Purposely slow velocity resistance exercise (i.e., 10 sec concentric and 10 sec eccentric), sometimes called slow tempo, is a popular training method, but limits the loads that can be lifted (e.g., <50% 1RM). This study compared the biomechanical properties of slow tempo (SLOW) and maximal velocity (MAX) resistance exercise. Healthy resistance-trained men (n=5) performed two testing sessions (barbell squat and bench press) in random-order; a SLOW session (1 set x 10 repetitions at 28% 1RM, 10 sec concentric and 10 sec eccentric), and a MAX session (3 x 10 at 70% 1RM, volitionally controlled eccentric and maximal concentric velocities). A force plate and linear position transducer were used to collect kinetic and kinematic data for every repetition of both protocols. Statistical significance was set at α=0.05. For both exercises, both concentric and eccentric mean force (N) and power (W) for each repetition were greater for MAX. When the entire training session (barbell squat and bench press) was examined, SLOW exhibited greater time under tension, while MAX produced greater work (J) and impulse (N•s). Contrary to suggestions in both the lay and scientific literature, SLOW resistance exercise produced less force, power, and work than MAX resistance exercise.

Background: Organophosphorus (OP) poisoning, in addition to its cholinergic manifestations shows metabolic derangements leading to hyperglycaemia. The present study aims to assess the glycaemic status of OP poisoned patients and its association with severity and clinical outcome. Random blood sugar (RBS) level is an important factor influencing the severity of organophosphorus (OP) compound poisoning. RBS and its association with POP Scale can be used as a prognostic and mortality indicator in OP compound poisoning. Objectives of the study: 1. To estimate Serum Pseudocholinesterase and Random blood glucose levels in Acute OP Poisoning. 2. To correlate with the clinical criteria described by the POP scale at initial presentation and the severity of poisoning. Methods: This is a prospective study done on 90 patients above 18 years of age admitted to hospitals attached to Bangalore Medical College and Research Institute with history of Acute OP poisoning from November 2018 to May 2020. They were categorized into 3 grades-mild, moderate and severe based on the Peradeniya Organophosphorus Poisoning Scale. The routine biochemical parameters along with serum cholinesterase and Random blood glucose level were estimated in the study group. Results: Hyperglycaemia (RBS>200) was observed in 18(20%) of patients. Mean age group of patients was 32.68. Out of 90 subjects, 18 subjects had RBS levels above 200 and 72 subjects had RBS levels less than 200. Out of 18 subjects, 7 had mild POP scale, 8 had moderate POP scale and 3 had severe POP scale. Out of 18(100%) subjects having RBS scores of above 200, there were 7(38.9%) mortality noted (2-mild, 2-modertae and 3 severe POP scale). Out of 72(100%) subjects having RBS scores less than 200, there were 2(2.8%) mortality noted (1-modertae and 1 severe POP scale).Chi- square test showed significant association between POP scale and mortality in group having above 200 RBS levels(p<0.05). Conclusions: Glycemic status and POP Scale at the time of presentation in OP poisoning may play a role in predicting the need for ICU, Ventilator and Mortality in peripheral health centres in developing countries.

Surgery of the larynx not only allows reshaping the tumor but also to preserve maximally the laryngeal function. This is why the imaging gives an exact definition of the extent as well as the volume of the tumor. This is a retrospective study involving 58 patients performed at the ENT-head and neck surgery specialties hospital of CHU Rabat from January 2019 to December 2019.All patients with epidermoid carcinoma received cervical CT with axial and coronal slices and endoscopic (direct laryngoscopy) assessment. The realization of a computed tomography is used nowadays in common practice to review the loco regional extension of laryngeal cancers. It is an integral part of the staging with a crucial role in the mostly conservative therapeutic decision and monitoring [1, 2]. The exam should be performed remotely from biopsies, especially for small tumors. Indeed, the post-biopsy inflammatory reaction could falsely increase the tumor description. The decision of a suitable therapeutic attitude for each case of laryngeal cancer depends indeed on the sensitivity of endoscopic and scannographic examinations.

