In a knowledge generation process, not only the design of the instruments that allow obtaining the data to comply with the objectives of any investigation is important, but it is vital that these instruments are validated so that the final result of the interpretation of the results provide greater confidence in the conclusions, granting scientific validity to the study. Care must be taken in relation to ethical treatment in the field work of research, for which the existence of an Ethics Committee is of the utmost importance since, among other actions, it contributes to the protection of the rights of individuals and of the communities participating in the research project, ensuring the respect and care of people, living beings and the environment, which is part of the research. The nature of the research was qualitative, non-experimental, descriptive, transeccional design. The way in which the information was collected for the research was bibliographic. As a result it will be mentioned that it is necessary to consider that the field work requires trust, patience and security in the acceptance of the participants, capacity of adaptation and acceptance of the facts, versatility, to obtain the necessary data, persistence in the comparison of the data obtained and decision to overcome the confusion. It is vital that the instruments designed are properly validated to give scientific certainty to the results obtained.

Since the start of the coronavirus disease-19 (COVID-19) pandemic in late December 2019, in Wuhan, China, the severe acute respiratory syndrome coronavirus-2 (SARS CoV-2), the virus responsible for COVID-19 present with the classical presentation of respiratory as the name denote that may be fatal. However, there are reports of atypical manifestations in the majority of the patients. One of the atypical presentations is oral manifestations of SARS CoV-2 that may be due to the initial infection or reactivation of Herpes Simplex Virus-1 (HSV-1) or stress-related. Herein, we report a middle-aged man; who presents with vesicular lesions on the lip that were diagnosed clinically as herpes simplex labialis (cold sores), as confirmed by reverse transcription-polymerase chain reaction (rt-PCR) as SARS CoV-2 infected.

Introduction: Eclampsia is an extremely severe form of preeclampsia characterized by sudden onset of generalized tonic-clonic seizures responsible for 17–30% maternal mortality and 22% perinatal mortality. Since then, MgSO4 has been proven to more than halve the risk of occurrence of eclampsia in women with preeclampsia and of recurrence in women with eclampsia. Material and Methods: This is a Prospective study conducted in the Department of Obstetrics and Gynaecology at Shadan Institute of Medical Sciences, Teaching Hospital & Research Centre, Hyderabad over a period of 1 year. Eclamptic patients who got admitted in department of obstetrics and gynecology. Standard principles of management of eclampsia will be followed. Patients are divided into two groups as cases & control alternatively. Groups are chosen based on inclusion & exclusion criteria. Group I Control will follow Pritchard standard regimen. Group II Cases will receive low dose magnesium sulphate regimen. Result: Among low dose and standard regime groups about 11.4% & 17.1% each had previous history of PIH. Among low dose group, 15% were intra uterine deaths, 20% needed NICU admissions, 10% were early neonatal deaths and none were perinatal deaths. Among standard regime group, 20% were intra uterine death, 30% were NICU admissions, 25% were early neonatal deaths &10% were perinatal deaths. The average birth weight among low dose and standard group was 2.18kgs and 2.02kgs respectively. The mean APGAR score at 5 minutes was 7.21 among low dose and 6.4 among standard regimen. There is no major correlation in both groups with respect to fetal outcome. Conclusion: The occurrence of eclampsia in two groups was more common in the age range of 20 to 26 years among the primigravida and with previous history of PIH. There is no major difference in the outcome of maternal and fetal in both groups. Nonetheless the magnesium levels among low dose group are significantly lower in comparison with standard regimen group. In cases and controls the magnesium levels are maintained in normal therapeutic range. Low dose regimen is better alternative to control seizures in eclamptic patients.

Patient handoffs between the Operating Room (OR) and Post-Anesthesia Care Unit (PACU) are critical for ensuring continuity of care and patient safety. However, these transitions often occur under high-stress conditions and are prone to communication breakdowns, contributing to adverse events and medical errors. This review highlights the significance of standardized communication frameworks, such as SBAR (Situation, Background, Assessment, Recommendation), in mitigating these risks. Evidence suggests that structured handoffs improve information accuracy, reduce errors, and enhance patient outcomes. Despite these benefits, barriers such as human factors, systemic inefficiencies, and resistance to change persist. Recommendations include targeted training, technological integration, and fostering a handoff culture emphasizing clear communication. Future research should focus on long-term impacts of standardized frameworks and explore innovative solutions like AI for optimizing handoff processes.

Commanditaire Vennootschap (CV) is a non-legal entity such as a Limited Liability Company. However, the existence of a business entity does not reduce its rights, and obligations as a company recognized by the government, and business community in particular. CV is established based on the deed of the establishment made before a Notary and registered with the Minister through the Business Entity Administration System. With the provisions that the business activities of the CV must be following the 2017 Indonesian Standard Business Classification. The authority of the Notary is given by Law to make absolute evidentiary devices or tools, and therefore the authentic deed is in essence considered correct.

