Background: Myocardial infarction (MI) is a common emergency department (ED) and coronary care unit (CCU) presentation globally. The purpose of this investigation was to determine the prevalent pattern and clinical presentation of STEMI type among Sudanese patients in the state of Northern Kordofan (rural population). Methodology: This is a descriptive study conducted at Coronary Care Unit (CCU) at El-Obeid Teaching hospital in El-Obeid city, North Kordofan State, Sudan. The study included a full coverage of patients admitted with clinical diagnosis of STEMI, during the period from Nov 2018 to March 29, 2022. Besides initial presenting symptoms, the diagnosis and STEMI categorization based on the ECG findings. Results: Only 141 of the 174 patients admitted to our facility had comprehensive patient identification information. The majority of patients had an anterior presentation, followed by anteroseptal, inferior, anterolateral, septal, and inferolateral, with proportions of 46/141 (32.6%), 32/141 (22.7%), 29/141 (20.4%), 26/141 (18.4%), 7/141 (5.0%), and 1/141 (0.7%), respectively. Only 32/141 (22%) of the 141 individuals presented within 12 hours of their initial chest discomfort. Approximately 59 out of 141 (41.8%) patients presented themselves after 72 hours had passed. Streptokinase was administered to about 40 individuals, and 12 of them (30%) presented after 12 hours. Conclusion: STEM is prevalent in rural Sudan, with an increasing prevalence of anterior type. The majority of patients presented late in response to their initial chest discomfort, which can lead to unfavorable or poor outcomes. Health education regarding MI is considered essential in rural communities.

Introduction: Cancer remains a significant public health challenge globally, with varying prevalence and characteristics across different regions. This study aimed to analyze the prevalence and characteristics of cancer, with a particular focus on ovarian cancer, at Khwaja Yunus Ali Medical College & Hospital in Bangladesh. Methods: This retrospective study reviewed hospital records from January 2021 to August 2022, encompassing 6,785 cancer diagnoses of various types and affecting both genders. The study focused on the prevalence and characteristics of these cancers, particularly ovarian cancer, among female patients. Data on gender distribution, age distribution, and histological types of ovarian cancer were analyzed using descriptive statistics and comparative analyses. Result: The study revealed a nearly equal gender distribution among cancer patients, with females slightly outnumbering males (50.49% vs. 49.51%). Among the 3,426 female cancer patients, 3.24% were diagnosed with ovarian cancer. Within the gynecology ward subset (n=878), ovarian cancer accounted for 5.35% of cases. The age distribution of ovarian cancer patients ranged from 8 to 67 years, with a higher incidence in the 31-50 years age group. Histologically, Serous Cystadenoma was the most prevalent type of ovarian cancer (58.56%), followed by Teratoma (25.23%) and Endometrioid (16.22%). Conclusion: The study provides a comprehensive overview of cancer prevalence in Bangladesh, highlighting the significant presence of ovarian cancer among women, especially in their most productive years. The findings emphasize the need for early screening, awareness programs, and personalized treatment strategies, contributing valuable insights for healthcare policy and oncology research in low- and middle-income countries.

In the context of digital transformation and the impact of the current market economy, building a school culture is crucial to the quality and humanity of education. Building a school culture is currently facing many difficulties. To solve these difficulties, promoting the Vietnamese cultural value system in building school culture content has theoretical and practical significance. Based on using methods of analysis, synthesis, systematization, and generalization of relevant documents on the Vietnamese cultural value system (ethnicity, humanity, democracy, science - according to Resolution 33-NQ/TW of the 9th Meeting of the Party Central Committee of the 11th tenure on building and developing Vietnamese society and people meeting the demand for national sustainable development) and school culture; The article analyzes the role of the Vietnamese cultural value system in building school culture in our country today, including the fundamental tasks: The Vietnamese cultural value system is the foundation for culture school; orientation for building school culture; protect and strengthen school culture in the direction of humanity, tradition, and modernity; through the school culture of educating the young generation in Vietnam.

