Lobelia inflata (Indian tobacco, Campanulaceae) is an herbal remedy for many respiratory conditions such as asthma, bronchitis, pneumonia, and cough. The main objective of the current review is to document the potential use of L. inflata as respiratory stimulant in patients suffering from Covid-19 infection. Native Americans smoked the plant as a treatment for asthma and today, lobelia is sometimes suggested to help clear mucus from the respiratory tract, including the throat, lungs, and bronchial tubes. Although few studies have evaluated the safety and effectiveness of lobelia, some herbalists use lobelia as part of a comprehensive treatment plan for asthma. In the 19th century, American physicians prescribed the herb to induce vomiting in order remove toxins from the body. However, because of its properties as a respiratory stimulant and expectorant, the plant should be used at the correct dose and together with herbs that are soothing to the throat and lungs, and it is often used in a synergistic herbal formula that includes L. inflata herb and seed, Zingiber officinale, and Hyssopus officinalis. The study species should not be used as a substitute for drug therapy during an asthma attack and its use is contraindicated during pregnancy. Lobelia inflata has no known adverse drug interactions and it is therefore a promising complementary therapy for the management of respiratory disorders, in particular in light of the recent increase in the prevalence of respiratory diseases associated with Covid-19. In conclusions, data of the current study has proven the possibility of using the plant in treating the respiratory disorders resulting from infection with Covid-19.

Objective to explore the clinical efficacy of low-temperature plasma tonsillectomy in the treatment of patients with chronic tonsillitis and tonsillar hypertrophy. Methods: 100 patients with chronic tonsillitis and tonsillar hypertrophy admitted to the first affiliated hospital of Xinjiang Medical University from August 2021 to August 2023 were randomly selected as the research subjects. Based on the voluntary principle and different treatment plans, The patients were divided into two groups. 50 patients who underwent dissection tonsillectomy treatment were selected into the control group, and 50 patients who underwent low-temperature plasma tonsillectomy were selected into the observation group. The differences in clinical indicators between the two groups of patients were compared, The pain levels of patients at different postoperative periods were evaluated, and the differences in serum inflammatory factor levels were detected. Results: Compared with the control group, after surgical treatment, the operation time, and intra-operative bleeding volume of the blood observation group were significantly shorter, and the difference was statistically significant (P<0.05); 1, 3, 5 and 7 days after surgery in the observation group. The Visual analogue scale VAS pain scores at 7 days were lower than those in the control group, and the difference was statistically significant (P<0.05); after surgery in the observation group, the patient's high-sensitivity C-reactive protein (hs-CRP) (14.18±0.51) mg/L, Tumor necrotic factor-alpha (TNF-α) (4.23±0.31) pg/ml was significantly less, and the difference was statistically significant (P<0.05); 5 patients in the observation group suffered from postoperative bleeding and complications The incidence rate was 16.00%, which was significantly lower than that of the control group, and the difference was statistically significant (χ2=4.588, P<0.05). Conclusion: From our study it was able to show that tonsillectomy for adults and children with recurrent tonsillitis were widely used which improves health and quality of life and reduces the need to consume medical resources. When low-temperature plasma tonsillectomy is used in the clinical treatment of patients with chronic tonsillitis and tonsillar hypertrophy, the inoperative blood loss of the patients is significantly reduced, the clinical pain of the patients is further relieved, and the serum inflammatory factor levels of the patients are adjusted.