The rise of generative AI has introduced powerful capabilities in content creation but has also surfaced complex legal, ethical, and privacy risks, particularly in the deployment of synthetic media. Traditional DevOps pipelines, while optimized for automation and speed, lack the built-in mechanisms necessary for handling these emerging compliance challenges. This paper proposes a compliance-aware DevOps framework that integrates legal risk management, data privacy controls, and model governance throughout the AI development and deployment lifecycle. Drawing upon a structured literature analysis of secondary sources, the study outlines a methodology for embedding regulatory compliance and ethical oversight directly into CI/CD workflows. Visual models are used to compare traditional and compliance-aware architectures, analyze implementation stages, and map challenges across technical and legal domains. The evaluation reveals that compliance-aware DevOps significantly enhances traceability, privacy assurance, and model accountability without impeding deployment efficiency. However, challenges such as regulatory fragmentation, lack of standardized metrics, and toolchain silos remain. This work presents a future-facing roadmap that emphasizes automation, interoperability, and adaptive risk management to support the responsible deployment of GenAI at scale.

This article is aimed at evaluating and comparison various scenarios of corporate income tax, individual income tax (personal income tax) and value added tax in listed below seven post-Soviet Union republics: Russian Federation, Republic of Belarus, Republic of Ukraine, Republic of Uzbekistan, Kazakhstan, Kyrgyzstan and Moldova. For many decades, economists from the European Union and the United States have regularly discussed such problems as building optimal tax systems, greening taxation, the effectiveness of tax reforms and others. Economists of the post-Soviet space in the 90s of the last century did not have such opportunity. At the same time, there was a very high need for scientific substantiation of the tax reforms being carried out in these countries. To fill this scientific gap, two economists Igor Mayburov from Russia and Yury Ivanov from Ukraine convened the first tax symposium in the post-Soviet space in 2009. Since then, the tax symposium has been annually held in different cities and brought together leading tax specialists from different countries. Each symposium has its own thematic focus, dedicated to the most relevant aspect of taxation for the post-Soviet countries. This scientific focus is declared one and a half years before the symposium. Symposium participants conduct research and thematic monographs are prepared for each symposium. XI International Symposium "Theory and Practice of Tax Reforms", held June 30 - July 6 2019 in Tomsk on the basis of the Institute of Economics and Management of the National Research Tomsk State University. These kind of symposiums have a major aim to understand, explain and find some new solutions to make the taxation system of post-Soviet Union republics more and more developed.

This study was carried out to ascertain if economic governance and management brings about the attainment of sustainable business productivity in Nigeria. In this study, economic governance and management was utilized as the explained variable, while the various indicator variables of economic governance and management such as: Macro-economic Policies, Transparent, predictable and credible state economic policies, Sound Public Finance Management, Corruption and Money Laundering and Integration Policies were used as the explanatory variables. The research design used in this study was the cross-sectional survey design, associated with the deductive approach used for descriptive research purpose, which was used to model the impact of economic governance and management on sustainable business productivity in Nigeria. The findings elicited from this study revealed that economic governance and management was significant and played a key role in allowing businesses in Nigeria attain sustainable productivity within the scope of this study.

Background: Smoking is a well-recognized risk factor of CAD, angiographic profile and traditional risk factors among smoker patients varies, along with their clinical presentation and outcome. Objective: This study has been conducted to focus on the angiographic profile of smoker patients presenting with CAD and to explore the prevalence of their additional of risk factors. Method: This study has been enrolled among 328 smoker patients with CAD presenting to ER of SSH-cardiac Center/ Erbil from Jan 2017 to March 2020. Results: The study population was composed of 320 males (97.6%) and 8 females (2.4%). The mean age was 39.07+12.3 years, with an age range of 20-75. The results showed that smoker patients with CAD had occlusive CAD (79.3%). The prevalence of most commonly occluded artery was LAD (43.8%) during CoA presenting with AWMI. The prevalence of risk factors was, Hypertension (37.8%), positive family history (40.2%), high levels of LDL (53.7%), Lowered levels of HDL (31.7%), elevated levels of TC (31.7%), elevated levels of TG (29.3%). It was noted that 29.3% were Diabetic, and according to the HbA1c levels, of 34.1% was diabetic, this clarifies that 4.8% of the smoker patients were undiagnosed DM (Newly diagnosed DM). Conclusion: Smoking is associated with the angiographic profile, traditional risk factors and their clinical outcomes. AWMI was mostly observed among smoker patients owing to LAD lesions.

