Background: As Bangladesh has gained the reputation of improving the health sectors, much health related sites still require improvements. Community clinic services (CCS) may contribute to this sector with its foremost importance. So this study was conducted to investigate the utilization and health services provision by community clinics (CCs) in rural area. Methods: A descriptive longitudinal study was conducted among three community clinics of Jashore and a structured questionnaire was developed on which most of the questions were developed to find out the contributions of these community clinics. Here for data analysis we used SPSS version 25.0 software. Results: Here we analyzed health service related data from three randomly selected community clinics (CCs). We found an average of 15 patients got antenatal care every month by the Komlapur CC throughout the year. About 140 patients received health services per month from Dogachiya CC. About 634 children were benefited by Saziyali CC throughout the year. By this study we came to know that average 67-75 patients were provided iron supplementations each month by Saziyali CC. All of the CCs had active referral system and online reporting system. Conclusion: From our study we came to know that majority % of rural people are now dependent on community health care services. But most of the community clinics have many limitations regarding infrastructure, training, medicines, financial etc. So the government should take necessary steps regarding this.

Arafat hassan razon

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

The planned opening of foreign universities will foster cultural exchange, expose Indian students to diverse perspectives and promote international understanding, according to Gedam Kamalakar. Foreign university campuses have the potential to attract foreign investment, create job opportunities and stimulate the local economy through increased spending on infrastructure, accommodation and services. Partnerships with foreign universities on joint research projects will enhance knowledge exchange and technological advancements. Nevertheless, the influx of foreign universities can pose a threat to domestic educational institutions by alienating talented students and faculty and exacerbating inequalities in access to quality education. There is hence a danger of cultural imperialism. Indigenous knowledge and traditions may be marginalised due to the dominance of Western educational systems and values. Increasing opportunities to study abroad may also increase brain drain.

Dr gedam kamalakar

The present study deals with the phytochemical analysis and evaluation of antibacterial activity of hydroalcohol, acetone, and hexane extracts of the leaves of Psidium guajava. The antimicrobial activity was measured by the agar well diffusion method. Gastric volume, pH, total and free acidity and the ulcerative index was also measured in hydroalcoholic extract of Psidium guajava on gastric ulcer pyloric ligation in rat. Glycosides, terpenoids, and tannins are only present in the hydro alcohol extract. The extracts are tested against gram-negative (Escherichia coli) and gram-positive (Staphylococcus aureus, Bacillus subtilis) bacterial strains. The zone of inhibition against microorganisms is direct proportional to the concentration of extract. Maximum zone of inhibition (24mm) against Staphylococcus aureus except hexane extract was seen. Psidium guajava leaves show maximum phytochemicals compounds and inhibition of microorganisms in hydroalcoholic extract. So the hydroalcoholic extraction was used for anti-ulcer activity. The present study was performed in pylorus ligation induced gastric ulcer model in albino rats in which the ability of hydroalcoholic extracts of Psidium guajava was tested at a dose level of 400 mg/kg body weight orally and compared with Ranitidine (10 mg/kg) as standard. From the results it is concluded hydro alcohol leaf extracts of Psidium guajava 400 mg/kg dose level showed significant anti-ulcer activity when compared to that of standard drug.

Sudha rameshwari.k assistant professor

The paper aims to discuss the process of change management and how change affects organizations' functioning. Using the chosen case studies about different organizations that have successfully undergone change management, the report will highlight the drivers of change and their impact on the organization's behaviour. Also, change management is not easy, and there are specific barriers that can affect the organization's smooth functioning during managing change. Also, the leadership approaches that can help the organization in change management will be discussed.

Zamzam abdelazim

The construct of Leadership entails the process of influencing other people to accomplish specific objectives. However, like love, the construct of Leadership is a universal desire that is virtually difficult to define explicitly (Klingborg, Moore and Varea-Hammond, 2006, p.280). It is characterised by the idea of an individual charisma capable of recruiting followers towards his or her path, promoting team-based problem-solving. Conversely, the concept of Leadership is based on many factors such as; "leaders are made not born", "he was a leader since he was a kid" and "if you have the will power, you can become an effective leader" (Klingborg, Moore and Varea-Hammond, 2006, p.280). However, scholars and organisations tend to focus on Leadership and how leaders impact an organisation. The leadership process entails how an individual influences other(s) to achieve a common goal or mission.

