Human being has some basic needs which include Food, Clothing & Shelter, in addition to above Healthcare, Education, Sanitation are also core part of basic necessities in modern society. In above mention basic necessities Healthcare facility was near to unavailable till independence for majority of citizens in country but this picture change dramatically with help of FDI allowed by Govt. of India. Foreign Direct Investment as a strategic element of funding is required in every develop & developing country. FDI inflows are long term in nature which causes source of non-debt finance, as well as bring modern & innovative technology in country by creating international network. In this paper, author attempted to discover how FDI is crucially impact on Indian Pharmaceutical Sectors progress by stimulating domestic investment & new employment opportunities, improving healthcare facilities to citizens in India. With the help of available relevant secondary data, a qualitative approach was followed for the study. It was found in study that the major factors responsible for attracting FDI in pharmaceutical sector are rise in outsourcing activities, demand in the generics market, demand from emerging segments, increase in domestic demand, large numbers of forthcoming patent expires. On the other hand Indian pharmaceutical industry is facing some challenges such as, low government expenditure on healthcare, poor healthcare infrastructure in rural areas, lack of proper Govt. policy to attract larger FDI in healthcare sector.

Anshuman vijay magar

This study presents a comprehensive bibliometric analysis of household consumption research in Maharashtra from 2017 to 2023, highlighting shifts in academic focus before and after the COVID-19 pandemic. The analysis explores key research trends, including foundational theories like the Keynesian consumption function and Engel’s law, while examining how themes such as income-consumption relationships, inequality, and economic resilience have evolved. Through citation network analysis, publication trends, and thematic evolution, we identify the most influential works, authors, and institutions that have shaped this field. Pre-pandemic research centered on established economic concepts, exploring factors like income distribution, economic growth, and household debt as predictors of consumption. However, post-2020, there is a marked shift towards understanding financial resilience, the impact of income shocks, and the role of government interventions in stabilizing consumption patterns during crises. This transition reflects an adaptation of traditional consumption models to account for pandemic-induced economic disruptions, emphasizing financial literacy and digital transformation as critical areas of study. Our findings contribute to a deeper understanding of the drivers of household consumption research in Maharashtra, providing insights into the socio-economic factors that influence spending behaviors in both stable and volatile conditions

Nandini jagannarayan

Object: The main purpose of the research is to develop modern tools for insurance management in the global economic crisis, to make an objective assessment based on a critical analysis of existing ones, to identify situations that could lead to international economic, social, and natural threats. It is made some recommendations for the development of insurance calculations for the republic of Uzbekistan. Methods: Methods for reforming modern calculation of insurance tariffication are recommended by means of theories of probabilities, statistical and mathematical analysis, and foreign advanced countries practical types of summarizing. Findings: While making an analysis, it has found that modern tools for the insurance management of Uzbekistan are needed. We proved this by the results of the modern calculation of insurance. For the development of the insurance market of Uzbekistan, it should be analyzed by means of penetration and density of insurance premiums, making the deepest calculation of risks of the economy of Uzbekistan, and using the main principles and formulas of the theory of probability. Conclusions: In the end, we can take some results, and give some recommendations such as using the tools of theories of probabilities can help us find the main risks of economy, it’s powers of influences of the market economy, statistical and mathematical analysis also add some practical, objective results for making under control of any types of insurance risks

Ikboljon odashev mashrabjonovich

This article investigates the integration of Artificial Intelligence (AI) with Electronic Health Records (EHR), exploring the transformative impact of this synergy on healthcare informatics. Through an in-depth analysis of recent advancements, practical implementations, and ethical considerations, the paper illuminates how AI is enhancing the efficiency, accuracy, and insights derived from EHR, ultimately contributing to improved patient care and clinical decision-making.

Dhruvitkumar talati

Accurate diagnosis of the cause of acute or chronic kidney dysfunction may require a percutaneous kidney biopsy (PKB). Unfortunately, the invasive nature of the procedure can lead to potential complications that may discourage the KBs. Lack of appropriate communication skills, experienced personnel and equipment, and high procedure costs can negatively impact complication rates and the frequency of conducted KBs. This nonsystematic review assesses KB procedures, indications, contraindications, complications, post-KB monitoring time, and cost. We looked for reviews and original articles published between January 2010 and Jan 2025 on Google, Google Scholar, and PubMed. Different keywords, phrases, and sentences include PKB, renal biopsy, native PKB, ultrasound guide, CT-guided, PKB, allograft PKB, and PKB procedures. KB makes histopathological and immunohistological diagnosis possible, which are necessary for diagnosis and treatment. It is often used despite the known complications. KB and other biochemical assays have tracked transplant rejection and antirejection drugs. Automatic gun spiral needles sizes 14 and 16 capture enough samples with fewer complications than gauge sizes 18 and 20. KB cost is another issue, especially in low-income areas, and deserves additional study.

