Community acquired pneumonia is a prevalent disease in the Emergency Department (ED). The literature reveals that clinical practice could not be related with guidelines recommendations. The aim of this study is to determine the impact of the implementation of the recommendations of the Spanish society of Emergency Medicine in the Hospital Clínico Universitario Lozano Blesa (Zaragoza) ED in the management of community acquired pneumonia. Use of Pneumonia Severity Index (PSI) estimation was used to assess the adherence. This study was carried out from December, 2014 to February, 2015. Data was compared with the previous two months. The indicators management (discharge or admission decision, adequacy and anti-biotherapy) as well as the incidence of PSI estimation before and after the intervention in these parameters were evaluated. 209 patients were included, 97 before the intervention and 112 after the intervention. No significant differences were observed in the calculation of PSI. A significant decrease of admissions was observed after the intervention in the patients in whom the PSI was calculated (68.8% vs. 45.0%, p < 0.05). A greater use of the Observation Room was aimed at those patients in whom the PSI was calculated (06.3% vs. 17.5%, p < 0.05). PSI calculation significantly increased antibiotic prescription adherence (88.9% vs. 75.2%, p < 0.05). There were no modifications in the prescription after the intervention. In conclusion, PSI is a useful and effective measure to achieve a greater adherence to the recommendations. However, despite the positive trend in the use of the PSI and its interpretation, a low-intensity intervention is not sufficient to generalize its use.

Mediterranean journal of pharmacy and pharmaceutical sciences

Character education is an effort to foster and shape student character according to school culture. The research objective was to describe the process of cultivating character in students through school intracurricular and extracurricular activities. The research method with qualitative, data collection with interview, observation, and documentation. The results showed (1) character planting through intracurricular activities with (a) strengthening learning, namely character building in accordance with the theme or material, and (b) spiritual paradigm by inserting Islamic values ??in the learning process. (2) character planting through extracurricular activities with (a) scouts, namely forming leadership characters, being independent, solving problems, and loving nature, (b) leadership, forming leadership characters, responsibility, and making decisions, (c) painting, forming detailed, focused, creative characters , (d) martial art, forming tough, skilled characters, (e) reciting recitation, forming religious, moral, orderly characters, (f) child preachers, forming brave characters, positive thinking, art of communication, influencing others. Pendidikan karakter merupakan upaya membina dan membentuk karakter siswa sesuai dengan budaya sekolah. Tujuan penelitian untuk mendeskripsikan proses penanaman karakter siswa melalui kegiatan intrakurikuler dan ekstrakurikuler di sekolah. Metode penelitian dengan kualitatif, teknik pengumpulan data dengan wawancara, observasi, dan dokumentasi. Hasil penelitian ini menunjukkan: (1) Penanaman karakter melalui kegiatan intrakurikuler dengan cara (a) Penguatan pembelajaran yaitu pembentukan karakter yang sesuai dengan tema atau materi, dan (b) paradigma spriritual dengan menyisipkan nilai keislaman dalam proses pembelajaran. (2) Penanaman karakter melalui kegiatan ekstrakurikuler, (a) Pramuka yaitu membentuk karakter kepemimpinan, mandiri, memecahkan masalah, dan cinta alam, (b) Kepemimpinan, membentuk karakter kepemimpinan, tanggung jawab, dan membuat keputusan, (c) Melukis, membentuk karakter detail, fokus, kreatif, (d) Pencak silat, membentuk karakter tangguh, terampil, (e) Mengaji, membentuk karakter religious, akhlak, tertib, (f) Pendakwah cilik, membentuk karakter berani, berfikir positif, seni komunikasi, mempengaruhi orang lain.

Educare: journal of primary education

Nigeria is well known as a religious country where practically the citizens belong to one form of religion or the other unfortunately, the degrees of religious practces have not transformed into quality social, political, and economic lives for the people in terms of good governance, better standard of living, high ethical standards among others. It is descriptive research done as an exploratory paper in a mixed-method approach where some research questions were answered. Since ethical standards are predicated on simply knowing and doing what is good in doing to others what you will want done to you, people who claim to be religious as Nigerians should do better in this regard and many more given their faith. The effort to achieve this social rebirth can be achieved through social- entrepreneurship efforts this paper is advocating.

