The upshot of nonlinear thermal radiation of steady state MHD heat transfer of Jeffrey nanofluid together with prescribed boundary conditions of interest was studied. Essential fluid properties, dimensionless switch parameters with the assistance of the Lie group method were used to transform the convenient partial differential equations that describe the present model into a system of ordinary differential equations. The generalized flow of the present model incorporates Jeffrey parameters and nonlinear thermal radiation. The Mathematical model is first renovated into ordinary differential equations by Lie symmetry group alteration. The renovated equations were solved numerically using a bvp4c MATLAB solver. The Jeffrey parameter serves as a stabilizer on the velocity of the fluid while thermal radiation parameter and heat source-sink parameter improves the flow temperature. Lewis number, chemical reaction parameter diminished the mass transfer flow. Equally skin friction, Sherwood number and Nusselt number were expanded.

Nursing leaders play a critical role in guiding and directing nursing staff to guarantee high-quality healthcare delivery. The impact of nursing leadership on patient outcomes, quality of care, patient safety, collaboration with other healthcare professionals, and professional growth and mentoring is critically examined in this manuscript. The analysis highlights that nursing leadership had a significant impact on patient outcomes by encouraging evidence-based practices and increasing nursing staff engagement and job satisfaction. Furthermore, nursing leaders that prioritize patient satisfaction and hospital readmissions. Nursing leaders develop a culture of safety, enforce adherence to safety regulations, and support continual progress in terms of patient safety. Collaboration with other healthcare professionals is essential for nursing leaders to improve healthcare delivery, care coordination, and patient outcomes. Nursing leaders are also responsible for offering professional development opportunities and mentoring to nursing personnel, which improves staff engagement and retention. Regardless of the beneficial impact, nursing leaders confront problems such as insufficient personnel, restricted resources, and insufficient support from organizational leaders. It is the role of the leadership to mitigate risks and opportunities for safe patient care.

The paper assessed 28 Value Engineering (VE) reports of studies conducted by third party VE consultants on Saudi Aramco capital projects from January 2020 to August 2022. The findings indicate that there is an inverse relationship between accepted number of VE proposals and the size of the workshop review team (the larger the team, the smaller percentage of accepted proposals). It, also, showed that accepted number of VE proposals is not influenced by the duration of VE workshops. The paper recommends the optimization of the size of VE teams and optimized workshop durations to be aligned to Saudi Aramco (SA) capital management system project classifications. The recommendations may result in increasing the number of quality accepted VE proposals while reducing the cost of VE workshops.

Background: The burgeoning issue of drug addiction, coupled with its intricate linkages to psychiatric aspects, necessitates innovative interventions. This research delves into the efficacy of awareness campaigns as a strategy for addressing the psychiatric dimensions of drug addiction, specifically within the confines of a tertiary level hospital in Bangladesh. Methods: This prospective study examined the impact of awareness campaigns on drug addiction's psychiatric dimensions. Using purposive sampling, 100 patients were selected from the Department of Psychiatry, Rajshahi Medical College, between January 2020 and December 2022. Quantitative surveys and qualitative interviews were conducted to measure changes in awareness, attitudes, and behaviors. Standardized scales gauged shifts over time. Ethical considerations were adhered to. Pre- and post-campaign comparisons facilitated longitudinal assessment. Results: Preliminary findings reveal a positive shift in participants' awareness of psychiatric aspects linked to drug addiction after exposure to awareness campaigns. Initial awareness levels of 25% concerning psychiatric dimensions rose significantly to 68% post-campaign. Moreover, willingness to seek comprehensive treatment increased from 32% before the campaign to 75% afterward. Actively seeking treatment information also saw a rise, climbing from 18% pre-campaign to 56% post-campaign. Qualitative insights highlighted that 83% of participants acknowledged the campaigns' role in enhancing understanding. Additionally, participants displayed improved attitudes towards seeking treatment for both addiction and concurrent psychiatric issues. These results collectively indicate the campaigns' efficacy in fostering heightened awareness, altering attitudes, and driving proactive behaviors. Conclusions: The initial results indicate that awareness campaigns hold promise as effective tools in addressing the psychiatric dimensions of drug addiction treatment. A comprehensive analysis of the complete dataset will provide deeper insights into the extent of these changes and their potential long-term implications for treatment outcomes.

