To evaluate the effect of exams period on prevalence of myofascial trigger points in the neck in secondary school students. 120 secondary school students with the age of 12-18 years were palpated for MTrP in the upper trapezius, Sternocledoimastoid and levetor scapulae muscles with ordinal ranking (0= no finding,1=tight band, 2=latent MTrP,3= active MTrP). During the semester session and exam session. Pain intensity was measured on Numerical rating Scale scoring from 0 to 10. Participants showed higher prevalence of Myofascial Trigger Point in both Right and Left Upper Trapezius. Greater prevalence of MTrP in Right Sternocleidomastoid in comparison with Left Sternocleidomastoid. Levetor scapulae also showed greater prevalence on Right muscle than on the Left muscle. Students showed higher number of myofascial trigger point in the neck during exam session. It recommended that to minimize the formation of Myofascial Trigger point preventive measures should be taken in exam period.

Background: Fever is a common medical problem among children that always prompts mothers to seek medical care. Aim: To evaluate the effect of educational protocol for improving mothers’ practices on the types of fever in Zagazig City. Design: A quasi-experimental research design [pretest -posttest] was used. Setting: At Chiba MCH center, in Zagzig City. Sample: A purposive sample consisted of 96 mothers were chosen according to inclusion criteria. Tools: Three tools were used; Interview Questionnaire sheet, the mothers’ knowledge of fever, and mothers’ practice in management of their febrile child. Results: Showed that about 33.33% of the mothers aged between 35 and 40 years, about 72.91% of them were married, nearly 64.58% of them had work. Also, about 63.54% of them reported that they were from rural areas. Also, there were statistically significant totally improvements in the mothers' knowledge and practices regarding the focused problem at (p<0.001) in the post-protocol phase. There were highly statistically significant positive correlation between mothers’ total knowledge and practices pre and post-protocol (r =0.802, and 0.617) respectively. Conclusion: The applying of educational protocol among mothers was effective in enhancing their knowledge, and practices regarding types of fever and their management. Recommendation: Further educational protocols in the pediatric clinics or via mass media for mothers about fever should be implemented.

Initial assessment of total hip replacement surgery at 7A Military Hospital. Subjects and research methods: A cross-sectional descriptive study, conducted from 3/2014 - 4/2018 on 47 patients with a total of 52 total hip joints (THJ) were replaced at 7A Military Hospital. Result: The average time of surgery was 91.92 ± 15,847 minutes. The average length of treatment: 15.5 ± 4,948 days. Evaluation by HARRIS score: Very good + good: 96.2%, Average + poor 3.8%. Complications: Superficial Infections on incision 1.9%, dislocated joints 1.9%, loose stem 1.9%, no serious complications. Conclusion: Total hip joint replacement to treat osteoarthritis, aseptic necrosis of femoral head, femoral neck fracture is an effective treatment, restoring the patients' joint movement function, and with low complication rate.

Present study was carried out on adult Swiss albino mice of both sex, consisting of six groups with six mice in each group to find out additive analgesic effect of Hydro-alcoholic extract of Ginger with Paracetamol and also to find out additive analgesic effect of Hydro-alcoholic extract of Ginger with Ibuprofen by hot plate and tail flick methods. These six groups were, Groups-A paracetamol, group-B was Ibuprofen, group-C was distilled water, group-D (Hydro-alcoholic extract of Ginger, group-E (Paracetamol + Hydro-alcoholic extract of Ginger), and group-F (Ibuprofen + Hydro-alcoholic extract of Ginger). We find that Paracetamol, ibuprofen has analgesic effect of their own on mice but we did not find any significant analgesic effect of Ginger on mice in singly or additive analgesic effect in combination with ibuprofen or paracetamol. So, we may conclude that Ginger has no additive analgesic effect and no analgesic effect on single use also.

