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Background: Infectious diseases can affect the heart, causing myocarditis, arrhythmias, pericardial effusion, and heart failure. Viral and parasitic infections are major contributors globally, but data from Bangladesh are limited, often from hospitalized patients with short follow-up. This study aims to assess the prevalence, patterns, and risk factors of cardiac manifestations in Bangladeshi patients and evaluate their short- and long-term outcomes to guide better management and prevention. Methods: This cross-sectional study at Zilla Sadar Hospital, Lakhmipur (Jan–Dec 2023) included 125 adults with bacterial, viral, or parasitic infections, excluding those with pre-existing cardiac disease. Sociodemographic, clinical, and laboratory data (troponin, CRP, leukocytosis, anemia) were collected. Cardiac evaluation included ECG and echocardiography for tachycardia, hypotension, arrhythmias, murmurs, heart failure, pericardial effusion, myocarditis, and valvular abnormalities. Data were analyzed using SPSS 25.0 with Chi-square tests (p<0.05). Ethical approval and informed consent were obtained. Results: Among 125 participants (56% male, mostly 31–45 years), viral infections were most common (48%). Cardiac manifestations included tachycardia (54.4%), hypotension (19.2%), heart failure (16.0%), pericardial effusion (14.4%), arrhythmias (12.0%), myocarditis (9.6%), and new murmurs (8.0%). Tachycardia was common across ages and slightly higher in males. Bacterial infections had more hypotension (28.0%) and heart failure (24.0%). Elevated troponin (26.7%), CRP (77.8%), leukocytosis (62.2%), and anemia (40.0%) were significantly associated with cardiac involvement. Conclusion: Cardiac involvement, especially tachycardia, is common in systemic infections and correlates with elevated troponin, CRP, leukocytosis, and anemia. Early ECG, echocardiography, and lab evaluation are essential for detection and management.

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Introduction: Hypertension is a non-communicable disease with a rising global prevalence. In Indonesia, particularly NTT which ranks fourth with 76,130 cases, hypertension remains a significant health problem. The Chronic Disease Management Program (Prolanis) by The Social Security Organizing Agency (BPJS) aims to manage and control chronic diseases, including hypertension. Aims: To know the effect of compliance following Chronic Disease Management Program (Prolanis) on the blood pressure condition of hypertensive patients at the Sikumana Health Center. Method: Observational analytics with cross sectional (cut latitude) research design. This research's primary data were taken from interviews and filling out The Five-Item Medication Adherence Report Scale (MARS-5) questionnaire, while secondary data were collected from respondents' medical records. The number of respondents who met the research’s criteria was 15 respondents. Results: The majority of respondents were aged 59–65 years (13 participants; 87%) and female (13 participants; 87%). Adherence to the Prolanis program was observed in 10 participants (67%), while 5 participants (33%) were non-adherent. Stable blood pressure was identified in 10 participants (67%), whereas 5 participants (33%) exhibited unstable blood pressure. Statistical analysis demonstrated a statistically significant and strong association between variables (p < 0.05; r = 0.707). Conclusion: There is a significant influence of compliance following Prolanis on the blood pressure condition of hypertensive patients in the Sikumana Health Center.

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Hormonal Contraceptives are a widely used contraceptives methods for the prevention of pregnancy in women. It is associated with changes in Renal Biomarkers which results in chronic kidney disease, glomerular disease, hydronephrosis, Bilateral Pylonephtritis and Hypertention which are the major cause of premature death. We aim to determined renal markers changes In relation to duration of Injectable, Implanon and oral Contraceptives. A cross sectional case control study design was conducted on 225 hormonal contraceptive users and 225 women not on contraceptives (controls) serum levels of Urea, Creatinine, Uric acid were analyzed using standard enzymatic and calorimetric assay while Micro albumin was measured using immunoturbidimetric methord. Data generated were analyzed using Statistical Package for Social Sciences (SPSS) version 23, and it was manufactured by IBM Corporation from United States in 2015. The level of statistical significant was set at p<0.05, T-test was used to compare means of two groups and one way Anova was used to compare means of more than two group followed by Duncan multiple range, which post-hoc test was also used to figure out exactly which group are different from each other. The women received injectable hormonal contraceptives there were not significantly (P>0.05) higher in urea and uric acid levels when compared with Implanon and significantly (P<0.05). Lower to those used oral contraceptives. All the contraceptives had not-significant effect on serum, urea and uric acid (F=7.912, P=0.001) (F=5.040. P=0.009). The women received injectable hormonal contraceptives were not significantly (P>0.05) higher in Creatinine, micro Albumin levels when compared with Implanon and not significantly (P>0.05) lower to those used oral contraceptives. All the contraceptives had not significant effect on Serum Creatinine and Micro albumin (F=0.001, P=0.999) (F=0.344, P=0.710) with Implanon having the least effect. Hormonal contraceptive are influenced by