Karishma

This paper aims to explore the supporting and inhibiting factors in the effort to integrate character education in akidah akhlak subjects at MIN 11 Aceh Tenggara. This study uses a qualitative method with a narrative approach and data collection techniques of interview, observation, and documentation; then, the data is analyzed using the methods developed by Miles and Huberman, namely data reduction, data presentation, and data verification. This study shows that the supporting factor for integrating character education in aqidah moral learning at MIN 11 Aceh Tenggara is the availability of learning media in the form of focus and Madrasah residents who work together to supervise all students, both outside and inside the Madrasah environment. The inhibiting factors are the limitations of Madrasah infrastructure in the form of no mosque or prayer room, family support, and social media and games that have an influence on student character.

Educare: journal of primary education

Kidney transplant kidney transplant ( KTx) recipients have increased susceptibility to a spectrum of infections including; bacterial, viral, and fungal pathogens. Many factors contribute to their infection potential risk, in terms of their immunosuppressive state, that result in suppression of their B‑and T‑lymphocyte repertoire, also to consider certain donor and recipient‑related factors, that make them at risk of specific type of infectious complications. In addition kidney transplant patients tolerate poorly infections, which may adversely affect their graft function, by inducing glomerular injury, hence early diagnosis, directed therapy, and careful dosing of antimicrobial agents is of paramount importance in reducing patient’s morbidity and mortality. We report a kidney transplant patient, who received her live related kidney graft 7 years earlier (in 2013), she has been with stable graft function in most of her follow up period, until she presented with pyrexia, dyspnea and fatigue associated with deterioration of her graft function.

Hani

Pedagogical leadership has become an emerging and essential debate in the field of educational administration and leadership. This was a result of the shift from the hierarchical type in the past to a more inclusive, collaborative, and participative leadership. Previous studies indicate the furtherance of the inquiry into pedagogical leadership since it is a work in progress. For this reason, a systematic literature review mapped the literature relevant to pedagogical leadership. The review drew the lines between the empirical and theoretical-conceptual contributions, including the methodologies considered in both contributions. The results have implications for a more robust theoretical-empirical model or framework of pedagogical leadership applicable to specific levels of education, especially higher education contexts. The study also implies applying pedagogical leadership in the team, at departmental and organizational levels. Results imply promoting the culture of pedagogical leadership.

Manuel caingcoy

Abstract Higher education in India is always a socio-political way and a powerful engine of social mobility. It adds to the benefits to society as more people earning Higher Education credentials. It is proven that college graduates earn more. They are less likely to be unemployed. They are more likely to vote, more likely to volunteer, and more likely to maintain good health. India as a Globalised and developing nation has been little systematically progressing on the educational front since its independence. The government is making progress in reaching out to all the classes of its society. The improvement in the country’s economic front has resulted in the upscaling of communication technology. The advent of the internet, have vastly leveraged the promotion of education across all verticals. But at the same time, the idea of Equity and Equality needs to be redefined in the present context of the newly established notion of ‘Inclusivity’. This paper deliberates on the various ideas and approaches of Higher Education in India on ‘Inclusivity’ in general and Equity and Equality in particular.

Dr. preeti oza

A Man-Machine System means an activity occurring/occurred with the involvement of a human being with the help of some tools used to interact with the material. In small foundries, the moulding process is manual & labours have to work in different psychological moods, stress, and strain, without training on ergonomic posture, in different environmental factors such as temperature, vibrations, noise dust which affects productivity and also the amount of human energy input to produce the component. This paper makes an attempt to develop a mathematical model to relate productivity with various parameters and identify the most sensitive parameter to control productivity.

