Rabindranath Tagore, a visionary philosopher and educator, emphasized the vital role of physical education and sports in promoting peace and social cohesion. His unique approach integrated physical development with intellectual and emotional growth, aiming to create well-rounded individuals who could actively participate in and enhance the well-being of society. Tagore’s educational institutions, such as Visva-Bharati, embodied his philosophy, where physical activities were not merely recreational but were seen as essential for holistic human development. Present research explores Tagore’s thoughts and actions on the integration of physical education and sports with his broader ideals of peace, humanism, and global harmony. Present article examines how his educational practices and the role of sports in his pedagogy provided insightful learning in the overall character and personality development of children. Further, the current review explored the significance of physical training and sports culture in Tagore’s childhood and later life. This investigation highlights how he infused physical education and sports through his literary work on poem, poetry, music and drama. Through this exploration, the present article emphasizes the relevance of Tagore's ideas in contemporary discussions on peace, education, and the role of sports in promoting global unity.

The Traveling Salesman Problem (TSP) is a well-known combinatorial optimization problem with significant applications in logistics, transportation, and network design. Efficiently solving this problem requires a careful balance between exploration and exploitation while addressing challenges such as premature convergence and stagnation in local optima. To tackle these issues, numerous algorithms from different perspective have been designed and developed. Among them, Simulated Annealing (SA) is a widely used meta-heuristic approach for solving TSP due to its ability to escape local optima and explore a broad solution space. However, conventional SA can still become trapped in local minima, leading to suboptimal solutions. In this paper, we propose an enhanced SA algorithm that incorporates self-escape mechanism to improve the solution quality of the TSP instances. The self-escape mechanism dynamically identifies trapped routes and facilitate better exploration and diversification. Specifically, the self-escape mechanism introduces a local search refinement process, allowing solutions to effectively escape local optima. Simulation results on benchmark TSP instances demonstrate that the proposed algorithm outperforms conventional SA in terms of solution accuracy. The findings suggest that self-escape mechanism can significantly enhance the effectiveness of SA by preventing premature convergence in complex optimization problems.

Objectives: To assess the predictive value of Pediatric Early Warning Scores (PEWS) for identifying respiratory deterioration in children presenting to the emergency department. Methods: A thorough search across four databases identified 455 relevant publications. After removing duplicates using Rayyan QCRI and screening for relevance, 36 full-text articles were reviewed, with 5 studies ultimately meeting the criteria for inclusion. Results: We included five studies with a total of 155,836 children and 87,424 (56.1%) were males. PEWS has been demonstrated to significantly enhance clinical outcomes by enabling early recognition of patient deterioration, allowing for preemptive action. It has shown potential as a predictive tool for hospitalization, particularly in identifying children at risk of severe outcomes. PEWS also aids clinicians in prioritizing patient care, escalating care more effectively, and making informed decisions regarding the need for intensive monitoring or transfer to specialized care units. Conclusion: PEWS is a valuable tool in pediatric emergency and critical care, with significant potential to improve patient outcomes by facilitating the early detection of deterioration. However, to maximize its benefits, PEWS should be integrated into a broader clinical assessment and decision-making framework, complemented by other diagnostic indicators and clinical judgments. Future research should focus on refining the scoring system to enhance its sensitivity and specificity, tailoring its application to effectively address different pediatric conditions.

This review article discusses the critical role of social services in helping families care effectively for long-stay patients following discharge from hospital. Conscious that there are complexities that surround long stay patients, the article evaluates how integrated social service interventions promote coordinated care, improve patient discharge planning, and close the gap between hospital and home environment. Such important factors as communication, cultural competence and allocation of resources are discussed to point out their influence on the families’ willingness to support patients after discharge. The research shows that high social support systems enhance health outcomes, decreases readmission rate, and makes the transition to community care easier. However, such persistent barriers; including lack of funding, lack of staff, and systemic fragmentation impede the effectiveness of social services. Through the identification of these barriers, the review highlights the need for improved collaboration between healthcare providers, social workers and community organisations. It requires further studies to shed more light on the dynamics of social services and their effects on patients and families experience, which in the end would call for policies that favor creation of equitable access and comprehensive support mechanisms for long-stay patients and caregivers.