The construction of 2 X 1000 MW Steam Power Plants (PLTU) in Ujung Negoro Village, Karanggeneng (Kandeman District), and Ponowareng (Writing District) which is planned to have been implemented starting in 2011, since the tender was won by J. Power, Itochu and Adaro who later formed PT. Bhimasena Power Indonesia, which is expected to start operating in 2016, has encountered various obstacles, causing it to withdraw from the schedule that has been set. This delay is due to land acquisition by PT. Bhimasena Power Indonesia experienced obstacles in the form of refusal from the community to sell their land for the benefit of the Steam Power Plant (PLTU) Project in Batang Regency. The approach used in this research is socio legal research, because to know a comprehensive picture of the Reconstruction of Environmental Management in the Construction of PLTU in Batang Regency. “The study of law as law in action is a non-doctrinal and empirical social science study.

Act No. 20 2016 About the Brand and Geographical Indications, the Brand is a sign that can be displayed graphically in the form of images, logos, names, words, letters, numbers, the arrangement of colors, in the form of 2 (two) - dimensional and/or 3 (three) dimensions, sound, hologram, or a combination of the 2 (two) or more elements of the set barag and/or services produced by a person or legal entity in the trading of goods/services. Rights to the Brand are obtained after the Brand are listed. The first Registration of the brand is a legitimate proof of the registered trademark. A trademark registration is also useful as a basis for rejection of the same brand its entirety or be in anyway that is requested by others for similar goods or services. In fact, in the implementation of the can't be done easily because not all the brand owners do the registration of the brand. This leads to brand not get legal protection, so it is very easy occurrence of violations of the use of the brand without the right of that harm the owner of the brand. Factor the brand owner did not register the brand, namely the owner of the brand is still low awareness of the law against the norms. Therefore, the other party can not use the registered trademark without the consent of the owner. If the brand that has been registered is not used in accordance with the provisions set out in the legislation, will result in registration of the mark concerned was abolished. Both Brands as assets of the company will be able to generate huge profits when utilized with attention to aspects of business and management good management. With the growing importance of the role of this brand then the brand need to put the protection of the law; as the object which it related rights of the individual or legal entity.

Objective: Determine the Practice of self-prescribed analgesics from the students of physical therapy. Methodology: 150 students of physical therapy were selected to be a part of the study through randomized sampling. All of them were informed of the study and after taking verbal consent were asked to fill a questionnaire pertaining to self-prescription. Data was analyzed using SPSS Version 20.0.The Chi Square test was applied to determine the statistical significance which was kept at P=<0.05. Results: 77(51.3%) male candidates and 73 (48.7%) female candidates in our study of 150 physical therapy students showed that there was no significant difference in self-prescription of systemic analgesics with P=0.156. Conclusion: The prevalence of Self-prescription was found to be high among physical therapy students. Better regulation of over the counter medicines and efficient counseling is highly necessary to reduce the amount of self-medication ongoing.

Originality: From the early stage of this Pandemic of COVID-19 and a long lasting impact of Corona virus that spread all over the world employees and professionals are facing new unprecedented dynamic situation like work-from-home. Employee Perception on Employers support during Work from home during COVID-19. Purpose: This paper aims to find out role of business or organizations to support employees on different extent as well as work-from-home that will be a win-win situation for the firm. Method: An online based structured survey was conducted on 350 employees of different levels, Gender, Age of different private limited companies and different industries. 240 employees have responded properly .Participants completed five point likert scale questionnaires in a goggle form. Simple Statistics were calculated for demographic and work-from-home related variables. Outcomes: In this research, 70% of the employee’s statement depicts about top management’s approval for work from home, only 33.3 % of them have got somewhat training on Work from home. 32.1% employees of total respondents have found having a positive perception regarding Top management support while employees are working from home during this COVID-19 Pandemic situation and that is mainly for technological utility support necessary for work from home program was very poor (8.3%) and many employees have reported Partial reduction in existing salary (60.4%) while employees are working from home. Conclusions: Employee assumes more support from management to perform their task from home and they also require to assurance about exerting full effort and maintain morale.

