World is constructing at a quicker pace in all dimension of innovation. The parameters, which decide the improvement has changed lots in the ongoing, past and will continue changing in future as well. Which is required adequate planning and it comes from the all intersection. However due to quick scaling work environment, organizations generally prefer to do the task in ever quicker and less expensive correspondence that disintegrates physical and group boundaries both inside nations and universally owing to short cuts in planning, more noteworthy accessibility and simpler access to statistics, and the further opening up of worldwide markets are the arrangement of reactant supremacies that is quickening the speed of social change all through the world. Activity postponements are typical an issue in the construction trade and can expand task calendars and their expenses. Ongoing examinations endeavors have concentrated on the quantitative assessment of defer impacts. Writing proposes that the development business needs extra research to deliberately relate the reasons for postponements to their effects. A customary development technique has demonstrated to be insufficient in accomplishing this objective. Mechanization and parallel working has been key mantras of heedless way development. Neglectful way the exercises without early arranging will bring about real slips by and re-working in a large portion of the cases. Innovation, association, data, instruction and beneficial abilities will, along these lines, assume a basically unequivocal job in overseeing the future course of advancement. This paper manages 360 Degree development studies, which is the need of great importance in development. Development/construction as one of the top most businesses experiences trademark changes in conveying the range as quick as conceivable which would bring about better returns. 3600 Planning is the vital key of the development business. This thought won't just affect amount anyway it additionally sway on quality parameters. Human instinct likes to concentrate on one arrangement. An alternate course of action probably won't get the consideration it needs since individuals are exclusively put resources into the grounds activity. Barely work with “Plan A" to be a fruitful and feel investing an excess of energy in a "Plan B" could conceivably undermine that achievement (Myth). As a matter of fact planning isn’t a word per se although it’s a farrago mechanism, which demands time, keenness and endorsement and interchange of dialogue so on and so forth.

Sciatica is a painful ailment caused by the pathology of the sciatic nerve or the sciatic nerve root. Pain and paresthesia in the sciatic nerve distribution or a lumbosacral nerve root are common in patients with this condition. A herniated disc with nerve root compression is the most common cause of sciatica; however lumbar stenoses and (less frequently) tumors are also probable causes. In general, 5 to 10 percent of people with low back pain have sciatica, but the lifetime prevalence of low back pain is reported to range from 49% to 70%. Gridhrasi having the same symptomatology as sciatica described in ayurvedic classics under vata vyadhi, is a condition in which pain, stiffness, gripping, and pulsations begin in the buttocks [gluteal region] and progress to the posterior aspect of the Kati (pelvis and lumbosacral regions), Uru (thigh), Jaanu (behind the knee), Jangha (leg), and Pada (foot). Among different modalities of treatment described in Ayurveda, Kati Basti is the most popular and commonly practiced one. In the present study an effort has been made to treat 30 patients of Gridhrasi with Kati Basti with Prasarini Taila and Tila taila separately in two groups. The treatment was given 48 minute long daily for seven days. The assessment was done by analyzing the changes in clinical signs and symptoms before and after treatment. The majority of patients (93.33 percent) improved after treatment. In this study, kati basti with prasarini taila outperformed moorchita tila taila in terms of reducing Gridhrasi or sciatica signs and symptoms. The snehana property of oil and medications in Prasarini taila was helpful in the relief of gridhrasi, as well as the swedana impact of Kati Basti.

Open spina bifida (myelomeningocele) is a specific kind of neural tube defect (NTD) resulting from a trouble of closure of the caudal region of the neural tube early in embryogenesis. The diagnosis and management of open spina bifida has changed significantly over the past century. Significant advances in the prevention, diagnosis and treatment of open spina bifida have been made over the last years. The most significant strategy for the prevention of open spina bifida has been with folic acid supplementation. Although progress in the field of myelomeningocele diagnosis and treatment has revolutionised the medical treatment of open spina bifida, the postnatal treatment of myelomeningocele evolved significantly and is now complicated by issues surrounding prenatal diagnosis, including availability, economic feasibility, and selection for invasive fetal surgery and management of pregnancy.

