Introduction: Eclampsia, a major neurological complication of pre-eclampsia, is defined by a convulsive manifestation and /or consciousness disorder occurring in a preeclampsia context and cannot be attributed to a pre-existing neurological problem. Pre eclampsia is a leading cause of maternal morbidity and mortality. Substandard care is often present and many deaths are preventable. The severity of this pathology is correlated with visceral neurological, renal, hepatic and / or hematological involvement. Objective: To study the peculiarities of anesthesia-resuscitation and the prognostic factors of morbidity and mortality of eclampsia in the intensive care unit of the Anaesthesiology Dept. Cumilla Medical College, Cumilla, Bangladesh. Materials and Methods: All patients admitted to resuscitation for management of eclampsia from 1 January to 31 December 2018 were included. We studied the clinical, therapeutic, evolutionary and prognostic factors of morbidity and mortality. Results: We collected 51 cases of eclampsia for 5000 deliveries in the study (incidence of 1%). The average age of the patients was 22.23 years. Primiparity was found in 28 patients (54.9%). Antenatal consultations were effective in 4 patients (7.8%). Consciousness was clear at admission in 42 patients (82.36%) and for one patient a Glasgow score < 8 was reported (1.96%). Severe hypertension was observed in 27.4% of cases. A ventilation intubation of 03 days was required in one patient in 1.9% of cases. Caesarean was the mode of delivery in 56.8% of cases and vaginal delivery was performed in 43% of cases. General anesthesia was doing in 20 patients (68.9%) and spinal anesthesia was performed in 9 patients (31%). Maternal complications were represented by: Postpartum acute renal failure (13.7%), Hellp syndrome (11.7%), and coagulopathy (15.6%). Prematurity was found in 14 neonates (13.7%), perinatal mortality was 9.8% and the maternal mortality rate was 5.8%. Conclusion: Eclampsia is still responsible for high maternal and infant mortality. The association of two or even more serious factors is very important in this mortality.

The purpose of this paper is to analyze the form of professional services in order to meet human needs, according to the paradigm trying to be replaced by artificial intelligence. Several attempts were made by experts to create a tool or robot to help human activities including helping to provide health and nursing services, but can technology replace, That nursing sees humans as a whole, it requires a professional attitude and caring with attention, while humans have hope and efforts to achieve meaning in life, especially when feeling pain, becomes a challenge in the future that one day technology is able to provide direction for patients who because of their illness experience the process of losing.

This study has investigated the antidiabetic potential of the extracts of Diodia sarmentosa (Rubiaceae) leaves on alloxan induced diabetic Wistar rats. The leaves are used to treat diabetes and various other disease conditions in traditional medicine. In this study, the leaves were air-dried and pulverized. A 1kg of the powdered leaves was extracted by maceration with n-hexane, chloroform and 70% methanol successively for three consecutive days, respectively. Phytochemical screening was conducted on the leaves using standard methods. Acute toxicity test was conducted on the rats by the Lorke’s method. Diabetes was induced by the intraperitoneal injection of 120mg/kg body weight of alloxan monohydrate to the rats. Results of the phytochemical screening showed the presence of cardiac glycosides, saponins, tannins, triterpenoids and carbohydrates. The acute toxicity test indicated the plant to be safe since no fatality was recorded on the rats even at the dose of 5000mg/kg body weight. The n-hexane extract produced a peak significant (p<0.05) reduction of 75.3% in the blood glucose levels of the rats at day 7, comparable to 82.38% reduction by the control drug, glibenclamide. The chloroform and aqueous methanol extracts did not exhibit significant reductions in blood glucose levels. This study suggests that the n-hexane extract of D. sarmentosa leaves possesses significant (p<0.05) antidiabetic activity. This tends to justify its use in ethnomedicine for the management of diabetes and its related conditions.

