Menstrual irregularities are common among subfertile women and often reflect underlying endocrine dysfunctions. Thyroid hormones and prolactin play key roles in the regulation of menstruation, and abnormalities in their levels may disrupt ovulation and fertility. This study aimed to investigate the association between thyroid dysfunction and hyperprolactinemia with menstrual irregularities in subfertile women attending a tertiary care hospital. Methods: A case–control study was conducted at BIRDEM General Hospital, Dhaka, from January 2022 to March 2024. A total of 100 women were enrolled in the study: 50 with primary subfertility (cases) and 50 fertile women (controls). Menstrual history and clinical features were also recorded. Serum TSH, FT3, FT4, and prolactin levels were measured using a chemiluminescent magnetic microparticle assay. Anovulation was assessed using mid-cycle ultrasonography. Data were analyzed using SPSS version 27.0. Results: Acyclical menstruation (42.0% vs. 28.0%) and oligomenorrhea (26.0% vs. 14.0%) were more frequent in the cases than in the controls. Anovulation was significantly more common in subfertile women than in fertile women (24.0% vs. 8.0%, p=0.029). Biochemical analysis revealed higher TSH (4.92 ± 5.35 vs. 3.83 ± 6.04 µIU/mL, p=0.041) and prolactin levels (38.09 ± 29.3 vs. 22.27 ± 12.6 ng/mL, p=0.005), and lower FT4 (5.45 ± 3.44 vs. 16.92 ± 3.28 pmol/L, p=0.032) in cases. Galactorrhoea was also more frequent among subfertile women, though not statistically significant. Conclusion: Thyroid dysfunction and hyperprolactinemia are strongly associated with menstrual irregularities in subfertile women. Routine hormonal screening may enable early diagnosis and treatment, thereby improving reproductive outcomes of patients.

Background: Fetal movement is an early sign of life and indicates well-being. Reduced fetal movement is common in pregnant women, affecting perinatal outcomes and increasing risks of stillbirth, growth restriction, distress, and preterm birth. The biophysical profile (BPP) assesses fetal well-being in the last trimester. This study evaluated the association between BPP scores, delivery mode, and neonatal outcomes in women with reduced fetal movement at term. Methods: This analytical cross-sectional study was conducted at the Department of Obstetrics and Gynaecology, Dhaka Medical College and Hospital, Bangladesh, from August 2019 to July 2020. One hundred women at ≥37 weeks of gestation with reduced fetal movement were enrolled and divided into normal (≥8/10) and abnormal (≤6/10) BPP groups. Maternal demographics, mode of delivery, and perinatal outcomes were recorded. Data were analyzed using SPSS version 20.0. Results: Caesarean section rates were significantly higher among women with abnormal BPP (80.95%) compared to those with normal scores (46.55%) (p=0.002). Vaginal deliveries predominated in the normal group. Perinatal outcomes were generally favorable, but neonatal death and stillbirth occurred more frequently in the abnormal BPP group (7.14%) compared to the normal group (1.72%), though this difference was not statistically significant. Conclusion: Abnormal BPP scores correlated with higher caesarean rates and adverse outcomes. However, no significant difference in mortality was observed. Findings suggest BPP helps identify at-risk fetuses, but delivery decisions should combine test results and clinical judgment to balance intervention with outcomes.

Descriptive morphology and taxonomy That is because zoology is rapidly evolving to be a multi-modal science that operates on the organismic to molecular scale (i.e., it extends beyond the level of the ecosystem). To address that global crisis in biodiversity, scientists have combined genomics and environmental DNA (eDNA) analysis with morphometrics and imagery, behavior studies through biologging, trail cameras, and vocal monitoring, and landscape studies using remote-sensing tools. These varied approaches are now joined together by artificial intelligence and open data platforms and are opening new avenues to real-time biodiversity discovery and predictive conservation. However, questions also remain: the knowledge gap in taxonomy, bias in occurrence data, incomplete validation of models using either eDNA or acoustics data, and the lack of standards addressing blending multi-modal data. Moral imperatives such as animal welfare in tracking, fairness in international partnerships and data sovereignty are still burning. This paper presents an outline of Integrative Zoology and presents case studies of how it is transforming our basic understanding of the cryptic species, how it tracks movement and decline, and how it can inform conservation analysis. By integrating the traditional study of zoology with the newest of technologies, the discipline can transform into a science of awareness of biodiversity, infrastructure that is ready to directly assist the conservation policy and resilience of the planet.