Zamzam abdelazim

This study demonstrates main reasons for choosing The National University of Malaysia (UKM) by international students and their needs and expectations toward the University. The study also shows the obstacles faced by those students and their satisfaction towards UKM. A total of 108 questionnaires were distributed in the main campus to the respondents who came from ten diffident countries. The main reasons for choosing UKM were its high ranking, reasonable tuition fees, faculty, programmes, and lecturers respectively. The results revealed that the main obstacles faced international students were tough visa procedures, improper hostels, social isolation and discrimination, and bureaucracy. Both the facilities and services of UKM and the studying approach have met the expectations satisfaction of international students. Yet, both social relationship and participation in activities and living conditions in UKM hostels have disappointed international students and did not meet their satisfaction. This study suggested that UKM should establish counselling unit and organise regular meetings to listen to the problems and suggestions of those students. Volunteer and pre-enrolment activities should be organised to introduce the Malaysian culture and gather international students with their local peer. Moreover, international students should be provided upon their arrival to UKM by hostels that combine proper conditions of living at a reasonable price.

Mohammed fadel arandas

This research assessed the nutritional composition, microbiological and sensory attributes of maize-based fortified food with peanut and carrot blends. A total of six composite flour samples were formulated using varying ratios of maize, peanut, and carrot: (MPC1) 100% maize flour (control), (MPC2) 90% maize, 5% peanut, and 5% carrot, (MPC3) 80% maize, 15% peanut, and 5% carrot, (MPC4) 70% maize, 20% peanut, and 10% carrot, (MPC5) 60% maize, 25% peanut, and 15% carrot, and (MPC6) 50% maize, 30% peanut, and 20% carrot. The proximate, mineral, vitamin, antinutrient, and functional properties of these fortified food samples were assessed using established methodologies. The proximate analysis revealed a significant increase (p<0.05) in moisture, crude protein, fat, crude fibre, ash, and energy content of the fortified samples, with values ranging from 1.63% to 3.80%; 3.08% to 44.43%; 2.39% to 15.16%; 3.58% to 7.04%; 2.34% to 3.80%; and 381.75 to 432.52 KJ/100g, respectively, as the supplementation of peanut and carrot flours increased. Conversely, the carbohydrate content decreased from 86.98% to 27.64%. The mineral content of the fortified samples also showed a significant increase (p<0.05) with higher levels of peanut and carrot flour supplementation. The findings of this study indicated a statistically reduction (p<0.05) in the antinutrient profiles of the fortified food samples. Additionally, the vitamin content significantly increased (p<0.05) with the addition of peanut and carrot flours. The overall viable counts were significantly low, and there were no detectable coliform or fungal counts. Although, the result of sensory evaluation indicated that the control sample was more organoleptically acceptable than the substituted samples, incorporating these nutrient-rich and functional ingredients in the production of maize-based cereals may broaden the application of peanut and carrot flours in the creation of various cereal types and other cereal-based food items.

Okechukwu obed chukwuemeka

The present review shares updated data on the botany, distribution, medicinal uses, phytochemistry and pharmacology of Phaseolus vulgaris L. All provided information was obtained through Google scholar, Pubmed, SciFinder, Scirus, Web of Science and a library search.

Dr. salman ahmed

Analysis of Edaphic Factors in Few Villages of Mysuru District

Veerabhadraswamy al

Patent foramen ovale (PFO) is an embryonic interatrialdefect potentially associated withischemic cerebralstrokes. One option is the occlusion of the atrial shunt byendovascular means. This procedure is recommendedfor patients with a history of cryptogenic strokes.Patent foramen ovales (PFOs) are common in the general population (prevalence 20-30%) and do not constitute a pathology in their own terms. Nevertheless, a association has been established between the occurrence of certain cryptogenic ischemic strokes and the presence of a PFO. The risk appears higher when septal patency is associated with atrial septal aneurysm (ASA). The aim of this presentation is to study the association between the PFO and the occurrence of ischemic stroke, and the benefits of its closure.

