The review paper explains the effects of data-driven transformation in healthcare on access to care and efficiency in the southwest part of Saudi Arabia, with focus on Jazan. Within the ambit of Saudi Vision 2030, several steps have been taken by the Kingdom to adopt digital health technologies that will help close the urban-rural healthcare gap. Utilization of telemedicine, mobile health applications, and AI-enabled diagnostics continues shaping much-needed changes in health delivery mechanisms in resource-poor areas by enhancing access to medical services for previously underprivileged rural populations alienated by geographical barriers, long travel distances to health facilities, unaffordable costs, and inadequate availability of both health facilities and personnel. Across the southwest of Saudi Arabia, where terrain and infrastructural challenges have historically obstructed access to healthcare, digital health initiatives like Seha Virtual Hospital (SVH), and Sehhaty App now play a crucial role in availing remote consultations, the management of chronic diseases, and delivery of care. The integration of electronic health records (EHR) and, in turn, AI tools will boost the efficiency of healthcare services through real-time data sharing, better allocation of resources, and lesser diagnostic errors. Yet, several challenges remain, including issues of internet connection in the rural space, digital literacy, preparedness of the workforce, and regulatory frameworks for telemedicine. These barriers need to be dealt with for the sustainable and equitable rollout of digital health solutions. This review elaborates on how data-driven transformation of healthcare could precipitate a favourable outcome in the health of the southwest region while laying down the challenges to be surmounted for this progress to continue with success. By and large, the data-driven health transformation in southwest Saudi Arabia presents a potential model for addressing disparities between urban and rural health, resulting in more efficient, accessible, and patient-centred care.

This study explores the influence of Bank Al-Maghrib's interventions on exchange rate behavior in Morocco from 1990 to 2024. With an ARDL model integrating key macroeconomic factors (inflation, interbank rate, liquidity, and foreign reserves), the research goal is to observe the short- and long-run relationships between monetary policy and the dirham's appreciation. Apparently, the results reveal the presence of a long-run correlation of the studied variables, meaning that the exchange rate demonstrates a sustained-in-time response to monetary fundamentals. Notably, the money supply and foreign exchange reserves appear as the most influential determinants, thereby confirming the supremacy of interventions and withdrawal in foreign exchange markets. The analysis also shows there exists a major impact of the interest rate, which exemplifies the role of the financial channel in the Moroccan setting. The findings also establish that there is a quick adjustment of the exchange rate to its long-term equilibrium, and a strong structural stability of the model. Thus, the study enhances the knowledge about Morocco's exchange rate policy and stresses the importance of policy coordination among reserve management, monetary discipline, and specific central bank operations to boost the dirham's stability during the transitional economy times.

Introduction: Urinary incontinence (UI) is a common condition among women, significantly impacting their quality of life across psychological, social, and physical dimensions. Despite its prevalence, UI often goes untreated due to social stigma and limited awareness of available management strategies, including physiotherapy. This study aimed to evaluate the awareness levels among pregnant women regarding UI and the role of physiotherapy in its prevention and management, with a focus on populations in Sudan and Egypt. Methods: A quantitative, cross-sectional descriptive study was conducted with 75 pregnant women in Sudan and Egypt aged 15–49 years, selected using simple random sampling. Participants completed structured questionnaires covering demographic data, obstetric history, and knowledge about UI and physiotherapy. Data were analyzed manually using descriptive statistics. All necessary ethical approvals were obtained. Results: Findings showed that 56% of participants were aware of UI, however, only 5% had consulted a physiotherapist as noted by Parlas and Bilgic (2024), higher levels of UI knowledge are positively associated with attitudes toward management and help seeking, indicating that structured, evidence-based health education especially during antenatal care can bridge the gap between awareness and action. Conclusion: The study highlights a significant gap in awareness of physiotherapy as a preventive tool for UI among pregnant women. These results emphasize the need for targeted educational interventions and the integration of physiotherapy education into antenatal care programs.

