bluuebunny/crossref_metadata_2025 huggingface dataset:
FORMING STUDENT’S DIGITAL COMPETENCY IN THE INTERACTIVE ENVIRONMENT
Authors: Kochetkova E.
Published: April 2020

The study focuses on the research of the digital competence of students in an interactive environment. The concept of public policy implementation in the field of reforming general secondary education regards information and communication technologies (ICT) in the educational process as a «tool for success» of the New Ukrainian School (NUS).
Problems, status and directions of development of information technologies, possibilities of their application in the education system, development and formation of information competences are widely discussed in the scientific community.
The ideas of the competence approach in education were considered by: V. I. Bidenko, G. Weiler, V. K. Zagvozdkin, J. Raven, A. V. Khutorsky and others; integration of the concept of «information competence» in the educational process was studied by A. F. Akhmerova, N.V. Bagramova, A.I. Mishchenko. Various aspects of personality development in the conditions of informatization were reflected in the works of N.V. Gafurova, M.P. Spodarets, I.V. Robert.
The analysis of the studies showed that theoretical prerequisites for informatization of education and development of information competence using different pedagogical conditions have been established, but the lack of research examining the formation of students’ digital competence in an interactive environment is emphasized. This research is devoted to this problem.
The purpose of the study is to highlight the main problems of digital competence development of students’ competence in the interactive environment. The article also defines the essence and structure of the concept of information competence as an integrative quality of the individual, describes its components and the possibilities of the interactive environment.
The methodological basis of the study was a systematic approach that considers competence as a set of structural components an activity approach aimed at the use of modern methods and technologies; a competence approach that ensures the development of information competence in an educational process based on an interactive environment.
It has been found that an interactive environment is required to build digital competence as an educational output. The main feature of online learning is the use of students’ own experience in solving problematic issues, with maximum freedom of thought.
The interactive environment should be based on certain didactic features of the organization of the learning process, which are implemented in the conditions of interaction with the electronic information and educational environment.
Contemporary means of digital competence formation can be different content (e-courses, simulators, teacher-student interaction tools, distance learning systems, etc.). The building of the digital competence is made through a combination of digital tools and interactive learning.
THE CONDITION OF WORK OF PRESCHOOL EDUCATION ESTABLISHMENTS FORMING VALUE ORIENTATIONS OF SENIOR PRESCHOOL AGED CHILDREN THROUGH THE ACTIVE GAMES
Authors: Puyo О.
Published: April 2020

The article covers the results of analysis of annual plans of preschool establishments in order to ascertain the role of active games in the process of formation of value orientations of senior preschool children. An analytical review of the curricula of senior preschool education educators has been made concerning the problem of forming the values of communication of preschoolers, such as interaction, empathy, responsibility. The existence of a description of the manual of the preschool children’s play game is developed in order to create value orientations. The peculiarities of the use of active games by educators in the educational process are revealed. Conclusions about the importance of active games in the life of senior preschool children are made. Identify the favorite types of active games for preschoolers and individual games that are most popular. The ability of children to express sympathy, team interaction, responsibility in a playing situation during an active game contributing to the formation of these values are analyzed. The ability of senior preschool children to receive help from a friend during an active game is highlighted. The reflection regularity preschool teachers as a result of an active game and the main tasks that educators decide through the reflection is revealed. The level of formation of communication values of senior preschool children according to the results of the survey of educators has been determined. Features of the manifestation of value orientations of senior preschool children during game situations are considered.
On the basis of a comprehensive study: annual plans of preschool establishments, calendar plans of educators of senior preschool children, questionnaires of teachers, the state of work of preschool establishments is determined in relation to the formation of value orientations of senior preschool children through the active games.
INTERACTIVE AS A PEDAGOGICAL INNOVATION IN AN INFORMATION SOCIETY
Authors: Kozyr М. , Oliynyk О.
Published: April 2020

The article analyzes the scientific sources on the classification of interactive technologies in primary and higher schools, presents the basic classifications of methods of interactive learning on the basis of various features: communicative functions, degree of involvement of participants in the educational process, forms of organization of educational activities, etc. The main problems in creating a unified classification of interactive methods have been identified. A new, practically oriented classification is developed, based on the sign of motivation of educational activity.

Based on the research, we can state the need to create a new classification that would be universal for two levels of education - primary and higher education. The basis for its formation is a set of motives that each participant in the educational process pursues.

The first group of methods are those that meet the social needs of the subjects of the educational process. These include the motive for self-expression and self-assertion in the group and the motive for achieving a collective goal. The second group of interactive methods is distinguished on the basis of motivating motives. Interviews aimed at meeting the vocational-value (training-value) needs make up the third group of classification. The fourth is interactive methods aimed at realizing cognitive motives. The fifth group of interactive methods, aimed at satisfying the mercantile motives in the future and synthesizing the previous varieties, is a set of all the above motives. The choice of methods in this category is aimed at a comprehensive realization of all educational needs that will find their way into future activities, including professional ones.

