For many decades, the lean concept has been praised for improving efficiency, maximizing productivity, and minimizing waste in manufacturing operations. Lean production is expected to create an industrial ecosystem that is more cost-efficient and accountable for optimizing resources and processes. However, in the context of lean manufacturing, new challenges have emerged as a result of the recent emphasis on sustainability. This study aims to show several criticisms of lean implementation and propose a holistic approach to achieve a more sustainable operation. The green-lean model, sustainable manufacturing, agile supply, and Lean 4.0, are approaches for integrating lean practices and sustainability. This will foster a culture of continuous improvement, employee empowerment, long-term collaboration with suppliers, added value for customers, and increased innovation in the economy.

L

A huge number of embedded devices offer their services to the end users in pervasive environments. Context-aware discovery is a rich and very dynamic system extensively applied for combining the different mobile devices, sensors, actuators and software functions. Existing knowledge-based system using the Common KADS (CKADS) system represent contextual information but algorithm are not effective in predicting the user behavior. Current Location-aware Private Service Discovery (LPSD) considers the discovery path for reducing the distributed topology and flooding operations. LPSD in pervasive environment is not effective in accurately locating the required service by searching method. To present an architecture principle for accurately predicting the user behavior in mobile-pervasive computing environment, Affluent Context Aware Systems based on the User Behavior (ACAS-UB) is proposed in this paper. ACAS-UB mechanism contains the class of mobile devices that can sense (i.e.,) search the physical pervasive environment. Affluent means effectively engaged mobile devices in ACAS-UB mechanism which uses the context information. The ACAS-UB context information contains the judgment of the similar users and also the response from the other users for improving the effectiveness in pervasive environment user behavior prediction. Master-slave concept is used in the ACAS-UB mechanism for the easy collection of response information from the different users. ACAS-UB mechanism construct the user profile initially from the context information, then performs the similarity measure and finally work is to predict the user behavior. ACAS-UB mechanism provides the hints which are necessary to explore different options, rather than just limiting the options in mobile-pervasive computing environment. ACASUB mechanism is experimented on the factors such as message overhead in pervasive environment, scalability and approximately 10 % lesser processing time.

Dr h shaheen

The cross line movement according to the two labor and products is the thing to take care of in the present worldwide economy. Worldwide exchange labor and products has for some time been a standard, for different advantages that gather from it. There have been numerous respective and multilateral arrangements comparable to cross line exchange dealings. The development of administrations area that decidedly influences the everyday daily routine and guidelines of experiencing or personal satisfaction. The World Trade Organization (WTO), of which in excess of 156 nations are individuals, has an understanding according to global administrations exchange. The General Agreement on Trade in Services (GATS) is the WTO's arrangement that administers exchange 12 sorts of administrations, including 'instruction administrations.Each WTO part that proposes to change its 'advanced education administrations' area to outline the 'responsibilities' by specifying certain conditions or restrictions with respect to its strategy on such progression. Contingent upon certain public or provincial targets and the states of interest and supply of advanced education, every part would set down various types of conditions while changing the area to unfamiliar instructive foundations. One of the basic inquiries or issues in such manner would be corresponding to the sort of college to be permitted to set up its grounds or branch or in any case offer training administrations. The inquiry raised here is should WTO individuals from Pro training Services Liberalization permit Foreign Private Universities or Foreign Public Universities?

Dr gedam kamalakar

This paper throws light on the role played by culture and traditions specifically of Hindu religion in legitimising the subordinate position of women in Indian society. Along with presenting a brief account on the status of women from ancient times to contemporary situation, the sex-gender binary has also been explored. How a child after his birth socialised to behave in a certain way on the basis of his/her sex has been noted. This process of socialisation is based on the age old customs and traditions which are discriminatory in nature. The male child is taught to be strong, dominating and aggressive in nature and henceforth assigned laborious work to do for managing the finances of house. On the other hand, female child is taught to be sensitive, loving and caring and therefore assigned to manage household work, child nurturing and motherhood related responsibilities.

