Schizophrenia is treated with antipsychotic drugs and is a chronic neuropsychiatric disorders. The influence of antipsychotics on the cytokine systems may be responsible for their clinical efficacy in schizophrenia. Granulocytopenia and agranulocytosis are severe side effects of antipsychotic therapy. The objective of this study was to estimate incidence of drug-associated agranulocytosis in newly diagnosed schizophrenic patients in and to evaluate the risk factors and outcomes. Seven participants groups were designed. Healthy persons as control. Schizophrenic patients before treatment. Schizophrenic patients after one-month of treatment. Schizophrenic patients after two - month of treatment. Schizophrenic patients after three - month of treatment. Schizophrenic patients after chronic treatments. Schizophrenic patients one month after chronic treatment. This study included screening for the expression and function of circulating leukocyte granulocyte-macrophage colony-stimulating factor receptor, screening of patient's biochemistry and haematology picture. Granulocyte-macrophage colony-stimulating factor expression was decreased after antipsychotic treatment for one month and continued to decrease after two months' treatment. Granulocyte-macrophage colony-stimulating factor expression starts to increase after the two-month treatment and continues increasing to controls or newly diagnosed schizophrenics or after chronic treatment. Complete blood counts were not changed compared. Liver function showed a transient increase in serum alkaline phosphatase after one and two month of treatment. All other parameters were not changed. Kidney function showed that urea and creatinine levels were within the normal range during the different treatments. Concerning lipid profile, low density lipoproteins levels were increased after one month, two months of treatment and after chronic administration of the antipsychotic drugs. It is concluded that antipsychotic treatment produces a decrease in granulocyte-macrophage colony-stimulating factor expression; the decrease reach the maximum effect after two months, then starts to increase back to normal levels. A transient increase in serum alkaline phosphatase in the first two months' treatment. Urea and creatinine levels and lipid profile were within normal range, except low density lipoproteins levels were increased during the two months treatment and after chronic administration of the antipsychotic drugs.

Mediterranean journal of pharmacy and pharmaceutical sciences

The purpose of the presented monograph is to provide scientific information on the botanical features, traditional uses, active or major chemical constituents and pharmacology of Tithonia diversifolia. Studies on purified principles, mechanism of action and structure-activity relationship are relatively few and warrant further attention as traditional literature assures Tithonia diversifolia for the discovery of novel therapeutic agent(s). The safety, efficacy, quality control/quality assurance, clinical applications, contraindications, warnings, precautions, potential adverse reactions, and posology is not the part as very little data is available regarding the discussed plant. However, it helps in facilitating information exchange among practitioners Of orthodox and traditional medicine, pharmacists, and other health professionals, manufacturers of herbal products and research scientists and assist in developing their monographs or formularies.

Dr. salman ahmed

In this article, we study an Inventory Routing Problem with deterministic customer demand in a two-tier supply chain. The supply chain network consists of a supplier using a single vehicle with a given capacity to deliver a single product type to multiple customers. We are interested in population-based algorithms to solve our problem. A Memetic Algorithm (MA) is developed based on the Genetic Algorithm (GA) and Variable Neighborhood Search methods. The proposed meta-heuristics are tested on small and large reference benchmarks. The results of the MA are compared to those of the classical GA and to the optimal solutions in the literature. The comparison shows the efficiency of using MA and its ability to generate high quality solutions in a reasonable computation time.

Mohamed salim amri sakhri

Glioblastoma multiforme (GBM) is the most common primary malignant brain tumor in humans. It is characterized by excessive cell growth, accelerated intrusion of normal brain tissue, and a poor prognosis. The current standard of treatment, including surgical removal, radiation therapy, and chemotherapy, is largely ineffective, with high mortality and recurrence rates. As a result, traditional approaches have evolved to include new alternative remedies, such as natural compounds. Aquatic species provide a rich supply of possible drugs. The physiological effects of marine peptides in glioblastoma are mediated by a range of pathways, including apoptosis, microtubule balance disturbances, suppression of angiogenesis, cell migration/invasion, and cell viability; autophagy and metabolic enzymes downregulation. Herein, we address the efficacy of marine peptides as putative safe therapeutic agents for glioblastoma coupled with detailed molecular mechanisms.

