The current research is centered on the optimization and prediction of non-elastic performance factors crucial for imprοving the struϲtural integrity and strength of pipeline weldments, with a specific emphasis on the period of immersion in an HCl solution. The research investigates the results of welding factors on immersion period. Utilizing Design Expert software, the study employs Central Composite Design (CCD) methodology to generate an experimental matrix and develop models. Additionally, Respοnse Surfaϲe Methodοlogy (RSM) and Artifiϲial Neural Networks (ANN) are utilized for the prediϲting and optimizing these parameters. The research concludes that optimal welding parameters, 160 amps current, 21.28 volts voltage, and 14.67 liters/min gas flow rate, which results in an immersion period of 18.067 days in the HCl solution. The study shows that both the RSM and ANN are effective for optimization and prediction, with RSM demonstrating slightly superior predictive capabilities.

Introduction: Malnutrition is a major public health problem in several countries around the world. The aim of this study was to determine the impact of risk factors for the occurrence of types of malnutrition in children aged 6 to 59 months at the URENI of the CSRéf in Commune V. Method and Materials: Sampling was exhaustive; the sample size was 73 children. Results: The female sex was the most represented (55%), the most represented age group was 12 to 24 months (49.31%) and the majority of the children were not vaccinated. The mothers ranged in age from 20 to 34 years (64.38%), and were mostly uneducated, housewives (89.04%) and multiparous (64.4%). The most common form of SAM was marasmus (72.60%) and malaria was the most common pathology associated with severe acute malnutrition (54.8%). Risk factors for malnutrition included poverty (38%), food insecurity (20.5%), disease (13.7%) and poor diet (13.7%). A statistically significant link was found between the risk factors and the type of severe acute malnutrition. Conclusion: SAM is common in the Commune V CSREF, and the risk factors for its occurrence remain dominated by poverty.

This study investigates the hydrochemical characteristics and pollution sources affecting the water quality of the Nworie and Otamiri Rivers in Owerri Metropolis, Nigeria. These rivers are essential for domestic, industrial, and agricultural uses, but are threatened by both point and non-point source pollution. The study utilized Durov diagrams to analyze water samples, revealing that ion exchange reactions are the primary hydrochemical processes influencing water quality. The samples were predominantly classified as intermediate-type water with chloride-type anions, though variations such as magnesium-rich and sodium plus potassium types were noted. The pH and Total Dissolved Solids (TDS) values exhibited systematic trends, suggesting natural geochemical processes and anthropogenic influences. Increasing activities along the watersheds, including runoff from rainfall carrying pollutants, have transformed previously point-source pollution into more complex non-point source pollution, complicating monitoring and control efforts. As observed in the post-confluence samples, the classification of water samples into different cation and anion types indicates diverse sources and interactions, including potential mixing with seawater in certain areas. The findings underscore the need for comprehensive water quality management strategies to address these rivers' diverse and dynamic contamination sources. Further research, including isotopic analysis and detailed chemical characterization, is recommended to better understand the region's environmental and human factors influencing water quality.

One form of natural resource in Indonesia is Oil and Natural Gas. The existence of the upstream oil and gas industry has a direct and indirect impact on regional development. Of several oil and gas-producing regions in Indonesia, Aceh is the only region that has special autonomy status. Are there differences in management arrangements and distribution of natural gas revenues from Aceh compared to other regions? How can oil and gas management provide greater benefits to Aceh? This research uses doctrinal or normative legal research, by examining library materials or secondary data. This research also uses primary data in the form of interviews with stakeholders. The result shows that the special autonomy granted to Aceh Province gives the regional government the authority to be involved in oil and gas management through the Aceh Oil and Gas Agency. However, as it turns out into practice, its duties and scope of authority are limited to monitoring implementation, acting as a regulator at the national level; hence, a direct role in the upstream oil and gas business process does not work and does not have a direct impact on increasing local revenue. Therefore, it is crucial to involve the region in direct oil and gas management in Aceh, in part or in whole, by giving the region the right to manage old wells.

This paper presents the findings of a probabilistic evaluation of a doubly symmetric I-steel beam's bending, shear, and deflection limit states. The design adhered to BS 5950, Part 1, 2000. Failure equations for flexure, shear, and deflection were derived, while random variable probabilistic models were sourced from the literature. Optimization using the First-Order Reliability Method (FORM) yielded design points, reliability indices, and sensitivity analyses. The results revealed that the reliability index decreased as beam span increased, with negative indices observed at a load ratio of 1.0 and beam span of 8.5m. Moreover, increasing the beam span to an overall depth ratio above 42 compromised reliability. The design achieved material savings in the plastic section modulus for a target reliability index of 3.0 but increased the modulus for a target index of 3.80 over a 50-year period. The design proved critical in bending, safe in deflection, and satisfactory in shear.