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Background: Autism Spectrum Disorder (ASD) is a complex neurodevelopmental condition for which early diagnosis is critical to ensure timely intervention and improved outcomes. Health care professionals, particularly physicians and nurses, play a key role in the early identification and referral of children with ASD. However, limited data are available regarding ASD-related knowledge among health care workers in Iraq. Objective: This study aimed to determine the level of knowledge regarding ASD among health care professionals working in training hospitals in Al-Diwaniyah, Iraq, and to examine factors associated with knowledge levels. Methods: A descriptive, cross-sectional study was conducted among 447 physicians and nurses working in two training hospitals in Al-Diwaniyah. Data were collected using a Sociodemographic Data Form and the Autism Spectrum Disorder Knowledge Questionnaire. Descriptive statistics and Pearson chi-square tests were used to analyze the data. Results: Overall, 49% of participants demonstrated a moderate level of knowledge regarding ASD, 37.6% had good knowledge, and 13.4% had low knowledge. Knowledge levels were significantly associated with age, gender, marital status, educational level, professional experience, job title, workplace, working pattern, and sources of information (p < 0.05). Younger participants, those with higher education, academic nurses, and health care workers employed at Al-Diwaniyah Teaching Hospital exhibited higher knowledge levels. The internet was the most frequently reported source of ASD-related information, while participation in formal continuing medical education was limited. Conclusion: Health care professionals in Al-Diwaniyah demonstrated a predominantly moderate level of knowledge regarding ASD. Strengthening structured, evidence-based in-service training programs and integrating ASD-focused content into continuing professional education may enhance early recognition and referral, ultimately improving outcome

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Numbness and high blood pressure are on the increase among rural women who are predominantly farmers. This was discovered during a free medical outreach in the community. Numbness and high blood pressure are the most common illness found among these rural women and this is alarming. This could be as a result of nerve and blood vessel effects. Long-standing hypertension damages small blood vessels, which may reduce blood flow to nerves and thus, reduced nerve oxygen, leading to nerve dysfunction, which may show up as numbness, tingling, or pins and needles, especially in hands or feet. Hypertension doesn’t usually cause numbness directly, but it raises the risk of nerve damage, stroke, and vascular problems that can cause numbness. Persistent or unexplained numbness should always be evaluated, especially in someone with high blood pressure. This study is aim to evaluate the Rising Trend of Numbness and Hypertension Among Rural Women in Bua Zaakpon Community South-South, Nigeria. This was a cross-sectional study involving 250 women with age between 18 to 47 years. A well-structured questionnaire was administered to participants. The study lasted for a period of 1 month. Statistical analysis was done using SPSS version 25.0 and p < 0.05 was significant. The results revealed that majority (40%) of the participants were between 43 to 47 years of age, 68% were married, 68% had secondary level of education, 68% are farmers, 76% belong to nuclear family, 80% work for more than 8 hours, 96% experienced numbness, 96% had high blood pressure on routine check, feet, hands and legs were the most affected by numbness and 76% rarely rest during the day.

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Introduction: Dyslipidemia is defined as a lipid metabolism disorder characterized by one of the main abnormalities in the lipid fraction being an increase in triglycerides. Hypertriglyceridemia occurs with the accumulation of visceral fat and in the blood due to a decrease in the enzyme lipoprotein lipase. The accumulation of visceral fat is the cause of central obesity. Central obesity can be seen by measuring waist circumference. Aims: To determine the relationship between waist circumference with triglyceride levels in the working population at El Tari Airport, Kupang. Method: The type of research carried out was analytical observational with a cross sectional method. The respondents for this research were 60 people consisting of 41 men and 19 women workers at El Tari Kupang Airport aged 18-59 years. Data were collected using interviews and waist circumference using metline and blood samples were taken to measure triglyceride levels. The statistical tests used were the Kolmogorov-Smirnov normality test (p > 0.05) and the Pearson correlation test. Results: There were 68.3% of subjects with normal waist circumference, 31.7% with excessive waist circumference, 78.3% with normal triglyceride levels, 18.4% with slightly high triglyceride levels, and 3.3% with high triglyceride levels. The results showed that waist circumference had a positive relationship with triglyceride levels (r=0.446, p=0.000). Both showed a significant correlation with triglyceride levels (p<0.05). Conclusion: There is a significant relationship between waist circumference and triglyceride levels.

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Transportation deals with the movement of people and goods, using various means of locomotion (walking, bicycles, buses, trams, trains, ferries, taxis, motor cars, trucks, ships, aircraft, pipelines) on transport networks (roads, rails, waterways, airways) which have terminals (parking areas, depots, stations, ports and airports) and transfer points (bus stops, stations, goods yards). Most countries of the world seek to achieve equality in health needs of their growing population especially in the rural areas who are often at disadvantage for majority of the experienced health workers would be willing to live and work in the most populous part of the economy. Maternal mortality rate is highest in rural areas and poorer communities of the world. This paper is the first attempt to proposes a conceptual framework and describe the theoretical applied discrete-choice modeling of the probability of a specific event occurring based on various influencing factors affecting maternal healthcare services. The review of literature reveals that a large percentage of women in the rural areas assumed pregnancy and childbearing to be death zone for them due to inability to have free access and affordable means of transporting themselves to health centers and hospitals that will provide them with adequate medical care. Need to travel over a long distance to access maternity health services is one of the issues with high maternal mortality rate for the available means of transportation in such areas is always with high cost. The present study takes the approach of proposing a theoretical framework which can be applied to practical situations in address transport needs and challenges in maternal healthcare services by reviewing available literature. Such research approach is common, particularly when existing knowledge in the particular area is still somewhat narrow. The present study, hence, contributes to the advancement of the literature on transportation needs for the nonmetropoli