Rapid delivery of specimens is crucial in today's clinical laboratories, and pneumatic tube systems are commonly utilized for this purpose. The validation of sample stability through pneumatic tube system (PTS) is essential. The use of Pneumatic Tube System can improve specimen turnaround time; allowing more effective time management of the porters by reducing the need to physically take specimens from one department to another. Prior to use, the Pneumatic tube system must be validated to ensure the reliability of laboratory test results, particularly those impacted by movement, such as lactate dehydrogenase (LDH), aspartate aminotransferase (AST), potassium (K+), complete blood count (CBC), particularly hemoglobin and coagulation tests. The most common way of validating pneumatic tube systems is to compare blood samples transported by pneumatic tube systems to blood samples transported by hand. High speeds and rapid acceleration of blood samples can increase the risk of hemolysis and negatively affect sample quality and test results. Moreover, the installation and design of each pneumatic tube system exhibit unique characteristics that are exclusive to each individual institution. The established protocol necessitated the use of either a human courier or pneumatic tube technology in order to transport a collection of replicated samples to the laboratory. Comparative research will be conducted on a sample size of twenty healthy adult volunteers to assess the integrity of the sample. The main objective of our study was to evaluate the effects of PTS transportation on laboratory results and whether is there any difference as compared to hand courier method.

Background: Despite focused efforts on error prevention, the incidence of medication errors (MEs) occurring in the health care system continues a concern. Patient harm can be diminished or prevented by adequate reporting processes that include identifying, analyzing, and correcting MEs on time. Both medication error prevention and reporting strategies are critical components in advancing patient safety. Methods: To analyze the strategies used by the Health Care Professionals (HCPs) to facilitate reporting medication errors in a health care setting, an integrative review of the literature, guided by Whittemore and Knafl's (2005) five-step process, was applied for the period between 2011-2021. With a comprehensive search conducted using PubMed, DSL, Google Scholar databases, nine articles only met our inclusion criteria which are, in the English language, performed by peers and full-text articles that answered the guiding questions included in this review. Result: The articles were analyzed in terms of objectives, methodological path, main results, and recommendations for improvement. The analysis reveals that MEs reporting strategies are varied either web-based, paper-based, or Technician Enhanced Administration of Medication (TEAM) model. Staff awareness and non-blame culture are influencing HCPs' ability to adopt the proper strategy for reporting MEs, understanding of HCPs' characteristics and organizational factors that influence error reporting can foster the development of effective strategies to report MEs and enable organizations to enhance patient safety.

Background: Despite medical advancement, Bangladesh still show high infant mortality rate. Infections, pre-term birth, and birth asphyxia are identified as the three leading causes of neonatal deaths worldwide. Advanced quality care and essential newborn care practices can minimize the mortality as well as the morbidity of neonates. Therefore, this study aimed to examine the neonatal care practice among nurses working at both public and private hospitals in Bangladesh. Methods: A descriptive cross-sectional study was conducted among conveniently selected 117 nurses working at the selected three public and two private hospitals in Bangladesh. A face-to-face interview was carried out through a structured questionnaire containing two domains including the socio-demographic part and the neonatal care-related segment. Descriptive and inferential statistics including frequency, percentage, mean, SD and t-test, and ANOVA were used to analyze the data. Results: The total mean score of neonatal care practice was 46.27±9.22 in public hospital and 50.85±5.03 in Private Hospital. The mean age of participants in public was 32.35 (SD=6.85) and in private hospitals was 29.91(SD=3.69) years. There was a statistically significant positive relationship between number of nurses (r=.834, p<.001), number of bed (r=.559, p<.001), job experience (r=.294, p= .023) and neonatal care practice among nurses in public hospital. There was a statistically significant negative relationship between number of nurses (r=-.812, p<.001), number of beds (r=-.812, p<.001) and neonatal care practice among nurses in private hospitals. Conclusion: It is concluded that the overall neonatal care practice of nurses in Bangladesh is at a satisfactory level. Though private hospital nurses show a higher level than government hospitals with respect to neonatal care practice.

