Will discuss how the German giant Lidl plans to take expansionary steps in a Mexican or Norwegian market to add to its success records in the European and North American markets. Lidl began modestly in 1973 with a small shop that runs three members and offers 500 products to 10,500 stores in 29 countries. Lidl has many pros, plus the disadvantages to consider when evaluating the components available in each country, both the pros and cons of this analysis will be reviewed using PESTLE, five- force models, internal value-activities, international business being able to. Accordingly, the next targeted expansion decision will be made.
Aim: Murraya koenigii is a widely used plant both as a potential medicinal agent and also for common cooking purposes. Aim of this present study was to determine the antimicrobial activity of Murraya koenigii leaf extracts on Staphylococcus aureus and Escherichia coli. Study Design: Screening and isolation of pathogenic bacterial strains from contaminated water. Preparation of Murraya koenigii leaf extracts using petroleum ether, acetone and ethyl acetate by using serial extraction method with Soxhlet apparatus. Place and Duration of Study: Department of microbiology, Agro biotec research centre Ltd, Poovanthuruthu, Kottayam, Kerala, India, between 2014 January to 2014 May. Methodology: Staphylococcus aureus and Escherichia coli were the bacterial strains used in this study. Morphological and biochemical analysis of microorganisms were conducted to identify the strains. Leaf extracts (petroleum ether, acetone and ethyl acetate) of Murraya koenigii were screened using MHA disc diffusion methods. Results: Various concentration of plant extracts were used to check its activity against isolated pathogens. Acetone extract of curry leaves exhibit maximum zone of inhibition against Staphylococcus aureus and petroleum ether extracts shown maximum inhibition against Escherichia coli.
Recent reports showed an association between bariatric surgery and the development of acute pancreatitis. This report presents a case of acute pancreatitis following a laparoscopic sleeve gastrectomy (LSG) in a 24-year-old Indian female patient, who presented to the Emergency Department at Hamad General Hospital, Qatar, with severe epigastric pain and persistent vomiting 13 days after LSG. She was diagnosed with acute pancreatitis based on a high level of lipase greater than three times the upper limit of normal, and a computed tomography scan of the abdomen, which was consistent with acute pancreatitis. The patient was treated conservatively with a significant improvement in her symptoms and laboratory tests throughout her admission and consequently was discharged.
This study conducted a simulation-based time-domain short-circuits fault evaluation and protection system reliability analysis in 300 MVA substations with 132 kV transmission lines in Asaba (Ibusa/Asaba), Delta State, Nigeria. The analysis focused on two primary parameters: protection system dependability and selectivity, to determine the conditions necessary for ensuring rapid fault clearance and stable substation operation under line-to-ground, double-line, and three-phase faults. Fault currents, voltages, and relay trip signals were generated and analyzed using MATLAB time-domain simulations. Results indicated that system dependability exceeded 97% and security surpassed 95% when total fault-clearing times remained below 120 ms. Relay coordination intervals of 0.2–0.4s, backup misoperation below 3%, and circuit breaker MTBF above 20,000 h ensured selective fault isolation. Extended fault durations beyond 120ms or improperly coordinated relay settings increased the likelihood of misoperation and voltage instability. It was concluded that uninterrupted substation operation depends on integrating time-domain fault evaluation, coordinated relay settings, and reliable breaker performance into protection management protocols. Accordingly, it was recommended that substation operators maintain precise relay coordination, implement continuous time-domain monitoring, and uphold breaker maintenance schedules. These actions will further enhance the protection reliability, reduce fault propagation risks and support safer, more stable operation of the 132 kV transmission network.
Venous thromboembolism (VTE) is a serious medical condition that has a high clinical burden on both the mother and fetus, despite having a low incidence during pregnancy and the postpartum period. VTE is a leading cause of death among pregnant women and new mothers worldwide, and its severity cannot be underestimated. The development of VTE is influenced by a combination of genetic and environmental factors, as well as acquired conditions. Pregnancy-related changes, such as increased levels of coagulation factors and diminished fibrinolysis, can increase the risk of VTE. Additionally, older mothers, those who are obese, multiparous, or have undergone cesarean delivery, are at a higher risk of developing VTE. Owing to the lack of standardized guidelines and reliable data on VTE prevention, diagnosis, and treatment, authorities have developed risk scores that allow for a personalized assessment of the risk of thrombosis during pregnancy and postpartum, enabling a tailored approach to prevent thrombosis. Managing VTE during pregnancy poses significant challenges because the benefits and risks of anticoagulant treatment for both the mother and fetus must be carefully balanced. An interdisciplinary approach that includes obstetricians, neonatologists, physicians, and hematologists is essential to achieving optimal outcomes. This review explored the VTE updates in pathogenesis, presentation, complications, treatment options, and research gaps with proposal strategies to improve VTE outcomes and suggest further research.
