Ovarian ectopic pregnancy is a rare condition that carries an immediate risk of life-threatening hemorrhage and subsequent risks of infertility and recurrence. Clinicians should be well equipped to diagnose and treat this unusual form of ectopic pregnancy at the earliest .The incidence of ovarian pregnancy is increasing due to the rising incidence of infertility and the use of assisted reproductive technologies. The diagnosis is often made during surgery and requires histological confirmation. Ultrasound can detect ovarian gestations in unruptured cases but cannot easily differentiate an ovarian pregnancy from another tubal pregnancy in a ruptured state. A conservative surgical approach remains the treatment of choice. In cases of ovarian pregnancy after early surgical treatment of the disease, the success rates of future pregnancies are considered very satisfactory. We report here an unusual case of ovarian ectopic pregnancy. Our patient is a 26-year-old nulliparous woman, with no particular history. Ruptured ovarian pregnancy was suspected by endovaginal echography. A laparotomy was performed urgently, showing a ruptured ovarian ectopic pregnancy, and a wedge-shaped resection of the ovary was performed. Histopathological examination confirmed that it was an ovarian ectopic pregnancy.

Ectopic pregnancies are rare and represent about 2% of all pregnancies. Unilateral ectopic twin pregnancy is even rarer as it represents only 0.5% of all ectopic pregnancies, with an estimated incidence of 1 in 20 000. It shares the same risk factors as ectopic pregnancies in general (smoking, pelvic infection, history of EP, maternal age, uses of assisted reproduction techniques, etc.). The most common site of implantation is the fallopian tube. Clinically, it presents with the classic triad of symptoms of ectopic pregnancy, namely pelvic pain, metrorrhagia and the notion of amenorrhea. The usual strategy for diagnosis of ectopic pregnancy, including ectopic twin pregnancy, relies mainly on quantitative beta-HCG level and endo-vaginal ultrasound. We report a case of ectopic twin pregnancy, in a 24-year-old primiparous patient with a history of upper genital infection 2 years ago and whose treatment was a left salpingectomy.

Attribute-Based Encryption (ABE) can provide a technique of fine-grained control. The suggested Enhanced CP-ABE technique includes the use of a proxy to securely communicate the key to users. The Rivest Shamir Adleman (RSA) Algorithm secures outsourced big data in the cloud by allowing public key encryption to safeguard data transported across an unsecured network like the internet. During decryption, the proposed RSA CP-ABE with Access tree structure for Secure Revocable scheme for Building Trust model successfully identifies the users who decrypt the cipher messages. For Third Party auditing, the Dynamic Attribute Tree approach is proposed to encrypt data based on its attribute. The attributes, together with data and keys, are stored in a tree structure, which aids in improving the dynamic update of data in the cloud. Bilinear mapping is used by the Dynamic Attribute Tree approach to validate the integrity of the data without having to retrieve it from the cloud. The experimental results reveal that for a 256-bit key length, the proposed Scheme achieves encryption and decryption times of 1638 ms and 1102 ms, respectively.

Mainstream and dominant global north-influenced social science scholarship in contemporary Nigeria dismisses the class factor in both socio-political engineering and scholarship as non-existent. While the chief priests of this brand of social science scholarship denies its liberal origins, undercurrents and ferments and claim to be neutral in its investigations, the dialectical-historical materialist method of social investigation prioritizes the class question. This study, an interrogation of the place of class in the politics of the Fourth Republic in Nigeria, examines the social forces which shape and direct current politics in the country, and why the country’s socio-economic, cultural and political development continue to fall into bouts of epilepsies and create a number of millions of citizens at the bottom level of society. But the study restates the fact that it may seemingly be unscientific for ultra-left thinking to centralize Nigerian politics mainly on class forces.

