This analysis examines a non-uniform heat source or sink, the flow of a power-law fluid induced by vertical parallel plates, and heat transfer using variable viscosity and thermal conductivity. Temperature likely exponentially changes viscosity and thermal conductivity. The implicit finite difference approach solves governing partial differential equations. Power-law index, Prandtl number, variable viscosity, and thermal conductivity are analysed. Skin friction, Nusselt number, and Sherwood number are graphically depicted to analyse channel fluid behaviour.

Dental trauma causing crown-root fracture is among utmost challenging types of dental traumas in terms of management, which often involves maxillary permanent incisors prior to completion of their root development and can result in tooth loss The goal of this case was to give a clinical example of rehabilitation of a complex crown-root fracture of the right maxillary central incisor that was treated successfully using a multidisciplinary approach that also included surgical crown lengthening. In the follow-ups, the final result was aesthetically pleasing and periodontally sound.

Internationally, public health systems are under pressure to fulfill rising healthcare demand while facing increasing financial constraints. The amount of health outcomes that can be obtained with public healthcare spending must consequently be maximized. The debate of resource allocation in medical systems is crucial because, in systems with various financing sources, resources used to treat one sickness or person cannot be used to treat another condition or person. Initiatives to improve quality and safety are essential throughout the health care system. It is crucial to use a variety of process improvement strategies to spot inefficiencies and provide patients with unnecessary, yet preventable, carousing various techniques and tools for quality improvement, including as Plan-Do-Study-Act (PDSA), Six Sigma, and others. Several of the Global Sustainable Development Goals have included the idea of fairness in the delivery of health services, particularly the goal of universal health coverage. The efficiency of healthcare delivery at both the operational and system levels continue to be a topic of study as a result of rising healthcare expenditures and limited resources. Therefore, given little resources and complex population health needs, health planners and managers have had to struggle with striking a balance between the two.

Eosinophilic colitis is a rare condition included in the groupof eosinophilic gastrointestinal disorder, that are charac-terized by a high eosinophilic infiltrate in the gut wall, withoutevidence of other causes [1]. We report in this case the clinical presentation as well as the macroscopic and histological aspect of this pathological entity in adults.

The reality that the KSA healthcare system was unable to control the virus's spread and the associated mortality rate created several managerial and clinical challenges for the industry. This emphasizes the necessity of setting up efficient and useful guidelines, policies, and processes in healthcare systems to prepare for crisis management during a pandemic like covid-19. the study aims to identify effective, resilient, health policies to fight against health crises and some changes accrued in health management and services in the healthcare sector and to determine the effects of the covid 19 pandemic in the Kingdom of Saudi Arabia the study utilizes a cross-sectional method on on 500 health care employee on Hafar Al Batin Central Hospital the result Shown Challenges that affected the healthcare management team on personal and hospital levels the most important healthcare management input that was unavailable during the pandemic was the level of preparedness for covid-19 and future health emergencies Strategic measures are being taken to minimize the spread of covid-19 Changes that have occurred in Saudi Arabia's healthcare institutions in preparation for future health emergencies introducing different health and safety measures, processes, and procedures. However, managing the number of infections and deaths reported within the country was still a significant challenge identifying key challenges and difficulties faced by healthcare managers in preventing the further spread of the virus and protecting the uninfected patients and the healthcare workers in KSA, identifying. The study will also contribute to the existing literature as it has identified key strategies and policies that have been put in place by healthcare institutions in preparation for future pandemics and health emergencies.