In the course of the study, we came to the conclusion that the active use of interactive technologies at a new angle will facilitate the training of motivated and positively oriented students and highly qualified specialists, who are able to integrate theoretical knowledge and practical skills in the future professional activity.
TRANSITION FROM MODULAR TO SESSION FORM OF ORGANIZATION OF EDUCATIONAL PROCESS: THE FIRST EXPERIENCE OF BOGOMOLETS NATIONAL MEDICAL UNIVERSITY
Authors: Stechenko О.
Published: April 2020

The article deals with the first experience of Bogomolets National Medical University's transition from modular to session form of organization of educational process for ECTS. Organisation of educational process is one of the most powerful tool to use and fine-tuning which directly displays the integrative results of activities of the institution of higher education. Thus, it was a question of the need to create a culture of quality in educational environment of the university using changes to the learning method as a key lever. There were made changes to the educational-methodical complexes of disciplines according to the peculiarities of organization of training students of the first year. After that an internal audit of the materials developed by the Departments was carried out. The main directions of the transformation of the curricula concerned the following aspects: introduction of winter and summer exam sessions; reasonable and well-balanced choice of final control form for each discipline taking into account the competent approach; introduction of intermediate (semester) control in disciplines, the study of which lasts more than one semester, in form of a transfer credit (attestation). At the level of university management the foundation for the development of successive changes in the responsibility of the departments for the production of better teaching materials and for improving the quality of education for applicants, and in the responsibility of students for learning outcomes was laid.

The article gives convincing evidence of the positive impact of organizational changes on qualitative indicators of training: quality of success, absolute success of the entire contingent of first-year students and average grade of first-year students (contract form of training). It is shown that the transformation of the organization of training allowed to reduce the percentage of students with academic debts and the number of hours they heve missed, for Ukrainian and foreign students. The transformation of the organization of education into Bogomolets National Medical University became an effective tool for improving the quality of educational services in accordance with the current social request.
The intellectual's artistic biography in S. Rosovetskyi's dramatic
Authors: Shapoval Mariana
Published: April 2020

The global trend of digitalization and publishing of historical sources, in particular fiction and its existence in different eras, makes the reader constantly reconsider the lives and work of persons who are regarded as prototypes of characters in literary works. As a result, an artistic image, linked to real life and rooted in the past, generates a consistent literary story in the form of artistic biography. The number and variety of such literary works, including dramatic ones, is constantly growing, which determines the topicality of this study. Over the recent decades, biographical fiction drastically changed its forms, and was enriched with numerous genre varieties and modifications. And this process remains far from complete. The term ‘meta-genre of artistic biography’ is introduced to designate it. This term emphasizes the scale of a certain phenomenon and allows defining the subject of the study — the artistic biographical description of the intellectual in contemporary Ukrainian drama — as well as clarify the understanding of the concept of the ‘intellectual,’ and problematize ways of describing characters of this type. The purpose of the article is to identify the genre-style unity of Ukraine’s modern drama about intellectuals and prove the expediency of the application to it of interpretive approaches to popular knowledge from related areas (history, philosophy, art). Specifically, such varieties of genres as personal artistic biography and intellectual artistic biography were singled out and proposed for the first time on the literary material (S. Rosovetskyi), and that is the research novelty. The research methodology is defined by an interdisciplinary approach that appeals to the achievements of literary criticism, art criticism, history, and philosophy. Results of the Study are connected with considerations that the interest in the artistic biography of the intellectual is associated with a general trend to anthropologize scientific knowledge, coupled with the growing interest of the audience in the individual and personal in the history and in the present, with the dominance of the emotional component in contemporary media discourses, resulting in the actualization of an emotional narrative of the intellectual’s biography, which often sounds tragic nowadays in the context of the catastrophic past of the Ukrainian science and culture.
The “legendary style” in “The comprehensive life of Constantin (Cyril) the Philosopher”
Authors: Borshch Svitlana
Published: April 2020

The subject of the study is the “legendary style” of one of the most iconic hagiographic text of the IX century “The Comprehensive Life of Constantine (Cyril) the Philosopher”. This Pannonian legend belongs to the texts of Cyril-Methodius cycle and has the description of the re-finding and transportation Saint Clement’s relics by Constantine the Philosopher from Korsun (Chersonesus) to Rome. This episode is an important part of the process of legalizing the translation of the Divine Books to the so-called Church-Slavonic language. The phrase “legendary style” was borrowed from I. Franko’s work “Saint Clement in Korsun” (Lviv, 1902–1905) and has not been explained as a term yet. The purpose and the novelty of our research is to find out how “legendary style” was formed, which techniques were needed to create this concept. The relevance of this study is due to the analyzing sources for the legend as a genre (it was formed on the base of the hagiographical texts such as Jacobus da Varagine’s "The Golden Legend", XIII century). Ideological description of historical events ("tendentious historicity"), disclosure of holiness and using the category of the miraculous were clarified as the technique of “legendary style”, using the cultural-historical method, elements of comparative, structural and phenomenological analysis. Holiness, called by J. Le Goff “the most important value of Christian society”, is a predetermined aspect in “The Comprehensive Life of Constantine (Cyril) the Philosopher” and it connected the saint’s life with the events of the New Testament. The category of the miraculous is considered from the point of mythological view: miracles regulated the universe, restored harmony and established true rules and laws. According to A. Losev, the true Christian miracle occurred when the real person dialectically synthesized with his/her inner ideal at a certain moment. “Tendentious historicity” is observed in the episode about saint relics of Pope Clement I. There are variations in the very process of re-finding the holy remains: locations, heroes and time in some stories are not the same in different texts from the so-called Cyril-Methodius cycle. It gives reasons to consider these texts ideologically involved. It is advisable to include other hagiographic texts to confirm or refute, expand or narrow the “legendary style” as a term in further research.
Tipe Student Academic Support dan Academic Buoyancy pada Mahasiswa
Authors: Lesmana Janice , Savitri Jane
Published: April 2020

