Background: Obesity has become a leading global public health problem and termed as millennium disease with worldwide spread. Obesity may be a modifiable risk factor for older adult impairment which needs to be completely addressed Aimed to: assess obesity and the functional impairment of older women. Design: Case control design was used. Setting: The present study was done at Kafar Mosa Amran, Zagazig District, Sharkia Governorate. Subjects and methods: 150 older women were selected for the study (75 older women case, 75 older women control) by multistage cluster sampling technique. Tools of data collection: Three categories of tools: the first tool for measuring socio demographic data, BMI, health characteristics of older women, practicing exercises and perception of physical fitness, the second tool was functional impairment questionnaire; the third tool was Lawton instrumental activities of daily livings to assess dependency of older women. Results: 98.7% of study group compare to 64.0% in the control group were impaired and unable to function with statistically significance(X2=29.68 and P=<0.001). 13.5% of the study groups were independent in activities of daily living compared to 42.7% in the control group. Additionally, the study revealed that age and BMI were risk factors for functional impairment. Conclusions: Obesity in women aged 65 or older is associated with greater risk of impaired physical function with greater dependency level on others. Recommendation: Health education campaigns appear to be the most effective interventions to increase awareness of older women concerning obesity related health risks. Experimental study is suggested to manage obesity burden, and the study can also be replicated in urban areas or on larger samples.

Female genital mutilation (FGM) also known as female genital cutting (FGC), female circumcision, or female genital mutilation/cutting (FGM/C), is defined by the World Health Organization as all procedures that involve partial or total removal of the external female genitalia, or other injury to the female genital organs for non-medical reasons

With the ever-growing preference of the WCDMA technology, poor signal quality continues to affect the performance of 3G network. The paper uses a Solution Algorithm Embedded in a System Program (SAESP) to improve signal quality in the WCDMA network. This was done by characterizing the radio environment to identify factors that affected the Quality of Service (QoS). The parameters that triggered network snags were used to model a software based intelligent system which was done in an algorithmic approach. The result from the Solution Algorithm Embedded in a System Program (SAESP) showed an improvement of 33.60% on the signal quality of the test route.

Shared decision-making (SDM) is a process where clinicians and patients communicate and share evidence, giving patients an informed, active role in healthcare decisions.1 This paper addresses SDM in a local setting in the kingdom of Bahrain. Participants filled a questionnaire with two decisional-role outcome measures. Dependent variables were patient role preference pre- and post-consultation. McNamar-Bowker’s test was used to assess deviations in patient preferences pre- and post-consultation. A total (n=566) filled the questionnaire; 2.3% (95% CI; 1.2 - 3.9) preferred an active role while the majority preferred a collaborative role (43%, 95% CI; 39.0- 47.2) before their encounter with the doctor. Post-consultation, 7% of the participants had a less active role, and 31% a less collaborative role in comparison with their preference, whereas the passive role increased from 49% to 62.0% in relation to expressed preferences. It is apparent that the results lack symmetry (McNemar-Bowker S=38.5; DF=3; P= 0.001). Patients aged 36-49 years are less “collaborative” (33.1%) and more “passive” (57.5%) than younger and older age groups (p < 0.028). Higher educational meant more preference for the collaborative or active role (p < 0.01). Primary healthcare attendees prefer a passive role in SDM. Nevertheless, healthcare providers should not assume patient passivity in SDM, but must assess and treat each patient individually

Background: The examination of the lip print is known as Cheiloscopy. This is the method of identification of a person based on characteristic arrangement of lines appearing on the red part of the lips. Aim and Objective: This study was aimed at investigating gender variation in lip print pattern distribution of identical and non-identical twins. Methods: the study comprised 80 individuals (40 pairs- 25 pairs of non-identical and 15pairs of identical twins) of the Yoruba tribe of Nigeria (ranging between of ages of 5- 66 years) residing in Igbo-Ora community of Oyo state in Western Nigeria. The lips of the subjects were properly cleaned and a red lipstick was applied on it. After which, the lip print impression was made on a white plane sheet. Cellophane tape was then struck on it for permanent record. The obtained lip print was studied using a magnifying lens. Results and Discussion: The following were the results in identical twins, type I males (16.7%), females (12.5%); type I’ males and females 8.3%, type II males 33.3%, females 30.5%; type III males 18.8%, females 20.8%; type IV males I6.7%, females 18.1%; type V males and females 8.3%. whereas for the non-identical twins, type I males (18.8%), females (18.4%); type I’ males 7.8%, females 15.4%, type II males 31.2%, females 24.3%; type III males 21.9%, females 23.5%; type IV males I2.5%, females 14.0%; type V males 7.8% and females 4.4%. Conclusion: It is suggestive that certain pattern types have affinity for a particular gender probably due to hormonal interplay which ultimately results in variations in their distribution.