In the modern organizational landscape, information technology plays a pivotal role in shaping business processes. The increasing reliance on IT necessitates a focus on the confidentiality, availability, and integrity of both enterprise and customer data, making information security a paramount concern. This study delves into the challenges faced by Small and Medium-sized Enterprises (SMEs) in Fort Portal Central Division during their information security governance efforts, highlighting issues such as limited resources, budget constraints, time limitations, and a lack of expertise in drafting and ensuring compliance with security policies. To address these challenges, a comprehensive framework for improving Information Security Governance in SMEs was developed and evaluated. Primary data were collected from 351 respondents, including Proprietors, Directors, CEOs, Managers, and operations personnel, shedding light on the specific hurdles faced by SMEs. The proposed framework underwent rigorous evaluation based on design science parameters, demonstrating efficiency and usability. The results of the evaluation revealed that the developed framework effectively addressed the identified challenges, fulfilling the study's objective. The study recommends SMEs in Fort Portal City to implement the framework to enhance their Information Security Governance efforts. Additionally, policy makers in Uganda, including the National Information Technology Authority Uganda (NITA-U) and Uganda Investments Authority (UIA), can leverage the designed framework to make informed decisions regarding SMEs and information security management and governance. This research contributes valuable insights to the broader discourse on information security governance in SMEs, particularly within the context of Fort Portal City.

This research depicts the inspirational role of Sitti Raihanun Zainuddin Abdul Madjid in pioneering the largest Islamic educational institution in Lombok, West Nusa Tenggara (NTB). The objective of this study is to comprehend the contributions of this female religious scholar in developing the Islamic educational institution and providing insights into the progress of Islamic education in Eastern Indonesia. The research employs a case study method to deepen the understanding of Sitti Raihanun's journey in establishing the educational institution. Data are gathered through the analysis of various relevant sources, including literature, articles, and documentation on Islamic education in NTB. The data analysis technique involves synthesizing information to illustrate Sitti Raihanun's contributions in initiating and advancing the educational institution. The research findings indicate that Sitti Raihanun has laid a strong foundation for Islamic education in Lombok, employing an inclusive approach that engages the local community. The implications of this research are to inspire and guide the development of Islamic educational institutions in the Eastern Indonesia region, while recognizing the role of female religious scholars in advancing local Islamic education.

In modern healthcare, collaboration between different disciplines is imperative for delivering comprehensive and patient-centered care. This paper explores the significance of collaborative efforts between dentistry and nursing in patient care. Recognizing the interconnectedness of oral and systemic health, nurses play a vital role in promoting oral health within their scope of practice. Collaboration between dentists and nurses in clinical settings can significantly enhance patient outcomes, with nurses assisting patients in oral care and serving as advocates for their oral health needs. Inter professional education and training are essential to prepare future healthcare professionals for collaborative practice. Despite barriers such as limited awareness and communication gaps, addressing these challenges can lead to improved patient care. Embracing a collaborative approach between dentistry and nursing holds promise for enhancing patient well-being and preventing disease across the lifespan.

Socio-political crisis tends to push students out of their communities causing them to seek for safer sanctuaries elsewhere but a good number of them still do not want to move out despite the unscrupulous happenings. Understanding how students extenuate coping strategies in such unbecoming atmospheres becomes pivotal. The crisis in the North West Region of Cameroon has propelled non-displaced students to venture in new life styles in order to acquire education amidst crisis without being repulsive. It is against this premise that this study sets out to investigate students’ resilient strategies within the current crisis in the North West Region of Cameroon. Data for the study was amassed from secondary and primary sources. The secondary sources involved soft and hard copies of both published and unpublished documents while primary data was gleaned from field interviews and observation. With the help of snowball sampling technique, 40 interviews’ guides were administered in some sampled Divisions of the North West Region of Cameroon. Extra data was gotten through direct observations and focus groups discussions. Results revealed that, for non-displaced students to effectively negotiate and obtain secured education amidst crisis; community-based learning centers were created, religious convictions was used as a mechanism for confronting insecurity, adjustment in school institutional cultures, Shifting paradigms in disciplinary practices/majors in schools and adaptability potentials towards food insecurity in the crisis zones.

