Heyde syndrome is a multisystem disorder characterized by the classical triad of aortic stenosis, gastrointestinal (GI) angiodysplasias, and acquired von Willebrand syndrome. GI angiodysplasias, common in older patients, are tortuous, thin walled blood vessels seen in the mucosa or submucosa of the GI tract and are highly prone to rupture resulting in GI bleeds.
We report a case of a 60-year-old woman with recurrent gastrointestinal bleeding and aortic valve stenosis presented with bleeding from intestinal angiodysplasia, the exploration of von willebrand factor revealed willebrand disease 2A, the patient was diagnosed with Heyde’s syndrome.
We report throw a case of Heyde syndrome the role of hematology laboratory in the diagnostic of this rare pathology.

International research in history education has highlighted the need to develop classroom teaching of history, by both encouraging students to explore the topics, as well as by training the teachers in how best to foster such skills. It is therefore necessary to formulate a supportive framework for teacher training that highlights the role of history at each age. This paper focuses on an example of an elective history course design and its evaluation at the Department of Early Childhood Education, University of Thessaly, Greece. More specifically, this paper presents the results of a study of the scenarios developed by a sample of 58 students who attended the local history course during the winter semester of the 2020-2021 academic year. Content analysis of the final papers by the students, as well as the reflections of the participants, revealed a gradual shift in their pedagogical and teaching perspectives, as a result of their participation in this specially designed teaching programme. The research highlights the need to include training programmes that focus on the disciplinary approach when educating future teachers, in order that they may be better able to create new scaffolds of knowledge and perspectives in the understanding of their students through scenario design. Early pre-school intervention is crucial in instilling the groundwork of historical thinking and understanding, leading to significant benefits in the later school and post-school history education of young children.

The inquiry in this research builds on certain insights to uncover how various institutions of Vodou  practices take shape, converge, and become rearticulated in the networks of transnational linkages within and in relation to Freemasonry in Haiti. Some scholarly sources connote the issue with a close assumption examining the symbolic similarities that, European Freemasonry is readily adepted into Vodou. This article, furthermore seeks to reach a coherent whole, in the idea that, there might be a connection between Haitian naitional identity and Freemasonry, through Vodou practices. Even though significant literature, reveals the impacts of both Freemasonry and Vodou on each other in Haiti and the major claim is that Freemasonry and the principal masonic utopias, paved the way to transnationalism in Haiti; the primary objective of the study is, not to examine the theological substructure of syncretistic Haitian religions. Nor it will be the major interest to trace here, the formation of Vodou as a religion on the Hispaňola Island. Nevertheless, in order to depict a realistic historical perspective of cultural emancipation of Haiti, Vodou is steressed in corresponding aspects.

Background: Enterobacter cloacae species is responsible for nosocomial outbreaks in vulnerable patients in neonatal intensive care units (NICU). The environment can constitute the reservoir and source of infection in NICUs.
The aim of the present study was to describe the epidemiological and bacteriological aspects of an outbreak of ESBL-producing Enterobacter cloacae in the neonatology unit of the Mohammed VI University Hospital of Marrakech.
Materials and Methods: We reported seven cases of ESBL-producing Enterobacter cloacae infections in neonates hospitalized in a neonatal unit over a period of two weeks, diagnosed by microbiological study of the different cultural, morphological and biochemical characteristics, as well as by the study of the germ's sensitivity to antibiotics
Results: The presence of ESBL was retained in front of an antibiogram showing a resistance to all the betalactamins except carbapenems, as well as a synergy between the disks of C3G, C4G and clavulanic acid, the resistance to the betalactamins was associated with that of the tested fluoroquinolones in particular Ciprofloxacin and Norfloxacin and to the aminoglycosides except amikacin as well as the resistance to the co-trimoxazole.
Conclusion: The emergence of multi-resistant bacteria with a high epidemic risk in our hospital implies, Hence the interest in developing rapid and efficient means of identification in order to limit their spread.

The focus of this research was to look at the coping strategies used by university students. Furthermore, a substantial effort was made to investigate the gender variations in the students' coping techniques. This research was carried out at Pondicherry University in Pondicherry, on first-year integrated PG students of university studying in either of the sections (Bachelor of Arts, Science, or Commerce). The random sampling approach was used to acquire 60 samples from the study population of university students. The sample consisted of 20 students from each of the three groups: Arts, Science, and Commerce, with both sexes, represented well. The tools such as a socio-demographic datasheet and coping checklist were used. The study findings revealed that most of the students adopted emotion- and problem-focused coping strategies. Most female students adopted emotion-focused coping strategies, whereas males primarily used problem-focused coping strategies.

