Background: Bleeding is a common side effect during anticoagulant therapy. Rivaroxaban, a new anticoagulant, presents concerns regarding its association with heavy menstrual bleeding. Objectives: Our aim is to measure the prevalence of heavy menstrual bleeding in women taking rivaroxaban. We aim to measure the median Pictorial Blood Assessment Chart (PBAC) score, and its association with iron deficiency anemia (IDA), passage of clots, and age, respectively. Methods: This was a prospective, non- interventional study set in a thrombosis clinic. There were 49 patients enrolled. The study consisted of two parts: a retrospective part regarding collection of menstrual history data before starting rivaroxaban; and a prospective part using validate Arabic PBAC for the next three menstrual cycles. Main outcome measures: Prevalence of heavy menstrual bleeding among women taking rivaroxaban. Results: The median PBAC score for women taking rivaroxaban for an average of 3 months was 211, IQR (42.5, 375.9) The prevalence of heavy menstrual bleeding in women taking rivaroxaban was 22%. There is a weak correlation between IDA and age, and IDA and average PBAC score. Conclusion: Rivaroxaban may cause heavy menstrual bleeding, but it does not lead to prolongation of menstruation. A detailed menstrual history should be taken before considering rivaroxaban for women in reproductive age.

Forensic crime scene investigators need to have the basic knowledge of science, engineering and medicine fitted for legal or public argumentation. Only an experienced forensic crime scene investigator can handle such cases and to arrive a conclusion for the presentation in the legal system. Forensic engineering investigation is multi-disciplinary process for investigating and reporting the cause of engineering problems which may have legal ramifications. Building collapse becomes a major threat to the society and people lost the confident on constructors and government. The professionals involved in the construction, viz. engineers, builders and contractors are under severe scrutiny about their role and responsibilities in the collapses. The municipal and corporation authorities have been approving for building constructions such as apartments, schools, colleges and many others. Irrespective of town or villages, construction industry, sometimes has been operating in a chaotic manner due to inadequate legislative building codes or violating building codes. The causes of building collapse ranges from substandard building materials to corruption. The present crime scene case study investigated a collapsed school building forensically the causes of elementary school building collapse, led to the death of 5 children and many sustained injuries, the incident occurred in India, as investigated by the author and identified the cause. The author presented his testimony in the court of law and Honourable Judge accepted the forensic findings and the case ended with conviction.

Losses for ecological disasters in South Sulawesi Province were recorded accumulated at IDR 8.03 trillion. The worst ecological disaster of floods and landslides in Luwu Regency, about 38 victims died, 13438 residents were displaced, 1986 hectares of rice, 505 hectares of corn, and 244 hectares of cocoa were damaged. The ecological disaster worth IDR 8 trillion, the flood disaster in Bantaeng Regency resulted in 2 deaths, 2333 houses damaged, 197 hectares of rice fields and plantations were submerged by water due to the flood. Loss of IDR 33 billion, stopping the seizure of people's living space, protecting farmers, fishermen, women, and indigenous peoples must be carried out by the provincial government of South Sulawesi. Apart from this, the government must also revoke mining permits that are not in accordance with the regulations, and stop involving colleagues in the state revenue expenditure budget and regional revenue expenditure budget projects that are ecologically damaging and not environmentally sound.

Universities with urban campuses are often seeking solutions to congestion and parking problems in their neighborhoods. Yarmouk University (YU), Irbid-Jordan, faces severe pressure from the continuous and dynamic activities with high traffic congestion due to its location. This paper surveyed the significant characteristics of commuters to the YU campus and explored the quality and efficiency of existing offered public transport services. A sample of nearly 1006 students, faculty, and staff at the campus was surveyed using an online, paper, and one to one questionnaire surveys. Results showed that majority of travelers (39.8%) to campus were from Qasabet Irbid (Irbid central area). Also, 41% reported that total journey time needed to campus was between thirty minutes to one hour. It is also found that a substantial proportion of respondents (68.6%) do not own a passenger car. The most common parking problems mentioned by respondents who commute to campus were the insufficient parking spaces (30.3%), not covered parking (20.5%), and walking long distances from parking lots to their destination (19.9%). Furthermore, 52% of the respondents reported using public transport daily, 45.8% stated arriving at the campus in the early morning (5AM–8:30AM), 49.2% stated leaving the campus in the early afternoon (Noon–3:00PM), 36% stated that Sunday was the hardest day to get to university, and 30.3% stated that it was Thursday. This research value arises from the anticipated analysis that may help understand campus community travelers' behavior to enhance future planning efforts in different urban universities according to the existing situation.

This study examines the relationship between the financial sector and economic growth for the United Arab Emirates, which is presently the most successfully diversified economy among the six Gulf Cooperation Council Countries (commonly referred as the GCC). The time period covered for this purpose is from 1975 to 2016. Since the present study deals with time series analysis, various time series techniques were employed to examine the relationship between financial sector and economic growth. The Augmented Dickey Fuller (ADF) unit root test was employed to check the variables stationarity, followed by lag length criteria test to define optimal lag length and proceed with the cointegration test. Finally, Vector Error Correction Model test (VECM) and Granger Causality test were employed to determine the relationship by using domestic credit to private sector, broad money (M2) and FDI as proxy variables to measure financial development, and GDP per capita (constant 2010 US$) as proxy variable for measuring economic growth. The results obtained from the analysis revealed that broad money and private sector credit play a crucial role in the development of the financial sector in the UAE.

