The Agile transformation of 132/11 kV Capital Substation Projects has significantly improved efficiency, cost-effectiveness, and sustainability in infrastructure development. By leveraging Lean and Agile methodologies, including Scrum frameworks, process streamlining, and extensive workforce training, project delivery timelines were reduced by 30%, cutting construction duration from 30 to 21 months. This transformation resulted in AED 1.8M in cost savings per substation, amounting to AED 27M annually, alongside an 84% improvement in first-time drawing approvals. Additionally, the integration of precast construction methods reduced 3,165 tons of CO₂ emissions across 15 substations, reinforcing Agile’s role in sustainable project management. The benchmarking of these innovations against other government authority CFR process further highlights Agile’s scalability and industry relevance. These findings demonstrate that Agile is not only a project management methodology but a transformative approach that enhances speed, cost-efficiency, governance, and sustainability in capital infrastructure projects.

In the development process of humans and human society, accompanying factors such as economics, politics and culture are the factors of spiritual life, belief and religion. Particularly, it is believed that thinking and lifestyle are the two fundamental components that best capture the evolution of human existence and progress throughout any nation's history. Likewise, for the Southern Khmer community in Vietnam, during the process of settlement and long-term survival in the new land, the thinking and lifestyle of the Khmer community are always influenced by foreign influences. Many different factors to form a community with diverse but profound lifestyles and ways of existence to be able to stand and live for a long time for centuries in the South. Belief and religion are regarded as the two main factors in that significant impact of living circumstances, directly impacting the way the Khmer community thinks and lives as spiritual therapy. Assists in resolving issues and ideas that people are unable to resolve on their own as well as life's challenges. To be able to maintain long-term survival, the Southern Khmer community in Vietnam relies on gods and placing full trust in the gods to ask for salvation and protection from the strong impact of climate change natural event. Among them, the image of Neak Ta is mentioned in the entire way of living in the community, having a significant influence on the thinking and lifestyle of the Khmer people during the process of settlement and gathering long-term in the Southern region.

Jasmine is one of the plants with large number of species naturally occurring and cultivated species for fragrant flowers and their multiuse. People make religious sacrifices to gods like Lord Shiva and Lord Vishnu using jasmine flowers. Jasmine leaves can be deciduous or evergreen. This suggests that the leaves will either remain evergreen or drop off when they reach maturity. In the present study, the aqueous extracts of Jasminum sambac, J. malabaricum, J. grandiflorum leaves were studied for their phytoconstituents using standard protocols. Jasminum sambac and J.malabaricum showed the presence of alkaloids, tannin, protein, flavonoid, steroid and carbohydrates. Antioxidant activity was studied by DPPH and FRAP assay methods. DPPH antioxidant assay showed highest reducing power in Jasminum malabaricum compared to other two species. Antibacterial activity studied by well diffusion method in which J.malabaricum and J.sambac showed higher antibacterial activity whereas antifungal property was more showed by J.malabaricum extracts.

Introduction: The sinus lift technique is a widely used procedure for the rehabilitation of the atrophic maxilla in terms of height in the posterior regions. Initially, it was performed through a lateral approach with an open window, until a less invasive procedure, the transcrestal elevation, began to be used. Today, this approach is almost exclusively performed, with the lateral approach being reserved for extreme atrophies (1–2 mm in height). Regarding graft material, there have also been modifications over time, evolving from block grafts and particulate autologous bone to mixtures of different materials, and more recently, to graft-free techniques. In these cases, only the pressure from the implant apex and space maintenance contribute to new bone formation within the augmented space. This article presents cases treated with transcrestal sinus lift without graft material, with a follow-up period of up to 15 years. Materials and Methods: Patients who had undergone a transcrestal sinus lift without graft material and had a minimum follow-up of 10 years and a maximum of 15 years were consecutively recruited. Follow-up evaluations were conducted every six months, assessing bone gain over the implant apex and its stability over time, as well as mesial and distal crestal bone loss and implant survival. Results: A total of 27 patients who received 45 implants meeting the inclusion criteria were recruited. Among them, 44.4% were women, with a mean age of 68 years (±4.5). The mean initial bone height at implant placement sites was 5.75 mm (±1.11), ranging from 2.07 to 7.10 mm. At the end of the follow-up period, which had a mean duration of 12.8 years (±1.32), ranging from 10 to 15 years, the final mean bone volume at the implant site (implant length + bone gain) was 8.99 mm (±1.91). The mean bone gain over the apex across all implants was 4.21 mm (±1.89). Regarding bone loss, the mean mesial crestal bone loss across all implants was 0.66 mm (±0.46), with a range of 0 to 2.21 mm, while the mean distal crestal bone loss was 0.87 mm (±0.53 mm), ranging from 0 to 3.03 mm. Conclusions: Transcrestal sinus lift without graft material, using short and extra-short implants along with a specific drilling sequence, is a safe and predictable technique, even in the long term. The results of this study, with a follow-up period of 10 to 15 years, support its effectiveness and reliability.

