The Objective Structured Clinical Examination (OSCE) is becoming more widespread within healthcare education programmers, because it is considered as a suitable method for assessing skills and underpinning knowledge essential for practice1. The OSCE is also an assessment method in which students establish their competence under a multiple of simulated conditions. In addition, the OSCE is a very different experience for the students, in contrast to more traditional methods of assessment such as written assignments, writing essay, multiple choices and continuous assessment in practice. The aim of this study was to assess the third year nutrition student's perception about the Objective Structured Clinical Examination (OSCE) in the clinical nutrition practice. Study was conducted in Al-Gala Hospital and Medical Benghazi Center on undergraduate students around 120 students was included in this exam. 74% of the students indicated that they were received adequate information about exam before conducting it, and about 72% reported that the instructions of each station were as expected. 50 % of students found OSCE exam was easy than essay question, oral and MCQ exam, while the most average exam was oral exam as reported by 54% of students and 35% of them found that MCQ exam was more fair exam than OSCE and other exams. Shows that the most factors that facing student during conducting OSCE exam were stressful and time that conducted at each station, 78% of students said the exam was so stressful and 69% of them reported the time was not enough at each station. This study concluded that the structure and design OSCE exam were clear and organized and most of students received adequate information before conducting the exam. Almost of students agreed with the OSCE exam is the useful experience to improve their practical skills in clinical nutrition.

Although subject to some of the most important international documents is the fundamental rights and freedoms of man, however, in today's society the man has lost sense of the value and of the dignity of the person and of the sacred human life. Throughout time, man has had a varying attitude toward his own life, just as society’s attitude towards its members lives had been variable. When we speak of euthanasia we are talking about human life. This way we come to ask ourselves on the value of life, its foundation and its principle. Although all European States, as well as numerous other countries worldwide have dropped the death penalty and, although it advocated for the abolition of the death penalty throughout the world, human euthanasia or medical assisted suicide is tolerated or legalized. Moreover, in the states where human euthanasia has been decriminalized "for humanitarian reasons", major protests are held against the euthanasia of animals. We live in an age of paradoxes… We live in a time when it is trying to inoculate that everything is done in order that mankind lead a life as easy ... If life has its roughness, then we cannot not ask ourselves why and for what we endure? There is a moment in which to terminate life support aimed to make it to become an act morally? How could it be described such a moment?

In order to prevent and discourage the commission of sexual offences, it is necessary to have certain special mechanisms able to combat the recidivism of those who have committed such acts, but even in such conditions it cannot be justified to limit the right of a person to physical integrity. In any system of law based on democratic principles, any party to a legal relationship, including when this is a state authority, has an obligation to adopt conduct that does not harm human dignity or the rights and freedoms of the citizens. Therefore, no democratic state can be recognized the right to draft laws contrary to or affecting the right of human beings to life and to physical and mental integrity. On the contrary, it is forbidden to apply, in any form, torture, cruel or inhuman or degrading treatment or punishment, even in the case of those persons who pose a danger and threat to society. Any attack on the dignity of the human being is impossible to accept in a democratic society. In this context, the question may arise as to whether or not this measure may be mandatory ordered by the court by a final judgment of conviction, irrespective of the main penalty applied and in the conditions in which it would be perform by specially authorized medical institutions.

Aim of the study: The purpose of the study was to assess the preferences of intra-canal medicaments of Endodontists and their method of delivery into the root canal system: Methodology: A questionnaire survey was conducted which was observational and descriptive, amongst 56 Endodontists over a period of 6 months. The questions were based on method of delivery of Intra-canal medicaments, as well as preference for these medicaments. Survey also asked the respondents about the importance of using ICMs in various endodontic conditions. Questions were also put forward that if they used different ICMs for different endodontic issues or prefer the same in all the cases. Results: While the vast majority of endodontist users in this scenario (87.5%) chose Non-setting Calcium Hydroxide, some of them (10%) used Formocresol. Others used triple antibiotic paste (2.5%). All endodontists (100%) used ICMs in cases of necrotic pulp with periapical lesions. Most respondents (48.8%) were in the habit of using injecting syringes to insert paste-based ICMs. Maximum using injecting syringes (48.8%), followed by Lentulo spirals (23.8%). Conclusion: Elimination of microbial contamination from the root canal system is a prerequisite to the successful outcome of root canal treatment and ICMs certainly help in this regard. However, all of the currently available antimicrobial materials for root canal irrigation and medication have limitations, and the search continues for the ideal irrigant and intra-appointment medicament.

