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The study examined the loan repayment behavior of beneficiary farmers in Primary Agricultural Cooperative Societies in the State of Haryana, India.

This study scrutinizes India’s growing appeal as a tourist destination, accentuated by government initiatives and innovative tourism policies like the e-visa program, Incredible India Campaign 2.0 and digital advancements in the travel sector. With the diminishing impact of COVID-19, there is a noticeable surge in various forms of tourism – inbound, outbound and domestic. The primary focus is to understand the driving factors behind the choice of India as a destination for inbound tourists. This research delves into these motivations, providing a global perspective on India’s attractiveness. A mixed-method approach was employed, utilizing convenience sampling for data collection. The quantitative analysis was based on a survey, informed by a literature review, comprising 390 respondents from 10 diverse Indian destinations. Additionally, 25 qualitative interviews were conducted, aiming to enrich and triangulate the quantitative findings. Exploratory factor analysis (EFA) revealed five predominant motivations among inbound tourists: culinary interests, spiritual pursuits, budget-consciousness, cultural curiosity and natural allure. These findings were substantiated through thematic analysis. The outcomes have significant practical ramifications for destination managers and tourism policy developers in India. By understanding these key motivators, they can devise targeted strategies for enhancing the appeal of India to these specific tourist segments. This study not only aids in refining tourism promotion efforts but also contributes to the academic discourse on tourist motivation offering a fresh international perspective on India’s image as a tourist destination.

The most common type of arthritis that alters a joint's mechanical and structural properties is osteoarthritis (OA). Resistance training combined with blood flow restriction training (BFRT) is one of the new and promising non-pharmacological strategies for treating OA that has received attention recently. This paper aims to identify the outcomes and outcome measures used for BFRT in knee OA, evaluating BFRT intervention and cuff parameters. The Preferred Reporting Items for Systematic Reviews and Meta-analysis Extension for Scoping Reviews is followed while reporting on scoping reviews. The Cochrane Central Register of Controlled Trials, the Physiotherapy Evidence Database, and PubMed were among the databases that were searched for research. Eight studies were included. The range of outcomes used in the study were knee pain, function, strength, quadriceps cross-sectional area, quality of life, disease severity, growth hormone level, and Range of motion. The parameters that were used in the included studies ranged from 4-5 sets of 10-15 repetitions at 20%–30% of 1RM load; progressive blood restriction ranging from 30%–80% of arterial occlusion pressure occurred with placement of the cuff at the most proximal part of the thigh. Low-intensity exercise training combined with blood flow restriction (BFR) used with appropriate parameters is a viable alternative to traditional strategies for improving knee OA patients' pain, strength, muscle mass, hormones, functionality, range of motion, and overall quality of life.

Aim of the study: The goal of the present study, which was undertaken as a research, was to Prioritization of Sub-Watershed using Morphometric and Multivariate Analysis. Material and methods: Prioritization of sub-watersheds relying on erosion proclivity is critical in strategic planning when incorporating management practices, especially in vulnerable semi-arid regions. Geomorphometric as well as land use and land cover data sets are essential for determining sub-watershed priorities for integrated watershed management. Prioritizing watersheds entails ranking sub-watersheds according to their susceptibility based on several variables, including the average yearly soil loss, the depletion of water resources, and ecological deterioration. The final sub-watershed prioritization for our study area i.e., Muzaffarpur District, was determined by combining PCA (Principal Component Analysis) with WSA (Weighted Sum Approach). PCA was used to differentiate important parameters, whereas WSA was used to measure compound values for priority ranking, and to determine weights for significant parameters. Results and conclusions: PCA was effective in obtaining the most crucial values (i.e., WB, Dt, Re, and Rb). A load of each significant parameter was successfully defined by means of the WSA application. Compared to traditional prioritizing procedures, which use numerous criteria in a complex manner and presumptively contribute equally, PCA-WSA integration results in more dynamic, effective, and efficient solutions. The Muzaffarpur District’s decision-makers can apply this useful knowledge in establishing management methods that will reduce and perhaps even prevent land degradation.

The aim of this article is to identify the key factors of differential pricing and its impact on perceived service quality and guest satisfaction. Great attention has been given by researchers to service quality and guest satisfaction in the tourism and hotel industry. This study however examines an integrated model of differential pricing, perceived service quality and guest satisfaction linked to value perception and satisfaction among guests for prices offered at the time of room booking, and the services available during their stay. A self-administered questionnaire was given to guests who stayed in mid-scale hotels and 334 responses were collected randomly. Structural equation modelling was used to examine the data set, a second-generation method that enables simultaneous modelling of a large number of independent and dependent variables. Partial least square SmartPLS 4.0 was used to evaluate the data. The measurement model and the structural model are the two used to examine the data. According to survey results and findings, booking channel and booking volume are significantly related to guest satisfaction. Additionally, the booking channel has a significant relationship with perceived service quality. Maintaining high-quality websites is crucial to attracting visitors and keeping them, eventually leading to more people using travel websites out of loyalty.