This study offers a new model (a five by four matrix) to analyze an imaginary left-right division Israel. By analyzing the historical evolution of the Zionist ideology to four core issues (territory, religion, economy, and the attitude towards non-Jews), the main findings are that there is no real difference between them in any of the issues. In practice, they also behaved similarly, almost identically, in each of these issues. The main conclusion of the article is that in Israel there exists an imaginary rift between the right and the left that serves political parties and produces a social rift.

Background: Hyponatremia is a common endocrine disorder associated with prolonged hospital stays and increased morbidity. Accurate diagnosis and management require systematic clinical and biochemical assessments. This study evaluates the current practices in managing inpatient hyponatremia and compares them with international guidelines. Objectives: This study aims to (1) compare current hyponatremia management practices with international guidelines, (2) identify areas needing improvement in documentation and service provision, and (3) implement changes and reassess outcomes. Methods: A retrospective randomized case note review of 50 inpatients diagnosed with hyponatremia was conducted. Documentation standards were compared with international guidelines. A second audit was performed after implementing a checklist-based documentation system. Results: The first audit revealed suboptimal documentation and testing: volume status was recorded in only 8% of cases, paired osmolality in 8%, medication review in 24%, urinary sodium in 28%, urinary osmolality in 36%, serum cortisol in 56%, and thyroid function tests in 72%. After implementing a standardized documentation sticker, documentation rates improved, with notable reductions in hospital stay duration and time to achieve sodium normalization across all severity groups. Mean hospital stay for severe hyponatremia decreased from 11.4 to 7.5 days. Conclusions: Implementing a standardized documentation checklist improved hyponatremia management, reduced hospital stay duration, and facilitated early specialist input. Further improvements could be achieved by updating hospital guidelines to align with international standards and introducing electronic alerts and referrals.

Aim: The aim of this study to identify the different histopathological pattern of neoplastic lesions in nephrectomy specimens. Materials and Methods: This was a retrospective record analysis done over a period of three years (January 2021 to December 2023). All nephrectomy specimens with a diagnosis of renal tumor received in the Department of Histopathology, National Institute of Kidney Diseases and Urology, Dhaka were recorded from histopathology registers and analyzed for pattern and grading of renal tumors. Results: A total of 230 renal tumors were studied. Of the 230 renal tumors encountered during the study period, 205 cases (89.13%) were diagnosed as malignant tumors and 25 cases (10.87%) as benign tumors. There were 151 male and 79 were female cases (male-Female ratio 1.91:1) and Mean age 62 years. Renal tumors occurred most commonly in 6th and 7th decades and least in 2nd decade. In our study, mean age of patients with benign tumors was 52 years and that for patients with malignant tumors was 64 years. Renal cell carcinoma was the commonest tumor 170 (73.91%) followed by Wilm’s tumor 18 (7.83%) followed by transitional cell carcinoma 06 (2.61%). Neuroblastoma and sarcomatoid renal cell carcinoma showed in 5 (2.17%) and 4 (1.74%) cases respectively. The most frequent subtype of RCC were clear cell carcinoma 135 (79.41%) followed by papillary renal cell carcinoma 17 (10%). Relatively serious collecting duct carcinoma and most serious renal medullary carcinoma were found in 06 (3.53%) and 04 (2.35%) cases respectively. A total of 152 cases of clear cell renal cell carcinoma and papillary renal cell carcinoma which were graded 1–3 based on nucleolar prominence, whereas grade 4 was defined by the presence of tumor cells with sarcomatoid and/or rhabdoid morphology and/or tumors containing tumor giant cells or showing extreme nuclear pleomorphism. Most frequent grade in this study group was grade-2 (53.29%) followed by grade-3 (33.35%) where the least frequent grade was grade-4 which is most dangerous. Conclusions: This retrospective study showed distribution and grading of renal tumors in the nephrectomy specimens performed at our institution. The results obtained from our study were comparable with available data from other countries.

