Heart Failure (HF) is a “clinical syndrome characterized by the inability of systemic perfusion to meet the body’s metabolic demands and is usually caused by cardiac pump dysfunction. HF is subdivided into systolic and diastolic HF. Systolic failure presents reduced cardiac contractility whereas diastolic failure exhibits impaired cardiac relaxation with abnormal ventricular filling.” HF is a result of many functional or structural discorders. They can be acquired or congenital that eventually weakens the capacity of the ventricles eject blood. (1) It is a leading cause of repeated emergency department visits and admissions across the globe. HF has become an epidemic in developed world due to advent of modern treatment protocols and increased survival in patients with CAD (CAD). Rheumatic heart disease (RHD) is the leading cause of HF and subsequent admissions in developing countries. (2) In India, HF constitutes a significant part of health problems with an in-hospital mortality of 20%–30% approximately. Lack of adherence to medication and poor tolerance to guidelines based treatment is the main reason behind it. (3) Most common cause of HF is CAD, hypertension, RHD, and other conditions like cardiomyopathies, endocarditis, myocarditis and congenital heart disease. (4) Elderly are primarily affected age group with an approximate incidence of 10/1000 population after 65 years of age. Near about 80% patients admitted for HF are 65 years old or above.
life sciences focus on a specific type of organism. For example, zoology is the study of animals, while botany is the study of plants. Other life sciences focus on aspects common to all or many life forms, such as anatomy and genetics. Some focus on the micro-scale (e.g. molecular biology, biochemistry) other on larger scales (e.g. cytology, immunology, ethology, pharmacy, ecology). Another major branch of life sciences involves understanding the mind – neuroscience. Life sciences discoveries are helpful in improving the quality and standard of life and have applications in health, agriculture, medicine, and the pharmaceutical and food science industries.
This work aims to study the influence of the socio-educational environment on student performance. It seeks to identify the scope of the relationship between variables or dimensions of school climate and academic performance. From 227 students and 36 public and private high school educators and colleges from the city of Agboville, we assessed their perception with the multidimensional assessment scale of student well-being in schools by Guimard et al., (2014). Multivariate regression analysis and cross-tabulations of variables have elucidated the interactions between a person’s behaviors, individual characteristics, and the environment in which they evolve. The data collected showed that school performance depends on the feeling of security, the learning conditions, the state of the teacher- student relationship, the overall satisfaction of students and their well-being in the school environment. This study proves that the best academic results of learners are intimately linked to the establishment of a quality socio- educational environment.
Being and Existence is, in this work, examined from, unpopular combination of philosophical doctrines that would have, as western humanists had perceived them, remained disparate concepts in the world dominated by materialism, science and theory. Similarly, anthropocentric metaphysics is a voluptuous and amorphous amalgam of notions whose meanings are consistent and unified as a whole in the extent African cosmography but which in the Western philosophy are different schools and thoughts with often contradictory nuances and meanings. The basic keywords in his work, though of different histories, are therefore integrated into a whole here to answer to the pertinent question of being and Existence spanning from before life, to life-hereafter which burden explanation resides in anthropocentricism and metaphysics of life and death.
African Discourse is a literary expression designating the meta-theoretical and metanarrative interpretation of the subject of African predicament in the age of imperialism globalization and imperialism. The issues raised are for good reasons inheritances from the Western modernity, colonialism and neo-colonialism which are largely and collectively acculturation, enculturation and psychological or mental disequilibrium, to use Fraz Fanon analysis or metaphor, of black skin and while mind. This discourse therefore, point blankly and causally places the origin of African predicament or retardation at the door step of European or western modernity which with all its problematic eroded uninterruptedly and calculatively African continent and culture. A definition of African predicament, is therefore, necessary to charting the course of this discourse, it is three fold; the 18th century modernity crisis generated by the problems of the literary and public sphere and as it were inherited by the peripherical states in Africa; the colonial content of modernity and the western invasion of African states; and thirdly the failure of the African to decolonize themselves and propagate their cultural tapestory of literary and public spheres, otherwise, captured here as African philosophy of culture and good governance.
The importance of leadership in the foundation and legitimization of an organization is a pressing issue in organizational studies. This book, Leadership in the formation of an organization, which focuses on an organizational case study – the formation of Asilo de Infância Desvalida da Horta (a foster organization for girls and young women), in the Azores, Portugal, seeks to contribute to the analysis the relative autonomy that leadership faces and which it has to deal with in the search for its legitimacy as an organization. The book concludes with the reproduction of a booklet, dated 1884, titled Memória histórica sobre o Asilo de Infância Desvalida da Cidade da Horta [Historical memory on Asilo de Infância Desvalida da Cidade da Horta], which offers relevant arguments of this study. Furthermore, in addition to the analysis put forth here, its facsimile availability in digital version is deemed pertinent.