This study aims to overview the relationship between student academic support (informational, esteem, motivational and venting support) and academic buoyancy in students. 230 participants were selected used proportionate stratified random sampling technique. This study used a modified Student Academic Support Scale (SASS; Thompson & Mazer, 2009) and modified Academic buoyancy Scale (ABS; Martin & Marsh, 2008), correlated using Spearman’s correlation test. The results show that academic buoyancy has a significant positive relationship with esteem support (r = 0.168; p = 0.011), motivational support (r = 0.212; p = 0.001) and venting support (r = 0.158; p = 0.017), but doesn’t have relationship with informational support (r = 0.105; p = 0.111). Researcher suggests to do further research about contribution students' academic support to academic buoyancy. It is recommended to develop a mentoring program for students that facilitates mutual helping, care and motivating between students in the academic.

Keywords: Student Academic Support, Academic buoyancy
Pengaruh Job Demands, Dukungan Sosial Suami, dan Faktor Demografi terhadap Work-Family Conflict Karyawati Bank yang telah Menikah
Authors: Anggraeni Mega , Wahyuni Zulfa Indira
Published: April 2020

Abstrack

Women who are married and decide to keep working will add another role in their lives. Work-family conflict occurs when the roles and responsibilities between work and family are not balanced so that it will cause pressure and conflict that can disrupt the balance between work and one's person. This study aims to examine the effect of job demands (work overload, cognitive demand, and emotional demand), social support husband (emotional support, informational support, instrumental support, and support friendship) and factor demographic on work-family conflict of married bank employees. This study was conducted to 160 bank employees who are married and have children. The sampling technique used is non-probabililty sampling technique that is purposive sampling. The author uses Work-Family Conflict Scale (WFCS) measuring instruments developed by Carlson, Kacmar & Williams (2000), Questionnaire On The Experience And Assessment Of Work from Bakker, Brummelhuis, Prins & Heijden (2011) and husband's social support developed from Sarafino's (2011) social support theory. The validity of measuring equipment using confirmatory factor analysis technique (CFA) with the help of software Lisrel 8.70 and the data analysis using multiple regression analysis techniques with the help of software SPSS 22.0 The results of research using multiple regression analysis showed that all the free variables used significant effect against the work-family conflict with the proportion of variants of 55.4%, while the remaining 44.6% are influenced by variables other than research. Meanwhile, the results of the analysis of each variable separately variable indicates that work overload, cognitive demand and emotional demand significantly to work-family conflict in married employees. While the variables of emotional support, informational support, instrumental support, support friendship, working hours, number of children, and age of the last child not significant effect on work-family conflict of married bank employees.

Keywords: Work-Family Conlict, job demands, social support husband
Estado y percepción de salud: Un acercamiento a la comunidad de Pascuales
Authors: Viteri Viteri Olga Lucía , Cando Yaguar Nancy Renee , Lucio Escudero Laila Stefanía
Published: April 2020

El presente estudio busca establecer la percepción y estado de salud constatar las principales morbilidades de la comunidad de Pascuales. En este contexto, es importante destacar la percepción que tiene la población, además del sector.

El instrumento de recolección de datos se aplicó en diversas cooperativas de esta comunidad, se conforma primero por la percepción de salud, mediante el primer patrón de Marjorie Gordon, otra mediante preguntas consideradas por el Test FANTÁSTICO y el estado de salud que describe el Análisis Situacional de Salud de Pascuales. Se realizó este estudio a 273 personas entre 16 y 74 años de edad.

Los resultados indican que tienen una buena percepción, pero su estado de salud no es óptimo por lo que hay que fomentar un estilo de vida saludable. Es evidente que la comunidad de Pascuales necesita ayuda por parte de los profesionales de salud para mejorar su estado de salud, por lo que se recomienda que se continúe estudios a través de las dimensiones establecidas para un control y valoración de conductas y comportamientos en comunidad Pascuales, además que se implementen estrategias que promuevan un estilo de vida saludable.
THERMODYNAMIC ANALYSIS OF COMPRESSOR INLET AIR PRECOOLING TECHNIQUES OF A GAS TURBINE PLANT OPERATIONAL IN NIGERIA ENERGY UTILITY SECTOR
Authors: Okafor Victor
Published: April 2020

Thermodynamic analysis of inlet air pre-cooling techniques of compressor is among the methods for the enhancement of gas turbine performance. This study compared the effect of using evaporative cooling system pre-cooling method, vapour compression refrigeration precooling and vapour absorption refrigeration precooling techniques to the gas turbine Net Power Output, Thermal efficiency, Thermal Efficiency Change factor (TEC) and Power Gain Ratio (PGR) taking into recognition the prevalent weather and climatic conditions of Nigeria and as well as optimization parameters for the reference system (i.e. without precooling techniques). The results show that at air temperature of 311K, the reference system, evaporative precooling, vapour compression refrigeration and vapour absorption refrigeration precooling methods recorded Net power Outputs of 23.143MW, 25.39MW, 31.84MW and 34.90MW respectively. The Thermal Efficiency Change factor recorded by the precooling systems at an ambient temperature of 311K is 8.68%, 37.4% and 51% respectively.
Analisis Peran Koperasi dalam Pengelolaan Hutan Rakyat di Kebumen
Authors: Budiningsih Elok , Harjanto Harjanto , Hero Yulius
Published: April 2020

