The prevalence of obesity has nearly tripled since 1975. Around 1.9 billion individuals and children who were 18 years old and older were overweight in 2016. Approximately 650 million people were obese. 39% of adults over the age of 18 were overweight or obese in 2016, with 13% of them being obese. Overweight and obesity cause more fatalities than underweight in the majority of the world's population. There were 38 million children under five who were overweight or obese in 2019. In 2016, there were more than 340 million overweight or obese kids and teenagers between the ages of 5 and 19. Obesity may have been avoided. There are currently around 135 million obese people living in India. The body mass index was once used to quantify obesity (BMI). By 2020, there will be 158 million obese kids worldwide. By 2025, there will be 206 million, and by 2030, there will be 254 million. With 27,481,141 or 27 million obese youngsters, India will actually have the second-highest number after China, well above the 17 million in the United States.

Rehabilitation is important, as are other facets of universal health coverage such efficient illness prevention, treatment, and palliative care. A person who has undergone rehabilitation can participate in school, job, recreation, and important life responsibilities including caring for family members. Rehabilitation enables a child, adult, or senior to be as independent as possible in daily activities. A health issue that could be treated by rehabilitation affects an estimated 2.4 billion individuals worldwide. The need for rehabilitation services is anticipated to increase globally as a result of changes in population health and features. People are living longer but with more chronic illness and incapacity, for instance. Rehabilitation needs are now mostly unmet. More than half of the population does not obtain the necessary rehabilitation services in several low- and middle-income nations. Rehabilitation and other healthcare programs have been severely impacted by the COVID-19 pandemic.

In January 2016, a piece of news spread widely across the media—a man injected HIV three months after his marriage because the Premarital Medical Examination Organization had not informed him that his wife was suspected of having AIDS. The organization said that unauthorized disclosure would violate the privacy rights of the parties. As the primary institution that knows the inspection results, when the results are abnormal, and the parties do not voluntarily fulfill the obligation of informing stipulated in Article 1053 of the Civil Code of the People’s Republic of China, in order to balance the right to privacy and the right to know of the parties in such incidents, should the law add the corresponding obligation of informing? This paper refers to the classification of premarital medical examination in the Maternal and Infant Health Care Law and centers on Article 1053 of the Civil Code. It is suggested that a dual informing system should be established to combine personal and premarital medical examination organization. Plus, this paper presents that the formulation of infectious disease requirements that may infringe on the life and health of the other party and even the public interest should be compulsorily informed by the premarital medical examination organizations, and the secondary information should be advised by the doctor to inform the parties to do it voluntarily.

Background: Quality of life (QOL) is a concept commonly used within healthcare but lacks consensus. A concept that has been commonly associated with adherence, morbidity, and health outcomes. Objectives: The aim of this paper is to clarify the concept of QOL and identify the conceptualizations behind it and to provide some insights to QOL research. Design: Concept analysis according to Walker and Avant, consist of eight steps: select concept, determine purpose, identify uses, determine defining attributes, identify model case, identify additional cases, identify antecedents and consequences, and define empirical referents. Results: The fact that quality of life is subjective, and the most crucial lesson advanced practice nurses should learn from this investigation. However, in the absence of subjective evaluations of quality of life, objective evaluations can be done by people who were close to the patient and may understand what they would have appreciated. Though many of the characteristics of quality of life are measured, it is crucial to keep in mind that each person's priorities ultimately define what is important to them. When deciding on care goals and treatment plans, these must be made in collaboration with the patient so that the patient can determine what he/she values and what would improve his/her quality of life. Conclusion: The practitioner needs to put aside his/her personal opinions on what would improve the quality of life and instead listen to the patient’s wishes and goals. Quality of life is ultimately what an individual says it is, and when that is heard and respected, the highest and most individualized quality of care can be provided.

This study aims to test and analyze self-control moderation on the effect of financial behavior and spiritual intelligence on financial planning. The sample in this study was 175 respondents, who were students at various universities. Adequacy of the number of respondents based on the approach used by Hair. The data collection technique used simple random sampling by distributing research questionnaires in the form of Google from and then distributing them to social media. The data processing method in this study uses the Smart PLS software which is used to test the hypothesis. The results of this study indicate that financial behavior has proven to have a positive and significant effect on financial planning, spiritual intelligence is proven to have a positive and significant effect on financial planning, self- control is proven to have a positive and significant effect on financial planning, self-control is able to strengthen the influence of spiritual intelligence on financial planning. The results of this study recommend that students if they want to have good financial planning, they must be able to consider which needs are more important by controlling themselves and understanding how to make financial planning properly.

