Time Of Emergence Research Articles

The Safety of the Laryngeal Mask Airway in Adenotonsillectomy: A Systematic Review and Meta-Analysis.

Adenotonsillectomy is one of the most common surgical procedures worldwide. The current standard for securing the airway in patients undergoing adenotonsillectomy is endotracheal tube (ETT) intubation. Several studies have investigated the use of the laryngeal mask airway (LMA) in this procedure. We conducted a systematic review and meta-analysis to compare the safety and efficacy of the LMA versus ETT in adenotonsillectomy. Databases were searched from inception to 2022 for randomized controlled trials and comparative studies. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. The primary outcome is the rate of perioperative respiratory adverse events (PRAEs). Secondary outcomes included the rate of conversion to ETT, desaturations, nausea/vomiting, and surgical time. A subgroup analysis, risk of bias, publication bias, and Grading of Recommendations Assessment, Development, and Evaluation (GRADE) assessments were also performed. Twelve studies were included in the analysis (4176 patients). The mean overall conversion to ETT was 8.36% [95% confidence interval (CI) = 8.17, 8.54], and for the pediatric group 8.27% (95% CI = 8.08, 8.47). The mean rate of conversion to ETT secondary to complications was 2.89% (95% CI = 2.76, 3.03) while the rest was from poor surgical access. Overall, there was no significant difference in PRAEs [odds ratio (OR) 1.16, 95% CI = 0.60, 2.22], desaturations (OR 0.79, 95% CI = 0.38, 1.64), or minor complications (OR 0.89, 95% CI = 0.50, 1.55). The use of LMA yielded significantly shorter operative time (mean difference -4.38 minutes, 95% CI = -8.28, -0.49) and emergence time (mean difference -4.15 minutes, 95% CI = -5.63, -2.67). For adenotonsillectomy surgery, LMA is a safe alternative to ETT and requires less operative time. Careful patient selection and judgment of the surgeon and anesthesiologist are necessary, especially given the 8% conversion to ETT rate.

Seasonal phenology of the little brown bat (Myotis lucifugus) at 60° N

AbstractTo investigate the impact of short summers and long summer solar periods at high latitudes on the behavior of a nocturnal, hibernating mammal, we recorded the phenology of Myotis lucifugus (little brown myotis) at 60° N in the Northwest Territories (NWT), Canada. In particular, we assessed the timing of spring emergence from, and autumn entry into, hibernation, reproduction, and seasonal mass fluctuations. We used a combination of acoustic monitoring and capture surveys at two hibernacula and two maternity roosts during 2011 and 2012. Myotis spp. were active at the hibernacula from late April to late September/early October, suggesting that the “active” season length is similar to that of populations farther south. At maternity colonies, we detected M. lucifugus activity from early May to early October, with peaks during mid‐July in both years. Lactation, fledging, and weaning all occurred later in the NWT than at more southern locations, and reproductive rates were significantly lower than rates observed farther south. The average mass of individuals fluctuated throughout the season, with an initial decline immediately following emergence from hibernation likely reflecting increased energy expenditure due to flight and decreased use of torpor, coupled with relatively low prey intake due to low prey abundance associated with cool temperatures. Females did not appear to have lower pre‐hibernation masses than those in more southern populations, suggesting that despite the cool spring and autumn temperatures, and short summer nights, bats are able to obtain enough energy for reproduction and mass accumulation for hibernation. However, the lower reproductive rates may indicate that there are limitations to life at the northern limits of the species' range.

