Table of Contents: Volume 16; Issue 05; May 2024

We present a case of 41 year old female with history and examination suggestive of acute onset behavioural changes, delusion of persecution, irritability and hostility who went into delirium and later on treatment for scrub typhus responded with complete resolution of psychotic manifestations.

Introduction: Sheehan's syndrome is hypopituitarism due to pituitary gland necrosis resulting from hemorrhagic shock during pregnancy. It is a rare complication with varied manifestations and a considerable delay in diagnosis. Case Presentation: We present the case of of a 38 year old woman, who presented to emergency with complaints of acute abdomen and decreased sensorium. She had no previous treatment history. On haematological and radiological assessment, she was diagnosed to be a case of Sheehan’s syndrome with primary insult 18 years back. Investigations: Patient was investigated for all the hormonal axis- LH, FSH, Estradiol for HPO axis , Thyroid Profile, ACTH and Cortisol for HPA axis. Brain imaging using Pituitary protocol was done, which found complete Empty sella. Discussion: Patient was treated with replacement therapy for steroid and thyroid axis, which lead to unmasking of Diabetes Insipidus as free water clearance improved, desmopressin supplementation. There was a rapid improvement in patient outlook within one week of institution of therapy. Conclusion: Previous case reports describe patients being diagnosed after one or more complications from long-term panhypopituitarism. The present case illustrates that undiagnosed Sheehan's syndrome is associated with long-term morbidity, and we want to emphasize that a high index of suspicion is crucial for the early diagnosis of the syndrome in routine clinical visits in order to prevent complications arising with delayed diagnosis. Awareness among clinicians is also essential so that such cases are not overlooked, especially in developing nations, where home delivery is still common and obstetric care is limited.

SLE is an autoimmune disease in which organ damage is mediated by auto-antibodies and immune complexes. Around 90% of patients are women of child bearing age. It is ~9 times more prevalent in women than in men. SLE is newly diagnosed in 4 lakh people each year worldwide 1,2. SLE can involve many organ systems likewise musculoskeletal, dermatological, renal, neurological, hematological, cardiopulmonary, ocular and gastrointestinal. Severity of SLE varies from mild and intermittent to severe and fulminant. Neurological manifestations are common in SLE occuring in ~ 60% of patients but Myelopathy is rarest presentation among neurological manifestations (< 1%). Hence we are reporting a rare case of a young female patient of SLE presented with cervical myelopathy Subject Area: Internal Medicine and Rheumatology

Obstructive sleep apnea (OSA) is a potentially serious and life-threatening disorder affecting millions of people around the world. It is a sleep-related respiratory condition, characterized by the complete or partial collapse of breathing because of a narrowing or closure of the upper airway during sleep, resulting in intermittent cessations of breathing (apneas) or reductions in airflow (hypopneas) despite ongoing respiratory effort. The symptoms include excessive daytime sleepiness, Mood changes, Fragmented sleep, as well as the decreased health-related quality of life. Patients often complain of snoring, Gasping or choking, frequent nocturnal awakenings, early morning headaches, poor concentration and coordination, anxiety, irritability, and insomnia, yet many patients are unaware of these symptoms and disease onset is insidious. This article details the obstructive sleep apnoea

Hyperdontia, commonly referred to as supernumerary teeth, is a well-known dental anomaly in humans. It is defined as the presence of extra teeth exceeding the normal count in either primary or permanent dentition. The occurrence has been documented to range from 0.2 to 3%, with a higher frequency observed in males compared to females. The etiology of this condition is heterogeneous and highly variable, and a majority of cases are idiopathic in nature. However, the presence of multiple impacted or erupted supernumerary teeth is rare and often associated with specific genetic syndromes. Early detection of abnormalities allows us to implement appropriate patient management strategies and plays a vital role in making well-informed decisions concerning long-term medical care and treatments.

Rapid industrialization and urbanization around has led to the enormous amount of solid waste production. Many nations are facing the impact of environmental pollution due to improper waste disposal. Plastic and wood are the two most globally used materials in all walks of life. The use of plastic is a convenient choice but at the same time also hazardous and disastrous to the environment. Cutlery and crockery are one of the most simple and very useful worldwide devices created for consuming food. The disposal of plastic cutlery and crockery is hazardous to the environment. Though the plastic cutlery and crockery are hard to replace taking into account the convenience and costing but at the same time it is necessary to act wisely and sensibly towards sustainable environmental practices and innovate alternative and sustainable ways to plastic cutlery and crockery. One such innovation is the edible cutlery and crockery. Edible cutlery and crockery can turn out to be the future creating a positive impact on the environment and at the same time being nutritious. The concept of edible cutlery and crockery is being developed by many entrepreneurs. Very little is known about these in the hospitality and service sector. The research paper aims to explore the feasibility of edible cutlery and crockery in the hospitality sector.