The study aimed at establishing the Involvement of government and non-governmental organisations’ (NGOs) Teamwork in the Advancement of quality education in Kisumu West Sub County, Kenya. Despite the efforts put by non-governmental organizations in promoting quality education in the country, there are several challenges that are encountered by NGOs which hinder their support in promoting quality education. The study adopted a descriptive survey design. The target population was 19 NGO Leaders, 111 Head Teachers, the SCEO, 111 Community Leaders and SCQAO, totaling to 243. The NGO officials, SCEO, SCQAO, and were purposively selected because they were few. A 30 percent simple random sample was used to get33 Head Teachers and 33 Community Leaders. Data was collected through questionnaires and interview schedules. To ensure face and content validity of the research instruments, 2 experts in the department of Educational Administration Planning and Economics of Kisii University were requested to scrutinize the research instruments so as to validate them. Reliability of the instruments was addressed through piloting in 5 schools and reliability coefficients were obtained by subjecting the instruments to a Split-half Technique and Spearman ―Brown Prophesy formula‖. The co-efficient of reliability obtained was 0.721 which indicated that the instruments were reliable. Data was analyzed qualitatively and SPSS programme was used. The findings of the study reveal that the majority (87) 88.6 percent of all respondents said that training on financial matters in the schools was done quarterly. It was recommended that the government to work closely with NGOs to provide quality education. Informed consent of the respondents were ensured and confidentiality adhered to.

PBL (Project-Based Learning) is a student-centered approach in which learning is organized by means of projects. Students are required to explore problems with their teammates collaboratively and to display their output project. In this study, PBL has been conducted in three classes of North China Electric Power University (Baoding) for one semester to probe whether PBL serves as an effective way to combine explicit teaching content with implicit ideological and political education. Based on a questionnaire and in-depth interview, the results show that PBL enables value education to exert the impact on students’ development.

There is no one implant system present that is ideal for every condition. Implant design research has been based on increasing the bone implant contact area or functional surface area in order to increase the implant stability and implant survival in poor density bone. Designing of an implant include both Macroscopic and Microscopic features. Macroscopic features include crest module, implant thread geometry and apical design of implant whereas Microscopic features include surface modificationS. This article reviews elements of various dental implant designs currently in use.

Introduction: Myocardial infarction is one of the most serious pathological condition in which the heart is irritated, inflamed and influenced by multiple factors to cause high mortality and morbidity in the developed and underdeveloped countries. Objectives: To see correlation between Electrocardiographic left ventricular hypertrophy and adverse outcome following acute myocardial infarction in hypertensive patient. Materials and Methods: A Cross sectional analytical study was carried out at the Department of cardiology, Mymensingh Medical College Hospital, Mymensingh Bangladesh from March - 2014 to February- 2015. Patients admitted into cardiology department with Acute Myocardial Infarction with hypertension who fulfill the inclusion and exclusion criteria of the study. Due to time and cost limitation, 65 cases were selected. Results: A total number of sixty five patients were studied of which 56(86.15%) were male and nine (13.84%) were female. The age range was 40 to 70 years. Mean age of male was 52.9±8.4 and female was 56.5±7.5. The patients were divided into two groups on the basis of presence of absence of electrocardiograph left ventricular hypertrophy. All patients had myocardial infarction with evidence of hypertension at admission or known case of hypertension. Group A consisted of 38 patients (58.45%) with ECG-LVH and group B with no ECG_LVH consisted of 27 patients (41.55%). The mean age of group A was 54.25 ±8.9 and group B was 52.55 ± 8.15. Majority patients (34) belonged to 40-50 years age group (52.30%). Twenty one patients belonged to 51-60 years group (32.30%). Ten patients belonged to 61-70 years age group (15.4%), male: female ratio was 6.2: 1. Out of total 68 patients, 43 patients (64.42%) had hypertension on admission and 24 cases (35.38%) had normal blood pressure on admission. Of the 38 patients of group A, 24 had anterior myocardial infarction (63.15%) and 14 had inferior myocardial infarction (36.84%) and 7 had both anterior and inferior myocardial infarction (10.76%). The statistical analysis was highly significant in between group A & group B. The incidence of QMI was highly significant (P= <0.01) between Group A & Group B. QMI was for more common in group A, the incidence was higher in presence of ECG –LVH. In group A hospital stay (days) was 6.74±1.53 days, and 14% had mortality. On the other hand, in group B, it was found that hospital stay (days) was 5.28±1.06 days, and 2% had mortality. 30 patients (81.89%) developed arrhythmia and 8 cases (21.05%) did not developed arrhythmia in group A. In Group B 16(51.85%) developed arrhythmia and 13 cases (48.14%) didn’t develop arrhythmia. Statistically, relation between Group A & Group B was significant (p <0.05). Statistical relationship between group A & group B was significant and this signifies the higher possibilities of occurrence of mortality in ECG-LVH due to hypertension with acute myocardial infarction than without ECG. Conclusion: The study concluded that ECG-LVH changes following acute myocardial infarction in patients with hypertension had more adverse in-hospital outcomes.