Abstract WMP37: Neighborhood Socioeconomic Status, Race and Prehospital Emergency Care and Time to Presentation for Stroke

Introduction: It is unclear how neighborhood socioeconomic status (nSES) affects the pre-hospital recognition and care of acute stroke at the national level. Methods: Patients with ischemic stroke, intracerebral hemorrhage, and subarachnoid hemorrhage in the Get With the Guidelines-Stroke registry, presenting from July 2015 to December 2019, with symptom onset <24 hours were included. Social deprivation index (SDI) at the county level approximated nSES. Logistic and quantile regressions evaluated the impact of SDI on EMS use, EMS prenotification, and time of symptom onset to emergency department (ED) arrival. Sequential models were adjusted for patient age, gender, race, vascular risk factors, arrival mode, stroke severity (NIHSS), and insurance status. Results: 634,823 patients met inclusion criteria. Patients were 51.2% Male, 67.1% White, with median NIHSS of 4 (IQR: 2-10), and median SDI of 51 (IQR: 27-75). Median symptom onset to arrival time was 176 mins (IQR: 63-565). SDI was not associated with differences in EMS use, but was associated with lower odds of EMS prenotification (upper SDI tercile vs lowest, OR 0.87, 95% CI 0.86-0.89). SDI was also significantly associated with stroke symptom onset to ED arrival time (upper SDI tercile vs lowest +2.72 mins, 95% CI 0.68-4.77); however, this association became nonsignificant when insurance was added to the model. By contrast, Black race was significantly associated with prolonged symptom onset to ED arrival time (+28.7 mins, 95% CI 26.0-31.5), and decreased odds of EMS prenotification OR 0.76 (95% CI 0.74-0.77). Conclusions: Higher SDI was associated with reduced odds of EMS prenotification, despite similar odds of EMS use across SDI levels. Race had a greater effect, with prolonged prehospital times and decreased odds of EMS pre-notification. Efforts to reduce place-based disparities in stroke care must address significant race-based inequities which exist in pre-hospital recognition and care of stroke.

Growth response of sweet kaffir lime (Citrus hystrix) seeds due to kinetin and coconut water application using tissue culture technique

Sweet kaffir lime is one of Aceh’s local fruit crops, which is rarely found anymore. The problem of sweet kaffir lime cultivation is the difficulty of generative and vegetative plant propagation. The general objective of this research is to preserve the Acehnese sweet kaffir lime from extinction. One way that can be done is through plant propagation in tissue culture. The experiment was conducted in the Plant Tissue Culture laboratory of the Faculty of Agriculture, Universitas Malikussaleh. This research used a two-factor, completely randomized design, and ten replications. Two factors were tried: the concentration of kinetin (0, 1, and 2 mg/L) and the concentration of young coconut water (0, 15, 30 %). The results showed that increasing kinetin concentration could reduce shoot length, number of leaves, root length and slow the root emergence time of sweet kaffir lime in vitro. The best treatment was the 0 mg/L kinetin (without kinetin). Increasing coconut water concentration could increase shoot length, number of leaves, and root length of sweet kaffir lime in vitro. The best treatment was 30% coconut water concentration.

Changes in United States Summer Temperatures Revealed by Explainable Neural Networks

AbstractTo better understand the regional changes in summertime temperatures across the conterminous United States (CONUS), we adopt a recently developed machine learning framework that can be used to reveal the timing of emergence of forced climate signals from the noise of internal climate variability. Specifically, we train an artificial neural network (ANN) on seasonally averaged temperatures across the CONUS and then task the ANN to output the year associated with an individual map. In order to correctly identify the year, the ANN must therefore learn time‐evolving patterns of climate change amidst the noise of internal climate variability. The ANNs are first trained and tested on data from large ensembles and then evaluated using observations from a station‐based data set. To understand how the ANN is making its predictions, we leverage a collection of ad hoc feature attribution methods from explainable artificial intelligence (XAI). We find that anthropogenic signals in seasonal mean minimum temperature have emerged by the early 2000s for the CONUS, which occurred earliest in the Eastern United States. While our observational timing of emergence estimates are not as sensitive to the spatial resolution of the training data, we find a notable improvement in ANN skill using a higher resolution climate model, especially for its early twentieth century predictions. Composites of XAI maps reveal that this improvement is linked to temperatures around higher topography. We find that increases in spatial resolution of the ANN training data may yield benefits for machine learning applications in climate science.

