Introduction: The aim of this study is to understand the perception and representation of believers in the MBATA MAYANGI parish on the premarital medical examination in order to propose strategies to meet the expectations of believers in this church. Method: To carry out this study, we used a phenomenological survey method, supported by the face-to-face semi-structured interview technique and the instrument is the interview guide on a reasoned non-probability sampling of 20 participants. Results: concerning representation, the participants believe that the premarital medical examination does not represent much because it is God who protects, is an obstacle to the marriage of young people today, the premarital examinations are presented as a condemnation, finally, is comparable to the competition for admission to married life. For their expectation on the part of families, they have expectations that they have expressed in the following two ways: Parents must educate their children from an early age on medical examinations and also an awareness of youth on the well-being based on the premarital examination. Conclusion: the Christians of this parish do not have a good perception and do not imagine prenuptial examinations well, hence the need to popularize the importance of these examinations in different Churches.

Background: Glenoid cavity (GC) is a shallow, concave and oval fossa at superolateral border of scapula and form glenohumeral joint with scapula. There is a notch present on its anterosuperior part which gives its different shape. When this glenoid notch is indistinct its shape is pear shaped, when it is distinct it looks like inverted comma shape and when it is absent its oval shape. Understanding morphometric and morphological variation of GC plays an important role for surgeon while designing and fitting of glenoid component for total shoulder arthroplasty. Aims: A morphometric study of the glenoid cavity of 120 adult dry human scapulae in Western Rajasthan Population was done to evaluate the shape and various diameters of the GC. Material and methods: 120 dry scapulae (60 Right and 60 Left) of unknown sex, were taken for the study. Damaged bones were excluded from the study. Supero-Inferior Diameter (SI-D), Antero-Posterior Diameters (AP-D1 and AP-D2) of both sides were analysed and compared by unpaired t-test. Results: Most common shape of GC was pear shaped (45.83%) followed by oval shape (35%). Least common shape was inverted comma shape (19.16%). Difference in mean SI-D of both sides were statistically insignificant while AP-D1 and AP-D2 were found statistically significant. Mean Glenoid Cavity Index on right and left sides were 64.57 ± 6.91% and 68.33 ± 6.29% respectively. Conclusions: The above study helps Orthopedicians in shoulder dislocation, fractures and treating shoulder pathological conditions like glenohumeral instability and rotator cuff pathology.

This article aims to analyze the use of musical intelligence (Howard Gardner) as a tool to facilitate individuals’ pronunciation. A study with Emirati participants who have Arabic as L1 has been conducted to see if participants in the experimental group, who were trained in English pronunciation through music, achieve greater outcomes than those in the control group, who were trained through a more traditional way (by listening and repeating exactly the same content as the experimental group). The results will be compared to our previous studies also related to Multiple Intelligences.

This research examines the effects of psychological empowerment on firm performance through the mediation of innovation types. Using survey data of 202 employees in Saudi Arabia SMEs and a structural equation modeling (SEM) approach, the study finds that psychological empowerment can enhance, directly and indirectly, firm performance. The study also finds that psychological empowerment produces a positive effect on innovation types. Moreover, the study finds an innovative type sequentially mediates the relationships between psychological empowerment and firm performance. An examination of psychological empowerment helps identify a critical psychological process and understanding how empowerment affects firm performance. Furthermore, an organization’s ability to change its capacity and innovation is associated with the observable characteristics of SMEs and the environmental requirements. Contributions to both research and practice are considered, as well as the study’s limitations and followed by the study’s conclusions.

Geographic tongue (GT) is a benign condition with uncertain etiology that affects the tongue and form filiform papillae giving it a patchy appearance. It is also called benign migratory glossitis. Various terminologies are used to describe this condition i.e.; benign migratory glossitis ((BMG), wandering rash, annulus migrans and erythema migrans. The clinical presentation of GT may different from asymptomatic to burning and painful condition. The aim of this review is to find the possible treatments/management for BMG to treat the pediatric patients with this disease. A search was carried out using different terms to find the related articles. Total 6 studies were used which described the possible managements of GT. there is no proper scientifically prove treatments is present, however application of tacrolimus and good oral hygiene can be recommended in symptomatic conditions. Asymptomatic condition needs no treatment while to reduce pain in symptomatic GT various managements can be prescribed.

