Background: Hypertension and Diabetes Mellitus, the most frequent co-morbidities in SARS-Cov-2 patients are considered as risk factors for disease severity and mortality. And the role of inflammatory biomarkers on these patients is still under evaluation. Methods: Retrospective data was collected study in 3 independent groups each with 24 patients: diabetes, hypertension and with concomitant diabetes and hypertension respectively of critically ill SARS-CoV-2 patients admitted in the CCM. The data of age, gender, diabetic and hypertensive history, inflammatory marker, duration of stay was obtained from electronic patient data repository of the hospital and compared with Mortality. Results: The mean CRP levels in diabetes was 78.81 ± 16.8, in hypertension 82.23 ± 13.98 and in group with both the co morbidities was 79.05 ± 16.38. Serum ferritin levels were high in hypertensive group 731 ± 621.12, were as in diabetes population it was 560.31 ± 319.81, and 629.37 ± 350.8 in both diabetic and hypertensive population. The mean and SD of D-dimer it was 3726.4 ± 2411.86 in diabetic group, 2861.28 ± 2041.36 in hypertensive group and 2755.6 ± 1980.67. CRP levels and D-dimer were positively correlated with mortality and duration of stay. Conclusion: Our study concluded inflammatory markers CRP and D-dimer levels were elevated in both comorbid patients and this was statistically significant. Correlation of ferritin to the outcome was not significant and understanding the molecular mechanism of infection in co-morbid patients and assessing the inflammatory markers can provide necessary assistance at earliest, for a better clinical outcome.

Both classical liberalism and keynesianism play an important role in human economic history. There are some relevant research results interpreted the two together. However, the differences between the two are the focus of previous scholars, therefore, the research on the similarities and connections between the two is ignored, or the two are completely opposite. Reinterpretation of the general theory focuses on discovering the relationship between tradition and innovation, giving people new understanding and enlightenment.

The surinfection of the renal graft by multi-resistant germs constitutes a serious complication, which can engage the functional and vital prognosis in renal transplant patients. It is responsible for a problem of therapeutic management and of the benefit/risk ratio between antibiotic therapy at therapeutic doses and the contraindications linked to renal insufficiency and therapeutic impasse. This work reports the case of a kidney transplant recipient who died following complications of a superinfection of the graft by a strain of Klebsiella pneumoniae producing OXA 48. The purpose of this observation is to underline the nosocomial risk in kidney transplant patients and the difficulty of the therapeutic management of these multi-resistant infections.

Analytical studies were conducted on force transfer mechanism of retrofitted anchorage system in structural concrete by Strut-and-Tie modeling (STM). Post Installation of Headed anchorage (PIHA) as supplementary system introduced for implicit strengthening of anchorage system. The boundaries of STM are considered under direct tension pull-out test. Five different configurations of conventional reinforcement anchorage in concrete with straight bar, 90-degree bend, 180-degree hook, single head and double head bars are retrofitted by using PIHA technique. The mechanics of force transfer in anchorage system was analyzed by STM and validated the results by experimental program. The study parameters considered are (i) location of nodal zone, (ii) strut angle, (iii) size of strut (concrete) contributed during failure. The study variables are (i) configuration of anchorage system (ii) characteristic node formation and (iii) presence of supplementary reinforcement. The result shows good agreement with experimental findings against failure mode, stress pattern, and location of critical zone in conventional and retrofitted anchorage system. Use of this study may further extended to assess theoretical evaluation of failure mode, formation of critical section and stressed regions of discrete RC elements such as corbel projection, bracket connections and beam-column joints.

