December 2021

It has been made endeavors to explain the variation in exports via regression model in the present paper. These variations are explained by G.N.I. and N.N.I. in India from 2005-06 to 2019-20, using some statistical tools like Multiple Regression, R Squared, adjusted R Squared, Standard Error, ANOVA and t-test. In this paper, on account of empirical analysis the results found that the relationship between value of GNI and value of exports is positive. The greater the GNI, the higher the value of exports. The coefficient of 0.109320617 indicates, on average, an additional one crore increase in GNI the value of exports raised by Rs.0.1093 crore or Rs.10.93 Lakhs. Similarly, the relationship between value of NNI and value of exports is also positive. Similarly,larger the NNI, the higher the value of exports. The coefficient of 0.122317 indicates, on average, an additional one crore increase in NNI the value of exports rose by Rs. 0.122317 crore or Rs.12.23 Lakhs.

Objective: The purpose of this article is, starting from pharmacological aspects, to evaluate the central and peripheral neurotoxicity of some chemotherapy compounds and also some possible neuroprotection strategies. Methods: both personal knowledge of pharmacology and the use of both paper books and international website databases such as pubmed, scopus, google scholar, researchgate were used to develop the article, typing in keywords such as "chemotherapy neurotoxicity" or "neurotoxicity" associated with specific compound names. Results: Chemotherapy-induced neurological complications, while overall rare and non-fatal, can be disabling and even lead to serious difficulties in grasping and manipulating objects or the inability to perform the most common daily gestures. The duration of these symptoms, although usually regressing in part between one treatment cycle and the next, is cumulative and, sometimes, the limiting factor for the tolerability of the therapy itself. Due to neuropathy, therapy must necessarily be reshaped or even stopped. Conclusions: chemotherapy-induced iatrogenic neuropathies remain rare overall, around 10-15% of treated subjects, but can be disabling. Early treatment and neuroprotection strategies are essential, such as supplementation with antioxidant and lipophilic substances such as vitamin derivatives or the use of systems to better convey the drug in tumor tissues, reducing systemic exposure and their side effects.

Mucormycosis, caused by saprophytic fungi is a rare opportunistic fungal infection, which has a rapidly progressive and fulminant course with fatal outcome. The most common form of mucormycosis is rhino-cerebral and is usually seen in uncontrolled diabetes mellitus or in immunocompromised patients. Recently it has been linked with the COVID 19 infection and the rapidly rising cases are alarming. It’s the need of the hour to diagnose and treat the increasing cases urgently. This article deals with a clinical workflow for general dentists dealing with patients of mucormycosis. The aim of this article is to draw attention to the clinical presentation and pathogenesis of mucormycosis and to highlight the need for high degree of suspicion in its diagnosis and management.

Purpose: This study aimed to compare between Calcium hydroxide, Propolis and Triple Antibiotic Paste as root canal medicaments in eradication of Enterococcus faecalis. Material and Methods: for this study, 45 extracted human teeth were used. After their decapitation, they were initially instrumented to reach 20 K-file, later they were separated into 3 sets according to the medicament used; Group 1: Triple antibiotic paste, Group 2: Propolis paste, Group 3: Calcium hydroxide paste (15 specimens in each group). After sterilization of all samples inoculation was performed with Enterococcus faecalis (ATCC29212) over a period of 21 days. Preparation of all samples was done using protaper files till F2 size, irrigation using sodium hypochlorite solution of 2.5% concentration and 17% EDTA, then intracanal medicaments were applied. First sample was collected after inoculation of bacteria into root canals. Second sample was collected after applicated medicament is rinsed. Muller Hilton Yeast agar was used for culturing of samples then went under incubation to count CFU’s. Results: There was a significant difference between different samples where (p ≤ 0.05) and there was a continuous decrease of (mean ±SD) value. Pairwise comparisons for all three medicaments showed all samples to be significantly different from each other. Conclusion: Antimicrobial activity of Propolis against E. faecalis was found to be greater than that of TAP and Calcium hydroxide.

Background: For the organization's success, it must work with employees who must behave faithfully and be committed to improving its performance. Justice is considered a sound investment in our organization, and no one can deny the fact that a just organization is where the employees are more engaged and productive. Aim: The study aimed to investigate the impacts of three dimensions of organizational justice (distributive, procedural , interactional) on healthcare workers’ performance. Method: To achieve the aim of this study, the researcher adopted a descriptive analysis cross-sectional design. The study population was the workers in King Abdullah Medical City (KAMC), in Makkah, Saudi Arabia. In 2021, The questionnaire was used to collect the needed data, and the response rate was 100%. Data were analyzed by using SPSS, and Three hypotheses were tested based on data collected. Result: Results of the Chi-square analysis demonstrated that a significant relationship was found between healthcare workers’ performance and the three dimensions of organizational justice (distributive justice, procedural justice, and Interactional justice) (P-value <0.05). Conclusion and recommendation: Organizational justice has an important influence on healthcare workers’ performance. The recommendations made from this study are the following: Decisions must be based on accurate information and participation of employees in decisions related to their work. Also, hospital managers should openly describe the fair procedures they are using and explain decisions with dignity and respect