Microbes have ecological interactions with almost all life forms. Likewise, humans invariably engage in host-microbial interactions that could induce short-term or long-term effects. They are used in pharmaceutical industries for the synthesis of chemical compounds. Nowadays, chemical industries using the bacteria to synthesis the industrial products like. Some important features of bacteria in food industries remain unclear. This review highlighted the role of bacteria in industries for synthesis of compounds in medical as well as industrial point of view but some of the bacterial species have great impact on the human health thus causing serious diseases in human. Lactic acid bacteria (LAB) is used to produce cheese, yoghurt, kefir and kimchi. Acetic acid bacteria (AAB) is used in traditional manufacturing of vinegar. Bacteria are used to create multiple antibiotics such as streptomycin from the bacteria streptococcus. Another important role in pharmaceuticals is the use of microbes for the medically important studies, such as bacteriorhodopsin. Escherichia coli is used for commercial preparation of riboflavin and vitamin K.E. coli is also used to produce D-amino acids such as D-p-hydroxyphenylglycine, an important intermediate for synthesis of the antibiotic amoxicillin.

Prostatic lesions like Benign Prostatic hyperplasia (BPH), prostatitis, and adenocarcinoma account for significant mortality and morbidity in the geriatric male population. Prostate specific antigen (PSA) level has become the most popular screening method for the detection of different prostatic lesions. We aim to study the Histopathological spectrum of the lesions of the prostate and its correlation with PSA. A Cross-sectional study was done on 75 prostatic specimens. Relevant clinical data, PSA levels, and histopathological diagnosis were noted. The histopathological spectrum of different prostatic lesions was categorized into benign and malignant lesions. PSA correlation was done. Sensitivity and specificity were calculated at PSA cut-off levels of 4ng/ml, 10ng/ml, and 20ng/ml. 85.3% (n=64) of the lesions were benign while 14.7% (n=11) of the lesions were malignant. BPH with chronic prostatitis was the most common benign lesion accounting for 45.3% cases (n=34). All the malignancies were adenocarcinoma and were mostly of Gleason’s Grade 2. PSA showed maximum sensitivity i.e. 100% at level 4ng/ml but showed minimum specificity of 43.30% and specificity was seen increasing with increasing PSA cut off and was maximum at level 30ng/ml i.e.95.08%. The most frequently encountered lesion of the prostate is BPH with chronic prostatitis. PSA is an early and sensitive marker but has a limitation at a cut-off value of 4ng/ml; but it lacks specificity.

The rehabilitation of the completely edentulous patients with resorbed ridges has always been a challenge for the daily practitioner. Treatment of edentulism utilizing dental implants, instead of conventional dentures, represents an established therapy and has been shown to ameliorate patient satisfaction, masticatory efficiency, and oral health-related quality of life. The immediate implant placement and immediate loading protocol have become more and more popular because of the increasing demands of a shortened treatment time. This case report describes the steps of a predictable and reliable technique, used to rehabilitate an edentulous and resorbed maxillary arch by using the immediate loading protocol combined with bone augmentation.

