This research contrasts the reactions of postgraduate English Literature students from the Lebanese University to a pair of sonnets. It particularly examines Shakespeare's "Sonnet 18" alongside a sonnet crafted by ChatGPT, both echoing the theme of timeless beauty. This research uses quantitative methods to assess participants' appreciation of these two sonnets, the felt emotional depth, and the perceived language complexity. Additionally, the study explores students' viewpoints on AI-generated poetry and identifies any perceived limitations in the AI sonnet compared to the human-authored one. The findings revealed that students favored Shakespeare's “Sonnet 18” over the AI-generated version due to its complex language and greater emotional resonance. Seeking to offer meaningful insights, this study delves into how the academic literary community perceives and interprets AI-generated literature. It further adds to the current discussion and debate about the role of AI in augmenting creative writing and underscores areas of potential improvement in upcoming AI literary projects.

Introduction: A myocardial infarction (MI) commonly known as a heart attack is a serious health condition for people. The frequency of MI is eight to nine times greater in men and women who are mostly 55 to 64 years old. Almost 18.6 million people died of MI in 2019 and early 2020. The study aims to determine the role of risk factors in the reduction of MI. Methods: A retrospective study was carried out at the department of cardiology, Prime Medical College Hospital, Rangpur, Bangladesh during the period of January 2021 to December 2021. A total of 50 patients were enrolled in this study following the inclusive criteria. Verbal permission was taken before recruiting the study population. Completed data forms were reviewed, edited, and processed for computer data entry. The data analysis was performed using Statistical Package for the Social Sciences (SPSS) Version 25.0. Result: Among the study group (N=50), the mean age of the patients was 55.12±SD, most of the patients (33,66%) age was between forty-one to sixty years, and around one-fourth of the patients' (12,24%) age ranged from sixty-one to eighty years. In the case of risk factors, an unpaired t- test was obtained. Hypertension was present in eighteen patients (18, 36%) and their mean age was 58.2 years, the relationship between age with hypertension was not significant. Type 2 diabetes was present in nine patients (9, 18%) and their mean age was 55.0 years the relationship between age with type 2 diabetes was not significant. Smoking was present in fifteen patients (15, 30%) and the relationship between age with smoking was not significant. Conclusion: Bangladesh is twofold-troubled with communicable and non-communicable diseases. Both men and women had a severe threat factor of MI. Besides, an intensifying incidence of lifestyle-related risk factors, tied with the ageing population results in a higher proportion of MI both men and women.

This study aims to analyze the weaknesses and reconstruct regulations on the Authority of the Corruption Eradication Commission in Wiretapping Corruption Crimes which have not been fair so far because the regulation regarding wiretapping authority is still sectoral in nature and there is no specific law on wiretapping using the constructivism paradigm, the type of research in the form of non-doctrinal law, and a juridical-empirical approach. The results of this study show that the weaknesses in terms of legal culture include evidence used in criminal proof that is still limited to the Criminal Procedure Code and the law enforcement culture in Indonesia is still positivist in nature. The phrase "accountable to the supervisory board" in Article 12C paragraph (2) of the Corruption Eradication Commission (KPK) Law) is not based on Pancasila values of justice and does not have binding legal force. Therefore, a legal reconstruction is needed by strengthening the authority of the Corruption Eradication Commission to carry out wiretapping to prevent and eradicate criminal acts of corruption through the reconstruction of Article 12C in particular Article 12C paragraph (2) of Law Number 19 of 2019 concerning Amendments to Law Number 30 of 2002 concerning The Corruption Eradication Commission stated that "Wiretapping which has been completed must be accounted for to the Leaders of the Corruption Eradication Commission and notified to the Supervisory Board no later than 14 (fourteen) working days after the Wiretapping was completed".

The purpose of this research is to analyze the weaknesses of Life Insurance Agent Work Contract Regulation and how to reconstruct the regulation of the Life Insurance Agent work contract regulation based on the value of justice, namely as in the Insurance Law No. 40 of 2014, Article 1320 of the Civil Code, Article 1338 of the Civil Code and 1313 of the Civil Code using a constructivism paradigm, through direct interviews with informants empirically supported with studies literature through theoretical steps. The results of this study show that the Weaknesses that arise in the life insurance agent work contract regulation with the study of Islamic law, namely in carrying out the contract is not transparent so that the agent and the insurance company when facing problems, are only decided unilaterally and not based on the contract. Therefore, the Reconstruction of the regulation on a life insurance agent work contract regulation based on the value of justice, namely that in entering into an agreement with a life insurance company with a work contract, it is not in accordance with Article 1313 of the Civil Code and Article 1338 paragraph (1) of the Civil Code because in practice the life insurance company provides a letter notification of the update without the knowledge of the agent, which resulted in unilateral termination of employment. Dispute resolution in insurance agreements can be carried out through litigation and non-litigation channels. If the principle of good faith is not fulfilled, the insurance agreement can be canceled. Regulations for financing agent agreements in Indonesia use a system of deliberation and mutual cooperation, while in various countries they use an arbitration system in a court. Regulation of the Financial Services Authority Number 69 /Pojk.05/2016 Concerning the Conduct of Business of Insurance Companies, Sharia Insurance Companies, Reinsurance Companies, and Sharia Reinsurance Companies.