Rahul bachute

In olden days in most of the family male members were meant for earning income to the family where as the female members looked after the house works. In most of the family it was followed. After some time it was felt that if the female members are involved in some works other than the family affairs it would be the support extended by them to their spouse and family members. Therefore, in some family the female members were allowed to work in some industries and agriculture. Most of the women members supported to the family members the work or job involved by the male members of the family. Being India a country having more than 65 percent of its population are residing in rural areas. They depend only on agriculture and allied industries of agriculture. Due to the failure of rainfall and problems of insects and the monsoon nowadays the farmer could not earn even the amount incurred by them to cultivate the produces. But the necessity of the family is going on increasing day by day. Further, the prices of the domestic utilities are also increasing like anything. It is very difficult to run the family with single earning. Therefore, it is necessary for both the male and female members in the family to bring income to meet their requirements. In urban areas, there is more number of industries, which provide employment opportunities to both of the gender. However, if consider the position of the village women, they do not have much awareness on industrial work. Further, they have only limited literacy knowledge, which paved them to engage only in agriculture labour, which further made them weak in their financial position, as there is only limited scope for income in the agriculture work. Hence, most of the family in the rural parts of the country led a very poor life, which worsens the younger generation particularly in education. To minimize the unemployment problems in the rural areas and to generate the income to the family in the rural parts, the central government introduced Micro Finance to encourage the rural public to generate income to their family by way of doing small business or involved in some self-employment activities. As a part of the development of women in the rural areas, Self-help groups were established in the year 1993-94 in Uthrapradesh. But the evolution of SHGs commenced in 1990s. Micro finance plays vital role in the empowerment of women particularly in the village areas by providing financial assistance through self-help groups in the local areas since 1990. Andhra Pradesh government emphasizes more on the development of women through Self-help groups. The banks are given direction to provide more volume loan to the self-help groups. More number of self help groups was established in all villages. NGOs and government create awareness among all women in the rural areas to form self-group even for each line and street in all villages of Andhra Pradesh. We happened to see number of SHGs is being established and functioning well. The self-help group members are involved in various activities like running a canteen, manufacturing pickles and handy crafts and cloth items, etc. The local banks are adopting the particular villages for providing loan to self-help groups. Though the Micro finance extends maximum support to the development of women and the self help groups, the members in self-help groups have different views about micro finance and face many issues in getting the loan and the repayment of the loan. In many occasions, the members in self-help groups are compelled by family members not to involve in SHGs activities because of various reasons. In some of the SHGs the income level of the members is very low when compared with the income from other SHGs. What are the actual causes? What is the role of micro finance in empowerment of women? To know all these reasons a thorough study is to be undertaken.

Dr tatayya bommali

Today, the tourism industry has become richer and sophisticated. It involved various businesses and has given multiplier effect towards the society. One of dominant business activity in this sector is event management. It also touches various kind of business e.g. shopping center. Related to this, one of activity that has full support from the ministry of tourism in Indonesia is Culinary and Shopping Festival 2016. This event is being held from 27 September 2016 up to 27 October 2016 in many provinces in Indonesia. Data that is being collected to answer the research is being distributed to various visitors and specifically to student of UPH Medan. Hopefully from the data collection, the analysis will answer what kind of motives is to come to event. Whether the visitor coming for the culinary and shopping festival or for another event will be answered from the study. Therefore combining the data with how the tenant expectation can show the relationship between visitor motives and the festival.

L

COVID-19 pandemic has spread all over the world and has caused psychological impacts. Medical students are known to be vulnerable population, experiencing higher levels of anxiety, depression and other psychological disorders compared to non-medical students. The nature of life changes like what happened and still happening during the pandemic have its impact on mental health of the students. The aim of this study was to identify the psychological impacts of COVID-19 on medical students among different universities to develop profiles to characterize students' anticipated levels of psychological impacts during the pandemic. Also, to search for potential risk factors that could make students more likely to experience these impacts. An online survey was filled by medical students (n = 100) at faculties of medicine, dentistry, pharmacy and medical sciences of different universities: University of Benghazi, Libyan International Medical University, Omar Almokhtar University, Cairo University and Alexandria University. The students were taken to the further analysis. Thus, 55% of the participants had psychological impacts due to the pandemic and 17% had severe effect. Some of these impacts were actually positive as a large number (58%) of the participants felt relaxed during the pandemic. Multiple stressors were identified that contributed to the increased levels of stress, anxiety and depression. These included concern about academic performance (80%), concern about self/dear-one’s health (90%), difficulty with concentration (46%), disruption to sleeping patterns (78%), increased social isolation (26%), disruption to eating patterns (48%), changing in the living environment (26%), financial difficulties (34%) increased class workload (20%) depressive thoughts (37%) and suicidal thoughts (07%). In conclusion, the study indicates that COVID-19 pandemic have positive and negative impacts on medical students. Thus, it is suggested that measures need to alleviate students’ stress, which might have harmful effects in different aspects.