Ever since the Covid-19 pandemic broke out, numerous studies have shown up investigating the negative ramifications of this crisis for university students, who are considered to be a vulnerable population. So far, however, the positive consequences of the pandemic for university students as well as how the crisis may have impacted young people’s resilience have not been explored. Unlike previously published research on the topic, this small case study attempted to explore any university students’ views regarding how the Covid-19 pandemic affected them and how they tried to mitigate the pandemic’s effects. To allow participants to freely express themselves, their written texts about the topic were used as a research tool, whereas qualitative content analysis was used as a research method. Eighty-seven undergraduate students took part voluntarily in the research. Findings indicated that the pandemic has greatly and negatively affected the students’ emotional, psychological, and mental state, who experienced mainly fear and anxiety. At the same time, however, they received valuable lessons for life, realizing that nothing is a given and that they must live life to the fullest. In parallel with experiencing the alienation from their social environment and their psychological fatigue; the participants, due to their isolation, turned to themselves, revised things, and evolved personally, increasing also their resilience to difficult conditions. Although the students did not mention extensively to have employed coping strategies, those strategies mentioned were constructive. The research findings are discussed in terms of their implications regarding students’ support in the educational process and generally their support by universities after the health crisis.

This study determined the relationship between knowledge and anxiety levels of frontline nurses during the Covid-19 pandemic in Prince Sultan Military Medical City, Riyadh with the use of descriptive correlation cross-sectional research design, and the data were collected using a survey questionnaire and adopted the GAD-7 Anxiety tool. Respondents of the study were the 290 employees chosen purposively. The present study reveals that most of the respondents belonged within the age range of 31-36 (52.41%), female (90%) with O+ blood type (41.03%), bachelor's degree in nursing (82.41%), staff nurse 2 (49.31%), had 6 – 10 years work experience (40.69%), classified as a technician (50.69%) and currently working at the emergency unit (22.07%). Similarly, the mean knowledge about Covid-19 was 21.82 verbally described as "very good knowledge." Meanwhile, (59.66%) of the respondents had very good knowledge about Covid-19. The computed mean anxiety level of the respondents was 5.89 verbally described as "moderate anxiety," about (48.97%) had mild anxiety. Furthermore, the socio-demographic profile of the respondents does not significantly correlate to the knowledge about Covid-19 and anxiety level, which leads to the acceptance of the null hypothesis. Finally, there are no significant variations existed in the knowledge about Covid-19 and anxiety level when grouped according to socio-demographic variables which lead to the acceptance of the null hypothesis.

The purpose of the study is to investigate the relationship between Managers Emotional Intelligence and Team Effectiveness. Team effectiveness are measured in two ways, cohesiveness and goal attainment while Managers Emotional Intelligence as has its dimensions as self-management, self-awareness and social-awareness. The methodology here is based on theoretical & conceptual literature review. It regards emotions and the conditions that might contribute to team effectiveness. Findings revealed that there is a strong and positive significant relationship between the study variables. The study then recommends that management should implement strategies that will encourage emotional intelligence and its dimension such as self-awareness, self-management, and social-awareness in order to achieve organizational goals.

Psychological capital is employee’s positive state in obtaining and sustaining the competitive advantage. Psychological capital is referred to as the “HERO within” indicating what individuals are likely to achieve with, as opposed to what they are likely to achieve without, positive psychological resources. This acronym also connotes the four positive cognitive resources constituting psychological capital: Hope, Efficacy, Resiliency, and Optimism. It is posited that these resources tend to work together resulting into superior performance. This paper examines the relationship between psychological capital and organizational ambidexterity. The paper is conceptual in nature and reviewed extant literature. The findings from the reviewed literature revealed that many psychological attributes are yardsticks for the survival of any organization, these are: consistence, perseverance, appreciation, innovative etc. Managers’ ambidextrous behaviors’ needs to be developed and utilized for smooth running of any institution and on time too. The study recommends that management of organizations can help their managers, through training and re-training to develop their psychological capital. Also, employees with low psychological capital should not always be used in critical situations that need urgent attention.