Promoting African indigenous knowledge which is being neglected to some extent is pivotal in the management and treatment routines of pregnancy related complications especially the case of eclampsia. Indigenous perceptions, treatment routines of eclampsia are complex and diverse reflective of different religious and cultural beliefs. Most often, pregnant women go for conventional options in handling the disease while neglecting the natural and cultural ways. This study argues that promoting indigenous knowledge especially in the management of eclampsia is substantial rather than over dependence on conventional supremacies. Data for this study was gotten through secondary and primary sources. Secondary data were gleaned from soft and hard copies of published and unpublished documents relevant to the study. Primary data were qualitative sourced from a sample of 341 respondents having different religious and cultural backgrounds using interviews, FGDs and observations. Data was processed using the Straus coding method and analysed using content analysis. Results revealed that while others sees eclampsia as; common complications of pregnancy, others perceive it to spirituality and hereditary. Prevention strategies involved; sufficient rest and good feeding habits while others believe in performing traditional rites and tying charms around their waist against all forms of witchcraft. As concerns treatment regimens, herbs were proven to be very effective, as some women prefer such during their pregnancy periods. Nature and culture were more effective in the management process as ascertained by our respondents. A stand-in cultural and natural ways of management to decolonise conventional myths and supremacy regimen of eclampsia are recommended.

Manufar wannan bincike ita ce nazarin ƙwaƙƙwafi domin gano nau’ukan tasirin da addinin Musulunci ya yi wa al’adun Hausawa na mutuwa. An yi amfani da dabarun sanya ido da nazartar kundatattun rubuce-rubuce domin tattara bayanai. An ɗora aikin kan fahimtar Hausawa ta “idan mai wuri ya zo, mai tabarma sai ya naɗe.” Sakamakon binciken ya gano cewa, tasirin Musuluncin bai kawar da dukkannin al’adun Hausawa na mutuwa ba. A maimakon haka, lamarin ya kasu gida huɗu, inda aka samu al’adun mutuwa (i) amintattu da (ii) gyararru da (iii) korarru da (iv) sauyayyu da (v) 'yan kunnen ƙashi. Daga ƙarshe binciken ya nuna dacewar nazartar dalilan da suke sa ake ci gaba da riƙo da waɗansu daga cikin al’adun mutuwa har ya zuwa yau, ƙarni na ashirin da ɗaya (Ƙ21).

Background: Electronic Health Record (EHR) systems have been implemented globally to enhance healthcare delivery. In Saudi Arabia, the adoption of EHRs has rapidly increased in recent years, yet little is known about the experiences of healthcare professionals (HCPs) with EHR implementation in this context Aim: This qualitative study aims to explore the experiences of HCPs in Saudi Arabia before and after the implementation of EHR systems, with a focus on understanding the challenges and benefits associated with this transition. Methods: Semi-structured interviews were conducted with a purposive sample of HCPs from various healthcare settings across Saudi Arabia. Interviews were audio-recorded, transcribed verbatim, and analyzed using thematic analysis to identify patterns and themes related to HCPs' experiences with EHR implementation. Results: Analysis of the interviews revealed several key themes related to HCPs' experiences before and after EHR implementation. Before implementation, HCPs expressed concerns about workflow disruptions, technical challenges, and resistance to change. However, after implementation, many HCPs reported improvements in information accessibility, care coordination, and patient outcomes. Despite these benefits, challenges such as increased documentation burden and decreased face-to-face interaction with patients were also identified. Conclusion: The findings of this study highlight the complex and multifaceted nature of EHR implementation in Saudi Arabia. While the transition to EHRs presents both challenges and opportunities for HCPs, it is crucial to address concerns related to workflow optimization, training, and support to ensure successful implementation and maximize the benefits of EHRs in improving healthcare delivery in the Saudi context.

As artificial intelligence systems increasingly influence critical aspects of human life, the demand for their legal accountability, transparency, and jurisdictional defensibility has become urgent. This paper proposes DevLawOps, a novel framework that integrates legal principles directly into the DevOps pipeline to engineer AI systems that are auditable, explainable, and compliant with legal obligations across multiple jurisdictions. Drawing on interdisciplinary literature in law, philosophy, and software engineering, the study develops a layered system architecture that operationalizes legal norms through compliance middleware, jurisdiction-aware modules, and real-time legal databases. The framework reimagines law as a dynamic software component rather than an external constraint, addressing the limitations of existing legal personhood debates and liability models. Through comparative analysis and conceptual modeling, the paper illustrates how DevLawOps anticipates regulatory variation, localizes compliance, and embeds ethical safeguards as executable logic. It argues for a proactive approach to AI governance that makes legal accountability a continuous, automated, and traceable function of system design. The study concludes by offering practical recommendations for implementation and international collaboration, positioning DevLawOps as a forward-looking strategy for governing AI in a fragmented legal world.

