Stakeholder plays significant roles in project success. They ensure clear communication of project goals, contribute to decision-making, and demonstrate commitment, increasing the likelihood of successful outcomes. They also act as advocates within their organizations, generating buy-in and support. The main purpose of this paper is to identify and discuss the roles of shareholders in a project success. The paper is conceptual in nature and uses a number literatures ranging from 2007 to 2023 from a good number of journals. After scrutinized the literature review, the paper concludes a number of findings. The findings implies that stakeholders in a project is crucial for its success and sustainability. Stakeholders play a significant role in ensuring the performance of the project. Project managers need to acquire stakeholder management skills to address the communication requirements of stakeholders. This is important for the success of the project. The paper recommend that policymakers, practitioners and academia have to ensure the expectations and make a balance among the stakeholders.

Nazim ullah

Stroke and its associated disabilities are a growing public health challenge in many developing countries where a combination of poor awareness and poor medical care is driving up mortality rates. The rising cases are attributed to the rising prevalence of uncontrolled hypertension, obesity, smoking, alcohol abuse, and diabetes mellitus within the population. The prevention of stroke through awareness, knowledge, and lifestyle modification is a common approach used in public health intervention programs. Awareness and knowledge of stroke vary widely between communities partly because of access to relevant health information. This study assessed awareness, knowledge of stroke risk factors, and attitude toward stroke prevention. This study was a community-based survey among adults ≥40 years old in semi-urban communities of two local government area councils of Benue State, North Central Nigeria. The sixteen-item questionnaire used in this study is subdivided into socio-demographic information, knowledge of risk factors, symptoms of stroke, current morbidity, and attitude toward stroke prevention. The survey was done using two adults per household selected using simple random method and completed questionnaires were retrieved for analysis. The Chi-square test was used to determine the association between demographic variables and knowledge of stroke. The result showed poor levels of stroke awareness (47.3%), knowledge (44.6%), symptoms (44.6%), risk factors (20.6%), and symptoms (44.6%). Awareness of stroke and its risk factors is significantly association with age, gender, marital status, educational status, occupation, and income. Many respondents had poor knowledge of stroke and its risk factors. There is a need for improvement in stroke awareness in underserved communities, particularly those with limited access to mass media.

Mediterranean journal of pharmacy and pharmaceutical sciences

Background and Aim: Second and third-generation supraglottic airway devices (SADs) are increasingly used in laparoscopic surgeries due to their improved oropharyngeal seal and gastric drainage. This study evaluated and compared the clinical efficacy of the Ambu AuraGain (AAU) and the i-gel in patients undergoing laparoscopic cholecystectomy. Materials and Methods: In this prospective, randomized comparative study, 80 adult patients (ASA I and II) were randomly assigned to two groups (n=40 each): Group A (Ambu AuraGain) and Group G (i-gel). The primary objective was to compare oropharyngeal leak pressure (OLP). Secondary objectives included insertion time, ease of insertion, success rate, fiberoptic view of the glottis, and postoperative complications. OLP and peak airway pressure (PAP) were measured at various intervals, including during carboperitoneum. Results: The mean OLP was significantly higher in Group A than in Group G, both after insertion (32.9 ± 3.45 vs. 26.53 ± 1.61 cm H2O; p<0.001) and after deflation of carboperitoneum (34.15 ±2.9 vs. 28.2 ±1.71 cm H2O; p<0.001). The margin of safety (OLP–PAP) was significantly higher in the AAU group at all times (p<0.001). However, the i-gel was significantly faster to insert (14.8 ±2.94 vs. 22 ± 3.74 seconds; p<0.001) and easier to place (100% easy vs. 37.5% easy; p<0.001). Fiberoptic alignment was significantly better in the i-gel group, with 70% achieving a Grade 4 view compared to 29% in the AAU group (p<0.001). Postoperative complications were low and comparable between groups. Conclusion: Ambu AuraGain provides a superior oropharyngeal seal and a higher safety margin against leaks during laparoscopic surgery compared to i-gel. Conversely, i-gel is superior in terms of ease of insertion, speed, and anatomical alignment with the glottis, making it a better conduit for fiberoptic-guided intubation. Keywords: Ambu AuraGain, i-gel, Laparoscopic cholecystectomy, Oropharyngeal leak pressure, Supraglottic Airway device.