Background and Objectives: Endoscopic myotomy is a recent technique that did spread quickly across high-income countries. The aim of this study is to report the experience of our department regarding the practice of POEM. Study design: It is a retrospective study including 13 patients with achalasia treated by POEM at the Department of Digestive Functional Explorations (EFD-HGE) of University Hospital Center Ibn Sina of Rabat, between January 2017 and June 2023. There was a break during the COVID19 pandemic and the endoscopic activity was stopped for a while. Results: The median age was 40, 46. Women were more affected than men: 69% and 31% respectively. Only 15% of cases had previous treatment (pneumatic dilation/surgical myotomy). The clinical success rate reached 84.6%. The mean of Eckardt scores decreased from 8 at baseline to 3 at 2 months. The IRP’s mean decreased from 23.9 mmHg to 15.6 mmHg after the gesture. The post-POEM reflux rate was less than 16%, but the rate of serious adverse events was relatively high. Conclusions: POEM is an effective procedure to treat achalasia with a low morbidity, provided that it is carried out in an expert center with suitable and good quality material.

Covid-19 has rapidly became a major public health crisis. Several public health and containment measures were deployed to contain this epidemy; however, a return to a normal life could only be expected after the generalization of anti-Covid 19 vaccination, allowing a global collective immunity. The success of this campaign depends essentially on the acceptance of the new Covid-19 vaccines. We conducted a descriptive and analytical observational cross-sectional study to evaluate the acceptability of Covid-19 vaccines, among resident and intern doctors at the Mohammed VI University Hospital in Marrakech, to determine the factors associated with vaccine acceptance, and the reasons for hesitation or nonacceptance of vaccination. Out of 145 participants (59.1% female, mean age 26.6 years), 89.7% received the vaccine at least partially. 49% of our population did not delay their vaccination and intended to complete it, so we considered them accepting. However, 40.7% were considered hesitant because of delayed or abandoned Covid-19 vaccination. People living alone and resident physicians in medical or biological specialties were the most likely to accept vaccination. Factors influencing refusal or hesitation included: speed of vaccine development, fear of adverse effects, lack of information on vaccine efficacy, acquisition of natural immunity following previous infection with Covid-19, lack of confidence in the pharmaceutical industry. Doctors' general attitudes towards COVID-19 vaccination, in our study, are positive, but specific concerns about the COVID-19 vaccine are widespread. Addressing barriers to vaccination in these groups will be essential to avoid exacerbating the health inequalities highlighted by this pandemic.

A program evaluation is a systematic method for collecting, analyzing, and using information to answer questions about projects, policies and programs, particularly about their effectiveness and efficiency. The goal is to improve programs. A program evaluation is a part of all training programs. A Charge Nurse Training Program was conducted in the NICU of Security Forces Hospital as it was evident that the charge nurse role needed to be supported better with clear expectations and a standardized professional development training. The sample for the study was forty-two registered nurses who underwent the adapted evidence-based ADDIE model training program. The simple random sampling technique was used to select the sample. Only registered nurse 1’s were included in the study and exclusion criteria were those registered nurse 1’s who had less than one year of experience in NICU. Structured teaching modules and practical sections were conducted for all the sample. Data was collected using a pre-test followed by a post-test of each module to assess the knowledge level of the samples, a Likert scale to assess the confidence level, an observation (practice) checklist to assess the skills level and a final evaluation through surveys to evaluate the effectiveness of the program. The program evaluation showed that, the adapted ADDIE model of a Charge Nurse Training Program was effective and that it boosted staff confidence, created a healthy working environment and increased the knowledge, skills of the nursing staff in order for them to perform their core responsibilities.