Background: Breast cancer presents a complex clinical scenario requiring multifaceted approaches for effective management. Objective: The primary objective is to analyze the Clinical status of Ocular Manifestations in Breast Cancer Patients. Method: A cross-sectional study was conducted involving 45 breast cancer patients. Data on age distribution, educational qualifications, socio-economic status, disease staging, primary treatment methods, and ocular manifestations were collected and analyzed to determine demographic trends and disease characteristics. Results: The study revealed a diverse demographic representation across age groups, with a notable concentration between 41 and 60 years. Educational qualifications and socio-economic statuses exhibited varied distributions. Disease staging indicated a significant prevalence of advanced stages (II and III), while diverse treatment modalities, primarily mastectomy and segmental resection, were employed. Ocular manifestations, although relatively infrequent at 11.10%, underscored the importance of vigilant monitoring. Conclusion: The findings highlight the multifaceted nature of breast cancer patient profiles and disease characteristics. Tailored approaches are warranted considering diverse patient demographics and disease stages. Enhanced early detection strategies and personalized treatment plans are imperative to optimize breast cancer care. The recognition and surveillance of ocular manifestations emphasize the need for comprehensive patient monitoring. Altogether, this study underscores the significance of personalized, comprehensive care strategies in breast cancer management to improve patient outcomes and well-being.

Introduction: Abortion is a critical public health issue, particularly in developing countries like Bangladesh, where access to safe abortion services is often limited. This study aimed to analyze the characteristics and outcomes of abortion cases in a tertiary-level hospital setting, providing insights into the demographic profile of patients, nature and type of abortions, treatment methods, and post-abortion complications. Methods: This cross-sectional observational study was conducted at the department of Obstetrics and Gynecology, Uttara Adhunik Medical College and Hospital, Dhaka, Bangladesh, from June 2022 to July 2023. A total of 100 patients were consecutively sampled based on specific inclusion and exclusion criteria. Data were collected through patient medical records and interviews, focusing on demographic information, details of the abortion, and subsequent outcomes. Result: The majority of patients were in the 26-30 age group (42%), with 58% being primigravida. Most abortions occurred in the early stages of pregnancy (<13 weeks, 75%). Incomplete abortions were the most common type (83%), and the majority of cases were spontaneous (84%). Surgical intervention (D&C) was the predominant treatment method (83%). While most patients (84%) did not experience complications, a minority faced significant health challenges, including shock (5%) and septicemia (3%). Conclusion: The study highlights a high incidence of incomplete abortions and a preference for surgical treatment in abortion cases at the tertiary hospital level in Bangladesh. These findings underscore the need for improved abortion care, enhanced patient education, and better access to comprehensive abortion services. The study's insights are crucial for informing policy and practice to improve reproductive health services and address the challenges of unsafe abortion practices in Bangladesh.

Background: Burnout is a state of physical, mental, and emotional exhaustion caused by chronic overwork, and nurses are particularly susceptible to experiencing burnout, which can have implications for both job satisfaction and patient well-being. This study aimed to investigate job satisfaction, burnout, and the relationship between these factors among nurses working in the pediatric ward of a tertiary hospital in Bangladesh. Methods: A descriptive cross-sectional study was conducted, involving 105 conveniently selected nurses from various pediatric wards at the Bangabandhu Sheikh Mujib Medical University Hospital. Face-to-face interviews were conducted using a structured questionnaire to collect data. Statistical Package for Social Science (SPSS) was used to analyze the data, with 101 participants' data being considered for analysis after excluding four participants. Descriptive statistics such as frequency, percentage, mean, and standard deviation were used, along with inferential statistics including two-sample t-test, ANOVA, and correlation. Results: The participants' mean age was 28 years (SD±4.20). The average job satisfaction score was 2.50 (SD=.56), with approximately 16.3% of nurses reporting being very satisfied and 36.6% expressing satisfaction. Notably, nurses working in gastrology and neurology wards reported significantly higher job satisfaction (M=3.02; SD=.25) than those in other units (F=7.38; p=.000). Additionally, nurses who had participated in at least one training showed significantly higher job satisfaction (M=2.59; SD=.65) compared to those who had not received any training (M=2.40; SD=.55) (t=3.56; p<.05). Regarding burnout, the mean score was 2.11 (SD=.69). Work place (F=3.03; p=.03) and length of service (F=2.55; p=.04) were found to be significantly associated with burnout. Job satisfaction was negatively correlated with burnout, though the correlation was weak (r=-.09; p=.32). Conclusion: The study concluded that nurses in Bangladesh generally experience a moderate level of job satisfaction and a low level of burnout.

