bluuebunny/crossref_metadata_2025 huggingface dataset:
Cyclinaclity Effects of Exchange Rates and Oil Prices
Authors: Aladwani Jassim
Published: October 2024

Understanding the concept of time scales is crucial when modeling economic and financial decisions. Within the time-frequency domain, this study delves into the relationship between fluctuations in oil prices and exchange rates across major oil-importing and exporting countries. The investigation employs various cross-wavelet techniques within the continuous wavelet transform framework, with a particular focus on wavelet coherence and phase-difference over the period 2000 to 2020. The results underscore a notable diversity in the connection between the oscillations of oil prices and exchange rates across diverse countries. This relationship is subject to temporal variations and is contingent upon the specific time horizon under consideration. In particular, our analysis reveals strong co-movements between oil prices and exchange rates across various time intervals and frequencies. Importing oil countries like New Zealand, Singapore, Brazil, and Taiwan exhibit particularly pronounced co-movements. Similarly, exporting oil countries such as Kuwait, Mexico, Russia, and Canada also display strong associations between oil prices and exchange rates. These correlations are intricately tied to key macroeconomic events, further highlighting the complex interplay between oil prices and exchange rate movements in different global regions. While a robust connection is evident in numerous countries, the strength of the relationship appears significantly weaker in several others. This variance underscores the nuanced nature of the association between the fluctuations in oil prices and exchange rates across the global landscape.
Human Sustainability and the Competitiveness of Jordanian Industrial Companies: The Mediating Effect of Employee Participation
Authors: A. Najm Najm , Nimer Ali Nafez
Published: October 2024

There is much discussion about sustainability and its dimensions at the macro level (sustainable development) and at the micro level as important additional dimensions, including human sustainability. In this context, the contribution of this study comes in addressing the research gap in expanding the dimensions of sustainability to include a fourth dimension, represented by the human dimension with its four components: effective learning, sustainable innovation, functional sustainability, and sustainable teamwork. Human sustainability still needs to be rooted as a concept, representative components, and their effect on the two main determinants of the company’s competitiveness. Accordingly, this study aimed to determine the effect of human sustainability components (effective learning, sustainable innovation, functional sustainability and sustainable teamwork) on the competitiveness of industrial companies in its two determinants: competitive ability and competitive performance. The current study also sought to investigate the effect of employee participation on the relationship between human sustainability and company competitiveness.
OPTIMAL STRATEGIES FOR IMPLEMENTING MULTIDISCIPLINARY AND TRANS DISCIPLINARY EDUCATION IN MANAGEMENT PROGRAMS: INSIGHTS FROM GOAN COLLEGES
Authors: Barreto Nigel , Silveira Cedric
Published: October 2024

This study looks into the factors that influence the quality of management education offered by Goa-based institutes by using a thorough examination of important variables. It provides detailed insights through the use of data on interdisciplinary research centres, faculty cooperation, interdisciplinary electives, cross-institutional relationships, and experiential learning opportunities. The results highlight a paradigm shift towards comprehensive and contextually appropriate educational frameworks by revealing a greater emphasis on faculty partnerships, cross-departmental teaching, practical engagement or experimental learning possibilities, and integrated curriculum creation. Remarkably, multidisciplinary research institutes show unrealized promise, possibly due to the expense associated with them. This study offers practical suggestions for Goan educational institutions to improve their curricula while yet being adaptable to changing business needs and worldwide patterns. It contributes to the conversation on management education by providing suggestions for promoting academic excellence through multidisciplinary studies, experiential learning, and strategic alliances.
हाई स्कूल स्तर के विद्यार्थियों के पारिवारिक वातावरण का उनके शैक्षिक समायोजन क्षमता पर प्रभाव का अध्ययन
Authors: Shukla Bina , Sharaf Sangeeta
Published: October 2024

मनुष्य के सर्वांगीण विकास के लिए शिक्षा एक महती आवश्यकता है। शिक्षा के बिना किसी भी व्यक्ति का सम्पूर्ण विकास नहीं हो सकता है। शिक्षा मानव जीवन का सबसे महत्वपूर्ण अंग है। शिक्षा ह ीवह सीढ़ी है जिस पर व्यक्ति अपने आथर््िाक, सामाजिक आदि स्तरों को उंचा बना सकता है। समाज की शक्ति का आधार ही शिक्षा है। कम्प्यूटर कर युग पूरे भारत में शुरू हो गया था जो धीरे-धीरे सभी वर्गों में अपना प्रभाव दिखाने लगा था जिसके चलते सभी वर्गों के लिए कम्प्यूटर की जानकारी शिक्षा जैसे महत्वपूर्ण एवं अनिवार्य हो गई। एक राष्ट्र अथवा समाज के लिए सबसे महत्वपूर्ण साधन मानव है। कोई भी राष्ट्र उस समय ही उन्नति के पक्ष पर अग्रसर हो सकता है। जबकि उसके अंदर प्रत्येक मानव यह सुविधा प्राप्त हो कि स्वतंत्रतापूर्वक अपना उतना विकास कर सके जितना कि उसमें विकास करने की क्षमता है। वास्तव में मानव के विकास के इतिहास में शिक्षण एक महत्वपूर्ण स्थान रखता है।
IMPROVEMENT OF TRADITIONAL BALINESE "ONG" TEA-MAKING PROCESS TO EXTEND SHELF LIFE TO SUPPORT ECOTOURISM IN BANJAR LANTANGIDUNG, GIANYAR, BALI
Authors: Sudiarta I Wayan , Ni Luh Putu Putri Setianingsih , Pratiwi Ni Luh Putu Yumi Mega , Rustini Ni Made , Kusuma David Ali Jaya , Mulia Komang Oki Budi
Published: October 2024

