The main concern in this study is the low learning motivation of primary school children in Rejomulyo Village, which is brought on by the repetitive nature of the curriculum and the dearth of educators with a range of teaching styles. Offering incentives and icebreakers during lessons is one technique to enhance students' motivation to study. The goal of this study was to investigate whether rewarding and ice-breaking had any impact on their motivation to learn in Rejomulyo Village's public elementary school students, Lampung, Indonesia. This study was conducted in a quasi-experimental manner. A questionnaire and documentation methods were used in the data collection process. A t- test analysis was the method of data analysis employed in this study (independent sample t-test). The test's calculations reveal a strong impact of rewards and ice-breaking on the motivation to learn of Rejomulyo Village's elementary school students.

The purpose of this research is to examine and analyze influence of company size, and leverage on tax avoidance with company transparency as a moderating variable in mining companies listed on the Indonesia Stock Exchange in 2015 – 2019. Data is obtained by accessing the company's financial statement and annual reports through the company's website or www.idx.co.id. The research sample was searched by purposive sampling methode using criteria so that 9 sample companies are obtained for 5 years of observation (2015-2019). The data analysis methode used is the path analysis methode with Partial Least Square which processed using SmartPLS 3.0 software. The result of this research indicates that the size of the company has a significant effect on tax avoidance. Leverage has no effect on tax avoidance. Corporate transparency cannot moderate the effect of company size on tax avoidance, but corporate transparency can weaken the effect of leverage on tax avoidance.

Human monkeypox is a zoonotic orthopoxvirus disease with a presentation similar to the smallpox. The frequency and geographical spread of human monkeypox cases have increased recently in most countries of world. The disease is endemic in Democratic Republic of the Congo, Central and West Africa, but presently spread to other nations of the world including India that too when the whole world is facing the Covid -19 pandemic. In this article the author focus on the various parameters related to the monkeypox, present status and the stigmatization.

When a kid's parents demand performance levels much beyond his or her mental, social, or emotional capacity, the result might be a syndrome known as "hurried child syndrome"—a collection of stress-related behaviors. In essence, parents overbook their kids' calendars, pressure them to do well in school, and demand that they behave and respond like small adults. Another factor is the state of trade at the moment. Nowadays, a lot of people that market to children are aware that their parents no longer control what kids consume for food, clothing, or entertainment. This reality is being exploited by the consumerist system, and it has an impact on kids. The hurried child syndrome is represented by the following statistics: Recent research on the effects of rushed kid syndrome shows that the suicide and homicide rates have tripled over the past 20 years, childhood obesity has grown by 50%, and 15–25% of young children are "failing" kindergarten. Millions of children receive medications in an effort to "manage" them better at home and in school. According to recent statistics, 40% of adolescent girls who engage in sexual activity will become pregnant by the time they reach maturity, and 70% of virgin girls will not be virgins. The leading cause of mortality for youths today is drug and alcohol abuse, but suicide rates are also rising. Five thousand youngsters commit suicide each year.

The concept of empowerment is broad and is frequently viewed as a way to give more power to the powerless in numerous aspects of life. However, the empowerment of patients seeking health care has received less attention. Consequently, this article aims to examine how the notion of empowerment is defined in the scientific literature pertaining to healthcare. This concept analysis was conducted utilizing the eight-step Walker and Avant approach (2014). The data resources used in the analysis were obtained from health-related literature retrieved from the CINAHL, PUBMED, and PsycINFO online databases. Four distinguishing characteristics, including Mutually beneficial connections, Knowledge and skills, Self-determination and shared decision making, and Sharing of social power, were retrieved from the analysis. This concept analysis demonstrated to both patients and medical practitioners the optimal method for initiating the therapeutic relationship. Empowerment can facilitate health professionals' practice and increase patients' and consumers' confidence and happiness with health services. Additional analysis can be conducted to get a fresh understanding of the concept, contributing to the body of health-related information.

Hepatic hemangioma is the most common benign hepatic tumor. Ultrasound is sufficient for diagnosis. Otherwise, magnetic resonance imaging is necessary. Surgical resection is indicated only in the rare case of complications or disabling functional impairment. We report the case of a hepatic hemangioma initially diagnosed as a gastrointestinal stromal tumor of the stomach, in which surgical resection allowed the disappearance of the painful epigastric symptomatology.