Veneer is broadly used in the aesthetic dentistry to create a beautiful smile by covering the surface of the teeth. Veneer can be customized and is made of ceramic or composite. Veneer is not a good choice for people with unhealthy teeth. The main aim of this study is to elucidate the societal awareness about Veneer in Saudi Arabia. A total of 817 people residing in Saudi Arabia participated in this study. The Elucidation of Societal Awareness about Veneer among the adult Saudi Population was done using a questionnaire. This questionnaire included 20 questions related to both demographic data and awareness about Veneer. The Saudi population depend on the social media and the information that is available online for all the information related to veneer. A moderate percentage (53.1%) of the participants have knowledge about Veneer, its advantages and disadvantages over other aesthetic dentistry, its care and ways to enhance its lifetime.

Objective: The present study is aimed to evaluate an antidiabetic herbal tablet containing Oryza sativa L. var Joha Rice, Dillenia indica and Syzygium cumini Lam. of Assam. Material & Methods: The plants materials were obtained from local area and authenticated by botanist and extracted using solvent ethanol using soxlet apparatus. The poly herbal tablet is prepared using plant extracts with excipients by granulation method. The anti diabetic study of the herbal tablets were done in streptozotocin induced diabetic rats. Results: In our study we found that best two herbal tablet formulations in doses (250mg/kg, 500 mg/kg) significantly lowered the fasting blood glucose levels in rats compared to control group. Moreover, the effect continued to sustain after withdrawal of drug treatment. Similarly, these tablet formulations found to improve lipid profiles (TG, HDL, LDS, VLDL, TC) and serum creatinine level and body weight. Conclusion: It can be concluded that the prepared formulation of poly herbal antidiabetic tablets showed very good antidiabetic activity in animal studies. By further, clinical studies, we can prepare a cost effective herbal formulation for diabetes.

This study was conducted to examine the effect of corporate social responsibility on tax aggressiveness and its impact on financial performance. The sample in this study is mining companies listed on the Indonesia Stock Exchange in the 2012-2017 period. The sampling technique used in this study was purposive sampling, where in the purposive sampling sample the mining companies were selected. The analysis technique used is multiple regression analysis. The results showed that corporate social responsibility did not have a significant effect on tax avoidance, tax avoidance had a significant effect in the opposite direction on financial performance and corporate social responsibility had no significant effect on financial performance.

A study was carried out on forty four problem breeder cows to evaluate the therapeutic efficacy of GnRH and PGF2α for estrus induction response, time elapsed between treatment to estrus induction interval and conception rate and its effect on biochemical profile. Thirteen true anestrus cows were treated with GnRH (Inj. Receptal, 2.5 ml, IM, once), twenty three subestrus cows were treated with PGF2α (PGF2α, Inj. Estrumet, 2 ml, IM, once) and eight animals kept as untreated anestrus control. The estrus induction response, treatment to estrus induction interval, overall conception rate and service per conception in GnRH treated, PGF2α treated and positive control cows were 84.62%, 28.27±6.46 days, 72.73%, 3.13; 91.30%, 3.52±0.46 days, 71.43%, 2.53 and 50%, 48.25±10.8 days, 50%, 3.5 respectively. The plasma P4 level was significantly lower in all three groups as compared to other two periodic values (d-0 & d-20-22 post AI) which were due to luteal demise. The mean serum total protein was significantly (p<0.05) lower in untreated anestrus (8.57±0.36 g/dl) as compared to GnRH (9.75±0.28 g/dl) and PGF2α (9.62±0.31 g/dl) treated cows. However, Total cholesterol was numerically lowest in control cows than those of treated contemporaries but did not differ significantly (168.22±17.22; 208.46±14.71; 163.84±10.64 mg/dl; in GnRH, PGF2α and control group respectively, p<0.05). The Macro (Ca, P and Mg) and micro minerals (Zn, Fe, Cu, Co, and Mn) did not differ significantly among different groups. In conclusion, anestrus and subestrus cows can be well managed with GnRH and PGF2α therapy. The normal hormonal and biochemical milieu is essential for normal functioning of reproductive system.

