The Regional Regulation (Perda) is one of the regional regulations jointly determined by the Regional Head and DPRD to regulate regional affairs as stated in Law Number 23 of 2014 concerning Regional Government junto Law Number 11 of 2020 concerning Job Creation. Regional legal products in the form of stipulations and regulations, regional legal products in the form of regulations are regional regulations and regional head regulations. The problem that will be examined in this research is the authority in the formation of regional legal products in further regulating the provisions of other laws and regulations, the aspect of supervision is very necessary. In this regard, how is the supervision of regional legal products, both Perda and Perkada. The method used is doctrinal or normative legal research. The results of this study indicate that the Regional Regulation contains material for the implementation of regional autonomy and assistance tasks; and further elaboration of higher statutory provisions while the Regulation of the Regional Head is an elaboration of the regional regulation in the context of implementing the Regional Regulation, because the Regional Regulation expressly orders to make implementing regulations of the Regional Regulation in the form of the Regional Head Regulation. The implementation of supervision of regional regulations is carried out by means of preventive supervision and repressive supervision, that regional regulations and regional head regulations are prepared based on the authority and substance of their content that does not conflict with the public interest and higher laws and regulations.

Our objectives were to identify the most common type and class of poisons, management, lab parameters affected, presence of underlying psychiatric illness, average hospital stay and complications.Retrospective observational study was conducted including all patients who presented with poisoning from 2016 to 2020.From 210 patients reviewed, consisting of 125 females and 85 males, intentional poisoning accounted for 149 cases while accidental poisoning accounted for 61 cases.133 cases were due to drug, 44 cases due to household products, 21 due to insecticide while alcohol, plant and chemical accounted for 4 cases each. Paracetamol was the most commonly misused drug. Most of the patients were managed with supportive measures alone. Antidotes were used in 32 cases. 52 of the intentional and 4 of the accidental poisoning had underlying psychiatric illness. Anticonvulsant poisoning had highest average hospital stay.Only mild variations were observed in lab parameters.11 patients developed complications due to poisoning.

To maximise the effectiveness of secondary school education, teacher leadership has to be implemented to enhance the performance of teachers. Therefore, this paper described some major types of educational leadership that could boost teachers’ performance, and help to provide a superior learning environment for students that will lead the way in secondary school education. This study, which is hinged on the Performance causes Satisfaction and the Managerial Grid theories chose six secondary schools in Oshimili South Local Government (LGA) of Delta State, Nigeria for analysis. The researchers employed a descriptive survey research design with a population and sample size of 111 and 86 respectively, while the questionnaire was used as the instrument for data collection. Bar Charts and simple percentages were used to analyse the data. Findings showed that the attributes of conflict management ability, good role model, and display of humility in teachers’ leadership affect performance significantly, and that there is a correlation between laissez-faire leadership style and teachers’ performance in the sense that this style of leadership negatively impacts on teachers’ performance. Based on the findings, it was concluded that teacher-leaders should vary their approach of leadership to achieve high-performance levels without undermining other teachers’ satisfaction levels. The recommendations include that the Democratic type of leadership by teacher leaders should be encouraged in Secondary schools because it is encompassing; that schools may implement a teacher leadership model as a strategy to downsize and cut costs for the school. In most cases, distributing administration among the teachers could reduce overall personnel costs, among others.

Leydig cell hypoplasia illustrates a rare category of 46, XY DSD "disorders of sex development". We report a case of a patient assigned to the female sex carrying a DSD with 46 XY karyotype on Leydig cell hypoplasia associated with pituitary stalk agenesis. This association has not been described yet in the literature. The patient was first admitted at the age of five for failure to thrive (FTT) with an abnormality of sexual development. The FTT was related to complete GH deficiency on pituitary stalk agenesis. Upon investigation, the patient was diagnosed as carrying a DSD 46, XY. The endocrine evaluation revealed low testosterone, FSH, and LH levels with a negative HCG test. The abdominopelvic ultrasound objectified two testicles in the inguinal folds. ²After discussing the case in a multidisciplinary consultation meeting, and taking into account the wishes of the family and the psychiatric expertise, the selected sex that was assigned to the patient was female. At the age of 19, the patient underwent a bilateral gonadectomy and the anatomopathological examination confirmed the diagnosis of Leydig cell hypoplasia. Leydig cell hypoplasia is a rare autosomal recessive syndrome, diagnosed by clinical, biological, radiological, histological, and genetic evidence. Its association with pituitary stalk agenesis has not been described in the literature. This syndrome is characterized by the inability of the chorionic gonadotropin luteinizing hormone receptor in Leydig cells to respond to luteinizing hormone, thereby causing feminization of a male fetus. The treatment has three components: hormonal treatment, surgical treatment, and psychological care.

