bluuebunny/crossref_metadata_2025 huggingface dataset:
Pemanfaatan Teknologi Multimedia Sebagai Peningkatan Motivasi Pembelajaran Siswa Serta Keprofesionalisasian Guru
Authors: Jesi Alexander Alim  , Adinda Quratul Aini  , Gabriella Dameria Siregar  , Risa Elyafatma Silaen
Published: December 2023

The purpose of this study was to determine the results of the use of multimedia technology regarding its effect on student learning motivation and teacher professionalism. The research method used in this study is library searching by searching for and collecting various other research sources to be studied in depth. The relationship between technological developments and the professionalism of a teacher provides a framework for understanding how important effective learning is in attracting students' interest in learning and understanding in the classroom. Technological developments in the form of using multimedia as a learning medium for students can be an effort to increase student learning motivation which in fact has a big influence on the professionalism of teaching staff. After using interactive multimedia, students' understanding increases. Students' motivation or enthusiasm for learning also increases so that the concepts of the learning material can be absorbed well.
Toma de decisiones y satisfacción laboral según género: Docentes universitarias de Baja California-México
Authors: Pérez Murillo José Cupertino , Galván-Mendoza Oscar , Sierra Carpio Daniel Alberto
Published: December 2023

El objetivo de esta investigación fue analizar el impacto de la participación en la toma de decisiones en la satisfacción laboral de profesoras universitarias de tiempo completo de Ensenada, Baja California, México. Adicionalmente, la investigación distingue por ser cuantitativa, no experimental y por tener un diseño exploratorio con una dimensión temporal transversal. De esta manera, se aplicaron 90 encuestas a profesoras universitarias de tiempo completo en Ensenada, Baja California, México. De ahí, los datos recabados se analizaron por medio de una modelización de ecuaciones estructurales basada en la técnica de mínimos cuadrados parciales. Los hallazgos indican empíricamente que la participación en la toma de decisiones impacta de manera positiva y estadísticamente significativa a la satisfacción laboral.
Gestión del cambio organizacional en la Administración Pública
Authors: Sánchez-Huamán Yhedina Dunia , Villafuerte-Miranda Carlos Alberto , Flores-Morales Jorge Alberto , Neyra-Huamani Lidia
Published: December 2023

La gestión del cambio organizacional es un tema crítico en la administración pública peruana, ya que las organizaciones gubernamentales a menudo se enfrentan a desafíos significativos al implementar cambios para mejorar su eficiencia, efectividad y satisfacción del servicio público. El escenario de la Administración Pública peruana se enfrenta a diversos retos y desafíos, como la corrupción, la burocracia, la descentralización, la desigualdad regional y la necesidad de promover la participación ciudadana. El cambio organizacional bien gestionado puede contribuir a la optimización de los procesos, la eliminación de actividades innecesarias o redundantes y la mejora de la eficiencia en general. Al superar la resistencia al cambio, se pueden implementar nuevas formas de trabajo más eficientes y productivas, lo que puede llevar a una mejor utilización de los recursos y a un aumento en la productividad. El objetivo del presente trabajo es describir los efectos de la resistencia al cambio y desarrollar estrategias efectivas para superarla. La investigación es de tipo documental-bibliográfica, la cual se basa en la recopilación y análisis crítico de información existente en fuentes documentales. Para superar la resistencia al cambio en las organizaciones es fundamental implementar una serie de estrategias que aborden los elementos como la comunicación, la participación de los trabajadores, la capacitación en el desarrollo de habilidades, establecimiento de incentivos y la construcción de una visión compartida. La gestión del cambio organizacional es fundamental para el crecimiento y la supervivencia de las organizaciones en un entorno en constante evolución.
Influencia de la gestión humana en la competitividad de pequeñas y medianas empresas colombianas
Authors: Salas-Arbeláez Laura , García-Solarte Mónica , Ramiro Azuero Andrés
Published: December 2023

Esta investigación busca identificar la influencia de la gestión humana sobre la competitividad de las pequeñas y medianas empresas colombianas (Pymes). Para ello se aplica una investigación cuantitativa donde se encuesta a 174 gerentes. Se reconocen como variables independientes las prácticas de gestión humana dadas por el modelo AMO (Ability, Motivatión, Oportunity) y como variable dependiente los índices de competitividad. Como resultado se obtiene que la gestión humana influencia la competitividad principalmente con aquellas prácticas que promueven habilidades como la selección y formación. Estos resultados aportan a la gestión de las Pymes desde la perspectiva de la gestión humana y contribuyen al mejoramiento de las políticas públicas nacionales y gubernamentales para el mejoramiento de la competitividad.
Patrones de financiamiento del sector de restaurantes en la ciudad de Ibagué - Colombia
Authors: Jiménez López Johanna Andrea , Vera Calderón José Alejandro , Arciniegas Pradilla Camilo Andrés
Published: December 2023