Journal of scientific innovations in anesthesiology

Recently, the definition of cardiorenal syndrome (CRS), a condition with a complicated pathogenesis, has been revised. Logically, CRS syndrome should be classified according to the initial organ that is injured, resulting in damage to another organ. Hence, there are only three main categories of CRS. Category one includes acute and chronic CRS. Category two involves renal-cardiac syndrome (RCS), which can be classified as acute or chronic. The third category represents secondary CRS, referred to as cardio-reno-cardiac syndrome (CRCS), which can be subdivided into acute and chronic CRCS. In this part of our series, we will discuss the epidemiology, pathophysiology, diagnosis, treatment, and prevention of acute CRS. We retrieved articles published on acute CRS using different keywords and phrases between January 2019 and June 2025 to achieve these goals.

Karishma

Cryopreservation is a process that preserves intact living cells, tissues or any other biological constructs by cooling and storing the samples to very low temperatures in order to maintain their viability and to save them for future use. At very low temperatures, enzymatic and chemical activities that may cause harm to the biological material are effectively stopped. Cryopreservation methods look to reach very low temperatures without causing further harm caused by the creation of ice crystals during freezing. Cryopreservation human samples for storage including variety of diseases such as cancer, genetic and degenerative disorders and bio-banking. This review aims to describe and highlight dimethyl sulfoxide in cryopreservation. Dimethyl sulfoxide is a non-toxic solvent and is one of the most commonly used pharmaceutical agent with a varied range of pharmacological actions including membrane penetration, anti-inflammatory effects and local analgesia as well as weak bacteriostatic. The main use of dimethyl sulfoxide is a vehicle for some drugs to enhancing the action of the drug and helping penetration of other drugs into the skin. However, dimethyl sulfoxide has been the cryopreservative agent of choice in situation to its exceptional performance in mitigating freezing-related damages. It is frequently used in cell banking applications as a cryoprotectant. When added to media, it prevents intracellular and extracellular crystals from forming in cells during the freezing process. There has been a concern over the toxicity of dimethyl sulfoxide and its potential side effects in different highly concentration after administration to patients. Therefore, there has been growing demand for robust dimethyl sulfoxide for cryopreservation method that can improve safety and maintain potency and efficacy

Mediterranean journal of pharmacy and pharmaceutical sciences

As we aware diabetes is not only one kind of symptomatic disease but its occurrence spread through the various metabolic channels and hence raises other disorders. The prolonged symptoms of diabetes also cause the complications of eyesight, Night blindness, kidney failure, and other autoimmuno dysfunction including sexual dysfunction. In those symptomatic diseases various drugs are used to treat the diabetes such as biosimilar therapy including use of insulin and insulin analogues, oral hypoglycaemic agents and various other complementary medicines. As herbal remedies i.e. M charantia Linn. (Bitter Gourd) are commonly known as fruit vegetables. The Leaves, Seeds, Roots, Fruits and the stem part of the plants are medicinally used in different diseases. It is most effectively used to treat the acidic condition of gastrointestinal tract. M.charantia is also called the oxygen radical scavenger, which takes part into metabolic pathway. Due to the oxygen radical scavenging activity of GSH it directly expedites the ROS neutralization and the repair of ROS-induced damage which is important to neutralize the acidic condition of gastrointestinal tract.The present investigation was carried out to study the characterization of present antidiabetic compound having different solvent extract of M.charantia in various solvent system. The overall conclusion suggested that the extracted compound shows the antidiabetic and diuretic properties. The total unknown protein concentration was 21.01 µg/mL which is similar with standard antidiabetic drug and the slope consists of 0.0314 with the line of intercept 0.081, which has been elaborated in results and conclusion.

Dr. wahul umesh b

Adherence to pharmacological therapies are keys to effective treatments in diabetic patients. Previous reviews found that most adherence measurement studies on chronic diseases used a self-reported scale. However, there is no consensus on the best scale to measure adherence in diabetic patients. The purpose of this systematic review was to identify the potential self-reported scale that could be considered for measuring medication adherence in diabetic patients and to provide recommendations for researchers or clinicians to determine appropriate adherence self-reported scales in diabetic patients. This review follows general guidelines in the implementation of systematic reviews. After further review, it was found that 33 studies met all inclusion criteria from 4 databases (Wiley, Science Direct, Scopus, and PubMed). The articles were done by the PRISMA, while the keywords were determined by the PICO method. Most research was conducted in Asia (69.7%) and America (18.2%) on patients with type 2 diabetes (81.3%), patients in hospitals (54.5%), suffering for 1–6 months (54.5%), and using a cross-sectional study design (78.8%). HbA1c clinic data (57.6%) were used in most studies as biological markers of adherence. The measurement scales of medication adherence in diabetic patients are MMAS-8 (57,.5%), MMAS-4 (12.1%), BMQ (9%), MCQ (6%), ARMS (3%), ARMS-D (3%), GMAS (3%), LMAS-14 (3%), and MARS-5 (3%). This review provides information on the different self-reported scales most widely used in diabetic medication adherence research. Various aspects need to be considered before choosing the scale of adherence.