The objective of the study was to identify the constraints in credit accessibility from Primary Agricultural Cooperative Societies in Haryana State, India.

One of the most significant environmental risks is landslides. It might happen due to human action or natural occurrence and have significant social, economic, and environmental repercussions. The danger of landslides occurring in a certain area based on regional topographical features is known as landslide susceptibility. Numerous articles evaluating landslide susceptibility have been written since the middle of the seventies utilizing a variety of techniques and methodologies in diverse geographical and environmental situations.To critically review this literature, major factors that are considered for landslide susceptibility, and the models that are used for landslide susceptibility analysis. Then these data are represented in a graphical visualization form.Landslide susceptibility zoning, The goal of the current study, which was undertaken as a review, was to provide a critical analysis of statistical methods used for landslide susceptibility modelling and associated terrain zonation from 2010 to 2023.There has been an increase in the number of publications from 2019 onwards on the topic of landslide susceptibility. In 20.8% of the studies, the FR model and LR model has been chosen as the most popular approach for determining landslide vulnerability. Other then Logistic regression and Frequency ratio model, other models like Fuzzy, WoE, ANN, SVM and RF are also popular for landslide susceptibility. As the technology in the field of GIS&RS is updating day to day and recent policy developments, are significant factors in boosting interest in landslide susceptibility research.

The study examined the market profile and status of Electronic National Agriculture Market (e-NAM) in Sirsa Agricultural Produce Market Committee (APMC) The study also analysed the arrival and price pattern of major agricultural commodities before and after the implementation of e-NAM in the study area.

Crises and disasters pose significant obstacles to the socio-economic progress of any destination, especially in the tourism sector. Although travel and tourism are among the world’s most prominent economic sectors, they are susceptible to various hindrances, such as natural disasters, political instability and unpredictable terrorist attacks, which can harm the destination’s reputation and decrease tourist arrivals. While humans cannot control these incidents, they can implement measures, strategies and activities to mitigate their impact. This research aims to create and validate a scale for crisis management strategies in tourism using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). A 58-item questionnaire was developed based on literature reviews and interviews with destination marketing organizations (DMO’s), which was then reduced to 47 items after content validation by experts and the target population. EFA was conducted on data from 346 tourism stakeholders, resulting in six discrete factors: media, promotional measures, partnering, security and awareness, innovative marketing, and finance. Finally, AMOS 21 was used to perform confirmatory factor analysis, and the crisis management strategies scale developed retained 38 items.

Aim of the study: The aim of the study is DNDC model simulation for nitrogen balance in rice-wheat cropping system. Material and methods: The DeNitrification-DeComposition (DNDC) model is a computer simulation model for the biogeochemistry of carbon and nitrogen in agro ecosystems that takes a process-oriented approach. The DNDC model version 9.5 (http:// www.dndc.sr.unh.edu) was selected for estimating nitrogen balance. The model consists of two modules. The first component simulates moisture, soil temperature, pH, and substrate concentration, which are determined by ecological parameters such as soil, climate, anthropogenic activities, and vegetation. It consists of sub-models for plant growth, decomposition, and soil climate. The second module predicts the emission of gasses from plant-soil systems such as methane (CH4), nitrous oxide (N2O), nitrogen oxide (NO), dinitrogen (N2), ammonia (NH3), and carbon dioxide (CO2). The model includes empirical equations developed from laboratory studies and is based on the classical laws of chemistry, physics, and biology. The empirical equations included parameterizing specific biochemical or geochemical reactions. The entire model bridges the primary ecological drivers with the biogeochemical cycles of C and N (see: Figures 1 and 2). Results and conclusions: This study used the DNDC model to estimate nitrogen balance in the study area. A calibrated and validated DNDC model was used to simulate NO3-N loss in runoff and leachate from a rice–wheat cropping system from 2018 to 2020. The total nitrogen balance estimated by the DNDC model was negative (–99.44 kg N ha–1 yr–1) and positive (69.1 kg N ha–1 yr–1) for rice and wheat cropping systems, respectively, in the study area.

Theoretical and empirical analysis of the middle-income trap. To test the validity to be able to fix a middle-income band to classify a country in the middle-income trap.

Though there has been an upward rise in the number of publications on COVID-19, tourism and hospitality, researchers have turned a blind eye towards conducting a multifaceted stakeholder assessment of its impact on a given destination and the possible effects of recent developments on the destination’s recovery. To address the latent gap, this study first attempts to assess the impact of COVID-19 on various aspects of a destination’s businesses, workforce and the local community. Taking into consideration the recent pharmaceutical developments and ease in travel restrictions, it then explores the effects of such an intervention on the destinations’ recovery process. 142 valid questionnaires were collected from employees of travel agents, tour operators, transport operators and hotels in the northern part of India. Subsequently, PLS-SEM (partial least squares structural equation modeling) was applied using SmartPLS to test the proposed hypotheses. Through two individual studies in September 2020 and November 2021 i.e. at different stages of the pandemic, this study not only offers insights into the current status of destination recovery but also tests the validity and applicability of recent publications, their proposed recommendations and future practices. Recovery at a destination was found to be a result of the recovery of its businesses, workforce and community. These factors also had positive and negative impacts on each other. The article further suggests the low transformational ability of the pandemic in the context of tourism and hospitality. It is amongst the first few studies to have carried out a temporal assessment of stakeholders for an investigation into the pandemic’s impact on destinations in addition to their recovery.