Introduction: Hysterectomy is a surgical procedure commonly performed in obstetrics gynecology at the Sominé Dolo hospital in Mopti, but no study had been conducted. The aim of this study was to determine the prevalence of hysterectomy and to review gynecological and peripartum hysterectomies. Methods: This was a descriptive cross-sectional study conducted over a period of 12 months from January 1, 2017 to December 31, 2017 in the obstetrics gynecology department of the Sominé Dolo hospital in Mopti Mali. Eligible patients were represented by all those who had undergone a peripartum or gynecological hysterectomy during the study period in our service. Our supports consisted of patient files, patient interviews, the operating report register, the delivery register and the hospitalization register. Data were entered and analyzed using Epi info3.5.3 software and word processing was performed using Word 2007 software. Results: During the study period, all the surgical interventions represented 522 cases, i.e. an overall prevalence of 9.2% (57/522) among which hysterectomies during the gynecological period represented 70% (38/57) against 30% (19/57) peripartum hysterectomies. The average age of the patients was 46.5 years with the extremes of 18 and 75 years. The types of hysterectomies were represented in the vast majority by total interadnexal hysterectomy 77.2% (44/57) followed by subtotal hysterectomy 15.8% (9/57) and hysterectomy plus bilateral adnexectomy 7% (4 /57). Conclusion: Hysterectomy is one of the most practiced surgical activities at the Sominé Dolo hospital in Mopti. It constitutes an alternative solution for the practitioner to save the life of the patient, particularly in the event of emergency hysterectomies which represented a significant proportion in our study.

Tomatoes consumed in Gombe are contaminated with traces and heavy metals due to accumulation of these metals in soil that absorbed by crop plants, which is the most serious environmental problem with significant implications on human health. This study focused on the comparative studies on concentrations of carcinogenic and non- carcinogenic heavy metals analyzed based on WHO Permissible limits. Sample T1 Tomatoes showed mean concentrations in decreasing order of Zn = 0.094 ± 0.045 mg/kg followed by Mn = 0.0744 ± 0.0031 mg/kg then Ni = 0.0394 ± 0.0014 mg/kg, Fe = 0.0163 ± 0.00113 mg/kg, Cd = 0.0063 ± 0.00106 mg/kg, Pb = 0.0031 ± 0.0062 mg/kg, Co = 0.00152 ± 0.00126 mg/kg, As = 0 respectively. Sample T2 showed mean concentrations of heavy metals with the highest of Ni = 0.2095 ± 0.27 mg/kg followed by Zn = 0.1761 ± 0.134 mg/kg, Mn = 0.0487 ± 0.0023 mg/kg, Fe = 0.0233 ± 0.00195 mg/kg, Cd = 0.0147 ± mg/kg, Pb = 0.0047 ± 0.0062 mg/kg, Co = 0.0075 ± 0.0065 mg/kg respectively with few above WHO limits of 0.002 – 0.005mg/kg. Sample T3 Tomatoes showed mean concentrations with highest in decreasing order of Mn = 0.0829 ± 0.017 mg/kg followed by Ni = 0.0809 ± 0.00412 mg/kg, Zn = 0.0504 ± 0.0031 mg/kg, Co = 0.0225 ±0.00080 mg/kg, Cd = 0.0179 ± 0.00243 mg/kg, Fe = 0.0143 ± 0.00057 mg/kg. As = 0.0011 ± 0.000265 mg/kg, Pb = 0.0004 ± 0.000058 mg/kg respectively. Hazard Index (HI) of non-carcinogenic Heavy metals analyzed in Tomatoes samples showed highest hazard index in all the three pathways with Co = 3.64 E+ 00 followed by Pb = 2.71E+00 then Cd = 5.51E-01, Ni = 1.07E-02, Mn = 6.81E-03, As = 2.16E-03, Zn = 7.79E-04, while the lowest Hazard index was shown by Fe = 5.62E-05 indicating HI > 1 with adverse health risk in decreasing order of Co > Pb > Cd > Ni > Mn > As > Zn > Fe respectively. Cancer risk effects of carcinogenic heavy metals investigated through ingestion showed the highest cancer risk of Cd = 4.10E-05 followed by As = 3.23E-07 then Pb = 7.14E-06 with order of Cd > As > Pb > Co while cancer risk through inhalation showed the highest in Co = 1.27E-11 followed by Cd = 7.06E-12 then As = 4.76E-13, the lowest of Pb = 4.41E-14 with order of Co > Cd > As > Pb indicating that some heavy metals contaminated the tomatoes analyzed were projecting while hazard and cancer risk on human health will persisted on body systems at certain prolong time, examining of these heavy metals levels will safeguard public health.

