Osteomyelitis is inflammation of the bone which begins as an infection of the medullary cavity with rapid involvement of the haversian systems and extension to the periosteum. Various etiological factors are involved in origin of the disease, among them fungal origin is rare. Specific feature in fungal osteomyelitis is involvement of maxillary sinus. Maxillary osteomyelitis can be classified based on the following causes: traumatic, rhinogenic, and odontogenic. I hereby report a case of fungal osteomyelitis involving maxilla in a 50-yearold man with uncontrolled diabetes mellitus. This specific case was necrosed bone with analysed using Energy dispersive Xray and Scanning electron microscope analysis. This case report highlights the need of oral physician to rule out fungal origin in osteomyelitis.

This work is expository and evaluative in its methodology. It aims at offering a critical assessment of the claims of Gabriel Marcel on Creative Fidelity, in order to ascertain whether or not such claims are philosophically robust, sustainable and realizable, or merely deflationary and idealistic. Gabriel Marcel’s work on Creative Fidelity does not only deal with perennial themes of faith, fidelity and belief, incarnate being and participation, but also discusses religious tolerance and orthodoxy. Creative fidelity refers to the tenacious, constant desire to elaborate who we are. To have a greater sense of being, we need creative fidelity. For Marcel, to exist only as body is to exist problematically. To exist existentially is to exist as a thinking, emotive, being, dependent upon the human creative impulse. He believed that, as soon as there is creation, we are in the realm of being, and also that, there is no sense in using the word ‘being’ except where creation is in view. Thus, we become creatively faithful when we bridge the gap between ourselves and others by making ourselves present to them, and so defy absences with presence. Thus, it is not enough to be constant, since constancy is tenacity towards a specific goal, which requires neither presence nor an openness to change. If the creative élan is a move away from the objectification of humanity, it must be essentially tied relationally to others. Creative fidelity, then, entails a commitment to acts which draw the subject closer to others, and this must be balanced with a proper respect for the self. Self-love, self-satisfaction, complacency, or even self-anger are attitudes which can paralyze one’s existential progress and mitigate against the creative impulse. To be tenacious in the pursuit, the fidelity aspect is the most crucial part of the creative impulse, since creation is a natural outflow of being embodied. The central argument of this work is that “creative fidelity,” as theory, is quite captivating and fascinating, and seemingly realizable in a possible world of altruistic human beings. However, in practice, it seems unattainable or unrealizable, especially in a concrete world that is populated by self-serving, fragmented and broken human beings.

The study investigates the determinants of foreign banks’ entry decisions into Saudi Arabia and their relative importance. Seventy-one questionnaires were analyzed using the Distribution Fitting Algorithmic Approach (DFAA). This paper is situated in the existing literature on the Internalization Theory, Eclectic Paradigm, and Follow-the-Customers hypothesis. While we confirm the Follow-the-Customers hypothesis, we also found that the host market’s characteristics influence entry decisions. We envisaged that this paper would not only contribute to the existing literature but also inform policymakers and industry participants to better understand foreign banks’ entry into emerging and developing markets. Keywords: Foreign banks, Determinants, Entry decisions, Saudi Arabia.

Number of risk factors has been associated with pelvic inflammatory disease, such as age, previous sexually transmitted infection, previous PID, multiple sexual partners, or an intrauterine contraceptive device. Women who use an intrauterine device for contraception are at least 2-4 times more likely to develop PID than non-users. Women who have had PID are twice as likely to develop the infection as those who have never had it. A history of a prior uncomplicated gonococcal infection is more common among women with PID than among women without disease. The present cross- sectional study was conducted in J.N. Medical College and Hospital (J.N.M.C.H.), Aligarh Muslim University, Aligarh. Permission for doing the study was taken by the Board of Studies in the Department of Community Medicine, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh. The study was carried out for a period of one year, from 1st August 2001 to 31st July 2002. The present study was carried out among ever married females in the reproductive age group of 15 to 49 years. Women, who gave positive history of PID, were asked to give their consent for the study. Their refusal was taken as exclusion criteria. Females with PID who were menstruating or who had taken antibiotic within the previous month were also excluded from the study. A total of 350 ever married females were selected from the Gynaecology OPD of J.N. Medical College Hospital (n=170), Urban Health Training Centre (n=100) and Rural Health Training Centre (n=80).A detailed clinical history and clinical examination were recorded on a pre-formed and pre tested proforma. All the females under study were subjected to per vaginal examination. The percentage of those female was more who used any cloth during menstruation. Out of 350 patients, 7.4% gave history of T.B, 24% gave history of previous episodes of PID, 12.0% gave history of MTPs/D&Cs. 5.1% had adopted IUCDs as a method of family planning.1.71% cases gave history of removal of IUCDs because of some complications. 75.0% of 80 cases (who adopted family planning) used IUCDs, OCPs and ligation. IUCDs, OCPs, ligation and irregular use of condoms probably increase chances of PID.