Swati sharma

This study explores the influence of education, length of service, professionalism, and ethics on the professional values of public relations practitioners in Malaysia. A total of 427 questionnaires were distributed to public relations practitioners in Malaysia, and 322 questionnaires were returned. The study included 61% female respondents, and 39% male respondents. The study analyzed and identified the influence of professionalism and ethics on professional values of public relations practitioners. Additionally, the study examined whether education and experience influence professional values through professionalism, and code of ethics. Six hypotheses were tested to answer the research questions. The results from this study fully supported the hypotheses indicating that professionalism and ethics had an influence on professional values of public relations practitioners. The results also showed that education influenced both professionalism and ethics, and length of service influenced both professionalism and ethical practice.

Mohammed fadel arandas

Dunbar syndrome (DS) is a rare condition, predominantly in females. It arises due to the compression of the celiac trunk and celiac plexus by the fibrous attachments of the median arcuate ligament of the diaphragm. DS mimics many common gastrointestinal disorders due to the postprandial nature of symptoms and is technically a diagnosis of exclusion, confirmed by various imaging modalities. The goal of treatment is decompression of the celiac trunk, and surgery is either the mainstay of therapy, along with adjuvant interventional procedures like percutaneous transluminal angioplasty and stenting. In this review article, we revisit DS to enhance awareness among healthcare providers and discuss this disorder in terms of its historical background, epidemiology, etiopathogenesis, clinical presentation, diagnosis, and management.

Karishma

The aim of the study was to evaluate the analgesic and anti-inflammatory activity of four different colored (green, yellow, orange, and red) sweet bell peppers (Capsicum annuum L.) are available at the local market in Karachi, Pakistan. Their 95% ethanol extracts at 200 and 400 mg/kg were prepared and compared with commonly used analgesics (aspirin) and anti-inflammatory agents supporting its traditional use. The analgesic effects of 95% ethanol extracts of Capsicum annum L. were investigated by acetic acid-induced writhing, tail immersion and hot plate test. The anti-inflammatory activities were observed using carrageenan-induced edema of the hind paw in rats. Animals were divided into ten groups (n=7): (1) Control (2) CAG 200 (3) CAG 400 (4) CAR 200 (5) CAR 400 (6) CAO 200 (7) CAO 400 (8) CAY 200 (9) CAY 400 and (10) Standard. All the extracts were given orally. Acute toxicity was also determined by increasing the dose to 3000 mg/kg, which showed no evidence of mortality. All extracts of Capsicum significantly increased the hot plate pain threshold and remarkably reduced the carrageenan-induced rat paw oedema. Results obtained were compared with the corresponding control group, revealing that the fresh fruit extract of all four kinds of bell pepper (200 mg/kg and 400mg/kg) possess anti-inflammatory and pain-suppressing activities possibly mediated via PG synthesis inhibition

Dr. salman ahmed

This paper examines India’s diplomatic stance towards Israeli settlements in the Palestinian territories, focusing on the complexities of the Israeli-Palestinian conflict and India’s historical relations with both sides. The issue of Israeli settlements has been an issue and a obstacle to peace in the region. As a prominent global player and staunch supporter of Palestinian rights, India finds itself in the delicate position of balancing its traditional support for the Palestinian cause with its growing strategic ties with Israel.The article delves into the evolving dynamics of India’s foreign policy and the factors influencing its stance on Israeli settlements. Analyses India’s historical suppor t for Palestinian self-determination and its voting record in international forums not supporting Israeli settlements. It also examines India’s growing economic and defence cooperation with Israel, which complicates its position on the issue of settlements.

Dr gedam kamalakar

The purpose of this study is to explore the impacts of foreign cartoons programs on the social behavior and attitude of Pakistani Children. It is forecasting different cartoon programs 24/7; hence, children spend most of their leisure in front of the television. All these cartoon characters affect the social life and psyche of the children and induce positive and negative mannerism in their daily lifestyles. It has found that one of the most disturbing factor is that the ferocity in children today is increasing rapidly due to following their favorite violent cartoon characters which are even different from their culture and societal norms. The issue is violence is what they see in every cartoon program in one or the other way. Their Guardians are unaware that these cartoons they let their children watch are destroying their parenting as negative forces are attacking the innocent minds of this generation. The study gives the insight of why and what is happening with non-parametric statistics studied and used for thorough analysis. The behavioral outcome of the kids like, imitating their preferred animation character, utilizing various dialects, watching the TV as opposed to deciding on outdoor games and being difficult about getting precisely the same outfits and embellishments as their adored character. This contextual analysis features the disturbing circumstance that guardians are uninformed of. There is something other than mimicking the particular character. The only traits of watching these foreign cartoon characters is that it might damage their own customs and they wildly become to believe these characters as their role models.