Background: The World Health Organization advocates for proper integration and regulation of evidence-based Traditional, Complementary, and Integrative Medicine (TCIM) into healthcare systems nationally in response to the rapid growth of using TCIM worldwide (WHO, 2017). Fenugreek seeds are one of the most popular galactagogues for lactating mothers (El Sakka et al., 2014). Additionally, cabbage leaf compresses have shown several benefits in reducing breast engorgement (Thomas et al., 2017). Understanding the attitudes of both mothers and healthcare providers towards the use of TCIM during lactation is essential to promote informed decision-making regarding practices(Sim et al., 2014). Objective: This review aimed to explore the attitudes of lactating mothers and healthcare providers towards cabbage leaves and fenugreek, to investigate healthcare providers' perspectives on these remedies, and to identify potential benefits and risks associated with the use of cabbage leaves and fenugreek during lactation. Method: The literature review employed a systematic approach to gather relevant articles. Electronic databases such as PubMed, Cochrane, MEDLINE, and Google Scholar were systematically searched using specific keywords related to the topic of interest. Result: Fifteen studies met the inclusion criteria. The review of literature provides significant insights into the traditional use of cabbage leaves and fenugreek in lactation management, elucidating their perceived benefits and effectiveness in alleviating breast engorgement among lactating mothers. Conclusion: The synthesis of literature underscores the significance of integrating traditional practices and natural remedies, such as cabbage leaves and fenugreek, into lactation management. While these interventions have shown promising results in relieving breast engorgement and enhancing milk production, further research is warranted to elucidate their mechanisms of action, optimal dosages, and potential side effects. Collaborative endeavors among healthcare providers, researchers, and lactating mothers are crucial to facilitating informed decision-making and fostering the comprehensive overall health of lactating mothers and their infants.

Judicial police officers occupy a pivotal position in Cameroon’s criminal justice system, exercising investigative powers conferred by the Criminal Procedure Code of 2005. Their functions are indispensable to the administration of justice, yet they continue to raise persistent concerns regarding legality, accountability, and protection of human rights. This paper undertakes a legal appraisal of the role, oversight, and violence surrounding judicial police officers under Cameroonian criminal law. It interrogates the gap between statutory supervision by prosecutors, judges and the limited effectiveness of existing oversight mechanisms, which remain largely internal and susceptible to executive influence. The study further examines the dual dimension of violence: firstly, abuses perpetrated by judicial police officers against suspects, such as arbitrary arrests, detention, ill-treatment, and secondly, violence endured by these officers themselves in conflict-affected areas and high-risk operations. The analysis demonstrates how weak accountability structures and inadequate protective measures simultaneously undermine both human rights and compromise the legitimacy of law enforcement. The paper concludes by advancing reform proposals aimed at strengthening independent oversight, judicial supervision, and improving the protection of officers thereby aligning policing practice with the rule of law and democratic governance.

