Background and Aims: Heart Failure (HF) is a multi-faceted and life-threatening syndrome characterized by significant morbidity, mortality, poor functional capacity, poor quality of life and associated high costs. Anemia is a frequently encountered comorbid illness in heart failure. It develops due to the complex interaction of other associated comorbidities like chronic kidney diseases (CKDs), diabetes mellitus, hypertension, micronutrient deficiency and blood loss disorders. Hence, this study was aimed to find out the prevalence of anemia and associated factors among patients with heart failure at tertial care hospital, Dhaka, Bangladesh. Methods: A hospital based cross sectional study was conducted Department of Cardiology July 2017 August 2018 among consecutively selected 200 patients at BSM Medical University Hospital. Socio-demography, clinical features and laboratory parameters to evaluate anemia were obtained. Ethical clearance was taken from the Institutional Review Committee of institute. Collected data was entered in Microsoft Excel and analyzed by Statistical Package for Social Sciences version 23. Frequency, mean, percentage were calculated and chi square test at 0.05% level of significance was used to find the association. Results: The prevalence of anemia was 65%. Out of 200 patients, majority had iron deficiency anemia (40%), followed by anemia of chronic disease (10%). In this study population, majority (98%) of patients were above age more than 40 years of age and the mean age of the study participants was 65.4±12.5 yrs. More 104 (52%) were male. Among the various religion 87% were Muslim, Hindu (12%) and 1 % other ethnicity. Majority of the study population (61%) were illiterate. 60 percent had iron deficiency without anemia. Female patients 144 (72%) and patients with chronic obstructive pulmonary disease (COPD) 60 (30%) had significantly higher prevalence of anemia (p value <0.05). Conclusions: Nearly two third of heart failure patients had anemia among which iron deficiency anemia was the commonest. Female and patients with COPD had higher prevalence of anemia.

Staphylococcus Aureus is responsible for two main clinical presentations in humans: suppurative infections and toxigenic syndromes. In this work, we report a case of a young patient with necrotizing pneumonia caused by staphylococcus aureus producer Leukocidin of Panton and Valentine which presents a special entity in staphylococcal toxigenic syndromes, owing to the fact that it affects healthy immunocompetent subjects, and that its escalation is extremely fast in time and in the diverse territories of the world.

Background: Maternal body mass index (BMI) is a significant determinant of neonatal outcomes. Both underweight and overweight status before or during pregnancy may lead to adverse birth outcomes, including low birth weight (LBW), macrosomia, and neonatal complications. Methods: This prospective cross-sectional observational study was conducted at Bangabandhu Sheikh Mujib Medical University (BSMMU) and Sibchar Health Complex, Madaripur, from August 2017 to July 2018. A total of 140 pregnant women were enrolled. Maternal BMI was classified based on WHO standards, and birth outcomes including neonatal birth weight and complications were recorded. Statistical analysis was performed using SPSS version 22, and correlations between maternal BMI and neonatal outcomes were analyzed. Results: In our study, 17.9% of mothers were underweight, 46.4% had normal BMI, 25.0% were overweight, and 10.7% were obese. Low birth weight was most prevalent among underweight mothers (60.0%), whereas macrosomia occurred more frequently in overweight (11.4%) and obese mothers (26.6%). Neonatal complications, including hypoglycemia (22.9% in overweight; 40.0% in obese), respiratory distress, NICU admission, and birth injury were notably higher among neonates born to overweight and obese mothers. A statistically significant positive correlation was observed between maternal BMI and neonatal birth weight (p < 0.05). Conclusion: This study highlights a strong correlation between maternal BMI and neonatal birth weight and complications. Both low and high maternal BMI are associated with increased neonatal risks. Proper antenatal care and maternal weight management are crucial for improving perinatal outcomes.

