September 2020

The strategy launched by the government in tourism management is through the use of the Pentahelix Model collaboration. In the view of the Minister of Tourism to create orchestration and ensure the quality of activities, facilities, services, and to create experiences and value of tourism benefits in order to provide benefits and benefits to the community and the environment, it is necessary to encourage the tourism system through optimization of the roles of Academic, Bossiness, Community, Government, and Media (ABCGM). The purpose of the study was to describe and analyze Community Participation in the management of Community-based Beach Tourism Attraction in Harapan Ammani Beach in Pinrang District. The research method uses data analysis techniques which are performed at the time of data collection using the Miles and Huberman models which suggest that the activities in qualitative data analysis are carried out in an interactive manner that is ongoing. The results of the Community Participation Research on the Management of the Community-Based Tourism Potential in Harapan Ammani Beach in Pinrang Regency are a description that in increasing the participation of the tourism community it is necessary to increase the optimization of coaching and empowerment towards independence through various training and activities in the tourism activities program carried out by the SADAR WISATA Group. The role of the Youth and Sports Tourism Office has done its job well through holding a training program for the SADAR WISATA Group to broaden its horizons and skills in managing and providing services for tourists. It also needs to be given additional supporting aspects in the world of tourism such as public facilities, tourist information, art trade, facilities, roads (road signs), transportation (there are special transport cars to the beach location), accommodation, and security posts and access to street lighting.

This research study examines the support facility service quality of customers of the selected banks in the east Godavari rural areas. In this research work an attempt was made to understand the level satisfaction of a customer on the various factors of support facilities aspects of banking services with respect to selected bank (Public sector banks like SBI, BOB and Private sector banks like HDFC, ICICI). A self-prepared questionnaire was used as a measuring tool and distributed to 480 bank customers in equal sample number located in the rural parts of east Godavari. The statistical measurement was conducted on the level of satisfaction varies with the respect to type of bank, gender, age, type of account, and frequency of visit for the factors of support facilities aspects of banking only. Moreover, comparison between the findings and customer satisfaction surveys was conducted along with an attempt to prove correlation between customers’ perceptions regarding support facilities service quality. The Findings of the study revealed there are gaps between expectations and perceptions among customers of selected banks which implied that there are some support facilities quality shortfalls that need to be taken care off. The absence of proper man power and utilisation of resources related to service makes this work regarded as inventive.

In the Globalized world, women entrepreneurs are playing a vital role and they have become an important part of the global quest for the sustained economic development and social progress. In India, though women have played a key role in the society, their entrepreneurial ability has not been properly tapped due to the lower status of women in the society. In India, the role of women has been explicitly recognized with a market shift in the approach, from women welfare to women development and empowerment from the Fifth Five Year Plan (1974-79) onwards and today the significant role of women in entrepreneurship is constantly increasing due to various global factors. The Government of India has been implementing several policies and programmes for the development of women entrepreneurship in India. In India, entrepreneurship among women is of recent origin. Socio- economic background is an important factor that influences the woman to start their business. Despite all the social hurdles, Indian women stand tall from the rest of the crowd and are applauded for their achievements in their respective field. The transformation of social fabric of the Indian society, in terms of increased educational status of women and varied aspirations for better living, necessitated a change in the life style of Indian women. She has competed with man and successfully stood up with him in every walk of life and business is no exception for this. These women leaders are assertive, persuasive and willing to take risks. They managed to survive and succeed in this cut- throat competition with their hard work, diligence and perseverance. The present paper assesses Kudumbashree as a development model towards socio economic development of women.

Objectives: The rapid spread of the most virulent a novel virus SARS-CoV-2 has sparked alarm worldwide causing COVID-19, a viral respiratory disease. The World Health Organization (WHO) has declared this health-threatening outbreak as a pandemic COVID-19. In this review we diseased the COVID-19-related many questions and answers for better understanding and awareness of this disease. Study Design: Here we discussed about COVID-19, something in details as well as some more relevant associated-questions were answered from known resources. The results are shown in table format. Methods: The information and all the inputs were taken from many official organizations, like CDC, WHO, John’s Hopkins webpage, are other valuable resources. Results: Various Issues related to COVID-19, like it’s origin, severity, and symptoms. Protections and preventions, any available therapies were shown in different Tables under different headings, which are self-explanatory Conclusions: Thus the knowledge-based awareness of these recent global biological threats will be helpful to the nation-wide all people irrespective of any age, caste, religion, sex, creed, and economical status.

Artificial intelligence (AI) is a breakthrough in the field of technology which is rapidly progressing and has captivated the minds of researchers across the globe (1). Eversince, its inception dentistry has witnessed some of the exceptional achievement (2). Hence, this situation demands every dentist to get acquainted with this technology as the future of dentistry is abutting the implementation of its applications. While, in no ways, AI can replace the role of a dentist, it is of prime importance to be aware of the possibilities to integrate this technology in the future for a gratifying and successful practice (2).