The main purpose of this study is to identify the competencies of Jordanian nurses in patient safety. Using convenience sampling, we conducted a cross-sectional study from January to June 2023 in governmental hospitals. Furthermore, Descriptive data are presented as frequencies, percentages, mean values and standard deviations of variables, Pearson correlation was use to examine the relationship between certain demographic variables and patient safety competences. A significant positive relationship between age and work experience (.741**) and a significant negative relationship between age and separate module for patient safety (.-276**). Moreover, a negative relationship was detected between work experience and separate module for patient safety (.-364**). t- test was applied to examine the mean differences between patient safety competences and certain demographic variables, no statistical differences were detected. We recommend that a separate module for patient safety should be included in nursing curricula, continuous education on patient safety toprovide high quality of nursing care, further research is required including different hospitals in Jordan to identify different intervention to ensure patient safety.

The state of the environment has direct impacts on human lives and development. In fact, environmental conditions has never remained static, it changes in time and space. Further, the unprecedented growth of human population, unsustainable economic development, the absence of an efficient environmental management model and the lack of political will has resulted in an alarming rate of environmental degradation. An efficient environmental management mechanism involving all stakeholders is, thus, the foremost and mandatory requirement in environmental conservation and management. One of the features of the environmental governance structure in the Khasi Hills of Meghalaya is the existence and the indispensable role of traditional institutions at the local level, besides the state machineries. This paper will attempt to examine traditionalthe environmental management practices and the efforts undertaken in the Marpna protected forest in Meghalaya.

Teachers can play a significant role in making our environment pollution free by changing the attitude of students and society towards the environment. The Student teachers are the prospective teachers of the nation. So it is the time for the great concern for protection and preservation of natural resources which can only be possible if we have a right type of attitude towards proper awareness in the related matters. Teachers can bring awareness and attitude which can be possible through environmental education. The goal of environmental education in schools and colleges is to acquaint and sensitize the students towards environmental problems and concerns, to inculcate in them healthy personal and social attitude and behaviour towards environment. Hence, it is necessary to know how far the Student Teachers are aware about environment and environmental problems. A pilot study was carried out selecting 120 pupil teachers studying in teacher education colleges located at Vijayapur district .“Environmental pollution Attitude Scale” developed by Dr. M. Rajamanickam and “Environmental awareness ability measures (EAAM)” developed by Praveen Jha were used for the collection of data. The findings show that the female Student teachers were found to be more positive in their attitude towards environmental awareness than the Male pupil teachers.

This paper takes the current situation of teaching leadership and educational resources allocation in Qingdao University (QU) and investigates the current situation of teaching leadership and educational resources allocation in the institution through survey questionnaires.In addition, it investigates the current situation of leadership and educational resources allocation in education in QU and analyzes the ability of leadership to effectively mobilize and allocate educational resources in QU. The study uncovered substantial and highly positive correlations between instructional leadership and efficient resource management among administrators. The interconnection between personal attributes, teaching philosophy, skills, and resources emphasizes the importance of a holistic approach to leadership development in educational institutions. These insights stress the need for cultivating not only specific skills but also personal qualities and a coherent teaching philosophy to facilitate effective resource management and the attainment of educational objectives.

The integration of Artificial Intelligence (AI) in education is rapidly advancing, offering personalized learning experiences and enhancing teacher effectiveness. However, there is a critical need to assess future teachers' readiness for AI-driven classrooms. This study aimed to determine the Future Teachers’ Readiness in an AI-Driven Classroom (ADC). Using a descriptive-correlational research design, and purposive sampling, data were collected from Teacher Education students. The researchers utilized an adapted research instrument based on the Meta AI Literacy Scale. The analysis involved utilizing descriptive statistics such as the mean and standard deviation, along with inferential statistics such as the Spearman rho-rank order correlation. Results indicated that future teachers demonstrated a strong grasp of AI ethics but showed lower readiness in using and applying AI tools and AI problem-solving. A moderate positive correlation was found between AI literacy and AI self-management. In conclusion, the study revealed that while future teachers displayed a solid understanding of AI ethics, there was a need for further development in utilizing AI tools and problem-solving skills. Recommendations included tailored training programs focusing on practical AI applications, problem-solving strategies, and building AI self-management skills to bridge identified gaps. By addressing these areas, teacher training programs could better prepare future educators to effectively leverage AI tools, ensuring a smooth transition to AI-Driven Classrooms (ADC) and enhancing the overall learning experience for students and teachers alike.

This study aims to evaluate the effectiveness of mindfulness practices, relaxation techniques, and lifestyle modifications in managing menopausal symptoms and their underlying physiology. We conducted a comprehensive literature review of studies that demonstrate the impact of mindfulness, relaxation, and lifestyle changes on menopausal symptoms, as well as those that shed light on the physiological mechanisms behind these symptoms. We could assume that mindfulness practices, relaxation techniques, and lifestyle changes could be valuable tools for managing menopausal symptoms like stress reduction, relaxation, and hormone balance. Nevertheless, there is a need for more studies to prove their effectiveness among different population groups and account for individual variability in treatment. Some of the recommendations include putting these innovative strategies into practice and creating education and support networks for women in menopause.