Background: Caesarean section rate has been on the increase in the past few years. Previous caesarean sections are a major indication for caesarean sections. The risks associated with repeat caesarean sections have brought about the need to adopt vaginal birth after caesarean section (VBAC) as the preferred mode of delivery in a previously scarred uterus. Aims and Objectives: To determine the pregnancy outcome and complications of vaginal birth after caesarean section at the University of Port Harcourt Teaching Hospital. Materials and Methods: This was a retrospective descriptive study of 121 women with one previous caesarean section who presented at the labour ward of the University of Port Harcourt Teaching Hospital between January 1, 2010, and December 31, 2019. Data was obtained from the case notes, ward, and theatre registers, encoded into a spreadsheet, and analyzed using SPSS 22.0. The results are presented as means, rates and proportions. Associations between variables were assessed using students t-test and Pearson’s correlation. Statistical significance was considered at P<0.05. Results: There were 20,661 deliveries during the period under review. Of these, 175 had vaginal birth after caesarean section (VBAC). However, only 121 case notes were available for analysis. About one third, 44 (36.36%) of the women had previous successful VBAC and 5 (4.13%) had augmentation of labour. Perineal laceration was the most common complication 38 (31.4%). Majority of the babies 103 (85%) had APGAR scores > 7 in the first minute, while 10 (8.55%) were admitted in the Special Care Baby Unit. Maternal age, socioeconomic status, gestational age at delivery and birth weight were not significantly associated with the outcome of VBAC. Conclusion: Vaginal Birth after Caesarean Section is safe and should be recommended in carefully selected women with previous caesarean section, to reduce the morbidities associated with repeat caesarean sections.

Testing and assessment of learning outcomes are one of the basic and important tasks in the educational process. For many years, this activity has been paid special attention by Vietnam’s education sector and included in the industry’s key action program. For this activity to achieve good results, management plays a key and necessary role. Documents of the Ministry of Education and Training indicate the necessity of this activity. However, this activity has not achieved good results in some high schools. Many negative phenomena have arisen during the implementation process. In the current educational innovation context, this activity is becoming more and more necessary. This study indicates the need and proposes solutions to test and evaluate learning outcomes to achieve better results in the future.

The word "fraud" is a word that exists today. There are no business entities or institutions that are entirely devoid of the risk of fraud. People who commit crimes can be found in every socioeconomic class. As a result, there's a requirement for various stakeholders to be concerned and aware of the possibility of fraud in the workplace. The purpose of this research is to study the impact of role conflicts, workload, and internal auditors’ ability to detect fraud. Collecting data using a questionnaire which is measured by a Likert scale. The population in this study were all internal auditors of the Inspectorate General of the Ministry of Education and Culture. The saturated sample consisted of 300 respondents. The data analysis method uses SEM-PLS modeling through the SmartPLS version 3.0 program. By testing the validity, reliability, R Square value, F Square value, Q Square value. Testing the hypothesis using the bootstrap T-test method. The results of the study stated that role conflict and time burden had a negative and significant effect on professionalism, but competence had a positive and significant effect on professionalism, role conflict, and time load had a negative and significant effect on the ability to detect fraud, but competence and competence. professionalism has a positive and significant effect on the ability to detect fraud. Role conflicts, time, and professional burdens can affect the ability to detect fraud indirectly through professional mediation. This study requires careful planning and clear authority and responsibility to conduct field audits and the need to increase competence to increase the professionalism of auditors in detecting.

Cellular cultures can be used to investigate the role of ciliates in forming of flocs of fishes in the absence of many other microbes. Aquaculture is rapidly expanding and faces numerous difficulties in achieving growing demands while maintaining the security and suitability of fish products. The primary motivation for developing fish cellular cultures, as till recent times, the most common application of these cultures, has been the exclusion and description of fish viruses which are the causal factors of epizootics in economically valuable aquaculture or fishery. Acinetobacter, Vibrio, and Pseudomonas grow faster in flesh media than in artificial media. Fish-protein-hydrolysate peptones have no interaction with prions which cause bovine spongiform encephalopathy. Tissue engineering can all be combined with advanced aquaculture technologies to make marine cellular cultures as an appealing option for producing in vitro fish meat. Fish waste products could be an interesting perspective of cost effective and efficient peptones, the use of which has resulted in good growth yields for a wide range of bacterial genera. Food loss starts immediately as the fish killed, so handling should be completed as soon as possible to avoid the development of bacteria and molds on it.

