The aim of the study was to find out the effect of six weeks pilates training on core muscles and BMI of obese children. Ten (10) male children aged 12 to 18 years from Bolpur, Birbhum, West Bengal, India have been selected and purposively divided into Pilates Training Group (PTG) (N=05) and Control Group (CG) (N=05) according to WHO BMI Index (Rush, 2004). Six weeks pilates training programme has been formulated to see the effectiveness of training programme on core muscles strength and BMI. The core muscles strength has been tested by ‘Bunkie Test’ through the performance of functional lines before the training starts and after completion of six weeks pilates training programme and BMI has been calculated by height and weight. Significant improvement in core muscles strength as well as on BMI has been found by analysing and comparing the pre-test and post-test score through descriptive analysis and ANCOVA among the obese children of PTG and CG. So it can be concluded that six weeks of pilates training programme is effective in the improvement of core muscles strength as well as in reduction of fatness and BMI among obese children.

Vascular complications during an ulnar procedure are very rare. However, they must be identified quickly. We repport a case of a 68-year-old hypertensive patient who was admitted to the emergency department for unstable angina, where she underwent coronary angioplasty via the left ulnar route. she was referred to us for management of a pseudoaneurysm on the inside of the wrist facing the ulnar artery one month later.

Background: Documentation of the nursing method is crucial, however regularly ignored as a part of medical documentation. Paper-primarily based structures have been added to help the nursing documentation process. Objectives: The study aims to assess the effect of training program on knowledge and practice of nurses regarding nursing documentation. Methods: Quasi-experimental study was carried out in Omdurman military hospital extended from February 2019 to August 2019. A questionnaire and evaluation checklist was used to collect data from (203) nurses. They were selected by non-probability sampling technique (purposive sampling). The data were analyzed by computer software program (SPPS) version 20. Results: The study showed that more than half (60.6%) of nurses were female, (65%) had bachelor's degrees, (42.9%)had 1-2 years of experience and more than a third (34.0%) worked in general word. The nurse’s knowledge regarding the type of record system, pretest (51.7%) had unsatisfied knowledge. There was an increase in knowledge of nurses regarding documentation post-implementation of the program. Posttest (75.9%) with a highly significant relationship between nurses training courses and knowledge about the concept of quality in nursing (0.002) Study showed that the nurse's knowledge about nursing record forms was improved post educational program (48.3%) were satisfied knowledge compared with the pretest (69.05) were poor knowledge. Common nursing report errors were the change of shift and incidence report (73.4 %, 87.2%) in pretest which decrease to (50.2%, 44.3%) in the posttest, respectively. while the common nursing record error pretest Illegible record (69.3%), change in Patient condition (66.5%), Round book (73.9), Medication record error (60.1%). Conclusion & Recommendation: The teaching program had a positive effect on the quality of nursing care. The study recommended updating nurses’ knowledge and skills about documentation guidelines through continuous professional development.

Introduction: The CTS is one of the clinical syndromes, it was experienced by the patients from numbness, tingling, burning and or pain associated with localized compression of the median nerve at the wrist. Median nerve with the carpel tunnel (CTS) is localized and it was compressed in median nerve, resulting in mechanical compression and local ischemia has been associated with age and sex matched control. Objective: To assess The Relationship between Nerve Conduction Study and Clinical Grading of Carpal Tunnel Syndrome in Bangladesh Population. Methods: A prospective study was conducted at Department of Neurology, Uttara Adhunik Medical College Hospital (UAMCH), Uttara, and Dhaka, Bangladesh from January to December 2021. A total 100 case were prospectively observed for the period of six months 50 patients’ with symptoms consistent with CTS and 50 age and sex matched healthy control subjects were examined. Based on clinical assessment, the study patients were divided into 03 groups with mild CTS, moderate CTS and severe CTS respectively as per Mackinnsons classification. The relationship between the clinical severity grade and various nerve conduction study parameters were correlated. The study was correlated with age and gender matched control intervention and we extrapolate the any significant correlation between the clinical grades and various attributes of study traits. All the traits were carefully assessed by using logistic regression analysis and Fisher F- test statistics. Results: Out of 50 patients with symptoms consistent with CTS and 50 age and sex matched healthy control subjects were examined. The Left hand was involved in 11patients; right hand in 19 patients & 20 patients had involvement of both hands. Numbness and tingling of hand and first three fingers was the most common presenting symptom. Phalens test was positive 30 (60.0%) of our patients. 7(14.0%) pts had hypothyroidism, 10(20%) patients showed raised DM and 4(8.0%) patients showed lipid profile abnormalities. Both male and female sex ratio was 1:3. All cases were considered for the study. The distal motor latency was significantly correlated with different age group of the population and CMAP and conduction velocity not shows any significant relation with clinical severity of CTS. Since, the median sensory latency and nerve conduction velocity seen in study population and well apprehension with clinical different grading of CTS. Conclusion: Summing of the results concludes that, the sensory conduction appears to be more sensitive (95%) AUC 0.89 and significantly correlated when compared to motor conduction attributes, the correlation besides with clinical severity of CTS apart from gender and age matched cases.

