International Medical School (IMS), Management and Science University, Malaysia Pregnant mothers with uncompleted pregnancies should be encouraged to perform physical exercises. Aerobic and muscle strengthening exercises are beneficial in pregnancy [1].

This study examined the relationship between supplier relationship management and the effectiveness of firm's supply chain of selected manufacturing in Port Harcourt. Correlational survey research design was adopted for this study as this study seek to determine the relationship between the two variables. The population of this study is thirty-two (32) manufacturing companies in Rivers State which are registered with the Rivers State branch of Manufacturers Association of Nigeria (MAN). There are only 32 registered firms with MAN in the State. With regard to the respondents of the study given the strategic nature of the study, three key managers (production manager, marketing manager and logistics manager) were chosen as respondents from each using simple random sampling of the thirty-two firms constitute the study subject. This gave us a total of ninety-two (92) for the study. Structured questionnaire instrument title” Supplier relationship management and effectiveness questionnaire was developed on five-point likert scale. The result of the Cronbach's Alpha reliability test indicates .800 which is above .70 which implies that the items are reliable. Pearson product moment correlation was used to test the hypotheses using SPSS (statistical package social sciences). The study revealed that there is a significant relationship between Collaborative Supplier Relationship Management and Effectiveness of Firm's Supply Chain of selected manufacturing firms in Port Harcourt. There is a significant relationship between Transactional Supplier Relationship Management and Effectiveness of Firm's Supply Chain of selected manufacturing firms in Port Harcourt. There is a significant relationship between Strategic Supplier Relationship Management and Effectiveness of Firm's Supply Chain of selected manufacturing firms in Port Harcourt. The study concluded that Supplier Relationship Management (SRM) plays a crucial role in enhancing the effectiveness of a firm’s supply chain, particularly in the manufacturing industry. In Port Harcourt, Nigeria. The study recommended that manufacturing firms should focus on building long-term strategic partnerships with key suppliers based on trust, mutual benefit, and shared goals. This can help in aligning interests, fostering innovation, and creating a competitive advantage.

The past ten years have seen significant expansion in the aviation sector, which during the previous five years has steadily pushed emerging countries closer to economic independence. It is crucial to accurately forecast the potential demand for air travel to make long-term financial plans. To forecast market demand for low-cost passenger carriers, this study suggests working with low-cost airlines, airports, consultancies, and governmental institutions' strategic planning divisions. The study aims to develop an artificial intelligence-based methods, notably fuzzy inference systems (FIS), to determine the most accurate forecasting technique for domestic low-cost carrier demand in Bangladesh. To give end users real-world applications, the study includes nine variables, two sub-FIS, and one final Mamdani Fuzzy Inference System utilizing a Graphical User Interface (GUI) made with the app designer tool. The evaluation criteria used in this inquiry included mean square error (MSE), accuracy, precision, sensitivity, and specificity. The effectiveness of the developed Air Passenger Demand Prediction FIS is assessed using 240 data sets, and the accuracy, precision, sensitivity, specificity, and MSE values are 90.83%, 91.09%, 90.77%, and 2.09%, respectively.

Myocardial infarction resulting from coronary embolism is a rare type of acute coronary syndrome, often going unnoticed. Distinguishing it from acute coronary syndromes arising from atherosclerosis is important, as it significantly influences the treatment approach. It is frequently associated with conditions that increase the risk of thromboembolism, such as infective endocarditis, atrial fibrillation, mitral valve disease, neoplasia and cardiac surgeries. We would like to present a case of coronary embolism involving a 42-year-old male with a history of rheumatic valve disease and atrial fibrillation who was admitted for acute chest pain. The diagnosis was confirmed through coronary angiography.

