Background: In children, femoral shaft fractures are usually treated by initial performance and durability for 3 to 4 weeks, followed by an additional period of immobilization in a hip spica cast until union occurs. However, such treatment would involve prolonged hospital stays, thereby increasing the cost and occupancy of hospital beds. Early hip spica cast application of femoral shaft fractures in children is a valuable alternative to the traditional treatment method. It allows for a short hospital stay, thereby avoiding all the problems associated with prolonged hospitalization. Methods: This prospective study was conducted on 20 patients. Multicentered based non-randomized evaluations were performed in Modernized District Hospital, Joypurhat, and Rajshahi Medical College Hospital, Rajshahi, Bangladesh, from January 2020 to April 2022. With femur shaft fractures over two years. All the children of both sexes from 2 to 12 years of age with fractures shaft of the femur presented within day one of injury. Follow-up was done in OPD for up to 6 months. The functional result was assessed according to Flynn’s scoring criteria. Results: The mean age of the patient was 5.65 years, ranging from 2 to 12 years. The male-female ratio was 3:1. The mean duration of hospital stay was 4.1 days. Radiological union in all cases was achieved in a mean time of 7.65 weeks. Full weight-bearing was possible in a mean time of 10.07 weeks. The result was excellent in sixteen patients (80%), successful in two (10%), and poor in two patients (10%). Conclusions: Early spica cast is a simple, effective, and definite treatment method with minimal complications and acceptable results in the pediatric age group.

Suicide is the intentional infliction of death on oneself. It is the leading cause of death on the planet. Suicide is the third leading cause of death among 15 to 19-year-olds. 79 percent of global suicides occur in low- and middle-income countries. Ingestion of pesticides, hanging, and the use of firearms are among the most common methods of suicide in the world. India's suicide rate increased to 230,314 in 2016. Suicide was the leading cause of mortality in both the 15–29 and 15–39 year age groups. Over 800,000 people die by suicide every year around the world, with 135,000 (17%) of them being Indian citizens, who make up 17.5 percent of the global population. Every year, significantly more people try to commit suicide than actually do so. A past suicide attempt is the single most important risk factor for suicide in the general population. In 2012, Tamil Nadu had the highest suicide rate (12.5%), followed by Maharashtra (11.9%) and West Bengal (10.1%). (11.0 percent). In 2012, Tamil Nadu and Kerala had the highest suicide rates per 100,000 people among states with large populations. Male suicides outnumber female suicides roughly 2:1 in India. Suicides are estimated to number in the millions in India. For example, a study published in The Lancet predicted 187,000 suicides in India in 2010, despite the Indian government's official statistics claiming 134,600 suicides in the same year. According to WHO data, India's age-standardized suicide rate for women is 16.4 per 100,000 (6th highest in the world) and for males is 25.8 per 100,000 (22nd).

Primary testicular lymphoma is a rare type of extranodal non-Hodgkin lymphoma (NHL), its positive diagnosis is based on histopathological findings. Treatment modalities consist of surgical excision, chemotherapy, and radiation therapy but the accurate procedures are not standardized. The authors report a new case of primary testicular lymphoma, and we discuss its diagnostic and therapeutic aspects. Sperm cryopreservation was carried out. The patient was started on chemotherapy with cyclophosphamide, hydroxydaunorubicin, oncovin, and prednisone (CHOP) regime.

Rectal gastrointestinal stromal tumors (GIST) account for 0.1% of all rectal tumors. They are generally diagnosed in adults over 50 years of age with non-specific symptoms. Immunohistochemistry performed on biopsy tissue sample confirms the diagnosis. In this study, we report two cases of histologically and immunohistochemically confirmed rectal GISTs diagnosed using Endoscopic ultrasound (EUS) with fine needle aspiration (FNA), a procedure of crucial value in the diagnosis of these tumors. Both patients were male, presenting with non-specific symptoms. Standard endoscopy showed a rectal mass in both cases, biopsies were negative. EUS showed a well-defined hypoechoic mass and evaluated adjacent organs and of blood/lymphatic nodes involvement. EUS-FNA was performed in both cases. Cytology and immunocytochemistry studies showed spindle cell pattern with positive immunohistochemical staining for CD117, typical of GISTs.