As a leading force in new forms of exercise and fitness, sports apps have successfully attracted the attention of young college students by integrating the exercise mode of "Internet and Sports". In the process of extracurricular physical exercise for college students, the accompanying activities of sports apps have brought diverse impacts. It enriches the forms and projects of extracurricular physical exercise for college students, makes exercise motivation more diversified, and effectively enhances the enthusiasm of college students to participate in extracurricular physical exercise. This article uses literature review, questionnaire survey, and mathematical statistics to study the impact of using sports apps on physical exercise among sports students at Zhejiang Normal University.

Background: G6PD is the rate limiting enzyme in the pentose phosphate pathway that protects human cells from oxidative stress. G6PD deficiency is one of the most common enzymopathies in humans, affecting an estimated 400 million individuals worldwide. The main objective of our study is to Compare diagnostic accuracy of screening qualitative G6PDH assay with standard quantitative assay. Methodology and Results: This is 2 years study comprising 250 confirmed cases of G6PD deficiency by UDILIPSE G6PD quantitative assay. Of which 210 were boys and 40 were girls. 40 cases were reported as false Normal by G6PDH screening assay in boys and 28 in girls. Discussion: Our results were comparable to studies conducted by Mohammed islam, Daae LN et al., Bancone G et al., Kahn M et al., Conclusion: It can be safely concluded that male patients with suspected G6PD deficiency can be screened for G6PDH assay and if tests are indeterminate then can be proceed to quantitative assay. For female patients it is recommended to omit screening test and can directly perform quantitative G6PDH assay in order not to miss G6PD deficient carriers.

The usage of social networking sites such as WhatsApp, YouTube, Twitter, Instagram, Snapchat and Pinterest has brought many opportunities, changes and challenges. The impact of this type of media can be social, psychological, and economic. The social impact is a major concern since these technologies with their rapid spread have succeeded in influencing the attitudes of various groups of individuals. Among all other age groups in Oman, teenagers make up a major segment in the demographic structure of the country. The present research aimed to contribute to this understanding by investigating the impact of social networking media on academic performance, health and social interactions in Oman. A sample of 242 students from University of Technology and Applied Sciences, Nizwa were selected for the study. The findings of the study revealed that 55% of the students in University of Technology and Applied Sciences, Nizwa use Instagram. 25% of the students use WhatsApp. 30% of the students in University of Technology and Applied Sciences, Nizwa use three social media platforms. 32% of the students spend 3 to 5 hours daily on social media. 45% of the University students stated that they are attracted towards social media.

This study investigated neonatal home-care practices of mothers in Ihiala Local Government Area of Anambra State. 398 nursing mothers participated in a longitudinal survey to evaluate the newborn home-care behaviors of mothers in Ihiala, Anambra State. For the study, newly delivered moms who gave their informed consent were progressively selected from communities in each town in Ihiala, L.G.A., Anambra State. Data was gathered from the women in their homes using a questionnaire that the researchers had devised, tested, and validated. Data collected were loaded into SPSS version 23. Data were analyzed and summarized in tables of frequencies and percentages. The study's findings demonstrated that, despite being below the specified level of 75% and above, the majority of moms received adequate cord and thermoregulatory care, with mean scores of 65.48 and 73.6%. There was still evidence of subpar neonatal care practices in the area, including the use of tooth paste (12.9%), shea butter (27.9%), and herbs (27.4%) on the cord, as well as the non-practice of exclusive breastfeeding (72.6%) and skin-to-skin care (75.6%). Neonatal practices are influenced by age, parity, education, occupation, and delivery location. Despite their high level of awareness, it was found that the mothers did not perform proper neonatal home care. To enhance neonatal care practices and empower moms to make educated decisions about their own and their child's health, it is advised that maternal education and women's empowerment be promoted.