Las Mipymes en Colombia son fuente principal de empleo y desarrollo económico. En el caso de Ibagué, se aprecia que las Mipymes del sector de restaurantes contribuyen de forma importante en la actividad empresarial. Por esta razón, el objetivo de esta investigación se centra en evaluar las estrategias de financiamiento que utilizan las empresas del sector de restaurantes y cómo han impactado su fortalecimiento. La metodología utilizada es de tipo cuantitativo, con un alcance exploratorio y descriptivo. Para la recolección de información se aplicó una encuesta a 317 empresas del sector de los 1781 restaurantes inscritos ante la Cámara de Comercio de Ibagué. Los resultados fueron analizados por medio de estadística descriptiva. Los principales hallazgos identifican una preferencia en el uso de financiación interna y agiotistas, sumado a un desconocimiento de los beneficios de la estrategia de financiamiento. Por lo tanto, el acceso y adecuado uso de la financiación por parte de los restaurantes permitirá una mayor rentabilidad.
Suppliers selection in a public institution: A sustainable and hierarchical approach
Authors: Castillo Salazar Regner Nicolás
Published: December 2023

This research analyzes the procurement supply chain management of a Peruvian public institution, using the AHP approach and sustainable supplier selection criteria. The sample included 7,833 employees of the purchasing department, including managers, administrators, assistants and collaborators. The analysis revealed 5 subgroups, the largest representing 28.04% and standing out for its emphasis on the environmental factor with an average of 62.85%. The subfactors of economic sustainability, product useful life and maintenance cost did not show significant differences in weighting, with a high average impact, 11.69% and 11.76% respectively. Therefore, companies seeking to supply these municipalities must focus on offering solutions with low maintenance costs and long useful lives to ensure economic sustainability. These results support the effectiveness of the AHP method in identifying critical factors in decision making.
Métodos de enseñanza: estrategias y actitud del docente
Authors: Rodríguez López José Luis , Yangali-Vicente Judith Soledad , Manco Villaverde María Estela
Published: December 2023

El concepto de métodos de enseñanza en educación ha sido estudiado con creciente importancia en la literatura, el estudio permitió abordar el análisis del constructo métodos de enseñanza, considerando como categorías de estudio a las estrategias de enseñanza y la actitud del docente. El propósito de la investigación fue el identificar la prevalencia de los métodos de enseñanza y su contribución en la aplicación de estrategias en la educación superior de las diferentes regiones del mundo. El método correspondió a una revisión teórica, en una muestra de 200 artículos científicos de revistas indexadas, el instrumento utilizado fue la matriz documental. Se evidenció que las estrategias de enseñanza fueron abordadas por el 82.4% en América Latina, 15.2% en Europa, 1.8% de Asia y 0.6% de Norteamérica; mientras que la prevalencia de estudios que trataron la Actitud Docente, fue de 89.9% en América Latina, 7,3% en Europa, 1.8% en Asia y 0.9% en Norteamérica. Concluyéndose que los diferentes métodos de enseñanza contribuyen a la identificación de estrategias que mejor se adapten a las necesidades de los estudiantes de educación superior.
Burnout en docentes universitarios: evaluación, prevención y tratamiento
Authors: Deroncele-Acosta Angel , Gil-Monte Pedro R. , Norabuena-Figueroa Roger Pedro , Gil-LaOrden Pedro
Published: December 2023

El objetivo consistió en evaluar el nivel de burnout en docentes universitarios con el fin de proponer un programa de intervención psicosocial para su prevención y tratamiento. Desde el punto de vista metodológico, el estudio cuantitativo involucró a 1060 docentes universitarios de tres instituciones universitarias de Lima. Se utilizó el Cuestionario para la Evaluación del Síndrome de Quemarse por el Trabajo (CESQT) con alta fiabilidad y estandarizado en varios países, incluyendo Perú. Además, se realizó una revisión de la literatura para fundamentar la necesidad de un programa psicosocial. Los hallazgos muestran los siguientes niveles de burnout, muy bajo: 200 docentes (18,90%), bajo: 298 (28,10%), medio: 297 (28%), alto: 166 (15,70%) y crítico: 99 (9,30%), la alarmante cifra de 265 docentes se encuentra en los niveles alto y crítico, lo cual exige un tratamiento inmediato, al mismo tiempo, un número significativo de docentes debe aprender enfoques preventivos para evitar el burnout, y la literatura científica respalda la importancia de abordar este problema en el contexto académico. El programa contiene acciones específicas de prevención y tratamiento para cada factor del burnout, ilusión por el trabajo, desgaste psíquico, indolencia y culpa, incluyendo estrategias proactivas y actividades para el equilibrio trabajo-familia. Se recomienda sensibilizar a la comunidad educativa sobre el diagnóstico, prevención y atención del burnout, para un entorno académico, saludable y productivo.
Assessment of bacterial loads and water quality parameters of three different types of fish pond
Authors: AKTER TASLIMA , MAOWA JANNATUL , IVY IFFAT JAHAN , FARUK MD. ALI REZA
Published: December 2023

The present study was conducted to determine bacterial loads in the water columns and mud of three different pond systems,includingan overwintering fish fry pond,a brood fish rearing pond, anda recreational fish pond (L-shaped fish pond) situated at the Field Laboratory Complex of the Faculty of Fisheries, Bangladesh Agricultural University, Mymensingh.Three samplings were done atevery 15-day interval. Bacterial loads in water columns and mud were determined using the drop count method. Water quality parameters, including temperature, dissolved oxygen, pH, and ammonia, were also determined. Significantly (p<.001),the highest bacterial loads in three different water columns were observed in the overwintering fish fry pond, and the lowest bacterial loadswere found in the L-shaped fish pondat all sampling points. Bacterial loads in the bottom water were also significantly higher than those in the surface and middle layers of the water in all ponds. Pond mud was significantly (p<.001) richer in bacterial loads than pond water. Bacterial load was strongly correlated with temperature, and the correlation faded with the increase in depth of the water column.
Population structure of Indian river shad, Gudusia chapra (Hamilton, 1822) from the Rupsha River, south-west Bangladesh
Authors: TISSA ISRAT JAHAN , KHAN MD. NURUZZAMAN , SABBIR WASIM , MAHFUJ SAROWER , ASADUJJAMAN MD. , DAS ATASHI
Published: December 2023

