Background: During Covid-19 pandemic, educational institutions in India have started online learning. The present study explores the advantages, challenges and recommendations for improving virtual learning from nursing students of a nursing institute in Kolkata. Methods: This qualitative study was conducted from May 2020 to June 2020. Purposive sampling was done. Four students from each category like B.Sc. Nursing, Post Basic B.Sc. Nursing & M.Sc Nursing students were included until data saturation achieved. Individual interview was done through telephonic interview. In-depth interview was conducted using semi-structured interview schedule. Data were transcribed and thematically analyzed using MAXQDA software version 2020. Results: Qualitative data analysis leads to extraction of 31 codes and the highest frequency of code was related to loss of internet connectivity. The advantages of virtual learning were flexibility, student centered learning, regularity and challenges involved inadequacy, financial burden & health problem etc. The recommendations were proper assessment, monitoring, training & adequate teaching etc. Conclusion: Virtual learning has many advantages and limitations too. If we take proper steps to resolve the challenges then it is a very good teaching method mainly during pandemic situation.

The implementation of inclusive education is a form of equal educational services between children who have special needs and regular children carried out in public schools. Therefore, inclusive education provider schools should be implemented properly which includes institutional, student, workforce, infrastructure, parental participation, and financing purposes. The purpose of this study is to describe and obtain an overview of the implementation of inclusive education programs in Lampung Province. The research method used was a descriptive survey with the principal respondent. Data collection by purposive sampling, instruments in the form of closed and open questionnaires to obtain free answers from participants. Data analysis techniques used descriptive statistical analysis. The results showed that in general inclusive education in Lampung Province did not meet the requirements of the implementation of inclusive schools in accordance with the Law on Inclusion Schools, especially related to the still low role of parents of students with special needs, the unavailability of special assistant teachers, and the unmet fulfillment of facilities and adequate infrastructure.

Background: Carpal tunnel syndrome (CTS) is the most commonly-encountered entrapment neuropathy. The classic symptoms of CTS are numbness and paraesthesia in the first three fingers of the hand, which is commonly exacerbated at night. The diagnostic signs include sensory loss along the lateral aspect of the hand, motor weakness and wasting of abductor pollicis brevis muscle. Tinel’s and Phalen’s signs are elicited at the wrist. Methods: This is a prospective analysis of clinical and electrophyisologic study performed on patients that attended the rheumatology outpatient clinic of a tertiary institution. The primary patients of the unit and those that were referred to the rheumatology clinic on account of clinical features of CTS were included in the study. Excluded from the study were pregnant women and those with previous history of CTS surgery. Nerve conduction study was carried out on all patients with features of nerve compression at the wrist. Results: Sixty nine (69) patients out of 82 that presented with clinical features of CTS were diagnosed of CTS. Females constituted 84.1% (58) and males were 15 .9% (11). The most affected age group was (31-40) years. Diabetes patients had the highest presentation of CTS (42%). The classic history of CTS was reported in 33.3%, Paraethesia was observed in 46.4%, numbness in 44.9% while paraethesia and numbness together were reported in 40.6% of patients. Day pain and nocturnal pain was seen in 60.9% and only nocturnal pain was reported by 42.0%. Abductor policis brevis (APB) muscle weakness was found in 24.6% of patients while 11.65% had wasting of the muscle. Conclusion: CTS was fairly common among the rheumatology patients and diabetes patients were predominantly affected.

Background: Tear of the abductor mechanism is a well-known problem. Most of the published studies in that regard comes from the sport literature but little have been published about it in the THA settings. Abductor mechanism plays a crucial part in hip stability and limb gait hence an injury to it can lead to pain, weakness, and instability after THA. Objective: To review all studies reporting on abductor tear or insufficiency in Total Hip Arthroplasty and present the current state of literature on that. Methods: The Author completed an electronic database search of PubMed, EMBASE and PubMed Central to identify any studies reporting on Abductor mechanism and Total Hip Arthroplasty from the date of inception of the databases until August 2018. The author followed the PRISMA guidelines. The author extracted and summarized data from the identified studies. Only Studies published in the English literature and reported data on Abductor mechanism tear with THA were included. Results: 566 studies were identified. 32 studies met the inclusion criteria and were included in this review. Tear of hip abductor in THA were reported to be between 11-25%. It was more prevalent in women, older age population with no association to comorbidities. There is no clear evidence that the incidence of abductor weakness is higher in lateral than posterior approaches, contrary to the popular opinion. Surgical reconstruction techniques for chronic abductor insufficiency showed good results in the short-term regarding pain and function. Conclusions: Abductor mechanism tear after THA is a known complication that should be considered in patients with substantial lateral hip pain, limb and weak abduction following THA. Repair of the abductors can improve pain, function, and limb in three fourth of the patients specially if identified and repaired early. Promising results have been published for abductor reconstruction procedures for recurrent or chronic tears in short term follow-ups but still lack the long-term results.

