Saudi learners, like non-native learners in other non-English-speaking nations, face numerous difficulties and hurdles in their acquisition of the English language. This study aims to elucidate the difficulties and challenges Saudi EFL learners encounter in acquiring English. It also delineates the diverse learning strategies Saudi EFL learners utilize to address such issues and challenges. The study employs open-ended and unstructured interviews to gather qualitative data from selected Saudi EFL learners. The participants convey their experiences and perspectives regarding the obstacles and challenges encountered in language acquisition. The study's findings indicated that Saudi EFL learners face numerous challenges in terms of listening, reading, speaking, writing, grammar, pronunciation, vocabulary, cultural and environmental factors, and interference from their native language. This study aims to provide significant insights for course designers, teacher trainers, policymakers, and aspiring EFL teachers in Saudi Arabia, while also enhancing the awareness of the broader TEFL/TESOL community regarding the issues discussed within its contents.
ORIGINAL RESEARCH ARTICLE | Oct. 7, 2024
Oral Care in ICU Mechanical Ventilation Patients and Associated Pneumonia: A Literature Review
Nourah Yousef Alharbi, Mohammed H. Giman, Sarah S. Aljubair, Abdullah M. Alsaidan, Sulaiman H. Alawadh, Abdulrahman M. Alshahrani, Nawal M Alnazawi, Abdulrahman A. Almoyif, Ahmed S. Alajlan, Fahad A. Alsubaie
Page no 414-422 |
DOI: https://doi.org/10.36348/sjm.2024.v09i10.001
Background: Poor oral health can lead to hospital-acquired pneumonia, a serious condition that can prolong patient care and increase the risk of mortality. The bacteria found in the oral cavity of patients with periodontal disease can be particularly harmful if inhaled into the lungs. Patients who are on mechanical ventilation are at an increased risk of developing aspiration pneumonia. Objective: to investigate the effect of oral care on ventilation associated pneumonia (VAP) and various types of such care. Methods: This review article is performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The literature exploration was done in PubMed, Embase, and Web of Science databases for articles published between 2011 and 2023. The search words were "Mechanical ventilation, intubation, pneumonia, dental care, oral care and ICU ". Results: A total of 21 studies were included, the studies were randomized controlled trials (RCTs) or quasi-RCTs and observational studies. Twice-daily oral care with tooth brushing using purified water can significantly reduce the incidence of VAP. Oral care with chlorhexidine and brushing, as well as enhanced oral care, can also be effective in reducing the incidence of VAP. Improved education and implementation of oral care protocols with 0.12% chlorhexidine solution can significantly reduce the incidence of VAP. Conclusions: The review concludes that good oral hygiene, especially twice-daily oral care with tooth brushing using purified water, can significantly reduce the incidence of VAP in mechanically ventilated patients.
ORIGINAL RESEARCH ARTICLE | Oct. 7, 2024
The Patterns of GI Cancers in Western Sudan
Mohamed Mahgoub Hassan Khalifa, Tumadir Mohamed Adam Ali, Ahmed Abdalla Ajab Eldour, Galeela Abdalgader Salem, Hassan Mahgoub Hassan Khalifa, Mohamed Mergani Elkhair, Hussain Gadelkarim Ahmed
Page no 175-181 |
DOI: https://doi.org/10.36348/sjbr.2024.v09i08.002
Background: Because GI cancer is the most common type of cancer seen every day in Sudan's clinical practice, research into this illness is critical. Our study sought to determine its epidemiological characteristics. Methodology: This is a retrospective descriptive study that includes all patients who presented with GIT tumors between January 2019 and July 2024 at the EL-Obeid Histopathology Center in North Kordofan. Results: This study included 127 individuals with GIT cancer, with 52% being male and 48% being female. Their ages varied from 20 to 98 years, with an average of 57.9±15. The age group (51–60) had the highest proportion of research subjects, with 66.7% being men, followed by the age group (61–70), with 54% being female. The most common kinds of GIT cancer were esophagus, colon, stomach, rectum, liver, small bowel, bowel rectosegmoid, and appendix, accounting for 35%, 25%, 16%, 11%, 8%, 3%, 1%, and 1%, respectively. SCC was the most common histological diagnosis, accounting for 96.6% in the esophagus, followed by AC (37.5%), 34.4%, and 21.9% in the colon, stomach, and rectum, respectively. Hepatocellular carcinoma is the diagnosis for 100% of liver cancers. AC accounted for 35.6% of all histological diagnoses across age groups, with the majority occurring in the 51-60 age range, followed by SCC at 27.6%. In all cases, 40% of others' histological grades are highly defined, with the majority developing between the ages of 61 and 70. Conclusion: The most prevalent cancers in Western Sudan were esophageal, colonic, stomach, rectal, and liver. Many incidents occur when people are over the age of 50, and they affect both men and women.
