In about a semester of observation, research with 200 research subjects including male and female students in all three grades 10, 11, 12. Survey results on sexual violence in Cho Moi high school show that sexual violence occurs through many different manifestations. Research shows that there has been school violence here through different forms such as physical violence, emotional violence, sexual violence.
Introduction: CKD is a clinical syndrome which occurs due to irreversible loss of renal function leading to metabolic, endocrine, excretory and synthetic function resulting in accumulation of non – protein nitrogenous substances which leads to metabolic derangements and ends up with distinct clinical manifestations.
Aim: To study thyroid function abnormalities in patients with chronic kidney disease. To correlate the thyroid function abnormalities with severity of renal failure. To differentiate primary hypothyroidism from thyroid dysfunction due to chronic kidney disease.
Methodology: After selection of patients, fulfilling the above criteria, about 5 ml of blood sample is collected in non-heparinised serum bottle and sent for thyroid profile test. Components of thyroid profile included in our study and Quantitative determination of T3, T4 and TSH is done by Enzyme Linked Immunosorbent Assay.
Result: In our study out of 50 patients, 33 patients had low serum T3 levels . 4 patients among low serum T3 value, they also had low T4 and high TSH suggesting primary hypothyroidism. So excluding 4 patients of hypothyroidism 29 patients had low T3 syndrome in our study. Low T4 levels in our study, out of which 4 patients had low T3 and high TSH suggesting primary hypothyroidism.
Conclusion: In my study population, 50 CKD patients who were on conservative management were studied. Among them 66% of the patients had low T3 values. The change in the serum levels of T3 and T4 in patients with CKD can be considered as being protective, promoting conservation of protein. There is increase in incidence of hypothyroidism in patients with chronic kidney disease.
Disclosure of information makes it easy for the public to obtain information anytime and anywhere. New solutions for access control and monitoring of archives are urgently needed to keep things safe. Archival institutions as guarantors of the availability of information are expected to provide solutions and new ideas for developments in the implementation of national archives. Archiving in developed countries on blockchain technology is something new. The purpose of this research is to find out the advantages of blockchain technology in archiving and hope that readers or researchers benefit from Blockchain Technology research in archiving, which can be used for other research. Data collection techniques used the literature review method systematically and uses the VOSviewer application in this study and the findings of journal articles sourced from Scopus in 2017-2022.
Most research in different branches of science (Natural and Social), including literature and art, takes its source from the objective needs of humans and society. For example, every year, world Medical scholars need to find treatments and cures for human-killing diseases.
Likewise, many countries are investigating underground resources to strengthen economies and meet the needs of their people. The texture and quality of minerals are checked, water and soil are studied for the improvement of agriculture, and all these facilities can be realized through relevant professional research.
This topic is very important to the value of literary research because if a researcher writes the history of his language’s literature, there are some problems with the sources, such as: how many poets with the same name have died in a certain period? If the speeches, writings, and poems are mixed up, their names are confused, or there is doubt about their effect, research can answer all these problems; therefore, there is a need for research and investigation for the development and advancement of knowledge, science, art and literature. The purpose of the article was to show the value of research methods in literary research. In the relevant part, the use of library methods in the field of literature identification, the research definition, types, and the literal meaning terminological identification, value, and importance of the “Method” term have been pointed out.
The value of research methods in the field of Pashto literary research is very significant and important.
The study was conducted to test the relationship between leadership style, work motivation and work performance of civil servants at the People’s Committee of Cam Lam district. Thereby, the topic aims to contribute to building a transformational leadership style, increasing work motivation and work efficiency of civil servants at the People’s Committee of Cam Lam district. The thesis uses qualitative research methods combined with quantitative research. The study shows the positive relationship between the transformational leadership style factors, work motivation and work efficiency. Transformational leadership style has a positive impact on work motivation and work performance, and work motivation also has a positive impact on work performance. Work motivation plays a part as a mediator between transformational leadership styles and performance. The research results are meaningful to help leaders of Cam Lam District People’s Committee improve their transformational leadership style, increase work motivation to bring about work efficiency. The study gives some managerial implications and limitations of the topic and directions for further research.
Brand Awareness and perception of a consultancy is an important aspect to have in a way to expanding new business and targeting new clients. In order to do this, local branding consultancy have to own their brand awareness and conduct a measurement survey to the targeted SME to exposing their current position. This paper will present the analysis of brand awareness and brand expectation of branding consultancy by using quantitative semantic scale survey to the local SME in Bandung to know if the brand awareness and expectations factors have direct impact to POT Branding House hiring requirements. The results show 1) POT Branding House brand awareness is low, thus these SMEs are not fully aware of this consultancy to be able to hire them, 2) Digital presence is one of the crucial judgments towards a brand, POT Branding House digital presence is also low and need a higher performance 3) Price, product offer, portfolio and skills are factors that are important to be included. From those interpretation, the researcher formulated a marketing mix that includes promotion (to represent digital presence), price, product offer, and physical evidence (portfolio) to the implementation plan that will be spread out into two years of operation.
Objective: To evaluate the opinions of Indian clinical experts and aid in clinical choices for the optimal use of vildagliptin-dapagliflozin fixed-dose combination (FDC) for treating type 2 diabetes (T2D) in Indian patients.
Methods: The virtual round table meetings (RTMs) were conducted with healthcare professionals (HCPs) across India. A questionnaire that highlighted the role of vildagliptin-dapagliflozin FDC in treating T2D and determining the correct patient profile was created. The experts held the questionnaire discussion, and their comments were documented. The collected data were evaluated and categorized into four grades: Level A, very strong (≥80% responses); Level B, strong (≥50-79% responses); Level C, moderate (25-49% responses); Level D, neutral/no consensus (<25% responses).