Zaki hasan

Background and Objectives: The complications of type 2 diabetes mellitus (T2DM) can occur in some organs, such as the heart, blood vessels, eyes, kidneys, and nerves. Stroke, one of such complications, is increasing every year. This study aims to investigate the prevalence of and risk factors for stroke among T2DM patients in Qatar. Methods: This was a secondary post hoc analysis of collected data from our previous study titled “Association of Vitamin D deficiency with dyslipidemia, glycemic control, and microalbuminuria in patients with T2DM in Qatar.” Results: The prevalence of stroke among our patients was 3.8%. A comparison between stroke and no-stroke groups showed a significant association between stroke and other diseases, namely, chronic kidney diseases (CKD) (p=0.007), coronary artery disease (CAD) (p=0.010), peripheral vascular disease (PVD) (p<0.001), retinopathy (p=0.044), prolonged duration of diabetes mellitus (DM) (p=0.041), glycated hemoglobin (HbA1c) (p=0.006), and a high serum creatinine level (p=0.003). In the multivariate analysis, we identified the following variables as independent risk factors for stroke in patients with T2DM: male gender, CKD, CAD, PVD, high HbA1c, a high creatinine level, and prolonged duration of DM. Conclusion: The prevalence of stroke among T2DM patients in Qatar was around 3.8%. The main risk factors were male gender, CKD, CAD, PVD, high HbA1c, prolonged duration of DM, and a high level of creatinine.

Karishma

The 2019 coronavirus disease (COVID-19) was declared by the World Health Organization as a pandemic on 11th March, 2020 which spread rapidly all over the world. COVID-19 disease has different clinical presentations, ranging from asymptomatic to severe symptoms. Laboratory findings are important in determining which therapeutic strategies to seek and to identify severe cases initially. In this study, we compared the results of C-reactive protein, D-dimer, blood electrolytes and mean corpuscular hemoglobin concentration between survivors and non-survivors of 22 Libyan patients with COVID-19 present in the intensive care unit at Maitika Isolation Center (Tripoli, Libya) in the period of January to June 2021. We could not detect any significant difference in C-reactive protein between survivors and non-survivors but a significant difference in D-dimer level was observed. Non-survivor COVID-19 patients have a higher level of D-dimer. Moreover, a statistical significant difference in chloride and sodium levels but not in potassium level were detected. A marked lower of mean corpuscular hemoglobin in non-survivor than survivor COVID-19 patients was shown. Thus, these parameters could act as biomarkers for COVID-19 patients.

Mediterranean journal of pharmacy and pharmaceutical sciences

The diversity of reactogenicity and its variation in terms of risk and prevalence among populations had raised the need to study and evaluate the reactogenicity of different COVID-19 vaccines in our region. Thus, this study aimed to estimate the prevalence of reactogenicity of COVID-19 vaccines and compare the three vaccines (AstraZeneca-Oxford, Sinovac and sputnik V). An analytical cross-sectional study was conducted using a semi-structured telephonic interview with a sample size of 430 individuals who received one of the included COVID-19 vaccines (AstraZeneca, Sinovac or sputnik V) and were recorded at one of the vaccination centers' records that were affiliated with Aljamail Department of the National Centre for Disease Control, Libya. 410 Libyan participants met the inclusion criteria and were enrolled in the final analysis. The study has shown that 57.3% (CI 52.7-62) of the participants had at least one reactogenic event. Pyrexia (40.7%), headache (27.3%) and fatigue (19.5%) were the most common reactogenic events. In conclusion: the study found that reactogenic events were mild to moderate and the COVID-19 vaccines were safe and encouraged our community to be vaccinated. However, prospective studies with larger sample sizes, longer follow-up and inclusion of important laboratory parameters such as IgG and IgM immunoglobulins are recommended to better understand the relationship between the reactogenicities of COVID-19 vaccines with immunity system development and the factors associated with it.