“Ong” tea contains vitamins B1, B2, B6, B12, folic acid, and vitamin C, in addition to several essential amino acids, organic acids, minerals, vitamins, amino acids, and active polyphenol compounds, and various important enzymes that have many benefits for the body. “Ong” tea is a type of probiotic drink produced from the tea fermentation process. The bacteria contained in SCOBY (Symbiotic Consortium of Bacteria and Yeast) are Acetobacter xylinum bacteria. The purpose of implementing the activities proposed in the training to improve the process of making “Ong” tea through PKM activities is to ensure that the people of Br. Lantangidung, Batuan, Sukawati have the skills and insight to manage local natural resources and have an entrepreneurial spirit so that they can open up business opportunities related to the conditions of the Batuan Village area. Improving product quality, expanding marketing reach, and using more hygienic and modern packaging techniques are also important. Thus, it is hoped that Balinese “ong” tea can become a superior product that can improve the community's economy and support the development of ecotourism in Banjar Lantangidung
Keragaan Komposisi Jenis, Struktur Tegakan, Biomassa dan Simpanan Karbon pada Tegakan di Arboretum Bambu Kampus IPB Darmaga
Authors: Bagaskara Alamsyah , Kusmana Cecep , Yunasfi
Published: October 2024

Ekosistem hutan dapat menyerap gas rumah kaca dengan cara menyerap CO2 dari udara menjadi simpanan karbon dalam vegetasi. Arboretum Bambu Kampus IPB Darmaga menjadi salah satu ruang terbuka hijau didalam kampus dalam upaya mengurangi pencemaran lingkungan kota. Tujuan penelitian ini mendeskripsikan komposisi jenis, struktur vegetasi, menduga potensi biomassa, simpanan karbon, dan serapan karbon dioksida (CO2), serta mendeskripsikan sifat-sifat tanah di Arboretum Bambu Kampus IPB Darmaga. Metode yang digunakan yaitu pengukuran diameter dan tinggi (pohon, tiang, pancang, kayu mati, dan pohon mati) serta pengukuran kadar air tumbuhan bawah, semai, serasah, dan ranting. Pengambilan data tanah dilakukan dengan metode purposive sampling. Hasil penelitian menunjukkan komposisi jenis pada tegakan hutan di Arboretum Bambu Kampus IPB Darmaga didominasi oleh jenis Hevea brasiliensis (zona karet dan zona Dipterocarpaceae), Bambusa blumeana (zona bambu), dan Swietenia mahagoni (zona campuran). Zona karet menjadi zona nilai tertinggi biomassa, simpanan karbon, dan serapan karbon dioksida. Kandungan C-organik tanah di Arboretum Bambu Kampus IPB Darmaga pada zona Dipterocarpaceae, zona karet, dan zona bambu termasuk tinggi, sedangkan pada zona campuran termasuk sedang.
Kata kunci: Biomassa, karbon, karbon dioksida, komposisi, nekromassa
Pendugaan Emisi Gas Karbon Dioksida Akibat Kebakaran Hutan dan Lahan di Kabupaten Muaro Jambi, Provinsi Jambi
Authors: Saharjo Bambang Hero , Ary Shafiyah Mutiara
Published: October 2024

Kebakaran hutan dan lahan memiliki dampak serius terhadap perubahan iklim karena menghasilkan emisi gas karbon dioksida. Kabupaten Muaro Jambi adalah kabupaten dengan kebakaran hutan dan lahan terparah di Provinsi Jambi. Penelitian bertujuan menduga emisi gas karbon dioksida yang dihasilkan di Kabupaten Muaro Jambi. Metode yang dilakukan adalah dengan menduga luasan area terbakar menggunakan citra Sentinel-2, kemudian dilakukan perhitungan emisi karbon dioksida menggunakan persamaan Seiler dan Crutzen. Hasil penelitian menunjukkan bahwa jumlah hotspot yang terdeteksi di Kabupaten Muaro Jambi secara berurutan pada tahun 2019, 2020, 2021 dan 2022 sebesar 3367, 18, 6, dan 2 titik. Sementara itu, emisi gas karbondioksida yang dihasilkan pada tahun 2019, 2020, 2021 dan 2022 di tanah mineral sebesar 615,913,55 ton, 4.353,76 ton, 415,90 ton, dan 2.895,54 ton. Sedangkan di lahan gambut emisi yang dikeluarkan sebesar 8.922,62 ton, 4.761,38 ton, 36,14 ton, dan 121,35 ton.
Kata kunci: emisi gas karbondioksida, hotspot, Kabupaten Muaro Jambi, tutupan lahan
Persepsi Masyarakat dan Perubahan Sosial-Vegetasi Pasca Program Restorasi Ekosistem di Taman Nasional Matalawa
Authors: Andi Arya Fajar Art C , Adiwibowo Soeryo , Mansur Irdika
Published: October 2024

