The article analyzes the importance of marketing knowledge in the implementation of the Vilnius College / University of Applied Sciences project "Ukrainian Studies Platform (demobilized soldiers of the Ato area)". Analyzing the importance of marketing and entrepreneurship knowledge for Ukrainian soldiers, marketing research, creating new businesses. Entrepreneurship involves not only the knowledge and skills that are needed independent business creation and development (marketing, financial management, business management knowledge and skills, etc.), but the various knowledge and abilities needed to rationally and economically deal with various professional and personal life problems and related situations with employment, job search, professional career, decision of professional tasks, topical solving public problems. Important elements of entrepreneurship are ingenuity, openness to innovation and ability to apply creatively new solutions, ability to evaluate the costs and potential benefits of implementing the solution [18].

Despite widespread use, little is known about the risk associated with insecticides exposure to human health hence, this study. 48 wistar rats (90-120g) were randomly grouped into six (n=8). All except Normal control (NC) were exposed to domestic insecticide fumes once every 48 hours. Group 2, insecticide control (IC) was exposed to (20% of 81.55mg/m3) 0.20mg/ml of DAKSH insecticide. Group 3, positive control (PC) was treated with a standard testosterone drug-Nugenix. Groups 4, 5 and 6 received 400mg/kg b.w each of crude extract (CE), ethylacetate and n-hexane fractions of Vernonia calvaona (VC) daily via orogastric intubation for 21 days. After administration, animal sacrifice and blood collection was done via cardiac puncture for analysis. The result presented a significant decrease (p<0.05) in testosterone of IC group compared to NC. Groups 3 and all treated groups effected progressive increase in testosterone concentration compared to IC group. FSH was significantly reduced (p>0.05) in IC and n-hexane fraction of VC compared to control. However, nugenix treated and ethylacetate fraction caused a remarkable increase in FSH compared to IC. WBC was significantly decreased (p<0.05) in IC and n-hexane groups compared to control. The Crude Extract treated group significantly increased WBC count compared to IC group. Histopathological studies of the testes showed varied levels of histological derangements in IC while Ethyl acetate treated group showed highest regenerative ability. This study revealed that insecticides adversely affected male gonads while the extracts showed ameliorative effects with the highest effect seen in ethyl acetate fraction in managing the insecticide induced damage.

Projects are a means by which new and improved products and services can be delivered. In today‟s digital, real-time marketplace, it is important that organizations are able to deliver products and services to market as quickly and efficiently as possible. A sequential approach to project delivery does not support change and is perceived as cumbersome and slow to deliver. In contrast, agile project delivery is adaptive and flexible. The agile approach to project delivery supports a differing mindset. A mindset that is focused on growth and delivery, in short manageable components, embracing and not rejecting change. Working within an agile project delivery framework is different, and requires project team members and participants to embrace a new way of working. A way of working that is focused on delivery through collaboration, and less of an emphasis on documentation.

Wounds are a significant cause of morbidity worldwide, studies show that for every million wound patients, at least 10.000 die from microbial infections. The skin is a vital organ that serves as a protective barrier between the human bodies on its external environment. Staphylococcus aureus has been known as a cause of deepseated wound infection for close to a century, having recognized as a cause of nosocomial infection and super infection in patients receiving antimicrobial agent such as surgical cases. MRSA colonizing the anterior nares and skin of human are the major sources of surgical site infection as well as nosocomial spread. Methicillin-resistant Staphylococcus aureus (MRSA) are bacteria resistant to penicillin and cephalosporin classes of antibiotics and are often resistant to many other classes of antibiotics. Importance of S. aureus as persistent nosocomial and community acquired pathogen has become a global health concern. The aim of this study to determine the frequency and antibiotic susceptibility pattern of S.aureus isolated from wound infected patient attending Wad Madani Teaching Hospitals. Two hundred samples collected from patients with infected wound at the period from April to July 2016. Out of 200 samples examined, 60 (30%) isolates of S. aureus obtained, 116 (58%) other bacterial species and 24 (12%) samples showed no growth. The highest isolation rate of S. aureus 60% occurred among age group (41-60) and according to gender 32 (53.3%) S. aureus isolated from male and 28 (46.7%) from female. The overall profile of susceptibility pattern showed that vancomycin and linezolid were more sensitive (100%), amoxicillin and penicillin were the least sensitive (10%) and (36%) respectively. The result of the study showed that frequency of S. aureus isolated from infected wounds 60 (30%) and vancomycin and linezolid are more effective in the management of S. aureus in this locality.