Mediterranean journal of pharmacy and pharmaceutical sciences

Marketing has now adopted technologies in the attempt to increase brand recognition. Due to the COVID-19 pandemic, many companies suffer, yet many even reap more profits, such as e-commerce. The purpose of this research is to figure out whether Celebrity Endorsement, Advertising Appeal, and Electronic Word of Mouth have influence towards customer’s Purchase Decision in one of popular e-commerce in Indonesia called Bukalapak. Through the non-probability sampling type, particularly purposive sampling approach, one hundred respondents are taken as samples. The method in this research is descriptive and causal, and the research type is quantitative research. The data analysis methods used are descriptive statistics, coefficient of correlation, coefficient of determination, linear regression analysis and hypothesis testing through T-Test and F-Test. The T-test shows that Celebrity Endorsement, Advertising Appeal, and Electronic Word of Mouth partially influence the Purchase Decision. The F-Test result shows that all independent variables simultaneously influence Purchase Decision. Out of all, Celebrity Endorsement has the biggest influence on Purchase Decision. The value of coefficient of determination obtained is as much as 80.6% indicating that the customer’s Purchase Decision in Bukalapak is explained by Celebrity Endorsement, Advertising Appeal, and Electronic Word of Mouth. The recommendation given is to ensure the company uses talented and well-known celebrity endorsers, design attractive and unique advertisement, and maintain satisfactory performance to encourage complimentary reviews on its platform.

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Arisaema jacquemontii Blume (Araceae) is a medicinally important plant for treating different diseases, especially dermatological disorders. Alkaloids, phenols, terpenes, flavonoids, glycosides, and tannins have been reported from this plant. Antioxidant, antifungal, antibacterial and anticancer activities are also shown by Arisaema jacquemontii. The present review attempts to compile all the previous data based on its medicinal uses, phytochemistry and pharmacology reported in the earlier articles.

Dr. salman ahmed

Background: Pre-eclampsia remains a significant contributor to maternal and perinatal morbidity and mortality. Research into changes associated with the disease offers some hope into identifying predictive and prognostic factors. In recent times, serum leptin has attracted interest as a possible marker for the disease. The aim of this study was to determine and compare the serum leptin levels in normotensive and pre-eclamptic pregnant women attending antenatal clinic at the Delta State University Teaching Hospital, Oghara, Delta State, Nigeria. Methods: This was a prospective case-control study design at the Delta State University Teaching Hospital, Oghara, Nigeria in which sixty three pregnant women who received antenatal care and developed pre-eclampsia were recruited into the study. For each selected pre-eclamptic, a matched normotensive was selected as control. Serum leptin level was measured by radioimmunoassay (RIA) ELISA. Results: There was a statistically significant difference in mean serum leptin levels between the normotensive and pre-eclamptic pregnant patients 15.11±4.81 ng/dl vs 38.98±8.66 ng/dl; p<0.001. Furthermore, there was a statistically significant difference in mean leptin levels between mild and severe pre-eclampsia; 16.49±8.22 ng/dl vs 39.03±8.58 ng/dl;p<0.001.Conclusion: This study revealed an association between serum leptin level and pre-eclampsia. Serum leptin may be a potential marker for pre-eclampsia and deserves further investigation.

Karishma

Pneumonia is an acute pulmonary infection that can be caused by bacteria, viruses, or fungi. It infects the lungs, causing inflammation of the air sacs and pleural effusion: a condition in which the lung is filled with fluid. The diagnosis of pneumonia is tasking as it requires a review of Chest X-ray (CXR) by specialists, laboratory tests, vital signs, and clinical history. Utilizing CXR is an important pneumonia diagnostic method for the evaluation of the airways, pulmonary parenchyma, and vessels, chest walls among others. It can also be used to show changes in the lungs caused by pneumonia. This study aims to employ transfer learning, and ensemble approach to help in the detection of viral pneumonia in chest radiographs. The transfer learning model used was Inception network, ResNet-50, and InceptionResNetv2. With the help of our research, we were able to show how well the ensemble technique, which uses InceptionResNetv2 and the utilization of the Non-local Means Denoising algorithm, works. By utilizing these techniques, we have significantly increased the accuracy of pneumonia classification, opening the door for better diagnostic abilities and patient care. For objective labeling, we obtained a selection of patient chest X-ray images. In this work, the model was assessed using state-of-the-art metrics such as accuracy, sensitivity, and specificity. From the statistical analysis and scikit learn python analysis, the accuracy of the ResNet-50 model was 84%, the accuracy of the inception model was 91% and lastly, the accuracy of the InceptionResNetv2 model was 96%.

