In health care delivery systems, if you are not part of the solution, then you must be part of the problem. Over the last few decades, clinical pharmacy encourages pharmacists and pharmacy support staff to move their focus from product-oriented role towards new direct engagement with patients, to make the most of the benefits that patients obtain from the medicine they take, or the problems they encounter with their medicines use. In the USA, pharmacists’ participation in physicians ward rounds was shown to reduce adverse drug events by 78% and 66% in general medical and intensive care settings [1. 2]. A study covering 1 029 US hospitals indicated that centrally based and patient-specific clinical pharmacy services are associated with reduced mortality rates [3]. The services involved were medicine information, clinical research performed by pharmacists, active pharmacist participation in resuscitation teams and pharmacists undertaking admission medication histories. New pharmacists’ roles in healthcare systems around the globe have moved and developed significantly over the past few years, particularly with expansion of the scope of practice which allows pharmacists to focus on the clinical aspects of direct patient care [4, 5]. Pharmacists are drug therapy experts of health care team. Therefore, pharmacists, today, are the arbiters of effective and safe use of medicines. Medication therapy management is one of the major areas in which physicians more and more rely on pharmacists to benefit their patients.

Mediterranean journal of pharmacy and pharmaceutical sciences

Diaspora groups across the world have been known for adopting and inventing processes and forms of ‘homemaking’ in their host lands. This article brings into focus the methods of homemaking assumed by the Indo-Surinamese Hindustani diaspora in the Netherlands, which owes its origin to colonial dispersal. Considering their status as a ‘twice-migrant’ diaspora, the process may appear to be distinctly difficult for the Hindustanis, a position this article seeks to examine. The article interrogates the notion of homemaking in the case of the Hindustanis through ethnographic conversational interviews of Indo-Surinamese interlocutors—a unique perspective based on personal histories and everyday experiences.

Roshni sengupta

Objectives: Improper and inappropriate use of antibiotics is one of the possible factors affecting the transmission of antibiotic resistance is Because Pseudomonas aeruginosa is one of the most serious pathogenic bacteria in hospital environments and resistant It is an antibiotic that causes problems in treatment. This study aims to determine multiple resistances Pseudomonas has been treated with antibiotics, arsenic and metals. Materials and Methods: In this study, 23 strains of Pseudomonas aeruginosa were isolated from clinical specimens. for review Resistance of these bacteria to penicillin antibiotics was used by Kirby-Bauer method. The minimum concentration C.I.M. (and minimum lethal concentrations (C.B.M.) of antibiotics and heavy metals (cadmium, mercury) and arsenate Tubal dilution, agar and growth were performed in agar plate, respectively. Results: In this study, the highest and lowest MIC values obtained in Pseudomonas aeruginosa for metals, respectively. * 8 and 3 cadmiums (0.6 and 4.9 μg / ml), mercury (<0.12 and 4 μg / ml) and arsenate (10 × were 256 μg / ml). Of 23 strains, 84% to the antibiotic carbonicillin, 63% to piperacillin and 100% to 103 Arsenic and cadmium were resistant. Also, 82.6% of the strains were resistant to mercury. Conclusion: The results of this study showed that Pseudomonas aeruginosa strains have multiple resistance to arsenic, metals and the antibiotics are car penicillin and piperacillin.

Amirhossein jahromi

Hemodialysis patients suffer from poor health-related quality of life which results in a higher risk of hospitalization and mortality. This study investigates the importance of pharmaceutical care and role of pharmacist for hemodialysis patients to optimize drug therapy, minimize drug related problems and thereby improving their health-related quality of life. The study was conducted to evaluate the impact of pharmaceutical care interventions on health-related quality of life of hemodialysis patients in Benghazi, Libya. Randomized control study was carried out after getting an ethical approval from the committee of the hospital. Health-related quality of life was assessed using SF-36 instrument for all the patients (n = 80). Among them, 40 patients were received the normal care along with brief medication review and counselled by pharmacists for two months. Then, health-related quality of life was assessed again for those 40 patients who received the pharmaceutical care. Data was analyzed using an appropriate methods. The results showed that the quality of life for hemodialysis patients was poor in both physical and emotional aspects. After implementation of appropriate pharmaceutical care to the patients, their quality of life improved significantly. Health-related quality of life is an important determinant of treatment effectiveness in dialysis patients