Sejak tahun 2015 hingga tahun 2021, Balai Taman Nasional Manupeu Tanah Daru dan Laiwangi-Wanggameti bekerja sama dengan pemerintah jepang untuk melakukan restorasi ekosistem TN Matalawa di area yang terdegradasi. Program ini telah berjalan selama 5 tahun sehingga harusnya memberikan perubahan baik terhadap baik kondisi sosial maupun hutannya. Penelitian ini bertujuan menjelaskan persepsi masyarakat, perubahan sosial dan kondisi hutan yang terjadi pasca program restorasi ekosistem. Metode penelitian meliputi wawancara dan interpretasi citra satelit. Analisis data wawancara menggunakan metode deskriptif-kuantitatif dan interpretasi citra satelit menggunakan analisis NDVI. Hasil penelitian mengenai persepsi masyarakat terhadap program menunjukkan bahwa fungsi dan manfaat program restorasi ekosistem tergolong sangat baik. Perubahan sosial terjadi dalam pengelolaan lahan pertanian, intensitas koordinasi antara masyarakat dan Balai TN Matalawa, peningkatan kesadaran masyarakat untuk mengakui kawasan TN Matalawa dan sikap untuk saling bermusyawarah dan gotong-royong. Interpretasi citra menunjukkan vegetasi pada area terdegradasi masih didominasi Kehijauan vegetasi rendah. Kehijauan vegetasi sedang dan tinggi mengalami peningkatan setelah program. Program restorasi ekosistem di TN Matalawa memberikan implikasi positif baik pada kondisi sosial masyarakat maupun kondisi kawasan itu sendiri. Dampak ini dapat menjadikan program restorasi ekosistem dijadikan sebagai salah satu kebijakan dalam pengelolaan TN Matalawa.
Kata Kunci:  Restorasi, masyarakat, TN Matalawa
Hubungan Kerapatan Tajuk Menggunakan NDVI dengan Keanekaragaman Jenis Invasif Tumbuhan Bawah di Hutan Penelitian Gunung Dahu
Authors: Elsa Widyastuti  , Istomo  , Rachmat Henti Hendalastuti
Published: October 2024

Kawasan Hutan Penelitian Gunung Dahu merupakan kawasan hutan yang didominasi oleh jenis meranti. Adanya aktivitas manusia di dalam kawasan hutan, berpotensi mendatangkan jenis invasif. Keberadaan spesies tumbuhan invasif menyebabkan dampak negatif terhadap ekosistem. Penelitian ini bertujuan menduga kerapatan tajuk di Hutan Penelitian Gunung Dahu menggunakan Normalized Difference Vegetation Index serta hubungannya dengan keanekaragaman jenis tumbuhan bawah invasif untuk menghasilkan rekomendasi pengelolaan yang tepat. Pembuatan peta kelas kerapatan tajuk dilakukan secara desk study dan data tumbuhan bawah diambil dengan analisis vegetasi. Uji korelasi dan regresi dilakukan untuk mengetahui hubungan antara nilai NDVI dengan variabel lain. Berdasarkan hasil analisis NDVI didapatkan tiga kelas kerapatan tajuk yaitu rendah, sedang, dan tinggi. Kelas kerapatan tajuk rendah memiliki jumlah jenis invasif paling banyak, sementara kelas kerapatan tajuk tinggi memiliki jumlah jenis tumbuhan invasif paling sedikit. Famili Poaceae merupakan famili yang paling banyak ditemukan dengan jenis D. setigera sebagai jenis invasif yang dominan. Terdapat hubungan korelasi yang kuat antara kerapatan tajuk dengan nilai NDVI.
Kata kunci: Dipterocarpaceae, Shorea sp., Poac
Estimasi Simpanan Karbon pada Tegakan Mangrove Berumur Lima Tahun di Jakarta
Authors: Kusmana Cecep , Amanta Neysa Nurma
Published: October 2024

Pemanasan global adalah keadaan meningkatnya suhu rata-rata permukaan bumi akibat adanya efek gas rumah kaca, seperti karbon dioksida. Pemanasan global dapat dicegah dengan mempertahankan struktur hutan serta meningkatkan kerapatan pohon dalam hutan, salah satunya pada ekosistem hutan mangrove melalui rehabilitasi menggunakan teknik guludan. Penelitian ini bertujuan menganalisis komposisi jenis dan struktur tegakan mangrove, serta menduga simpanan karbon dan serapan karbon dioksida pada tegakan mangrove berumur lima di Jakarta. Metode penelitian yang digunakan adalah analisis vegetasi melalui pengambilan ukuran sampel secara simple random sampling. Analisis data diperoleh melalui analisis vegetasi, analisis faktor lingkungan, dan pendugaan simpanan karbon dan serapan karbon dioksida pada tegakan mangrove. Hasil penelitian menunjukkan bahwa jenis yang tumbuh di lokasi penelitian adalah Rhizophora mucronata dan Sonneratia caseolaris. Simpanan karbon pada tegakan mangrove yang ada di lokasi penelitian tersebut adalah sebesar 72,99 ton/ha, dengan kemampuan penyerapan karbon dioksida sebesar 267,63 ton/ha.
Kata kunci: simpanan karbon, serapan karbon dioksida, mangrove, teknik guludan
Antibiotic sensitivity pattern among diabetic patients admitted with urinary tract infection.
Authors: Mohammad Haroon  , Yasir Iqbal  , Shah Umam  , Ejaz Khan  , Osama Ali Khan  , Irfan Ullah
Published: October 2024

Objective: To determine the frequency of types of bacterial pathogens involved in urinary tract infections and antibiotic sensitivity patterns among diabetic patients in the medical units of Khyber Teaching Hospital Peshawar. Study Design: Cross-sectional study. Setting: Department of Medicine, Khyber Teaching Hospital, Peshawar. Period: November 9, 2022 until May 8, 2023. Methods: The study was conducted after the approval of the hospital's ethical committee and the written informed consent of patients. Data was entered and analyzed using SPSS. Patients aged 16 to 80 years of both genders admitted to medical units with diabetes and diagnosed with urinary tract infection were enrolled using a non-probability consecutive sampling technique. Results: In our study, a total of 184 patients were enrolled, with a mean age of 52.08±18.4 years. There were 42.4% male and 57.6% female patients. The most common organism isolated was E. coli in 37% of patients, followed by Klebsiella in 23.9% of patients, Pseudomonas in 6.3%, Enterococcus in 12%, and Proteus mirabilis in 10.9% of patients. The most sensitive drug was Fosfomycin in 89.1% of patients, followed by nitrofurantoin in 81.5%, imipenem in 77.1%, amikacin in 73.3%, Piperacillin/tazobactam in 69%, gentamycin in 67.9%, Trimethoprim-sulfamethoxazole in 66.8%, Amoxicillin-clavulanic acid in 59.7%, ciprofloxacin in 54.3%, ceftriaxone in 51%, and cefixime in 46.1% of patients. Conclusion: E. coli is the most common organism isolated in urinary tract infection in diabetics and Fosfomycin is the most sensitive drug for treatment.
Effectiveness of subacromial steroid injection and hydrodilatation in the treatment of adhesive capsulitis: A comparative analysis.
Authors: Naseem Munshi  , Muhammad Salman Masroor  , Athar Muniruddin Siddiqui  , Muhammad Hassam  , Arham Azizi  , Zahra Salahuddin
Published: October 2024

