bluuebunny/crossref_metadata_2025 huggingface dataset:
The structural model of teachers' empowerment indicators with an emphasis on the theory of cognitive flexibility in the first secondary school of Mazandaran province schools
Authors: Mahdavi Mahmoud , Falah Vahid , Salimi Ladan
Published: January 2024

Background and Aim: Since the decisions related to the curriculum field, including curriculum engineering, are directly related to the curriculum, it is of great importance to empower and improve the knowledge of ordinary and special education teachers through educational planning. The current research was carried out with the aim of designing a curriculum model based on teacher empowerment with emphasis on the cognitive flexibility theory of the first secondary school in Mazandaran province in 2019. Methods: The current research is applied in terms of purpose, which was done with a mixed exploratory approach, with an exploratory design. Delphi method was used in the qualitative approach and descriptive survey method was used in the quantitative approach. The statistical population of this research in the qualitative part includes 15 professors and experts of Islamic Azad University based on the purposeful sampling method and in the quantitative part it includes teachers working in the first secondary schools of Mazandaran province in the number of 5149 people, of which 358 people are determined based on the Cochran formula became The tools used were the researcher-made questionnaire of the teacher empowerment curriculum with a cognitive flexibility approach with 62 indicators. The validity and reliability of the research tool was confirmed. Data analysis was done by confirmatory factor analysis using 21SPSS and SMARTPLS3 software. Results: The results showed that there are 15 indicators in the dimension of the goals of the teacher empowerment curriculum with the cognitive flexibility approach, 10 indicators in the content dimension of the teacher empowerment curriculum, and 9 indicators in the dimension of teaching-learning methods of the teacher empowerment curriculum. And in the dimension of teacher empowerment curriculum evaluation, 9 indicators were identified and confirmed. The overall fit of the research model was confirmed using the GOF index calculated at 0.54. Conclusion: It can be concluded that the structural model of teachers' ability indicators with emphasis on the theory of cognitive flexibility in the first secondary school of Mazandaran province has a good fit.
Modeling the structural relationships of academic procrastination based on problem-solving styles with the mediating role of academic persistence
Authors: Salehi Tabar Rouhollah , Davari Rahim , Ebrahimi Moghadam Hossein
Published: January 2024

Background and Aim: One of the most important objectives of the education system in any country is to enhance the scientific level and academic ability of students. The purpose of the current research was to model the structural relationships of academic procrastination based on problem-solving styles with the mediating role of academic persistence. Methods: This research is descriptive of the type of correlation designs based on structural equation modeling method. The statistical population of this research was the students of the second secondary school in Hamedan city in the academic year of 2021-22. 304 students were selected by multi-stage cluster sampling method. Solomon and Rothblum's (1986) academic procrastination questionnaires, Cassidy and Long's (1996) problem-solving styles, and Martin and Marsh's (2008) academic persistence questionnaires were used to collect data. Data analysis was done through SPSS-25 and Amos-24 software. Results: The findings showed that academic persistence and components of trust, tendency and creativity have a negative effect on academic procrastination. The helplessness component has a positive effect on academic procrastination. But the direct effect of inhibition and avoidance components on procrastination was not significant. The components of confidence, orientation and creativity have a positive effect, and helplessness, avoidance, restraint have a negative effect on academic persistence. The components of trust, tendency and creativity have a negative effect on academic procrastination with the mediation of persistence. Also, helplessness, restraint and avoidance have a positive effect on academic procrastination through the mediation of academic persistence. Conclusion: Problem-solving styles and academic persistence are factors that affect academic procrastination. These findings can be considered a model for intervention.
Designing a consolidated curriculum model in sixth grade science education
Authors: Akbarzadeh Saghai Mehdi , Yari Haj Ataloo Jahangir , Fathiazar Eskandar , Maleki Avarsin Sadegh
Published: January 2024

Background and Aim: Background and purpose: Education in elementary school is very sensitive. In this context, today, those involved in the educational system are trying to provide the desired form of education for learners through the curriculum in the form of a consolidated curriculum. Based on this, the main goal of the current research was to design an integrated curriculum model in sixth grade science education. Methods: The current research method was of a qualitative type in the qualitative content analysis method and of an inductive type. The participants included experts in educational sciences, curriculum planning and science education, (professors of Farhangian University, State University, Azadopiam Noor) and teachers, who were selected using non-random sampling method based on criteria and semi-structured interviews with 18 people. Results: The findings showed that 9 main categories based on Klein's curriculum elements (goals, content, teaching learning strategies, learning activities, place, time, tools, grouping of learners and evaluation of learning) and 151 subcategories were extracted and a suitable model was designed. Validation results based on the opinions of 13 experts according to CVI-CVR indicators showed that the designed model has the required validity. Conclusion: It can be concluded that the model identified in the current research can be implemented in the sixth-grade science course and it leads to the improvement of the quality of education.
Identifying the effective factors on empowering the virtual education of elementary school teachers in Sabzevar city in order to provide a suitable model
Authors: Mazaherinasab Mehran , Hanifi Fariba , Abdollahi Mahbubeh
Published: January 2024