Today's classrooms need to undergo a drastic transformation if we are to unlock the young of the nation's limitless potential. A nation like Saudi Arabia cannot afford to revert to the old ways of educating its citizens given the rapid technological advancements occurring around the world. Even more so now since Saudi Arabia is the country with the biggest number of young people in the entire globe. But if one is not properly trained to meet the challenges of the world and make a significant contribution to sustainable development, physical strength is pointless. By implementing new and engaging teaching and learning strategies for pupils, education today needs to undergo a transition. Without proactive measures, it would be challenging to keep up with the rate and direction of world development. The purpose of this essay is to investigate how, in this age of innovation and technology, institutions, classrooms, mentors, and teachers may work together to spark a revolution. It's not necessary to use the most advanced technology in the classroom in order to employ innovative teaching techniques. Instead, innovative teaching involves proactively implementing new pedagogical approaches and techniques in the classroom. These innovative teaching techniques are being used to raise academic standards, address pressing issues, and advance equitable learning. This youthful generation needs to be kept on the correct path and properly developed, and teachers and educational institutions have a big part to play in that.

I propose an analysis on the acquisition of the alveolar trill /r/ by Spanish-speaking children as a heritage language. I aim to determine to what extent the acquisition of the trill by these speakers may differ from the same process in monolingual children. To that end, I will recruit twenty children Spanish-English bilingual heritage speakers (3-6 years of age), and twenty monolingual children of the same age who have never been exposed to another language. To collect the data, I will schedule brief Zoom meetings with the parents of the participants, and I will ask them to connect with the children to play a quick game (a picture-naming task). I will carefully listen to the recordings and examine the participant’s accuracy to produce the acoustic features of the Spanish trill. I will analyze all the tokens acoustically using PRAAT (Boersma & Weenink, 2017). The research hopes to be a contribution in the field of phonological acquisition of Spanish in bilingual settings, and to fill a gap in the literature regarding the development of the trill by heritage speakers.

Background: Hypertension and dyslipidemia are well-established and partially overlapping risk factors for cardiovascular disease. Hypertension affects nearly 26% of the adult population worldwide and is an important independent predictor of cardiovascular disease, cerebrovascular accidents and death. The prevalence of cardiovascular diseases and Hypertension is rapidly increasing in developing countries. Hypertension has been reported to be responsible for 57% of all stroke deaths and 24% of all cardiovascular deaths in East Asians. Objective: To compare the lipid profile of hypertensive patients with normotensive individuals and socio-demographic and dyslipidemia patterns in hypertensive and normotensive individuals. Methodology: A total of 167 hypertensive patients. This is a descriptive cross-sectional study. An equal number of normotensive individuals were selected at Hypertension & Research Center, Rangpur and the Department of Medicine, Rangpur medical college hospital, Rangpur, from February 2013 to November 2013. Consecutive purposive sampling method and fasting lipid profile was done. Informed written consent was taken from the patient and the normotensive individual. Results: In this study, we studied a total of 334 patients; among them, 167 were hypertensive, and an equal number of normotensive individuals. The age range for hypertensive patients was 20-89 years, whereas for normotensive patients was 20-80. The mean age of the study population was 47.58 (SD±12.027) for the hypertensive group and 40.29 (SD±15.493) for the normotensive group. Males were dominant in both hypertensive (57.5% Vs 42.5%) and normotensive individuals (66.5% Vs 33.5%). The hypertensive population lived more in urban areas (55.6% vs 53.29%). Conclusion: Sub-categorized serum lipid profile as this study shows exceptionally high total cholesterol, high triglycerides and borderline LDL-cholesterol levels are positively associated with Hypertension. Higher lipids levels may be attributed to physical inactivity and stress. So timely lipid profile assessment is necessary in all hypertensive cases, especially in northern Bangladesh, to stop further aggravation and risks of coronary artery diseases.

We investigated the effects of garlic extract on the peripheral blood immune cells in mice treated with the extract for twenty days. The study was carried out on ten male ICR mice. The mice were divided into two groups. The control group received a distilled water and garlic extract group in which the mice received garlic extract at a dose of 500 mg/kg. b.w, for twenty days. Blood samples were collected on day ten and day twenty post inoculation (p.i) for differential leucocytic count (WBCs count and Lymphocytes %) and flowcytometric analysis. In comparison to the control group, garlic extract treatment induced a significant increase in WBCs count and lymphocytes percentage on day 10 and day 20 p.i. Furthermore, garlic extract administration to the experimental mice caused significant increase in the expression percentage of CD4, CD8 and γ-δ T cells when analyzed by flowcytometry on day 10 and increased dramatically on day 20 p.i. The WBCs count and lymphocytes percentage as well as the percentage of the expressed cells increased on day 20 more than their levels on day 10 p.i with a fixed dose of garlic extract. In conclusion, inoculation of garlic extract induced an increase in the immune responses of the cellular immunity in the peripheral blood circulation of mice.