The purpose of the study was find out the perceive impact performance-based assessment on examination malpractice at the SHS level. This study employed descriptive design. A performance-based test was developed by the researcher. The population for the study were mathematics examiners and teachers and public SHS three students in in the western region of Ghana. A multistage sampling procedure was used for the selection of respondents for the study. The study made use of stratified, simple random and census techniques for selecting participates for the study. In all, sample of 240 examiners and 150 mathematics teachers in the western region of Ghana was selected for the study. The instrument for the data collection of the study was questionnaire. Data collected was analysed with means and standard deviation. It was found that mensuration, set, equations and inequalities, business mathematics and algebraic expressions were expressed to attract much malpractice whiles graphs, angles and construction were found to least attract malpractice. The result also showed that PBA could reduce examination malpractice at the SHS level. It was therefore recommended that the West African Examination Council should give a try-out of PBA in the SHS for some selected schools to further ascertain the strength and weaken of the developed PBA.

This research, on the basis of outcome-based educational theory, using Unit 10 in Book 1, New Experiencing English Viewing, Listening and Speaking by Higher Education Press as the teaching content, aims to design a syllabus for college English class. Focusing on results’ orientation of student, this paper is intended to promote the development of college English class, further improve the efficiency of college English class and also hope to provide substantial support for college English teaching studies.

The research began with a request from the board of directors where researchers working at the hospital asked to prepare a budget based on activities. In addition, the competitive conditions in the hospital industry triggered by various factors require a complete change in the application of management principles in each hospital. Changes in organizational structure, for example, aim to allow flexibility, create a cross-functional team that focuses on patient satisfaction. Changes in human resource management have resulted in performance-based management replacing the function-based management that executives knew and used in the past. This activity-based management requires hospital managers to change the method they use for budgeting, from functional-based budgeting to activity-based budgeting.

This study aims to determine the effect of gearing ratio, financing to asset ratio, non-performing financing, and efficiency ratio on the financial performance of multi-finance companies. The research population is all finance companies (multi) listed on the Indonesia Stock Exchange in 2021. The sample that meets the criteria is 16 companies. Data were analyzed using panel data regression. The results showed that the Random Effect was the best model. Partially found that the Gearing ratio does not affect Return On Assets (ROA) as a proxy for the company's financial performance. In contrast, the Financing to assets ratio (FAR) positively affects Return On Assets (ROA). Non-Performing Financing (NPF) and Operating Expenses (BOPO) have a negative effect on Return On Assets (ROA).

Introduction: Obstetricians need an accurate estimate of gestational age to decide when to terminate the pregnancy and how to deliver the baby. When unreliable menstrual history cannot be used to determine gestational age, ultrasonography comes in handy. Ultrasonography has been used to determine gestational age using a variety of parameters. However, all of these parameters are only reliable in the first and second trimesters of pregnancy. They become less reliable as the pregnancy progresses, due to a variety of factors, with a maximum variability of about 3 to 3.5 weeks in the third trimester. Methods: A total of 200 pregnant women participated in this prospective observational study at the Department of Radiology and Imaging, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine, and Metabolic Disorders. The research was carried out between January 2001 and December 2002. Result: The participants' average age was 24.54 years. Only 3% of the participants were in the oldest age range of 36-40 years, with 38 percent of the participants being between the ages of 21 and 25. The average height of the participants was 150-154 cm in 52 percent of the cases. The mean SD height and weight were 152.40±3.44 cm and 54.80±4.45 kg, respectively. There is a strong positive relationship between fetal sacral length and gestational age, according to BPD and FL. The relationship between gestational age and fetal sacral length was demonstrated to be statistically significant. There was no statistically significant relationship between fetal sacral length and maternal height. Conclusion: Fetal sacral length is well related to gestational age. If sacral length is measured accurately with a high-resolution ultrasound scanner, it can be used reliably as an additional parameter throughout pregnancy in conjunction with other established parameters.

