The Covid-19 pandemic has affected the general population at different levels. In the context “prevention is better than cure” certain norms has been implemented by the government like maintaining social distancing and wearing masks. In this pandemic, individuals are facing numerous issues due to minimal availability to physical health and dental care. The solution to this problem of physical unavailability is telemedicine and teledentistry. Teledentistry is a means of virtual communication between patients and consultants which must be incorporated in general healthcare and dental care systems. Though with numerous advantages, this technology also posseses some disadvantages. Proper knowledge and application of this technology should be understood by the healthcare workers for it’s suitable implementation. If not fully replace, at least teledentistry can complement the existing compromised dental system during the current pandemic.

Introduction: Female stress urinary incontinence is a common affection that affects women in the general population. It can be improved by non-invasive medical techniques. Aims: To determine the value of perineal rehabilitation in the treatment of female stress urinary incontinence through the experience of the Department of Physical Medicine and Rehabilitation CHU Med VI of Marrakech. Patients and methods: This is a prospective, monocentric study that included 10 patients with stress urinary incontinence. They benefited from a multimodal rehabilitation protocol carried out in a minimum of 10 sessions. Results: The muscle tone of the pubococcygeal bundles of the elevator muscles of the anus was significantly improved after rehabilitation. The improvement in tone was correlated with the reduction in the frequency of leaks. The subjective satisfaction rate reached 80%. Conclusion: Perineal rehabilitation appears from the experience of our department to be effective for the treatment of stress urinary incontinence. It should be offered as a first-line option.

Background: GDM is a high risk factor in pregnancy & is associated with an increased risk of complications for both mother & baby during pregnancy as well as in postpartum periods. Screening & identifying these high risk women is important to improve short & long term maternal & fetal outcomes. Objective: To determine the fetal & maternal outcome and complications in pt presenting with GDM. Materials and Methods: The present cross-sectional observational study was performed at the Department of Obstetrics and Gynecology of the Jalalabad Ragib Rabeya Medical College Hospital, from June, 2018 to November, 2019. One hundren women who are diagnosed to have GDM were included in this study. Results: Complication of the maternal outcome during antenatal periods that 32(32.0%) patients had H/O GDM, 19(19.0%) had preterm delivery, 19(19.0%) had postpartum UTI, 18(18.0%) had pre-celapmsia, 16(16.0%) had UTI, 14(14.0%) had vulvovaginitis, 13(13.0%) had cervical tear, 12(12.0%) had polyhydramnios, 11(11.0%) had PROM and 11(11.0%) had postpartum hemorrhage. Complication of the fetus outcome during antenatal period showed that 19(19.0%) babies were NICU admission followed by 12(12.0%) had hyperbilirubinemia, 8(8.0%) had neonatal hypoglycaemia, 6(6.0%) had respiratory distress infection, 6(6.0%) had congenital anomalies, 5(5.0%) had prematurity, 5(5.0%) had polycythemia and 4(4.0%) had birth asphyxia. Conclusion: Maternal and perinatal morbidity and mortality is increased in women with GDM. Infections, preterm delivery, postpartum UTI, pre-celapmsia, UTI, vulvovaginitis, cervical tear, polyhydramnios, PROM and postpartum hemorrhage were the common maternal complications. Fetal complications include NICU admission, hyperbilirubinemia, neonatal hypoglycaemia, respiratory distress infection, congenital anomalies, prematurity, polycythemia and birth asphyxia most common cause.

Muscle mass loss or Sarcopenia is an important clinical problem that impacts every older population. The aim of this study was to observe the influence of planned exercise program on muscle mass and related selected variables. Total 40 elderly aged males (Experimental = 20, Control = 20) with the age ranging between 60-70 years were taken as subject. Age, height and weight were taken as personal data. Strength, flexibility, endurance and agility considered as physical functional fitness, BMI, chest, biceps (Relaxed and flexed), gluteus, thigh and calf circumference considered as anthropometric variable and percentage of muscle mass and myoglobin concentration considered as muscle mass component. Subjects were involved in 12 weeks, 65 minutes session (Warm up = 10 min, Training session = 45 min, cooling down = 10 min), 4 days/week planned multicomponent training protocol to fulfil the purpose of research work. The analysis and interpretation of the data was done by calculating mean, SD and paired sample t test. Result revealed significant improvement in physical functioning variables while anthropometric and muscle mass component variables remained unchanged. From this study it was understood that only 12 weeks training programme was not sufficient to develop quantitative parameters like selected circumference, muscle mass and myoglobin concentration but it was sufficient to develop physical functioning parameters which may influence muscle health and healthy lifestyle.