Febrile convulsions have been defined as any convulsion associated with a fever of more than 38 oC without central nervous system infection in a child aged six months to five years. Febrile convulsion can be divided into two groups of simple and complex seizures. This study aimed to determine the prevalence of febrile convulsions in Libyan children and to investigate the associated risk factors related to this type of seizure in children. 120 cases of febrile convulsions with one day - 12 years old were collected during from April to August 2022. A study has conducted in the Pediatrics Hospital in Bayda City, Libya about the prevalence of febrile convulsions in children, the data collection tool was a self-designed pre-tested validated questionnaire including general information such as age, gender, family history, and admission to the hospital. In addition, data such as body temperature, recurrent convulsion attacks, the condition of hospital admission, discharge status, the treatment in-hospital and out-hospital. The collected data were analyzed by using descriptive methods. Among the 120 children, the majority of the cases were aged between two years and five years old. The gender prevalence rate in this study was 55.0% in males and 97 of the children were hospitalized due to simple febrile seizure (80.8%), 92 of the cases with no family history of febrile convulsions (75.0%) and respiratory tract infections is the main cause of febrile convulsions. In conclusion, this study indicated that respiratory tract infections is the most common cause of febrile convulsions among Libyan children, however, a large sample study is needed to support this issue in Libya.
Mediterranean journal of pharmacy and pharmaceutical sciences
This proposed work is used to optimize the costs of exceptional elements of machine cells for a variety of components in changing environments to have reduced material movements in cell layout. The exceptional ele¬ments are eliminated in the optimization model by doing machine duplication and part subcontract. Then the shop floor layout is designed to have optimized material movements between cells and within a cell. The result of a linear programming optimization model is cost savings, machines duplicated, parts subcon¬tracted, inter intracellular movements. Finally, the output of the inbound facility design is the floor layout which has machine cell clusters with optimized floor areas. The optimization model is provided with budg¬etary constraints for duplication and the economic tradeoff between machine duplication and part subcontract. Cell layout is prepared to reveal the saving in floor area and material movement lengths than in process layout with the help of distance matrix and dimensions of cells.
Cardiovascular diseases represent a formidable global health challenge, standing as the foremost cause of both mortality and morbidity. Atherosclerosis and myocardial infarction, as primary contributors to this epidemiological burden, underscore the urgent need for effective therapeutic interventions with minimal side effects. Natural compounds derived from plants have emerged as promising candidates, given their enhanced efficacy and reduced adverse effects. Phytochemicals, in particular, have garnered attention for their potential as alternative therapeutic agents. This review delves into the cardioprotective potential of pinocembrin (5,7-Dihydroxy flavanone), a compound extracted from various plants and honey. Renowned for its antioxidant and anti-inflammatory properties, pinocembrin demonstrates significant cardioprotective effects through the modulation of diverse signaling pathways. Atherosclerosis and myocardial infarction entail intricate cellular mechanisms involving oxidative stress, inflammatory responses, cellular remodeling, and programmed cell death. Pinocembrin, by targeting key factors within these pathways, exhibits cardioprotective actions. While existing research underscores its effectiveness, further investigations are warranted to elucidate the impact of pinocembrin on additional cardiovascular conditions and explore novel molecular targets, thus paving the way for future advancements in therapeutic interventions.
Among the consequences of armed conflict, the effect on the mental health of the civilian population is one of the most significant aspect of psychiatric disorders. Studies of the general population show a positive increase in the incidence and prevalence of mental disorders. This study is aimed to determine the relationship of the national crisis on the mental health conditions of university students and their academic performance. Specifically, this study was aimed to evaluate the national crisis effects on the mental health and the academic performance as well as the association of the national crisis, mental health and academic performance. 40 sample size of pharmacy students at the academic year 2019-2020 at Attahadi University, Tripoli, Libya were used in this study and a survey of validated questionare for mental health was considered. The findings revealed that the effects of national crisis on the mental health of the students disclosed the verbal interpretation of rarely grade. Indeed it can be found that mental health of the students was not of greatly affected in this sample. The academic performance of the students disclosed that academic year levels one and three have verbal interpretation of good and academic year level two has fair. Though the academic performance of the students did not show a verbal interpretation of weak or very weak. It is still worthwhile to note that none of them has reached the very good and the excellent performance. It can be concluded that a need for the students coping strategies be enhanced for them to reach their maximum potential with their academic performance. This study shows also that a weak positive relationship among the variables. Though it’s not that high, indeed, the mental health of the students can be a predictor to their academic performance.