Dr. salman ahmed

In the present study nanoparticles of lomustine were fabricated using chitosan polymer crosslinked with different crosslinking agents like sodium tripolyphosphate and sodium hexametaphosphate. Different formulations of nanoparticles were prepared using different concentrations of crosslinking agents and polyethylene glycol 6000. The average particle size ranged between 112 nm to 942 nm. Zeta potential of nanoparticles ranged between 29.0 mV up to 56.0 mV. Encapsulation efficiency was variable from 58%-96%. The nanoparticles were solid spherical. In vitro drug release study was carried out in phosphate buffered saline solution pH 7.4 for 10 h. The analysis of regression values of Higuchi plot suggested diffusional mechanism and follows Fick's law of diffusion. Drug polymer interaction was absent as evidenced by FT-IR spectra and DSC thermograms. With polyethylene glycol inclusion shows interaction between lomustine and PEG. Cell viability assay (MTT Assay) showed that the lomustine nanoparticles were able to reduce the tumour cell proliferation and increased cell viability significantly (p< 0.05) as compared to pure drug in L 132 human lung cancer cell line

Archana mehrotra

BACKGROUND: Cervical cancer is the second‑most common cancer among women in the developing world and approximately 500,000 cases are diagnosed each year. In developed countries, cervical cancer (CCa) accounts for only 3.6% of newly diagnosed cancers. OBJECTIVE: The present study aims to identify the most effective barriers associated with CCa screening uptake in low and middle-income countries (L and MICs) and aid to adopt effective measures to overcome prevailing barriers to the attainment of CCa uptake in the community. MATERIALS AND METHODS: Health sciences electronic databases like MEDLINE, PubMed, Cochrane library, and Google Scholar were searched for studies published until August 2017. Keywords used for the search were ("cervical cancer screening"), ("barriers"), AND ("low income countries" OR "Middle income countries"). Articles were reviewed and data were extracted by using Mendeley Desktop Software (V‑1.17.10). Income-level classification of countries was done as per the World Bank 2017 report. Statistical software like SPSS‑V.23 and Medical‑V.14 were used for the statistical application. RESULTS: A total of 31 studies met the inclusion criteria with a total of 25,650 participants. The sample size of the included studies ranged from 97 to 5929 participants. Articles majorly reported data on participants from African region (51.6%) and minimally in the Western Pacific region (3.2%). Sampling methods among studies varied from convenience sampling‑12 (39.7%) to consecutive sampling‑1 (3.2%). Besides, two studies (6.5%) did not discuss their sampling procedures. It was observed that “Lack of information about CCa and its treatment” (Barrier of lack of knowledge and Awareness); “Embracement or shy” (Psychological Barrier); “Lack of time” (structural Barrier); and “Lack of family support” (Sociocultural and religious barrier) were the most commonly reported among all 22 barriers. CONCLUSION: There is a need of policies advancement of CCa screening programs by focusing on aspects of accessibility, affordability, CCa education, and the necessity of screening to improve screening uptake to control the CCa morbidity and mortality rate in L and MIC’s.

Nagarjuna narayanasetti

Action research is such a process by which B.Ed. pupil teacher attempt to study their problems scientifically in order to guide, correct and evaluate their decision andaction There are two important components of action research:(1) the consumer are the researches and (2) the research take place where there is a felt need of a solutionof a problem and when the results can be put in practice.The steps in action research are – identification of a problem area, the selection of a specific problem and the formulation of a hypothesis, the accumulation of evidence,the inference from this evidence and the continuous retesting.The importance of action research that its lies in the fact that this helps in finding quick solutions of immediate problems which search by b.ed. Students , administratorand teacher. Action research is a way to find problems and their solution S.M. Corey has developed this research technique. Objectives of action research are – processin school practice, progress of a teacher, improvement or curriculum, increase in knowledge of administrator or inspector. Need, interest, discipline, social problems,learning problem, curriculum and teachers are the field of action research. There are various steps of action research such as specific problem .Causes, hypotheses,experiment and conclusion. Outline the action research is also mentioned. Action research has been proven most beneficial in the field of diagnostic education