By Far the most defining feature of the 21st century, the Internet, has become an integral part of our daily lives. So much so, that many of us have become pathologically addicted to its use. This cross sectional study attempts to examine the existence and possible effects of Internet addiction among medical trainees in the Kingdom of Bahrain. A total of 291 medical doctors were asked to fill the “Internet Addiction Diagnostic Questionnaire” developed by Dr. Kimberly Young. The prevalence of Internet addiction was found to be quite significant, proving that medical trainees are among high-risk pathological Internet use groups because they use the Internet for both educational purposes and non-educational purposes as found in the results. The Majority of the participants frequently stayed online longer than they intended. It was also found that many of the participants frequently neglected their household chores to spend more time online, blocked out disturbing thoughts about life with soothing thoughts of the Internet, found themselves anticipating when they would go online again, feared that life without Internet would be boring, empty and joyless and tried to cut down the amount of time they spent online but failed

This project work evaluated the strip (rapid diagnostic test) method and microscopic method in the identification of malaria parasites. To evaluate the suitability of both methods and also to find the advantage and disadvantage of both methods. Two ml (2ml) blood sample was collected with a total number of 100 samples from children between the age of 5-14years presented with fever attending Federal Teaching Hospital Abakaliki, haematology/blood group serology unit into EDTA container in the basis of first come first serve were used. Out of the 100 patients under present study, 71% turned out to be positive as overall. Out of these, 59% were positive for strip method whereas 71% were positive for microscopic method (thick film). Both methods showed that the most pathogenic and predominant species in Abakaliki is plasmodium falciparum. Thick film was made in a clean grease free slide immediately after collection and allowed to air dry and stained with Giemsa stain diluted with buffered water (pH 7.2) for 20 minutes and the stained slide was viewed microscopically by focusing with XI0 and examine with XI00 objective (oil in immersion). Strip method (rapid diagnostic test) used is manufactured from standard diagnostics, INC. (SD). The test device was removed from the foil pouch, placed on a flat, dry surface. With the aid of a 5ul capillary pipette provided, draw whole blood to a black line and then transfer the drawn whole blood into the round sample well. Four drops of assay diluents was added vertically into the square assay diluent well. Result was read after 15 minutes, one line (control line) indicate negative result while two lines test and control line indicate positive result. Both methods are good in the identification of malaria parasites, but microscopy is the “gold standard”. Microscopic method requires high skill manpower, a lot of training/expertise and are not encouraged in rural area with low/no power supply. Strip method is rapid, does not requires expertise/training and it does not consume time, but it is just a screening test, if used should be confirmed with the microscopic method.

Prevalence of malaria parasiteamia among pregnant women (age range 20-50years) that attended mile four maternity hospital and Federal Teaching Hospital Abakiliki was analysed using standard laboratory procedure. The subjects were grouped based on age bracket, place of residence (rural, urban, and semi), occupation and prophylactic antimalaria drugs used. Thick film and giemsa staning was used for the malaria parasite identification and malaria parasite density calculation. Out of the 98 antenatal pregnant women blood sample analysed, 22(22%) of the blood film was positive for malaria parasite. Highest prevalence was seen in age group20-25years of age range 5(5.1%) followed by26-30yearsof age range 9(9.2%)and 31-40years of age range 5(5.1%). with the least prevalence in 41-50years of age range 3(3.1%).At 95% confidence interval. X: cal 1.48 < X2tab7.815. P= 0.6869. By conventional criteria, the difference is considered not to be statistically significant. Parasite densitycount was done in all positive samples, which is compared and categorized according to settlement ranged from 01 to 400 parasite/ul. The highest parasite density was recorded among rural dwellers 3(01-100) parasite/ul. 2(101-200) parasite/ul 3(201-300) parasite/ul, 2(301-400) parasite/ul. this is followed by urban dwellers 1(01-100) parasite/ul. 1(101-200) parasite/ul 4(201-300) parasite/ul. 1(301-400) parasite/ul, with least occurrence among semi urban dwellers 1(01-100) parasite/ul, 2(101-200) parasite/ul and 3(301-400) parasite/ul respectively. Prevalence of malaria parasite based on socio demographic profiles, analysis of occupational based prevalence showed highest prevalence among farmers 7(30.4%). followed by unskilled labourer 8(25.8%). then civil servants 4(23.5%) with least occurrence among skilled labourers. Malaria parasite prevalence based on settlement indicated highest occurrence among rural dwellers 11(27.5%), followed by urban dwellers 5(20.8%) with least occurrence among semi urban dwellers 6(17.6%). Analysis of prophylaxis based parameter indicated a prevalence of 14(25.0%) (Those who are not on prophylaxis) compared to a prevalence of 6(19.0%) among those not on prophylaxis

Youngsters are the future of the world, but their growth is affected by various social trends of thought and new media. Destructive Cults use the "broken windows theory" to do great harm to teenagers. In this paper, through the analysis of the realistic challenges of youth education, destructive cults use "broken windows effect" poisoning youngsters and so on, to illustrate its huge harm and adverse effects of destructive cults; based on the "broken windows theory" destructive cults prevention and control, the researchers put forward corresponding countermeasures and suggestions from the national social level and the individual level of young people, especially for youth training, education and guidance.