يعد الشيخ عبد الله بن فودي (1754-1817م) من الشخصيات البارزة في تاريخ الفكر الإسلامي والحركة الإصلاحية في غرب إفريقيا. عُرف بكونه من المفكرين والعلماء الذين تناولوا المسائل الشرعية والعقدية، وسعى لتطبيق مبادئ الشريعة الإسلامية في مجتمعه. تميزت كتاباته ومحاضراته بالبلاغة الأدبية العالية، بالإضافة إلى شجاعته في التصدي للظروف السياسية والاجتماعية التي كانت تؤثر في تطبيق الشريعة. وفي هذا السياق، يمكن دراسة ظواهر البلاغة في بعض إسهاماته التي تناولت حدود الشرعية، مع تحليل البلاغة الأدبية في خطابه وأسلوبه في نشر المفاهيم الدينية . البلاغة في دعوته لتطبيق حدود الشريعة مثل استعمال التشبيه والاستعارة استخدام التكرار، البلاغة الأدبية في إسهاماته الفكرية أسلوب التنوع في العبارة أسلوب الوعظ والتوجيه البلاغة في تحفيز تطبيق الحدود الشرعية. التركيز على القيم الإنسانية استخدام الأسلوب القصصي: التنوع في الأساليب البيانية الاقتباسات من الكتاب والسنة: البلاغة الأدبية في مواجهته للظروف الاجتماعية والسياسية.

The review focused on recent patents between 2018 and 2023 that concern the use of green solvents that are relevant to the development of bio-based solvents, ionic liquids, deep eutectic solvents and supercritical fluids. It draws on data from global databases to identify progress toward sustainability, safety and industrial efficiency with reduced environmental impacts. The patents are categorized according to their type, applications and innovation, thereby highlighting emerging trends, research gaps and the role of intellectual property in driving sustainable chemistry solutions. Essentially, among other principles of green chemistry and circular economy, they are identified on the basis of their low toxic effects, biodegradability and renewable sourcing. These green solvents, however, are greener alternatives to more conventional petrochemical-based solvents in pharmaceutical, agrochemical, cosmetic, and other applications. A number of recent patents on chemical synthesis, extraction, and cleaning technologies highlight the environmental and industrial advantages of green solvents. This will consist of activity-specific ionic liquids, scalable bio-derived solvents and extremely efficient solvent recovery systems for improving the efficiency and sustainability of chemical processes. Despite challenges like cost, scalability and performance limitations, patents demonstrate opportunities to improve synthesis methods, develop multifunctional applications, and integrate green solvents into existing industrial systems. This review emphasizes the transformative potential of green solvents in fostering environmental sustainability and supporting a circular economy. Green solvents are helping reshape industrial practices and reduce toxic petrochemical solvent reliance while addressing global environmental and regulatory challenges.

Fibrous polyp: it is a fibroid, endocavitary, pedunculated and delivered through the uterine cervix with a pedicle arising from the uterine fundus or one of the walls of the uterine cavity. Their treatment is surgical and requires skill and a suitable technical platform. To our knowledge, no cases have been published in Mali. We report a fibrous polyp occurring in a 41-year-old patient, multi-gesture 5th procedure 5th parous with 5 living children, evacuated from a community health center located 60 km away, who presented episodes of metrorrhagia. The gynecological examination shows the presence of a “fibroid” delivered through the cervix. She was surgically managed vaginally for lumpectomy. It was a mass composed histologically of uterine leiomyofibroma remodeled by inflammation.