Objectives: To systematically review and synthesize available clinical and experimental evidence on the effects of beta-blockers in the treatment of acne vulgaris. Methods: A thorough search across four databases identified 412 relevant publications. After removing duplicates using Rayyan QCRI and screening for relevance, the search yielded 209 publications, of which 29 full-text articles were reviewed, and 5 met the eligibility criteria for evidence synthesis. Results: We included 5 studies with a total of 205 patients and 140 (68.3%) were females. The findings consistently indicated beneficial effects in the management of non-inflammatory acne lesions, post-acne erythema, and acne scarring—particularly when used in conjunction with fractional CO₂ laser therapy. Across all studies, the treatment was well tolerated with no significant adverse effects reported. Conclusion: Topical beta-blockers, especially timolol maleate 0.5%, represent a promising adjunct in the treatment of acne vulgaris. Their clinical effectiveness, safety, and affordability make them a compelling option, particularly for patients unresponsive to or intolerant of standard therapies. Further randomized trials are necessary to validate their role and establish standardized treatment protocols.

This study investigates the application of Artificial Neural Networks (ANNs) for rainfall-river modelling in the Oramiriukwa River, located in Owerri, Imo State, Nigeria. The study utilizes daily streamflow data from the Ulakwo station (1978–1988) alongside corresponding rainfall and temperature data for Imo State, obtained from the Nigerian Meteorological Agency (NiMet). A series of Feedforward Multi-Layer Perceptron (MLP) models were developed and tested using MATLAB, with performance evaluated using Mean Squared Error (MSE), Root Mean Squared Error (RMSE), and Coefficient of Determination (R²). Among the models, Model 4 ([15]) delivered the best results, achieving an R² of 0.9158, MSE of 0.1294, and RMSE of 0.3597, demonstrating its effectiveness for streamflow prediction in the Oramiriukwa River. Model 2 ([30, 15, 5]) also showed good performance (R² = 0.9029), but its increased complexity suggested a potential risk of overfitting. Model 1 ([20, 10]) yielded lower predictive accuracy, highlighting the need for more complex architectures or additional input features to improve ANN performance for hydrological applications. These results confirm the effectiveness of ANNs in modelling nonlinear hydrological processes and suggest their potential for improving streamflow prediction in similar river basins. This study contributes to the growing use of data-driven methods in hydrological modelling in Nigeria and offers a foundation for future work aimed at enhancing the accuracy and robustness of ANN models.

Background: Smoking remains a significant public health concern in the UAE, with efforts to reduce its prevalence facing various challenges. Vaping has emerged as a potential harm reduction strategy, yet little is known about its perceptions, usage patterns, and health outcomes among smokers and ex-smokers in the country. This study aims to assess the perceptions of vaping, its usage patterns, and self-reported health outcomes among current and former smokers in the UAE. Methods: A cross-sectional survey was conducted among adults and ex-smokers across the UAE. A structured questionnaire will collect data on demographics, smoking and vaping history, perceived harm reduction, usage patterns, and self-reported health effects. Descriptive statistics, chi-square tests, and logistic regression models were analyzed for the data. Results: In the research, 290 participants identified as male (93.1%), with their mean age at 34.7 years (±9.2). Most individuals who started vaping were between 19 and 25 years of age (52.8%). Current smokers evaluated vaping more favorably than former smokers on all key dimensions, although harm reduction, harm reduction support, and social approval ratings proved particularly significant (p < 0.01). Former smokers provided evidence showing they consider vaping to be a substance with addictive properties (p < 0.001) aimed at youth (p < 0.01) and dangerous to use occasionally (p < 0.01). A significant number of 41.4% of participants showed better respiratory symptom improvement following vaping, yet this response was more prominent among former smokers at 58.3% than current smokers at 39.0% (p < 0.005). Commitment to conventional smoking increased the risk of adverse effects between 21.65% for active smokers and 16.7% for previous users (p < 0.001). Multivariate logistic regression identified former smoking status (AOR = 2.8, p < 0.001), strong belief in vaping as a cessation aid (AOR = 1.9, p < 0.001), and higher education (AOR = 1.6, p = 0.04) as significant predictors of exclusive e-cigarette use. Conclusion: Ex-smokers gain greater advantages from vaping, but existing cigarette users mostly suffer additional negative consequences and reduced positive outcomes. Vaping behavior strongly depends on how much individuals believe vaping harms them, works as a substitute, or fits into their social environment based on their smoking status. The promotion of exclusive e-cigarette usage for cessation requires complete educational programs, together with strict regulation measures and persistent assessment of health results.