Background: Ageing of population is increasing dramatically around the world. Ageing is a gradual process of growing old and it is a global phenomenon. Ageing of people is highly affected due to downward trends in mortality and fertility. Homes for the aged are ideal for elderly who are alone and they face many health problems and loneliness. Stress and anxiety because of functional dependency is common among elderly people and many would need assistance in their activities of daily living. In senior citizens stress can lead to relief activities such as excessive drinking, drug use, overeating which in turn leads to risk for heart problems. Anxiety is usually common in older adults, affecting 10-20% of the older population and it is often undiagnosed. For a number of reasons elderly people with anxiety disorders often go untreated. Due to stress and anxiety the elderly may not have a good quality of sleep. Therefore Chamomile oil aromatherapy is given to elderly at old age home to reduce the levels of stress and anxiety and improve the quality of sleep. Objectives • To assess the level of Stress, Anxiety and Quality of Sleep among Elderly in selected old age home • To evaluate the effectiveness of Chamomile oil Stress, Anxiety and Quality of Sleep among Elderly • To associate the level of Stress, Anxiety and Quality of Sleep with selected socio demographic variables Materials and methods: Quasi-experimental research design with one group pre-test and post-test was adopted and 60 elderly people with moderate stress and anxiety and poor quality of sleep were selected by purposive sampling technique. The data was collected using Cohen Perceived Stress Scale, Hamilton Anxiety Rating Scale and Pittsburgh Sleep Quality Index and analyzed in terms of both descriptive and inferential statistics. Result and discussion: The study result show that the pretest mean values of stress, anxiety and quality of sleep were 23.27, 18.95 and 10.35 and standard deviation were 2.69, 2.47 and 1.7 respectively. The post-test mean values of stress, anxiety and quality of sleep were 7.13, 8.22 and 5.55 and standard deviation were 4.99, 3.42 and 0.75 respectively. The obtained p value of stress, anxiety and quality of sleep is highly statistically significant at p<0.0001 indicating differences in pretest and post-test values. Conclusion: Thus this study concludes that Chamomile oil is effective in reducing the stress and anxiety and also improving the quality of sleep among elderly living in old age home.

Background: The morbidity and mortality in COVID-19 positive cases has been associated with changes or fluctuations in inflammatory markers. However, the predictive power of each of these indicators in disease classification and prognosis remains largely unclear. Objectives: To validate the laboratory parameters at the time of admission in prognosis of the disease and also assess its relevance in short term mortality. Methods: We retrospectively collected information on the below parameters in 182 patients with COVID-19 classified them into survivors and non-survivors. Parameters such as Neutrophil/Lymphocyte ratio(NLR), C-reactive protein (CRP), Lactate dehydrogenase (LDH), Ferritin, D-Dimer, Liver function tests, COVID-19 RT-PCR Cycle Threshold (CT) score and Computed Tomography (CT) scan lung involvement were studied among both the group at the time of admission and its influence in mortality was studied. Results: NLR, CRP, D-Dimer and CT score were significantly raised in survivors compared to non-survivors. NLR was the most significant indicator and can be considered as an early warning signal to differentiate critically ill from moderate or mild illness. Conclusions: NLR at the time of admission can be used as a predictor for the assessment of severity of infection in remote areas.

The inclusion of people with disabilities (PwD) in work is encouraged by legislation, with the World Health Organization (WHO) recommending the provision of vocational guidance (VG) and training programs for them. The aim was to investigate the family perception and participation in the process of vocational choice and inclusion of PwD, through interviews and completion of a questionnaire with 19 family members of PwD referred for inclusion in a Vocational Education and Rehabilitation Program of a Specialized Rehabilitation Center. The qualitative data were evaluated through Content Analysis using the NVivo software. We concluded that the family members of the PwD knew the importance of work for the development, however, understood the difficulties that the PwD would encounter and their need for support in the process of vocational choice and inclusion.

