Background: Musculoskeletal pain and discomfort are common causes that influence most surgeons' performance and lifestyle. The purpose of this study is to investigate where surgeons experience the most musculoskeletal discomfort and suffering compared to non-surgical specialty doctors. Methodology: This descriptive case-control study included 156 participants from El Obeid, a city in Sudan's Northern Kordofan state. We randomly selected the volunteers between May and June 2024, irrespective of their age or gender. Results: This study included 156 doctors from diverse disciplines aged 27 to 70, with a mean age of 37. Male-to-female ratio: 2:1. Of the 156 participants, 104 (67%) were males and 52 (33%) were females. The bulk of participants were 31–35 (33%), 36–40 (30%), and under 30 (13%). Neck pain was experienced by 38% of participants, including 44% of surgeons and 25% of non-surgical specialists. Surgeons had a greater neck pain rate (RR = 0.420, 95% CI = 0.201–0.879). About 20% of participants, including 24% of surgeons and 13% of non-surgical specialists, reported shoulder pain. The study found a relative risk (RR) of 0.492 and a 95% confidence interval (CI) of 0.197–1.227 between shoulder pain and surgery. Additionally, 57% of participants—66% surgeons and 38% other specialties—reported lower back pain. With an RR of 0.317 (95% CI 0.159–0.633), surgeons are more likely to experience lower back pain. Foot discomfort affected 7% of participants, 9% of cases, and 4% of controls. Cases increased foot pain risk by 0.422 (95% CI 0.088–2.029). Conclusion: Surgeons in various specializations in Sudan, as well as doctors in non-surgical specialties, have a significant prevalence of musculoskeletal discomfort. The most often reported areas of pain were the lumbar region, cervical region, shoulder, and lower extremities.

Foreign Direct Investment (FDI) is a major force behind the integration of the global economy and has the potential to boost economic development in both investing and those receiving the investment. The majority of the study focuses on the influence of FDI on Bangladesh’s economic growth. A number of scholars have also looked at how FDI affects trade, domestic investment and other economic sectors. But surprisingly less research has been done on the effects of FDI on Bangladesh's export processing zones (EPZs). This study tries to investigate the impact of foreign and domestic investment on exports of EPZs between 2011-2022. To investigate EPZs export, this study used the Auto Regressive Distributed Lag (ARDL) approach. The Wald test was used to determine the direction of causation. The ARDL estimate shows that investment, GDP and FDI all have a positive correlation with rising EPZ export. The coefficient for FDI inflows is 0.15% which suggests that if FDI inflows raise by 1%, EPZ export will grow by 0.15% while all other factors stay constant. It also shows that a 1% increase in investment leads to 1.32% quicker growth in EPZ exports, assuming all other factors remain constant. The Wald test demonstrates the bilateral causal relationship between EPZ export & FDI and the unidirectional relationship between EPZ export & GDP. Therefore, Bangladesh must take immediate measures to protect potential foreign investors in order to provide a welcoming environment so that they can feel their contribution in the Bangladeshi business industry is respected.

The aim was to assess the frequency of fetal death in utero; to describe the sociodemographic and clinical characteristics of patients; to identify risk factors for IUD; to describe its management and to determine the maternal prognosis. Material and Method: This was a descriptive, cross-sectional, analytical study of the prospective case/control cohort type from June 2021 to May 2022, i.e. a period of 12 months in the maternity ward of the Koutiala reference health center. Results: Fetal death in utero concerned 85 deliveries out of a total of 3024 deliveries, i.e. a frequency of 28.11 ‰. The epidemiological profile is that of a poor person (37.6%) between 25 and 29 years of age (31.8%), with a pregnancy of 28 to 37 weeks of amenorrhea; they came on their own in (64.7%) of cases. If, in 5.9% of cases, the cause of fetal death was not known in the study; arterial hypertension was the most common etiology with 37.6% of cases. Patients gave birth vaginally in 89.4% and presented complications of infections (endometritis) in 10.6% of cases.

Presentation with a highly infiltrated malignant lesion often leads to unfavorable outcomes. This woman exhibited an advanced form of cervical cancer that had spread to the surrounding tissue, which might involve the urinary bladder. Due to the Sudan War in 2023, there was a lack of oncological therapy. In response, we implemented palliative surgery, which yielded positive results.

