Dengue fever is public health concerns in Bangladesh, where it occurs in epidemics and has a high mortality in the advanced stages. Clinical features are nonspecific and diagnosis is supported by lab features. Common lab tests include Platelet count, leucocyte count and platelet indices are useful in small rural set ups for early diagnosis and prognosis of dengue. The aim of this study is to evaluate relationship between platelet count, leukocytes and platelet indices. This retrospective cross-sectional study was conducted at Department of Laboratory Medicine in collaboration with Department of Internal Medicine, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh from July 2019 to September 2019. Clinical records of 260 cases were preserved in a structured Clinical Record Form (CRF). Only those, with antigen/antibody supported cases was enrolled in the study. Mean neutrophil (%), mean lymphocyte (%) and mean eosinophil (%) count were statistically significant difference among different platelet count groups (p<0.05). There was significant negative correlation between PDW and platelet count (r= -0.228, p<0.001). MPV was also negatively correlated with platelet count but not significant (r= -0.106, p= 0.088). Beside Platelet count and leukocyte count, Platelet indices such as PDW and MPV are also useful to monitor dengue fever.

Formalin is one of the commonest embalming fluid used in modern embalming. Methanol can also be mixed with formalin in order to prevent the precipitation of formaldehyde to paraformaldehyde. Methanol is also a good preservative. Strangled bodies remain one of common homicides received at funeral homes in Anambra state, Nigeria. Therefore, the objectives of this study are to observe the early decomposition activities in Anambra state; use an embalming mixture containing formalin, methanol and water to arrest it; and document the techniques used to achieve it. Therefore, four infant pigs were used for this study. They were sacrificed and allowed to reach the early stage of decomposition before embalming. The results showed that outcome of embalming is influenced by the embalming mixture used, duration of the embalming, and the room temperature of the morgue were the embalmed bodies were stored after embalming. The results also showed that atmospheric temperature and humidity does not influence the outcome of embalming. In conclusion, the methodology for arresting early decomposition of strangled homicides is by arterially injecting an embalming mixture containing formalin, methanol, water and dye; and also supplementing this technique with hypodermic embalming technique.

Income inequality is considerably high and still growing, which may cause a significant loss of India’s human development and economic performance in the post-pandemic period. Thus, using cointegrating models viz; FMOLS, DOLS, CCR, and ARDL models, we scrutinize short-run as well as long-run impact of natural disaster, economic development, technological innovation, and human capital on income inequality in India. Results show that the natural disasters and economic development worsen income inequality in both short- and long-run. Further, India’s human capital also aggravates income inequality in the short run. In contrast, India’s technological innovation and human capital in the long run improve income distribution significantly. Finally, the policy suggestions are mentioned in the conclusion section. Our results are consistent and robust with alternative modelling.

Introduction: Wellens syndrome or anterior interventricular artery (AIV) disease is an electrocardiographic abnormality defined by the presence, apart from painful episodes, of biphasic T waves in the anterior leads (type 1), or deeply inverted T waves (type 2) in association with critical stenosis of the proximal AIV. It warrants aggressive management given the rather high incidence of death and re-infarction. Objectif: To report an atypical form of this syndrome through this observation and to provide an update on this rare entity through a literature review. Case report: A 48-year-old patient, chronic smoker with 40 BPs still active, admitted following an episode of infarct chest pain. At admission, the patient was asymptomatic. The clinical examination was unremarkable. The ECG showed biphasic T waves, negative in its terminal part in V2-V3-V4, without planed R waves, nor Q waves of necrosis or significant ST abnormality evoking a WELLENS type 1 syndrome. Ultrasensitive troponin was measured at 260 ng/L. The evolution was marked by the appearance of a fleeting negativation of T waves, without chest pain. Chest echocardiography showed a non-dilated left ventricle with preserved systolic function and no detectable segmental or global kinetic disorders, associated with concentric left ventricular hypertrophy. The coronary angiography performed in emergency shows tritroncular lesions, a very tight stenosis of the middle interventricular and the first diagonal, a tight stenosis of the middle circumflex and the middle right coronary, revealing a coronary artery bypass graft. Discussion and conclusion: Wellens syndrome is characterized by T-wave abnormalities that often fluctuate (from type 1 to type 2 or vice versa) during pain-free intervals, reflecting spontaneous reperfusion and the unstable nature of the coronary lesion found, which is represented mainly by involvement of the proximal AVI. Involvement of the middle IVA associated with other lesions is rarely observed. It is associated with a greater risk of anterior infarction or sudden death if not recognized and treated rapidly, so it seems essential to recognize the electrocardiographic criteria of this syndrome in order to propose coronary angiography for early revascularization.