Olaosebikan johnson olusola (phd)

In the running of the Internet world, Ecommerce industry has its own benchmark in terms of its rapid growth and has made itself an established sector that is indispensable for every industry to trade and do transactions online. As the world is rushing in a rapid manner, India is slogging in the improvisation of the online market, leading to the lack of customized needs of the customers. Bigger companies are trying to put in a different strategic approach taking that into consideration an approach of blended emining along with ecommerce has been devised. It would be a design of the semanticand neuralbased page ranking algorithm [2]. This tool upon launching would be a welldefined approach for ecommerce website ranking [1]. It would also facilitate the customers to find the relevant websites on the top of the page during their search for any particular product orbusiness. It would be further customized with all the relevant comparison of the other websites in terms of the product quality and price.

Dr h shaheen

In this work a set of some cyclic peroxy ketals were tested for their antimalarial activities. Quantitative structure activity relationship (QSAR) analysis was applied to 20 organic compounds of the above mentioned derivatives using Physicochemical, informational and 2D-autocorelation parameters and modeled their antimalarial activity (logIC 50) values. The multiple regression analysis clearly indicates that 5 BIC, 1 IC, MATS4v and ST parameters yielded the best model having R 2 value of 0.9515. The predictive powers of the models were explained using LOO (Leave-One-Out) Cross validation procedure. The results are also discussed on the basis of ridge regression.

Dr. shweta sharma

Development of thematic teaching materials based on Islamic values, especially those related to the contents of the verses of the Alqur'an and / or hadith as the basis of all science. In the available books, there are no thematic teaching materials that are integrated with the Al-Quran and Hadith, as well as Islamic values ??that are able to implement the core competencies of the 2013 curriculum, namely the competence of spiritual attitudes in thematic learning. The formulation of this research is: (1) producing thematic teaching materials based on Islamic values ??theme 7 (Leadership) class 6 Madrasah Ibtidaiyah Negeri 2 Jember. (2) to determine the effectiveness of thematic teaching materials based on Islamic values ??in learning. This study uses a research and development research type, the Borg and Gall model which is divided into 10 steps, namely: (1) research and data collection (2) planning, (3) product draft development, (4) initial field trials, ( 5) revising the results of trials, (6) field trials, (7) improving products from field tests, (8) conducting field trials, (9) improving product results, and (10) disseminating and implementing. The testing technique was carried out by comparing the pre-test and post-test values. The data was calculated using the t-test and processed using the SPSS application to determine the effectiveness of teaching materials. The results of this study indicate: the validation test produces an average of 88.79% with the criteria that the book is very suitable for use in learning. In terms of attractiveness, this book is very interesting to use for students, this is based on the results of the questionnaire data given to students with an average of 88.24% with very attractive qualifications. Meanwhile, from the results of the pre-test and post-test based on the t count which shows that it is greater than the t table, it means that the book is effective for use in learning. Pengembangan bahan ajar tematik berbasis nilai keislaman, terutama yang terkait dengan isi ayat Alqur'an dan/atau hadits sebagai dasar dari semua sains. Dalam buku yang telah tersedia tidak ada bahan ajar tematik yang terintegrasi dengan Al-Quran, dan Hadits, serta nilai-nilai Islam yang mampu mengimplementasikan kompetensi inti dari kurikulum 2013 yaitu kompetensi sikap spiritual dalam pembelajaran tematik. Perumusan penelitian ini yaitu: (1) menghasilkan bahan ajar tematik berbasis nilai keislaman tema 7 (Kepemimpinan) kelas 6 Madrasah Ibtidaiyah Negeri 2 Jember. (2) mengetahui efektifitas bahan ajar tematik berbasis nilai-nilai keislaman dalam pembelajaran. Penelitian ini menggunakan jenis penelitian pengembangan Research and Development, model Borg and Gall yang terbagi menjadi 10 langkah, yaitu: (1) penelitian dan pengumpulan data (2) perencanaan, (3) pengembangan draf produk, (4) uji coba lapangan awal, (5) merevisi hasil uji coba, (6) uji coba lapangan, (7) penyempurnaan produk hasil uji lapangan, (8) uji pelaksanaan lapangan, (9) penyempurnaan produk hasil, dan (10) diseminasi dan implementasi. Teknik uji coba dilakukan dengan membandingkan nilai pre-test dan post-test. Data dihitung dengan uji-t dan diolah menggunakan aplikasi SPSS untuk mengetahui efektifitas bahan ajar. Hasil penelitian ini menunjukkan: uji validasi tersebut rata-rata menghasilkan 88,79 % dengan kriteria bahwa buku tersebut sangat layak untuk digunakan dalam pembelajaran. Dari segi kemenarikan, buku ini sangat menarik untuk digunakan pada siswa, hal ini berdasarkan dari hasil data angket yang diberikan kepada siswa dengan rata-rata 88,24% dengan kualifikasi sangat menarik. Sedangkan dari hasil pre-test dan pos-test berdasarkan uji t hitung yang menunjukan lebih besar dari t tabel, berarti buku tersebut efektif untuk digunakan dalam pembelajaran.

