Introduction: The estimation of fetal weight during pregnancy has a significant impact on the survival of newborns and some immediate and late sequelae of the life of newborns. Estimation of fetal weight also plays a paramount role in determining time, mode, and place of delivery. There are many methods to estimate fetal weight like the palpation method, fundal height measurement, and radio frequency volume reduction. Johnson's method is one of the clinical methods that require no expense and is easier to estimate the precise birth weight and fetal weight. This study aimed to analyze the accuracy of the Johnsons formula for estimating fetal weight compared to actual birth weight. Methods: This cross-sectional prospective study took place in the Gynecology and Obstetrics Department of Rangpur Medical College Hospital, Rangpur, between May 2015 to October 2015, six (06) months after approval. The sample size was 600 as per inclusion criteria. Data were collected through face-to-face interviews with the women by using a pre- design questionnaire after proper counseling and informed written consent. The purposive sampling method was used in the study. Data processing was consisting of registration schedule, editing, computerization, preparation of dummy table, analyzing & matching of data. Statistical analysis was carried out by using the Statistical Package for Social Sciences version 16.0 for Windows. The mean values were calculated for continuous variables. The quantitative observations were indicated by frequencies and percentages. Paired t-test was used for continuous variables. Pearson's correlation coefficients were used to test the relationship between the groups. P values <0.05 was considered statistically significant. Result: The mean age was found 24.5±5.1 years with a range from 18 to 38 years. The mean symphysio fundal height was found 32.4±2.0 cm with a range from 28 to 36 cm. The mean estimated fetal weight was found 3205.2±287.9 grams with a range from 2635 to 3875 grams. The mean actual birth weight after delivery was found 3019.0±359.0 grams with a range from 2200 to 3800 grams. The difference was statistically significant (p<0.05) between the two groups. A positive significant correlation (r=0.929; p=0.001) was found between actual birth weight and estimated fetal weight by Johnson's formula. A positive significant correlation (r=0.517; p=0.001) was found between actual birth weight and symphysio fundal height. A positive significant correlation (r=0.129; p=0.002) was also found between the actual birth weight neonate and the BMI of the mother. Conclusion: Antenatal and intranatal fetal weight can be estimated with reasonable accuracy, clinically using Johnson's formula. Ultrasound is not available in remote areas where Johnson's formula is easy and simple to calculate and can be included in the training program of medical and paramedical staff and birth attendants.

Medical errors are a significant concern in healthcare systems worldwide, posing risks to patient safety and quality of care. This narrative review aims to provide a comprehensive overview of medical errors, their types, causes, and potential solutions, based on current literature. The review highlights the importance of addressing medical errors through a multidisciplinary approach, including improved communication, enhanced education and training, the implementation of technology and artificial intelligence, and quality improvement initiatives. It also emphasizes the need for ongoing monitoring and reporting of medical errors to drive change and improve patient outcomes. Artificial intelligence (AI) has emerged as a transformative technology with significant potential to revolutionize healthcare. The application of AI in healthcare has opened up new avenues for improving diagnostics, treatment planning, patient monitoring, and healthcare management.

Manufar wannan bincike shi ne shiga duniyar tarihi domin taliyon gudummawar Turawa wajen samarwa da bunƙasa ƙa’idojin rubutun Hausa. Kadadar binciken ta taƙaita tsakanin 1840 zuwa 1993. An yi amfani da dabarar salon binciken laburare (library research) domin tattara bayanai inda aka dogara kan kundatattun bayanan tarihi. Binciken ya gano cewa, Turawa ne suka fara samar da tubalan ginin rubutun Hausa, sannan sun taka rawar gani sosai wajen gina ƙa’idojin rubutun Hausa kafin a samu Hausawan da suka ci gaba da jan ragamar wannan fagen ilimi. Daga ƙarshe takardar ta ba da shawarwarin da suka haɗa da samun haɗin kan masana da manazarta tare da aiki tuƙuru bisa sadaukarwa domin samun cigaba da bunƙasar ƙa’idojin rubutun Hausa tare da harshen baki ɗaya. Dole ne kuma a samu ingantattun hanyoyin watsa sababbin cigaba da amintattun sauye-sauye da ake samarwa.