Community forests are a viable alternative for timber suppliers. Community forestry institutions are required to ensure its sustainability. Cooperatives become one of the appropriate alternatives in accordance with the institution at the site level in community forest development. One of the peasant organizations that manages the human resources in the form of cooperatives is a Taman Wijaya Rasa Cooperative (Kostajasa) located in Kebumen. This study aims to analyze the role of Kostajasa in community forest management. The descriptive analysis used in describing the role of Kostajasa in community forest management supporting three community forest subsystems, namely production, processing  and marketing subsystem. Kostajasa has played a good role in all three subsystems. In the production subsystem, there are still less roles in the determination of timber products to be managed, and setting the felling regulation. In the processing subsystem Kostajasa have already play a good role to connect several industries to receive raw materials from farmers’ timber and maintain the demand continuity for raw materials so that farmers’ timber is absorbed. In the marketing subsystem, Kostajasa also play a good role among others, shorten the marketing chain of wood products from community forest and offering a better price outside Kostajasa.
Studi Ekosistem Terumbu Karang di Taman Nasional Kepulauan Seribu
Authors: Noviana Linda
Published: April 2020

Taman Nasional Laut Kepulauan Seribu (TNLKpS) has a unique natural resource is the natural beauty of the sea and coral ecosystems are unique. But along with the rapid population growth of Jakarta as the capital city and the increasing number of tourists also affect the condition of coral reefs in TNLKpS. This study aimed to analyze and assess the ecological condition of coral reef ecosystems in the utilization zone travel TNLKpS by coral cover life and death, diversity as well as the factors causing the damage of the survey line intercept transect (LIT), literature review, interviews and analysis of the condition of coral reefs by Decree LH No. 4 of 2001 on Baku Criteria Damage Coral Karan. Condition of the reef by live coral cover otherwise damaged to moderate, based on the otherwise dead coral cover damaged high to moderate damage, then the number and type of reef fish more on the depth of 10 meters in comparison with 3 meters. Thecondition of coral reef ecosystems is common in 3 islands (Pulau Putri, Pulau Macan and Pulau Angin Angin Genteng) in TNKS is still quite good, but in some snorkeling spots it looks bad (3 stations) and medium (2 stations) when compared to spots diving (only 1 bad station).
AVALIAÇÃO NÃO LINEAR DOS ESFORÇOS INTERNOS EM CONÓIDES CILÍNDRICOS
Authors: De morais Danielly Luz araujo
Published: April 2020

Em arquiteturas da atualidade, percebe-se uma abordagem moderna demandando tendências de soluções estruturais complexas no design estrutural e o conóide é uma forma geométrica simples que confere requisitos de beleza e sofisticação a diversas edificações deste contexto. A obtenção dos esforços solicitantes para o dimensionamento de uma estrutura em concreto com esta forma geométrica não é tão simples e exige conhecimentos avançados. Objetivando-se a avaliação do caminho não linear dos esforços de membrana e de momentos, este trabalho apresenta uma investigação numérica estática não linear, via método dos elementos finitos (MEF), de cascas conoidais de geometria cilíndrica, submetida ao carregamento transversal uniformemente distribuído aplicado incrementalmente ao longo da sua superfície. Com este trabalho ilustra-se a importância da análise não linear ao identificar como as posições dos esforços máximos, cruciais para o dimensionamento estrutural, modificam-se ao longo da incrementação de carga. Comparando-se os esforços de flexão de duas geometrias diferentes observa-se a influência de diferentes modos de vibração na trajetória da topologia, com prevalência de momentos fletores positivos no centro, negativos nas extremidades e, com relação aos esforços de torção, sua concentração máxima prevalece perto das bordas curvas. Observam-se no início da trajetória do conóide de duas bordas curvas que as máximas regiões comprimidas não estão próximas às bordas retas, como no conóide de apenas uma borda curva. Além disso, é importante destacar a ocorrência de picos de esforços cisalhantes nas bordas curvas, pois nas demais localidades da casca os esforços cisalhantes tem menor intensidade.

 

Palavras-chave: Análise não linear, Casca conoidal cilíndrica, Esforços solicitantes, Método dos elementos finitos.
AVALIAÇÃO FÍSICO-QUÍMICA E MICROBIOLÓGICA DE DOCE DE EXTRATO DE SOJA COM DIFERENTES ADOÇANTES
Authors: Santos Marcio Ramatiz Lima , Silva Natália Oliveira
Published: April 2020