Background: Histoid leprosy (HL) cases are a reservoir of disease as it is a rare variant of lepromatous leprosy lead to further spread of leprosy. Therefore, early diagnosis and management of these cases needed to edadicate leprosy. The main objective of our present case series is to show different clinical features, histology findings and bacteriological findings in patients who attended tertiary care hospital outpatient department over last 6 years. Methods: It is a retrospective 6 year study (January 2014-January 2019). Particular of patients were obtained and clinical findings are noted in histoid leprosy patients in Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan (India). Results: In this study, there were 7 cases of HL. All cases were males in the age group ranging from 30 to 65 years with shorter duration of illness. 3 patients (42.80%) were de novo cases of HL. Nodule (71.5%) were the commonest skin lesions while arm (78%) were the most common sites involved.Earlobe infiltration was seen in 2 cases (28.5%). Lepra reactions were seen in one (14.2%) cases. No Deformity/disability were noted. Most common nerve involved was ulnar nerve. The bacteriological index (B.I) of Histoid leprosy, +3/ +4 were mainly seen in borderline leprosy (BB, BL), B.I +1/ +2 mainly in borderline tuberculoid (BT) leprosy. Conclusion: In this study majority of cases were de novo three out of seven.It also develop in patient who took inadequate or irregular treatment. So, early detection of Histoid Hansen is needed for awareness and to eradicate leprosy

The water forms an important component of our body and is essential for life. Water is involved in every bodily function from digestion and circulation through to the control of body temperature and the excretion of waste products. It plays an important role in body homeostasis. If there is an excess loss of water then it adversely affects various oral and surrounding structures. Water loss is temporary and can be easily replenished.

Background: The coexistence of primary hyperparathyroidism (PHPT) and thyroid disease (TD) is a well-known entity. The aim of our study is to report our experience, to evaluate the prevalence of this association with review of the literature. Methods: We retrospectively examined the operative database over the past 03 years. We looked for patients who underwent parathyroid surgery. All patients underwent preoperative neck US and Tc99m sestamibi scintigraphy and /or CT scan or MRI. Results: Among the 43 patients who underwent a parathyroidectomy. Preoperative thyroid US revealed that 62, 79 % of patients with PHPT had thyroid abnormalities. 58, 14 % patients underwent parathyroidectomy, whereas 41, 86 % patients underwent both parathyroidectomy and thyroidectomy. Postoperative histopathology results showed that 62.96% of patients had benign thyroid disease and 3.70 % of patients had malignant thyroid disease. Conclusion: In our study, we found a high prevalence of concomitant thyroid disease and PHP T. however, one patient had a micro papillary carcinoma and that emphasize the importance of careful judgment to avoid over-treatment

A geriatric patient is prone to a number of oral health problems like loss of teeth, xerostomia, mucosal alterations and others. The oral functions need to be restored. Prosthesis like RPD, FPD, CD can be used for restoring oral functions. However, all these require maintenance and care. This article deals with various techniques for oral health care in elderly and also emphasizes on the need for oral health education to the elderly population.

Grab is a ride-hailing platform that offers booking service for taxis, private cars, and motorbikes in South East Asia, including Indonesia. In Indonesia, Grab was ranked second largest, after Go-Jek. Both of them experience very tight company competition, both in offering affordable prices and offering the latest services and features. This study aims to examine and analyze the influence of service quality (reliability, responsiveness, assurance, empathy, tangibles) and price on customer satisfaction of online transportation Grab. The research was designed by using a conclusive experiment, in causal research type, using quantitative and survey methods. The data was taken by providing a questionnaire to 406 respondents using a non-probability sampling method which is an accidental sampling and judgmental sampling method. Analysis method used in the research is Multiple Regression Linear. The result shows that the variable such as reliability, responsiveness, empathy, tangibles significantly gave impact to customer satisfaction. In other hands, assurance did not significantly give impact. The future research in the same topic can use probability sampling method, especially stratified random sampling so that all the consumer population characteristics of Grab which are heterogeneous from various cities will be covered.

This study focused on the efficacy of the rational Emotive Behaviour Therapy in ameliorating the incidence of youth restiveness and militancy in the Niger Delta area of Nigeria. This study adopted the quasi-experimental research design. The participants of the study were thirty-five year two students from an intact two hundred level (200L) class as the experimental group and another thirty from year three hundred level students of an intact class, as the control group, from Niger Delta University, Bayelsa State of Nigeria. The treatment in the study has two levels, pre-treatment and posttreatment. Validated and reliable instrument called „Rational Emotive Inventory was used for data collection. This study has one research question and two null hypotheses to guide it. The mean, standard deviation and z-test statistics were used to analyse data in this study. The results of the study revealed a significant effect of the Rational Emotive Therapy on the experimental group, unlike the control group that received an inert treatment. From the study, the use of Rational Emotive Behaviour Therapy in the Universities of the Niger Delia area was recommended to work on the mindset of the student‟s restiveness and militancy in this country.