Background: Abruptio placenta is a major cause of massive obstetric hemorrhage and significant cause of maternal and neonatal morbidity and mortality worldwide and in developing countries including India. This study aimed to determine risk factors for abruptio placenta and subsequent feto-maternal outcome at a tertiary care center (hospital). Methods: A prospective study was conducted at department of obstetrics and gynaecology, RIMS Adilabad. All patients diagnosed with abruptio placenta clinically and/or sonographically were included in the study. The maternal complications and fetal outcome were analyzed in detail. Results: In this study, 82 women were diagnosed with abruption placenta. Incidence of abruptio placenta is 1.4% at our institute. Most patients in our study are multiparous (64.6%), un booked (31.7%) and are in the age group of 20-30 years (58.5%). In our study abruption placenta was mostly associated with PIH/Hypertensive disorders of pregnancy (56.09%). H/o abruption placenta in previous pregnancy (12.19%), Idiopathic (23.17%), Trauma (2.4%), PROM (2.4%) are other risk factors associated with abruptio placenta. Anemia is associated with 58% of cases. Majority (54.8%) of cases delivered vaginally, 45.12% patients were delivered by LSCS. 63.14% babies were live born, 23.17% were IUD, 13.4% were stillborn. Post partum hemorrhage (19.5%), Acute renal failure (17.7%), disseminated intravascular coagulation (15.8%) are important maternal complications. Maternal mortality rate is 2.4%. Perinatal mortality is 25.6%. Conclusion: Abruption placenta is associated with poor maternal and fetal outcome. There is need to spread awareness regarding taking adequate antenatal care so that associated risk factors could be diagnosed early and treated adequately. Prompt resuscitative measures and expedition of delivery process after abruption favours good fetomaternal outcome.

Background: HELLP Syndrome is the severe form of preeclampsia characterised by hemolysis(H), elevated liver enzymes (EL) and low platlets count, frequently leads to adverse maternal and perinatal outcome. This study aimed to determine the incidence, complications of HELLP syndrome and evalution of Maternal and Fetal outcome at a rural tertiary care center. Methods: A prospective observational study was conducted at Department of obstetrics and gynaecology, RIMS, Adilabad during a period of one year. The analysis of data was done on all the patients diagnosed with HELLP syndrome and categorized by mississippi classification for better analysis of complications and outcome in HELLP syndrome. Results: Total 5820 women were delivered in our institute during the study period of which 572 women with Pre-eclampsia and 48 patients diagnosed with HELLP syndrome. Incidence of HELLP syndrome is 0.8 % of total deliveries and 8.3%of Pre-eclampsia patients. Most of them were primigravida 52%. Majority were in 32-36 weeks of gestational age Out of total 48 patients of HELLP syndrome,40 patients delivered vaginally and 8 patients delivered by LSCS Complications includes Ascites (27%), Postpartum hemorrhage (25%), Placental abruption (23%), Acute renal failure (16%), Pulmonary edema (10.4%), Disseminated intravascular coagulation (6.2%), Multi Organ Dysfunction (4.1%). Patients who received Blood products were 54.1% Preterm deliveries (58.3%), NICU admission (27%). Intra uterine Fetal demise (14.5%) There was no maternal mortality. Perinatal mortality rate was 43.7%. Conclusions: Vaginal delivery is allowed as better stabilization and better maternal outcome. There is increased fetal morbidity and mortality as patients came in advanced disease. Early detection and management of its complications with timely intervention to arrest further progress to reduce maternal and neonatal morbidity and mortality.

The purpose of this paper is to analyze the emergence process or a new paradigm in the theory and practice of knowledge management. It is the paradigm of artificial knowledge. This new paradigm changes the semantic spectrum of the concept of knowledge as it has been used so far in knowledge management systems. Artificial knowledge is completely differentiated from human knowledge and can no longer be considered a justified true belief. Artificial knowledge is a product of artificial intelligence technology. The paper performs a semantic analysis of the new concept and its features by comparison with human knowledge. Also, the paper presents a bibliometric analysis of the most significant publications discussing artificial knowledge and artificial intelligence. The bibliometric analysis is done using VOS viewer, a specialized software program for such research. The present paper shows that researchers in knowledge management face the emergence of a new paradigm.

