This study investigated one of Kenya’s foremost political commentary vlogs – The 5th Estate as a rich site on how multimodal resources are marshaled by Mutahi Ngunyi, the vlog’s creator and political analyst, to construct the identity of an authoritative political analyst. Whereas there are several studies on identity construction on social media platforms, little research on identity construction focusing specifically on vlogging exist. More so, there is scanty investigation of identity construction strategies used by vloggers who specialise in political commentary. Using the Systemic Functional – Multimodal Discourse Analysis (SF-MDA) approach, the research investigated how audience reaction aid in the construction of individual’s identity. The research adopted a qualitative perspective and more specifically a descriptive-interpretive design. Data which included vlogs posted on The 5th Estate since its establishment on 19th February, 2019 to date constituted the population of study from which four most popular vlogs were sampled. Data for research was collected, transcribed and analysed using content analysis technique. Knowledge generated by this study is expected to fill the existing gaps in political communications and new media research concerning identity construction in social media. The study could also be useful to politicians, political influencers and government agents who may want to adopt vlogging to communicate to their audience efficiently and effectively. The study concluded that audience reaction plays an important role in shaping Identity of an individual by affirmation of the message, use of descriptive words that describe the author, or titles ascribed to the author.

Background: The ability of the first responder to identify and effectively treat hypovolemic shock will determine whether or not a child with severe volume depletion survives in the emergency room. Although the fundamentals of fluid and electrolyte therapy have been studied for decades, the issue is still difficult to resolve because there is no universally accepted therapeutic care approach. Objectives: This systematic review aims to study the updated management of dehydration and electrolyte disturbance in children and infants. Methods: PubMed, Science Direct, and Google Scholar were systematically searched for relevant literature. Rayyan QRCI was employed throughout this comprehensive process. Results & interpretation: This review included a total of ten studies with 2285 patients, and 883 (38.6%) were males. According to this comprehensive study, home-based therapy and ORS were successful in straightforward instances. Other methods, such as ORS plus Xyloglucan and ORS with honeybee added, were secure and efficient in reducing the frequency of vomiting and diarrhea. The electrolyte balance and rehydration of the patients were improved by diluted apple juice, rehydration treatments, and preferred fluids. However, gelatin tannate proved ineffective for rehydrating the child, although it advised against ever stopping breastfeeding. Drugs like intravenous Metoclopramide and Domperidone demonstrated efficacy for treating pediatric dehydration in the event that ORS failed.

Introduction: Cervical cancer, a significant public health issue, necessitates reliable diagnostic strategies for early detection and management. In the pursuit of effective cervical cancer screening strategies, the integration of colposcopy and HPV-DNA testing is critical, especially in high-risk populations. The study evaluates the diagnostic efficacy of these methods in patients presenting with symptoms indicative of potential cervical malignancy. Methods: This prospective observational study was conducted at the Department of Obstetrics and Gynecology, President Abdul Hamid Medical College and Hospital, Kishoreganj, Bangladesh. The study included a total of 82 participants collected over a 1-year period from July 2022 to June 2023 following the inclusion and exclusion criteria. Patients with VIA Positive diagnosis, abnormal pap-smear results, contact or abnormal per-vaginal bleeding, foul-smelling per-vaginal discharge, and an unhealthy cervix were included in the study, while currently pregnant women, nulliparous, and postmenopausal women, patients with cervical or vaginal growths, and non-cooperative patients were excluded from the study. Result: The mean age of participants was 36.51 years, with most marriages occurring at an average age of 17.07 years. The study identified a high prevalence of multipara status (50.0% had 2-3 children, 36.6% had more than 3). The majority of first deliveries occurred between ages 16 and 22. A significant correlation was found between age and parity (r = .502, p < .01), and a strong association between age of marriage and age at first delivery (r = .815, p < .01). HPV-DNA positivity was 7.3%, while abnormal colposcopy findings (CIN I-III) were observed in 40.7% of cases. Negative correlations were observed between age of marriage and colposcopy findings (r = -.308, p < .01). Conclusion: This study underscores the importance of age, marital history, and parity in the context of cervical cancer screening. The low HPV-DNA positivity rate compared to the higher incidence of abnormal colposcopy findings suggests the need for a combined diagnostic approach. The findings advocate for tailored cervical cancer screening strategies that integrate both colposcopy and HPV-DNA testing, especially in resource-limited settings.