Background: Dental attendance is one of the core indicators of oral health evaluation and awareness. Oral health has been demonstrated to be an integral component of general health, with a serious impact on quality of life and overall well-being. There are diverse reasons why patients seek dental care. Pain, bad breath (halitosis), tooth mobility, routine check-up, swelling, trauma and aesthetics are some major reasons for which patients attend out-patient dental clinic. Objective: This study seeks to determine the demographics of patients’ attendance and distribution of their presenting complaints in a Nigerian tertiary dental centre. Materials and methods: This is a retrospective observational study carried out at the Dental Centre of the Lagos State University Teaching Hospital, Ikeja, Nigeria. The data was obtained from the Oral Diagnosis clinic attendance register and were those who, presented with new complaints to the Oral Diagnosis clinic, over a period of one year spanning July 2016 to June 2017. Data such as patients’ age group, gender and presenting complaint(s) were retrieved from the register and recorded on data forms, categorizing their dental complaints into ten (10) categories. Data analysis was done using SPSS version 22. Descriptive statistics such as proportions were expressed as percentages. Data was presented in tables and charts. Results: A total of 3836 patients attended the Oral diagnosis clinic over the study period but only 3636 patients who had their data complete were included in this study. More female patients, 1970 (54.2%) than male patients 1666, (45.8%) attended the clinic. People in the third and fourth decade of life accounted for the highest proportion seeking dental care, being 19.9% and 18.3% respectively. This is closely followed by those in the fifth decade (14.0%), and then, those aged below 20 years of age, who together accounted for 34.6%. Pain was the major complaint among patients attending the LASUTH Dental Clinic, accounting for 55.2%, followed by routine check-up/prophylaxis which accounted for 10.6%. Discussion: The female preponderance of patients seeking dental care is consistent with other studies within and outside Africa [1, 2]. This may not be unconnected with self- consciousness, typically associated with women. It has been previously observed that self -perception of need, particularly perceived severity of complaint, may inform utilization of oral health services [1, 3]. While some authors have corroborated that people within the third and fourth decade comprise the highest proportion of those who seek dental care, others have Shown that though they form the age-group that may perceive the need but attend dental clinic less [4]. Similar to our study, pain is noted to account for as much as 60% to 72% of reasons for dental attendance in other African studies [2, 3]. Unlike in developed countries who record between 40% to 80% of routine dental visits among adults [1], our study reveal a dismal 10.6% for routine visits of all attending dental patients. Conclusion: Dental-related pain remains a significant reason for patients seeking dental care. There’s relative oral health awareness in the Lagos metropolis and its feeder areas. Oral health education should be intensified and targeted at adolescents and young adults who are likely to inculcate lifelong health-seeking habits.

Crack formation and propagation in reinforced concrete members is complex. It involves various mechanisms and parameters related to the interaction between concrete and reinforcement, the geometry of structural members, type of loading, and support conditions. These factors can be controlled and adjusted to some extent only. On the other hand, these deterministic factors are all superimposed by a certain level of randomness owing to the fluctuations of material parameters and the heterogeneous composition of concrete. Nevertheless, the process of cracking and the resulting crack systems have been widely studied during the years, striving to create physically transparent models that could predict the structural behavior with greater accuracy. Considering the importance of flexure and shear failure influences on strength of concrete, percentage of steel and stirrups of RC beam, a finite element (FE) modeling that focuses on crack initiation and pattern is presented in this study. Nonlinear three dimensions finite element analysis (FEA) of RC beam capable of appropriately modeling the concrete stress-strain behavior, tensile cracking, and compressive damage of concrete and indirect modeling of the steel-concrete bond is performed using ABAQUS to investigate the ultimate load, beam displacements, and cracking pattern. The concrete damage plasticity is applied to the numerical model as a distributed plasticity over the whole geometry. The objective of this study is to predict failure and crack development in the concrete model using ABAQUS for static load in M30 grade beam with different reinforcement configurations and results have been compared with the experimented sample.

Purpose: Nowadays, environmental sustainability is a challenge for the enterprises of the whole world. This paper aims to assess the impact of green supply chain management on the environmental performance of Bangladeshi manufacturing firms. Design/methodology/approach: This study is designed to assess the impact of Internal Environmental Management (IEM), Green Purchasing (GrP), Customer Cooperation with Environmental Consideration (CO), Eco-Design (EcD), Investment Recovery (InR), on Environmental Performance of Bangladeshi manufacturing firms and also the relationship between the dependent and independent variables. Statistical analysis has taken place by SPSS, and the elements are the collected data by survey questionnaires from 48 Bangladeshi manufacturing firms of several industrial sectors. Correlation, regression analysis, reliability test, etc. are taken place in data analysis. Findings: In Bangladeshi manufacturing firms at present green purchasing has a standard impact on environmental performance. But the others have a minimum impact on environmental performance where there harms customer co-operation on environmental performance. Research limitations/implications: The study is limited with a little amount of participants. In some cases, there has no proper existence of the full supply chain department. Future studies can be enriched with identifying mediating and moderating relationships, and some other variables like the Cost-effectiveness of GrSCM can be included. This paper can keep an important role in green supply chain management of Bangladeshi manufacturers and the research about this. Practical implication: Collaborative efforts between the Bangladesh government and Bangladeshi manufacturers can establish a gorgeous image in green supply chain management, and the environmental performance can be ensured and enriched. The base of the supply chain also needed to be established fully in Bangladesh. Originality/value: This is the study where the overall situation of green supply chain management of Bangladeshi manufacturers and its impacts on environmental performance has been assessed, and also a maximum industrial sector has been covered as much as possible.

