In the construction industry lot of natural sand is being used in the preparation of concrete. Levels of natural sand are depleting day by day. The cost of natural sand is also increasing every day. Therefore, there is a need for alternative materials to natural sand. In this study, exfoliated vermiculite is replacing natural sand partially. Vermiculite at 5%, 10%, and 15% is used for replacement. The concrete cubes are cast for M 30 grade to determine the optimal percentage of replacement of natural sand by vermiculite. In this study, coarse aggregate used includes both normal aggregate and recycled aggregate. The water-cement ratio of 0.45 is adopted. The durability tests conducted include the sulfate resistance Test and the chloride resistance test. The cost analysis was also done and results are presented. The test results are promising when vermiculite was used to replace natural sand at 10%.

Kiran kumar narasimhan

While playing the Pathfinder RPG, the Game Master describes the events that occur in the game world, and the players take turns describing what their characters do in response to those events. Unlike storytelling, however, the actions of the players and the characters controlled by the Game Master (frequently called non-player characters, or NPCs) are not certain. Most actions require dice rolls to determine success, with some tasks being more difficult than others. Each character is better at some things than he is at other things, granting him bonuses based on his skills and abilities. Whenever a roll is required, the roll is noted as “d#,” with the “#” representing the number of sides on the die. If you need to roll multiple dice of the same type, there will be a number before the “d.” For example, if you are required to roll 4d6, you should roll four six-sided dice and add the results together. Sometimes there will be a + or – after the notation, meaning that you add that number to, or subtract it from, the total results of the dice (not to each individual die rolled). Most die rolls in the game use a d20 with a number of modifiers based on the character's skills, his or her abilities, and the situation. Generally speaking, rolling high is better than rolling low. Percentile rolls are a special case, indicated as rolling d%. You can generate a random number in this range by rolling two differently colored ten-sided dice (2d10). Pick one color to represent the tens digit, then roll both dice. If the die chosen to be the tens digit rolls a “4” and the other d10 rolls a “2,” then you've generated a 42. A zero on the tens digit die indicates a result from 1 to 9, or 100 if both dice result in a zero. Some d10s are printed with “10,” “20,” “30,” and so on in order to make reading d% rolls easier. Unless otherwise noted, whenever you must round a number, always round down. As your character goes on adventures, he earns gold, magic items, and experience points. Gold can be used to purchase better equipment, while magic items possess powerful abilities that enhance your character. Experience points are awarded for overcoming challenges and completing major storylines. When your character has earned enough experience points, he increases his character level by one, granting him new powers and abilities that allow him to take on even greater challenges.

Kamal singh

The aim of the study is to: assess the effectiveness of structured teaching programme on prevention of selected postoperative complications among 300 patients undergoing abdominal surgeries in selected hospitals. A pre-experimental research design and convenient sampling technique was adopted study. Data were collected by using structured interview schedule and structured questionnaire was used to assess the existing knowledge regarding prevention of selected post operative complications. Shows that majority (42.70%) subjects had inadequate knowledge and (18.30%) had moderate knowledge in pre test. In post test majority 44 (73.3%) had adequate knowledge and 16 (26.7) had moderate knowledge. The pre test mean score was 16.15 with the standard deviation of 4.65, whereas in post test the mean score was 30.7 with the standard deviation of 5.387 which indicates that structured teaching programme is statistically significant at P<0.01 level. There was significant difference between the pre test and post test knowledge scores t=20.56, P<0.01 level. There was a significant association between pre test knowledge scores with their education and no association between age, gender, religion, occupation, marital status, type of family, place of domicile, dietary pattern, personal habits and source of health information at P<0.01 level. Author concluded that that post test knowledge scores was improved after structured teaching programme. So structured teaching programme was effective in increasing the knowledge level regarding prevention on selected post operative complications among patients undergoing abdominal surgeries.