Retroplacental hematoma constitutes a major medical-obstetrical emergency, of unpredictable occurrence, putting at risk the vital and functional fetomaternal prognosis. Our work is a retrospective study of 60 cases of retroplacental hematoma that occurred at the Souissi Maternity Hospital in Rabat. These cases were identified from a total of 16864 deliveries, which represents a frequency of 0.35%. The main reason for admission was metrorrhagia. Among the etiological factors found, arterial hypertension dominated with a frequency of 40%. The average age of the patients was 28.31 years and 50% were primiparous. In 60% of the pregnancies, RPH occurred between 32 and 36 weeks of age. The diagnosis was made before birth in 65% of the cases, while in 36.66% of the cases the diagnosis was made only after the delivery examination. The classic form was found in 15% of cases. Therapeutic management was based on reanimation measures and uterine evacuation, taking into account the obstetrical and evolutionary circumstances of the retroplacental hematoma. Finally, the fetal prognosis was dominated by perinatal mortality, whereas the maternal prognosis was quite good overall, with no deaths. The improvement of the fetomaternal prognosis requires a better prenatal follow-up, an early diagnosis, and a rapid evacuation of the uterus without delay.

Limb-body wall complex (LBWC) is a rare, congenital defect defined by lateral body-wall defects, limb reduction abnormalities and/or craniofacial defects. The developmental pathogenesis as well as the etiology of LBW complex is controversial and has no sex or familial predilection. The poor prognosis of LBWC necessitates an early antenatal diagnosis. Serum alpha-fetoprotein measurement and ultrasonographic examination is the key to prenatal diagnosis. Prenatally, the abnormal fetoplacental attachment can be detected ultrasonographically by the end of the first gestational trimester. Postnatal, the examination of placenta, umbilical cord and membranes is crucial in confirming the diagnosis of LBWC. The present case is associated with amniotic adhesive bands, thoraco-abdominoschisis, minor encephalocele, and belongs to the category of LBWC with craniofacial defects.

The paper examined the herder and farmer conflict on social economic development of Nigeria. The study presented the structural theory and the Frustration-Anger-Aggression Hypothesis to provide possible explanations for the crisis. The causes of farmers/herders clashes in recent times were identified to be a function of several factors not only limited to climate change resulting in drought and desertification soil degradation; growing population size, global terrorism, crime (rural banditry and cattle rustling) amongst others. Previous and present government responses to this crisis have been most disappointing with no clear cut and sustainable policy both by the federal and state government. This crisis has resulted in displacement of people from their communities, women and girls vulnerability to sexual and economic predation, huge economic burden on the government leading to loss of revenues, dwindling food supply and rising cost, increasing division among the Federating states and threat to National Security amongst others. The study recommends that the crisis should be addressed quickly to avert impeding food crisis, government should strengthen the mechanism for conflict resolutions, and above all herdsmen should know that the imperatives of a modern economy require that pastoralism should be laid to rest, while embracing improved modern methods of animal husbandry with improved high yields and disease resistant species (cattle). When this is done a win-win situation would be achieved for all stakeholders.

The liberalisation of the Islamic banking industry in Malaysia has given rise to the emergence of many foreign Islamic banks in the country, raising a major concern regarding its impact. This study investigates the impact of bank-specific and macroeconomic factors on bank profitability from 2005 to 2017. Unbalanced panel data of eleven domestic and six foreign Islamic banks have been employed to achieve the study's objective. The findings show that different factors influence the profitability of domestic Islamic banks and foreign Islamic banks. While internal factors significantly affect the profitability of domestic Islamic banks, the profitability of the foreign Islamic banks is more stable and less affected by internal and external factors. The findings provide insights to domestic Islamic banks to improve their operations, profitability, and competitiveness. These banks' better operational efficiency and performance will consequently improve the overall Islamic banking industry.