O doce de leite é um produto resultante da cocção do leite com açúcar até a concentração e caramelização desejada, cuja produção no Brasil encontra-se ao redor de 34.000 t/ano. O objetivo deste trabalho foi avaliar as propriedades físico-químicas (umidade, cinzas, pH e acidez titulável) e microbiológicas (Coliforme total e termotolerante) de doce de extrato de soja com diferentes adoçantes. Seis formulações de doce de extrato de soja com diferentes adoçantes foram preparadas: industrializado com açúcar cristal (LN), extrato industrializado com açúcar demerara (LD), extrato industrializado com açúcar mascavo (LM), extrato caseiro com açúcar cristal (SN), extrato caseiro com açúcar demerara (SD) e extrato caseiro com açúcar mascavo (SM). Os resultados das análises foram tabulados e submetidos a ANOVA e ao Teste de Tukey ao nível de 5% usando o software ASSISTAT.  Todas as amostras apresentaram contaminação para coliforme total após 48 horas de incubação a 35°, as amostra LM e SN apresentaram maior contaminação (43 NMP.g-¹). Na análise de acidez titulável houve diferença estatisticamente entre as amostras LN e LM, respectivamente 0,27 e 0,18 % m/v. Para a análise de pH, todas as amostras diferiram entre si, sendo SD maior acidez (6,69) e menor acidez SN (7,78). Para a análise de umidade a amostra SN (31,34%) se diferiu estatisticamente das amostras SM (11,95%) e LD (11,21%) mas não se diferiu das demais amostras. No teste de cinzas não houve diferença estatisticamente entre as amostra SN (0,79%) e SD (1,00%), entretanto, as mesma diferiram das demais amostras. Não houve diferença estatística para a análise sensorial, mas recomenda-se o doce de extrato de soja industrial com açúcar mascavo por estar dentro dos padrões recomendado pela legislação brasileira e ter uma melhor aceitabilidade. Os resultados mostraram que o doce de extrato de soja é uma alternativa tecnológica ao doce de leite comum, e atende aos consumidores que apresentam intolerância a lactose. 

Palavras-chave: alimento funcional; alimento saudável; açúcares, lactose.
Um fazer pesquisa/um cuidado de si
Authors: Rodrigues Aurea Maria Pires
Published: April 2020

Este trabalho busca problematizar a tessitura do fazer pesquisa, por meio do método cartográfico, no qual ao se acompanhar as linhas que conformam os contornos dos efeitos-subjetividades, analisam, interveem e criam outros efeitos-subjetividades. A experiência cartografada ocorreu durante a realização de um Mestrado Acadêmico pela Universidade Federal de Sergipe. O campo de pesquisa foi a Maternidade Nossa Senhora de Lourdes (MNSL), referência em gestações e partos de alto risco do Estado de Sergipe. A partir das premissas de que a prática de investigação é uma forma de cuidado, que possibilita o cultivo de um território existencial no qual pesquisador e pesquisado se encontram, e que homem e mundo são resultados de um processo de coengendramento, o sujeito pesquisador pôde junto aos seus pesquisados analisar, descrever linhas duras que conformam o ser mulher, bem como criar linhas de fuga em práticas de cuidado de si potencializadas pelo modo de fazer pesquisa.

Palavras-chave: Cartografia; cuidado de si; política.
Vegetación arbórea del Cerro Tres Puntas de Pilasca, (Salas-Motupe), Lambayeque, Perú
Authors: Delgado Paredes Guillermo Eduardo , Vásquez-Díaz Cecilia , Tesén-Núñez Fernando , Esquerre-Ibañez Boris , Da-Silva Felipe Zuñe , Rojas-Idrogo Consuelo
Published: April 2020

De marzo a junio de 2018 se estudió el bosque estacionalmente seco en Cerro Tres Puntas de Pilasca (Salas-Motupe, Lambayeque, Perú) con la finalidad de obtener información sobre su estructura y composición florística. En un transecto lineal de 11.4 ha, aproximadamente, se evaluaron especímenes de plantas leñosas con DAP ≥ 5.0 cm. Se registraron 410 individuos que representan a 17 especies, 17 géneros y 10 familias. Los taxones más abundantes fueron Vachellia macracantha (Fabaceae 154 individuos) y Celtis iguanaea (Cannabaceae 55 individuos) y las familias mejor representadas corespondieron a Fabaceae, con siete especies y Malvaceae, con dos. El área basal total fue de 343.86 m2 ha-1, en la que destacan Ficus obtusifolia con 139.23 m2 ha-1 y Beilschmiedia sulcata con 120.90 m2 ha-1. El Índice de Valor de Importancia alcanzó los mayores valores en F. obtusifolia (49.34), V. macracantha (46.75) y C. ruizii (41.57); en tanto que el Índice de Valor de la Familia fue más alto para Fabaceae, con 111.86, seguida de Moraceae (46.74) y Lauraceae (45.33). Si bien, los resultados muestran que este bosque es una versión precaria de los existentes en la región, todavía se identificó la presencia de individuos de F. obtusifolia entre 35 - 39.9 m de altura y DAP de 210 a 219.9 cm. El presente estudio contribuirá a desarrollar un programa de conservación, y de reforestación eficaz para mejorar el bosque del Cerro Tres Puntas, ubicado en una de las áreas más pobres del país.
Determination of Ki-67 expression in oral leukoplakia in snuff users and non-users in Khyber Pakhtunkhwa province of Pakistan.
Authors: Naushin Tehmina , Mumtaz Khan Muhammad , Ahmed Sajjad , Hassan Mahmood-ul- , Iqbal Fatima , Bashir Nasiha , Khan Abbas Saleem
Published: April 2020