Introduction: Chronic kidney disease (CKD) is one of the most common non communicable diseases throughout the world. According to the data of Bangladesh Renal Registry almost twenty millions of Bangladeshi adults are suffering from various stages of CKD. Many of these CKD patients ultimately developed ESRD when life is not sustainable unless renal replacement therapy is initiated. Objective: The purpose of the present study was to estimate the rates of infections and clinical and microbiological evaluation of bloodstream infections in patients undergoing maintenance hemodialysis. Methods: This cross sectional study was conducted from January 2014 to December 2015 for a period of 2(two) years in the Department of Nephrology at Bangabandhu Sheikh Mujib Medical University, Dhaka. All adult patients underwent hemodialysis of both sexes fulfilling the inclusion and exclusion criteria were included in the study. Then each patient was evaluated during each hemodialysis session for the (1) presence of bloodstream infection (BSI) using CDC (Centre for disease control) case definitions by blood cultures (Two samples were sent for cultures one from peripheral veins and another from vascular access either from fistula or from central venous catheter) and (2) clinical features. Result: The mean age of the patients were 38.26 (15.26) years. In this present study male (71.7%) are predominant than female (28.3%). Maximum (51.7%) patients were under weight. In this study 50 (83.3%) patients had anemia. Mean (SD) WBC, Hb, S. uric acid, FPG, Plasma glucose 2h ABF, HbA1C, S. total protein and S. albumin were 14415 (4000) count/cmm, 9.61 (1.62) g/dl, 417.67 (100.87) µmol/l, 5.37 (1.18) mmol/l, 7.27 (2.18) mmol/l, 6.42 % (0.68), 62.71 (5.82) g/l and 28.97 (4.99) g/l respectively. Out of 46 AV fistula cases, culture was positive in vein 8 (13.3%) cases and in fistula 5 (10.8%) cases. Out of 11 permanent CV catheter cases, culture was positive in vein 6 (54.5%) cases and in catheter

Background: Dengue virus infection (DI) is an important health problem in many Southeast Asian countries. In recent years, several epidemics of DI have been reported from India. Liver involvement is known to occur in children with DI. The degree of liver dysfunction in children with DI varies from mild injury with elevation of transaminase activity to severe injury with jaundice; a few patients have presented with a clinical illness resembling liver failure. The severity of liver dysfunction varies according to the type of clinical presentation of DI, and is more common in patients with complicated dengue. Materials and methods: This is a prospective, cross-sectional, hospital-based study was carried out in the Department of Pathology at Tertiary Care Teaching Hospital over a period of 1 year. Clinical examinations were performed by a physician on each study participant. Demographic variables, as it has been published in previous work, and clinical profiles of study participants were collected by nurses using the structured questionnaire. The diagnosis of dengue was made based on positive enzyme-linked immunosorbent assay result for specific IgM antibody for dengue in serum. Result: When compared to dengue-negative cases, dengue-positive cases had thrombocytopenia, leucopenia, erythrocytosis, high hemoconcentration, low mean corpuscular hemoglobin (MCH), and mean corpuscular hemoglobin concentration (MCHC). However, binary logistic regression predicted platelet count, total leucocytecount, MCH, MCHC, neutrophil count and lymphocytecountas significant predictors of dengue positivity. Conclusion: In conclusion, liver injury is nearly universal in adult patients with DI. Though liver involvement is asymptomatic in a large majority, in some patients it leads to clinical manifestations of liver disease and may occasionally lead to acute liver failure and death. Care must be taken to not make a mistaken diagnosis of viral hepatitis. Further studies are needed to define the mechanisms of liver injury due to this infection.

Now day’s children are more likely to use smartphones. They would like to use smartphones more than a textbook. They use smartphones for playing various games and watch the cartoon as well as funny videos and movies also. The addiction to using smartphones through children is increasing day by day. Maximum parents now want to teach their children via smartphones. In that case, they try to find various learning apps and games. From that sense, we decide to make a child learning apps by using Augmented Reality & Virtual Reality. AR & VR is the most powerful way of interaction nowadays. On AR apps we design an alphabets book for the children according to our survey report and we make an android app using unity 3D. When a child opens the apps, then the phone camera will open. And if the child holds the camera in any picture of the book, then the smartphone will tell the name of the alphabet and also tell a word with that particular word and will show a 3D visual model of the object on the mobile display. And on the VR apps, we design some 3d environments according to our survey. Inside the environment, there will some alphabets in some fixed placed according to sequence and the child has to collect them by walking inside the environment. When he/she pick any alphabet than the apps will tell the name of the alphabet.