COVID 19, caused by severe acute respiratory syndrome – corona virus -2 (SARS – CoV 2), is a pandemic that affected millions of people worldwide. During the second wave of COVID -19 pandemic in India, an unprecedented surge in cases of mucormycosis was observed. This study was carried out to describe the clinical, morphological and histopathological staining characterstics of mucor mycosis in 16 covid patients in a tertiary care setting. Older patients with comorbidities like diabetes mellitus are commonly affected. The most common site of involvement was sinonasal tract (68.75%) followed by sinonasal tract and orbit (37.5%). Out of the 16 patients, 2 were partially vaccinated whereas others were not vaccinated. Histopathological examination of specimens revealed broad aseptate fungi in all cases. Tissue necrosis was present in all cases. Suppuration being the most common tissue reaction. 43.75% showed angioinvasion and 37.5% had bone invasion. All the cases were GMS positive with variable intestity. Treatment given in all cases were liposomal amphotericin B injection and surgical wound debridement. On follow up, 40 % of the patients died inspite of aggressive clinical management. Hence this fatal fungal infection should be kept in mind in covid 19 recovered patients especially those who are immunocompromised.

The most common surgical emergency encountered during pregnancy is acute appendicitis [1]. The diagnosis of acute appendicitis during pregnancy is often challenging mainly because of physiological and anatomical changes during pregnancy. From a therapeutic point of view, the approach depends on the gestational age and the evolutionary stage of the appendicitis. The maternal-fetal prognosis depends on the severity of the condition and the delay in treatment. Appendectomy should be performed in patients presenting a highly suggestive clinical and ultrasonographic picture, preferably by laparoscopy in order to avoid more severe complications which could be life-threatening for the mother or infant.

Good quality of air in poultry farms is a prerequisite for healthy animals and farm workers. Air acts as a good dispersal medium for microbes and its quality is a reflection of the environment. The focus of this study is was evaluate indoor and outdoor fungal flora of two poultry farms (Akungba-Akoko and Ayegunle-Akoko) and to determine effect of some antifungal agents on all isolates. Identity of each fungus was determined by comparing the morphology and microscopic characteristics of each fungus with those in compendium of soil fungi. Air flora sampling was performed both inside and outside premises of farms, and an open-air method was used. Antifungal activity was performed using two antifungal drugs (ketoconazole and nystatin). A total of twenty-three (23) fungal species were obtained belonging to fourteen (14) genera; Aspergillus, Penicillium, Eurotium, Monascus, Alternaria, Cryptococcus, Curvularia, Chrysonilia, Microsporum, Cunninghamella, Bipolaris, Acremonium, Fusarium and Trichoderma. Genera such as Curvularia, Chrysonilia, Cunninghamella and Cryptococcus were not inhibited by antifungal drugs used across all concentrations, while nystatin inhibited 74% of these fungi using concentration of 5 mg/ml with 25 mm being highest zone of inhibition. Ketoconazole’s highest zones of inhibition were found with Alternaria tenuissima (26 mm), Trichoderma harzianum (25 mm) and Aspergillus acidus (25 mm). The study revealed presence of some toxicogenic fungi in poultry environments. Therefore, this study recommends preventive measures like provision of adequate ventilation system, regular cleaning of poultry farms, use of clean equipment, and use of antifungal drugs such as ketoconazole and nystatin (to be used at low concentration) to inhibit and control infections in poultry farms.

Negative experiences on an internship can adversely affect the attitude and confidence of nursing students. This highlights the need to explore the experiences of nursing students as they progress through their training. The present study examines the challenges and problems faced by nursing students during their internship program at a hospital in Medina, Saudi Arabia. The study employed a qualitative exploratory study design by recruiting eight nursing students. Face-to-face semi-structured interviews were conducted to gather data. Moreover, the data were thematically analyzed. The major challenges and problems experienced by the nursing students were lack of support, distrust, improper behavior, and absence of a preceptorship program. There is a negative impact of these issues on nursing practice in clinical settings. The study concludes that positive outcomes are likely to be achieved by improving the internship program.