A study to identify the contributing factors for living in selected geriatric homes by elderly at Tirupati. OBJECTIVES: To identify the contributing factors for living in Geriatric home by elderly. To find the association between contributing factors for living in Geriatric home by elderly with their selected socio demographic variables. METHODOLOGY: By using Non probability-Convenient Sampling Technique, Non experimental-Descriptive Research Design was adopted, 100 school teachers were taken for the study and data was collected by using a self structured questionnaire and analysed by using descriptive and inferential statistics. RESULT: Pertaining to the level of contributing factors of elderly regarding selected geriatric homes. Out of 100 elderly majority 64 (64%) were female followed by 36 (36%) were males. Out of 100 samples, 23 (23%) were strongly disagreed, 37 (37%) were disagreed, 18 (18%) were neutral, 19 (19%) were agreed and only 3 (3%) were strongly agreed. CONCLUSION: In this study, contributing factors for living in geriatric homes by elderly, 50 (50%) were disagreed, 23 (23%) were strongly disagreed, 17 (17%) were agreed, 7 (7%) were strongly disagreed and 3 (3%) were neutral. The obtained mean value for contributing factors was 2.46 and standard deviation was 0.79.

In this paper, the author has explained the definition of Bailment as defined under S. 148of Indian Contract act,1872. The author also explains various essentials necessary to form a contract of Bailment and important precedents surrounding including the four important precedents of Bailment, the authors also discuss the nature of bailment, the responsibilities of the Bailee as mentioned under The Indian Contracts Act, 1872 and also the rights that the bailee has under the Indian Contracts Act.”“The paper further explains the provisions of Section 151 and Section 152 of the Indian Contracts Act, 1872. As the paper proceeds it explains with reference to several case laws the obligations of bailee under the Indian Contracts Act as well as explains the identification of common carriers as well as Air and Sea Carriers, and if the carrier act as a bailee and is responsible for the lost goods.”

Moroccan truffles, relatively well known ecologically, their potential and spatial distribution at regional and national scales remain unknown. The aim of this study is to determine and define the geographical area of truffles in the north-eastern zone of the Kingdom in order to produce their distribution map and assess their productivity. The study area includes the Oriental High Plateaus and pastoral plains, High Moulouya and part of Tafilalet. The methodology was based on a documentary analysis, field surveys, interviews and workshops with the various stakeholders. The maps were produced by a GIS and verified in the field. The region is characterized by 5 species of truffles: Tirmania nivea, T. pinoyi, Terfezia boudieri, T. claveryi and Picoa juniperi. They are associated with host plants of the genus Helianthemum on sandy soils. Their distribution concerns almost the entire region. The production of truffles is linked to several factors, including the development of host plants, the amount of rainfall and the type of soil. The highly productive sites are located in the north-eastern part with flat relief. This knowledge of truffles and their distribution is decisive for the use of this product in the sustainable development of the country.

The article is The article is devoted to the proof the existence of a special type consciousness in elementary particles based on the ideas of Nikola Tesla. This was done on the basis of a comprehensive analysis of phenomena in which the consciousness of elementary particles plays a decisive role. Our current strategy depends on how clearly we represent the interaction of elementary particles that have their own consciousness. All this can possibly make sense within the framework of some more fundamental picture of physical reality.

Aim: Nitrous oxide-oxygen sedation offers the clinician a more predictable clinical outcome. The aim of the study was to find the opinion, attitude, beliefs, and existing knowledge of parents about nitrous oxide inhalation sedation. Methods: 50 parents aged 20 to 60 years accompanying a single child aged five to nine years were included in the study. Both parents and children were shown a video in separate rooms regarding nitrous oxide sedation as a pharmacological aid in regular dental treatment. A pretested questionnaire consisting of 21 questions with multiple choice type responses was asked to fill by all participants after the video presentation. Results: Completed questionnaires were statistically analysed using chi square test (P<0.05). A significant declining trend in parental acceptance was noticed with increasing age of parents (P= .001). Parental education also showed a significant association with their acceptance of this sedation technique (P = .024). 93.3% of children liked the content of the video and, would like to get their treatment done in the same way. Conclusion: Education played a role in existing knowledge about sedation and perception about the safety of nitrous oxide sedation. Parents feel sedation is safe in the dental office.

Common Juniper (Juniperus communis L.) is a coniferous scrub belonging to the Cupressaceae family and it is widely spread throughout the territory of Albania, exportation of berries plays an important role on the economic aspect of the population especially the North part of Albania. Environmental factors and soil composition elements have a significant influence in essential oils content. Five native populations of Juniperus communis L. growing wild are taken in consideration divided in main regions at North of Albania. The Juniper berries are collected manually for two years (2017-2018). Hydro distillationis held on dried berries in a Clevenger apparatusfor 4 h at a distillation rate of 3 mL.min−1.Essential oils content varied at a range of 1.6-2.6 % on the first year based on the dry weight (v/w) and during the second year the essential oils content varied at a range 1.4-2.6%. After EO analysis eleven main elements belonging mainly to monoterpenes class (α-pinene, myrcene, β-pinene, sabinene, limonene, terpinene-4-ol,germacrene D) are identified. The dominant component was α-pinene belonging to monoterpenes. Results assumed that in populations of Juniperus communis L. growing on five sites in North part of Albania, composition of EO was a significantly correlated with soil composition elements, concluding that soil types and composition had affected on chemical constitutions of essential oil in the investigated populations.