Soft tissue sarcomas are a rare group of malignancies which arise from smooth muscle cells. Leiomyosarcomas arising from anterior mediastinum is rarely reported in the literature. The current COVID-19 pandemic has caused unprecedented havoc worldwide. It is also causing delay in diagnosis of other diseases. Herein we report a case of an elderly male who was managed as a case of COVID pneumonia and on follow-up review in post COVID clinic was diagnosed to have anterior mediastinal leiomyosarcoma and was managed with chemotherapy.

Medicinal plants are most valuable source of different natural compounds and safer than the chemicals that directly used for the treatment of high risk diseases. The compounds that present in the medicinal plants are monoterpenes, flavonoids, and phenolics. The ultimate goal of the using of medicinal herbs are inhibiting the growth of the infectious particles that causing variety of diseases. Medicinal plants have been used in order to control the growth of infectious bacteria in as some of them deviling the resistance due to changing endearments for example, Enterococcus faecium and Klebsiella pneumonia. Many of the plant extracts such as N.sativa seeds have been used as natural booster for targeting the lethal pathogens and causing the cellular toxicities While, Commelina africana L and Elephantorrhiza elephantine that binds with living cells by damaging’s the membranes of the toxic pathogens. The production of the free radicals due to stress or any environmental conditions may increase the risk of damage to DNA molecules. These free radicals binds to the double binds of the DNA molecule inhibit their functions in order to replicate for further central dogma processing. It give rise the production of peroxyl radicals species due to consecutive attack to the DNA molecule.

Anatomical illustrations have gradual changed since their inception. The pioneers of the field have initially used pencil drawings, followed by line illustrations, colored illustrations, two dimensional and three-dimensional illustrations, and it grew up to virtual reality. Recent studies have observed their benefit in teaching anatomy, especially for providing spatial orientation of various structures and complex topics such as middle ear, pterygopalatine fossa, where dissection cannot offer much comprehension. Drawing software such as Illustrator and Photoshop have revolutionized the image quality in anatomy textbooks. Adobe Illustrator comprises many useful tools to draw anatomical diagrams such as pen tool, pencil tool, paint brush tool, text tool. It has various paper sizes to choose and different formats of files to create vector-based images. The drawing hardware such as Wacom Cintiq, Apple iPad Pro with pencil enhances the experience with drawing software.

The Research Paper ‘Constitutional and Judicial Approaches to Environmental Challenges’, takes us through the role of the Legal and Judicial System, in the protection of the Environment, and in the wider campaign against Environmental Degradation. The importance of Environmental Sustainability cannot be over-emphasized as a destroyed environment may also mean the end of the human race and even plants and animals. The paper looks at both the Nigerian perspective, as well as the global outlook. It looks at the Human Rights angle, which submits that destruction of the environment by industrial, corporate and government institutions, may be an offence against the Law since it infringes on the right of the ordinary citizen to live a healthy life in harmony with nature. In other words, since these human institutions have been responsible for the extinction of many animal species, they shouldn’t be allowed to extend their destruction to include the reduction of the quality of human life or even wiping out the human race. The paper looks into the extent to which the judicial system could help protect the common man from the forces of Environmental Degradation.

We first investigate the general properties of the system and identify all possible wave combinations. Second, a critical investigation of the Riemann problem yields definite results for large data about the existence of Riemann solutions made of Lax shocks, rarefaction waves, and admissible stationary contacts. In some range of Riemann data, no solution exists. We can identify relatively large neighborhoods of Riemann data in which the Riemann problem admits a unique solution.

In this research, Al2O3 nanoparticles were successfully synthesized using facile chemical precipitation method as a photocatalyst. The synthesized photo catalyst was characterized using scanning electron microscopy. The photocatalytic activity of the synthesized Al2O3was studied on the degradation of ciprofloxacin as a model pollutant in UV light irradiation by conductometry method. The experiments were carried out by varying contact time from 1- 5 hours and catalyst load from 0.5 – 2.5g. The optimum catalyst dose and contact time were found to be 1g and 1 hour respectively for the drug degradation. The result exhibited photocatalysis activity. The photocatalytic activity can be attributed to higher absorption of Ultra-Violet light by the synthesized Al2O3 that led to formation of a large number of reactive species. The Kinetics study of the photodegradation process was explained in terms of the modified Langmuir Hinshelwood model. The values of the kinetic rate constant (k) of the photodegradation were 8.0x10-3min-1 and 5.0x10-2min-1in the absence and presence of the synthesized photocatalyst respectively.

This study examined the impact of teachers’ professional development training on the knowledge and skills acquisition of primary schools teachers in Ondo State, Nigeria. Descriptive survey research design was used. From a population of One thousand, four hundred trained teachers, one hundred and fourty teachers were simple randomly selected for this study. Data were collected, using an instrument titled Classroom Lesson Observation Checklist. Two research questions were set to find out the impact of TPD on the selected teachers’ knowledge and skills as well as examine whether there is any significant difference in the impact made on male and female teachers. The results indicated that there was a significant impact of TPD on teachers’ knowledge and skills. It also established that male teachers performed better in knowledge exhibition than their female counterparts, while the female teachers demonstrated higher skills than the male teachers. Based on these results, the following recommendations were made to government; TPD should be made a continuous programme, more funds should be made available annually for the programme, gender sensitivity in the selection of future trainees should be a priority. a functional monitoring team be put in place for follow-up and schools should periodically organize interactive meetings to brainstorm on any difficult areas expressed by the teachers.