Entrepreneurship in Mexico is a trigger for the national economy, universities seek to generate the conditions so that their students have the necessary preparation and are able to start a company, generate jobs and participate in the generation of the Gross Domestic Product (GDP) of the country. However, not only does academic training generate the platform for the development of companies, but they interfere with a series of circumstances that arise in this research. The present study seeks to determine the conditions that are presented in university students to undertake, their characteristics and how they perceive the benefits for that process. It is important to note that 60% of students of all levels are willing to start a business and agrees that the same percentage has a history of entrepreneurship in their family, for this reason it can be considered that the family is an important influence on the choice career in business areas; passion is another aspect that is present in entrepreneurial students and the type of business they seek to generate is innovative. As for the benefits that are visualized as entrepreneurs, economic freedom stands out and being their own boss. To start a business, they consider that financing issues are the most important, followed by training and professional preparation.

Barley (Hordeum vulgare L.). Sprouting has been used to improve the nutritional value of grains. The main objective of this study was to analyze the Physical analysis (pH, Acidity, TSS, Sensory Attributes, Color, Flavor, Taste) analysis of Lemon Barley RTD. Fine powder of barley Haider-93 utilized with combination of Sprouted barley powder to develop Lemon (RTD).Sensory evaluation of product was done on nine point hedonic scales. The product was packed in PET bottles and was evaluated for 90 days storage. Data was evaluated statistically and were interpreted.

This study examined the effect of supervision on employee productivity in the transport industry in Benue State, Nigeria with focus on Benue Links Nigeria Limited, Makurdi. The study specifically examined the effect of authoritarian supervision, companionable supervision and synergistic supervision on employee productivity in Benue Links Nigeria Limited, Makurdi. Three hypotheses were formulated in line with the objectives. The study used a population of 202 staff of the company and a census sampling technique was adopted for the study. The study adopted a survey research design and questionnaire was employed as the instrument of data collection. Multiple regression analysis was used for data analysis and test of formulated hypotheses using the Statistical Package for Social Sciences (SPSS version 21). Findings of the study revealed that there is significant effect of authoritarian supervision on employee productivity in Benue Links Nigeria Limited, Makurdi. The study also indicated that companionable supervision and synergistic supervision have positive significant effect on employee productivity in Benue Links Nigeria Limited, Makurdi. The study concluded that supervision is indispensable in achieving quality and timely service delivery in the transport sector. It recommended amongst others that employees of Benue Links Nigeria Limited and other transport companies should be intimated of the necessity of supervision so that they avail themselves the benefits of supervision in improving their productivity and supervisors in the road transport industry should not be interested in finding faults of employees but more importantly, dialogue with employees to identify their strengths and weaknesses in order to improve on their professional knowledge, skills and experiences.

Blood glucose and glycosylated haemoglobin are the two vital biochemical tests widely prescribed for the therapeutic management of diabetes and require different anticoagulants during specimen collection. If both tests can be performed using single vacutainer, it reduces the laboratory costs at a larger scale and facilitates timely intervention. The anticoagulants NaF/Na2 EDTA and K2 EDTA are used conventionally for blood glucose and HbA1c estimations respectively for specimen collection. In the current study we have investigated whether NAF/Na2 EDTA can be used for HbA1c assay without the need of separate vacutainer i.e.K2EDTA. A total of 125 subjects (25 non-diabetic and 100 diabetic) were enrolled for this study. Parallel samples were collected in NaF/Na2 EDTA and K2 EDTA to compare HbA1c levels in both the anticoagulants. The stability of HbA1c was elucidated in both anticoagulants till 72hrs of collection. The HbA1c levels in both anticoagulants showed excellent correlation (R2: 0.998). Bland and Altman analysis revealed that the bias between methods is -0.22 to +0.22%. The changes in HbA1c levels were unaltered till 72 hrs of collection in NaF/Na2EDTA and K2EDTA (mean SD: 0.066 vs. 0.058; %CV: 0.94 vs. 0.81). These results conclude that the same vacutainer used for glucose estimation can be used even for HbA1c till 72 hr of collection thus preventing the need of second sampling specifically in monitoring diabetic control. This study emphasized that a single vacutainer of NaF/Na2EDTA can be used safely for both glucose and HbA1c assays.