Here we present the English translation of two texts written by Alfred Rosenberg. The first corresponds to a speech at a memorial service on the occasion of the 100th birthday of Friedrich Nietzsche on October 15, 1944. The second one is entitled ‘Shape and Life’ and was published during year 1938. This last article presents Rosenberg’s views on Ludwing Klages philosophical works.

This article explores the transformative journey of semiconductor design from monolithic structures to the cutting-edge era of chiplets. Chiplets, modular components offering specific functionalities, have emerged as a catalyst, reshaping the global semiconductor industry. Their capacity for tight interconnectivity, diverse applications, and cost-effective manufacturing marks a paradigm shift. The article delves into the historical context of Moore's Law, the rise of chiplets, and their impact on the semiconductor landscape. It further discusses key considerations in chiplet architecture, optimization algorithms, and future adoption in industries like data centers, mobile devices, AI, and automotive. Chiplet-based designs promise enhanced efficiency, collaboration, and innovation, heralding a new era in semiconductor evolution.

Abstract: This study was written with the aim of examining the effect of Perceived Quality, Social Media, Perceived Price, and Celebrity Endorsers on Purchase Intentions with Brand Image as a Mediation Variable on Idemu Custome Furniture Products in Jakarta. The population analyzed is all people who have an interest in buying Idemu furniture products, who understand Idemu products and know Idemu products in Jakarta. The calculation sample is calculated based on the number of indicators multiplied by 5, so that 215 respondents are obtained. The Structural Model was chosen as the method of analysis using PLS software. The results of the study show that Perceived Quality, Social Media, Perceived Price and Celebrity Endorsers have a positive effect on Brand Image. Brand Image, Social Media, Perceived Price have a positive effect on Purchase Intention, but Perceived Quality and Celebity Endorser have no influence on Purchase Intention.

Alimentary Tract Duplications (ATD) are congenital anomalies that can arise at any level from the mouth to the anus [3]. They are rare and often found early in life. A minority of cases may remain undiscovered until adulthood when they may give rise to different symptoms, depending on the location. Diagnosis is difficult due to the rarity of this entity. Surgical correction is the treatment of choice.

The formation of an open, democratic, progressive and modern school is the pursuit of the entire educational community. In this paper, the opinions of prospective teachers are being explored on how they envision the school in which they wish to work. From their answers, it can be concluded that their main concern is the formation of a space with perfect infrastructure, equipment, and staffing. In addition, a school that will plan and implement innovative actions and programs will aim on the one hand at the all-around development of each student's personality and on the other hand at creating good working conditions for all teachers. In such an environment, which will be characterized by good interpersonal relations, respect and mutual understanding, the moral values and ideals that should accompany the citizens of a society could be cultivated.

The domestic dog is a non-seasonal breeder. The female is monestrus and has a reproductive cycle that is marked by extended periods of proestrus and estrus. The estrous period is characterized by an estrogen peak that coincides with rising circulating progesterone concentration prior to ovulation. After estrus is diestrus and then anestrus, with the ovarian cycle regulated by the hypothalamic-pituitary-gonadal axis. In the male spermatogenesis is controlled by the hypothalamic-pituitary-gonadal axis with testosterone playing a vital role. The reproductive cycle of most wild canids is similar to that of domestic dogs. Diestrus is followed by an extended period of ovarian inactivity. The causes of breeding failure in dogs are numerous and require thorough investigations for accurate diagnosis. Breeding failures can be infectious or non-infectious. Among the infectious causes in the bitch, bacterial endometritis was found to be responsible for the majority of reported cases. Non-infectious causes include primary and secondary anoestrus, cystic conditions of the uterus, and degenerative diseases of the endometrium. In the male, the causes can also be infectious and non-infectious. Non-infectious causes like bilateral cryptorchidism and acquired anatomical abnormalities can also cause male infertility. Spermatocele or sperm granulomas, obstruction of the genital ducts or inguinal or scrotal hernia, and prostatitis lead to infertility. Infections can lead to orchitis/epididymitis, with alteration of the quality of the semen. Nutrition also has important implications for reproductive performance. Undernutrition can result in loss of body condition, delay the onset of puberty, and ultimately lead to infertility.