This study examines the feasibility of utilizing atmospheric air as a clean water alternative to address water scarcity, considering Oman's normal humidity levels of 75% to 85%. The study utilizes a thermoelectric cooler (TEC 1-12706), augmented by a heatsink and fan on its hot side to improve heat dissipation. A copper cooling coil functions as both a heat absorber and a condenser for ambient air flowing through it. The coil, with a diameter of 7.9 mm and a length of 1000 mm, receives its cooling source from a water block affixed to the cold side of the cooler. Experiments were performed in three environmental conditions: laboratory, residential area, and coastal area, with variations in the airflow rate of the heatsink cooling fan. The data collection encompassed a humidity range of 72.27% to 83.01%. The findings indicated a clear association between the air mass flow rate of the heatsink cooling fan and the volume of water extractable from the air. During preliminary laboratory testing, a mass flow rate of 0.046 kg/s yielded 4.25 ml/hour, 0.069 kg/s resulted in 4.625 ml/hour, and 0.092 kg/s produced 5.5 ml/hour. Moreover, among the three environmental settings evaluated, a greater volume of water may be retrieved from coastal regions compared to labs and residential areas. In coastal regions, the air mass flow rate is 0.092 kg/s, with a potential water extraction of 7.75 ml/hour; in laboratory settings, it is 5.5 ml/hour, and in residential zones, it is 4.75 ml/hour. These encouraging results advocate additional research to enhance water extraction by optimizing the contact area between the air cooler and the coil surface, potentially providing a feasible solution for the scarcity of clean water.

Background: Preterm Premature Rupture of Membranes (PPROM) is a significant obstetric complication associated with adverse maternal and neonatal outcomes. Identifying early hematological markers could aid in risk prediction and preventive strategies. This study investigates the association between Mean Platelet Volume (MPV) and Platelet Count (PC) measured at 11–13 weeks of gestation with the risk of PPROM. Methods: This prospective cohort study was conducted at the Department of Fetomaternal Medicine and Obstetrics and Gynecology, Bangabandhu Sheikh Mujib Medical University (BSMMU), from September 2022 to August 2023 included 73 pregnant women who underwent MPV and PC measurement at 11–13 weeks of gestation. Participants were monitored until delivery for PPROM occurrence. Diagnostic efficacy was assessed using Receiver Operating Characteristic (ROC) curve analysis, and risk estimation was performed using relative risk (RR) calculations. Results: PPROM occurred in 9 out of 73 participants (12.3%). A significantly lower MPV (≤8.0 fL) was observed in 77.8% of PPROM cases compared to 6.3% in the non-PPROM group (p<0.001), with a relative risk (RR) of 19.73. The combination of high PC (≥294,000/cu.mm) and low MPV (≤8.0 fL) was present in 44.4% of PPROM cases versus 4.7% in the non-PPROM group (p=0.003), with an RR of 7.54. ROC analysis showed that MPV had an AUC of 0.856, with 77.8% sensitivity, 93.8% specificity, 98.9% positive predictive value (PPV), and 37.2% negative predictive value (NPV), indicating a stronger predictive value than PC. Conclusion: MPV measured at 11–13 weeks of gestation is a strong predictor of PPROM, with better diagnostic accuracy than PC. The combination of low MPV and high PC further strengthens this association. Early screening using MPV may help identify high-risk pregnancies, allowing for closer monitoring and timely interventions.

