Background and Objective: Adolescence is a period of transition, physical maturation, identity formation and the acquisition of social roles. During this period, sexuality is perceived with a great deal of ambiguity in most parts of the world. While it is accepted that adolescents can have a sexual life, it is often considered problematic because of the risks involved: sexually transmitted infections (STIS), unwanted pregnancies and the social prohibitions imposed on adults. Method: For this, we opted for the phenomenological survey method, followed by the semi-structured interview technique using in-depth face-to-face interviews and rounded off by a data collection instrument consisting essentially of an interview guide with a Smartphone recorder. Results: After analysis and discussion, the following emerges: the adolescents interviewed represent sexually transmitted infections in several ways, as being a disease transmitted by sexual intercourse or an incident of sexual intercourse. They felt that certain practices such as fidelity, abstinence, screening and the use of condoms could help prevent STIS. However, they said that certain factors can hinder the use of these preventive measures, including lack of awareness, shame about buying condoms and lack of financial resources. Conclusion: Considering the quintessence of this scourge of STIS that plagues teenagers, the conclusion of this study proposes solutions linked to the use of condoms and also fidelity and/or abstinence.

Introduction: The management of Postoperative Pain represents a public health problem. Throughout the world, this subject is the subject of numerous studies which emphasize the need to treat pain and evaluate practices. However, despite the progress made in the understanding of pain mechanisms, analgesic techniques, and the multiple recommendations made by learned societies in many countries, Post-Operative Pain is insufficiently addressed. The objective of our work was to evaluate the practices of anesthesiologists in the field of postoperative pain management in two health institutions in the city province of Kinshasa which are the Saint Joseph Hospital of Limeté and the Ngaliema Clinic. Method: The population of our study consisted of 23 anesthesiologists, 14 of whom were the subject of our occasional sample. To collect the data, we used the survey method supported by the techniques of direct observation, interviews and documentary analysis. At the end of our survey, the data was processed using descriptive analysis by calculating percentages and the average. Results: Regarding socio-demographic characteristics, the majority of subjects surveyed were male at level A1 (graduate, equivalent of bacc+3) and with professional experience of 10 years or more. Concerning the management of Post-Operative Pain, 48.5% provided the actual management of Post-Operative Pain; 17.1% provided pre-anesthetic information. Overall, the management of postoperative pain was achieved at 32.8%. Conclusion: Referring to our acceptability threshold set at 80%, we can affirm that the management of Postoperative Pain is not provided satisfactorily by the anesthesiologists of the two hospital institutions selected for the study.

Maxillary lateral incisors have a single root, according to many studies on internal anatomy. The primary objective of this article is to describe the two-rooted permanent maxillary lateral incisor and also a conduct a review on all reported cases of maxillary lateral incisors with two roots emphasizing on its etiology and prevalence among racial population.

The global transition towards electric vehicles (EVs) represents a profound evolution in consumer behavior, driven by a growing awareness of environmental sustainability and the imperative to reduce carbon emissions. The lifespan of EV batteries is central to the success and widespread adoption of EVs. This critical factor influences not only EVs' operational efficiency and reliability but also the automotive industry's overall sustainability. This research paper delves deeply into the intricate web of factors that impact EV battery lifespan, ranging from the fundamental principles of battery chemistry to the practical considerations of user behavior and maintenance practices. By dissecting these complexities, we aim to provide a comprehensive understanding of the mechanisms underlying battery degradation and longevity. Moreover, we explore manufacturers' innovative strategies and technological advancements to optimize battery performance, enhance lifespan, and mitigate environmental impact. Through this exploration, we seek to offer valuable insights and practical recommendations for industry stakeholders, policymakers, and consumers to accelerate the transition toward a more sustainable transportation ecosystem. By empowering stakeholders with knowledge and tools to maximize the potential of EVs, we can pave the way for a future characterized by cleaner air, reduced greenhouse gas emissions, and greater energy independence.

Understanding the current status of Fast Healthcare Interoperability Resources (FHIR) applications in the real world would be beneficial for sports medicine research and rehabilitation studies. It would further promote the development of the athlete ecosystem. This paper examines the applications and research progress of the FHIR framework in the field of sports medicine applications at home and abroad in recent years, compares and analyzes the similarities and differences between CardinalKit FHIR and different frameworks, discusses the opportunities and challenges faced by FHIR currently, and constructs interoperable sports medicine applications using FHIR and CardinalKit FHIR. CardinalKit FHIR is a helpful framework for any developer wishing to build innovative medical solutions using FHIR. Developers can break down data silos, improve athlete injury care, enhance performance monitoring, simplify management tasks, and pave the way for the future of Internet medicine.

