Research on environment management in construction industry is as topic of debate globally. Thus, this study examined how green transformational leadership played for green building sustainability via green creativity and green procurement. We developed an assimilated research model to examine the impact of green transformational leadership, green creativity and green procurement on sustainability in construction industry by accessing resources-based view theory and componential theory of creativity. The sample included from 305 project team member of construction firm in Nepal. Structural equation model (SEM) using SPSS 25.0 and AMOS 24.0 have been applied to find empirical results. The results revealed direct positive effects of green transformational leadership, green creativity and green procurement on sustainability. Green transformational leadership also appeared as predictor of green creativity and green procurement. Moreover, green creativity and green procurement found partial mediators of the relationship between green transformational leadership and sustainability in construction industry. Discussed future research direction along with theoretical implication and practical implication for environment policymakers and researcher attentive in promoting sustainability in construction industry.

The RNA virus of the Flaviviridae family, which causes the acute viral sickness known as dengue, is transmitted by Aedes mosquitoes. Asymptomatic fever to terrifying consequences including hemorrhagic fever and shock may be the presenting symptoms. The most typical symptoms include acute-onset high fever, muscle and joint pain, myalgia, cutaneous rash, hemorrhagic episodes, and circulatory shock. Even though oral symptoms are rarely the main presenting symptom of dengue infection, this can happen in some situations. To reduce mortality, an early and precise diagnosis is essential. Despite the fact that dengue virus infections are normally self-limiting, dengue infection has become a public health concern in tropical and subtropical regions. Infections with the dengue virus, their various clinical symptoms, diagnosis, differential diagnosis, and prevention are the important concern of this paper.

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Background & Objectives: Subclinical hypothyroidism is endocrine disorder where serum TSH levels are increased but FT4 levels are within the assay's reference interval. Atherosclerosis has been found to be associated with the increased level of Ox-LDL in SCH. The aim of the present study is to find out the association of Ox-LDL and lipid profile in SCH patients. Materials and methods: 120 SCH patients aged (18-70) years and 120 age & sex-matched healthy controls were included in the study. BMI & lipid profile were estimated in both SCH patients and controls. FT3, FT4, TSH and Ox-LDL) were estimated by enzyme-linked immunosorbent assay. Results: SCH patients and healthy controls had different BMIs (p<0.001). TC, Triglycerides, HDL-C, and LDL-C were significantly greater in the SCH group than in the control group, although HDL-C was decreased (p<0.001). SCH patients had a significantly higher blood TSH level than controls (p<0.001), although FT3 and FT4 levels were similar. SCH patients had higher Ox-LDL than controls (p<0.001). Conclusion: In our study, SCH patients had higher serum lipid profile and Ox-LDL levels than healthy persons, indicating susceptibility to atherosclerosis. Ox-LDL can be used to predict CVD risk in SCH patients.

Emergency departments witness all sorts of unprecedented types of patients with respiratory compromise. Airway management must be done expeditiously in dire situations. It’s a well-known fact that patients are not well optimized for intubation as soon as they land up in an emergency. There might have a myriad of comorbidities to be addressed. Amongst various, we have discussed intubation in patients with increased intracranial pressure, patients with shock, patients with acidosis, and patients with respiratory failure.  To have a better understanding of the physiological status of patients, reviewed 18 articles, and retrieved a synopsis from the abstract and conclusion. Here we have discussed the physiological optimization of patients based on current recommendation.