Kamal singh

আলোচ্য প্রবন্ধের কালানুক্রমিক উৎস একটি ঔপনিবেশিকতার সীমাবদ্ধতায় থাকা ভূখণ্ড এবং সেই সমাজের মেয়েদের সভা, সমিতি ও আলোচনা সভা গঠন। স্বাধীনতার পূর্বকাল অর্থে, ১৯৪৭ সালের আগে পর্যন্ত সময়কাল। কালের নিরিখে প্রাক – স্বাধীনতা সময়কালের বিস্তার দীর্ঘ হলেও, এর আলোচনার সময়কাল কেবলমাত্র নারী সংগঠনের সূচনা বা উৎসের সময় থেকেই আলোচ্যের। সেই সময়কাল দুভাগে ভাগ করা যায়। এক, এদেশের মেয়েদের সভা – সমিতি গঠনের পূর্বকাল। দুই, এদেশের মেয়েদের সভা – সমিতি গঠনের শুরু। এক্ষেত্রে, আলোচ্য প্রবন্ধের নিরিখে আলোচনা করা যায় দু-প্রকারে। এক, উনিশ শতকের মেয়েদের তৈরি সভা, সমিতি ইত্যাদি। দুই, সমাজ-বহির্ভূত মন্দ মেয়েদের যোগদান করা সভা, সমিতি বা আলোচনা সভা। এক্ষেত্রে ভাষার ব্যবহার সূচিত – সভা হিসেবেই লিখিত ও আলোচিত হবে।

Mou

The exploration encompasses the diverse dimensions of the Verbesina genus, a cluster of flowering plants within the Asteraceae family, comprising 340 species with varied growth patterns and floral attributes. Traditional medicinal practices associated with Verbesina species across different cultures are scrutinized, emphasizing the necessity for scientific validation of these ethnomedicinal traditions. Through chemical and pharmacological profiling, Verbesina plants reveal a plethora of bioactive compounds and therapeutic potentials, propelling drug discovery and development opportunities. Safety considerations, conservation challenges, and sustainable harvesting practices emerge as pivotal factors in maximizing the benefits of Verbesina species while minimizing environmental impacts. Finally, we underscore the significance of collaborative research efforts, recognizing the invaluable contributions of our professional colleagues and researchers in related fields in fully harnessing Verbesina plants' medicinal, healthcare and conservation potentials, promising groundbreaking discoveries and applications with profound implications for human well-being.

Dr. salman ahmed

In Libya, pharmacy education and practice have a similar pattern to medical education and practice. Both sectors of public and private pharmacy education and pharmacy practice still significantly unchanged for more than forty years. It is a traditional pharmacy style of education and practice with a limited change of education and practice. Now, there are more than ten public pharmacy colleges and more than five private colleges established in Libya for a population of seven millions. In addition, there are several intermediate pharmacy institutes which provide a middle degree in pharmacy practice with a very limited knowledge in pharmaceutical sciences and training. Practice of pharmacy in Libya is still a classical mode with only dispensing medicines directly in almost a nonprofessional way and an old fashion way. However, the situation is old and complicated that needs a great deal of attention from different health policymakers and authorities such as Ministry of High Education and Ministry of Health, National Pharmaceutical Union and Libyan Association for Pharmacists.

Mediterranean journal of pharmacy and pharmaceutical sciences

The main purpose of the paper is to determine the correlation of consumers' demographic factors on the impulse buying behavior with respect to a number of single impulsivity indicators and one collective indicator. The paper consists of theoretical and research aspects. The first part encompasses theoretical insights into the secondary research regarding impulse buying while the practical part presents the methodology and primary research results. With respect to the subject matter, research goals as well as previous findings and primary research results, corresponding hypotheses were set and mainly confirmed. Inter variable correlation and regression analysis has been performed to test the hypothesis. The results showed that demographic factors, such as the disposable income and age, are related to most impulse buying indicators and to the impulsivity collective indicator. However, educational qualification and gender produced marginal association with impulsive buying behavior. The paper also summarizes research limitations as well as the work contribution and future research guidelines.

Abu bashar

Since October 17, 2019, Lebanon has experienced unprecedented popular protests, demanding the departure of the entire political class, accused of being gangrened by corruption. Country paralyzed, institutions closed for more than two weeks, the eyes are turned to universities that have closed their doors but whose community (teachers and students) actively participate in the national jump. This study explores the use of social media by universities in Lebanon during the national revolution using social big data technology on Twitter in comparison to the national usage of twitter. Important information was collected, analyzed and visualized using the R language.

