Public transportation is a service provided by the government in several major cities, whose purpose is related to reducing congestion. In addition to the jammed that underlies the existence of public transportation, the people's desire to have a safe, comfortable, easy and affordable transportation mode. The aims of this research are to analyze the relationship between service quality and passenger satisfaction in BRT Semarang. Survey questionnaire was conducted from 150 passengers, to analyze and test the relationship between variables using a simple regression test with the help of SPSS 22. The results obtained explain that three of the five dimensions of service quality positively contribute to passenger satisfaction in the Semarang BRT. Thus, this means that to increase customer satisfaction, the BRT Semarang must pay more attention and increase efforts into the five dimensions of service quality, especially the weakest of tangibility and assurance

The underlying research problem was the outcome of a crucial need to estimate the scenario of women participation in the agricultural labor force in the Punjab Province of Pakistan. It is an established fact that agriculture is the backbone of the economy of Pakistan and the rural women take part in the agricultural activities with zeal and zest as the male to female ratio is slightly higher in Pakistan according to the census of 2018. There are numerous factors which affect the female participation in the agricultural labor force. Hence, this study was an effort to identify such factors and quantify their effect on female labor force participation decisions in the rural areas of the Punjab Province, Pakistan. Cross Sectional data of 1800 women for the years 2001-02 and 2010-11 were extensively used which was collected by Household Integrated Economic Survey (HIES). The identified influencing factors were: Age, educational level, household size, monthly income, and the status of women. The analysis of the logit model showed a positive relationship between female age, educational level, household size, household monthly income, and female as the household head, on the female labor force participation (FLFP) decisions in the agricultural activities. Negative relationship of FLFP was found with married women and the infants (under 5 years) in the household for the year 2001-02. The status of women as daughter, daughter-in-law and others (cousin, aunt etc.) were negatively influencing the FLFP decisions. But for the year 2010-11, the presence of the infants in the household, age, educational level, household size, household monthly income was positively related to FLFP. The status of women in the household as the household head, daughter, daughter-in-law and others (cousin, aunt etc.) were also positively influencing the FLFP decisions in rural areas of the Punjab Province of Pakistan. The findings of this present research study suggest that in focusing on the factors that encourage women to participate in agricultural labor force of Pakistan, an economic revolution can be brought in all the socio-economic spheres along with the emancipation of the suppressed women in the other provinces of Pakistan such as Sindh and Baluchistan where though women participate in the labor force but their participation still is not recognized by the dominated male community.

India and Pakistan fought three wars (1948, 1965, and 1971). In May - June1999, once again Kashmir became the focus of World attention when India and Pakistan fought a limited war in Kargil heights located in the valley. Kashmir issue has been discussed many times between India and Pakistan. On 2 July 1972 Shimla accord, signed by Indra Ghandi and Zulfiqar Ali Bhutto. On21 February 1999 the x-Prime minister of Pakistan Nawaz Sharif and Atal Behari Vajpayee singed Lahore declaration .In July 2001 General Pervaz Musharaf visited India and attended Agra summit. When General Pervaz Musharaf took over the control of Pakistan, he changed the Kashmir policy, after9/11 Kashmir issue turned into a new and critical direction. India says Pakistan involves in terrorism in Jammu and Kashmir and on the other hand Pakistan without of the opinion and says that Kashmiris are fighting for their self determination

This study aims to determine the effect of government spending on education, health, and minimum wages on the Five Human Development Index in Southern Sumatra Province. The analytical tool used is panel data with the study period of 2007 to 2016 in five southern Sumatra Provinces namely Jambi, South Sumatra, Bengkulu, Lampung and Bangka Belitung. The results show that minimum wages are the most dominant variable and have a significant effect on the HDI. Whereas the other two variables, namely government spending in education and health do not significantly affect the HDI. Overall the HDI average is not much different and there is no discrepancy between provinces in Southern Sumatra from the range of 68 percent to 70 percent. However, of the five provinces in Southern Sumatra, there are two provinces with higher HDI figures than the others, namely Jambi Province and Bangka Belitung Province.

The trend of e-commerce has been catching up in the country with high rates of domestic and local companies using the e-business model to do business very different from the traditional way of doing business in India. This study is trying to Estimate and understand the consumer attitude and factors influencing their behaviour for choosing E-commerce sites and to succeed in those procedures and Find out new opportunities. The study is based in primary data collected by questionnaire on students of Aligarh Muslim University the study conclude that With the increasing middle class people and more disposable incomes, people are now shopping more frequently. Access to affordable internet and increasing number of smartphone users have resulted in more online buyers.