A pharmacist in general and community pharmacist in specific is a key member of the “healthcare team” involved in achieving a common objective of better healthcare provision. The emergence of “community pharmacy” during post-world war-II era, with a known motto of “drug control” and “patient oriented practice” (POP) came in to existence. The modern pharmacy practices, are not devoid of obstacles and challenges specifically for “Newbie Community Pharmacist (NCP)”, who comes in to direct patient contact at root level, thus necessitates to strict to standards which will help not only in quality care provision but will enhance the abilities of the pharmacist to cope challenges facing at community level. Herein, we will discuss some of the concerns for NCP and their considerations to deal with.

All parts of Mucuna poggei and Justicia carnea have been known to possess valuable medicinal properties. This calls for the need to determine the effect of combined methanol extract of mucuna poggei and justicia carnea leaves on hematological and biochemical indices of phenylhydrazine induced anaemic albino rats. The study was done using 60 male albino rats. The rats were divided into five groups of five (5) rats each. Group 1 (non-anaemic) was administered water and feed only which served as Normal control. Group 2 was administered Phenylhydrazine only which served as negative control. Group 3 through 5 were Phenylhydrazine induced anaemia treated with combined extract (1:1) at 200 mg/kg, 400 mg/kg and 600 mg/kg respectively. The results showed a significant (p<0.05) increase in Hepatic and renal biomarkers (ALT, AST, ALP, Urea, Creatinine) of the anaemic (negative) control. The combined extract significantly restored the alteration through significant (p<0.05) dose dependent decrease in the assayed hepatic and renal function biomarkers. The hematological indices of the treated rats were maintained compared to the anaemic control. The study showed great potential of combined methanol extract of Mucuna poggei and Justicia carnea leaves capable of ameliorating anaemia.

The center disclosures of this paper are that precludes maltreatment of kids; their abuse is rejected and youngster work is restricted. This work likewise features about Kid misuse, abuse, kid work, and trading youngsters for reason for prostitutions are restricted under the Bangladeshi regulations. The predominance of actual attack was a lot higher among more youthful youngsters albeit the likelihood of different sorts of misuse was higher among more established kids. Young men were more presented than young ladies to maltreatment of any sort. Destitution was additionally fundamentally connected with kid misuse. Multivariate examination proposed that the out-of-younger students and the offspring of ignorant, landless and incompetent workers were bound to be mishandled than others when age and sex of kids were controlled. The paper infers that bringing up open mindfulness against kid misuse and advancing preventive measures ought to be embraced to decrease kid maltreatment in Bangladesh.

Background: Blood flow pattern among various women in different location of the world had been noted to vary significantly with some anthropometric variations, geospatial locations, age, BMI and cardiovascular parameters. As a result, this study therefore investigated the flow properties of blood during menstrual cycle in female undergraduate students in Port Harcourt as a baseline study with a view of establishing local reference data for Port Harcourt, Nigeria. Materials and Methods: 125 volunteers were recruited into the study using stratified random sampling techniques and were administered well-structured questionnaires. Their blood samples were collected and haemorheological properties (Whole Blood Viscosity, Plasma Viscosity, ESR and haematocrits) were analysed against various phases of menstrual cycle namely: menstruation, follicular, ovulation and luteal phases among female undergraduate students in Port Harcourt. Results and Discussions: Result of the study when compared with the WHO standard references showed a significant (ρ≤0.05) difference in ESR, PV, WBV and ESR for menstruation and follicular phases while HCT was not significant with ovulation and luteal phases. Flow properties was also significant (ρ≤0.05) with ages (16-23, 24-30 and ≥31) years as compared with the WHO Control. BMI and blood pressure was also significant (ρ≤0.05) with Haemorrheological properties of blood. Conclusion: The study therefore concluded that there is a significant (ρ≤0.05) correlation between flow properties of blood and phases of menstrual cycle among university students in Port Harcourt, Nigeria as compared with the WHO standard values.

