One of the most important challenges for a company is to manage its supply chain efficiently. One way to do this is to control and minimize its various logistics costs together to achieve an overall optimization of its supply network. One such system that integrates two of the most important logistics activities, namely inventory holding and transportation, is known as the inventory routing problem. Our replenishment network consists of a supplier that uses a single vehicle to distribute a single type of item during each period to a set of customers with independent and deterministic demand. The objectives considered are the management of supplier and customer inventories, the assignment of customers to replenishment periods, the determination of optimal delivery quantities to avoid customer stock-outs, the design and optimization of routes. A genetic algorithm (GA) is developed to solve our IRP. Different crossover structures are proposed and tested in two sets of reference instances. A comparison of the performance of different crossover structures was established. Then, it was used to find the most appropriate crossover structure that provides better results in a minor computation time. The obtained results prove the competitiveness of GAs compared to literature approaches, demonstrate the performance of our approach to best solve large scale instances and provide better solution quality in fast execution time.

Mohamed salim amri sakhri

Wilsons disease is a rare inherited disorder which is characterized by impaired copper excretion which leads to excessive deposition of copper in many tissues and organs like brain, liver, and eye. This is also characterized by Kaiser-Fleischer ring, low serum ceruloplasmin levels and elevated urinary copper excretion [1]. A 26year male patient came to the neurology department with chief complaints of involuntary tremors of both hands and difficulty in walking in the last one month associated with swaying to one side in the last 20 days. On examination the patient is having Kaiser-Fleisher ring positive and upon further investigation Magnetic resonance imaging brain was performed which revealed the features in favor of Wilson’s disease. And for this condition the patient is treated with chelating agents and benzodiazepines.

Dr venkata rama rao nallani

Introduction: Augmented Reality (AR) technology is increasingly recognized for its potential to enhance various aspects of dental practice, including treatment planning, patient education, and training. Despite this potential, the understanding of dental professionals' knowledge, attitudes, and practices regarding AR technology remains underexplored. The objective of this research is to examine the experience, perceived advantages, and real application of augmented reality (AR) Technologies of dental faculty and students. Methodology: A sample of 132 dental students, some integrated into the workforce as part-time private dentists, and faculty members of a single dental school, completed a self-administered online survey. Knowledge and application of AR technology in dentistry, and Experience with AR practice, were the constructs of the study. An administered questionnaire, partially digital and partially paper and pencil, was divided into two parts: Knowledge Assessment and Practice Assessment. The survey results were analyzed using reference statistics. Results: Knowledge Assessment respondents confirmed understanding Augmented Reality (AR) technology (69.7), and AR technology in dental training/education was recognized (65.9). 57.6% of the participants in the Practice Assessment declared absence of AR in their educational and/or professional practice, but an AR technology practice was wanted (67.4). The self-rated proficiencies that 44.47% of the respondents professed were in the range of self-score 3 in the application of AR (moderate). A small fraction (16.7) declared their AR application self-score was above the higher order. Conclusion: It can be concluded from this work that AR technology in academic and practical dentistry is vastly underutilized, notwithstanding the high realization and appreciation for its application.