Introduction: Erythrocyte fetomaternal incompatibility is defined by the binding of erythrocyte alloantibodies of a pregnant woman to fetal antigens, inherited from the father. Alloantibodies are produced by the immune system after prior contact with these same antigens during transfusion, transplant or previous pregnancy. In Morocco, data concerning fetomaternal incompatibilities are insufficient despite the severe cases of hemolytic disease in newborns recorded. Our aim is to determine the prevalence of anti-erythrocytes alloimmunizations in Moroccan pregnant women as well as the frequencies of alloantibody specificities. Patients and Methods: A population of parturients with no obstetrical history was randomly recruited to the Blood Bank of Kenitra. A second population was formed by pregnant women referred to the Regional Blood Transfusion Center of Rabat for reasons of obstetrical and/or immunohaematological history. The tests were carried out using the gel cards and 2 panels of 11 red blood cells. Antibody titration was performed by indirect Coombs technique. Results: Immunohematological tests and analysis of clinical-biological data made it possible to detect and confirm alloimmunization in 16 RhD negative and positive women. The prevalence of alloimmunization in RhD negative women is 2.46 % and the prevalence of alloimmunization in both RhD-/+ parturients was 1,06 %. In parturients with an obstetric history, the frequencies of alloantibodies are respectively 35.48% (11/31) and 100% (3/3) directed against 7 antigenic specificities: D, C, E, c, e, Jka and s. None of the parturients had received timely anti-D prophylaxis or prenatal RhD genotyping. Conclusion: The discussion of our results highlights the problem of the management of pregnant women at risk of alloimmunization, putting Morocco in front of a challenge of setting up a health policy, including above all the training of health professionals and the accessibility at the national level to the biological examinations necessary for the follow-up of the pregnant women to reduce the prevalence of the HDFN.

An sanya wa takardar taken “Sharhin Waƙar Garin Kwaki Ta Bage Ɗansala” domin a yi sharhin turkenta da tubalanta da kuma salailan da aka samu a cikinta. An gudanar da hakan ta hanyar yin hira da makaɗin da wasu mutane da ke da masaniya kan waƙar ko abin da ke cikin waƙar, domin ganin an kammala takardar cikin nasara. An gano cewa babban saƙon da waƙar ke ɗauke da shi tarihi ne tare da ƙananan saƙonni daban-daban da ke cikinta ta fuskar bayani da kawo misalai gwargwadon hali. An kawo sakamakon binciken da aka gudanar wanda takardar ta hango da kuma kammalawa a ƙarshe.

Aim: To evaluate the effect of two different activation protocols of periodontal distractor on periodontal health after rabid canine retraction. Objectives: 1) to evaluate the periodontal health of two activations/day of periodontal distractor. 2) To evaluate the periodontal health of four activations/day of periodontal distractor. 3) To compare between two different activation protocols of periodontal distractor on periodontal health. Methods: The study was carried out on 32 canine of 16 female patients (16-22 years of age) requiring extraction of bilateral maxillary first premolars and maximum anchorage. They were divided into two groups. (Group I): Canine retraction was done by periodontal distractor with twice activations per day. (Group II): Canine retraction was done by periodontal distractor with four activations per day. Periodontal distractor was cemented after bilateral maxillary premolar extraction and inter septal bone corticotomy was done. The periodontal health of maxillary canines was evaluated using these parameters before and after retraction: (gingival index, periodontal index and probing depth). All data were explored for normality by using Shapiro Wilk and Kolmogorov Normality test which revealed that all data originated from non-parametric data. Results: for periodontal index and probing depth there was insignificant difference between them in before and after in both groups. For gingival index there was insignificant difference between them in before, while in after group II was significantly higher than group I. Conclusion: In this study, there was increase in all periodontal health parameters including (gingival index, periodontal index and probing depth) after using of periodontal distractor with both protocols of activations denoting gingivitis. The 2 activations/day was better than 4 activations/day for periodontal health during canine retraction by periodontal distractor.

College EFL writing course is both humanistic and instrumental, thus it has an important educational function. The CLIL is an effective approach to optimize foreign language curriculum system and provides a new mode for integrating ideological and political contents into foreign language instruction. It facilitates the development of learners’ language proficiency and think abilities. Therefore, the present study explored the feasibility of integrating ideological and political contents into College EFL writing curriculum under the guidance of CLIL approach, aiming to provide new perspectives for the reform of EFL writing curriculum.

