The bureaucratic reform at the local government level in Indonesia that was instituted in 2012 has turned local government internal auditors into an important part of government governance systems.The role of local government internal auditors has been expanded to include not only the area of audit oversight, but also the areas of anti-corruption-r
Endocrine carcinoma of the pancreatic tail exhibiting gastric variceal bleeding
Nonfunctional endocrine carcinoma razor blade of the pancreas is uncommon.Without excess hormone secretion, it is clinically silent until the enlarging or metastatic tumor causes compressive symptoms.Epigastric pain, dyspepsia, jaundice, and abdominal mass are the usual symptoms, whereas upper gastrointestinal (GI) bleeding is rare.Here, we describ
Counteraction as a Crucial Factor of Learning, Education and Development: Opposition to Help
Development of individuals, social groups and societies has been considered under the influence of two opposite and interrelated types of social interactions: (a) support of, and (b) counteraction and inhibition of learning, instruction, education and development.Reasons for the Hook counteraction, and types of its interrelations with help in diffe
Predator and pollinator? An invasive hornet alters the pollination dynamics of a native plant
Invasive vespids are able to disrupt native species assemblages, modify ecological dynamics, and degrade ecosystem services.However, it is often difficult to quantify such effects within invaded ranges, principally due to the complexity of interactions, and a lack of comparative pre-invasion controls.In this study, we thus examine the effects of an
Adult-onset en coup de sabre scleroderma in a patient with linear localized scleroderma profunda: A case report and literature review
The en coup de sabre variant of linear scleroderma typically occurs in children.We report Probiotic a unique case of adult-onset en coup de sabre scleroderma in a patient with linear localized scleroderma profunda.The patient was Chains treated with oral steroids and oral methotrexate improving her cutaneous disease.This case highlights the importa