This study examines the contribution of fiscal policy measures to economic stability in Nigeria. Specifically, the study examines the impact of fiscal policy measures on macroeconomic variable of growth - the gross domestic product. In order to achieve our objectives, we employed the econometric techniques of ordinary least squares and co-integration/error correction mechanism to analyze our data with a scope of 1970 to 2019. Our results and findings show that fiscal policy measures had serious implication on economic growth. This is evidenced by the coefficient of determination of the model. The R2 value is consistently high in the model. Also, government expenditure and revenue were significant in the model. Based on findings, the study recommends that government should improve her role in the economic management by stepping up her capital expenditure and reducing recurrent expenditure in order to boost infrastructural development and create the enabling environment for increased private investment in the economy.

The goals of the economics in the financial to highlight some major studies from across all economic fields wherein the grey systems theory could be applied in addition to opening and introduce new fields. Grey systems theory offers a unique type of number, the three-parameter interval grey numbers, a goal making methodology based on these numbers is proposed, with the premise that these numbers. Generally, decision-makers should consider commercial ethics and societal responsibility, as well as environmental management in particular. CEM seems to have a smaller influence on market based measurements than accounting based criteria is a good example. Another possible explanation for the observation is that market and accounting based measurements have various temporal horizons. Market economies are self-regulating systems governed by the laws of production and trade, according to classical economics' core theory. Some critics of management claim that planners place too much focus on ways to boost growth in the economy while neglecting the social consequences. Simple growth objectives have the disadvantage of not measuring the development in negative effects like noise, pollution and environmental degradation; instead, they reflect the costs of mitigating these problems as part of development itself.

Climate change has posed a serious threat to humanity, particularly to women, who are among the most vulnerable. Adaptation as a measure of disaster mitigation has received a lot of attention in the wake of climate change, but nearly all of it has disregarded women's contribution to disaster adaptation as a change agent. This research aims to review the available literature on women's adaptation methods in the face of climate-related disasters. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) technique was used to guide this research. With a thorough screening method, 19 articles out of 695 were selected utilizing two databases: Scopus and EBSCo discovery service. The findings are presented in a thematic way titled after the various adaption tactics employed by women across the world. The findings suggest that women have demonstrated their ability to use beneficial adaptation techniques in the face of several societal constraints, including reproductive responsibility. As a result of the findings, certain policy recommendations have been made, emphasizing the relevance of women's capacity building in disaster impact mitigation.

A common problem observed in patient safety is the lack of accurate and complete information about medications in regular use during transfers of care between different health facilities. In view of this, medication reconciliation is postulated as a barrier to reducing medication discrepancies and consequently medication errors. This project aims to evaluate the implementation of safe clinical practices conducted by clinical pharmacists. To this end, we will conduct a standardized process to obtain the best possible medication history (BPMH); assessment of the patient's level of understanding of pre-admission therapy; quantification, classification and analysis of discrepancies of unintentional drugs at hospital admission; effect of interventions conducted by clinical pharmacists and impact on patient safety. This prospective, pilot, descriptive, interventional and single-center study will be carried out in the Clinical Pharmacy Department of a large hospital in the state of São Paulo. In order to standardize the process of data collection and reconciliation of prescription drugs, the interview with the patient will be carried out using an adapted and modified form. After collecting information in the structured interview, clinical pharmacists will identify, analyze and classify possible discrepancies. All unintentional discrepancies found without any clinical justification will be considered medication errors. Finally, the degree of impact of each drug discrepancy will be defined as: clinically insignificant; clinically significant; serious and life-threatening.

Air pollution is a significant health risk factor all over the world. A global study of diseases showed that air pollution is one of the top ten global health risk factors. Approximately 7 million people in the world and 40, 0000 people experience early death due to air pollution. The most common pollutants include particulate matter, carbon monoxide, ozone, nitrogen oxide, and sulfur dioxide. The two types of air pollution, indoor and ambient, both contribute to a host of cardiac and respiratory illnesses. General ambient air pollution, chiefly due to the incomplete combustion of fossil fuels, may be responsible for increased rates of lung cancer. Exposure to excess levels of air pollution is significantly associated with a variety of acute and chronic respiratory illnesses, such as chronic obstructive pulmonary disease, asthma, respiratory allergies, and lung cancer. The effects of air pollution disproportionately impact the extremes of the age distribution, perhaps due to altered immune responses. The presence of one or more contaminants in the atmosphere, such as dust, fumes, gases, gas, ‘fog’, odour or vapour in quantities or with characteristics, and of a duration that may be detrimental to human, animal or plant. Combustion-source air pollution contributes to the occurrence of lung cancer among the general population. By using modern techniques to control pollution Multi-vortex wet air scrubber’s technology, nano technology, recycle reuse techniques is very helpful to control pollution.