Background: The COVID 19 Virus globally has caused tremendous morbidity and mortality among the general population around the world. To assess knowledge, there has been limited number of studies done to know the prevalence of COVID-19 vaccine acceptance among pregnant and lactating women. Aims: To assess knowledge, attitude and acceptance of Covid-19 vaccine among pregnant & lactating females in rural area of western U.P. Methodology: This was a cross-sectional study conducted on pregnant & breast- feeding women attending the antenatal & postnatal OPDs in the department of Obstetrics and gynecology & department of Pediatrics at Teer thanker Mahaveer Medical college & Research center. A total 1560 patient responses were taken from age group 18 to 42 years. All were provided with a pre-validated questionnaire consists of multiple choice. These questions evaluate knowledge of COVID-19 vaccine authorization and published materials. The universal acceptance of the COVID-19 vaccine. Three- and five-point Likert scales were used to rate the responses. Results: knowledge regarding COVID-19 vaccination among participants was obtained from government agencies was insignificant given by 16%, somewhat significant by 40% and significant by 44%, from news channel and radio was 20%, 42%and 38%, from social media in 25%, 48% and 27%, from friends and family in 18%, 50% and 32% and through healthcare provider in 14%, 36% and 50% respectively. In response Strongly disagree, disagree, neither agree nor disagree, agree, and strongly agree were seen as responses to desire to take the COVID-19 vaccine seen in 3%, 4%, 12%, 26% and 55%, through obtaining natural immunity COVID-19 vaccine was seen in 18%, 25%, 22%, 18% and 17%, desire to spend money for the COVID-19 vaccine was seen in 4%, 12%, 14%, 35% and 35% and there was tendency to recommend vaccines to people who were already familiar with them 3%, 8%, 12%, 34% and 43% respectively. Conclusion: Corona Virus immunization is reliable and accessible method of controlling the pandemic and as a result reduces it reduces the morbidity and mortality. Pregnant and lactating women need additional knowledge and attitude regarding COVID- 19 vaccination.

After the outbreak of COVID-19, the literary and artistic works about COVID-19 have appeared one after another. As a new branch of discourse analysis, the Multimodal Discourse Analysis has always been an important way for studying multimedia discourses. Based on the theory of visual grammar, this study intercepts and makes a qualitative analysis of the images with research significance in the documentary Together Against COVID-19 produced by CGTN. In this way, this study has drawn a conclusion that the documentary editors use picture language to create a responsible, friendly, and also dignified national image of China, to describe the emotional state of the masses in China in the process of COVID-19, and to achieve the purpose of conveying emotions and shaping positive national image through different aspects.

This article compares social learning outcomes of homeschooled and traditionally schooled children under the Accelerated Christian Education Curriculum (ACE). The comparison is done by looking at the social skills constructs of persistence, self–control and social competences. This study adopted the comparative research design, targeting children under the Accelerated Christian Education. 426 children were sampled, with 272 participating Questionnaires were used to collect data on the three constructs. From the computation of children Independent sample t-test, it was revealed that there were no significant differences between the homeschooled and traditionally schooled children as perceived by the children, parents and teachers on the three Social constructs. Consequently it was noted children, parents and teachers received home schooling as effective in developing children persistence, self-control and social competence learning outcomes. It was also demonstrated that acquiring these social skills was independent of home and traditional schooling. Hence it meant home school was equally effective in nurturing the social skills required for children to fit well in society. Though further studies needed to be done to test the robustness of these findings when other variable are added to the model.

Rhabdoid meningioma is a rare aggressive variant of meningioma. Histopathologically, it is particular and distinctive type having abundant eosinophilic cytoplasm with eccentrically placed nuclei. It has been included in the revised WHO classification of tumours of the CNS as a subtype of meningiomas with high risk of recurrence, more aggressive growth and poor survival, corresponding to WHO grade III.

