The purpose of this study was to assess the demographic, clinical, and haematological characteristics of women with hypertensive disorders of pregnancy (HDP) compared to normotensive pregnant individuals during their third trimester. It was a cross-sectional study involving 270 women with HDP and 270 normotensive individuals admitted to the maternity unit at Nelson Mandela Academic Hospital in South Africa. The definition of HDP followed the International Society for the Study of Hypertension in Pregnancy guidelines. Blood pressure was measured using an automated device and blood samples were collected for measurement of haemoglobin, platelet count, creatinine, alanine transaminase (ALT), aspartate transaminase (AST), and lactate dehydrogenase (LDH). The median age was 27 years while the youngest and oldest were 15 years and 46 years respectively. The unemployment rate was higher among women with HDP compared to normotensive individuals (p = 0.017). HIV prevalence showed no significant difference (p > 0.05). Hypertensive cases had higher median pulse rates [87(74-98) vs 82 (IQR:67-95) b/m, p = 0.023] and lower median platelet counts [(230 (IQR:159-281) vs 240 (IQR:192-293) x109/L, p = 0.009). Additionally, hypertensive cases had significantly (p < 0.0001) higher median levels of urea (3 vs 2 mmol/L), creatinine (60 vs 50 umol/L), AST (28 vs 21 u/L), ALT (14 vs 11 u/L), and LDH (383 vs 270 u/L).In conclusion, women with HDP exhibit distinct clinical and haematological differences compared to normotensive controls, highlighting the importance of careful monitoring for patients with HDP to mitigate potential complications.

When capital consultants invest in a business, they are likely to bear risks, especially property risks. The law has provided clear regulations on the property responsibilities of consultants, specifically members of limited liability companies and shareholders of joint stock companies. Accordingly, the property liability regime is a type of civil liability that members of a limited liability company and shareholders of a joint stock company may have to bear when contributing capital to the company. Although this is a liability regime, it is also a guarantee and a manifestation of the state's viewpoint and attitude toward investors. This liability regime includes two types: liability for the company's debts and property obligations within the scope of the capital contributed to the company, also known as the limited liability regime and the "personal" property liability regime arising in some special cases as prescribed by law.

Background: Chronic illnesses are increasingly prevalent worldwide and often coexist with psychological disorders such as depression and anxiety, which negatively impact patients’ quality of life, treatment adherence, and clinical outcomes. Despite this burden, data on the prevalence of depression and anxiety among hospitalized chronic illness patients in Bangladesh, especially in tertiary care, remain limited. Objective: This study aimed to determine the prevalence of depression and anxiety among chronic illness patients admitted into medicine department at Al Haramain Hospital, Sylhet and to explore associated demographic and clinical factors. Methods: A hospital-based cross-sectional study was conducted from April 2023 to March 2024 where 302 adult patients were diagnosed with chronic diseases. Depression and anxiety were assessed using the Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) scales. Sociodemographic and clinical data were collected through structured interviews and medical records. Data were analyzed using descriptive statistics and logistic regression. Results: Among patients, 38.4% were aged over 60 years, and 53.6% were male. Diabetes Mellitus (35.8%) and Hypertension (31.8%) were the most common chronic illnesses. Most patients (43.0%) had illness duration exceeding five years. Depression was identified in 72.2% of patients, predominantly mild (31.8%) and moderate (24.5%). Anxiety was present in 68.2%, mainly mild (33.8%) and moderate (21.2%). Females had higher rates of depression (76.4%) and anxiety (71.4%) than males. Depression prevalence increased with illness duration, reaching 78.5% among those ill for over five years, and was highest in patients with chronic kidney disease (81%) and diabetes (76.9%). Overall, 47.4% experienced mental health issues; 20.5% had both depression and anxiety. Conclusion: Routine mental health screening and integrated interventions are urgently needed in chronic illness care to improve outcomes and quality of life. Multidisciplinary approaches including mental health professionals are recommended, alongside further multicenter research to develop culturally appropriate interventions in Bangladesh.

