Nanotechnology involves producing nanoscale materials with specific properties. Zinc oxide nanoparticles have potential applications in various fields. Due to toxic chemicals and environmental concerns, green methods using plants, fungi, bacteria, and algae have been adopted. An emerging area of nanotechnology is the green synthesis of nanoparticles using biological systems, particularly seaweed extracts. The green synthesis method has synthesized the zinc oxide nanoparticles using the aqueous extract of the brown seaweed Sargassum ilicifolium. The algal extract has greatly reduced the zinc acetate dihydrate salt solution to form zinc oxide nanoparticles. The synthesized zinc oxide (Zn-O) nanoparticles have been confirmed through Particle Size Analyzer (PSA), Raman spectroscopy, UltraViolet (UV)- Visible (Vis) spectroscopy, and Scanning Electron Microscope (SEM). The study used Scanning Electron Microscope (SEM) and Particle Size Analyzer (PSA) to examine the size and shape of the Zn-O nanoparticles. Raman spectroscopy and UltraViolet-Vis spectroscopy confirmed the formation of Zn-O nanoparticles. The SEM results exhibited a range of 24.4 nm to 83.4 nm. The occurrence of Zn-O nanoparticles was confirmed by Raman spectroscopy with peaks at 276.98 cm-1, 414.67 cm-1, 462.03 cm-1, 514.99 cm-1, and 998.28cm-1 and UltraViolet-Vis spectroscopy with peak at 370 nm. The present study also deals with the qualitative phytochemical constituent analysis using the aqueous extracts of Sargassum ilicifolium. Alkaloids, flavonoids, cardiac glycoside, tannins, amino acids, carbohydrates, and saponins were analyzed. Anthraquinone, anthocyanin, vitamin C, quinone, and phlobatannins were considered absent in the aqueous extract.

Although preeclampsia claims the lives of 70,000 mothers and 500,000 newborns each year worldwide, its origin is still elusive and a number of risk factors such as environmental pollution are not yet addressed properly. In this study, exposures due to the extents of air, water and noise pollution as well as mental stress on preeclamptic patients have been investigated. Using a cross-sectional longitudinal design, 90 women hospitalized with preeclampsia in 7 hospitals of Rajshahi, Bangladesh were considered, of which Rajshahi Medical College Hospital is a tertiary referral hospital. The data were collected by interviewing the patients, physical examinations and merging the patients’ data with British Geological Survey’s groundwater data-sets (n=3,540). For statistical analyses, SPSS software was employed. It was found that most of the patients’ living rooms were within 15 feet from kitchen. Only 10% patients had good room ventilation, while the remaining 90% patients had either moderate or poor room ventilation. Combination of these facts reveals that the preeclamptic patients were subject to moderate CO2 exposure. Since 79% of the preeclamptic patients’ living rooms were below 50 ft from the nearest roads and 84% for 100 ft distance, they would experience noise pollution. Combination of traffic conditions and potential sources of noise pollution revealed that 60% of the preeclamptic patients experienced moderate to intense noise pollution. Groundwater arsenic, calcium, magnesium, iron and sodium concentrations in the patients’ drinking water were higher than WHO guideline values that should favour constipation and mild hypertension. While 70% patients were under high mental stress and 24% under very high mental stress, only 6% patients had moderate mental stress. It is concluded that air, water and noise pollution, and mental stress are potential risk factors of preeclampsia.

Article aims to trace out the beginning of ritual system and nature of performing various rituals in galo society. The society perform numbers of ritual with a view of maintaining balance with nature or to stay away from unwanted incidents and diseases. Traditionally, nyibu is only a person who served as a channel of communication between spiritual world and physical world. Before performing any ritual, nyibu used to study the nature of ritual through chicken liver exam, local grain exam, and egg yolk exam. To gather the desire information, the researcher relies on both primary and secondary sources.