Objective: To compare the effectiveness of Subacromial Steroid Injection (SAI) and Hydrodilatation in treating adhesive capsulitis (frozen shoulder). Study Design: Observational study. Setting: Department of Orthopedic, Dr. Ziauddin Hospital, Located in North Nazimabad, Karachi, Pakistan. Period: March 2023 to September 2023. Methods: Included 138 participants with primary adhesive capsulitis. Participants were divided into two groups: one received hydrodilatation and the other received SAI. The Disability of Arm, Shoulder, and Hand (DASH) Score and Visual Analogue Scale (VAS) were used for pre and post-treatment assessments at intervals of 2 weeks, 6 weeks, and 6 months. SPSS version 23 was used to analyze the data. Results: Both groups show significant reductions in pain scores and DASH scores over time (p-value<0.05 for changes within each group). There are significant differences in pain scores and DASH scores between the groups at 6 weeks, 12 weeks, and 6 months (p-value<0.05), with the hydrodilatation group showing better outcomes. Moreover, the mean reduction in pain scores and DASH scores from pre-treatment to 6 months is significantly greater in the hydrodilatation group compared to the SAI group (p-value<0.05). Conclusion: While both Hydrodilatation and SAI are effective in reducing pain and improving functionality in patients with adhesive capsulitis, Hydrodilatation appears to be more effective in achieving these outcomes, particularly in terms of pain management and functional improvement.
Adverse effects of human milk fortifier on preterm neonates in a neonatal intensive care unit of a tertiary care hospital, Karachi.
Authors: Hareem Syed  , Azeem Khan  , Faraz Ahmed
Published: October 2024

Objective: To determine adverse effects of Human Milk Fortifier on Preterm neonates in a Neonatal Intensive Care Unit. Study Design: Descriptive study. Setting: Indus Hospital NICU in Karachi. Period: Mar 2022 to September 2023. Methods: Aimed to investigate the adverse effects of HMF on 139 preterm neonates. The study excluded infants with congenital anomalies. Adverse effects, including Necrotizing Enterocolitis (NEC), metabolic acidosis, feeding intolerance, and other complications, were monitored. Results: The findings revealed that feeding intolerance was the most common adverse effect of HMF. Mild metabolic acidosis and NEC were also observed. These results are consistent with previous studies and may be attributed to the high osmolality of feeds following fortification with HMF. Despite the well-established role of HMF in promoting weight gain in preterm infants, the study underscores the importance of closely monitoring its use. Conclusion: Careful consideration of the potential risks and benefits of HMF is essential before prescribing it to preterm neonates. Future research with larger sample sizes and controlled designs is needed to validate these findings and explore strategies to mitigate the adverse effects of HMF in NICU settings.
Exploring self-medication patterns among students in Khyber Pakhtunkhwa, Pakistan: A comparative analysis between medical and non-medical disciplines.
Authors: Baber Awan  , Mohammad Hassan Khan  , Muhammad Afnan Ghazi  , Abdul Mussawwir  , Muhammad  , Muhammad Saleh Faisal
Published: October 2024

Objective: To determine the prevalence and factors associated with self-medication among students with medical and non-medical backgrounds in Peshawar, Khyber Pakhtunkhwa. Study Design: Cross-sectional study. Setting: Medical and Non-medical Universities of Peshawar. Period: May to October 2022. Methods: For this comparative analysis, sample size was calculated based on the formula of Cochran, taking a 95% confidence level with 5% precision. The sampling was conducted using a non-probability convenience approach. Data was collected using a structured questionnaire and analyzed with the help of SPSS v.25. Results: A study sample of 427 participants with a 95% response yielded 212 medical students and 215 non-medical students. The prevalence of self-medication among medical and non-medical students was 35.36% and 39.35%, respectively. The occurrence of self-medication was reported as 7% daily, 11% weekly, 11% fortnightly, and 71% monthly. Among the reasons for self-medication, headache was the most common (49.65%), followed by cough/sore throat/cold (31.85%), fever (26.46%), generalized body aches (17.56%), heartburn/indigestion (14.75%), nausea/vomiting (9.36%), constipation (4.91%), anxiety/depression (4.68%), and insomnia (3.51%), while 8.89% constitutes other factors like allergies, skin rashes, and weight loss. The main reason for self-medication was the mild nature of the illness, which accounted for 31.85% of cases. Conclusion: The study indicated a considerable number of student population involved in self-medication practices. The prevalence of this behavior is slightly more common among non-medical students than medical students. Various factors contribute to self-medication ranging from physical symptoms to mental health issues.
Comparison of pain and efficacy of caries removal using tungsten carbide bur versus chemomechanical agent (Brix Gel): A randomized controlled trial.
Authors: Qurat Ul Ain  , Sheharyar Akhtar Khokhar  , Nosheen Sarwar
Published: October 2024