The paper highlights general approach to creating cognitive adaptive robots with imitative thinking and adaptive behavior as an assistant to humans in various fields of activity. Communicative-associative symbolic-language thinking logic allows the creation of cognitive adaptive robots for different spheres of life. Specialization of cognitive adaptive robots is carried out on the basis of knowledge bases, bases of abilities and implementers of behavior. Adaptive behavior is guided by imitative thinking on a human task and is carried out by models of environment and behavior. Specialization of the robot is set by the subject knowledge base and base of abilities, and equipment (sensors, sensors, manipulators, motor systems and other devices). For collaborative robotics, you need a soft, sensitive, and naturally highly intelligent solution. The focus here is on pneumatic light robots, which are inherently designed to work together and can present a cost-effective alternative to humans in the future. The cognitive robot, by increasing visual, sound, substantive, spatial and temporal sensitivity, is able to acquire new skills and accumulate experience of behavior with the necessary technical means. New skills are taught by a retraining system in virtual space, and then the robot develops them in a specific environment. Thus, the professional experience of the cognitive robot in various specific environments is gradually accumulated and its sensitivity is increased. Cognitive adaptive retractable robots with imitative thinking, adaptive behavior, and increased sensitivity have the prospect of widespread practical application.

Background and Objectives: Psoriasis is a chronic papulosquamous disorder with constant exacerbations and remissions. Based on the clinical overlap with other papulosquamous disorders and the role of histopathology in diagnosis, we undertook a study on psoriasis. The objective of this study was to identify combination of histopathological parameters for the diagnosis of psoriasis and establish their reliability and significance. Material and Methods: A retrospective cum prospective study over a period of 5 years was carried out. 56 clinically diagnosed cases of psoriasis were taken into consideration. Skin biopsies were taken from these cases and histopathological examination was done. These lesions were then assessed based on various histopathological parameters. Results and Discussion: Maximum number of cases were in the age group of 31–40 years, males being three times more affected than females. The most common symptom was pruritis and psoriasis vulgaris was the most common variant. Upper limbs and back were most frequently affected. Among the microscopic parameters, acanthosis and parakeratosis were observed and when present with features like hypogranulosis, elongation of rete ridges, dermal inflammation and vasodilation or perivascular lymphocytic infiltrate were likely to indicate psoriasis. Munro micro abscesses and spongiform pustules of Kogoj, diagnostic features of psoriasis were also seen in significant proportion. Conclusion: Diagnosis of psoriasis is made based on the analysis of clinical symptoms and signs with a correlation with histopathological features. The relative ambiguity associated with this disease makes such histopathologic studies all the more important.

Naked eye single tube red cell osmotic fragility test (NESTROFT) is a simple test to screen for thalassemia has been described for use in developing countries. We studied the articles published before regarding the use of NESTROFT in screening Thalassemia and found out the average sensitivity and negative predictive value was 95.94% and 95.33% respectively which indicates NESTROFT is a good screening tool for the beta thalassemia.

During a global crisis, like COVID-19, investors are often uncertain how to decide for their portfolios: Should they hedge or even sell? The purpose of this quantitative, comparative study was to investigate how three different hedging models (HM) perform in comparison. The research question was: what HM with exchange traded funds is most profitable for U.S. stock portfolios? In this study, GARCH (1, 1) models, hedging coefficients, simple moving average (SMA), and t-tests were computed. To sell a portfolio seemed the most profitable strategy during a crisis with (rSMA(24) = 4.37% per month), with $5,000 initial investment during 2000-2019. However, if the investor is indecisive, then a hedge strategy could buy the investor time with (rHedged = 1.87% % per month) during market uncertainties. The paper is relevant for investors and portfolio managers who have to decide hedge or sell a portfolio during a crisis, since an analysis of three different HMs in comparison is provided.

Flavored drinks are substances to be prepared or ready for consumption, including syrups and those containing caffeine. Their specific denomination may be replaced by another, which is either usual or descriptive such as "refreshing drink", "table drink" or "drink made from ..." that allows consumers to know the real nature of the beverage and to distinguish it from others. The quality of these dubious products is still poorly known although in terms of cost, they remain very accessible to any Cameroonian eager to quench their thirst. This experimental study focused on the analysis of the labeling compliance of non-alcoholic and non-carbonated flavored drinks marketed in plastic bags in Douala. This was assessed using an index card based on the codex standard for the labeling of prepackaged foods. A total of 50 samples of these quality requirements defined by Codex Alimentarius standards for drinks were analyzed and the results showed a 53% non-compliance rate. This high rate of non-compliance in pre-packaged food aimed at human consumption calls for a review of sanctions and better control of drinks sold in the streets of Douala.

