Melioidosis is an infection that causes high morbidity and mortality. Predisposing risk factors include diabetes mellitus (DM) and immunocompromised state. We report a case of septic shock secondary to bacteremia caused by Burkholderia pseudomallei in a patient who is supposed to be previously healthy and subsequently diagnosed with DM and glucose-6-phosphate dehydrogenase (G6PD) deficiency. He completed 17 days of intravenous antibiotics followed by a 12-week course of oral trimethoprim/sulfamethoxazole. We postulate that G6PD deficiency could be a risk factor for melioidosis.

Karishma

As we aware diabetes is not only one kind of symptomatic disease but its occurrence spread through the various metabolic channels and hence raises other disorders. The prolonged symptoms of diabetes also cause the complications of eyesight, Night blindness, kidney failure, and other autoimmuno dysfunction including sexual dysfunction. In those symptomatic diseases various drugs are used to treat the diabetes such as biosimilar therapy including use of insulin and insulin analogues, oral hypoglycaemic agents and various other complementary medicines. As herbal remedies i.e. M charantia Linn. (Bitter Gourd) are commonly known as fruit vegetables. The Leaves, Seeds, Roots, Fruits and the stem part of the plants are medicinally used in different diseases. It is most effectively used to treat the acidic condition of gastrointestinal tract. M.charantia is also called the oxygen radical scavenger, which takes part into metabolic pathway. Due to the oxygen radical scavenging activity of GSH it directly expedites the ROS neutralization and the repair of ROS-induced damage which is important to neutralize the acidic condition of gastrointestinal tract.The present investigation was carried out to study the characterization of present antidiabetic compound having different solvent extract of M.charantia in various solvent system. The overall conclusion suggested that the extracted compound shows the antidiabetic and diuretic properties. The total unknown protein concentration was 21.01 µg/mL which is similar with standard antidiabetic drug and the slope consists of 0.0314 with the line of intercept 0.081, which has been elaborated in results and conclusion.

Dr. wahul umesh b

The use of Capsicum annum L. for culinary purposes dates back centuries. Its medicinal benefits have also been investigated in the past few days. Analgesic and anti-inflammatory activity in 4 different colored (green, yellow, orange, and red) sweet bell peppers (Capsicum annuum L.) were investigated in 200 and 400 mg/kg doses. Current research is directed at authenticating whether Capsicum can be used as an analgesic and anti-inflammatory, comparing the effects of the most used analgesic aspirin. The effects of ethanol extract of Capsicum annum L. were determined for analgesic activity by acetic acid-induced writhing, tail immersion and hot plate test. 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 (10) Standard. All the extracts given intraperitoneally in rat hind paws of seven animals in each treatment group received 200, 400 mg/kg. Acute toxicity was also determined by increasing the dose to 3000 mg/kg, which showed no evidence of mortality. A statistical calculation was performed using SPSS software to compare the effects of aspirin and Capsicum extract. Positive results were obtained as compared to the control group; the analgesic effect was statistically significant (P˂ 0.05). These observations revealed that the fresh fruit extract of four kinds of Bell pepper at 200 mg/kg and 400 mg/ kg possesses anti-inflammatory and pain-suppressing activities possibly mediated via PG synthesis inhibition.

Dr. salman ahmed

Business nowadays has no boundaries of time, place, or information, so any firm must evaluate its performance regularly to ensure long-term viability. This study aims to determine the impact of employees’ motivation and job training on company performance in a family business called PT Anugrah Mandiri. It is an automotive spare parts distribution company in Medan, Indonesia established in 2010. As a family business run by many family members, PT Anugrah Mandiri tends to undervalue the importance of providing motivation and delivering practical training to its employees. This results in most employees being overwhelmed, and the business performance is decreasing. As this study's quantitative research method shows, motivated and skilled employees are the keys to a successful firm. The instruments used to collect data are questionnaires about employees’ motivation, job training, and company performance, and then processed using SPSS. Saturation sampling is used as the sampling method by administering the questionnaires to 50 employees of PT Anugrah Mandiri. The data analysis tool in this study is a multiple linear regression by carrying out a classic assumption test continued by testing the partial hypothesis or t-test, the simultaneous hypothesis test or the F test, and the calculation of the coefficient of determination. The statistical result shows that company performance increases by 0.422 and 0.384 when employees’ motivation and job training increase by 1 unit. All hypotheses in this research are accepted, and it can be concluded that employees’ motivation and job training influence company performance.