Objective: The aim of the research is to apply the Nd:YAG, Semiconductor, He-Ne laser to kill Micrococcus spp. bacteria isolated from various human cancers. Study Design: The clinical study design for this research was case–control in analytical and Cross-sectional in descriptive. Backgrounds: Carcinobacteria are bacterial infections organisms that cause cancer by cause mutate of one or several genes. Micrococcus spp.is a genus of non-spore forming Actinomycetes, gram positive, opportunistic pathogen for the immunocompromised patients, related to bacteremia, ventricular shunt, continuous ambulatory peritoneal dialysis peritonitis and central catheters. septic arthritis, meningitis, intracranial abscesses and endocarditis. Methodology: Study patients, specimens, collection of bacteria from cancer patients during malignant tumor eradication. Applying and exposing to Nd:YAG laser at different times. Results: The number of live cells and the percentage of killing of Micrococcus spp. bacteria after exposing them to radiation emitted from Nd:YAG, Semiconductor, He-Ne laser at different times including (5, 10, 20, 30) and comparing them with the control, with (2-4) replications. Conclusion: The conclude that He-Ne, Semiconductor and Nd:YAG lasers are very effective and powerful in killing Micrococcus spp. bacteria isolated from leukemia, liver and colon cancer at different times and the longer the exposure time the higher the killing rate.

Objective: To identify the main comfort needs of adolescent puerperae. Methodology: A Scoping Review was conducted, following the guidelines and steps of the Joanna Briggs Institute: (1) identification of the review's question; (2) search for studies; (3) study selection; (4) data extraction; (5) interpretation, summarization, and dissemination of results. The PRISMA-ScR was used to report the results. Results: The initial search yielded 219 studies in the databases, of which 107 were excluded due to duplication. After applying the exclusion and inclusion criteria and further reading of titles and abstracts, an additional 96 studies were excluded, with 16 left for full-text reading. Of these, one study did not meet the eligibility criteria as it was a clinical trial protocol registration. Four studies were excluded as the sample consisted only of women over 18 years old. Thus, 11 articles were selected for full-text reading and further analysis. Among these, seven studies had a sample that included both adolescent and adult women. The other four studies focused on the adolescent population bud did not fully address the research question. Therefore, after exhaustive readings of the manuscripts, the researchers observed that there were no investigative data that addressed the guiding question of the research and decided to exclude all 16 studies, resulting in an empty review. Conclusion: Studies that address the role of nurses in identifying comfort needs during the puerperium of adolescents are required, given the lack of published research on the subject.

Background: Induction of labor is a common obstetric practice aimed at reducing perinatal risks associated with prolonged pregnancy. This study aims to compare the outcomes of elective induction of labor after 39 completed weeks versus expectant management up to 41 completed weeks of pregnancy. Methods: A comparative study was conducted in the Obstetrics and Gynecology department of BSMMU, Shahbag, and Badda General Hospital, Dhaka, from January 10, 2016, to December 30, 2019. A total of 1200 prenatal patients were included, with 600 in the induction group and 600 in the expectant group. Results: The mean age was similar in both groups (30.6 years in the induction group and 30.2 years in the expectant group). Nulliparous women were more prevalent in the expectant group (56.6%) compared to the induction group (49.8%). Cervical ripening and onset of labor were higher in the induction group (71.7%) than in the expectant group (63%). The Caesarean section rate was significantly lower in the induction group (9%) compared to the expectant group (27%). Meconium-stained liquor was less common in the induction group (16.3%) versus the expectant group (22%). NICU admission rates were similar between groups, but neonatal deaths were lower in the induction group (2 vs. 13). Conclusion: Induction of labor between 39 and 40 weeks reduces perinatal mortality without increasing maternal complications, Caesarean section rates, or NICU admissions. Future research should explore induction at or beyond 37 weeks to optimize timing.