The rise of multinational corporations and the globalization of global capital markets have led to a growing need for a unified set of accounting standards that can be used internationally. In line with these global trends, implementing consistent and clear financial reporting has become more important than ever in the Kingdom of Saudi Arabia. This study aims to analyze the impact of adopting International Financial Reporting Standards (IFRS) on information asymmetry in the Kingdom of Saudi Arabia. To evaluate this impact, the study employs quantitative proxies—namely, bid-ask spreads and cost of capital—as measures of information asymmetry, assessing how financial reporting has changed following IFRS implementation. Based on a sample of 30 companies according to specific criteria, the analysis focuses on two distinct time periods: the pre-IFRS period (2014-2016) and the post-IFRS period (2018-2020). By covering all sectors, this study provides a comprehensive assessment of the impacts of IFRS on a broad economic scale. The findings reveal a statistically significant reduction in information asymmetry following the adoption of IFRS. Specifically, the cost of capital decreased by 1.2%, while bid-ask spreads narrowed by approximately 0.1%. These results indicate improved financial reporting transparency and increased market efficiency following the adoption of the standards. The impact was more pronounced and direct in market metrics, highlighting investors' response to higher reporting quality. The results remain robust after controlling for firm-specific financial variables and applying the necessary model diagnostics.

Stillbirth is most commonly caused by problems that arise during pregnancy. Some of the major causes of stillbirth include infections within the uterus, lack of oxygen during birth, high blood pressure, eclampsia, premature labor, and inadequate prenatal care. The study aimed to examine whether Maternal and Fetal Risk Factors are associated with stillbirth. A six-stage scoping review framework was utilized by the Saudi Digital Library SDL, which includes a variety of databases such as ScienceDirect, EBSCO, PUBMED, BIOMED CENTRAL, CINAHL, and Google Scholar, and was searched for studies examining the association of Maternal Risk Factors and Fetal Risk Factors associated with stillbirth. The studies addressed maternal and fetal risk factors for stillbirth and conditions among pregnant women with dead fetuses. There was a spectrum of risks; Obesity, maternal medical history, anemia, hypertension, and diabetes mellitus, placentas, and pathology of the placenta were the most common risks of stillbirth. Further research attempts to conceptualize stillbirth risk factors and explore them. perspective is needed to help inform stillbirth reduction strategies and efforts to prevent and reduce the scale of stillbirth. 19 studies met the inclusion criteria for this review, Pregnancy complications are the main cause of stillbirth. Maternal health conditions, birth asphyxia, eclampsia, preterm labor, and insufficient prenatal care are significant contributors to stillbirth.