Background: Covid-19 is caused by SARS-CoV-2 that effect human respiratory system. This has led to create pandemic situation throughout the world and became the reason for millions of deaths worldwide. For securing the lives of people pharmaceutical companies has rushed to develop vaccines. Some of the notable vaccines being developed include Sinopharm, Sinovac Pfizer, Moderna, Astrazeneca and Cansino. The efficacy of these vaccines varies however the companies claim 70-80% efficacy rate of these vaccines. The current study aims to determine and compare the efficacy of Covid-19 vaccines before and during the fourth wave of Covid-19 in Pakistan. The questionnaire-based survey throughout Pakistan was conducted via google survey form and data was recorded. 1050 responses were recorded in total. The data reveals that most commonly used vaccines in Pakistan were Sinopharm and Sinovac, Cansino. The overall efficacy of all vaccines was 96% before the fourth wave of Covid-19. Whereas, the efficacy of these vaccines got a major drop to 72.4% as soon as the fourth wave emerged in Pakistan.

Northanger Abbey is one of Jane Austen's six novels which contains rich connotation and profound implication. Female education is the theme of the novel. With the help of Gothic novels, Austen interprets the theme of female education in the framework of Catherine and Henry's love and marriage story, and explores how young men and women find their own marriage partners under the pressure of society and the times. Jane Austen expressed her progressive view of female education. She thinks that only relying on parents' education at home can not cultivate mature and rational qualified women. They also need to step into the society and read novels to get personal growth in these activities of communicating with others. In Austen's time, a popular educational concept strongly advocates that women should receive family education to ensure their physical and mental purity, and believes that novels will corrupt their hearts and lead them astray. Austen's view is progressive and positive at that time. She points out the importance of rationality to emotion and imagination, and defends the art of fiction including Gothic novels.

In order to know the mental state in elements of the municipal public security directorate of Tlaxcala, an observational and longitudinal study was carried out. 18 (31.5%) of 126 (68.5%) police officers who agreed to participate in the study were studied. A battery of tests made up of 18 general psychometric tests was applied to them. Derived from the diagnosis, 3 people of 31.5% were found, of which 17.46031746031% are elements (users) that would require special attention in terms of their current mental state, and 1 element that comprises 0.793650793650% is a healthy and "normal" element mentally. It is concluded in this study the importance that the police elements are valued in their mental health since the improvement of their professional praxis depends on it.

A Nonlinear finite element based ABAQUS modeling studies were conducted to evaluate the performance of exterior Beam Column Joint (BCJ) under quasi-static test loads. Six integrated BCJ models representing different configurations of beam reinforcement anchored in joint are verified by using a novel retrofitting technique called "Post Installation of Supplementary Anchorage" (PISA) by using headed bar as supplementary steel. The configuration of beam reinforcement anchored in column are described by straight bar,90 degree bend ,180 degree hook (confirming to design code IS456:2000) and single head, double head bars (confirming to ACI 318-19, ACI 352R-02 ) and 90 degree long bend of ductile detailing (as per IS 13920-2016). Two series (A&B) of integrated joint specimens representing conventional (series-A) and retrofitted anchorage (series-B) systems are modeled and tested by using ABAQUS software. The test parameters considered are configuration of anchorage system and presence of supplementary anchorage. The test variables representing nonlinear performance of retrofitted joint system are Von Mises stress conditions, Principal tensile stress, Moment-Rotation, Degraded stiffness, Crack mechanics and Damage index. The results shows good improvement of post failure conditions of exterior beam-column joint such as relocation of plastic hinge mechanism and failure mechanics of retrofitted joint system. Also the results validated with experimental program on typical specimens casted and tested. This study imparts useful information on implicit retrofitting methods applied by external means in exterior beam-column joint. It also promotes performance based design principles with viable construction practice.

There has been an intensive debate about the improvement in accessibility of financial services through PMJDY in India. After almost eight years of its inception, there is still a significant section of population, particularly in rural and unbanked part of the country which is not linked with the formal financial system. This paper attempts to assess the performance of PMJDY scheme, generally in India and particularly in Jammu and Kashmir. The public sector banks are the dominant players in implementing this scheme across the country, but in Jammu & Kashmir, private sector banks are leading from the front. Except the account opening process, other financial facilities being provided under this scheme are still not fully accessible throughout the region. There is a significant number of accounts under this scheme which are dormant and having zero balances. There is need to accelerate the financial literacy programs to financially educate the beneficiaries for better usage of financial services.

