Background: The most prevalent consequence of Diabetes Mellitus (DM) is Peripheral Neuropathy (PN), which is frequently undiagnosed and untreated and consequently leading to physical and emotional damage to an individual. Therefore, this study was designed to explore the proportion of peripheral neuropathy among diabetic patients in tertiary care setting. Methods: This cross-sectional observational study among 403 participants was conducted at the out-patient department of Dhaka Medical College Hospital, Sir Salimullah Medical College, BIRDEM Hospital for one year of period. Data collection was conducted with a pre tested semi structured questionnaire and were analyzed using the statistical software SPSS 26. Results: Mean age of the respondents was 50.92±10.56 (SD) years with a majority in age group 60-69years (29%). Male and female was observed as equally 51.9% male and 48.1% male. The majority of patients (60.5%) have been living with diabetes for 2-5 years. Significant proportion of the patients (64%) have uncontrolled diabetes, while only 36% have achieved control over their condition. Overall, 48.4% respondents had peripheral neuropathy among diabetic respondents. Among the respondents with peripheral neuropathy, 97(24.1%) respondents had mild NSS, 69(17.1%) had moderate NSS and 29(7.2%) had severe NSS. BMI (25.75±2.65 and 24.81±2.98 kg/m2), HbA1C (8.48±0.78 and 7.98±1.13 %) and triglyceride level (318.79±46.28 vs. 282.52±76.45 mg/dl) were significantly higher among peripheral neuropathy respondents compared to non-neuropathy respondents. Conclusion: The findings have important clinical implications Lifestyle modifications, such as weight management and diet control, may also be essential in preventing or managing peripheral neuropathy. Early detection of intervention to manage pain should be a priority.

Pre-eclampsia is a significant complication that may occur during gestation. It elevates blood pressure and harms organs, typically the liver and kidneys. It often commences after 20 weeks of gestation, and if not promptly identified and addressed, it can have severe repercussions for both the mother and the infant. Extensive research in Saudi Arabia has indicated that pregnant women had limited knowledge on the signs, risk factors, and complications associated with pre-eclampsia. This narrative review aims to provide a comprehensive review about the efficacy of educational interventions, particularly educational videos, in enhancing women's understanding of pre-eclampsia. Audiovisual tools significantly enhance comprehension, engagement, and retention compared to conventional methods such as pamphlets or verbal communication. This review emphasizes how different educational intervention, and instructional videos assist mothers in acquiring knowledge, facilitate early symptom recognition, and enhance pregnancy outcomes.

The financial crisis in 2007–2008 shake the fiscal world with a wave of massive economic losses, which caused the biggest economic and financial disruption in the world’s financial system and lead to the banking sector recapitalization in many countries. Perennial banks failures attributed in severe losses, capital erosion and triggered a series of mergers and acquisitions, equity issues and government intervention in the Nigerian banking sector. This study is to evaluate the matrix analysis for the effect of merger and acquisition, equity issues and intervention on the performance of Nigerian banking sector. However, the nature and existence of this potential relationship were found to be mixed, which prompted this study to re-examine the relationship. This study employed the quantitative survey research design, stratified sampling method and Partial Least Squares (PLS) algorithm (bootstrap techniques) were used to test the hypotheses. Results obtained supported the hypothesis on the influence of mergers and acquisitions, equity issues, intervention on the banks' performance. The importance-performance map analysis was applied in this study to allow enriching the PLS-SEM analysis and thereby gain additional results and findings, although its application to banking is still at its embryonic state. In addition, the results from importance-performance map analysis indicate that the first priority by managers is to improve the performance aspects captured by equity issues, as this construct have the highest importance in the model, but relatively low performance. Finally, this study has succeeded in validating the aforementioned conceptualization as well as advancing significant theoretical and practical contributions to both researchers, regulatory authorities and managers for further understanding on the influence of recapitalization and banks performance. Further suggestions for future research directions are also offered.