This research was conducted to gain confidence in a number of factors such as convenience, trust and security that affect people's interest in transacting using internet banking amid the increasing threat of cybercrime attacks on the theft of account owner assets. The data collection method used a questionnaire with research samples taken from government and private banks using convenience sampling technique and the results obtained were 120 respondents. The results of the study concluded that the convenience and security factors had a positive and significant effect on asking people to use internet banking, while trust had no significant effect.

The study looked at what is preventing IDPs from returning to their normal house in Maiduguri, Borno State. The study's specific objectives were to assess IDPs' rights regarding relocation to their usual home of residence, examine the implications of insufficient funds for rebuilding IDPs' usual home of residence, examine the implications of insecurity on IDPs' relocation to their usual home of residence, and finally assess the effect of insecurity on IDPs' relocation to their usual home of residence. Primary and secondary sources were used to compile the data. The respondents were given a questionnaire to fill out as part of the primary data collection. A total of 400 people from Maiduguri were surveyed. The study looked at a variety of ideas, with human needs theory serving as the study's theoretical framework. The idea covers the essential cause for IDPs returning to their customary place of residence in order to alleviate the difficult circumstances faced by IDPs who have lost their homes, jobs, and families, among other things. Food, shelter, healthcare, education, and clothing are among the basic needs of IDPs. The findings revealed that Internally Displaced Persons have the right to relocate to their usual home of residence and the right to request and receive protection. The study further revealed that Internally Displaced Persons have the right to humanitarian assistance from national authorities without discrimination and the right for assistance in restoring family link, Health care, education, and economic and social rehabilitation are all things that need to be addressed. The findings also stated that due to a lack of funds, the funding for restoring IDPs' customary place of living is insufficient. It was discovered that returning IDPs are frequently attacked by militants in their homes and are frequently kidnapped by the group. It recommends that the Borno State governments should enact a local law in the State to compel IDP’s management agencies at all levels to stringently observe the U.N. Guiding Principles on the protection of the right of Internal Displacement on relocation to their settlement. The Nigerian Government should fight corruption and ensure a direct link between the management agencies and the IDP's. Contingency plans should be made financially and bureaucratically in anticipation of displaced events to accommodate the rapid nature of displacement, the bureaucratic process involved in the release of finances and other resources for the administration of IDPs should be simplified.