Background and Aim: Virtual education is necessary and necessary for education, like face-to-face education. As the Corona crisis showed how virtual education becomes important in reality when face-to-face education faces a challenge. On the other hand, virtual education may receive more attention in the future. Based on this, it is necessary to pay attention to the empowerment of teachers; Therefore, the purpose of this research was to identify the effective factors on the virtual learning empowerment of primary school teachers in Sabzevar city. Methods: The present research method was combined (qualitative-quantitative) and practical in terms of purpose. The population studied in the qualitative stage included Sabzevar education experts, and the researcher reached theoretical saturation after selecting 15 people, and the purposeful sampling method was used. Also, the statistical population of the research in the quantitative part included male and female teachers of primary schools in Sabzevar city in the academic year of 2013-2014, and 934 people were selected as the sample size by simple random sampling method. The research tool was semi-structured interviews in the qualitative part and researcher-made questionnaire in the quantitative part. Validity and reliability in both parts were examined by experts. Results: The factors affecting the empowerment of virtual education of primary teachers had 61 concepts, 22 factors and 10 categories. Categories and factors include: organizational support (organizational factors - structural requirements for teachers) organizational culture (structural factors - provision of individual needs by the organization) effective training in virtual networks (learning needs - learning effects) individual-social conditions (organizational process - individual and collective characteristics) Facilitating learning (comprehensive management - skill enhancement), mental-practical dimension (mental dimension - skill dimensions), obstacles to empowerment (middle-level problems - micro-level problems), internal-external factors (superior factors or outside the individual's control - exclusive factors) Problem solving (regular training for teachers - strategic changes - social development) has negative and destructive consequences (individual consequences - transpersonal consequences). There is a significant difference between the average of all factors and the average of the population. Also, the quantitative results showed that there is a significant difference between all factors (P<0.05). Conclusion: Education experts and officials can design and implement programs for empowering the virtual education of elementary teachers according to the identified factors and categories and the introduced model.
Effectiveness of Acceptance and Commitment Therapy on Emotional Eating Behavior, Emotion dysregulation, Perceived Stress, and Rumination in Women with Chronic Obesity
Authors: Vatanpanah Shiva , Khalatbari Javad , Tayyebi Afshin , Sabet Mehrdad
Published: January 2024

Objective: The present research aimed to determine the effectiveness of Acceptance and Commitment Therapy (ACT) on emotional eating behavior, emotion dysregulation, perceived stress, and rumination in women suffering from chronic obesity. Methods and Materials: This study was a quasi-experimental design with pre-test, post-test, and follow-up phases, including a control group. The research population consisted of all women suffering from chronic obesity and body mass index, visiting the Kian City Nutrition Counseling Clinic in Tehran between May and July 2022. For forming two groups, 30 women with chronic obesity and body mass index were initially selected through screening, and then randomly divided into 15 patients in the experimental group and 15 in the control group. The ACT treatment program was conducted over 8 sessions of 90 minutes each, based on the protocol by Neff and Germer (2013). The instruments included the Eating Behavior Questionnaire by van Strien et al. (1986), the Emotion dysregulation Questionnaire by Gratz and Roemer (2004), the Perceived Stress Questionnaire by Cohen et al. (1983), and the Rumination Questionnaire by Nolen-Hoeksema and Morrow (1991). Data were analyzed using repeated measures ANOVA. Findings: The results showed that ACT had a significant effect on improving emotional eating behavior (F=115.83, P<0.001), emotion dysregulation (F=98.10, P<0.001), perceived stress (F=101.53, P<0.001), and rumination (F=74.52, P<0.001) in women with chronic obesity and body mass index (P>0.05). Conclusion: Therefore, it can be concluded that Acceptance and Commitment Therapy contributes to the improvement of emotional eating behavior, emotion dysregulation, perceived stress, and rumination in women with chronic obesity.
Effectiveness of Lifestyle Modification Training on Psychological Symptoms and Self-Care in Patients with Type 2 Diabetes
Authors: Mozaffaripour Ali , Madahi Mohammad Ebrahim , Kalhornia Golkar Maryam
Published: January 2024

Objective: Diabetes is a disease that endangers the health of many individuals in society. The aim of this study was to evaluate the effectiveness of lifestyle modification training on psychological symptoms and self-care in patients with type 2 diabetes. Methods and Materials: The study employed a pre-test post-test design with experimental and control groups. The research population consisted of all patients with type 2 diabetes from the Diabetes Association and hospitals in Gilangharb province, in 2020. A total of 45 individuals (divided into a lifestyle modification intervention group and a control group) were selected using a convenience sampling method. Data were collected using the SCL-90-R and the Toobert and Glasgow Self-Care Questionnaires. Data were analyzed using multivariate and univariate analysis of covariance tests, as well as the LSD post hoc test, utilizing the SPSS software. Findings: The results of the multivariate analysis of covariance indicated that after controlling for pre-test effects, F was significant at the 0.05 level for "psychological symptoms" components. In other words, there were significant differences in the post-test scores of these variables between the "experimental group" and the "control group". The results also showed differences between the two intervention groups and the control group in the self-care variable. Furthermore, the lifestyle modification training intervention was effective in components of psychological symptoms, including somatization, obsessive-compulsive, anxiety, aggression, phobia, paranoid ideation, and psychoticism dimensions. Conclusion: It can be concluded that lifestyle modification training was effective in improving psychological symptoms and self-care in patients with type 2 diabetes, and this psychological approach can be used to improve the condition of patients with type 2 diabetes.
Brain Tumor Detection using Hybrid Clustering with Estimate Arguing
Authors: Velmani, Dr. Ramasamy , Raveendran Dr. Arun Prasath
Published: January 2024

