Environmentalism Reflected At Henrik Ibsen’s Public Enemy (1882): A Sociological Approach

The research is proposed to analyze the social aspects in A Public Enemy. The major problem in this article is to explain how the social problem reflected in A Public Enemy. The object of the study is An Enemy of the People drama written by Henrik Ibsen. Qualitative study is a method which is used to analyze the sociological aspects reflected in the drama. The result of this study is Henrik Ibsen shows the social condition of Norway. Although Norway in nineteenth century was including progresive country, Henrik Ibsen also criticized the goverment for controlling the society and ruling as the majority to the minority

High prevalence of lack of knowledge of symptoms of acute myocardial infarction inPakistan and its contribution to delayed presentationto the hospital

<p>Abstract</p> <p>Background</p> <p>We conducted an observational study to determine the delay in presentation to hospital, and its associates among patients experiencing first Acute Myocardial Infarction (AMI) in Karachi, Pakistan.</p> <p>Methods</p> <p>A hospital based cross-sectional study was conducted at National Institute of Cardiovascular Disease (NICVD) in Karachi. A structured questionnaire was used to collect data. The primary outcome was delay in presentation, defined as a time interval of six or more hours from the onset of symptoms to presentation to hospital. Logistic regression analysis was performed to determine the factors associated with prehospital delay.</p> <p>Results</p> <p>A total of 720 subjects were interviewed; 22% were females. The mean age (SD) of the subjects was 54 (± 12) years. The mean (SE) and median (IQR) time to presentation was 12.3 (1.7) hours and 3.04 (6.0) hours respectively. About 34% of the subjects presented late. Lack of knowledge of any of the symptoms of heart attack (odds ratio (95% CI)) (1.82 (1.10, 2.99)), and mild chest pain (10.05 (6.50, 15.54)) were independently associated with prehospital delay.</p> <p>Conclusion</p> <p>Over one-third of patients with AMI in Pakistan present late to the hospital. Lack of knowledge of symptoms of heart attack, and low severity of chest pain were the main predictors of prehospital delay. Strategies to reduce delayed presentation in this population must focus on education about symptoms of heart attack.</p

Repositioning of the global epicentre of non-optimal cholesterol

High blood cholesterol is typically considered a feature of wealthy western countries1,2. However, dietary and behavioural determinants of blood cholesterol are changing rapidly throughout the world3 and countries are using lipid-lowering medications at varying rates. These changes can have distinct effects on the levels of high-density lipoprotein (HDL) cholesterol and non-HDL cholesterol, which have different effects on human health4,5. However, the trends of HDL and non-HDL cholesterol levels over time have not been previously reported in a global analysis. Here we pooled 1,127 population-based studies that measured blood lipids in 102.6 million individuals aged 18 years and older to estimate trends from 1980 to 2018 in mean total, non-HDL and HDL cholesterol levels for 200 countries. Globally, there was little change in total or non-HDL cholesterol from 1980 to 2018. This was a net effect of increases in low- and middle-income countries, especially in east and southeast Asia, and decreases in high-income western countries, especially those in northwestern Europe, and in central and eastern Europe. As a result, countries with the highest level of non-HDL cholesterol—which is a marker of cardiovascular risk—changed from those in western Europe such as Belgium, Finland, Greenland, Iceland, Norway, Sweden, Switzerland and Malta in 1980 to those in Asia and the Pacific, such as Tokelau, Malaysia, The Philippines and Thailand. In 2017, high non-HDL cholesterol was responsible for an estimated 3.9 million (95% credible interval 3.7 million–4.2 million) worldwide deaths, half of which occurred in east, southeast and south Asia. The global repositioning of lipid-related risk, with non-optimal cholesterol shifting from a distinct feature of high-income countries in northwestern Europe, north America and Australasia to one that affects countries in east and southeast Asia and Oceania should motivate the use of population-based policies and personal interventions to improve nutrition and enhance access to treatment throughout the world.</p