Dens invaginatus (DI) is a developmental anomaly characterized by invagination of the enamel organ into the dental papilla before calcification of the dental tissues. The etiology of this phenomenon has been related either to focal growth retardation or focal growth stimulation, or localized external pressure in certain areas of the tooth bud. In this case of upper lateral incisor showing type 3 dense invaginatus and diagnose as necrotic pulp with chronic apical abscess and treated by nonsurgical root canal treatment during follow up patient comlaing of recurrent swelling associated with treated tooth so we did surgical approach has been employed to resolve patient chief complaint. A follow up of one year is also presented to show healing.

Background: The Ventricular Assist Device (VAD) Coordinator Nurse plays a vital role in managing patients with end-stage heart failure requiring mechanical circulatory support. However, limited research exists on the specific responsibilities and contributions of VAD coordinators, particularly in Saudi Arabia. Understanding their roles and impact on patient care and organizational outcomes is crucial for healthcare improvement. Objective: This study examined the role of VAD Coordinator Nurse in Saudi Arabia by describing the role characteristics, including demographic information, qualifications, compensation, job preparation, work setting and responsibilities, scope of practice, contributions to patient care, and organizational outcomes. Methods: A descriptive study was conducted to explore the roles of VAD Coordinator Nurses in Saudi Arabia. A survey instrument developed by Casida (2011) was used to collect data from VAD coordinators working in Saudi Arabian centers offering VAD services. Convenience sampling was employed, and the survey was distributed electronically through the hospital's email system. Descriptive statistics, including percentages and frequencies, were calculated using the Statistical Package for the Social Sciences (SPSS). Results: The study involved VAD coordinators with an average age of 36.47 years, predominantly male (60%), and Arab (80%). Most participants held a bachelor’s degree (60%) and had previous experience as staff nurses. Findings revealed that VAD Coordinator Nurses have diverse responsibilities, including patient monitoring, VAD performance evaluation, medical emergency management, and coordination of ancillary tasks. Conclusions: This study highlights the dynamic and multifaceted roles of VAD Coordinator Nurses in Saudi Arabia. They play a crucial role in bridging the technical and clinical aspects of VADs, ensuring optimal patient care, and contributing to positive organizational outcomes. Understanding their demographics, qualifications, responsibilities, and contributions is essential for healthcare policies and job preparation enhancements. Future research should address challenges faced by VAD coordinators and support their professional growth in delivering high-quality care to patients with end-stage heart failure.

Madhuca longifolia, commonly known as Mahua, is a revered tree indigenous to the Indian subcontinent, celebrated for its versatile uses in traditional medicine and cultural practices. In this study, the antibiotic effects of ethanolic extract of Madhuca longifolia leaves was evaluated against six MDR and ATCC bacterial strains. The results showed that the leaf extract of Madhuca longifolia exhibited significant antimicrobial activity against all tested MDR bacterial strains. The plant has enormous bioactive compounds, which can be potentially responsible for the observed antimicrobial activities. Also, the synergistic effect of the leaf extract gave promising results when applied along with Amikacin and Ceftazidime-Avibactam. The acquired results suggest that Madhuca longifolia may be a potential source of natural antibacterial agents that can be used in the development of new drugs to treat resistant bacterial infections. Further studies are required to identify and isolate the active ingredients responsible for the observed activity and to evaluate their efficacy and safety in vivo.

Background: The advent of online fast-food delivery applications has transformed the food industry, providing consumers with unprecedented convenience and choice in ordering their favourite meals, which can be attributed to advancements in technology and changing consumer preferences. Methodology: A cross-sectional, community-based study was conducted with an estimated minimum sample size of 385, targeting the adult Saudi population. A Self-administered, structured questionnaire was used for data collection. The quantitative data was collected through an online survey. Results: We found usage of online food delivery application to be 65% among our study population. The most common frequency pattern of online food delivery was observed to be 1-2 times per month reported by 19.7% respondents, followed by 2-4 times per week reported by 15.9%, while about 5.7% reported that they use online food delivery for 2-4 times per week. No statistically significant association was observed between usage online fast-food delivery and age, gender, educational level, employment status and marital status (p>0.05). Conclusions: We found widespread usage of online food delivery across different socio-demographic sub-groups.