The American culture wars at the end of the 20th century was characterized by deep divisions over the role of religion in public life and a range of social issues. Great divergences occurred in mainline religions, leading to the occurrence of the religious progressives and religious conservatives. Both sides got aligned with their counterparts across traditional religious traditions, and launched the culture wars. These conflicts had a long-lasting impact on American society and politics, setting the stage for the ongoing debates and shaping the cultural landscape in the 21st century.

Aquaculture industry is a largest industry which provides protein rich food. This industry aims to fulfill peoples dietary needs globally. Purpose of this study was to examine the effects of Moringa oleifera leaf meal (MOLM) on growth, hematological and mineral composition of Catla catla fingerlings. An experiment with 180 days feeding trials was conducted to examine the efficacy of MOLM. This experiment was performed according to semi-intensive rearing system to assess the performance of Catla catla fingerlings under MOLM diet. MOLM was used as test ingredient in experimental diets. Five varying levels of MOLM (6%, 12%, 18%, 24% and 30%) were tested to replace fishmeal. For first fifteen days, these fingerlings were placed under laboratory conditions in cemented ponds for acclimatization. When these fingerlings were fully acclimatized, then they were divided into six study groups. Among six earthen ponds, total 90 fingerlings were uniformly distributed. So, fifteen fingerlings were nourished in each pond. Data were recorded for various growth, hematological and mineral composition of fingerlings body. Analysis of recorded data revealed that 12% MOLM diet provided highest results for growth parameters as compared to controlled or other experimental diets. Highest results for hematological and body mineralization were also found in those fingerlings fed with 12% MOLM diet. In this current study, it was determined that 12% replacement of fishmeal by MOLM enhanced growth, hematological parameters and body minerals of Catla catla fingerlings.

The debate on abortion rights in America has a long history and has become a moral and political issue. After Roe V. Wade decision in 1973, the debate on abortion lead to the ongoing contradictions between the “pro-choice” and the “pro-life”. The two sides hold totally different moralities and values on abortion, and sparkled the culture war on abortion rights. In the culture war, radical feminists strongly support abortion rights, showing their resistance to the patriarchal society, while the traditional Americans insisted on traditional moralities and values, expressing strong opposition to abortion. The culture war was fiercely going on and a consensus was hard to reach between the two sides.

Background: Rheumatoid Arthritis is a major public health concern, affecting 0.46% of general population. Janus kinase inhibitors (JAK) emerged as new biological drug for RA management. However, there is limited literature on effectiveness and safety of JAKi in combination therapy for RA management. We aimed to perform a meta-analysis to compare the efficacy and safety of JAKi in combination therapy with MTX as compared to MTX alone among RA patients. Methods: The recent meta-analysis of randomized controlled trials (RCT) have been conducted in accordance with Preferred Reporting Items for Systematic Review and Meta-analysis Protocols to fulfil research aims. Three electronic databases named as PubMed, Cochrane library and clinical trials.gov were used for research articles extraction. Primary outcomes were American College of Rheumatology criteria for 20% improvement (ACR20 response), Disease Activity Score in 28 joints (DAS28), Health Assessment Questionnaire disability index (HAQ-DI), and adverse events (TEAE). The Cochrane Risk of Bias tool was used to evaluate the quality of each included randomized clinical trials. The pooled analysis was conducted by using RevMan (Review Manager) software version 5.4. Results: About 407 research articles were extracted from electronic databases and only 9 RCT’s met the inclusion criteria. About 9 RCT’s and 6853 RA patients met the inclusion criteria with 5040 patients receiving JAKi plus MTX in combination and 1813 patients receiving MTX in monotherapy. The pooled analysis showed that ACR20 have significantly improved among group receiving combination therapy as compared to MTX alone (Placebo) [OR: 2.44 (1.35 to 4.40) Cl: 95%] while TEAE numbers have favored the MTX alone as compared to group receiving combination therapy [RR: 1.29 (0.89 to 1.87) Cl: 95%], because number of adverse events were higher among treatment group. Moreover, the mean difference showed that HAQ DI [Mean difference: -0.53 (0.94 to -0.11) Cl: 95%], DAS28 [Mean difference: -1.85 (-2.83 to -0.86) Cl: 95%] have significantly decreased among group receiving combination therapy as compared to MTX alone (Placebo). Conclusion: Overall, the findings of recent meta-analysis revealed that JAKi in combination therapy with MTX improved the ACR20 responses, Clinical Disease Activity Index (CDAI), and mean creatinine levels, as compared to MTX alone among RA patients. However, the frequency of adverse events by JAKi plus MTX was higher as compared to MTX alone that compromised the safety profile of combination therapy.