Kalkoul hamza

Food nutrients are essential for the growth and development of human. In several parts of the world, Cocoyam (Colocasia esculenta), is a tropical root crop cultivated for food formulations and consumption by humans. This study was conducted to assess the nutritional evaluation (weight gain, protein efficiency ratio, net protein retention, and biological value) of the processed cocoyam, soya bean (Glycine max) flours and their blends by feeding trials using Albino rabbits. The sun-dried samples were milled to size (sieve with 25 µm aperture size) to obtain homogenous flours. Blends were obtained with various ratios according to the percentage of soya bean/cocoyam flours. The biological value, protein efficiency ratio, and net protein retention were analysed using standard methods for the calculations. Net protein retention of soya bean flour was higher than that for cocoyam flour. The highest biological value was given by the 50% blend, while the lowest was given by the control diet. The higher the protein efficiency ratio values, the higher the protein quality. The highest protein efficiency ratio value was given by soya bean flour, while the lowest value was from Cocoyam flour. The best blend of Cocoyam and soya bean flours obtained based on chemical and nutritional evaluations was the 50% blend of soya bean and Cocoyam flours.

Mediterranean journal of pharmacy and pharmaceutical sciences

This study investigated the management of teachers’ soft skills development and flexible learning environment as a correlate of teachers’ effectiveness in Unity schools in South- Eastern states of Nigeria. The correlational research design was adopted for the study. Two research questions were answered while two hypotheses were tested. The population of the study comprised all the 901 teachers of the 14 Unity schools in the 5 South-Eastern states of Nigeria. Stratified and disproportionate sampling techniques were used to select 399 sample size that was determined from the population using the Taro Yamane formula. Two sets of instruments titled; “Management of Seamless Technology Integration Questionnaire” and “Teachers’ Effectiveness Questionnaire” were used for data collection. Face and content validity was ensured by five experts including the researcher’s supervisors. The reliability coefficients of the two instruments were calculated to be 0.79 and 0.81 using Cronbach Alpha method. Multiple and simple regressions were used to answer the research questions. Analysis of variance associated with multiple regression and t-test associated with simple regression was used to test the null hypotheses at 0.05 alpha level. It was found that management of teachers’ soft skills development and flexible learning environment positively correlate (0.92 and 0.86 respectively) to teachers’ effectiveness in Unity schools in the South-Eastern states of Nigeria. Based on the findings, it was concluded that the management of seamless technology integration is positively and highly significant to teachers’ effectiveness in Unity schools in the South-Eastern states of Nigeria. It was therefore recommended among others that school administrators in the 14 Unity schools in the South-Eastern states should immediately embark on self-development in the management of seamless technology integration

Fxintegrity publishing

Background: Prescribing patterns in systemic hypertension vary from place to place. Studies have shown that cost could be one of the factors responsible for non-adherence to treatment among hypertensive patients. Nigerian pharmacoeconomics studies have not provided a general guide on cost-effective prescribing for hypertensive patients in the country. The aim of the study was to examine the prescribing patterns, do cost effectiveness and cost minimisation analyses of the commonly prescribed antihypertensives, and determine if cost is a major reason many of the hypertensive patients of the District Hospital are usually lost to follow up. Methods: 5267 adult (≥18 years) non-antenatal patients’ cards of 2016 were reviewed for hypertension. Examination of the prescriptions, cost-effectiveness and cost-minimisation analyses of the commonly prescribed antihypertensives were done. Results: 12.6% of the patients were hypertensive. 73% of these hypertensive patients were treated pharmacologically. 40.8% adhered to treatment. 73% of the adherent ones responded to treatment. Amlodipine was the most expensive prescribed antihypertensive (N22). Amiloride-hydrochlorothiazide with the largest cost effectiveness ratio (CER) (9) was the most cost effective of all the combinations. Lisinopril- hydrochlorothiazide (N17) was preferable to the triple combination of lisinopril-amlodipine-hydrochlorothiazide (N39), and amlodipine-hydrochlorothiazide (N32) in cost minimisation. Conclusions: Cost of drugs probably had played a significant role in non-adherence to treatment among hypertensive patients in the District Hospital in 2016, since moduretic with the largest CER (9) and nifedipine with the greatest BP reduction when combined with hydrochlorothiazide (56/22 mm Hg) were rarely prescribed.

Emmanuel umegbolu

The Atlas of Shear Zone Structures in Meso-Scale illustrates the morphological characteristics of shear zones within the Himalayas that have been gathered by the author’s intensive field observations over the last decade. The book deals with various shear zone-related structures, produced in brittle and/or ductile regimes. The shear sense indicators and associated microstructures are also described.