The burden of inflammatory bowel disease is rising globally, including in the Middle East. There is a paucity of real-world data related to the disease and its treatment in many countries in this region. Patient registries can provide real-world evidence of disease incidence and aetiology, treatment and patient outcomes. The authors designed a non-interventional, multicentre registry to evaluate treatment pathways, resource consumption, and clinical outcomes of patients with inflammatory bowel disease in the Middle East. This article describes challenges faced, and lessons learned from setting up the registry. Registry development requires time, effort, expertise, and skills development to be functional and meet international standards. Careful consideration of legal, governance, ethical and financial issues; data protection and control, minimum data set, data quality assurance, data collection methods, inclusion criteria as well as data sources is critical to the development process. Our findings present stakeholders with a guide for the development and implementation of future registries in the Middle East and offer valuable lessons learned that other countries or regions can utilise as they address inflammatory bowel disease burden and establish their own registries.

Objectives: To compile the recent literature's findings and shed light on knowledge of healthcare personnel about the use of opioids in pain management. Methods: A thorough search of pertinent databases was done in order to find studies that satisfied the requirements for inclusion. A thorough search of PubMed, Web of Science, SCOPUS, and Science Direct was conducted to find pertinent literature. Results: Ten studies, including a total of 58,234 participants and 21,769 (37.4%) of them were females, were included in our data. There were notable differences found between the clinical skills of physicians in managing pain and prescribing opioids and their self-perceived knowledge in these areas. Many studies reported that nearly half of the participants had poor knowledge about using opioids for pain management. Physicians with higher clinical knowledge ratings prescribed fewer opioids. Only two studies reported that professionals with advanced degrees were found to have a sufficient level of understanding regarding pain and opiate use. Conclusion: This study demonstrated a lack of and insufficient knowledge about opioids on pain management among healthcare personnel. Prospective investigations ought to concentrate on crafting customized instructional curricula and decision-assistance instruments for primary care practitioners, as well as analyzing the influence of interdisciplinary pain treatment groups on patient results.

Background: Pressure injuries rank among the top five most frequent causes of patient injury worldwide. Usually, these ulcers develop in the body's bony regions where there is a higher chance of pressure and tissue deformation. Pressure injuries are still a common and severely incapacitating ailment, even with advances in medical understanding and the development of efficient therapies and preventative measures. They result in large socioeconomic consequences since they place a heavy load on the healthcare system and the affected individuals. Objectives: To assess the occurrence rate, identify correlated risk factors, and analyze additional indicators related to pressure injuries diagnosed within the care units of King Saud Medical City throughout the study period. Methodology: A descriptive cross-sectional study was undertaken at King Saud Medical City in Riyadh during the months of August and September 2023. The study focused on patients with newly identified pre-existing pressure injury lesions. Demographic information and associated risk factors were recorded in the study's data extraction sheet after obtaining participants' consent to engage in the research. The study commenced following approval from the institutional review board of king Saud medical city research and Innovation center, Riyadh. The gathered data were analyzed using the Statistical Package for the Social Sciences (SPSS), version 26. Descriptive statistics, bivariate and multivariate logistic regression were computed to assess the statistical association, using odds ratio. Significance of statistical association was assured and tested using 95% confidence interval and P-Value of < 0.05 is considered statistically significant. Results: A total of 250 patients with pressure ulcers were identified during the study period. Most of the study participants were male, and the mean age of the participants was 59.2 years. The prevalence of pressure injuries in the hospital units included in the study was 18.8%. The sacral region was the most affected site, with 121 patients (48%) having pressure injuries in that area, while 83 patients (33%) had pressure injuries in the gluteal area. The most frequently associated comorbidities were hypertension, present in 140 patients (56%), and diabetes mellitus, present in 123 patients (49.2%). Conclusion: The prevalence of pressure ulcers was high among admitted patients at King Saud Medical City, Riyadh. Primary prevention health promotion programs should be implemented to prevent the occurrence of pressure injuries in our healthcare facilities and the community at large.