Chronic osteoarthritis of the pastern joint has a significant role in affecting the musculoskeletal system and is a recurrent cause of lameness in the equine athlete manifested by chronic lameness and thorough clinical and radiographic examination. This case report describes the evolution of chronic proliferative ossified osteoarthritis and periarthritis of the proximal interphalangeal joint of the front limb of a 12-year-old gelding. The careful clinical examination aimed to detect the site of the lesion, which is then confirmed by radiography that revealed extensive periarticular new bone formation over the proximal interphalangeal joint. This affection causes progressive deterioration of articular cartilage, accompanied by bone and soft-tissue periarticular changes. Control radiographic examination after a period of 10 months showed the extension of the lesion and the severe appearance of bone evolution and several medical approaches have been undertaken without improvement of the clinical condition of the horse. Several medical therapies are used in synergy with the palliative goal of reducing lameness and relieving pain, but most are of limited duration and do not stop the negative progression of the disease process. Once joint damage is advanced, it is difficult to remedy.

The term smooth uterine muscle of uncertain malignant potential (STUMP) indicates a group of uterine smooth muscle tumors (SMTs) that cannot be diagnosed unequivocally as benign or malignant. Diagnosis, surgical management, and follow-up of this neoplasm remain controversial, especially in pre-menopausal women with fertility desire, due to the non aggressive behaviour and prolonged survival rate when compared to leiomyosarcomas. Studies of STUMP are limited in population and rarity results in few analysis of its fertility outcomes and oncologic prognosis. STUMP has a lower tumor growth rate and recurrence is often delayed by years after initial event compared to high grade leiomyosarcomas which have an aggressive clinical course and behavior thus making it very important to differentiate stump from leiomyosarcomas .Recurrencerate ranges from 8.7% to 11%.

The study investigated cutting-edge research for global competitiveness among academic staff of Faculties of Education in the universities in South- South, Nigeria. Three research questions and hypotheses guided the study. The study adopted the descriptive survey design. The population of the study comprised 864 academic staff (Males = 523; Females =341) of the Faculties of Education in the 17 public universities in South-South, Nigeria. The sample size was 375 Academic Staff (Males = 229; Females = 146) representing 43% of the population drawn using simple random sampling technique. The instrument for data collection was titled Cutting-edge Research for Global Competitiveness among Academic Staff Questionnaire (CRGCASQ). The questionnaire was structured by the researchers, validated by experts and with a reliability index of 0.79 ascertained using Cronbach’s Alpha. Mean and standard deviation were used to answer the research questions while z-test statistics was used to test the hypotheses at 0.05 alpha level. The study revealed among others that the factors that hinder cutting edge research for global competitiveness among academic staff of faculties of education in the universities in South-South, Nigeria include: not publish and perish syndrome; too much academic workloads; non-adherence to the rigors of research such as going to the field to collect data; lack of research funding and compensation; insufficient research training; lack of technical support and so on. It was recommended among others that the Deans of Faculties of Education should critically analyze the factors identified for action plan to ensure staff cutting-edge research productivity.

The clinical healthcare system has been burdened due to various disease outbreak such as COVID 19 outbreak. Clinical Workloads on healthcare workers and practitioners lead to fatigue and mental exhaustions, causing medical errors. About 98 000 patients globally expires due to preventable medical errors in hospitals due to workload of health practitioners. (Philibert, et al., 2002) The majority of mistakes are made by well-meaning people operating under poor systems, procedures, or circumstances. The healthcare workers and physicians have been facing intense workloads due small workforce, physician working hours and financial pressures on hospitals and healthcare centers. However, very limited research has been conducted on association of workload of healthcare workers and safety of patients. Therefore, we aimed to design the systematic review on evaluation of effect of increasing the health practitioner’s workload on patients and their safety. To fulfill aims of study, we conducted a systematic review & meta-analysis by following “Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)” (Selçuk, 2019) guidelines related to title which was “effect of increasing the health practitioner’s workload on patients and their safety”. About 5 databases were used for data search, collection and extraction include PubMed, MEDLINE, EMBSE, Cochrane library, and PsycInfo, on 2 November, 2022. To search data, we used MeSH keywords of “effect of workload on health practitioners”, “Healthcare workers workload” “its effects on patients’ safety, effect of workload on medical errors” “Mental stress among workers” and “patient safety” among all databases. Only those research articles were extracted that have been published during March 2020 to October 2022, keeping the COVID 19 pandemic in context. There were five qualitative studies that evaluated the value of psychological treatment for mental illness. Stress resulting from worries about infecting close relatives and anxiety and fear of getting infection worries about the health professionals were two interwoven elements in all five investigations. Our findings could be explained by an increase in resident physician workload that followed programmers’ elimination of 24-hour shifts. There is evidence to suggest that patient safety may suffer when healthcare workers and doctors care for more than more patients each day.