Background: EHRs have the potential to improve patient healthcare by providing real-time access to patient information, improving communication between healthcare providers, and reducing medication errors. However, the evidence on the impact of EHRs on clinical outcomes is mixed. Objective: To review the literature on the impact of EHRs on clinical outcomes and to provide recommendations for improving the use of EHRs to improve patient healthcare. Methods: A literature review was conducted to identify studies on the impact of EHRs on clinical outcomes. The search was limited to English-language studies published in peer-reviewed journals. Results: The literature review found that EHRs have the potential to improve clinical outcomes, such as mortality, morbidity, hospital readmission rates, and bed utilization. EHRs can also help to reduce medication errors and improve patient safety. However, the impact of EHRs depends on a number of factors, such as the quality of the EHR system, the way it is implemented, and the training of healthcare providers. Recommendations: For improving the use of EHRs to improve patient healthcare include: Developing high-quality EHR systems that are easy to use and can integrate with other systems, Providing adequate training for healthcare providers on how to use EHRs effectively, Encouraging interoperability between EHR systems from different vendors, Addressing privacy and security concerns, Reducing user resistance to EHRs. Conclusion: EHRs have the potential to improve patient healthcare by providing real-time access to patient information, improving communication between healthcare providers, and reducing medication errors. However, the impact of EHRs depends on a number of factors, such as the quality of the EHR system, the way it is implemented, and the training of healthcare providers. By following the recommendations above, we can make EHRs a more effective tool for improving patient healthcare.

The current hot trend in education is outcomes-based education (OBE), which guides students in developing their professional careers and makes them more knowledgeable and creative. This might facilitate their healthy development within the context of their workplace. Gaining the skills outlined for outcome-based education via NBA calls for the use of the proper evaluation techniques. This is because the evaluation of graduate skills is crucial to the coaching learning system's efforts to improve the system and students' performance. This process will give the machine ideas for bridging the gap between coaching and completely results-based mastering methods. In the beginning, this paper outlines the foundations of final results-based training and introduces important implementation criteria. The paper then addresses important implications of implementing the framework for the practise and strategies of assessment and evaluation of college students' performance in engineering colleges.

Plant genomics experienced a revolution as a result of the cheap cost and simplicity of sequencing, which produced numerous assemblies of inferior quality but also a sharp rise in the number of revolutionary genome-enabled discoveries concerning the basic plant biology. Crops physiological, metabolic, and molecular responses to several abiotic challenges appear to be very different from their reactions to single stresses. One of the most crucial fields of plant research is the investigation of the processes underlying plant adaptation to environmental stresses. As biological messengers that control gene expression, ROS and NO work synergistically to activate defense mechanisms in response to biotic and abiotic stresses. It is known that S-nitrosoglutathione reductase (GSNOR), which is thought to be a key regulator of plant stress tolerance due to its effect on protein S-nitrosylation, contributes to Solanum lycopersicum's thermotolerance. Vitamin K3, often known as pro-vitamin K, has an addition component called menadione sodium bisulphite (MSB). In contrast, CRISPR/Cas9 can speed up the plant breeding by quickly, precisely, and predictably altering genomes. CRISPR/Cas9 has recently gained popularity as a technique for genome editing and has been extensively utilized in crop resistance breeding because to its effectiveness, simplicity, and adaptability.

Background: The contamination of patient files is a serious problem that can have a negative impact on the health of patients and staff. Bacteria, viruses, fungi, and parasites can all contaminate medical files, which can lead to nosocomial infections. Methods: This study reviewed the literature on the contamination of patient files in hospitals. The study identified a number of factors that can contribute to contamination, including the handling of medical files by healthcare workers who are not properly washing their hands, the placement of medical files in areas where there is a lot of traffic, and the condition of medical files. Results: The study found that the contamination of medical files is associated with a number of risks, including the risk of nosocomial infections, the risk of cross-contamination between patients, and the risk of damage to medical records. Conclusion: The study concludes that it is important to take steps to prevent the contamination of medical files. These steps include educating healthcare workers on the importance of proper handwashing, developing and implementing policies and procedures for the handling of medical files, regularly inspecting medical files for signs of contamination, cleaning and disinfecting medical files that are contaminated, and using EHRs instead of paper records.