Background: Smoking cessation continues to be an issue of public health concern in Bangladesh, with a high prevalence of male smoking and exposure to second-hand smoke. It is for this reason that it is pertinent to know the socio-demographic characteristics, knowledge attitudes, and health risks and impacts of active and passive smoking. Objective: The objectives of this study include assessing the health risks of passive smoking on Bangladeshi adults, understanding the role of socio-demographic characteristics in tobacco use, and determining the awareness of health risks by tobacco users and people exposed to second-hand smoke. Methods: The current cross-sectional study was carried out at the Community Based Medical College Hospital in Bangladesh during July 2021 to June 2022. In total, one hundred participants with an age of 18 years and above were selected using the convenience sampling technique. Data was collected by administering a structured questionnaire and interviewing the participants face-to-face. The data was analyzed using descriptive statistics, and chi-square tests were also conducted. Results: The sample possessed a mean age of 32 years. 85 years, with male participants being 60%. Understanding about these smoking-related health consequences differed with gender and level of education achieved. 69% of them were aware that smoking causes environmental pollution, and 73% knew that smoking posed danger to pregnant women. As for the negative health consequences of smoking, only 5% of the respondents mentioned that it causes respiratory problems. Self-identified health complaints included cancer, hypertension, and abdominal pain/vomiting in 19%, 18%, and 16% of respondents, respectively. Conclusion: There is a lack of adequate information as regards the dangers of active and passive smoking to the studied population. These findings further stress the importance of intensification of tobacco control because of the high burden of severe diseases. Considering these gaps in knowledge, gender disparities, and protection from SHS exposure, appropriate interventions need to be applied to minimize morbidity and mortality from tobacco use in Bangladesh.

Pakistan has many plentiful water sources, including ice caps, rainwater, and groundwater, but these sources are continuously polluted. Fast growth, development, and continued industrial growth, especially in Faisalabad, have imposed immense pressure on the city's water resources. Its groundwater quality is worsening rapidly because of untreated wastewater from municipal and textile industries. Fifteen samples were collected from different colonies of Faisalabad for physical, chemical, and biological analysis. To regulate the quality of drinking water, physio-chemical parameters such as color, Odor, Taste, electric conductivity, Total dissolved solids, and chemical parameters like Ca, Mg, carbonates, bicarbonates, and chlorides were examined. After examining all collected samples, they were linked with the WHO values, Pakistan standards, and quality control authority standards (PSQCA). Out of these 15 samples, four samples were unfit for human use owing to the occurrence of E. coli. The remaining 11 samples were biologically fit for human consumption. All samples are colorless, but four have a pungent smell, and five have a terrible taste. The pH of all the samples was within the WHO and PSQCA limits (6.50-8.50) except for one. The highest EC was found at 6.206 ds/m from Noorpur, and the lowest was 0.062 ds/m from Millet town. Our research shows that about 46% of the underground water of Faisalabad is unhealthy for human drinking due to the high TDS, TSS, chlorides, bicarbonates, and presence of microorganisms.

Background: While the transfusion of blood products does come with inherent risks, it should only be considered if it has the potential to improve the patient's outcome. The aim of this study was to evaluate the reasons for blood transfusion and the results in a group of pregnant women from Sudan. Methodology: This study was a retrospective descriptive analysis of 138 pregnant women residing in El-Obeid, a city located in the northern Kordofan province of Sudan. Results: Most patients underwent blood transfusions primarily due to anemia, accounting for 59% of cases. Antepartum hemorrhage (APH), miscarriage, and ectopic pregnancy accounted for 21%, 10%, and 7% of the cases, respectively. Out of the 138 women, 33% were primigravida, 53% were multipara, and 14% were grand multipara. Grandmultipara women predominantly showed anemia, with a prevalence rate of 68%. Primigravida women, with a prevalence rate of 61%, and multipara women, with a prevalence rate of 55%, came next. Miscarriage is most common among women who are pregnant for the first time, with a rate of 15%. Out of the 138 patients, a mere 1.4% of them died, while 5.7% encountered various problems. However, the remaining 92.7% of patients have demonstrated improvement and received their release. Conclusion: Anemia is a crucial factor in determining the need for blood transfusion in pregnant women, particularly after childbirth when postpartum hemorrhage may occur. Despite the ongoing conflict in Sudan posing challenges, the health system can still achieve positive results.