This research purpose to analyze the effect green leadership and eco Efficiency to business performance in the manufacturing industries. This research uses a quantitative approach with Structural Equation Modeling (SEM) using smart PLS software. Data collection methods using online questionnaires and snowball sampling technique, the number of respondents to be used are 200 respondents of manufacturing top management in Indonesia. The results of this research conclude that green leadership has a positive and significant effect on the business performance, eco efficiency also has a positive and significant effect on the business performance. This novelty of this research is new research of green leadership and eco efficiency of manufacturing industries in Indonesia.

Background:Overweight and obesity are the modern diseases of relatively high prevalence nowadays because of sedentary life style; and consider as a risk factors for the development of some important chronic diseases and that leading to increase morbidity and mortality. Objective: To study the prevalence and factors associated with overweight and obesity among students of medical campus of University of Kerbala in Holy Kerbala, Iraq.Methods: An observational cross-sectional study was carried out in University of Kerbala (medical campus), Iraq. A total number of 300 students (male, female) between 18 -26 years of age were participated in this study from fives colleges of the Kerbala University.A questionnaire form was distributed to each participant include age, gender, weight, height, BMI, dietary habit, sport activity, family history of obesity, waist circumference; were measured and reported in the form then subjected for suitable statistical analysis. Results: The overall prevalence of overweight and obesity was (62% and 83%) respectively. while prevalence of underweight and obesity was non-significant between male and female.Depending on their weight circumference, among male students, 1 student (2.4%) in college of pharmacy, and 2 students (7.7%) in nursing college were very high risk of obesity. For female students 17 were in very high risk of obesity.Conclusion:Based on result obtained this ,high percent of students have a healthy life style habit that related to their knowledge about the diseases that caused by obesity therefore the students protect themselves from this diseases in young ages.

Objectives: To explore the early pandemic severity of COVID-19 in India in terms of various case fatality rate (CFR) estimates. Methods: Various COVID-19 fatalities: confirmed CFR (cCFR), asymptomatic CFR (aCFR), symptomatic CFR (sCFR), and hospitalized CFR (HFR) were estimated along with relative susceptibility of developing symptoms (RSODS) and relative susceptibility of developing infection (RSODI) determination for Psym (probability of developing symptoms) 0.50, 0.75, and 0.95 each for all age groups. Results: The cCFR, aCFR, sCFR, and HFR estimates were 2.32% (2.05-2.59), 0.14% (0.12-0.16), 0.32% (0.27-0.36), 1.86% (1.64-2.07) respectively. The RSODS and RSODI of COVID-19 were ~33 times higher among people aged <45 years. The RSODS estimates were 1.97 (0.47-3.47), 0.62 (0.15-1.09), 0.29 (0.07-0.52), 0.06 (0.02-0.10) respectively, for patients <45 years, 45-60, 60-75, >75 years. Similar trend, for RSODI were found, with relatively higher value, compared to RSODS, which decreased with the increase of age. The 14-day lag estimate of CFR were 18.07 (15.67-20.47), and outcome (deaths plus recoveries)-based estimate of CFR were 16.57 (14.65-18.49). The growth rate, serial interval, reproduction number and average time from onset of COVID-19 infection to death were 6.12% (5.30%-6.99%), 11.4 days (9.91-12.85), 1.03 (1.01-1.05), and 11.85 days (10.55-13.15), respectively. The average daily recovery was 19.45% (14.75- 24.15) and average cumulative recovery was 12.68% (10.70- 14.66) among COVID-19 patients. Conclusion: As per our belief and knowledge, this is the first study of its kind in reporting COVID-19 severity in Indian context during early pandemic.