Mediterranean journal of pharmacy and pharmaceutical sciences
A 22-year-old Indonesian woman was admitted through the emergency department with a 10-day history of fever associated with chills. Other medical history was unremarkable. On examination, she appeared ill; BP 95/60 mmHg, pulse 105/min, and temperature 39.5°C. Abdominal examination showed splenomegaly; examination of the heart, lungs, and nervous system was unremarkable.
Higher Education has an important role in the task of rebuilding a nation and it paves the way for overall development of a nation. The twentieth century has witnessed several revolutions like Green revolution, White revolution, I.T revolution etc; transforming human civilization in to new heights. At the start of 21st century, there is a lot of importance given to higher education. Every country realizes the value of higher education and the benefits accrue from it. There is a greater importance attached to higher education. “The social demands for higher education continue to increase. Indian higher education has a rich and complex history that spans millennia. This abstract provides an overview of the key developments in Indian higher education, highlighting its evolution from ancient times to the modern era. The history of Indian higher education is marked by the establishment of ancient centers of learning, the influence of various empires and dynasties, colonialism, and post-independence reforms. This abstract also touches upon the challenges and opportunities that have shaped the landscape of higher education in India.The history of Indian higher education can be divided into several distinct periods. In ancient India, centers of learning such as Takshashila and Nalanda emerged as renowned seats of knowledge, attracting students and scholars from across the world. These institutions laid the foundation for a tradition of rigorous intellectual inquiry
pecial Needs Education (SNE) highly plays a crucial for all those children and adults with disabilities. In this article, I aim to research the awareness levels of SNE in various schools and communities in the city of Hyderabad, India. A qualitative approach was taken for this purpose. My research also includes a case study of a special needs child along with his family and academic background, in order to know the degree of awareness among parents.
Dignity therapy (DT) is an evidence-based psychotherapeutic approach originally designed to alleviate emotional and existential distress in patients with terminal illnesses. While dignity therapy has been well documented in palliative care, emerging perspectives suggest that its principles such as promoting autonomy, meaning, and self-worth can be beneficial for persons with severe mental illness (SMI) who often experience stigma, identity loss, and existential suffering. Although severe mental illness and terminal illness are distinct conditions both may involve the profound psychological and existential challenges that affect personal dignity. This paper explores the philosophical foundations and therapeutic benefits of dignity therapy, with a particular focus on its potential application in mental health settings. It highlights the significance of preserving dignity in psychiatric care and emphasizes the need for compassionate, personcentered mental health support tailored to the lived experiences of the person with severe mental illness.
Technology is very important in this day and age. There are so many fields that use technology, one of which is in the field of education. Even though Indonesia is still in a situation of the Covid-19 pandemic, education must remain number one by maximizing technology, especially in the field of communication. In this study discussed the role of technology during the distance learning process, especially for students at the SD / MI level. The formulation of the problems in this study are (1) How is the distance learning process using educational technology media for SD / MI students during the Covid-19 pandemic?; (2) What are the problems that occur in the distance learning process using educational technology media for SD / MI students during the Covid-19 pandemic?; (3) What is the solution to problems in the distance learning process by using educational technology media for SD / MI students during the Covid-19 pandemic? While the method used to answer the formulation of the problem is qualitative research with an analytic description approach, interviews and literature study, the focus of which is the role of technology and educational media for students at the SD / MI level during the Covid-19 pandemic. The results showed that the distance learning process was carried out using Zoom Cloud Meeting media, WhatsApp group and Google Classroom. The problem that occurs during the distance learning process is usually a signal problem that is not good and sometimes students feel bored when doing online learning so they are playing, lying down, and eating snacks. The solution that the teacher takes to overcome this problem is to provide weekend projects on Saturdays and Sundays. Tehnologi merupakan hal yang sangat penting di masa sekarang ini. Banyak sekali bidang yang memanfaatkan teknologi, salah satunya di bidang pendidikan. Meskipun Indonesia masih berada dalam situasi pandemi Covid-19, namun pendidikan harus tetap di nomor satukan dengan memaksimalkan teknologi khususnya bidang komunikasi. Di dalam penelitian ini dibahas