Rajkumar ghosh

The anti-emetic activity of the leaves methanolic extracts of Cassia angustifolia Vahl., Cassia holosericea Fresen., Cassia italica Miller. Lam. ex F.W. Ander and Cassia purpurea Roxb., was evaluated in young chicks. Emesis was induced by copper sulfate (50 mg/kg), and the extracts were tested orally at a dose of 150 mg/kg. All the extracts significantly decreased the number of retching (p < 0.05 and p < 0.01) compared with standard chlorpromazine.

Dr. salman ahmed

The Delhi Declaration of G20 begins by stating that this is a “defining moment in history” and that G20’s decisions today will affect the future of the people and planet. Don’t dismiss this as typical diplomatic hyperbole, for this recognition of the importance of the moment, and the implications for the long-term, is central to understanding India’s historic Before it gets into the substantive elements across domains, the text, agreed upon in entirety by all 20 members, outlines the political, economic and environmental challenges that have engulfed the world. In a clear sign of India’s role in ensuring that the interests of both the global South, which constitute the marginalised within the international order, and the poor and vulnerable who constitute the marginalised within both rich and poor countries, is addressed, the text also lays out clear principles and priorities. The Indian presidency has made it clear that there will be no compromise between fighting poverty and fighting the climate crisis. And themes such as ensuring growth, getting sustainable development goals (SDGs) back on track, battling the climate crisis, preparing for health emergencies, reforming multilateral development banks (MDBs), dealing with the debt crisis, spreading digital public infrastructure (DPI), generating jobs, bridging the gender gap, and giving a voice to the global south dominate the letter and spirit of the document.

Dr gedam kamalakar

Education is power. It constitutes the foundation of all the multidimensional socio-economic development of a country. In the present context, we need manpower or human capital for generating the growth and development in a country. The Government of India has taken several many initiatives for promoting education at all the stages i.e. Primary, Secondary and Higher. But still, we find such issues as a high dropout rate at all the stages of education, rural-urban disparity, gender disparity, interstate variations pose as some of the problems that impedes the development of human resources in our country. Even the work participation rate in India indicates the necessity of proper planning of skill training and employment opportunity. Most interestingly, the existing general and conventional higher educational institutions have not effectively been able to cope with the contemporary challenges and changes with the result that the nature of curriculum which is by and large in place tends to create only degree inflation in our country. So, we need such institutes and institutional arrangement that can cater to the contemporary challenges so as to upgrade the quality of education as well as to provide need based educational programmes that can develop human power in the society. Effective or quality education especially at higher level can play a vital role in bringing around multifaceted human resource development, enabling the learner’s absorption in the job market and selfemployment. This paper will discuss how the accessibility of education can be promoted to all through a convenient mode of education system and how the disparities in education can be minimized, and also focus on the various strategies for strengthening higher education system in the country.

Dr gedam kamalakar

A mobile adhoc network is a Self-configuring network of mobile routers connected by wireless links. In the mobile adhoc network, each and every device moves independently in any direction so that there are frequent changes in the links. It is essential to learn the position of the neighbors because there is increase in location-aware services. So, there is a chance that the malicious nodes are easily abused the process. The significant problem in mobile networks is correctness of node locations and also it is primarily challenging in the presence of adversaries. So, the neighbor position verification protocol is used to a fully distributed, a lightweight NPV procedure which allows each node to obtain the locations advertised by its neighbors and asses their truthfulness. Further to extend neighbor position verification protocols in the proactive model that need to each node constantly verify the position of its neighbors. So, we introduce a technique called secure link state updating which provides secure proactive topology discovery that is multiply useful for the network operation. This technique is vigorous against individual attackers, it is capable to adjust its capacity between local and network-wide topology discovery, and also operating in networks of frequently changing topology and membership nodes. Experimental results show that the proposed system is high efficiency in terms of security when compared to the existing system.

Dr h shaheen

International students are the bedrocks of the global higher education market. Thus, worldwide, higher education institutions (HEIs) focus most international marketing efforts on understanding the complexities surrounding this student market. Recent studies on international higher education reveal the choices made by this student cohort and a wide variety of factors influencing such selections. This present study focuses on a student decision that is made under a set of options. Using structural equation modelling (SEM), this study aims to investigate the relationships of economic factor and decision-making process with the choice of international academic destination. Results, conclusions, and recommendations are discussed.

Johnny amora