Detection of tissues from MR brain images is quite difficult task in medical field applications. Segmentation is utilized to detect the tissues accurately. Many algorithms have been presented to detect the tissues from the MR brain images. Most of them were remained failure due to their inaccurate results. To resolve this problem, an analysis of tissues detection in MR images using hybridclustering with estimate arguing (HC-EA) is proposed. Our proposed methodology consists of pre-processing, tissues detection and calculating the estimated area of clustered tissues. Extensive simulated analysis shown that the effectiveness of proposed hybrid clustering approach. Our mainconcentration is on detection of multi-tissues with an enhanced accuracy over conventional clustering algorithms like fuzzy c- means (FCM), K-means and manual segmentation.
SYNCHRONIZATION OF TWO COMPLEX IDENTICAL SYSTEMS USING NONLINEAR CONTROL
Authors: Panwar Suman
Published: January 2024

Synchronization of two complex identical system using nonlinear control is presented by this paper. For emphasis on the chaos, initial conditions sensitivity and Lyapunov exponent is calculated. For the synchronization of the complex master and slave system nonlinear control method is proposed effectively.
Owen@250
Authors: Claeys Gregory
Published: January 2024

This essay takes the occasion of the 250th anniversary of Robert Owen’s birth in 1771 to review some scholarship in the field since the last major commemoration of the event in 1971. It then contends that were Owen alive today he would apply his leading ideas on the relationship between wants, needs, and social progress to the climate catastrophe looming over us now. As is evident in Owen’s works and in various communal experiments associated with the Owenite movement, a clear sense of exchanging unnecessary consumption with free time and creative activity emerged as early as the 1820s. Owen himself was particularly hostile to changes in fashion, insisting on a more stoic and Spartan approach to clothing in general. In the Owenite movement, however, a trend developed which was less puritanical in its approach to consumption, and argued instead that developments in production might well furnish the means to permit luxuries of various kinds to flourish in the new social system.
The Ralahine experiment and the politics of land in late nineteenth-century Ireland
Authors: Doyle Patrick
Published: January 2024

In 1823 Robert Owen arrived in Dublin to give a series of lectures setting out how a ‘New View of Society’ might be made manifest in Ireland. At the heart of Owen’s vision was the establishment of a series of co-operative, self-sustaining communities that would at once take people out of poverty while shaping their moral character. Owen’s visit would have been unremarkable if not for the fact that ten years later, a landlord called John Vandeleur reorganised his estate into a co-operative colony: Ralahine co-operative society, an Owenite commune where tenant farmers effectively become co‑partners in the estate’s management. Even though two years later the society collapsed, the legacy and memory of Ralahine exerted a hold over the imaginations of an assortment of land reformers, nationalists, and co-operators in Ireland. This article shows how a failed experiment in co-operative community building created an influential resource of co-operative knowledge that shaped political imaginaries and inspired alternative visions of property ownership in response to crises occurring in the second half of the nineteenth century. In particular, the work of Owenites involved in Ralahine, such as Craig and William Pare, is examined to locate the enduring historical relevance of the Irish Owenite commune.
KAJIAN PENGGUNAAN DAN EFEK SAMPING RISPERIDONE DI RUMAH SAKIT JIWA GRHASIA YOGYAKARTA
Authors: Rahajeng Bangunawati , Akbar Salma Khoirunnisa
Published: January 2024

Risperidone is an atypical antipsychotic indicated for acute and chronic schizophrenia and mania. A study found that the use of risperidone as a therapy for acute schizophrenia was 25.32%. Side effects of risperidone include insomnia, anxiety, headache, and extrapyramidal symptoms. With the high use of risperidone and the many possible side effects, it is necessary to study the drug. This study aims to describe the use and side effects of risperidone at the Ghrasia Mental Hospital Yogyakarta. This research is non-experimental research using a descriptive design. Data were collected retrospectively from medical records of a patient who received risperidone prescriptions at the Grhasia Mental Hospital Yogyakarta January-December 2019. Sampling used the purposive sampling technique, and 360 samples were obtained. The incidence of side effects was analyzed using the Naranjo algorithm. The use of risperidone at the Ghrasia Mental Hospital Yogyakarta showed that patients improved 25.83%, patients improved but had to control 71.17%. The incidence of side effects was 15% of the total 360 patients taking risperidone. The most common side effects were tremor (4.72%), insomnia 2.50%, nausea 1.67%, and vomiting 1.39%. Side effects were treated with 65% additional therapy, 22% no additional therapy, and 13% drug discontinuation. Conclusion: The use of risperidone at Ghrasia Hospital Yogyakarta shows good effectiveness with a 15% incidence of side effects that are handled properly
EVALUASI PENGGUNAAN ANTIBIOTIK YANG RASIONAL PADA PASIEN PNEUMONIA RAWAT INAP DI RS X KOTA CIREBON
Authors: Nurhaini Rahmi , Tomi Tomi , Faradhila Afifah , Indawati Iin
Published: January 2024