Educare: journal of primary education

The process of globalisation has made an unprecedented change in indigenous people's lives worldwide. However, the degree of exploitation and marginalisation vary from State to state and Adivasi tribal group to group. It examines very young, and older people are representing the highest number in the study areas. More than 73 per cent of Adivasi tribes are illiterates. The majority of families practice nuclear and have below three family members. Fifty-seven per cent of families have tiles roofs to their houses. 70% of respondents are cultivators (farmers), and 81% possess landholdings. More than 64 per cent collect minor forest produce. 68% of respondents earn less than 20k annual income. 90% of women participated in deciding their economic and family affairs—Majority Adivasi tribal suffering from anaemia, TB, BP and Diabetes. Adivasi tribals staple food is rice, followed by jowar—91% of respondents practising non-tribal traditional marriage system. The Government should take steps towards developmental activities in all villages, including water supply, bus services and roads. The Government has to take an integrated approach to develop Adivasi tribes in all aspects they need and participate in.

B suresh lal

Phycochemical and pharmacological studies were carried out on Ulva fasciata Delile. The ash content was found to be 20.4812 % dry weight, moisture content 14.5514 %, and total fat content as 0.1878% and 0.49341 %. Total carbohydrate was found to be 54.5301-54.2246% dry weight, phenolic content was found to be 0.022%, flavonoids were found to be 0.0313%, and tannins were 0.00003 %. Ulva fasicata showed central analgesic activity and significant anti-inflammatory activity at 400 mg/kg bw.

Dr. salman ahmed

The market for tertiary educational institutions, most especially for private universities, is highly competitive. The competitive nature of the market requires that Private Universities (PUs) step up their performance so as to remain competitive despite the major structural and market differences between them and public universities in the provision of tertiary education. The need for private universities to remain competitive in this turbulent market, calls for some careful examination of the factors that would enable private universities to enhance their performance. In this respect, this study sought to examine the effects of management competence, firm-level institutions, and human resource management (HRM) bundles on the performance of private universities in Ghana. Underpinned by the RBV and AMO theories, the study tested four hypotheses that sought to explain the relationships between the key variables of the study. The study was implemented using a quantitative research design. Out of the sixteen private universities sampled, thirteen private universities responded. The main research instrument was a structured questionnaire. Out of 230 questionnaires administered, 127 completed questionnaires were received and used for analysis. Collected data was analyzed using descriptive and inferential statistics (regression analysis) with the aid of SPSS software version 20 and AMOS version 23. Research findings from the tests of hypotheses established that management competence positively and significantly affected performance of private universities in Ghana. Though the study found that the composite variables of firm-level institutions and HRM bundles did not moderate the relationship between management competence and PU performance, the skills bundles (which is a component of the HRM bundles) significantly moderated the management competence – PU performance relationship in such a way that at high levels of skills bundle, management competence influences PU performance more than at low levels of skills bundle. Based on the findings of the study, it is recommended that PUs in Ghana institute competence acquisition and utilization policies, maintain appropriate firm-level institutions and HRM bundles and match these to their competence development strategies.