Antinuclear antibodies (ANA) are significant biomarkers that are used to detect and classify autoimmune connective tissue disorders more efficiently. This paper provides a thorough overview of all the ANA profiling procedures, their testing advancements, clinical significance, and future directions. This study aimed to analyze the ANA profiles along with the prevalence of specific antibodies in patients presumed to have been diagnosed with autoimmune disorders in an Eastern Indian tertiary care hospital. The results were correlated with demographic data to conclude. ANA profiles of 48 patients from Peerless Hospitex Hospital, Kolkata were evaluated between January 24 to June 15, 2024. Out of them, 13 patients (27%) had positive ANA profiles. The most prevalent autoantibodies detected were SS-A and SS-B, which occurred in 7 patients (53.85%), followed by PM-Scl in 4 patients (30.77%). The study demonstrates how the ANA profile varies among different age groups, with the highest prevalence of 6 patients (46.15%) seen in the 60–75 age range. The clinical symptoms of diseases like autoimmune hepatitis, polymyositis, dermatomyositis, PSS (progressive systemic sclerosis), SLE (Systemic Lupus Erythematosus), and Sjogren's syndrome align with the ANA profile findings. This study offers insights into the distribution of autoantibodies targeting antigens present in ANA profiles, using clinical samples collected from a 550-bed tertiary care hospital in Eastern India. The findings underscore the need for comprehensive diagnostic approaches to autoimmune disorders.

Background: Respiratory tract infections, especially pneumonia and tuberculosis, remain significant public health problems in Bangladesh. This information alone is critical to manage local pathogen distributions, antibiotic susceptibility, and response plans. Objectives: To evaluate the frequency of bacterial pathogens in sputum samples, test their antibacterial sensitivity, and relate them to various demographic factors among patients in Sylhet, Bangladesh. Methods: This cross-sectional study was carried out in the Chest Disease Clinic, Sylhet from January to June 2024.Sputum samples were taken from 120 patients diagnosed with lower respiratory tract infections. Colony and bacterial identification was done microbiologically, and antibiotic susceptibility was determined by using the Kirby-Bauer disk diffusion method. Results: The cocci were the most prevalent, with gram-positive bacteria constituting 75% of all isolates: Staphylococcus aureus 29. Co-amoxiclav had the highest sensitivity of 23 percent, while the highest resistance was recorded for linezolid at 50 percent. Tobacco use was described in 79. Overall, there was a significant association between TB-positive status and the isolation of Klebsiella pneumoniae (p = 0.032). Most participants were of lower SES, and this was observed in 59.32% of the study’s participants. Conclusions: This research found that gram-positive organisms are the most frequent cause of respiratory infections in Sylhet, with S. aureus being the most dominant isolate. The high tobacco use and the link to S. aureus colonization indicate that interventions could and should be targeted. Concerning antibiotic susceptibility patterns, the need to exercise reasonable use of antibiotics and constant monitoring of antimicrobial resistance cannot be overemphasized. These findings may help the local clinicians, help set up empirical antibacterial therapy, and facilitate the design of some targeted health interventions.

The COVID-19 epidemic has created unprecedented challenges for global economies, affecting every industry, including the building construction industry in Nepal as well. This research aims to examine the impact of the COVID-19 epidemic on the building construction industry in Nepal. This study examines institutional, psychological, individual, operational, contractual, and financial factors. To achieve the objective, data were collected from 330 Nepalese construction professionals using a structured Likert scale questionnaire and analyzed with Smart PLS version 3 software for partial least squares structural equation modeling. The reliability and validity of both the measurement and structural models were tested and found satisfactory. All six factors were found to be significant at a 5% level of significance. Among all factors, the institutional factor was found as the most significant factor with a t-value of 7.654 and a beta value of 0.679, emphasizing the crucial role of institutional support in Nepal's building construction industry. The psychological factor also emerged as the second most significant influential factor (t value: 6.087, beta value: 0.463), underscoring the profound effect on the mental well-being of professionals in the field. The finding highlights the critical importance of institutional support and the profound influence of psychological factors on the well-being of construction professionals, necessitating targeted interventions to support the industry's recovery and resilience.