One of the plants that has been used by the community is cherry (Muntingia calabura L.) which is a lush plant, easy to breed, often on the side of the road, allowed to grow as a shade tree. Traditionally used to treat bleeding wounds, festering and burns, inflammation of the walls of blood vessels accompanied by blood clots in their channels. Fresh or dried cherry leaves are used as a medicine for wounds by finely grinding them and placing them on the wound. The use of cherry leaves directly in the treatment of wounds is not liked by the community, so they tried to formulate it in the form of cream preparations. Based on this, the researchers conducted a phytochemical screening and formulation of cherry leaf extract in cream preparations as well as tested its effectiveness for treating wounds. Extraction was carried out by percolation using 80% ethanol. Phytochemical screening was carried out on fresh leaves, simplicia, and ethanol extract of cherry leaves. And formulated into cream preparations with concentrations of 2.5%, 5% and 7.5%. The effectiveness for wound healing was carried out on artificial incisions on the back skin of male guinea pigs infected with Staphylococcus aureus bacteria. Measured decrease in wound diameter and observation of the width of the pus and the amount of edema. The results of the phytochemical screening test showed that there were the same groups of chemical compounds in fresh leaves, simplicia, and ethanol extract of cherry leaves, namely alkaloids, flavonoids, tannins, triterpenoids/steroids. The greater the concentration of EEDK in the cream, the faster the wound will heal. On the 16th day, 5% EEDK; 7.5%; and gentamicin provide 100% perfect wound healing. Means that the ethanol extract of cherry leaves at a concentration of 5% has a very good ability to heal incisions infected with Staphylococcs aureus.

Background: The most common causes of prenatal morbidity and death in Bangladesh are eclampsia and severe preeclampsia or toxemia (PET). Obstetricians and anesthesiologists have complex challenges while dealing with this condition. Despite the improved result of spinal anesthesia over general anesthesia, general anesthesia is still routinely used for emergency LUCS in underdeveloped nations. More and more people in industrialized nations, such as the United Kingdom and the United States, recognize spinal anesthesia for its safety. Objective: In this study our main aim is to evaluate the efficacy of the Spinal Anesthesia during Emergency Cesarean Section for Severe Preeclampsia and Eclampsia Patients. Method: This cross-sectional study was carried out at tertiary medical hospital from January 2020 to January 2021. Total 200 cases of severe PET (n=110) and eclampsia (n=100) patients were selected by subarachnoid block for emergency LUCS. Each patient was given magsulph as prophylactic or maintenance dose and judiciously preloaded by crystalloid fluid. Results: Most of the patients belong to 31-40 years age group, 55% and 95.8% cases were multigravida. In severe PET group, intraoperative hypotension was observed in 32% cases and postoperative period hypotension was observed in 8% cases. Whereas preeclampsia group, intraoperative hypotension was observed in 31% cases and postoperative period hypotension was observed in 9% cases. In addition, maternal morbidity where acute renal failure seen in 5%, syndrome 7%, DIC 7%, abruptio placentae 12%, pulmonary edema 4%, septicemia 13%, PPH 10% and postpartum eclampsia 15%.In severe PET group, 21% cases transferred to eclampsia ward, followed by 9% shifted to ICU, 1% case was expired. Whereas, in preeclampsia group 20% cases transferred to eclampsia ward, followed by 8% shifted to ICU, 2% case was expired. In eclamptic group 7% cases were transferred to NCU, whereas 8% had PET. Neonatal mortality was observed in 3% cases. p value was found 0.000 which is very highly significant. Conclusion: With close monitoring of perioperative events, spinal anesthesia may be used as a safe alternative technique to GA or epidural in severe preeclampsia and eclampsia, even in cases of altered consciousness or restlessness in the presence of an expert and skilled anesthesiologist, reducing perioperative maternal and neonatal morbidity and mortality.