In most cities in developing countries, dwellers continue facing difficulties in adequately accessing potable water in sufficient quantity for their daily needs. These difficulties are perceived by households each time they fetch drinking water or try to get access to potable water for other household activities. This study aims to assess the problem of potable water supply in the Yaounde III Subdivisions’ neighbourhoods and the coping strategies developed by citizens to meet their needs. To achieve this objective, 300 households were selected and investigated based on purposive and systematic random sampling, particularly in the most densely populated neighbourhoods. We proceeded by identifying the different water supply sources of households for their various needs, and assessing the difficulties encountered in getting water and how they overcome them. Results reveal that in Yaounde III Subdivision only 34.33% of the households are supplied by the Cameroon Water Utilities Corporation (CAMWATER), while 65.67% rely on alternative water supply sources (wells, drillings and springs) without any pre-treatment. Among those connected to CAMWATER network, 46.6% do not have a regular water flow. Results also revealed that water sources were located at reasonable distances (less than 1 kilometre) and that 70% of households take less than 30 minutes to fetch water. Failure in water supply is mainly caused by the insufficient pumping capacity of the existing potable water treatment plants which lead to rationing and shortages, but also to rapid population growth and city extension not followed by the extension of the potable water distribution network. To fill the gap in water supply, it is imperative for public authorities to quickly achieve the project on water supply from the Sanaga River. Also, CAMWATER should extend its distribution network and improve its maintenance system.

The purpose of this research is to analyze and find the weakness in the regulation of rehabilitation for underaged narcotics abusers and how to reconstruct the law based on Justice Value. This study uses a constructivism paradigm with a sociological juridical approach to solve research problems by examining secondary data and primary data by finding the legal reality experienced in the field as well as qualitative descriptive methods, namely where the data obtained are then arranged systematically so that a comprehensive picture will be obtained, where later the data will be presented descriptively. Based on the research it can be seen that the ideal Legal protection for children as narcotics abusers has not been achieved yet because there are still found cases where children who abuse narcotics are punished with imprisonment because of the law on child protection and the law on narcotics does not see in eye-to-eye regarding child narcotics abusers as the law on narcotics still treat Underaged Drug Abusers the same as adult. Therefore, it is necessary to carry out legal reconstruction in the Law of the Republic of Indonesia Number 35 of 2009 concerning Narcotics concerning General Provisions of Article 1, Article 103 where the provisions become, the addition of paragraphs in Chapter I on General Provisions in Article 1 so that Article 1 consists of 23 reconstruction paragraphs included in Article 1 paragraph (16), namely Children who are Victims of Narcotics Abuse, are children who are persuaded, deceived, cheated, forced, and/or threatened to use narcotics, alcohol, psychotropic substances, and other addictive substances. Article 103 becomes (1) Judges who examine cases of Narcotics Addicts are obliged to: a. decide to order the person concerned to undergo treatment and/or treatment through rehabilitation if the Narcotics Addict is proven guilty of committing a Narcotics crime; or b. stipulates to order the person concerned to undergo treatment and/or treatment through rehabilitation if the Narcotics Addict is not proven guilty of committing a Narcotics crime; c. In the event that a child commits an act of planting, maintaining, possessing, storing, controlling, or providing Narcotics Category I, II, II, he/she is obliged to obtain a rehabilitation decision; d. The rehabilitation of children who abuse narcotics is carried out in accordance with applicable laws and regulations.

Solar energy is a renewable source of energy. Usage of this energy can reduce the carbon emissions on the environment. To store electric energy produced from solar panels, a battery is used named solar battery. The capacity of storing electricity depends on the active materials of the battery cells. Normally the capacity of a lead acid battery depends on active materials, size of the plates, gravity of the acid, construction of the grid of the plates. In this research, all other variables responsible for battery capacity (gravity of acid, size of the plates, construction of grid etc.) are constant and only one variable is active materials of the plates. 4 batteries containing different amounts of active material are used to identify the best combination which gives the highest value of active mass utilization coefficient.