Hypertension (HTN) remains a major risk factor for cardiovascular diseases globally and it contributes significantly to cardiovascular and renal diseases. It can be controlled by lifestyle modifications, however in poor communities there is lack of awareness, and treatment and control of hypertension is often poor. Despite considerable improvement in increasing awareness, treatment, and control of HTN, undiagnosed and uncontrolled HTN remains a major public health challenge. The study was conducted to assess the effectiveness of intervention strategies on knowledge of life style modifications in hypertensive patients. Objectives of the study: 1.To assess the knowledge on lifestyle modifications in hypertensive patients. 2.To find out the effectiveness of intervention strategies on knowledge of life style modifications in hypertensive patients. 3.To find out the association between knowledge and selected demographic variables in hypertensive patients. Methods: A quantitative research approach with quasi experimental nonequivalent pretest posttest control group design was used for the study. 240 subjects with grade I hypertensive patients were selected by convenience sampling method. The tools prepared by the investigator were structured interview schedule on life style and structured interview schedule on knowledge. Results: In the experimental group, 10% had healthy lifestyle in post test-I, 22.5% had healthy lifestyle in post test-II, 48.3% had healthy lifestyle in post test-III. In the control group only 2.5% had healthy lifestyle. In the post test 62.5% and 0.8% had adequate knowledge level in the experimental and control group. The mean pretest knowledge level (9.64) is lesser than the mean post test knowledge (23.86) level in the experimental group. Conclusion: Increasing patients’ awareness and intervention on medication adherence, low salt diet consumption, physical activity, weight management, cigarette smoking cessation, and alcohol consumption reduction are the most important roles of a nurse.

An experiment was set up to determine the allelopathic impact of Bt cotton and Non Bt cotton on the growth ofgram seedlings in Petri plates. The aqueous leachate of dry powder of Bt and NBt cotton leaves of different concentrations (w/v) was examined for their allelopathic effect. The experiment was further repeated in plastic disposable pots to confirm the results. The observations revealed that Bt cotton leachate inhibited the germination, and growth of seedlings of gram significantly at P<0.01. This is the first report on toxic effect of Bt and NBt cotton on growth of crop seedlings.

Aromatherapy has been used for thousands of years, but it has only recently gained popularity. Aromatherapy has been widely used for dementia but it is also found effective in treating various conditions like, mood disorders, menstrual issues, alopecia and pain. For therapeutic purposes, aromatherapy employs essential oils extracted from plants. The current review discussed the connection between dementia and Alzheimer's disease and also between the olfactory sense and dementia. This review also gives an insight into the mechanism and adverse effects of aromatherapy. Further information has been provided about the common plant essential oils which belongs to different family and it's medicinal use. Even though aromatherapy is considered a promising alternative for many pharmacological medicines, more specific research is needed to understand the pharmacological mechanisms underlying aromatherapy before it can be widely used.

PURPOSE: The study is aimed to analyse the effect of different pre-treatments on the IVF outcome of expected poor ovarian responders patients according to POSEIDON criteria. Method: Retrospective analysis of 364 cycles of expected POR patients who had IVF-ET from jan18 to jan20. Pre-treatment was given prior to gonadotrophins stimulation. The cycle were divided into OCP group A (N=167), estradiol valerate group B (N=56), no pre-treatment group C, (N= 141). Result: Demographic profile and controlled ovarian stimulation were nearly same for all POR patients where antagonist protocol was used with recombinant HCG for trigger and progesterone supplement in luteal phase. The Implantation rate was higher in Group A (26.2%) and in Group B (26.8%) as compared in Group C 14.5% (p 0.001).The clinical pregnancy was higher in Group A 36.1% and in Group B 42% as compared to Group C 21.2% (p 0.001). The abortion rate was lowest in Group A 11.4% as compared to 28.6% in Group B and 35.5% in Group C. Although biochemical pregnancy rate was lowest in Group B 19.6% as compared to Group A 31.1% and in Group C 34.0%. Conclusion: Pre-treatment prior to GnRh antagonist regimen in expected POR patient with OCP or estradiol valerate in luteal phase can improve clinical pregnancy outcome of POR patients. Estradiol valerate seems to be more effective than OCP. Although it may be associated with longer stimulation and higher gonadotropin consumption.