All over the world, there is extensive folklore and tradition associated with crickets. In Brazil, a black cricket in a room is said to foretell illness; a gray one, money; and a green one, hope while chirping is sometimes interpreted as a sign of imminent rain, a financial bonanza, pregnancy, or death. During the Spanish conquest of America, the sudden chirping of a cricket heralded the sighting of new land. The Chinese have practised cricket fighting as a sport for a long time. The Cherokee Indians believed that drinking tea made of crickets would make one a good singer. In Zambia, cricket is believed to bring good fortune to anyone who sees it. Among the Luos of Kenya it is believed that eating crickets improves one’s singing prowess. Crickets are known as nyenje in Kiswahili. In Luo language, they are referred to as Onjiri. Other local names include ngiriama in Meru, Egesiriri in Kisii, Sitsilili in Luhya, Ngiria in Kikuyu and Ngili in Kamba.
The complement system is formed form a group of sera of plasma proteins found in fresh vertebrate sera. The number of these components are ranging between 30-40 components with their own receptors. Such components appeared in vertebrate at electrophoro-grames in the arcs of alpha1 , alpha2 , beta and gamma globulins. Through , components differs from immunological characteristics. Components protein are heat labile at 56c for half an hour. Complement can be activated in sequential manner of their own component with marked subunit assembly & functional units help in phagocytosis and cell lysis components system has fluid and membrane phases and a activated in three steps initiators, amplification and membrane attack. The activation is established in three pathways ; the classical , the properidin and the lectin pathways. Properidin is found in natural immunity , classical and lectin in the adaptive immunity .
O Asilo da Infância Desvalida da Horta, situado na cidade da Horta, Ilha do Faial, nos Açores, Portugal, foi fundado em 1858 e funcionou com esta designação até 1971. O seu objetivo central era o de socorrer a pobreza extrema e situação de abandono dos expostos do sexo feminino. Aquando da monarquia em Portugal, os Estatutos de 1860 e o Regulamento de 1876 forneciam as orientações normativas para o funcionamento do Asilo de Infância Desvalida da Horta. Após a implantação em Portugal da república, em 1910, os Estatutos de 1912 passaram a orientar normativamente o funcionamento da instituição. Este enquadramento jurídico, sendo interessante e profícuo comparar os diversos documentos que, ao contrário do que seria, porventura, expectável por esta transformação de regime político, não demonstra, todavia, uma alteração profunda nesta dimensão formal
The study examined the nexus between social accountability and the improvement of the quality of the health services in Shamva District. Its objectives were to determine the social accountability strategies used by Civic Society Organizations (CSOs) in Shamva District to build capacity for citizens to demand their health rights and entitlements; explore the extent to which the state responds to accountability demands for health services tabled by the citizens; assess the capacity level of both the rural citizens and state to conduct deliberate dialogue on health service provisions; and analyse the impact of social accountability mechanisms on rural health services in Zimbabwe. The study was guided by the interpretive paradigm. It was based on qualitative methodology utilising semistructured interviews, focus group discussions, in-depth interviews with key informants and participant observation. The data generated were analysed using grounded theory, assisted by the NVivo qualitative software. The four themes that emerged were social accountability strategies used to empower citizens; state responsiveness to accountability demands; capacity level to conduct deliberative dialogue; and impact of social accountability mechanisms. The study found out three social accountability strategies utilised in Shamva District. These were community scorecard; results-based financing: and village worker model. The study concluded that continuous funding and sustainable plans are essential for improving service delivery in health using social accountability strategies. The study recommends the Government of Zimbabwe to provide adequate human, financial and physical resources for the successful implementation of social accountability in Shamva District health sector.
Interaction is a mutual action that cannot be separated from the characteristics of the objects participating in the process. Interaction is a process that is characterized by a simultaneous mutual change in the characteristics of interacting material objects (in our case, atoms). These material objects (atoms) act on each other with different intensity, obeying certain laws, and reproduce new structures with high accuracy. Chemical bonding is a consequence of interatomic interactions. Interatomic interactions are accompanied by thermal effects and changes in the volumes of interacting objects. Reproductive structures indicate the existence of constitutional characteristics of interacting objects. One of these characteristics is the weight concentrated in nucleons, and the second is the volume formed by the electron clouds around the nucleons. During chemical interactions, the mass concentrated in nucleons remains unchanged, and the resulting volume changes, decreasing (most often) or increasing. By the relative change in volume, as well as by thermal effects, one can judge the intensity of the interaction. Changes in the structure without changing the chemical composition occurs due to changes in the vibrations of structural units and the dissipation of energy contained in the original system into the environment . With an increase in temperature (an increase in energy content), the structures dissipate. With a decrease in temperature (decrease in energy content), energy dissipation occurs. Having a crystalline system with large crystals of only one phase, without changing the chemical composition, methods of pressure, forging, laser treatment can bring the system into a state with crushed and even amorphous parts . The result is a system with a high stored energy content and a dissipated structure. The fundamental characteristic of a simple substance is the molar volume, which is the ratio of the molar mass of a substance (M g/mole) to its density (d g/cm3 ) Vm=M/d (cm3 /mole) . Even Lothar Meyer  presented a graphical dependence of atomic volumes on the mass of an atom, which was successfully illustrated by the periodic law of D.I. Mendeleev. Density is a complex characteristic, representing the ratio of one unchanged constitutional quantity (mass) to another constitutional quantity (volume), which changes depending on the environment by other atoms [5, 6].