Bayesian Estimation of Advanced Warning Time of Precipitation Emergence

AbstractClimate models disagree on the direction of precipitation change over about half of the Earth. Current characterizations of expected change use the ensemble mean, which systematically underestimates the magnitude and overestimates the time of emergence (ToE) of precipitation change in regions of high uncertainty. We develop a new approach to estimate both ToE and the potential to update uncertainty in precipitation over time with new observations. Further, we develop two new metrics that increase the usefulness of ToE for adaptation planning. The time of confidence estimates when projections of precipitation emergence will have high confidence. Second, the advance warning time (AWT) indicates how long policymakers will have to prepare for a new precipitation regime after they know change is likely to occur. Our approach uses individual model projections that show change before averaging across models to calculate ToE. It then applies a Bayesian method to constrain uncertainty from climate model ensembles using a perfect model approach. Results demonstrate the potential for widespread and decades‐earlier precipitation emergence, with potential for end‐of‐century emergence to occur across 99% of the Earth compared to 60% in previous estimates. Our method reduces uncertainty in the direction of change across 8% of the globe. We find positive estimates of AWT across most of the Earth; however, in 34% of regions there is potential for no advanced warning before new precipitation regimes emerge. These estimates can guide adaptation planning, reducing the risk that policymakers are unprepared for precipitation changes that occur earlier than expected.

Induksi Kalus dari Hipokotil Belimbing Merah (Baccaurea angulata) dengan Penambahan 2,4-D (Dichlorophenoxy Acetic Acid) dan BAP (6-Benzyl Amino Purin)

Red starfruit is one of the endemic plants of Kalimantan which produces secondary metabolites which has been empirically used as antioxidant, antibacterial, and anticancer. This plant has a long reproductive period and seedless fruit is often found during the fruiting season, which is a problem for the sustainability of the red starfruit in nature. Conservation of red star fruit for propagation and production of secondary metabolites can be done in vitro through callus culture. This research aims to determine the effect of adding the growth regulators dichlorophenoxy acetic acid (2,4-D) and 6-benzyl amino purine (BAP) on callus induction time, percentage of callus forming explants, callus color and texture, and callus growth. This research used a Completely Randomized Design (CRD) with a factorial pattern consisting of two treatment factors, namely 2,4-D (0; 0.25; 0.5; 0.75; 1 ppm) and BAP (0; 0.25; 0.5; 0.75; 1 ppm). The percentage of explants forming callus (%), the time the callus appeared (days after planting), the color and texture of the callus, the wet weight and dry weight of the callus (g) were research observation parameters.The results showed that the single factor 2,4-D, single factor BAP, and the interaction of 2,4-D and BAP had a significant effect to callus appearance time. Single administration of 2,4-D and BAP had a significant effect on callus dry weight. The color variations of the callus produced are white, green and brown with a compact texture. The fastest callus emergence time was at 11.00 days after planting (DAP), namely in the combination treatment of 1 ppm 2,4-D and 0.75 ppm BAP, single treatment 0.75 ppm and 1 ppm 2,4- D. The highest average dry weight of 0.024 g was obtained in the single treatment of 0.75 ppm BAP.

INDUKSI TUNAS PADA DUA VARIETAS PISANG (Musa acuminata C.) TERHADAP LAMA PENGGELAPAN SECARA IN VITRO

A sufficient supply of healthy plants must be provided to balance the rising demand for bananas. A technique that can be used for propagation is tissue culture. Environmental factors and a variety of types are factors that affect explant growth. This research aimed to determine the effect of darkening duration on the growth of two banana (Musa sp.) varieties in vitro. In this study, a Factorial Randomized Block Design was implemented, considering two elements, namely the variety of bananas and the duration of darkening. The research showed that the time of shoot emergence started at 1.83 WAP in Cavendish grand naine treatment without darkening. The type of variety treatment had a significant effect on the number of leaves, and the best variety was Cavendish grand naine. The darkening duration treatment with four weeks of darkening increased shoot height significantly. An interaction between these two factors was observed in the number of shoots, shoot height, and number of leaves.

