Scrub typhus is not a recent disease. This was prominent before the era of World War II. However, the disease is primarily prevalent in the Pacific Islands and southeast Asia. The symptoms begin with fever, eschar development, and a rash. As a result, diagnosing the disease has become more complex because comparable symptoms can be observed in a variety of other conditions. Therefore, proper diagnostic tests are required to diagnose the condition. Scrub typhus infections are increasing in India every year, and several states are reporting an increase in cases. The disease mostly affects the gastrointestinal system, nervous system, renal systems, and respiratory systems; however, mortality can be minimized with early diagnosis and adequate treatment. As many people in India are unaware of the condition, raising awareness will help in the saving of many lives.

An organisation's ability to evolve for them to remain current in today's ever changing technological marketplace is paramount to the sustainability and viability of an organisation. Agility is perceived as a key attribute that aids an organisation in this endeavour. The concept of agile and agility has been around for a couple of decades now. Initially coming into existence through the Agile Manifesto, starting out as a predominantly technology focused paradigm. It has slowly but steadily moved into a mindset shift within projects and now more recently within organisations. The ability of an organisation to embrace agility and an agile mindset has been one of the core factors impacting the viability of an organisation and its place in the globalised marketplace.

Menstrual period is a monthly activity that every woman who has attained the age of puberty experienced. It is a natural process and when it does not show or come, the woman in question will be worried and until the root cause of the delayed or stoppage is known and if possible, rectify the cause of the abnormally, the woman will not be happy. The aim of the study is Ascertaining the Level of Psychological Effects of Delayed Menstrual Period Among Female Students in Tertiary Institutions in South South, Nigeria. The study was a cross-sectional study and a total of 250 female students within participated in the study. A well-structured questionnaire was distributed to each participant by the research assistant after consent was granted by the participants. The study was carried out in the six States that make up South-South Geopolitical Zones and it lasted for a period of 3 months. The findings revealed that 243(97.20%) of the participants affirmed being depressed as a result of delayed menstrual period while 7(2.80%) disagreed being depressed due to delayed menstrual period. Also, 240(96.00%) of the respondents isolated themselves due to delayed menstrual period. The results shows that 238(95.20%) of the respondents were ashamed due to delayed menstrual period and 239(95.60%) were deeply thinking. The research revealed that 240(96.00%) of the participants agreed that delayed menstrual period affects their academic performance and 243(97.20%) of the respondents worried about the delayed in their menstrual period. The data were analysed using SPSS version 23 and P < 0.05 was said to be significant.

Introduction: Allergic rhinitis is one of the most common chronic conditions affecting all age group and it is characterized by sneezing, nasal congestion, and rhinorrhea. In some cases, conjunctivitis also occurs up on expose to a variety of irritants like pollen, duct, perfumes, and weather changes. Aim: This study evaluates the impact of COVID19 pandemic and quarantine on patients with allergic rhinitis sign and symptoms. Results: The study was conducted in the Kingdome of Saudi Arabia and 740 participants returned the online questionnaire. of those, 596 (80.5%) identified dust and weather changes as the main irritants to their symptoms, and 440 (59.5%) experienced sneezing as the main symptoms before COVID-19 pandemic. Only 89 (12%) reported symptoms relief by 90-100% during lockdowns and curfew periods. There was a significantly lower rate of medication use during the pandemic (28.32%) compared to the time before the pandemic (50.93%). During the COVID-19 pandemic, of the respondents 271 (36%) reported no improvement, 179 (23.8%) had mild improvements, 131 (17.4%) reported a moderate improvement, and 171 (22.7%) reported a significant improvement. Conclusion: The study showed that 40% of the participants had moderate to significant symptomatic relief during the periods of lockdowns and curfew of the COVID-19.

Providing medical knowledge and ability to give high-quality patient care, physicians are long acknowledged as crucial players in the healthcare system. To address the challenges and challenges within contemporary healthcare systems, however, physicians' roles as healthcare leaders are becoming more and more important. This manuscript addresses the challenges and opportunities that physicians encounter in their leadership positions and emphasizes how crucial it is for them to lead effectively to transform the course of healthcare. The first section of the paper examines the difficulties faced by physicians in their roles as healthcare executives. These difficulties include limited opportunities for leadership training and development, resistance to change, balancing clinical responsibilities with leadership obligation, navigating complex organizational structures, managing conflicts of interest, and time constrain. Additionally, the manuscript emphasizes how important it is for physicians to embrace technology improvements and the shift to a digital healthcare system while protecting patient privacy and data security. In contrast, the manuscript also presents various opportunities that physicians can seize to enhance their leadership effectiveness. These opportunities include; enhancing patient safety and quality of care, driving interdisciplinary collaboration, advocating for healthcare policy reform, value-based care, organizational support, and technological advancements. A lead physician can shape the healthcare organization by properly understanding these issues and avail opportunities.