Rising rural body-mass index is the main driver of the global obesity epidemic in adults

Body-mass index (BMI) has increased steadily in most countries in parallel with a rise in the proportion of the population who live in cities 1,2 . This has led to a widely reported view that urbanization is one of the most important drivers of the global rise in obesity 3�6 . Here we use 2,009 population-based studies, with measurements of height and weight in more than 112 million adults, to report national, regional and global trends in mean BMI segregated by place of residence (a rural or urban area) from 1985 to 2017. We show that, contrary to the dominant paradigm, more than 55 of the global rise in mean BMI from 1985 to 2017�and more than 80 in some low- and middle-income regions�was due to increases in BMI in rural areas. This large contribution stems from the fact that, with the exception of women in sub-Saharan Africa, BMI is increasing at the same rate or faster in rural areas than in cities in low- and middle-income regions. These trends have in turn resulted in a closing�and in some countries reversal�of the gap in BMI between urban and rural areas in low- and middle-income countries, especially for women. In high-income and industrialized countries, we noted a persistently higher rural BMI, especially for women. There is an urgent need for an integrated approach to rural nutrition that enhances financial and physical access to healthy foods, to avoid replacing the rural undernutrition disadvantage in poor countries with a more general malnutrition disadvantage that entails excessive consumption of low-quality calories. © 2019, The Author(s)

Repositioning of the global epicentre of non-optimal cholesterol

High blood cholesterol is typically considered a feature of wealthy western countries1,2. However, dietary and behavioural determinants of blood cholesterol are changing rapidly throughout the world3 and countries are using lipid-lowering medications at varying rates. These changes can have distinct effects on the levels of high-density lipoprotein (HDL) cholesterol and non-HDL cholesterol, which have different effects on human health4,5. However, the trends of HDL and non-HDL cholesterol levels over time have not been previously reported in a global analysis. Here we pooled 1,127 population-based studies that measured blood lipids in 102.6 million individuals aged 18 years and older to estimate trends from 1980 to 2018 in mean total, non-HDL and HDL cholesterol levels for 200 countries. Globally, there was little change in total or non-HDL cholesterol from 1980 to 2018. This was a net effect of increases in low- and middle-income countries, especially in east and southeast Asia, and decreases in high-income western countries, especially those in northwestern Europe, and in central and eastern Europe. As a result, countries with the highest level of non-HDL cholesterol�which is a marker of cardiovascular risk�changed from those in western Europe such as Belgium, Finland, Greenland, Iceland, Norway, Sweden, Switzerland and Malta in 1980 to those in Asia and the Pacific, such as Tokelau, Malaysia, The Philippines and Thailand. In 2017, high non-HDL cholesterol was responsible for an estimated 3.9 million (95 credible interval 3.7 million�4.2 million) worldwide deaths, half of which occurred in east, southeast and south Asia. The global repositioning of lipid-related risk, with non-optimal cholesterol shifting from a distinct feature of high-income countries in northwestern Europe, north America and Australasia to one that affects countries in east and southeast Asia and Oceania should motivate the use of population-based policies and personal interventions to improve nutrition and enhance access to treatment throughout the world. © 2020, The Author(s), under exclusive licence to Springer Nature Limited

PERAN TELEPHONE OPERATOR DAN BELLDRIVER PADA FRONT OFFICE DEPARTMENT DI HOTEL IBIS MALIOBORO YOGYAKARTA

Telephone Operator and Belldriver are two parts which be related and they have important task and role especially in front office department so that to be a tip of spear in a hotel. So in this Last Task will be explain about their task and role which called important component of hotel. Needed a recent survey to understanding those thing so that the explanattion will be write down doesn�t lost of meaning. In this case on the job training and recent interview by profesional staff in Hotel Ibis Malioboro Yogyakarta is better method to used. This research produce many profit which very important for front office department, the one of all is helping front office department to keep hotel image stay good and handle any complain

Management of hypertension and multiple risk factors to enhance cardiovascular health - A feasibility study in Singapore polyclinics

