Primary ciliary dyskinesia is a cause of bronchial dilatation, associated with rheumatoid lung is rare. This is why we report a case with the aim of discussing the clinical, diagnostic characteristics and therapeutic possibilities of ciliary pathology and showing the link between it and rheumatoid arthritis. Observation: This is a 40-year-old African patient, married without children, from a consanguineous couple, with a family history of a brother who died in adulthood in a picture of respiratory failure and productive cough. She presented with recurrent rhinorrhea since childhood and bronchorrhea in a picture of progressively worsening dyspnea and clubbing. During the evolution of the disease, inflammatory polyarthralgia was associated. The ultrastructural ciliary study by electron microscopy and the measurement of nasal nitrogen oxide are the confirmatory examinations of primary ciliary dyskinesia. They are not achievable in our practice. However, based on the history and clinical findings, the patient presented several elements in favor of this pathology. additional investigations, notably the rheumatoid factor and the chest CT scan, allowed us to suggest rheumatoid lung. Our therapeutic conduct was the administration of antibiotic therapy, oxygen therapy, immunosuppressant, anti-inflammatory and the practice of respiratory physiotherapy. Conclusion: Primary ciliary dyskinesia associated with pulmonary involvement in rheumatoid arthritis increases the risk of developing respiratory failure.

With increasing concerns over fossil fuel depletion and environmental pollution, research into alternative energy sources has gained significant momentum. Organic wastes, particularly from animals and food, offer a promising substrate for biogas production, providing dual benefits of energy generation and waste reduction. This study evaluates the suitability of food waste, cow regurgitates, and cow dung for biogas production through biodigestion. The objectives were to design a lab-scale biodigester, compare biomethane yields from each waste, and evaluate their effectiveness as fertilizers. The results indicate that all three samples have properties within the acceptable range for digestion. Food waste exhibited the highest methane yield with a daily biogas production of 0.4979 m³/day, corresponding to an energy content of 27,699.45 KJ/day. Cow regurgitates produced 0.2656 m³/day of biogas, yielding an energy content of 14,739.6 KJ/day. Cow dung yielded 0.3213 m³/day of biogas, translating to an energy content of 17,723.65 KJ/day. Microbial analysis indicated the presence of beneficial bacteria and fungi, such as Staphylococcus spp, Proteus vulgaris, Escherichia coli, Enterobacter aerogens, Aspergillus spp, and Mucor spp, which are advantageous for soil conditioning and nutrient cycling. The study highlights the importance of assessing physicochemical properties, nutrient content, and microbial composition to optimise biogas production and explore the potential of organic waste as a sustainable energy source and soil conditioner.

Soil contaminated with heavy metals has a negative impact on plant development and survival. On the other hand, plants have developed intricate physiological mechanisms to resist these kinds of environmental stimuli. Anthropogenic sources of emissions are the many industrial point sources, including transporters, smelters and foundries, present and former mining sites, and combustion byproducts. Mercury is released via the degassing of the earth's crust, whereas lead is emitted during its mining and smelting operations, from automotive exhausts by burning petroleum fuels coated with tetraethyl lead antiknock, and from old lead paints. The process of refining zinc releases cadmium as a byproduct and occasionally lead. Emissions are generally released during the mining and processing of metals. Stress from heavy metals affects plants absorb nutrients through interactions with other essential elements. Chromium restricts the quantity of nutrients the soil may absorb by forming insoluble compounds. An intriguing method for managing plastic waste, particularly micro/nano plastics, is photocatalysis. Through the use of suitable light energy, nanostructured semiconductors are excited, producing exciton pairs that react with surrounding water or moisture to produce highly reactive species like superoxide’s and hydroxyl radicals that can effectively oxidize organic species, including polymers. Climate variability affects the sustainability of human and environmental health together with other man-made and natural stresses.

We describe the evolution of patients with perineal Crohn's disease (PCD) treated with immunomodulators (IM): the purine anti-metabolites or methotrexate (MTX) in the absence of biotherapy. This was a retrospective descriptive study including all patients with (PCD) treated with (IM) and who cannot get biotherapy. The evaluation of the response was based on clinical response and / or morphology. Overall, 62 patient were under (IM). a good result was observed in 63% with complete healing in 79.2% and a partial response in 20.8%. The response time was variable with a median of 4 [2-24] months. Our study shows that despite the progress of biotherapy, the purine anti-metabolites retain their place in the treatment of Crohn's disease in general and in (PCD) more specifically.

