Youngsters are the future of the world, but their growth is affected by various social trends of thought and new media. Destructive Cults use the "broken windows theory" to do great harm to teenagers. In this paper, through the analysis of the realistic challenges of youth education, destructive cults use "broken windows effect" poisoning youngsters and so on, to illustrate its huge harm and adverse effects of destructive cults; based on the "broken windows theory" destructive cults prevention and control, the researchers put forward corresponding countermeasures and suggestions from the national social level and the individual level of young people, especially for youth training, education and guidance.

Background: Histoid leprosy (HL) cases are a reservoir of disease as it is a rare variant of lepromatous leprosy lead to further spread of leprosy. Therefore, early diagnosis and management of these cases needed to edadicate leprosy. The main objective of our present case series is to show different clinical features, histology findings and bacteriological findings in patients who attended tertiary care hospital outpatient department over last 6 years. Methods: It is a retrospective 6 year study (January 2014-January 2019). Particular of patients were obtained and clinical findings are noted in histoid leprosy patients in Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan (India). Results: In this study, there were 7 cases of HL. All cases were males in the age group ranging from 30 to 65 years with shorter duration of illness. 3 patients (42.80%) were de novo cases of HL. Nodule (71.5%) were the commonest skin lesions while arm (78%) were the most common sites involved.Earlobe infiltration was seen in 2 cases (28.5%). Lepra reactions were seen in one (14.2%) cases. No Deformity/disability were noted. Most common nerve involved was ulnar nerve. The bacteriological index (B.I) of Histoid leprosy, +3/ +4 were mainly seen in borderline leprosy (BB, BL), B.I +1/ +2 mainly in borderline tuberculoid (BT) leprosy. Conclusion: In this study majority of cases were de novo three out of seven.It also develop in patient who took inadequate or irregular treatment. So, early detection of Histoid Hansen is needed for awareness and to eradicate leprosy

The water forms an important component of our body and is essential for life. Water is involved in every bodily function from digestion and circulation through to the control of body temperature and the excretion of waste products. It plays an important role in body homeostasis. If there is an excess loss of water then it adversely affects various oral and surrounding structures. Water loss is temporary and can be easily replenished.

Background: The coexistence of primary hyperparathyroidism (PHPT) and thyroid disease (TD) is a well-known entity. The aim of our study is to report our experience, to evaluate the prevalence of this association with review of the literature. Methods: We retrospectively examined the operative database over the past 03 years. We looked for patients who underwent parathyroid surgery. All patients underwent preoperative neck US and Tc99m sestamibi scintigraphy and /or CT scan or MRI. Results: Among the 43 patients who underwent a parathyroidectomy. Preoperative thyroid US revealed that 62, 79 % of patients with PHPT had thyroid abnormalities. 58, 14 % patients underwent parathyroidectomy, whereas 41, 86 % patients underwent both parathyroidectomy and thyroidectomy. Postoperative histopathology results showed that 62.96% of patients had benign thyroid disease and 3.70 % of patients had malignant thyroid disease. Conclusion: In our study, we found a high prevalence of concomitant thyroid disease and PHP T. however, one patient had a micro papillary carcinoma and that emphasize the importance of careful judgment to avoid over-treatment

A geriatric patient is prone to a number of oral health problems like loss of teeth, xerostomia, mucosal alterations and others. The oral functions need to be restored. Prosthesis like RPD, FPD, CD can be used for restoring oral functions. However, all these require maintenance and care. This article deals with various techniques for oral health care in elderly and also emphasizes on the need for oral health education to the elderly population.