Nihilism is arguably the most misunderstood term in the history of philosophy. It is best understood as a risk inherent in the act of thinking itself, as noted by the 20th-century philosopher Hannah Arendt, rather than as a collection of "dangerous thoughts." Any notion, no matter how solid or widely accepted it initially appears to be, will eventually cause us to question its veracity if we give it enough thought. Additionally, we can start to question whether or not individuals who embrace the idea understand (or care) whether or not it is accurate. You can stop worrying about why there is so little agreement on so many topics and why other people seem to know so much about things that seem so uncertain to you. I believe that nihilism is beyond good and evil. But people in general have a predilection for negative nihilism. They ignore its positive counterpart out of ignorance. Nietzsche, for instance, had the latter in mind when he wrote those iconoclastic works. Baudrillard, in his most famous work on simulation and simulacra, also dedicates a whole chapter to nihilism. He also had the same in mind. The list is quite interminable. Some deconstructionists with American roots (Yale School of Critics) have also broached this topic to shed light on the modus operandi of deconstruction. I believe it was J. Hillis Miller who replaced the term with ‘parasite’ in his seminal essay The Critic as Host. He was defending ‘Deconstruction’ in the same vein as Philip Sidney did in the 16th century. The accusations levelled against poetry by Plato aeons ago seemed so rebarbative to him to have motivated him to write an ‘An Apology for Poetry’. The apology here was not an apology. It was a tirade against Plato’s Republic. Miller, on the other hand, was not only countering accusations but also explicating American deconstruction. The essay written way back in 1977 has so far received an astounding 935 citations. When I read the essay, I understood it made more sense and was less farfetched than its French counterpart.

This article aims to find solutions to accelerate the quality of physical education (PE) for students at universities of Vietnam based on theoretical and practical research on bettering the PE quality in the period of comprehensive educational reform and surveying the status quo’ of PE quality assessment of students at universities under the current curriculum. The study employs the methods of document analysis and synthesis, discussion interview, pedagogical test, sociological investigation and statistical mathematical on SPSS 22.0 software. The results obtained by research, case studies and surveys on 1268 students and 40 PE experts from 03 universities of Vietnam: Hanoi Pedagogical University 2, Tan Trao University and Hung Vuong University posit that students' PE performance is influenced by various subjective and objective factors, thereby emphasizing that to further the PE quality, learning outcomes and movement activities, universities are required to focus on innovative solutions in competency-centered approach for students. The article proposes 03 groups of solutions, including: Group 1: Solutions on extracurricular programs; Group 2: Solutions on innovation of teaching methods; Group 3: Solutions on mobilizing social capitals for facilities and equipment. These solutions gained great consensus and scientific significance on the research subjects.

Introduction: A successful endodontic treatment is ba¬sed on combination of adequate instrumentation, irrigation and obturation of canal system. The objectives of endodontic irrigants are lubrication of root canal, removal of microorganisms, pulp, dentinal remnants and dissolution of tissues. The objective of root-end filling is establishment of proper apical hermetic seal. Aim: To evaluate and compare the effect of various irrigating solutions on push-out bond strength of Biodentine and Mineral trioxide aggregate (MTA). Materials and Method: Sixty-four extracted human single rooted teeth were decoronated 1.5-2 mm coronal to cemento-enamel junction. The root canals were prepared and divided into four groups (n=16): Group I- Normal Saline (Control group), Group II- Triple antibiotic solution, Group III- 2% Chlorhexidine, Group IV- Morinda citrifolia solution. Mid root dentin was sectioned horizontally and irrigated further with respective irrigating solutions for 5 minutes and divided into 2 subgroups: Subgroup A- Biodentine and Subgroup B- MTA. The root-end filling material was incrementally placed and embedded in acrylic blocks. Samples were tested for push-out bond strength using universal testing machine. Results: The highest push-out bond strength was shown by 2% Chlorhexidine group when used with Biodentine and lowest when normal saline was used with Biodentine. Conclusion: All experimental irrigating solutions increased the push-out bond strength of MTA and Biodentine.