Vitamin is an organic molecule or chemical compounds that is an important micronutrient which is required to act properly in limited amounts for the digestion of the organism. Vitamins are either water-soluble or fat-soluble. Many vitamins do not exist in individual molecules, but belong to similar classes known as vitamers. The multiple functions of vitamin A are essential for growth and development, immune system maintenance and good vision. This vitamin is essential for proper vision by incorporating retinal molecules that absorb light and work during dim light and color differentiation. Due to the unusual role of the retinal as a visual chromophore, vision loss, especially in reduced light. Vitamin D belongs to a class of fat-soluble secosteroids that enhance the absorption of calcium, magnesium and phosphate by the lower intestine and other biological effects. Diet vitamin D is biologically inactive or derived from the synthesis of the skin. Vitamin D controls calcium homeostasis and its metabolism. Vitamin E is a fat-soluble antioxidant that inhibits reactive oxygen species from cell membrane protection. Several biological roles have been postulated, including a fat-soluble antioxidant. Vitamin E serves as a radical scavenger and supplies free radicals with hydrogen (H) atoms. Vitamin K refers to fat-soluble vitamins present in fruit and sold for structurally similar dietary products. For the modulation of certain blood-coagulation proteins or the control of calcium binding in bones and other tissues, the human body requires vitamin K.

Poly cystic ovary syndrome (PCOS) is a complex endocrine disorder prevailing among women of reproductive age, specifically high in teenage girls and has become the most accepted cause of menstrual irregularities and infertility among them. In a study by Parthap et al., 2018, at Department of Gynaecology, Vinayaka Missions Kirupanada variyer Medical College, Salem, India, it was found that, there were 100 patients who had confirmed diagnosis of PCOS. It has also been observed that medication create side effects in young women. Therefore, it was thought to explore an alternative approach for disease detection, prevention or treatment for PCOS with the help of bioinformatics. Bioinformatics is an expanding field of science involving biology, computer science and mathematics. It is growing in every field of life science including molecular sciences, biotechnology, medicine, agriculture and more. Genetic information stored in the bioinformatics tools can be used to develop personal medicine. In an another study, it is said that although the genetics and mechanism of PCOS are not yet understood, the computational tools may be helpful in finding the cause of this syndrome and this will also help in prevention of the disease. In the present study, the gene and genome sequences responsible for causing PCOS have been identified using bioinformatics tools like BLAST, PDB, NCBI. This will help to prevent the disease by genetic manipulations. Finally, the primers have been designed using primer designing tools in NCBI which can be further used for the treatment of the disease by manipulating the identified gene through polymerase chain reaction.

Abdominal arterial branching pattern have given attention to researchers because of their significance. The variations in branching pattern of hepatic artery, supplies liver are documented by many authors. But still there are much variations present which are not classified. The aim of present study was to aid the knowledge of variation in the hepatic artery for surgeons and radiologists. For this study, scientific literature from PubMed was carried out from year 2005 to 2020 for the articles having anatomical variations of the hepatic artery in all publications. The relevant articles were also studied. Out of 2173 cases, 1500 (69.02 %) showed type I normal pattern. 37 (1.70 %) cases displayed type II: a replaced LHA from left gastric artery. Type III: a replaced RHA from SMA was observed in 158 (7.27%) cases. Type IV: replaced RHA and LHA were observed in 4 (0.18 %) cases.136 (6.25%) cases displayed type V: an accessory LHA. 7(0.32 %) of the subjects were found to have type VI: an accessory RHA. Type VII: accessory RHA and LHA. Type VIII: a replaced RHA or LHA with other hepatic artery being an accessory one were not found. Type IX: the hepatic trunk as a branch of the SMA were 14 (0.64 %). 1(0.04%) was found in type X: the CHA from the left gastric artery. Variations in hepatic arterial pattern are useful for various surgical procedures like hepatobiliary, pancreatic, gastric surgery and radiological interventions. Accidental ligation or injury to these vessels may interrupt the blood supply.

The introduction of ideological and political ideas into university education is an important measure to clarify the goal of China's education development, recognize the inherent laws of education, clarify the characteristics and significance of China's education, and innovate the means of education. As an important foreign language course in universities, English intensive reading courses should constantly explore effective ways to combine foreign language with ideology and politics. This study mainly adopts the way of building teaching plan model, which will focused on the design of teaching plan, the unit theme, group tasks, autonomous learning, evaluation system, and other aspects. There is still much room for thinking and improving on how to construct "foreign language with ideological and political education" under the framework of "implicit ideological and political education".