This research aims to carry out fraud detection efforts through the implementation of a whistleblowing system. In this case, whistleblowing is a system where the public can report various indications of fraudulent practices in both the business and public sectors. This whistleblowing system was designed as the main step for early detection and prevention of fraudulent practices in both the business and public sectors. However, the implementation of whistleblowing still requires the role of whistleblowers who report anonymously. Where the reporter gets guarantees from the recipient of the report for various fraudulent practices (fraud). This article uses a literature study approach (literature review). This article states that whistleblowing channels are very effective in detecting and preventing various fraudulent practices in all public and business sectors.

Erectile dysfunction (ED) is a prevalent condition affecting adult men globally, characterized by the inability to achieve or maintain an erection sufficient for sexual intercourse. Neurological causes, including multiple sclerosis, Parkinson's disease, ischemic stroke, congenital spinal abnormalities, and spinal cord injuries, disrupt neural pathways essential for erectile function. Additionally, chronic conditions such as diabetes mellitus, hypertension, hyperlipidemia, and cardiovascular diseases, along with lifestyle factors like smoking and alcohol consumption, exacerbate ED by compromising vascular health. Psychological stressors further complicate the etiology of ED. Pelvic surgeries, cavernous nerve injuries, and certain medications, including antihypertensives and antidepressants, contribute to ED progression. Effective management requires addressing these neurological, vascular, hormonal, and psychological factors, necessitating a multidisciplinary approach involving specialists such as neurologists, urologists, endocrinologists, and mental health professionals. This review highlights the complex interplay between neurological disorders, systemic conditions, and lifestyle factors in the pathophysiology of ED, emphasizing the need for tailored treatment strategies targeting the underlying contributors to improve patient outcomes.

Background: Sepsis remains a significant health concern, particularly in resource-limited regions like Bangladesh. Despite available diagnostic methods, identifying bacterial infections in septic patients proves challenging, prompting the exploration of biomarkers. Procalcitonin (PCT) has emerged as a promising biomarker for bloodstream infections like sepsis. Objective: This study aims to evaluate the utility of measuring serum PCT levels in diagnosing and assessing the severity of sepsis, with a focus on enhancing early treatment in intensive care units (ICUs). Method: A prospective study was conducted on 50 patients admitted to the Combined Military Hospital, Dhaka ICU, exhibiting clinical manifestations of sepsis between April and September 2015. Patients of all ages and genders were included, while those with recent major surgery, trauma, or burn history were excluded. Detailed clinical assessments and laboratory investigations were performed, with data recorded on a standardized proforma. Result: Of the 50 patients evaluated, 64% were male, and 36% were female, with a mean age of 56.11±10.89 years. Sepsis was more prevalent in patients aged >50 years (60%) and in males (64%). Respiratory tract infection (RTI) was the most common source of sepsis (40% of cases), with Klebsiella pneumonia being the predominant organism. Higher Sequential Organ Failure Assessment (SOFA) scores correlated significantly with elevated serum PCT concentrations. Serum PCT demonstrated a significant difference between non-septic and septic groups (p-value <0.001), exhibiting sensitivity and specificity of 91% and 83.3%, respectively. Conclusion: Serum PCT emerges as a promising marker for sepsis in critically ill patients, enhancing diagnostic certainty and informing patient management. Its addition to routine work-ups could improve outcomes and patient care in ICUs.