This research focuses on the impact that technology is currently having and will have on the development of people's work activities worldwide, as well as the analysis of the skills necessary for optimal performance expected of workers in their respective organizations, according to estimates from Higher Education Institutions in Chihuahua, Mexico. The main objective is to understand the expectations that companies and Higher Education Institutions (HEIs) in the city of Chihuahua, Mexico, have regarding the skills needed for the future of work and to compare them with the results presented in the World Economic Forum (WEF) Future of Jobs Report 2023. Based on the hypothesis that the degree of correlation between global expectations for future skills and those of Chihuahua would be low, a survey was conducted with 10 educational institutions on the topic. Among the main results, it was found that there is a 60% match in the top 10 skill groups sought both globally and in Chihuahua. Skills such as "Technology Design and Programming," "Emotional Intelligence," "Reasoning, Problem Solving, and Ideation," and "Systems Analysis and Evaluation" were identified as crucial for companies worldwide but not as important locally. Finally, the results presented will enable companies, the government, educational institutions, and the workforce in Chihuahua to understand the coordination needs to achieve the necessary training for developing future work skills that are important globally.

The management of State Property originating from State-Confiscated Goods and Gratification Goods normally differentiates the position and criteria of Execution Confiscated Goods originating from State-Confiscated Goods from Execution Confiscated Goods which are assets or belongings of the convict or the convict's family, assets related to the convict, including related corporations convicts, which are confiscated by the Executing Attorney or Asset Recovery Attorney to be sold or auctioned in order to implement the fine decision. This becomes a problem for the executing prosecutor in implementing the Judge's Decision which has permanent legal force to carry out the execution of the Additional Replacement Money Crime in article 18 paragraph 2 of the Non-Corruption Crime Law. This research focuses on the problems of implementing and reformulating Article 18 paragraph 2 of Law No. 31 of 1999 concerning Corruption Crimes in an effort to recover state losses. The normative juridical research method in this research is carried out by analyzing theories, concepts, legislation and court decisions which have a correlation with asset execution problems. Methodologically, the constructivism paradigm applies the hermeneutic method in the process of reaching the truth. The results of this research are: The principle of asset execution as a criminal implementation of additional compensation money in settling state losses is the confiscation of assets resulting from crime which is actually rooted in a very fundamental principle of justice, where a crime should not provide benefits for the perpetrator (crime should not pay). This means that a person must not profit from the illegal activities he carries out. In rem confiscation is an action by the state to take over assets through a court decision in a civil case based on stronger evidence that the assets are suspected to have originated from a criminal act or were used for a criminal act. Confiscation of assets in personam, which is an action directed at an individual person, therefore requires proof of the defendant's guilt first before seizing assets from the defendant. Assets confiscated from court executions under Article 18 paragraph (2) of the Corruption Crime Law cannot yet be made into state property, because it is not concretely stated that the confiscated goods are state confiscated goods.

Money laundering is the technique used to make significant sums of money earned illegally through drug trafficking, terrorism, or other major crimes that appear to have come from legitimate sources. Money laundering has a negative influence on the nation's economic and political stability, hence it must be strictly prohibited. As one of the most significant components of the financial system, it serves as the backbone of the money market and plays a vital role in raising funds for beneficial investments that advance economic growth in a nation. An effective and stable financial system is a requirement for the nation's overall growth.

Today the sporting world has become extremely competitive. Every person who indulges in training for a sport will not necessarily achieve the top performance or become a champion. It is rightly said that the champions in the field of sports are born and then groomed in later life. Thus, the genetic endowment of a sports person cannot be neglected while selecting a talent. This paper shows the clear outline and nutshell of how the explosive training will support the Tribal Volleyball players' active participation. It is an empirical study to get an idea of the effect of explosive training.