Several heterogeneity factors such as government policies on foreign trade, growth rate of economy, market size and cost of labour in emerging economies motivated this study. However, bulk of recent empirical cross country studies on FDI and economic growth in emerging countries have shown mixed results. Therefore, this study employs OLS technique to examine a comparative analysis of performance of FDI inflows in BRICS economies alongside with Singapore and Hong Kong in the last 27 years. Consequently, the findings from this analysis show that the principal determinant of FDI inflows in China is large market size, growth rate and GDP per capita growth. Meanwhile, only the market size is the principal determinant of FDI inflows in Brazil, India, South Africa, Singapore and Hong Kong and GDP per capita growth is an insignificant determinant of FDI inflows in both Russia and South Africa. This paper hereby recommends based on its findings that: the policy makers in Brazil, India, Russia Federation, South Africa, Singapore and Hong Kong should embark on policy measures that will facilitate a rapid expansion of the country`s market size. This in turn will have a positive multiplier effects on the growth rate and GDP per capita growth in their economies. However, policy makers in China should embark on policy measure that will ensure the sustainability of the market size of the economy.

Implantable cardiac devices, including defibrillators and pacemakers, may be the cause of tricuspid regurgitation (TR) or may worsen existing TR. Diagnosis by clinical exam and 2-dimensional echocardiography may be augmented by 3-dimensional echocardiography and/or computed tomography or cardiac magnetic resonance. The mechanism may be mechanical perforation or laceration of leaflets, scarring and restriction of leaflets, or asynchronized activation of the right ventricle. Pacemaker-related TR might cause severe right-sided heart failure. Percutaneous removal of PM and ICD leads is often performed in large specialty centers with significant experience, but carries with it significant and sometimes fatal risk. TR is usually treated by either surgical repair (usually consisting of ring annuloplasty) or by tricuspid replacement in some patients with advanced valvular disease

Chalk board talk lecture is the oldest and most commonly used teaching method. After introduction of digitalized teaching in medical colleges Power point presentation Lecture method is commonly used. To evaluate the feedback from first MBBS students regarding opinion and preferences of chalk board and PPT lecture delivery aids. A cross sectional questionnaire based study was conducted in medical college in Telangana State .150 first MBBS students participated in this study. Students were divided into 2 groups .In one group Lecture was delivered by using chalk board, for second group same topic was delivered using PPT presentation, two such lecture were delivered. Multiple choice questions paper was used for assessing the knowledge gained on next day. A questionnaire containing 10 questions was used to study students opinion for blackboard and power point teaching method. The differences in marks obtained in the 2 groups were analysed by independant student t test. Students who attended the lecture using chalk board obtained higher score in MCQ test as compared to those who attended the same lecture using PPT. The chalk board teaching method was preferred by 65% of the students. The blackboard teaching remains the best preferred teaching method, which can be supplemented by PPT presentation for better understanding.

Sickle cell disease is a chronic, inherited disorder. Complications from SCD place patients at risk for poor psychosocial adaptation, including symptoms of depression anxiety and stress. To measure the prevalence of depression, anxiety and stress in adults with sickle cell anemia in the Kingdom of Bahrain, and to study the factors related to the development of depression, anxiety and stress in these patients, we did a cross-sectional study that involved administering Depression Anxiety Stress Scales (DASS-21). A total number of 343 patients above 18 years, with sickle cell disease were recruited by convenient sampling from Salmaniya medical complex, health centers and sickle cell disease society. Participants also completed a survey of demographic data with specific inquiries about common sickle cell anemia risk factors and complications. From 343 participants (199 males &144 females) 53.9% were depressed, 70.8% had anxiety and 51.6% were stressed. A significant association was seen for depression and female gender(p-value 0.041), lower educational level (p-value 0.005), unemployment (p-value 0.01), number of emergency visits (p-value 0.008), hospital admissions (p-value 0.005) and medications like anti-depressants (p-value <0.001). Similarly, anxiety was significantly associated with female gender (p-value 0.031), unemployment (p-value 0.017), hospital admissions (p-value 0.047) and medications (like MST, codalgin and anxiolytics). Stress, however, was not found to be associated with any of the socio-demographic factors but was significantly associated with number of emergency visits (p-value 0.001), hospital admissions (p-value 0.008) and medications (like MST, codalgin and anxiolytics). We found the prevalence of depression to be (53.9%), anxiety (70.8%) and stress (51.6 %) among the studied population. Screening of sickle cell anemia patients for depression, anxiety and stress symptoms is recommended at regular intervals