In the modern world, information security plays a key role in protecting data, financial transactions and personal information from cyber threats. Every year, the number and complexity of cyber-attacks grow, which requires information security specialists not only to have deep knowledge, but also to be able to quickly adapt to new challenges. Globalization leads to an expansion of the scale of interaction and data exchange, which, on the one hand, contributes to the development of technology and the economy, and on the other hand, creates new risks and threats. In the context of globalization, it is especially important to prepare students for future professional activities in the field of information security, providing them with relevant knowledge and skills. Educational institutions are faced with the task of developing and implementing effective training programmers that allow students to master advanced technologies and methods of information protection. An important aspect is the integration of innovative approaches into the educational process, such as the use of virtual reality, simulations, project-based learning and cooperation with industry. This article aims to study modern challenges in the field of information security, analyze existing programmers for training specialists and suggestions for their improvement. New methods and approaches to training, development and implementation of educational standards, as well as examples of successful integration of innovative technologies into educational programmers will be considered. The purpose of the article is to suggest ways to improve the training of students in the field of information security so that they can effectively counter cyber threats in the context of globalization

The article examines the rhetorical legacy of Marcus Tullius Cicero as a methodological foundation for contemporary legal research in an era of transformations. It is substantiated that the principles of ancient rhetoric the hermeneutic presupposition and the cognitive-linguistic mechanisms of understanding law retain their relevance during the transition of states to new socio-technological orders. Using the transitional period from the Roman Republic to the Empire as material, the article demonstrates how subjectivism in lawmaking and judicial discretion leads to “norm arbitrariness” and “judicial arbitrariness,” which undermine justice and the predictability of law. A futurological concept is proposed a “symbiosis” between human legal thought and artificial intelligence: the integration of AI into lawmaking and adjudication based on the philosophical doctrines of Stoicism, the rhetoric of Cicero, the ideas of Plato and Aristotle on the supremacy of law, and Ayn Rand’s views on protecting the rights of the individual creator. It is emphasized that only by relying on the logic, humanism, and objectivity laid down by ancient thinkers can AI be programmed to overcome subjective distortions in law and to create an anti-fragile, resilient legal system. The article provides forecasts on how the integration of philosophy and AI can strengthen the rule of law, ensure judicial independence, protect private property, and stabilize rules for economic prosperity, turning lawyers into “architects” of the state of the future. The article is intended for legal theorists, historians of legal doctrines, and specialists in legal technologies interested in the evolution of legal institutions and the influence of AI on law.

The excessive consumption of chemical pesticides has negative consequences for men, non-target creatures, and the surrounding environment. Pest control tactics are evolving towards biopesticides, which offer a viable and ecologically friendly sustainable approach to the insect challenges. The primary goals of this study are to investigate the potential of nanotechnology in revolutionizing pest management through the development of nanopesticides and to address the environmental and health concerns associated with traditional agrochemicals. The main objective of the current research work was to prepare medicinal plants based nanobiopesticides having improved stability, and pesticidal activity by following the method of antisolvent precipitation. Nanobiopesticides showed increased pesticidal activity and might be employed as an effective substitute to conventional chemical pesticides. The antisolvent precipitation process was used to create nanobiopesticides from medicinal plant extracts. Different medicinal plants (Mentha piperita, Lawsonia Inermis, T. Arjuna bark, Withania Somnifera roots and Ocimum basilicum) was used for the formulation of nanobiopesticides. Soxhlet apparatus was used to formulate medicinal plants extract. Different stablizers was utilized until the stable nanosuspension was formulated. The most suitable nanoformulated pesticides was characterized using FTIR, and Zeta sizer. Almost all nanobiopesticides demonstrated the existence of the O-H stretch at 3300 cm which is characteristic of alcohol and carbon-oxygen double bond at 1636.3 cm. Lawsonia Inermis based nanosuspension revealed intense peak at 3317 cm. The average particle size and polydisperity index of Lawsonia Inermis based nanobiopesticide is 228.7 nm and 24.5%. Medicinal plants extracts, nanosuspensions and pyriproxyfen was applied on Tribolium castaneum insects and mortality rate of insects was determined after different time inervals. Lawsonia Inermis plant extract showed highest (p < 0.05) mortality rate after 72 hours of treatment 51.83 ± 0.76 by utilizing 200mg/ml concentration. Results demonstrated that the Lawsonia Inermis nanosuspension had an 61.83% death rate after 72 hours of exposure due to their nanosized structure, which is higher than the plant extract but lower than the synthetic pesticide.