Agricultural productivity under stress conditions can be accomplished by modifying cellular metabolism and molecular transformations of genetically modified plans with the help of nano-material-mediated facilitations. Horticultural crops are the main source of nutritional compounds such as proteins, carbohydrates, vitamins, minerals, and organic acids. Osmotic stress combined with temperatures over 28°C caused a 30-45 percent blossom decline in several tomato varieties. Chili too is susceptible to drought stress, which can result in production losses of as much as 50 to 60 percent. Pigment and color retention are important determinants of vegetable and fruit quality and nutritional values. Genes involved in the enhancement of anthocyanin synthesis and accumulation during postharvest storage in red-fleshed kiwi. Targeted implementation of fruit-specific promoters with distinct up and low regulated epigenetic biomarkers might be useful in the expression of genes and reduces the side effects developed by constitutive promoters. Chitosan is one kind of these nanomaterials over-coated on post-harvested mangoes to secure its edible portion from rotting, increase its vitamin C contents, maintain its freshness, and increase shelf-life. The use of nanomaterials in the food industry reduces the cost of electricity applied in refrigeration for preservation purposes alongside maintaining the original vigor and vitality of the fruits like tomatoes.

The Sapir-Whorf Hypothesis advocates the ontology of language, arguing that language affects and even determines human thinking to some extent. In view of the fact that human thinking is abstract and intangible, and that values are the soul of the way of thinking, this paper compares the three sets of non-equivalent phenomena between Chinese and American languages and values. As a result, it can be exemplified that language cannot determine or influence values to a certain extent, that is, language cannot determine or influence people's thinking to a certain extent, thus revealing the irrationality of the Sapir-Whorf Hypothesis. Through in-depth analysis of the differences between Chinese and American values as well as language characteristics, the cultural concepts behind language can be more deeply understood, which is conducive to improving the awareness of cross-cultural communication and enhancing cross-cultural communication ability; on the other hand, the accuracy and authenticity of language selection can also be improved so as to ensure the reliability in the translation practice.

The present study gathered data on the university computer assisted language learning (CALL) facilities in teaching English language. The participants of this study were 80 MA and PhD university teachers who were selected based on random sampling method at the Islamic Azad Universities, Iran. The research instrument was a researcher-made questionnaire that asked the EFL university teachers to give their ideas on the university facilities of CALL in English language classrooms. Data were collected and analyzed through K-S test of normality and independent samples t-test. The results of the study showed that the facilities and equipment are poor and universities need to reassess CALL facilities in the classrooms. Regarding computer literacy and CALL skills, university teachers confirmed that computer facilities were not enough to run classes effectively.

Wolff-Parkinson-White (WPW) syndrome is a relatively rare cardiac rhythm disorder entity encountered during pregnancy. However, its exacerbation under this physiological condition could be responsible, in certain cases, for life-threatening arrhythmias compromising both maternal and foetal prognosis. We report the observations of 03 pregnant women, without past medical history, presenting to the emergency room for palpitations related to a Wolff-Parkinson-White syndrome, complicated in one case with foetal death. The substantial severity of the WPW syndrome during pregnancy requires a prompt and adequate management strategy, based on a multidisciplinary cooperation between obstetricians, cardiologists and neonatologists.

The term "evidence-based medicine" was coined in the 1980s to describe a method of determining the optimal treatment based on scientific evidence. In the early 1990s, the evidence-based practise movement began in England. Evidence-based medicine (EBM) or evidence-based practise (EBP) is the careful application of the best available evidence in making decisions regarding a patient's care. Evidence-based practise is both a philosophy and a methodology. The concept is based on the ethical principle that clients are entitled to the most effective interventions available. The approach of EBP is the way we go about finding and then implementing those interventions.

anticoagulation therapy would be the removal of this arrhythmia and any future recurrence, a goal often difficult to achieve.The aim of this work is to evaluate the efficacy of atrial fibrillation cardioversion as well as the success predictive factors of sinus rhythm maintenance at one year following a successful cardioversion. Materials and methods: 50 patients with non-valvular atrial fibrillation underwent cardioversion: 70% by electrical shock and 30% by pharmacological means, the clinical characteristics of the patients the results of cardioversion and follow-up were collected and analyzed. Results: The average age of our patients was 53 years with a sex ratio of 2. 30% of patients had hypertensive heart disease, 8% ischemic heart disease, 8% dilated cardiomyopathy and the rest had no underlying heart disease. The average diameter of the left atrium was 41 mm and the average surface area was 20 cm². Primary success rate of cardioversion was 82% with better efficacy of electric shock compared to pharmacological cardioversion. The maintenance rate of sinus rhythm at 1 year was 70%. Predictive factors of failure and / or recurrence at 1 year were old atrial fibrillation and significant dilation of the left atrium. Conclusion: This study confirms the interest of atrial fibrillation cardioversion and underlines the importance of preliminary selection of the patients, such a selection must be made on the basis of the predictive factors of success usually recognized in the literature.