The Indian river shad, Gudusia chapra, is a well-known species of potamodromous fish belonging to the Clupeidae family. The main focus of this study is to state the sex ratio, growth pattern, length-length relationship, form factor, Fulton’s condition factor and relative weight of G. chapra harvested from the Rupsha River (south-west Bangladesh). Altogether 300 specimens (male=166 and female=134) were harvested with the help of commercial fisher folks on seasonal basis (summer, rainy and winter) during 2022. Body weight and length of individual specimen were recorded with digital balance and measuring board. Total length varied between 12.7 to 16.5 cm for males and 13.0 to 17.3 cm for females. Further, body weight ranged between 15.82 to 42.48 g for male and 18.36 to 46.65 g for female. As a whole, both sexes revealed positive allometric growth pattern (b>3.00). Moreover, the length-length relationships were found highly correlated for both sexes. The estimated form factor was 0.0087 indicated fusiform body shape for G. chapra population. The mean Fulton’s condition factor was recorded close to 1 indicated a pleasant health condition for this species. Further, mean relative weight revealed a sound ecological atmosphere regarding prey-predator status. The research outcomes would be helpful to execute a sound management policy in the Rupsha River and connected ecosystem in the south-west Bangladesh.
Assessment of Knowledge and Attitude towards Oral Cancer among Healthy Individuals of Anand district, Gujarat
Authors: Kruti Sharma , Saiyed Musaratafrin
Published: December 2023

India has the highest incidence rate of Oral Cancer (OC) in the world and estimated 35% of all cancers in the country. Oral cancer is associated with significant morbidity, and low survival. Tobacco widely used in India and it is a major cause of cancer of the upper digestive and respiratory tract. Charotar (Anand) region, a middle Gujarat zone is well known for production and farming of Tobacco. Good Knowledge and Positive attitude towards disease condition are important for any future disease development, early prevention and detection. This study was undertaken with the aim to assess knowledge and attitude of healthy individuals of Anand region towards OCand also to establish levels of awareness regarding oral cancer. Methodology: Community based survey study was conducted using questionnaire during February 2023 to March 2023. Sociodemographic characteristic, knowledge regarding oral cancer, its risk factors, symptoms and attitude towards oral cancer were evaluated using a pre-tested structured questionnaire. Additionally, after receiving response from participants, they all were educated about OC, its risk factors and symptoms, prevention tips and their role as a contributor to society. Results: Total 140 participants were evaluated for Knowledge and attitude for Oral cancer. Majority of them had Poor knowledge, and only participants from Upper class had Good knowledge. On other hand, majority of participants had positive attitude oral cancer. Conclusion: Education level, Occupation and socioeconomic class found as a dependent factors for Knowledge and attitude towards OC. In general the awareness about the oral cancer is poor in participants. Oral Cancer awareness and screening programmes should be actively done among population of Anand district.
A Comprehensive Guide to Paget’s Disease of Bone
Authors: Kumar Chintakayala Sanjay , Ravipati Aalekhya , Kumar Mugada Vinod , Rao Yarguntla Srinivasa
Published: December 2023

PDB is a long-standing pathological stateillustrated by aberrant bone remodeling and metabolism arising in structural anomalies of the bone tissue. While this disease may remain asymptomatic, mild symptoms such as joint and bone discomfort may be present. However, an early warning sign is intense nocturnal bone pain. Moreover, PDB may result in complications such as deafness, fractures, compression of cranial nerves or the spinal cord, and hydrocephalus. This disease is more frequently observed in individuals above the age of 50, affecting individuals of all races and ethnicities, with a slightly higher prevalence in males. Diagnosis of PDB involves comprehensive clinical assessment, patient history, and specialized tests. Pharmacological treatments such as bisphosphonates, calcitonin, and surgical intervention may be employed to manage the disease. Supplementation is essential to prevent hypocalcemia. PDB may lead to rare complications, including sarcomatous conversion of the pagetic lesion and high-output congestive heart failure which concerns healthcare professionals.
Facing the Challenge: Hormonal hurdles, Olfaction Obstacles in Kallmann Syndrome
Authors: Made Gayatri , Swapna Raparthi Jyothi , Kumar Mugada Vinod , Rao Yarguntla Srinivasa
Published: December 2023