Endometrioid borderline tumours (EBTs) of the ovary are uncommon, comprising about 0.2% of all epithelial ovarian tumours. Here we report a case of ovarian endometrioid borderline adenofibroma because of its rarity, emphasising on its challenging histological diagnosis and the significance of uterine curettage to exclude synchronous endometrial adenocarcinoma. A 64-year-old woman presented with post-menopausal bleeding and pan hysterectomy was performed. Uterus showed atrophic endometrium with an adenomyomatous polyp and left ovary showed a nodulocystic mass measuring 7.5 x 5 x 5cm which was diagnosed as a case of endometrioid borderline adenofibroma.

Background: The tetanus vaccine in pregnancy is crucial for preventing tetanus, a potentially fatal bacterial infection. Tetanus is particularly dangerous for newborns if contracted by pregnant women, as it can lead to neonatal tetanus. The vaccine, typically given as part of the Tdap (tetanus, diphtheria, and pertussis) vaccine, helps protect both the mother and the unborn child by passing on antibodies. It's generally recommended during the third trimester of each pregnancy, providing passive immunity to the newborn until they're old enough to receive their own vaccinations. The tetanus vaccine, when administered during pregnancy, has been shown to be safe for both the mother and the developing fetus. Numerous studies have demonstrated its safety profile. Timing: The vaccine is typically recommended during the third trimester of each pregnancy, ideally between weeks 27 and 36. This vaccination timing ensures optimal transplacental transfer of protective antibodies to the fetus. Tetanus, caused by the neurotoxin-producing bacterium Clostridium tetani, presents significant risk due to its ubiquitous presence in soil, dust, and animal face. Objective: This study investigates women's awareness of the tetanus vaccine and measures its association with Clinical outcomes. Methods: This is a cross-sectional study. Data were collected from thirty women who attended the Yarmouk Primary Health Care. It included the data collected by the researchers, the questions were explained face to face, samples were taken and recorded manually, and then collected via the Excel program. The data was analyzed using the Statistical Package for the Social Sciences (IBM SPSS) version20. The confidence level is 95% with a significant level of P < 0.05. Results: The sample consisted of 30 case (mean age 33.17 years; minimum 20 yr and maximum 45yr). Taking into account the educational level of each woman, it was noted that this affects prenatal health care and general information about the vaccine. 96% of women received the tetanus vaccine, of which 41% percent received the full five doses.

Papillary carcinoma of the thyroid is a follicular type cancer, constituting the dominant histological type of all malignant neoplasms affecting the thyroid gland. His prognosis is generally favorable. The situations where this cancer becomes refractory to the action of radio-metabolic therapy are a real challenge for any clinician. The surgical resumption whenever possible, the use of chemotherapy with tyrosine kinase inhibiting agents, and external radiation therapy are the pillars of management in this type of cancer. We expose through three observations this issue and we discuss the approach toward this clinical situation.

The study was conducted to determine the impact of physical activity on the personality development and soft skills of cadets at the Military Engineering Academy (Ngo Quyen University). The survey results from 230 cadets show that physical activity not only contributes to physical fitness but also enhances discipline, willpower to overcome difficulties, cooperation, and communication skills. Through statistical analysis using SPSS software, the article demonstrates a positive relationship between the level of participation in physical activities and comprehensive development factors.

The study was performed on 31 blood samples collected from children (14 males and 17 females) from Different governorate they were suspected to infection with visceral leishmaniasis were they visited the central public health laboratories in Baghdad their ages ranged from (6 month – 9 years). All data were collected to each patients which included (name, ages and clinical sign and symptoms. All sera were tested by Immunofluorescent Antibodies Assay (IFAT) while interleukin -40 detected by using Enzyme Linked Immunosorbent Assay. The results Indicated that (19) patients with fever, (22) patients with Hepatosplenomegally and (9) patients with different sign and Symptoms. only (8) out of 31 patients produced specific antibodies to visceral leishmaniasis by IFAT Assay. Also, the results indicated increase significantly the level of interleukin -40 in patients in comparison with healthy control.

Executive Review in the formation of regional legal products as strategic supervision to realize good regional regulations. This study aims to analyze and examine the process of supervision of regional legal products using the ROCCIPI method. This study found that the ROCCIPI method is very effective in the formation and supervision of regional legal products, both from the regulatory and implementation aspects. The problem that will be discussed in this study is how the supervision of regional legal products is based on the ROCCIPI method. The method used is normative legal research using the statute approach and theoretical approach related to the supervision of regional legal products based on the ROCCIPI method which will be analyzed qualitatively descriptively.