In the credit system, academic advising has become an essential factor for student success in universities. It is a student-centered initiative that promotes student engagement in the institution by supporting students in their academic and career goals. This study presents a comprehensive and effective academic advising model for Information Technology students, combining the traditional role of academic advisors with advanced technologies such as artificial intelligence and machine learning. The proposed model integrates virtual assistants to answer training regulations and curriculum questions, personalizes learning paths, and automatically recommends courses based on real-world data. The pilot study results on 100 IT students from second to four years show that the system significantly improves their access to information, learning resources, and satisfaction. This study marks a significant step forward in the application of AI in higher education, opening the potential to improve learning efficiency and training management on a large scale.

Background: Sickle cell disease (SCD) impacts the physical, emotional and psychological aspects of life of the affected persons, often times exposing them to disease-associated stigmatization from family members and/or the community and this in turn affects their health-related quality of life (HRQoL). There is paucity of data from southern Nigeria as regards stigmatization among SCD patients, hence this study was aimed at determining the level of stigmatization amongst them. Methodology: It was a cross-sectional study involving two hundred and twenty-four SCD patients recruited from three well recognized health facilities that offer comprehensive care for individuals with SCD in Benin City, Nigeria. The measure of sickle cell stigma and the sickle cell disease health-related stigma scale psychometric tools were used for this study. Results: One hundred and sixty- four (73.2%) participants were not married despite attaining marriageable age. One hundred and seventy-one (76.1%) were dependents, living with their friends and family members. Sixty-eight (47.7%) had a severe disease course and one hundred and eighty-five (82.6%) had perceived/ experienced stigmatization. Conclusion: The study found a high prevalence of stigmatization among SCD patients.

This work presents the successful deposition of H. Sabdariffa(Zobo) dye-doped ZnS thin films with different volumes of Zn2+ solutions on cleaned glass substrate slides using inexpensive chemical spray-pyrolysis technique with the substrates kept at a constant temperature of 200oC. The final spray solution for the growth of the films contained aqueous solutions of ZnSO4.7H2O, SC(NH2)2, and H.Sabdariffa dye extracts. ZnSO4.7H2O and SC(NH2)2 served as precursors for Zn2+ and S2- respectively while H.Sabdariffa was used as dye. The sprayed film properties were characterized for optical properties using a HINOTEK 756S UV-VIS spectrophotometer. From the absorbance’s spectral analysis, other optical parameters such as transmittance, reflectance, absorption coefficient, band gap energy and optical density were calculated. The films indicated high absorbance in the UV region and high transmittance in the VIS – NIR regions, whereas reflectance is generally low. The films indicated direct band gap energy range of 2.10eV to 2.62eV. The optical density indicated range of 0.5 to 6.16. Based on relatively low reflection, strong absorption in UV region, high transmission and wide band gap indicated by the films. Therefore, it can be concluded that the films are suitable for the fabrication of solar cells. Also, the films are good for anti-dazzling coatings and thermal control coatings in automotive and architectural industries respectively.

Digestive haemorrhage (HD) is a frequent reason for consultation at the Emergency Department. Approximately 80% of GI haemorrhages are upper GI, i.e. related to a lesion located above the angle of Treitz. The main causes are ulcer disease, portal hypertension, gastritis and ulcerated lesions of the stomach, and reflux oesophagitis. In approximately 10% of cases, a rarer cause (Mallory-Weiss, acquired vascular malformations, Dieulafoy, primary PAEF or secondary aortodigestive fistulas, biliary or pancreatic tract anomalies, tumours,...) is responsible. We report the case of a patient with high HD in whom aortoduodenal fistula was the cause diagnosed on abdominal CT.