Drinking water has been identified as an important source of various infectious diseases including opportunistic infections caused by Non-Tuberculous Mycobacteria (NTM) in humans. In this study the occurrence of mycobacterium species were examined in drinking water samples (n=198) collected from reverse osmosis water and tap water systems of hospital and household settings in Agra region of Uttar Pradesh using Ziehl-Neelsen staining and culture on Lowenstein–Jensen medium method. Acid-fast isolates were identified by PCR amplification and analysis of restriction endonuclease digestion fragments of the heat-shock protein 65 (hsp65) gene. Of the 198 drinking water samples, 22 (11.11%) samples were found positive for the presence of mycobacterium species. The presence of mycobacterium species was found higher in tap water (17.07%) as compare to reverse osmosis water (6.89%) systems and the difference was statically significant (χ2: 5.548, p-value: 0.018). The result of hsp65PCR revealed the presence of seventeen mycobacterium species predominated by M.chelonae, M.flavescenes and M. intracellulare in drinking water. Present study reported the occurrence, distribution and diversity of mycobacterium species in drinking water systems in Agra region of Uttar Pradesh and highlights the need of health policies aimed at mitigating the risk of NTM exposure through drinking water in India.

Introduction: Early detection of health issues can prevent the development of diseases in human which plays an important role in betterment of life. Improvements of public’s health make the community health. Tuberculosis is caused by bacteria Mycobacterium Tuberculosis which spread the TB disease among the community through air. If tuberculosis is untreated, it can be fatal. Objectives: The aims and objectives of this study are assesses the knowledge of the TB disease among the respondents, to find out the socio demographic characteristics of the respondents, to find out the attitude related factors, to explore preventive measure and treatment realated variables on TB of the respondents and explore the association between socio-demoghraphic and awareness related factors among the respondents. Method: Data was collected from different community people of Chattogram City. All of the respondents participated in this study willingly. By interview method the data was collected. The data was analyzed by using Microsoft excel 2016. The association was analyzed by using chi-square test. Results: Total 161 respondents were assessed of tuberculosis from Chattogram city with the age of 20 years to 60 years. Among them, 69% is male and 31% is female. The patients were from different area. About 17% of them were from slum area, 45% were from rural area and 29% were urban area. In our study, about 90% of the patients had knowledge of TB and its related factors and 10% had no idea before about TB. About 30.40% respondents had no knowledge about the risk factor on TB and rest 69.60% had proper knowledge about it. In this study 74% respondents had knowledge on DOTS program and 65% of respondents visited DOTS. The sources of information of TB are TV, radio, newspaper, community health workers etc. Family income is associated with visiting health care center. Conclusion: Tuberculosis is an infectious disease, and it is airborne disease. Proper knowledge and awareness on TB can protect the community from this life threatening disease.

With a view to establishing a reliable palynostratigraphic scale of the Cenomanian and the Turonian in the eastern margin of the Ivory Coast basin, around 20 drill cuttings samples from the BENO-3X well were studied. The lithological study of these excavations revealed an alternation of gray marl with whitish laminations, massive gray clays to subfissile, friable sandstones with calcareous cement, fine to coarse sands, a small proportion of friable and sandy limestones. These cuttings have undergone a classical palynological treatment using strong acids (37% hydrochloric acid and 70% fluoridric acid) to make thin sections. The blend made up of palynomorphs; Classopollis classoides, Ephedripites barghoornii, Classopollis spp, Classopollis triangulatus, Classopollis jardinei, Ephedripites barghoornii, Pemphixipollenites inequiexinus, Tricolporopollenites sp S. 152, Cretaceisporites polygonalis, Cretaceisporien sp., made it possible to highlight the Frankish Cenomanian. This study also revealed the presence of Galeacornea clavis that Jardiné and Magloire (1965) could not find in the sediments of the Ivory Coast during the years 1965. As for the Turonian reworked following the great Turonian regression, it was brought to light thanks to the palynomorphs; Droseridites senonicus, Droseridites baculatus, Tricolporopollenites sp. SCI 141, Tricolpites giganteus, Tricolpites microstriatus sp. SCI 107, Tricolporopollenites sp. SCI 428, Tricolpites sp SCI 427, Tricolpites sp SCI 348-155, Tricolpites sp. SCI 13.

AIM: To compare the imo perimeter, a new portable head-mounted perimeter unit that enables both eyes to be examined quickly and simultaneously, with the Humphrey field analyzer (HFA) perimeter to investigate correlations and their diagnostic ability in glaucomatous eyes. METHODS: The performance of the equipment in 128 glaucomatous eyes and 40 normal eyes were tested. We investigated the correlations of mean deviation, pattern standard deviation, visual field index, and the sensitivity. RESULTS: Measurements of mean deviation (r=0.886, P<0.001), pattern standard deviation (r=0.814, P<0.001), and visual field index (r=0.871, P<0.001) in both perimeters were strongly and positively correlated. The sensitivities in the imo perimeter were 80.5% for mean deviation, 81.2% for pattern standard deviation, and 80.5% in visual field index; those in the HFA were 63.3% for mean deviation, 74.5% for pattern standard deviation, and 80.5% for visual field index. Both perimeters demonstrated high diagnostic ability. CONCLUSION: The parameters by the imo and HFA in glaucomatous eyes show strong positive correlations with favorable sensitivity, specificity, and diagnostic ability. However, the difference between imo and HFA results increases with the increase in visual field disturbance.