Background: Eclampsia is commonly defined as new onset of grand mal seizure activity and/or unexplained coma during pregnancy or postpartum in a woman with signs or symptoms of pre-eclampsia. Objective: The objective of this study was to assess the maternal and perinatal morbidity and mortality in eclampsia by early termination of pregnancy. Methodology and Materials: It was a descriptive observational study conducted in the Department of Gynecology & Obstetrics, Uttara Adhunik Medical College and Hospital, Dhaka, Bangladesh during the period from January 2017 to December 2019. In total 188 pregnant women admitted to the mentioned hospital with antepartum eclampsia were finalized as the study population. This study was approved by the ethical committee of the same hospital. Between the age group, maternal and perinatal outcomes were compared. Data were analyzed using statistical methods with SPSS version 22. Results: In this study 7(9.86%) maternal deaths had occurred among 71 vaginal deliveries. 6(5.36%) maternal deaths had occurred among 112 caesarean deliveries. Besides these, 5 cases were undelivered which all were maternal death. Among 188 cases total of 18(9.57%) maternal deaths had occurred. We did not find any significant correlation between the total number and modes of deliveries of maternal deaths (P=0.581). Among 71 vaginal deliveries, 10(14.08%) stillbirths and 28(39.44%) neonatal deaths occurred respectively; that is why in total 38(53.52%) perinatal deaths occurred against total 71 vaginal deliveries. Among 112 caesarean deliveries, 3(2.68%) stillbirths and 10(8.93%) neonatal deaths occurred respectively; that is why in total 13(11.61%) perinatal deaths occurred against total 112 caesarean deliveries. Besides these, perinatal deaths were counted as stillbirths which were 5 in number. In this study in total 56(29.79%) perinatal deaths occurred of total study people. Conclusion: In pregnant women with eclampsia frequency of caesarian delivery is near about two times than vaginal delivery. But the maternal mortality in caesarian delivery of pregnant women with eclampsia is near about half of that in vaginal delivery. In such cases, perinatal mortality is about one-fifth in caesarian delivery than that of vaginal delivery.

Aim: To evaluate the efficacy of amniotic membrane transplantation in corneal ulcers and to observe the complications of amniotic membrane transplantation in corneal ulcers. Material and methods: Ours was a prospective cross- sectional study which was conducted over a period of 1 year at Regional Institute of Ophthalmology, PGIMS, Rohtak on 30 patients of microbial keratitis on whom amniotic membrane transplantation was done. Signs of ulcer healing- pain, congestion, size of ulcer, BCVA, anterior chamber depth and anterior chamber reaction were recorded on every subsequent follow up. Result: There was significant reduction in post-operative pain and congestion. Anterior chamber depth was not changed significantly. Conclusion: Amniotic membrane transplantation can be used as an adjuvant treatment in bacterial and fungal corneal ulcers for early healing, less vascularisation and scarring and better final visual outcome.

The present article is devoted to the study of “S” in modern English grammar. It examines the behavior of this operator in the English language. Thus, the study shows that this marker plays a very important role in the functioning of this English language. Its origin and status have created a lot debates around the linguistic and grammar fields. Though there have been some studies on its history, many speculations on its origin have been based on inferences from synchronic variation. In addition, focusing on its function and position towards the verb or the noun we have pointed out “S” can be used as verbal agreement marker or as noun agreement marker. In so doing, the role it plays, as a verbal marker is totally different from the one its plays as noun marker. But this current study is focused on its status as a verbal agreement marker.

Introduction: Intravenous catheterization or Peripheral venous catheterization is one of the most being procedures by health care providers during patient hospitalization. For the purpose of sampling, fluids, diagnostic procedure medication administration, and nutritional supplement. Phlebitis is the most common peripheral catheter related complication. .It appears to local edema and inflammation, discomfort, redness of skin or subcutaneous. Phlebitis can be chemical, mechanical and biological at the site of puncture. Objectives: Determine the associating factors of phlebitis among registered nurses on the basis of experience and nursing education. Material and Methods: This study was an analytical cross-sectional study and conducted at Peoples Medical College Hospital Nawabshah. In this study, a purposive sampling method was used, and the sample size of the study was 90 Registered nurses. Results: The gender distribution among subjects was male 50 (55.6%) and females were 40 (44. 4%). Designation among study subjects was 80(88.8%) were staff nurses and only 10(11.1%) were head nurses. A slum of subjects said antibiotics 70(77.8%) develop phlebitis, significant with experience (p=.000). The continuous I.V fluid 80(88.9%) and intermittent fluid 10(11.1%) develop phlebitis and found significant with experiences. Conclusion: The study, examined; nurses have significant awareness for the prevention of phlebitis and maintenance of peripheral I.V. Further study also found the factors associated with phlebitis.