This study tiled “Fostering a Culture of Well-being and Civility: Pathways to Enhance Staff Retention and Improved Patient Outcomes in Nursing” aimed to explore how well-being and civility initiatives influence nurse engagement, retention, and patient outcomes within the Executive Nursing Affairs of Prince Sultan Military Medical City (PSMMC)-Ministry of Defense (MSD). Using a mixed methods descriptive correlational design, the study employed the Nursing Retention & Recognition Committee (NRCC) bilingual (Englisg-Arabic) questionaire as the main research intrument to measure nurses’ perceptions of workplace well-being, civility, engagement, and retention. Institutional data from the Nursing Retention & Recognition Committee (NRCC) covering 2022 to 2025 were also analyzed to validat the results and strengthen the interpretation. The findings revealed that PSMMC demosntates a strong commitment to fostering well-being and civility through effective recognition programs, empowerment opportunities, and initiatives promotion mutual respect. The extent of implementation of these initiatives was rated high (Mean=4.05), reflecting strong organizational support and leadership engagement. Nurse engagement and satisfaction were also moderately high (Mean=3.95), largely influenced by teamwork, morale, and professional fulfillment. Pearson’s correlation analysis showed a strong positive relationship (r = 0.74, p  0.05) between well-being and civility initiatives and staff retention. Regression analysis futher inidcated that improved well-being and civility significantly enhance patience outcomes (=0.62, p 0.05), particularly in quality of care and satisfaction. The results affirm PSMMC’s leadership excellence in nurturing a professional, respectful, and supportive nursing environment. Continuous evaluation, mentorship for newly hired nurses, and sustained recognition initiatives are recommended to strenghthen engagement and retention. Ultimately, the study emphasizes that cultivating a culture of well-being and civility is vital for promoting workforce stability and achieving excellence in patient care.

Saudi Arabia's Vision 2030 is a major transformative push for an economy and public services diversification such as in health. This strategic vision of health care in the Kingdom gives emphasis on sustainability, accessibility, and quality in the healthcare delivery systems. Developmentally, Jazan is a fast pace growing area which faces its own specific challenges and opportunities with respect to the provision of health services. This review intends to study the health care planning in Jazan in relation to Vision 2030 which includes key policy issues, infrastructure developments, technology integration, and human resources improvements. It draws conclusions on public-private partnerships (PPPs) for health, digital health initiatives, and strategic interventions to address health issues in the region. By peer reviewing the literature available, government reports, and case studies, this review is presented as an overview of best practices and recommendations for strengthening such systems in Jazan. In conclusion, critical aspects such as healthcare governance, financial investments, and technological advancement have been drummed up, emphasizing the need for Jazan to achieve the extensive healthcare goals set forth under Vision 2030.

The study aimed to evaluate donor deferrals among individuals presenting for whole blood or platelet apheresis donation at King Abdullah Medical City in Makkah, Blood Bank Department, and to classify deferrals by screening stage. Category 1 deferrals included interview-based reasons such as recent travel to malaria-endemic areas, current medication use, or behavioral risk disclosures. Category 2 deferrals included clinical assessment findings such as low hemoglobin, abnormal blood pressure, and high body temperature. The study also evaluated the theoretical potential of telemedicine to reduce Category 1 deferrals through pre-donation screening. A retrospective cross-sectional study was conducted at the Blood Bank Department of King Abdullah Medical City in Makkah between January 2023 and December 2024. From 3,029 recorded deferrals, a systematic random sample of 385 deferred donors was selected for analysis. Each deferral was classified according to the screening stage. Descriptive statistics and Chi-square tests were used. A total of 385 deferred donors were analyzed. Of these, 260 (67.5%) were classified as Category 2 and 125 (32.5%) as Category 1. Gender was significantly associated with deferral category (χ²(1, N = 385) = 6.128, p = 0.013). Category 1 deferrals were more frequent among male donors (35.2%) than female donors (18.0%). Interview-based factors accounted for 32.5% of deferrals and could be identified in advance through structured remote screening methods such as tele-interviews, reducing the likelihood of unnecessary on-site visits. The study examined the theoretical role of telemedicine as a pre-donation triage tool, emphasizing its potential to decrease avoidable deferrals and strengthen donor retention through targeted early interventions.