In this paper,we study fermaten fuzzy soft topological structure on KU-algebra based on Senapati and yager,2019.A characterization theorem of the fermaten fuzzy soft strongly conneceted and c5 conneceted spaces is given. Also,we future study preimage,image induced of fermaten fuzzy topo- logical structure and it is homomorphism.

Determining the relationship between insomnia and developing mental symptoms is the objective of this study. Its method consisted of a cross-sectional design study, in which a survey of medical students belonging to the International Federation of Medical Student Associations of Mexico (IFMSA) was conducted. The instrument was validated with Cronbach's alpha coefficient = 0.92. The presence of symptoms related to insomnia, sleep quality and mental disorders were evaluated. Data analysis was carried out through descriptive and inferential statistics, with a power level of p 0.05. Out of 4,576 medical students, a sample was obtained by simple randomization with a total of 401 students (42.89% men, 57.11% women) who participated in 48 medical schools. The three most prevalent symptoms found in students were: 25.19% of major depressive disorder (MDD), 18.95% of generalized anxiety disorder (GAD), and 13.22% of obsessive-compulsive disorder (OCD). Results showed that symptoms of GAD and social phobia (SAD) presented the highest correlation with insomnia. MDD was associated with poor sleep quality (RN = 14.78 95% CI: 1.97-111.04). Therefore, medical students run the risk of incurring on mental disorders if there are disturbances in their sleep. In that case, pedagogical interventions will be required to treat this problem.

COVID-19 pandemic continues to affect billions of lives world over, and especially during the second wave, India was reeling under a double pandemic of COVID-19 and COVID associated mucormycosis (CAM), with thousands of cases reported daily. The cause of this deadly combination of COVID-19 and mucormycosis still remains elusive, though various theories have been put forth such as extensive use of steroids and immunosuppressants, premorbid conditions such as diabetes, immunosuppressive states such as malignancies, etc. Fortunately, symptomatic acute COVID-19 and its complications are strikingly less in children. We report a child presenting as diabetic ketoacidosis (DKA), was diagnosed to have type1 DM, was also SARS-CoV-2 RTPCR positive, and landed in worst possible complication of CAM, all within a span of 2 weeks; and was successfully treated for all of these ailments. So acute symptomatic COVID-19 infection, though rare in pediatric age group, can sometimes present as complications of undiagnosed comorbidities, and although challenging, successful management is rewarding.

Hand hygiene plays a very significant role in preventing health care associated infection (HCAI). Several outbreaks of HCAI are linked with contaminated hands of health care workers. Normal human skin harbours various bacteria which are both commensals as well as pathogenic. Through hand washing one can get rid of the microbial contamination as well as dirt and organic material present in hands.1 Though water is considered to be the universal solvent, it cannot remove the hydrophobic substances. Therefore, thorough hand washing with soaps or detergent and water is advised because soap or detergent dissolve hydrophobic substance such as fats and oils and facilitate their subsequent removal from hand.2 Careful hand drying after hand wash also plays a critical role in determining the amount of bacterial transfer associated with touch contact after hand washing.2Drying of hands is recommended using clean towel or air drier can also be used. Reusing and sharing of towels should be avoided as there is a risk of cross contamination.3 Alcohol based hand rubs was introduced to make hand hygiene more convenient as washing hands with soap and water is not feasible every time especially in emergency sections of the hospital. The antimicrobial property of alcohol results from their ability to denature proteins. Adverse reaction related to use of alcohol-based hand rub for hand hygiene include dryness of skin, allergic contact dermatitis, contact urticaria syndrome.4 Although several studies have demonstrated the importance of hand hygiene in the prevention of HCAI, adherence to hand hygiene guidelines remains uniformly low amongst health care workers. However, education plays a critical role and represents one of the cornerstones for improvement of hand hygiene practices. In literature also it has been well illustrated that education plays a vital role in improving compliance of hand hygiene among health care workers. A successful educational program should be multifaceted as well as multidisciplinary to improve the knowledge of hand hygiene among health care workers.1,3 The present WHO guidelines are accompanied by educational material to convey the key recommendations and support training activities. Apart from educational programs, refresher sessions should also be organised frequently to update knowledge of hand hygiene among health care workers. Furthermore, every 15th October of each year is celebrated as Global Handwashing Day to remind us the significance of hand washing. On 5th May 2019 WHO has organised the annual global hand hygiene campaign.2 This study aimed to observe the hand hygiene compliance pattern amongst health care workers in a tertiary care hospital in North India, with an intention to generate an information that would provide the basis for health educational interventions and technical training of health workers that would significantly improve health worker’s compliance with hospital infection prevention standards.