The study was conducted to determine information needs of rural secondary school students on HIV/AIDS in Katsina State. Multi-stage sampling technique was employed in selecting 180 students. Data were collected with the aid of structured questionnaire and analysis was carried out using frequency counts, percentages, Chi square and Pearson product Moment Correlation. Results revealed that majority (54.4%) were within secondary school age of 16-20 years; non-boarded (67.8%), awarenrss (83.3%) and 43.9% have family size of 11-20. Radio (¯x=2.01), school authority (¯x=1.99), television (¯x= 1.61) and posters (¯x=1.57) were information sources though; school authority (¯x=2.62), radio (¯x=2.44), television (¯x=2.26) and posters (¯x=1.96) were the most preferred sources of awareness. Access to information sources was mostly constrained by lacks of power supply (¯x=1.54), television viewing centre in school (¯x=1.52), and contact with change agents (¯x=1.51) and poor coverage of HIV/AIDS news on newspapers/magazine/newsletters (¯x= 1.48). Majority (63.3% had high level of constraint. Also level of information needs was high to majority (67.2%). Symptoms (¯x=2.68), choice of marriage partners (¯x=2.66), availability of antiretroviral drugs (¯x=2.63) and sources of infection (¯x=2.62) were major areas of information needs. It is concluded that secondary school students’ information needs on HIV/AIDS in Katsina State is high. The distinct peculiarities of school as a culturally heterogeneous community should be studied and noted. In this sense, appropriate use of three major Nigerian languages: Hausa, Igbo and Yoruba languages are sin qua non in HIV/AIDS awareness creation in schools.

Cancer is uncontrolled division of the cells and has to capability to evade central endogenous control mechanism and as result of this spread to the surrounding tissue. The accumulating knowledge about development and progression of cancer can be used to develop more precise diagnostic and more effective and or less toxic cancer therapies. It is the second leading cause of death worldwide. After cardiac disease cancer has emerged as an important cause of mortality and morbidity in India. In 2019 annual cases grew by 23.6 million and 10 million deaths worldwide. The article compiled with the objective to know regarding the challenges and opportunities in cancer research in India.

Introduction: Videocapsule endoscopy (VCE) is a minimally invasive approach to visualize the mucosal surface of the gastrointestinal tract. It was initially used in the evaluation of small-bowel lesions, however many studies showed that it has a potential role in evaluating other digestive segments as the stomach and large bowel. Our study aim to assess the diagnostic performance of VCE after a non-conclusive upper and lower digestive endoscopy and to highlight the comfort and the diagnostic efficiency of this tool. Materials and Methods: In this monocentric and descriptive study, we include all patients who underwent a Pillcam SB3 VCE (59 patients), from July 2018 to Semptember 2022, after a normal gastroscopy and ileocoloscopy. All the patients received a preparation by PEG (2l the day before ingestion of the capsule) with clear broth the day before the examination, and a 10 days off oral iron if previously prescribed. Results: 59 patients were included and 15 VCE (25%) allowed the diagnosis of non-small haemorrhagic lesions, unnoticed by usual endoscopy. The main indication for VCE was an unxplained digestive bleeding (73%) with an average hemoglobin level of 5,4g/dL. The mean age was 59 years (23-90 years) with a femal predominance (sex-ratio:0,6). 40% of the patients had a chronic renal failure, 13% had a portal hypertension, 13% had a history of heart disease, 6% had a Rendu-Osler disease. 13% of patients were on antiplatelet agent, 6% on anticoagulants therapy and 6% on non-steroidal anti-inflammatory drugs. The mean time between the onset of symptoms and the VCE was 26,3months. The lesions noticed by VCE were: angiodysplasia (80%), with different localizations: gastric (46%), duodenal (21%), cecal (21%), bulbar (12%) and Forrest III gastric ulcerations (20%). The diagnostic yield of VCE in non-small bowel hemorrhagic lesions was 25%. Conclusion: The VCE represents the most patient-friendly alternative method of examination. It is a first-line approach in the evaluation of small-bowel lesions, but it can also detect upper and lower digestive lesions. However, we believe that the slightest doubt concerning the quality of the first upper and lower digestive endoscopies in patients with digestive bleeding and/or anemia should lead to the repetition of the conventional endoscopies before performing VCE.