Oral sphere journal of dental and health sciences

The Construction Industry is one of the industries contributing highest GDP in Indian economy. The material that is most chosen in construction Industry is concrete. Concrete is a material made with Cement, Fine aggregate in the form of sand, Coarse aggregate in the form of gravel and water. With increasing scarcity of sand, construction works are coming to jolt and thereby increasing the need for choosing an alternative material. Vermiculite is a material which after exfoliation can be used as a filler material replacing sand partially without affecting strength much. One more material Granite (by product which is a waste is causing lot of environmental Issues), produced from granite industry, is available in India in several million tons. Coarse aggregate generally used is a crushed aggregate obtained from rocks like granite, basalt and soon. Recycled aggregate is an aggregate which is obtained after demolishing of an existing building, which is a waste causing economical in balance and which if put into use can not only decrease the construction cost but also make this waste into a better use. In the present study, for a M35 grade of concrete, Vermiculite (0, 5%, 10% and 15% of weight of sand) and granite powder (fixed at 10% of weight of sand used) is used to replace sand partially and in the place of normal coarse aggregate, recycled aggregate is used which is 20 mm passing and 12 mm retained After preparation of Mix-Design(1:1.83:2.69 with w/c ratio of 0.38) the concrete cubes are casted to test for compressive strength after curing for 28 days, 56 days and 90 days. Forsec brand super plasticizer is used to take care of workability requirements. Durability test in the form of resistance to attack of sulphuric acid was conducted along with compressive strength. The test results were promising at 10% replacement levels of Vermiculite.

Kiran kumar narasimhan

Febrile convulsions have been defined as any convulsion associated with a fever of more than 38 oC without central nervous system infection in a child aged six months to five years. Febrile convulsion can be divided into two groups of simple and complex seizures. This study aimed to determine the prevalence of febrile convulsions in Libyan children and to investigate the associated risk factors related to this type of seizure in children. 120 cases of febrile convulsions with one day - 12 years old were collected during from April to August 2022. A study has conducted in the Pediatrics Hospital in Bayda City, Libya about the prevalence of febrile convulsions in children, the data collection tool was a self-designed pre-tested validated questionnaire including general information such as age, gender, family history, and admission to the hospital. In addition, data such as body temperature, recurrent convulsion attacks, the condition of hospital admission, discharge status, the treatment in-hospital and out-hospital. The collected data were analyzed by using descriptive methods. Among the 120 children, the majority of the cases were aged between two years and five years old. The gender prevalence rate in this study was 55.0% in males and 97 of the children were hospitalized due to simple febrile seizure (80.8%), 92 of the cases with no family history of febrile convulsions (75.0%) and respiratory tract infections is the main cause of febrile convulsions. In conclusion, this study indicated that respiratory tract infections is the most common cause of febrile convulsions among Libyan children, however, a large sample study is needed to support this issue in Libya.

Mediterranean journal of pharmacy and pharmaceutical sciences

Kidney transplant kidney transplant ( KTx) recipients have increased susceptibility to a spectrum of infections including; bacterial, viral, and fungal pathogens. Many factors contribute to their infection potential risk, in terms of their immunosuppressive state, that result in suppression of their B‑and T‑lymphocyte repertoire, also to consider certain donor and recipient‑related factors, that make them at risk of specific type of infectious complications. In addition kidney transplant patients tolerate poorly infections, which may adversely affect their graft function, by inducing glomerular injury, hence early diagnosis, directed therapy, and careful dosing of antimicrobial agents is of paramount importance in reducing patient’s morbidity and mortality. We report a kidney transplant patient, who received her live related kidney graft 7 years earlier (in 2013), she has been with stable graft function in most of her follow up period, until she presented with pyrexia, dyspnea and fatigue associated with deterioration of her graft function.

Hani

Here is presented a short review on the medical potency of the most toxic plant of Europe. In many countries it isn't concerned any more as therapeutic agent in medicine due to frequent intoxications. However, in the homeopathy, preparations and patent medicines still contain aconitine and other alkaloids (abundant levels). There exists even a US Patent "ACONITINE COMPOUNDS, COMPOSITIONS, USES, AND PREPARATION THEREOF" (No. US 9,085,536 B2 by du Bois et al. 2015).

Stefan dahl

We pose various congruences on the integers of form 6^n+1,n∈Z_+, which may encourage younger number theorists to research number theory and settle new dimensions in this field. We observed that there are only three prime numbers, namely 7,37, and 1297 of form 6^n+1,n∈Z_+, and no one Fermat numbers attains this form. Moreover, these integers end with 7, like Fermat numbers F_n,n≥2. Also, we discussed some congruences with number theoretic functions σ,φ and Möbious function μ.

