Naked eye single tube red cell osmotic fragility test (NESTROFT) is a simple test to screen for thalassemia has been described for use in developing countries. We studied the articles published before regarding the use of NESTROFT in screening Thalassemia and found out the average sensitivity and negative predictive value was 95.94% and 95.33% respectively which indicates NESTROFT is a good screening tool for the beta thalassemia.

During a global crisis, like COVID-19, investors are often uncertain how to decide for their portfolios: Should they hedge or even sell? The purpose of this quantitative, comparative study was to investigate how three different hedging models (HM) perform in comparison. The research question was: what HM with exchange traded funds is most profitable for U.S. stock portfolios? In this study, GARCH (1, 1) models, hedging coefficients, simple moving average (SMA), and t-tests were computed. To sell a portfolio seemed the most profitable strategy during a crisis with (rSMA(24) = 4.37% per month), with $5,000 initial investment during 2000-2019. However, if the investor is indecisive, then a hedge strategy could buy the investor time with (rHedged = 1.87% % per month) during market uncertainties. The paper is relevant for investors and portfolio managers who have to decide hedge or sell a portfolio during a crisis, since an analysis of three different HMs in comparison is provided.

Flavored drinks are substances to be prepared or ready for consumption, including syrups and those containing caffeine. Their specific denomination may be replaced by another, which is either usual or descriptive such as "refreshing drink", "table drink" or "drink made from ..." that allows consumers to know the real nature of the beverage and to distinguish it from others. The quality of these dubious products is still poorly known although in terms of cost, they remain very accessible to any Cameroonian eager to quench their thirst. This experimental study focused on the analysis of the labeling compliance of non-alcoholic and non-carbonated flavored drinks marketed in plastic bags in Douala. This was assessed using an index card based on the codex standard for the labeling of prepackaged foods. A total of 50 samples of these quality requirements defined by Codex Alimentarius standards for drinks were analyzed and the results showed a 53% non-compliance rate. This high rate of non-compliance in pre-packaged food aimed at human consumption calls for a review of sanctions and better control of drinks sold in the streets of Douala.

Physically challenge is the consequence of an impairment that may be physically, cognitive, mental, emotional, development or some combination of these. Objective: The purpose of the present study was to examine the health status, peak expiratory flow (PEF) and flexibility, motor fitness component of physically challenge school boy and compare them. Method: A total of ten (N=10) physically challenged boys was chosen randomly for this study, among them ten (N=10) were orthopedically disabled (OC), ten (N=10) were hearing impaired (HI) and ten (N=10) were visual impaired (VI). BMI, PEF, flexibility, motor fitness component were the criterion measure of this study. Mean SD were calculated as descriptive statistics and significance of inter group difference was analysis by ANOVA only 0.05 level was consider to judge the significance of the study. All the statistical procedure was done by the standard statistical software. Result: Result revealed that significant difference exist (P>0.05) in respect of BMI (F=6.5) among this OH,VI, HI. Mean value of challenged pupil was between WHO, IMCMR standard. Result also showed that significant difference exist (0.05 level) in respect of physiological and motor fitness variables among OC, VI and subjects. All group of the physically challenge boys of 14-16years old had lower health standard in respect of national and international standard in respect. Conclusion: The physical challenged boys of 14 – 16 year old had lower health standard in respect of national and international standard and they are significant difference in physically variables (PEF) and motor fitness variable (Flexibility) and physiological variables among the groups viz. HI,OC AND VI. From the result we revealed that in respect of BMI, physiological and motor fitness variables point of view, I group was more healthy than HI & OC group In respect.

This study aimed to analyze the regional financial management and regional financial systems of the Central Sulawesi regional government. The type of research is a descriptive quantitative study which was carried out in the Regional Organization of Regency/City in Central Sulawesi (OPD). The sample regencies/cities are: 1) Palu City, 2) Buol Regency, 3) Tojo Una-Una Regency, 4) Morowali Regency, 5) Banggai Regency. For each OPD in each regency/city, 3 respondents were chosen, namely the head of OPD, PPTK (Financial Officer) and Treasurer. Research variables are regional financial management and implementation of regional financial information systems. The results of research show that regional financial management in the Central Sulawesi Regional Government has been good, but it still needs improvement in terms of the use of expenditure in shortest time possible and control by the DPRD. The implementation of the regional government financial system in Central Sulawesi was good for all principles, namely efficiency, effective, transparent, accountable, auditable.