Dr. chandrashekhar uppin

Hemophagocytic lymphohistiocytosis (HLH) is a distinct medical condition characterized by symptoms such as fever, hepatosplenomegaly, cytopenia, hypertriglyceridemia, hypofibrinogenemia, and the presence of hemophagocytosis in the bone marrow and other organs. HLH can be classified as either hereditary or secondary, linked to various infections, autoimmune disorders, or cancers. The occurrence of malaria-associated HLH in newborns is considered rare. This report details a case involving a newborn diagnosed with mixed-type malaria complicated by HLH. The diagnosis was delayed because of the rare occurrence of malaria infections in Libya, which the treating clinicians did not initially take into account. The patient received supportive care and antimalarial treatment, which yielded excellent results, and was subsequently discharged from the hospital.

Karishma

The use of plants/herbs as medicine for the care of diseases goes back to time immemorial, and still, plants are the dominant form of medicine in the world. Most of the world's population primarily depends on raw plant products to meet their health care needs. Several drugs include atropine, caffeine, digoxin, ephedrine, quinine, theophylline, tubocurarine, and warfarin. Taxol, vincristine and vinblastin are also derived from plants and used in modern systems of medicine. The authors in this book present comprehensive information about the history of medicinal plants from time immemorial to modern. Besides this, the traditional use and biological and phytochemical investigation of genera Phoenix, Castanospermum and Cordia are included in this book.

Dr. salman ahmed

In this intelligent transportation systems era, traffic congestion analysis in terms of vehicle detection followed by tracking their speed is gaining tremendous attention due to its complicated intrinsic ingredients. Specifically, in the existing literature, vehicle detection on highway roads are studied extensively while, to the best of our knowledge the identification and tracking of heavy-construction vehicles such as rollers are not yet fully explored. More specifically, heavy- construction vehicles such as road rollers, trenchers and bulldozers significantly aggravate the congestion in urban roads during peak hours because of their deadly slow movement rates accompanied by their occupation of majority of road portions. Due to these reasons, promising frameworks are very much important, which can identify the heavy-construction vehicles moving in urban traffic-prone roads so that appropriate congestion evaluation strategies can be adopted to monitor traffic situations. To solve these issues, this article proposes a new deep-learning based detection framework, which employs Single Shot Detector (SSD)-based object detection system consisting of CNNs. The experimental evaluations extensively carried out on three different datasets including the benchmark ones MIO-TCD localization dataset, clearly demonstrate the enhanced performance of the proposed detection framework in terms of confidence scores and time efficiency when compared to the existing techniques.

Sreelatha r

To prevent the spread of COVID-19, the government has issued a learning policy to be carried out online (online). As implemented at Baiturrohman Elementary School, online learning is applied. This research uses a qualitative approach, and the type is a case study. Data collection techniques used participatory observation, structured interviews, and documentation—data analysis using data condensation, data presentation, and concluding. The validity of the data is source triangulation and technical triangulation. The results of this study indicate: (1) Planning the Recitation Method for Arabic Language Subjects in Online Learning at Baiturrohman Elementary School, namely: The teacher determines the goals according to the lesson plans, gives assignments according to the student's abilities, determines the types of assignments such as reading, writing, and practice. Provide instructions/resources in student books and several applications. The teacher provides time for the deadline for submitting assignments from 07.30 to 18.00 in Google Classroom. (2) Implementation of the Recitation Method on Arabic Language Subjects in Online Learning at Baiturrohman Elementary School, namely: Teachers provide guidance if they have difficulties, provide motivation to study at home, and support parents for children's learning at home; students do assignments at home independently. independent. (3) Evaluation of the Recitation Method on Arabic Subjects in Online Learning at Baiturrohman Elementary School, namely: Student assignments are written in spoken/written packages, sent in the form of photos/videos via Google Classroom, Teacher assessments via Google Classroom, Result assessment PH is done via a google form.

Educare: journal of primary education