Mediterranean journal of pharmacy and pharmaceutical sciences

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

Purpose of review: This narrative review aims to assess the effectiveness of multimodal analgesia protocols (MAPs) in managing postoperative pain and reducing opioid consumption. The review evaluates the safety profile of MAPs, identifies the most effective components for different surgical contexts, and discusses their broader applicability in clinical practice. Given the growing concerns around opioid use, the focus is on alternative strategies that can offer comparable or superior pain relief with fewer side effects. Recent findings: Recent studies have demonstrated that MAPs, which combine various pharmacological and non-pharmacological methods, significantly reduce postoperative pain intensity and opioid use. These protocols show superiority over traditional opioid-centric approaches without increasing adverse events like nausea and respiratory depression. Incorporating regional anesthesia, nonsteroidal anti-inflammatory drugs, and nerve blocks has enhanced recovery, minimized complications, and improved patient outcomes. Furthermore, MAPs can be tailored to specific surgical settings, with combinations of medications like ketamine, acetaminophen, and dexamethasone proving effective in different clinical scenarios. Summary: Multimodal analgesia offers a viable approach to optimize postoperative pain management, reducing opioid-related risks and improving recovery outcomes. By utilizing the synergistic effects of different pain relief modalities, MAPs can achieve better pain control while minimizing opioid consumption. The review underscores the need for the broader adoption of MAPs and further research to refine these protocols, aiming for long-term improvements in surgical care and patient experiences

Karishma

n India, the education sector has been always attentive to adopt innovations and techniques in the teaching-learning process due to various challenges. But nowadays, academic institutions are becoming flexible in accepting the new teaching and learning techniques to satisfy the student sector which as cited as the most vital entity in the educational sector. New technologies, tools, and techniques are proving as a boom for innovative teaching and learning practices. One of the emerging teaching technique is Blended learning which is a process refers to “mixing of the different learning environment for educational transfer”. It combines the traditional face to face classroom method with online learning method supported by advanced technology and tools. Blended learning should be viewed not only as a temporal construct but also as a fundamental redesign model. Through this content, delivery becomes digital and online. Truly blended learning requires teachers should adopt the approach as guides and mentors and learning should go beyond the classroom walls. Blended learning is also known as Hybrid learning. Although, Indian Government is taking initiatives to implement a blending learning approach yet there is a need to access the behavioral aspect of the students to use this blending learning approach. Adopting a blended learning approach must start with a re-examination of the intended learning outcomes.The deployment of cloud in the blended learning process makes its existence more strong. This study is the review of literature selected to identify the need for blended learning deploy with cloud in the teaching-learning process in the Higher Education Sector.

Inderbir kaur

The study employed Appreciative Inquiry framework to have an in-depth investigation in the personal lives of the participants and to draw connections between their beliefs and practices in taking Licensure Examination for Teachers and how these superstitions reflect and affect their moral principles. Specifically, it aimed to: (1) determine the superstitious beliefs followed by the examinees before, during, and after taking the Licensure Examination for Teachers (LET); (2) determine the positive and negative impact of these superstitions in the aspect of taking LET; and, (3) identify the effects of these superstitions in the characters and principles of the teachers. Semi-structured interview and focus group discussion were used and the data-sources were triangulated to come-up with a stronger analysis. Audit trail and member checking were followed to ensure that there were no biases in the interpretation of the data and to establish the validity of the results. Findings revealed that the student examinees followed different superstitious beliefs before, during and after the exam which have positive and negative effects. The motive of avoiding failure in the examination predominates over the motive of achieving success. The positive and negative effects of superstitions vary from one person's experience to another. Moreover, the assertion and personal disposition to pass the exam became the product of student examinees' projection. The superstitious notions were initiated to discard the student examinees' fears and to safeguard their emotional sphere against negative feelings and any untoward possibilities. Meanwhile, in the development of moral principle, the student examinees' family, peers and the society are important factors in the establishment of their belief system which later on reflects the moral principles they uphold.