Antibiotics are the main therapy for pneumonia caused by bacteria. Inappropriate use of antibiotics leads to resistance. The purpose of this study was to describe the charateristics (gender, age, and payment status), the rationale for the use of antibiotics including the parameters of the right indication, the right patient, the right dose, and the right route of drug which refers to Permenkes number 28 of 2021 in pneumonia patients in the inpatient installation of RS X Kota Cirebon. This research is an observational study with retrospective data collection techniques through medical records. Sampling was done done by purposive sampling. The sample in this study was the medical recorsd of patients diagnosed with pneumonia who received antibiotic therapy and met the inclusion criteria of 97 medical records. The guidelines used are Permenkes number 28 of 2021 concercing guidelines for the use of antibiotics. Data analysis was carried out descriptively using Microsoft Excel 2019 presented in the form of tables, diagrams and percentages accompanied by explanations. The results of the study showed that the suitability of using antibiotics based on guidelines obtained right indication of 100%, right drug 34%, right dose 50,5%, and right route of drug administration 100%. Data on the number of patients who used antibiotics in pneumonia patients rationally was 23,7% and irrational use was 76,3%.
Formulasi Dan Uji Aktivitas Krim Antijerawat Ekstrak Daun Belimbing Wuluh (Averrhoa bilimbi L.) Terhadap Bakteri Staphylococcus Epidermidis
Authors: Febriyanti Dina , Halimatushadyah Ernie , Waluyo Dyah Ayuwati , Rahma Kartika
Published: January 2024

Daun belimbing wuluh (Averrhoa bilimbi L.) merupakan salah satu tanaman yang berfungsi sebagai antibakteri. Kandungan metabolit dalam daun belimbing wuluh yang berfungsi sebagai antibakteri adalah saponin, tanin, dan flavonoid. Penelitian ini bertujuan untuk mengetahui bahwa sediaan krim daun belimbing wuluh (Averrhoa bilimbi L.) memiliki aktivitas antibakteri yang kuat untuk menghambat pertumbuhan bakteri Staphylococcus epidermidis dan mengetahui konsentrasi optimal pada sediaan krim daun belimbing wuluh (Averrhoa bilimbi L.) dalam menghambat pertumbuhan bakteri Staphylococcus epidermidis. Metode yang dilaksanakan dalam penelitian ini yaitu secara eksperimental untuk mengetahui efek yang ditimbulkan akibat dari adanya perlakuan tertentu. Hasil penelitian menunjukkan bahwa pada sediaan krim ekstrak daun belimbing wuluh dengan variasi konsentrasi 20%, 30%, 40%, dan 50% memiliki zona hambat terhadap bakteri S. epidermidis yang ditunjukkan pada zona bening disekitar sumuran secara berturut-turut yaitu 6,27 mm, 8,05 mm, 8,49 mm, dan 9,59 mm. Hal ini dapat dibuktikan bahwa hasil zona hambat bakteri tersebut termasuk dalam kategori sedang. Sehingga dapat disimpulkan sediaan krim antijerawat ekstrak daun belimbing wuluh (Averrhoa bilimbi L.) tidak memiliki aktivitas antibakteri yang kuat untuk menghambat pertumbuhan bakteri S. epidermidis dan konsentrasi optimal berdasarkan analisis Post-Hoc Test pada sediaan krim ekstrak daun belimbing wuluh terdapat pada konsentrasi 50% karena memiliki zona hambat paling tinggi sebesar 9,59 mm.
Uji Efektivitas Antibakteri Pasta Gigi Ekstrak Daun Peppermint (Mentha piperita L) dan Ekstrak Daun Sirih Merah (Piper crocatum) terhadap Streptococcus mutans
Authors: Hidayati Nurul , Sari Ely Novita , Budiman Hendra , Handayani Sri
Published: January 2024

Karies gigi adalah proses perlahan demineralisasi jaringan gigi yang disebabkan oleh bakteri kariogenik penghasil asam melalui fermentasi karbohidrat, yang dapat mengakibatkan penurunan pH saliva yaitu Streptococcus mutans. Penelitian ini bertujuan untuk membuat sediaan pasta gigi ekstrak daun peppermint dan ekstrak daun sirih merah kemudian dilakukan pengujian ektivitas pasta gigi sebagai antibakteri terhadap Streptococcus mutans.Penelitian ini merupakan penelitian experimental yang diawali dengan pembuatan sediaan pasta gigi ekstrak daun peppermint (Mentha piperita L) dan ekstrak daun sirih merah (Piper crocatum) variasi konsentrasi 15%: 5%, 10%: 10%, 5%: 15%. Pasta gigi dievaluasi dengan uji organoleptiis, homogenitas, uji ph, uji viskositas, dan uji efektivitas antibakteri. Hasil menunjukkan pasta gigi memenuhi standar penerimaan dari segi organoleptis, homogenitas, viskositas, dan pH. Hasil uji  efektivitas antibakteri pasta gigi ekstrak daun peppermint dan ekstrak daun sirih merah dengan variasi konsentrasi 15%: 5%, 10%: 10%, 5%: 15% menunjukkan efektif menghambat Streptococcus mutansdengan zona hambat 11,66 mm, 16,5 mm dan 18,83 mm
Gambaran Tingkat Kepatuhan Minum Obat Anti Hipertensi pada Pasien Hipertensi di Desa Kujon Kecamatan Ceper Kabupaten Klaten
Authors: Putri Aristhasari , Septyasari Avanilla Fany , Sutaryono Sutaryono , Noni Maherawati
Published: January 2024