Aquaculture industry provides proteins and unsaturated fatty acids worldwide. Fresh water aquaculture is considered as the most prominent type of aquaculture in the world. Nile tilapia aquaculture is favored because it can adopt to wide range of environments and can tolerate various abiotic stresses. However, the success and profitability of aquaculture is significantly affected by type of feeds used in aquaculture system. An experiment was conducted to assess this important aspect of aquaculture. Nile tilapia fingerlings were fed on three different protein sources to assess the effects of these experimental diets on growth of fingerlings and on water quality. Three protein sources were freshwater shrimp meal (FSM), black soldier fly larvae (BSF) and soybean meal (SBM). Fingerlings were divided into groups based on their respective experimental diets and were arranged according to CRD with three replicates. Each replicate contained 30 fingerlings. Data was recorded for growth attributes of fingerlings and for water quality attributes. Analysis of data shows that BSF caused 32% increase in final weight of fingerlings followed by FSM, which caused 24% increase as compared to controlled. Net weight gain was also significantly enhanced by experimental diets. BSF caused 88% increase in weight gain as compared to controlled. BSF also increased 43% survival rate of Nile tilapia fingerlings as compared to fingerlings fed with controlled diet. Water quality was not much affected by all diets. Water quality parameters like DO, pH, temperature, ammonia and phosphorus all were in optimum range for tilapia culture. However, BSF provided 136% more phosphorus as compared to controlled. This study reveals the beneficial effects of BSF larvae protein source for Nile tilapia culture. So, from these findings, it can be suggested to partially replace fish meal with BSF larvae meal.

Accidents triggered by contact with winged adult forms of moths and accidents caused by contact with larvae. These accidents are caused by contact with the bristles on the abdomen of females of certain species, belonging to the genus Hylesia Hübner, 1820 (Family: Hemileucidae). Therefore, the simple fact of penetration of the bristles seems to be capable of causing intense inflammatory, popular, and pruritic reactions. Pararama (pararamose) is the common name for a stinging caterpillar found in the artificial rubber plantations of Pará, Brazil, the larval stage of the moth Premolis semirufa (Walker, 1856) (Famíly: Erebidae). Therefore, accidental contact with the small bristles of the caterpillars or with those of the cocoons causes a chronic inflammatory reaction in the interphalangeal joints that leads to ankylosis. The morbid condition mainly affects rubber tappers and is classified as an occupational disease. Eruca=larva; erucism is poisoning caused by a moth larva. The main families of Lepidoptera fireworms that cause erucism accidents are Megalopygidae, Saturniidae, and Arctiidae. The caterpillars of the Megalopygidae family have a body covered with long, harmless bristles that cover the smaller, sharp spines that carry poison glands this manuscript aims to report the biological characteristics of venomous Lepidoptera (Insecta) and their biological, clinical manifestations, treatment, prevention, and therapeutic possibilities. That paper is a narrative review of the literature, which is designed to explain and discuss a certain subject from a theoretical or contextual perspective, to allow the reader to acquire or update knowledge on a specific topic. The scientific articles that made up this review were searched on Google Scholar, Biological Abstract, HAL, Qeios, ResearchGate, Scielo, and SSRN. The following descriptors in Health Sciences (DeCS) were used: biological therapy, larva, wound, debridement, and healing. The following inclusion criteria were considered: original articles and reviews, published nationally and internationally in full, available electronically, and published in Portuguese, English, and Spanish. The exclusion criteria were dissertations, theses, monographs, and conclusion work, duplicates, and those that required payment to access the content in full.

Objectives: To offer a comprehensive review of the literature on Congenital heart block (CHB) in newborns born to women with systemic lupus erythematosus (SLE). Methods: A comprehensive computerized search of pertinent databases was conducted in order to find studies that satisfied the inclusion requirements. To find pertinent information, a thorough search of PubMed, SCOPUS, Science Direct, Cochrane and Web of Science was conducted. Results: Our data included eight trials with 23,967 women diagnosed with SLE. The prevalence of CHB in neonates born to mothers diagnosed with SLE ranged from 0% to 4.2% with a total prevalence of 41 (0.2%). Congenital and acquired heart conditions in children, such as structural and arrhythmic, are linked to maternal SLE. These adverse events were mainly associated with the disease activity. Anti-Ro/SSA antibodies have been related to both CHB and neonatal lupus through transplacental transfer. Conclusion: We demonstrated a low prevalence of CHD in neonates of mothers with SLE. However, the presence of maternal autoantibodies is the primary cause of neonatal CHB, which continues to be a serious pregnancy problem for moms with systemic lupus erythematosus. Although improvements in newborn care and prenatal monitoring have led to better results, problems still exist with early discovery, efficient treatment, and long-term follow-up.