Background: Vitamin D deficiency and dyslipidemia are both common in individuals with type 2 diabetes and may contribute to increased cardiovascular risk. This study aims to assess the correlation between serum 25-hydroxyvitamin D levels and lipid profile parameters in patients with type 2 diabetes mellitus. Aim of the study: The aim of the study was to evaluate the correlation between 25-Hydroxyvitamin D levels and lipid profiles (TG, TC, LDL, HDL) in individuals with Type 2 diabetes. Methods: This cross-sectional study was conducted at the Department of Clinical Biochemistry and the Department of Biochemistry and Cell Biology, BIRDEM General Hospital, Dhaka, Bangladesh, from July 2014 to June 2015, including 200 participants (130 with type 2 diabetes, 70 healthy controls). After informed consent, demographic data and blood samples were collected for fasting plasma glucose, lipid profile, 25-hydroxyvitamin D, HbA1C, and postprandial glucose analysis. Biochemical tests were performed using standard methods, and data were analyzed with SPSS v21, with statistical significance set at p ≤ 0.05. Results: Type 2 diabetics had significantly lower vitamin D levels and higher BMI compared to non-diabetics. Hypovitaminosis-D was more common in diabetics (44.6% vs. 22.9%, p = 0.002). Diabetics also had higher total cholesterol, LDL, and triglycerides (all p < 0.001). In diabetics, vitamin D levels were inversely correlated with cholesterol, LDL, and triglycerides, and positively correlated with HDL. Conclusion: Vitamin D deficiency is significantly associated with dyslipidemia in type 2 diabetic patients, showing strong negative correlations with LDL and triglycerides and a positive correlation with HDL.

Background: Dengue fever is a significant global health concern, particularly in tropical and subtropical regions, including Bangladesh. Hematocrit levels play a crucial role in monitoring plasma leakage and disease severity in Dengue patients. This study aims to observe the hematocrit levels and other hematological parameters among Dengue fever patients admitted to a tertiary care hospital. Methods: This cross-sectional observational study was conducted at Tairunnessa Memorial Medical College Hospital from March 2022 to August 2022. A total of 80 confirmed Dengue patients were included in the study. Daily hematocrit levels, hemoglobin levels, and white blood cell counts were recorded over a 10-day monitoring period. Data analysis included descriptive statistics to assess trends and variations in these hematological parameters. Result: The majority of participants (27.5%) belonged to the 18-27 years age group, with a nearly equal gender distribution (52.5% males, 47.5% females). Dengue fever with and without warning signs accounted for 93.75% of cases, while severe Dengue was observed in only 6-25% of cases. Fever was present in all patients, with headache (65%) and myalgia (47.5%) being the most common associated symptoms. The mean hematocrit level peaked on Day 3 (47.58±5.22%) before progressively declining, while hemoglobin levels followed a similar trend, peaking on Day 3 (16.02±1.92 g/dL) and reaching the lowest on Day 9 (12.82±1.42 g/dL). White blood cell counts declined until Day 4 (3333.52±24.11 per cu.mm) and then showed a gradual increase. Recovery was observed in 93.75% of cases, with a mortality rate of 1.25%. Conclusion: The study highlights the importance of monitoring hematocrit and other hematological parameters in Dengue fever patients for early detection of complications and effective management. While the majority of cases were Dengue fever with and without warning signs; the observed hematological trends underscore the need for vigilant monitoring to prevent severe outcomes. Further large-scale studies are warranted to strengthen clinical guidelines for Dengue management.

This research investigates the role of Patient Relationship Management (PRM) in enhancing patient satisfaction in government hospitals of Chhattisgarh, India, emphasizing the contributions of Information Technology (IT) and the Continuum of Care (CoC). A quantitative research design was employed, collecting data from 440 patients across district hospitals, community health centers, and medical colleges using a structured questionnaire adapted from validated scales (PAM, SERVQUAL, PSQ-18). Descriptive statistics indicated that 59.3% of respondents were aged 25-34 years, with 69.2% female. Inferential analyses, including Chi-square tests (χ²=18.92, p<0.01), t-tests (p>0.05 for gender), ANOVA (F=4.62, p<0.01), Pearson correlations (loyalty: r=0.631; trust: r=0.598; IT: r=0.453), and regression analysis (R²=0.532, β for IT=0.312, p<0.01), confirmed significant relationships between PRM, IT, CoC, and patient satisfaction. IT was a strong predictor of satisfaction (β=0.586, p<0.01), explaining 34.2% of the variance, and structured care plans significantly enhanced outcomes (χ²=18.92, p<0.01). The findings highlight the need for integrating advanced IT solutions (e.g., Electronic Health Records, telemedicine) and structured CoC plans to improve patient experiences and health outcomes in public healthcare settings, particularly for younger and rural populations. Policy implications include investing in IT infrastructure and CoC frameworks to advance universal healthcare goals in resource-constrained environments.