Much ilham novalisa aji wibowo

Most of mosquito-repellent products and devices are made up of synthetic materials presenting market which causes various harmful effects on human beings. The resistance can be developed by the mosquito due to continuous exposure at high doses. Hence, the present research work represents the development and evaluation of mosquito repellent sticks with the help of various herbal products such as starch powder, wood powder, charcoal powder, eucalyptus oil, coconut oil, lavender oil, lemongrass and cinnamon oil, peppermint and citronella, neem oil making them ozone-friendly, financial effective, non-harmful.

Archana mehrotra

Dietary supplements are extensively consumed, but irrational use is a health hazard. Pharmacy students, being future healthcare providers, can facilitate rational use. The present study evaluated the knowledge, attitudes, and practices of pharmacy students at Srinivas College of Pharmacy, Mangalore, about dietary supplements and their role as an advocate, in addition to mental health correlations. 250 students selected through stratified random sampling took part in a cross-sectional mixed-methods study. A 30-question instrument (Cronbach's alpha=0.85) measured demographics, dietary supplement usage, knowledge, attitude, practices, and mental health was evaluated with the depression, anxiety, and stress Scale-21 (DASS-21). The data were collected during January-March 2025 and were analyzed with the chi-square test, logistic regression, and Pearson correlation tests. 35.0% (n=88) used dietary supplements regularly, with a preference for multivitamins (50%) and protein supplements (30%). Knowledge was moderate (60% risk aware), attitudes favorable (70% in favor of counseling), but practice restricted (25% informed peers). Everyday use of dietary supplements escalated stress probability (OR=2.5, 95% CI: 1.8-3.4, p<0.001), with correlation (r=0.38, p<0.01). In conclusion, students have promise as dietary supplement champions but require additional training to close knowledge-practice gaps and mitigate mental health risks. Curriculum and policy interventions are needed to enhance students' abilities in encouraging rational dietary supplement use and identifying potential mental health effects.

Mediterranean journal of pharmacy and pharmaceutical sciences

healthcare professionals, and academic achievement is essential for students’ success. However, academic procrastination and mobile phone addiction have been identified as challenges that can negatively impact students’ academic performance. This study aimed to explore the relationships among mobile phone addiction, academic procrastination, and academic accomplishment specifically among nursing students. Method: A correlational research design was applied in this study. A sample of 121 nursing students from Tirupati College of Nursing, Udaipur was recruited using a convenience sampling technique. Validated self-report questionnaires were utilised to assess mobile phone addiction, academic procrastination tendencies, and academic accomplishment. The data were analysed using appropriate statistical methods, including correlation analysis and regression analysis. Results: The results show a positive correlation between mobile phone addiction and academic procrastination among nursing undergraduates. However, there was no significant direct effect of mobile phone addiction on academic accomplishment. The study also identified an adverse association between academic procrastination and academic accomplishment, emphasising the detrimental impact of procrastination on students’ academic performance. Conclusion: The findings suggest that nursing students who experience higher levels of mobile phone addiction may have an increased tendency to procrastinate academically. While mobile phone addiction did not directly impact academic achievement, academic procrastination was found to have a negative influence on academic performance. These results underscore the importance of addressing procrastination tendencies among nursing students to improve their academic success.

Dr k c yadav

Patent foramen ovale (PFO) is a prevalent congenital cardiac anomaly. It is increasingly acknowledged as a significant factor in cryptogenic ischemic stroke, especially among young adults experiencing otherwise unexplained cerebrovascular incidents. This review summarizes recent advances in the epidemiology, pathophysiology, diagnostic strategies, and management of PFO-related stroke. The article examines the intricate mechanisms of PFO-associated strokes, including paradoxical embolism, in situ thrombus formation, and atrial cardiopathy, while emphasizing the significance of anatomical risk factors like large shunt size and atrial septal aneurysm. The clinical implications of PFO in various disorders, such as migraine with aura, decompression sickness, and high-altitude pulmonary edema, are also analyzed. Diagnostic modalities such as echocardiography and transcranial Doppler are compared, focusing on their sensitivities and procedural details. The review focuses on evidence-based methods for medical, interventional, and device-based closure of PFO, highlighting patient selection and ongoing controversies. The ongoing uncertainties surrounding causal relationships, risk stratification, and optimal therapy highlight the necessity for continued research. This review offers a current synthesis for clinicians and researchers addressing the challenges associated with the evaluation and management of PFO in stroke prevention. To achieve the aims of the article and make it concise, PubMed, Google, EMBASE, Google Scholar, and Scopus were searched for original and review articles published in the last 10 years. Several keywords, phrases, and texts were utilized.