The primary objective of this research is to study the Jordanian Cybercrime Law No. (17) of 2023 between regulating social media sites and restricting freedom of opinion. In addition, it clarifies the concept of cybercrimes and how to control social media sites while preserving citizens’ rights to freedom of expression. In terms of balancing digital security and controlling social media sites. Defining concepts and terms, such as “regulating” social media sites and “restricting freedom of opinion,” is crucial to understanding the law's impact on users. Monitoring and implementing the law by the competent authorities to avoid excessive violations of individuals’ rights. The researcher used the descriptive analytical method, as well as the inductive method, and the legal text analysis tool was used. This research has reached several results, the most important of which are that the Jordanian cybercrime law has used broad, vaguely defined, inaccurate, ambiguous, and non-specific terms, such as fake news. Even though these texts do not meet the requirements of international law regarding drafting legal texts precisely enough to allow individuals to regulate their behavior accordingly. In addition, the Jordanian cybercrime law focused on the penal and punitive dimensions and did not include any institutional or preventive measures to reduce negative phenomena in the digital environment. This research has reached several recommendations, the most important of which are that the Jordanian legislator must reconsider amending legal texts that are unfair to internet users in a way that leads to the adoption of balanced legal texts compatible with basic rights. These rights include the right to exchange information, the right to express opinions and ideas, and the right to privacy, which the Jordanian Constitution guarantees in Article (7).

This research article considers the flexural rigidity influence along both x and y axes on the dynamic response of orthotropic rectangular plate resting on constant elastic foundation with elastic end conditions. The orthotropic rectangular plate model is a coupled fourth order partial differential equation having variables and singular coefficients. The solutions to this model are arrived at by reconstructing the fourth order partial differential. This partial differential equation model is converted to a set of coupled second order ordinary differential equations by using a special technique adopted by Shadnam et al., [11]. This set of second order ordinary differential equations is then reduced using modified asymptotic method of Struble. The closed form solution is evaluated, resonance conditions are obtained and the results are showed in plotted curves to depict the influence of flexural rigidities along both x and y axes on the dynamic response of orthotropic rectangular plate resting on constant elastic foundation with elastic end conditions for both cases of moving distributed mass and moving distributed force.

The deflection of thin orthotropic rectangular plate under moving loads is a classic problem in solid mechanics. However, the equations are challenging to solve due to their non linearity and complexity. At the same time, this equation is a coupled fourth order partial differential equation having variables and singular coefficients. In this research article, the partial differential equation is converted to a set of coupled second order ordinary differential equations by using a special technique adopted by Shadnam et al., [19]. This transformed set of second order ordinary differential equations is then reduced using modified asymptotic method of Struble and Laplce transformation. The closed form solution is evaluated, resonance conditions are obtained and the results are showed in plotted curves to solve the variations in amplitudes for some varying orthotropic plate parameters with elastically supported ends under moving loads for both cases of moving distributed force and moving distributed mass.

Background: Viral conjunctivitis is a prevalent eye infection that is typically linked to epidemic circumstances. The aim of this study was to evaluate the clinical features of continuing viral conjunctivitis in Sudan during times of conflict. Methodology: This is a prospective descriptive study that was launched after seeing an uncommon presentation of acute hemorrhagic conjunctivitis in people of all ages around the beginning of August 2024. Results: Subconjunctival hemorrhage (SCH) was observed in a total of 83 cases, with 76% being males and 95% being females. Swelling of the eyelids was observed in 82 patients, with 82.5% being males and 81% being females. Conjunctival edema was observed in a total of 79 patients, with 77.7% being males and 81% being females. The majority of the patients exhibited symptoms in both eyes, while 8% and 4% experienced symptoms in the left eye and right eye, respectively. Conclusion: This pandemic of viral conjunctivitis, which often begins in one eye and spreads to the other, can clear itself in a week or two, based on the typical clinical symptoms. Steroids and antibiotics work synergistically to alleviate symptoms and avoid bacterial infections.

Curriculum based ideological and political education is a new requirement for talent cultivation in universities in the new era of education reform. It includes diversified curriculum based ideological and political education elements such as norms, culture, and competition in traditional ethnic sports, and is the main path to achieve the fundamental task of cultivating morality and talents. On the basis of exploring the effectiveness of traditional ethnic sports teaching in undergraduate colleges under the background of curriculum ideological and political education, this article analyzes how to carry out traditional ethnic sports teaching in undergraduate colleges under the background of curriculum ideological and political education, and give full play to the educational value of traditional ethnic sports.