Background and objectives: All surgical procedures produce some secondary effects such as pain, swelling, and some functional impairments like difficulty in chewing mouth opening, speaking, sleeping, etc. Controlling postoperative discomfort may improve the patient's quality of life and acceptance of the treatment. The goal of this randomized single-blind trial was to see if using platelet-rich fibrin during endodontic surgery had a positive impact on pain and other aspects of the patient's quality of life in the first week after surgery. Methods: Fifteen patients with periapical lesions were treated with endodontic surgical procedures (control group). In another 15 patients, platelet-rich fibrin was placed into the bone defect in the form of a clot, and a suture was applied in addition to the surgical procedure (test group). During the first week after surgery, all patients completed a questionnaire to assess their major symptoms and daily activities. The results of the two groups' questionnaires were statistically compared. Results: The test group reported less pain, symptoms (swelling and bad taste), and functional activities compared with the control group but the difference was not statistically significant. Conclusion: The adjunct of platelet-rich fibrin to the endodontic surgical procedure produced some beneficial effects on patients' quality of life during the early postoperative stage. There were insufficient data in the literature and more clinical trials with larger samples have to be carried out in the future to find out the outcome

It is absolutely not safe to drive in a punctured tire as there are chances of losing the control over a vehicle. Keep running with puncture will definitely destroy the tire that cannot be fixed any sooner. Until you keep your vehicle on a leveled surface you are safe. Driving vehicle on an unlevelled surface can immediately destroy your tire. Straight driving is safe with a punctured tire as turning and twisting your tire needs more pressure and struggle. If the air leaks slowly due to puncture (front or rear) the scooter will start to wobble and you can come to safe halt but if the air leaks instantly because of tube or tyre (in case of tubeless tyre) bursting you are most likely to fall and if its front tyre then it would be dangerous because the steering may turn to any side before you know anything. Keeping in mind the above difficulty faced by the rider during the vehicle’s tyre been punctured and inability to handle the situation safely, a portable emergency drive for two wheelers will be fabricated as accessory, that can help the person to slowly run the vehicle safely to a destination, were it can get repaired without any damage to the tyre/s.

Adenocarcinoma is the most common type of colorectal neoplasia associated with chronic inflammatory bowel disease (IBD), but other types of epithelial and non-epithelial tumors have also been described on the inflamed bowel; among others, neuroendocrine tumors (NETs) which are rare tumors. We report the case of a patient admitted to the emergency department for an acute colitis inaugurated by ulcerative colitis (UC) and in whom a NET of the appendix was discovered on the colonic resection specimen. The prevalence of NETs in IBD patients is high in the literature. Their discovery is most often incidental. The presence of a significant number of neuroendocrine cells in the inflamed mucosa suggests that chronic inflammation is responsible for the development of this type of neoplasia.

Background: In the absence of any postnatal trauma, birth fractures are those that are identified within the first week of life. Infant birth-related injuries are generally infrequent and are caused by trauma during delivery, especially when the infant is particularly large or presented breech. Methods: This investigation was a retrospective cross-sectional study carried out at Bangladesh Shishu Hospital & Institute, Dhaka, in the department of Burn & Reconstructive Surgery. The study was carried out between June 2015 and July 2020. The study used a 21 neonates as sample basis. Result: In this retrospective study, the gestational age of 1 patient was 35 Weeks and followed by two were 36 weeks, 4 were 37 weeks, 6 were 38 weeks, 5 were 39 weeks, and 3 were 40 weeks. 11(52%) were female and 10(48%) were male. Majority 13(62%) patients fracture were right site and 8(38%) were left. 13 newborns, or 61.9% of them, were weighted ≥2500 g. Nine infants (42.9%) were delivered vaginally, while 12 (57.1%) underwent Caesarean sections. When the fetus was presented, it was cephalic in seven cases (33.3%) and breech in fourteen (66.7%). Depending on the fracture's location and angulation, the appropriate treatment option was chosen. Femoral shaft fractures were treated in a toe-groin cast, 5(23.8%), while subtrochanteric fractures were treated by strapping 16(76.2%) of the thigh to the abdomen. Conclusion: Even though femoral fractures now are uncommon, but after birth they should be watched for, especially in challenging caesarean sections.

In theory, an increase in development activities increases the demand for land, particularly for public interest uses. Land acquisition for public interest must be done properly and transparently, and with due consideration to the respect for human rights of legal land ownership rights. Conflicts between the government and landowners have regularly arisen thus far as a result of the implementation of government policies in the purchase of land for the public interest. On the one hand, the State, as represented by the government, has the power to revoke land rights to lands that are not released by the owner or rights holder if it is urgently necessary for the public interest, but on the other hand, the State must respect the private rights of individuals to maintain their rights to land because the laws and regulations also provide protection for these rights.