L

TikTok is a mobile application which is available for Android & IOS platforms. It is used for video creation & video sharing purpose. It was launched in China in 2016. The application helps users to become a video creator, so that they can share videos regarding the things they are passionate about. It competes with various social media applications like Facebook, Instagram and YouTube. (1) The social media video app ‘TikTok’ is witnessing highest growth in all around the world. TikTok, which was earlier known as ‘Musicl.ly’ has now user base in 150 countries. It has 800 Million monthly active users all around the world. Their mobile application has downloaded 1.5 Billion times. Average time spent on TikTok is 52 minutes. 83% of its users are also creates videos on the platform. (2) Youth is a major user of this application. College students use it in large numbers. College students use various other social media applications such as Facebook, Instagram, LinkedIn, Snapchat, Twitter etc. These applications are present in market since a decade. But a new entrant, TikTok has seen a tremendous growth in a short duration of time. Hence, researcher has focused on use of TikTok by students. Researcher has limited the focus on management students from Pune city.

Nitin mali

Texas bays and estuaries experience salinity fluctuations (e.g., droughts, reduced freshwater inflows and hurricanes) caused by natural weather and climate change. This could have impacts on red drum Sciaenops ocellatus (Linnaeus) early life stages beacause red drum spend their early life stage at the shallow bays and estuarine waters of Texas Bay. The purpose of the present study is to evaluate the impact of high salinity concentrations on the survival, growth and development of red drum eggs and larvae. Red drum brood stocks were collected from wild stocks throughout the lower Texas coast and were held in hatchery tanks (13,250 L) until spawning. The water quality conditions were maintained at a salinity of 38ppt and seawater temperature of 25°C. The red drum eggs were hatched at a wide range of salinity treatments (28-48ppt). Egg hatch-out rates and larvae growth were reduced at the lowest (28ppt) and highest (48ppt) salinity treatments. Hypersalinity (≥ 40ppt) and a temperature of 25ºC affected the hatching success of red drum eggs. The percentage of egg hatching success and length of larvae were reduced in both lower (28ppt) and/or hypersalinity (48ppt). This study shows that red drum eggs can hatch within a wide range of salinities with best hatch-out and growth rates occurring between 33 – 43ppt. It also suggests that climate change that produces global warming can keep the increasing environmental salinity of the Texas bay which might have an impact on the development of the early stages of the red drum in their natural environment.

Irma kesaulya

Effective communication between patients and doctors is fundamental to high-quality healthcare, patient safety, and overall satisfaction. However, the onset of COVID-19 has prompted significant shifts in communication from in-room and face-to-face interactions to virtual consults. The impact of this pandemic related change on patient-doctor communication goals, processes, attributes, and environment remains unclear. We undertook a scoping review involving the systematic search of seven academic databases for relevant articles published up to and including June 2021. In total, 47 articles were identified that met the inclusion criteria. We applied the patient-doctor communication framework to guide our deductive thematic analysis of articles included, sorting results from reported studies and position papers into themes and sub-themes. The theme of communication goals highlighted sub-themes related to patient safety, convenience, affordability, and satisfaction; preparation included sub-themes on technology interventions, workforce training, and digital literacy; participant attributes included compassion for doctors and rebuilding trust among patients; and communication process included issues related to telemedicine or video conferencing, challenges with diminished patient privacy, and distractions in the patient's home setting. Finally, the environment theme included insights into doctors' workload, isolation, and anxiety and how changes requiring increases in virtual consults iteratively altered confidence in care provision and communication with patients. Results of the scoping review provide important insights for strengthening virtual patient-doctor interactions, including target areas for training and professional development during and beyond the current pandemic.

Mahuapatra1@gmail.com

Natural products play a major role in maintaining healthy people and animals and in preventing sickness. Experiments have shown that these natural compounds have several biological properties, including anti-inflammatory, anti-apoptotic, and antioxidant effects. Using Google Scholar, PubMed, and Science Direct database searches, current recorded information was incorporated in this review. The databases listed above were searched using the following Medical Subject Headings (MeSH) terms for data extraction: preventative, natural product, phytoconstituents, natural products for Parkinson's illness, Alzheimer's disease, and natural products for the brain. The effectiveness of natural products in a variety of preclinical models of neurodegenerative diseases has been demonstrated by in vitro and in vivo studies. Phytoconstituents, such as polyphenolic antioxidants, are present in freshwater and marine flora, as well as in fruits, vegetables, nuts, and herbs. These phytoconstituents may help the brain's memory and cognitive processes while preventing neurodegeneration. Moreover, they are essential in the prevention and treatment of various neurodegenerative diseases, including Parkinson's disease, epilepsy, Alzheimer's disease, and other neurological conditions. This review briefly highlights a few neurodegenerative diseases, emphasizing how natural products and nutraceuticals function against neurological disorders.