The study analysed women’s contribution to agricultural activities in small, medium and large farm sizes and also examined the socio-economic factors that affect women’s participation in the agricultural sector.

Subject and purpose of work: T he s tudy a ims t o identify t he constraints in t he f unctioning of PACS in Haryana, India.

This article explores the current status of housekeeping-employee retention and efficiency in hotels particularly during COVID-19 in India, then discusses the implications of ergonomic practices on these. Ergonomic practice research in hotel housekeeping has been given enlarged scholarly attention, yet similar research in the Indian context is almost non-existent. Housekeeping work involves considerable physical effort that can lead to discomfort or even injury. This research involved 210 housekeeping employees from five-star hotels through an online survey. The data were interpreted using the partial least square (PLS) software SmartPLS 2.0. The constructs used in the study were working conditions, risk assessment and control, pandemic response plan, employee efficiency and employee retention. Working conditions were found to have a significant positive relationship with employee retention, whereas, risk assessment and control was found to have a positive relationship with employee retention and employee efficiency. Also, the pandemic response plan was found to have a positive relationship with employee efficiency. The pandemic response plan was not found to have a significant positive relationship with employee retention, while working conditions were not found to have a significant positive relationship with employee efficiency either.

Air quality problems in cities are often a cause for worry. The air quality index is increasing daily, leading to an increase in cancer and many respiratory problems. Road transport in an urban area is a significant cause of air pollution. The vehicles must meet Indian emission regulations for which the emissions are measured using legally mandated standard driving cycles that did not accurately reflect real-world driving emissions because of varying traffic conditions, meteorological conditions, driving behaviour, vehicle power, performance, etc. This study focuses on real-time emissions of gaseous pollutants hydrocarbon (HC), carbon dioxide (CO2), carbon monoxide (CO), and nitric oxide (NO) from vehicle exhaust pipes under heterogeneous traffic conditions. The emissions were measured using a Portable Emission Measurement System (PEMS). The PEMS used was an AVL MDS 450 analyser mounted on the vehicle, and on-road emissions were captured. The test sample consists of four passenger vehicles with varying engine sizes, manufacturers, and fuel. The test route comprises city and highway areas, and it was discovered that the emissions were reduced by 40 to 70% on highways compared to the city. In petrol BSIV and BSVI engines, the emission was reduced to 41.73% for CO, 46.90% for HC, and 64% for NO in the city area. Speed and emissions scatter graphs were plotted for the vehicles, and it was found that in the city area, the optimum speed for less emission is between 30-40 km/h, and on highways, the optimum speed is 80-90 km/h. The emissions were also sensitive to the rate and frequency of acceleration and decelerations. This type of study is very limited in India, and more such studies are required for the assessment of air quality in metropolitan areas and successful traffic management strategies, as well as for determining instantaneous projections of pollutant emissions.

It is no longer a chasm that human existence is being threatened by induced-weather vagaries. Given the dynamic nature of the weather vagaries, if tacit actions are not taken on continuum basis, soonest, human race will go into extinction because of the steep devastating push effect of climate change. It is in lieu of the foregoing, that the researchers conceptualized a study that assessed rural households’ food insecurity resilience capacity in Nigeria’s Bauchi state using a resilience index measurement analysis (RIMA II), a novel methodological approach developed by FAO for studying such scenario, as literature review showed no evidence of its application in the study area. Adopting a multi-stage random sampling technique, a total of 322 households were randomly sampled from a sampling frame obtained by a reconnaissance survey. Using a well-structured questionnaire complemented with interview schedule, rural households’ survey data were collected in the year 2022. Besides, the collected data were analyzed using both descriptive and inferential statistics. Empirically, it was established that the study area is challenged with food insecurity that owes majorly to poor food utilization and stability. Besides, poor food insecurity resilience capacity majorly due to vulnerable adaptive capacity was unmasked as the push effect behind food insecurity bane in the study area. However, evidence showed that food insecurity resilience capacity has a lasting effect on general well-being of rural households while households’ hunger resilience capacity has a transitory effect as it can only contain food crises on the short-term basis. Nevertheless, income and consumption smoothening were the commonest short-term food coping strategies adopted in the study area. To achieve the sustainable development goals of zero hunger by 2030, it becomes imperative on policymakers to sensitize rural households on the need to adopt safe and eco-friendly improved indigenous food technologies so as to address the poor states of food utilization and stability affecting food security of the study area.