In China, due to the lack of a real language learning environment, the main place for students to contact English is the classroom. Therefore, teachers’ discourse in the classroom has an important impact on learners’ language acquisition. Specifically, on the one hand, teacher talk can organize and manage classroom teaching. On the other hand, it is conducive to students’ language input. At the same time, senior high school is a key period for students to learn English. The impact of excellent teacher talk on students’ language acquisition is beneficial. As a result, at this stage, it is vital to study teacher talk. Based on the input hypothesis proposed by Krashen and the interaction hypothesis proposed by Long, this article selects a senior teacher and her class in Zhengji senior high school in Jiangsu Province as the research object, and uses the method of naturalistic observation to observe and record the teacher’s discourse in the classroom. Then, through the analysis of the data, the current situation of English teachers’ classroom discourse in senior high schools is investigated in three ways in this thesis: the quantity of teacher talk, questioning methods and feedback methods, analyzes the existing problems, and tries to offer some sound counsel. Through research and analysis, this article draws the following conclusions: 1. Teachers are fully aware of the main role of students in classroom discourse, are changing the traditional teacher-centered teaching model, and strive to make students more involved in classroom activities. 2. Teachers should reasonably use the method of questioning in the classroom to combine display questions with referential questions, so as to cultivate students’ innovative thinking ability. 3. Teachers should use a variety of feedback methods to continuously stimulate students’ learning motivation and increase the number of possibilities for kids to develop language.

Ectodermal Dysplasia (ED) is a rare genetic disorder characterized by the aberrant development of ectodermal structures, presenting complex dental, dermatological, and psychological challenges. This case report focuses on a 7-year-old male with ED, delving into his prenatal, natal, and postnatal history, medical and dental records, clinical examination findings, and the subsequent treatment plan. The patient exhibited classical ED features, including missing teeth, dry and fragile skin, prominent lips, cranial abnormalities, reduced facial height, and an enlarged tongue. A multidisciplinary team approach was pivotal in addressing the intricate dental complications associated with ED. Preventive measures such as meticulous oral hygiene, periodic high-fluoride applications, and resin-modified glass ionomer fissure sealants were administered. Prosthodontic interventions were designed to restore function and aesthetics, including upper partial denture and lower overdenture. This case underscores the significance of early and comprehensive dental intervention in ED patients, emphasizing the vital roles played by pediatrics, orthodontics, prosthodontics, surgery, and periodontics in achieving favorable outcomes. Furthermore, it highlights the psychosocial challenges faced by ED individuals, emphasizing the need for holistic care and support.

Background: The species of Pseudomonas aeruginosa is a nosocomial bacterium that increases the risk of multidrug-resistant infections, especially in vulnerable patients. The plant Piper cubeba, commonly referred to as cubeb or tailed pepper, it is specifically cultivated for its fruit and essential oil. The plant belongs to the genus Piper. The study aims at assessing the effectiveness of Piper cubeba extract against different P. aeruginosa strains that could produce biofilm and carry blaIMP gene. Method: Isolates from 85 samples (17 sputum, 40 urine and 28 diarrhea samples). Collected from Al Nasiriyah Teaching Hospital during the period of December 2021 to March 2022. Samples were cultivated using routine cultivation methods, catalase test, oxidase reaction, and the Api20E system were performed to identify P. aeruginosa. Results: Out of a total of 17 isolated samples of Pseudomonas aeruginosa, 3 (17.64%) were from sputum, 6(35.29%) from urine, and 8 (47.05%) diarrhea samples. Out of 17 isolates 6 were sensitive in stool isolates 4 isolates were moderate sensitive and 7 isolates were resistance. Conclusion at concentrations of 25, 50, 75, and 100 mg/mL for Piper cubeba, respectively, the greatest MBC of plant extracts was noted. Also, all the isolates were capable of producing a biofilm by using presterilized 96-well polystyrene microtiter plates. Out of 17 isolates, 9 had a potent biofilm ability and the remaining 7 were moderate biofilm producers. Additionally, 7 of the isolates (41.17%) carried the blaIMP gene. Conclusion: Piper cubeba extract has potential as an antimicrobial agent against both sensitive and moderately resistant strains of Pseudomonas aeruginosa. This antimicrobial effect becomes more pronounced with an increase in the concentration of the extract. Additionally, Pseudomonas aeruginosa that produce biofilms tend to consistently produce more Metallo-beta-lactamase (MBL), which can further contribute to antibiotic resistance.