Kallmann syndrome (KS) is an uncommon disorder that was first defined in 1856 and designed by Kallmann in 1944. It is also referred to as olfactogenital dysplasia and is characterized by hypogonadism and the agenesis of the olfactory bulb. The prevalence of KS is not well understood, with the incidence in males ranging from 1 in 8000 to 1 in 10,000 and being less common in females. Kallmann syndrome exhibits genetic heterogeneity, with the inheritance of the trait occurring in an autosomal recessive, autosomal dominant, or X-linked manner. Over 24 genes have been determined to be responsible for Kallmann syndrome, which is thought to be caused by mutations that inhibit the formation of cell markers necessary for the migration of olfactory and GnRH (gonadotropin-releasing hormone) neurons to the forebrain during foetal development. Kallmann syndrome is characterised by hypogonadotropic hypogonadism and hyposmia or anosmia. Other less common symptoms include osteoporosis, cleft lip and palate, cryptorchidism, unilateral renal agenesis, and cardiovascular problems. Magnetic resonance imaging (MRI) can help detect anomalies in the olfactory system and other forebrain regions, as well as pituitary disorders. The treatment for Kallmann syndrome typically involves hormone replacement therapy (HRT) with both testosterone and gonadotropin-releasing hormone (GnRH) analogues to stimulate puberty and promote secondary sexual characteristics.
A Comprehensive Review on Nipah Virus Infection: Classification, Epidemiology, Treatment and Prevention
Authors: Dhadwal Avantika , Rana Ankita , Sharma Sakshi , Bhardwaj Gaurav
Published: December 2023

After being identified as a Paramyxoviridae member in 1999, NiV has been linked to encephalitis epidemics in Bangladesh, Malaysia, Singapore, the Philippines, and India. NiV has a case-fatality rate of 100% and can cause fever encephalitis and severe respiratory disease in people. In addition to supportive care, there are no authorised vaccinations or therapies. Histopathology, IgG/IgM/antigen ELISA, immunofluorescence assay, nucleic acid amplification testing (NAAT), viral isolation, and neutralisation testing are among the laboratory tests used to detect NiV. According to research done with thermal sensors, P. giganteus bats use date palm sap plants and consume the sap as it is being gathered. Nipah virus is believed to be the next pandemic agent, and Corona virus safety measures have helped to reduce its spread in Kerala. It is a respiratory illness that does not cause loss of taste or smell, but has a high death rate (40-45%). NiV patients have highest infectious potential during symptomatic phases, and exposure to the bodily fluids of infected individuals appears to be a viable route for human-to-human transmission. NiV epidemics are highly effective due to their rapid transmission through nosocomial and zoonotic mechanisms. Ribavirin was considered as the first antiviral medication which is used in the treatment of NiV, but ribavirin decreased mortality toll by 36%. Clinical studies with the purine analogue favipirivir (T-705) blocking RNA-dependent RNA polymerase have been conducted for the treatment of Ebola, and different influenza antiviral medications have also demonstrated effectiveness against NiV in Syrian hamster animal models. Preclinical research has demonstrated full protection.
Maximizing Training Outcomes: An Analysis of Factors Affecting Employee Training in Manufacturing Firms
Authors: Dr. P. Elantheraiyan Biniyam Aweke Getachew,
Published: December 2023

Training effectiveness is crucial for employee and organizational growth. This study aims to explore the factors that affect employee training effectiveness in manufacturing companies in Ethiopia. The study focuses on trainers, training content, supervisor support, and the training environment as independent variables, with training effectiveness as the dependent variable. A quantitative research design was adopted, and data were collected from employees who recently underwent training at four manufacturing companies in Bishoftu City, Ethiopia. The findings revealed that competent trainers, well-organized training content, supportive supervisors, and a conducive training environment significantly influenced training effectiveness. The study contributes to addressing the gap in literature regarding the specific effects of these factors on the manufacturing industry in Ethiopia.
Scoping Review of PTSD Treatments for Natural Disaster Survivors
Authors: Nanduri Arjun , Vasquez Marlon , Veluri Savithri Chandana , Ranjbar Noshene
Published: December 2023

This scoping review explores the current research on PTSD interventions for Natural Disaster survivors. It includes fourteen randomized control trials (RCTs). The included interventions were, pharmaceuticals, nutraceuticals, herbal supplements, CBT, yoga, narrative exposure therapy, acupuncture stimulation, web-based interventions, and a multimodal art and meditation program. CBT is considered the standard of care for general PTSD treatment and was also found to be effective for the treatment of natural disaster-related PTSD symptoms. However, higher-level clinical evidence is needed. There are inconsistencies with the use of pharmaceuticals, nutraceuticals, and herbal supplements, while there is insufficient clinical evidence to effectively determine the efficacy of yoga, acupuncture, art, and narrative exposure therapies. Factors like the availability of resources, cultural sensitivity, and values and preferences impact the effectiveness of interventions used to treat PTSD in natural disaster survivors. Clinical studies in this field need to be further expanded regardless of the study type
Access to Healthcare in Rural Communities: A Bibliometric Analysis
Authors: Natarajan Ariya , Gould Murdoc , Daniel Anjali , Mangal Rohan , Ganti Latha
Published: December 2023

Introduction

Access to healthcare is defined by being able to receive regular checkups, specialist appointments, immunizations, procedures, and surgeries within a reasonable timeframe and without restrictive barriers.

Methods

The Web of Science database was used to collect 4,745 articles published relating to the keywords “rural”, “access”, and “healthcare”. These articles then underwent bibliometric cataloging by country, journal, and keyword using VOSviewer 1.6.19.