Introduction: Cellulose consists of β-(1 → 4)-linked glucose units arranged in a ribbon-type conformation in a zigzag pattern. Parallel chains fit closely to each other and associate with multiple hydrogen bonds to give rise to long fibers, which are totally insoluble in water and relatively inert. Although subject to some swelling in water, cellulose is entirely unaffected by boiling in water. Objectives: The objective of this study is to investigate the potential for breaking down the pollen wall of honey-collected pollen using acid with pH of stomach acid, and to determine whether the honey-making process by bees is necessary for human consumption of the amino acid content present in pollen. Materials and Methods: Natural litchi flower honey was collected from Litchi Garden of Doctor Honey, Health & Harvest Dinajpur, Bangladesh in March 2021. 1 ml natural raw honey of litchi flower was diluted with 5 ml distilled water in a conical test tube. (Falcon). This was centrifuged in a swing-out rotor centrifuge (Labofuge, Germany) at a speed of 900 rpm for 10 minutes. The pollens made a pellet at the bottom of the tube. A sample from the pellet was taken on a glass slide and checked under the light microscope (optima) to ensure the presence of pollen. Citric acid was also added to the pollen. Results: Many of the pollen’s walls were found broken within one hour. It is visible that the contents of the pollen sacs are oozing out. One or two broken pollen was found in each 100 of the sample before adding acid whereas many were broken after adding acid. Conclusion: Honey-collected pollen's wall can be broken down using stomach acid, emphasizing the importance of the honey-making process for accessing amino acids, while preserving pollen in honey is crucial for maximizing nutritional benefits.

Fortified moringa salt was a form of food salt. Moringa has contains 46 healthy antioxidant compounds. These antioxidant compounds can neutralize free radicals that damage cells in the body. The addition of Moringa in salt expected to be one source of antioxidants so that salt does not only have NaCl content. The study aims to identify antioxidant activity in moringa fortification salts during storage. Packaging of Fortified moringa salt was aluminum foil and PET plastic bottles. The salt analysis of antioxidant content in 0 days, 10 days, 20 days and 30 days of storage. The temperature and packaging difference had significantly affected the antioxidant activity of the moringa fortification salts, but material packaging significant effect the antioxidant activity. On the 30th day of observation, the IC50 decreased from 27,766 ppm to 46,713 ppm in aluminum foil packaging at a temperature of 27oC. The storage temperature from 27,766 ppm to 34,086 ppm is likewise 45oC. Unlike fortified moringa salt with plastic bottle packaging, the antioxidant activity increased at a storage temperature of 45oC from 27,766 ppm to 10,194 ppm. The antioxidant content in moringa fortified salt included in the extreme antioxidant strength band, with a value below 50 ppm.

This paper is a discourse on how the works and lifestyles of Nigerian celebrities act as drivers of crimes amongst the country’s youth and young people. It shows the trends of crime in the country before and in the era of the new media, bringing to the fore emerging dimensions that are rarely reported explicitly in extant literature. Data for the study were obtained through secondary sources and analyzed through content analysis based on Bibb Latané’s (1981) social impact theory. The findings suggest that: (i) while leadership examples and weak institutions are at the roots of crimes in the country, (ii) the messages (directly and impliedly) communicated in the works of celebrities and their lifestyles act as the drivers amongst the youth and young people, (iii) the failure of relevant institutions to regulate the lifestyles of celebrities and their works promotes the tendency to get rich quick and by all means amongst the youth and young people. It recommends the regulation of the works and lifestyles of Nigerian celebrities by relevant institutions.

Employees in most service sector organizations utilizes diverse aspects of their intangible human assets. However, emotional labour is one of such invisible human assets often utilized by employees at the workplace. Like other aspects of organizations’ resources, emotions in service oriented field of human endeavor is seen as a product, yet, in most developing and underdeveloped economies, most employers and organizations often give little or no attention to its existence. Thus, this study examines the value of emotional labour in Nigeria public sectors. From the review of related literatures, the study established that the attention given and the value placed on emotional labour in the Nigerian public service organizations (especially, the police force, public schools and the healthcare services) is inadequate, as it is not fairly compensated as well as untrained and undeveloped, in spite of the enormous contributions made by employees in these institutions to the development and sustenance of the nation’s economy. Thus, the need for organizations (especially service oriented public enterprises) in Nigeria, to give adequate attention to emotional labor in order to optimize its use in achieving effective service delivery.