Background: India witnessed a disaster in the form of covid in 2020-21 crippling the healthcare system like never before. With multiple waves happening consecutively with unexpected death rates, hospitals couldn’t make arrangements for the overspill from the ICU under such short notice. Awake proning which is an accepted treatment modality for mechanically ventilated ARDS patients was adopted into the treatment protocol of most of the hospitals with the hypothesis that it would delay the escalation of respiratory support, ICU admissions ad intubation. Methods: We conducted a longitudinal study and evaluated the effectiveness of awake proning in terms of improvement in oxygen saturations, incidence of ICU admissions and death rates in non-intubated patients managed in general covid care wards. Chi square test and paired t test was applied for statistical analysis. Results: All patients who could tolerate prone positioning for at least an hour had significant improvement in oxygen saturation with significant decrease in ICU admissions and death rates. The death rate among successfully proned patients were 6.4% in comparison to 66.6% in patients who couldn’t maintain prone. Best results were obtained in patients who tolerated prone positioning for more than 1 hour. Conclusions: Incorporating awake proning into the treatment protocol has significantly reduced the freight on Intensive care units by being able to manage notable number of patients in the general wards.

An experiment was laid out at Krishi Vigyan Kendra, Madurai during 2019-21. The aim of this study is to induce off season flowering (Nov- Feb) in Jasminum sambac Ait. cv. Gundu malli through pruning, chemical manipulation and to find out the suitable chemical for induction of off season flowering in Jasminum sambac Ait. cv. Gundu malli. The following treatments were imposed. The main plot treatments viz., The Pruning was done during the month of August (M1), September (M2) and last week of November (control). The sub plot treatments viz., 0.6 g a.i /m2 of Paclobutrazol (S1), 150 ppm of Mepiquat chloride(S2), 1.0 % of Nitrobenzene(S3), 1.0% of Thio urea (S4) and 1000 ppm and 4% of Cycocel + Humic acid respectively (S4). It was laid out in split plot design with three replications and the results were statically analyzed. Morphological, physiological and yield parameters could be recorded during 2019-21. Among the different pruning and chemical treatments, Among the different pruning and chemical treatments, September pruning (M2) + Thio urea (1.0%) (S4) recorded maximum Plant height (59.50 cm), No. of productive shoots/plant ( 45.50 Nos.), Duration of flowering ( 110.50 Days), Chlorophyll “a” (0.58 mg g-1), Chlorophyll “b”content (0.48 mg g-1), Total phenol content (4.62 µg/g), Corolla tube length (1.21cm), Length of flower bud (2.51cm), Diameter of the flower bud (6.25 mm), Number of flower buds per cyme (8.30 Nos.), Number of cymes per plant (92.50 Nos.), Number of flower buds per plant (230.21 Nos.), Estimated flower yield/plant (55.15 g/plant), flower yield (0.82 kg/plot), estimated flower yield (0.39 t/ha) and shelf life (12.55 days). Whereas, Days taken to initiate flowering i.e. bud initiation (30.50 Days) and Days taken for peak flowering (88.50 Days) were recorded September pruning (M2) +Paclobutrazol (0.6 g a.i /m2)(S1) However, September pruning (M2) + Nitrobenzene (1.0 %) (S3) recorded maximum number of flower bud (8.30 nos.) and weight of hundred flower buds (24.54 g) during 2019-20. During 2020-21 Among the different pruning and chemical treatments, September pruning (M2) + Cycocel + Humic acid (S5) recorded maximum Plant height (46.50 cm), No. of productive shoots/plant ( 25.50 Nos.), Duration of flowering ( 69.50 Days), Chlorophyll “a” (0.59 mg g-1), Chlorophyll “b”content (0.46 mg g-1), Total phenol content (3.62 µg/g), Corolla tube length (1.17 cm), Length of flower bud (2.24 cm), Diameter of the flower bud (6.50 mm), Number of flower buds per cyme (8.50 Nos.), Number of cymes per plant (65.50 Nos.), Number of flower buds per plant (195.50 Nos.), flower yield /plant and flower yield per plot were recorded 0.76 kg 5.75 kg respectively.

The purpose of this study is to explore the role of Technology Business Incubation centers for the development of socio-economic and establishing of SMEs, because this area is gaining recognition day by day. Plus, the aim is to use the role of Business Incubations for future research. This study is based on the application of Business Incubation centers on the establishment of Small and Medium Enterprises and economic development of any country. A comprehensive literature review and conducted case studies to discover the impact of Technology Business Incubation centers and to apply it for establishing SMEs and developing economy. The Result of the study showed that the main purpose of Business Incubation is to accelerate the growth and success of small and medium Enterprises (SMEs) by providing them physical space, mentoring and expertise to convert the ideas into Business and alter the innovation into Product. It founds that Incubation process is very crucial way to support SMEs resulting socio-economic development.