A coral-pink gingiva reflects the normal health of blood vessels and the proper width of keratinized tissues, both of which are essential for dental and facial aesthetics. Gingival pigmentation is caused by melanin granules and manifesting as uneven brown, light brown, or deep purplish discoloration and may necessitate cosmetic therapy. Among the various treatment modalities, diode laser and bur ablation are commonly used for gingival depigmentation. Moreover, platelet-rich plasma (PRP), which delivers a supra-physiological dose of growth factors, has emerged as a promising adjunct to accelerate wound healing in periodontal aesthetic procedures. This article presents two case reports of two female patients with gingival pigmentation, who were treated at King Abdullah Medical City Specialist Hospital using a split-mouth approach. In one patient, diode laser ablation was performed on the lower anterior gingiva and bur ablation on the upper anterior region; in the other, laser and bur ablation were applied in different quadrants. Immediately after ablation, injectable PRP was administered into the depigmented areas. Healing was evaluated using the Healing Index on days one, three, seven, 14, and 30, and pigmentation was assessed preoperatively and on day 30 with the Dummett-Gupta Oral Pigmentation Index. The results of the two case reports suggest that adjunctive PRP may enhance wound healing following gingival depigmentation, necessitating further clinical trials with standardized protocols and larger sample sizes.

Crude oil spillage is a major problem in Nigeria as it basically affects soils, plants grown on the soil, and the environment at large. The need to remediate crude-oil-contaminated soil to its original state is of utmost importance. The potential of oil palm frond (leaf) to remediate crude-oil-contaminated soil was investigated in this study. The soil samples were analyzed before and after contamination, during bioremediation process and after the treatment process by determining the pH, moisture content and total organic carbon (TOC) parameters of the soil sample each week for a period of four (4) weeks. The results obtained showed that the pH of the soil sample before and after contamination were pH 8.0 and pH 6.0 respectively, while during the bioremediation process with the oil palm frond (leaf) sample applied on the contaminated soil samples and at the end of the treatment process, the pH of the samples was pH 6.2, pH 6.3, pH 8.0, pH 7.0 respectively. The moisture content result obtained showed that the soil sample before and after contamination were 16.2% and 11.2% respectively, during the bioremediation process and at the end of the treatment process the moisture content were 7.5%, 1.4%, 7.4%, and 9.4% respectively. While the TOC result obtained for the soil sample before and after contamination were 2.55% and 1.22% respectively while during the bioremediation process the results were 1.22%, 1.22%, 1.29%, 1.36% respectively. This demonstrated the ability of oil palm frond (leaf) to reduce contaminants in the soil and consequently remediate the crude oil contaminated soil to an extent.

Organizational culture is an important element for a company. Habits are created because of the communication that occurs between employees. Every employee should have the motivation to work. However, in reality, quite a few employees lose direction when doing their work. Therefore, the problem in this research is whether organizational culture and work motivation influence employee performance, either partially or simultaneously. This research aims to analyze the influence of organizational culture and work motivation on employee performance at NCTA partially and simultaneously. The population in this study were all NCTA employees, especially the general bureau, while the sample was obtained using the Slovin formula, 63 people. The data analysis method used is the descriptive percentage analysis method, multiple linear regression analysis method with partial test hypothesis testing (t), simultaneous test (F), and coefficient of determination. The conclusion obtained is that organizational culture and work motivation have a partial positive and significant influence on employee performance. Simultaneously, it can also be concluded that organizational culture and work motivation have a positive and significant influence on employee performance. This research also states that organizational culture and work motivation influence employee performance simultaneously by 52.3%.

The Covid-19 pandemic has caused some manufacturing companies to experience a decline in company value. The decline in company value occurs due to various factors. Factors that are thought to affect company value include profitability, liquidity, solvency and dividend policy. This study aims to determine the effect of profitability, liquidity and solvency on company value with dividend policy as a mediating variable. The population and sample in this study are manufacturing companies listed on the Indonesia Stock Exchange during the 2019-2022 period. The research design used is quantitative research. The data used are secondary data obtained through the IDX website and the websites of each company. The data analysis used is descriptive statistical analysis, classical assumption testing and multiple regression analysis.