Katia raya

Mahatma Gandhi National Rural Employment Guarantee Act (MGNREGA), with a mandate to provide at least hundred days of guaranteed wage employment in a financial year to every rural household whose members above the age of eighteen years volunteer to do unskilled manual work. The main focus of the act is to facilitate the social protection for the people living in rural India by providing employment opportunities and therefore contributing towards the overall development of the local people. The present study was attempted to figure out the impact of MGNREGA on overall economic and social development of beneficiaries in Gobichettipalayam, Erode district of Tamilnadu.. The results found the MGNREGA has significantly improved their social and economic well-being. The study also has highlighted on the fact that agricultural wages have gone up after the introduction on MGNREGA scheme in the current area.

Nandini jagannarayan

Mushrooms and fenugreek are widely used to reduce hyperglycemia, and fenugreek is also used as a culinary ingredient to enhance flavor and aroma. This study is aimed at investigating the underlying mechanisms of the hypoglycemic effects of mushrooms and fenugreek in a Type 2 diabetic rat model. Adenosine monophosphate (AMP)–activated protein kinase (AMPK) functions to reduce hyperglycemia through insulin-independent pathways and protects beta-cells. Diabetic model rats were administered standard diets supplemented with 5% oyster mushroom powder (mushroom-treated (MT) group) and 5% fenugreek seed powder (fenugreektreated (FT) group) for 8 weeks. The results showed improvements in both glycemic and lipid profiles, with both oyster mushroom and fenugreek enhancing the phosphorylation of AMPK in muscle tissue. However, no effect on insulin secretion was observed. These findings suggest that both substances reduce hyperglycemia through an insulin-independent pathway. In silico analysis of both mushroom and fenugreek seed extracts revealed bioactive compounds having a strong binding affinity to α-glucosidase, which suggests mushroom and fenugreek supplements might control postprandial blood glucose levels.

Arafat hassan razon

Ethanol and hexane extracts of the leaves and male flowers of Luffa cylindrica were evaluated for antiemetic and anti-inflammatory effects using chick emesis model and carrageenan-induced rat paw oedema. The antiemetic effect was observed at 150 mg/kg body weight, whereas the anti-inflammatory effect was observed at doses of 500,750 and 1000 mg/kg body weight orally. Chlorpromazine 150 mg/kg and indomethacin 10mg/kg orally were used as standard antiemetic and anti-inflammatory drugs. The antiemetic effect was determined by calculating the mean decrease in the number of retching compared to the control group after 10 minutes of copper sulfate (50 mg/kg orally) administration. The degree of paw oedema of all the groups was measured using a plethysmometer at the 5th hour of carrageenan (1% w/v) administration. All extracts except hexane extract of leaves exhibited statistically significant (P<0.001) antiemetic and except hexane extract of flower, all extracts exhibited statistically significant (P<0.05) anti-inflammatory effects.

Dr. salman ahmed

Malignant melanoma is the most dangerous type of skin cancer. It is becoming more common globally and is increasingly resistant to treatment options. Despite extensive research into its pathophysiology, there are still no proven cures for metastatic melanoma. Unfortunately, current treatments are frequently ineffective, costly, and have several adverse effects. Natural substances have been extensively researched for their anti-MM capabilities. Chemoprevention and adjuvant therapy with natural products is an emerging strategy to prevent, cure or treat melanoma. Numerous prospective drugs are found in aquatic species, providing a plentiful supply of lead cytotoxic chemicals for cancer treatment. Anticancer peptides are less harmful to healthy cells and cure cancer through several methods, such as altered cell viability, apoptosis, angiogenesis/metastasis suppression, microtubule balance disturbances and targeting lipid composition of the cancer cell membrane. This review addresses marine peptides as effective and safe treatments for MM and details their molecular mechanisms of action.