Background: The medical devices sector in India plays a crucial role in the country's healthcare system, ranging from simple bandages to complex devices like CT scans. Materiovigilance is a system for monitoring adverse events related to medical devices. The program empowers healthcare professionals to report adverse events, ensuring patient safety and improving the overall quality of healthcare through systematic surveillance and data analysis. Objective: To assess knowledge, attitude and practice of healthcare professionals toward materiovigilance and evaluate the impact of an educational intervention on these aspects. Methods: A cross-sectional prospective questionnaire study was conducted for a period of six months at a tertiary care teaching hospital with a sample size of 307 healthcare professionals. Healthcare professionals from Medical, Nursing, Pharmacy, Dental and Physiotherapy were included in the study. Base line data was collected by administering questionnaire. Educational intervention was provided to the same study participants and post interventional data was also collected. Chi-square test was used to test the significance of impact of educational intervention. Results: The collected data showed that 94.46% (290) were under the age group of 18-28. Before the intervention, only 36.16% (141) were aware of the term materiovigilance which increased to 100% (307) after the intervention. Before the intervention, 65.47% (201) did not know where the NCC of MvPi is located and 16.94% (52) gave the wrong answer, whereas after the intervention 88.6% (272) participants gave the right answer. Conclusion: Our study identified a significant knowledge gap in materiovigilance among healthcare professionals before the educational intervention. After the intervention, participants demonstrated a substantial increase in their knowledge and awareness of medical device-related adverse events (MDAEs).

The integration of pharmacy, laboratory and nursing practices has become increasingly vital in enhancing therapeutic outcomes within the healthcare system. As the landscape of healthcare evolves, both professions have expanded their roles beyond traditional boundaries, focusing on patient-centered care and collaborative practices. Interprofessional collaboration between pharmacists and nurses is fundamental in addressing the complexities of patient care. By working together, these professionals can develop integrated care plans that consider all aspects of a patient's health, leading to improved outcomes and enhanced patient satisfaction. Ongoing education and training for both pharmacists and nurses are essential to keep pace with emerging trends and innovations. As the healthcare landscape continues to evolve, the collaborative efforts of pharmacy, laboratory and nursing will be crucial in ensuring that patients receive comprehensive, high-quality care, ultimately enhancing therapeutic outcomes and improving overall health.

Child, Early and Forced marriages have been common practices among many ethnic groups in the world. However, marriage is regarded as a moment of celebration and milestone in adult life. Sadly, the practice of force and early marriages gives no such cause for celebration especially when the groom and most especially the bride are compelled to get married without their consent. This has been the case with most of the Muslim Communities in Cameroon. The phenomenon of forced and child or early marriages have being so rampant among the Muslim communities in Pre and Post Independent Cameroon. Most Muslim parents in Cameroon hide behind Muslim or Sharia law as pretext for sending their girls children to married early. In the three Northern Regions of Cameroon as well as the other Regions down South, the Western Region and the Anglophone Regions, where there is high concentration of Muslims, force and child or early marriages are still being practice, despite the sensitization done by government, NGOs and some foreign partners against those practices. This has constantly ragged or retarded the socio-economic development of the girl child in particular and the Muslim Community in Cameroon at large. The analyses employed critical discourse analysis (CDA) framework. Data gathered both from the primary and secondary sources were analyzed through the chronological, descriptive and analytical methods. Based on the sources used, we arrived at the conclusion that most victims of forced and child or early marriages in the Muslim Communities in Cameroon are victims of customs and not Muslim or Islamic law. It is now left on the government and Muslim authorities to do a lot of sensitizations and carry out, why not repressive measures to make sure that the phenomenon of forced and child or early marriages among the Muslim Communities came to an end.