Rajiv kumar

Migratory behaviour in Littorina scabra (Linne 1758) was studied in a mangrove ecosystem and observations were made in their natural habitat or in situ observation in Tanjung Tiram, Ambon. Migratory speed and pattern of L. scabra of different sizes (small and large) particularly in mangrove Sonneratia alba were observed throughout of the February 19th to March 11th, 2019 during the day and night on incoming or outgoing tides and these are usually a 3 hours (270 minutes) observation. Marked snails were used to track the position to investigate their migratory direction and speed during advancing and receding tides. Those organisms migrate up and down the trees following the tidal cycles. This study indicates that small size organisms which live on leaves, branches or trunks move faster than the big organisms and they move faster during the incoming tide than outgoing tide. For a big size L. scabra, they move slower during the incoming tide than the outgoing tide. This behaviour indicates that they move faster to avoid immersion during incoming tide than during the outgoing tide when they move slower because they are searching for food. The migration trials showed different patterns for all sizes of L. scabra and this pattern seems to be influenced by the area of surface they occupy such as leaves, branches or trunks. They tend to move forward in one direction (almost straight line) when they are on a small surface such as trunks and on the larger surface such as leaves and braches most L. scabra of all sizes make different trial patterns such zig-zag.

Irma kesaulya

Fused silica capillaries treated with N, N-didodecyl-N, N-dimethylammonium bromide was used in capillary electrophoresis to separate basic proteins using ammonium acetate as BGE at pH 4.0, 70 mM. This surfactant forms a semi-stable coating that provides a strong anodic electroosmosis; however, such coating must regularly be regenerated to maintain efficiency and reproducibility. The temporal stability of the coating was greatly improved by a new procedure as described in previously study by our group. In this study, it is found such experimental conditions that the starting zone could be enriched without loss of sample. The injection of a short plug of the BGE diluted 100 times for 3 sec in 50 µm i.d. capillaries behind the sample zone at 15 kV gave the best performance, whereas, a plug of lower dilution degree (10 times) in 25 µm i.d injected for 3 sec at the same field strength gave the optimum results for this dimension. In conclusion, those conditions were found to effectively decrease the loss of sample and to give a higher separation performance in regard to peak efficiency and resolution compared to injecting the sample without a plug.

Mediterranean journal of pharmacy and pharmaceutical sciences

The drug-drug interactions (DDIs) are actions or events that occur when two or more drugs administered together, may cause a clinical significance or not. There are certain factors that may affect the severity of DDIs such as age, gender, number of drugs prescribed, and physician specialists. This study aims to answer: Is there DDI in Libyan community pharmacies? In addition, to explore the factors that might be affecting DDI. Drug Interactions Checkers are used. 200 prescriptions were collected randomly from two different areas ( high and low income),100 from each one and were used to investigate the DDIs by using two different sources (Drugs.com and BNF platforms), bearing in mind, age, gender, prescribers’ specialty, and drug number (prescription size). A personal interview questionnaire with pharmacists for investigate a source of DDI knowledge was considered. The correlation test was used to analysis the findings. The randomly selected sample has 316 drug combinations. The study has revealed a minimum of three drugs (46.0%). In general, Drugs.com was the richer source of DDI than BNF (66.5% and 34.5%, respectively). It is found that 66.5% (67.0% of this is moderate DDI) of these combinations have DDI by Drugs.com. A significant correlation between DDI and gender (male > female, p = 0.035) was found. In a state of residential areas, the results are similar in both selected pharmacies. Most moderate DDIs (21.0% and 15.0%) are prescribed by orthopedics and psychiatrists, respectively. The observational interview questionnaire indicated that 100% of the participating pharmacists had no source of knowledge regarding DDI, 100% of 200 prescriptions had no chick it regarding DDI and 100% of found DDI is released to use by community pharmacies to patients. More than half of the prescribed drug combinations have DDIs (classified as moderate DDIs), and all of them are released for use by pharmacists.