This study aims to determine the effect of budget execution performance, asset management performance on the quality of financial statements, moderated by financial statement disclosure. A research population is a work unit at the Ministry of Public Works in the Province of DKI Jakarta. Data were collected using the purposive sampling method. Based on these criteria, as many as 50 work units were selected as samples in this study. Method of data analysis using Structural Equation Model (SEM) Partial Least Square (PLS) with Smart PLS software Version 3. The test results show that the performance of budget execution does not affect the quality of financial statements, asset management performance has a significant effect on the quality of financial statements, disclosure of financial statements does not moderate the effect of budget execution performance and asset management performance on quality financial statements.

Background: Rigid bronchoscopy is frequently required in the therapeutic therapy of a wide range of tracheobronchial diseases. Suxamethonium is a common neuromuscular blocking medication used for rapid sequence tracheal intubation because of its quick onset and recovery. Objective: The objective of the study was to evaluate the effects of single vs multiple doses of Suxamethonium in rigid bronchoscopy. Methodology: This randomized cross-sectional observational study was conducted from January 2019 to December 2020 among 180 patients in a tertiary care hospital of Bangladesh. Data on certain basic parameters were obtained on the basis of the clinical records and related changes. Collected data were displayed in tabular and graphical form in terms of different parameters, and statistical analysis was conducted to observe the statistical significance. Results: In this study, we divided patients into 2 groups (Group 1: Single dose Suxamethonium, Group 2: multiple-dose Suxamethonium). Among 180 patients, a maximum (34.4%) patients were more than 50 years of age. Also, 58% were male, and 42% were female patients. Here, maximum patients (33.8%) had a cough, while minimum patients (2.7%) had chest pain. Among group 1, maximum patients (39.1%) had mild fasciculation scores and minimum patients (7.4%) had zero scores. Among group 2 patients, maximum patients (24.3%) had zero fasciculation score, and minimum patients (6.3%) had vigorous scores. According to the Copenhagen scoring system, in group 1, 47.40% of patients had an excellent outcome, and 6.65% of patients had a poor outcome. And in group 2, 74.7% of patients had a good outcome and 13.50% of patients had an excellent outcome. In both groups, maximum patients had minor bleeding, vocal cord trauma, and hypoxia. Conclusion: The findings imply that single-dose Suxamethonium was more effective in improving patient satisfaction. The intubating settings would be more pleasant if single-dose Suxamethonium was used.

Keratitis is a frequent pathology in everyday ophthalmology, whose etiologies are dominated by bacterial origin. The mycotic origin is a rare cause, and the prognosis is usually reserved, given the delay in diagnosis, mainly due to self-medication. We present a case report concerning a 60 year old patient who presented a mycotic corneal abscess due to Alternaria sp . He presented a stromal infiltration of the cornea of the left eye on biomicroscopic examination. A swab of the abscess was performed for mycological study which came back positive for Alternaria sp . On the basis of the clinical manifestations and conducted examinition, a diagnosis of Alternaria mycotic keratitis was established.

Background: Growing cases of ovarian tumor recently documented in worldwide and developing countries like Bangladesh. Objective: In this study our main goal is to evaluate menopausal status score and laboratory profile in all cases of Ovarian Tumor. Method: This cross sectional study was carried out at Department of Obstetrics and Gynaecology, Jalalabad Ragib Rabeya Medical College, Sylhet from January 2019 to December 2019 where a total of 60 women who diagnosed with ovarian tumor were included as a sample size. Results: During the study, mean age was 41.4 (SD±14.7) years and 42 (70.0%) cases were premenopausal and 18 (30.0%) cases were post-menopausal. In addition, of the benign ovarian tumours 29 (76.3%) cases had ultrasonogram score 1 and 9 (23.7%) cases had ultrasonogram score 3; while of the malignant ovarian tumours 3 (13.6%) cases had ultrasonogram score 1 and 19 (66.4%) cases had ultrasonogram score 3. Besides that, Of the benign ovarian tumours 8 (21.1%) cases had serum CA-125 level ≥35U/ml and 30 (78.9%) cases had serum CA-125 level <35U/ml; while of the malignant ovarian tumours 20 (90.9%) cases had serum CA-125 level ≥35U/ml and 2 (9.1%) cases had serum CA-125 level <35U/ml. Besides that, most common benign tumour was mucinous cystadenoma (26.7%) whereas in malignant tumors case seruos cystadenocarcinoma (23.3.0%) were seen commonly. Conclusion: According to our study we can conclude that, premenopausal women were more prone to develop ovarian tumor. Where in benign tumors cases majority were mucinous cystadenoma whereas in malignant tumor cases,serous cystadenocarcinoma was seen commonly. Also, most of the benign tumor had ultrasonogram score 1 where as in malignant cases opposite scenario was seen.