Hindu and Muslim women, who face discrimination on numerous fronts due to their intersection with gender, religion, and community, have been disproportionately hit by the constitutional duality of public and private inequity. There can be no gender or religious discrimination in India, according to the constitution. But this parity does not extend to the home, where Islamic personal law blatantly discriminates against Hindu and Muslim women. The personal law system governs all family relations and applies to individuals based on their religious affiliation. Hindu and Muslim women face discrimination in divorce or marriage, custody and guardianship, inheritance and succession, and other areas where personal law is applicable. Besides this disadvantage in legal status, Hindu and Muslim women face further marginalization in citizenship and democracy in terms of socioeconomic position, political representation, and participation. This is all because they are members of a religious minority. The constitutional canon has consistently ignored the importance of gender, which has led to the marginalization of substantive gender equality. Hindu and Muslim women's substantive equality has always been positioned in opposition to minority rights and religious freedom. The quick triple talaq practice was declared null and void by the Supreme Court in the landmark Shayara Bano ruling due to its violation of the constitutional guarantee of equality. This study examines the issue to determine whether or not Hindu and Muslim women's equality rights might be included in the constitution. Using feminist constitutionalism as a lens, this article will analyze the Indian Constitution while the revolutionary possibilities it holds for Muslim and Hindu women.

Background: Despite evidence supporting the use of MCA/UA Doppler ratios in detecting fetal compromise, most studies have focused on high-risk pregnancies or specific populations, with limited data from broader clinical settings, particularly in Bangladesh; therefore, the purpose of the study was to evaluate the diagnostic accuracy of the Middle Cerebral Artery to Umbilical Artery Resistance Index Ratio in predicting adverse perinatal outcomes. Aim of the study: The aim of the study was to evaluate the diagnostic accuracy of the Middle Cerebral Artery to Umbilical Artery Resistance Index Ratio in predicting adverse perinatal outcomes. Methods: A prospective cohort study of 106 pregnant women at 29–38 weeks gestation was conducted at the Department of Obstetrics and Gynecology, BIRDEM General Hospital, Dhaka (Nov 2022–Feb 2024). Maternal and fetal outcomes were recorded, C/U ratio was assessed, participants were grouped by a 1.01 cut-off, and data were analyzed using SPSS v26.0 (p < 0.05). Results: The C/U ratio predicted adverse perinatal outcomes with an ROC AUC of 0.827 (95% CI: 0.749–0.905; p < 0.0001). At a cut-off of 1.01, sensitivity was 77.8%, specificity 84.6%, PPV 46.2%, NPV 95.7%, and accuracy 83.6%. Low C/U (<1.01) was associated with higher rates of complicated outcomes (84.0% vs 21.4%), 5-min APGAR <7 (68.0% vs 19.6%), NICU admission (74.0% vs 21.4%), respiratory distress (60.0% vs 12.5%), and FGR (18.0% vs 0.0%) compared to C/U ≥1.01 (P <0.05). Conclusion: A C/U ratio below 1.01 reliably predicts adverse perinatal outcomes, supporting its use for early identification of at-risk fetuses.

Poor waste management techniques including the indiscriminate use of poorly constructed landfills as solid waste receptors can lead to the pollution of groundwater in communities. This study examined the physicochemical qualities of groundwater proximate to a major solid waste landfill in Owerri, Imo State during rainy and dry seasons. The determination of the quality of the groundwater samples was carried out in accordance with the standards of the American Public Health Association (APHA). The results obtained from the analysis of the groundwater samples was compared to the World Health Organization (WHO) and the Nigerian Standard for Drinking Water Quality (NSDWQ) standards for drinking water. The values obtained from the analysis of the groundwater samples in both season shows that some of the tested parameters existed in values higher than both WHO and NSDWQ standards for drinking water quality. The results also showed that the concentrations of chromium, copper, iron, and nickel were above the WHO and NSDWQ standards. The Chemical Oxygen Demand, Turbidity and the Total Soluble Solids exceeded the WHO and NSDWQ standards for drinking water quality in both studied seasons. Findings from this study suggest that dumpsite solid waste could impact negatively on some physicochemical qualities of groundwater sited around their vicinity. Therefore, the location of solid waste dumpsites around residential areas should be discouraged.