Anaesthesia and analgesia are imperative components in laboratory animal science and these should be incorporated as essential components in all laboratory animal training programmes. It prevents unnecessary pain induced by various experimental procedures(Flecknell, 1993). The uncontrolled or unattended pain can create stress in an animal which creates release of uncontrolled substances. Finally it can lead to a series of unwanted changes in its body. Ultimately, this will influence the experimental outcome. Because of these reasons, the rational use of anaesthesia and analgesia is an ethical and a scientific requirement(Mcintyre, 1971).  
Anaesthesia is a state of unconsciousness and the component of anaesthesia is analgesia (pain relief), amnesia (loss of memory) and immobilization. The drug used to achieve anaesthesia usually has varying effects in each of these areas. Some drug may be used individually to achieve all three effects. Others have only analgesic or sedative properties(Whelan & Flecknell, 1992).

Background: Vaginal infections are a risk factor for preterm delivery. In this study, we sought to evaluate the vaginal flora of pregnant women receiving opioid maintenance therapy (OMT) in comparison to non-dependent, non-maintained controls.
Methods: This is a prospective study spanning 6 months from May 2019 to September 2019. Vaginal swabs from the ectocervix were taken from 120 pregnant women in the last trimester of pregnancy in the obstetric genecology department at Ibn Tofail Hospital.
A bacteriological study was realised in the laboratory.
Results: Of the 120 pregnant women, 55% were asymptomatic. The most frequent symptomatology was represented by leucorrhoea, reported by 31% of women. Lactobacillus was the most isolated bacteria with a rate of 40% , followed by Gardnerella vaginalis (32%) , only 8% cases had levures. Regarding genital conditions, vaginitis was found in 30% of women, followed by yeast infections in 22% and vaginosis in 20%
Conclusions: The last trimester of pregnancy is a period of high rates of genital carriage of risky germs and pathological genital conditions at risk of obstetrics and infection. this is the reason why rigorous preventive measures are necessary to avoid contamination and subsequently improve the foetal prognosis.

Waste is defined as any material that is not useful and represents no economic value to its owner, the waste generator. Depending on the physical state of waste, they are categorized as solid, liquid and gaseous. Waste Management involves planning, financing, construction and operation of facilities for the collection, transportation, recycling and final disposition of the waste. Every five years the waste generated is rising by 1 million tons, In case it is not disposed within a stipulated time, it tends to create serious health hazards and reflects negatively on the infrastructure. The existing garbage disposal system, where it is collected from the streets, houses and other establishments once a day, is not able to effectively manage the waste generated, resulting in spill over on streets. Bangalore metropolitan city municipal council deployed concrete dustbins at every street corner to collect the garbage, engaged its labourers and vehicles to clear the trash. The municipal efforts did not pay any dividend and hence it had to eliminate the bins since residents would litter garbage around the bin once the bins were full. Consequently, concrete dustbins were replaced by the door- to-door garbage collection system, which was also ineffective in its implementation. The Indian National Capital Territory, Delhi is rapidly growing and so is its corresponding waste production. 85% of the city does not have a formal door-to-door trash pick-up system. The Municipal waste, which is not always properly segregated at the source, often ends up as mixed waste in the already overflowing landfills.

Public financial management acts as a lever to economic development since it ensures revenues are raised effectively and at the same time budget decisions planning and execution is done transparently and reliably. In Kenya, public financial management has faced grave challenges since creation of devolved units. This is despite dynamic and strong institutional and legislative frameworks designed to make the public financial management systems to work effectively and efficiently. Reports by the Audit General have indicated mismanagement of public funds by county governments leading to poor service delivery to the public. Therefore, this study purposed to assess financial management practices and its effects on government performance with a focus on Taita Taveta County government. The research objectives guiding the study were; to establish the effect of internal monitoring, working capital management, budgeting practices and financial reporting analysis on performance of county governments in Kenya. The study was grounded on the theory of agency theory, participative budgeting and trade-off theory. The study employed descriptive research design to investigate the relationship between financial management practices and performance. The study targeted senior staff derived from trade department, finance and planning department, county director of revenue management and County Executive Committee Members (CECMs). Census research method was employed by targeting all participants. The study employed purposive sampling technique to select the target population among the county government officials who are conversant with the affairs of the county. Primary data was collected using structured questionnaire whereas secondary data was obtained from county financial reports. A Multivariate regression model was used to estimate the effect of financial management practices on the county government performances. Data was analyzed using descriptive statistics and this was facilitated by the Statistical Package for Social Science (SPSS) version 25 in order to give quantifiable statistics and the results were presented in frequency tables. The study findings established that the County government has a working capital management system and it was established that the county government has implemented programs to reward staff who proactively find and report internal control vulnerabilities and loopholes. Continually the county government of Taita Taveta maintains optimal cash balances and this provides smooth operations of the county government by ensuring sufficiency of revenue flow. Finally, it was shown that the county government forecasts the county future cash flow so as to take corrective measures. It is concluded that the issue of liquidity regulation has been addressed by the Taita Taveta government through installing reliable systems for regulating liquidity and the county government has automated its system for managing accounts receivables. The county government has a policy which requires preparation and disclosure of financial reports on a regular basis and the county flow of revenue and expenditure is disclosed to all stakeholders on time. The study recommends that the issue of liquidity regulation should be addressed by the Taita Taveta government through installing reliable systems for regulating liquidity and the county government should automate its receivables management system.