Cyril domeyelle dery

The purpose of this research was to investigate the relationship between affective tendencies in embarrassing situations and cheating behavior in a sample of adolescents. Two objectives were addressed: first, exploring the relationship between cheating behavior and shame-proneness, guilt-proneness, externalization, and detachment; second, analyzing the mediating role of detachment in the relationship between externalization and cheating behavior. The results showed positive correlations between the cheating behavior and externalization and detachment, a negative correlation with guilt, and no relation with shame. It was confirmed the mediating role of detachment. Implications for educators were discussed, emphasizing the importance of stimulation of students’ moral rules understanding.

Elena stănculescu

The screening of perfect diuretics for non-clinical utility in Diabetes mellitus is a relatively novel approach which gain inssight into underlying the pathophysiological processes. This study is aims to evaluate the diuretic effect of a crude aqueous & alcoholic extract of M.charantia Linn. using Albino Wistar Rat model. In this study, the comparative observation of Diuretic activity with standard and extracted compound were shown that the estimated 24‐hour urine contains the Na+ - 3.82 g, 3.82 g, 3.92 g and K+ - 1.35 g, 1.39 g, 1.48 g wt. for Vehicle control, Standard drug, and Extracted compound respectively. Which possess the favoring result means from the spot urine were 10.7±7.0 g/24 h and 3.9±2.1 g/24 h, respectively. Coefficients were 0.035, 0.022, 0.046 at (d±2SD = 7.07 g, 4.42 g and 8.92 g) for sodium chloride and 0.068, 0.031, 0.046 at (d±2SD =4.92 g, 2.31 g, and 3.34 g) for potassium chloride. The Na+ and K+ results can be deduced by conversion (1 g NaCl=0.4 g Na+, 1 g KCl≈0.5 g K+). The present study guide formulation of non clinical trials with statistical study to further measuring the claimed efficacy of M. charantia as a natural remedy for diabetes mellitus.

Dr. wahul umesh b

Monosodium urate monohydrate crystals are deposited in peripheral joints, causing gout and eliciting an intense localized inflammatory attack. In contrast, collecting ducts and medullary interstitium is a urinary calculus, which causes dysuria, nausea and hematuria. The purpose of the present study is to observe possible growth patterns of monosodium urate monohydrate crystals. The crystals were grown in test tubes using a single diffusion gel technique and were observed on the 7th,14th, 21st, 28th, and 40th days. Needle and spherulite-type crystals were observed on the 14th day, while arboresque, crystal sheaves, densely branched, dumbbell, mushroom-type spherulites, plumose and hexagonal prismatic crystals were observed for the first time. After the 40th day, complete spherulites were observed with their aggregates. The crystals were characterized by Scanning Electron Microscopy, Energy-Dispersive X-ray and Fourier Transform infrared spectroscopies. The pattern of MSUM will help determine the role of different natural products in the modulation, inhibition or promotion of these crystals by affecting the shape, size, transparency, approximate number and total mass of growing crystals. In case of inhibition or modulation, it will help evaluate prophylactic management. In contrast, the promotion of the crystal will give an idea about the risk factors of gout and kidney stones.

Dr. salman ahmed

his study explored the English Language Teaching appraisal of teachers in the trifocal Philippine education system in the Bicol Region as a basis for policy and advancement programs. This study used the descriptive-comparative-associational method using a content-validated and reliability-tested questionnaire. The frequency and percentage technique, weighted mean, Chi-Square, and Anova Test of Variance were used in the data treatment. Findings revealed that ELT teachers were predominantly females with 73.97%, CHED, 80.21%, DepEd, and 71.43% TESDA along age groups of early and mid-30s and 46 years above. They served the agencies for less than 10 years, mostly married. Professionally, these teachers were still pursuing post-graduate education and attending training. Along with appraisals on their professional and work responsibility, ELT Trifocal teachers very evidently performed their professional and work responsibilities; on the delivery system, respondents conveyed the mastery and application of theoretical and pedagogical knowledge; on their communicative competencies, they were classified as experts. Meanwhile, there was no significant difference among ELT teachers’ appraisal in the three systems (F–value 2.21< t-value 3.35; 5% level of significance). It follows that Philippine education has maintained an undeviating quality of ELT teachers regardless of which system of education they belong. The result showed no variations in ELT competencies despite differences in modalities, urgencies, and the attainment of quality education. Findings also unveiled that the ELT teachers’ appraisal and integration of ICT to language teaching are directly associated with their age, sex and civil status, and educational attainment. The higher the educational attainment, the higher the integration of ICT in language teaching. With these results, a policy development for the Professional Advancement Program in ELT was crafted.