Severe postburn contracture deformity of both knee and ankle joint causes severe functional limitations. The mainstay of treatment is early surgical excision of contracture tissue and resurfacing with STSG, local flaps and free flaps. All patients admitted with severe postburn contracture of knee and ankle joint between January 2016 to April 2018. All underwent staged management with excision of contracture tissue followed by continuous skin or skeletal traction. And after correction of residual joint contracture the defect is resurfaced with STSG. In all patient’s correction of flexion deformity was achieved. Graft failure was present in 5 patients, in which 2 required re-grafting. Staged treatment with excision followed by continuous traction and then resurfacing with STSG. Customized post-operative splintage results in full correction with adequate coverage of knee and ankle joint contracture

Impaction of maxillary central incisors are only seldom encountered in clinical practices. Impaction of permanent anterior teeth results in both aesthetic impairment and functionally compromised occlusion. Careful planning and interdisciplinary approach are required for the successful management of impacted central incisor. The present case report highlights a case where patient reported with a missing left central incisor, at the age of 9 years and 2 months. A palpable crown prominence on labial gingival mucosa in the vestibule was suggestive of the impacted maxillary central incisor. On Cbct examination 21 was located below the nasal floor with long axis of the tooth near parallel to palatal plane. The crown of the impacted 21 faced labially at the level of middle third of the root of 11. The root formation was incomplete. The crown of the impacted teeth was exposed with the help of a diode laser under LA. A lingual button is bonded on the palatal surface of the exposed crown. PAE brackets are bonded to 12, 11 and 22 with slot alignment. E- thread is tied from the monkey loop from the attachment of exposed crown to the 0.018 special Autsralian base archwire. Traction was progressively continued till a PAE bracket could be bonded followed by a piggy back traction by 0.014 Niti. Case was finished with disimpacted 21 in alignment with the arch. Disimpaction and alignment of incisor achieved by a minimally invasive technique was successful and showed good stability.

Abdominal trauma is responsible for 10% of all the traumatic deaths. With progressing technologies and civilization, the profile and pattern of abdominal trauma is changing. This study was conducted to look into the pattern and early treatment outcome of abdominal trauma in our local setting. Prospective and observational study from 1 February 2017 - 1 February 2018. Records of patients with abdominal trauma were collected from the day they were admitted to final outcome of management at discharge or death. Data analysis was done using IBM® SPSS® Statistics Version 22. Forty-nine patients were admitted with abdominal trauma. The majority was male (87.8%) and Malay (61.2%). Mean age was 31.6 years old (range 3-75). The most frequent type was blunt trauma (95.9%); its most common cause was motor vehicle accident (85.7%). Abdominal trauma was associated with other injuries in 75.5% of cases. The most common associated injuries were chest injuries (44.9%), followed by skeletal (40.8%) and soft tissue injuries (26.5%). FAST were done on 89.8% of patients, CECT scan (61.2%) and ultrasonogram (18.4%). The liver was injured in 49.0% of patients, spleen 49.0% and bowel 14.3%. Fifty-one percent of patient had single abdominal organ injury, 16.3% had 2 organs and 24.5% had 3. The majority of patients were treated non-operatively (61.2%). Four patients died of polytrauma (8.2%). Most trauma patients are young male. Abdominal trauma is commonly associated with other injuries but most can be treated non-operatively

The study of Sino-African cooperation is evolving as a very significant area of research. So far, students, scholars, diplomats, journalists and other observers have produced an avalanche of works on the subject, each focusing on an aspect or aspects of the theme, from different perspectives. These differing views and perspectives convey opinions that converge and or diverge in substance and analysis, even as they enrich (and sometimes confuse) our understanding of the evolving cross continental reality. In view of this, this paper studies the theme of Sino-African cooperation with a specific focus on analyzing the issues/opinions that exist along three different schools of thought. The paper defines the perceptions vis-à-vis the underlying factors that drive their expressions, and submits that interests and changing international circumstances form the foundation upon which not only perceptions are made, but how responses are constructed.