Background: Preterm labor remains a leading cause of neonatal morbidity and mortality worldwide. Emerging evidence suggests that maternal iron status, particularly elevated serum ferritin levels, may be associated with preterm labor through mechanisms involving inflammation or oxidative stress. Methods: This case-control study was conducted at the Department of Obstetrics & Gynaecology, Dhaka Medical College Hospital, from June 2022 to May 2023. A total of 88 pregnant women were enrolled, with 44 cases in the preterm labor group and 44 in the term labor (control) group. Maternal serum ferritin levels were measured and compared between the two groups. Sociodemographic and obstetric data were also analyzed. Statistical significance was determined using appropriate tests, with a p-value < 0.05 considered significant. Results: The mean maternal age was 25.59 ± 5.80 years in the preterm labor group and 24.56 ± 5.41 years in the term group (p = 0.076). A higher proportion of preterm labor cases were multiparous (59.1%), whereas most term deliveries were in primiparous women (52.3%), though this was not statistically significant (p = 0.285). Serum ferritin levels were significantly elevated in the preterm labor group (89.09 ± 106.07 ng/mL) compared to the term group (32.13 ± 31.40 ng/mL), with a p-value of 0.004. A significant negative correlation was found between ferritin levels and gestational age (r = -0.313, p < 0.05). Conclusion: Elevated maternal serum ferritin levels are significantly associated with preterm labor and inversely correlated with gestational age. Serum ferritin may serve as a potential biomarker for identifying women at risk of preterm delivery.

Gout is a metabolic condition characterized by recurrent episodes of acute arthritis, primarily resulting from the deposition of monosodium urate crystals in and around the joints. Recognized as one of the oldest known diseases, it is referred to as Niqris in the Unani system of medicine. This system is based on the Hippocratic concept of the four humours (Akhlāṭ): Dam (blood), Balgham (phlegm), Ṣafrā’ (yellow bile), and Sawdā’(black bile). According to Unani medicine, such disorders arise from an imbalance of these humours, alteration in Mizāj’(temperament), and the accumulation of abnormal substances (Mawad-e-Fasida) in the joint spaces. Classical Unani physicians believed that Niqris typically affects individuals who have an excessive buildup of abnormal humours and are unable to eliminate them from the body. These retained substances settle in the joints, set off inflammatory responses marked by sharp pain, swelling, redness, and heat. This study aims to analyze the Unani perspective on the etiopathogenesis and clinical features of gout, as documented in classical texts, research articles, and manuscripts. The findings highlight the depth of Unani medical understanding and its potential role in guiding effective preventive and therapeutic strategies for the management of gout.

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Occipital encephalocele, a rare congenital malformation resulting from defective neural tube closure, accounts for 20.4% of cerebral encephaloceles, with surgical repair being the only effective treatment. This retrospective study presents four cases diagnosed at Mohammed VI University Hospital in Marrakech, highlighting prognostic variability based on lesion characteristics. The four patients, who had not received periconceptional folic acid supplementation and had inadequate prenatal follow-up, were incidentally diagnosed between 34 and 39 weeks of gestation. The first case involved an isolated encephalocele containing only cerebellar herniation, surgically treated on day 5 with a favorable outcome despite mild neurodevelopmental delay. The second case presented a massive encephalocele associated with spina bifida and clubfoot, requiring combined neurosurgical and orthopedic management, resulting in moderate sensorimotor deficits. The third case exhibited a giant encephalocele with severe cerebral herniation and secondary microcephaly, while the fourth case showed associated craniofacial anomalies; both of these latter cases resulted in early neonatal demise. This study underscores several key aspects: the importance of ultrasound as an initial screening tool, supplemented by fetal MRI for precise prognostic evaluation; the critical need for early multidisciplinary management involving obstetricians, radiologists, neurosurgeons, and pediatricians; and the essential role of periconceptional folic acid supplementation, particularly in populations at risk of nutritional deficiency or consanguinity.

This research presents a comprehensive thermal and structural evaluation of a newly developed aluminium matrix composite reinforced with selected agricultural by-products—palm kernel shell, bamboo fibre, rice husk, and groundnut shell—using Finite Element Analysis (FEA) within the ANSYS 2025 environment. Aluminium scrap served as the matrix material in the composite fabrication. The experimental design followed a D-Optimal mixture approach, yielding twenty-five specimen combinations, each tested thrice, with mean values recorded. Specimen fabrication employed the stir casting technique. Optimization of process parameters and response outcomes was performed using Design Expert software. The composite model was developed using SOLIDWORKS for subsequent simulation analysis. Results from the thermal and structural simulations indicate a fatigue life of 1 × 10⁶ cycles. The computed maximum and minimum total heat fluxes were 1.8122 × 10⁶ W/m² and 1.515 × 10⁶ W/m², respectively, while the fatigue damage factor reached 1000. The safety factor varied between 4.836 and 15. Temperature values ranged from 23.685°C to 170.000°C. The composite exhibited equivalent elastic strain values between 1.054 × 10⁻⁶ and 2.9051 × 10⁻⁵. Directional deformation along the x-axis ranged from –2.5905 × 10⁻⁷ m to 2.5889 × 10⁻⁷ m. Equivalent (Von-Mises) stress was recorded between 1.3224 × 10⁵ Pa and 5.8104 × 10⁷ Pa, while total deformation ranged from 0.0000 m to 2.5912 × 10⁻⁷ m. These findings underscore the mechanical and thermal reliability of the developed composite material for engineering applications under variable thermal and mechanical loads.

