The Indian telecom market is the second-largest telecommunication market in the world. The market is fiercely competitive due to the rising subscriber base and increasing demand for network connectivity. The present study tries to analyze the strategies and policies that determine the survival of the mobile telecom operators of India. The focus is also on the benefits and drawbacks of various factors that eventually lead to the success or failure of these companies. The study is based on an exploratory research method where 30 doctoral theses have been reviewed, and secondary sources, namely valuable reports, and websites, have been referred to. Gleaned from the literature review, it is found that with efficient policy-making, the Indian telecom industry deliberated on infrastructural support, technological advancement, and industrial development. The success of an organization depends not only on effective telecom policy structure but also on customer loyalty, customer retention, marketing mix, service quality, and corporate image of the telecom operators. All these factors positively influenced customer perception and satisfaction and motivated customers’ buying decision to have a competitive edge in the telecom market.

Introduction: Gestational diabetes mellitus (GDM) is a common complication during pregnancy that affects both maternal and neonatal health outcomes. Identifying risk factors associated with GDM is crucial for early detection and intervention to improve pregnancy outcomes. Methods: This retrospective observational study was conducted at the Department of Gynecology, Gonoshasthaya Nagar Hospital, Dhaka, Bangladesh during the period of January 2019 to December 2019 with a total of 348 hospital patient records. Result: Of the 348 participants, 24.71% had GDM. Significant differences were observed between the groups in age, gravida, BMI distribution, family history of GDM, and previous history of GDM. Higher rates of non-spontaneous vaginal deliveries were found in the GDM group (36.05%) compared to the non-GDM group (22.52%). Age ≥35 years, obesity, family history of GDM, and history of GDM were significantly associated with GDM (p<0.05). Conclusion: Our findings support the existing evidence that advanced maternal age, obesity, family history of GDM, and previous history of GDM are significant risk factors for GDM. These results highlight the importance of early screening and intervention for high-risk groups to prevent adverse pregnancy outcomes.

The present case report describes the management of a 5-year-old male child with a palatal defect characterized by a type II cleft, which was managed with prosthetic rehabilitation using a single-piece obturator to reduce food regurgitation and improve speech.

When the HR job is considered in terms of its any constituents, it becomes noticeable that in every organization there are many different interacting groups that HR managers must gratify, or who have rights or a stake in what HR does. Furthermore, each comes with different and sometimes conflicting needs. It costs money and time. The most organizations try to economize with maximal effect. A way how to eliminate or reduce unnecessary expenses is making internal processes more efficient. The most expensive even the most productive factor is labor force. This paper deals with evaluating of human resource effectiveness like potential source of competitive advantage.

Twelve infants aged below six months were sampled from Women and Children Hospital of Ramadi, Iraq during the period April the 1st 2021 till October the 1st 2022. Infants were divided into two main groups; breast and bottle milk fed. Each group comprise three males and three females. Samples of feces were collected and lactobacillus specie were extracted. The extract was used once alone and another as a mixture with each of Amoxicillin, Amikacin and Cefixime antibiotics on petri dishes cultured with Staphylococcus, Klabsella and Psedudomonas bacteria. Diameter of inhibition was measure and resulted data were subjected to statistical analysis. The results of the statistical analysis showed that lactobacillus specie extract with the Cefixime has significantly highest mean diameter of inhibition compared to all other types of treatments. Infants who were on breast milk fed showed significantly better respond to the treatment than their counter part in the bottle milk fed group. Klabsella was found to respond weakly under almost all of the applied treatments.

Darvyadi Ghrita is a polyherbal formulation and is mainly indicated for the diarrhoea. It is mentioned in Charak Samhita by Acharya Charak. Preparation of oleaginous dosage form is described as Sneha Kalpana performed by subjecting Ghrita or oil to a particular pattern of heat treated with Kalka (Paste) of Kutaja, Daruharidra, Pippali, Shunthi, Katuka, Draksha and Kwath (Decoction) of same ingredients. Murchana is a pre procedure to Sneha Kalpana in which Ghrita is treated with few drugs. The main ingredients of Darvyadi Ghrita is Kutaja (Holarrhena Antidysentrica Wall.), Daruharidra (Berberis Aristata DC.), Pippali (Piper Longum Linn.), Shunthi (Zingiber Officinale Rosc.), Katuka (Picrorhiza kurroa Royle ex.Benth), Draksha (Vitis Vinifera Linn.) and Go-Ghrita. In Ayurvedic therapeutics the Pharmacokinetics and Pharmacodynamics of the drug entirely depends upon Rasa, Virya, Vipaka, Prabhava and balance of Tridosha in the body. The ingredients of Darvyadi Ghrita with their Rasapanchaka, are very much competent to exhibit anti-bacterial and anti-diarrheal property from Ayurvedic perspective.