10.1186/s12913-016-1491-6BMC Health Services Research16122

Ethnobotanical knowledge and folk medicinal significance of the flora of district Gujrat, Punjab, Pakistan

Introduction: Medicinal plants are the natural source of medicines used in treatment of many diseases among local communities of various countries. It is also the raw material for the pharmaceutical industry. Pakistan is a country with a variety of medicinal plants, comprehensively studied in some areas, while others still need more studies of their flora. Objectives: The study was performed to catalogue the flora of district Gujrat, Punjab, Pakistan and to assess its ethnomedicinal importance. Methods: A field survey was conducted in the Gujrat district (including Sarai Alamgir, Gujrat and Kharian) in 2019–2020 to collect the flora. Nearly 200 people of various age groups were interviewed and the questionnaire was filled, the gender and professions of the participants were also noted. Results: The plant species collected belonged to 32 different Angiosperm families i.e. Poaceae, Brassicaceae, Fabaceae, Asteraceae, Moraceae, Amaranthaceae, Apiaceae, Myrtaceae, Rutaceae, Solanaceae, Malvaceae, Euphorbiaceae and Lamiaceae. The obtained material consisted of 30 herbs, 20 shrubs and 22 trees. The floral parts used most often were leaves (63%) followed by: flower (41%), fruit (28%), stem (16%), seed (16%), bark (14%), root (13%), whole plant (12%), underground part (3%) and latex (3%). According to the study, the highest RFC (Relative Frequency of Citation) values were 0.1 in Cassia fistula L. (0.25) and the smallest RFC values were observed in Stellaria media (L.) Vill. – 0.025. The highest UV (Use Values) were noted for Achyranthes aspera L. at 0.9. In disease category, the highest value (0.67) of ICF (Informant Consensus Factor) was observed for stomach and skin infections, while the lowest ICF value was noted for diabetes and gonorrhoea (0.27). Conclusions: It was concluded that the Gujrat district is rich in useful plants that can be used in the preparation of various medicines as well as be sold on the herbal market

Ethnobotanical knowledge and folk medicinal significance of the flora of district Gujrat, Punjab, Pakistan

Introduction: Medicinal plants are the natural source of medicines used in treatment of many diseases among local communities of various countries. It is also the raw material for the pharmaceutical industry. Pakistan is a country with a variety of medicinal plants, comprehensively studied in some areas, while others still need more studies of their flora. Objectives: The study was performed to catalogue the flora of district Gujrat, Punjab, Pakistan and to assess its ethnomedicinal importance. Methods: A field survey was conducted in the Gujrat district (including Sarai Alamgir, Gujrat and Kharian) in 2019–2020 to collect the flora. Nearly 200 people of various age groups were interviewed and the questionnaire was filled, the gender and professions of the participants were also noted. Results: The plant species collected belonged to 32 different Angiosperm families i.e. Poaceae, Brassicaceae, Fabaceae, Asteraceae, Moraceae, Amaranthaceae, Apiaceae, Myrtaceae, Rutaceae, Solanaceae, Malvaceae, Euphorbiaceae and Lamiaceae. The obtained material consisted of 30 herbs, 20 shrubs and 22 trees. The floral parts used most often were leaves (63%) followed by: flower (41%), fruit (28%), stem (16%), seed (16%), bark (14%), root (13%), whole plant (12%), underground part (3%) and latex (3%). According to the study, the highest RFC (Relative Frequency of Citation) values were 0.1 in Cassia fistula L. (0.25) and the smallest RFC values were observed in Stellaria media (L.) Vill. – 0.025. The highest UV (Use Values) were noted for Achyranthes aspera L. at 0.9. In disease category, the highest value (0.67) of ICF (Informant Consensus Factor) was observed for stomach and skin infections, while the lowest ICF value was noted for diabetes and gonorrhoea (0.27). Conclusions: It was concluded that the Gujrat district is rich in useful plants that can be used in the preparation of various medicines as well as be sold on the herbal market