Choriocarcinoma belongs to one extreme of molar pregnancy, the other end is hydatidiform mole. It is a fast-growing tumor that occurs in a woman’s uterus but can easily metastasize to the lungs, liver, and brain. The abnormal tumor cells start in the tissue that would normally become the placenta. Choriocarcinoma developed after a normal pregnancy in 1 in 50,000, miscarriages in 1 in 15,000, and complete mole 1 in 40. The tumor may mimic uterine fibroid, especially when it presents as a uterine mass (which is not the common presentation) posing an initial diagnostic dilemma, as seen in our patient. The patient was an 18years P0+1 whose last normal menstrual period was a year before presentation. She presented with a history of loss of 14-week conception, then followed by 11months history of abnormal scanty vaginal bleeding lasting 21-27 days monthly, the patient was found to be mildly pale but had stable vital signs, she had a uterine mass of about 22weeks size, abdominal ultrasound scan revealed uterine fibroid. In the process of investigation serum pregnancy test was done and was found to be positive, with markedly elevated serum beta hcg. We made an assessment of choriocarcinoma and we commenced her on chemotherapy, she received 4 courses but with no decline in beta HCG. She had a total abdominal hysterectomy and histology confirmed choriocarcinoma, serum beta HCG was then immediately noticed to decline, she had further chemotherapy, and the patient did well subsequently. Huge choriocarcinoma may be mistaken for uterine fibroid, hence a high index of suspicion for choriocarcinoma is important if a patient presents with a recent history of miscarriage, uterine mass, vaginal bleeding, and a positive pregnancy test.

The Sarva Siksha Abhiyan (SSA) is a significant flagship initiative for elementary education that paves the way for a skilled labour force as well as for rapid economic and social advancement. The importance of elementary education for both human development and economic prosperity has frequently been underlined by a variety of economists and policymakers. As a result, it is crucial to assess the current state of primary education in India in order to assess how well SSA is working there after reaching nearly universal enrolment rates. The current study examines the effectiveness of SSA in relation to two key factors: Access and Quality. Only those access and quality indicators that are pertinent to elementary education in public schools are included. Due to the lack of pertinent data for upper primary education, only issues pertaining to basic education are examined in the current study.

Acromegaly is a rare disorder resulting from the excessive secretion of growth hormone (GH) and causing a specific form of cardiomyopathy. Until now, it has been widely recognized that individuals with acromegaly face an elevated risk of arrhythmias. However, high-grade atrioventricular blocks are a very rare complication of acromegaly. We report the clinical observation of a 75 years old acromegalic male presenting with high-grade atrioventricular block requiring permanent stimulation with a pacemaker.

Innovation is a fundamental activity for product diversification and market expansion through the improvement of production processes and product quality. Understanding the causes that hinder innovation within organizations will allow the establishment of mechanisms to reactivate this important activity. With the aim of identifying the causes that hinder innovation in commercial and industrial organizations, the survey identified as CIS-4 was applied to 169 organizations in the state of Chihuahua, with 101 corresponding to organizations in the industrial sector and the rest in the services sector. The results showed cost as the main obstacle, followed by the knowledge factor. By applying the standard instrument for measuring innovation CIS-4, a comparison was made with the application to 20,747 companies in the countries of France and Italy, similarly obtaining cost as the main determinant hindering innovation. The results help us understand how innovation can be stimulated and supported.

This research aims to assess the amenability of Farin-Lamba cassiterite to the gravity concentrations techniques towards tin oxide production. The ore was subjected to fractional sieve size analysis, work index, and the concentration test to gravity method using the Wilfley shaking table and Spiral concentrator processing. Fractional sieve analysis of the crude sample was carried out at a sieve range of 500-63 µm towards liberation size determination. Five hundred (500) g each of Farin-Lamba cassiterite and Igbokoda silica sand was prepared by grinding to 100% passing 500 μm sieve towards work index determination and the gravity separation method was determined using the Wilfley shaking table and spiral concentration method. The fractional sieve size analysis carried out revealed that the Tin oxide-bearing mineral can be liberated at the particle size fraction of -180 + 125 μm. The work index alongside the energy expended in grinding the ore was found to be 9.980 Kwh/ton and 2.435 Kwh respectively. The chemical analysis of the ore concentrates revealed that the optimum yield was obtained at +125 µm assaying 62.74% SnO2 for Wilfley shaking table and 60.07% SnO2 for spiral concentration.

Nigeria is endowed with landscapes and vibrant culture which promise immense tourism potential, yet legal hurdles and inadequate infrastructure hold the sector back. This paper argues that a multi-layered legal framework, tailored to Nigerian realities, can unlock sustainable growth. It explores how strategic legal interventions can attract foreign investment, safeguard consumer rights, empower vulnerable groups like tourists with disabilities, and foster community engagement. Technological solutions for visitor management and cultural preservation will also be discussed. By promoting responsible eco-tourism and revitalizing neglected heritage sites, Nigeria can harness its tourism potential, empowering both individual stakeholders and the nation as a whole. This research paper relies on the doctrinal method, using data collected from primary and secondary sources. The primary sources consulted are statutes and case law, while the secondary data are mainly books, journals, periodicals, and web-based materials.