Pengaruh Pemilihan Eksplan Dan Varietas Terhadap Induksi Kalus Tanaman Tebu (Saccharum Officinarum L)

Tissue culture is one of the appropriate plant propagation methods for producing superior seeds in large numbers and simultaneously. The aim of this research was to determine the effect of selecting different explants and varieties on callus induction in sugar cane plants. This research was carried out from March to May 2022 at the Tissue Culture Laboratory of the Sugar Research Center (Puslit) PTPN X Jengkol, Plosokidul Village, Plosoklaten District, Kediri Regency. The method used in this research was a Completely Randomized Design (CRD) which was arranged factorially with two replications. The first factor is the explant part of the sugar cane shoot (E) which consists of 6 levels, namely the 1st, 3rd, 5th, 7th, 9th and 11th pieces. The second factor is the types of varieties with different ripeness types (V) which consist of 3 levels, namely NX 01 (early ripe), Cenning (middle ripe), and PSDK 923 (slow ripe). Based on the data analysis that has been carried out, the results obtained are that the combination of treatment of sugarcane shoot explant parts (E) and varieties (V) shows a positive response to the callus emergence time variable with the fastest callus emergence being the combination of the 1st explant cutting treatment on the NX variety 01 with an average of 6.5 days. A single treatment of sugarcane shoot explant parts (E) had a very significant effect on the contamination percentage variable. The lowest contamination percentage observed in 11-th piece as 8,35%.

Television Journalism: Information Technologies during Distance Education

<p><strong><em>The purpose of the article</em></strong><em> is to analyze new forms and methods of distance education for television journalism students in a higher education institution during the Covid-19 pandemic and the use of modern digital technologies for the production of audiovisual content during the full-scale invasion of Ukraine by Russia.</em><em></em></p><p><strong><em>Research methodology. </em></strong><em>A set of methods was used in the course of the research. The description of distance learning technologies is based on the analysis, synthesis and systematization of the material; the method of comparison has become the key in the study of modern mobile applications as the main tools in the acquisition of practical skills and abilities by prospective television journalists.</em></p><p><strong><em>Results.</em></strong><em> The formation of new approaches to online teaching of practical television journalism courses is an urgent need nowadays. The systematization of the research results shows that distance education in times of emergency in Ukraine has become one of the most effective learning technologies, and it is developing quite rapidly due to advances in information technology and computer hardware. Today, the Moodle e-learning system is a powerful platform for mastering a number of practice-oriented courses. At the same time, new tools and instruments are emerging to help develop practical skills in the chosen specialty. Thanks to a number of mobile applications with various editors, prospective TV professionals can use in practice their library and a fairly wide range of both traditional and more complex functionality: Emotion Sense Technology (Magisto), 4D special effects (Likee), live broadcasts, filming and simultaneous publication of audiovisual content on the web, etc.</em></p><p><strong><em>Novelty. </em></strong><em>Analyzing the best practices of teaching professional disciplines in television journalism in a distance format and finding new forms and methods for mastering these practical courses is the way to provide quality educational services and the key to successful graduate fulfillment in the media industry.</em><em></em></p><p><strong><em>Practical significance. </em></strong><em>The use of modern technologies and mobile applications in distance education (along with available educational and methodological materials) will help students acquire the set of practical skills necessary for further independent work, despite the challenges of today.</em><em></em></p><p><strong><em>Key words: </em></strong><em>television journalism, distance learning, digital technologies, mobile applications, media content production, distance media education.</em></p>

Shoot Induction of Black Stem Potato (Solanum tuberosum L. var. Cingkariang) with Several Concentration of 6-Benzylaminopurine (BAP)

Black stem potato (Solanum tuberosum L. var. cingkariang/cingkariang potato) are a specific germplasm of West Sumatra with low productivity. One method of propagating this plant is through tissue culture techniques. The addition of Plant Growth Regulator (PGR) determines the results of plant propagation through tissue culture technique. Cytokinins such as 6-Benzylaminopurine (BAP) play a role in cell division and accelerate shoot formation. This study expects to decide the impact of a few convergences of BAP on the shoot enlistment of cingkariang potato. The examination utilized a totally randomized plan (CRD) with four treatments (0, 1, 2, and 3 mg/L BAP) and six replications. The result showed that BAP was able to induce Cingkariang potato shoots in all concentration. BAP 2 mg/L gave the fastest shoot and root emergence time and also gave the highest number of shoots and roots of Cingkariang potato. BAP 2 mg/L was the best concentration for shoot induction of black stem potato (Solanum tuberosum L. var. Cingkariang).