The year 2018 marked the 40th anniversary of the founding of the ASUU. As has been seen, during these forty years, Nigeria had experienced a great deal of political and societal unrest, and by any standards the history of the ASUU has been an eventful one. The formation of ASUU came at a time when the oil boom in Nigeria was beginning to decline and when the country was faced with the consequences of the failure of its rulers to utilize oil wealth to support production and a credible welfare system. Military dictatorship had become institutionalized and had eroded many fundamental freedoms in the society. ASUU‟s establishment in 1978 was mainly driven by the need to address the deterioration of education in the country especially under the military rule but the timing of the formation of the union is also indicative of the fact that it emerged into what was already a highly politicized environment. The paper is a review and an opinion based which assesses the relationship of ASUU with Military and Democratic regimes vis-à-vis the government education policies and the application and or respect for institutional autonomy of universities by various regimes in Nigeria. The paper found that ASUU struggles remained and continue to feature irrespective of the different regimes in Nigeria. It also concludes based on available historical records that the military regimes have had a more preponderance of abuse of universities administrative autonomy in comparison with democratic regimes.

Automatic building change detection required for metropolitan and urban planning , industrial city planning, road and highway planning, unauthorized construction detecting, stopping any new construction on risky or highly dense areas, planning for homeland security etc. This research proposal aims for automatic building change detection and 3D map generation using multispectral imagery and 3- dimentional height data. The goal for this research proposal is to detect building changes with precise geometric accuracy and use the detected building changes data to generate 3D building map. High resolution aerial and satellite imagery and highly dense height data from LIDAR can detect building change and can generate an accurate up-to-date 3D building map.

Fatty liver disease in absence of alcohol abuse is now emerging as a major health burden in the world. It represents the hepatic manifestation of the metabolic syndrome, a variably defined aggregate of disorders related to obesity, insulin resistance, hypertension and hyperlipdemia. To study the various anthropometric parameters in non-alcoholic fatty liver disease patients. The present study was conducted in the Department of Medicine on 65 patients with ultra-sonographic finding of fatty liver disease with no history of alcohol. Various anthropometric measurements like neck circumference, height, weight, waist to hip ratio, BMI were measured and recorded. For analysis, statistical software SPSS latest Version 20.0 was used. The results were analysed using the appropriate statistics. In our study we found that 45 patients ie 69% are obese and maximum number of the patients ie 95% males and 100% females have their waist hip ratio above the cut off value and 64% male and 98% female have neck circumference more than the cut off value . The study concludes obesity, neck circumference and waist: hip ratio was associated with NAFLD in our study

GV Black proposed a classification for recording caries which served the purpose efficiently for almost 100 years. Owing to its inbuilt shortcomings and current knowledge on cariology and induction of modern technology and restorative materials, Black‘s philosophy has been rendered despondently ineffective. Though various more comprehensive classifications and caries management systems have been evolved but Black‘s classification remains popular tool for recording of caries worldwide. The similar situation is found among dental professionals in Pakistan. This study was planned with the objective to know the reason for not using other classification systems and awareness about the existence of newer systems among Operative Dentistry / cariology specialists or teachers. A content validated close-ended questionnaire was used as a tool for this survey based study. The questionnaire based on two-point Likert scale with options of ―Yes ―and ‗No‖ comprising of ten simple queries regarding Black‘s caries classification was sent personally to all those who showed willingness to participate in the study and was recollected within 15 days. 85% of the participant agreed that Black‘s classification focuses on treating dental cavities and not the carious process itself and 95% were aware of existence of more conservative modes of caries classification. Majority confirmed that Black‘s classification isn‘t compatible with minimal interventional approach to dental treatment. Even then, this is the chief classification that is followed in dental schools in Pakistan. Black‘s classification isn‘t well-suited for existing philosophy for caries management and dental profession should switch over to already existing more compatible classification.