Introduction: Acute pancreatitis is an acute inflammatory condition of the pancreas involving varying degrees of regional tissues and distant organ systems. This study aims to investigate the clinical presentations and risk factors associated with acute pancreatitis to enhance understanding and guide more effective management strategies. Aim of the study: The aim of this study was to evaluate the clinical presentation and risk factors associated with acute pancreatitis. Methods: This retrospective study was conducted at Holy Family Red Crescent Medical College Hospital, Dhaka, from July 1, 2021, to December 31, 2023, spanning 2.6 years. The study included 42 consecutive patients diagnosed with acute pancreatitis. Data were collected by reviewing patient records for demographic details, clinical presentations, etiological factors, complications, and outcomes. Statistical analyses were conducted using SPSS version 23, with categorical variables expressed as numbers and percentages. Result: The majority of the 42 patients included in the study were within the age group of 20-39 years, 24 (57.14%) patients The most common clinical presentation was abdominal pain, reported by 40 (95.24%) patients. Biliary causes, including gallstones and common bile duct stones, were identified as the predominant etiology in 27 (64.29%) patients. Complications included necrotizing pancreatitis in 4 (9.52%) patients. Regarding outcomes, 27 (64.29%) patients recovered and were discharged. Conclusion: Effective management, emphasizing early diagnosis and treatment, is crucial for reducing the morbidity and mortality associated with acute pancreatitis.

Purpose: This study highlights the clinical and radiological challenges in distinguishing ovarian malignancy from pelvic tuberculosis (TB), underscoring the need for precise diagnosis and appropriate treatment. Background: Pelvic TB, a rare extrapulmonary form of tuberculosis, presents diagnostic challenges, particularly in developed countries where it is less prevalent. Its symptoms, including chronic pelvic pain, menstrual irregularities, and adnexal masses, can mimic those of ovarian cancer, leading to potential misdiagnosis. Although TB is uncommon in developed nations, it remains a significant global health issue, particularly affecting individuals from endemic regions. Pelvic TB typically spreads to reproductive organs through lymphatic dissemination, direct extension, or hematogenous routes. Case Presentation: A 46-year-old woman presented with abdominal pain, abnormal vaginal bleeding, breathlessness, weight loss, and night sweats. She had a history of lung sarcoidosis, recurrent chest infections, and prior TB exposure. Initial imaging suggested advanced ovarian malignancy, but an omental biopsy revealed granulomas consistent with sarcoidosis. Further tests confirmed disseminated TB, and the patient underwent a 9-month course of anti-tuberculous therapy, which resolved most disseminated TB lesions. However, a persistent complex pelvic cyst required conservative follow-up. Conclusion: Although pelvic TB is rare in developed countries, it should be considered in the differential diagnosis of pelvic masses with ascites and elevated CA 125, especially in patients with recurrent chest infections and TB exposure.

In the context of the energy transition, optimizing photovoltaic solar systems with charge controllers plays a crucial role in managing the energy produced by solar panels and its storage in batteries. Two dominant technologies are used in this field: MPPT (Maximum Power Point Tracking) and PWM (Pulse Width Modulation). This paper presents an in-depth comparative study of these two technologies, focusing on their efficiency, cost, and suitability for small-scale solar installations, particularly in rural African contexts where budget constraints are significant. The study begins with a detailed literature review, analyzing the operating principles of MPPT and PWM controllers, their respective advantages and disadvantages, and performance under various environmental conditions. Previous studies are examined to identify the conditions under which each type of controller offers the best performance. Empirical data and existing case studies are reviewed to establish a solid comparison base. This analysis is accompanied by tables and graphs illustrating the performance of both types of controllers. Based on the results of this analysis, the paper proposes the design of a PWM charge controller suitable for small solar installations in rural areas with budget constraints. This solution aims to promote energy accessibility while minimizing costs, offering a viable alternative for rural communities with limited resources.