This research aims to analyze and discover the weaknesses of the regulations for making Sharia banking deeds that do not yet have certainty value and how to reconstruct the standards for making Sharia banking deeds, the authenticity and legal force of notarial deeds used in Sharia banking practices based on the value of certainty in a normative legal research which examines legal norms in regulations that examine the research object. The data used in this research is secondary data, namely primary legal material in the form of laws and regulations governing criminal sanctions. Secondary legal materials in the form of scientific literature and previous research discussing criminal sanctions and tertiary legal materials in the form of legal dictionaries. Based on the results of data analysis, it is concluded that there are two weaknesses in the regulations for making Sharia Deeds in this case: a. The Sharia notarial deed agreement does not conform to the format according to Article 38 UUJN, especially the placement of the word "Bismillahhirrahmanirrohim" and the word "Alhamdulillah". b. The inconsistency of the Sharia notarial deed agreement in its substance is that there is a clause for immediate collection of all Murabahah debts and delivery/disposal of goods and this is clearly contrary to the Fatwa of the National Sharia Council number 04/DSN-MUI/IV/2000 concerning Murabahah therefore, it is necessary to reconstruct Article 38 paragraph (3) UUJN concerning deed bodies.

Background: Caesarean section is the most common Obstetric surgical procedure. Repeat CS has been a significant contributor to the overall increase in CS rate and accounts for about one- third of all caesarean deliveries worldwide. Objective: This study aimed to determine the prevalence and outcome of repeat Caesarean section. Materials and methods: The study was a 3-year retrospective review of Caesarean sections, carried out between 1st July 2020 and 31st June 2023 in the department of Obstetrics and Gynecology of Rasheed Shekoni Federal University Teaching hospital. The case files of the participants were retrieved from the record department. Data analysis was carried out using IBM statistical package for social sciences (SPSS) version 26. Measured variables were expressed in frequencies and percentage. Test for association was done using chi-square non-parametric test, setting P-value at <0.05. Results: A total of 144 were repeat caesarean deliveries were performed out of 344 Caesarean sections done during the review period, giving an incidence rate of 41.9%. The mean age of the patients was 30.42 ± 50 years and the mean parity was 4.47±2.62. Most (51.39%) of the repeat CS were elective. Majority (93.06) of the patients had EBL ≤1000ml and most (82.6%) of the babies delivered had 5th minute Apgar score of ≥7. Conclusion: The repeat Caesarean section rate in this study is high. Similarly, the emergency Caesarean section rate at first and second order repeat Caesarean deliveries is high. Additionally maternal and fetal complications are higher among women lower order Caesarean deliveries.

This research aims to find and analyze the weaknesses of the criminal sanctions regulations against perpetrators of plantation crimes which are not yet based on the value of justice, and to reconstruct the criminal sanctions regulations against perpetrators of criminal acts based on the value of justice in a normative legal research which examines legal norms in regulations that examine the research object. The data used in this research is secondary data, namely primary legal material in the form of laws and regulations governing criminal sanctions. Secondary legal materials in the form of scientific literature and previous research discussing criminal sanctions and tertiary legal materials in the form of legal dictionaries. Based on research conducted, there are several norms of criminal sanctions against perpetrators of plantation crimes in Law Number 39 of 2014 concerning Plantations that are not based on the value of justice because the orientation of the UUP is on large internationalization investors or foreign investors so that plantation regulations are liberalizing, as is the case with Regulation of criminal sanctions and fines against perpetrators of plantation crimes is still weak, especially corporate sanctions. Weaknesses in the regulation of criminal sanctions against perpetrators of plantation crimes currently include weaknesses in legal substance, legal structure, and legal culture. From this weakness, there is also a legal vacuum and legal ambiguity, therefore, the reconstruction offered is carried out with the reconstruction of the norms of Article 103 to Article 113 of Law No. 39 of 2014 concerning Plantations.