The purpose of the study was to investigate the relationship between budget adequacy and student enrolment in TVET institutions in Bungoma County, in Kenya. Proportionate stratified sampling, Census and simple random sampling were used to select a sample size of 426 respondents. Data was collected using questionnaires and document analysis. The items from the main questionnaire were organised according to the specific research objectives. Data was analyzed was done using descriptive statistics, Pearson correlation and Linear regression. The study established that budget adequacy has a statistically significant relationship with student enrolment and recommended that government and other relevant stakeholders make adequate budget allocation to TVET institutions for institutional resource in order to increase student enrolment .Additionally TVET institutions should be empowered to engage in income generating activities without losing focus on their core mandate.

The coronavirus disease 19 (COVID-19) pandemic is unique and unprecedented in several aspects and has challenged health care systems. It is a worldwide epidemic that creates panic all over the world. So this is a very critical time. This the time to mainstreaming the AYUSH systems to transform Indian healthcare and demonstrate the potential of AYUSH systems in addressing the challenge and restoring health. In India, the world's oldest existing health care system originated. Therefore, it is carefully watched by the world community for how it handles the crisis using its resources. Ayurveda has enough potential and possibilities to be employed both for the prevention and treatment of COVID-19. Charaka Samhita, an essential classical textbook of Ayurveda, describes Janpadiwansa (epidemic) management and defines immunity as the ability to prevent disease. Through Yoga, Meditation, Aasana, Pranayama, we can strengthen our immune system, including our Pranavaha Srotas, our respiratory system. The clapping sound is a kind of Marma therapy & Music therapy. Various Rasayana medicines are used for rejuvenation & improving immunity in Ayurveda. Rising tolls of COVID-19 positive cases and deaths possibly raise anxiety and stress, while depressive and loneliness feelings are likely due to mandatory social distancing measures. Ayurvedic herbs i.e., Ashwagandha, Guduchi, Yasthimadhu, Pippali proved to be beneficial to help fight against the virus. Several steps for mental health are described, which have a potential role in engaging the community in creating a more positive, healthy environment.

In order to implement the fundamental task of morality education in China, the teaching team of New Standard College English Integrated Course 3 in NCEPU (Baoding) carries out a research on the construction of “ideological-political curriculum” under the guidance of PBL. The teaching team probes into the methods of integrating the ideological and political elements into the teaching objectives, and designs the teaching activities and evaluates teaching effect accordingly so as to provide reference for the ideological and political construction of other College English courses in China.

It is often said that personnel management is the livewire of every organization. This assertion is evidently true and has full expression in the Nigeria’s private sector that is structured for maximum productivity. This accounts for the massive improvement in the service delivery currently witnessed in the private sector. But unfortunately, the opposite is the case in the public sector where productivity and efficient service delivery is almost none existence. The reason for this abysmal performance of public servants is still a matter of scholarly debate. Some argue that the absence of employee motivation and poor personnel management were responsible for the deep-rooted unproductive and inefficiency evident in the public service. In order to provide satisfactory explanations to why most Nigerian public servants fail to bring innovation and creativity to their jobs, at least an understanding of their work condition and welfare packages is necessary. It has been acknowledged therefore that most workers in Nigeria only commits to their jobs just for their daily survival and never dedicated to making meaningful impact in the society. This is partly because of poor personnel management system and lack of motivation. Despite the fact that rewards and incentives are found to stimulate innovation, creativity and productivity amongst workers, however, it is regrettable that the management structures in the Nigerian workspace particularly in government establishments have not been able to integrate the employee motivation schemes into the public service. The paper therefore seeks to dialectically analyze the deficiencies inherent in Nigeria’s public service, using the “university employees” as the basis for understanding the linkages between staff motivation and productivity. In addition, the paper argues that Nigeria’s public service including the university system since inception is conspicuously underperforming in terms of quality service delivery, innovation and creativity. Drawing from the Vroom’s Expectancy Theory of motivation and qualitative analytical techniques, the paper concludes that the university employees are highly unlikely to put in their best at work except the authorities adopts both the intrinsic and extrinsic approaches to personnel management, which could potentially motivate employees for outstanding creative performances.