This study examines the juridical aspects of cyber defamation against state officials through internet media in Semarang, Indonesia, with a focus on the enforcement practices of the Central Java Regional Police (Polda Jateng). The research aims to analyze the phenomenon, legal challenges, and potential solutions to cyber defamation, which undermines the authority of state officials and public trust in governance. Employing a qualitative juridical approach, the study combines normative legal analysis with a case study of Polda Jateng’s handling of defamation cases. Data were collected through legal document reviews, including Indonesia’s Electronic Information and Transaction Law (UU ITE) and Constitutional Court rulings, alongside interviews with law enforcement officials. Findings reveal that cyber defamation is driven by public dissatisfaction, political conflicts, and legal ignorance, exacerbated by the broad interpretation of UU ITE’s defamation provisions. The study highlights the tension between protecting state officials and safeguarding freedom of expression, as excessive use of UU ITE risks criminalizing legitimate criticism. Proposed solutions include preventive education on internet ethics, stricter enforcement protocols, and enhanced victim support mechanisms. This research contributes to the development of criminal law and information law, offering practical recommendations for balancing state authority and individual rights in the digital age.

The three-year course of the Ukrainian war suggests one possibility. Mathematical models can be used to calculate or predict complex and large-scale coalition wars. A mathematical model created in 2022 suggests that the Ukrainian war will be a long-term struggle in the area between the L1 and the L2 line. This model also assumes a high-risk scenario. In the future of 2026, if there is a full-scale war between the US alliance and the Chinese alliance in East Asia, it will be difficult for the US alliance to win. If this model is verified again in 2026, the mathematical model can be used to predict a large-scale coalition war.

Politics is an essential element of a country. Bangladesh is no different. Politics must work in a way that the people can get benefits from it and help them to improve their quality of life, address their concerns, and contribute to the development of a fair and just society. This study explores the existing connection between politics and corruption in Bangladesh, focusing on their underlying motives and objectives. It explores the corrupt practices of politicians in Bangladesh and their influence in public sectors’ corruption. A qualitative research approach is implied to get secondary data from investigative reports, newspaper articles, and research articles. The article goes through extensive case study analysis and finds out how the corruption is intertwined with politics. The findings of this study reveal that politicians leverage their positions for monetary gain, creating patronage networks, and the exercise of power and influence. The study also highlights how corruption undermines governance, disrupt services, and create inequality among the people of the country. The insights of the findings put emphasize for systemic reforms in anti-corruption commission, judiciary as well as to form independent oversight bodies and build citizen engagement to restore public trust and promote accountability.

Background: Ischaemia or infarction occurring due to Coronary Artery Disease (CAD) causes left ventricular systolic and Diastolic dysfunction (DD). DM speeds up the process of coronary atherosclerosis as well as functional and structural cardiac impairments, exhibiting DD at the early stages. Severity of CAD is best assessed by coronary Angiography (CAG). Early diagnosis of this condition is warranted as the mortality risk from it is high. The objective of this study was to detect the CAD in diabetic chronic stable angina with grade IV DD. Material and Methods: 74 Diabetic patients with chronic stable angina with grade-IV diastolic dysfunction were included in this cross-sectional observation study which was done in department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh from July 2023 to June 2024. Results: 32 (43.24%) subjects in rural and 42 (56.75%) subjects in urban areas. Proportion of males was 55%. Mean age of study population was (43 + 4.50) years. Mean age(57+7.0 vs 40+8.21years) in rural was significantly higher than urban subjects. 69 (51.06%) were SOB, 26 (19.24%) were tachycardic, 14 (10.36%) had bradycardia, 59 (43.66%) had hypotension, 21(15.54%) had raised JVP, 19(14.06%) had basal crepitation, 19(14.06%) had dependent oedema, 7(5.18%) had hepatomegaly and only 6(4.44%) had Ascites. Most of the dyspneic patients were in NYHA III stage. Around 30% patients were right dominant coronary artery. Most patients had significant stenosis in both LAD and LCX. About one third patients had insignificant stenosis in RCA. Conclusion: There is a relationship between coronary artery disease and Grade IV DD.