Background: Peripheral blood plasmacytosis can be seen in plasma cell leukemia (PCL) or plasma cell myeloma (PCM). As plasma cells show dysplasia or lymphocytoid morphology, they masquerade as monocytes or high fluorescent lymphocytes (HFL) on automated cell analyzer. The early suspicion and detection are of clinical importance for diagnostic and prognostic reasons. Methods: Automated cell analyzer was used for routine CBC examination. Peripheral blood smear examination was performed for enumeration and characterization of cells in peripheral blood followed by bone marrow examination and ancillary techniques. Conclusion: Lymphocyte-Monocyte peak with increased high HFL count on CBC should prompt a smear examination of the peripheral blood for circulating plasma cells and immunohistochemistry markers like CD38, CD138, CD56 should be used to establish the clonality in cells.

The purpose of the present study was to determine the working length using electronic apex locator in various intracanal mediums and cone beam computed tomography scan and to compare the lengths with the actual length of the tooth. Methods: In an in vitro setting, a total of 45 primary molar roots were decoronated till the cemento enamel junction for standardization, working length was measured with the Apex DSP (Septodont, France) at the ‘apex’ in presence of three different irrigating solutions namely 0.9 % saline, 0.2 % chlorhexidine and 2.5 % sodium hypochlorite. The radiological working length was then calculated with cone beam computed tomography scans. The collected data was analyzed using descriptive statistics. Independent‘t’ test was done to compare the working length between the groups. Results: Findings showed there was significant difference in working length determination using apex locator in presence of saline and chlorhexidine when compared to sodium hypochlorite. Also working length determination with cone beam computed tomography compared to actual length did not show any significant difference. Conclusion: Apex DSP can be considered to be accurate across a variety of irrigants commonly used in the pediatric endodontic practice. A CBCT scan can be used as a diagnostic tool for pulpal treatment when treating multiple carious lesions.

Women violence is a deeply rooted problem that exists in every country of the globe. For the most part; nevertheless, the international community has yet to create operational legal standards that will exclusively address the problems and intricacies experienced by women via domestic violence. Notwithstanding this unfortunate emptiness, the rights of battered women may be asserted under international and regional Human Rights Conventions that are legally binding upon ratifying States. This article articulates that the cankerworm of domestic violence though hypocritically and pretentiously combatted by the government of Cameroon through its various legal dispositions, has still, and continues to be considered by many as a silent or noiseless crime affecting the status of women. Women in the generic sense of the word, continue to be victims of domestic violence. This state of affairs has evidently posed negative implications on their various rights and integrity. The government of Cameroon has failed in respecting the international prescription and commitments in respecting the fundamental rights of women as their violation and abuses continue to be on the rise.

For the survival and growth, every organization should be capable to translate its mission, vision, goals, objectives, plans and programs enhancing performance. Rastriya Banijya Bank limited (RBBL) was incorporated in 1966 through enactment of special statute on Rastriya Banijya Bank (RBBL) Act.1966, with mains objective to provide banking and financial service related business in the country. In this context, this article explores the capacity and performance level of Rastriya Banijya Bank limited and discussion about contribution of RBBL in banking business in Nepal. Continuous performance is the objective of any organization because only through performance, organizations are able to grow and progress. For the discussion, about Performance of RBBL, operating status of RBBL, financial status of RBBL, total investment Share and loan investment, dividend received, contribution on business credit transfer, Revenue generation, Shareholder's Fund/net-worth, working capital, administrative and unfunded liabilities of RBBL on the based on PBM theory assumptions. Secondary data are obtain from Ministry of Finances and National planning commission and some of the key personnel of the RBBL are also interviewed. The finding shows that there are still very important roles of RBBL for service delivery system, social and economic development, and the roles of income Tax; value added tax and not taxable-tax collection and social welfare, Employees' generation, curtailing, syndicate and market control, the role of crisis management and emergency situation etc.

This paper specifically wants to analyze the effectiveness of Law Number 6 Year 2018 and Law Number 4 Year 1984 in Handling the Covid-19 Pandemic for Inter-island Travel Players in Ambon City, and Constraints in the Application of Law Number 6 Year 2018 and Law Number 4 Year 1984 in Handling the Covid-19 Pandemic for Inter-Island Travel in Ambon City. This research uses empirical juridical research. The approach used is a statutory approach, the data sources used are primary data and secondary data, data collection techniques that support and are related to this research are interviews, observation and decision studies which are then analyzed qualitatively. The results showed that the Health Quarantine Law, as well as the Disease Outbreak Law which could be used to criminalize anyone who obstructed the handling of the outbreak were not effective for inter-island travelers in Ambon city, because this has never been implemented, which is very ironic with the reality that the perpetrator these trips often violate the law in the form of not following Health protocols. As for the obstacles in the application of the Health Quarantine Law and the Disease Outbreak Law to be applied to inter-island travelers in Ambon city, namely the Factors of Law, Public Awareness, Lack of Quarantine facilities, and Lack of Government Control.

Internships assist college students in better understanding their field of study, career goals, and provide them with career-related experiences that employers seek. The article’s purpose is to educate college students on internships Dos and Don’ts that will help them to have a successful experience.