Every functional society consists of active shareholders (the leaders and the lead) whose activities are complimentary and must be constantly synergistic. In the event that the required cohesion is to be disturbed, the spectrum inviting such typically owes the other segments of society some form of explanation for such an action. Consequently, this study sets to investigate the linguistic resources deployed for legitimisation in ASUU’s press release of March,2020. To achieve this, Paul Cap’s (2005,2006) Spatial, Temporal and Axiological (STA) model of legitimisation was deployed to analyse for proximisation in the corpus. It was found that the linguistic resources used in the speech represented predominant instances of Spatial, Temporal and Axiological dimensions; ASUU deployed linguistic features for positive proximisation to justify their claims for an extended (indefinite) strike action and negative proximisation when expressing their existential realities, with the Nigerian federal government, in the education sector. The study concludes that judging from the gory realities in the education sector (which ASUU is seen to strongly advocate against), ASUU’s insistence on the federal and state governments to adequately fund the sector is deserving of the needed attention. To this end, it is hoped that the education sector will receive a big boost, if ASUU’s educational gatekeeper role is taken seriously by the concerned relevant stakeholders (government or school proprietors).

A position statement is a written statement from an organization that discusses a current clinical problem. That suggests an established and agreed upon approach to this problem by the organization. Position statement synthesizes newly available information and reinforces best nursing practices and give detailed policy or guidelines for practice. The main aim of this paper is to reducing Emergency Department Congestion. In this Position statement published by the researchers will benefit the health care community, in general with the help of inspiring practice improvement and up to date clinical care.

The Policy provides a consistent framework for operational guidelines and standardized processes for decision making. Policy Development Framework provides protocols and clarifies roles and responsibilities in the policy development process. This article aims to document and discuss the process of development cross training policy formulation, including its practice and outcomes. In this policy, we developed the cross training framework including definitions, purpose and procedures that reflect the scope of policy analysis. This comprehensive conceptual framework may serve as a “road map” for researchers and healthcare policymakers who are interested in the development, monitoring, implementation, and analysis of nursing cross training policies.

Pragmatics as a field of linguistic science helps us understand how language is used, what it is used for and it’s meaning in a given context. Therefore, health posters are peculiar means of communicating information about diseases, identifying risk factors and promoting behavioural change. Language use aids healthcare providers to shape and define ‘normal and healthy’ behaviours and conditions. This study therefore aims at doing a pragmatic analysis of selected health posters so as to establish the relationship between the visuals and the captions of the posters and the relevance of the principles of meaning in the posters. Three health posters cutting across different diseases were collected and analysed, using Sperber and Wilson’s Relevance Theory. It involves the analysis of direct and indirect relevance of pragmatic principles in the health posters. The study discovers that colour combination in the health posters communicates the desired message of the health care providers. The study also revealed that the health posters are informative and educational despite that, some of them appeared vague and ambiguous.

Prior to the beginning of the Cold War, exploration of outer space by explorers was majorly for scientific discoveries of new planets. But as time went by, governments and private entities began to explore further for natural resources that could be beneficial to the existence of man on earth. Such minerals that could be found in asteroids include iron, iridium, nickel, magnesium, gold, platinum, and palladium, among others. Although every nation of the world is believed to have equal right to outer space and the resources discovered therein, the commercialisation of space mining activities have seemingly restricted the control of these resources to world leading governments such as, the United State, China, Russia, Japan, France and some private enterprises who have the financial power for such activities. The goal of the article was to examine commercialisation, property rights and contemporary legal issues concerning outer space mining. Can private or non-governmental entities operate in the outer space without governmental authorisation and continuing supervision? How best could ensuing space mining disputes and environmental concerns be addressed? Doctrinal research method was adopted for this study to discuss fundamental issues and resolve questions raised by the article. This entailed the examination of available literature in the area plus existing international and domestic laws regulating outer space mining activities in order to give in-depth analysis of the subject matter and to support the position reached in the article. In concluding the article, the authors proffered some suggestions on the identified contemporary issues.