The Education Unit Management Course (EUM) is a compulsory subject in the Master of Education Administration (MEA) study program, Faculty of Teacher Training and Education (FTTE), University of Bengkulu (Unib). This course has a study load of 3 credits (2-1). Lectures should combine theory and practice based on innovation. However, in its implementation it is only conventional (less instilling innovation behavior in students). This condition is not in accordance with the policy of the ministry of education. This study aims to design a new innovation-based lecture management in EUM courses. This research uses action research. The research subjects are EUM lecturers in the MEA, FTTE, and Unib study program. Data were collected using FGD, observation, and innovation test scales. Data were analyzed by descriptive analysis technique. The results showed that the new design for the management of innovation-based lectures in the EUM course was based on the vision and mission of the study program, the output of graduate competencies, the need for learning outcomes in accordance with the demands of the field, and the need for practice based on school innovation. This new design has a positive effect on increasing innovation behavior in students. The novelty of this research is that a new design for the management of EUM lectures based on innovation in a school setting can make a positive contribution to the improvement of innovation behavior.

These paper goals at identifying the environment and health risks for Bangladesh through the present Rohingya refugee crisis. There are exclusive published sources have been utilized in writing this literative paper. The authors of this paper argues that the Rohingya refugee crisis is creating a variety of disaster on surroundings and health a unified effort need to be made in fixing this difficulty into Bangladesh. The author further predicts that although the difficulty is restrained to Bangladesh at this moment, it will spread as a regional safety situation quickly if now not solved as early as possible. Finally, the authors anticipate that this paper will be advisable for in addition research on surroundings and fitness protection issues postured via the Rohingya refugee.

In the Decision approving the socio-economic development plan of Nam Dinh province for the period of 2021-2025 and the master plan for human resource development of Nam Dinh province for the period of 2021-2025, with orientation to 2030, it has been identified: For growthing and developing of stable and sustainable economics, ensuring high quality human resources for the private sector as well as ensuring the development of the province’s cadres and civil servants to carry out political tasks in the public sector in the 4th industrial revolution, the state management of the development of the province’s cadres and civil servants needs to be properly invested. The article presents the basic contents of the impact of the factors affecting high quality human resources development of Nam Dinh province in the context of 4 th industrial revolution to know The influencing factors and the degree of their impact on the development of high-quality human resources in Nam Dinh province in the context of the 4 th industrial revolution. This is an important basis for managers to take appropriate management measures on developing high quality human resources to meet the goals of modern and industrial-oriented socio-economic development.

Background: Conscious sedation is a guidance technique used to control the behavior of anxious or uncooperative patients. A variety of drugs are used in the sedation process, including inhalation agents such as orally or parenterally midazolam and other benzodiazepines. Midazolam is considered a member of the benzodiazepine family with the highest lipid-soluble properties. Objective: This article aims to review the use of Midazolam for conscious sedation in dental practice and illustrate each route of administration. Materials and Methods: This study involved a review of published articles related to the use of Midazolam for conscious sedation in dental practice. The PubMed search engine and Cochrane electronic databases were used to collect the most relevant and recent information on midazolam in dental practice. Results: By applying this method, 10 articles were gathered and used in the current review. Conclusion: Midazolam has shown its ability to be a safe and effective drug in conscious sedation in dental practice. However, some points must be considered before administering midazolam, including patient age and weight, the dose required, drug-drug interaction, special care patients, route of administration, and level of anxiety.

In today's information technology world, the Internet of Things is a popular notion. In the future, the Internet of Things will turn everyday things into intelligent virtual objects. The Internet of Things (IoT) aims to integrate everything in our environment together under a unified infrastructure, allowing us to not only control but also keep track of our surroundings. According to an analysis of IoT history, the number of IoT devices has increased in recent years and is expected to grow dramatically in the coming years, indicating that IoT will interact in every aspect of our lives. The applications of IoT vary from a small network like home automation to large networks like cloud-based industry applications. This paper revisits the some important historical events of Internet of Things from the beginning. Furthermore, Many State of Art applications of IoT are presented in this article. This research will be useful and helpful for future research in the field of IoT.

The world is paying more attention and trying to eliminate the use of substance that are toxic to human and the environment. The use of some organic and inorganic corrosion inhibitors exhibit toxicity and research has been ongoing on the use of eco-friendly substitutes. Plant extract, dyes and drugs have shown good corrosion inhibitive capabilities and this work gives a summary of several works that have been done on the use of drugs as efficient corrosion inhibitors for mild steel which is mostly used in the petroleum and petrochemical industry in acidic media such as HCl and H2SO4.