Modeling and simulation of pulp mill plant permanent magnet synchronous machines (PMSM) with damper windings using Matlab/Simulink is presented. Pulp mill is a manufacturing facility that converts wood chips, timber, wood products into wood pulp that is used to produce paper, cardboard, thick fiber board, which can be used by a paper mill for further processing. Pulp and paper industry has been considered a large consumer of energy and constitute a native treat to the plant as a result of machines transient due to heavy load variation. Modeling and simulation of pulp mill plant (PMSM) with damper windings show the behavior of machines virtual image environments to test the performance, stability and safety for less cost. It helps the pulp mill plant designers, engineers and technicians to understand the process of creating and analyzing machines model and predict its performance in the real world. Damper winding is an additional property added in pulp mill plant PMSM to damping out any oscillation that may cause any sudden changes in the load on the rotor when in synchronism. It prevents hunting and provides starting torque and dose not requires machines spinning. The rotor field lags the stator by which the load angle changes as a result of load variation. Permanent magnet synchronous machine (PMSM) is an alternating current (ac) machine whose excitation is provided by the permanent magnet. It has permanent magnet (PM) on the rotor and windings on the stator. PMSM does not have field windings on the stator frame instead, it relies on the magnets to provide the magnetic field against which the rotor interacts to produce a torque. Pulp mill plant PMSM with damper windings was modeling and simulated using Matlab/Simulink as presented in this paper. The electrical and mechanical equations of various steps ware developed in state space form from which the SIMULINK models were built with pulp mill plant PMSM with damper windings using the block-approach method with in-built Matlab/SIMULINK to obtained results for dynamics performance, controllability, stability study and is widely used in the engineering, manufacturing, physical sciences, product development and recommended for pulp mill plant designers, engineers, technicians and plant operators.

IgG4‐related sclerosing cholangitis (IgG4‐SC) is the biliary manifestation of IgG4‐related disease, systemic fibroinflammatory condition that is characterized by lesions with classical histopathological findings in involved organs. We presented a case of isolated IgG4‐SC with the normal serum IgG4 which was hard to differentiate with cholangiocarcinoma.

Background: The complex role of today’s nurses warranties higher levels of critical thinking and clinical judgment abilities. Critical thinking is familiar as an essential factor of nursing exercise by The National League for Nursing (NLN). Objective: The aim of this study were: To find out impact of teaching strategies to promote critical thinking in general nursing students. To analysis the teaching strategies to promote critical thinking in General nursing students. Methods: The descriptive research technique was used in this research which based on questionnaires. All the nursing students of the university was the population of study. The researcher used simple cross sectional sampling in the selection of students. The student of general nursing School DHQ Hospital Jhang were selected as a population 15o students were given questionnaire and all questionnaire were responded. Results: Results indicates that students and instructors each share the responsibility for the quality of learning Yes were 83.5% and the No were 16.5% with the statement. The mean is 1.1652 with .373oo standard deviation. Results also describes about CT is an essential component of nursing education and a necessary competency for modern nursing practice. Results indicate that 98.3% respondents were yes, no were .9% and don’t know was .9% with the statement. The mean is 1.o261 with .2o778 standard deviation. Conclusion: The results of this study indicate that the vast majority of nursing students who participated had low levels of promote critical thinking. The results also reinforce the need for students’ continued development in these areas. Nurse educators must renew their commitment to CT as an educational ideal and this ideal must be continually pursued because it is integral to true autonomy in our complex society. The importance of CT to education and practice is indisputable. Nurse educators are an untapped resource in educational organizations.

Background: Cardiac surgeries have contributed greatly to resolve the problems relating to Coronary Artery Diseases (CAD) and valvular heart diseases. There are numerous physical and psychosocial problems that cardiac surgery patients experience once they were discharged from the hospital. Purpose: The aim of this study is to determine post-discharge problems and their frequencies in cardiac surgery patients at tertiary care hospital. Methods: Descriptive cross sectional study design was used to determine problems and their frequencies in CABG and valvular surgery in post discharge period. Data was collected from 96 patients through consecutive sampling technique at Cardiac Center of public tertiary care hospital during July to September 2018 on patient’s first follow-up after discharge. The questionnaire content validity index was checked by cardiac surgery experts and calculated 0.88. The data was analyzed on SPSS (23 version).descriptive statistical tests frequency, percentage used for categorical variables, and mean and standard deviation for continuous variables and Likert scale for post-discharge problems in cardiac surgery patients. Results: Male patients were high in percentage (71.9%) with mean age of 52 year had CAD due to stress and sedentary life. CABG was done for (80.3) and valvular surgeries done for (19.8%). Pain in the surgical wound site and different body parts, chest wound problems like discharge and swelling. Other problems were difficulty in breathing and pain with cough. Psychosocial problems were found in more than half of the patients like difficulty in sleeping, phobia of body movement and losing job, palpitation and apprehension, sadness and avoided social interaction with others. Conclusion: The study found different problems such as pain, difficulty in breathing, sleepiness, tiredness, difficulty in preforming Activities of daily livings and wound related issues. Significant number of participants reported about social isolation, anxiety, restlessness and fear. The findings of current study can be utilized to develop a discharge package for patients.

Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a rare congenital disorder that affects the female reproductive system, resulting in uterovaginal agenesis. It’s typically presented as primary amenorrhoea in adolescence in female with normal development of secondary sexual characteristics and 46, XX karyotype. In this article, we report an unusual case of MRKHS of a girl of 7 years old who consulted for premature thelarche & pubarche. She has a normal karyotype (46, XX) with normal external genetalia. Gonadotropin releasing hormone (GnRH) stimulation test revealed a peak LH level of 1.77 UI/l and peak FSH level of 5.44 UI/l. Imaging disclosed advanced bone age at 10 years. Pelvic MRI showed uterine hypoplasia with partial vaginal agenesis.

Stingless bees are a group of eusocial insects, they inhabit tropical and subtropical areas of the world and approximately 500 species are reported. In the pre-Hispanic era in Mesoamerica, vestiges of meliponiculture are reported; the relationship between the people of the civilizations of this time and the stingless bees had an important value in social, economic, and religious aspects. The objective of this study was to perform an ancestor-descendant bioinformatic analysis with molecular data (mtDNA) of the Meliponines. Nucleotide sequences of the COI-COII fragments of mtDNA were obtained from the Nucleotide sequence database at the National Center for Biotechnology Information (NCBI), using the search and Entrez functions. The fragments the sequences were aligned with cluster and then a phylogenetic analysis of the native bee species reported for Mexico in the NCBI was carried out. Based on the COI-COII mtDNA fragments, it was possible to build a phylogenetic tree, finding evolutionary relationships between the species, allowing to demonstrate that species of the Meliponini Tribe diverge from a more recent common ancestor to a less recent one.

Perceptions and treatment routines of eclampsia are complex and diverse reflective of different religious and cultural beliefs. Most often, pregnant women go for conventional options in handling the disease while neglecting the natural and cultural ways. These conflicting perceptions and treatment regimen thwarts an inclusive management of the disease. It is against this background that this study sets out to investigate perceptions, prevention strategies and treatment regimens of eclampsia. Data for this study was gotten through secondary and primary sources. Secondary data were gleaned from soft and hard copies of published and unpublished documents; journals, archives, health reports relevant to the perception and management of eclampsia. Primary data were qualitative and sourced from a sample of 239 respondents from different religious and cultural backgrounds using interviews, FGDs and observations. Data collected was processed using the Straus coding method and analysed using content analysis. Results obtained revealed that while others sees eclampsia as; common complications of pregnancy, depression and stress, others perceive it to spirituality and hereditary. However, depression and high blood pressure were outstanding. Prevention strategies were reflective of the perceptions; sufficient rest and good feeding habits while others belief in performing traditional rites and tying charms around their waist against forms of witchcraft and sorceries. On treatment regimens, prayers and deliverance, herbs and conventional ways were noted. Nature and culture were more effective in the management process. Eclampsia is associated with significant myth and perceptions. A stand-in cultural and natural way of management to decolonise conventional myths and supremacy regimen of eclampsia are recommended.

The objective is to report a clinical case of vaginal caesarean performed to save a fetus in distress by retroplacental hematoma. For this indication, the vaginal caesarean can be an alternative to the classic caesarean because of its short duration and the preservation of the possibility of future childbirth by natural means. However, this surgical technique described since the 19th century is still unknown to many practitioners and few publications exist on the subject throughout the world. Considered obsolete by some practitioners, it retains all its advantages in the practice of modern obstetrics. We report this case of fetal rescue performed by vaginal caesarean section at the Reference Health Center of the Sanitary District (District Hospital) of Bla in Mali in a 34-year-old patient, admitted for retroplacental hematoma with live fetal on a non-term pregnancy in latency phase of labor.

Science, Technology and Innovation (STI) is gradually seen by countries in Sub-Sahara African as the engine for economic growth and general uplifting of the standard of living. As a result, Innovation is embraced but institutional weaknesses hinder the required outcome. This paper's aim is to examine the connection between innovation and development in sub-Saharan Africa while considering the function of institutes and other elements. This is in light of the fact that institutions act as the lubricant for progress. The Middle East and North Africa are not included in the scope of the paper, which largely focuses on sub-Saharan African nations. Some western nations and developing economies are, nonetheless, occasionally used as comparison points. We analyze data from reputable organizations like the World Bank, Polity IV, and considering a gauge of innovation and GDP per capita, the quantity of scientific publications published as a proxy for development, the Economic Freedom of the World Project will evaluate a panel of 22 economies in sub-Saharan Africa (EFW). Our results from the POLS and GMM IV regression show, among other things, that innovation has a favorable impact on the development of Africa, even though the impact looks insignificant. Although the majority of the nations in the county have established institutional frameworks for science, technology, and innovation (STI), evidence suggests that the slow rate at which innovation contributes to national development is due to obstacles in the design and implementation of STI policies. The outcome highlights the region's little advancement in the technology-capability indicators. To establish and execute STI policies in the region, a lot more has to be done in the area of collaboration between public entities and parastatals.