Introduction: Brain tumors are the most common tumor of the childhood and the second most common malignancies after haematological malignancies. Childhood central nervous system (CNS) tumors differ significantly from adult brain tumors in reference to their sites of origin, clinical presentation, tendency to disseminate early, histological features and their biological behaviour. Aims and Objective: Analyse the Clinical and histopathological spectrum of brain tumors, in pediatric patients ≤18 year of age. Materials and Method: This was a cross sectional study conducted at the department of pathology, SMS medical college, Jaipur from January 2020 to October 2021. This is a laboratory based descriptive type of observational study and data of brain tumors in children equal or less than 18 year of age procured and their clinico-histopathological spectrum were analyszed. Result: In our study, Out of 116 patients 51.8 % were male and 48.2 % were female. Mean age for the male cases were 10.11 and for female cases were 9.78. we observed intracranial pediatric tumors 67 cases (57.7%) were located in infratentorial region and 49 cases (43.3%) were located in supratentorial region and incidence for intracranial tumor was 39(33.62%) cases of astrocytomas followed by 25 (21.55%)cases of medulloblastoma, 20 (17.24%)cases of ependymoma, 13 (11.20%) cases of craniopharyngioma, 5 (4.31%) cases of pituitary adenoma, 4 (3.44%) cases of meningioma, 3 (2.58%) cases of embryonal and choroid plexus tumor, 2 (1.72%) cases of ganglioglioma and 1 (0.86%) case of Schwannoma and PNET. In this article, Based on tumor location, the symptoms of CNS tumors on the supratentorial region were headache (22 cases, 44.8%), impaired vision (10 cases, 20.4%), seizures (6 cases, 12.2%), vomiting (4 cases, 8.1%). Symptoms of CNS tumors on the infratentorial region were headache (48 cases, 71.6%), vomiting (5 cases, 7.4%), impaired vision (4 cases, 5.9%), seizures (3 cases, 4.4%). Conclusion: Infratentorial cases, maximum number of cases were medulloblastomas and supratentorial cases, maximum number of cases were astrocytic tumours. Overall astrocytic tumours in all senses constituted the most common group of CNS tumours. Within astrocytoma, low grade astrocytoma (grade I & II) was most common CNS paediatric tumour.

Background: The L5/S1 intervertebral foramen which houses the largest nerve trunk in the lumbosacral region is the smallest in the vertebral column, and studies on spinal health has revealed that certain clinical conditions of the lower back and the predisposition to them such as spondylosis, spondylolysis and lower back pain may be associated with anatomical variations in the size of the bony components in this region. The study seeks to evaluate normal measurement values of the LSA, LSA and LLD of the spine of healthy female Nigerians, and find out if there exists significant associations between these normal values and with respect to age. A secondary purpose is to provide an indirect method for estimating the epidural space by measuring the depth of lumbar lordosis (LLD). Materials and Methods: Lateral x-ray films of the lumbar and lumbosacral spine of 45 informed volunteers who met the inclusion criteria were studied with respect to the LLD, LLA and LLA using standard radiologic procedures. Results and Discussion: Lumbosacral parameters were 32.04±6.080, 49.84±8.260 and 3.36±0.45cm for LSA, LLA and LLD respectively. Average values of spine parameters varied significantly with age; except for LSA, significant differences were found between age groups. Mean LLA was significant between age group 18-22 and 23-27 years, while mean LLD was significant between age group 18-22 and 23-27, as well as 18-22 and 33-37 years. Statistically significant correlation (at P < 0.05) was found between LLA and age and also between LLD and age. On the average, the size and shape of lumbosacral curve dimensions as determined by lateral x-ray in healthy female Nigerians, fall within the range considered normal and are significantly influenced by age. Conclusion: The findings of this research will be helpful to physicians in the management of low back and also in drawing treatment plans for other back related conditions.

The whole world is faced with different kind of insecurity challenges. To tackle the current insecurity and safeguarding the national security of a particular nation, there is the need to make effective use of GPS technology. For Nigeria to tackle the current insecurity problems, GPS technology must be fully utilized in tackling and destroying different types of security threat bedeviling the nation, ranging from the Boko Haram terrorist, the economic terrorist in the Niger Delta, kidnappers, Armed Robbers and the herdsmen and other criminal gangs around the country. The focal point of this paper is to examine the legal aspect of GPS technology on the development of national security. The paper will recommend possible ways of improvement.