Code-switching is a product of language contact between different languages or different varieties of a language. It is a key factor for achieving successful communication. Western scholars have conducted deep researches on code-switching from grammatical approach, sociolinguistic approach, psycholinguistic approach, conversational analysis approach and pragmatic approach. With reference to some constructive views on code-switching, scholars at home conduct more researches on code-switching in foreign language teaching, newspapers, journals and Internet language. TV entertaining program is an important part of people’s cultural life. However, researches on code-switching in this kind of program are fewer. This study chooses 55 episodes of Happy Camp from September of 2017 to September of 2018 as research data and transcribes，categorizes and tallies Chinese and English code-switching in this program. And then based on Poplack’s classification of code-switching and Yu Guodong’s Adaptation Model, syntactic features and pragmatic functions of code-switching in this program are explored.

Financial inclusion is an effort to give access and make sure that the usage of financial services by underserved population. Formers financial inclusion is very important for increasing the standard of living and it’s an important tool for empowerment of farmers. There are many financial services which are available exclusively to farmers Like KCC, PMFBY, Crop Loan etc. but the usage of those services is not satisfactory among the farmers. In this paper, we are analyzing whether the financial services to farmers are influencing the financial inclusion of famers. The primary data is collected from 160 farmers and data is analyzed by using various statistical techniques like correlation, parametric test by using statistical software called SPSS and MS Excel. The study reveals that the digital financial services are increasing the financial inclusion among farmers and there is lack of awareness about most of the financial services available to the farmers.

Bilateral quadricipital tendon rupture is a rare lesion, especially in patients with different chronic diseases. We report the case of a bilateral rupture of the quadricipital tendon in a young patient followed for chronic renal failure on hemodialysis for 17 years. Surgical repair was successfully performed using bone sutures and reinforcement by metal framing. We present our results with a literature review.

The Purpose of this research is addressed specifically how legal protection of human rights for fetuses (children) outside of legal marriage according to statutory provisions in Indonesia. This research is normative law research, also referred to as doctrinal law research. In this type of legal research, the concept of law is frequently thought of as what is written in laws and regulations (law in books) or as a rule or norm which is a standard for acceptable human behavior. The current statutory provisions do not fully guarantee a child's (foetus') right to life outside of a legal marriage, so the foetus may not be able to live as it should. This is due to a variety of factors from the child's prospective mother. The state, in this case the government, should develop a new paradigm that ensures the survival of children regardless of their legal marital status.

Nepal, a developing nation with a population of over 29 million, heavily relies on the construction sector for its economic growth and development. However, delays in construction projects have adversely affected the country's national economy. This research aims to identify the main factors that contribute to construction project delays in Nepal and proposes solutions to address these issues. A detailed descriptive analysis was conducted by reviewing six selected journals. The findings indicate that inadequate planning, weak monitoring, poor site conditions, design changes, lack of construction materials, equipment, and manpower, low bidding of contracts, unrealistic contract durations, lack of coordination among team members, variation of quantities during project execution phases, climate change, inflation, natural calamities, rapid changes in government, strikes, holidays, insufficient budget allocation, and political and governmental issues are the primary causes of construction project delays in Nepal. These delays have significant implications for Nepal's economic growth and development. For example, delays in the construction of critical infrastructure, such as roads and bridges, can hamper access to essential services, hinder trade and commerce, and result in delayed project delivery, increased project costs, negative impact on the project's reputation or impression on donor agencies, stress among concerned authorities, negative impacts on economy and society, strained relationships, and communication breakdowns. To address these issues, all stakeholders, including the government, contractors, and project owners, must be involved in implementing the recommended solutions. The proposed solutions include improving planning and monitoring, ensuring availability of materials, equipment, and manpower, enhancing coordination among team members, realistic contract bidding and duration, and addressing political and governmental issues. The findings of this study have implications for other developing countries facing similar challenges in the construction sector. By implementing the recommended solutions, Nepal can overcome these obstacles and achieve its infrastructure development goals, promoting economic growth and improving the quality of life for its citizens. In conclusion, this research highlights the need for a coordinated effort by all stakeholders to address construction project delays in Nepal, which is critical for the country's progress and development.