Prof.k.c yadav

This research was conducted at SD Darus Sholah, Jember which aims to answer the main problems related to the implementation of the Student Team Achievement Divisions learning strategy in integrated thematic learning. The problem studied in this research is the Implementation of the Student Team Achievement Divisions Strategy in integrated thematic learning at SD Darus Sholah, Jember. This research approach uses a qualitative approach with the type of phenomenological research. Methods of data collection using interviews, observation and documentation. Data analysis used the interactive model of Miles and Huberman, with the process of data collection, condensation, data display, and data verification. To test the validity of the data using triangulation. The results of this study indicate that: 1) At the presentation stage, the teacher starts with story material, reviews previous material, and learning activities in teams. 2) The teacher prepares a worksheet as a guide for group work and each member can contribute, the teacher makes observations, provides guidance, motivation, and assistance if needed. 3) Individual tests in groups. 4) Score development for individuals, the teacher combines the previous score with the final score. 5) Appreciation for the team is based on the assessment of individuals in the group so that the process of group assessment recapitulation is based on individual assessment of each group. Penelitian ini dilakukan di SD Darus Sholah Jember yang bertujuan untuk menjawab pokok permasalahan berkaitan dengan penerapan strategi belajar Student Team Achievement Divisions dalam pembelajaran tematik terpadu. Permasalahan yang dikaji dalam penelitian ini, Implementasi Strategi Student Team Achievement Divisions dalam pembelajaran tematik terpadu di SD Darus Sholah Jember. Pendekatan penelitian ini menggunakan pendekatan kualitatif dengan jenis penelitian fenomenologis. Metode pengumpulan data menggunakan wawancara, observasi dan dokumentasi. Analisis data menggunakan model analisis interaktif Miles dan Huberman, dengan proses data collection, condensation, data display, and data verifiying. Untuk menguji keabsahan data menggunakan trianggulasi. Hasil penelitian ini menunjukkan bahwa: 1) Pada tahap presentasi, guru memulai dengan materi cerita, mereview ulang materi sebelumnya, dan kegiatan belajar dalam tim. 2) Guru menyiapkan lembaran kerja sebagai pedoman kerja kelompok dan setiap anggota dapat berkontribusi, guru melakukan pengamatan, memberikan bimbingan, motivasi, dan bantuan jika diperlukan. 3) Tes individu dalam kelompok. 4) Skor pengembangan bagi individu, guru menggabungkan skor nilai sebelumnya dengan skor akhir. 5) Penghargaan bagi tim mendasarkan kepada penilaian terhadap individu dalam kelompok sehingga proses rekapitulasi penilaian kelompok, didasarkan kepada penilain individu masing-masing kelompok.

Educare: journal of primary education

Apprenticeship is one way of learning by doing. The Student Apprenticeship Program (SAP) or Apprenticeship as referred to in this study is a curricular program of the Institute of Accounts, Business and Finance (IABF) of the Far Eastern University - Manila. It aims to enhance the preparation of the students for actual employment after college graduation. A study was conducted on the sixty-nine (69) Business Administration interns of a private university in Manila during the first semester of academic year 2017 - 2018. Performance Evaluation Forms were distributed to all the supervisors of host companies. Evaluation forms were personally monitored by the Apprentices Adviser which made it possible to collect a 100% response. A sort of quantitative analysis was used to analyze the information provided for in the evaluation forms. The purpose of this study is to assess the interns’ performances and skills as well as their strengths and weaknesses based upon the personal and direct observation by the supervisors of the various host companies. This study will also find the gap in the interns’ skills based upon the Institute expectation and observation by the supervisors. The study is limited to one time observation by supervisors of various host companies. This study is underpinned by sociocultural theory, cognitive apprentice theory, situated learning theory and the 21st Century Skills Framework.

Dr. leonardo f. cada, jr.

The Atlas of Shear Zone Structures in Meso-Scale illustrates the morphological characteristics of shear zones within the Himalayas that have been gathered by the author’s intensive field observations over the last decade. The book deals with various shear zone-related structures, produced in brittle and/or ductile regimes. The shear sense indicators and associated microstructures are also described.

Rajkumar ghosh

Vitamin C causes a significant change in pharmacological effects of some drugs which may lead to unpredictable responses. Vitamin C-haloperidol interaction has not been confirmed in vivo. This study was aimed to investigate the influence of vitamin C on some pharmacological effects of haloperidol (extrapyramidal side effects caused by the antipsychotic haloperidol). Albino male mice (n = 24, body weight of 20 - 40 gm) were divided into four groups and each of consists of six mice. Group I (control): given 1% Tween 80 solution, group II: given vitamin C in a dose of 100 mg/kg, group III: given haloperidol (2 mg/kg), while group IV: given a combination of vitamin C and haloperidol. All the treatments were given by intraperitoneal route of administration. Three sub-acute doses of different treatments were given at 24:0, 5:0, 1:0 hour before scoring. Parameters scored were catalepsy, ptosis, rigidity and akinesia. The experiment was repeated using vitamin C in a dose of 500 mg/kg. Both doses of 100 and 500 mg/kg of vitamin C significantly antagonized the effect of haloperidol by decreasing all the tested parameters. The results indicate that vitamin C decreases extrapyramidal side effects caused by the antipsychotic haloperidol and show that it successfully decreases catalepsy, ptosis, rigidity and akinesia in mice.

Mediterranean journal of pharmacy and pharmaceutical sciences

Pharmacy education has evolved from the outdated changing 5 to 4 year dispensing pharmacy program that focus on the medicines value the compounding and dispensing to patient-oriented pharmacy program (Pharm D) that focus on patient, experiential learning (practicum courses), evidence -based program that does foster critical thinking, and clinical reasoning skills [1] and improving patient care.