The author has recommended that for pairs of physical systems or qualities the method of energy exchange is studied, especially when the Cooper pairing can be applied.

Objective: The aim of the study is to determine the prevalence of hypertension and related factors among health-care employees in Najran, Saudi Arabia. Methods: A cross-sectional survey was done among health care professionals who work for the Ministry of Health's, Directorate of General Health Affairs in Najran, Saudi Arabia southern region. The study sample size was 200 and the data were collected through a self-administered questionnaire. Assessed the level of hypertension by checking blood pressure followed by determinants related to hypertension. Data were analyzed by using descriptive and inferential statistics. Results: The study's findings, the majority of medical staff (92%) and non-medical employees (88%) had pre-hypertension, and 88 (42%) medical and 80 (40%) non-medical staff had stage one hypertension, and 24 (12%) medical staff and 32 (16%) non-medical staff had stage two hypertension. BMI, junk food, family history of hypertension, smoking status, and physical activity all play a role in hypertension levels. Conclusion: The study's findings show that healthcare employees, regardless of their job description, suffer from a high rate of hypertension. Hypertension levels are strongly linked to determining factors such BMI, junk food, family history of hypertension, smoking status, and physical activity. Health-care professionals should have frequent medical checks, and effective health-promotion programs should be established to reduce the risk of hypertension and improve the health of health-care workers.

The study aimed to explore the prevalence of bruxism in pregnant patients in public dental hospital of Lahore. This survey research was conducted in Public sector dental hospital by collecting data from 75 pregnant patients. Percentages were calculated to explore the prevalence of bruxism among pregnant patients. From data analysis, it was revealed that patients coming to the public dental hospital who had the history of bruxism before pregnancy were 50.7% whereas it rose to 67% who experience bruxism during pregnancy. In conclusion, this showed that pregnancy changes also elevate the bruxism experiences.

This study aimed to explore the difference of teeth hypersensitivity and attrition among young and elderly patients of bruxism in Lahore. Data of 80 participants was collected using convenient sampling technique for this crossectional study. Chi-square test was used to explore the difference teeth hypersensitivity and attrition among young and elderly patients of bruxism. The results of chi-square revealed a significant difference of teeth hypersensitivity among young and elderly patients with bruxism (X2= 13.653, P<.001). Among young patients with bruxism, 34% had teeth hypersensitivity as compared to the elderly patients with bruxism which were 66%. Age wise significant difference was also found among patients of bruxism in terms of attrition (X2= 30.0, P<.001). Tooth attrition was found in 12.5% young patients with bruxism whereas in elderly patients, 87.5% of the sample was having teeth attrition. In conclusion, the age wise difference of teeth attrition and teeth hypersensitivity among patients of bruxism was to be significantly different.

Background: Infection is a major health problem in orphanage centers and represents a major cause of morbidity and mortality among residents. Health education is an essential component of infection control and should be offered to all children and their caregivers. The aim of current study: to evaluate the effect of a health education program about infection control on practice of caregivers & on infection rates in Mygoma orphanage center. Materials and methods: An Intervention study (Quasi-experimental: pre and posttest design for the same group). The study was conducted in Mygoma orphanage center in Khartoum state. The study sample consisted of 92 caregivers. Data were collected using a checklist to measure practice and laboratory investigations. The intervention program included infection control lectures, handouts, posters, and attention to environmental cleaning and disinfection. Compliance with these measures was monitored and recorded. Data were analyzed using Statistical Packages for Social Sciences (SPSS). Results: the study showed significant differences were found regarding correct practices between the pretest and posttest (P < 0.05) also the study revealed that, the swab for culture and sensitivity, in food table the isolated organisms were staph 23.1%, E coli 7.7%, Protus 7.7%, Bacillus 7.7%. and klebseilla 15.4% at pretest investigation, while at posttest the isolated organisms were staph 15.4%, and klebseilla 7.7%. In diapering table, the isolated organisms were staph 15.4%, E coli 30.7%, Protus 7.7%, klebseilla 15.4% and Pseudomonas 7.7% at pretest investigation, while at posttest measurement the isolated organisms were E coli 15.4% and klebseilla 7.7%. Conclusion: The study concluded that educational and environmental infection control program had a significant impact related to the improvement of the caregiver's practice skills and decrease in infection rates post application of the program.

This study analyzes the effect of gender diversification in top management and intellectual capital on financial performance proxied by ROA and its impact on firm value in the financial sector listed on the Indonesia Stock Exchange in 2017-2018. This study uses secondary data from the company's annual reports which are taken from the official website of the Indonesia Stock Exchange and the company's official website. The number of companies studied was 87 out of 99 companies with purposive sampling and observations made were for 2017 to 2018 so that the total number of observations was 174 samples. Data were analyzed using path analysis with the SPSS application.