The remarkable progress in nanotechnology in the last several decades has drawn attention to nanoparticles (NPs) and their characterization, synthesis, and applications. This phenomenon is caused by changes in the mechanical, chemical, and physical properties of the materials on this scale, including their optical properties, thermal conductivity, and melting point. Since many procedures for producing metal nanoparticles need high temperatures and harsh chemical conditions, scaling them up for large-scale manufacture can be challenging. Generally, there are two primary methods for synthesizing nanomaterials: the bottom-up method and the top-down method. A spinning disc reactor (SDR) is used in the spinning-assisted production of nanoparticles. Carbon fullerenes are spherical cages that contain anything from 28 to over 100 carbon atoms. Because of the way they interact with carbon to generate hexagons and pentagons, which result in hollow balls, they resemble soccer balls. The chemical or elemental makeup of nanoparticles directly affects their purity and functionality. The efficiency of the nanoparticle may decline if there is a rise in secondary or undesired materials present, since this might also result in secondary reactions and contamination throughout the process. Although they are commonly supplied as dispersions in different media, including glasses or liquid solvents, they may also be produced in the gas phase to create aerosols. When gold nanoparticles are exposed to a particular wavelength of light, the light's oscillating electromagnetic field causes the free electrons to collectively oscillate coherently. The nanoadsorbents are particularly effective in reducing pollutants, and very little nanoadsorbent is needed to absorb the pollutants' components.

This research examined the impact of students' characteristics and their perceptions about learning environment on mathematics and science achievement. It specifically aimed to demystify the effect of gender, economic, social and cultural status, immigrant background, teacher feedback, teacher support, exposure to bullying, and disciplinary climate on on mathematics and science achievement. Furthermore, it reanalyzed the results of the 2018 PISA-Saudi Arabia. Economic Social and Cultural Status, Gender, Teacher Support, and Immigrant Background found to have an influence on mathematics and science achievement. The study recommended that educational institutions in Saudi Arabia should pay attention to gender differences and the economic, social and cultural status, and immigrant backgrounds of students.

Construction projects involve many parties and experts such as builders, contractors, designers, and consultants, which causes project arrangements to be complicated with many risks and uncertainties, including legal and financial risks. Legal risks include aspects of contracts, permits, certificates, claims, lawsuits, and sanctions. Conflicts or disputes can arise due to legal risks, which can lead to cost overruns and delays in project schedules. The project manager must be able to mitigate these risks in order to achieve the project objectives. This study uses descriptive qualitative and descriptive analytical methods to provide a detailed description of the research problem. The results showed that the risks adversely affect the legal aspects of construction, time, cost, and quality of the project. Legal risks in construction projects can arise due to several reasons, namely problems with documents and contract articles, lawsuits from third parties, and problems in acquiring project land. Good risk management is required to improve project efficiency, and project performance is improved when the organization can create a high fit between risk exposure and risk management profile.

The increasing number of accidents and losses due to work accidents, as well as potential hazards in the production process, require effective, comprehensive, and integrated Occupational Safety Management in the management of the company. Work accidents are often caused by unsafe activities, which can be caused by lack of knowledge and skills, physical disabilities, fatigue, and unsafe attitudes and behaviors. This study uses normative legal research methods with a statutory approach and a case-based approach. Sources of legal materials used include primary, secondary, and tertiary legal materials. The results showed that corporate crimes, including criminal liability of negligent companies in managing worker safety, can result in the loss of workers ' lives. The government has very little control over the implementation of occupational safety laws, and companies are still minimal in capital to improve K3 services for employees. In addition, the lack of publications and information on Occupational Safety and health, especially in rural communities, contributes to the aggravation of this condition.

Introduction: Head trauma is a major public health problem and a major cause of morbidity and mortality, particularly in young adults. Objective: To clarify the interest of computed tomography in the management of cranioencephalic trauma in the radiology and medical imaging department of the CHU GT. Methods: This was a retro and prospective study of 5 months ranging respectively from January to March 2010 on 103 cases, from August to November 2010 on 12 cases and concerned 115 patients who came for a CT scan in a context of traumatic brain injury. Results: The average age was 26.6 years with extremes from 4 years to 65 years. The sex ratio was 4.7%. Road accidents accounted for 80.9% of cases. All patients with computed tomography abnormalities, fractures of the vault represented 74.1% of cases, the base with 17.2% and in 8.5% of cases the fracture concerned both the vault and the base. The linear fracture interested the arch in 39.6% of cases. Pericerebral lesions were dominated by meningeal hemorrhage and extradural hematoma with 63.2% and 22.8% of cases. Hemorrhagic edema accounted for 81.7% of intracerebral lesions and in 12% of cases, intracerebral lesions were associated. Based on these data 48.3% of patients were operated on in neurosurgery. The mortality rate was 7.8%. Conclusion: CT remains the examination of choice in the management of craniocerebral trauma.