Results

Between the years 2015 and 2022, the United States emerged as the predominant publisher in the field. From 2015 to 2019, the United States accounted for 47 percent of the total articles published. However, in the subsequent years of 2020 to 2022, there was a slight decline of 3 percent in the volume of U.S. publications. Australia secured the second position in terms of publications within the aforementioned timeframe of 2015 to 2022. England had the third most publications during the time between 2015 to 2022. The prevalence of articles containing the keyword “disparity” ranged between 7 percent and 12 percent throughout this period. Plus One exhibited prominence by contributing 5.025381 percent of all publications pertaining to access to rural medicine during the years 2015 to 2019 thereby establishing itself as the leading publisher in this domain. However, in 2020, the International Journal of Environment suppressed Plus One by publishing the highest number of articles related to rural healthcare. Subsequently, the BMC Health Services Research claimed the leading position in the years 2021 to 2022.

Conclusion

An exploration of who is contributing to the discussion of access to healthcare in rural communities shows that the field and number of publications is growing, and that a focus on disparities is emerging, creating an environment surrounding rural health focused on researching equitable care.
Densification-crystallization behavior of biodegradable copper-doped modified 45S5 glasses
Authors: Saeidi Ahad , Banijamali Sara , Heydari Mojgan
Published: December 2023

In the current work, modified 45S5 glasses containing different amounts of copper oxide (1, 3, and 5 weight ratios) were prepared using melting procedure and characterized for their physical properties after sintering at various temperatures. Characterization of the copper doped glasses was performed using various analytical techniques, including X-ray diffractometry, differential thermal analysis, and scanning electron microscopy. To this purpose, a systematic study was conducted on densification-crystallization of the copper doped glasses and optimizing sintering temperature. Differential thermal analysis revealed weak exothermic peaks located above 800 °C, corresponding to the crystallization temperature (Tc) of the studied glasses. This analysis suggests that copper oxide has a limited effect on the thermal properties of the modified 45S5 glasses. Densification behavior of glass specimens was studied at temperatures ranging from 600 to 850 °C. The optimal densification temperature was found to be 650 °C, respectively. The results indicated that the presence of copper ions in the structure of studied glasses results in the formation of porous structures after sintering. It seems that copper ions generate oxygen gas during sintering and promote the formation of a cellular foam structures.
Frequency of Adverse Reaction in Antenatal Booked Patients of a Tertiary Care Centre Receiving Intravenous Iron Isomaltoside
Authors: Khaliid Sidra , Nasrullah Farah Deeba
Published: December 2023

Aim: To determine the frequency of adverse reaction in antenatal patients of Civil Hospital Karachi receiving intravenous iron isomaltoside for the treatment of iron deficiency anaemia. Methodology: A six months cross sectional study was undertaken at the department of Obstetrics & Gynaecology Civil Hospital Karachi. In this study women who weighted < 75 kg at the time of presentation to the antenatal clinic received 1000 mg parenteral iron isomaltoside infusion. Women with body weight ≥ 75 kg on the same occasion received 1500 mg parenteral iron during a minimum infusion of 30 min, diluted in 100–500 ml of saline. The patients who received parenteral iron were kept under observation in a secluded quiet room and directed to lie on her back on a comfortable bed. The researcher monitored the patient during and thirty minutes after the end of infusion to assess the adverse reactions. Results: The mean age of the women was 27.2 + 4 years, mean gestational age was 36 + 4 weeks. Out of 276 women, 17 (6%) experienced the adverse reactions. Majority (>94%) developed mild reaction which did not require any treatment. The adverse effects were significantly associated with younger age <30 years (p value .03), gestational age < 36 weeks (p value .001), use of tobacco (p value .001), hypertension (p value .001) and diabetes (p value .001) Conclusion: Findings of the study concludes that the use of a single high-dose infusion (up to 1500 mg) of paranteral iron (isomaltoside) during pregnancy is effective and safe for treating IDA in this population. Keywords: Adverse reaction, antenatal booked patients, Intravenous iron isomaltoside.
Impact of Lifestyle on Knee Osteoarthritis in Mosul Hospitals
Authors: Ahmad Rusul Sheet , Al-Jwary Bashar Jassim
Published: December 2023

Background & Objectives: Osteoarthritis (OA) is the most prevalent form of arthritis. It is a chronic, degenerative disease of the musculoskeletal system that causes significant disability in patients all over the world. The knee is the most commonly affected joint by OA, especially in older people. Knee OA is a painful disorder that progresses with time and affects the whole knee joint, leading to varying degrees of severe joint failure. It can cause pain, stiffness, and swelling in the knee. It can also lead to disability ,and Lifestyle factors were found to be related to knee OA. This study’s aim was to evaluate how lifestyle choices affected knee OA in patients visiting hospitals in Mosul, Iraq. The specific objectives of the study were to 1 Evaluate demographic characteristics of individuals with knee OA. 2 Discover the lifestyle factors for patients with knee OA. 3 Determine the relationship between lifestyle and the severity of knee OA. Methods: A cross-sectional study design was adopted for the period extended from the 1st of December 2022, to the 20th of July 2023. It included 500 knee osteoarthritis patients collected from consulting clinics in four teaching hospitals in Mosul, Iraq, by using a developed interviewing questionnaire that assessed sociodemographic characteristics, health history, lifestyle factors, and the severity of knee OA. Results: The mean age of patients (59.4) The majority of the participants were female (83.4%). (74.6%) of the sample were housewives, (75.4%) lived in urban. The most common risk factors for knee OA were obesity (27.2%), and family history (47.4%). (90.8%)of the patients had low education level. Patients had bilateral joint OA(right and left) were 64.6%. Most of patients have a sedentary lifestyle. There are significant association between lifestyle domains like health self-responsibility, nutrition, physical activity, stress management, and spiritual growth with joint OA severity. The highest association between lifestyle domains and severity is seen in the areas of health self-responsibility, diet, and physical exercise. Conclusion: Certain demographic and socio-demographic factors, such as age, gender, education, residency, occupation, BMI, previous knee injuries, and family history, had a significant association with knee osteoarthritis patients. This study has shown that lifestyle factors play a role in the development and severity of knee OA. Physical inactivity, poor diet, and obesity are all major risk factors for knee OA. The findings can suggest that modification of lifestyle may be a protective against knee OA. Participants who reported being more physically active, eating a healthier diet, and maintaining a healthy weight were less likely to have severe knee OA. Interventions that target lifestyle factors may be beneficial in preventing and managing knee OA. Keyword: Knee Osteoarthritis, Life-Style, Factor
Socio-Economic Burden of Hemodialysis on Patients’ Families
Authors: Ahmed Awais , Alhamdan Fajer , Ashraf Almas , Mangrio Fahad Ali , Shaikh Samiullah , Ali Asghar
Published: December 2023