Objectives: The aim of the article was to evaluate Ki-67 expression in oral leukoplakia in snuff users and non-users. Study Design: Descriptive Cross sectional study. Setting: At different hospitals of Khyber Pakhtunkhwa province. Period: From August 2016 –March 2017. Material & Methods: Clinically diagnosed and histopathologically confirmed cases of oral leukoplakia in snuff users and non-users 30 cases each were immunohistochemically examined and percentage expression of nuclear Ki-67 was evaluated by a semi quantitative method in basal, parabasal and suprabasal layers of the lining epithelium. Results: The relationship of expression of Ki-67 in parabasal and suprabasal layers of affected epithelium in snuff users was found to be statistically significant with a p value of 0.007 and 0.002 respectively. Conclusion: The present study concludes that the proliferative index is high in snuff users as compared to non-users which can be a factor for malignant transformation.
First time traumatic anterior shoulder dislocation: Will it always result in recurrent shoulder dislocation in all patients?
Authors: Shah Faaiz Ali , Ali Mian Amjad , - Naeemullah
Published: April 2020

Objectives: To determine the frequency of recurrent shoulder dislocation after first time traumatic anterior shoulder dislocation treated non operatively. Study Design: Prospective observational cohort study. Setting: Department of Orthopedics and Traumatology Lady Reading Hospital Peshawar. Period: 25th May 2011 to 25th December 2018. Material & Methods: Patients of all ages and both gender with first time. Traumatic anterior shoulder dislocation meeting the inclusion criteria were included in the study. In the included subjects shoulder joint was relocated under general anesthesia and immobilized in a poly sling for four weeks followed by supervised physiotherapy and rehabilitation program without any surgical stabilization of the shoulder joint. All these patients were instructed for follow up at monthly interval or before if recurrence occurred. Results: A total of 52 patients with mean age 35±9.4 years (range 16-55 years) were enrolled in our study. Male patients were 43(82.6%) while female patients were 9(17.3%). Right sided dislocation was noted in 38(73%) and left in 14(26.9%). Recurrent shoulder dislocation was reported in 32(61.5%) patients during a minimal follow up period of three years. Most (46.8%, n=15) of the patients with recurrent shoulder dislocation were 30 years of age or below. Conclusion: First time traumatic anterior shoulder dislocation treated non operatively not always result in recurrent shoulder dislocation in all patients. However a large number of patients and particularly younger patients suffered recurrence.
Histopathology diagnosis in women who underwent a hysterectomy for a benign condition.
Authors: Afridi Night , Fareed Amna , Nazeer Saira , Khan Saifullah , Khan Shah Gul
Published: April 2020

Objectives: To determine frequency of histopathological diagnosis in women who underwent hysterectomy for benign condition in tertiary care hospital. Study Design: Retrospective study. Setting: Department of Gynecology and Obstetrics, CMH Nowshera. Period: 6 months (July 2018 December 2019). Material & Methods: Data of all hysterectomies underwent in last 3 years was reviewed. Ethical approval was taken from ethical review board. Patients undergone hysterectomy with benign condition were included in study. Data was analyzed using SPSS version 24. Chi-square and correlation test was performed. P value ≤0.05 was considered significant. Results: Total 430 cases were included in study. Mean age of women was 37.1 years± 8.2 SD. Most common complaints was irregular bleeding 123(28.6%) following dysmenorrhea 78(18.1%). Most common histopathological finding was adenomyosis 214(49.8%), following leiomyoma 66(15.3%). Histopathological findings were significantly associated parity (p=0.000), type of hysterectomy (p=0.000), marital status (p=0.000) and occupation (p=0.000). Significant correlation between clinical diagnosis and histopathological finding was found (r= 0.7, p=0.00). Conclusion: Hysterectomy is most common surgical modality in gynecology. Adenomyosis is most common histopathological finding in patients undergone hysterectomy for benign condition. All hysterectomy specimens should be subjected to pre-operative and post-operative histopathological examination for accurate diagnosis and management in benign conditions.
Pattern of bacterial isolates causing neonatal septicemia along with their pattern of antibiotic susceptibility.
Authors: Iqbal Shahid , Rehman Fazal Ur , Ali Waqas , Rajper Sanam Bano
Published: April 2020

Objectives: We planned this study to observe the pattern related to bacterial isolates causing neonatal septicemia along with their pattern of antibiotic susceptibility. Study Design: Prospective study. Setting: Department of Neonatology, Sheikh Khalifa Bin Zaid Al Nahyan Teaching Hospital, Rawlakot. Period: From 1st January 2018 to 30th June 2018. Material & Methods: Prior to empiric antibiotic usage, blood was collected from neonates having clinical sepsis and sent for blood culture. A total of 60 neonates with culture proven sepsis were enrolled for this study. Reports of blood culture were evaluated for isolates of bacteria as well as patterns of sensitivity for frequently used antibiotics in the institution. SPSS version 21.0 was used for data entry and analysis. Results: A total of 60 neonates having culture proven sepsis were enrolled in the current study. Amongst these, 39 (65.0) were male and 21 (35.0%) female. Early onset of sepsis was diagnosed in most, 42 (70.0%) neonates. Majority of neonates, 50 (83.3%) were delivered in the same hospital. Gram negative isolates were found in 43 (71.7%) and 15 (25.0%) gram positive while 2 (3.3%) candida spp. In terms of pattern of antibiotic sensitivity, 4 (9.3%) isolates of gram negative were found resistant to every antibiotic routinely used while gram positive isolates showed excellent sensitivity to vancomycin. Conclusion: Gram negative isolates of organisms were found to be the most sensitive to carbepenems (especially meropenem) as well as aminoglycosides while gram positive isolates showed excellent sensitive regarding vancomycin.
Comparison of rapid sequence induction intubation conditions with Suxamethonium verses Rocuronium.
Authors: Ahmad Aisha , Aslam Samina , Tariq Amna , Firdous Robina , Ahmad Humaira , Ahmed Ijaz
Published: April 2020