Objective: To compare the pain response and efficacy of caries removal using tungsten carbide burs with that of using Brix Gel as a chemomechanical caries removal agent. Study Design: Randomized Controlled Trial. Setting: Department of Operative Dentistry, PIMS, Islamabad. Period: November 2023 to April 2024. Methods: Conducted on 40 participants were selected using a non-probability technique. Participants aged 12 to 65 years with open occlusal carious lesions involving dentin were included. Patients with symptoms of pulpitis, caries affecting maxillary or mandibular anterior teeth, severe systemic illnesses, allergies, sensitivities, or pregnancy/lactation were excluded. Caries removal methods were randomly assigned. Pain levels were assessed using a Visual Analog Scale (VAS), and caries removal efficacy was evaluated. Statistical analysis was done using chi-square and independent samples t test. Results: Among the 40 participants, 47.50% were female, and the mean age was 36.30±15.57 years. Mandibular molars were the most commonly affected teeth (n=24, 60%). No significant difference in age or gender distribution was observed between the two groups. The chemomechanical method resulted in significantly lower pain scores compared to carbide bur (2.59 ± 1.34 vs. 4.44 ± 1.61, p < 0.001). Pain severity also differed significantly between groups, with more mild pain reported in the chemomechanical group (80.00% vs. 5.00%, p < 0.001). However, caries removal efficacy did not significantly differ between the two methods (p = 0.48). Conclusion: Chemomechanical caries removal using Brix Gel demonstrated superior pain management compared to carbide bur. While both methods showed similar efficacy in caries removal, the chemomechanical approach may offer better patient comfort during the procedure.
Recent trends in antibiotic sensitivity and resistance patterns in infected wounds of burns patients presented to a tertiary care hospital.
Authors: Nasir Hayat Khan  , Qazi Amjad Ali  , Hamid Salman  , Junaid Ul Hassan  , Walid Khan
Published: October 2024

Objective: To study the recent trends and patterns of antibiotic sensitivity and resistance in infected wounds of burns patient. Study Design: Cross sectional study. Setting: Burns and Plastic Surgery Canter, Peshawar, Pakistan. Period: July 30th to January 30th, 2023. Methods: In this cross sectional study we adopted convenience sampling technique. A total of 75 samples collected from patients fitted to our infected patients criteria and culture and sensitivity tests were performed using standard microbiological techniques. Results: Among the positive infected wound samples, Klebsiella Species were found in 23 (30.7%), Pseudomonas Aeruginosa in 16 (21.3%), Acinetobacter Species in 14(18.7%), Proteus Species in 8(10.7%), Citrobacter species in 5(6.6%), Staph. Aureus in 5(6.6%), Enterobacter species in 3(4%) and E.coli in 1(1.4%) of the positive cultures. Each pathogen showed varying degree of sensitivity and resistance patterns to different antibiotics tested. Conclusion: Klebsiella Species was the most common pathogen in patients with infected burns wounds. Meropenem, imipenem, Doripenem, Piperacillin/Tazobactum, Colistin, and Tigecyclin were found to be effective against the majority of the bacteria. Conversely, most of the bacterial strains exhibited resistance to commonly prescribed antibiotics such as co-amoxiclave, ampicillin, ceftriaxone, ciprofloxacin, cefotaxime and co-trimoxazole.
Validity of predictive score model for microvascular invasion in hepatocellular carcinoma.
Authors: Salimah Anwar Jussa  , Mansoor UI Haq  , Adeel Rabat
Published: October 2024

Objective: To validate a risk score model to predict MVI using Total tumor volume (TTV) and AFP. Study Design: Cross-sectional. Setting: Department of Gastroenterology, Liaquat National Hospital, Karachi, Pakistan. Period: June 2022 to December, 2023. Methods: Patients of either gender, older than 18 years and above with confirmed diagnosis of HCC were enrolled. When there were several HCC tumors, the largest tumor's axis was measured and used as the representative HCC diameter. When microscopic tumor invasion was detected in the portal, hepatic vein, or biliary vein of the surrounding liver tissue that was adjacent to the tumor, it was referred to as micro vascular invasion. Results: Total 302 patients were studied with mean age of 62.1 ± 9.2 years. Majority of patients were males (64.2%). Around one-fifth patients had more than one tumor (19.9%). Out of 302 patients, MVI was seen in 30.1% patients. In multivariable analysis number of tumors (aOR=220.65, 95% CI: 128.91-922.67), tumor volume (aOR=1.01, 95% CI: 1.01-1.02), and AFP (aOR=1.01, 95% CI: 1-1.02) were found to be significant predictors of MVI. Conclusion: This study validated a prediction model for forecasting of MVI in HCC patients with highly significant variables including number of tumors, tumor volume and alpha feto protein. Timely decision making could be done using this model.
Comparison of intraarticular corticosteroid and autologous platelet rich plasma injection in patients with knee osteoarthritis.
Authors: Syed Tameem Ul Hassan  , Sahibzada Nasir Mansoor  , Shaista Kanwal  , Shoaib Mukhtar  , Waqas Khalil  , Omar Shafique
Published: October 2024