Background: Pulmonary stenosis (PS) is one of the common congenital heart diseases (CHD) with the incidence of 8-10% of all CHD. Percutaneous balloon pulmonary valvuloplasty (PBPV) is considered as the treatment of choice for these purposes. It is a safe, effective and less time-consuming procedure. But in Bangladesh, we have very limited research-based data regarding the effectiveness of percutaneous balloon pulmonary valvuloplasty in treating pulmonary stenosis. Aim of the Study: The aim of this study was to evaluate the immediate and intermediate term outcome of percutaneous balloon pulmonary valvuloplasty in treating pulmonary stenosis. Methods: This was a hospital based prospective observational study conducted from January 2021 to December 2021 at Combined Military Hospital (CMH) Dhaka, Bangladesh. Interventional work was completed during the first 06 months and follow up was completed during the remaining 06months. A total of 50 patients were evaluated who had undergone PBPV by detailed clinical history, thorough physical examination and relevant investigations, like- CXR, ECG and Echocardiography. All data were processed, analyzed and disseminated by using MS Excel and SPSS version 24 program as per necessity. Results: In this study, two cases were undergone double intervention. During the procedure all cases developed bradycardia and 5(10%) developed cardiac arrest. Immediately after the procedure RV pressure was reduced and PA pressure was increased and PS gradient was reduced dramatically. The peak-to-peak pressure gradient across pulmonary valve reduced from pre-procedure value of 76.8± 5.41mmHg to post procedure value of 18.14±6.88 mmHg which is statistically significant (P<.00001). On D1 Echocardiographic follow up, 13 cases developed trivial pulmonary regurgitation (PR) and after that at D30 follow up, 1 patient developed mild PR out of these 13. In our study 46(92%) cases were successful and 4(8%) and procedure failed; out of these 04 procedures failed cases 3(6%) cases developed restenosis, one patient on D30 Echo and two cases on D90 Echo, D180 Echo do not develop any complications. Other than 3 restenosed cases all 47(94%) cases were leading healthy life without any unwanted events. All the restenosed cases had dysplastic pulmonary valve (PV). RV function of 50(100%) cases was good both in pre and post procedure as evidenced by normal TAPSE ranges from 15-22. Chest X- Ray (CXR) and Electrocardiography was found normal in 180 days follow up. Conclusion: Percutaneous balloon pulmonary valvuloplasty (PBPV) is already considered as the gold standard in the treatment of valvular pulmonary stenosis. This patient friendly procedure should be taken as a first line interventional treatment for congenital as well as post-operative valvular pulmonary stenosis. This study showed excellent outcome among study population without major complications and mortality and recommend PBPV as the first-choice therapy in our setup.

The article is devoted to the implementation of the Statute of the International Criminal Court in the national legislation of the Republic of Azerbaijan. The article is based on the Statute of the International Criminal Court, scientific and theoretical provisions on its implementation, the national legislation of the Republic of Azerbaijan, as well as a comparative analysis of the national legislation of foreign countries. Meanwhile, the activities of the International Criminal Court and the advantages and disadvantages of its Statute in the implementation of national legislation were analyzed in detail. Recommendations and conclusions from the policies of both jurisdictions are presented.