Objectives: To compare endotracheal intubating conditions in rapid sequence induction using Suxamethonium and Rocuronium. Study Design: Randomized Controlled Trial. Setting: Allied Hospital Faisalabad. Period: From 02-07-2015 to 01-07-2016. Material & Methods: After taking approval from hospital ethical committee, cases of emergency surgery fulfilling the inclusion criteria were enrolled and informed consent was taken after explaining all the procedure to the patient. All the patients were randomly divided into 2 groups by using computer generated random number table. Both groups were induced with thiopentone sodium 5mg/kg, analgesia was given with nalbuphine 0.1mg/kg. Group A was given Suxamethonium in a dose of 1 mg/kg body weight after induction agent. Group B was given 0.6 mg/kg Rocuronium after induction. Intubation was performed after 60 sec in both groups with cricoid pressure. Anesthesia was maintained with O2/N2O in a ratio of 50:50 and isoflurane (0.6-1.0%) in both groups. Anesthesia was stopped at the end of surgery in all the patients. Results: Mean age of the patients was 40.49+11.47 and 43.43+12.88 years, 51.43% and 45.71% were male while 48.57% and 54.29% were females, Comparison of intubation conditions was recorded as 97.14% excellent and 2.86% good in patients received suxamethonium and 82.86% and 17.14% in Rocuronium Group had good conditions. Conclusion: It was found that Suxamethonium is significantly better when compared to Rocuronium for endotracheal intubation conditions in rapid sequence induction.
Functional outcome of dynamic compression plating compared with intramedullary interlocking nailing in closed fracture shaft of humerus in adults.
Authors: Azmatullah Muhammad Faraz , Ali Maratib , Siddiqui Adeel Ahmed , Yaqoob Uzair
Published: April 2020

Objectives: To compare the functional outcome of dynamic compression plating with intramedullary interlocking nailing in closed fracture of the humeral shaft in adults. Study Design: Prospective comparative study. Setting: Department of orthopedics, Civil hospital, Karachi. Period: From 8th February to 7th August 2017. Material & Methods: A total of 82 patients with post-traumatic closed fracture shaft of the humerus were included. Patients were randomly allocated into two groups. Group I was offered Intramedullary Interlocking nail (ILN) and Group II was offered a dynamic compression plate (DCP). The functional outcome was measured by the “Disabilities of Arm, Shoulder and Hand” (DASH) score. Results: The average age of the patients was 32.87±6.65 years. The acceptable outcome was significantly high in DCP group as compared to the ILN group (87.8% vs. 61%; p = 0.005). Conclusion: We conclude that dynamic compression plating is functionally a better technique than interlocking nailing for closed fracture of shaft of the humerus in adults.
Fistula formation after two staged Aivar Bracka’s repair for hypospadias.
Authors: Bhatti Zahid Iqbal , Khan Husnain , Khan Firdous , Amin Mughese
Published: April 2020

Objectives: To evaluate the frequency of fistula formation after Bracka’s repair for hypospadias. Study Design: Retrospective Case study. Setting: Department of Plastic and Reconstructive Surgery, Shaikh Zayed hospital Lahore and Bahawal Victoria Hospital Bahawalpur. Period: 05 years (2014 -18). Material & Methods: Sixty patients of primary hypospadias underwent two staged Aivar Bracka’s repair. Age of patients, type of hypospadias, presence and extent of chordee, donor skin (preputial, post auricular) used, complications and fistula formation were recorded. Leakge of urine from repair site (Primary/Secondary) was noted as fistula formation after 03 weeks postoperatively. Results: A total of 60 patients underwent two staged Bracka’s repair. There were 32 patients (53.33%) with distal hypospadias, 16 patients (26.67%) with mid penile and 12 Patients (20%) with proximal hypospadias. Chordee was present in 33 Patients (55%). Prepucial skin was used in 46 Patients (76.66%) and post auricular skin in 14 Patients (23.34%) as a donor graft. Four patients (6.66%) developed fistula. 03 patients (5.00%) developed fistula at primary site and 01 patient (1.66%) developed at secondary site. Post auricular skin was used as a donor graft in all 04 patients developing fistula. Conclusion: Two staged Bracka’s repair is a versatile technique and reliable procedure for hypospadias repair with minimal complications and is applicable to all types of hypospadias due to excellent functional and cosmetic outcome.
To compare the efficacy, tolerability and patient acceptability of Allopurinol and Febuxostat in Hyperuricemic Patients.
Authors: Hussain Tafazzul , Turab Mohsin , Sultana Musarrat , Shaikh Fuad , Hasan Syed Saud , Khalid Shamaila
Published: April 2020