Results: More than 200 HCPs participated in 15 RTMs held between July 15 and October 22, 2022. With a consensus level A (Very strong), HCPs believed that vildagliptin-dapagliflozin FDC is an attractive option and suitable for a wide range of Indian T2D patient profiles, including those with atherosclerotic cardiovascular disease (ASCVD), those with a history of heart failure, older and obese individuals. The experts regarded vildagliptin-dapagliflozin FDC as the first-line treatment for T2D patients who were obese and hypertensive, with a consensus level of C (Moderate). Vildagliptin-dapagliflozin FDC was recommended as second-line treatment for obese and hypertensive T2D patients who are uncontrolled on metformin by experts with consensus level B (Strong). The clinical experts at consensus level B (Strong) agreed that T2D patients taking two oral antidiabetic drugs (OADs) and uncontrolled if HbA1c > 8% might be suitable candidates for initiating vildagliptin-dapagliflozin FDCs.
Conclusion: Based on the present expert opinion-based consensus, most clinical experts believe that vildagliptin – dapagliflozin FDC is an appealing treatment option for a broad range of Indian T2D patients. Nevertheless, more multicentric studies are needed to support these recommendations.
The questions on the research are what are the risks that influence business PT ABC, what are the impacts of these risks, what are the mitigation techniques used to reduce the severity of the impacts. This study aims to identify and examine the risks that influence the business continuity and operations of the company PT ABC, aims to examine the impact of these risks and to investigate risk mitigation in reducing risk. Despite the global economic downturn, Indonesia continues to create increasing number of tourists. As tourists and businesspeople come to visit Indonesia, hotel demand is expected to grow in the next years and decades. Cotah (2019) why hotel investment fails because of not aligned with the right people / team, poor service and maintenance, inflexible management, blasted by new competition, cost overrun to starting any construction or renovation project and poor projection and not understanding location that weakening over time. However, without careful risk management the chance of failing is relatively high. The concept used is the risk management guideline by ISO 31000 which contains the scope, definition, principles, framework and process of risk management. The sources for risk identification research come from interviews and brainstorming. The Analytical Hierarchy Process (AHP) is used to make a risk analysis with the help of Expert Choice version 11 software to analyse the weight of the respondent’s perspective, after obtaining the results of the risk evaluation then create a risk mapping to get the level of risk. Next, the final step is to create risk mitigation and implementation plans to reduce risk. Based on this research, 29 risk factors were found from 4 risk categories, which are Operational, People, Construction and Finance. There are 14 risk factors that are categorized at high risk level, then there are 7 risk factors that are categorized at a moderate risk level, and there are 8 risk factors that are categorized at a low risk level.
Background: An increasing relationship between HIV/AIDS, highly active anti – retroviral therapy (HAART) and cardiovascular diseases (CVD) have been noted over time. The occurrence of acquired immunodeficiency syndrome (AIDS) – associated heart disease found in post – mortem studies is notably higher than those diagnosed clinically implying that many HIV/AIDS patients may have cardiac abnormalities that are not diagnosed during their lifetime. This misdiagnosis persists even in the presence of dire consequences such as overt heart failure or even death.
Aim: This study set to determine what cardiac abnormalities are present in Nigerian HIV positive patients and what differences exist in the manifestations of these cardiac abnormalities between HIV positive patients who have been on HAART and those who are non-treated with HAART.
Methods: This was a cross-sectional analytical study with a comparison group in which two groups consisting of 76 HIV positive treatment naïve and 76 HIV positive HAART treated patients who met the inclusion criteria were sampled. The study protocol was reviewed and approved by the Research and Ethics Committee of the University of Benin Teaching Hospital, Benin City. All patients had an echocardiography done and data obtained was entered into and analyzed using the IBM-SPSS version 22.0. A p-value ≤ 0.05 was considered significant for all statistical comparisons done.
Results: Total prevalence of ECHO abnormalities was 91.4% in HIV Positive patients. Echocardiographic cardiac abnormalities were more prevalent in HAART treated patients [94.7%] than treatment naïve patients [ECHO = 88.2%]. The cardiac abnormalities found include increased LVMI, left ventricular diastolic dysfunction, increased left ventricular mass, pericardial effusion and abnormalities in left ventricular geometry. Pericardial effusion was more prevalent in treatment naïve patients with treatment naïve patients also noted to have the worst form of left ventricular geometry with over half having abnormal left ventricular geometric patterns compared to about 1/3rd in HAART treated patients.
Conclusion: Overall, HAART treated patients had cardiac abnormalities on echocardiogram than treatment naïve patients.
Selling products through an intermediary has always been advantageous for the manufacturer of goods or service providers. This becomes more relevant when you are selling services and particularly a financial service. The selling of insurance products is in the ambit of financial services. Therefore, the relevance of intermediary channels has increased to the highest, because selling insurance product is a subject of persuasion, so personal contact to increase market efficiency become relevant. In the present study, an emphasis has been made to study the marketing channels exhausted by the life insurance industry for selling their products, further, a comparison has been made between the public and private sector companies concerning to channels these two companies are using to sell their insurance products. The span of the study is 2016-17 to 2021-22 because during this period a few new marketing channels came into existence in the insurance market. The performance of these channels has been measured in terms of first-year individual premiums collected and policies issued by these commonly used distribution channels. At last, it is found that in the case of Life Insurance Corporation of India, the channel ‘Individual Agent’ is more significant as compared to other channels; whereas Corporate Agent-bank is significant for private life insurance companies. To conclude two way ANOVA and Tukey Post Hoc test have been applied to the data.
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