An ethnobotanical study of medicinal plants used by the communities in Wombera District, Benishangual Gumuz Regional State, and Western Ethiopia was carried out from 0ctober, 2019 to October, 2020. The purpose of the study was to document information of medicinal plants and indigenous knowledge on use and conservation of medicinal plants by the communities of Wombera District. A purposive sampling was designed and employed for selection of the study areas (6 sampling sites) and 200 informants (52 males and 18 females) aged between 18-85 years were randomly selected from 6 kebeles. Ethnobotanical data were collected using semi-structured questionnaires, interview and, group discussion s. A total of 91 medicinal plants were documented from the study area. Of these 60 were human, 7 veterinary and 24 both human and veterinary medicines. Data were analyzed quantitativelly. The highest number of medicinal plants was collected from wild habitat (64 %), while 33% was collected from home garden, 3% occurred both in wild habitat and home garden. The most plant parts used in treatment of human disease were leaves (34.6%) followed by roots (20.9%). The most frequently mentioned mode of administration was oral (54%) followed by dermal (27.5%) and the least was found to be application through eyes and ears (3%) each. The most common form of medicine preparation was crushing, pounding and homogenizing in water (43.07%) followed by boiling and Fumigating (16%), squeezing(15.45%), chewing(10.7) and the leasts were burning and cooking (5%) each. Deforestation for agriculture, over exploitation, firewood collection, and overgrazing were the main threats of medicinal plants in the study area. The biggest problem of traditional medicinal remedies is the accurate dosage, which sometimes may even kill. Moreover lack of awareness of cultivation in home garden resulted as threats of medicinal patient.

With inclining the speed of vehicle the cost will become low dominantly when the speed attains 750Km/h and crank length is 70mm. With increasing time the speed and force of vehicle will become periodic wave. When the crank length increases from 70mm to 100mm under 750r/m̖ 850r/m and 950r/m, the speed will increase and and the force will decrease. The force will decline with inclining rotation and crank force respectively. So it is chosen of the short crank and idling so as to maintain maximum force. The effect of crank length and rotation to force is about 20m/s and 70KN in this study. At the force with 750r/m and crank length with 100mm & 70KW it will be the lowest which is benefit for engine wear.

To evaluate the efficacy of uterine artery embolization (UAE) for the treatment of symptomatic uterine fibroids in patients treated at Al Ain Hospital, United Arab Emirates. Medical records and radiological images of all patients undergoing UAE in Al-Ain Hospital between 1 January 2012 and 31 December 2017 were retrospectively analysed. 141 patients aged 23-50 years were included in the study. Single femoral access technique was used in all patients. Clinical improvement was assessed by questioning patients regarding symptomatic improvement and follow up MRI to see the reduction in size of the dominant leiomyoma. Data was analyzed using SPSS 22. All 141 patients underwent technically successful UAE. 55 were lost follow up and were not included into the final analysis. Out of the remaining 85 patients, 55.3% were nulliparous and 44.7% were multiparous. A significant number of females that is 70.5% had multiple uterine fibroids compared to 30% who had only single uterine fibroid. 71.7% patients had menorrhagia pre-operatively, 98.4% had complete resolution at 6 months. As per the size reduction, paired t-Test showed statistically significant reduction in the mean leiomyoma size from 8 cm to 6cm and then further to 5 cm at 6 months and 1 year respectively. Almost 91.8% of the patients who underwent UAE were satisfied with the improvement in their symptoms as an outcome compared to 8.2% who were unsatisfied. Uterine fibroid embolization represents a promising method of treating fibroid-related menorrhagia and pelvic pain. Further studies with larger number of patients and long-term follow-up are needed.

The research of this article is motivated by the formulation in the Marriage Law No. 1 of 1974 where there are several articles that regulate the inheritance rights of illegitimate child, namely article 42 and article 43 that are not just as there is no attainment of justice in the inheritance rights of illegitimate child so that the child has not received welfare in his life therefore it need to be reconstructed to achieve justice. This research is a non doctrinal/ socio legal research which is descriptive analysis. With the constructivism paradigm. This research approach method is empirical, supported with normative and comparative approach. Primary data sources are interviews, observations, while secondary data sources are primary, secondary and tertiary legal materials which are then collected and analyzed using data triangulation. The result shows that the inheritance rights of illegitimate child is not yet fair because there is no attainment of justice in the inheritance rights of illegitimate child so that the child has not received welfare in his life, therefore, a reconstruction Inheritance rights of children outside of marriage based on the value of justice is needed by adding another paragraph in Article 43, that states that the civil position in the law gave no distinction between children outside of marriage and within marriage or gave one side a prioritize over other.

