Hospital Sultanah Nur Zahirah

A pregnant woman at 32 weeks' pregnancy presented to the Emergency Department with cardiopulmonary arrest requiring active cardiopulmonary resuscitation and perimortem caesarean section. Operative findings revealed a fresh stillborn foetus and a completely detached placenta with 4 L of retroplacental blood and blood clots, suggesting a severe case of placental abruption. An inadvertent posterior uterine wall incision was detected upon uterine closure. A formal exploratory laparotomy was performed after the patient was well-stabilised following the return of spontaneous circulation. The inadvertent posterior uterine wall incision indicated a 135° uterine torsion. The mother survived but suffered severe brain injury.

predisposing risk factors.Awareness and preventive strategies, including risk assessment and counselling on safe weight loss, are essential to avoid such catastrophic outcomes.

This study provides a comprehensive analysis of the evolving role of espionage and intelligence sharing through the lens of securitization theory, with a particular focus on contemporary international conflicts. It demonstrates how espionage, especially in its digital and AI-enabled forms, has become a strategic tool for shaping state behavior, influencing threat perceptions, and guiding international discourse, while historically perceived as secretive and destabilizing. Using qualitative methods, including critical discourse analysis and historical comparative case studies, the study illustrates how intelligence diplomacy—intentional, legally informed, and ethically constrained intelligence sharing—can transform espionage into a stabilizing instrument. Evidence from historical reforms in Greece, contemporary intelligence partnerships such as SIGINT and Five Eyes, and emerging cyber operations supports this argument. The study highlights three key implications: the need for modern legal and normative frameworks to regulate AI and cyber espionage; the potential for trust-based intelligence alliances to function as infrastructures for peace; and the reconceptualization of espionage as a strategic signaling mechanism rather than solely a covert threat. These insights offer practical guidance for pre-conflict planning, international security cooperation, and responsible state conduct in the digital age.

One of the dimensions in learning the Quran is through tahfiz education. Tahfiz education is a process of remembering the text of the Quran permanently. Difficulties during the memorization process have often occurred, resulting in failure in memorization and not being able to complete memorization according to the expected time. An accurate method is needed to facilitate prospective hafiz so that the interest in memorization does not fade with the times, especially in this digital age. This study aims to identify a method of rapid memorization in memorization with a quarantine program as well as the quality of memorization of the yadain li tahfiz al-Quran method. This qualitative study was conducted in the form of content analysis by collecting information data through content analysis of previous studies and related official websites. This study found that a cutting-edge method for someone who is able to answer the needs of society to memorize the Quran, namely the yadain method, which uses all the potential within the body in the form of the five senses so that it becomes easy in the process of memorizing the Quran. The benefit of applying this yadain method is to create a person who memorizes the Quran by knowing the location of the verse and verse number or called (visualization of the Quran), then having the ability to ponder what is in the content of the Quranic verse so that the messages in the Quran are attached to his life through contemplation of the Quranic verse.

The Project-Based Learning (PjBL) approach effectively addresses the passive learning environment by fostering student independence. Project-Based Learning (PjBL), as a student-centered methodology, may be a superior alternative to the lecture-centric model, as it enables students to actively engage and exercise autonomy in their decision-making. Project-Based Learning promotes a student-centered approach, however, this constructivist method remains unfamiliar. Educators continue to employ the conventional approach to impart writing skills by consulting textbooks. Educators are reluctant to incorporate Project-Based Learning in writing classes due to insufficient understanding of this methodology. This may obstruct their efforts to transition to a progressive educational model that provides numerous advantages over conventional lecture-based instruction. This qualitative case study aims to examine the viewpoints of higher education language instructors regarding the implementation of Project-Based Learning (PjBL) in writing instruction. Five experienced tertiary language educators were chosen through purposive sampling. Data were collected via semi-structured interviews and a sequence of classroom observations. The chosen tertiary language instructors employed this method in classrooms of non-English major students. The integration results indicated a notable enhancement observed by tertiary language instructors in students' post-essays compared to pre-essays written prior to the implementation of PjBL. The observational data indicated that students performed exceptionally well in the classroom, and the role of tertiary language teachers was instrumental in enhancing comprehension of the material. This study is constrained by a limited sample size, comprising only five lecturers. The participants' lack of familiarity with the PjBL approach necessitated preliminary training, potentially influencing their engagement and the study's outcomes. Consequently, future research should aim to increase the sample size to yield more comprehensive results, thereby motivating more language educators to adopt this approach as their preferred teaching practice. In conclusion, the impact of PjBL on improving students' writing skills was substantial, making PjBL highly recommended.