A novel therapeutic use of Ethosuximide has come to light with the findings of powerful analgesic effects in experimental models as well as in humans.The analgesic effects of Ethosuximide were explored in various nociceptive models. Following intraperitoneal administration, ethosuximide dose-dependently reversed chemotherapy induced peripheral neuropathic pain and capsaicin-induced mechanical Allodynia, and produced antinociceptive effects in the rat-tail flick reflex test in male rats. Analgesia Produced by Ethosuximide is as good as that Produced by Gabapentin in Acute Pain models. Analgesia produced by extract of Ocimum sanctum is as good as that Produced by Ethosuximide, when compared with these drugs individually in acute pain models. In Neuropathic Pain induced by Ethosuximide Produces Significant Analgesia in Thermal Hyperalgesia Models and significantly reduces Cold Allodynia. The Ethosuximide in neuropathic pain relievers Thermal Hyperalgesia as well as cold Allodynia.

The peripheral intravenous (PIV) catheter is the most used vascular access device for administration of medications in hospitalized neonates. To evaluate the impact of an educational program for nurses on assessment, management, and prevention of peripheral intravenous complication in neonatal intensive care unit. A quasi-experimental research design was used in the current study. The study sample consisted of a convenience sample including all available nurses (88) at University Hospital, General Hospital and Health Insurance Hospital at Beni-Suef. Two self-administered tools for nurses; part I, socio-demographic data for nurses, part II, nurses’ knowledge regarding IV fluid and part III, nurses` knowledge regarding IV complications and neonate's needs of management and observational checklist for nursing practice about IV infiltration or extravasation in neonates. The findings revealed that there was a highly significant difference in the pre and post-intervention program and their knowledge and practice, the study stated that there was an improvement in their knowledge and practice towards prevention and management IV complications. Educational intervention had a significant role in increasing knowledge and practice of universal precautions among nurses. It is recommended to exert more efforts in developing and applying similar educational endeavors for nurses in NICUs these educational initiatives need to be boosted periodically to ensure sustainability of their positive effects on knowledge and practice

The prevalence of nutritional deficiency especially the iron deficiency anemia is very common in pregnant females of developing countries, more so in the rural and tribal population. We in the present study tried to evaluate the prevalence of anemia in 300 females in 1st, 2nd and 3rd trimester attending ANC in Rajiv Gandhi Institute of Medical Sciences and Hospital [RIMS], Adilabad. The Institutional Ethical committee permission was obtained for the study. 100 patients in each of the three trimesters were included in the study all the pregnant ladies were healthy without any significant medical disorders. The blood samples were collected from the peripheral vein in 5ml vacutainer and send to the Department of Pathology for examination. The Department of Pathology, RIMS Adilabad uses 5 part hematology cell counter (Sysmex Xn 1000 manufactured by Sysmex India Pvt. Ltd Mumbai) to obtain all the hematological parameters. The mean levels of hemoglobin in n=100 patients of 1 trimester were 8.38 ± 1.5 gm/dl, the mean levels of Hb in n =100 patients of 2nd trimester was 8.34 ± 1.24 similarly the mean Hb levels of n=100 patients in the third trimester was 7.75 ± 1.02. The hemoglobin levels of 10.0 – 10.9 gm/dl was classified as mild anemia in our study 10.83% of pregnant ladies had mild anemia. Between 7.0 – 10.0 it was classified as moderate 76.67% of pregnant ladies had moderate anemia, < 7.0 gm/dl was classified as severe 12.5% had severe anemia and < 4.0 gm/dl was classified as very severe (decompensated) anemia no case of very severe anemia was present in this study. The presence of nutritional deficiency anemia is very common in the tribal pregnant females of Adilabad. Although all the pregnant females receive duly the dose of iron and folic acid supplementations during the Antenatal care there needs to be good nutritional supplementation provided to reduce the burden of anemia in the pregnant females of this area.