Background: Platelet-rich plasma (PRP) therapy has emerged as a promising treatment for androgenetic alopecia (AA), addressing the need for effective hair restoration with minimal invasiveness. However, questions remain regarding the optimal frequency and duration of PRP treatment. Objective: This study aimed to assess the impact of PRP therapy on hair density and diameter in AGA patients, considering variations in treatment response across different AGA grades and alopecia durations. Method: A 6-month open-labeled pilot study was conducted on 30 male participants with AGA Grades III-VII. PRP was administered every 15 days for six sessions, and hair parameters were evaluated using trichoscan. Results: The study demonstrated a significant increase in both hair diameter and density over six months of platelet-rich plasma (PRP) therapy for androgenetic alopecia (AGA). Initially, the mean hair diameter was 0.055 mm, rising to 0.075 mm by the study's end, with a substantial increase of 0.021 mm at six months, equating to a 39.85% improvement. Similarly, hair density increased notably from 6.13 to 8.43 hairs per 10 mm², with the most significant rise at the six-month mark, showing a mean increase of 2.3 hairs per 10 mm², reflecting a 39.73% enhancement. All AGA grades experienced increased hair diameter and density, with Grade 5 showing the highest diameter increase (0.03 mm), and Grade 4A exhibiting the highest density increase (3.0 hairs per 10 mm²). Statistical analysis confirmed significant improvements across all grades (p = 0.0446 for diameter; p = 0.0196 for density). Additionally, patients with alopecia durations up to five years experienced the highest improvements in both diameter (0.026 mm) and density (2.68 hairs per 10 mm²), while longer durations showed lower enhancements (p = 0.0485 for diameter; p = 0.0096 for density). Conclusion: PRP therapy demonstrated efficacy across all AGA grades and durations, suggesting its potential as a promising treatment option for AGA. Further research is needed to validate these findings and establish PRP therapy as a standard AGA treatment.

The business results of a commercial enterprise are a comparative relationship between the results achieved during business processes and the investment costs funded to achieve those results. Business results reflect input resource exploitation, utilization, and management to achieve each enterprise's business aims. In reality, different factors affect the business results of enterprises in general and Shopee Vietnam in particular, including microeconomic, macroeconomic, and industry environment factors. With a business analysis research approach, in this article, the authors investigate the factors affecting Shopee Vietnam's online business performance: Online product factors of Shopee; Economic, financial, and customer income factors; Online payment method factors of Shopee; Product pricing strategy factors of Shopee; Cultural and social factors; scientific, technological, and online shopping experience factors and Competitive factors in online business to develop a linear regression model to determine the extent of these factors impact on the online business result of Shopee Vietnam.

Using regular scientific research methods to evaluate the current status of the quality of the physical education program for students at Hung Vuong University on the following aspects: Current status of factors affecting quality of students' physical education program. The results show that students' results in physical education subjects are generally at an average level. The proportion of students achieving good and excellent results is still small. The rate of students failing is still relatively high.