Darrel ocampo

This paper addresses global supply chain management (GSCM). The industry used to explore this topic is the automotive industry, as it is a core industry in the world economy, both in revenue generation and inefficiency. The paper explores both the positive and negative attributes of supply chain management, explores and analyses the gap between evaluation and implementation of improvements in supply chain management and then looks into the global issues affecting supply chain management and their solution.

Mohamed sorogy

Recently, novel materials like gas-sensing metal oxides, mixed metal oxides, and modified mixed metal oxides have attracted great attention owing to their key roles in monitoring environmental pollution, security in hospitals, homes, and public places, and hazardous emissions from industries and automobile exhaust. Initially, the mechanochemical (MCh) method was employed for the synthesis of the CuMnO3 catalyst and then the modification of CuMnO3 through the hydrothermal route. These synthesized catalysts were characterized by Ultraviolet Violet-Diffused Reflectance (UV-DRS) spectroscopy, Fourier Transform Infrared Spectroscopy (FTIR), and Scanning Electron Microscopy (SEM). The average particle size obtained for 3 % Fe/CuMnO3 was found to be 14–28 nm. The present work proclaimed that among all the synthesized 1,3,5 % Fe/CuMnO3 materials, the 3 % Fe modified CuMnO3 material shows significant gas sensing properties towards highly toxic H2S gas released from sewage plants, oil, and natural gas industries, among NH3, CO2, H2S, H2, CO2 and Cl2 with moderate temperature requirements and excellent selectivity.

Shilpa sangle

Frequent power outages arising from poor state of electricity infrastructure is hindering Nigeria’s socio-economic growth. Port Harcourt is one of the foremost cities in Nigeria where business and social activities are becoming rapidly more dependent on electricity. Any power outage, even of the shortest duration, in Port Harcourt City has severe socio-economic impacts and there is no likelihood that the phenomenon would abate even in the nearest future. This research investigated the causes of incessant power outages in Port Harcourt City and suggested remedial measures to reverse the trend. The researcher relied on datacollected from primary sources through personal observations, interviews and discussions with residents of the City and from secondary sources such as the National Bureau of Statistics (NBS), the Manufacturers Association of Nigeria (MAN) and current scholarly literature relating to this research, over a period of twelve months. The study used a descriptive and the non-parametric simple percentages technique in analysing the data so collected and in drawing conclusions. It was found that inadequate power generating capacity, shortage of gas, weak and dilapidated electrical transmission and distribution network, inadequate power infrastructure facilities, etc. are the chief causes of incessant power outages in the Port Harcourt metropolis. The paper recommends, among others, immediate upgrade of existing power infrastructure facilities, review of government policy on domestic gas supply and stiff statutory legislation on vandalism as measures to stabilise electricity supply in the Port Harcourt city.

Dr. hachimenum amadi

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

Rasa shastra is aPharmaco – therapeutic branch of Ayurved, incorporates many of the Herbo– mineral – metallic pharmaceutical preparations prepared out of the Parada namely KhalviyaRasayana, ParpatiRasayana, PottaliRasayanaandKupipakwaRasayana.Rasaushadhis are important for their uniqueness in Ayurvedic therapeutics due to lesser doses. KharaliyaRasayanais used in wide range for therapeutic utility and is easy for preparation. Icchabhedi Rasa is one such kharaliyaherbo-mineral formulation mentioned in various Ayurvedic text. Icchabhedi Rasa is a classical preparation commonly used for Virechana. Icchabhedi Rasa is described in various classical texts with some variation of ingredients. Jayapalais the chief ingredient of the preparation having Katu Rasa, UshnaVirya and KatuVipaka. It is well known for its strong purgative action. Though variation is observed in thedescription of these KharaliyaRasayana and compilation of these will help to study in comparative manner.AYU