Objective: To compare IA corticosteroid and autologous PRP injection in OA knee, in terms of reducing stiffness, alleviating pain, and enhancing physical functionality. Study Design: Quasi-experimental study. Setting: AFIRM Rawalpindi. Period: Aug 2019 to April 2020. Methods: 70 patients with Knees OA, 40-70 years of age were included. Group A received IA 40 mg Triamcinolone Injection while Group B received PRP Injection in the affected knee. Pain evaluation was carried out using the Numerical Rating Scale (NRS) and the Western Ontario McMaster Osteoarthritis (WOMAC) Index at baseline, at 1 month, at 3rd month, and after 6 months and mean changes calculated. Results: Among 70 patients, 36 were male (52%) and 34 were female (48%). No notable differences were observed in age (p=0.210), sex (p=0.811), and body mass index (BMI) (p=0.985) between two groups. Pre-injection pain severity assessed on NRS (p=0.217) and OA severity assessed on WOMAC (p=0.010) differed not between the two groups. At 6 months postinjection, there was significant improvement (p-value < 0.05) in pain relief in Group B (IA PRP) compared to Group A (IA steroid injection). However, at 1 month post injection NRS and WOMAC has shown more improvement between Group A and Group B, a significant difference was observed (p < 0.0001). Conclusion: PRP Injection decreases joint pain and improve quality of life better than corticosteroid injection prolonged periods.
Evaluation and characterization of pelvic masses of gynecological origin b ultrasonongraphy and MRI reproductive age group.
Authors: Daniya Pervaiz  , Muhammad Nafees  , Salar Sohail  , Uzair Sohail  , Nidda Ayub  , Muniba Abid  , Muhammad Ahsan
Published: October 2024

Objective: To diagnostic accuracy of ultrasonongraphy and MRI for characterization of pelvic masses of gynecological origin in reproductive age group, with histopathology acting as the gold standard. Study Design: Cross-sectional. Setting: Department of Radiology, PAF Hospital Islamabad. Period: April 25th, 2021, to October 25th, 2021. Methods: In this investigation, non-probability consecutive sampling was utilized to collect data. A total of 220 women with pelvic mass were included in the study. Data regarding characterization of pelvic masses (malignant/benign) form ultrasound/MRI and histopathology was noted as per operational definition. Results: The study included participants aged 18-50, with a mean age of 31.6135.70 years, a mean parity of 3.130+1.37, and a mean duration of complaints of 7.186 +2.10 weeks. Ultrasound has shown sensitivity of 75.5%, specificity 88.8% and diagnostic accuracy by 83.2%, PPV 69% and NPV 88.3%. MRI has shown sensitivity of 83%, specificity 93.7% and diagnostic accuracy by 91%, PPV 83% and NPV 93.7% in characterization of pelvic masses. Conclusion: When sonographic characteristics of a pelvic tumor are inconclusive, MRI should be investigated for pathology investigation.
Effect of anemia with surgical emergency laparotomy in a peripheral set-up of Punjab.
Authors: M. Azeem  , Kamran Cheema  , Muhammad Tariq Nazir  , Habib Ahmad  , Muhammad Tariq Siddique  , Tahir Mahmood
Published: October 2024

Objective: To determine the effect of anemia in patient undergoing emergency laparotomy and post-operative complications. Study Design: Prospective observational study. Setting: We monitored individuals having emergency laparotomies at a tertiary care hospital. Period: June 2021 to May 2023. Methods: Patients undergoing emergency laparotomies for various reasons. Post-operative complications were the main variable noted in this study. Estimation of risk for complications analyses by using Poisson regression method in patient with anemia. Approval was obtained from the local ethics committee with reference number: SMC/0058. Results: About 76 patients, mostly male (79.3) with median age of 42 years. Complications were noted in 16.3% (12). 14 patients (23%) were pre-operatively anemic at time of operation. Patients with moderate to severe anemia had more complications post-operatively (96% CI). Conclusion: Anemia increase the risk of complications and morbidity of patients undergoing emergency laparotomies due to various reasons but anemia is amenable to increase the morbidity and complications post-operatively.
Double J Ureteral stent removal in children non cystoscopically: A preferred innovation.
Authors: Fatima Naumeri  , Zohra Khanum  , Hafiz Mahmood Ahmad  , Laeeq Ahmad
Published: October 2024

Objective: To determine the feasibility of non cystoscopic removal of double J ureteral (DJ) stent using a foley catheter with suture in children in terms of success rate, number of attempts required and complications. Study Design: Cross Sectional study. Setting: Department of Pediatric Surgery, Services Hospital, Lahore. Period: August 2022 to August 2023. Methods: All the children who underwent DJ stent placement for any urological procedure were included if DJ stent was seen in the bladder postoperatively. After informed consent, under sedation and aseptic measures, the foley catheter with suture already passed through its eye, was introduced per urethral after adequate lubrication. The foley was given five to six rotations in clockwise direction for right sided and anti-clockwise for left sided stents respectively and pulled out keeping traction on the suture. In case of three failed attempts, a cystoscope was introduced under general anesthesia and the stent was removed. Successful removal, number of attempts needed, time taken, and post removal complications were noted to determine feasibility of the procedure. Results: Out of twenty patients, 17 patients (85%) underwent successful removal of DJ stent. The failure rate was 15% as three patients required cystoscope assisted removal. In 13 patients (76.5%) DJ stent was removed in first attempt, whereas in 4(23.5%) patients it required two attempts. Mean time taken was 8.83±7.33 minutes. Complications were noted in 2 patients (10%). Conclusion: Removal of DJ stent in children without cystoscope, using a foley catheter with suture is a safe and feasible procedure with a high success rate and should be attempted in selected cases.
Comparison of continuous versus modified continuous SMEAD jones “far-near-near-far” suturing technique for abdominal wall closure in emergency midline laparotomy wound in terms of wound dehiscence.
Authors: Afifa Saadia  , M Zahid Hussain  , Sabahat Shaheen  , Dilawaiz Mujahid  , Ghulam Murtaza  , Imran Nawaz
Published: October 2024