Griscelli syndrome is a rare autosomal recessive disorder characterized by hypopigmentation of skin and hair. Griscelli syndrome type 2, one of the three subtypes of Griscelli syndrome, is characterized by recurrent infections, in addition to pigmentary abnormalities. We present the case of a 15-year-old girl with late onset of Griscelli syndrome type 2 features: pigmentary changes of hair and skin, hepatosplenomegaly, pancreatitis and pancytopenia. We also highlight the diagnostic dilemma in patients with coexisting features of malnutrition. Both conditions show some overlapping clinical features and hence, establishing a diagnosis may be challenging.

Paraneoplastic pemphigus is a rare autoimmune blistering disorder which presents with polymorphous cutaneous lesions and recalcitrant stomatitis. The disorder has a 100% association with an underlying neoplasia, primarily lymphoproliferative disorders. We report a patient who presented with oral mucosal lesions resistant to treatment with bullous cutaneous lesion and an underlying NHL-B cell lymphoma. The condition since its inception has been diagnosed using the criteria by Anhalt et al, which still is the most standard one. The criterion has been revised and updated every now and then. A current update has been proposed by Svoboda SA et al, which is a more relaxed one making diagnosis easier in a patient of Paraneoplastic pemphigus. Our patient was confidently diagnosed with Paraneoplastic pemphigus using this criterion. A quick diagnosis with fewer investigations allowed early and aggressive institution of treatment, to which patient responded well.

Background: Mucocutaneous manifestations in HIV infections are common. However, they have not, so far, been studied in Nepal. The aim of this study was, therefore, to describe mucocutaneous manifestations in Nepalese HIV patients. Materials and Methods: The following is a hospital-based, descriptive, cross-sectional study conducted in the Department of Dermatology and Venereology and Antiretroviral Treatment (ART) Center of Tribhuvan University Teaching Hospital (TUTH) from May 2017, through October 2018. Patients aged 16 years and above diagnosed with HIV were included in the study, for whom history and clinical examinations were performed. The study variables were age, sex, a clinical diagnosis of dermatological problems, clinical stages of HIV/AIDS, as per the World Health Organization (WHO) classification criteria, and the CD4 count. Results: A total of 52 patients were included in the study. The mean age upon presentation was 38.77 ± 10.9 years. The mean CD4 count was 464.27 ± 255.13. Females were more affected than males (female:male = 1.4:1). Mucocutaneous manifestations were the following: fungal infections (10; 19.3%), viral infections (6; 11.6%), parasitic infestations (3; 5.8%), bacterial infections (4; 7.7%), sexually transmitted infections (2; 3.8%), seborrheic dermatitis (3; 5.8%), idiopathic pruritus (3; 5.8%), recurrent oral ulcers (3; 5.8%), urticaria (3; 5.8%), pruritic papular eruptions (2; 3.8%), eczemas (2; 3.8%), acne (2; 3.8%), angular cheilitis (2; 3.8%), xerosis cutis (2; 3.8%), and others (5; 9.6%). Conclusions: The study showed that fungal infections are common in HIV patients, followed by viral infections and parasitic infestations. Seborrheic dermatitis, idiopathic pruritus, recurrent oral ulcers, and urticaria were found to be common inflammatory skin diseases in HIV.

India is one of the most populated countries in the world and was famously known as the golden bird. It was known for its rich cultural heritage and some of the world’s most significant educational institutions. Over the countless decades and centuries, the invaders exploited the resources for their advantage. At the decline of the independence in 1947, it was left backward with one of the poorest economies of the world of that time. The richness of erstwhile India, the status of the golden bird, the sacred intellectual space that India occupied has only textual value for the present generation. Through this academic paper, an attempt has been made to address the following questions: what was the state of the economy of India during the pre- and post-independence period, how has India transformed herself from one of the most impoverished economies in 1947 to currently the third-largest economy in the world, and how is the current economic and non-economic status of India.

Aim- To study the impact of the solute carrier group of genes on the mechanisms involved in hyperglycemia induced tissue damage and its implication on the treatment of diabetic microvascular complications.Introduction – the estimated figure of people suffering from diabetes worldwide in 2019 was 9.3% (463 million people) and the projected estimates for 2030 is an alarming figure of approximately 578 million people [1]. Various pathological processes are responsible for the development of diabetes, the irreversible factor is the destruction of β-cells in the pancreas leading to insulin insufficiency, or other factors such as obesity and abnormal carbohydrate and fat metabolism which leads to insulin resistance and diminished tissue response to insulin. Defects in insulin secretion and insulin action frequently coexist in diabetics [2].The damaging effects of hyperglycemia are classified into microvascular complications - diabetic retinopathy, neuropathy and nephropathy, and macrovascular complications - coronary artery disease, peripheral artery disease and stroke [3]. The effects of hyperglycemia are not seen in all cells of the body, but are distinct only in certain types of cells: neurons and Schwann cells in peripheral nerves, capillary endothelial cells, mesengeal cells in the renal glomerulus due to their inability to effectively maintain a constant level of glucose, in contrast most cells are able to reduce the transport of glucose when exposed to hyperglycemia [4, 5, 6].