Introduction: A comprehensive systematic review and meta-analysis reported that chronic kidney disease (CKD) has a worldwide prevalence of around 13.4%, underscoring its emergence as a global health concern [1,2]. Alongside CKD, patients are often affected by multiple co-morbidities such as hypertension, diabetes, and cardiovascular disorders [2-4] Methodology: A prospective observational study was conducted over six months in the Department of Nephrology at Karuna Medical College Hospital, Chittur, Palakkad. The study enrolled adult participants aged 18 to 70 years with moderate to severe chronic kidney disease (CKD). Patients were classified into CKD stages G1, G2, G3a, G3b, G4, and G5[5] Results: Table 1 shows the association of CKD stages across various demographic factors, BMI, and comorbidities. There was no statistically significant association between age and CKD stages. Among 188 patients maximum cases were observed in CKD stage V (34.57%), followed by CKD stage IV (27.65%). Table 3 shows that a higher number of patients were prescribed cilnidipine (27.4%), followed by telmisartan (19.0%), and the lowest number of patients were prescribed metolazone (1%), vasopressin (1%), and verapamil (1%). Table 4 shows that a higher number of patients were prescribed insulin (32.25%), followed by linagliptin (28.0%), and the lowest number of patients were prescribed voglibose (0.53%). Conclusion: This study emphasized the complexities involved in treating patients with chronic kidney disease (CKD), particularly when co-existing health conditions are present. It provided valuable information on current clinical practices and foundational data relevant to managing such patients.

Background: Endometriosis is a chronic inflammatory condition affecting women of reproductive age, with a notably higher prevalence in those experiencing infertility. Given this association, the study aimed to assess how socio-demographic and clinical factors relate to the severity of endometriosis based on laparoscopic findings in infertile women. Aim of the study: The aim of the study was to evaluate the association between socio-demographic and clinical factors with the severity of endometriosis based on laparoscopic evaluation in infertile women. Methods: This cross-sectional study was conducted in the Department of Obstetrics and Gynaecology at CARE, BIRDEM General Hospital, Dhaka (July 2013-June 2015) involving 127 infertile women. Data were collected regarding sociodemographic characteristics and clinical factors using a structured data collection sheet. BMI was calculated from weight and height and included in the data collection sheet. Laparoscopic diagnosis and staging used the Revised American Fertility Society criteria. Data analysis employed SPSS 20 (descriptive statistics, t-tests, chi-square tests). Results: In a study of 127 infertile women, Stage I endometriosis was most common, with Stage IV less frequent. Older age was linked to Stage I (p=0.016), and upper-class women had a higher prevalence (p=0.003). Lower BMI was associated with Stage IV (p=0.043). Severe stages, especially Stage IV, were significantly linked to dysmenorrhoea, menorrhagia, dyspareunia, and chronic pelvic pain. Conclusion: Socioeconomic background, age, BMI, and symptom profiles may serve as valuable indicators of endometriosis severity in infertile women undergoing laparoscopic evaluation.

Background: Chronic dacryocystitis is a common condition caused by an obstruction in the nasolacrimal duct, leading to excessive tearing, recurrent infections, and discomfort. The condition is often managed through dacryocystorhinostomy (DCR), which can be performed via two primary techniques: external DCR and endoscopic endonasal DCR. The external approach, a well-established procedure, requires an incision over the lacrimal sac, while the endoscopic technique offers a minimally invasive alternative with no external incision. The effectiveness, complication rates, and recovery times of these two methods are subjects of ongoing debate. Objective: This study aims to compare the outcomes of external versus endoscopic endonasal DCR in the management of chronic dacryocystitis. Methodology: An observational study was conducted at the Department of Ophthalmology, a tertiary hospital in Dhaka, from January 2024 to January 2025. A total of 30 patients diagnosed with chronic dacryocystitis were divided into two groups, with 15 undergoing endoscopic DCR and 15 undergoing external DCR. Demographic data, preoperative complications, and postoperative outcomes were recorded and analyzed using statistical methods to assess the efficacy of both approaches. Results: No significant differences were found between the two groups in terms of age, gender distribution, or preoperative complications. However, the mean duration of surgery was significantly longer in the endoscopic group (60.5 ± 7.9 minutes) compared to the external group (53.1 ± 6.2 minutes) (p = 0.042). Postoperative results revealed that 76.7% of the endoscopic group and 83.3% of the external group had patent drainage systems, with no statistically significant difference in epiphora rates or sac patency between the groups. Bleeding complications were mild to moderate, and no significant differences in severity were observed between the two techniques. Conclusion: Both external and endoscopic endonasal DCR are effective for treating chronic dacryocystitis, with comparable outcomes in terms of epiphora resolution, sac patency, and complications. While the endoscopic technique showed a longer surgical duration, the two approaches yielded similar results in postoperative follow-ups. The choice of technique should be guided by individual patient factors, surgeon expertise, and patient preferences, as both methods offer satisfactory results in chronic dacryocystitis management.