Darrel ocampo

The article is a discourse analysis of the Wildflower telerserye, exploring the themes and portrayals of the main character and the ambiguities projected by her characterization. The research’s objective revolves around the details that upon the attempt of the telersye to flaunt the modern archetypes of a Filipina, a strong and empowered woman who liberates under the yoke of patriarchal hegemony, her actions and ways were deemed crucial and subjected to great scrutiny. The researcher also dealt with how these portrayals affect and reflect the Filipinos’ way of thinking and sense of morality. Two major literary theories were used to underscore the article’s crucial points. To show how the woman portrayals in teleserye try to subvert the idea and configuration of patriarchy, Feminism (Helene Cixous) was used. Meanwhile, Deconstructionism (Jacques Derrida) was employed to show that in the attempt of the teleserye to empower the woman lead character, remove her from her marginalized and stereotypical views, and liberate her from the yoke of patriarchal hegemony, the result was otherwise. Based on these analyses, a synthesis of Filipinos’ sensibilities on how it affects and reflects their ways of thinking was crafted.

Darrel ocampo

Before the start of the SARS-CoV-2 (COVID-19) pandemic, the whole environment around us had been deemed very toxic to breathe in due to the amount of greenhouse gases that had been emitted over the centuries. The Earth faced rising temperatures, which in turn led to the melting of glaciers and rising of sea levels. Environmental degradation was happening fast due to the depletion of resources such as air, water and soil. But after the coronavirus lockdown (Talabandi) commenced, there have been changes in the environment. The lockdown still has a huge impact on people in India too. The halt of industrial production and traffic resulted in cleaner air and rivers. In India the first phase of the nationwide lockdown that began on March 24 followed by enforcement of a series of regulations had some evidences that the COVID-19 curve is flattening in the country's COVID-19 affected regions. There was a good chance Prime Minister Narendra Modi extended the lockdown (Talabandi) four times that ended on (Phase 1 (24 March-14 April)., Phase 2 (15 April-3 May)., Phase 3 (4 May-17 May) & Phase 4 (18 May-31 May). The paper focuses on different aspects of environmental impact due to SARS-CoV-2 in India.

Rina kumari

Giving stimulus from educators in the form of giving appreciation and punishment will greatly affect the way of thinking and behavior of students in achieving the goals of character education that have been set. This study aims to describe the implementation of reward and punishment in shaping the character of students' discipline. This research uses a qualitative approach with the type of case study. Methods of data collection using interviews, observation and documentation. The validity of the data used source triangulation and technical triangulation. The results of this study indicate: (1) The implementation of rewards in shaping the discipline character of students is done by giving rewards in the form of praise and giving appreciation in the form of gifts. (2) The implementation of punishment in shaping the disciplinary character of students is carried out by giving gradual warnings, giving spontaneous warnings and written warning letters. (3) Evaluation of the implementation of rewards and punishments in shaping the character of students' discipline is using process evaluation, which is an assessment carried out during the learning process by observing the attitudes of students everyday when they are in the madrasa environment.. Pemberian stimulus dari pendidik berupa pemberian apresiasi dan hukuman akan sangat mempengaruhi cara berpikir dan tingkah laku peserta didik dalam mencapai tujuan pendidikan karakter yang sudah ditetapkan. Penelitian ini bertujuan untuk mendeskripsikan implementasi reward dan punishment dalam membentuk karakter disiplin peserta didik. Penelitian ini menggunakan pendekatan kualitatif dengan jenis studi kasus. Metode pengumpulan data menggunakan wawancara, observasi dan dokumentasi. Keabsahan data menggunakan triangulasi sumber dan triangulasi tehnik. Hasil penelitian ini menunjukkan: (1) Implementasi reward dalam membentuk karakter kedisiplinan peserta didik dilakukan dengan memberikan reward dalam bentuk pujian serta memberikan apresiasi dalam bentuk hadiah. (2) Implementasi punishment dalam membentuk karakter kedisiplinan peserta didik dilakukan dengan cara memberi peringatan secara bertahap, memberi teguran spontan dan surat peringatan tertulis. (3) Evaluasi implementasi reward dan punishment dalam membentuk karakter kedisiplinan peserta didik adalah menggunakan evaluasi proses, yaitu penilaian yang dilakukan di saat proses pembelajaran berlangsung dengan mengamati dari sikap peserta didik sehari-hari ketika berada di lingkungan madrasah.