Contraception usage continues to be an important public health intervention that is hindered in the majority of low- and middle-income nations, including Nigeria, for a variety of reasons. This research aims at determining the contraceptive usage and related factors in Nembe, Bayelsa State. A descriptive survey design was employed to determine usage of contraception and its related factors among women of child bearing age in the local government area.Result showed that out of the total number of respondents (n = 398), 152(38.2%) have used modern contraceptive methods while 246(61.8%) have not. Among the respondents, only 76(19.1%) are currently using modern contraceptives while majority of the participants 322(80.9%) are currently not using any form of contraceptive. 42(10.6%) currently use male condom, 18(4.5%) use oral pills, 8(2.0%) use implants, 7(1.8%) use injectables, 1(0.3%) use IUD while 322(80.9%) use none. 50(12.6%) always use contraceptives, 8(2.0%) occasional use, 18(4.5%) rarely use while 322(80.9%) use none; 57(14.3%) used contraceptives to prevent pregnancy, 32(8.0%) use it to prevent sexually transmitted disease and pregnancy, 14(3.5%) to prevent sexually transmitted disease, 13(3.3%) to ensure child spacing while 282(70.9%) did not state any reason for not using. Binary logistic regression shows that the lower the knowledge of contraceptives, the less likely females of childbearing age will utilize modern contraceptives in Nembe, Bayelsa State and there was a statistically significant relationship between knowledge and usage of modern contraceptives (P = <0.001) at 95% Confidence Interval.The poor use of contraceptives is worrisome and there is therefore urgent need to design and significantly increase social and behavioral modification interventions and strengthen systems to encourage the usage of contraceptives for an improved maternal and child health outcomes amongst other benefits.

This article aims to compare the different facets that emerged from an analysis of the Codes of Public Contracts present and effective in the Middle East. Specifically, the article below analyzes the proper meaning of the Public Procurement Code and its use, as well as the innovations introduced in recent years, especially in light of the public tenders called in some countries of the Middle East. In addition to a temporal excursus on the legal changes introduced in this public sphere, the document analyzes some of the fundamental Procurement Law of the Middle East starting from the one structured in the United Arab Emirates (UAE) to then arrive at the latest and more modern New Government Tender and Procurement Law (GTPL) in Saudi Arabia, which has currently attracted the attention of many legal analysts.

The current era has witnessed a growing interest in exploring different facets of tourism due to evolving traveller preferences. Among these, rural tourism has consistently remained a prominent choice. This form of tourism not only enriches the travellers’ experience but also contributes to the economic well-being of the local community in a sustainable manner. The aim of the study is to explore the insights on how local community play an important role in rural tourism development. The secondary data has been collected from journal articles found through google scholar, Scopus databases. The articles have been refined on the basis of keywords and selected for the study. Results conclude that knowledge sharing, empowerment, trust, and commitment are the important factors which drives the local community development. Managerial implications have been provided for the rural tourism purposes.

Background: An umbrella term encompassing diseases that damage the joints and/or connective tissue and cause chronic, frequently intermittent discomfort is rheumatism. Rheumatism is a general term that refers to at least 100 distinct diseases and disorders. Given the dearth of research on this subject, the study's goal was to investigate the range of rheumatic disease among patients presenting as outpatients in the Physical Medicine & Rehabilitation department of a tertiary level hospital. Objective: To evaluate the spectrum of rheumatic disease in a tertiary level hospital in Bangladesh. Materials and Methods: This cross-sectional study was carried out at the Physical Medicine and Rehabilitation department of the DMCH for six months. The study sought to enroll patients who had musculoskeletal problems or systemic symptoms that would indicate rheumatic illness. After meeting the requirements, patients were accepted. Each respondent provided written informed consent, and those who refused to engage in the study or undertake additional research were not included. By conducting a face-to-face interview with the respondents and utilizing a pre-tested semi-structured questionnaire, information about the respondents' socio-demographic characteristics, disease duration, clinical symptoms and signs, and investigations report was gathered. Data analysis was done in SPSS-16. Results: Mean age of respondents was 46.36±12.25 years (male= 50±11.68 years and female= 44.19±12.03 years [age range 21-70 years] with 35.7% male and 64.3% female. Around 54.17% of the cases presented with articular symptoms, 43.23% of the patients had degenerative and 10.94% had inflammatory joint diseases. Among the inflammatory arthritis, (38.09%) rheumatoid arthritis and (30.95%) Ankylosing spondylitis was most common whereas (28.92%) lumbar spondylosis and peripheral (28.31%) osteoarthrosis were predominating among non-inflammatory arthritis. Nonspecific back pain was the commonest (60.12%) of specific disorders included in soft tissue rheumatism, followed by (25.77%) adhesive capsulitis of shoulder. Conclusion: Articular disorders both non-inflammatory & Inflammatory, soft tissue rheumatism, disorder of bone and multi-system disorders; these four types of disorder were encountered in this tertiary care hospital.

