology within the surgical field has made great advances in the diagnosis and treatment of many diseases. However, this effort to improve these aspects may condition the dehumanization of care directed to the patient. At this point, humanization has become a topical issue that worries health personnel, especially nurses, since they spend most of their time with the patient and since its inception has put human care into practice. The nursing professional as an integral part of the health team has been adapting to the changes according to the progress of science and technology, so that the care provided must be based on three dimensions: technical, environmental and human; which has been incorporating increasingly sophisticated and complex techniques that, at times, distance it from a vision of man as a person that should be valued. Human care involves values, willingness and a commitment to care, considering the term "care" as intersubjective, health process, disease, person and environment interaction, external factors that at some point may affect the committed care involved in humanized care. Assessing the user's perception, allows the hospital to obtain a set of concepts and attitudes in relation to the care offered, locating areas of opportunity and creating strategies for continuous improvement, minimizing the deficiencies that put at risk the satisfaction of the population user. The Mexican Health System, with the conviction of improving services and eliminating the lack of confidence that the population gives it, developed the National Crusade for the Quality of Health Services, which aims to reduce inequities among entities, institutions and levels of attention, thus taking the human resources of the same system, placing the nursing staff as a quality vector with attachment to the respect of human dignity, under ethical and scientific principles. The then Interinstitutional Commission of Nursing, established the System of Evaluation of the Quality of Nursing Services, managed from indicators, which would control the risk of unnecessary harm to the patient and identify their perception regarding the treatment received where the Naval Medical Center is participating to obtain the recertification of said hospital. Which adheres to the Patient Safety Model of the General Health Council, "Standards to implement the model in hospitals 2015" in the section Standard PFR.1 that talks about the rights of the patient. The objective of the present investigation was to determine the perception of the ambulatory surgical patient on the humanized care provided by the nursing staff of the ambulatory surgical area. Within the Hypothesis It was found that the humanized care provided by the nursing staff of the ambulatory surgery surgical area is moderately favorable. Material and Method: The study is of descriptive type of transversal cut, it was carried out in the Naval Medical Center from June to November of 2018. It was performed in a convenience study in surgical patients on an outpatient basis. The technique that was carried out was through the socio-demographic survey, and the instrument Perception of humanized care in nursing (PCHE) Likert scale form of 30 items applied with prior informed consent. The data analysis was through descriptive statistics in SPSS program version 21.0. Results: the majority of the users were of upper secondary education due to their technical career, the age of 51 to 60 years prevails, with predominance of the female sex, married and of the rightful beneficiary category. The service that has the largest number of surgeries per day scheduled by the ambulatory surgery area is the gastroenterology service followed by ophthalmology and general surgery. The perception of the outpatient surgical patient on the humanized care provided by the nursing staff, most of it is favorable, emphasizes the perception of the outpatient surgical patient on humanized care according to the affected dimension, since most of them have a perception moderately favorable, referred to the fact that the nursing staff does not offer encouragement when they do not shake hands; how favorable I confirm your data with the identification bracelet; At all times, he looks after his person, made him feel safe and protected, and a significant percentage perceives it as unfavorable given that the nursing staff expressed disinterest and annoyance when treating me. Conclusions: it is necessary to implement strategies, improvement plans and ongoing training in order to raise the awareness of nursing staff to apply good treatment to the patient from a human-based approach

The study examined the problems of solid waste management in Yenagoa city Bayelsa State. Method of study was the cross sectional survey and proper identification of residential neighourhoods in the city for sampling. The data collection method was the primary and secondary sources. Analytical techniques used include; univariate and bivariate techniques and test of relationship were established between selected variables, such as between household size and the quantity of solid waste generated. The findings of the research were; residents of Yenagoa especially those dwelling in the high density areas pay extra fees to government contractors as well as private waste vendors for waste collection. The study also revealed that the major cause of waste piles on the streets and neighbourhoods apart from the residents’ high population, was the activities itinerant traders who come from the neighbouring Rivers and Delta States to do business in the city. The study revealed that lack of data on volume of domestic waste generated in the city led to the ineffectiveness of the contractors because they cannot match waste generation with evacuation. Most importantly, the study has also shown that there was no blue print or any defined system of solid waste management in the State. The study recommended immediate registration of all scavengers in the city and more youths made to engage in scavenging business as it was the case in Quezon city of the Philippines where the (Vincentian Missionaries, 2002) adopted the same programme to organize scavengers into community based material recovery centers thereby harnessing the waste picking and recycling skills of scavengers into a micro-entrepreneurship programme for youth empowerment. and further skills on safety for environmentally friendly technology of solid waste management. Other recommendations include; short and long term measures to adequately tackle the issue of solid waste management in the city.

This paper examines term structure of future changes in inflation in Rwanda, using monthly Treasury bill rates spreads. Applying the dynamic vector autoregressive model, the results shows that the slope of the term structure is a good predictor of expected inflation and the yield curve provides some information on changes in inflation over periods. Confirming previous empirical findings in other countries. The implication from the findings suggest that monetary authorise should also uses the term structure of interest rate as an option of assessing inflation dynamics in Rwanda. This study relatively uses short period over which the analysis is done (TBR1t minus TBRt-1). The further study should examine the relationship between term structure and expected inflation using a broader spectrum of government securities as a longer history of data becomes available.