Purpose: To analyse demographic data, clinical presentation, intervention and management of Post COVID 19 Rhino- orbito-cerebral- mucormycosis (ROCM) thus improving the knowledge about the disease to provide timely and optimal care for favorable outcome. Method: A retrospective interventional study was conducted on 254 patients admitted in Mucor ward over a duration of 2 months (1st May 2021- 30th June 2021). Demographic data, detailed history, clinical parameters, diagnostic procedures, management and outcome were noted. Factors affecting outcome and mortality were analysed. Results: Mean age of presentation was 50.14 ±13.38 years with male preponderance (64.56%). 55.91% patients presented with ROCM symptoms within 14 days of onset of COVID -19 symptoms. 86% patients were diabetics, 76% had history of corticosteroid use and 27.55% received oxygen therapy. 40 % patients presented with orbital edema as primary symptom. Imaging revealed 28.34% patients had disease limited to the paranasal sinuses (PNS), 56.69% had orbit and PNS involvement and 12.99% had PNS, orbit and CNS involvement. All the patients were treated with Liposomal Amphotericin B and sinus debridement. Eighteen eyes underwent (7.08%) exenteration and 82 patients received Transcutaneous retrobulbar Amphotericin-B. At the time of discharge the final outcome of being alive and having stable disease was found to be significant in stage 2 patients with involvement of PNS and orbit. Conclusion: Awareness of red flag symptoms and signs, high index of clinical suspicion, prompt diagnosis, and early initiation of treatment with Amphotericin B, aggressive surgical debridement of the PNS, and orbital exenteration, where indicated, are essential for successful outcome.

Smog is a term used to describe pollution suspended in humid air. It's made up of different- sized dust particles, as well as non-metal oxides, organic compounds, and heavy metals. Apart from smoking cigarettes, one of the changeable variables leading to the development of respiratory diseases is exposure to toxic compounds dispersed in the air. . Smog is a visible form of air pollution that arises due to the over-emissions of some primary pollutants like volatile organic compounds (VOCs), hydrocarbons, SO, NO, and NO2 which further react in the atmosphere and give rise to toxic and carcinogenic secondary smog components. There are six categories of airborne chemicals that have a negative impact on public health and cause disease. Ozone, particulate matter (PM) of various dimensions - PM2.5, PM2.5–10, PM10, nitrogen – all has important implications. Lead, carbon dioxide, Sulphur dioxide, and carbon monoxide Small dust particles (PM10 and PM2.5) are given special attention since they can enter the lower respiratory tract. The page examines the impact of atmospheric pollutants on both the development and exacerbation of the disease, in addition to detailing the composition of smog and sources of air pollution. Asthma, chronic obstructive pulmonary disease, respiratory infections, and other respiratory tract illnesses can all cause symptoms. Lung cancer is a type of cancer that affects. Some of the legislative methods used in various nations to reduce exposure to harmful air pollution are presented.

Cystic lymphangioma is a rare malformative congenital tumor of the lymphatic vessels. It is commonly seen in children and mainly occurs in the head and cervicothoracic region. Abdominal and especially retroperitoneal involvement is rare in adults. This tumor is often asymptomatic but it can be manifested by mass effect with polymorphic symptomatology depending on the location and size. Digestive haemorrhage due to retroperitoneal cystic lymphangioma with posterior duodenopancreatic infiltration in an elderly patient is an exceptional manifestation of a benign tumor. We report a case of retro-duodenopancreatic cystic lymphangioma revealed by gastrointestinal bleeding in a 65 year-old man who was treated by tumor resection with organ preservation. The recovery was complicated by a duodenal fistula with spontaneous dry-up within 17 days, the patient left the hospital in 3 weeks.