The novel coronavirus disease 2019 (COVID-19) has caused an outbreak and become a major public health issue and great concern from international community. Cardiac injuries were suspected and may even be considered as one of the leading causes for death of COVID-19 patients, especially for those with cardiovascular (CV) risk factors. The aim of this study is to investigate if cardiac injury (CI) in COVID-19, preexisting or acquired, is associated to increased mortality in these patients from intensive care unit (ICU) in Mohammed VI hospital in Marrakech, Morocco, from March 20, 2020 to May 20, 2020. Fifty-two patients with laboratory-confirmed COVID-19 were included. Demographic, clinical and laboratory data were extracted from electronic medical records (EMR). 22.7% patients had CI, all of them developed a HF during COVID-19 course and have died. Among these patients with HF, 44% had comorbidities (vs 7.3% of patients without HF p < 0.05). They were older (61.1 years old vs 50.5), 44% had hypertension and diabetes. Preexisting CV disease was reported in 44% (vs 1%). In terms of laboratory findings, Tn-T (med: 231; 422; 10.3; 8.87; 97.28; 41.86; 59.2; 39.27; 68 pg/mL), Nt-proBNP (553;152; 3166; 134; 306; 17900; 2524; 59000; 450 UI/L), levels of C-reactive protein (med: 147 [106.4-240] vs 162 [5-508.3] mg/L) and electrolyte disturbances: hypokalemia (88% vs 86%, p< 0. 05). Early evaluation and monitoring of cardiac damage with distinct attention to the elderly and highest CV risk factors may identify patients with HF and contributed to decreased COVID-19 mortality.

COVID-19 has become one of the worst infectious disease outbreaks of recent times, with over 6.3 million cases and 367000 deaths. Our study aims to analyze characteristics, biomarkers changes of patients with COVID-19 and their associations with severity and outcomes of the disease. Laboratory parameters included inflammatory markers such as procalcitonin (PCT), serum ferritin, C-reactive protein (CRP), lactate dehydrogenase (LDH) and interleukin-6 (IL-6). Fifty-two consecutive hospitalized patients in intensive care unit with confirmed COVID-19, in the university Hospital of Mohammed 6 of Marrakech were enrolled in this retrospective study between March 20, 2020, and May20, 2020. Demographics, underlying diseases and laboratory data were collected. 39 (75%) were man and 13 (25%) were woman; the mean age was 58 years, 76, 1% were up to 50 years old. Among all non-survivors, 81% were male. The median course of the disease was 9 days. The most common co morbidity was hypertension (13/52, 25 %) and diabetes (13/52, 25%). Respirator was used in 23 patients (23/52, 44.2%). 78.59% patients had received Hydroxychloroquine+Azythromycine and 15.8% patients had received antiviral medications: lopinavir/ritonavir. The fatality rate was 71.2 % in this population considered critical. On admission, regardless of the severity, majority of patients present an identical level of inflammation marker levels. Levels of serum ferritin (median 845 [IQR 102.5–4275]), CRP (median 174.15 [IQR 5.19–508.39]), PCT (median 0.68 [IQR 0.04– 45]), LDH (median 519.5 [90–1238]), IL6 concerning 7/52 (median 101[IQR 17– 201]. Dynamic changes of biochemical and immunologic biomarkers during progression of COVID-19 across on admission, mid-hospitalization and end-hospitalization. Measurement of inflammatory markers especially CRP, IL-6 and serum ferritin might assist clinicians to evaluate the severity of COVID-19 because the variations of these biomarkers could serve to predict recovery of fatal outcome.

Nanotechnology playing significant role in different fields of sciences as the multidisciplinary particularly physics, chemistry, biology as well as in biomedical sciences. There are different types of nanoparticles depends upon on the particular metals and their function at cellular level. The most important nanoparticles are the carbon based, zinc and silver. Silver nanoparticles can be synthesized from silver nitrate as the main starting agent with sufficient quantity. One of the most important of synthesis of nanoparticles through green synthesis approach that are environment friendly. Through polysaccharides method, silver nanoparticles can be synthesized through the biological agent such as polysaccharides that particularly replaying impregnate role in characterization of nanoparticles in the presence of water. C. vulgaris as the active biological organism untitled for the production of silver nanoparticles at the normal room temperature. soluble polyoxometalates are capable of synthesizing noble nanoparticles through stepwise, multi-electron redox reactions inertly. TEM is a very powerful technique for the characterization of NP size, composition and crystalline structure. X-ray diffraction (XRD) is one of the most extensively used techniques for the characterization of NPs. Clay nanoparticles are playing important in textile industry to assist in making the long chain of fibers.