Narcotics abusers for themselves are guaranteed rehabilitation, but in Article 127 of Law No. 35 of 2009 concerning Narcotics, narcotics abusers also become subjects who can be punished and can lose their rehabilitation rights, unless they can be proven to be victims of narcotics. The purpose of this study was to find out the Weaknesses of the Implementation of Medical and social rehabilitation and to reconstruct the Humane-Based Medical and Social Rehabilitation of Victims of Narcotics Abuse. This research uses socio-legal research as an effort to understand the law in context with the constructivist paradigm. The results of the study show that the weaknesses in the implementation of medical and social rehabilitation for victims of narcotics abuse can be seen in that narcotics abusers and non-dealers receive criminal sanctions in the form of imprisonment and fines for their actions. Article 127 and Article 103 of Law no. 35 of 2009 concerning Narcotics stipulate that a judge "can" decide to place the user to undergo rehabilitation where the rehabilitation period is also counted as a sentence period where such a system in criminal law is known as the Double Track System. Starting from the notion that punishment is essentially only a tool to achieve the goal of punishment, then in the new narcotics criminal concept, first of all, the purpose of punishment is formulated. Efforts to reconstruct the implementation of medical and social rehabilitation for victims of narcotics abuse based on human values can be carried out by reformulating the norms of Law Number 35 of 2009, specifically regarding the position of narcotics abusers through setting suitable types of sanctions and providing benefits according to their work and affirming the purpose of the article on the qualifications of an offense other narcotics crimes whose elements can be fulfilled automatically when a person abuses narcotics for himself.

Mobile phones is playing an incredible role in the hands of the younger generation and becoming an integral part of survival, even some have even gone to the extent of saying that they would rather survive without food for a day than without their mobile phones. Mobile phones are both a curse and a boon to the newer generation as phones are being primarily used for education and entertainment purposes; it also inculcates a lot of ill habits in the younger generation. The purpose of this research is to understand the usage of mobile phones for academic, personal and other reasons by the students of university in Oman. To shed light on the nature and sensitivity of the mobile phone usage on students and its effect on them. The main objective of the research is to understand the perceptions and effects of mobile phone usage by the University students in Oman. The outcomes of the study will be beneficial for students and university administrators for improving existing mobile phone usage to be more effective for the benefit of University students. The research is descriptive and structured questionnaire is administered through google forms for collecting the primary data. The Population is 796 including all the levels of students in business department (i.e Diploma, Advanced diploma and B.tech). The sample size is 266 with (95% confidence level). Stratified convenient sampling method is used to collect data from the students of business department at University in Oman. As the data collected is not normally distributed, so Non- Parametric tests like Man Whitney-U-test and Kruskal wallis test is used for testing the hypothesis. Findings revealed that there is a difference of opinion among respondents on gender and time spent towards Perception, hindrance factors and the effect of the mobile phone on students learning activities. Future research can be extended to factors like social and family related issues to get a better idea about the research. Further it can also be extended to schools in Oman to know the students basic understanding and usage of mobile phone and its impact on them.

Introduction: This study aimed to determine the sex ratio and the average age of deceased persons in the town of Kananga, commune of Ndesha. Method: This is a cross- sectional descriptive type study, we used the documentary analysis method to collect the data and had a sample of 269 deaths notified to the Civil Registry between 2018 and 2020. Results: The crude mortality rate (CBR) in the commune of Ndesha is estimated at 0.044% or 4.4 deaths per 10,000 inhabitants between 2018 and 2020. This rate has decreased very slightly over time, from 3.5 per 10,000 in 2018 to 4.8 per ten thousand in 2020. The age group 0-14 is the most affected, with 108 cases or 34.2%; those from Demba (with 30.9%) and Dibaya (with 26.4% of cases) are the most represented. The male gender represents 64.3% of cases against 35.7% of female subjects; the sex ratio is 1.8 men who die for every 1 woman. The average age of the deceased subjects is 38.7 years, with a standard deviation of 27.8: it is therefore dispersed between 10.9 and 66.5 years. Conclusion: The inhabitants of the commune of Ndesha do not register their deaths with the civil status service of the commune. For this, we recommend to the municipal authorities to impose on the population the death certificate when a family member is dead to allow the country to have a mortality statistics.

Background: The integration of digital tools into clinical practice holds significant promise for enhancing chronic disease management, yet little known about healthcare provider attitudes towards this integration, particularly in the context of Riyadh, Saudi Arabia. Aim: This qualitative study aimed to explore healthcare provider attitudes towards the integration of digital tools into clinical practice for chronic disease management in Riyadh, Saudi Arabia. Methods: Semi-structured interviews conducted with healthcare providers from various healthcare settings in Riyadh. Purposive sampling employed to select participants, and data were analyzed using thematic analysis to identify key themes and patterns. Results: 33 healthcare professionals were interviewed. Participants expressed mixed attitudes towards the integration of digital tools into clinical practice for chronic disease management. Perceived benefits included improved patient outcomes, enhanced efficiency of care delivery, and increased patient engagement. However, challenges such as technological barriers, resistance to change, and concerns about data privacy and security were also reported. Factors influencing digital tool adoption included organizational support, training needs, and perceived usefulness. Conclusion: The findings highlight the complex attitudes and considerations surrounding the integration of digital tools into clinical practice for chronic disease management among healthcare providers in Riyadh. Addressing barriers and enhancing support mechanisms are crucial for promoting successful adoption and utilization of digital health technologies in healthcare settings. These insights can inform policy, practice, and research initiatives aimed at optimizing chronic disease management through the effective integration of digital tools.