Background: Timely supply of drugs in time to the inpatients is a good indicator to determine the healthcare quality. The time between the doctor prescribing medicines and delivering the drugs to the concerned nursing unit is the turnaround time. The process of drugs being delivered from central stores to nursing units involves personnel from various departments who need coordination among them to deliver the medicines in time. Reduction in Turnaround time of medication will reduce morbidity and mortality and improve the healthcare quality. Aim: To compare the Turnaround time of medication to patients with online indenting of drugs. Methodology: It is a prospective comparative study between manual and online indenting of drugs. It was conducted for a period of 2 months in August and September 2021. Sample of 252 medical indents were studied. The data collection form was designed and validated based on the process of indenting of drugs from the wards and ICUs and the observations were noted down. The collected data was analyzed using MS Excel and SPSS Software. Results: Total number of medical indents studied was 252. The average Turnaround time observed in manual indenting of medicines from wards is 1hr 18 mins and from ICUs is 41mins. The average Turnaround time observed in Online indenting of medicines from wards is 51mins ( p value- 0.017) and ICUs is 34mins(P value-0.026). Conclusion: The online indentation of drugs reduces the cumbersome process of paperwork and saves a lot of time which reduces the morbidity, mortality and improves healthcare quality.

Nowadays, with the rapid development of international events, major sports events held in China are also increasing day by day. With the booming growth of sports industry in China, the current sports translators is far from meeting the need of the accelerated development of the sports industry, nor can it satisfy the need of the sports industry market. This thesis investigated the present situation of translation talents for sports events, analyzed the reasons for the shortage of translation talents, and put forward the countermeasures to expand the relevant talents, in hope of providing a new perspective for the cultivation of translation talents for international sports events.

Fatigability is an abnormal decrease in muscle strength with a negative impact on the patient's quality of life and socio-professional activity. Since it is a feature of modern society, the doctor must determine whether the patient's condition is the result of physical or intellectual exertion. The approach is complex and requires a multidisciplinary collaboration between the internist, psychologist, psychiatrist, neurologist, rheumatologist, endocrinologist and the infectious disease doctor. We present the case of a 22-year-old female patient who underwent multiple medical examinations for 6 months and whose main symptom was fatigability. The female patient went to the neurology practice where speech and swallowing disorders were found, palpebral ptosis with intermittent diplopia, accentuated by exertion. The female patient performed brain magnetic resonance imaging (MRI) - within normal limits. Electromyography (EMG) - 10% decrease. Histopathological examination of the thymus revealed thymic tissue showing histopathological lesions of thymic lymphocytic hyperplasia. One month after the confirmation of the diagnosis of myasthenia gravis and after the histopathological test result, laparoscopic thymectomy was performed by a left transpleural approach with a favourable postoperative evolution. The patient was subsequently treated with Medrol and Mestinon. In the past, myasthenia gravis was associated with high mortality, and now the long-term prognosis has changed and life expectancy is approaching normal limits.

The analysis of potable water quality is important to protect consumers from water-borne or water-based illnesses caused by pathogens like microorganisms, viruses, and protozoa. Rapid identification is critical to ensure water safety. Various detection and identification methods exist; but, they are laborious and time-consuming, so potability confirmation takes longer. This study aims to develop the specific and fast detection of water contamination. We worked on a minimum sample preparation process. In this study, we've got developed a straightforward Paper-based PCR technique. The 16s rDNA primers were used for the detection of microorganism contaminants. LacZ primers were used for coliform detection, which causes serious unhealthiness and hence their detection is crucial for water potability. ITS primers were used for fungal detection. The unique thing about this study is Whatman paper no-1 was used as sample carrier material. We developed and validated the unique paper-based PCR method to detect microbes and coliforms. We evaluated this method for suitability in water potability testing using different water samples.

Philosophy according to Pandit Deen Dayal Upadhyaya the primary concern in India should be to develop an indigenous development model that has human beings as its core focus.it is opposed to both western capital list Indidualism and Marxist socialism though welcoming to western science. Deendayalupadhyaya( 25 Sep 1916-11Feb 1968) was an Indian politician and thinker upadhyaya writing and speeches on the principals and policies of the B.J.P sangh his philosophy of integral.Upadhyaya devised the political philosophy in tune with the nature and tradition of B.J.P. Deen Dayal Upadhyaya Thinking essentially fill the gaps in multi-dimensional attempts to visualize the future of India especially post independence.it is a genuine homegrown philosophy which can be guiding light to the indigenous problems and can be equally amendments. His integral humanism presents before us well organized by ancient knowledge traditions of our culture through rigorous dialogues. Discussions debate and discourse a fundamental thinking is developed with the contemporary relevance based on the tradition foundation.