Background: Antibiotic stewardship aims to optimise restricted antibiotic use and thereby prevent the emergence of antibiotic resistance and improve treatment outcome. Resistance to conventional antimicrobial’s is a major reason why restricted antibiotics are prescribed. Aim: To assess the prescribing pattern of restricted antibiotics, the indications for which restricted antibiotics were prescribed, the drug related problems associated and the sensitivity pattern of the isolated organisms. Results: Out of 340 patients included in the study, majority of patients was in the age group of 58-67(60.06 ±14.90) in both genders. There was a male (64.12%) dominance observed in the study populace and the minimum and maximum age observed was 18 and 93 years respectively. Most commonly prescribed antibiotic was Piperacillin tazobactum (31%) followed by Linezolid (16.06%). Empirically the most prescribed antibiotic was Piperacillin tazobactum (27.37%) while in definitive therapy it was Cefepime tazobactum (10.63%). The most common indication for which restricted antibiotics prescribed were for respiratory tract infection (n=116), followed by infection prophylaxis (n=114). Mean days of restricted antibiotic therapy was found to be 8.85 days ± 8.11. The maximum duration of antibiotic treatment was 62 days and minimum was 1 day. In 47% of cases IV to oral conversion was possible. When analysed retrospectively, in majority of the patients the duration of restricted antibiotic treatment was inappropriate (69.71%) while the inappropriateness in frequency and dose were 7.05% and 3.23% respectively. The total number of cultures collected were 292 in that 120 cultures were urine and found growth in 50.83%, followed by 84 cultures in sputum which accounted for 67.85% growth. The most common organism isolated was Klebsiella pneumoniae 39.73% cases followed by Pseudomonas aeruginosa 17.46% and Acinetobacter baumannii15.41. There was clinical cure in 91.47% of cases. Conclusion: When analysed retrospectively majority of the restricted antibiotics showed inappropriateness. This higher amount of inappropriateness could have been avoided to a certain extent, by the timely interventions of a clinical pharmacist. By implementing an effective antimicrobial stewardship program we could improve the rational use of restricted antibiotics and thereby prevent the future resistance and improve clinical outcome.

experience by including computers and the internet in the learning process. It is a system for delivering learning materials to students via the web. These systems include assessment, student tracking, collaboration and communication tools. They can be accessed both on and off-campus, meaning that they can support students' learning outside the lecture hall 24 hours a day, seven days a week. This enables institutions to teach not only traditional full-time students but also those who cannot regularly visit the campus due to geographic or time restrictions, e.g. those on distance learning courses, doing evening classes, or workers studying part-time and various leaning disabilities as well

With the popularity of international communication and cooperation, the transformation from general English to general academic English has become an inevitable trend in college English teaching in China. The transformation poses challenges for college English teachers, including the lack of interdisciplinary knowledge, limited general academic English teaching ability and evaluation ability. Accordingly, various measures can be taken to deal with the challenges, such as expanding the interdisciplinary knowledge, establishing the teaching community and reforming the evaluation means. These strategies are intended to construct the harmonious education ecology in college to promote the transformation and development of college English teachers.

Seed germination is the critical stage in plant's life cycle, assisting sapling development, survivorship, and population trends. Plants, as sessile life forms, are easily exposed to abiotic stresses like heat, salinity, cold, soil alkalinization, drought. The interaction of nano-materials with the plant, soil, and the holobiont systems is critical for understanding their behaviors within every complicated ecosystem. The use of nanoparticles has a beneficial impact on germinating seeds and also plant growth and development. Titanium based nanoparticles triggers the development of carbohydrates, which promotes rates of photosynthesis and plant growth. It is hoped that nanotech will provide long-term remedies by replacing conventional bulk fertilizers with nano-particulate counter parts that have excellent characteristics for overcoming current problems such as mineral bio-availability and absorption. Nano-priming could be practiced to seeds to preserve them during storage, enhance germination rate, germination synchronization, and plant growth, and also enhance resistance of crop to biotic and abiotic stressful conditions.

This study aims to analyze the direct and indirect relationship between teacher commitment, teacher discipline and work motivation with teacher performance at SMPN Kahayan District, Pulang Pisau Regency. The method used in this research is a correlational method with a quantitative approach which is formulated into a path analysis model. The research population was 248 teachers from 18 schools in 3 sub-districts and 153 respondents were taken as research samples as research samples using probability simple random sampling technique. Collecting data using a questionnaire instrument and data analysis using descriptive analysis, classical assumption test, hypothesis testing and path analysis. The conclusion of this study is that there is a significant direct relationship between teacher commitment, teacher discipline and work motivation with teacher performance. There is a direct relationship between teacher commitment and teacher discipline with work motivation, there is an indirect relationship between teacher commitment through work motivation and teacher performance at SMPN Kahayan District Pulang Pisau Regency and there is an indirect effect between teacher discipline through work motivation and performance at SMPN Kahayan District Pulang Regency Knife.