Introduction: Placenta previa (PP) is a significant cause of maternal and fetal morbidity and mortality worldwide. However, there is limited data from developing countries on the maternal and fetal outcomes and complications associated with placenta previa. Aim of the study: The aim of this study was to evaluate maternal and perinatal outcome in preterm placenta praevia. Methods: This prospective observational study was conducted in the Department of Gynae and Obstetrics of Dhaka Medical College Hospital, Dhaka, Bangladesh during the period from March 2010 to August 1010. Result: Total 66 patients were diagnosed with placenta previa. We found, the majority (42%) of participants were aged between 26-30 years and with lower socio-economic status significantly associated with higher prevalence due to lack of regular antenatal care. The majority were admitted at 35-37 weeks gestation, with the highest perinatal loss occurring before 30 weeks. Initial bleeding was generally small, and many presented with labor pain and anemia. Ultrasonography diagnosed 55% of cases, with cesarean sections frequently used, leading to better outcomes compared to vaginal deliveries. Severe postpartum complications like hemorrhage and urinary tract infections were common in more severe cases. Conclusion: Placenta previa is a major cause of maternal and perinatal morbidity and mortality. Early registration, regular antenatal care, early detection of high-risk cases, and timely referral to higher centers with good NICU services and blood bank facilities can help prevent these adverse outcomes.

Background: Effective communication between primary healthcare centers (PHCCs) and referral hospitals is critical for ensuring the continuity and quality of patient care. Referral letters and feedback reports are essential for this communication, yet their quality is often inconsistent, potentially impacting patient outcomes. Study Aim: To assess the standard of feedback reports from referral hospitals and the quality of referral letters from PHCCs within the first health cluster in Riyadh. Methodology: This cross-sectional study randomly selected 360 referral letters and feedback reports from nine PHCCs in the first health cluster in Riyadh. Systematic sampling was employed to select approximately 55 documents from each center. Each document was evaluated based on 16 key components as per the Quality Assurance Manual of the Ministry of Health, using an author-developed scoring system. Results: The study included 360 referral letters and feedback reports, with an average quality score of 13.2 ± 1.5 out of 16. A majority of the documents (253, 70.3%) scored 13 or higher. Key components such as general information and patient file numbers were present in all documents (100%). Vital signs were documented in 351 cases (97.5%), and the reason for referral in 327 cases (90.8%). However, investigation results and current treatment details were included in only 142 (39.4%) and 150 (41.7%) of the documents, respectively. Clear handwriting was observed in 262 reports (72.8%), while 98 (27.2%) had legibility issues. Conclusion: The overall quality of referral letters and feedback reports in the first health cluster in Riyadh is relatively high. However, significant gaps were identified in the documentation of investigation results, current treatment details, and clinical examination findings. Addressing these gaps through targeted training, standardized documentation practices, and the adoption of electronic health records can enhance the quality of patient referrals and improve care continuity and outcomes.

Background: Although most of human life is spent inside, where bacteria are always present on things, little is known about the microbial variety of indoor habitats. Objectives: The major objective of this study was to determine the rate and types of bacterial contaminants in female and male student dormitory of Al-Kufa university campus, and to explore the inhibitory effect of certain disinfectants. This study was conducted for the period from October 2022 to Jun 2023. A total of 400 bacteriological swabs were collected aseptically from different sites of male and female student dormitory of Al-Kufa university. Swabs were streaked as soon as possible on blood agar and MaConkey agar plates and incubated overnight. Identification of bacterial species was based on standard bacteriological criteria. The inhibitory effect of 40% and 60% concentrations of three commercially available disinfectants; dettol (chloroxylenol), Al-Emlaq (Alkyl benzene sulfonate), and the house bleach (sodium hypochlorite) were explored by agar diffusion method. Data were statistically analyzed. Results: The results revealed that the overall bacterial contamination rate in student’s dormitories of Al-Kufa university campus was 78%. Male dormitory unit had significantly higher contamination rate compared to female dormitory unit (57.5% vs 42.5%). Bacillus spp. Was the most predominant contaminant in both male and female units. Al-Emlaq super gel (Alkyl benzene sulfonate) was found as the most effective disinfectant against the majority of bacterial isolates. Conclusion: Authorized and public awareness toward bacterial contamination in student's dormitories is recommended. The selection of an effective disinfectant should be based on its active ingredient and concentration.