Background: Psychology is the scientific study of human mind and its functions, especially those which affect behaviour in a given context. A personality profile is a comprehensive assessment that provides insights into an individual's psychological characteristics, behavioural tendencies, and emotional attributes. Objective: The purpose of the present study was to analyze and understand the personality profile of elite male badminton players of Bangladesh. Methods: The personality profile was measured for the present study. For assessing personality profile, 16 PF questionnaire which was developed by Cattell was considered. Personality factors were assessed using Bengali version of Raymond Cattell’s 16 PF questionnaires (Form-C) developed and standardized by Bose and Chatterjee (1984), Department of Applied Psychology, University of Calcutta. The 16 PF questionnaire was included total sixteen factors i.e. Factor A-reserved v/s outgoing; Factor B- less intelligent v/s more intelligent; Factor C-economically less stable v/s economically stable; Factor E- humble v/s assertive; Factor F-sober v/s enthusiastic; Factor G-expedient v/s conscientious; Factor H- shy v/s venturesome; Factor I-tough minded v/s tender minded; Factor L- trusting v/s suspicious; Factor M-practical v/s imaginative; Factor N-forthright v/s shrewd; Factor O- self assured vs. apprehensive; Factor Q1- conservative vs. liberal; Factor Q2- Group oriented v/s self sufficient; Factor Q3- undisciplined self-conflict v/s following self image; Factor Q4- relaxed v/s tensed. Total hundred male badminton players (n=100) who were attending National Coaching Camp of Bangladesh were selected as subjects. The collected data of personality factors were analyzed using descriptive and analytical statistics. Results: The results of the present study revealed that the subjects were lower average in Factor H. On the other hand they were also found to be higher than the normal in Factors G and Q3. In respect of other factors they had found average standard mean values. Conclusions: National level male badminton players of Bangladesh appear to be average in personality traits including; A (warmth), C (emotional stability), E (dominance), F (liveliness), I (sensitivity), L (vigilance), N (privateness, O (apprehension), Q1 (openness to change), and Q4 (tensions ). It is also found that they have less reasoning ability (Factor B), be shy, sensitive, and hesitant (Factor H) in respect of social boldness. National level male badminton players of Bangladesh appear to be dutiful and rule bound (Factor G), imaginative (Factor M), self reliant (Factor Q2) and socially precise (Factor Q3)) conscientious in respect of rule consciousness.

Physical education activities play a role in developing students’ physical abilities and have significant potential in shaping their character. This study aims to determine the effect of physical education activities on the character development of primary school students. The research method used was pre-experimentation with pretest-posttest (one group pretest-posttest design). The sample used was the 5th-grade students of Muhamadiyah Jogokaryan Primary School, with as many as 50 students [male: 38, female: 12], aged 8-12 years. Observation sheet instrument [Aiken V Validation: 0.94, Cronbach’s Alpha Reliability Value: 0.813] was used to collect the data and to measure the students’ character. The analysis technique used a dependent paired t-test. The results of the difference test showed that the value of Sig. (2-tailed) was 0.000 < 0.005, indicating a significant difference in students’ character development after participating in physical education activities. Therefore, physical education activities significantly positively affect students’ character development. In conclusion, Physical Education plays a vital role in the character development of primary school students.

The sphenopalatine ganglion has maximum number of neurons in the calvarium that are not situated within the brain. In the sympathetic, parasympathetic and sensory nervous system it’s the largest and most superior ganglion. SPG block in conjunction with topical anaesthetic and radiofrequency ablation is currently advised for the treatment of trigeminal neuralgia, cluster headaches, migraines, and persistent idiopathic facial discomfort. The block of SPG is also known as “the miracle block”. The sphenopalatine ganglion block is a simple and safe procedure which can be used for eliminating acute or chronic pain and reduces the episodic recurrence of the pain.

The study investigated the effect of bank credit to the private sector on the performance of manufacturing sector in Nigeria, from 1981 – 2021. The objective of the study is to determine the effect of bank credit to the private sector (CPS) on the manufacturing output in Nigeria. To carry out the study, data were sourced from the Central Bank of Nigeria statistical bulletin and National Bureau of Statistics for various years. The dependent variable for the study was manufacturing output while the proxies for exploratory variable include; credit to the private sector (CPS); interest and exchange rates. For analysis and estimation, Autoregressive Distributed Lag (ARDL) method was adopted. Augmented Dicker Fuller (ADF) tests for stationarity showed that the variables were integrated at first level while ARDL Bound tests established a cointegration relationship of the variables. The result of the study revealed that credit to the private sector (CPS), interest rate; and exchange rate (independent variables) on the aggregate accounted for 93.9% of the total variations on manufacturing output (dependent variable) in Nigeria during the study period while 6.1% was due to stochastic error. The result further found out exchange rate had a positive coefficient value and a significant impact on manufacturing output in Nigeria during the period of study while other explanatory variables that include credit to the private sector and interest rate were statistically insignificant on manufacturing GDP during the study period. On the basis of the findings, the researcher recommends that Central bank of Nigeria as an apex bank should apart from using both direct and indirect controls should strengthen the use of moral suasion to encourage banks not to relent in granting the sector as the government endeavours to diversify the revenue sources of the economy. Secondly, government and Central Bank of Nigeria (the apex regulatory body of banks) should take bold steps and use all necessary economic and financial policies and regulations to make lending a single digit interest rate in Nigeria especially in a critical sector like agriculture.