Mediterranean journal of pharmacy and pharmaceutical sciences

cASUARINA EQUSITIFOLA IS A FAST GROWING EVERGREEN TREE GROWN BY FARMERS UNDER AGROFORESTRY SYSTEMS IN tAMILNADU state of Southern India

Dr. saranya devi k

Macrotyloma uniflorum, commonly known as horse gram or kulthi bean, is grown as a pulse for livestock and human consumption. The beans contain about 1.3% fat, 18% protein, 15% carbohydrate, and vitamins and minerals. Traditional medicine uses it as an antihyperglycemic, antioxidant, antihypertensive and diuretic. Other important medicinal uses include the treatment of renal stones, obesity, piles, oedema and fever. The present study evaluated analgesic (by acetic acid-induced writhing, hot plate and tail flick tests in mice) and anti-inflammatory (carrageenan-induced paw oedema in rats) activities of Macrotyloma uniflorum fixed oil (MUFO). Four groups were included in the study: Group I: Normal Saline Control (2ml/kg), Group II: MUFO (2ml/kg), Group III: MUFO (4ml/kg), and Group IV: Standard Acetyl salicylic acid (ASA 300mg/kg). All results were significant; however, the tail flick and paw oedema tests observed a delayed onset of action. The oil's acute oral toxicity was also checked in mice and was found safe up to a 4ml/kg dose, as no signs of toxicity and mortality were observed. It is concluded that Macrotyloma uniflorum fixed oil may possess analgesic and anti-inflammatory activity, which can be related to a peripheral mechanism of action.

Dr. salman ahmed

Cardiovascular disease (CVD) remains the leading reason of death among patients with diabetes mellitus (DM). Individuals with DM have a two to five time's greater risk of developing CVD than non-DM. Unfortunately, little data exists on Libya's prevalence and characteristics of cardiovascular risk factors. This study aimed to evaluate the cardiovascular risk factors and to assess their control among patients with type 2 DM (T2DM). All the patients with T2DM who attended the outpatient clinic at National Diabetes Hospital from September 2013 to April 2022 were interviewed and examined and included in this study. Demographical data age, smoking habit, body mass index measure, drug intake, history of previous cardiovascular events, blood pressure and fasting lipid profile were all recorded. 1049 patients have completed the study with a mean age of 54.06 ± 14.5 years old (females represented 68.0% of the studied sample size), there were different duration of diabetes between the studied sample, varying from newly diagnosed patients (n = 265, 25.2%) and above ten years of diabetes duration patients (n = 488, 46.5%). Active smoking in 129 patients (12.3%), the bodyweight of studied patients ranged from 44.0 Kg to 186 Kg (85.65 ± 1.73), 820 of the patients had uncontrolled body weight (78.85%). Uncontrolled blood pressure, even with treatment, was found in 304 patients (29.0%), uncontrolled dyslipidaemia in 45 patients (04.3%), and uncontrolled hyperglycaemia in 816 patients (77.9%). Established CVD was positive in 295 patients (28.2%), maximum age group was in 54 - 74 years (n = 516, 49.3%). The most typical age group with multiple (more than three) CVD risk factors was 54 - 74 years of age, were female patients with more than ten years of history of diabetes, uncontrolled hyperglycemia (HBA1c > 10%), uncontrolled body weight, uncontrolled blood pressure and dyslipidemia. Thus, the present data indicated that Libyan patients with diabetes mellitus have high CVD risk factors. Even in patients with previous events, these uncontrolled risk factors elevate the likelihood of repeated cardiovascular events. Patients with diabetes mellitus necessitate a more aggressive approach to control the modified risk factors such as hypertension, dyslipidemia, obesity and smoking.