Mediterranean journal of pharmacy and pharmaceutical sciences

This study investigated the level of environmental citizenship development through curriculum development planning among primary school pupils in Rivers State. Three research questions and two hypotheses guided the study. The descriptive survey design was used. The population for the study was the 15,611 teachers in the 962 public primary schools in Rivers State. A stratified random sampling technique was used to draw a sample of 1,600 teachers which represents 10.2% of the population. A researchers’ designed questionnaire titled "Curriculum Development Planning in Environmental Education Questionnaire" was the instrument used for the study. The instruments were validated by three experts. Reliability coefficients of 0.88 (Curriculum Provision), 0.73 (Environmental Education Projects), and 0.79 (Challenges) were derived using Cronbach alpha. Mean and standard deviation was used to answer the research questions while the hypotheses were tested using the z-test. Findings revealed that the extent to which environmental education projects were utilized to develop environmental citizenship in pupils is low. The challenges militating against the teaching of environmental education are lack of commitment from the school management, lack of time in the lesson timetable to integrate environmental education contents in other subject areas, and teachers' inadequate knowledge of environmental education integration techniques. It was recommended amongst others that the Nigerian Education Research and Development Council should design age-appropriate curriculum contents/topics that can be integrated into various subjects.

Fxintegrity publishing

Administering medication to children at home presents substantial challenges for caregivers. Errors in dosage, timing, or administration method could be harmful. A key contributor to such errors is inadequate knowledge of pediatric medication. The objective of this study was to explore how parents in Libya administer oral medications to their children and the self-care therapies they use for them. A cross-sectional study was conducted using an online self-designed questionnaire consisting of yes/no and multiple-response questions. The sample size was 523 parents with valid questionnaires. Inclusion criteria were being a parent of children aged six months to 10 years and consent to participate. The data were analyzed by the Chi-square test was employed to examine associations between demographic characteristics and parental behaviors and techniques of medication administration. One-third of parents used inappropriate tools to administer liquid medications to their children. When children resisted medication, 49.3% of parents insisted on administering it, 10.7% mixed it with milk or other drink, 5.2% mixed it with food, and 9.2% dissolved solid forms in water or another drink. Additionally, 9.4% of parents admitted to giving doses higher than prescribed, trying to achieve rapid recovery. Furthermore, 82.0% of the parents engaged in self-medication of children, mostly with antipyretics (86.4%) but also with antibiotics (2.5%). We concluded that knowledge of the correct practices for administering oral medication to children was inadequate. It is suggested to develop educational programs for parents on correct practices.

Mediterranean journal of pharmacy and pharmaceutical sciences

Abstract---In contemporary society, most females are deprived of proper education, healthcare, job opportunities, etc., to uphold family customs, patriarchal dominance, and occasionally negligence towards the feminine gender. According to researchers, gender inequalities in health care, especially in eye care, are evident between accessing the care and getting treatment in developing countries. Therefore, we aim to measure the gender-wise eye-care follow-up regularity in accessing long-term glaucoma consultation among various age groups with a sample size of 564 in Delhi-NCR, India. The age groups (in years) are 15-29 (Group I), 30-44 (Group II), 45-59 (Group III), 60-74 (Group IV), and 75 and above (Group V). Groups I to V show, intragroup males have higher odds of getting regular eyecare by 20% (OR 1.20, 95% CI 0.413 to 3.4871), 2.08% (OR 1.0208, 95% CI 0.4637 to 2.2472), 3.4% (OR 1.034, 95% CI 0.6369 to 1.6787), 8.46% (OR 1.0846, 95% CI 0.6783 to 1.7344), and 45.83% (OR 1.4583, 95% CI 0.4575 to 4.6484) respectively. The probable causes of gender-wise irregularity are lack of seriousness, financial limitations, dependency, loneliness due to widowhood, etc. To make eye-care services equally accessible to everyone, healthcare agencies should first take various progressive policies to overcome gender-wise socio-economic barriers.