Carolife – Life Caring Solutions

In times of medical emergencies, individuals always face difficulties in finding the most suitable hospital for necessary treatment. They may navigate from one healthcare facility to another, medications, and blood supply. Hospital finder will solve these problems. This application is designed to help individuals to find the best medical care for their needs in a convenient way. It uses GPS-Global Positioning System in smart phones to find the nearest hospitals that offer the desired medical specialities, such as cardiology, neurology etc. It also shows the routes from the current location to the selected hospital through Google Maps, saving time and reducing stress for the users. Moreover, it supplies information about the hospitals, such as their facilities, doctors, blood banks, laboratories, and appointment schedules. Users can search for hospitals based on their requirements. They can also access their earlier medical history through the application by logging in to keep the privacy of the users. This application aims to reduce the hassle of searching for specific medical services and improve the health outcomes of the users/patients by providing them with reliable and relevant information. Key Words: GPS, Google Maps, Blood Bank, Appointment Schedules, Privacy

Assessing COVID‐19 crisis communication and health outcomes based on the Intervention Ladder

AbstractEffective health communication is critically important in times of emergency. From the outset of the COVID‐19 pandemic, officials at the University of Alabama at Birmingham (UAB) delivered health announcements that were timely, transparent, trustworthy and proportional to the crisis. Moreover, each announcement contained one or more messages with guidance corresponding to varying levels of the Intervention Ladder. Our team analysed messages based on the eight levels of the Intervention Ladder and compared health outcomes between UAB employees and residents of Alabama, USA. Results suggested that announcements played an essential role in raising situational awareness about the severity of the pandemic and may have led to greater compliance by the UAB community, as demonstrated through comparative rates of hospitalisation, vaccination and mortality.

Post-quake call for action: developing core competencies matrix for Syrian health workers in emergency time

BackgroundThe recent earthquake in Syria has caused widespread devastation, leading to extensive damage and loss of life. Considering the diverse range of disasters and conflicts that have affected Syrian society, health workers must possess essential competencies to effectively manage various types of disasters, including earthquakes. Therefore, this study was undertaken to identify the specific competencies required by Syrian health workers to respond efficiently and effectively to earthquakes.MethodsAn exploratory qualitative study was conducted at the Medical Education Program MEP of the Syrian Virtual University SVU. Nine members of the research team of the MEP, who represent various health specializations in medicine, dentistry, nursing, and pharmacy, accepted to take part in this study. Among these, three members have been actively involved in providing health care in hospitals and the field during the Syrian earthquake on 6 February 2023. The Delphi process was adopted to identify competencies. Health workers involved in earthquake response were categorized into nine groups including medical doctors, dentists, pharmacists, nurses, psychological support professionals, medical students, allied healthcare professionals, on-site disaster teams, and managers. The final list was accepted if it achieved more than 80% agreement among the participants in the first, second, and final rounds.ResultsThe study identified 74 competencies (12 knowledge items, 35 skills, and 27 attitudes) essential for health workers to respond effectively to earthquakes. They are categorized into five domains: "Preparing the team for the rescue process during and, after earthquakes, Implementation of the rescue process, Education and psychological support, Research, and development".ConclusionA list of earthquake competencies was identified for health workers. It is hoped that this list will enhance a country’s resilience and will enable decision–makers to support health workers in acquiring these competencies within a very strained health system in Syria and other countries.