Hypertension Type 2 diabetes is a type of diabetes mellitus whose symptoms are caused by high blood sugar (glucose) levels. This disease is also referred to as adult-onset diabetes because it usually affects adults or the elderly. In contrast to type 1 diabetes, which can attack younger people, such as children. Diabetes mellitus type 2 is a chronic disease caused by the body not being able to use insulin effectively. The prevalence of type 2 diabetes increases with age and an unhealthy lifestyle. Uncontrolled blood sugar levels of type 2 diabetes can lead to various complications in type 2 diabetes sufferers, one of which occurs macroangiopathy, which is complications in large blood vessels that affect changes in blood pressure. Type 2 diabetes mellitus often does not show obvious symptoms of diabetes. The purpose of this study was to determine the relationship between blood glucose levels and blood pressure in elderly patients. MethodIn this study, using the association test with the contingency coefficient method using the SSSS version 27 analysis tool. The data used as sample data is medical record data for 2019 based on medical record data for 1 year in RSUD Dr. SoerotoNgawi. The results of the study showed a relationship between blood pressure and sugar levels in people with diabetes mellitus. Test using a contingency coefficient with test results is 0.116 with a significance value of 0.026. This means that there is a relationship between blood pressure and sugar levels in people with diabetes mellitus.

Smartphone addiction could be described as smartphone mismanagement, mishandling and misuse. It is also being fuelled by the fear of being without a mobile phone for certain number of hours. It is a non-chemical addiction that is been driven by an Internet overuse problem thereby becoming a destructive behaviour. Smartphone addiction has the capacity to negatively affect an individual in his/her physical and mental health, relationships, productivity and academic performance. This paper therefore, examined impacts of Smartphone addiction on academic performance of students in senior secondary schools in Lagos state. One research question and three hypotheses were formulated to guide the research. The sample consisted of one hundred and thirty (130) students randomly selected from four senior secondary schools in Lagos state. A 25-item questionnaire designed by the researchers titled “Addiction to Smartphone Inventory” (ASPI) was designed for data collection. Cronbach’s Alpha reliability coefficient of the instrument stood at 0.91. The study adopted the descriptive survey design to seek information. Data analysis was carried out with the use of percentages, t-test and ANOVA. Results showed that there is a significant impact of Smartphone addiction on academic performance of students in senior secondary schools in Lagos state. The results also revealed that academic performance of students is not gender based, neither does it depended on the type of school. Students in senior secondary schools should be exposed to dangers inherent in smartphone addiction and how they can overcome the menace.

Nepali's migration for foreign employment began with the Gurkha in the dawn of the nineteenth century, who were popular for their 'specialness' to be recruited in the British Army Brigade. This fact is often ignored in the studies of remittances and their applications in Nepal. This article analyzes Gurkha's recruitment pattern in different national armies, the remittances they send, and application and development function of the remittances. This article concludes that Gurkha's collective recruitment in the foreign armies involved social and financial forms of remittances. The social remittances significantly contributed social modernization in the isolated villages, while the financial remittances spurred entrepreneurships development thereby contributing to regional development.

Background: The central venous accesses technique uses a direct visualization puncture. With the advent of the ultrasound (US)-guided puncture, a high variation rate in the anatomical position (AP) of the right internal jugular vein (RIJV) was observed compared to the right common carotid artery (RCCA). Objective: This study describes the rate of AP variability in RIJV, compared with previous studies and descriptions. Methods: We selected 180 adult patients with diabetes mellitus (DM) and systemic arterial hypertension (SAH), between June and October 2018, for an US evaluation of the AP and diameter of the RIJV and its anatomical corresponding position with the RCCA. Results-A higher incidence of anterior lateral position (43%) (p=0.0016) was observed, followed by anterior (31%), lateral (22%) and anterior-internal position (4%). A diameter greater than 11mm in SAH patients (p=0.0011) was also observed (odds ratio 3.80; 95% CI: 1.71 to 8.44). Conclusions - The study showed a high variability rate in the RIJV AP as determined by ultrasonography. The larger diameter of the RIJV showed a statistically significant association with SAH.

Purpose: To compare the effectiveness of orthopedic surgery and physical therapy on functional motor outcome in spastic diplegia. Method: The study was undertaken on two groups – “Orthopedic Surgical Group” and “Physical Therapy Group”. 30 spastic diplegic children were selected from Surat city. A detailed explanation regarding the study was given to them. Children were taken on the basis of GMFCS level III and IV. The GMFM scale was used as an outcome measure. The children were given clear instructions and sufficient time to perform actively. Best appropriate score was given and score were recorded. Results: From the statistical analysis, it can be inferred that there is no difference between the two groups while taking into account all the five components of the GMFM scale (p value > 0.05). But the mean difference is positive. Only there is a statistical variation in the “crawling & kneeling” dimension (p value < 0.05). Conclusion: On comparing all the five dimensions of GMFM scale, there is no difference between orthopedic surgery and physical therapy in improving functional motor outcome in spastic diplegia. But when individual subgroups are compared we have found that in “crawling & kneeling” dimension, physical therapy group is more effective than orthopedic surgery.