Mediterranean journal of pharmacy and pharmaceutical sciences

Hypoglycemia is a common complication of intensive diabetes mellitus therapy. This study was aimed to review the profile of admitted Libyan cases of non-pregnant adults and adolescents. A retrospective study for patients admitted to Tripoli Diabetes Hospital, Tripoli, Libya. Data were collected from medical files of diabetic patients with hypoglycemia from January 2017 to July 2018. Thus, during this period, a total of 29 cases with hypoglycemia were admitted to the hospital. Their age was ranged from 18 to 86 years in which 76.0% were female, 25.0% were non-smokers, 59.0% were married and 55.0% were non-employers. Patients with diabetes mellitus (86%) showed hypoglycemia attack per month of 3.90 ± 2.25. From the 25 cases with diabetes mellitus, 7.0% were newly diagnosed (> one year), 45.0% their duration of diabetes mellitus were more than 9 years and 35.0% were less than nine years. Their Hemoglobin A1C was on target (6.5–7.0%) in 21.0% of the cases, in which 17.0% were on below target range (< 6> 7.0%). 14.0% were on glibenclamide, 3.0% on glimepiride and 69.0% on insulin. Patients on insulin therapy twice daily in 28.0%, triple in 17.0% and basal bolus regime in 24.0%. Hypoglycemia unawareness was presented in 17.0%, hypoglycemia was major in 45.0% of the cases, and in 38.0% were in daytime. Insulin induced hypoglycemia were in 66.0%, and suicidal attempt were in 10.0%. Exercise induced hypoglycemia 10.0% and 3.0% of cases with malignancy induced hypoglycemia. Co-exist systemic illness was mainly absent in 69.0% but cardiovascular diseases in 14.0% and renal diseases in 7.0%. Majority of cases were discharged in good condition (86.0%) and 14.0% discharged against medical advice. Hypoglycemia mostly occurs in patients with diabetes mellitus treated with insulin and in most the cases were reversible and saved with good management. Thus, patient education is a fundamental issue in prevention and reducing complications of hypoglycemia in patients with diabetes mellitus.

Mediterranean journal of pharmacy and pharmaceutical sciences

The inclusion of hydroelectric power is crucial to Nigeria's overall energy mix, playing a significant role in electricity generation. However, the Shiroro hydro plant, one of the main facilities located on the Kaduna River, is currently facing operational obstacles due to deteriorating infrastructure and inadequate maintenance practices. To overcome these challenges and improve efficiency within Nigeria's hydroelectric power sector, a hybrid-optimization approach has been proposed. This study sought to enhance the efficiency of the Shiroro hydro plant by implementing this innovative method. To achieve our objectives and address pertinent research questions, a mixed research method combining primary and secondary data was employed. The analysis included hydropower modeling and hydro-turbine input-output modeling. Three optimizer models, namely the particle swarm optimizer (PSO), Ant colony optimizer (ACO), and Artificial bee colony optimizer (ABCO), were utilized to formulate objective functions and task representations. The study involved comparing the daily output and fitness response of the Shiroro hydro plant through swarm optimizer iterations. The findings revealed a clear correlation between the turbine's power output and the water flow rate and water column height, suggesting that altering these factors could significantly improve the plant's performance. The comparison of the PSO, ACO, and ABCO models demonstrated that PSO and ABCO generated optimal or near-optimal solutions, while ACO produced suboptimal results. Consequently, the study concluded that enhancing the Shiroro hydro plant's output was feasible by increasing the water flow rate and column height. Additionally, the utilization of PSO and ABCO models proved to be an effective means of accurately predicting the turbine's output. As a result, the study recommended the integration of hybrid optimization techniques to monitor and identify any deviations in the Shiroro hydro plant's daily power output. This approach would enable prompt maintenance to be carried out, preventing significant damage to the plant. Ultimately, this research contributes valuable insights into improving the efficiency and performance of Nigeria's Shiroro hydro plant.

