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Background: Studies revealed people with psychiatric conditions have a higher risk of complicated appendicitis. Patients with acute appendicitis classically present with acute pain in the right iliac fossa, fever, and vomiting. In complicated acute appendicitis, patients present with a palpable mass, appendix phlegm, or abscess. Commonly, appendicular abscesses are treated conservatively with ultrasound-guided percutaneous drainage and antibiotic therapy. Case Presentation: We demonstrate a case of a 58-year-old with neglected appendicitis in a psychiatric patient. The patient presents with multiple intraabdominal abscesses and septic shock, requiring open drainage and intensive care unit admission. Conclusion: To stop the progression of the disease and the emergence of complications, our study highlights the significance of careful assessment, early diagnosis, and treatment with attention to adherence for the psychiatric population.

This study aimed to identify The Level of Social Competence among Kindergarten Students According to Montessori Curriculum from their Teacher’s viewpoint in Qatar. The descriptive approach was used, a scale of social competence was developed, and its psychometric properties were verified. The study sample consisted of kindergarten students who follow the Montessori curriculum and who follow the normal curriculum numbering (109) students. They were selected by purposive sample, for the second semester of the year (2020/2021). The results showed that the level of social competence among kindergarten students according to the Montessori curriculum came at a high level. As showed, there were statistically significant differences in the level of social competence among kindergarten students according to the curriculum variable and in favor of the Montessori curriculum. As there were statistically significant differences in the level of social competence of children in the Montessori curriculum according to the variable of gender in favor of females, And according to the variable of the mother’s profession in favor of the working mother, And to the absence of statistically significant differences according to the variable of mother’s educational attainment. In the normal curriculum, there were no statistically significant differences according to the variables (gender, mother’s profession, and mother’s educational attainment. The study recommended conducting similar studies in Jordan and applying them to Montessori kindergartens and comparing them with the normal kindergartens.

Acute cholecystitis is a very common acute abdominal disease that mostly indicates abdominal surgery. Appendiceal adhesion to the gallbladder is a very rare condition detected during laparoscopic surgery. A 54-year-old female patient, with a known case of diabetes and hypertension, presented with right upper quadrant abdominal pain of four months’ duration. The pain was increasing in severity and associated with fatty meals. She was diagnosed with acute cholecystitis and was sent to the operating room for laparoscopic cholecystectomy. Appendiceal adhesion to the gallbladder was found, and laparoscopic cholecystectomy and laparoscopic appendectomy were performed. Adhesion of the appendix to the gallbladder should be considered by general surgeons.

Internal hernias are protrusions of viscera that can cause obstructions such as small bowel obstruction (SBO). Diagnosis can be challenging, as they usually come with an atypical presentation. We report on a case of a woman in her early 40s, with no history of surgery or chronic illnesses, which came with abdominal pain associated with vomiting. CT scan revealed obstructed small bowel. On exploratory laparoscopy, an internal hernia through a peritoneal defect in the vesicouterine space was found, entrapping a limb of the jejunum. The entrapped loop of the small bowel was freed, the ischaemic part was resected, and the defect was closed. Our case presents the second reported case of a congenital vesicouterine defect causing SBO. It is important to consider patients presenting with SBO as a case of congenital peritoneal defect if they had no previous surgeries.

Malaria presents a challenge to healthcare systems globally. It is associated with severe complications, notably splenic rupture. The prognosis of malaria complicated by splenic rupture is poor and sometimes leads to death even with timely intervention. Here, we report the case of a patient who presented with complicated malaria with spontaneous splenic rupture and coincidental acute appendicitis. A 34-year-old man was successfully treated for a grade IV ruptured spleen and acute appendicitis with splenectomy and appendectomy. Postoperative care took place in the intensive care unit and the patient was shifted to the general floor on the fifth day. Upon discharge the next day, he was prescribed amoxicillin twice daily for one year. Malaria can present with life-threatening complications requiring prompt surgical intervention.

Rectal procidentia is an uncommon perineal disease that is rare in males. There is no specific medical role in treatment of rectal procidentia and surgical intervention is the treatment of choice. Various surgical approaches have been performed, but there is no consensus on which procedure is most effective in terms of patient condition, recurrence rate, bowel function, and risk. This case presentation of a healthy male patient with experience of uncomplicated reducible rectal prolapse and a history of chronic constipation. Presented with complicated rectal prolapse in the presence of incarcerated rectal prolapse after a failed trial with conservative maneuvers, he ended up with abdominal approach sigmoidectomy and posterior mesh rectopexy.

Flood syndrome is a spontaneous rupture of an umbilical hernia. It has a high mortality and morbidity and presents many challenges in medical versus surgical management. We present a case of a 23-year-old Yamani woman with complicated umbilical hernia, newly diagnosed hepatitis B infection, and decompensated liver cirrhosis with ascites (Child-Pugh grade B). The patient was undergoing multiple abdominal ascitic tapping that eventually ruptured with an omentum evisceration, causing Flood syndrome. An urgent umbilical hernioplasty with mesh in a sublay technique was conducted.