Background: Chronic kidney disease has become a global public health issue with extreme incidence in Asian countries, and its burden is growing rapidly throughout the world. Haemodialysis has an adverse effect on the dimensions of many patients. The aim of the study was to determine the overall socio-economic burden of haemodialysis on the patient's families and to identify the main factors that are responsible for the socioeconomic burden of haemodialysis on patient families. Material and Methods: This was an observational, cross-sectional study conducted for three months after approval of ERC, LUMHS at Hyderabad and Jamshoro LUMHS public hemodialysis units. The data were collected by using Questionnaire and a patient's family interview after written consent. The questionnaire consists of demographic variables and variables related to the socio-economic burden on families. Results: Of the 350 subjects, 321 (92%) were males and 29 (8%) were females, with the mean age of 43.47 years with standard deviation 12.924. 51% of the subject had monthly income ranging from 11000 to 20000, while 41% had between 21000 and 50000. Seventy percent of the patients were found to have more than 10 family members. Based on their occupation Shopkeepers 22.3%, Farmers 11.7%, Labors 10.6%, Teachers 9.7%, Drivers 7.1%, students 8.9% and 7.7% were Clerks. Practical Implication: The importance of the research has made it possible to identify how the family caregiver can cope with situations that limit their physical and psychological capacity; it has also been important because the results obtained have served as support for changes in the care provided by nurses working in hemodialysis clinics, integrating the family caregiver as one of their priorities Conclusion: The inevitable stresses and subjective burdens on informal dialysis patients must be recognized and addressed. Care can create huge burdens for caregivers and reduce their physical and psychological health. In order to reduce this burden, various strategies needed to be considered including improving the quality of life of patients, caregiver assessments, coping strategy and addressing interpersonal issues. Keywords: Socioeconomic, hemodialysis, chronic kidney disease, patients’ families, Pakistan, stress.
Determine the Vital Sign Observations that can Detect Signs of Cardiopulmonary Arrest in Patients Receiving Internal Medicine Care
Authors: Khan Muhammad Arif , Maqsood Rabia , Ijaz Muhammad Abdullah , Ahmed Asfa , Bedar Rushda , Shahzad Khurram , Asim Fahad
Published: December 2023

Background: In certain hospitals, the Medical Emergency Team (MET) has undergone development to provide prompt and efficient treatment, effectively preventing cardiac arrests. Our objective was to assess the efficiency of observational practices in identifying anomalies in vital signs before cardiac arrest and to evaluate the requirement for implementing a MET system in hospitals across Punjab. Methods: We conducted a comprehensive review of patient charts from four hospitals, specifically focusing on individuals who experienced cardiac arrest over a span of 12 months. We meticulously documented and analyzed the vital signs, symptoms, and interventions that occurred within the 12 hours leading up to the cardiac arrest, comparing them against the trigger criteria established by the Medical Emergency Team (MET). Results: Throughout the designated study period, a total of 130 patients experienced cardiac arrest while in hospitals, with 68 cases (52%) occurring on the wards. Among these patients, 34 individuals (41%) displayed abnormal vital signs that met the criteria established by the Medical Emergency Team (MET). These abnormalities were documented, on average, 3.7 hours prior to the cardiac arrest event. Notably, during this timeframe, 14 patients did not receive any form of intervention, such as supplemental oxygen or medication. Among the remaining patients, nine received intervention within 2 hours, while nine others received intervention after more than 1 hour. It is important to mention that none of the patients responded to the initial intervention. However, only one patient required subsequent re-interventions. Practical Implication: It is essential for healthcare providers in this field to be knowledgeable, skilled, and prepared to respond promptly and effectively to cardiopulmonary arrest emergencies. By staying updated on the latest guidelines and practicing interdisciplinary collaboration, healthcare teams can strive towards optimizing outcomes and ensuring the safety of their patients. Conclusion: There is a prevalent occurrence of notable physiological decline in the hours leading up to cardiac arrests within the wards of Punjab hospitals, indicating the potential value in implementing a Medical Emergency Team (MET) system. However, in order to fully capitalize on the benefits of a MET, it is crucial to enhance the practice of vital sign observation by the nursing staff. Keywords: Medical Emergency Team (MET), cardiac arrests, Internal Medicine.
Effects of Short-Acting Beta-Agonist (SABA) Alone and SABA with Inhaled Corticosteroids in the Management of Asthma among Children
Authors: Amir Muhammad , Laghari Ghulam Shabir , Rajput Muhammad Siddique , Husnain Faeza , Saqib Farina , Khan Dilawer
Published: December 2023