Grab is a ride-hailing platform that offers booking service for taxis, private cars, and motorbikes in South East Asia, including Indonesia. In Indonesia, Grab was ranked second largest, after Go-Jek. Both of them experience very tight company competition, both in offering affordable prices and offering the latest services and features. This study aims to examine and analyze the influence of service quality (reliability, responsiveness, assurance, empathy, tangibles) and price on customer satisfaction of online transportation Grab. The research was designed by using a conclusive experiment, in causal research type, using quantitative and survey methods. The data was taken by providing a questionnaire to 406 respondents using a non-probability sampling method which is an accidental sampling and judgmental sampling method. Analysis method used in the research is Multiple Regression Linear. The result shows that the variable such as reliability, responsiveness, empathy, tangibles significantly gave impact to customer satisfaction. In other hands, assurance did not significantly give impact. The future research in the same topic can use probability sampling method, especially stratified random sampling so that all the consumer population characteristics of Grab which are heterogeneous from various cities will be covered.

This study focused on the efficacy of the rational Emotive Behaviour Therapy in ameliorating the incidence of youth restiveness and militancy in the Niger Delta area of Nigeria. This study adopted the quasi-experimental research design. The participants of the study were thirty-five year two students from an intact two hundred level (200L) class as the experimental group and another thirty from year three hundred level students of an intact class, as the control group, from Niger Delta University, Bayelsa State of Nigeria. The treatment in the study has two levels, pre-treatment and posttreatment. Validated and reliable instrument called „Rational Emotive Inventory was used for data collection. This study has one research question and two null hypotheses to guide it. The mean, standard deviation and z-test statistics were used to analyse data in this study. The results of the study revealed a significant effect of the Rational Emotive Therapy on the experimental group, unlike the control group that received an inert treatment. From the study, the use of Rational Emotive Behaviour Therapy in the Universities of the Niger Delia area was recommended to work on the mindset of the student‟s restiveness and militancy in this country.

The need for Nigerian organizations to pay attention to cross-cultural management practices have become necessary following the challenges posed by cultural diversity and tribal sentiment in many states of the country. These barriers add to the usual challenges that entrepreneurs face with regard to capacity, financing, and market access. This study accesses Cross Cultural Management and Entrepreneurial Environment in Nigeria using intercultural communication and entrepreneurial mobility as proxies of study. The specific objectives of the study are to determine the factors affecting cross cultural management in Nigeria and to ascertain the behavioral aspect of managers in managing cross cultural business in Nigeria. The study revealed that the understanding of some basic cultural differences can help foster the movement of various entrepreneurial resources from one place to another without any form of barrier and cultural shock. The study concludes that Cross cultural management expands the mobility of pool of potential entrepreneurs, builds incentives for entrepreneurship, eases the costs of doing business, helps industrialize local communities and generates healthy competition. The study recommends that policymakers should create proactive cross-cultural communication education and entrepreneurs should understand cultural sensitivities, avoid conflict and appreciate how words, tonality, and body language vary with every culture

Scientific knowledge is one of the expected direct impacts in the Scientific Inquiry learning model (Joyce, 2009), which means that Scientific Knowledge is the learning outcome that is to be achieved in learning. Scientific knowledge is the result of student physics learning that is concerned with strengthening cognitive structures in understanding, mastering and applying physics concepts so students can solve physics problems from simple to complex. As for the purpose of this study are: 1. To know whether or not there are differences Scientific Knowledge of Physics between students taught using the Scientific Inquiry learning model and conventional learning 2. To find out whether or not there are differences in Scientific Knowledge of Physics caused by students 'Formal Reasoning 3. To find out the interaction between the learning model and Formal Reasoning in increasing students' Scientific Knowledge? As for research design in this study using different analysis for the two dependent variables. Variables are bound to Scientific Knowledge using analysis of variance or 2x2 ANOVA. The research instrument used was in the form of a description for the scientific knowledge test, and multiple choice forms on the students' formal reasoning test. The conclusion of this study was 1. The ability of scientific knowledge of students to use scientific inquiring learning was better than the scientific knowledge ability of students using expository learning models, The ability of scientific knowledge of students in the formal reasoning group is above average better than the scientific knowledge ability of students in the formal reasoning group below the average, 3. There is an interaction between the learning model and formal reasoning in improving students' scientific knowledge. The scientific knowledge learning outcomes of students taught through the scientific learning model in the formal reasoning group above average and formal reasoning are below the higher average compared to the results of scientific knowledge learning students taught through conventional learning in the formal reasoning group above average and in the formal reasoning group below average.