The financial system of a nation plays a crucial role in its economic development. It serves as a vital link between savings and investments, thereby fostering wealth creation. By facilitating the transfer of funds from households, which act as savers, to businesses that require investment, the system supports the growth and prosperity of both parties involved. Furthermore, the financial system is responsible for the effective allocation of savings, the provision of necessary funds, the facilitation of financial transactions, the development of financial markets, the establishment of a legal financial framework, and the delivery of financial and advisory services within the country. This system encompasses various components, including financial institutions, services, markets, and instruments, all of which are interrelated and function collaboratively. This paper addresses several issues pertinent to the Indian financial system.
This paper aims to employ bibliometrics and visualization analysis to investigate the current development status and research hotspots in the field of piano education. The literature data is obtained from the Web of Science Core Collection database, analyzing publication years, core journals, courtiers/regions distribution, keyword co-occurrence maps, and highly cited papers in this research area. The results indicate that the number of relevant publications began rapidly growing in 2015. The United States and China are identified as the core countries for publications; however, the level of international collaboration remains relatively low. Major research hotspots include the innovative application of artificial intelligence (AI) and augmented reality (AR) technologies in piano education, online education, cross-cultural education, etc.
Background: Oligohydramnios, characterized by a low Amniotic Fluid Index (AFI), is associated with adverse pregnancy outcomes, including fetal growth restriction, preterm labor, and low birth weight. Effective interventions for improving AFI are critical, particularly in resource-limited settings. L-Arginine, a nitric oxide precursor, has shown promise in enhancing uteroplacental circulation and increasing AFI. This study aimed to evaluate the efficacy of L-Arginine supplementation in improving AFI and associated maternal and neonatal outcomes in pregnant women with oligohydramnios in Bangladesh. Methods: This study was conducted at Islami Bank Hospital over one year (July 2023 to June 2024), involving 90 pregnant women diagnosed with oligohydramnios. Participants received daily L-Arginine supplementation, and AFI was measured before and after the intervention. Maternal and neonatal outcomes, including gestational age at delivery, birth weight, and neonatal intensive care unit (NICU) admissions, were recorded. Statistical analysis was performed using paired t-tests, with p < 0.05 considered statistically significant. Results: The mean AFI increased significantly from 5.4 cm (SD ±1.7) before the intervention to 8.6 cm (SD ±2.1) after supplementation, with a mean difference of 3.2 cm (p < 0.001). Low birth weight was observed in 20% of the neonates, while 17.78% required NICU admission. There was a notable improvement in neonatal outcomes with L-Arginine supplementation. Conclusion: L-Arginine supplementation significantly improved AFI and neonatal outcomes, making it a viable intervention for managing oligohydramnios in pregnant women. Further research is recommended to confirm these findings in larger populations.
This study provided discursive strategies which Nigerian newspapers employed to convey information about ASUU-FGN impasse to the news consumers. The discursive strategies succeeded in allotting discourse representations to ASUU and FGN in both positive and negative representations. The data for the study were collected from five Nigerian newspapers: Leadership, Punch, The Guardian, The Nation and Vanguard. The researcher selected one hundred published articles about ASUU-FGN impasse in the month of June, 2024 when the industrial disharmony between the two parties was hot. The researcher purposively sampled one hundred and thirteen data from ten randomly selected articles out of the one hundred published articles for the analysis. The researcher used Van Dijk's (2006) Socio-Cognitive Model of Critical Discourse Analysis (CDA) for qualitative and quantitative analysis of the data. The study revealed that ASUU and FGN were represented with discursive strategies with their percentage: victimisation (23%), abuse (16%), populism (13%), euphemism (12%), counterfeit (10%), consensus (9%), dramatisation (7%), metaphor (6%), disclaimer (3%), and comparison (1%). ASUU was represented as threatener (The Nation, Punch, Vanguard). sufferer (The Nation, Punch) advocate (Leadership, Punch), slammer (Vanguard), troublesome (The Nation), striker (Punch), observer (Leadership, Punch), teacher of unemployable graduates (Punch), greed (The Nation), warner (Leadership), peacemaker (The Guardian), informer (The Guardian), protester (Vanguard), the oppressed (Punch), slacker (Punch), liar (Punch). FGN was represented as renegade (Punch, The Nation), filibuster (The Guardian), oppressor (The Guardian), abandoner (Leadership), breacher (Leadership), proliferator (Vanguard), and dictator (Punch). The study concluded that naming calling arises where conflicts exists. The study therefore recommended that the two parties should imbibe ideas of honouring agreement to allow name calling cease and peace reign.