The effect of weaning diets formulated locally were assessed on weanling wistar rats and compared with a commercial brand to ascertain its use as weaning diets for infants in resource-poor nations. The raw ingredients were processed using local methods into different diets and fed to weanling rats weighing between 45-60 g. Thirty weanling wistar rats were divided into six groups of five animals each and were allowed access to food and water ad-libitum for 28 days following standard procedures. Results of the antinutritive components of the diets revealed that phytate recorded the least amount of 0.29±0.00 mg/110g while oxalate was highest (18.12±0.07) in diet formulated majorly with plant materials. Organ weights of the experimental animals showed that animals fed the locally formulated diets compared favourably with the commercial diet while the least weights observed in animals fed protein-free diets. The Biochemical and hematological assessment of the serum of experimental animals did not show any marked difference in all the experimental groups. From the result, it can be deduced that the locally formulated diets did not pose any adverse health effect on rats and therefore is safe for use as infant diets.

Introduction: Continuing medical education (CME) is the process through which health professionals engage in activities designed to support their continuing professional development. It is a requirement for physician relicensing, and recredentialing. Existing literature shows that CME improves physician performance as well as patient health outcomes. It is incumbent to study the experiences and attitudes of physicians towards CME activities in view of the impact of CME on the professional development. Purpose: To describe experiences and perceptions of CME activities among primary care physicians in Bahrain. Materials and Methods: A cross-sectional study that included all registered primary health care physicians in the ministry of health in Bahrain. Data was collected using self-administered online survey distributed to 350 primary care physicians in Bahrain. The five-point Likert scale questionnaire is composed of five sections: socio-demographic data, participant`s experiences with CME, Reasons for attending CME activities, barriers to attending CME activities and benefits of CME in relation to different delivery methods. Results: Total responses were 210 (60% response rate). The mean age of respondents was 40.8(SD 8.9) and the majority (84.4%) were female. Most of the CMEs were in the form of lectures (88.6%), interdepartmental activities (80.5%) and conferences (78.1%). Driving forces for CME were for credentialing /licensing (92.9%), develop clinical competencies (92.9%), improve clinical services/programs (95.2%) and to introduce new technology/techniques (88.6%). Regarding barriers encountered, financial support was the most encountered (mean 4.11 (SD 0.92)), followed by lack of time (mean 4.05 (SD 1.07)). Conclusion: Despite the barriers encountered, Bahraini physicians had a positive experience and attitude toward undertaking CME. There is a need for financial support and protected time to attend CME activities as well as further studies to explore how best these challenges could be managed and solved.

The purpose of this study was to evaluate the application of a new basketball program for healthy male students at Saigon University when compared with the current basketball election classes in the physical education program. 64 healthy male students were chosen and randomly divided into two groups (experimental and control groups). All participants have experienced the 15-week training in basketball court at Saigon University every Wednesday morning. The results of the study indicated that a new basketball program had a positive improvement on speed, agility, power of leg, and maximum aerobic speed, except the core strength. Therefore, a new basketball program could facilitate greater enhancements, gave more benefits than the current program, created a healthy environment in studying physical education, and suited the enhancing training needs of male students at Saigon University. Future studies should be clarified the impact of that program for female students, for other types of sports, in line with the classification of participants, i.e., less exercise, long-term training, and high level in training of students.

This study analysis to what extent Russia supported Bangladesh. Russia is a true friend of Bangladesh. Diplomatic relations between the two countries were established between Bangladesh and the Soviet Union on 25 January 1972. Bangladesh has maintained bilateral relations since the collapse of the Soviet Union, with a Russian embassy in Dhaka, and a consulate-general in Chittagong. Bangladesh has an embassy in Moscow, with the two countries enjoying close military, economic and political relations. This relationship is contributing to the development of Asian regional politics, economy, and culture. Bangladesh’s relations with Russia are historic. It would have been difficult for Bangladesh to achieve independence without the cooperation of the Soviet Union, and this continues to be recognized today.