Thin-film ferroelectrics and ferromagnets face performance limits. High leakage, low endurance, and weak scalability restrict real use. This study explores multifunctional nanoparticle integration into thin-film structures. Nanoparticles enhance charge storage, stability, and coupling. Ferroelectric response is boosted with improved polarization retention. Ferromagnetic layers show strong anisotropy and thermal durability. The hybrid films deliver high energy density with low loss. Enhanced dielectric constant and suppressed fatigue confirm stability. Coupled ferroelectric–ferromagnetic interaction allows efficient multistate operation. This dual behavior supports high-performance capacitors and logic devices. Nanoparticle doping creates uniform grain size and controlled interfaces. Such design reduces defects, leakage, and switching noise. Tailored interfaces enable flexible and miniaturized nanoelectronic circuits. The approach also ensures high scalability for large-area integration. Results show efficiency suitable for next-generation energy storage. The multifunctional films also support spintronic and memory devices. Unique novelty lies in engineered nanoparticle synergy inside thin films. This synergy brings multifunctional energy and electronic benefits. The work introduces a new platform for advanced materials. It bridges energy storage and nanoelectronics through a single system. The strategy moves beyond conventional doping or layering. It provides adaptive and high-efficiency solutions for modern technologies. Future scope lies in quantum devices, neuromorphic hardware, and IoT. Overall, the research sets a pathway for multifunctional, scalable, and energy-smart nanoelectronic materials.

Microfluidics is the science and technology of manipulating minute fluid volumes within micro-sized channels. It is an interdisciplinary technology that integrates physics, chemistry, biology, materials science, and microengineering, offering transformative potential for biomedical research. Recent innovations in the field of microfluidics such as organ-on-chip devices, droplet-based assays, 3D bioprinting, integration with artificial intelligence and CRISPR technologies have accelerated the development of physiologically close models and personalized medicine approaches. This review comprehensively examines the emerging field of microfluidics, including its design principles, fabrication techniques, and commonly materials used materials. Moreover, also highlights the key applications in stem cell culture, organ-mimicking systems, cancer and infectious disease research, drug discovery, and genome editing. Furthermore, it also compares with traditional methods, outlines the current challenges, along with future directions that emphasize smart, adaptive platforms for real-time monitoring and automated control.

This study examines how multidisciplinary collaboration among emergency, clinical, and administrative professionals influences patient outcomes and overall hospital performance. Focusing on real-world interactions in acute care settings, it analyzes communication patterns, decision-making processes, and coordinated workflows that bridge clinical and non-clinical roles. By mapping how emergency physicians, nurses, allied health staff, and administrators share information and align priorities during care transitions, the research identifies which collaborative behaviors are most strongly associated with reduced length of stay, lower readmission rates, and improved patient safety metrics. The study also considers contextual factors—such as staffing levels, electronic health record (EHR) integration, and leadership support—that enable or hinder effective teamwork. Using a mixed-methods design, the study combines quantitative performance indicators with qualitative data from interviews, focus groups, and direct observations to generate a comprehensive picture of interprofessional practice. Statistical analyses correlate specific collaborative interventions (for example, structured handoff protocols or interdisciplinary rounds) with measurable improvements in efficiency and clinical outcomes, while thematic analysis reveals perceived barriers like role ambiguity, time pressure, and cultural silos. The findings aim to inform practical recommendations for training, workflow redesign, and policy changes that strengthen multidisciplinary collaboration and, in turn, enhance hospital resilience, patient experience, and operational sustainability.

Objectives: To conduct a systematic review of existing literature to assess the relationship between obesity and CKD. Methods: A detailed computerized search of relevant databases was conducted to identify studies that met the inclusion criteria. The search encompassed PubMed, SCOPUS, Science Direct, Cochrane Library, and Web of Science to find pertinent research. Results: Our analysis included seven studies with a total of 21,191 obese patients and males comprised less than half of the participants, totaling 6675 (31.5%). The prevalence of CKD among obese individuals ranged from 7% to 48.9%. The results of this systematic review indicate a clear association between obesity and chronic kidney disease (CKD). Across multiple studies, obesity, particularly abdominal obesity, was found to significantly increase the risk of developing and progressing CKD, with higher body mass index (BMI) and waist-to-hip ratio (WHR) correlating with greater renal dysfunction. Key mechanisms involved include renal fat deposition, increased glomerular filtration rate (GFR) decline, and metabolic disturbances. Conclusion: This systematic review provides strong evidence that obesity is a significant risk factor for the development and progression of chronic kidney disease. The reviewed studies highlight the complex interplay between obesity, metabolic dysfunction, and renal impairment, underscoring the need for early identification and management of obesity in patients at risk for CKD.