Background: Non venereological diseases of genitalia can be a diagnostic dilemma to a dermatologist and also a cause of considerable concern to the patient because they tend to get misdiagnosed with venereal diseases. Aims: To study the pattern and clinico-epidemiological profile of non-venereal dermatoses of male genitalia in Hadoti region of Rajasthan. Materials and Methods: We conducted this prospective, descriptive study in 250 male patients with non venereal dermatoses in Rajasthan from January 2015 to July 2016. The demographic profile and clinical findings of the patients were recorded and appropriate investigations and histopathological examination were done as and when required. Cases having venereal diseases were excluded from the study by clinical examination, serological and microbiological tests for venereal diseases. Results: The age of the patients ranged between one to 70 years, with mean age being 27.1 years. The most common dermatosis was nodular scabies 54 (21.6%) followed by sebocystoma multiplex 24 (9.6%), fixed drug eruption 19 (7.6%), tinea genitalis 17 (6.8%) and genital psoriasis 14 (5.6%) cases. Conclusion: This study highlights the importance of diagnosing non-venereal dermatoses for both correct treatment of the patient as well as to alleviate the anxiety associated with venereophobia and cancer phobia.

Capillary haemangioma of the nose is a rare entity and presents as a benign vascular tumour. Aetiology and risk factors remain uncertain and most certainly, it is a challenging condition to treat. We report a young adult male who presented with a 2-months duration of nasal obstruction and epistaxis and later confirmed to have had nasal septal capillary haemangioma. Transnasal endoscopic excision was done without preoperative embolization as the tumour was radiologically well delineated.

The article presents results of the study which includes 41 children with chronic viral hepatitis B (CHB) and acute lymphoblastic leukemia (ALL), aged 3 to 17 years and all were at dispensary observation in the Vinnytsia Regional Infectious Disease Hospital, Ukraine from January 2016 to February 2017. The aim of this study was to determine the plasma osteopontin level (OPN) in children, depending on sex, viral load, and degree of fibrosis. It was found that the level of this glycoprotein in children with chronic hepatitis B with ALL was significantly higher (275.66 ± 22.32 ng / ml) than in control group children (92.65 ± 7.31 ng / ml) (p

The article presents the results of the study including 187 children with chronic hepatitis aged from 3 to 18 years. All were under dispensary observation at the Regional Pediatric Infectious Diseases Hospital, Vinnytsia, Ukraine, till April 30, 2017. The features of clinical symptoms in 82 children with chronic hepatitis B and C with oncological diseases were also defined. It was determined that among the dispensary observation group of children, 70 (37,4%) patients were with chronic hepatitis B (HBV), 99 (53%) – chronic hepatitis C (CHC), mіх - hepatitis (B + C) were diagnosed in 9,6% (18) patients. In 82 children (43,8%), chronic hepatitis was acquired on the background of the existing oncological disease. In general, hepatitis developed in children with acute lymphoblastic leukemia 61% (50 patients). Most of the children were with age 9-18 (53,4%). Among the patients of CHB 32 (45,7%) were with oncohematological diseases. While in children with CHC such patients were 35 (35,3%), in the group of mіх - hepatitis (B + C) – 83,3% (15 patients) were with oncohematological diseases. Hepatitis in patients with cancer develops in a primary - chronic form (91,5%) with minimal clinical signs of the disease, 8,5% of patients develop manifest disease pattern, 6,09% of patients the phenomenon of self - elimination of the virus were observed. Chronic hepatitis was with normal bilirubin count and fractions. In 1/3 of the patients, the liver enzymes were normal, despite of this all patients had a high viral load. Deep fibrosis changes in liver were found in the children of older age group and the degree of fibrosis increases with the increase in age.

Introduction . Omega-3 fatty acids are largely derived from fish oils and are known to decrease inflammation. There have been a few small studies showing the beneficial effect of omega-3 fatty acids in psoriasis. Objective. To evaluate the efficacy of omega-3 fatty acids in conjunction with emollients in patients with mild to moderate chronic plaque psoriasis. Materials and methods . A total of 200 clinically diagnosed cases of chronic plaque psoriasis with less than 10% of body surface area involvement were recruited and divided into group A and group B. Group A was given 1,800 mg daily of omega-3 fatty acids in three divided oral doses and topical paraffin over the lesions. Group B was prescribed only topical paraffin. At the end of 12 weeks, treatment response was assessed by means of Psoriasis Area Severity Index (PASI), and by its components including area involved, erythema, induration and desquamation scores. Results. The mean PASI score changed from 7.44 to 3.96 in group A, and from 7.24 to 5.19 in group B. There was a statistically significant difference in PASI, erythema, induration, desquamation scores and area involved between the two groups after 12 weeks. Forty four (46.3%) patients in group A and 13 (13.9%) patients in group B achieved a 50% or more reduction in PASI scores. Conclusions . Omega-3 fatty acids in conjunction with topical emollients appear to reduce the severity of psoriasis with no major side effects. The combination can be a useful adjunct to other psoriasis treatments.