The procurement process is an important process in supply chain management as it is the spearhead of the entire process. In carrying out the procurement process, there are often problems with the supplier selection activities. This is because the supplier selection process spends a lot of time and resources collecting data and conducting careful analysis that will affect the entire decision alternative. In making decisions relating to the many criteria and the number of alternative suppliers, it requires an effective and uncomplex assessment technique, but it provides accurate results. A mapping and determination of supplier selection criteria is required as a basis for valuation to obtain a qualified supplier. This study focused on PT. XYZ is a construction company in South Tangerang. Analytical Hierarchy Process (AHP) is used to determine the best supplier; there are 4 variables that are reference in conducting the selection of suppliers, such as: cost, quality, delivery, and service. The result in the selection of the supplier company is cost with a weight of 0.268, quality with a weight of 0.290, delivery with a weighting of 0.248, and the service with a weight of 0.194 where conclusions obtained from the analysis of the selection of the best suppliers and in accordance with the criteria, namely PT. CBL for iron suppliers, PT.SAS for cement suppliers, and PT. Citra BSD for suppliers of natural materials.

Every catheter always represents a port of entry for pathogens. As a result, a catheter-related urinary tract infection can develop (see Liedl 2017, p. 28) which in the worst case leads to urosepsis (see Norsworthy, Pearson 2017, p. 305; Bublak 2016, p. 17).

Introduction: Visual manifestations in pituitary adenoma range from no presenting symptom to visual acuity deterioration to blindness. The presentation of pituitary adenoma is varied. It classically presents with visual field defects, bitemporal hemianopia being the most common Ocular motility disorders in pituitary adenomas are rare presentations. Pituitary adenoma presenting with oculomotor palsies as an initial symptom is very rare, total ophthalmoplegia being the rarest initial presentation. Aim: To report a rare case of pituitary adenoma with cavernous sinus invasion presenting initially with total ophthalmoplegia.

In order to implement REDD+ for the benefit of forest populations, this article studies the potentialities of the management system of the Covimof community forest (Molombo, Okékat and Faékélé Village Community) located in the region of Central Cameroon, part of the Congo Basin. It relates the REDD+ implementation requirements as defined by the international format (reference scenario, non-additionality, leakage and non-permanence) and governance elements in terms of community forestry in order to identify management constraints for REDD+ implementation in a community forestry context. Based on the development of a socioeconomic, political and institutional framework capable of regulating the implementation of this mechanism, the barriers to REDD+ will be highlighted. Based on field surveys and interviews with stakeholders, the main problems of community forestry management have been elucidated. The results show that REDD+ will face a number of problems including benefit sharing, communication between stakeholders, and land tenure.

Acetophenone (1-phenylethan-1-one) reacted with benzaldehyde in the presence of acetic acid, potassium hydroxide, and ethanol on an ice bath for 24 hours via the Claisen-Schmidt condensation reaction giving rise to chalcone (2E-1, 3-diphenylprop-2-en-1-one). On condensation of acetophenone with chlorinated benzaldehyde gives the halogenated derivatives of chalcone. The products were reduced with hydrogen peroxide and nickel reagent to form the epoxide derivatives of the halogenated chalcones (4-chlorochalcone and 4-chlorochalcone epoxide). Structure elucidation of the synthesized compounds was done using elemental analysis, 1H NMR, 13CNMR, FTIR, TLC, and UV/VIS. Synthesized compounds were obtained in high purity and percentage yield. The microbial activity of the synthesized compounds was studied against some test organisms, Candida albican, Staphylococcus aureus, Escherichia coli, and Pseudomonas aeruginosa. Microbial results showed the synthesized compounds were void of antibacterial activity but showed marked activities against Candida albican. Hence are promising molecules in the combat of fungal infections globally.

Parkinson's disease is a neurodegenerative disease with symptoms that affect many aspects of daily life. Aim: This study aimed to assess the effect of exercise guidelines brochure on daily living activities and disease symptoms for patients′ with idiopathic Parkinson’s disease. Research Design: Pre-posttest research design. Sample: Sixty adult patients from both sex their age range between (40-65) years. Setting: The study was conducted in neurology department and its outpatient clinic at Sohag University Hospital. Tools: Two tools were used: first tool interview questionnaire sheet, second tool Unified Parkinson Disease Rating Scale (UPDRS). Results: The present study revealed that there were statistically significant differences between pre and post application of exercises guidelines regarding activities of daily living, and disease symptoms. Conclusion: Exercises guidelines were effective in improving daily living activities and disease symptoms for patients with Parkinson’s disease. Recommendation: Exercise program for Parkinson’s disease patients should be available in the neurology department and outpatient clinic at Sohag University Hospital.