Dr. ashwani kumar ghai

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

The methanol extract of the whole alga Hypnea pannosa J. Agardh was subjected to antifungal screening. It showed low activity against Aspergillus flavus Link ex Gray 1821.

Dr. salman ahmed

Our society is reflected through the media, which represents what society is like and how it functions. The sole medium that serves to keep people informed is media, whether it is written, electronic, or on the web. It also serves to amuse, educate, and inform the audience about current events. Our society's voice is now dominated by the media. A number of media platforms have brilliantly stirred the views of the younger generation and other segments of our society. The study's goal is to examine the media's involvement and efficacy throughout the demonetization process. The study's major goals are to look into the role of the media in informing people about the demonetization process and its consequences. The study will contribute to a better understanding of the role of the media in conveying information on significant problems and how individuals learn about current events. In Lucknow's South City and Eldeco neighborhood, a poll of 300 persons was held. The researchers devised a data gathering interview plan that took into account the function and type of media in raising public awareness. The convenience sampling method was used in the research investigation. The study focuses on media consumption patterns and behaviour throughout the demonetization period.

Dr. amarjeet singh

The notable developments in renewable energy facilities and resources help reduce the cost of production and increase production capacity. Therefore, developers in renewable energy evaluate the overall performance of the various equipment, methods, and structure and then determine the optimal variables for the design of energy production systems. Variables include equipment characteristics and quality, geographical location, and climatic variables such as solar irradiance, temperature, humidity, dust, etc. This paper investigated and reviewed the current big data methods and tools in solar energy production. It discusses the comprehensive two-stage design and evaluation for examining the optimal structure for renewable energy systems. In the design stage, technical and economic aspects are discussed based on a robust analysis of all input/output variables for determining the highest performance. Next, assess and evaluate the effectiveness of each method under different circumstances conditions. Then convert each qualitative indicator into a quantitative measure using extensive data analysis methods to determine the overall performance of the various qualitative variables. The paper also provides an in-depth analysis of the mathematical techniques used in measuring the efficiency of the renewable energy production system and discussing future axes of work in the field of specific energy.

Acaa pub

Recently, the definition of cardiorenal syndrome (CRS), a condition with a complicated pathogenesis, has been revised. Logically, CRS syndrome should be classified according to the initial organ that is injured, resulting in damage to another organ. Hence, there are only three main categories of CRS. Category one includes acute and chronic CRS. Category two involves renal-cardiac syndrome (RCS), which can be classified as acute or chronic. The third category represents secondary CRS, referred to as cardio-reno-cardiac syndrome (CRCS), which can be subdivided into acute and chronic CRCS. In this part of our series, we will discuss the epidemiology, pathophysiology, diagnosis, treatment, and prevention of acute CRS. We retrieved articles published on acute CRS using different keywords and phrases between January 2019 and June 2025 to achieve these goals.

Karishma

The mobile adhoc network is a group of mobile nodes without having the fixed infrastructure. Due to the infrastructure less network and distributed nature, make mobile adhoc network susceptible to malicious attackers. So, we use an intrusion detection system called Enhanced Adaptive ACKnowledgement (EAACK) especially for mobile adhoc networks. Based on the digital signature algorithm (DSA) and RSA the EAACK is designed. To enhance the strength of the security in the mobile adhoc networks, we introduce an innovative approach called Hybrid Security Protocol that provides integrity, confidentiality and authentication. This Hybrid Security Protocol consists of Cryptography based on Elliptic curve, Dual-RSA algorithm and Message Digest MD5. Encryption is achieved by using Elliptic Curve Cryptography, Dual-RSA algorithm for authentication and MD-5 for integrity. By using a combination of both symmetric and asymmetric cryptographic techniques, we achieve better security with integrity.

Dr h shaheen