The Indian telecom market is the second-largest telecommunication market in the world. The market is fiercely competitive due to the rising subscriber base and increasing demand for network connectivity. The present study tries to analyze the strategies and policies that determine the survival of the mobile telecom operators of India. The focus is also on the benefits and drawbacks of various factors that eventually lead to the success or failure of these companies. The study is based on an exploratory research method where 30 doctoral theses have been reviewed, and secondary sources, namely valuable reports, and websites, have been referred to. Gleaned from the literature review, it is found that with efficient policy-making, the Indian telecom industry deliberated on infrastructural support, technological advancement, and industrial development. The success of an organization depends not only on effective telecom policy structure but also on customer loyalty, customer retention, marketing mix, service quality, and corporate image of the telecom operators. All these factors positively influenced customer perception and satisfaction and motivated customers’ buying decision to have a competitive edge in the telecom market.

Introduction: Gestational diabetes mellitus (GDM) is a common complication during pregnancy that affects both maternal and neonatal health outcomes. Identifying risk factors associated with GDM is crucial for early detection and intervention to improve pregnancy outcomes. Methods: This retrospective observational study was conducted at the Department of Gynecology, Gonoshasthaya Nagar Hospital, Dhaka, Bangladesh during the period of January 2019 to December 2019 with a total of 348 hospital patient records. Result: Of the 348 participants, 24.71% had GDM. Significant differences were observed between the groups in age, gravida, BMI distribution, family history of GDM, and previous history of GDM. Higher rates of non-spontaneous vaginal deliveries were found in the GDM group (36.05%) compared to the non-GDM group (22.52%). Age ≥35 years, obesity, family history of GDM, and history of GDM were significantly associated with GDM (p<0.05). Conclusion: Our findings support the existing evidence that advanced maternal age, obesity, family history of GDM, and previous history of GDM are significant risk factors for GDM. These results highlight the importance of early screening and intervention for high-risk groups to prevent adverse pregnancy outcomes.

The present case report describes the management of a 5-year-old male child with a palatal defect characterized by a type II cleft, which was managed with prosthetic rehabilitation using a single-piece obturator to reduce food regurgitation and improve speech.

When the HR job is considered in terms of its any constituents, it becomes noticeable that in every organization there are many different interacting groups that HR managers must gratify, or who have rights or a stake in what HR does. Furthermore, each comes with different and sometimes conflicting needs. It costs money and time. The most organizations try to economize with maximal effect. A way how to eliminate or reduce unnecessary expenses is making internal processes more efficient. The most expensive even the most productive factor is labor force. This paper deals with evaluating of human resource effectiveness like potential source of competitive advantage.

Twelve infants aged below six months were sampled from Women and Children Hospital of Ramadi, Iraq during the period April the 1st 2021 till October the 1st 2022. Infants were divided into two main groups; breast and bottle milk fed. Each group comprise three males and three females. Samples of feces were collected and lactobacillus specie were extracted. The extract was used once alone and another as a mixture with each of Amoxicillin, Amikacin and Cefixime antibiotics on petri dishes cultured with Staphylococcus, Klabsella and Psedudomonas bacteria. Diameter of inhibition was measure and resulted data were subjected to statistical analysis. The results of the statistical analysis showed that lactobacillus specie extract with the Cefixime has significantly highest mean diameter of inhibition compared to all other types of treatments. Infants who were on breast milk fed showed significantly better respond to the treatment than their counter part in the bottle milk fed group. Klabsella was found to respond weakly under almost all of the applied treatments.

Darvyadi Ghrita is a polyherbal formulation and is mainly indicated for the diarrhoea. It is mentioned in Charak Samhita by Acharya Charak. Preparation of oleaginous dosage form is described as Sneha Kalpana performed by subjecting Ghrita or oil to a particular pattern of heat treated with Kalka (Paste) of Kutaja, Daruharidra, Pippali, Shunthi, Katuka, Draksha and Kwath (Decoction) of same ingredients. Murchana is a pre procedure to Sneha Kalpana in which Ghrita is treated with few drugs. The main ingredients of Darvyadi Ghrita is Kutaja (Holarrhena Antidysentrica Wall.), Daruharidra (Berberis Aristata DC.), Pippali (Piper Longum Linn.), Shunthi (Zingiber Officinale Rosc.), Katuka (Picrorhiza kurroa Royle ex.Benth), Draksha (Vitis Vinifera Linn.) and Go-Ghrita. In Ayurvedic therapeutics the Pharmacokinetics and Pharmacodynamics of the drug entirely depends upon Rasa, Virya, Vipaka, Prabhava and balance of Tridosha in the body. The ingredients of Darvyadi Ghrita with their Rasapanchaka, are very much competent to exhibit anti-bacterial and anti-diarrheal property from Ayurvedic perspective.