The purposes of the research were to find out the significances of the implementation of simulation technique and the using of posters as visual aids in improving students’ social interaction and creative thinking. Semester II English students of Muslim Nusantara University Medan were selected as the population of the research, then, two classes were chosen of the sample of the research y applying random purposive sampling. Moreover, quantitative research method was used with factorial design 2 X 2 to achieve the aims of the research. based on the data analyzed, this research found out that students’ social interaction taught by implementing simulation technique and using the poster was being extremely higher with 80,05 than experimental class II with 68,68. Then, the indicator average of creative thinking also showed a very significant effect in which experimental class II was 86,69, while experimental class II was only 60,75. Moreover, there was an interaction occured between technique simulation with the poster with student’s creative thinking toward students’ social interaction with Fobsesrved>Ftablewith 294,740 > 4,00 and Sig < 0,05 with 0,000< 0,05, and with Fobsesrved189,190 >Ftable4,00 and with Sig 0,000 < 0,05. Last, there was an interaction between simulation technique and poster in which simulation technique was being much more effective combined with poster as visual aids with sig <prob (0,000 < 0,05). In conclusion, students whose higher creative thinking in creating the poster would have higher social interaction in EFL speaking class in which the more frequent student’ social interaction in the classroom, the higher speaking skill achieved.

Graphene, a carbon, displays unique 2-D structures with preternatural physical, chemical and electronics properties that necessitated its applications in different fields of engineering systems. Among these applications, bioelectronics application of graphene has attracted an increasing interest over the last years. The advantages conferred by the physical, optical and electrochemical properties of graphene-based nanomaterial have contributed to the current variety of ultra-sensitive and selective biosensor and sensors devices, Nano electronics, super-capacitors, solar cells, batteries, flexible displays, hydrogen storage in electronics. This paper provides a review on graphene variant properties and their applications especially in bioelectronics

EDTA-dependent pseudothrombocytopenia (PTCP) is the phenomenon of a low platelet count due to EDTA-induced aggregation of platelets. Since the failure to recognize EDTA-dependent PTCP may result in incorrect diagnosis and inappropriate treatment, the recognition of this phenomenon is very important in managing the patient and giving correct treatment. We here by discuss about a case of, A 21 year old male admitted for fever for evaluation showed severe thrombocytopenia by automated 5 part Mindray analyser. Manual count and peripheral smear done revealed higher count and small platelet aggregates. Following which citrated sample was collected and manual counting done both showed similar values, low count in singles without aggregation when compared to EDTA sample. EDTA induced platelet aggregation was thus conformed.

Phyllanthus muellerianus is a large genus of the Euphobiaceae, is popularly known as ‘nvo nkwo’in Oghe traditional medicine. This species is used in the folk medicine for the treatment of sexually transmitted desieases. The aim of this study was to isolate and identify and spectroscopic characterize of sample GH3 from leaves of P. muellerianus. Sample GH3 from leaves of P. muellerianus was analyzed for their absorption, functional groups (CH, H, OH and NH) and 1H NMR resonance peaks (7.2 ppm and 6.7 ppm), resulting in the identification of benzopyran’s groups, suggesting 2H-1-benzopyran (chromene). The identification of benzopyran’s groups is here reported for the first time in P. muellerianus.

Sacrum is a triangular bone formed by fusion of five sacral vertebrae. It is wedged between two hip bones. Its base articulates with 5th lumbar vertebra and apex with coccyx. Complete agenesis of the dorsal wall of sacrum was observed during one routine osteology tutorial. The same is presented. The sacral canal was completely open posteriorly due to non fusion of the laminae from S1 to S5. The sacral canal is formed by sacral vertebral foramina. The anterior wall of the canal is formed by fusion of the sacral vertebral bodies. The fused laminae, spines and ossified ligamenta flava form the dorsal wall. The sacral canal is triangular in cross section and contains cauda equina, filum terminale and spinal meninges. Duramater and arachnoid mater end at middle of sacrum (generally at the level of S2) while filum terminale is continuation of piamater till coccyx. Knowledge of variations in the dorsal wall of sacrum due to congenital factors is essential for anesthesiologists, surgeons and physicians to treat the related disorders. Study of the variation in anatomical features of sacral hiatus and dorsal wall of sacral canal is important with regards to its clinical application in caudal epidural anesthesia. Sacral approach to epidural space is reliable and effective means of blocking sacral nerves.

Abstract: Caesarean scar Pregnancy (CSP) implanted in the caesarean section scar is a rare location among ectopic pregnancies that can be life-threatening. It can be classified at the same level of gravity as the placenta accreta. Hysterectomy is the gold standard treatment for massive bleeding. The diagnosis of pregnancy implanted in the caesarean section scar is a difficult diagnosis of the first trimester. It must be done as early as possible. Clinical manifestations are not specific, bleeding and pain is the most common symptoms. Endovaginal and pelvic ultrasound associated with Doppler is the first-line examination, provides optimal and panoramic vision, and studies reports of the gestational sac and its vasculature. Recent studies report the value of MRI in diagnosis because of its affinity for the study of pelvic tissue and the relationship of structures. The treatment remains non-consensual but it appears that the injection of methotrexate in situ by preferring the vaginal route is effective and not very morbid. We present here the case of a patient with CSP whose diagnosis was initially unknown.