COVID-19 has lately emerged as one of the most difficult pandemics of the twentieth century, with lethal consequences and a high rate of replication. It emphasizes the critical importance of developing effective vaccines to prevent virus infection, early and rapid diagnosis using high sensitivity and selectivity diagnostic kits, and effective antiviral and protective therapeutics to reduce and eliminate viral load and tissue damage-related side effects. As a result, non-toxic antiviral nanoparticles (NPs) are being developed for therapeutic use in the prevention and treatment of COVID-19. Nanoparticles have shown considerable promise in the development of nano vaccines to combat viral diseases. In this paper, we look at the potential of nanoparticles as a medicine or as a platform for drug and vaccine repurposing and development. Meanwhile, sophisticated virus detection methodologies based on NPs will be detailed, with the goal of inspiring scientists to develop cost-effective Nano platforms for prevention, diagnosis, and therapy.

This study evaluated failure rates of roads maintained by FERMA in Delta state and its effects. The three roads investigated are: Benin-Asaba dual carriage way (266km), Warri-Sapele-Benin dual carriage way and Asaba -Allah-Ebu Edo state border road(47km). Road condition survey was carried out on the three roads to ascertain the extent of deterioration. Sieve analysis, liquid limit, compaction and CBR tests were conducted on the material used for the maintenance works for quality control purpose. Liquid limit, optimum moisture content, unsoaked CBR values were 21%, 8.5% and 117% respectively. These were observed to be within the FMW highway manual guidelines. It was observed that beyond 12months, Benin-Asaba and Warri-Benin roads experienced 2% and 5% failure rates while Asaba-Illah recorded 30% failure rate within a 12month period. These failures were attributed to heavy traffic with heavy duty wheel. Challenges of road maintenance in the field and remedial measures for highway maintenance is also discussed. The authors recommend that FERMA should seek redress and go back to the establishing blue print for operations and funding and also refers to Federal Roads Authority bill (2015) for backups. These tools have been provided to equip the agency to carry out her mandate effectively keeping the road infrastructures in good condition.

Introduction: Stroke is a major cerebrovascular disease is one of the most common Neurological diseases. It is the second leading cause of death worldwide. Cerebrovascular disease threatening human health and life with high morbidity, disability and mortality. Major risk factors of ischaemic strokes are hypertension, diabetes, and dyslipidaemia. High sensitivity C-reactive protein (HsCRP) is an inflammatory marker which appears to be a strong predictor of risk factor and prognostic marker of Ischaemic stroke. Objective: To find the acute course of HsCRP and its association with short term prognosis following Ischaemic stroke. Methods: A Cross sectional observational study at Dept. of Neurology, Enam Medical College Hospital, Savar, Dhaka, Bangladesh From March 2020 to April 2021. Total number of subjects in this study were 101 with power 80% (persons aged 30 years & above; both male and female). Both sexes and their plasma high sensitivity C-reactive protein (HsCRP) level was measured within 48 hours of admission and on the 5th day after admission. Results: The study showed that the level of HsCRP did not change significantly when measured within 48 hours of onset of Ischaemic stroke and on 5th day after stroke (p=0.335) - the prognosis and severity remained same when followed for 5 days. It, also, showed that the level of CRP ≥ 3 within 48 hours of admission is associated with increased severity and mortality of stroke (Z=14.4; p<0.0001). Conclusion: HsCRP level provides rapid and reliable information regarding severity & prognosis in patients with Ischaemic stroke. The level of HsCRP does not change significantly when measured within 48 hours of onset of Ischaemic stroke and on 5th day after stroke. Also, the level of CRP on 5th day was same as within 48 hours of stroke - the prognosis and severity remained same. If confirmed by larger, longitudinal studies this association may be used as a tool to assess the severity and prognosis in a patient with Ischaemic strokes.