Background: Breast cancer is a significant global health concern, with its incidence steadily rising in both developed and developing nations. It is the leading cause of cancer-related deaths among women, accounting for 16% of cancer fatalities in adult females. This study aimed to assess the level of breast cancer knowledge among nurses working at a tertiary-level hospital in Barishal. Methodology: A cross-sectional study was conducted among 266 nurses at Sher-E-Bangla Medical College Hospital, Barishal. A convenient sampling technique was applied, and data were collected using a self-structured questionnaire developed through an extensive literature review. Data analysis was performed using SPSS-23, employing both descriptive and inferential statistics. Results: Nearly 97% of nurses recognized breast cancer as a life-threatening disease, while more than half (61%) disagreed with the notion that breast cancer is preventable. The overall mean knowledge score on breast cancer was 3.75 (SD = 0.40), indicating an average to moderate level of knowledge. Marital status (t = -2.84, p<0.05) was found to have a statistically significant association with breast cancer knowledge, with married nurses demonstrating higher awareness than their single counterparts. Additionally, significant differences in knowledge levels were observed between Muslim and non-Muslim nurses, with non-Muslim nurses exhibiting greater awareness of breast cancer. Conclusion: The findings of this study provide valuable insights into the level of breast cancer knowledge among nurses at a tertiary-level hospital in Barishal. The results can serve as a guide for improving nurses' understanding of breast cancer and developing strategies to reduce associated risks. Furthermore, these findings emphasize the need for health education programs aimed at raising awareness and disseminating crucial information on breast cancer prevention and early detection.

William Shakespeare is one of the most influential writers in all of literature and is universally recognized as the foremost poet and playwright to have written in the English language. King Lear is considered one of Shakespeare’s greatest works and stands as a masterpiece of world literature. It is renowned for its complex characters, profound philosophical insights, and its exploration of the human condition. This essay hope to examine King Lear through Aristotle’s tragic lens, revealing how Shakespeare’s masterpiece explores human suffering, power’s corruption, and family dynamics. It discusses the play’s structure, character development, and emotional engagement, highlighting its moral and social implications and its timeless relevance. The research underscores the play’s alignment with Aristotelian principles, offering a deeper understanding of Shakespeare’s insight into the human condition.

Foreign language teacher education has undergone several stages globally, evolving from training to professional development, reflecting different development ideas and philosophies, and playing a positive role at various stages in relation to foreign language education. In recent years, as the development of foreign language teachers has begun to emphasize intrinsic factors and ecological environments of teachers, it has gradually moved towards an ecological approach. This paper traces the historical origins of teacher professional development, discusses key concepts in foreign language education, and explores the ecological orientation, connotations, and strategies for foreign language teachers transitioning from professional development to professional growth.

Objectives: To the current evidence on incidence, risk factors, and clinical outcomes regarding acute kidney injury (AKI) among trauma patients being admitted to the intensive care unit (ICU). Methods: A total of 432 pertinent publications were found after a comprehensive search across four databases. 38 full-text publications were examined after duplicates were eliminated using Rayyan QCRI and relevance was checked; seven studies finally satisfied the requirements for inclusion. Results: We included seven studies with a total of 31,222 participants and the majority 26,267 (84.1%) were males. AKI is a frequent complication in trauma patients, and its incidence depends on the kind of trauma and patient-related factors. Incidence is higher in abdominal and polytrauma patients, particularly in those who are obese or with subcutaneous adipose tissue. AKI in polytrauma is associated with longer ventilation, longer lengths of stay in the ICU, and higher mortality. Although less frequent compared to AKI in penetrating trauma, AKI is associated with longer hospitalization and higher fatality in young patients. Severe trauma has the highest incidence of AKI largely due to coagulopathy, hemodynamic instability, rhabdomyolysis, sepsis, and nephrotoxic drugs. Conclusion: AKI poses a significant challenge in ICU trauma management, leading to longer hospital stays, higher mortality, and complex clinical cases. Key risk factors such as trauma severity, obesity, and hemodynamic instability necessitate early diagnosis and targeted intervention. Effective AKI management involves optimizing fluid balance and minimizing nephrotoxic exposure. Future research should focus on developing standardized prevention protocols and assessing long-term renal outcomes in trauma patients.