The research aims to analyze the weaknesses of the current rules for stopping the investigation of road traffic accident cases and how to reconstruct the rules for stopping the investigation of road traffic accident cases based on the value of justice. To achieve this goal, an empirical juridical approach is used. The research specification is descriptive analysis. Primary data was obtained directly from the field. Collecting data through field studies (interviews) and literature studies. The data is presented in the form of descriptions that are arranged systematically, logically, and rationally, and analyzed using qualitative descriptive techniques. Research shows that the weaknesses are caused by the imposing conditional crimes which include the following: (1) the legal substance, related laws, and regulations have not accommodated the unique traffic accident cases. (2) Legal structure, not all Resort Police (Polres) implement traffic accident cessation based on restoration justice. (3) The legal culture and public views on stopping the investigation of road traffic accident cases have not been fully understood by the public. and based on this, the legal Reconstruction of stopping investigations of road traffic accident cases based on the value of justice can be done by encouraging the immediate ratification of the Draft Criminal Code into the National Criminal Code, by expanding the basic criminal sanctions on traffic accident cases in the form of humanitarian assistance based on the agreement of the litigants. With the following formulas: 1. The agreement of the litigating parties is requested for a resolution/deed of reconciliation to the Court Judge. 2. The decree/deed of peace has legal force and executorial power as well as control by state institutions outside the police as investigators. 3. The deed of peace from the judge is used as the basis for stopping the investigation for the sake of the law because the application of restorative justice is needed in order to realize a fair and transparent law.

In December 2019, the WHO China Country office was informed of an outbreak of pneumonia of unknown etiology, in Wuhan city. The pathogen was later identified as a member of the β-coronaviridae family, and the disease it caused was named Covid-19. The outbreak rapidly evolved over the next few months to become a pandemic that resulted in drastic effects on global healthcare and economy. Diabetic patients were affected equally as non-diabetic individuals; however, the impact of the disease was much worse amongst them. We aim to briefly review the incidence and characteristics of Covid-19 infection among diabetic patients, elaborating into the pathophysiology of the disease and the possible mechanisms which may explain the severity of the disease amongst them, through a review of published articles in Pubmed, Google Scholar and Cochrane databases, till the first of January 2022.

Colon cancer is a type of cancer that begins in the large intestine (colon). Its aggression is owing to late diagnosis so poor prognosis and higher mortality rate are reported. Colon cancer has become a thorny research region that requires more examination in cellular pathways involved in its emergency. Here we aim to investigate the possible anticancer properties of the clove oil as natural and popular oil in colon cancer CaCo-2 cells. Accordingly, cell viability rate and number of survived cells were monitored in response to the clove oil treatment compared with the black seed oil and DMSO-treatment. Lactate dehydrogenase (LDH) production was also considered as an indicator for necrotic event following treatment. The relative gene expression of Raf-1, MEK, and ERK was detected as proliferation effectors that linked to the expression profile of the tumor suppressor genes PTEN and TP53 using quantitative real-time PCR (qRT-PCR). Interestingly, here we identified Raf-1 pathway as a potential targeted singling by the clove oil resulted in controlling colon cancer cell proliferation. The current study elucidates the anticancer activities of the clove oil in colon cancer division through restoring the relative gene expression of PTEN and TP53 accompanied by over-production of interleukin 1 alpha (IL-1α) and IL-1β. Accordingly, treatment of the CaCo-2 cells with different concentrations of the clove oil increased programmed cells cell death (PCD) and inhibited the proliferation singling when compared with the black seed oil. Collectively, our results demonstrate that controlling of Raf-1 activity and PCD by clove oil treatment provide evidence for its anticancer effect in colon cancer cells.

Bullous pemphigoid (BP) is an autoimmune sub-epidermal bullous disorder with a complex etiopathogenesis, predominately affecting the elderly. We report a case of COVID vaccination- induced BP, in a 30-year-old previously healthy Indian male who presented with a 1month history of itchy generalized vesiculo-bullous eruption that developed 3 days after receiving the first dose of the COVID vaccination. Histological examination and direct immunofluorescence study showed a sub-epidermal blister with a dermal inflammatory infiltrate and linear epidermal staining of IgG and C3 along the basement membrane zone in an n-serrated pattern. Treatment with oral prednisolone and oral doxycycline resulted in significant improvement in his condition. To our knowledge, there are limited case reports to date particularly in the Middle-East, which describe BP triggered by COVID vaccination.

Dentigerous cyst is a developmental odontogenic cyst that encloses the crown of an unerupted tooth. Dentigerous cyst linings were found to have the potential to transform into ameloblastoma. Two distinct examples of ameloblastoma developing in the wall of a dentigerous cyst are described here.