Background: Blood group antigens play a critical role in transfusion medicine, affecting the safety and effectiveness of blood transfusions. Among these blood groups, the Kidd blood group system, which includes Jka, Jkb, and Jk3 antigens, is particularly significant due to its implications in delayed hemolytic transfusion reactions and its genetic variability across different populations. Objectives: This study compared the prevalence of Kidd blood group phenotypes among Saudi and non-Saudi blood donors in the regional blood bank in Riyadh, Saudi Arabia. The goals were to understand the distribution of these antigens and assess the level of genetic integration between the two groups. Methods: A cross-sectional study was conducted with 311 blood donors, comprising 155 Saudis and 156 non-Saudis. The phenotypes analyzed included Jk(a+b+), Jk(a-b+), Jk(a+b-), and Jk(a-b-). Data were collected from the regional blood bank in Riyadh, and statistical analysis was performed using Chi-square tests to compare phenotype distributions between the groups. Results: The study found that the most prevalent phenotype was Jk(a+b-), occurring in 47.74% of Saudis and 44.23% of non-Saudis. The least common phenotype was Jk(a-b-), observed in just over 1% of non-Saudis and less than 1% of Saudis. The prevalence rates for Jk(a+b+) and Jk(a-b+) were similar between the two groups, suggesting a high level of genetic integration. No significant differences were found in the distribution of these phenotypes between Saudi and non-Saudi donors, indicating substantial genetic similarity and intermingling. Conclusions: The results suggest that the regional blood bank in Riyadh has a homogenized population concerning Kidd blood group antigens, facilitating the development of donor databases that include comprehensive antigen profiles. These databases can enhance the precision of blood matching and reduce the risk of transfusion reactions. This study highlights the importance of genetic diversity in developing personalized medicine strategies and adapting transfusion protocols to local and regional antigen profiles.

Sports is a widely accepted and celebrated event in the world today, yearly learning institutions especially the colleges and universities everywhere are gearing participation to their extramural sports engagements, investing on high quality facilities and equipment, hiring known and excellent coaches and trainers, scouting new potentials, planning and doing rigid trainings, monitoring the health and the conditions of the student-athletes to ensure positive performances for the competitions and championships. The purpose of the study is to investigate the level of sports commitment of the student-athletes in a Higher Education Institution (HEI) in the City of Manila, Philippines. Where in the “Sports Commitment Model” was adapted from the study of Scanlan et.al (1993 and cited by Human Kinetics Journal @ 2024) that composed of 1) sports enjoyment, 2) involvement alternatives, 3) personal investment, 4) social constraints and 5) involvement opportunities. Descriptive research is the methodology design to scientifically gather information that provides a detailed and accurate picture of the characteristics and behaviors of the respondents. Questionnaire checklist is the main instrument to gather data. 103 student-athletes enrolled in the SY 2023-2024 were the respondents of the study from the different sports discipline classified into individual/dual combative (52 athletes) and team sports (51 athletes respectively). Sports enjoyment and involvement alternatives of the respondents showed the high level of commitment, while personal investment, social constrains and involvement opportunities just moderately committed. School administrators, coaches and trainers put more emphasis on student-athletes enjoyment and involvement alternatives to keep them motivated and committed in their chosen sports.

Introduction: This study aims to evaluate the water supply system as well as hygiene and sanitation measures in schools. Materials and methods: It was a descriptive cross-sectional study conducted in ten schools in the commune of Mangobo from October 5 to November 5, 2024. Direct observation was used to collect data based on an observation and interview grid. Entered in Excel, the data were imported into STATA 15 for statistical analyses. Results: The schools in the private and official networks were dominant. The majority had fewer than 1500 students, fewer than 20 teachers, and more than 20 classrooms. The schoolyards were enclosed with temporary materials. A large number of schools do not have puddles of water in the courtyard and are not littered with waste. However, an average level of classroom maintenance and overall sanitation was observed. All schools had a source of drinking water from the water distribution authority, available in the courtyard in 3/5 of the cases. The establishments had latrines in 3/5 of the cases, the vast majority of which were separated by category with a locking system. Disinfection materials were less available. The overall condition of the latrines was good in the vast majority of cases. Six out of ten schools had handwashing facilities, but water and soap were consistently available in three out of five cases. Conclusion: It is important to take into account the need and functioning of hygiene and sanitation facilities to ensure sanitary conditions in schools.