Introduction: However, the comparative efficacy of SABA alone vs SABA in conjunction with ICS in the treatment of childhood asthma remains an important topic of research. Understanding the comparative efficacy of SABA alone versus SABA in conjunction with ICS in the treatment of childhood asthma is critical for evidence-based decision-making. Methodology: This randomized controlled study (RCT) included 80 children aged 6 to 12 years who were diagnosed with mild chronic asthma. The participants were separated into two groups: SABA alone and SABA plus ICS. For symptom alleviation, the SABA alone group got as-needed treatment with a short-acting beta-agonist (SABA). The SABA with ICS group got SABA therapy on a regular basis for symptom alleviation, as well as daily inhaled corticosteroid (ICS) therapy for maintenance. To compare the outcomes of the two groups, statistical analysis was done using an independent t-test. A statistically significant p-value of less than 0.05 was evaluated. Results: Spirometry measures were taken to quantify vital capacity (VC), forced expiratory volume at one second (FEV1), and the FEV1/VC ratio. Both groups had lower baseline values for these measures, indicating decreased lung function. However, both groups' lung function improved significantly following the intervention (p<0.05). Practical Implication: The findings of this study can not only educate clinical practice, but also assist healthcare practitioners in making informed treatment decisions in order to enhance asthma management and outcomes for patients. Conclusion: According to the data, combining these drugs can enhance symptom management and lung function in children with moderate chronic asthma. Keywords: Asthma, Lung Function test, Forced expiratory volume, Short Acting Beta Agonist, Inhaled Corticosteroids, Children.
A Case of Metastatic Malignancy Presenting as Diffuse Alveolar Hemorrhage, a Diagnostic and Management Challenge!
Authors: Jafri Saira , Hussain Faizan , Ahmed Zafar , Ali Muhammad
Published: December 2023

Background: Life-threatening hemoptysis (LTH) is one of the most dreaded respiratory emergencies. If not managed timely, results in inevitable mortality. Methodology: Documented the case and all the relevant details from the ICU of Liaquat National Hospital, Karachi. Case: We present a case that was unusual because a young male with no previous comorbidities, and a non-significant exposure history, presented with diffuse alveolar hemorrhage (DAH) and life-threatening hemoptysis. He had come with an extremely short presentation and was diagnosed as metastatic carcinoma, of unknown origin after his demise unfortunately even after expanding all possible avenues and approaching via multidisciplinary teams. If more of such cases are reported and documented, an etiology of DAH and LTH as secondary to malignancy can be more established. Conclusion: While dealing with cases of LTH, a malignancy focus must also be sought. The significance of detailed clinical examination is high. Keywords: Diffuse alveolar hemorrhage, life-threatening hemoptysis, massive hemoptysis, metastatic malignancy
Association Between Periodontal Diseases and Preeclampsia
Authors: . Atique , Arif Fariha , Kanwal Anikah , Alvi Tasneem Hafeez , Faisal Snober , Talat Fawad
Published: December 2023

Objective: The goal of this study is to examine whether or not periodontal disease is linked to preeclampsia. Methodology: One hundred participants (fifty cases and fifty controls) were recruited in the research after providing informed consent. Demographic details such as age, address, smoking, and parity was recorded. All periodontal disease pregnant women were allotted in cases group and normotensive pregnant women were allotted control group, the association between the two groups was investigated by applying O.R and chi square test. Results: Mean age was calculated as 25.81+3.91 years in cases and 24.71+5.73 years in control group, mean gestational age was 37.11+3.62 weeks in cases and 38.11+3.24 weeks in control group. The association of periodontal diseases and pre-eclampsia shows that 24(48%) in cases and 10(20%) in control group, O.R 3.69 and p-value=0.003. Conclusion: We came to the conclusion that there is a high link between the association between periodontal diseases and preeclampsia. Keyword: Pregnant women, periodontal disease, preeclampsia, association
Children with Severe Acute Malnutrition, Aged 5 to 60 Months, Admitted to Department of Pediatrics MMC Mardan, Pakistan Clinical Profile and Outcomes
Authors: Khan Muhammad Qasim , . Kiramatullah , Ullah Inayat , Afridi Haji Gul , Rehman Sijad-Ur-
Published: December 2023