A Pandemic of Influenza A (H1N1), caused by a new strain of the Virus started in Mexico in 2009. The first case in India was seen at Hyderabad in June 2009. Influenza A H1N1 2009 is transmitted by airborne droplet infection. The disease was initially known as Swine Flu, but now called as Seasonal Flu. The study has been carried out at M. P. Shah Government Medical College and Guru Gobind Singh Hospital, Jamnagar Gujarat. As per Ministry of Health and Family Welfare (MOHFW), Government of India guidelines, Category C Seasonal Flu patients were admitted in the Hospital. Out of 178 samples sent, 99 samples tested positive. 26 patients succumbed to the illness. Retrospective analysis of the Fatal cases were done with respect to various parameters. Maximum number of patients were in the age group above 60years. More number of fatal cases were in the age group of 40 to 49 years. Mortality was more in males although incidence was almost same in both sex. Presence of Co-Morbid illness was high amongst fatal cases. All fatal cases had low Oxygen saturation on presentation and were late in starting Oseltamivir after onset of symptoms. Even after 10 years Seasonal Influenza caused by H1N1 Virus carries significant mortality

The current study aimed to identify the negative effects of using the social network (Facebook) on the students of the secondary level and their differences according to the variables of gender and stream. The sample of the study consisted of (224) secondary students: 91 males and 133 females who were intentionally selected from the secondary schools in AlYarmouk area of Bani Kinana in Northern Jordan. The questionnaire was adopted in the process of data collection. The results showed that the mean of the negative effects of using the Social Network (Facebook) on the secondary students as a whole was (2.98) by a medium degree. The descending order of the fields of the tool is: (Social effects, health effects, academic effects, behavioral effects, and emotional and psychological effects). The results also showed that there were no statistical differences in the negative effects of using the social network (Facebook) on the secondary students due to the impact of the variables of gender and stream. The study recommended the need that the Ministry of Education adopts a national training project to help students cope with the negative effects of using the Facebook.

Till date there is no definite basis of burn out syndrome. There is vast difference in the bookish knowledge and practicability of this particular so called syndrome or disease. It’s the aftermath of over work, loss of self confidence and reduction in satisfaction. But till now it’s counted as a result of inadequate treatment of chronic stress. In this publication I have tried my level best to explore the current concept of this syndrome which could affect the future and contemporary generations. A variety of factors play into burnout among healthcare professionals, many of which are non-modifiable such as gender, socio-demographic variables, personality, and age [1]; however, the top cited reason for burnout is work overload [2]. When a person works in a high stress field such as healthcare they are exposed to emotionally draining experiences all the time so the added pressure of working while the hospital is understaffed only piles on to that stress. Many studies within hospitals have found a direct link between reducing workload and reduced burnout among healthcare professionals [3] which led to a significant drop in patient deaths [4]. It is impossible to expect for us as healthcare professionals to do the work of two or three people and still give the same quality care to a patient as usual. Burnout only leads to mediocre patient care and a poor work environment, which continue the vicious circle to only cause more burnout. and Medical institutions across the world have attempted to provide both preventive and curative care for healthcare workers who are at risk for experiencing burnout; however, many of these attempts were unsuccessful and do not address the underlying problem: overworked staff. Goal: The goals of this study were: to identify the specific stressors of high intensity in the hospital physicians work environment, to discover whether and how certain stressors can affect the appearance of burnout syndrome at work in a hospital physician, to determine whether certain individual factors influence the occurrence of burnout syndrome at work. Methods and subjects: Study was conducted on medical professionals working at Govt. Medical College, Amritsar. Results: The study comprised 64.8% hospital doctors (specialists and doctors on specialization) of a total 321 employees in various departments. High level of emotional exhaustion was recorded in 45.9% a high level of depersonalization in 54.8 %, and a low level in perceptions of personal accomplishments in 45.2% of respondents. Conclusions: Continuous exposure to stressors at the workplace, such as work at shifts, excessive workload, poor communication with superiors, and lack of continuous education of hospital physicians can lead to mental and physical exhaustion, professional burnout. Socially there was no source to make amendments in the working conditions of the professionals. High-quality controlled studies on burnout syndrome are lacking. A standardized and internationally accepted diagnostic instrument with a validated rating scale should be developed. The etiology and pathogenesis of burnout should be studied with special regard to the possible role of neurobiological factors. Treatments for it should be studied systematically so that their effects can be judged at a high level of evidence. In view of the current lack of knowledge about what is called “burnout,” the term should not be used as a medical diagnosis or as a basis for decisions regarding disability or other socioeconomic matters.