Porokeratosis (PK) are a group of keratinizing disorders clinically characterized by atrophic plaques with peripheral hyperkeratotic ridge which gradually spread in a centrifugal manner. The sites of predilection are trunk or extremities and facial lesions are rarely reported. We report a sporadic adult-onset case of porokeratosis of a 20 year old female with a solitary, asymptomatic, persistent classical plaque confined to the ala of nose. On reviewing the literature, nasal and perinasal area has been found to be exclusively involved in many cases of facial porokeratosis. Such cases have unique yet common epidemiological and clinical profile thereby deserving a separate category while being classified.

The article presents results of the study which includes 41 children with chronic viral hepatitis B (CHB) and acute lymphoblastic leukemia (ALL), aged 3 to 17 years and all were at dispensary observation in the Vinnytsia Regional Infectious Disease Hospital, Ukraine from January 2016 to February 2017. The aim of this study was to determine the plasma osteopontin level (OPN) in children, depending on sex, viral load, and degree of fibrosis. It was found that the level of this glycoprotein in children with chronic hepatitis B with ALL was significantly higher (275.66 ± 22.32 ng / ml) than in control group children (92.65 ± 7.31 ng / ml) (p

The article presents the results of the study including 187 children with chronic hepatitis aged from 3 to 18 years. All were under dispensary observation at the Regional Pediatric Infectious Diseases Hospital, Vinnytsia, Ukraine, till April 30, 2017. The features of clinical symptoms in 82 children with chronic hepatitis B and C with oncological diseases were also defined. It was determined that among the dispensary observation group of children, 70 (37,4%) patients were with chronic hepatitis B (HBV), 99 (53%) – chronic hepatitis C (CHC), mіх - hepatitis (B + C) were diagnosed in 9,6% (18) patients. In 82 children (43,8%), chronic hepatitis was acquired on the background of the existing oncological disease. In general, hepatitis developed in children with acute lymphoblastic leukemia 61% (50 patients). Most of the children were with age 9-18 (53,4%). Among the patients of CHB 32 (45,7%) were with oncohematological diseases. While in children with CHC such patients were 35 (35,3%), in the group of mіх - hepatitis (B + C) – 83,3% (15 patients) were with oncohematological diseases. Hepatitis in patients with cancer develops in a primary - chronic form (91,5%) with minimal clinical signs of the disease, 8,5% of patients develop manifest disease pattern, 6,09% of patients the phenomenon of self - elimination of the virus were observed. Chronic hepatitis was with normal bilirubin count and fractions. In 1/3 of the patients, the liver enzymes were normal, despite of this all patients had a high viral load. Deep fibrosis changes in liver were found in the children of older age group and the degree of fibrosis increases with the increase in age.

Background: Musculoskeletal disorders have serious impact on the profession of dentistry. There is common occurrence of pain due to incorrect posture in dental professionals. Complementary and alternative medicine (CAM) therapies may cast a new light on preventing and intercepting musculoskeletal disorders (MSD). An epidemiological study was conducted in an effort to contribute to the prevention of musculoskeletal disorders in dentistry. The purpose of this study was to determine the prevalence of MSD at dentists using CAM as a treatment and preventive modality for MSD and to compare job/career satisfaction between dentists who use CAM and conventional therapy (CT). Material and Methods: Dentists registered in Uttrakhand state, India, under the Dental Council of India and registered members of the Indian Dental Association, Uttrakhand branch (N = 1496) were surveyed. Statistical analysis was conducted using SPSS 17. Results: A response rate of 84% (N = 1257) was obtained, revealing that 90% (N = 1131) had the problem of MSD. Seventy three percentage (N = 826) of dentists with MSD reported the use of CAM and CT. Complementary and alternative medicine users reported greater overall health (72.7% vs. 51%, p < 0.001), job satisfaction (61.2% vs. 35%, p < 0.001) and work efficiency compared to CT users. Conclusions: Complementary and alternative medicine therapies may improve quality of life, reduce work interruption and enhance job satisfaction for dentists who suffers from MSD. Through the course of their studies, dentists should be equipped with knowledge on ergonomics and CAM therapies, such as yoga and others, to help them prevent musculoskeletal disorders more effectively. Med Pr 2014;65(3):317–323

Progressive hemifacial atrophy (PHA) of the face was first described by Caleb Hillier Parry in 1825 and Moritz Heinrich Romberg in 1846, hence the name Parry Romberg Syndrome was coined. It is a neurocutaneous syndrome characterized by progressive atrophy of the skin and tissues lying underneath like subcutaneous fat, muscle and bone. It is more common in females. Various etiologies have been proposed like autoimmune, hyperactivity of nervous system, infections etc., but none can fully explain its pathogenesis. Here we report a case of Parry-Romberg syndrome in a 70-year-old male which is the oldest case to present with this syndrome to the best of our knowledge.

Pityriasis versicolor is a superficial mycosis affecting the skin. It is caused by malassezia species of fungi. Common sites of involvement are chest, neck and shoulders. We report a rare case of pityriasis versicolor affecting both arms and dorsum of both hands but sparing the commonly involved sites and masquerading vitiligo.