Heavy metals toxicity in fruits is a great concern and there is a need for proper understanding of related mechanism like oxidation state and concentration. Few metals can be removed by elimination activities but others interfere in metabolic processes. These heavy metals can also involve in redox reactions, transferring electrons, basic nucleic acid metabolisms, and also being a vital part of several enzyme. Literature sources point out the releasing of such metals in environment by both anthropogenic and natural means. Ingestion of such metals lead to form stable bio toxic compounds by hindering bio reactions of functions as well as mutilating their structures. It may lead to various disorders and induce free radical formation. This review give detail about toxicity and impact on health. Eco toxicity test in addition to chemical concentration monitoring is very useful tool for examining remediation efficiency of such metals in soil.

Jonson’s The Alchemist is his magnum opus that aims an alchemical magnum opus of characters to expose the gullibility & follies of humankind. T.S Eliot commends by saying “The plot does not hold together, what holds the play together is its unity” alluding to Ben’s classical standards. The magisterium of Ben Jonson is The Alchemist. Being a filius artis, Ben exhibited his exemplary dramatic skills. Ben Jonson is one of the genuine satirists of English literature who follows the Rabelais and Moliere forms. He is noted for his strident criticism of human nature. This is one such play which follows three classical unities. According to Coleridge, “Upon my world, I think, The Oedipus Tyranus, The Alchemist and Tom Jones are the three most perfect plots ever planned.” (Coleridge) Ben Jonson excelled as arcana of professions, carved The Alchemist as a work of imaginative extravagance and moral logic. With his repertoire, Benjamin Jonson emulates a conman with his vast diction filled with the jargons of conmen and the gulls. Jonson tries to satirize the fallibility of his contemporary England. The city of London was the breeding-house of all vices. As a satirist, he obliged to tend those vices and purgate his corrupted city. The present paper tries to unfurl the metaphor in Ben Jonson’s play The Alchemist i.e. ‘alchemy’. Alchemy is the branch of chemistry which deals with the art of transforming baser metals into gold. It is a medieval fantasy which was to gain the Philosopher’s stone which is a Panacea and a key to immortality. Jonson alludes this art to life. Through this play, he himself becomes an Alchemist at the end.

This study aimed at investigating the contributions of cooperative unions towards improvement of peasants’ welfare in Magu and Kwimba districts Mwanza region from 1920s – 2000s. The study has two specific objectives: to identify the benefits of cooperative unions in Mwanza region in Kwimba and Magu district; to identify the challenges of cooperative unions to peasants; in Kwimba and Magu districts. The data for this study were collected from 51 respondents who included 40 peasants, 6 village cooperative union leaders, 2 cotton ginnery managers 1 Regional administrative officer and 2 Nyanza Cooperative Union leaders. Methodology of this study drew on qualitative approach based on different methods of data collection such as interview, questionnaire, focus group discussion and documentary review. The study revealed that, cooperative unions in Mwanza region benefited greatly the peasants including struggling and finally attainment of independence in Tanganyika in collaboration with elite class, provision of education to peasants and supplying of agricultural inputs to peasants. However cooperative unions in Mwanza region from 1920s to 2000s are facing various challenges which include privatization policy under globalization which has left peasants frustrated without a special organization to chain their problems. Currently, Private companies have dominated the peasant market for their agricultural produce without granting them subside. The study recommended that, the government should grant peasants with subsidies and prepare an enabling environment for peasants to acquire inputs on reasonable credit. Nyanza cooperative union and other cooperative unions in Tanzania should be re- established and introduce farm class for peasants. Further studies should be conducted to reveal the contribution of private companies towards improving peasant’s welfare in today’s world of globalization.

This research is a qualitative research with the aim of analyzing the strategy of improving the quality of lecturers of Islamic Religious Education study programs in Kopertais Region 1 DKI Jakarta with the Interpretive Structural Model (ISM) approach. Some of the elements that are the focus of this study include the main obstacles, program objectives, and related institutions. And the results of the study show: First, the main obstacle element. The thing that needs to be prioritized to be improved is the promotion of the functional description of the academic lecturers of Islamic Religious Education and research and community service activities. Second, the element of program objectives. Namely formulating a program of achievement for Islamic Religious Education lecturers who are professional, accomplished and certified. Third, the related institutional elements. From each institution which has authority to improve the quality of lecturers of Islamic Religious Education, they can work together.