Objective: To compares the frequency of wound dehiscence in emergency midline laparotomy wound closure using the modified continuous Smead-Jones technique to the continuous method. Study Design: Randomized Controlled Trial. Setting: Department of Surgery, Allied Hospital Faisalabad. Period: December 20, 2022, to June 20, 2023. Methods: Every one of the one hundred patients having an emergency exploratory laparotomy gave written informed consent. They were split into two groups at random: Group A received continuous closure using prolene #01 suture bites placed 1 cm from the margin and 1 cm apart, and Group B received a modified Smead-Jones technique where suture bites were taken 1.5 cm from the wound margin and 0.5 cm linea alba on either side with prolene # 01 with suture placed 2cm apart. Wound dehiscence was checked following operational definitions. Results: The study's mean age was determined to be 40.18+13.53 years for Group A and 41.18+13.33 years for Group B. Males made up 58.0% (n = 29) of Group A and 72.0% (n = 36) of Group B, while females made up 42.0% (n = 21) of Group A and 28% (n = 14) of Group B. The mean wound dehiscence was 28% in Group B and 10% in Group 2. The p-value for this study was 0.022. Conclusion: When compared to the traditional continuous abdominal wound closure technique, the wound dehiscence rate was significantly lower with the modified continuous smead-jones abdominal wound closure method.
Functional outcomes of proximal femoral nail versus dynamic hip screw in intertrochanteric fracture.
Authors: Muhammad Saeed  , Shafi ul Haq  , Majid Hussain  , Muhammad Qasim
Published: October 2024

Objective: To compare the functional and radiological outcomes of Dynamic Hip Screw (DHS) and Proximal Femoral Nail (PFN) treatments for patients with unstable intertrochanteric fractures. Study Design: Comparative study. Setting: Trauma Centre, Hayatabad Medical Complex Peshawar. Period: May 2020 to June 2022. Methods: The study comprised 150 patients aged over 40 years old and had Type 2 intertrochanteric fractures, as classified by Boyd and Griffin. Radiographs, functional assessments, and demographic information were collected and patients were followed for up to two years at regular intervals. Results: The mean age of patients was 70 years. The PFN group had significantly shorter surgery duration (57.47 minutes) compared to the DHS group (85.30 minutes), less blood loss (74 ml vs. 195 ml), and a shorter hospital stay (6.5 days vs. 11.8 days). Early weight bearing was achieved faster in the PFN group, with mean times to partial and full weight bearing of 3.12 and 8.45 weeks, respectively, compared to 5.52 and 12.32 weeks in the DHS group. Radiological union at three months was significantly better in the PFN group. Complications were fewer in the PFN group, with notable differences in screw cutout, migration, and backout rates. Pain levels were lower in the PFN group at three and six months post-operatively. Conclusion: PFN demonstrated superior outcomes in terms of reduced surgical time, blood loss, hospital stay, and faster weight-bearing capabilities compared to DHS. Radiological and functional outcomes also favoured PFN, making it a preferable option for treating unstable intertrochanteric fractures.
Diagnostic role of high Sensitive-CRP and procalcitonin in hospitalized patients.
Authors: Omair Farooq  , Asim Mumtaz  , Muhammad Touqeer Hanif  , Zaniab Akram  , Atika Masood  , Atiqa Arshad  , Zainab Yousaf
Published: October 2024

Objective: To assess these two biomarkers' effectiveness in admitted patients of Farooq Hospital Lahore, Pakistan. Study Design: Prospective study. Setting: Farooq Hospital Westwood, Lahore. Period: November 2023 to January 2024. Methods: The admitted patients of intensive care units, medical and cardiac care units, with acute kidney infection, chronic kidney disease, diabetes mellitus, hypertension, coronary artery bypass grafting, gastroenteritis, chronic obstructive pulmonary disease, liver disease, hepatitis, and bacterial infection were included. The automated analyzers analyzed the serum albumin, high-sensitive C-reactive protein (hs-CRP), and procalcitonin. Data was analyzed by using SPSS (v.25.0). Results: Among 73 patients, 83.56% were critical and 16.44% stable. It was found that the highest critical patients were under the age of 61 to 90 years. The hs-CRP and procalcitonin levels were non-significantly correlated with age group. The hs-CRP exhibited higher sensitivity than procalcitonin in critical patients (AUC: 0.872 vs. 0.725). Likewise, serum albumin had a significant association with patients having critical conditions (AUC: 0.685). Moreover, it was found that hs-CRP and procalcitonin have a significant association with the period of patient stay in the hospital. Conclusion: The present study concluded that patients with high levels of procalcitonin and hs-CRP had longer hospital stays and that both biomarkers are equally important in the treatment of critically ill admitted patients.
FATORES DE RISCO PARA O NASCIMENTO DE RECÉM-NASCIDOS PEQUENOS PARA A IDADE GESTACIONAL
Authors: Dussioni Beatriz Cardoso , Cardoso Maria Eduarda Oliveira , Gabriel Filipe Fernandes , Marques Paloma Morona , Rodrigues Bruno Schefer , Catarina Livia Ferreira , Canever Lara , Ribeiro Rita Suselaine Vieira
Published: October 2024

Introdução: O peso ao nascer é um forte preditivo da mortalidade e morbidade perinatal. Crianças com baixo peso ao nascer (BPN), ou seja, peso inferior a 2.500 gramas (ou 2,5kg) apresentam um maior ri
INCIDÊNCIA DE CRIANÇAS E ADOLESCENTES COM DEPENDÊNCIA EM INSULINA NO MUNCÍPIO DE ALMENARA-MG, ENTRE 2020 A 2023
Authors: Coelho Viviane Amaral Toledo , Neves Raissa Rodrigues , Figueiredo Washington Tiago , Nascimento Ednardo de Souza , Souza Carla Giselly de , Bigatello Creonice Santos , Araújo Luanna Botelho Souto de , Alves Virginia Torres , Reis Leonardo Henrique Guimarães , Bigatello Antônio Paulo Dumont
Published: October 2024