Dengue is one of the most serious mosquito-borne viral infections affecting tropical and subtropical countries in the world. Since there is no immune prophylactic or specific antiviral therapy available, timely and rapid diagnosis plays a vital role in patient management and implementation of control measures. The present study was planned to diagnose the dengue infection by detecting dengue NS-1 antigen & to study the seroprevalence of dengue NS-1 antigen. Dengue NS-1 antigen testing done by enzyme linked immunosorbent assay (ELISA) was performed during July-2017 to September-2018 and the data were analyzed retrospectively. A total 3397 serum samples received from Guru Gobindsingh Hospital (O.P.D. & Indoor) for the detection of Dengue NS-1 Ag. Out of 3397 samples, total 841 (24.48%) were Positive for Dengue NS1 Ag among this, 548 (65.16%) male and 293 (34.84%) female. And 307 (36.50%) were 0-20 years of age, 448 (53.27%) were 21-40 years of age and 86 (10.23%) were >40 years of age. Present study shows that dengue fever is seen more in 21-40 years of age group and more common in male compare to female. Effective implementation of vector control measures through efforts toward vector breeding source reduction and with the use of personal prophylactic measures against mosquito bites will help in reducing the dengue prevalence in the community.

The proliferation of artificial intelligence (AI) and deep learning workloads has intensified demand for Graphics Processing Unit (GPU) resources in cloud computing environments. Multi-tenant infrastructures, particularly those leveraging Kubernetes orchestration within OpenStack platforms, face critical challenges in efficiently sharing GPU resources while maintaining fairness across diverse tenants and workloads. This paper investigates intelligent GPU scheduling and fairness mechanisms tailored for multi-tenant AI workloads in Kubernetes–OpenStack environments. Building upon recent advances in container orchestration and GPU virtualization, this study examines the architectural integration of Kubernetes device plugins with OpenStack Nova and Ironic GPU management components. The analysis explores fairness versus performance trade-offs, evaluating how priority-based queuing, workload-aware preemption, and policy-driven scheduling impact training latency, inference throughput, and cost efficiency. Through comprehensive examination of existing GPU sharing techniques, virtualization approaches, and scheduling algorithms, this research identifies critical design considerations for achieving balanced resource allocation. The findings reveal that hybrid scheduling approaches combining time-slicing with spatial partitioning, coupled with adaptive fairness policies, offer superior performance isolation and tenant satisfaction compared to static allocation schemes. Furthermore, the integration of capacity-based resource models with dynamic workload profiling enables fine-grained quality-of-service (QoS) guarantees essential for latency-sensitive inference tasks while maximizing utilization for batch training workloads. This work contributes to the growing body of knowledge on GPU resource management in containerized cloud environments and provides practical insights for deploying fair and efficient multi-tenant AI infrastructures.

Red cell distribution width (RDW) is a measure of degree of variation in the red blood cell size. RDW is recorded as a part of the standard complete blood cell count. The objective of this prospective research study is to find out the independent association of RDW with morbidity in various clinical conditions. This was a fourteen months prospective study done on 450 patients who attended OPD in tertiary care hospital, out of which 306 patients were diagnosed with various clinical conditions, out of which 270 patients showed raised RDW values. In multivariable analysis, RDW remained significantly associated with patient morbidity. In patients, RDW is an independent predictor of morbidity. Considering the fact that RDW is routinely measured in complete blood count without added expenses, this can play role as an "priceless prognostic indicator" in patients.

Lifelong learning is a central concept in higher education for promoting the nurses’ professional development to be able to adapt to the continuously evolving healthcare environment. Furthermore, a review of the literature established that the nursing profession in Egypt faces many challenges and has been significantly underdeveloped in professional terms over the last three decades. A literature search was conducted using EBSCO host, CINHAL, Medline and Pro-Quest utilizing keywords such as work-based learning, and preregistered nurses. This review focused on qualitative studies published in Egypt and the wider Middle East region from 2008 to 2018. Searches were limited to English language publications and peer-reviewed articles. Joanna Brigg Institute (JBI) critical appraisal checklist tool for qualitative research was used for quality assessment for eligibility. The review included six published articles. These studies focused on different forms of WBL among undergraduate nursing students. Burnard’s thematic analysis method was used to analyse the extracted data. The data analysis revealed five main themes in relevance to the two outcomes. The review found that the learners’ transition to a new learning method and the readiness inadequacy are two main challenges. On the other hand, the review revealed that increasing interpersonal skills, promoting self-directedness and enhancing critical thinking abilities are the major effects of WBL. The findings stress the importance of WBL as an active learning approach. Although WBL forms a challenge for learners, they later realize and value the importance of WBL in improving their critical thinking abilities and promoting selflearning skills.