Hipertensi merupakan suatu kondisi terjadinya peningkatan tekanan darah sistolik dan diastolik yaitu >140/90 mmHg. Hipertensi merupakan penyakit degeneratif yang membutuhkan terapi jangka panjang dan tekanan darah harus terkontrol, dan untuk mencapai tekanan darah yang terkontrol dibutuhkan managemen terapi yang baik, salah satunya adalah kepatuhan dalam meminum obat antihipertensi. Kepatuhan dan ketidakpatuhan terapi akan mempengaruhi terkontrolnya tekanan darah pasien. Tujuan penelitian ini untuk mengetahui tingkat kepatuhan pasien meminum obat antihipertensi di Desa Kujon, Ceper, Klaten. Penelitian ini merupakan penelitian deskriptif observasional. Teknik pengambilan sampel menggunakan metode purposive sampling, dan kuesioner MARS-10. Responden yang terlibat dalam penelitian ini sejumlah 57 responden. Hasil penelitian ini menunjukkan sebagian besar responden (59,65%) memiliki tingkat kepatuhan sedang / cukup patuh dalam meminum obat antihipertensi
Study on reservoir characteristics of Chang2 reservoir in southwest Ordos Basin
Authors: Fan Xuandu , Ma Jiaxuan , Ren Xingjian
Published: January 2024

In order to clarify the reservoir characteristics of the Chang2 oil formation in the GQ block of the Ordos Basin, the reservoir characteristics and pore structure of the Long 2 oil formation in the study area were investigated using experimental data such as cast thin section, scanning electron microscope (SEM) and mercury pressure curve. The results show that the Chang2 oil formation in the study area mainly develops medium sandy fine-grained feldspathic sandstone, and the pore types are rock dissolution pores and intergranular pores. The reservoirs of the Chang2 oil formation group in the study area were evaluated and classified by applying piezomercury curve banding, and the reservoirs were classified into three categories: Small pore-medium fine-throat type-medium pore-medium fine-throat type, Fine pore-micro-throat type and Mesoporous-coarse throat type. In the study area, most of the reservoirs in Chang2 are Small pore-medium fine-throat type-medium pore-medium fine-throat type, accounting for 50% of the total, while Mesoporous-coarse throat type accounts for 34.7% and Fine pore-micro-throat accounts for 15.3% of the total. The Chang2 oil reservoir in the study area is mainly developed as a general reservoir.
Suicidal tendency through poisoning and its outcome among young population. An alarming mental health issue.
Authors: Pir Asad Aziz  , Zeeshan Nasir  , Noorulain Qureshi  , Ghulam Shabbir Sheikh  , Quratulain Qureshi  , Aatir Hanif
Published: January 2024

Introduction: Among low-middle-income and underdeveloped countries of the world around 75% of overall mortality among the young population is through suicidal mechanisms. Mechanism of such acts varies among underdeveloped countries; one common mechanism is through intake of different poisons. Most of cases are not recorded properly and many of those people die before reaching hospitals and are never registered.

Objectives: To evaluate the frequency of suicidal acts among youth through different poisonous agents and their outcomes.

Methodology: This descriptive study was conducted at department of neurosurgery and Intensive care unit (ICU). Between January 2018 to June 2018, all cases of attempted suicide through ingestion of some poison, initially registered at accident and emergency department and later verified from medicolegal and intensive care unit were included for the current study. 

Results: A total of 221 cases were reported, mostly from Hyderabad city. Rat killer poison, Black stones, and Organophosphate are most common poisons used for ingestion. Most case were registered during month of March and April. Black stone and organophosphate have higher mortality as compared to others. Domestic issues and broken relationships followed by poverty were the most prevailing cause of suicidal attempts. The incidence rate of suicidal attempts through poison ingestion in the Sindh youth population is 2.351 with a 0.030 mortality rate.

Conclusion: Collaborative efforts between nongovernmental organization, legislative bodies and designated medicolegal hospital having indigenous intensive care unit and neurosciences institute is needed if youth is to be salvage. Those survive needs prolong social support.   

Keywords: Youth, Suicide, Poison, Organophosphorus
Factors associated with irregular dental checkups or refraining from regular dental treatment.
Authors: Muhammad Saqib  , Rizwan Jouhar  , Sabeen Masood  , Mahnoor Sheikh  , Afifa Hemani
Published: January 2024

Abstract:

Introduction: Routine dental examination is important for early diagnosis and treatment of dental problems in order to improve quality of life and avoid costly future treatments. Regular dental checkups also decreases dental anxiety among individuals.

Methodology: This descriptive cross-sectional study was conducted at the department of Operative dentistry, Altamash institute of dental medicines from 15 August’2021 to 11 November’2021. 204 participants were interviewed using well-constructed questionnaire regarding factors associated with irregular dental checkups and refrainment from regular dental treatment.

Objective: To identify factors associated with irregular dental checkups or refraining from regular dental treatment.

Results: Among 204 participants, 79 (38.73%) were male and 125 (61.27%) were female. Results showed that 47.55% of individuals were aware that dental hygiene improved overall quality of life, only 42.6% of participants visited a dental clinic for a general check-up, whereas 57.35% only received dental treatment when they were in pain.

Conclusion: Major factor leading to irregularity for dental checkup, is financial constraint. 

Keywords: Dental checkup, Dentist, Dental treatment, Oral health .
Association of nonalcoholic fatty liver disease with uric acid, BMI and dyslipidemia.
Authors: Sadia Rehman  , Huma Salahuddin  , Hina Moazzam  , Sana Ahmed  , Shazia Junaid  , Muhammad Farhan
Published: January 2024

Abstract:

Introduction: Nonalcoholic fatty liver disease (NAFLD) is gradually recognized as a main health challenge especially in the developed countries. NAFLD comprises of a series of liver damage that may vary from simple steatotic fluctuations to nonalcoholic steatohepatitis, fibrosis and progression to cirrhosis.