Mediterranean journal of pharmacy and pharmaceutical sciences

The aim of this study was to examine university students’ fear of success from the perspective of positive psychology. Two objectives were addressed: first, analyzing the relation between fear of success, optimism, self-esteem, self-efficacy, and search for meaning in life; second, exploring the variance of the fear of success, taking into account the affective dimension of the self (self-esteem) and search for meaning in life. The results confirmed that fear of success was positively related to search for meaning, and negatively to optimism, self-esteem, and self-efficacy. The variance of the fear of success was explained by the self-esteem and search for meaning in life. Implications for school psychologists were discussed.

Elena stănculescu

This study aims to determine the process of implementing PJOK learning in limited face-to-face learning during the Covid-19 pandemic in class V MIN 2 Palangka Raya City. This type of research is qualitative with case studies. Data collection techniques by observation and interviews. Meanwhile, data analysis uses descriptive data analysis. The results of this study show that:1) planning for sports and health physical education learning during the Covid-19 pandemic in MIN 2 Palangka Raya City: Teachers plan the PJOK class V learning program, develop the Annual Program, carry out Semester Program activities, carry out learning plans in the learning syllabus, distribute effective weeks.2) Implementation of Sports and Health Physical Education learning in MIN 2 Palangka Raya City, namely: development of the Annual Program into the Learning Implementation Plan, carrying out Semester Program activities, implementation of learning plans in the learning syllabus, online teaching, and learning process activities teachers explain teaching materials, apply learning methods.

Educare: journal of primary education

In this report, Tesco PLC's operation and project management have been fully elaborated on. Tesco PLC is a retail organization that deals with retailing and other related activities in insurance service and retail banking (REUTERS, 2020). Tesco is multinational general merchandise and groceries with headquarters at Welwyn Garden City in England. Based on gross revenue rating, Tesco is the third-largest retailer in the world. Tesco was created by Jack Cohen in 1919 in Hackney, London as a set of markets stalls. Tesco developed and expanded very fast in the whole world and above 100 Tesco shops in the entire Facebook. Tesco has segments in ROI and the UK that is; central Europe (Hungary, Slovakia, and the Czech Republic), the Republic of Ireland, and the United Kingdom which do similar activities to those done in Tesco bank in the United Kingdom (Bedford, 2022). Tesco avails different personal banking packages (services and products) that include personal loans, personal current accounts, and credit card receivables. Tesco's businesses are therefore Tesco Hungary, Tesco UK, Tesco Czech Republic, Tesco Slovakia, Tesco Ireland, Dunnhumby, and Tesco Bank.

Zamzam abdelazim

To test and popularize the Krishi Vigyan Kendra, Barmer-II, Gudamalami, Rajasthan recommended Enhance the Productivity of Ridge gourd (Luffa acutangula L.) Cultivation in Net Trellis System in Barmer District of Rajasthan, On Farm Trials (OFT’s) were conducted during the kharif season of 2019 and 2020 in farmers participatory mode at three locations in Barmer District of Rajasthan. The experiment consisted of two treatments viz., recommended practice (Net trellis system) and farmers practice (Furrow). Net trellis system had significant increase number of picking (13), fruit length (43.33 cm) and fruit weight (210 g) as compared to farmer’s practice (07, 22.67 cm and 101.5 g) during both the year as well as pooled data. The two year average fruit yields of net trellis system have shown doubled production over farmers practice method. Net trellis system was recorded increase yield for 73.57% (138.06 t/ha) as compared to farmers practice (79.54 t/ha) during both the year as well as pooled data. Similarly, the net returns and B:C ratio also revealed that maximum under net trellis system during both the year as well as pooled data Rs 232790 per hectare and 3.36:1 as compared to farmers practice Rs 89913.5 per hectare and 2.30:1. Net trellis system had significant reduce the damage of pest and soil borne diseases and improve the quality of fruits

Dr. babu lal jat

COVID-19 was first reported in Wuhan, Hubei Province of China a few months ago (December 2019) and had since become a major challenging public health problem for not only China but also many countries around the world. It was on March 11, 2020, characterized by WHO as a pandemic. The pandemic so far has killed more than 526,465 people and infected more than 11,046,917 people around the world as of 05 July 2020. Nigeria currently has 28,167 confirmed COVID-19 cases with 11,462 (40%) discharged, 16,071 (57%) currently receiving treatment at designated facilities across the country and unfortunately 634 (3%) deaths as at the time of writing this manuscript. As far as the authors are aware, there are little or no work carried out on the implications of COVID-19 on dental practices in Nigeria. Recently, COVID-19 was identified in saliva of infected patients and so transmission via aerosols and splatter generated during dental procedures is sure. To limit exposure, there was a need to avoid scheduling patients except for emergency dental care during this outbreak. This limitation on activities of the dental sector has a very huge impact on the economy of the sector as it has already resulted in serious monetary implications for dental practices worldwide. While dental practices in the high-income countries are getting help from their respective Government, those in the middle and low-income countries like Nigeria have been left to wallow in bankruptcy without support. The authors highly recommend that the Government of these neglected countries, step up and support dental practices that are on the brink of closing down due to the low turnout of patients to their practice during this outbreak.