Suri abhiram

The Construction Industry is one of the industries contributing highest GDP in Indian economy. The material that is most chosen in construction Industry is concrete. Concrete is a material made with Cement, Fine aggregate in the form of sand, Coarse aggregate in the form of gravel and water. With increasing scarcity of sand, construction works are coming to jolt and thereby increasing the need for choosing an alternative material. Vermiculite is a material which after exfoliation can be used as a filler material replacing sand partially without affecting strength much. One more material Granite (by product which is a waste is causing lot of environmental Issues), produced from granite industry, is available in India in several million tons. Coarse aggregate generally used is a crushed aggregate obtained from rocks like granite, basalt and soon. Recycled aggregate is an aggregate which is obtained after demolishing of an existing building, which is a waste causing economical in balance and which if put into use can not only decrease the construction cost but also make this waste into a better use. In the present study, for a M35 grade of concrete, Vermiculite (0, 5%, 10% and 15% of weight of sand) and granite powder (fixed at 10% of weight of sand used) is used to replace sand partially and in the place of normal coarse aggregate, recycled aggregate is used which is 20 mm passing and 12 mm retained After preparation of Mix-Design(1:1.83:2.69 with w/c ratio of 0.38) the concrete cubes are casted to test for compressive strength after curing for 28 days, 56 days and 90 days. Forsec brand super plasticizer is used to take care of workability requirements. Durability test in the form of resistance to attack of sulphuric acid was conducted along with compressive strength. The test results were promising at 10% replacement levels of Vermiculite.

Kiran kumar narasimhan

To the editor, Hepatitis B virus (HBV) infection remains a global public health concern, with over 296 million chronic carriers worldwide and an estimated 820,000 deaths annually due to HBV-related complications such as cirrhosis and hepatocellular carcinoma (HCC). [1] While serological markers like hepatitis B surface antigen (HBsAg) and hepatitis B e antigen (HBeAg) have long been used in diagnosis and monitoring, emerging research has revealed the value of novel biomarkers in assessing disease progression, predicting treatment response, and guiding personalized care strategies.

Karishma

How great would it be if you never forgot anything or never lost the ability to think and be creative? And just imagine how much more great it would be if your brain can be reconstructed so that it can stay young forever and be used to create wonders even after your death? It would be a great leap in the field of science if the brains of great minds like Steve Jobs or Albert Einstein can be recreated. That is exactly what the blue brain does. The blue brain project is an attempt to reconstruct the brain piece by piece and building a virtual brain in a supercomputer. It began in 2005 with an agreement between the EPFL and IBM, which supplied the Blue Gene/L supercomputer acquired by EPFL to build the virtual brain. The computing power needed is considerable. Each simulated neuron requires the equivalent of a laptop computer. A model of the whole brain would have billions. Supercomputing technology is rapidly approaching a level where simulating the whole brain becomes a concrete possibility. The main aim is to update the brain into a computer. As a first step, the project succeeded in simulating a rat cortical column. Efforts are now being made to simulate the human brain. In five years of work, Henry Mark ram’s team has perfected a facility that can create realistic models of one of the brains essential building blocks. This process is entirely data driven and essentially automatically executed on the supercomputer. This modeling will expand to all the areas of the brain and if successful, shed light on the relationships between genetic, molecular and cognitive functions of the brain. These models will be basic building blocks for larger scale models leading towards a complete virtual brain.