The aim of this research is to analyze the role of product innovation capabilities on competitive advantage. The population of this research is consumers who shop at the Ada supermarket in the city of Semarang, Indonesia. Samples were taken from 125 respondents who were randomly selected. Data collection by distributing questionnaires to Ada Supermarket customers. The questionnaires were distributed using closed statements with alternative answers according to a Likert scale. 5 alternative answers, 1 (strongly disagree), 2 (disagree), 3 (disagree), 4 (agree) and 5 (strongly agree). The analysis tool uses SEM AMOS version 22. The findings of this research are that there is a positive and significant influence between proactive power, competitor orientation, flexibility of customer tastes on product innovation capabilities. There is a positive and significant influence between proactive power, flexibility of customer tastes and product innovation ability on competitive advantage.

Background: Hypoalbuminemia, indicative of malnutrition and illness, is associated with a heightened risk of poor post-operative outcomes, particularly impaired wound healing. Pregnancy, characterized by elevated estrogen levels, may further complicate wound healing processes. Objective: To evaluate the association of serum albumin level with wound healing after a caesarean section. Methods: A cohort of 100 pregnant patients undergoing caesarean section at Dhaka Medical College Hospital was included between January and December 2020. Preoperative serum albumin levels were measured, with hypoalbuminemia defined as < 3.5 g/dl. Patients were categorized into groups of hypoalbuminemic (Group I) and normal albuminemic (Group II). Postoperatively, patients were monitored for 60 days to identify surgical site infections and signs of delayed wound healing. Results: The mean preoperative serum albumin level was 2.57±0.35 gm/dl in group I and 4.2±0.4 gm/dl in group II. The difference was statistically significant (p<0.05) between two groups. Out of 19 patients, 9 (47.4%) developed post caesarean wound infection and delayed wound healing in group I. Out of 81 patients, 7(8.6%) developed post caesarean wound infection and delayed wound healing in group II. The difference was statistically significant (p<0.05) with OR=9.51 having 95% CI (2.52-37.32). The number of post-operative days in hospital was 13.11±6.14 in group I and 3.22±1.41 in group II. The difference was statistically significant (p<0.05) between two groups. A subject with serum albumin (<3.5 gm/dl) had 7.626 (95.0% CI 2.324 to 25.02) times increased risk to develop wound infection and delayed wound healing after surgery. Other variables were not significantly associated with delayed wound healing. Conclusion: Hypoalbuminemia is an independent risk factor for the delay in wound healing. Low serum albumin level correlates well with the development of surgical site infection and delayed wound healing contributed to prolonged hospital stay.

There has been various studies research on the Impact of the Fiscal Policy on Economic Growth by testing the Wagner’s Law and Keynes theory. This study holds two objectives, the first objective is to review a performance of the implementation government expenditure, and second objective is to test on the government expenditure contributes to the economic growth in the Lao PDR. To reach these two objectives, this study applies two methodologies. The first methodology is descriptive approach to respond for the first objective, and second methodology is bound testing approach and vector error correction approach to respond for second. This study is applied for time series data in terms of annual data from 1981 to 2014 in all models. The source of the data is mostly the website of the Asia Development Bank (ADB) year 2016. The results of the first methodology shows that the performance of the government expenditure continued increase rapidly, especially in 1986, 1997 and policy changed in 2012-2013 in terms of current expenditure for salary and capital expenditure directly affected to real Gross Domestic Products growth. The results of the second methodology shows that the Keynes theory and Wagner’s Law are significant and satisfied for the Lao economy in the long run. It meant that government expenditure has directly contributed RGDP, and vice versa. However, in the short run are not significant and unsatisfied in any lag.

As a leading writer of postmodernism, Donald Barthelme in his masterpiece The Glass Mountain makes use of some postmodern writing skills, such as parody, fragment and irony, to demonstrate a destructive world and clearly illustrates an absurd story. Actually, the absurdity in the story has its profound social meaning, reflecting the author’s profound insight into the postmodern social reality.