Mediterranean journal of pharmacy and pharmaceutical sciences

A new feature generates customer delight by using modern computer vision techniques to drive new search paradigms through visual discovery.

Senthilkumar gopal

The Internal Medicine Residency Program at Hamad Medical Corporation (HMC) is accredited by the Accreditation Council for Graduate Medical Education–International (ACGME-I). Upon completion, residents are awarded both the Arab Board and Qatari Board certifications. This four-year program involves rotations across general internal medicine and its subspecialties in both inpatient and outpatient settings. This article aims to analyze the teaching theories and methods observed during internal medicine residency training. An essential benefit of learning theories is the ability to articulate educational plans and objectives more precisely. Furthermore, integrating theory into practice strengthens improvement programs and facilitates their evaluation. [1] The following sections describe and analyze the educational process as experienced throughout the residency program from resident perspective.

Karishma

Self-medication, the practice of using medications without professional guidance, is a significant public health concern globally, particularly among medical students who, despite their pharmacological training, often engage in this practice at high rates. This cross-sectional study aimed to assess the prevalence and patterns of self-medication among medical students at the University of Tripoli, Libya. A sample of 121 undergraduate medical students was surveyed using a semi-structured questionnaire. The results revealed a high prevalence of self-medication (82.6%), with analgesics (51.2%) and vitamins (31.4%) being the most commonly used medications. Headache (80.4%), pain (79.9%), and respiratory issues (73.2%) were the primary health complaints prompting self-medication. Key determinants included pharmacist advice (43.8%), prior medical knowledge (32.2%), and recommendations from family or friends (12.4%). Factors such as residing in Tripoli and higher parental education levels were significantly associated with increased self-medication practices. Notably, 62.0% of the students reported using antibiotics without a prescription, raising concerns about antimicrobial resistance. The study highlights the need for educational interventions to promote responsible self-medication practices among medical students, emphasizing the risks associated with inappropriate drug use. Addressing these issues early in medical education could help mitigate the public health implications of widespread self-medication.

Mediterranean journal of pharmacy and pharmaceutical sciences

Extracorporeal membrane oxygenation (ECMO) is an advanced respiratory support that is being adopted as salvage therapy in acute respiratory failure [1]. The widespread use of this technology came as a result of a large multicenter randomized UK study showing a survival benefit for severe acute respiratory distress syndrome (ARDS) patients transferred to an ECMO-capable specialist center [2]. Moreover, improvements in clinical management and advances in technology have gradually changed ECMO from a “rescue therapy of last resort” to a type of standardized therapy for severe impairment with clear indications and contraindications in many specialized centers around the globe, including for the treatment of COVID-19 patients.

Karishma

This research will discuss the new destination of Toraja coffee as a tourism development strategy. Questions that will be answered is what is the attraction of Toraja coffee tourism as a new tourist destination. Methods of research conducted are field observation and interviews with coffee stakeholders as an informant and foreign tourists as respondents. The results of this study concluded that the appeal of Toraja coffee as a tourism destination is Toraja coffee has characteristic (taste) differently based on the planting area Toraja coffee. There are 15 names of coffee products based on the region and the name of Toraja coffee products taken from the region. E.g. coffee Toraja Sapan, derived from the Sapan area, and coffee Sesean derived from the village of Sesean. Perception of foreign tourists to Toraja coffee is that the taste of Toraja coffee is different based on the height of the coffee planting area to be a tourism identity Toraja Agritourism.

Muhammad hasyim

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

The dominant sequence transduction models are based on complex recurrent or convolutional neural networks that include an encoder and a decoder. The best-performing models also connect the encoder and decoder through an attention mechanism. We propose a new simple network architecture, the Transformer, based solely on attention mechanisms, dispensing with recurrence and convolutions entirely. Experiments on two machine translation tasks show these models to be superior in quality while being more parallelizable and requiring significantly less time to train. Our model achieves 28.4 BLEU on the WMT 2014 Englishto-German translation task, improving over the existing best results, including ensembles, by over 2 BLEU. On the WMT 2014 English-to-French translation task, our model establishes a new single-model state-of-the-art BLEU score of 41.0 after training for 3.5 days on eight GPUs, a small fraction of the training costs of the best models from the literature.

Kamal singh

The use of nanotechnology in healthcare and medicine is crucial, particularly for nanocoatings. The therapeutic potential of nanocoatings on medical implants and devices is examined in this chapter. It goes into the ingredients, production processes, and health benefits of nanocoatings. Device functionality and biocompatibility can be enhanced by nanocoatings. They are essential in addressing healthcare issues including cardiovascular stents and orthopedic implants. Additionally, nanocoatings are used in medication delivery systems, tissue engineering, and wound healing. This chapter offers important knowledge on the medical applications of nanocoatings to experts and researchers. Nanotechnology has the potential to alter the medical industry, which would be advantageous for patients.