Simulation-Based Learning (SBL) has become an essential component of modern nursing education, offering learners realistic and risk-free⁠ environments to practice essential clinical and decision-making skills. With the increasing complexity of healthcare systems and the growing emphasis on patient safety, nursing edu⁠cators are seeking innovative methods that effective⁠ly prepare students for real-world clinical challeng⁠es. Traditional Clinical Experience (TC⁠E), while historically the cornerstone of nursing training, presents several ch⁠allen⁠ges inclu⁠di⁠ng inconsistent patient exposure, ethical conc⁠erns, and variability in supervision. As a res⁠ult, educators have turned to SBL as a structured, e⁠videnc⁠e-⁠based approach that enhances clinical competence, self-efficacy, an⁠d professional readiness. The obje⁠ctive of this system⁠atic review was to critically evaluate and synthesize exist⁠ing rese⁠arch comparing simulation-based learning and traditional clinical experiences in improving nursing staff competencies. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and the⁠ seven stages of knowledge synthesis in nursing science: form⁠ulating the research question, developing a data protocol, implementi⁠ng a ri⁠gorous search strategy, appraising study quality, extractin⁠g data, synthesizing evidence, and interpreting f⁠indings. Ele⁠ctronic databases PubMed, Scopus, CINAHL, MEDLINE, Web of Science, and the Cochrane Library were searched for⁠ studies publi⁠shed between 2010 and 2024. Fifteen studies met the inclusion criteri⁠a, encompassing a total of 1,676 participants. Results demonstrated that SBL produced superior⁠ or equivalent outcomes compared with TCE ac⁠ross the cognitive, affective⁠, and psychomotor domains. Specifically, simulation significantly improved students’ self-efficacy, confidenc⁠e, clinical judgment, and procedur⁠al accuracy. Quantitative synthesis revealed large e⁠ffect sizes favo⁠ring SBL for self-efficacy (SMD = 1.93), clinical perfo⁠rmance (SMD = 1.62), and confidence (SMD =⁠ 1.83). Additionally, qualitative finding⁠s highlighted that simulation enhanced learner engagement, reflective thinking, and perceived readiness for clinical practice. However, challenges related to cost, faculty training, and standa⁠r⁠dization of simulation protocols remain pers⁠istent barriers to w⁠idespread implementation. T⁠hi⁠s review concludes⁠ that sim⁠ulation⁠-based learning represents a pedagogically sound, effective, and safe educational strategy that bridges the longstanding gap between theory and practice in nursing education. It⁠s structured and controlled learning envi⁠ronment fosters meas⁠urable improvements in knowledge, skill performance,⁠ and confidence amo⁠ng nursi⁠ng students. Nevertheless, ongoing research is needed to establish standardized evaluation tools, assess lon⁠g-term outcomes, and ensur⁠e cost-effective scalability. The findings support the integration of simulation-based learning as a core com⁠ponent of nursing curricula, compleme⁠nting traditi⁠onal clinical exp⁠eriences to produce compet⁠ent, confident,⁠ a⁠nd patient-centered nursing professionals.

Background: Accurate preoperative assessment of surgicopathological factors is essential for optimal management of early cervical cancer. Magnetic resonance imaging (MRI) is widely used for preoperative staging, but its diagnostic accuracy varies across key pathological predictors. This study aimed to evaluate the sensitivity, specificity, and predictive values of MRI in determining surgicopathological factors in early-stage cervical cancer using histopathology as the gold standard. Methods: This prospective cross-sectional study was conducted at the Gynecological Oncology Unit of Dhaka Medical College Hospital from June 2021 to May 2022. Fifty histologically confirmed early-stage cervical cancer patients undergoing primary radical hysterectomy with pelvic lymph node dissection were included. Preoperative MRI assessed tumor size, vaginal extension, parametrial involvement, lymph node metastasis, deep stromal invasion, and corpus extension. MRI findings were compared with clinical examination and final histopathology. Diagnostic accuracy parameters were calculated. Results: Clinically, 94% of tumors were <4 cm, and 14% showed vaginal involvement. MRI demonstrated high accuracy for tumor size assessment with sensitivity 97.87%, specificity 100%, and overall accuracy 98%. For vaginal extension, MRI showed sensitivity 71.43% and specificity 100% with accuracy 96%. MRI detected lymph node metastasis with sensitivity 60%, specificity 91.11%, and accuracy 88%. Deep stromal invasion was identified with 72.41% sensitivity and 71.43% specificity. Corpus extension demonstrated sensitivity 55.56%, specificity 93.75%, and accuracy 80%. Conclusion: MRI is a highly sensitive and specific modality for preoperative evaluation of key surgicopathological factors in early cervical cancer. Its strong concordance with histopathology supports its essential role in guiding surgical planning and staging.