EVA (Economic Value Added) permits commercial businesses to figure out whether the business is operating in profit and the money can be put into effect into a more profitable source. A leading EVA is a sign that the company has a greater value. The goal of this study is to identify if SMEs' actions carried out on a daily basis are able to generate economic value added for their business. The study is based on a comparative study between Hungary and 28 EU countries. The study is carried out in Hungary’s region of Somogy county. First, the variables for research were created and research was carried out at ground level. The research used the Expletory Factor analysis method to find EVA determinants. The results showed that determinants work together to reshape the regional industrial growth. The research demonstrated that finance and sluggish production are the major determinants in Somogy county. Entrepreneurs' skills and finance have the major impact, which means that to achieve a high growth in SMEs, policy makers have to solve these two problems and make the policy concentric toward finance and high skill development problem.

Trichoepithelioma is a well-recognized hamartoma of hair germ clinically presenting as solitary or multiple papules. Uncommonly, it may present as a large solitary lesion, termed as giant solitary trichoepithelioma (GST). A 50-year old man presented with a large, pedunculated mass over the root of nose obstructing visual field. It was excised and sent for histopathological examination. H&E staining revealed in addition to characteristic features of trichoepithelioma, a desmoplastic hypocellular stroma. After taking into account the clinical and histopathological features, a diagnosis of GST was made. This case is the first case to the best of authors’ knowledge describing desmoplastic stroma in a case of GST. It is also noteworthy because it reports the largest GST described so far over the nose.

Chronic cutaneous lupus erythmatosus (CCLE) and Systemic lupus erythematosus(SLE) are two separate diseases with some overlapping features. Upto 28% patients with CCLE are susceptible to develop SLE. But in some cases patients may present with CCLE with systemic features without developing SLE. Here, we present a case of Chronic cutaneous lupus erythematosus with systemic symptoms simulating SLE with no positive immunological markers to support the diagnosis of SLE.

Stlačitelnost tkanin je pokles skutečné tloušťky s odpovídajícím zvýšením tlaku. Stlačitelnosti froté tkaniny závisí na vlastnostech vláken, parametrech příze, parametrech tkaní, délce smyčky, hustotě smyčky, geometrii smyčky a úpravách po tkaní. V popsaném výzkumu jsou studovány všechny faktory, které se na stlačitelnosti tkaniny podílejí. Bylo zjištěno, že hustota smyčky, délka smyčky, tvar smyčky, zákrut příze, jemnost vlasu, délka vlákna a jemnost příze mají významný vliv na chování komprese froté tkaniny. S nárůstem faktoru tvaru smyčky, délky a hustoty smyčky, se linearita kompresní křivky se zvyšování odolnosti a konkrétní kompresní energie snižuje, což svědčí o tom, že látka se na dotek zjemňuje.

Indian citrus ringspot virus (ICRSV) is known to cause serious problem in Kinnow (Citrus nobilis Lour × C. deliciosa Tenora). This paper reports the elimination of ICRSV from Kinnow by chemotherapy coupled with shoot tip grafting under in vitro conditions. Nodal segments from infected mother plant (indexed by indirect ELISA and RT-PCR) were cultured on MS medium containing 2-iP (1mg/l) and malt extract (800 mg/l) along with different concentrations of five antiviral chemicals acycloguanosine, azidothymidine, 2,4-dioxohexahydro-1, 2,5-triazine (DHT), ribavirin and 2- thiouracil. Shoot tips of size 0.7 mm were excised from the sprouts of these nodal segments and grafted on to rough lemon (Citrus jambhiri) under aseptic conditions. The plantlets obtained from chemotherapy coupled with in vitro micrografting were indexed by indirect ELISA and RT-PCR after acclimatization. Maximum effect (37% virus elimination) was seen for ribavirin at 25 mg/l followed by 2-thiouracil at 25 mg/l (21.4%) and acyclguanosine at 25 mg/l (20.8%). Azidothymidine and DHT at the tested doses could not eliminate ICRSV. In the present study only those plants/plantlets were considered virus free, which showed negative reaction both with indirect ELISA and RT-PCR.

Accessory breast tissue is rare accounting to less than 1% cases seen in females. It is usually bilateral. We report a case of 24-year-old woman with a lump in the left axilla in view of its rarity and made a differential diagnosis of fibroadenoma, which following the investigations and histopathological report was confirmed as revealed fibroadenoma in the axilla. It should also be considered as a differential diagnosis for all axillary swellings.