On the basis of synthesizing and analyzing the opinions and knowledge of experts, selecting the fitness assessment tests for male athletes of the Vovinam youth team of Ho Chi Minh City aged 16 - 17. Through the research, 10 tests have been identified to assess the physical condition of male athletes of the Vovinam youth team of Ho Chi Minh City age 16 - 17. Initial test results show that the physical strength of Vovinam male athletes is similar with no dispersion.

The term, moral values, could be succinctly defined as principles or precepts that provide an individual with a standard of right or wrong behaviour or action. The acquisition/inculcation of moral values takes place through two main processes: first, through their observation and internalization as part of societal culture; and second, through the various modes of modern education. Nigeria has experienced a steadily soaring phenomenon of moral decadence over several decades. This is believed by many experts of moral education to have been the result of sudden abandonment of trado-cultural processes and adoption of foreign lifestyles and attitudes brought into the country by colonial masters and missionaries, The experts also believe that properly planned education programmes, especially at the primary and secondary levels, would help to improve the overall tone of morality in the country. Unfortunately, this approach would leave out large populations of non-beneficiaries of and dropouts from the said and other levels of formal education, including the tertiary level. The purpose of this paper is to show that Adult Education, which takes care of those disadvantaged at various levels of formal education, has the components, structure, processes and methodology to foster advancement of moral values inculcation in Nigeria. To achieve this purpose, the author graphically and extensively discusses how to effectively adapt the potentials of Adult Education to achieve ultimate furtherance of moral values inculcation in Nigeria, under the various modes of modern education – formal, non-formal and informal modes.

As digit ratio (2D:4D) factor corresponds with high level of performances, fine-tune skills and immense ability were evidently found, but however the impact of 2D:4D on aerobic and anaerobic fitness components among younger subjects has yet to be fully understood. Thus, the main objective of this study is to examine the role of 2D:4D towards performance in physical fitness tests comprising of both aerobic-based and anaerobic-based elements. Results were collected from six physical fitness tests involving 594 primary schoolchildren (aged 10 to 12 years old) of both genders. Fingers images were taken through hand scanning method and the ratios were measured and calculated. Priorly, effect of covariances (age and body mass index) was found to have no effect on the fitness tests. For male students, the low 2D:4D of both hands showed various significant relationship with non-anaerobic based tests acquiring lower R2 below 10%. Both genders reported to have higher percentage of variability of dependant variables detected at anaerobic based tests with the highest was found at standing broad jump test. Meanwhile, for the female subjects mixed results were found with all aerobic based tests scored lower R2 below 10%. Overall, low digit ratio was much prominent in anaerobic-based tests in both male and female subjects. This study suggests that 2D:4D thrives more in anaerobic based events/tests among younger subjects and with thorough research, it is possible to implement 2D:4D as additional instrument in identifying sports talents and categorizing potential athletes according to the related fitness components.

Based on data from BNK Semarang in 2015, the number of drug addicts in the city of Semarang was 1.9%, while there were 40 rehabilitation centers for drug addicts in the city of Semarang, both hospitals, social institutions, and Islamic boarding schools. The partner of Semarang City is the At-Tawhid Islamic Boarding School which is a place to rehabilitate drug addicts. The aims of this study are (1) to find out the therapeutic models of drug addicts in Islamic boarding schools (2) to determine the supporting and inhibiting factors for the implementation of social therapy in Islamic boarding schools, (3) to determine the length of time for drug addict’s student recovery in Islamic boarding schools. The research approach used in this research is a qualitative approach. The tools and data collection of this research are observation, in-depth interviews, and documentation. The results showed that the social therapy carried out by the Rehabilitation Islamic Boarding School was effective in rehabilitating drug addicts. The application of social therapy using a medical approach, classification of student room placements for drug addicts, religious education, personality development, effective social community by rehabilitating drug addicts recovering from the influence of drugs. Suggestions in this study are drug addict students should be able to control the desire to use drugs by increasing their dhikr activities.