This article examines how disability and gender intersect in contemporary Malayalam crime fiction through Sreeparvathy’s Violet Pookkalude Maranam (2021), which introduces Aleena Ben John, a wheelchair-using woman, as its central detective. The study situates Sreeparvathy’s work within Kerala’s evolving literary landscape, where disability has rarely occupied a central position in fiction and is often represented through metaphors of dependence, tragedy, or moral burden. Drawing on Fiona Kumari Campbell’s theory of ableism and key insights from Feminist Disability Studies, the article analyses how Aleena’s narrative oscillates between empowerment and internalised shame. While her role as a detective appears to challenge patriarchal and ableist frameworks, her self-perception and limited social agency reveal deep-seated cultural anxieties about the disabled female body. Through a close reading of the novel’s narrative structure and psychological interiority, the article argues that Violet Pookkalude Maranam both expands and constrains the possibilities of representing disabled womanhood in Malayalam literature. By exploring disability not as metaphor but as lived experience, this study contributes to understanding how gendered embodiment and genre conventions shape the politics of visibility and agency in Kerala’s popular fiction.

Illicit trade is a global phenomenon that undermines public security, erodes legitimate business activity, jeopardizes public health, threatens biodiversity and ecosystems, and deprives governments of the necessary resources to finance investments projects. International trade law provides an effective legal and enforcement mechanisms to combat illicit trade. This work seeks to examine the role of international trade law adopted by Cameroon at the international, regional and national levels, and their contribution towards combatting illicit trade. At the international level, it focuses principally on international trade law adopted under the auspices of the World Customs Organisation’s Revised Kyoto Convention of 2006 and the SAFE Framework of Standards of 2005. The reason being that the World Customs Organisation’s legal instruments offer a strong framework to combat illicit trade. This paper identifies the various challenges inherent in implementation, and concludes that compliance with the adopted international trade norms can go a long way to combat illicit trade. This work employs a doctrinal research methodology based on primary and secondary sources of data and empirical based on Focused Group Discussion.

Cameroon's legal system is characterized by dual land tenure systems: the customary, which is widely practiced and rooted in traditional norms, and the statutory, which is codified in law. This duality often leads to conflicts, as individuals and communities grapple with competing claims over land rights. The inadequacy of existing legal frameworks to address these disputes effectively results in protracted conflicts, social unrest, and hindered economic development. Worthy of note is that, the settlement of disputes relating to titled lands in Cameroon is stationed by the Land Consultative Board, Common Law Courts (judiciary) and the Administrative Courts. This paper therefore, aimed at exploring the current landscape of land disputes settlement, emphasizing the pressing need for legal reforms and mechanisms that ensure equitable resolution available to individuals and communities. In order to achieve the desired objective, a doctrinal research methodology which involved both primary and secondary sources of data was employed. Against this backdrop, we therefore, recommend that the government should strengthen Dispute Resolution Mechanisms by enhancing the capacity of the Land Consultative Board to handle disputes effectively, providing it with adequate resources and training. The government should also improve access to administrative and common law courts for land dispute resolution, particularly for marginalized groups. This will help bridge the gap between theory and practice concerning the settlement of titled lands in Cameroon.

Cross-border cooperation today is considered as a pivotal element in addressing contemporary challenges such as drugs trafficking, smuggling, terrorism, and transnational organized crimes across international borders. It is believed that no country can unilaterally ensure the security of it borders alone without cooperation between countries that share a common border. The institution of a one stop border post between Cameroon and Nigeria at their joint borders in Ekok and Mfum is considered as a sign of cooperation existing between the two countries. Various legal mechanisms have been developed by International Organisations seeking to advocate for cross-border cooperation as a sine qua non factor in ensuring border security. This paper focuses principally on the World Customs Organization’s concept of Coordinated Border Management which is anchored on cross-border cooperation as a legal mechanism in mitigating customs risks. It examines some practical dimensions of cross-border cooperation between customs administrations and other border agencies at the domestic and across the border, and their possible role towards ensuring border security at Ekok and Mfum. This work concludes that compliance with some of the key principles governing cross-border cooperation such as joint border security patrol, intelligence sharing, joint capacity building, use of common facilities, and memoranda of understanding, information technology, will go a long way to mitigate customs risks. This work employs both a doctrinal research methodology based on content analysis of primary and secondary data, as well as empirical research methodology based on focused group discussion.