Objectives: To assess the improvement, safety and tolerability of Allopurinol 300mg/daily & Febuxostat 80mg/daily in hyperuricemic patients. Study Design: Clinical Interventional Study. Setting: Medical OPD, Dr. Ruth K M Pfau Civil Hospital Karachi. Period: From September 2018 to March 2019. Material & Methods: The designed interventional study from the Department of Pharmacology Hamdard College of Medicine & Dentistry, approved by BASR & Ethical Review Board of Hamdard University Karachi. Initially 70 enrolled patients, 60-patients of sUA>6.8 mg/dl were registered, after fulfilled the inclusion and exclusion criteria and written consent, detail history on pro forma and biochemical assessments (sUA, S. Creatinine, Alkaline Phosphate, SGPT, Cholesterol, HDL, LDL and Blood sugar were measured at day 0), repeated at day 30, 60 and 90, keep in case record file, on follow up visits for final analysis. Group A, (Allopurinol) & B (Febuxostat) results data were compared of sUA, S. Creatinine and biochemical assessments, to estimate the improvement, safety and tolerability of the drugs. Results: Group-A baseline uric acid were, mean 8.79 ± 0.98 to mean 6.40 ± 0.86 with percentage change was 26%. Group-B treated sUA were changed mean 8.85±0.97 to 5.96±0.68 with percentage change was 33%. Overall improvement in mean was statistically highly significant. Mean difference ± SD for change of serum uric acid in Group-A is 2.39±1.15 with Group-B mean change is 2.90±0.87. Drug safety was determined by adverse effects and blood assay of follow up at day-90 from baseline. Conclusion: Improvement reported by mean of reduced uric acid & no serious adverse effects, results are highly significant.
Miracle medicine for prevention of migraine attack: Metformin.
Authors: Rizvi Fatima , Sheikh Abid , Ahmed Hira , Fahmi Shazia , Ikramuddin Zia , Asif Mahayrukh
Published: April 2020

Objectives: In search of effective and economical option for prophylaxis of Migraine evaluating the prophylactic role of Metformin in migraine. Study Design: Single blind placebo controlled trial. Setting: Department of Pharmacology BMSI, JPMC, in collaboration with Sindh services Hospital Karachi. Period: April 2017 – August 2018. Material & Methods: A total 105 patients with diagnosed migraine were included in this trial. Total patients were equally divided into 3 groups designated Groups A, B, and C that were representative of Placebo, Metformin and Propranolol groups respectively. Total study duration was 6 months, which were equally divided into 2 phases. First 3 month phase was baseline period and later one was treatment period. The primary parameters for evaluating the prophylactic role of Metformin in Migraine were Migraine integral Burden scale (MIBS), HIT-6, MIDAS, MPQ-5, frequency of migraine attack per month. Results: At baseline there were statistically non-significant differences found for MIBS (F (2,102) = 0.346, p = 0.708), MIDS (F (2,102) =0.248, p=0.781), MPQ (F (2,102) =0.188, p=0.828) and severity of headache (F (2,102) =0.247, p=0.782) among all treated groups. But at final follow up there was highly significant difference were found among all treated groups for all parameters. Pairwise comparison showed significant differences between group A and B and group A and C was recorded for all parameters. Nevertheless there was no difference seen in group B and C (mean difference (MD) = -0.171 ± 0.149, p= 0.485) ,(MD= -0.143±0.132,p=0.526), (MD = - 2.057±0.301, p<0.001), (MD = -0.314±0.360, p=0.658), (MD = -0.514 ± 0.288, p = 0.179), (MD= 0.00±0.149, p=1.00) for MIBS, migraine frequency, HIT-6, MIDS, MRQ, headache severity respectively. Conclusion: This study demonstrated that Metformin is valuable, safer and economical option for preventive measure of Migraine.
Evaluation of breast lesions with Doppler ultrasound: Diagnostic accuracy of resistive index as a predictor of malignancy.
Authors: Parveen Ishrat , Javed Koukab , Elahi Breeha , Nasrullah Faran , Mahmood Rashid , Aamir Muhammad Omer
Published: April 2020

Objectives: To evaluate breast lesions with doppler ultrasound and calculated the diagnostic accuracy of resistive index as a predictor of malignancy, taking histopathology as gold standard. Study Design: Cross-sectional study. Setting: Radiology Department, CMH Multan. Period: December 2015 to May 2016. Material & Methods: 150 female patients, having age between 20 – 60 years, with palpable breast lumps were admitted in the study. Doppler ultrasound of the lesion was performed with emphasis on the vascularity and resistive index was formulated. Categorization as malignant or otherwise was declared as established by doppler ultrasound. Patients then underwent biopsy followed by histopathology. Correlation of doppler ultrasound and histopathological findings was done with calculation of diagnostic accuracy of doppler ultrasound, keeping histopathology as gold standard. Results: The mean of age was 40.23 ± 5.75 years. In 81 breast doppler ultrasound positive patients, 73 (True Positive) showed malignant lesions in breast while 08 (False Positive) did not have malignancy on biopsy. Among 69 Breast Doppler Ultrasound negative patients, 06 (False Negative) demonstrated malignancy on biopsy whereas 63 (True Negative) did not have any malignant lesion. Overall specificity was 88.77%, sensitivity 92.40%, negative predictive value 91.30%, positive predictive value 90.12% and diagnostic accuracy of Doppler Ultrasound came out 90.67%. Conclusion: Angiogenesis in malignant lesions lead to formation of structurally abnormal and tortuous vessels with increased resistive index. Doppler ultrasound is a safe and effective modality which shows acceptable diagnostic accuracy for noninvasive characterization of malignant breast lesions. Therefore, it can be employed as an alternative to histopathology in patients who present with breast lesions.