When an agency relationship is created, it confers on the parties obligations which must be fulfilled by the parties. These obligations do not remain forever as they can come to an end. This can be done under normal circumstances by the act of the parties or by operation of the law and when the conduct of the agent is in contradiction to the mandate agreement as may be the case if the agent is liable for serious misconduct as provided by the OHADA Uniform Act on General Commercial Law. The provisions of the act regarding termination on grounds of serious misconduct is worrisome, as the act talks about termination in such manner only for commercial agents and is silent about the other two types of agents: the broker and the commission agent. The act also, does not tell us what this serious misconduct it mentions by the commercial agent is, nor gives us insights on what constitutes such conduct to warrant termination of the mandate of the agent by the principal. When termination of the agency is done under conditions as such, it has grave consequences on the agent who might not be entitled to certain benefits associated with termination of the contract such as loss of the right to compensatory allowance or indemnity and more importantly may give room to arbitrary or wrongful termination of the mandate of the agent. Through analytical and comparative studies, this paper focuses on termination of the mandate of an agent under the OHADA Uniform Act on General Commercial Law, wherein, the different modes of termination of the mandate of an agent have been discussed, and more specifically makes an attempt in looking at what serious misconduct is and what could amount to such conduct so as to avoid arbitrary or wrongful termination. It is therefore suggested that, statutory guidelines found in other statutes in relation to the subject matter can serve as a lamp light in our context.
REVIEW ARTICLE | Oct. 3, 2024
Rebuilding the Strength of Hypomineralized Enamel – An In-Depth Systematic Literature Review
Dr. Sanjeev Kumar Singh, Dr. Amit Kumar, Dr. Simith Yadav, Dr. Manjunath P Puranik, Dr. Mohit Wadhawan, Dr. Vinay Kumar, Dr. Deepshikha Tripathi
Page no 223-231 |
DOI: https://doi.org/10.36348/sjodr.2024.v09i10.001
Molar Incisor Hypomineralization (MIH) is a prevalent developmental enamel defect characterized by qualitative changes in the enamel of one or more first permanent molars, often accompanied by similar defects in the incisors. This condition leads to significant dental challenges, including soft, porous enamel, which is more susceptible to damage and caries than non-MIH teeth. The affected teeth exhibit lower mineral concentration, higher porosity, and altered mechanical properties, contributing to their increased vulnerability to decay and restoration failures. Research indicates that MIH-affected teeth often require more extensive dental treatments due to compromised structural integrity. The enamel defects associated with MIH manifest as well-demarcated opacities, which can lead to hypersensitivity and aesthetic concerns for patients, particularly children. However, there is hope in the form of various remineralization strategies that have been explored to address MIH's challenges. These strategies, including recent clinical trials, have demonstrated the efficacy of remineralization agents in restoring some of the lost enamel properties, which is crucial for managing MIH effectively. This potential for restoration through remineralization strategies offers a hopeful outlook for improving patient outcomes with MIH.
This study examines the essential conceptual distinctions between Nietzsche's notion of the Superman and Iqbal's conception of the Perfect Man, two divergent goals of human potential. Nietzsche's Superman, grounded on power, autonomy, and the repudiation of conventional morality, aspires to grandeur via individual supremacy and the transcendence of social norms. Conversely, Iqbal’s Perfect Man is a fusion of heavenly grandeur and beauty, attaining excellence via spiritual self-actualization, ethical integrity, and altruistic service to mankind. Nietzsche’s Superman dismisses metaphysical ideas and flourishes via human will, but Iqbal’s Perfect Man derives power from religion, love, and justice. This contrast highlights a profound philosophical divergence: Nietzsche’s perspective centers on existential power, while Iqbal’s prioritizes spiritual development and collective advancement. The thesis ultimately emphasizes Iqbal’s Perfect Man as a paradigm for harmonious human growth, surpassing Nietzsche’s individualistic ideal.