Educare: journal of primary education

Higher Education has an important role in the task of rebuilding a nation and it pavCes the way for overall development of a nation. The twentieth century has witnessed several revolutions like Green revolution, White revolution, I.T revolution, so on and so forth, taking human civilization to new heights. At the start of 21st century, we gave a lot of importance given to higher education. Every country realized the value of higher education and the benefits that accrue from it. “The social demands for higher education continue to increase. The inabilities of the state to support this growing demand result in new financing arrangements for higher education. The recent reforms in this area could be broadly divided into two categories: the privatization of public institutions and the establishment of private institutions of higher education. Privatization implies the application of market principles in the operation of public institutions, while ownership rests within the public domain. Promotion of the private sector implies the growth and expansion of the non-state sector in higher education, and very often this sector does not rely on state funding for its growth and expansion. Both of these measures have paved the way for market operations in higher education

Dr gedam kamalakar

The Banking sector influences the economic growth and development of the country both in terms of quality and quantity, there by adopting the various strategies for economic growth. Technological advancements and new initiatives of government have helped banks to provide efficient services to its customers all over the country. The study has been conducted to know the extent of problems faced by the bank customers, and their level of satisfaction towards the banking services provided by the Corporation Bank, Kodialbail Branch, Mangalore. 100 customers of the bank, who are the employees of Besant Institutions, are contacted and data was collected through questionnaire. Study revealed that 66% of respondents have faced problems in operating their bank accounts. 63% of the respondents have availed net banking facilities. Only 18% of the respondents are satisfied and 32% of respondents are neutral about the services of the bank. Some of the respondents provided valuable suggestions to improve the banking services.

Thara s shetty

The study, “The beginnings of the organization of the Kosovo Liberation Army in the Lap Operational Subzone December 1995 – June 1998,” as its object of study has the period of the Kosovo Liberation War in the years 1998-1999. This study touches upon the historical dimension of the efforts and sacrifices of Albanians found in the Serbian-Yugoslav area against their will.This study’s main topic is the beginnings of the organization in the Lap Operational Subzone (LOSz) as a significant part of the KLA. The study has undergone a scientific analysis based on sources of all kinds. The analysis included LOSz’s position in the KLA structure: the mission and duties during the liberation war, the governing bodies at the beginning of the LOSz organization and their functional organization, as well as the battles and downfalls of the freedom fighters. Historical literature, feuilletons, scientific papers, as well as interviews with famous personalities, were used to shed more light on the organization and the war in LOSz. This topic covers an essential segment of the Kosovo Liberation War period 1998-1999 And contributes towards the complete enlightenment of this historical period, especially in this region. Therefore, hopefully, this study will build interest and create perspectives for new studies of this nature.

Anglisticum

Urolithiasis is a common worldwide problem with high recurrence. This review covers the forty-one (41) antiurolithiatic plants of the Rosaceae family that are used in 14 countries. Hopefully, this review will be helpful for the general public and attract the scientific world for antiurolithiatic drug discovery.

Dr. salman ahmed