Developmental coordination disorder (DCD) is a neurodevelopmental disorder characterized by motor difficulties that affect individuals’ activities of daily living, and pose an increased risk to their health, and psychosocial development. The purpose of the study was to compare abdominal, and hip-flexors muscle strength, and endurance, flexibility of the lower back, and hamstrings muscles, Body Mass Index (BMI) and lower body explosive power between adolescents with motor difficulties and their peers without motor difficulties in a physical education setting. The initial sample consisted of 250 adolescents, 12-15 years old, who were assessed using Movement Assessment Battery for Children-2-Motor Test (MABC-2). Twenty-three adolescents who felt below the 15th percentile, according to the Battery’s Norm, formed the motor difficulties (MD) group. Twenty-three age- and sex-matched peers with MABC-2 scores equal to, or above the 16th percentile were selected randomly, forming the non-motor-difficulties (NMD) group. Adolescents in both groups were measured, individually, in the “sit-up test”, the “sit & reach test”, the “standing long jump test” and the “vertical jump test”. Body mass index (BMI) was also calculated. Independent of gender, the presence of motor difficulties was linked to significantly lower levels of the above examined variables, except BMI. Independent of the occurrence of motor difficulties, boys outperformed girls in all the above variables, except flexibility. Conclusively, results of the current study support previous findings regarding the detrimental effect of motor learning difficulties on adolescents’ physical fitness. Therefore, improving physical fitness should be one of the main goals of any physical education intervention program and future research should focus on this issue.

Nature has given a large source of medicinal agents from plants for the past thousands of years, an impressive number of modern drugs have been isolated from natural sources. The plant-based, traditional medicine system continues to play an essential role in health care, with about 80% of the world’s inhabitants relying mainly on traditional medicines for their primary health care. The purpose of this study was to evaluate the knowledge, attitude and practice towards herbal medicine (HM) in Raichur district of Karnataka. A descriptive, validated cross sectional questionnaire based study was conducted for a period of six months. The survey was divided into 3 themes and comprised of 30 items that gathered information about the knowledge, attitude and practice of respondents toward herbal medicines. Approximately 50.5% of the respondents believed that herbal medications are better than commercially available prescription and over-the-counter drugs. Majority (72.5%) of them reported that they did not visit physicians for their complementary and alternative medicine use. The most common influences for using this type of treatment were family (65%) followed by the internet (29.6%). The most commonly reported herbal medicines used were tulsi (65.9%) and ginger (54.4%). More than half of the respondents (59.8%) reported that cough/cold is the most common ailment for using HM. The study revealed a high prevalence of HM use among general public of north Karnataka. More awareness and education about risks and complications of HM use are needed for general public.

Background: In a gastrointestinal emergency, neonatal surgery is a very challenging and difficult task causing high morbidity and mortality. In Bangladesh, the frequencies of such emergency management are not very available. For this reason, we do have not enough research-based information regarding the outcomes and effectiveness of major neonatal gastrointestinal emergency management. Aim of the study: The aim of this study was to assess the outcomes and effectiveness of major neonatal gastrointestinal emergency management. Methods: This prospective observational study was conducted in Bangladesh Shishu Hospital and Institute, Dhaka, Bangladesh during the period from January 2018 to December 2018. In total 35 neonates with gastrointestinal emergency treated in the mentioned hospital were included as the study subjects for this study. A predesigned questionnaire was used in data collection. All data were processed and analyzed and disseminated by using MS Office and SPSS version 23 programs as per need. Results: In this study, as palliative procedures, Sigmoid colostomy, Transverse colostomy, Gastrostomy, Ileostomy were applied in 26%, 17%, 14%, and 6% of participants respectively. Besides these, as definitive surgical procedures Perforation repair and Exploratory lap with release of the band were applied in 20% and 14% of patients respectively which were noticeable. In outcome analysis, we observed, as the incidences of postoperative complication sepsis, wound infection, anopia, and anal stenosis occurred in 14%, 11%, 6%, and 3% respectively. Finally, in this intervention occurrence of death was found at 26%. Conclusion: Now a day, pediatrics surgery has evolved as a specialty within the province of general surgery. But till now, the management of neonatal gastrointestinal emergencies is a very complex and difficult task for any physician or a team of physicians in any part of the world. Prompt patient transportation, earlier primary diagnosis and the arrangement of modern treatment facilities, and arranging high-tech medical equipment can save a lot of babies from such health issues as gastrointestinal emergencies.