Acute pancreatitis associated with pregnancy occurs mostly in the 3rd trimester of pregnancy or during the immediate postpartum period, mainly caused by biliary lithiasis. Its incidence is approximately 1 in 1000 to 3000 pregnancies [1]. Maternal and fetal mortality due to acute pancreatitis occurring during pregnancy has fallen in recent years thanks to medico-technical advances in intensive care units with better management of severe attacks and better management of premature newborns. The clinical presentation is often atypical in pregnant women and the possibilities of imaging and surgery are limited. Acute pancreatitis can be treated medically but surgery becomes necessary if there is no improvement under medical treatment.

Background: The present study investigated the antihyperglycemic and ameliorative effect of aqueous leaves extract of Acalypha wilkesiana on alloxan-induced diabetic male rats. The experimental rats were divided into six groups. Rats of the first group served as normal controls. Rats of the second group were negative control as they were induced with diabetes without treatment. The third group was treated with glibenclamide after induction of diabetes. The fourth, fifth and sixth groups were diabetic rats, treated with aqueous leaves extract of Acalypha wilkesiana at low dose (100mg/kg body weight), medium dose (200mg/kg body weight) and high dose (400mg/kg body weight) respectively. The blood glucose levels of the animals in each group were checked on day 5, 10 and 15 to examine the antihyperglycemic effect of the aqueous leaves extract of Acalypha wilkesiana. Also, on day 5, 10 and 15, the pancreas and spleen of experimental animals from each group were harvested for histological examination. Result: The result obtained showed that the graded doses of the extract significantly (p<0.05) reduced the blood glucose levels of the diabetic animals in a dose-dependent manner. Also, the histological examination of the pancreas and spleen of the experimental animals treated with aqueous leaves extract of Acalypha wilkesiana showed normal pancreatic islet (PI) filled with islet cells (Granular appearance) and pancreatic acini (PA), while normal spleen with white pulp containing periarteriolar lymphatic sheath (PALS) and central arteriole (CA), splenic cord (SC) and sinusoids (SS) were seen in the same animals treated with the extract. The effect of the extract was similar in action to the standard drug glibenclamide. Conclusion: The aqueous leaves extract of Acalypha wilkesiana possesses antihyperglycemic potentials and ameliorates the pancreas and spleen of diabetic albino rats.

The teaching of Physical Education and Sports (PES) is increasingly compromised in Djibouti, as most of the new middle and secondary schools built in the past two decades do not have playgrounds. This situation has meant that some students have never had access to physical and sports activities as part of their school curriculum. They consequently suffer the detrimental consequences of this situation, particularly on health, well-being, and overall development. To carry out this research, we have analyzed several data sources, such as internal reports and statistical directories of the national education system. We have also studied legislative documents, articles, reports, and chapters on the evolution of school education in Djibouti, as well as ethnographic surveys. Through descriptive analyses, the purpose of this article is to highlight the disparities that exist among different schools in terms of playground equipment and, by extension, access to physical and sports activities. Ultimately, this article emphasizes the urgent need to address the crisis of playgrounds in schools to ensure a better future for PES and enable students to benefit from the physical, social, and educational advantages associated with engaging in physical and sports activities.

Background: Achalasia is a medical ailment characterized by irregular contractions of the esophagus and incomplete relaxation of the lower esophageal sphincter. This condition results in difficulty swallowing food and liquids, and often leads to regurgitation and heartburn. Case presentation: This case report describes a 36-year-old female patient who presented with difficulty swallowing, heartburn, chest pain, and coughing while eating or drinking. The patient had lost significant weight despite a good appetite, and a physical examination revealed poor nutrition. Esophageal manometry confirmed the diagnosis of Achalasia Type 1, and endoscopy showed severe Candida esophagitis and a very dilated esophagus with diverticula. Due to the patient's condition and endoscopic finding of diverticula, surgery was considered, as she did not qualify for the Peroral Endoscopic Myomectomy (POEM) procedure. The patient was treated with fluconazole to address the esophageal candidiasis, and NG feeding was initiated to improve weight and nutrition. After recovering, the patient underwent a laparoscopic Heller myotomy with Dor fundoplication using a video laryngoscope to facilitate intubation. Anesthesia was maintained with O2/air with Sevoflurane, and the patient was extubated and transferred to the post-anesthesia care unit. Conclusion: Achalasia is a frequently researched esophageal motility disorder that is distinguished by inadequate relaxation of the LES and absent or irregular peristalsis in the esophagus. Common symptoms in most patients include difficulty swallowing solids and liquids, regurgitation, and varying degrees of weight loss. This case highlights the importance of prompt diagnosis and treatment of Achalasia Type 1, as well as the use of rapid sequence induction and proper anesthesia techniques during surgery.