Karishma

Background: Phaseolus vulgaris, commonly known as kidney bean, has been studied previously for pharmacological properties such as antidiabetic, antioxidant, analgesic, anti-inflammatory, antifungal, and antibacterial properties. Various extracts of the seeds have been researched except fixed oils. Objective: Therefore, the present study aims to investigate the behavioral activity of fixed oil extracted from Phaseolus vulgaris seeds. Methodology: Hole board, light and dark, stationary rod and open field tests were used for behavioral evaluation. Four groups were made with seven mice in each : (1) Control = Normal saline 2ml/kg (2) Phaseolus vulgaris fixed oil = PVFO 2ml/kg (3) PVFO 4ml/kg (4) Diazepam (1mg/kg) as standard. All treatments were given orally 30 minutes before the performance of tests. In the hole board test, PVFO 4ml/kg decreased the number of head poking (p≤0.01). Results: In light and dark tests, PVFO in both doses reduced the time spent in the light compartment (p≤0.01). In the open field test, the number of peripheral lines crossed was decreased (p≤0.05), whereas in the stationary rod test, no effect was observed by any dose of PVFO. Conclusion: Results indicate that Phaseolus vulgaris fixed oil does not affect memory or learning in mice and may possess a dose-dependent sedative hypnotic effect.

Dr. salman ahmed

Field experiments were conducted at CCS Haryana Agricultural University, Hisar during kharif season of 2013 and 2014 to determine the effect of weather parameters on the incidence of pod borer complex on early maturing pigeonpea varieties. The study revealed that the infestation of Helicoverpa armigera and Maruca vitrata started with the onset of bud initiation and reached its peak at flowering stage. The maximum H. armigera larval population (1.83 larvae plant-1) was recorded in 1st week of July sown crop, whereas, the maximum incidence of M. vitrata (21.17 webs plant-1) was recorded in 2nd week of July sown crop. The larval population of H. armigera was significantly and positively correlated with the maximum temperature, followed by minimum temperature.Incidence of M. vitrata was negatively correlated with evening relative humidity and wind speed which was significant at p  0.05 level of significance.

Dr. babu lal jat

Internship activities are carried out in universities to introduce the working world to students in the future. This is important to be examined, especially in terms of the effectiveness of the program that has been implemented. By conducting a survey of students who have undergone the internship process, a clearer picture can be obtained of overall student satisfaction in response to the placement process during the internship. There are five factors emerge from the data analysis, namely interpersonal skills, work environment, culture, challenges, and benefit.

L

Influenza A virus presents a significant public health burden worldwide, with the 1918 Spanish flu pandemic being the most dramatic example. Swine influenza viruses can be transmitted to humans through occupational exposures and in live pig markets. Novel variants can emerge in pigs because they can be infected by human, avian and swine strains. This study was carried out to determine the seroprevalence and serotypes of swine influenza in pigs from a major slaughter slab in southern Kaduna. Using competitive ELISA and haemagglutination-inhibition (HI) assays, 305 swine sera were analysed. The result showed an overall seroprevalence of 28.20% (n=86), with H3N2 7.87% (n=24) emerging as the most dominant subtype in circulation. Concurrent antibody detection of H1N1 in 5.26% (n=16) was also detected in boar 2.62% (n=8) and sows 2.62% (n=8). This study revealed swine Influenza H1N1 and H3N2 serotypes are in circulation in pigs in Kaduna State, and that reassortment in the instance of co-infection of swine host is possible.

Bitrus inuwa

With the expansion of human societies, extending up to almost every corner of the earth, transforming it to be as per their condition, humankind has proved their extraordinary dominance on the earth. The dominating attitude of humans has not resulted pleasantly every time. Poverty is one such curse that has shamed the progressing world community. Christianity has dedicated a large portion of its ministerial approach towards the underprivileged. This paper presents a missiological approach to uplift the slum dwellers in the city of Pune with education and health reforms. A similar project was experimented in 2014 among homeless people. The project did well and the results were significantly progressive and potential. It is assumed that this paper will bring an insightful approach that benefits the slums in Pune and enhance the “serving the humanity” aspect of the Christian mission.