This paper sets an examination for the strength of the monetary policy transmission variables in India for the period 2000 to 2019 on the monthly basis. The variables incorporated in the model are Gross Domestic Product, Bank Rate, Wholesale Price Index and Exchange rate. The techniques of Structural Vector Autoregressive Model (SVAR) have been applied to perceive the clear picture of the contemporaneous relationship among the variables, thus providing with the relative importance and strength of each variable within the model. In the first place, all the variables were instituted to be statistically significant. At the same time, WPI and GDP are found to be more prominent, while exchange rate demanding a pivotal change in the working of the banking sector.

Introduction: Hypertension, commonly known as high blood pressure, stands as a pervasive global health concern, often referred to as the "silent killer" due to its asymptomatic nature. The management of hypertension is critical to prevent cardiovascular complications and other associated health risks. This study aimed to observe the long-term effects of olmesartan combined with amlodipine among hypertensive patients. Methods: This was a retrospective observational study conducted in the Department of Medicine, Popular Medical College Hospital, Dhaka, Bangladesh during the period from January, 2023 to December, 2023. In our study, we included 210 hypertensive patients who were divided into three groups: Group A -Patients who received Olmesartan (OM 40 mg), Group B -Patients who received Amlodipine (AML 5 mg), and Group C -Patients who received the combination of Olmesartan (OM 40 mg) and Amlodipine (AML 5 mg). Result: We found the mean age was 52.8 ± 11.3 years. Most of our patients were male (68.10%). The majority of patients in Group B had ≤140⁄90 mmHg blood pressure than the other groups at the end of our study. Patients with ≤130⁄85 mmHg, were higher in Group A. Patients with ≤130⁄80 mmHg blood pressure during the last week of the study were highest in Group C. Drowsiness/dizziness, headache, nausea/vomiting, and stomach /abdominal pain were the most common side effects. Conclusion: In our study, we discovered that Olmevas AM (OM/AML) 40/5 mg was more effective at decreasing blood pressure than either OM (Olmesartan) 40 mg or AML (Amlodipine) 5 mg. There were no unexpected or unusual safety concerns found with OM/AML combo therapy.

The purpose of this study aimed to examine the influence of financial flexibility on the firm value of listed non-financial corporations at the NSE in Kenya from the period 2011 to 2019. Specifically, this study examined the influence of cash holdings; debt capacity; and financing cost restrictions on firms’ value of listed non-financial companies quoted at the NSE. The study further examined the moderating role played by firm size in the association between financial flexibility and firm value of non-finance companies quoted at the NSE in Kenya. The study was underpinned by the free cash flow theory, the trade-off theory and the pecking-order theory. The study adopted a descriptive longitudinal research design and focussed on all the 37 non-financial listed at the NSE as of December 31, 2020. However, firms that were financially distressed as of the time of data collection did not form part of the study. As a result, only 31 firms with 272 firm-year observations formed part of the study. The study utilized panel data that was analysed using panel multiple regression analysis and aided by the STATA statistical package. To ensure the non-violation of statistical assumption and to allow for remedial action when a violation occurred, diagnostic tests were carried out. Hausman specification test results favoured the use of the random-effects model.