Class III skeletal malocclusions are considered to be ones of the most challenging deformities for orthodontists, they may present several forms, among which maxillary deficiency is the most frequent. This type of malocclusion is usually treated with combination of orthodontics and orthognathic surgery in order to obtain an adequate occlusion and facial esthetics. This report presents the treatment of a young female patient aged 16 years and 4 months with Class III skeletal malocclusion, and a severe anterior crowding with palatal displacement of the maxillary lateral incisors and ectopic canines, as well as an Angle Class I molar relationship occlusion on both sides associated with significant dento-alveolar compensation : The upper incisors were proclined while the lower incisors were vertical, and a maxillary midline shift .Clinical examination has also revealed a retrusive maxilla, underdeveloped cheekbones, and a flat facial profile. The treatment was performed in three phases: first, presurgical orthodontic preparation including extraction of the maxillary first premolars and mandibular second premolars in order to perform the orthodontic decompensation, secondly, orthognathic surgery which consists of maxillary advancement to improve soft-tissue projection of the midface, and finally, orthodontic finishing for the conclusion of the case. At the end of the treatment, the main objectives were successfully achieved, providing the patient with adequate masticatory function, pleasant facial esthetics and especially better self-esteem.

Introduction: Caffeine is considered one of the most common stimulants that improve alertness and prevents sleepiness in many people. It is one of the most common consumed psychoactive substances in the world. Sometimes patients report failing of feeling numbness after local anesthesia administration due to excessive consumption of coffee, thus, they request a higher dose of local anesthesia during treatment. To this day, no previous study reported a direct association between caffeine intake and local anesthesia failure. Aim: This study aims to review published articles that discussed the effect of caffeine administration and consumption on anesthetic efficacy. Materials and Methods: A literature search was performed from multiple databases including PubMed, Web of Science, Cochrane, and Google Scholar. The most eligible articles were included using specific keywords. The literature search was limited to full-text English articles, which were screened for eligibility by two reviewers. Results and Discussion: Four studies were included in our study, these studies demonstrated that caffeine administration following general anesthesia can significantly accelerate recovery. However, the effect of caffeine consumption on local anesthesia efficacy was not yet completely proven. Conclusion: Caffeine consumption can speed up post-general anesthesia recovery. However, the effect of caffeine consumption on local anesthesia efficacy is still controversial and further investigation and clinical trials are required.

Rapidly developing modern energy systems incorporate significant contributions from renewable sources. The recent adoption of distributed generation sources and microgrids powered by renewable sources such as solar cells, tidal wind, and fuel cells is one of the primary causes of rising global energy demand. Integration of different energy sources into a hybrid system is envisioned as a viable solution for decentralized energy generation. Consequently, this study aims to integrate two energy sources with storage devices to construct a hybrid renewable energy system that will provide reliable electricity for remote and off-grid installations in the Sabon Gida Community of Kaduna State. This will contribute to the attainment of the seventh United Nations Sustainable Development Goal (Affordable and clean energy) (UN). This study utilized the Felicity PV panel. Its cell specifications are as follows: Peak power 175Wp, Open-circuit voltage (VOC) 21.6V, Maximum power current Imp 9.72A, Maximum power voltage Vmp 18V, short-circuits current Isc 10.2A, operating cell temperature Tc 250C, and Ideality factor Am 1.5. For the wind turbine, a model WT-400 with a rated power of 400W, 12V output voltage, and a wind controller with a standby current of 3.6mA, rated at 12/24V auto output voltage were utilized. The maximum power output of the PV energy model based on the specified weather variable was 620watts, whereas the maximum power output of the wind turbine energy model based on the selected wind speed was 301watts. Based on design calculations, the projected load demand for the location under consideration was 304 watts. The prototype was implemented, tested, and validated. The test results indicate that the output power was sufficient to fulfil the load requirements of the chosen location.

Bone fractures are commonly due to a high-velocity injury, especially in younger individuals. Fractures resulting from a low-impact mechanism should raise suspicion of an underlining pathological process. This case explores non-ossifying fibroma as an underlining cause of pathological fracture in a young basketball athlete.