Hope inegbenosun

Woman constitutes the family, which leads to the development of society and Nation. The social and economic development of women is necessary for the overall economic advancement of any society or a country. Entrepreneurship comprises venture activities that are the center of the recognition of various opportunities, creativity, and innovation in the production process and development of new business models and ventures. Entrepreneurship plays a major role in developing society of a fastdeveloping country like India. In comparison to other countries, the event of women entrepreneurship is extremely low in India, especially in rural areas. However, middle-class women aren't too eager to alter their roles because of fear of social backlash. The growth is more visible among high families in urban areas. Rural women frequently have primary responsibility for agricultural production, additionally to domestic responsibilities and childcare. In developing countries like India where the economic status of women is extremely pathetic especially in rural areas and opportunities of earning are very less. For establishing self-esteem and recognition in society, women are attracted to entrepreneurship. To sustain within the competitive market, businesses administered by women are mainly hooked into internal resources and their capabilities supported which they struggle to compete with the external environment. The present paper endeavors to study the opportunities and challenges of women entrepreneurs. The study aims to analyze the factors that encourage women entrepreneurs. This study is based on secondary data collected from previous research papers, journals given by various research scholars, blogs, and websites. This study concludes that women entrepreneurs should be provided with special training facilities to overcome challenges and for developing their skills and talents.

Mamta gaur

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

To describe the methodology used to investigate the impact of blindness control activities in the southern Indian State of Andhra Pradesh. The blindness control activities in Andhra Pradesh have been implemented since 1976 through the National Program for Control of Blindness (NPCB) by the Government of India through District Blindness Control Societies (DBCS). Besides Government eye care facilities, many local, national, international Non Governme*ntal Organizations (NGOs) and private sector eye care facilities are active in controlling blindness in the state. In the year 2002 Andhra Pradesh Right to Sight Society (APRTSS) was established as part of a global initiative of VISION 2020 The Right to Sight to coordinate the efforts of various stakeholders in eye care. The present study investigated the impact of blindness control activities in the state of AP in general and with special reference to the activities of APRTSS The study was based on the six building blocks of the health care system for all the stakeholders in eye care. The baseline data for the year 2002-03 were collected from sources such as State Blindness Control Society, District Blindness Control Societies and major stakeholders in eye care in the state and also by questionnaire to managers of eye care facilities and eye care professionals. The current data are being collected for the year 2012-2013. Interviews based on Strength, Weaknesses, Opportunities and Threat (SWOT) analysis were conducted with policy makers in the Government, Managers of the eye care facilities and NGOs. The outcomes of the study will provide information regarding the trends in blinding eye diseases, human resources and infrastructure facilities in the last decade and information on the deficiencies in eye care service delivery that may provide the basis to formulate strategies for implementation of the VISION 2020 program in the state for coming years.

Srinivasa reddy pallerla

Carica papaya leaves are a popular remedy to treat Dengue-induced thrombocytopenia. There have been reports of Carica papaya effects as antibacterial, anti-parasitic, anti-cancer, and anti-inflammatory. There is limited evidence documenting the effects of Carica papaya on increasing platelet count in relation to Dengue infection. Moreover, the mechanism by which Carica papaya increases the platelet counts has not been elucidated. Understanding how Carica papaya affects platelet function may have implications beyond Dengue fever management. This study aims to investigate the mechanism by which Carica papaya affects platelet count. The mechanism of thrombocytopenia in the aqueous and methanol extracts was elucidated by measuring reactive oxygen species in platelets using chemiluminescence. Both aqueous and methanol extracts of Carica papaya leaves were found to increase reactive oxygen species levels in vitro. This study is the first to try to demonstrate the mechanism by which Carica papaya increases platelet count. Carica papaya leaves may be developed into novel and useful therapeutic agents in the management of thrombocytopenia-related disorders and cardiovascular diseases.

Mediterranean journal of pharmacy and pharmaceutical sciences