Fxintegrity publishing

Patients who are on regular hemodialysis and who have advanced renal failure but have not yet started on renal replacement therapy have a high risk of tendon rupture, although this is a rare situation. We reported a case of 55-year-old male patient who had been on regular hemodialysis for the past 10 years. He presented with a sudden onset of pain and swelling in the left posterior ankle while climbing stairs. Ultrasonography revealed a complete disruption of the Achilles tendon, which was surgically repaired. His medical history was remarkable for the right Achilles tendon rupture a year ago. Investigations revealed tertiary hyperparathyroidism with chronic metabolic acidosis and high β-2 macroglobulin. With surgical repair, physiotherapy, and parathyroidectomy, the patient regained full active mobility. This case emphasized the importance of high parathyroid hormone level, metabolic acidosis, and high β-2 macroglobulin in the pathogenesis of tendons ruptures.

Karishma

Marine algae have been known and utilized since the ancient era. It is the source of chemical compounds mainly useful as a food for their richness in protein, fatty acids, minerals and vitamins. Physiologically active compounds also have a great potential to play an important role in cosmetics, medicine and pharmaceutical aid. In this review, the information provided will play an essential role in future medicinal and cosmeceutical production.

Dr. salman ahmed

Nowadays, the pharmacy profession is moving toward a multidisciplinary approach. Besides the pharmacists’ role beyond dispensing and checking the safety, quality and efficacy of the delivered medications, pharmacists are currently using their clinical knowledge to serve the community through different disciplines including drug counseling, vaccination, screening, and drug therapy management

Mediterranean journal of pharmacy and pharmaceutical sciences

Fused silica capillaries treated with N, N-didodecyl-N, N-dimethylammonium bromide was used in capillary electrophoresis to separate basic proteins using ammonium acetate as BGE at pH 4.0, 70 mM. This surfactant forms a semi-stable coating that provides a strong anodic electroosmosis; however, such coating must regularly be regenerated to maintain efficiency and reproducibility. The temporal stability of the coating was greatly improved by a new procedure as described in previously study by our group. In this study, it is found such experimental conditions that the starting zone could be enriched without loss of sample. The injection of a short plug of the BGE diluted 100 times for 3 sec in 50 µm i.d. capillaries behind the sample zone at 15 kV gave the best performance, whereas, a plug of lower dilution degree (10 times) in 25 µm i.d injected for 3 sec at the same field strength gave the optimum results for this dimension. In conclusion, those conditions were found to effectively decrease the loss of sample and to give a higher separation performance in regard to peak efficiency and resolution compared to injecting the sample without a plug.

Mediterranean journal of pharmacy and pharmaceutical sciences

Antimicrobial resistance poses a critical threat to global health, exacerbated by inappropriate antibiotic usage. This study evaluates antibiotic consumption at Hospital 199, a public security hospital in Vietnam, using the defined daily dose per 100 bed-days and the World Health Organization AWaRe classification framework. Data were collected retrospectively from inpatient departments over 2022, analyzing prescribing trends to assess stewardship effectiveness and identify areas for improvement. The findings reveal a total antibiotic usage rate of 60.8 defined daily dose per 100 bed-days, predominantly driven by watch antibiotics (63.8%), followed by access antibiotics (36.2%), and minimal use of reserve antibiotics (0.0003%). Critical care departments, such as anesthesiology and intensive care, reported the highest consumption (190.54 DDD/100 bed-days), which may reflect the complexity of care provided and potential empirical prescribing practices, or an elevated infectious burden. β-lactam antibiotics accounted for 59.4% of total use, with third-generation cephalosporins representing the largest subgroup at 40.2% of defined daily doses. While adherence to stewardship principles was evident in the limited use of reserve antibiotics, the reliance on broad-spectrum agents highlighted systemic challenges, including empirical prescribing practices and limited diagnostic capacity. This study highlights the need for targeted interventions to promote access to antibiotics, reduce over-reliance on watch agents, and enhance diagnostic support. By aligning local practices with World Health Organization guidelines, Hospital 199 demonstrates its potential to combat antimicrobial resistance effectively. These findings offer insights for similar low- and middle-income settings, contributing to global efforts to mitigate resistance and optimize antibiotic stewardship.

Mediterranean journal of pharmacy and pharmaceutical sciences