Teacher performance is very important in ensuring the achievement of school goals, it needs to be encouraged for better performance. However, this is not easy because many factors influence it. The purpose of this study was to analyze the direct and indirect effects of work motivation, job satisfaction and Organizational Citizenship Behavior (OCB) on teacher performance at SDN Murung Pudak District, Tabalong Regency. This research is a regression research with a quantitative approach which is formulated into a path analysis model. Based on the results of the study, the variable regression coefficient values were positive numbers such as work motivation (X1) with performance (Y) of 0.275, work motivation (X1) with Organizational Citizenship Behavior (OCB) (Z) of 0.433 , job satisfaction (X2) with performance teachers (Y) of 0.375, job satisfaction (X2) with Orgaizational Citizenship Behavior (OCB) (Z) of 0.435, Orgaizational Citizenship Behavior (OCB) (Z) with teacher performance (Y) of 0.269 , work motivation (X1) through organizational Citizenship Behavior (OCB) (Z) with teacher performance (Y) of 0.116 and job satisfaction (X2) through Organizational Citizenship Behavior (OCB) (Z) with teacher performance (Y) of 0.117. Therefore, this study can be concluded that there is a significant direct and indirect effect between work motivation, job satisfaction and Organizational Citizenship Behavior (OCB) on teacher performance.

Chondroblastoma is a rare, giant cell -rich benign neoplasm of bone. Fine needle aspiration cytology (FNAC) is gaining acceptance as a convenient and reliable method in preoperative diagnosis of chondroblastoma. Differential diagnosis of chondroblastoma on FNAC include giant cell-rich tumors and tumor like lesions such as aneurysmal bone cyst, giant cell tumor, chondromyxoid fibroma. Preoperative diagnosis of chondroblastoma is mandatory for treatment protocol and prognosis. We describe a case of 18 year old female patient who presented with painful swelling over right heel of one year duration. FNAC smears of swelling stained with Leishman and Giemsa stain showed neoplastic mononuclear chondroblasts showing round to oval nuclei, nuclear indentation, grooving and intranuclear inclusions with abundant vacuolated glassy cytoplasm, chicken wire calcification, multinucleated osteoclast like giant cells and chondromyxoid matrix. Histopathological examination of excised specimen revealed focal areas of mature cartilage with proliferating chondroblasts showing nuclear grooves and numerous giant cells. Thus confirming the diagnosis of chondroblastoma.

Regional fiscal capacity is the region’s ability reflected in regional revenue, consisting of own-source revenue (PAD), fiscal balance transfers, and other legitimate regional revenues. This study aims at analysing the impact of regional financial capability during the Covid-19 Pandemic towards regional fiscal capacity. The research was conducted in local governments in Indonesia during 2020 using descriptive qualitative analysis. The results showed that generally the Covid-19 Pandemic affected the reduction on own-source revenue (PAD) in almost all provinces in Indonesia during the first semester of 2020. From 66 regencies/cities as the sample from this research, 49 regencies decreased in revenue and expenditure because of the Covid-19 Pandemic. The revenue reduction in each region was caused by regional taxes reduction of around 2,5 percent and 10,68 percent sequentially in the first semester of 2020, fiscal balance transfers around 8,42 percent, and general allocation grant (DAU) around 9,8 percent and 6,94 percent. Meanwhile, to solve the regional fiscal problems, the local governments implemented 2 types of policies: (1) the first policy is to implement a counter-cyclical policy through maintaining economic stability, decreasing revenues, and increasing local government expenditures; (2) the second policy is to implement a pro-cyclical policy through increasing revenues and decreasing expenditures. The present research also found that regencies/cities that implemented a counter-cyclical policy generally increased in expenditure components, such as grant expenditure around 316,51 percent and regional capital expenditure. Some local governments built infrastructure (assets and buildings) during the Covid-19 Pandemic. However, local governments decreased around -1% - 16% for the employee expenditures.