Boopathy govindarajan

Ever-growing era of mobile and personal wireless networks, motivated research in several fields of engineering resulted in low power and low cost consumer products. The voice band processing required in mobile applications demand for architectures, which can easily be integrated in single chip SoC applications. The conventional approach is to have a dedicated IC outside the digital ICs to perform analog to digital conversion. The motivation of single chip radios demand for integration of such ADC modules on digital cellular related ICs. Mixed signal design is very challenging and hence usually it is preferred to have separate ADC chip before the ASIC/FPGA. In this paper we present a digital sigma delta ADC architecture, which can perfectly be integrated in any digital IC with a targeted sampling rate of 20 kS/s with more than 80 dB dynamic range.

P.a. harsha vardhini

The microbiological quality of purified water is a crucial aspect in the healthcare industry to ensure safety for different applications and uses. Understanding the trend and forecasting would be of prime importance to take proactive control and protective measures before catastrophic excursions might occur leading financial and health casualties. This study analyzes microbial density, a key metric for monitoring water purification system efficacy in healthcare facilities. The objective was to transform irregular, cumulative data into a regular time series and identify the optimal ARIMA model for forecasting to support predictive maintenance and regulatory compliance. Preliminary modeling attempts were conducted using simpler approaches such as linear, exponential and Holt-Winters methods without showing promising outcomes. Descriptive statistics and distribution analysis, including the Johnson Transformation for normality, were performed. ARIMA models with differencing orders d=0, d=1, and d=2 were fitted to the Aggregated cumulative logarithmically transformed data series, with the best model at each order selected based on minimum AICc. Model adequacy was assessed through parameter significance and residual diagnostics (Ljung-Box test). Descriptive statistics showed the aggregated series non-normal (p<0 d=0) AICc=319.39) d=2) AICc=258.98)>0.5). The ARIMA(2, 1, 2) model (d=1) was optimal (AICc=256.91), with all significant parameters and white noise residuals (p>0.3), effectively addressing non-stationarity. Forecasts from ARIMA(2, 1, 2) predict stable future growth. The ARIMA(2, 1, 2) model with first-order differencing is the most appropriate and robust model for forecasting data trends. Its strong statistical fit and reliable residual properties make it a valuable tool for predictive maintenance, optimizing resources, and enhancing patient safety in healthcare water systems, provided model performance is continuously monitored. Addressing data limitations and processing requires monitoring and exploring alternative models for future improvement.

Mostafa eissa

The Nano-bio fusion is a booming area with high expectations that major steps in health treatment, body repair and body improvement can be made. It is regarded as the most innovative domain of this moment. Developments are in the field of: Nanomedicine: targeted drug delivery by medically functionalized nanoparticles, for rapid cure without side effects or human stimulation. Regenerative medicine: DNA programmed tissue engineering for quick and efficient wound healing, rebuilt of organs and other body parts. Smart implants: biocompatible implants that can sense and actuate in order to repair or enhance a body function. Nanotechnology idea has as of late gone into the exercises of day by day living. Nanotechnology in games solution cals be characterized as the adjustment of a wide range of improvements in nanoscale into therapeutic applications related with games wounds. The adjusted advancements can be either specifically related with the restorative mediations, for example, recovery of a tissue, implantation, and drug treatments or supporting components like imaging, strappings, and tapings. In this section, the impression of recently developed nanoscale advancements in regards to games wounds will be talked about with recent researches.

Yatendra sharma

Neurological sicknesses are severe, multifactorial, debilitating disorders that may cause neurodegeneration. Neuroprotection protects the structure and capacity of neurons from affronts emerging from cell injuries instigated by an assortment of specialists or neurodegenerative diseases. Various neurodegenerative diseases, including Alzheimer's, Parkinson's, and epilepsy, afflict many people worldwide, with increasing age representing the leading risk factor. Crocin is a natural carotenoid compound with therapeutic potential in managing neurological disease. In this review, we focused on the therapeutic capabilities of Crocin as a neuroprotective agent. The general neuroprotective impact and the various conceivable essential components identified with Crocin have been examined. In light of the substantial proof indicating the neuro-pharmacological viability of Crocin to different exploratory standards, it is concluded that Crocin exerts direct antioxidant, antiapoptotic and anti-inflammatory activities by multiple signalling pathways. Besides, Crocin was found to elevate dopamine levels in the brain during the experimental model of Parkinson's disease. Thus, this compound has been demonstrated to be a promising option for treating neurodegenerative diseases with few adverse effects. It should be further considered as a potential contender for neuro-therapeutics, concentrating on the mechanistic and clinical evidence for its effects.

Dr. salman ahmed