Sports is any activity that you do for pleasure and that needs physical effort or skill, usually done in a special area and according to fixed rules this paper discussed the influence of sport participation on students’ academic performance in public secondary schools in Dutsin-Ma metropolis of Katsina State. Survey research design was utilized in this study. The population of this study consist of 1, 574 students, 430 teachers and 7 public secondary schools in Dutsin-Ma metropolis. For the purpose of this study, purposive sampling technique was adopted and five (5) public secondary schools were selected in Dutsin-ma Metropolis. One hundred (100) teachers were selected as respondent from the 5 selected secondary schools. A self-developed, structured and validated questionnaire was used to elicit the desired information regarding influence of sports participation on students’ academic performance of secondary schools in Dutsin-ma metropolis. The findings in Table-2 show that health benefits of sport participation on academics performance is positive and not negative with mean responses below 2.50 in item 1 and 3 and with mean responses above 2.50 in item 2,4 and 5. It was concluded that students who participate in sports aspire more to come to school and remain in class. It recommended that sports and games should be given proper allocation of time in the school time table. The principals must ensure this.

Introduction: The surgical outcome is always influenced by postoperative respiratory complications. In few cases post-operative mechanical ventilation is needed while undergoing surgeries with general anaesthesia. There are many postoperative and intraoperative parameters are responsible for this. This study was designed to assess the association of pre and intra operative parameters with post-operative mechanical ventilation in cases subjected to elective abdominal surgery. Materials and methods: A total 100 cases scheduled to undergo elective major or minor abdominal surgeries between age group 21-70 years were recruited. Cases were administered with general anesthesia and cases were scheduled for extubation at the end of surgery, but complicated cases were shifted to ICU for post-operative mechanical ventilator support. Peak expiratory flow rates were measured in those extubated within 24 hrs after surgery. Results: Low albumin levels, alcohol consumption, preoperative hospital stay, preoperative respiratory tract infection, COPD, bronchial asthma, obstructive sleep apnea, Sputum production, smoking were not statistically significant and pre-operative hospitalization time, Smoking, >10% weight loss, Hypertension, ischemic heart diseases, cerebrovascular complication were significantly correlating with postoperative mechanical ventilation. Conclusion: Significant parameters such as <10% weight loss, pre-operative hospitalization and smoking found to be significant parameters of requirement of post-operative mechanical ventilation by multiple logistic regressions

This paper discusses the influence of social media on the academic performance of boys in secondary schools in Bungoma East and Webuye West Sub Counties, Kenya. The period 2011-2014 had shown the performance of secondary school boys in these study area to be lower than that of girls. Purposive sampling was used to select boys’ secondary schools in Bungoma East and Webuye West sub-counties while random sampling was used to get a sample of respondents from the boy’s schools. The study was informed by the social development theory by Lev Vygotsky. Primary data collection was done by use of questionnaires while document analysis was used to collect secondary data especially on the performance of students in the mid-year exams, 2016. The study used multiple linear regression to analyze the data; findings of which were presented in tables. The study results showed that social media has a significant influence on the academic performance of secondary school boys in Bungoma East and Webuye West Sub Counties. This paper thus concludes that secondary school boys’ exposure to social media in is high and, consequently, negatively affects their academic performance.