Nowadays, skin disorders are considered very common affecting millions of people worldwide. Ageing, genetic, environmental factors and traumatic injuries are various factors that can lead to several skin disorders. Skin disorders are broadly classified as bacterial, viral, fungal and some other types as well. Some common diagnostic tests relevant for skin disorders include biopsy, scraping, culture, wood light, diascopy and specific skin tests. Medical therapy and physical therapy are the treatment modalities available for skin disorders. Medical therapy includes topical and systemic treatments while physical therapy consists of cryotherapy, phototherapy, photodynamic therapy, lasers and surgery. Topical drugs are the mainstay of treating skin disorders. Systemic drugs are taken directly by oral route or by parenteral route and are distributed throughout the body. The following categories of drugs are divided under topical therapy that includes cleansing agents, protective agents, moisturizing agents, drying agents, anti-itch agents, anti-inflammatory agents, anti-infective agents and keratolytics.

The present paper is concerned with the seismic risk assessment of buildings in the Kingdom of Saudi Arabia. A critical review of the existing literature is presented to identify the shortcomings of extant studies. None of the extant studies considered nonlinear action of the beam-column joint (BCJ) but rather they dealt with BCJ as a rigid element for simplicity and the only plastic hinging has been considered in beams and/or columns. Hence the main focus of this paper is to demonstrate the significant effects of the nonlinear action of BCJ in the pushover analysis and in turn the inadequacy of all previous studies which overlooked such effect. In this study, nonlinear static pushover analysis is performed on two-dimensional RC frames of existing buildings in Jeddah city, with and without using macro node elements and pushover curves are compared. The beam-column joint modelling approach adopted in this study is through macro node element which accounts for failure due to shear collapse of the joint, concrete crushing, flexural and/or shear plastic damage of the beams or columns connected and bond-slip failure. The results clearly indicate that the RC frame in which the beam-column joints were modeled using a macro node element, tends to have lesser base shear values and higher displacement capacity when compared to the RC frame modeled without using the macro node. Furthermore, the status of plastic hinges developed in building frames modeled without using macro node element was found to be within the Immediate occupancy (IO) performance level, but this hinge status drastically changed to Collapse prevention (CP) performance level when BCJ was modeled using macro node. Hence, the results highlight that the nonlinear action of beam-column joint has a significant effect on the nonlinear response of a structure.

Introduction: Gastrointestinal infections are one of the leading causes of morbidity and mortality throughout the world, particularly in the immunocompromised. Gastrointestinal PCR appears to be the technique of choice for establishing the molecular diagnosis of pathogenic gastrointestinal agents. The aim of this study was to establish the epidemiological, clinical and evolutionary profile of gastrointestinal infections and to study the impact of molecular diagnosis on the choice of a targeted therapy. Methods: This is a retrospective study carried out in the Microbiology Department of Arrazi Hospital of the Mohamed VI University Hospital Center, including all immunocompromised patients treated for a gastrointestinal infection and needing a hospitalization in the various departments, over a period of 15 months. Results: During the period studied, 124 patients were collected. The average age of the patients was 22 years. Signs of gastrointestinal infection were present in all patients. Of the patients sampled, 95.2% received probabilistic antibiotic therapy. Gastrointestinal infection has been documented in 57.26% of patients. A bacterial etiology was found in 76.81% of patients. A viral etiology was found in 13.04% of the patients and a parasitic etiology was found in 10.15% of the patients. Enteropathogenic E. coli was the most common infectious agent detected (19.53%). Co-infections were found in 29.84% of patients. Following PCR results, management was changed in 70 patients (56.45%), including initiation or modification of antibiotics in 40 patients (32.26%) and discontinuation of antibiotic therapy in 30 patients (24.19%). Conclusion: The diagnosis of gastrointestinal infections by multiplex PCR allowed us to provide optimal patient care with a reduction in the unnecessary use of antibiotics and an improvement in the course of care.

The motive of this research is to understanding the effect of company Social duty on company value, and knowing whether or not Human Capital can slight the effect of company Social responsibility on firm price. This take a look at makes ue of secondary records obtained from the Indonesia stock trade (IDX) in the form of economic reviews on consumer goods groups in the 2015-2019 length. The information might be analyzed the usage of moderated regression evaluation (Moderated Regression analysis). The effects of this examine found that CSR has no impact on firm price and human capital cannot mild the connection among CSR and firm value.

The Dabska tumor also known as Endovascular papillary angioendothelioma is a rare, low-grade angiosarcoma that often affects the skin and subcutaneous tissues of children is characterized by intraluminal papillary endothelial structures. EPA has an overall favorable prognosis. The malignant potential of this tumor should not be ignored and close follow-up should be maintained.