Background: Health is a basic human need and fundamental human right. The health status of developing countries of the world is miserable and unacceptable. A large segment of the population in developing countries is deprived to access to basic health care and carry ill health. Although the impact of education on health is important for economic policy in developing countries, the overwhelming majority of research to identify the health returns to education has been done using data from developed countries. Education plays a central role in modern labor markets. Hundreds of studies in many different countries and time periods have confirmed that better-educated individuals earn higher wages, experience less unemployment, and work in more prestigious occupations than their less-educated counterparts. Objective: This study was aimed at assessing the impact of education and income on health status and associated factors of people in rural area of Bangladesh. Materials and Methods: The community-based comparative cross- sectional study was conducted in Sirajganj, Kamarkhand Upazila in Sirajganj district situated in the northern part of Bangladesh from 01 May to 20 September 2023. Data was collected with a semi structured questionnaire. Collected data were analyzed with statistical package for social sciences (SPSS) version 22.0.390 rural respondents were included in the study. Age groups 26 to 35 were the major age group. Majority 129 (86%) were Muslim with lower socio-economic status of 69 (46%). Result: In general, the (24%) take balance diet regularly and the (76%) do not take balance diet regularly. Followed by (64%) participants get enough food every day and 36% don’t get enough food. One of the central findings of this study is the significant impact of education on health status among rural residents. The data indicates that individuals with higher levels of education tend to report better health. This aligns with the existing literature, which consistently demonstrates the positive association between education and health outcomes. Conclusion: This research contributes to the broader discourse on social determinants of health and provides a foundation for evidence-based policymaking and interventions aimed at promoting health equity in rural areas.

Background: Historically, "Once a C-section, always a C-section" was the norm, but advances in surgical techniques have shifted toward encouraging VBAC. Understanding factors for successful VBAC can reduce cesarean rates, improve recovery, and enhance maternal health. Our study aims to support safe VBAC implementation, promoting better outcomes and patient autonomy. Aim: To find out the clinical determinants and Obstetric outcome in Vaginal Birth after a Previous Caesarean Section. Material and Methods: This study is a descriptive, observational, cross-sectional research conducted over two years at the Department of Obstetrics and Gynaecology of DVVP Pravara Rural Hospital, Loni, with a sample size of 100 participants. The primary aim is to evaluate factors influencing successful Vaginal Birth After Cesarean (VBAC) in women who have a history of a previous single lower segment cesarean section (LSCS) at the same hospital. Data were collected from eligible participants and analyzed using suitable statistical tests to identify trends and correlations. Results: Our study aims to assess the safety and feasibility of VBAC in a tertiary care setting, focusing on key factors such as maternal age, BMI, inter-delivery interval, previous obstetric history, and the indication for the initial cesarean. By identifying predictors of successful VBAC, the findings will help improve clinical decision-making and patient counseling. The study was approved by the ethical committee, and participants provided written informed consent. Standard protocols for VBAC management were followed, with senior obstetricians making the decision. Continuous electronic fetal monitoring ensured maternal and fetal wellbeing during labor. Conclusion: VBAC can be a safe option for women with a history of a single LSCS, provided there are no contraindications. A multidisciplinary approach, continuous fetal monitoring, and partographs improve safety and timely intervention. Senior obstetricians’ involvement enhances success rates. Favorable outcomes indicate VBAC can reduce repeat cesareans, lowering surgical risks and costs.

Purpose: To examine how income and interest rate affect mobile banking transactions in India’s financial system during the digital era from January 2016 to December 2022. Design/Methodology/Approach: The authors first test the stationarity of variables using ADF and PP tests, followed by a residual-based Granger and Johansen cointegration tests. The dynamic ordinary least squares (DOLS) method is used to estimate the long-run coefficients whereas the short-run coefficients are examined through the ECM. Additionally, FMOLS, CCR, IRF and diagnostic tests are applied to ensure the robustness of the results. Findings: The stationarity tests indicate that all selected variables are integrated at their first differences. Furthermore, the Engle-Granger and Johansen cointegration tests confirm a long-term relationship. The DOLS results show that income (Y) and short-term interest rate (SR) significantly influence money demand through mobile banking in the long run. In the short run, the coefficients of income and interest rate are not statistically significant; however, the negative and significant error correction term (ECT) indicates adjustment toward long-run equilibrium. Additionally, the FMOLS, CCR, and IRF models support the robustness of the long-run results, and diagnostic tests confirm the accuracy of the findings. Originality/value: This study makes a unique contribution by examining the effects of income and interest rate on mobile banking in the digital era, as the dependent variable instead of the traditional measure of money demand—an area with minimal empirical research. It provides a deeper perspective on how these factors shape mobile banking transactions in an evolving financial sector. By bridging traditional economic theory with modern financial practices, this study enhances our understanding of liquidity preference in the digital age and demonstrates the ongoing relevance of Keynesian concepts in today’s digital finance environment.