To determine the effect of combined postpartum yoga and postpartum classes on blood prolactin levels and breastfeeding success beliefs in postpartum women at risk of depression.We used a quasi-experimental pretest-posttest control group design on postpartum mothers in the Wagir Health Center area, Wagir District, Malang Regency.Subjects were divided into three intervention groups: (1) postpartum yoga combined with a postpartum class, (2) postpartum class only, and (3) control group with no intervention.We measured prolactin by ELISA, assessed breastfeeding confidence with the BSES-SF, and evaluated depression risk with the EPDS.Wilcoxon, Kruskal-Wallis, Mann-Whitney, and paired t-test were used to analyzed the data.The combination group showed a significant increase in prolactin (from 2045.75 to 3195.19 IU/mL; p 0.018) and breastfeeding confidence (44.50 to 49.50; p 0.002) as measured by Wilcoxon test.The postpartum only group improved.The control group showed no significant changes.Combining postpartum yoga and classes effectively increases prolactin and breastfeeding confidence in mothers at risk of depression.This effect occurs through relaxation, hormonal balance, education, and psychosocial support.

To investigate the role of Pocket-Sized Ultrasound Device (PSUD) in labor and delivery and to assess healthcare workers and patients' engagement and satisfaction compared to standard of care.Prospective, single-center, observational study.The study was performed from January 2023, to January 2024.During the study period, residents, and attendings were provided a handheld US device (Vscan Air CL, GE Healthcare, Zipf, Austria) to use during Labor and Delivery (L&D) activities.The primary outcome of the study was number of uses of the device during the following: urgent or emergent cesarean delivery, operative vaginal delivery, Dilation and Curettage (D&C), intrapartum cardiotocography (CTG).Secondary outcomes were participants and personnel surveys about their perceptions of the handheld US device.During the study period, the device was used by 10 residents, and 10 attendings during the L&D activities.The device was used for 5 operative vaginal delivery with vacuum, 100 spontaneous vaginal delivery for assessing fetal position (fetal occiput), 35 D&C, 50 intrapartum CTG, and before 25 urgent or emergent cesarean delivery.All personnel were satisfied with the device, and would love to adopt it in their future clinical practice.The probe was judged as easy to handle and the application easy to use.16/20 considered the battery life as the major weakness of the device.Image quality was considered as good with 8/20 participants, and excellent by 12/20 of them.13/20 participants considered the correct application of the vacuum during the operative vaginal delivery as the most important indication for the use of the device, while the other 7 considered the assessment of fetal occiput.Regarding women perspective, all the women enrolled in the study were satisfied with the device, and the vast majority feel safer when ultrasound was routinely used during L&D activities.V scan Air is easy to use with a good quality image.Personnel and maternal satisfaction were high.

There has been rapid progress of continuous ambulatory peritoneal dialysis in low-resource settings, but the long-term outcomes remain underreported.This study assessed blood pressure control, Residual Renal Function (RRF), Ultrafiltration (UF), anemia parameters, and nutritional trends in CAPD patients receiving Sudan PD Program.A retrospective study was performed with 46 of 62 patients who completed at least 1 year of CAPD at Al Ribat Peritoneal Dialysis Center.Sixteen patients were excluded due to missed records or irregular follow-up.Clinical, biochemical, and dialysis related parameters were collected over a three-year period.Trends in systolic and diastolic blood pressure, RRF, UF, erythropoietin (EPO) use, and nutritional markers were analyzed.Fluid status and its association with blood pressure control were also evaluated.61% of patients with uncontrolled blood pressure at initiation saw the mean systolic BP improve during the first two years but then rose again by year three.Diastolic BP stayed under control during most of the follow-up.RRF decreased gradually during 1 year and UF increased initially and decreased later in the followup, remaining above 1 L/day.Fluid overload was significantly associated with uncontrolled BP at 6 months (p = 0.006).EPO use increased with time, while weekly doses decreased as hemoglobin and hematocrit improved.The nutritional parameters, such as measures of albumin and BMI, largely remained within target range for most of the study span.CAPD contributed early advances in BP control, UF, control of anemia, and nutritional stability.Reductions in RRF and UF 2 years later emphasize the importance of personalized therapy; active volume control; and continued monitoring in the long-term treatment of CAPD.