Azanzagarckeana known as Kola of Tula is one of the vulnerable medicinal plant of Tula people in Gombe state, North Eastern Nigeria and are usually collected from the wild. In the present study the photochemical analysis and the antimicrobial activity of the extracts of the steam bark of the plant were investigated. Methanol ethanol, acetone, petroleum ether and water were used as the extrants. Serial extraction using Soxhlet apparatus was used. The result of the study shows that the water extract indicate the presence of carbohydrate and flavonoid in appreciable amount, while the methanol extract showed the presence of flavonoid, cardiacglycoside and alkaloid in an appreciable amount. Tannins, phlobatannin, flavonoid, quinoline alkaloid were detected in the acetone extracts while saponnin and haemolytic activity were seen in appreciable quantities in the ethyl acetate extracts. The petroleum ether extract showed only steroid in an appreciable quantity. Antimicrobial activity was carried out using Disc diffusion method. Nine microorganisms; S. aureus, salmonella typi, E. coli, K. pneumonia, Klebsiella ssp, P. aeroginosa, Shigella dysentriae, Bacllus subtilis and Nissera gonorriea was used for the antimicrobial test. Ampiclox was used as standard reference drug. The antimicrobial activity of the extracts showed that the ethyl acetate extract had the best antimicrobial activities by inhibiting the growth of eight of the test organisms. The methanol and acetone extract inhibited the growth of four microorganisms whereas the water extract inhibited the growth of three organisms. The petroleum ether was the least active extract because it inhibited the growth of only one organism. E. coli, S. aureus and salmonella typhi were the most sensitive organisms because they were susceptible to three organisms each.

Purpose: Quality of the service and effectiveness of service operations system are considered as important aspects of achieving the customers' satisfaction of any service organization. The goal of this research is to see how the quality of inland transportation services affects passenger happiness. The research was exploratory in nature, and factor analysis was utilized to determine the most important elements influencing passenger satisfaction with service quality. Passengers will be disappointed to learn that there is no canteen available. The rest of the launch terminal is in good shape. We also made some suggestions for improvements that would boost passenger happiness. Research methodology: SEM methodology has been extensively employed in research to study the causal links. SEM methodology has grown increasingly common in-service quality measurement study. It is hypothesized that socio-economic as well as launch service factors affect the maritime passenger vessel SQ. Results: This study makes empirical contributions to hospitality and tourism marketing literature especially in the way the ferry service can be upgraded. The results obtained via the definition of fuzzy number and linguistic level together with their membership functions as methods to measure service quality. The results also help the ferry company to better understand how the customers view their services. Limitations: During the data collection phase of this study, some unanticipated issues arose, causing the study to be postponed. The following are some of the issues: The personnel at the launch terminal were not particularly cooperative. Passengers and employees were uncooperative when it came to replying. Due to a time constraint, data for a single day was obtained; nevertheless, for an accurate data result, data for the entire year must be obtained. Contribution: The findings of this investigation will contribute to a better understanding of Launch SQ. The most crucial aspect is that it connects passenger demand to Launch SQ. Individual observations are used to generate the results in this thesis. The identification of key SQ variables that influence overall SQ can surely aid in improving SQ with low resources. The analysis yielded the following recommendations.