Breast cancer is a common disease worldwide, with over two million cases reported in 2018. Various therapy modalities use biological characteristics that influence treatment and outcomes to provide individualized care. Some biomarker advancements, such as hormone receptors, vascular endothelial growth factors, and HER2/neu receptors, have significantly contributed to the biological characterization of breast cancer. Triple-negative breast cancer is defined as malignancies that do not express hormone responsiveness or HER-2. Approximately 12% of women with breast cancer will have triple-negative illness, which is more common among non-Hispanic black women regardless of age, but is detected at a younger age than other subtypes. Women with triple-negative illness are more likely to be diagnosed at a later stage (stage III or IV). The pathogenesis of breast cancer is complex and poorly understood, however many risk factors are known. This cross-sectional study spanned from 2010 to 2022. In this study, the prevalence of triple-negative breast cancer in archived breast cancer cases at Federal Medical Centre Yenagoa, Bayelsa State, was analyzed using the Haematoxylin and Eosin Staining Technique on breast cancer samples collected over the study period. This study, done at Bayelsa State's Federal Medical Centre Yenagoa, analyzed 178 breast specimens. Ninety-six percent (96%) of the patients were IDC, and 5% were TNBC. The average age at presentation was 48.21 years, with 59.1% of patients being under 50 years. 40% of the patients exhibited HER-2/neu positive, and 65% had estrogen receptor (ER) positivity. The study was conducted in a single medical institution, and specific types of lesions were not included. Other potential limitations include comparing findings with various techniques and diagnostic protocols.

Introduction: It is undeniable that the NPC plays a crucial role in the development process of nations; “because maternal and neonatal deaths, which hinder economic growth and cause global losses in productivity, can be avoided thanks to ANC, which is all the more effective if it is early and regularly repeated. This consultation effectively contributes to avoiding “complications of pregnancy and its consequences, which are a major challenge for the health of women of childbearing age; and the leading global cause of morbidity, disability and mortality in this target, especially in developing countries. This research seeks to determine the repercussions and explanations explanations of the beginning late arrival of women to prenatal consultation. Method: This study is quantitative of the cross-sectional descriptive correlational type, carried out at the MAZIBA health and maternity center, more precisely in the Bonhomme district, in the commune of Matete, city of Kinshasa, in the Democratic Republic of Congo, during the period from January 29 2022 to April 8, 2023. It used the survey method, combined with the interview technique and a survey questionnaire as the data collection instrument. Results: The late onset of CPN remains a major public health issue in the study region. The late arrival of pregnant women at the CPN is influenced by different variables such as neglect, fatigue, distance, lack of financial means, high cost of care, poor reception, lack of space, lack of chairs or benches. The consequences linked to late arrival at the ANC are on two levels: the consequence for the pregnant woman and for the fetus. In the pregnant we obtained an average of 18.7% and 31.3% in the fetus. This study demonstrated that there is a significant statistical relationship between It also appears that there is a significant statistical relationship between personal, socio-economic, organizational, cultural factors and the consequences in the fetuses (p = 0.00. P=0.01, and p=0.00). Conclusion: Thus, healthcare professionals have the opportunity to provide ongoing education on the importance of starting prenatal care visits early to avoid adverse pregnancy outcomes, taking into account all the elements mentioned.

Drug addiction is a complicated neurobiological illness that alters a person's brain and behaviour to the point that they are unable to control their need to consume drugs. Here researcher finds out a few objectives. These are, to state the present scenario of drug addicts from the perspective of India and explain the government initiative to prevent drug addiction. The researcher will conduct this research through the documentary analysis method. The researcher’s main intention is to observe the current situation in India regarding drug addiction as well as how much government initiatives are able to control the structure. Since the younger generation is primarily responsible for leading India and positioning it as a developed nation, developing nations like India need to raise awareness to end this out-of-control situation.