Candida continues to be leading cause of morbidity and mortality in large population of immunocompromised and hospitalized patients. Invasive Candidiasis due to non-albicans candida has been on the rise in last few years. Incidence rates vary geographically, often because of different patient populations studied. The present study was conducted to find out the species distribution and antifungal susceptibility of Candida species from different sources and patient population of our tertiary care hospital. A total of 103 Candida species were isolated from the different clinical specimens of suspected candida infection cases, In this study, it was observed that candidiasis can occur at all ages and in both sexes. 82 (79.6%) isolates were obtained from cases admitted in different inpatient departments of which 51 (49.5%) accounted for isolates from various ICUs mainly NICU. Most of the isolates obtained were from urine samples (44.6%) followed by blood (34.9%). Non albicans Candida were isolated at a higher rate (52.8%) than Candida albicans (47.5%). Among all species of Candida commonest isolate was C. albicans (47.5%) followed by C. tropicalis (26.21%). Overall high suceptibility to voriconazole and Amphotericin B (99.03%). This study emphasizes the need for monitoring local epidemiologic data and antifungal susceptibility pattern of candida isolates for proper treatment.

Helicobacter pylori (H. pylori) is a gram negative bacterium that naturally colonizes the gastric epithelium, which causes chronic gastritis and peptic ulcer disease. Recent studies have shown that it may interfere with many biological processes and influence the occurrence of many diseases outside the stomach. Many studies have proposed a link between H. pylori infection and atherosclerosis. Atherogenic Index of Plasma (AIP) has been considered as a strong marker to predict the risk of atherosclerosis. The present study was done to assess the correlation between AIP and other lipid indices with H. pylori infection. The study comprised of 50 biopsy proven H. pylori cases and 50 age-sex matched controls. Blood samples were collected in fasting state and analyzed for total cholesterol (TC), triglycerides (TG), HDL-cholesterol (HDL) and LDL-cholesterol and the lipid indices were calculated. Lipid indices like AIP, CRI 1 & 2 & AC were significantly higher in H. pylori infected cases compared to controls. Hence these lipid indices can be used for identifying individuals at higher risk of cardiovascular diseases in H. pylori infected patients.

CHKV is a re-emerging arboviral disease. Increase incidence is seen in many parts of India. This study was done to see the trends over a period of 10years. A total of 3676 samples were studied. Their demographic data and CHIK antibody detection was detected. This data was analyzed in 2 half’s of 5 years each. Over 10 years, 368 were positive for CHIK IgM ELSIA. Majority were females. Age group affected was middle age. Over the 10 years the disease was seen in all seasons of the year. There were no deaths seen due to CHKV infection. CHKV infection has high morbidity but is a self limiting disease and vector control is the only prevention.

In this modern world, with continuous rise of vehicle ownership and usage, parking space has become a big challenge in companies, institutions and major cities as a whole. Research is on-going in this area to help solve this ubiquitous problem by the use of smart parking systems. Currently, extensive use of wireless technology applications to help solve the parking issue shows that digital data dissemination is the way to go. Infra-red (IR) technology which is a Wireless Sensor technology has attracted increased attention over the years due to its enormous application potential in diverse fields and also its potential of been an efficient and cost-effective alternative solution. This paper proposes an Authorized car parking alert system which provides advanced features like remote parking monitoring and parking reservation mechanism. The authorised car parking alert system is a typical internet of things (IoT) application that is developed using IR technology to provide services to users and parking owners of a smart institution and city. The paper describes the overall system design to implementation in the view point of sensor networks. Consideration is made of a smart parking infrastructure where sensors are laid down on the parking spots to detect car presence and IR readers are embedded into parking slot to identify cars and help in the arrangement of the parking area. Devices are endowed with wireless communication capabilities for reporting to the ground where the situation recognition is performed and also prevent unauthorized cars from entering or parking at any unassigned area.