Introduction: The incidence of Invasive Fungal Infection has increased, and it constitutes a serious threat to human health and life, especially in immunocompromised and critically ill patients. We aimed to evaluate the appropriateness of antifungal agents along with their risk factors and sensitivity pattern. Methods: It is a retrospective, cross-sectional study, which includes details of patients prescribed with systemic antifungal agents during a period of five years (01-06-2016 to 31-05-2021). Collected details were compared with Infectious Diseases Society of America (IDSA) guidelines and mycological results to determine the overall appropriateness. Results: A total of 102 patients prescribed with systemic antifungals were selected for the study. The majority of the drugs were prescribed as Definitive (59.19%) and T Fluconazole (39.4%) was the most common drug given. The most common indication for antifungal prescriptions was found to be Respiratory tract infection. Appropriateness of antifungal use was assessed on indication, dosage, contraindication, and drug-drug interaction. Overall assessment of antifungal agents and treatment strategy demonstrated that antifungal treatment was appropriate in 41.6% cases, debatable in 36% cases and inappropriate in 22.4% of cases. The most common culture specimen collected was urine and Candida tropicalis (42.86%) was the frequently separated organism from it. Sepsis (21.4%) was the most common risk factor associated with invasive fungal infection. Conclusion: By implementing an effective antifungal stewardship program, we could improve the rational use of systemic antifungals and thereby prevent the future resistance and improve clinical outcome.

Aim: The purpose of this study was to investigate the root canal morphology of the primary maxillary right first and second molars using CBCT according to Vertucci & New root canal classification system given by Ahmed HMA et al., Method: 60 Patients aged 3-9 years were taken in the study. The CBCT of maxillary right quadrants of study subjects were taken at imaging centre and evaluated on CBCT scans according to Vertucci & Ahmed HMA et al.,’s classification both. Result: The most common canal configuration for right primary maxillary 1st and 2nd molar was Vertucci Type I except mesio-buccal canal in right maxillary second molar was Vertucci Type IV. Conclusion: As deciduous molar teeth exhibit thin torturous canals and ribbon like roots a thorough knowledge of the root canals can improve the outcome of pulp treatment in pediatric patients.

Water Pipeline systems are critical infrastructure for the delivery of safe and reliable water to communities. However, these systems are vulnerable to leaks, bursts, and other failures that can lead to water loss, property damage, and disruptions in service. One key factor in the health and longevity of water pipeline systems is the maintenance of proper pressure levels. Monitoring pressure in water pipelines is essential for ensuring that the system is functioning properly, and for identifying potential issues before they become major problems. The development of IoT technology has opened new possibilities for monitoring water pipeline pressure. IoT devices can be designed to collect and transmit pressure data wirelessly, eliminating the need for manual data collection and allowing for real-time monitoring and early warning systems. This study aims to develop an IoT monitoring device for pressure rate profiling in water pipeline systems. The device utilized pressure sensor and GSM module to collect and transmit pressure data in real-time to a cloud-based data management system. Through laboratory experimentation, the developed monitoring system in this study was able to both detect and localize leakages with the possibility of monitoring the leakage over a mobile application. The device also exhibits an average pressure variation of 7.7 KPA which indicates a high consistency.

In today's fast-paced corporate landscape, characterized by ever-increasing expectations for productivity and performance, work-related stress has emerged as a pressing concern, particularly among C-level executives. Recognizing the pivotal role that top-tier leadership plays in shaping organizational culture and fostering a healthy work environment, addressing this issue has become of paramount importance. This report aims to offer a comprehensive perspective on this critical matter, shedding light on the outcomes of a survey conducted among 150 C-level executives hailing from various organizations. The primary objective of this survey was to gain valuable insights into the far-reaching effects of work-related stress on employee productivity, while also evaluating the effectiveness of organizations in managing and alleviating this prevalent challenge. Within the pages of this report, we delve into the world of C-suite executives, seeking to unearth their perspectives on work-related stress, its profound impact on workforce productivity, and the innovative strategies they employ to navigate this intricate and sensitive issue within their respective organizations. Furthermore, the survey takes a closer look at the pivotal role that leadership plays in addressing employee well-being and productivity. It also examines the influence of communication channels and cutting-edge technology in shaping the future of work and fostering an environment where employee well-being and organizational success coexist harmoniously.

Objective: To investigate the sensitivity, specificity and diagnostic accuracy of contrast-enhanced computed tomography (CECT) and contrast-enhanced ultrasound (CEUS) for hepatocellular carcinoma (HCC). Methods: The clinical data of patients who underwent hepatectomy in the first Affiliated Hospital of Guangxi Medical University and underwent CECT and CEUS before surgery were retrospectively analyzed. The gold standard was postoperative pathological examination results. Results: A total of 554 patients were included, and 650 lesions were found. The sensitivity and coincidence rate of CECT and CEUS for lesions were more than 94% and 83%, respectively. 14 lesions with diameter less than 2cm which were detected by CUES were not detected by CT and 26 such lesions which were detected by CT were not detected by CUES. Conclusion: CUES and CECT have similar high sensitivity and diagnostic accuracy for HCC. Combined CT and CUES detection could find more small lesions in the liver.

As synonyms account for more than 60% of English vocabulary, improving the ability to distinguish synonyms will help speakers produce language in a more precise and efficient manner. This paper adopts a corpus-based approach to explore the usage of synonymous words in terms of language register, collocates and semantic prosody, exploring how these synonyms are used by native speakers and hoping to offer some guidance to English learners and translators.