This paper delves into the intricate character of the trickster as portrayed in oral literature while conducting a comprehensive survey to explore the universality of this intriguing figure across diverse world cultures. The investigation draws inspiration from Carl Jung's proposition that these archetypal manifestations in cultural and religious literature stem from the "collective unconscious," a profound thread of consciousness connecting all human beings and societies worldwide. The essay emphasises the distinctiveness of each trickster's personality within their respective cultures while also highlighting the common traits shared among all tricksters. Typically perceived as an entertainer, teacher, judge, and sage, the trickster embodies both humorous and serious aspects of life, encompassing a wide range of roles from rewarding to punishing. Furthermore, the study asserts that the trickster character goes beyond being a mere fictional element in oral literature; rather, it serves as a powerful tool for pedagogy and satire. The study advocates for the deliberate collection and documentation of folktales. These tales serve as valuable raw materials for future research, offering insights into the cultural intricacies and shared human experiences across the globe.

Introduction: Supracondylar fracture of the humerus is the most common fracture of the elbow in children and displacement is common. Main problem regarding management of early supracondylar fracture are obtaining and maintaining reduction as they commonly present in the emergency department with varying degrees of soft tissue swelling. Objective: To assess the Clinical and Radiological Outcome Type III Closed Supracondylar Fracture Of Humerus in Children treatment by percutaneous K-wires fixation. Methods: This study was carried out at the NITOR, over a period of 24 months between January 2015 to December 2016. The total number of patients were 30. All patients suffering from closed supracondylar fracture of humerus in children. Each Gartland type-III closed Supracondylar Fracture of humerus among supracondylar Fracture in children attended at emergency, outpatient department and admitted in NITOR. Results: A total number of 30 patients were enrolled in this study as per inclusion and exclusion criteria. Diagnosis of the supracondylar fracture of humerus was made by history, clinical examination and radiological evidence. The youngest patient in our series is 3 years old and the oldest is 12 years. Majority were in 5-8years. Among 30 patients mean age was 6.85 years with SD = ± 2.37 years. In the present series, maximum patients were male 22 (73.3%) and 8 (26.7%) patients were female. Male female ratio 2.75:1. Male patients were predominant in this study. The results are shown in table-I. In the present series, 19 (63.3%) with left sided supracondylar fracture of humerus and 11(36.7%) presented with right sided supacondylar fracture of humerus. The results are shown in Table-II. Out of 30 cases 15 (50%) cases gave history of fall from tree, 6(20%) cases gave history of fall from bed, 4(13.3%) cases gave history of fall during playing, 5(16.7%) cases gave history of RTA due to fall from bicycle. In the present series, postero-medial fracture was found in 18(60.0%) cases and postero-lateral fracture in 12 (40.0%) cases. Out of 30 patient’s about 16 (53.3%) of the patient’s was operated between (13-18) hours of receiving injury, 11 (36.7%) with in (7-12) hours and 1 (3.3%) within (0-6) hours of injury and 2(6.7%) with in (19-24) hours of injury, mean interval between injury and Operation was 8.06 ± 5.52 hours. Out of 30 patient’s, 22 (73.3%) of the patients stayed in the hospital for 1 day and 8 (26.7%) of the patients stayed in the hospital for 2 days. The mean duration of hospital stay was 1.26 ± 0.45 days. In this series, among 30 Patients, 27(90.0%) had radiologically sufficient callus formation and 3(10.0%) patients had no sufficient callus formation. Functional outcome was satisfactory result (Excellent, Good and Fair) were 27(90.0%) and unsatisfactory result (poor) was 3 (10.0%). Conclusion: Finally, the result shows that in Gartland type-III closed supracondylar fracture of the humerus, closed reduction and stabilization by two lateral parallel percutaneous 'K'-wires is the good method for treatment.

A clause which depends on some other clauses for its meaning is called relative clause. Relative clause can be introduced by a relative pronoun that agrees in number and gender with the head noun. This paper intends to only discuss how to constitute relative clause using only relative pronouns. This paper is product of data collection from documentary sources to obtain a sample of related examples. The finding of this paper revealed three strategies used to form some relative clauses in Hausa.

Soil yielding mechanisms and seismic load responses are the key areas of study. The true behavior of soil is revealed by nonlinear analysis. A clump of dirt is used for the analysis. In this study, the Finite Element Model (FEM) forms the basis for the mathematical formulas. Soil analysis in the case of a lumped mass takes into account the soil's one DOF, two DOF, and multi DOF degrees of freedom. In order to determine soil characteristics for MDOF, a soil bore log must be employed. In the instance of MDOF, the soil is composed of 12 distinct layers. SAP 2000 is used to conduct a nonlinear time-history analysis for this research. The hysteresis loops of nonlinear elastic, completely flexible soil undergo permanent deformation. Therefore, it is possible to get insight into the behavior of soil mass during an earthquake by studying lumped soil mass. The soil's nonlinear behavior is investigated using a variety of linear completely plastic hysteretic loops. Soil characteristics are shown to be crucial in this regard. Inadequate soil stiffness may result in persistent deformation, which in turn can lead structures to lean out of alignment. It is also noted that near the soil's surface, amplification is greatest.