Plasma lipid can be affected by variety of ways in patient‘s of liver disease. Liver cirrhosis is associated with reduction in plasma TG and TC levels due to reduction in lipoprotein biosynthetic capacity. To study the lipid profile in patients of liver cirrhosis. One hundred and fifty subjects were studied after dividing them in to Case Group (n=75, patients with liver disease) and Control (n=75, age and sex matched apparently healthy subjects). Child Pugh Score (CPS) was used to assess the liver cirrhosis. MELD score was also estimated. Lipid profile was measured for all the subjects and correlated with different parameters. Mean age of cases and control group was 43.47±14.12 and 43.21±14.47 years respectively (p=0.914). Majority of the Cases and control were male (74.66%) and 77.30% respectively. TC and HDL level was low in subjects belong to CPS class C in comparison to subjects belong to CPS class B (p=0.03). Level of LDL, TG and VLDL were observed low in Cases which belongs to CPS class C in comparison to cases belong to CPS class B (p>0.05). Total serum protein and serum albumin was significantly low in Cases compared to Control (p=0.001) whereas serum globulin was significantly higher in Cases as compared to control cohort (p=0.001). Decrease in lipid level was noted in liver cirrhosis patients and severity of liver cirrhosis has lead to even more lower level of lipid in CPS class C compared to class B.

Cybernet is a great tool and instant form for communication. With the rising popularity of Cybernet communication applications such as instant messaging, blogs and social networking sites amid students, the Cybernet has become a significant social aspect of their development.According to a research published in a special issue of American Psychological Association (APA), spending a lot of time on the web can have both negative and positive effects on young people in terms of their social life, emotional state of mind and health.With the advancement of technology, time spent on Cybernet is rising among today‟s youth. To assess the behavioral pattern of cyber net usage among Nursing students. To assess the behavioral pattern of cyber net usage among Management students. To compare the behavioral pattern of cyber net usage between students of Nursing and Management Institutes. To find the association between perceived influences of cyber net usage in terms of Behavioral pattern with the selected demographic variables. A descriptive survey study was carried out on first year nursing and management students of various nursing and management institutions in Jaipur city.

Plasmid-mediated resistance gene MCR-1 presence in MDR E. coli represents a paradigm shift in colistin resistance and poses serious threats in colistin use as last resort drug treatment in animal and human health. Following the first MCR- 1 description, researchers around the world published multiple reports about its presence in Enterobacteriaceae. In Morocco, among 560 APEC isolates from septicemic broilers thoroughly scrutinized by the disc diffusion method as an initial screening followed by MIC reference technic, 12 strains were suspected as potential carriers of MCR-1 gene. PCR and Sanger sequencing permitted confirmation of MCR- 1 presence in three strains giving sequence genes with 100 % homology to MCR-1 gene. Results were concordant with multiple reports about chicken suspicions as a potential reservoir for MCR-1 carrying E. coli. Therefore, the use of colistin in animal health must be more controlled and urgent establishment of a national program for antimicrobial resistance surveillance become crucial.

This study was conducted on 200 antenatal cases reporting to the department of Obstetrics and Gynaecology of MMIMS&R Mullana, having haemoglobin levels less than 11gm/dl. Study was aimed at the assessment of serum ferritin levels and haematological parameters in anemic pregnant women and to evaluate the degree of severity of anemia including it’s morphological types on the basis of peripheral blood film. A panel of haematological investigations was performed that included Hb estimation, RBC count, MCH, MCHC, MCV, PCV, peripheral blood film and biochemical test of serum ferritin estimation respectively. Majority of the antenatal cases (55%), showed microcytic hypochromic blood picture on PBF examination. Serum ferritin levels of <15µg/l were seen in maximum no of cases (92.5%), which was suggestive of iron deficiency. Conclusively, individual haematological parameters have their limitations, so a combination of different parameters certainly improves their usefulness in antenatal care. These parameters should be combined with other tests like serum ferritin levels estimation, to know the exact iron status in pregnancy, as it is an accurate measure of iron stores. It also distinguishes iron deficiency anemia from anemia of chronic disorders.