The main objective of this study is to ascertain how the Internet of Things (IoT) can be used effectively in smart logistics.Logistics industry can harmonize the function rather than applying manpower to entire procedures.The development of smart logistics focuses on the assessment of outcome realise the surveillance of logistics functions.Modern IoT will provide a broad opportunity in supply chain forecasting.The research objectives were framed to evaluate the impact of the independent variables on the smart logistics in and out functions.Secondary data were collected based on findings and online sources.The three independent variables are IoT, sustainability and smart warehousing with predictive system designs are used for inventory control, especially to address the material backorder problem.IoT has been identified as the most dominant tool in future logistics; its common name is intelligent logistics.Smart and structured operations currently exist in smart logistics.

Laryngeal carcinoma can infiltrate the skin, creating a defect during a total laryngectomy, extending beyond the infiltrated skin.The size, thickness, and location of the defect vary, leading to different closure procedures.It is important to understand how to select the appropriate closure technique to minimize potential complications.To describe the appropriate flap type for closing skin defects in laryngeal carcinoma undergoing total laryngectomy.A 47-year-old man suffered from T4aN1M0 laryngeal carcinoma with skin infiltration.Treatment included a total laryngectomy, total thyroidectomy, Modified Radical Neck Dissection (MRND) type 3 on the right and left, closure of the neck region defect with a deltopectoral flap, and secondary closure of the defect with a split-thickness skin graft.No complications were observed.A literature search was conducted in PubMed using the keywords "head and neck defect" and "deltopectoral flap.Four case reports relevant to the topic and available in full text were retrieved from a total of six search results.Closure of anterior neck defects measuring 6-7 cm can be performed with a regional flap or free tissue transfer.The choice of flap is based on the patient's limitations, the surgeon's expertise, and the anatomical structure.Closure of large neck defects with a deltopectoral flap has good results and no complications.

Rapid changes in Parkinson's disease (PD) cause patients to lose postural stability and the ability to maintain standing balance (including frequent falls), and have difficulty managing activities of daily living.This burden has emphasized the necessity for tracking the changing trends promptly, which could inform the development of health strategies.WhatsApp,s rapid adoption among people signals that social media technologies provide a platform to promote an online health learning environment.Evaluate the impact of implementing a WhatsApp educational classroom on the severity of symptoms and the risk of falls among patients with Parkinson's disease.(Pre-post) experimental research design.Outpatient Clinic in both Assuit University Neuropsychiatric Hospital and Al-Mabara Hospital in Assiut city.(100) adult patients (male & female) with Parkinson's disease.Patient's assessment sheet,2-Unified Parkinson Disease Rating Scale (UPDRS) and 3-Morse Fall Scale (MSF) (pre, post).there was a statistically significant difference regarding the severity of symptoms and incidence of fall (p< 0.005).WhatsApp educational classroom had a positive impact on patients with Parkinson's disease in relation to the severity of symptoms and risk of falls.Develop an artificial intelligence app that is available on smart phone to all Parkinson's patients.

This study aims to enhance university students' engagement in physical education (PE) by applying a set of differentiated instructional strategies and motivational interventions.Declining levels of student participation in PE present a significant challenge in higher education institutions, necessitating pedagogically sound solutions.A quasi-experimental study was conducted at M.Kh.Dulaty Taraz University with 152 undergraduate students from four faculties.The intervention comprised individualized grouping based on fitness levels, theoretical modules on health literacy, flexible class formats (including outdoor activities), and motivational events such as sports competitions.Engagement was measured using pre-and post-intervention questionnaires and statistically analyzed via t-tests and ANOVA.The intervention yielded statistically significant increases (p < 0.001) in student engagement across all measured dimensions, including participation frequency, intrinsic motivation, and satisfaction with PE.Differentiated, studentcentered instructional models combined with motivational support significantly improve engagement in university PE settings.The study provides a scalable framework for educators and administrators to improve PE program effectiveness, support student well-being, and foster lifelong healthy behaviors through targeted pedagogical innovations.