Background: Folate deficiency is associated with poor pregnancy outcomes and is one of the most common vitamin deficiencies in women, especially those of reproductive age. Folic acid intake prior to, and during, the first months of pregnancy significantly reduces the risk of fetal neural tube defects. Maternal folate status has been associated with other adverse pregnancy outcomes such as preeclampsia, malformations (orofacial clefts, Neural tube defects, anencephaly and encephalocele resulting from incomplete neural tube closure during early embryogenesis), spontaneous abortion, fetal death, fetal growth restriction and preterm delivery. Methods: The study embraced a cross-sectional study that assess Knowledge, Attitude and Practice of preconceptional folic acid supplementation among pregnant women (18-45years) attending antenatal clinic in Alex Ekwueme Federal University Teaching Hospital Abakaliki, Ebonyi State. 152 women attending antenatal clinics in Alex Ekwueme Federal University Teaching Hospital Abakaliki, Ebonyi State were interviewed using structured questionnaire. Data collected were analyzed using SPSS version 21 for frequency and percentage at P < 0.05 significance level. Results: 98.7% of the participants had heard about folic acid, but an analysis of data shows that 26.6% of them knew that folic acid is a vitamin. In addition, very few (29.6%) knew that folic acid could prevent neural tube defects. The main source of information about folic acid supplementation among the surveyed women were through the health workers. Incidence of at least one episode of adverse pregnancy outcome was noted in about 35.5% of the population under study though a majority indicated the form for their loss were miscarriage and stillbirth. Finding showed that 37.5% of the respondent claimed to have used folic acid before pregnancy while 40.1% of the women in this study were aware of the right time to start using folic acid. 46% of the women took folic acid during Antenatal care and their reason were attributed to late presentation for antenatal care, delayed prescription of the folic acid for women during pregnancy, unplanned pregnancy while others claimed they are getting enough folate from food. Approximately 40.8% of the respondents had started supplementation on antenatal booking and from analysis of data on the preferred/normal booking time of the respondents it shows that a high percentage of them attended antenatal from the third month of pregnancy this shows that the majority of the respondents started supplementation too late which is inconsistent with the ideal time to start folic acid supplementation in prevention of neural tube defect. In this study it has been revealed that 48% of the respondents could identify green leafy vegetable as the only source of folate in local foods and 0.7% could identify other food sources like legumes and fruits as sources of folate. Conclusion: There is a low overall level of awareness of folic acid among pregnant women including lack of understanding of its natural sources, usefulness in preventing Neural Tube Defects and preconceptional intake recommendation. Health education regarding the preconceptional use of folic acid among women of reproductive age is recommended.

This pilot study examines the production of Egyptian Arabic (henceforth EA) adjunct wh-questions (e.g., when) among two EA-English bilingual Children living in Ontario, Canada and an EA monolingual child living in Cairo, Egypt. The control group consists of two first-generation adult Egyptian immigrants in Ontario, Canada. The focus of the study is on the position of wh-phrases in EA wh-adjuncts, which exhibits a surface overlap between English and EA. In typical English wh-adjuncts, and wh-arguments as well, leaving the wh-phrase where it was originally generated (wh-in-situ) is ungrammatical and the wh-phrase must occur clause-initially (fronted wh-phrase) (Radford, 2004). In EA wh-adjuncts, there are two possible positions of the wh-phrase, fronted wh-phrase and wh-in-situ (Wahba, 1984). Findings from an oral elicited production task showed that the EA monolingual child significantly preferred wh-in-situ (94.4% of the time), and a fronted wh-phrase occurred only once in his responses. In contrast, the EA-English bilingual children predominantly preferred fronting the wh-phrase (97.3% of the time). As the fronted wh-question is the only grammatical option in typical English wh-questions, this result may indicate a possible crosslinguistic influence from English, the majority language of the bilinguals’ society, into EA. Regarding the adult controls, they showed true optionality as they produced roughly around the same amount of the fronted wh-phrase and wh-in-situ, 52.8% and 47.2% respectively. The results are discussed in relation to the crosslinguistic influence hypothesis of Müller and Hulk (2001) and the developmental trajectory proposed by Shin & Miller (2021).

Through advances of Internet-of-Things (IoT) technologies, smart home concepts have become increasingly prevalent, and they are gradually being adapted in society. Apart from cost efficiency and user convenience, implementing monitoring and control in a smart home has the potential to also increase energy efficiency. In this paper, a web-based monitoring and temperature control for an air conditioning (AC) system is proposed. The long-ranged AC control system consists of three ZigBee devices that enable wireless communication between the temperature, remote, and router modules which sends data over the internet using ESP8266. A web-based interface was also developed to display room temperature, last temperature of the AC, and a button to activate/deactivate the AC. The results showed that the prototypical system fulfilled the expected functionality, and that ZigBee is a robust choice of communication protocol.