Objectives: To assess the association of non-alcoholic fatty liver disease with BMI, lipid profile and serum uric acid.

Methodology: This comparative study, after approval from Ethical review Board of the Institute, was carried out at Sharif Medical city hospital, a tertiary care hospital. The 200 patients of nonalcoholic fatty liver disease (NAFLD) were selected from the medical ward, considering inclusion and exclusion criteria. For control group, subjects were recruited from local population. The obtained data was statistically analyzed using SPSS version 23.0. The parameters compared between two groups includes lipid profile, serum uric acid, diastolic and systolic blood pressure, BMI and age.

Results: Significant statistical differences were seen between the results of two groups. Mean serum uric acid found raised in study group when compared with controls. BMI along with diastolic and systolic blood pressures were seen to be elevated in NAFLD group. Dyslipidemia was also found to be present in NAFLD group.

Conclusions: The study can be concluded that raised BMI, serum cholesterol and triglycerides and uric acid are correlated with progress of the non-alcoholic fatty liver disease. These findings can be used by the physicians for early detection and prevention of the progression of NAFLD.

 

Keywords: uric acid, Non-alcoholic fatty liver disease, body mass index.
To determine the most posterior limit of the maxillary complete denture thru the position of vibrating line in relation with the fovea palatinae in complete denture patients visiting at tertiary care center.
Authors: Farzana Memon
Published: January 2024

Introduction: Currently many new treatment choices are present but removable complete denture is still treatment of choice. Retention, stability and support are the essential qualities of removable complete dentures and for these to achieve, borders of the prosthesis should be harmonized contact with surrounding tissues to produces a seal and that seal is known as peripheral seal.Objective: To determine the most posterior limit of the maxillary complete den-ture through position of vibrating line in relation with the fovea palatinae in com-plete denture patients visiting at Prosthodontics department of Isra dental college, Hyderabad.Methodology: During this cross-sectional study from June 2018 to March 2019, 155 edentulous patients of either gender, having age ranges from 40-60 years and above were included. Indelible pencil was used for marking of vibrating line location and results of vibrating line location whether it is anterior, at or posterior to fovea palatinae were recorded in written proforma when patient pronounce the word “Ah” in normal unexaggerated manner.Results: Among 155 edentulous patients, we found vibrating line anterior to fovea palatinae in almost 53% cases followed next in frequency it was found at the fovea palatinae in 46.5% cases.Conclusion: Fovea palatinae is best anatomical structures to help in location of vibrating line and posterior palatal seal and vibrating line in most cases is located anterior to the fovea palatinaeKeywords: Fovea palatinae, maxillary denture, posterior palatal seal area, reten-tion and vibrating line.
Evaluation of Mannheim's Peritoneal index score (MPI) for predicting mortality in patients with peritonitis.
Authors: Syed Ali Haider Rizvi  , Raheel Ahmed  , Erum Kazim  , Rabia Feroz  , Aisha Siddiqua  , Asma Amin
Published: January 2024

Introduction: Despite latest development the diagnosis and prognosis of acute intraperitoneal infection is still offer a challenge. Different scoring algorithms have been formulated to grade the severity and decision making.Objective: To document reliability of Mannheim Peritonitis Index as a criterion for prediction of mortality after acute intraperitoneal infectionMethodology: This cross-sectional study was conducted at department of Surgery; Civil Hospital Karachi/Dow University of Health Sciences during December 2019 to June 2020. Total 200 patients aged 16 to 55 years from either gender, presenting with peritonitis were enrolled. Patients were evaluated using Mannheim Peritonitis Index (MPI) score for mortality taking real mortality within 7 days as gold standard.Results: The mean age was 37.3 ±9 years with male (71%) dominance, while mean MPI score was 27.12 ±7.1. The sensitivity was 91.8 %, specificity was 84.4 %, while positive predictive and negative predictive values and diagnostic accuracy values were 87.8 %, 89.4 % and 93% respectively.Conclusion: Several scoring systems are utilized to evaluate and stratify patients in overcrowded emergency department which is crucially important for selection of patients who need early clinical decisions. MPI scoring index is the specific and simply accessible in such condition to predict the mortality.Keywords: Mannheim Peritonitis Index, acute intraperitoneal infection, In-hospital mortality, Diagnostic accuracy.
Prevalence of types of arthritis and its association with biochemical parameters among pre- and post-menopausal women in different cities of Pakistan.
Authors: Qamar Yasmeen  , Summaira Yasmeen
Published: January 2024

Introduction: The prevalence of arthritis among both pre and post menopausal is alarmingly high. Old age, gender, obesity, unhealthy life style, poor nutrition, less physical activity, genetics, lack of knowledge about disease, lack if education are the factors which are strongly associated with onset of arthritis.

Objective: To document prevalence of different types of arthritis and its association with biochemical parameters among pre- and post-menopausal women in different cities of Pakistan.

Methodology: A total of 300 females’ patients who were diagnosed as case of arthritis from different aetiology, during April 2022 to September 2022, aged above 40 years were enrolled for this cross-sectional observational questionnaire and laboratory-based study. Their demographic and disease-related biochemical parameters were recorded and analysed.

Results: Over all prevalence of rheumatoid arthritis was high (39%) among both pre- and post-menopausal females. Biochemical laboratory analysis showed mean low (11.90 ± 2.18) level of haemoglobin. 66.6% and 60.6 % of the female patients were seropositive for Rheumatoid factor (RF) and Anti Cyclic Citrullinated Protein (Anti-CCP) which is clinical characteristics of Arthritis patients.