The purpose of this study was to determine the differences in the application of good university governance in South Sumatra and Bangka Belitung State Universities, while the state universities were Bangka Belitung University, Sriwijaya University, Sriwijaya State Polytechnic, Bangka Belitung Manufacturing Polytechnic. The principles of good university governance in this study are governance structure, autonomy, accountability, leadership, and transparency. Respondents from the study are structural officials in the form of questionnaires. The analysis used Friedman different test because groups of state universities that are new and long established, the results of the analysis that accountability and transparency in the application of good university governance between Bangka Belitung University and Sriwijaya University are different, unlike the Sriwijaya Polytechnic with the Bangka Belitung Manufacturing Polytechnic in the application of good university governance has no difference.

Beta-thalassemia major (BTM) is associated with significant morbidity and mortality due to iron overload resulting from ineffective erythropoiesis and repeated blood transfusions. The level of hepcidin, a regulator of iron homeostasis, is influenced by anemia and iron overload, both of which are present in children with BTM and have an opposing effect on hepcidin expression. This study aimed to assess the influence of iron overload and enhanced erythropoiesis on the levels of serum hepcidin in multitransfused patients with BTM. Complete blood counts, serum iron (SI), total iron binding capacity (TIBC), percent transferrin saturation (%TS), serum ferritin (SF), serum transferrin receptors (sTfR) and serum hepcidin were measured in 52 patients with BTM and 35 controls. SF and sTfR were significantly (p<0.001) elevated in patients with BTM as compared to controls. Serum hepcidin was significantly (p<0.001) higher in patients (28.3±3.2 ng/ml) as compared to controls (8.3±4.6 ng/ml). A negative correlation was seen between serum hepcidin and SI, TIBC and %TS. No correlation was observed between serum hepcidin and SF as also sTfR. The mean serum hepcidin/ferritin ratio was significantly (p<0.001) lower in patients as compared to controls. The lack of correlation between hepcidin and SF as also sTfR, suggests that in BTM iron stores and erythropoietic activity do not play a role in hepcidin expression. The hepcidin/ferritin ratio was <1 in patients indicating a suppression of hepcidin relative to the degree of iron overload.

This is an empirical paper that investigated public-private partnership as a panacea for infrastructural development in Nigerian Universities using the University of Maiduguri as a case study. The paper had an objective and corresponding research question. Survey research was adopted for the study. A sample of 80 respondents was selected using simple random sampling techniques out of the population of 100. A questionnaire was design by the research and validated by expert. The reliability of the instrument was tested using test- retest and a reliability coefficient of 0.79 was obtained signifying that the instrument was reliable. Data gathered was analyzed using descriptive statistic of frequency counts, percentage, mean and ranks. The finding of the study was that public private partnership has significantly improve students accommodation/hostels. The study concludes that public private partnership has improved infrastructural development in the University of Maiduguri. The study recommended among others the needs to encourage public private participation.

The surface is an important component of many technical parts to ensure tribo-technical functions. Development of new types of coatings and their deposition methods provides technically exploitable coatings with good tribological properties. In experiments in addition to conventional parameters such as friction coefficient, temperature, etc. are analyzed the surface properties in friction and wear area before and after the tribological tests using different methods and analysis. The paper deals about the possibilities of image analysis methods, using the Matlab Image Processing Toolbox, obtained by SEM for coatings based on DLC/CN to document the morphology of the surface before the tribological test. By the geometric properties modifications and applications of a wider spectrum of sophisticated operations and algorithms in image analysis have been made about the surface morphology of coatings analyzed.