Objective: Silver nanoparticles (AgNPs) were synthesized through the high-efficient, cost-effective green and facile process, using the Leucas aspera (Willd.) Link extract as a bio-reduction and capping agent at room temperature. Methods: The greenly synthesized AgNPs were subjected to UV-Visible spectrophotometer, Fourier-transform infrared spectroscopy (FTIR), and X-ray diffraction spectroscopy (XRD) analyses. Results: The surface plasmon resonance found at 410 nm confirmed the formation of AgNPs. FTIR analysis was carried out to identify possible biomolecules responsible for the bio-reduction of silver ions. Furthermore, the crystallographic structure was confirmed by XRD and the average particle size of the synthesized silver nanoparticles was calculated which was found to be 36 nm. Conclusion: This study exhibits one step innovative green approach for the synthesis of silver nanoparticles from L. aspera plant extract. The method stands out primarily because it is eco-friendly and advantageous over conventional physical and chemical methods.

Research is one of the means by which we seek to discover the truth. It is based upon the tacit assumption that the world is a cosmos whose happenings have causes and are controlled by forces and relationships that can be expressed as laws and principles. Discovery of these controls of nature provides us with a hunting license to search for ways of controlling our environment. To search for truth in a scientific way research methodology provides principles to refine our common beliefs through research activity that establishes rules of logical and appropriate reasoning. In order to apply the scientific research methodology properly in research work, the researcher must have a clear basic concept of research methodology & methods that will ensure to find potential research results. This paper deals with the conceptuality of the research methodology like the meaning of the research, objectives of research, motivation in research and types of research. The basic approaches to research, research methods versus methodology, research process i.e. formulation of the research problem, extensive literature survey, development of working hypotheses, preparing the research design, execution of the project, analysis of the data, hypothesis-testing, generalizations and interpretations and preparation of the report have also been described along with the criteria of good research and problems encountered by researchers in India.

The sudden outburst of the pandemic COVID-19, in 2019, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV2), had caught all by surprise, affected the entire world, and took the lives of many. This led to a desperate need for vaccines and India was one of the 11 countries that went ahead for the discovery of vaccines with manufacturing and export of the same. The first phase of vaccination was directed towards the frontline workers, including dentists, as they were at high risk. As vaccines have faced challenges in acceptability, there is a need to create awareness. The objectives are 1. Assess post-vaccination side-effects among dental professionals after both doses. 2. Assess any particular oral manifestations that can occur post-vaccination. The COVID vaccine was administered to all the healthcare workers of a private Dental College, Mysuru. The first dose was given in January, 28 days later the second dose was given. A questionnaire was developed and sent by email to be filled by those who were vaccinated to record and assess their experiences post-vaccination. A total of 141 responses were acquired and subjected to statistical analysis to evaluate their experiences and challenges. SPSS 22 was used for statistical analysis. The frequency, mean and mode were calculated of the acquired responses. We can conclude that in the absence of any co-morbidity and good immunity, the effects post-vaccination is mild, which can be subsided by taking appropriate symptomatic medications.

Numerous studies investigate the deterrent effect of capital punishment on homicide levels, but no published study conducted to date focuses explicitly on the impact of capital punishment on terrorist activity. In addition, no research evaluates the possible deterrent effect of a mass execution. This study examines the influence of the mass execution of 47 terrorists by the Saudi government, which took place on January 2, 2016, on the frequency of terrorist attacks originating from within Saudi Arabia. Using missile and drone attacks that were launched from outside of Saudi Arabia as a statistical control variable, results generated in an interrupted time-series analysis show that the mass execution decreased the frequency of within-country terrorist attacks by approximately two attacks per month. Results further reveal that the Saudi military intervention in Yemen amplified within-country terrorist activity by nearly five attacks per month. These findings suggest that the use of capital punishment may prove to be useful in deterring terrorist attacks.

Distributed ledger technology (DLT) offers new and unique advantages for information systems, but some of its features are not a good fit for many applications. We review the properties of DLT and propose a new type of architecture for DLT based on main-sub ledger. Our scheme pays more attention to data privacy, effectively relieves the pressure of data storage for nodes, thereby improves data handling capability.