Introduction: Dengue is a major health problem affecting Bangladesh. The number of cases has increased over the last few years with a large number of populations being children. However data regarding dengue among children is limited. Aim of the Study: Aim of the study was to highlight the most common clinical features and hematological and biochemical findings of patients with dengue fever. Methods: This hospital-based observational study was conducted at the Department of Pediatrics of Dhaka Shishu Hospital, Dhaka, Bangladesh. The study was carried out from 15th May to 14th Octobar 2022 with 220 patients. Result: Total 220 children were enrolled in the study. There was a slight male predominance where male constituted 125 (56.81%) of the study group, while female was 95 (43.19%). That gave a male to female ratio of 1.18:1. Out of 44 cases of raised prothrombin time dengue fever consists of 14 (31.82%), 28 (63.64%) cases of dengue Fever with warning and 2 (4.55%) of severe dengue. In our study 26 (21.7%) cases had complication that was more common in age group of less than of 4 years (31.8%). In our study, complication of dengue was more common in dengue with warning sign (35.6%). In our study 44 (18.63%) cases have complication that is more common in age group of less than of (5-8) years. Conclusion: Hepatic involvement is more common in severe dengue associated with significant rise of liver enzymes. Hepatomegaly is the most important clinical sign but alteration of liver profile can occur with or without hepatomegaly.

Background: Purposeful Hourly Nurse Rounding (PHNR) is a key strategy for improving patient satisfaction and safety in healthcare settings (Saleh,2011). Implementing effective hourly rounding models has gained attention in public hospitals due to the potential positive impact on patient outcomes. However, there is limited research exploring the qualitative aspects of purposeful hourly nurse rounding models in public hospitals. Understanding the perspectives of nurses and patients involved in these models is crucial for optimizing their effectiveness. Aim: This study aimed to qualitatively explore purposeful hourly nurse rounding models in public hospitals from the perspectives of nurses and patients. Specifically, it sought to understand the experiences, perceptions, and attitudes towards purposeful hourly rounding, and identify the potential barriers and facilitators in implementing and sustaining these models. Methods: A qualitative research design utilizing semi-structured interviews was employed to collect data from a purposive sample of nurses and patients in public hospitals practicing purposeful hourly nurse rounding. The interviews were audio-recorded, transcribed verbatim, and analyzed using thematic analysis. Rigorous adherence to ethical considerations was maintained throughout the research process. Results: The findings revealed several themes related to purposeful hourly nurse rounding models in public hospitals. Nurses highlighted increased patient satisfaction and improved communication as key benefits of purposeful hourly rounding. They also emphasized the importance of time management, teamwork, and leadership support in successful implementation. Patients reported feeling more supported, cared for, and involved in their care during purposeful hourly nurse rounding, leading to enhanced satisfaction and confidence in the healthcare system. Conclusion: This qualitative exploration of purposeful hourly nurse rounding models in public hospitals highlights the positive impact on both nurses and patients. It underscores the significance of effective communication, teamwork, and leadership involvement in successful implementation of purposeful hourly rounding. The findings underscore the potential benefits of purposeful hourly nurse rounding in public hospitals and emphasize the need for further research to optimize and sustain these models.

Background: Acne is a chronic inflammatory disease known to occur in adolescent age group. There are many myths and misconceptions in adolescent as well regarding the prevention and treatment of acne. Objectives: The main goal of this study to assess awareness regarding acne vulgaris among adolescent students in Kamel Ibrahim and Abdulla Ibn Abbas secondary school in Shendi town. Method: This was descriptive study conducted among 100 students in secondary schools, data was collected by self-administered structured questionnaire using multistage stratified sample. Data was analyzed by using statistic package for social sciences (SPSS) version (20). Result: The study clarified that approximately half (49%) of study group their age between (13- 15) years, while (56%) of them had poor knowledge about definition of acne also (16%),(12%) of them had fair knowledge about type and site respectively and majority (88%) (83%) of them had poor knowledge about psychological problem and prevention of acne. Conclusion: The finding of the study pointed out that students had low level of awareness regarding acne in spite of it appear in this period.