Dr h shaheen

Solar Energy is the prime important source of energy, and it has continued to gain popularity globally. As of 2018, about 486 GW of solar PV was installed worldwide. One of the key requirements for socio-economic improvement in any nation of the world is the provision of dependable electricity supply systems. Recently, there is a massive growth in access to solar electricity in several Africa countries, notably South Africa, Egypt, Morocco, and Algeria. As a result, it decreases the global population without access to electricity with an appreciable value. This paper review the present state of solar energy capacity in the world also identifies vital approaches of improving their functionality, reliability, and affordability as well as the essential method that policymakers may implement in the future. The result shows that there is a recurrent growth in solar energy annually and as at the end of 2018 Asia with the largest capacity of 56.58%, while Central America and the Caribbean have the lowest installed capacity of 0.36%. As the request for an uninterrupted supply increases in different regions, progressive builders are embracing solar photovoltaics (PV) renewable energy as an option for their customers.

Najeem olawale adelakun

In the present study, the bacterium Achromobacter xylosoxidans was isolated from tannery effluent sludge sample in Dindugal, Tamil Nadu, India and screened for its bio-control efficacy against selected plant pathogens viz., Alternaria solani, Curvularia lunata and Fusarium oxysporum under in vitro. It was observed that maximum percent inhibition of mycelial growth of C. lunata (95%), followed by A. solani (85%) and F. oxysporum (80%). An attempt was also made for testing its plant growth promoting traits such as production of Indole acetic acid (IAA), phosphate solubilization efficacy, Hydrogen cyanide (HCN), ammonia and catalase production. Significant amount of plant growth promoting traits were noticed. Further studies on mechanism of bio-control against plant pathogens and plant growth promoting activities of Achromobacter xylosoxidans need to be conformed under in-vivo condition.

Dr. saranya devi k

Elevated arterial blood pressure is the most important public health problem in developed countries. It often leads to lethal complications if left untreated. Brewer's yeast is celebrated for its various beneficial effects, including a possible hypotensive effect. Thus, the anti-hypertensive effects of brewer’s yeast were investigated. The hypertensive model was done by a once-weekly intraperitoneal injection of dexamethasone at a dose of 25 mg/kg combined with drinking a 1.0% sodium chloride solution containing 0.2% KCl and 2.0% glucose for six weeks. The blood pressure was measured by the rat carotid artery cannulation preparation. Different doses of brewer's yeast dissolved in distilled water were injected into the internal jugular vein, with measurement of blood pressure at each time. To explore the mechanism of the hypotensive effect of yeast, the yeast cardiac effect was verified by the use of isolated perfused rabbit heart preparations using different antagonists. It was found that dexamethasone elevated systolic blood pressure to 178.3±11.6 and diastolic blood pressure to 133.3±16.6 from normal levels of 115.0±9.1 for systolic and 74.0±4.1 for diastolic. The gradual increase in intravenous yeast doses ranging from 0.05 to 0.40 effectively lowered systolic and diastolic blood pressure in rats with normal pressure, bringing them to approximately 80.0±05.6 mmHg for systolic and 40.0±3.5 mmHg for diastolic. While doses exceeding 0.04 resulted in a drop in systolic pressure to 60.0±3.9 mmHg, diastolic pressure became unrecordable. The administration of the 0.20 dose resulted in unrecordable blood pressure. In hypertensive rats, a decrease in blood pressure was observed with doses ranging from 0.60-1.0 mg, leading to a reduction to 110.0±2.8 mmHg for systolic and 52.0±9.9 mmHg for diastolic pressures. Doses exceeding 1.0 mg further lowered systolic and diastolic pressures to 20.0±3.9 mmHg. There was a mild increase in heart rate with no change in cardiac force of contraction. This effect was not mediated through beta, calcium receptors, or the histamine effect. The findings show that the yeast has a dose-dependent blood pressure-lowering effect. The mechanism of the chronotropic effect is possibly due to its direct action.

Mediterranean journal of pharmacy and pharmaceutical sciences

Justificativa e objetivo: O uso inadequado da estatística básica é o maior responsável peloerro de interpretac ̧ão dos artigos científicos. O objetivo deste artigo de revisão foi rever algunstópicos básicos de estatística para alertar autores e leitores sobre a importância do relatoadequado da estatística básica.

Kamal singh