Introduction: Previous studies from India concluded that the incidence of cutaneous tuberculosis has fallen from 2% to 0.15%, whereas more recent reports suggest that cutaneous tuberculosis is again becoming more prevalent. Aims: To study the patterns of clinical presentation of cutaneous tuberculosis, to correlate them with histopathology, Mantoux reactivity and BCG vaccination status in the north-west region of Punjab. Methods: Analysis of the records of patients with cutaneous tuberculosis who attended the hospital between Jan 2009 to Dec 2012. Results: A total of 36 (0.02%) of dermatology patients had cutaneous tuberculosis. The type of cutaneous tuberculosis in decreasing order of incidence was lupus vulgaris 16 (44.44%) followed by tuberculosis verrucosa cutis 10 (27.77%), scrofuloderma 7 (19.44%) and tuberculids 3 (8.33%). There were no cases of erythema nodosum or miliary tuberculosis. Multiple sites were involved in 17 (47.22%) patients. Face and neck were the most common sites affectedMost of the patients (52.77%) presented with single lesion. Active tuberculosis in other organs were observed in 8 (22.22%) patients. Mantoux test was positive in 23 (63.88%). BCG scar was present in 23 (63.8%) patients. 29 cases (80.55%) showed characteristic histopathological changes of cutaneous tuberculosis. Conclusions: The incidence of cutaneous tuberculosis in the present study was found to be 0.02% which is far lower as compared to previous reports. Reason for this observation could be the effective implementation of the National Program for tuberculosis at primary and secondary level leading to early diagnosis and treatment, hence lesser number of cases reaching to a tertiary center. This study also depicts the histopathological correlation evident in 80.55% of the histopathological specimens which is highly significant.

The present article describes and discusses the aspects of structuring a library collection in an academic library. Direct and indirect actions aimed at improving the acquisitions policy at Docklands Library, one of the three libraries comprising the East London Library, are presented. The most important factors influencing acquisition at this, as well as other academic libraries, include: user’s needs, budget, research mission of the university, and envisaged tendencies in the development of academic disciplines. In conclusion, the author identifies the role of the library as a center whose mission is to maintain the highest possible substantive level of its book collection and provided services.

Use of vermiwash extracted from vermicomposts of different combination of animal agro and kitchen wastes, is one of the effective liquid biofertilizer for growth and productivity of crops. The present study assesses that it has caused significant effect on the growth and productivity of paddy (Oryza sativa), maize (Zea mays) and millet (Penisetum typhoides) crops. The 10mg/m2 of vermiwash buffalo dung with straw shows significant growth (89.2±2.7cm) and 30mg/m2 concentration of similar combination shows highly significant growth in paddy crops(102.6±2.3cm) after 75 days. The 10mg/m2concentration of combination horse dung with gram bran caused significant growth (85.2±4.3cm) 50days while at the same time 30mg/m2concentration of combination of straw with buffalo dung and horse dung caused highly significant growth in maize crops. The combinations of buffalo dung with gram bran and with straw; and combination of horse dung with gram bran and with straw have significant growth in millet crops. All the concentrations of different combinations of animal agro and kitchen wastes have significant early start in flowering and enhance the productivity of crops.

A case of Bullosis diabeticorum (BD) affecting unusual sites involving anterior abdominal wall and axilla in a female with newly diagnosed type 2 diabetes mellitus (T2DM) without antecedent trauma and drug intake is being reported for its rarity. Dermatologists must be made aware of this under diagnosed possibility in diabetes whose status is unknown after considering direct immunoflurescence studies to exclude other similar histological and immunological entities.

Glomus tumor is an uncommon vascular tumor involving mostly subunguum of the thumb or the index finger. It commonly presents as a pink or purplish circumscribed nodule underneath the nail plate. Pain is paroxysmal in nature and precipitated often from exposure to cold or pressure/blunt trauma. Dystrophy of the nail plate occurs rarely. The described case, a 40-year-old woman, had dystrophic thumbnail ascribed to subungual glomus tumor that resembled median canaliform nail-dystrophy of Heller.

The study was carried out to evaluate the impact of vermiwash on the growth, flowering and productivity of okra (Abelmoschus esculantus), lobia (Vigna unguiculata) and radish (Raphnus sativus). Vermiwash was extracted from different vermicompost which was composted from different animal agro and kitchen wastes through earthworm Eisenia foetida. It was observed that treatment of vermiwash shows significantly increased in growth and productivity and decreased flowering period. The maximum significant growth was observed in 30 mg/m2 concentration of combination of buffalo dung with rice bran 38.0±1.3 cm. in case of okra, 30 mg/m2 concentration of combination of buffalo dung with gram bran (seed of Cicer arientinum) 215.5±5.2 cm., in lobia crops and 30 mg/m2 concentration of buffalo dung with gram bran 20.4±1.4 cm. The significant early starting of flowering and increased in productivity was found in all treated groups with respect to control.

In this study the symbiotic interactive effect of different Bradyrhizobium japonicum strains with six soybean cultivars were evaluated under fi eld conditions. The rhizobial strains ASR011, USDA123 and CB1809 respectively showed hostcultivar specifi city with JS335, Lee and Bragg. B. japonicum ASR011 recorded the highest nodulation and nitrogenase activity with all the studied cultivars. Generally, plants inoculated with strain ASR011 produced higher plant dry matter accumulation and seed yield over all other cultivars. On the basis of analysis of correlation coeffi cients, it was found that plant dry matter accumulation emerged as best criterion for selection of most effective legume-Rhizobium associations for given physical and biological conditions.