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This research focuses on the needs analysis and perspectives in evaluating English for Specific Purposes (ESP) courses designed for medical students. The study intends to identify the medical students’ perceptions of the frequency and importance of using English language skills. Two different instruments, questionnaires and semi-structured interviews, were used to collect data. Respondents included 186 medical students, 4 ESP lecturers, and 10 Department of Medicine (DM) Subject Matter lecturers at Ibb University in Yemen. In this study, quantitative data were collected from three different subject groups (n=200) by means of three versions of the questionnaire. Correspondingly, some follow-up interviews, which were organised with a group of these three informants (n=29), complemented the data collection procedure. The collected data was analysed via the SPSS software package, followed by a qualitative data thematic analysis of semi-structured interviews. The findings showed some differences in which medical students believed the most frequent skills used are Listening and Reading, while their ESP and DM Subject Matter lecturers believed that medical students use Writing and Listening. The results revealed that although most of the English language skills and sub-skills in target needs were considered important or very important by all the participants, there were discrepancies in the preferences and priorities. The findings of this study are expected to be used as reference material for further research and give valuable considerations which may provide useful information for the ESP course designers to meet the target English needs of medical students in Yemen.

Salvia rosmarinus Spenn (synonym: Rosmarinus officinalis L.) is economically and medically important and grows naturally in Al-Marj (Libya). Macro, micro morphological and chemical characteristics were studied. Leaf venation, leaf anatomy and chemical compounds of essential oils were carried out according to traditional methods. The objective of the present study is to provide detailed description of the characteristics of this species. Morphological charactersistics of leaves, calyx, corolla, stamens are useful for sectional and specific delimitations in Salvia. The leaf architecture characters of primary, secondary, tertiary and quaternary veins are good diagnostic markers for the identification and classification of species. Anatomical characters such as glandular and non- glandular trichomes , mesophyll structure, presence of hypodermis and structure of vascular bundles have been found to have taxonomic value. Cineol (32.38%) is main component of essential oil, followed by Camphor, β-pinene, borneol, Caryophyllene, α-terpineol and α-pinene. Chemical data in essential oils carried taxonomic value of Salvia species.

Background: Over 15 million people died globally from acute coronary syndrome (ACS) in 2019, with individuals under 70 years old accounting for 40% of these untimely fatalities. Aim: The current study aimed to assess effectiveness of novel inflammatory index in prediction of coronary artery disease severity in Egyptian patients with acute coronary syndrome. Methods: This prospective cross-sectional study was conducted on a total of 100 patients with acute coronary syndrome. Systemic immune inflammation index (SII), systemic inflammation response index (SIRI) and systemic immuneinflammation response index (SIIRI) and systemic immune-inflammation response index were calculated. Results: SII ranged from 83.3 to 5310.8 with a mean value of 880.2 ± 778.62. SIRI ranged from 0.39 to 14.35 with a mean value of 3.6 ± 2.96. SIIRI ranged from 83.3 to 4632 with a mean value of 1007.3 ± 877.86. SII, SIRI and SIIRI were significantly lower in Syntax ≤ 20 group than Syntax >20 group (P value < 0.05). Conclusion: Patients with acute coronary syndrome (ACS), including STEMI, NSTEMI, and unstable angina (UA), exhibited elevated levels of the novel inflammatory marker SIRI. This index could serve as an effective inflammatory biomarker for prognostic assessment in ACS patients, demonstrating superior predictive ability for cardiac events and longterm outcomes. Consequently, measuring SIRI presents a new opportunity to implement more aggressive treatment strategies for high-risk populations. [ABSTRACT FROM AUTHOR]

Infantile systemic hyalinosis (ISH) is a rare multisystem fatal autosomal recessive disorder that involves widespread deposition of hyaline on connective tissues and certain internal organs. The major manifestations include painful articular contractures, hyperpigmentation, subcutaneous nodules, gingival hypertrophy, failure to thrive secondary to protein-losing enteropathy, and osteolytic bone lesions. In this paper, we report a 12-month-old girl with ISH presenting with recurrent diarrhea, failure to thrive, and refractory infections. A molecular study identified a homozygous missense mutation, c.134T > C; p.L45P, in exon 1 of the anthrax toxin receptor 2 (ANTRX2) gene. Our patient passed through an eventful course that included septic shock, central line infections, right atrial thrombosis, and pericardial effusion. She incurred acute bronchiolitis due to respiratory syncytial virus infection, which led to her death. In conclusion, this case report highlights that severe and life-threatening morbidities and complications can be encountered in ISH, to which some management options can be applied.

This research focuses on the needs analysis and perspectives in evaluating English for Specific Purposes (ESP) courses designed for medical students. The study intends to identify the medical students' perceptions of the frequency and importance of using English language skills. Two different instruments, questionnaires and semi-structured interviews, were used to collect data. Respondents included 186 medical students, 4 ESP lecturers, and 10 Department of Medicine (DM) Subject Matter lecturers at Ibb University in Yemen. In this study, quantitative data were collected from three different subject groups (n=200) by means of three versions of the questionnaire. Correspondingly, some follow-up interviews, which were organised with a group of these three informants (n=29), complemented the data collection procedure. The collected data was analysed via the SPSS software package, followed by a qualitative data thematic analysis of semi-structured interviews. The findings showed some differences in which medical students believed the most frequent skills used are Listening and Reading, while their ESP and DM Subject Matter lecturers believed that medical students use Writing and Listening. The results revealed that although most of the English language skills and sub-skills in target needs were considered important or very important by all the participants, there were discrepancies in the preferences and priorities. The findings of this study are expected to be used as reference material for further research and give valuable considerations which may provide useful information for the ESP course designers to meet the target English needs of medical students in Yemen. [ABSTRACT FROM AUTHOR]

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