Objectives: The study was conducted to assess the association between practicing COVID-19 Standard Operating Procedures (SOPs) with age, gender, educational status, and prevalence of signs & symptoms in patients visiting the outpatient department of University Dental Hospital (UDH). Materials and Methods: A descriptive cross-sectional quantitative study with non-probability convenient sampling was conducted using a self-administered questionnaire to determine the association between COVID-19 SOPs with signs & symptoms evaluated during the screening of the selected representative population. SPSS version 25 was used for statistical analysis. Results: In public places, Group D (50-69 years) and female gender group displayed the highest percentage of conformity with combination-2 (FM+HS) of SOPs. Same was true for individuals with post graduate education. However, in work places Group A (20-29 years) exhibited maximum abidance with combination-2, a trend that was visible amongst females and post graduate students in a work/institutional setting. Similarly, in hospital settings Group A and female gender group observed combination-2 of SOPs to the greatest extent. The same trend was observed amongst higher than bachelor level education holders. The uneducated and middle-level educational group chose a single SOP of FM, while the rest of the educational groups utilized a mix of FM, HS, and SD. Males showed greater compliance with FM only. Conclusion: It was divulged that the population following single COVID-19 SOP was at a greater risk to experience COVID-19 symptoms in comparison to those who followed combination-1(HS+FM) and combination-2(HS+FM+SD) of SOPs.

This research consists of 2 (two) main issues, namely the Weaknesses of Regulations on the Cessation of Prosecution of Narcotics Addicts in the Framework of Restorative Justice and Efforts to reconstruct regulations on stopping the prosecution of narcotics addicts within the framework of restorative justice based on values of justice. This type of research is descriptive analysis, using a sociological legal research approach. Sociological juridical research, namely legal research using legal principles and principles in reviewing, viewing, and analyzing problems, in the study, in addition to reviewing the implementation of law in practice. Research Result Shows that the weaknesses mentioned by the author is in the legal substance: the prosecutor's authority to stop prosecution that is not based on restorative justice, there are still many narcotics addicts who end up with prison sentences. Then legal structure: there is no consensus on restorative justice among members or law enforcement officials. And, in legal culture: when the prosecutor indicted and in his charge used Article 127, the judge dominantly gave a prison sentence, as if he did not care that the defendant was also a victim of the crime he had committed. To overcome this, a legal reconstruction is needed in Article 140 Paragraph (2) of the Criminal Procedure Code by adding the termination of prosecution by the prosecutor as the controller of the case with the concept of restorative justice. Reconstruction of article 111 of Law No. 35 of 2009 concerning Narcotics by adding rehabilitation sanctions for narcotics addicts as an option for legal certainty and the effectiveness of sanctions in the field.

This research work has investigated the importance of linguistic morphology in the construction of new lexemes and grammatically conditioned words on the first hand and the way both derivational and inflectional morphemes function to carry and impart compositional meaning in text on the other. Premised on the objective of raising more awareness on the significance of morphological research, this paper has applied both the quantitative and qualitative analysis methods to the historic speech “I Have a Dream” by the African American civil rights figurehead Martin Luther King Jr. The scientific roadmap thus carved has led its process through the identification, labelling and numbering of the distinctive derivational (50 /40%) and inflectional (75 / 60%) morphemes. A furthering of the quantitative input has displayed an outstanding use of nominalisations with nouns derived from adjectives 17 [13.6%] and from verbs 12 [9.6%] with bound morphemes such as “ity”, “ice”, “ation”, “tion”, “or”, and “dom”. On the inflectional part, the prevailing use of regular and irregular plural number imparting morphemes (47 / 37.6%) together with tense inflections (16 / 12.8%) pair up to confirm, in a qualitative analytical approach, the ideological perspective of the speaker to include the largest anonymous members of the African American community as the intended beneficiaries of his unquenchable soft but vibrant battle for freedom. The use of tense indicating morphemes has revealed the presence of a threefold tense progression from the past tense (simple past and past perfect) to the simple present and then to the future. The crosscheck of the semantics of such morphemic operations has uncovered the perspective of Martin Luther King Jr for the logical representation of the sufferings of the Black community and liberation struggles in the past, the need to keep the battle going in the present time with the conviction of brighter days in the future.

The level of awareness of breast cancer is still growing particularly in developing countries such as Nigeria. Unfortunately, the down side of low awareness include among others, the lack of adequate social support systems. It is therefore necessary look into the availability of support systems for breast cancer patients. This cross-sectional descriptive study enrolled 40 females accessing medical care for breast cancer purposively in a tertiary hospital in Nigeria. The study participants had received chemotherapy following the surgical removal of the tumour. They were on post-chemotherapy routine check as at the time of the study. A structured questionnaire was administered by two trained interviewers to obtain information on available support system to the study participants. Attitude to the condition among the patients included anxiety and fear (47.5%) as the highest while optimism was the least on the ranking at 25%. Those whose spouses were supportive ranked low at 12.5 %, while majority of them reported their spouses to be indifferent to their situation. Again, support from other family member’s apart spouses was low at 7.5%. None of the participants was receiving formal support from any agency as at the time of the study. The study concludes that anxiety and fear are prevalently experienced among breast cancer patients in the study area, while optimism is at a low ebb. Support systems exists solely within the informal circle of family and even at that, very few experience good support from family.