Conclusion: Women with different type of arthritis have border line mean levels of biochemical parameters which indicate co-morbidities like diabetes, cardiovascular and renal diseases, hypertension, obesity and osteoporosis.

 

Keywords: Post-menopausal, rheumatoid, psoriatic, osteoarthritis, biochemical parameters.
Usage of antimicrobials in patients having intricate clean-contaminated head and neck surgeries.
Authors: Maham Shah  , Shagufta Channa  , Anum Asif  , Rimsha  , Atia Gul Bhurt  , Deepak Kumar
Published: January 2024

Objective: The goal of this study is to characterize, the infectious complications and to identify the risk variables most frequently linked, after head and neck surgeries.Methodology: 47 patients who underwent major clean-contaminated head and neck surgery between 2019 and 2022 at the cervicomaxillofacial Surgery Department (Saint-Pierre Hospital) were the subject of a prospective cohort analysis. Two groups of patients were created: group I received a postoperative antibiotic regimen for just 24 hours; group II re-ceived a longer postoperative antibiotic course lasting more than 24 hours. Amoxicillin and clavulanate were given intra-venously 30 to 60 minutes before making the incision as antibacterial precautions. Following surgery, the antibiotic course was maintained. Univariate analysis was used to assess the predictive importance of the antibiotic regimen on postoperative outcomes, including clinical symptoms of infection and biological indicators like the white blood cell count and C-reactive protein levels was evaluated using univariate analysis.Results: 18 patients experienced SSIs. Antibiotics were used to treat each of these grade 2 illnesses. Only a history of hypothyroidism appears to be a predictor of SSI after univariate analysis (P = 0.038). When we compared the patients who received antibiotics for 24 h or more, there was no discernible difference in terms of onset and hospital stay. Addi-tionally, neither group had a different rate of germs that were multidrug resistant.Conclusion: Our findings imply that using postoperative antibiotics for more than 24 hours has no positive effects on SSI.

Key words: Cervico-maxillofacial Surgery, clean contaminated surgery, antimicrobials, Surgical Site Infection.
To compare efficiency of ultrasonic vessel sealing device and convention-al method in laparoscopic cholecystectomy.
Authors: Anum Asif  , Syed Amir Shah  , Sadia paras  , Maria Memon  , Maria Memon
Published: January 2024

Objective: To compare the outcomes of ultrasonic vessel sealing device and conventional method during laparoscopic cholecystectomy.Methodology: This prospective comparative study was carried at the Department of General Surgery, LUMHS during16-06-2021 to 25-01-2022. A total of 140 Patients with symptomatic gallstones assigned in two groups on surgeon’s pref-erence after fulfilling inclusion criteria for LC. Group A, LC done by Using clips & cautery method and group B, LC done by using harmonic scalpel. All surgeries was performed by senior consultant. Data was collected via pre-structured proforma. The outcomes was measured.Results: Mean duration of procedure difference was significantly less in patients with LC was done with harmonic scal-pel in comparison with conventional method [Mean difference -6.71±1.24 min; p=0.0005]. Rate of intraoperative bleed-ing more than 100 ml was significant [A=35.7% vs. B=0; p=0.0005]. Similarly rate of postoperative bleeding was signifi-cant [A=17.14% vs. B=5.71%; p=0.034]. Rate of gallbladder perforation and lateral tissue damage was also significant [14.3% vs. 40%; p=0.001] and [0% vs. 10%; =0.013] respectively. Drain content was significant [A=72.3% vs. B=11.4%; p=0.0005]. Hospital stay more than 1 day was significantly less in patients [A=62.8% vs. B=30% p=0.0005].Conclusion:The ultrasonic vascular sealing device achieves satisfactory hemobiliary stasis in most of patients and may serve as a safer substitute to definitive cystic duct and artery clipping.

Key words: laparoscopic cholecystectomy, conventional method, ultrasonic vessel sealing device, outcomes.
PERCEPTION DES OFFRES DE SOIN LORS DU TRAITEMENT DE LA FRACTURE DES OS A BAMAKO
Authors:   Sociologue de la santé Université des Lettres et des Sciences Humaines de Bamako  – ULSHB, Traore Bréhima Chaka , COULIBALY Moussa , TRAORE Lamine Boubakar ,   Psychologue, Institut National de la Jeunesse et du Sport,   Anthropologue, Université des Lettres et des Sciences Humaine de Bamako (ULSHB)
Published: January 2024

La fracture osseuse est une souffrance qui arrive le plus souvent de façon accidentelle. Elle est un phénomène qui engage la responsabilité de plusieurs acteurs tels que les patients, les traumatologues et les thérapeutes. Ce présent article a cherché à appréhender les perceptions de ces acteurs sur la prise en charge de la fracture osseuse. La réalisation des entretiens semi-directifs a permis d’atteindre les objectifs de cette étude. Les groupes cibles de l’enquête étaient les patients, les traumatologues et les thérapeutes traditionnels. L’analyse des résultats a permis de comprendre les points de vue divergents des acteurs sur la fracture osseuse à Bamako. Il a été également question de saisir les positions des praticiens sur le niveau de satisfaction de leurs patients. Enfin, les traumatologues et les thérapeutes ont exprimé l’efficacité de leurs offres de soin
Development of Think-Pair-Share (Tps) Model Based Learning Tools for Global Warming Materials
Authors: Bella Shinta , Azhar Azhar , I Nur
Published: January 2024