Tourism promotion activities have become an extremely effective tool to attract and persuade visitors to tourist destinations, which is a very essential factor in promoting tourism development. Therefore, tourism promotion is becoming a hot issue in tourism development in today's destinations. Because of the fact that in developed countries, tourism has been quite successful thanks to tourism promotion activities, contributing to the better development of the tourism industry. The promotion of tourism is considered as one of the key tasks of Vietnam's tourism in general and the tourism of provinces and cities in the country in particular. This study clearly shows the role and importance of tourism promotion law in promoting tourism development through the practice of Binh Duong province; from there, proposing solutions to improve this law.

Nurses are the vital part of the health care departments and there is no doubt that nurses are the prime unit of the health care profession. According the world health statistics analysis there are approximately 29 million nurses worldwide and there is an estimation that one million nurses are further needed by the year of (2020) Shortage of nurses affect the country health care setting and significantly, it also affect the patient care which results in overall health decline in the whole country. Pakistan is also facing great challenges regarding the nursing profession and shortage of nurses is at the top of these challenges and nursing profession is female dominated profession which also increases the social cultural boundaries. As per results of a research conducting regarding Pakistan nursing work in overcoming the shortage of the nurses in the Pakistan as it is a big challenge faced by the Pakistan in the last decay. I feel very disappointment that in Pakistan this profession faces more problems/ shortage of nurses as compare to other countries. The facts and figures related to the health care in Pakistan are alarming and to handle these the health care provider and the government of Pakistan should take the strong steps. Due to this shortage patient care effects. The nursing workforce in Pakistan is 4.9: 10,000 (WHO, 2016) which indicates a shortage for a country with population of about 193 million (WHO, 2019). Unluckily, the education role of the nurses in Pakistan is not improper shape as it should be only good nurses can be produce by the good educator nurses. In the past nursing care was limited to the bedside patient care but now a days nursing research and advance studies have opened new horizons for the nurses in the country .

Background: The micronutrient folate and zinc has been associated with semen quality. Nutritional supplement with zinc and folate can help reverse some of the oxidative damage from environmental toxin and natural aging on spermatogenesis and sperm maturation. Till now there has been variable results in the research done on semen quality after folic acid and zinc sulfate supplementation. The objective of this study is to determine whether supplementation of folic acid and zinc sulfate has any beneficial effect on semen quality. Methods: This was a prospective, observational study carried out in the Department of Reproductive Endocrinology and Infertility, Bangabandhu Sheikh Mujib Medical University. Study participants are male partners of infertile couples, 70 in number, who attended the outpatient department and had abnormal semen parameters. Supplementation of folic acid and zinc sulfate was given to all male partners at a dose of 5mg tablet twice daily and 10mg tablet twice daily respectively for twelve weeks. Semen analysis was repeated after the period of three months supplementation of folic acid and zinc sulfate. Paired students t tests were performed for test of significance. Results: Oligoasthenoteratozoospermia is most common (40%) form of abnormality in semen parameter before supplementation. After supplementation 40% of report shows normozoospermia. Following supplementation of folic acid and zinc sulfate there was significant changes in sperm count (P<0.05), morphology (P<0.002), total motility (P<0.001). Regarding motility, all types of motility improved after supplementation including rapid-linear (P<0.001), slow linear (P<0.001), non-progressive (P<0.047). Number of immotile cell was reduced (P<0.001) after supplementation. Conclusion: An improvement in nutrition or supplementation with zinc and folate can have noticeable effects on semen quality and these may improve natural fertility and success rates with fertility treatment.

Nurses in all part and site can establish leadership in contaminating prevention and control using the knowledge skills and site judgment to initiate proper and immediate infection control nurses play a very important role in infection control. Health care professionals in certain are often showing to several infections healing their daily work nurses have complete awareness and infection control practice. All health care workers whose responsibility to protect the patients from getting infection in hospital and other health care center. Keeping an infection free setting patient’s recovery will be promoted and provide the great quality of care. Nurses can do a great agreement to communicate effectively e.g. Nurses should provide the information charge nurses visitors and patient. Provide the proper information patient how to protect themself including support staff in team. Nurses contribution in this war against infection control using the barrier precaution like face marks caps gowns and gloves. Infection control and prevention practices minimize the infection to apply the patient care use the standard Precautions the practices are protect and prevent to spread infections among patients and healthworker and nurses. Frequently hand washing, use of proper personal protective measures sharp safety respiratory care and hygiene good practices of safe injection and use the sterilized instruments. Nightingale mentioned the person as a patient. Atmosphere affects the person. Better atmosphere help to heal the patient soon as compared to polluted. Health is the complete well-being not only to be well. Good environment provide healthy life and prevent the disease.