Return expected state losses capable of covering the state budget deficit to cover the inability of the state to finance various aspect need based on Law No. 11 of 2009 concerning People's Welfare. Return state assets are approach in fight crime whose presence started in 1980-1988, which then applied to the type more crime-wide with incorporated into Organized Crime in 2000. Mechanism return assets are also considered urgent because who did business return on asset results corruption, and it turns out that his business often meets any obstacle. Obstacles that are then looking for road exit with arranging problem return asset. The inner country takes finance consequence act criminal corruption based on more evidence-strong, that asset the suspected originated from perpetrator act criminal corruption or used for perpetrator act criminal corruption in areas that are growing in general many stored in centres financial, this is an agenda for the Indonesian state for true, true croak all the money in the areas small whatever value. With thereby eradication act criminal corruption also pays attention interest people, beside eradicate act criminal corruption must also notice return state finances as consequence deed that because corruption always concerning state finances. Based on what is important, the study about urgency return asset results acts criminal corruption. Destination search asset is for knowing existence and type hidden assets from results act criminal, which will be used for replacement loss to the state, whose information originated among others from Financial Services Provider, Center for Transaction Reports and Analysis Finance (PPATK), Research Results Academics and NGOs, Disputes in Courts, Commissions Eradication Corruption (KPK), and others.

The objectives of this study are: (1) to analyze the development and contribution of micro small and medium enterprises (MSMEs) partnerships in the Automotive Industry sector in Indonesia; (2) analyze the pattern and principle of partnership of MSMEs in the Automotive Industry in Indonesia; (3) analyzing the support of the central and local governments for the automotive industry partnership in Indonesia; (4) explore the placement of MSMEs in the National Industrial Estate and (5) develop a strategy for developing and expanding the partnership of MSMEs in the automotive industry in Indonesia. The methodology used is descriptive exploratory and SWOT analysis. The results of the study: (1) inductive statistics give the results that there are 1,474 Number of 2-wheel and 4-wheeled 2-wheeled automotive MSMEs with 2 wheels as many as 659 and 815 4 wheels in Indonesia, West Java by 66%, Banten by 14%, East Java 9%, DKI Jakarta 5%, Central Java 4%, and Riau Islands 1% and other provinces below 1%; (2) partnership patterns and principles in the form of agreements/contracts/supply chains of automotive partnership cooperation between MSMEs and large automotive companies; (3) government support regulations to form a special village center for MSMEs, Link & Match partnerships, People's Business Credit Programs, provide direct cash funds to MSMEs during the COVID-19 epidemic; (4) MSMEs have not yet been placed in Industrial Areas mandated by Law Number 40 of 2007 and Government Regulation Number 142 of 2015 and (5) the position and strategy of MSMEs is an aggressive maintenance strategy and a selective maintenance strategy.

The purpose of this study is to describe the weaknesses of the Islamic Law Compilation (KHI) Practiced in Indonesia by examining and analyzing its contents and their problems from the perspective of the madhhab and reconstructing the KHI which contains Islamic law in the perspective of the madhhab based on the value of justice using the sociological juridical method. Informants as sources of research data are scholars, lecturers, judges, MUI, Islamic organizations, FKUB, Shi'i, Sunni, and Salafi Wahabi leaders. Data collection techniques with interviews and documentation. Data analysis goes through the stages of data collection, data reduction, data display, and verification. The results of the study found that (1) KHI only contains family law even though Islamic law is very complex and is not limited to family law. (2) Family law which is the formulation and result of the existing ijtihad of Indonesian ulama does not need to be revised because of its suitability and acceptance of various schools of thought in Indonesia. (3) Islamic law is always based on valid and recognized madhhabs and madhhabs in this world based on the 2004 Amman Treatise and 8 others, namely Sunni, Shi'i, Dhahiri, and Ibadli (Hanafi, Maliki, Shafi'i, Hambali, Dhahiri, Zaidi, Ja'fari, Ibadli). (4) There are 3 schools of thought that live and develop in Indonesia with their derivative mass organizations (Sunni Syafi'i, Sunni Hambali/Salafi - Wahabi, and Shi'i). (5) The three schools of thought in Indonesia are prone to conflict and can trigger disharmony and national disintegration. (6) The need for regulation of the recognition and harmony of various schools of thought in Indonesia through the KHI channel by reconstructing the 1991 Indonesian KHI with additions; recognition, protection, and harmony of various schools of thought with national insight as a complement to the contents of Islamic law and a unifying and harmonious forum that is based on justice-based law.