The aim of this research is to develope are cooperative model-based learning tools of TPS type with Quizizz learning media on global warming materials for high school XI students. The materials are consisting of Learning Implementation Plan (RPP), Student Worksheet (LKPD), and Learning Outcome Test. This type of research is Research and Development (R&D) with 4D model design. The research instruments used are rpp validation assessment sheets, LKPD, and Learning Results Tests used by validators to assess learning devices. The data analysis in this study uses descriptive analysis, by calculating the validity score of each learning device indicator. Based on the results of the analysis of validity data, the Learning Implementation Plan (RPP) gets an average score of 3.07 (high), the Student Worksheet (LKPD) gets an average score of 3.16 (high) and the Learning Results Test gets an average score of 3.13 (high). Thus, tps-type cooperative model-based learning devices with Quizizz learning media are declared valid and feasible for use in global warming materials in grade XI SMA.
Eudaimonía bonaventuriana como respuesta a la crisis metafísica de la ética moderna
Authors: Rubio Hípola Francisco Javer
Published: January 2024

Para San Buenaventura la búsqueda de la verdad tiene en sí misma un valor salvífico, no consiste en un mero ejercicio académico o intelectual. Por esto mismo el principio que unifica el quehacer filosófico y teológico es el mismo que sirve como fundamento para la edificación de una vida ordenada hacia la excelencia, es decir, la santidad. En este sentido la síntesis radical ente la búsqueda de la verdad y el itinerario personal hacia el fin último de la existencia surge de unas raíces metafísicas expresivas comunes, se desarrollan en el mismo tronco cristocéntrico y alcanzan su fruto pleno en el amor trinitario. Esta “reductio” es la clave de comprensión necesaria para integrar adecuadamente los distintos elementos filosóficos y teológicos del pensamiento bonaventuriano.
Ocaso de la metafísica en el siglo XXI: a partir de Aristóteles y Platón
Authors: García Lorente José Antonio
Published: January 2024

En este trabajo se presenta el ocaso de la metafísica en el siglo XXI. Para ello, se expone el núcleo fundamental de la metafísica de Platón y Aristóteles, que supone el origen y el fundamento de eso que ha sido llamado como metafísica. A continuación, se muestran los pilares sobre los que se sustenta el ocaso de la metafísica, a partir del contexto de la posmodernidad. Finalmente, se examina si la metafísica es innegable, es decir, si se puede renunciar a ella, teniendo en cuenta las motivaciones de una cultura posmetafísica. El propósito de este artículo consiste en mostrar si es posible seguir haciendo metafísica en la actualidad, época de la posverdad.
State, Political Parties, and the Nation: Triangular Political History without a Center of Gravity
Authors: Yuichiro Shimizu
Published: January 2024

Last year, Japan celebrated the one hundred and thirtieth anniversary of the establishment of the Meiji imperial constitution. As the first constitutional state in Asia, Japan’s experience soon garnered the attention of the world. As in the postwar era where Japan’s model of high-speed economic growth proffered a model for developing countries, in the pre-war imperial world, Japan’s experience with constitutionalism provided encouragement to those nations, then colonies of the European powers. Yet this history of constitutionalism was by no means a story of unalloyed successes. Rapid modernization and economic growth in no short order destabilized Japan’s traditional order, giving birth to an unstable social structure. How to design the relationship between the state, political parties and nation has remained a major question which has continued up to the present. Clarifying how the three parts of the triangle (state, parties, nation) have evolved over the last one hundred and thirty years provides important insights into how the development of Japanese ‘democracy’ has differed from the experience of the Western democracies.
Groundwater and surface water control at Highland Valley copper mine (HVC) (in rock and soil both)
Authors: Daly Sean
Published: January 2024

This paper is about dewatering of the two large open pit porphyry copper-molybdenum mines of Highland Valley Copper in BC, Canada. These two pits occur within the well differentiated Guichon Creek Batholith with phases progressively more acidic and coarser grained towards the center and intersected by intense fracturing within the ore bodies and also concentric alteration haloes. Also, they are both cut by the steeply dipping Lornex fault which is an average 155 m wide faulting zone with frequent sympathetic faults adjacent to it. As the two pits have mined down at depth, they have exposed bedrock especially with frequent toppling-type faults and shears which have exhibited varying degrees of toppling and ravelling of the pit walls. Also, on the east wall of the Valley Copper pit, there is up to about 350m of glacio-fluvial overburden, originally with artesian flows in two or three aquifers. The toppling is exacerbated by the hydrostatic pressure of the groundwater in the pit walls. Both pits have significant groundwater and run-off in the spring. In order to be able to continue mining down to depths of about 600 to about 750 meters it has been necessary to de-water the walls and divert the surface run-offs to prevent infiltration into the toppling faults. So two water diversion projects were necessary at the crest of the highwalls and were completed to drain both by gravity and pumping the spring run-off water away from the two pits. Also, a major well drilling project is ongoing in the glacio-fluvial overburden aquifers to dewater them with upwards of 4500 US gpm flows. In addition, an annual series of horizontal drainholes were drilled and are ongoing approximately every three benches to dewater and depressurize the bedrock. Minor bedrock wells in the crest of the Lornex Pit also contribute to the dewatering. All the dewatering has allowed the two pits to mine down to close to design depths without significant disruption.