Background: Despite playing an essential role as micronutrients, when exposed to an excess level, heavy metals can augment the risk of potential health diseases among humans and animals. Due to environmental degradation and food adulteration, many people are becoming the victims of those diseases by ingesting heavy metals from those food sources. Eggs are one of the principal sources of proteinaceous food and eggshells are also a good source of calcium, therefore, it is necessary to estimate the frequency of heavy metals as the poultry feeds, nowadays, are contaminated with heavy metals. Materials and Methods: Five types of egg samples were collected from the Jahangirnagar University area including indigenous, white and brown layer chicken eggs, duck eggs, and quail eggs. The concentration of Pb, Cd, Cr, Cu, Fe, and Zn was estimated both for egg contents and eggshells (10 samples) by atomic absorption spectrophotometry compared with the standard curve. Estimated daily intake (EDI), Target hazard quotient (THQ), and Hazard Index (HI) were also calculated to observe whether egg intake possesses any health hazards or not. Results: Among all the trace elements estimated, the highest concentration was 35.36±0.4 (Zn) in white layer chicken eggs, and for eggshells, the highest concentration was 0.69875±0.082 mg/kg (Fe) in Quail eggshell. Except for Fe, Pb was relatively higher compared to other elements in eggs, the amount of Pb was the highest in Quail eggs (0.486±0.09 mg/kg). All the six elements were also within the acceptable range in eggshells where the amount of Pb was the highest in Brown layer eggshells, and Cu and Zn were the highest in indigenous eggshells. Cd and Cr were below the detection limit for all types of eggshells. Estimated daily intake (EDI), Target hazard quotient (THQ) and Hazard Index (HI) values indicated that intake of eggs does not possess any health risk. Conclusion: Interestingly, the heavy metal concentration of our samples belongs within the PTDI and USEPA limit. Therefore, based on our study, all egg samples were safe considering the average egg ingestion in our country. If the average egg consumption rises, people might be at risk for higher Pb consumption through egg intake.

Laterite-quarry dust cement block are masonry unit produce by full replacement of natural sand with appropriate mix of laterite and quarry dust. Static modulus of elasticity is an important parameter in predicting the structural behavior in service under load action and determines the deformations and displacements distribution concrete and similar other structural members like blocks. In this work, a mathematical model is formulated using Mixture experiment for predicting the static modulus of elasticity of laterite-quarry dust block. The model is tested for lack of fit and found adequate.

Background: Personal identification remains the primary goal of every forensic investigation. In the present study, lip print was considered as a tool in personal identification as well as establishing ethnic differences. Materials and Methods: The study involved 300 randomly selected subjects (72 males and 78 females) from the Ikwerre ethnic group in Rivers State Nigeria. A 500 watts Solar powered HPG 3110 Photo scanner was used to capture the lip print of the subjects. The lip was divided into four (4) quadrants and five (5) lip types were identified in each quadrant (Type I, I’, II, III, IV and V). Descriptive statistics (frequency) was done to determine the distribution of the lip print patterns, while chi-square test was done to determine the association between sex and cheiloscopy. Results and Discussion: In the upper left quadrant; Type I [53 (35.33%)] was the most occurring pattern, followed by II [28 (18.67%)], Type I’ [27 (18.00%)], Type IV [22 (14.67%)] and Type III [20 (13.33%)]. In the upper right quadrant; Type III [44 (29.33%)] was the most occurring pattern, followed by Type II [33 (22.00%)], Type I’ [24 (16.00%)], Type IV [20 (13.33%)], Type I [17 (11.33%)] and Type V [12 (8.00%)]. For the lower left quadrant; Type IV [42 (28.00%)] was predominant, followed by Type I’ [35 (23.33%)], Type II [28 (18.67%)], Type III [24 (16.00%)], Type I [16 (10.67%)] and Type V [5 (3.33%)]. While in the lower right quadrant; Type I [36 (24.00%)] occurred most, followed by Type IV [33 (22.00%)], Type III [30 (20.00%)], Type II [23 (15.33%)], Type I’ [22 (14.67%)] and Type V [6 (4.00%)]. Except in the lower right quadrant, sexual dimorphism was observed in all quadrants; upper right quadrant (X2 = 21.75; P-value = 0.001), upper left quadrant (X2 = 22.60; P = <0.01) and lower left quadrant (X2 = 20.15; P-value = 0.001). The most occurring pattern for the population was type I [122 (20.3%)], followed by III [118 (19.7%)], while the least was type V [23 (3.8%)]. Type III [Male (M) = 64 (22.2%); Female (F) = 54 (17.3%)] and V [M = 13 (4.5%); F = 10 (3.2%)] were predominant in male subjects. While Type I [M = 54 (18.8%); F = 68 (21.8%)], I’ [M = 50 (17.4%); F = 58 (18.6%)], II [M = 51 (17.7%); F = 61 (19.6%)], and IV [M = 56 (19.4%); F = 61 (19.6%)] were predominant in female subjects. Differences in the distribution of various types between male and female subjects were not statistically significant at p < 0.05. Conclusion: Lip print was observed to be unique among individuals and also sexually dimorphic when considered according to quadrants. This finding will serve as a useful tool in forensic investigations.