Nation-building is a developmental process of constructing or re-structuring a national identity using the state power which aimed at the unification of the people within the state so that it remains politically stable and viable in the long run. Nigeria and many other African countries have consistently and persistently pursued the ideal nation building and development plan designed to integrate the citizenry both at home and in diaspora as a means of fostering unity and all round development. Nigeria as a nation, continues to develop integral policies and framework for short, medium and long term development plans of nation-building with conscious efforts to ensure peace, prosperity and security of lives and property. Against this backdrop, this review paper examined the role(s) of political elites, the academia and the collective struggle in the overall project of building the nation called Nigeria. This paper focuses on the need to ensure peace in Nigeria through conscious nation building programmes of successive administrations in Nigeria. Information were sourced from books and journal articles, and was content analyzed in relation to the scope of the paper. The paper concludes that without peace and effective leadership provision, no nation-building is achievable. The paper concluded by admonishing the government at the centre to development policies and implement programmes that would cater for all ethnic groups and her citizenry.

This study develops a competency model for the HR Department of PT TCO and measures the competence of incumbents to determine employee competency profiles to identify competency gaps. The designing process of the competency model used the Behavioral Event Interview (BEI) technique to find out the critical of each job description. Competency measurement is carried out using behavioral indicators that have been compiled in the competency model. The rating scale method using a multi-rater was chosen to measure incumbents' competence. From the formulation of the competency model, four (4) core competencies, fifty-three (53) behavioral competencies, and 130 technical competencies were obtained. The competency level standards can apply to anyone holding the relevant position if the job description does not change. In addition, it is also obtained an overview of the same job cluster; different levels of positions tend to have the same competency model but different levels of competency standards. The results of the preparation of the competency model above; the company is recommended to implement the same process in other departments or divisions so that a comprehensive competency model can be arranged for all positions in PT TCO. The company is also expected to constantly update job descriptions linked to the entire series of competency models and explicitly carry out core competencies, especially by top management, so that they can be seen by all employees, even at the grassroots level.

Corruption is a form of fraud/fraud, which is a dishonest act that is carried out intentionally by using power for self-interest against state financial transactions that result in loss of state money. Various efforts have been made by the Indonesian government to combat and eradicate all forms of corruption in Indonesia but so far have not yielded significant results. This article aims to determine the main factors that influence an act of corruption. There are many factors that influence acts of corruption, but the discussion in this article is limited to the main factors that are seen by the authors as the dominant factors influencing acts of corruption, including power, governance, and compensation. This article reviews the factors that influence acts of corruption (y) as the dependent variable, and the independent variables which include: power (x1), governance (x2) and compensation (x3) as independent variables. The purpose of writing this article is to build a hypothesis of the influence between variables to be used in further research. The results of the literature review articles that we have done show that there is an influence of the power variable (x1) on the corruption variable (y), the influence of the governance variable (x2) on the variable corruption act (y), and the influence of the compensation variable (x3). on the variable of corruption (y).

Severe cholangitis is an urgent indication for endoscopic treatment, represented by endoscopic retrograde pancreatography (ERCP) and endoscopic sphincterotomy. It ensures good bile drainage, and improves patient morbidity and mortality. Materials and methods: This is a retrospective study carried out within our department between January 2010 and April 2018. All patients with severe cholangitis who benefited from therapeutic ERCP were enrolled. We analyzed the epidemiological data of the patients, the results of the ERCP, as well as the post-sphincterotomy mortality. We also performed multivariate analysis for predictive factors for mortality. Results: 88 patients were enrolled. The average age of the patients was 60.14 years [17-102 years], with a female predominance (n = 45, 51.1%). Twelve patients (13.6%) underwent a cholecystectomy. Almost 68, 18% patients (n = 60) had obstructive choledocholithiasis, fifteen patients (17,04%) had o cyst hydatic and 13 patients (14,77%) had tumor obstruction. Successful catheterization of the main bile duct was reported in 60 patients (68.18%), and failure in 28 cases (31.81%). The use of precut was performed in 28 cases (31.81%), which enabled successful access to main bile duct in 24 patients (85.71%). Failure of catheterization after a precut concerned 4 patients (14.28%): 3 patients (75%) benefited from a resumption of ERCP with success, and only one patient (25%) was proposed for surgery. fifty-five patients (91,66%) underwent stone evacuation (Figure 1). For 5 patients (8, 33%), failure of stone extraction was followed by successful surgery. Twenty-one patients benefited from successful implementation of a biliary prosthesis were objectified in 21 patients (25%). 5 patients (23.80%) failed. Among them, percutaneous drainage was done 4 patients (80%) and 1 patient (20%) was operated. The main post-ERCP complications were represented by: 5 cases (5.7%) of papillary bleeding, and 1 case of acute pancreatitis. The overall death rate was 11,36% (n=10). The course was marked by clinical and biological remission in the other patients with successful endoscopic drainage. The main predictors of mortality in multivariate analysis were impaired of consciousness upon admission (p = 0.023, OR=4, 5678 [2,678‑10, 7890]), and the presence of renal failure (p = 0.001, OR=6, 4809 [2,089‑15,781]). Conclusion: Endoscopic treatment is the gold standard for the treatment of severe cholangitis. Its results are satisfactory, with a lower mortality compared to surgical treatment with fewer hospitalizations.