Physically challenge is the consequence of an impairment that may be physically, cognitive, mental, emotional, development or some combination of these. Objective: The purpose of the present study was to examine the health status, peak expiratory flow (PEF) and flexibility, motor fitness component of physically challenge school boy and compare them. Method: A total of ten (N=10) physically challenged boys was chosen randomly for this study, among them ten (N=10) were orthopedically disabled (OC), ten (N=10) were hearing impaired (HI) and ten (N=10) were visual impaired (VI). BMI, PEF, flexibility, motor fitness component were the criterion measure of this study. Mean SD were calculated as descriptive statistics and significance of inter group difference was analysis by ANOVA only 0.05 level was consider to judge the significance of the study. All the statistical procedure was done by the standard statistical software. Result: Result revealed that significant difference exist (P>0.05) in respect of BMI (F=6.5) among this OH,VI, HI. Mean value of challenged pupil was between WHO, IMCMR standard. Result also showed that significant difference exist (0.05 level) in respect of physiological and motor fitness variables among OC, VI and subjects. All group of the physically challenge boys of 14-16years old had lower health standard in respect of national and international standard in respect. Conclusion: The physical challenged boys of 14 – 16 year old had lower health standard in respect of national and international standard and they are significant difference in physically variables (PEF) and motor fitness variable (Flexibility) and physiological variables among the groups viz. HI,OC AND VI. From the result we revealed that in respect of BMI, physiological and motor fitness variables point of view, I group was more healthy than HI & OC group In respect.

This study aimed to analyze the regional financial management and regional financial systems of the Central Sulawesi regional government. The type of research is a descriptive quantitative study which was carried out in the Regional Organization of Regency/City in Central Sulawesi (OPD). The sample regencies/cities are: 1) Palu City, 2) Buol Regency, 3) Tojo Una-Una Regency, 4) Morowali Regency, 5) Banggai Regency. For each OPD in each regency/city, 3 respondents were chosen, namely the head of OPD, PPTK (Financial Officer) and Treasurer. Research variables are regional financial management and implementation of regional financial information systems. The results of research show that regional financial management in the Central Sulawesi Regional Government has been good, but it still needs improvement in terms of the use of expenditure in shortest time possible and control by the DPRD. The implementation of the regional government financial system in Central Sulawesi was good for all principles, namely efficiency, effective, transparent, accountable, auditable.

The procurement process is an important process in supply chain management as it is the spearhead of the entire process. In carrying out the procurement process, there are often problems with the supplier selection activities. This is because the supplier selection process spends a lot of time and resources collecting data and conducting careful analysis that will affect the entire decision alternative. In making decisions relating to the many criteria and the number of alternative suppliers, it requires an effective and uncomplex assessment technique, but it provides accurate results. A mapping and determination of supplier selection criteria is required as a basis for valuation to obtain a qualified supplier. This study focused on PT. XYZ is a construction company in South Tangerang. Analytical Hierarchy Process (AHP) is used to determine the best supplier; there are 4 variables that are reference in conducting the selection of suppliers, such as: cost, quality, delivery, and service. The result in the selection of the supplier company is cost with a weight of 0.268, quality with a weight of 0.290, delivery with a weighting of 0.248, and the service with a weight of 0.194 where conclusions obtained from the analysis of the selection of the best suppliers and in accordance with the criteria, namely PT. CBL for iron suppliers, PT.SAS for cement suppliers, and PT. Citra BSD for suppliers of natural materials.

Every catheter always represents a port of entry for pathogens. As a result, a catheter-related urinary tract infection can develop (see Liedl 2017, p. 28) which in the worst case leads to urosepsis (see Norsworthy, Pearson 2017, p. 305; Bublak 2016, p. 17).

Introduction: Visual manifestations in pituitary adenoma range from no presenting symptom to visual acuity deterioration to blindness. The presentation of pituitary adenoma is varied. It classically presents with visual field defects, bitemporal hemianopia being the most common Ocular motility disorders in pituitary adenomas are rare presentations. Pituitary adenoma presenting with oculomotor palsies as an initial symptom is very rare, total ophthalmoplegia being the rarest initial presentation. Aim: To report a rare case of pituitary adenoma with cavernous sinus invasion presenting initially with total ophthalmoplegia.

In order to implement REDD+ for the benefit of forest populations, this article studies the potentialities of the management system of the Covimof community forest (Molombo, Okékat and Faékélé Village Community) located in the region of Central Cameroon, part of the Congo Basin. It relates the REDD+ implementation requirements as defined by the international format (reference scenario, non-additionality, leakage and non-permanence) and governance elements in terms of community forestry in order to identify management constraints for REDD+ implementation in a community forestry context. Based on the development of a socioeconomic, political and institutional framework capable of regulating the implementation of this mechanism, the barriers to REDD+ will be highlighted. Based on field surveys and interviews with stakeholders, the main problems of community forestry management have been elucidated. The results show that REDD+ will face a number of problems including benefit sharing, communication between stakeholders, and land tenure.