Microscopic interactions control a structural transition in active mixtures of microtubules and molecular motors

Microtubules and molecular motors are essential components of the cellular cytoskeleton, driving fundamental processes in vivo, including chromosome segregation and cargo transport. When reconstituted in vitro, these cytoskeletal proteins serve as energy-consuming building blocks to study the self-organization of active matter. Cytoskeletal active gels display rich emergent dynamics, including extensile flows, locally contractile asters, and bulk contraction. However, it is unclear how the protein-protein interaction kinetics set their contractile or extensile nature. Here, we explore the origin of the transition from extensile bundles to contractile asters in a minimal reconstituted system composed of stabilized microtubules, depletant, adenosine 5'-triphosphate (ATP), and clusters of kinesin-1 motors. We show that the microtubule-binding and unbinding kinetics of highly processive motor clusters set their ability to end-accumulate, which can drive polarity sorting of the microtubules and aster formation. We further demonstrate that the microscopic time scale of end-accumulation sets the emergent time scale of aster formation. Finally, we show that biochemical regulation is insufficient to fully explain the transition as generic aligning interactions through depletion, cross-linking, or excluded volume interactions can drive bundle formation despite end-accumulating motors. The extensile-to-contractile transition is well captured by a simple self-assembly model where nematic and polar aligning interactions compete to form either bundles or asters. Starting from a five-dimensional organization phase space, we identify a single control parameter given by the ratio of the different component concentrations that dictates the material-scale organization. Overall, this work shows that the interplay of biochemical and mechanical tuning at the microscopic level controls the robust self-organization of active cytoskeletal materials.

First characterisation and conservation needs of a large maternity colony of lesser horseshoe bats (Rhinolophus hipposideros) in Aljezur, Portugal

A new maternity colony of lesser horseshoe bats (Rhinolophus hipposideros) was found and described in an abandoned building in Aljezur, Portugal. Between June 25 and July 4, 2022, we conducted emergence and juvenile counts, took light intensity measurements during emergence times and evaluated microclimatic conditions inside the roost, namely temperature and relative humidity. Moreover, we took ultrasound recordings in the open and performed transects to locate foraging areas and commuting corridors. We found the colony amounted to at least 501 individuals (371 adults and 130 juveniles), currently the largest known in Portugal and one of the biggest in Europe. Sixteen matching echolocation calls were recorded away from the colony near a water reservoir, a probable foraging area together with the Vale da Telha valley connecting the roost to the water body, which may also serve as a commuting corridor. Considering the threatened conservation status of the lesser horseshoe bat, the large colony size and its lack of protection, we proposed several conservation measures aimed at preserving the colony. We hope our recommendations will be included in the management plan currently being prepared for the Natura 2000 site Costa Sudoeste. Following up on this research, a radio-tracking study would definitively confirm the bats’ movements and foraging grounds.

Sensing the Future in Contemporary Anglophone Literature: Utopian Practice in Times of Global Emergency

Abstract: Due to contemporary experiences of climate crisis, large-scale migration, and global ruptures such as the spread of COVID-19, futurity has become newly problematized in both public discourse and critical discussions in literary and cultural studies. This article argues that literary texts contribute to the renegotiation of futurity for the cultural needs of the present. The article discusses how two contemporary Anglophone novels, Mohsin Hamid’s Exit West (2017) and Nnedi Okorafor’s Lagoon (2014), redirect both ecocritical and critical posthumanist concerns towards an ethics of open futurity that is, counterintuitively, contiguous with the humanist philosophies of Hannah Arendt and Emmanuel Levinas. The novels express forms of anticipation in which open futurity and the experience of encounter with the other form a basic ethical orientation, thereby pointing to an emergent reshaping of utopian practice in times of global emergency.