Ultrafast excited-state dynamics of planar Pt, Pd, and Ni dithione-dithiolato complexes were investigated by transient absorption spectroscopy on the femtosecond-picosecond timescale. All studied complexes show a common photobehaviour, although individual kinetics parameters and quantum yields vary with the metal, the dithione ligand and, namely the solvent (DMF, MeCN). Laser pulse irradiation at 800 nm populates the lowest singlet excited state of a dithiolato → dithione charge transfer character, (1)LL'CT. The optically excited state undergoes a solvation-driven sub-picosecond electronic relaxation that enhances the dithione/dithiolato charge separation. The (1)LL'CT state decays with a 1.9-4.5 ps lifetime by two simultaneous pathways: intersystem crossing (ISC) to the lowest triplet state (3)LL'CT and non-radiative decay to the ground state. ISC occurs on a ∼6 ps timescale, virtually independent of the metal, whereas the rate of the non-radiative decay to the ground state decreases on going from Ni (2 ps) to Pd (3 ps) and Pt (∼10 ps). (3)LL'CT is initially formed as a vibrationally excited state. Its equilibration (cooling) takes place on a picosecond timescale and is accompanied by a competitive decay to the ground state. Equilibrated (3)LL'CT is populated with a quantum yield of less than 50%, depending on the metal: PtPdNi. (3)LL'CT is long-lived for Pt and Pd (≫500 ps) and short-lived for Ni (∼15 ps). Some of the investigated complexes also exhibit spectral changes due to vibrational cooling of the singlet (2-3 ps, depending on the solvent). Rotational diffusion occurs with lifetimes in the 120-200 ps range. Changing the dithione (Bz2pipdt/(i)Pr2pipdt) as well as dithiolate/diselenolate (dmit/dsit) ligands has only small effects on the photobehavior. It is proposed that the investigated dithione-dithiolato complexes could act as photooxidants (*E(o) ≈ +1.2 V vs. NHE) utilizing their lowest excited singlet ((1)LL'CT), provided that the excited-state electron transfer is ultrafast, competitive with the picosecond decay. On the other hand, the efficiency of any triplet-based processes would be severely limited by the low quantum yield of the triplet population.

Recently, the switching between the different charge-ordered phases of $1T\ensuremath{-}{\mathrm{TaS}}_{2}$ has been probed by ultrafast techniques, revealing unexpected phenomena such as ``hidden'' metastable states and peculiar photoexcited charge patterns. Here, we apply broadband pump-probe spectroscopy with varying excitation energy to study the ultrafast optical properties of $1T\ensuremath{-}{\mathrm{TaS}}_{2}$ in the visible regime. By scanning the excitation energy in the near-IR region we unravel the coupling between different charge excitations and the low-lying charge-density wave state. We find that the amplitude mode of the charge-density wave exhibits strong coupling to a long-lived doublon state that is photoinduced in the center of the star-shaped charge-ordered Ta clusters by the near-IR optical excitation.

The study aim to examine the impact of educational leadership on human resources development of Jordanian university. The study is an analysis descriptive research and the methods will be use survey in order to collect information needed for get the results. The population of the study includes all Jordanian universities. The sample of the study will includes (200) professors working in governmental universities located in Amman city. The study results indicated that there are positive attitudes towards educational leadership, the study also indicated that there are positive attitudes towards variables: communication, learning, influence, confidence, and knowledge. The study results accept main hypotheses that states: There is a statistically significant impact of educational leadership on human resources development of Jordanian university. The study results also accept the first three sub hypothesis which related to the impact of (communication, learning, and influence) on human resources development of Jordanian university, but the study results reject the sub hypothesis which related to the impact of (confidence, and knowledge). The study recommended to identify best practices in leadership styles, for positive change at the university, and how to increase the absorption of the change points when their employees, and to support and provide all the resources that help educational leadership in order to achieve: communication, learning, influence, confidence, and knowledge.

Here we present our first results on the fs to ps relaxations in a series of square-planar d8 metal mixed-ligand dithiolene complexes, investigated with fs time resolved broadband transient absorption spectroscopy

It has been recently demonstrated that a pump pulse can generate coherent charge fluctuations in a superconductor through a stimulated Raman process [Mansart, et al., Proc. Natl. Acad. Sci. USA 110, 4539 (2013)]. Here, we present a tutorial review of the basic phenomena involved and show how the technique bears a strong analogy with nuclear magnetic resonance and electron paramagnetic resonance. The reflectivity of the system gets modulated by the coherent charge fluctuation of the condensate. A resonance at the Mott scale allows to identify a high-energy excitation which is coupled to the superconducting quasiparticles.

Dynamical information on spin degrees of freedom of proteins or solids can be obtained by Nuclear Magnetic Resonance (NMR) and Electron Spin Resonance (ESR). A technique with similar versatility for charge degrees of freedom and their ultrafast correlations could move forward the understanding of systems like unconventional superconductors. By perturbing the superconducting state in a high-Tc cuprate using a femtosecond laser pulse, we generate coherent oscillations of the Cooper pair condensate which can be described by an NMR/ESR formalism. The oscillations are detected by transient broad-band reflectivity and found to resonate at the typical scale of Mott physics (2.6 eV), suggesting the existence of a non-retarded contribution to the pairing interaction, as in unconventional (non Migdal-Eliashberg) theories., Comment: Accepted for publication in the Proceedings of the National Academy of Sciences of the U.S.A. (PNAS)