The current study takes a New Historic approach for the analysis of the Wordsworth’s history as a crucial anecdote and believes that through a minute scrutiny of Lucy poems we can expose the power structure and the dominant discourses that according to New Historicism have shaped the poet’s character, society and world. Accordingly, the paper suggests that the poet, through symbolic and non-symbolic ways, has embedded historical and political facts in these poems. To support this claim the research will reveal some controversial correspondences among these poems, William Wordsworth’s life and historical facts of the French Revolution. The study will bring quotations not only from modern conspicuous literary critics but also from the poets and Romantic contemporaries to show how the historical and political discourses of the period have greatly influenced both William Wordsworth and even the literature of the whole era, i.e., Romanticism. This research intends to connect the “Lucy Poems” to the contemporary historical context and the poet’s ideals of the Revolution in France.

Introduction. Simultaneous testing especially of Erythrocyte sedimentation rate (ESR),C-reactive protein (CRP) and Rheumatoid factor (RF), that are reversible measures of inflammation, together with clinical variables of inflammatory synovitis are recommended for evaluation of disease activity. \nAim. evaluation of the activity of Rheumatoid arthritis (RA) with the reactants of the acute phase ESR, CRP and RF and their assessment as prognostic markers for disease activity in patients with early RA treated with Methotrexate.\nMaterial and methods. in this study 35 patients (pts) with early RA were included, while 35 pts were in the healthy control group. Pts were treated with Methotrexate with average dose of 10mg once weekly. For clinical evaluation of disease activity in certain time intervals (0 time, after 6, 9 and 12 months) we analyzed ESR, CRP and RF in every patient.\nResults. RA was evaluated following the dynamics of changes of the mean values of ESR, CRP and RF. Statistical analysis showed statistically significant differences among mean values of ESR in the four time intervals (p=0,00002). In regard of CRP there were statistically significant differences among mean values in all four time intervals (p=0,0428) (standard deviations were with great variations). There were not statistically significant differences of RF in the four time intervals (p=0,573). We noticed high values of CRP and RF in most of the patients.\nConclusion. In spite of therapy with Methotrexate, disease progression continues especially in patients with elevated values of ESR, CRP and RF, which are shown as predictors for aggressive course of disease. This enables selection of high risk groups of patients for aggressive course of disease and point the need for early and aggressive treatment.

Background: Family-centered care has been considered as a philosophy of care in recent years. But the presence of the family in the intensive care units, especially in the acute phase of the disease is controversial. The objective of this study was to \"determine the effect of family-centered care on anxiety and restlessness in patients undergoing coronary artery bypass graft surgery\". \nMaterials & methods: This clinical trial study was performed in Jamaran heart hospital in Tehran in 2016. Random allocation was done using random block size of four parts to assign patients to two groups of 35 participants of experimental and control. In the experimental group, a family member who was preferred by the patient was present at the bedside, during the process of weaning from mechanical ventilation. Patients in the experimental and control groups were compared for the degree of anxiety and Richmond\'s relaxation and agitation Scale. \nResults: There was a significant difference between the two groups in the mean scores of the anxiety scale in the first stage (P =0.008), the second (P=0.002) and the third (P =0.005). This difference was not significant in the fourth stages (P = 0.064) and sixth (P <0.084). Also, there was no significant difference in the mean scores of Richmond\'s relaxation and agitation scale between the two experimental and control groups at any of the seven stages (P> 0.05). \nConclusion: Family visitation doesn’t reduce the level of anxiety and agitation of patients undergoing cardiac surgery. But it can be concluded that this intervention is feasible especially in the context of acute and complex situation of open heart surgery. If family members are fully oriented, the presence of the family would not interfere with the process of caring in the acute phase of the disease.

The inclusion complexes of β-cyclodextrin with extensive protein hydrolysates of whey and colostrum were derived. A significant decrease in bitterness of peptides included into clathrates with cyclic oligosaccharide was established in comparison with initial samples of hydrolysates. According to thermogravimetric analysis, the formation of β-cyclodextrin inclusion complexes with milk peptides was confirmed. A 2.1/1.3 fold increase in antioxidant potential of cyclic oligosaccharide clathrates with whey/colostrum hydrolysates was revealed, when compared with peptide fractions. β-cyclodextrin complexing with whey and colostrum peptides resulted in enhanced radical-reducing activity and improved organoleptic properties, making the clathrates promising ingredients of special nutrition formulas.