This study evaluated the phytoremediation potential of Pennisetum purpureum (elephant grass) in petroleum-contaminated soils collected from Ogale, Eleme Local Government Area of Rivers State, Nigeria. The investigation focused on the reduction of Total Petroleum Hydrocarbons (TPHs) and Polycyclic Aromatic Hydrocarbons (PAHs) in the soil and the accumulation of these hydrocarbons in plant tissues after a three-month remediation period. Experimental setups included control and contaminated soil samples, with TPH and PAH concentrations monitored before and after remediation using gas chromatography. The results revealed a significant reduction in hydrocarbon concentrations in moderately contaminated soils. In Sample B, TPH and PAH removal efficiencies reached 33.19% and 78.07%, respectively, while Sample C, which was more heavily polluted, showed lower efficiencies of 3.85% for TPHs and 58.65% for PAHs. Accumulation analysis confirmed the uptake of hydrocarbons by P. purpureum, with a total of 13,004.60 ppm of TPHs and 33.98 ppm of PAHs detected in plant tissues. The uptake-to-removal ratios further supported the plant’s role in phytoextraction, particularly for high-molecular-weight hydrocarbons. These findings underscore the effectiveness of P. purpureum as a low-cost and environmentally sustainable solution for remediating petroleum-contaminated soils, especially in moderately polluted environments. The study reinforces the relevance of plant-soil-microbe interactions and site-specific conditions in enhancing phytoremediation efficiency.

The exorbitant cost of silicon photovoltaics has led to a growing interest in alternate semiconductor materials for light gathering. Single-walled carbon nanotubes possess unique electrical and optical characteristics, making them a viable material for photovoltaic applications. Exploring ways to utilize these capabilities in photovoltaic devices is crucial. Carbon nanotubes have undergone extensive research in organic photovoltaics and photoelectrochemical cells. However, they may also be combined with a well-known semiconductor, such as Copper Indium Gallium Selenide (CIGS). Nanotube-silicon heterojunction solar cells have shown up to 33 % power conversion efficiency, potentially due to the photoactivity of carbon nanotubes.

The co-occurrence of mental illness and chronic medical conditions represents a formidable and escalating public health challenge. Patients with these comorbidities experience a synergistic burden of illness, leading to poorer clinical outcomes, reduced quality of life, and significantly increased mortality compared to those with either condition alone. Traditional healthcare systems, historically fragmented into separate silos for physical and mental health, are fundamentally ill-equipped to manage this complex patient population, resulting in care that is inefficient, costly, and often iatrogenic. This comprehensive review synthesizes the current evidence on integrated care models as the superior standard of care for this population. We first examine the profound epidemiological scale and bidirectional pathophysiology of comorbidity, exploring the shared biological mechanisms, including systemic inflammation and hypothalamic-pituitary-adrenal (HPA) axis dysregulation, that link mind and body. We then delineate the severe clinical and economic consequences of fragmented care, including the staggering mortality gap and the pervasive problem of polypharmacy. Subsequently, we outline the foundational components of effective integrated care, such as patient-centered planning, measurement-based care, and comprehensive medication management. A critical analysis of evidence-based models including the Collaborative Care Model (CoCM), the Primary Care Behavioral Health (PCBH) model, and Assertive Community Treatment (ACT) is presented, highlighting their distinct applications across a continuum of patient acuity. Finally, we address key implementation challenges and future directions, emphasizing the critical roles of technology, policy reform, and the transition to value-based payment models. The evidence overwhelmingly indicates that a systemic shift toward integrated, whole-person care is not merely an option but a clinical and fiscal imperative.