Infections are frequent complications of hospitalization. Nosocomial infections or healthcare associated infections or hospital acquired infections are endogenous or exogenous infections which a patient acquires either during hospitalization or soon after discharge from the hospital. Hospitals and hospital-like settings tend to gather many sick under one roof and hence, serve as a reservoir of numerous infectious agents. These overcrowded healthcare settings with inability to maintain hygienic conditions are threat not only to the patients but also to the healthcare workers. Increasing population of immune-compromised patients including the aged-ones, unsafe medical care, surgical procedure, injections, transplants are some of the major causes of spread of nosocomial infections. Nosocomial infections have severe adverse effects. It leads to emotional stress, functional disability and even death in certain cases. Mortality caused by nosocomial infections in India is more than any other form of accidental death. It also prolongs the hospital stays and adds to the economic burden of managing the underlying disease. The active cooperation of the Healthcare workers for better implementation of the existing preventive and control measures along with the technical advances will contribute much to fight against the nosocomial infections.

HIV infection is known to be a factor associated with cardiovascular disease. The objective of this work is to draw the attention of clinicians working in a resource-limited environment to the risk run by these patients in hospitalization in order to be able to prevent and ensure early and adequate management allowing the reduction of thrombotic risk andits complications. This is a descriptive cross-sectional study from January 2022 to May 2023, all patients hospitalized for advanced HIV disease were assessed by the Padua score supported by the D-dimer test. The data was collected in strict confidentiality. Out of a total of 400 hospitalized patients 40 were identified as being at being at risk of developing venous thromboembolic disease (VTE). The average age was 33, 6 years, 28 patients were female (70%).Coma (37,5%) and dyspnea(30%) were the main reasons for consultation. Cellular immunosuppression was severe (CD4∠200 mm3) in 95% of patients disseminated tuberculosis(50%), pneumocystosis carini pneumonia(25%), sepsis(12,5%), neuromeningeal cryptococcosis(7,5%) and Kaposi’s sarcoma (5%) were the main associated opportunistic conditions. 28(70%) patients were naïve to antiretrovirals and 12(30%) had been on retroviral treatment for six months. 12(30%) patients died, 8(20%) patients progressed well, and 20(50%) were lost sight of for lack financed mean.

Halal pharmaceuticals involve drugs, medicinal ingredients, traditional medicines, and cosmetics that contain permitted ingredients and are produced according to Islamic rules and regulations. The purpose of this research was to identify the types and sources of halal pharmaceutical documents published in PubMed from 2001 to 2021, as well as the most productive halal pharmaceutical authors and the keywords and topics associated with this field. The method used is bibliometric analysis with the VOS viewer application evaluated studies with halal pharmaceutical keywords. After analyzing all of the 369 documents, it was found that 44.15% of them were articles, 39.3% reviews, 7.3% meta-analyses, and 5.7% systematic reviews. The most significant documents were from Advancer in Experimental Medicine and Biology, followed by Molecules, Life Sciences, and Phytotherapy Research. Publications increased significantly, reaching 157 in 2020 and 101 in 2021. The most published authors were Sahebkar with 221 documents, Jamialahmadit with 63 papers, and Sathyapalan with 41 documents. The most common keywords were human, animal, and male, while the trending topics were COVID-19, degenerative diseases, and curcumin.