A cross-sectional survey design was adopted to validate the Frequency of Delinquent Behavior Scaling Instrument (FDBSI) using adolescents from a secondary school in Lagos, Nigeria. A combined purposive and convenient sampling technique was used to select 261 participants made up of 93 males (35.6%) and 168 females (64.4%) from a selected secondary school in Kosofe Local Government in Lagos State Nigeria. The mean age was 15.57 ± 1.97. Participants responded to Frequency of Delinquent Behavior Scaling Instrument (FDBSI) and Self-Reported Delinquency (SRD) to determine concurrent validity. Observed internal consistency of FDBSI showed a Cronbach's alpha coefficient of .75, a Spearman-Brown coefficient of .68 and Guttman Split-Half coefficient of .68. All items in the scale reported acceptable goodness-of-fit measures revealing corrected item-total correlations range of .12 to .79. Significant positive correlation was also observed between FDBSI and SRD revealing concurrent validity score of (r = .292, p= .000). Determined new norms for FDBSI were scores of 28.4 for male, and18.8 for female. FDBSI is observed to be gender sensitive and has acceptable psychometric properties for Nigerian adolescent population.

The primary goal of the current investigation was to see "Factor that reasons for worry in understudies" The universe of our examination comprised of understudies of Punjab College Lahore. An example of 275 was drawn; the strategy of advantageous examining was utilized for this reason. Poll is use as an instrument for information assortment and vis-à-vis technique was utilized as study strategy. For testing theory the subjective information was evaluated by offering codes to reaction of the respondent. The Chi-Square Test, Mann Whitney U Test and Kruskal Wallis H Test are applied.

This paper attempt to analyze the spatial distribution of settlement patterns in Dhankuta district, eastern hills, Nepal. Because geographers use the word spatial as an essential modifier in framing their questions and forming their concepts. But the spatial distribution of settlement patterns and their relations in a geographic space cannot easily be observed. In this context, Nowadays, geographers are interested to interpret such challenging matter in the landscape by employing various methods, tools and techniques. They have popularly used a point pattern method to identified spatial patterns of settlements on a map. This paper applies the nearest neighbor index computing with the help of both statistical techniques and ArcGIS software. It is very popular to detect locational arrangements of settlements, schools, hospitals and other service facilities in the study area. Settlements were identified from a map based on local level government units. Data were collected through automated and manual calculations. Both methods were used to calculate the index of the nearest neighbor and Index of dispersion through quadrat maps. The calculated nearest neighbor index of Dhankuta district (8.66) shows that the patterns of settlement in the Dhankuta district seemed dispersed. Whereas, the entire local level pattern is more random than dispersed (1.11-1.30). This indicates that the spatial patterns of settlement in the local levels of the Dhankuta district are randomly distributed. However, the Index of dispersion of this district result (1.32) indicates that the patterns tend towards the cluster. Similarly, the index of dispersion of the entire local levels seemed (1.06-1.46) dispersed.

Subcapsular hematoma after kidney transplant may result in kidney ischemia and graft loss. In this report, we present a 38 years old male patient who had post-transplant ATN complicated a subcapsular hematoma just after surgery. He had end stage renal disease secondary to chronic glomerulonephritis (hypertension, proteinuria and bilateral atrophic kidneys in abdominal ultra sound (US). He had a living-donor kidney transplant from hissister. At perfusion, there was smalldecapsulatedarea in the lower pole of the transplanted kidney. Capsulotomy was not performed due to possible risks and transplant surgery was completed. After declamping, appropriate renal perfusion and urine output were observed. Early few hours after surgery, decreasedin urine output was observed. Renal Doppler ultrasonography showed decreased diastolic flow and perigraft hematoma about 200ccand resistive index (RI) 0.9 initially that increase to 1 in serial successive Dopplers. The surgical drain is hemorrhagic leading to marked decrease in hemoglobin level that necessitatedto transfuse four units of filtered irradiated RBCS. The plan by surgeon to conserve,so renal biopsy was done revealed moderate ATN. He underwent re-exploration on day 11 due to infected hemorrhagic , huge amount drain fluid (culture and sensitivity from it MARSA), that revealed most of the renal parenchyma was compressed with marked stretching capsule due to subscapular hematoma, the plan to release it by slight dissection of capsule at different directions but not to evacuate it completely for possible bleeding. After surgery, urinary flow increased, renal Doppler ultrasonography findings and renal function gradually improved.