mengenai peran teknologi selama proses pembelajaran jarak jauh terutama bagi peserta didik pada tingkat SD/ MI. Rumusan masalah dalam penelitian ini yaitu (1) Bagaimana proses pembelajaran jarak jauh dengan menggunakan media teknologi pendidikan bagi Siswa SD/MI di Masa pandemi Covid-19?; (2) Apa saja permasalah-permasalahan yang terjadi dalam proses pembelajaran jarak jauh dengan menggunakan media teknologi pendidikan bagi Siswa SD/MI di Masa pandemi Covid-19?; (3) Bagaimana solusi permasalahan dalam proses pembelajaran jarak jauh dengan menggunakan media teknologi pendidikan bagi Siswa SD/MI di Masa pandemi Covid-19? Metode Penelitian yang digunakan adalah penelitian Kualitatif dengan pendekatan deskripsi analitik, wawancara dan studi literatur kepustakaan. Hasil penelitian ini menunjukkan (1) proses pembelajaran jarak jauh dilakukan dengan menggunakan media Zoom Cloud Meeting, Whatsapp grup dan Google Classroom. (2) Permasalahan yang terjadi pada saat proses pembelajaran jarak jauh adalah adanya kendala sinyal yang kurang bagus dan terkadang siswa merasa bosan ketika sedang melakukan pembelajaran daring sehingga mereka sambil bermain, tiduran, dan memakan cemilan. (3) Solusi yang dilakukan oleh guru untuk mengatasi permasalahan tersebut adalah dengan memberi weekend project di hari Sabtu dan Ahad.
Tonsil stones, also known as tonsilloliths or tonsiliths, are usually tiny white or yellowish mineralized structures packed with organic debris and bacteria that develop in the enlarged palatine tonsillar crypt. Tiny tonsillitis is commonly detected in diagnostic imaging such as computed tomography (CT) and less so in panoramic radiography, with the prevalence increasing with age. Giant tonsilloliths are rare and most reported cases have been in adults, with only a few cases reported in the pediatric population. In this report, we described a 9-year-old girl who had suffered from halitosis for 6 months and odynophagia with oropharyngeal foreign body sensation for 2 weeks and was later diagnosed with a tonsil stone.
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.
This exploratory case study employed Appreciative Inquiry Framework in answering the following questions: 1) What are the expectations set by the following to the student homosexuals; a) Self, b) Parents and c) Teachers; 2. What are the positive and negative effects of these expectations to the student homosexuals? and 3) How do these expectations affect the process of identity development of the student homosexuals?. The participants are five college students who identified themselves as homosexual. Written consent was secured to ensure that the research abides to the ethical standards. The data was triangulated through analysing the point of view of the student participants, their parents and their teachers. Results revealed that expectations set by the student homosexuals, their parent and teachers are all contributory factors that affect the identity development of student homosexuals. Moreover, it was revealed that those who have problems in their identity development experienced difficulties in their performance in school. Positive and negative effects of expectations were also noted as the participants shared their stories. With the results, it was recommended that teachers must treat all their students equally regardless of their gender preferences in life. Activities that support the holistic personalities of students must be given emphasis. The parents must support their children in whatever endeavour they take and provide them guidance to be successful in their academic pursuits. Lastly, a model of counselling procedure for student homosexuals was proposed.
Artificial Intelligence (AI) has emerged as a disruptive force with the potential to transform various industries, and the field of higher education is no exception. This critical review paper aims to examine the emerging role of AI in Science, Technology, Engineering, and Mathematics (STEM) higher education. The article explores the impact of AI on teaching and learning methodologies, curriculum design, student engagement, assessment practices, and institutional strategies. The review also highlights the potential benefits and challenges associated with integrating AI into STEM education and identifies key areas for future research and development. Overall, this article provides insights into how AI can revolutionize STEM higher education and offers recommendations for harnessing its full potential.
Our research is a contribution to the analysis of emergent practices in the mediatization of the Gospel. It mobilizes an intercultural approach of the appropriation of the TIC by social actors at ends of proselytism and propaganda. The mobilized problem is that of the seduction in the media revival of the neo-pentecostal leaders. By supporting us on an observation of the practices of the TVevangelism in Cameroon, we analyze the emergent social uses of the audio-usual mediums at ends of proselytism and propaganda. Our research reveals the interest to go beyond the deterministic analyses of the development of the TIC to propose an intercultural analysis which underlines the sociocultural contingency of the movement of emergence and development of the TIC. The aim is to propose an intercultural analysis which underlines the sociocultural contingency of the movement of emergence and development of the TIC in Africa.
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.