This study aims to prove empirically the effect of profitability, solvability, and liquidity on financial distress in transportation and logistics companies in Indonesia. The study population consisted of transportation and logistics companies listed on the Indonesia Stock Exchange for 2018 and 2019 compared to 2020 and 2021. The research sample of 22 companies was obtained by purposive sampling method. This study uses an associative quantitative study method by testing the effect of the dependent variable independently and conducting a comparative test before and during covid 19. The results show that profitability, solvability, and liquidity variables have a significant effect on financial distress before covid 19. The results are different during the period Observations during covid 19, profitability and liquidity variables have a significant effect, but solvability variables have no significant effect on financial distress in transportation and logistics companies in Indonesia. This research shows that the conditions during covid 19 affect the company's solvency along with changes in macroeconomic conditions in Indonesia.

Micro, Small and Medium Enterprises or MSMEs have proven to be the spearhead of the Indonesian economy at the national, regional, and regional levels, including in the Regency/City of Tasikmalaya. The sustainability of MSMEs is a success in business ventures. This can be seen from the digital marketing strategy, financial management, and access to capital, which are the determining factors for the competitiveness of MSMEs products. This study aims to determine the effect of digital marketing, access to capital, and financial management on product competitiveness in Tasikmalaya Regency/City. It can be used as supporting and evaluation material in planning activities and policy planning, increasing MSMEs product competitiveness in Tasikmalaya Regency/City. The research method used quantitative research using a questionnaire instrument distributed to MSMEs actors in the Tasikmalaya Regency/City with 74 respondents. The data analysis technique used is multiple linear regression with the help of the SPSS program. The study results show that digital marketing, access to capital, and financial management positively affect product competitiveness in Tasikmalaya Regency/City.

Nonketotic hyperglycemia is a rare cause of hemichorea-hemiballismus. We report a case hemichorea-hemiballismus secondary to nonketotic hyperglycemia revealing an inaugural diabetes mellitus. A 55 year-old woman, admitted for subacute-onset of continuous involuntary movements in the right upper and lower limb since three days ago. The movements increased with action, decreased with relaxation, and disappeared during sleep. As the condition did not affect her trunk, other limbs, or her face and no other conditions were evident. At admission, the right upper and lower limb was moving involuntarily. The movement was wild, flailing, and repetitive with varied amplitudes and frequencies. No tremor and rigidity were elucidated and cerebellar signs were negative. Laboratory tests revealed diabetes mellitus, with a fasting blood glucose level of 4,60 g/L and a hemoglobin A1C level of 14.0%. The urine examination was negative for ketones. CT of the brain showed left pallidum hyperdensity. The brain MRI revealed hyperintense signal in the left pallidum on T1-weighted images and isointensity on T2-weighted images. Other laboratory results were within the normal range. A diagnosis of hyperglycemia-associated hemichorea-hemiballismus was made. An insulin treatment and oral antidiabetics were instored. She was subsequently discharged after 14 days of hospital stay with improved glycemic control. Three months after, her chorea-ballismus was completely resolved. A control of brain MRI six month after showed marked improvement in the putaminal changes. Vigilance for this cause of hemichorea-hemiballism is important, since the movement disorder may be the presentation of potentially dangerous underlying hyperglycemia.

Perinephric abscess is a rare life-threatening condition. It can complicate a urologic infection or occur secondary to hematogenous seeding. We report a case of a 49-year-old diabetic female who came to the outpatient department with complaints of right-sided abdominal pain for 2 days. It was associated with fever, headache, vomiting, and generalized weakness. Non-contrast computerized Tomography (NCCT) showed a subcapsular collection measuring 6.1× 5.7 × 4.4 cm noted adjacent to the lateral aspect of the right kidney. Following percutaneous nephrostomy, thick pus was drained from the abscess and sent for culture and sensitivity in the microbiology laboratory. Culture grew extended-spectrum beta-lactamase-producing (ESBL) Klebsiella pneumoniae which was sensitive to Carbapenems, Piperacillin Tazobactam, Fluoroquinolones, Netilmicin, Amikacin, and Tetracycline. The patient improved on treatment with the appropriate antibiotics. Perinephric abscesses should be considered as a differential diagnosis of fever with abdominal pain or flank pain since its non-specific nature can delay the diagnosis. Underlying diabetes mellitus (DM), urinary tract abnormalities, and immunodeficiency should be considered in a patient with a perinephric abscess. Ultrasonography (USG) and Computerized Tomography with contrast enhancement are crucial for diagnosis. The drainage of the abscess, either percutaneous or open, should be done. Klebsiella pneumoniae is a frequent cause of perinephric abscesses and mostly follows a complicated urinary tract infection. With high mortality rates, early diagnosis, and effective treatment of perirenal abscesses are required to improve the prognosis of patients.