Introduction: Prenatal consultation is a preventive medical act used to detect and treat possible complications arising during pregnancy. The aim of our study was to evaluate the quality of prenatal consultations in a rural community health center. To do this, we assessed the quality of services, determined prenatal consultation procedures and determined the degree of satisfaction of pregnant women who come to this community health center for prenatal consultations. Methodology: This was a prospective, descriptive study in 2022, involving 98 pregnant women systematically surveyed from October 1 to December 31, 2022, to assess the quality of care and services. All pregnant women who came to the Sido Community Health Center for a prenatal consultation during the study period and who agreed to take part in the study were included in the study. Pregnant women who refused to comply with the recruitment conditions, and those who came for reasons other than a prenatal consultation, were not included in the study. Results: At the end of our study, we found that the majority of our pregnant women were aged between 20-29 years, i.e. 56.8%, with an average age of 23.23 years. Antenatal consultation activities were carried out by midwives in 50% of cases, obstetric nurses in 19.4% of cases and matrons (unqualified personnel) in 36.6% of cases. Hand washing before examining a new gestational carrier was 18.36%, and gestational carrier satisfaction was 94.9%. Conclusion: There are certain areas for improvement, such as the omission of certain procedures, either through ignorance of their importance, or through negligence and inadequate technical facilities, in this case the absence of an ultrasound scanner in the health area.

The increasing global demand for herbal aphrodisiac products has raised concerns regarding their safety and quality due to potential adulteration with synthetic or conventional pharmaceutical active ingredients. This study investigates the presence of sildenafil and tadalafil in selected herbal mixtures marketed for sexual enhancement available in Nigeria, including Mai Sulhu, Mai Rahusa, Mai Sasangi, Jaolin, Saigari Jawaye, and Manisa. A combination of preliminary phytochemical screening, Thin-Layer Chromatography (TLC), and Fourier Transform Infrared Spectroscopy (FTIR) analysis was used to analyze the samples. Phytochemical screening using Dragendorff’s reagent indicated the presence of alkaloids in five of the samples, except Jaolin, suggesting the inclusion of bioactive compounds. TLC analysis revealed that four herbal mixtures had Retention Factor (Rf) values matching those of tadalafil, 0.60 (Mai Salhu and Mai Rahusa), and sildenafil citrate, 0.47 (Saigari yawaye and Manisa), indicating possible adulteration. FTIR spectroscopy further confirmed the presence of these synthetic phosphodiesterase-5 (PDE-5) inhibitors, as spectral peaks in some samples closely correlate with those of sildenafil and tadalafil. The detection of these undeclared pharmaceuticals poses significant health risks, including cardiovascular complications and hazardous drug interactions, as well as potential erectile dysfunction. These findings emphasize the need for stricter regulatory oversight, improved quality control measures, and public awareness regarding the risks associated with adulterated herbal aphrodisiacs. Routine screening using advanced analytical techniques such as High-Performance Liquid Chromatography and Mass Spectrometry is recommended to enhance detection accuracy and precision.

This study aims to apply Behaviorist Theory to the analysis of language errors made by Hausa students learning Arabic. Although language teaching and learning have long been subjects of interest, they often lack a scientific framework grounded in applied linguistics. Over time, several theories have emerged to explain how language is acquired, among which the Behaviorist Theory remains one of the most prominent. Drawing on their teaching experience, the researchers observe that this theory can significantly enhance both language teaching and learning processes. The relevance of this study lies in the continued scarcity of applied linguistic data concerning second language acquisition, particularly among Hausa learners. This research adopts a descriptive-analytical approach to explore the types and causes of errors. The findings indicate that the language errors made by Hausa students in learning Arabic include spelling, morphological, and grammatical mistakes - with spelling errors being the most prevalent and obstructive. The study suggests that these errors can be effectively addressed within the framework of Behaviorist Theory.