Background: The increase in prevalence of diabetes mellitus among Saudi population is being associated with many health consequences among diabetic patients. One of the serious complications is diabetic ulcer. Aim: To assess the awareness, attitudes, practices and risk factors influencing diabetic foot ulcers among diabetes patients in the eastern province of Saudi Arabia. Method: A cross-sectional study consistent of 38 questions conducted in Eastern region of Saudi Arabia, distributed between 8-Feb-2018 to 1-June-2018 through social media. The structured questionnaire was designed to collect demographic characteristics, in addition to several questions about history of foot problems, current foot or leg problems, foot care, foot wear, safety and prevention and foot care education. Result: Two hundred and ninety-three participated in the questionnaire, of whom 197 were female and 96 were male. The majority of participant (154) had been diagnosed with T2DM. About the treatment which was multiple choice: 55.3% were using oral hypoglycemic drugs, 34.1% using insulin and 31.1% were using diet while the rest were using parenteral hypoglycemic drugs. Most participants (60.1%) reported having altered sensation (i.e. numbness) in their lower limbs. One hundred twelve of participants examined their feet only when they had problem. Only 50.2% drying well between the toes. About using moisturizing cream for the foot and using cream between toes 39.2%, 19.8% were saying yes 37.9% and 31.1% were answer sometimes while the rest 22.9% and 49.1% answer no, respectively. Participants wore more than one type of shoe, with athletic being used by 46.8% of participants, 29.4% wear broad and round toes, 23.2% were wear shoes which made of leather or canvas. Walking barefoot inside the home was 44.7%. Most participants (50.2%) didn’t inspect the shoes before wearing them. Forty participants didn’t check about the water temperature before soaking feet, 42% check about it while the other didn’t soak the feet. For sitting with legs crossed 54.9%. Around 95% of participants want handout on how to care for the feet. Conclusion: Foot care is crucial to prevent serious complications in diabetic patients. Pharmacological and non-pharmacological measures should be followed to ensure adequate and proper foot care. The participants in this study had inadequate information and poor practice toward the appropriate foot care.

Background: Polycystic ovary syndrome (PCOS) is a common endocrinopathy characterized by oligo-ovulation or anovulation signs of androgen excess and multiple small ovarian cysts. It is thought to be one of the leading causes of female sub-fertility. It has been estimated that PCOS affects 5-10% of females in reproductive age. In this study, we used combination of letrozole and clomiphene vs letrozole alone in ovulation induction in infertile PCOS women. Objective: The objective of the study was to compare the effectiveness of the combination of letrozole and clomiphene citrate and letrozole alone in ovulation induction in infertile women with PCOS. Methods: Randomized controlled trial conducted in the Department of Reproductive Endocrinology and Infertility, Bangabandhu Sheikh Mujib Medical University, Dhaka, from July 2020 to June 2021. A total of 50 women 18-40 years of age with a diagnosis of infertility and PCOS as defined by the Rotterdam criteria and no other known cause of infertility were included in this study. Participants were randomly assigned into two groups by using a computer-generated random table to either 5 mg letrozole alone or the combination of 2.5 mg letrozole and 50 mg CC daily on cycle days 3-7 for two treatment cycle. Statistical analysis was performed by the SPSS program for Windows, version 22.0. Main outcome measured by number & size of mature follicles, endometrial thickness, day 21 serum progesterone & ovulation rate in both groups. The secondary outcome includes pregnancy rate and complication of both treatment arms. Results: Regarding demographic criteria, there was no significant difference between two groups. In the current study, clinical characteristics, laboratory parameters and cycle characteristics were also comparable to both groups and showed no significant difference. Dominant follicles were found 24(52.2%) in group A (CC+Letrozole) and 29(63.0%) in group B (Letrozole Alone) without any significant difference. Mono follicular development was found 18(75.0%) in group A and 24(82.8%) in group B which was not statistically significant. Endometrial thickness and serum progesterone level at 1st and 2nd cycle were not statistically significant between two groups (p>0.05). Ovulation rate was higher in group B than group A (76.0% vs 72.0%) with absolute difference 4.0 and relative ratio 0.95. Pregnancy rate was also higher in group B than group A (24.0% vs 16.0%) with absolute difference 8.0 and relative ratio 0.67. Ovulation and pregnancy rate were not statistically significant between two groups. Regarding side effects, no significant difference was found between two groups. Conclusion: Although it was not statistically significant, ovulation and pregnancy rate was a little higher in alone letrozole group than combined group. The results of this preliminary study suggested that letrozole may have a better role as a first-line treatment for anovulatory patients with PCOS.

The purpose of the article is to highlight the characteristics and features of the digital space as a new social environment, as well as the factors that influence the process of forming a person’s identity in the digital space. One of the characteristics of the digital space as a social environment is the abundance of information. This abundance of information, however, is not always equivalent to, or combined with, an abundance of knowledge. Another characteristic of the digital space is its disruption of the boundaries between the real and digital worlds, resulting in the simultaneous existence and activity of a person in both worlds. A third characteristic is also the access to personal data and information to an unlimited number of people it provides, as well as the constant changes present in the digital space as a consequence of rapid technological changes. As for the factors that affect the process of a person's self-determination and self-expression in the digital space, we can also mention the following: the need to belong to a social community, the desire to stay in the mainstream, and the pursuit of social desirability or the “perfect self” and so on.