Objective: The current study's goals were to ascertain the prevalence of , the clinical profile associated with , including risk factors, co-occurring diseases, and the kind of , as well as to ascertain how would fare following hospitalization and treatment. Study Design: Single Center study Place and Duration of Study: This study was conducted at the department of Pediatrics, department of pediatrics mmc mardan Pakistan from Jan 2020 to Jan 2021. Materials and Methods: Following compliance with the inclusion criteria, 100 infants between the ages of 5 and 62 months were enrolled in the research. Data from the past, the clinic, and the lab were entered into a pre-made proforma. Using the suitable statistical methodology, data were evaluated. Results: Severe acute malnutrition is present in 02.09% of the population.The study population's average age is 20.76 13.80 months.Out of the 100 kids, 69% were male and 31% were female. There were more non-edematous (57%) than edematous (43%).The age range from 0 to 26 months had the highest incidence (67%).95% of the cases (almost all) were from low SES.Mothers just attended basic school or had no education (76%). EBF was only present in 17% of instances up to the age of six months. The most common clinical symptoms were vomiting (35%), diarrhea (69%), fever (67%), anorexia (65%), ARI (57%), and eye difficulties (34%).Anemia (87%), pneumonia (41%), worm infestation (39%) were the most common comorbid illnesses, followed by UTI (33%) and TB (16%). 54% of recoveries are made. The typical hospital stay lasts 10.28 days. 2 kids (4%) died while they were hospitalized. Conclusion: The most serious kind of malnutrition, severe acute malnutrition is a medical emergency that needs immediate intervention. It is probable to disrupt the vicious cycle of undernourishment and infection with prompt diagnosis and management of many risk factors, clinical and comorbid conditions, and hence improve result. Keywords: female literacy, Severe acute malnutrition, socio-economic status, wasting
The Effect of Lifestyle on Pain Intensity in Knee Osteoarthritis Patients
Authors: Ahmad Rusul Sheet , Al-Jwary Bashar Jassim
Published: December 2023

Background & Objectives: Knee osteoarthritis (OA) is a degenerative condition that damages the cartilage in the knee joint. The cartilage is a soft, rubbery tissue that acts as a joint cushion and friction reducer. As the joint’s cartilage diminishes, the bones rub against one another, resulting in pain, stiffness, and less mobility. Knee OA is a painful disorder that progresses with time and affects the whole knee joint, leading to varying pain intensity, stiffness, and swelling in the knee. It can also lead to disability, and Lifestyle factors were found to be related to knee OA. This study’s aim was to evaluate how lifestyle choices affected knee OA in patients visiting hospitals in Mosul, Iraq. The specific objectives of the study were to:1. Evaluate the socio-demographic characteristics for knee OA patients. To identify the lifestyle factors for patients with knee OA. To assess the effect of lifestyle on the pain intensity of knee OA. Methods: A cross-sectional study design was adopted for the period extended from the 1st of December 2022, to the 20th of July 2023. It included 500 knee osteoarthritis patients collected from consulting clinics in four teaching hospitals in Mosul, Iraq, by using a developed interviewing and self-admission questionnaire that assessed sociodemographic characteristics, health history, lifestyle factors, and the pain intensity on knee OA patients. Results: The mean age of patients (59.4) The majority of the participants were female (83.4%). (74.6%) of the sample were housewives, (75.4%) lived in urban. The most common risk factors for knee OA were obesity (27.2%), and family history (47.4%). (90.8%) of the patients had low education level. 37.2% of them at severe levels of constant pain intense. 28.6% of them at moderate levels of intermittent pain. Most of patients have a sedentary lifestyle. There are significant association between lifestyle domains with joint pain intensity. Lifestyle domains, except health self-responsibility and nutrition, significantly impact constant pain in knee and Health self-responsibility is associated with intermittent pain. Conclusion: Certain demographic and socio-demographic factors, such as age, gender, education, residency, occupation, BMI, previous knee injuries, and family history, had a significant association with knee osteoarthritis patients. This study has shown that lifestyle factors play a role in the pain intensity of knee OA. Lifestyle factors, such as physical activity, stress management, and enough sleep, have been shown to be effective in managing joint pain.. The findings can suggest that modification of lifestyle may be a protective against knee OA. Participants who reported being more physically active, eating a healthier diet, and maintaining a healthy weight were less likely to have knee pain. Keyword: Knee Osteoarthritis, Life-Style, Factor
Effect of Overcrowding on Childhood Hospital Admissions for Acute Respiratory Infection: A Matched Case–Control Study
Authors: Badshah Fazal , Farid Saad , Khan Sumbal Afzal , Ali Mazhar
Published: December 2023

Objective: To determine the association between in-house overcrowding and acute respiratory infections (ARIs) in children. Methods: This case-control hospital-based study wad conducted in Saidu Teaching hospital from March-2022 to December-2022. For cases we included 80 patients of age 6 to 59 months, who presented with newly diagnosed or relapsed cases of ARI. Controls were age and gender matched individuals who presented to outdoor hospital department for non-ARI evaluation and had no history of ARI since past 2 months. The in-house crowding was defined as >3 persons living in one bedroom in a home. Results: Mean age in this study was 18.3±8.9 months in ARI group and 19.7±7.8 months in control group (p-value 0.41). There were higher number of patients belonging to poor class in ARI group; 36 (45%) versus 21 (26.2%) in controls, 26 (32.5%) patients in ARI and 31 (38.7%) patients in controls were belonging to middle class, 18 (22.5%) patients in ARI and 28 (35.0%) patients in control group were belonging to upper class (p-value 0.03). Majority of patients in ARI group were from rural areas; 53 (66.3%) in ARI and 37 (46.3%) in control group (p-value 0.01). In-house overcrowding was found in 19 (20%) patients in ARI group and in only 9 (11.3%) patients in control group (p-value 0.03). Conclusion: In-house crowding is significantly associated with increased risk of ARI. The issue of overcrowding in rural regions is more serious than in cities. For Pakistani populations, the problem of overcrowded housing needs to be addressed. Keywords: In-house overcrowding, Acute respiratory infections, Rural living, socio-economic status.