Introduction: An ectopic pregnancy occurs when a fertilized egg implants and grows outside of the uterine cavity. Ectopic pregnancy usually occurs as a result of delay or prevention in the passage of the blastocyst to the uterine cavity resulting in its premature implantation in the extrauterine tissues. It usually occurs in 2% of all pregnancies and is a major cause of maternal morbidity and mortality when misdiagnosed or left untreated and subsequent successful pregnancy is less than 50% of patients. About 95% of ectopic pregnancies originate in the tubes. Infrequently, it affects the ovary, the bicornuate uterus, and the cervix. The diagnosis of ectopic pregnancy has been performed using laparoscopy. Additionally, it is widely used for the surgical treatment of ectopic pregnancy. The benefit of laparoscopy for ectopic pregnancy over laparotomy is well-known. Laparoscopic surgery has been widely adopted and new technical innovations, procedures, and evidence-based knowledge are persistently emerging. The laparoscopic advantage over open surgery has also been confirmed in different fields. It is associated with shorter operative time, less intraoperative blood loss, reduce postoperative pain, less analgesic requirement, a shorter hospital stay, faster recovery, cost- effectiveness, and lower rate of postoperative complications. This study aimed to compare the outcome of laparoscopic management with laparotomy in the management of ectopic pregnancy. Methods: This was a prospective cross-sectional study that was carried out in a district level hospital at Cox's Bazar. This study was conducted from May 2020 to May 2022. A total of 59 subjects were selected for the study as per inclusion criteria. Result: Among 59 respondents, most of the subjects were of the 15-25 years age group which constituted 81.36%, followed by 13.56% of the 26-35 years age group, and the rest 5.08% were of >35 years age group. Laparoscopy was done on 40 (67.20%) patients and laparotomy was done on 19 (32.80%) patients. Approximately, 25% of laparoscopy patients and 52% of laparotomy patients had prior surgery. Prior ectopic surgery was performed on around 8.47% of laparoscopy patients and 13.55% of laparotomy patients. Regarding the comparison of laparoscopy and laparotomy procedure, total blood loss was less (30-50ml) in laparoscopy and more (≥60ml) in the laparotomy procedure. Hospital stay was also less (1-2 days) in laparoscopy and more (≥3 days) in laparotomy, duration of operation was shorter (20-30min) in laparotomy and comparatively longer (30- 60 min) in laparoscopy. Previous surgery was done on 25% and 52.17% patients who underwent laparoscopy and laparotomy respectively. Previous ectopic pregnancy was diagnosed on 8.33% and 47.83% of laparoscopy and laparotomy patients respectively. Moreover, previous PID was found in 5.55% patients who underwent laparoscopy and none who underwent laparotomy. 2.77% of patients who underwent laparoscopy had a history endometriosis. Recovery to normal activity was early in laparoscopy and late in laparotomy. Moreover, 27 (67.5%) patients conceived among 40 who underwent laparoscopy, and 3 (15.78%) patients conceived among 19 who underwent laparotomy. Conclusion: The management of ectopic pregnancy with laparoscopy may be the most helpful operation with the highest possible level of safety and effectiveness. Laparoscopy has both a diagnostic & therapeutic role in ectopic pregnancy. Laparoscopy is feasible and safer than laparotomy in surgical management of ectopic pregnancy.

This study aims to determine the effect of the quality of accounting information systems, the quality of accounting information, the security of accounting information systems on end user satisfaction of the S4/HANA System Application Product (SAP) with perceived usefulness as a moderating variable at PT Hakaaston. This study took a population and samples from internal users (users) System Application Product (SAP) S4/HANA on PT Hakaaston. The results of this study indicate that quality of accounting information system and quality of accounting information take effect positive significant on end user satisfaction of S4/HANA System Application Product (SAP) , meanwhile accounting information system security is not take effect positive significant on S4/HANA System Application Product (SAP) end user satisfaction . Then, the quality of accounting information systems, the quality of accounting information and the security of accounting information systems have an effect positive significant on perceived usefulness. Next, perceived usefulness no take effect positive significant on S4/HANA System Application Product (SAP) end user satisfaction. Perceived Usefulness no take effect positive significant in moderate connection Among quality system information accounting, quality of accounting information and security of accounting information systems with satisfaction user end System Application Product (SAP) S4/HANA at PT Hakaaston.

This study aims to determine the implementation of accounting information systems, management information systems, and performance measurement systems on managerial performance. The research population is the employees of PT. Indonesia Nippon Steel Pipe Karawang, West Java. Sampling using purposive sampling method. Based on these criteria, 100 employees were selected as samples in this study. The data analysis method uses the data analysis method using the Structural Equation Model (SEM) Partial Least Square (PLS) with Smart PLS Version 3 software. The test results show that the implementation of accounting information systems has an influence on managerial performance. The implementation of the performance measurement system has an influence on managerial performance.

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.

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.

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.

Background: In modern India the Indian Super League (ISL) is top professional and popular league in the game of Football. The ISL was started in 2013 with 8 teams. The study was framed to review the performance of three ISL session that is 2017-18, 2018-19, 2019-20. To the best of our knowledge, there is no research that has examined the team performance of any session of ISL. Objectives: The main objective of this study is to analyze the three session of Indian Super League (ISL) in respect of Goal, Ball passions &Passing accuracy, Discipline, Attendance and Miscellaneous. Methods & Materials: All information of Last 3 session of Indian Super League (ISL) before pandemic that is 2017-2018, 2018-2019, 2019-2020 were collected for this study and the data was taken from ISL official Web sites and other different search engines and sources. Result and Conclusion: The present study contributes to the current research on performance analysis in Indian Super League by establishing more comprehensive and detailed technical profiles of three sessions on Indian Super League. This could be an important step to provide information on every sessions of Indian Super League. This study is the first step in exploring technical aspects of every session of Indian Super League.

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.

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.