ORIGINAL RESEARCH ARTICLE | Oct. 2, 2024
Physical Fitness Level of Prospective Students of the Non-Commander Police of the Diy Regional Police in 2022
Muhammad Tatak Yustanto, Hedi Ardiyanto, Wahyu Dwi Yulianto
Page no 241-245 |
DOI: https://doi.org/10.36348/jaspe.2024.v07i10.001
Study this aiming for know level fitness physical chassis NCOs of the Indonesian National Police, DIY Regional Police in 2022. Research This is study description quantitative. Population study This is candidate student The number of NCOs in the Indonesian National Police is 485 people. Sample study This is candidate student The number of NCOs in the Indonesian National Police is 187 people. Instruments study This is test 12 minute run, push up test and sit up test. Analysis technique study This use analysis frequency in form percentage. Results level fitness physical chassis 2022 DIY Regional Police NCOs are in the category Good with consideration average of 64.72. The level of fitness B chassis 2022 Indonesian National Police NCOs from the DIY Regional Police are categorized as Good very as much as 0 people or 0%, either 132 people or 70.59%, enough 56 people or 29.95%, less than 0 people or 0% and less than once 0 people or 0%
The leading environmental risk factor for disease and premature death is pollution, with plastic and dye pollutants being the most common in developing countries. The global textile industry contributes to pollution by releasing contaminated wastewater into water bodies, leading to a decline in water quality. Plastic pollution is a widespread issue affecting various environments, emphasizing the urgent need for a global response to combat the adverse effects of pollution on human health and the environment. Anoxybacillus sp. PDR2 is a soil bacterium possessing natural competence. By nature, it is a thermophile, capable of biodegrading industrial dyes. Pseudomonas sp. B10, Gram-negative bacteria, is a strain capable of degrading Polyethylene Terephthalate (PET) plastic. To detect the genome-level mutations, comparative genomic analysis was performed using a free and open source software, Galaxy. Using five different variant callers (Samtools, Varscan, Freebayes, Sniffles, Ivar), mutations were detected at various loci resulting in the modifications of the genes. The primary goal of this investigation was to perform a comparative analysis of the whole genome sequencing of two bacterial species, along with their reference strains. The purpose was to identify potential solutions for the degradation of plastics and industrial dyes. By examining the genetic composition of these bacteria, this analysis had provided valuable insights into the genetic makeup of these bacteria and their ability to break down PETs and dyes.
Competition law is a tool first employed by countries more than a hundred years ago, to address issues relating to restrictions on competition conducted by private firms. Competition law is still predominantly an instrument to resolve national problems while the dominance of market based economies in the last fifty years, particularly following the collapse of the eastern bloc, in combination with improvements in transport, communications and technology have progressively dismantled national borders and internationalized trade. Against this backdrop, the objective of this paper is to examine the role of stakeholders in the regulation of competition among business enterprises in Cameroon. In carrying out this research, the doctrinal method was engaged, drawing from primary and secondary sources of data. It is therefore, recommended inter alia that, business enterprises should strictly observe and adhere to the mechanisms put in place in ensuring fair competition so as to guarantee a much better level of stability and sustainability in doing business in Cameroon.
This study examines the interplay between benefit sharing and livelihood improvement within the Bakossi National Park (BNP) within the legal perspective. Traditionally, conservation efforts often placed local communities at odds with protected areas. However, through a doctrinal methodology, this research argues that a well-designed benefit-sharing program can foster collaboration and improve the lives of local communities. By analyzing the BNP as a case study, the research explores how initiatives like revenue sharing from timber exploitation, tourism, employment opportunities within the park, and community driven projects can generate income and empower local communities. The effectiveness of these programs hinges on understanding the specific needs of the communities and ensuring their equitable participation in decision-making processes. Ultimately, this study contends that successful benefit sharing in PAs management, like the BNP, can create a win-win situation, where biodiversity is preserved, and local communities thrive. The work concludes with robust recommendations that if complied with and enforced, it would go a long way to improve on the livelihood of local communities in the Bakossi National Park of Cameroon.
Law enforcement of the crime of Pratima theft in Bali does not provide a sense of justice for traditional law communities as victims. In response to this, it is necessary to construct law enforcement for the crime of Pratima theft to achieve a sense of justice, benefit, and legal certainty for the Balinese customary law community. This research method is sociological law (sociological jurisprudence), emphasizing the study of the operation of law in traditional law communities in Bali. The object of the study is the legal facts related to the crime of Pratima theft. Based on the research results, it was found that law enforcement prioritized legal certainty rather than social justice itself. The Balinese traditional law community desires fair and beneficial law enforcement. The provisions on the principle of legality in deciding pratima theft cases in Bali do not prevent the application of laws that exist in society. Judges should also apply customary criminal sanctions, thereby demonstrating that criminal law policies protect customary law communities. In imposing sanctions, the panel of judges is expected to be guided by the harmony of law enforcement objectives, based on local wisdom. The application of the Tri Hita Karana concept as local wisdom in customary criminal sanctions shows that criminal law policy provides a sense of justice and protects customary law communities as victims, and restores harmony in the lives of Balinese customary law communities.