Different fabrics were prepared by plain weaving with the blended yarns made of etherified jute fibre in the ratio of 50:50 with cotton, rayon and polyester. The physical properties of fabrics from blended yarns have been compared with those of cotton fabrics made with the same calculation 30 tex yarns. The mechanical properties of these fabrics were determined to monitor their serviceability in practical use and to ensure their suitability as jute blended cotton and synthetic fabrics. The softness and handling characteristics presented by the blending length and flexible firmness of the blended fabrics were much more comparable to that of the cotton fabrics with the indented fabric structure. The strength properties of etherified jute blended fabrics showed that the durability and serviceability of these fabrics was not much less than that of cotton fabrics due to any stress and deformation during use. It has also been observed that the blending of etherified jute with cotton, rayon, polyester or any other flexible fiber improves the draping properties of the fabrics made from it and in actual use these fabrics have almost the same bright look and firmness of cotton fabrics.

The existence of corporate social responsibility is no longer a relevant issue in the midst of globalization. In fact, corporate social responsibility is a top priority for business leaders in all countries in order to build synergies between the business world and the community in which the company carries out its business activities. This study aims to (1) analyze the concrete forms of implementing corporate social responsibility at village credit institutions in Bali Province, especially on the social life of its customers, (2) analyze the legal basis for implementing corporate social responsibility at village credit institutions in Bali Province, (3 ) the extent to which compliance with the application and sanctions of customary law in realizing corporate social responsibility at village credit institutions in the province of Bali. This research case study uses an Ethnographic Research/Sociolegal Research approach and a statutory approach in a qualitative research paradigm at the Village Credit Institution in Bali Province. Respondents were determined using the snowbolling system technique for customers of village credit institutions and traditional leaders as well as the Hindu Religious Parisadha Council. Data analysis used qualitative analysis. The implementation of corporate social responsibility has generally been implemented in most of the Village Credit Institutions in Bali, but the orientation is more on increasing socio-religious culture. This obligation is prioritized over the existence of a traditional village/Pakeraman Village according to the embodiment of Tri Hita Karana, namely the harmony of life between others, the harmony of life with the Creator, and harmony with other creatures. This is a reflection of obedience to the implementation of religious law and local wisdom adopted as living law. This study recommends to legislators that the preparation of laws related to corporate social responsibility can adopt the local wisdom of the people of various ethnic groups in Indonesia. This local wisdom is reflected in community values that grow, live and develop in reality in society.

Background: During Covid-19 pandemic, educational institutions in India have started online learning. The present study explores the advantages, challenges and recommendations for improving virtual learning from nursing students of a nursing institute in Kolkata. Methods: This qualitative study was conducted from May 2020 to June 2020. Purposive sampling was done. Four students from each category like B.Sc. Nursing, Post Basic B.Sc. Nursing & M.Sc Nursing students were included until data saturation achieved. Individual interview was done through telephonic interview. In-depth interview was conducted using semi-structured interview schedule. Data were transcribed and thematically analyzed using MAXQDA software version 2020. Results: Qualitative data analysis leads to extraction of 31 codes and the highest frequency of code was related to loss of internet connectivity. The advantages of virtual learning were flexibility, student centered learning, regularity and challenges involved inadequacy, financial burden & health problem etc. The recommendations were proper assessment, monitoring, training & adequate teaching etc. Conclusion: Virtual learning has many advantages and limitations too. If we take proper steps to resolve the challenges then it is a very good teaching method mainly during pandemic situation.

The implementation of inclusive education is a form of equal educational services between children who have special needs and regular children carried out in public schools. Therefore, inclusive education provider schools should be implemented properly which includes institutional, student, workforce, infrastructure, parental participation, and financing purposes. The purpose of this study is to describe and obtain an overview of the implementation of inclusive education programs in Lampung Province. The research method used was a descriptive survey with the principal respondent. Data collection by purposive sampling, instruments in the form of closed and open questionnaires to obtain free answers from participants. Data analysis techniques used descriptive statistical analysis. The results showed that in general inclusive education in Lampung Province did not meet the requirements of the implementation of inclusive schools in accordance with the Law on Inclusion Schools, especially related to the still low role of parents of students with special needs, the unavailability of special assistant teachers, and the unmet fulfillment of facilities and adequate infrastructure.