Aim- To compare and correlate between antegonial notch depth, symphysis morphology and ramus morphology in different skeletal patterns in Class I, Class II and Class III relationships. Methodology: 72 lateral cephalogram and orthopantomograms were be divided into three groups according to the skeletal parameters. Each group is subdivided into three groups based on Y axis: average skeletal pattern Horizontal skeletal pattern and Vertical skeletal pattern. Cephalometric linear and angular measurement and antegonial measurement using OPG were taken. Results and conclusion: The antegonial notch depth, symphysis height, symphyseal ratio was found to be highest in Class III Vertical skeletal pattern. Symphysis depth, ramal width was found to be highest in Class II Horizontal skeletal pattern. The symphysial angle was highest in Class I Horizontal skeletal pattern. The ramal height was more in Class III Horizontal skeletal pattern and least in Class II Vertical skeletal pattern. Antegonial notch shows strong positive corelation with symphysis height in Class III Horizontal skeletal pattern, and ramal height in Class III Average skeletal pattern. Symphysis height shows strong positive correlation with ramal height in Class I Average skeletal pattern, Class II Horizontal skeletal pattern, Class II Average skeletal pattern and Class III Horizontal skeletal pattern. Symphysis depth shows strong positive correlation with ramal height in Class II Horizontal skeletal pattern and Class III Average skeletal pattern, symphysis angle shows strong positive correlation with Class III Horizontal skeletal pattern.

Introduction: Left vocal cord palsy by Compression of the left recurrent nerve by the left atrium in tight mitral stenosis defines Ortner's cardio-vocal syndrome. The vascular etiology of compression thoracic aortic aneurysm is well described in the literature. Left vocal cord palsy by Compression of the left recurrent nerve by the left atrium in tight mitral stenosis defines Ortner's cardio-vocal syndrome. The vascular etiology of compression thoracic aortic aneurysm is well described in the literature. Case Record: We present the case of an 80-year-old man with a history of thoracic trauma and recent onset dysphonia and simultaneous discovery of an aortic isthmus pseudoaneurysm and left vocal cord paralysis. Discussion: The place of dysphonia during post traumatic false aneurysm of the aortic isthmus is commented. This observation documents the mechanism of compression of the recurrent left nerve by a post-traumatic false aneurysm of the thoracic aorta. Adequate management can improve the patient's prognosis and quality of life.

Introduction: Paraganglioma or chemodectoma of the carotid corpuscle or carotid glomus is a relatively rare neoplasm of slow progression, late diagnosis and uncertain prognosis. This tumor originates from the chemoreceptors of the carotid bifurcation and clinically presents as a laterocervical mass. It represents the majority of paragangliomas of the head and neck (60-70%). Observation: We report the observation of a 56-year-old female patient who consulted for a right laterocervical swelling without any other associated clinical signs. A complete radiological workup (Angioscanner/Angiography) will confirm the vascular nature of the lesion, characterize the size of the mass, its nature, its mapping, and its relationship to adjacent organs. Surgical excision had confirmed the diagnosis on histopathological examination. From this observation, we review the clinical, radiological and histopathological features of this tumor, as well as its uncertain evolutionary mode and the therapeutic modalities. Conclusion: Lateral cervical paragangliomas remain rare and poorly known affections which require an early diagnosis and a multidisciplinary management: ENT surgeon, vascular surgeon, oncologist and radiotherapist according to the evolutive forms.