Santosh kumar

Breast cancer commonly metastasizes to the bones, liver, lungs, and brain. However, metastasis to endocrine glands, particularly the adrenal and pituitary glands, is rare. We report the case of a 54-year-old woman with hormone receptor–positive, HER2-negative invasive ductal carcinoma of the right breast who initially showed a favorable response to standard therapy. Surveillance imaging in late 2022 revealed a left adrenal mass, subsequently confirmed as metastatic breast carcinoma. Following laparoscopic adrenalectomy, she developed primary adrenal insufficiency. By mid-2023, she presented with pituitary metastases, resulting in hypopituitarism, diabetes insipidus, and severe visual impairment. Despite targeted radiosurgery, her disease progressed rapidly, and she died in December 2024. This case illustrates an unusual metastatic pattern involving both the adrenal and pituitary glands and demonstrates the potential for aggressive clinical behavior even in hormone receptor–positive breast cancer. Clinicians should maintain a high index of suspicion for atypical metastatic sites to ensure timely diagnosis and optimize palliative care strategies.

Karishma

Dengue is an acute infection disease caused by a flavi virus (species Dengue virus of the genus Flavi virus), transmitted by female mosquito aedes mosquito, infection has globally become a major public health concern since the incidence of the dengue fever has increased more than 30-fold over the last decades. The dengue fever has been a most important public health problems since many years and the various outbreak of the dengue cases has been seen time to time. One of the reasons for the increasing and time to time outbreak of the dengue may be the reason of climate change, global warming, lack of knowledge about signs, symptoms, transmission, preventive measure and lack of ignorance or lack of the preventive practice of the dengue fever. Method: Descriptive, cross-sectional study on 192 head of household's was study population residing in Kanchan RM, Rupandehi Respondent was selected using Non probability judgmental sampling techniques by face-to-face interview was used. Result shows 58.3% good knowledge and 62% good practice. Knowledge was found to be associated with Age, Types of family, Size of family, educational level and Family suffered from dengue. Preventive practice was found to be associated with the Ever heard from health professional. Study will contribute towards development of appropriate policy strategies at local level that will tackle the problem associated with the knowledge and preventive practice of DF and provide a basis for future research on this area. Inferential analysis shows that there is significant association between the level of knowledge with age, types of family, size of family, educational level and family suffered from dengue and the level of preventive practice was associated with the ever heard from health professional.

Raju khanal

The present study was designed to investigate the in-vitro thrombolytic activity of various extracts of seeds of Salvia hispanica by Clot lysis method. In this study, Streptokinase was used as a positive control and the human blood was taken as test sample. The mean % of clot lysis for streptokinase was found to be 66.8%. Similarly the methanolic, ethanolic, aqueous and acetonic extracts of salvia hispanica exerted 48.5%, 35.8%, 33.3%, 27.7% lysis of the blood clot in thrombolytic activity test respectively. From our findings it was observed that all the extracts of Salvia hispanica revealed remarkable thrombolytic activity

Zeenath banu

Cet article vise à mettre en évidence les expériences et points de vue de certains auteurs sur l’apprentissage implicite du langage humain. L’apprentissage implicite est une procédure fondamentale. Le comportement devient sensible aux caractéristiques structurales. Dans le premier point de vue, il y a eu trois expériences qui ont montré que les jeunes apprenants sont sensibles aux régularités lexicales qui n’ont pas été explicitement enseignées; la deuxième expérience portait sur l’utilisation de la répétition des lettres quant à la troisième, elle portait sur la préférence des consonnes uniques ou doublées. Les résultats de ces expériences ont montré que les jeunes apprenants sont sensibles à la fréquence de doubles consonnes, à l’identité des consonnes qui peuvent ou ne peuvent pas se répéter. Les difficultés innées à l’apprentissage de la langue ont fait l’objet du deuxième point de vue. Elles sont de deux ordres: la langue en tant qu’un ensemble de séquences sonores et les indices de découverte d’un mot dans un discours. Les enfants segmentent les mots à partir de huit mois. Les connaissances procédurales se mettent en place par la répétition mentale et pratique. Les propriétés structurelles et statistiques sont à la base de l’apprentissage de la langue.

Assanvo