Dr. salman ahmed

The dominant sequence transduction models are based on complex recurrent or convolutional neural networks that include an encoder and a decoder. The best-performing models also connect the encoder and decoder through an attention mechanism. We propose a new simple network architecture, the Transformer, based solely on attention mechanisms, dispensing with recurrence and convolutions entirely. Experiments on two machine translation tasks show these models to be superior in quality while being more parallelizable and requiring significantly less time to train. Our model achieves 28.4 BLEU on the WMT 2014 Englishto-German translation task, improving over the existing best results, including ensembles, by over 2 BLEU. On the WMT 2014 English-to-French translation task, our model establishes a new single-model state-of-the-art BLEU score of 41.0 after training for 3.5 days on eight GPUs, a small fraction of the training costs of the best models from the literature.

Kamal singh

Purpose: Congenital hypogonadotropic hypogonadism (CHH) is a rare genetic disorder mostly characterized by gonadotropins release and/or action deficiencies. Both isolated (idiopathic hypogonadotropic hypogonadism) and syndromic (Kallmann) forms are identified depending on the olfactory ability. Clinical and genetic heterogeneities of CHH have been widely explored, thus improving our understanding of the disease's pathophysiology. This work aims to (1) provide a detailed clinical and hormonal description of normosmic CHH patients and (2) identify the mutation linked to the studied phenotype. Participants and methods: We investigated three affected patients with normosmic CHH, belonging to a consanguineous Tunisian family. Patients underwent an insulin-induced hypoglycemia test. We performed whole exome sequencing to identify the causal mutation. Results: At first diagnosis, a total gonadotropic deficiency was identified in all patients. The insulin-induced hypoglycemia test has also revealed a reduced cortisol secretion and complete growth hormone deficiency. At 20.8 years, one female exhibited a spontaneous recovery of the hypothalamic-pituitary-adrenal axis function, unlike her affected siblings who still depend on corticosteroid replacement therapy. Herein, we identified a novel homozygous nonstop mutation (c.1195T>C) in KISS1R gene in all affected subjects. This mutation led to the substitution of the physiologic stop codon by an arginine (p.X399R). Conclusions: Our study highlights the importance of the KISS1R signaling, in gonadotropin-releasing hormone neurons, in the control of reproductive function. Additionally, our data suggests a complex central and peripheral metabolic control of puberty, through the hypothalamic KISS1R signaling. We suggest a mutual link between the hypothalamic-pituitary-gonadal, -adrenal, and -somatotropic axes.

Mariam moalla

A mental and behavioral illness is described as a clinically significant illness with changes in thought, emotion, or behavior related to a personal situation. Objectives of the study: To assess the knowledge regarding mental health & illness and level of stress. 2. To determine the effectiveness of Educational Intervention on knowledge regarding mental health & illness and level of stress 3. To find out the association between pre-test knowledge level on mental health & illness and selected demographic variables. 4. To find out the association between pre-test stress level and selected demographic variables. 5. To find out relation between knowledge score of mental health & Illness with stress level. Methodology: Quantitative research approach with pre-experimental research design was used. Sampling: 300 samples was chosen with consecutive sampling technique. Result: In pretest mean score for knowledge and stress were 8.9 and 27.9 respectively and post-test were 19.7 and 17.45 which showed that education intervention improve the knowledge and decrease stress among adolescent. Improved knowledge reduces stress level. Conclusion: Educational intervention improve knowledge level which significantly reduce level of stress.

Dr k c yadav

In India, the campaign to legitimise community radio began in mid-1990s, soon after the Supreme Court of India ruled in its judgment of February 1995 that “airwaves are public property. Though the approval for setting up of Community radio stations in India was granted in 2002, it is yet to develop in the valley of Kashmir. Till now, the valley has not established any community radio station, but the first effort to use radio for the development of the community was made in 2009 when Panos South Asia, in collaboration with the Islamic University of Science and Technology (IUST), a rural University in Awantipora (Kashmir) started a community radio program in the Awantipora community. The program named “Pesh Kadam” meaning “Step Forward” started in 2009 and completed 350 episodes in 2018. This paper is aimed to study the reasons for absence of community radio stations in Kashmir. It also documents the efforts made to bring this medium to Kashmir and understand the evolution and challenges of first ever community radio program in Kashmir, study its content, analyse its popularity and efficacy. Both qualitative and quantitative research techniques are deployed in this study.

Ruheela hassan