Background: Carpal tunnel syndrome (CTS) is the most commonly-encountered entrapment neuropathy. The classic symptoms of CTS are numbness and paraesthesia in the first three fingers of the hand, which is commonly exacerbated at night. The diagnostic signs include sensory loss along the lateral aspect of the hand, motor weakness and wasting of abductor pollicis brevis muscle. Tinel’s and Phalen’s signs are elicited at the wrist. Methods: This is a prospective analysis of clinical and electrophyisologic study performed on patients that attended the rheumatology outpatient clinic of a tertiary institution. The primary patients of the unit and those that were referred to the rheumatology clinic on account of clinical features of CTS were included in the study. Excluded from the study were pregnant women and those with previous history of CTS surgery. Nerve conduction study was carried out on all patients with features of nerve compression at the wrist. Results: Sixty nine (69) patients out of 82 that presented with clinical features of CTS were diagnosed of CTS. Females constituted 84.1% (58) and males were 15 .9% (11). The most affected age group was (31-40) years. Diabetes patients had the highest presentation of CTS (42%). The classic history of CTS was reported in 33.3%, Paraethesia was observed in 46.4%, numbness in 44.9% while paraethesia and numbness together were reported in 40.6% of patients. Day pain and nocturnal pain was seen in 60.9% and only nocturnal pain was reported by 42.0%. Abductor policis brevis (APB) muscle weakness was found in 24.6% of patients while 11.65% had wasting of the muscle. Conclusion: CTS was fairly common among the rheumatology patients and diabetes patients were predominantly affected.

Background: Tear of the abductor mechanism is a well-known problem. Most of the published studies in that regard comes from the sport literature but little have been published about it in the THA settings. Abductor mechanism plays a crucial part in hip stability and limb gait hence an injury to it can lead to pain, weakness, and instability after THA. Objective: To review all studies reporting on abductor tear or insufficiency in Total Hip Arthroplasty and present the current state of literature on that. Methods: The Author completed an electronic database search of PubMed, EMBASE and PubMed Central to identify any studies reporting on Abductor mechanism and Total Hip Arthroplasty from the date of inception of the databases until August 2018. The author followed the PRISMA guidelines. The author extracted and summarized data from the identified studies. Only Studies published in the English literature and reported data on Abductor mechanism tear with THA were included. Results: 566 studies were identified. 32 studies met the inclusion criteria and were included in this review. Tear of hip abductor in THA were reported to be between 11-25%. It was more prevalent in women, older age population with no association to comorbidities. There is no clear evidence that the incidence of abductor weakness is higher in lateral than posterior approaches, contrary to the popular opinion. Surgical reconstruction techniques for chronic abductor insufficiency showed good results in the short-term regarding pain and function. Conclusions: Abductor mechanism tear after THA is a known complication that should be considered in patients with substantial lateral hip pain, limb and weak abduction following THA. Repair of the abductors can improve pain, function, and limb in three fourth of the patients specially if identified and repaired early. Promising results have been published for abductor reconstruction procedures for recurrent or chronic tears in short term follow-ups but still lack the long-term results.

Soft tissue sarcomas are a rare group of malignancies which arise from smooth muscle cells. Leiomyosarcomas arising from anterior mediastinum is rarely reported in the literature. The current COVID-19 pandemic has caused unprecedented havoc worldwide. It is also causing delay in diagnosis of other diseases. Herein we report a case of an elderly male who was managed as a case of COVID pneumonia and on follow-up review in post COVID clinic was diagnosed to have anterior mediastinal leiomyosarcoma and was managed with chemotherapy.