Economic Insights to Optimize Chain of Survival in Emergency Response

Background: Since economics is a social science studying individuals' behavior, it is plausible to employ its relevant concepts to study human behavior in the immediate response of lay citizens towards emergency incidents. In this context, economics has identified three types of policy lags in fiscal decisions that are of great interest to our study: recognition lag, decision lag, and implementation lag. Objectives: This study aims to apply the three policy lags in economics to the concept of ‘chain of survival' (CoS), in the hope of enticing rethinking its first link, and to seek solutions for CoS's optimal activation. Methods: This cross-sectional study explores immediate responses to prehospital emergencies through a global online survey in four languages. It assesses how lay citizens recognize medical emergencies and activate the EMS system. Data is analyzed with SPSS v26 while summarizing qualitative variables via frequencies and percentages. Results: A total of 239 respondents were recruited in the survey from multiple countries. About 32% of the sample had recognition lag 95% CI of [26.3%, 38.2%]. Lower recognition lag scores were significantly associated with male gender, residing in Europe and Oceania, European and North American nationalities, and first aid training in last 5-10 years. Around 70% of our sample had decision lag 95% CI of [63.6%, 75.3%]. The most statistically significant factor contributing to successful decision to calling for an ambulance was prior first aid training. The average implementation lag score was 46%, which was defined as five minutes delay in calling for an ambulance or more. Conclusion: Applying concise terminology to the CoS's first link (i.e. calling EMS) reveals behavioral constrains to an effective and timely activation of the CoS. These findings clarify immediate behaviors at times of emergencies, and inform targeted awareness programs addressing behavioral elements for a successful activation of the EMS system.

Developing a Legal Framework for Virtual Court Hearing in Nigeria

This article focuses on the legal framework on virtual court hearing in Nigeria. There is a vacuum in the Nigerian legal system that was brought to limelight during the Corona virus pandemic and this gap relates to the issue of justice being denied and delayed in times of emergency such as pandemic, war and even insecurity which halt the flow of human activities and smooth administration of the legal system. Having regard to the mandatory requirements of the fundamental rights’ provisions in the Nigerian Constitution which guarantee fair hearing and the right to be tried before a court of law within a reasonable time, it becomes imperative to define the legal foundation for the application of the procedure for virtual court hearing in Nigeria in the absence of an explicit constitutional safeguard. The article considers the legality of virtual court hearing in the Nigerian legal system and the constitutional requirement that trials should be held in public and within a reasonable time. The article observes that though there is no direct constitutional backing for the application of virtual court hearing in Nigeria, there are explicit rules of court regulating the practice as a remedy in the time of emergency. The study finds that the practice of virtual court hearing has already gained recognition in the Nigerian legal system, however, there is need for a constitutional backing on the framework in the light of the conflicting opinions and skepticisms surrounding the practice.

Practice of Birth Preparedness and Complication Readiness and Its Associated Factors:A Health Facility-Based Cross-Sectional Study Design.

Time of labor or time of emergency is not the time to decide what to do, instead it is time to seek care from skilled health care providers. Birth preparedness and complication readiness is the process of planning for a normal birth and anticipating the action needed in case of an emergency, which helps to minimize obstetric complications. Even though birth preparedness and complication readiness reduce maternal and newborn morbidity and mortality, the practice of birth preparedness and complication readiness is still low in Ethiopia. This study aimed to assess the practice of birth preparedness and complication readiness and its associated factors among pregnant women who attended antenatal care in the public health facilities of Debre Tabor town, northwest, Ethiopia. A health facility-based cross-sectional study was conducted from August 1/2022 to September 15/2022 among 397 pregnant mothers. The study was collected using a systematic random sampling technique and the collected data were entered and analyzed using SPSS version 25.0. Bivariate and multivariate logistic regression analyses were employed to estimate the crude and adjusted odds ratio and considered significant at a confidence interval of 95% and a P-value of less than .05. The proportion of birth preparedness and complication readiness practice was found to be 32.2%. Having formal education, primigravida, starting antenatal care contact in the first trimester of pregnancy, having knowledge of danger signs of labor and delivery, and birth preparedness and complication readiness were significantly associated with the practice of preparedness and complication readiness. In this study area, the practice of birth preparedness and complication readiness was low. Therefore, it is important to strengthen counseling on the advantage of starting antenatal care contact early and creating awareness of birth preparedness and complication readiness.