Ocimum tenuiflorum (O. tenuiflorum), commonly recognised as Holy Basil or Tulsi, has garnered growing interest within the scientific and industrial communities due to its extensive phytochemical profile and diverse therapeutic properties. This bibliometric review examines global research trends concerning O. tenuiflorum from 2000 to 2024, utilising data from Web of Science (WOS) alongside bibliometric tools including VOSviewer and Biblioshiny. The analysis indicates a consistent increase in publication output, with India leading research contributions and notable inputs from the USA, Thailand, and other nations. Research clusters delineate five principal thematic areas: traditional medicine, phytochemistry, pharmacology, nanotechnology applications, and dermatology. The plant’s bioactive compounds- such as eugenol, ursolic acid, rosmarinic acid, and luteolin- exhibit significant antioxidant, anti-inflammatory, adaptogenic, antidiabetic, and dermatological effects. Particularly in dermatology, O. tenuiflorum demonstrates promising roles in anti-ageing, skin barrier protection, acne management, and wound healing via mechanisms involving collagen synthesis, cytokine inhibition, and UV protection. This comprehensive bibliometric and phytochemical review underscores the versatile therapeutic potential of O. tenuiflorum, thereby supporting its development within cosmeceutical and pharmaceutical sectors, while also highlighting opportunities for further multidisciplinary research.

Obesity among healthcare providers (HCPs) affects their health and ability to provide care. In Terengganu, Malaysia, where 34% of adults are obese and over 50% of the workforce is overweight, targeted interventions are needed. Despite the importance of weight management in healthcare professionals, there is a lack of research focusing on effective strategies within this specific population. The study was conducted to identify factors associated with the success of targeted weight loss in HCPs with overweight and obesity following a six-month weight reduction intervention program. A cohort study involving HCPs with a body mass index (BMI) of 25 kg/m2 or higher was conducted in Terengganu, Malaysia, spanning from March to October 2023. All participants were required to undergo a six-month weight reduction intervention program. A participant who achieved a weight reduction of ≥ 5.0% during the follow-up period was considered successful in reaching the targeted weight reduction. Multiple logistic regression was applied to determine the factors associated with the success in achieving the targeted weight reduction. We found that the proportion of successfully achieved targeted weight reduction was 26.0%. The factors that were associated with the success of targeted weight reduction among HCPs with overweight and obesity were income (Adjusted Odds Ratio [AOR]: 0.94; 95% Confidence Interval [CI]: 0.88, 1.00, p-value 0.039), number of programs attended (AOR: 1.34; 95% CI: 1.02, 1.75, p-value 0.035), and the frequency of calorie intake recorded (AOR: 1.05; 95% CI: 1.02, 1.08, p-value 0.001). In conclusion, the proportion of successfully achieved targeted weight reduction was relatively low. To address this issue, future interventions need to concentrate on reinforcing participant self-monitoring and commitment levels. By emphasizing active progress tracking and cultivating strong dedication to the program’s objectives, there is a potential for significant improvements in weight management outcomes.

Dentists are well-suited to provide smoking cessation interventions, as they can educate patients about the adverse effects of smoking on oral health. Acknowledging the significance of this, the study aims to evaluate the effectiveness of the newly developed UMAR (Usaha Memerangi Asap Rokok) module in improving dentists' knowledge and attitudes towards delivering smoking cessation interventions to patients. Materials and methods: Between November 2022 and May 2023, a pre-post study was conducted among 80 government dentists working at primary dental clinics in Kelantan. The UMAR module was developed based on the Theory of Planned Behaviour (TPB) and was then disclosed to the participants through workshops that included lectures and practicals. A validated questionnaire was administered before and after the workshop through Google Forms to assess the improvement of knowledge and attitudes. Results: Participants' overall knowledge increased significantly from 7.29 (2.194) to 10.39 (1.026), t=10.990, p<0.001. Participants' overall attitudes also increased significantly from 18.64 (1.669) to 19.49 (1.060), t=5.074, p<0.001. There was no significant association between demographic factors, working characteristics, smoking cessation training, and the availability of a quit smoking clinic with the post-intervention knowledge and attitude. Conclusion: The UMAR module was effective in improving dentists' knowledge and attitudes towards delivering smoking cessation interventions to patients.