O DM1 é um distúrbio metabólico caracterizado por ausência de produção e secreção de insulina devido a uma destruição autoimune das células beta pancreáticas. As crianças têm características e necessidades que ditam diferentes padrões de cuidado. O manejo do diabetes em crianças deve levar em consideração as principais diferenças entre crianças de várias idades e adultos. Os enfermeiros desempenham um papel significativo na detecção do diabetes em vários ambientes de assistência à saúde, resultando em diagnósticos rápidos e início imediato do tratamento. Objetivo: Objetivou-se com esse estudo analisar a incidência de crianças e adolescentes com dependência em insulina no muncípio Almenara -MG entre 2020 a 2023. Metodologia: O trabalho trata-se um estudo qualitativo exploratório descritivo. A partir da coleta de dados por meio de acesso em banco de dados disponibilizados virtualmente no sistema oficial de notificação e-SUS APS- Secretaria de Atenção Primária à Saúde, no período compreendido entre os anos 2020 a 2023, os dados demográficos para categorizar essa pesquisa foram: Sexo e Idade.realizou-se uma análise qualitativa acerca da temática. O levantamento de dados ocorreu por meio de dados obtidos com bases eletrônicas como scientific eletronic library online (SCIELO), Google Acadêmico, e demais artigos publicados pela organização mundial de saúde (OMS). Sendo limitado o período de 1990 a 2021, utilizou-se artigos publicados no idioma português e inglês. Resultados: Os resultados demonstram que, a idade de maior incidência do DM está entre os 10 e 14 anos e uma proporção similar entre meninas e meninos. Em 2020 verificou-se apenas dois casos de crianças menores de 01 ano, portadoras de DM, esses casos são simultaneamente
enfrentados por uma criança do sexo masculino e outra do sexo feminino. Com o estudo 94 evidencia-se que o número de diagnósticos recentes de diabetes DM1 em crianças e
adolescentes é substancial. São necessários mais dados sociodemográficos para ampliar os estudos na região estudada.
Teste de vigor baseado na emissão de etanol em função do teor de água inicial de sementes de soja
Authors: Sampaio Fellipe Ramos , Tomazelli Ayala de Jesus , JESUS MATHEUS ANDRE DE , BARBOSA RAFAEL MARANI
Published: October 2024

O objetivo do trabalho foi estudar a influência do teor de água inicial das sementes no teste do etanol para soja. O experimento foi realizado no laboratório de fitotecnia da Universidade Estadual de
LA SALUD DE NIÑOS MIGRANTES INTERNACIONALES: REVISIÓN INTEGRATIVA
Authors: Ureña Molina María del Pilar , McLaughlin de Anderson Myrna , González Ortega Yariela
Published: October 2024

Objetivo: Analizar la situación de salud de los niños migrantes
internacionales reportada en publicaciones de revistas científicas durante el periodo 2014 y 2022. Material y Método: Entre junio de 2022 y febrero de 2023 se realizó una revisión integrativa, basada en la guía PRISMA. Se buscaron estudios observacionales publicados en idioma inglés y español. Resultados: De los 11 artículos seleccionados, la mayoría abordó diversas condiciones de salud física en niños migrantes internacionales y en menor proporción se encontraron estudios sobre calidad de vida relacionada con la salud (CVRS) y salud mental. Conclusiones: El reporte de la situación de salud de los niños migrantes destaca problemas comunes como deficiencias en higiene bucal, nutrición y enfermedades agudas o infecciosas, además de problemas de salud mental, especialmente en niños refugiados. Se resalta la importancia de considerar las condiciones de vida en el país de origen, el trayecto migratorio y el tiempo en el país receptor. Es fundamental abordar estos problemas desde una perspectiva de salud pública, promoviendo la colaboración interdisciplinaria y unainfantil deben atenderse desde la salud pública, bajo una mirada integral y cultural, donde se reconozcan las condiciones particulares de la situación migratoria de cada niño/niña. Por consiguiente, la enfermería, como ciencia comprometida con el bienestar y la atención integral de individuos y comunidades, debe desempeñar un rol activo en el liderazgo de proyectos y estrategias fundamentales que aborden los desafíos de la salud infantil a nivel global. Esto no solo fortalece su credibilidad, sino que también resalta su papel esencial en la promoción y el cuidado de la salud a nivel mundial.
Effect of pasteurization on the physicochemical and nutritional quality of milk from the Korhogo dairy
Authors: Maimouna Liliane Kouamé  , Hélène Weiléko Dougba  , Souleymane Soumahoro  , Armel Fabrice Zoro  , Yadé René Soro
Published: October 2024

Stabilization of the nutritional value of milk is essential for its conservation. It is in this context that the aim of this study was to evaluate the nutritional quality of raw and pasteurized cow's milk produced in Korhogo with a view to its valorization. Raw and pasteurized milk were sampled from June 24 to July 13, 2024, at the Korhogo dairy. The physicochemical and nutritional parameters of the two types of milk were determined according to AOAC methods. The results of the physicochemical parameters revealed that the values ​​of pH, acidity, dry matter and degree brix are respectively 6.64 ± 0 .01 and 6.90 ± 0.00; 18.00 ± 0.10; 16.20 ± 0.04 °D; 121.93 ± 0.64; 126.23 ± 2.19 g/L and 10.10 ± 0.10; 11.20 ± 0.10 °Brix for raw and pasteurized milk. The nutritional parameters of raw and pasteurized milk show significant contents of ash (7.00 ± 0.01 and 7.47 ± 0.01 g/L), lipids (40.80 ± 0.02 and 36.30 ± 0.46 g/L), proteins (40.71 ± 0.01 and 37.02 ± 0.01 g/L) and carbohydrates (33.42 ± 0.03 and 45.44 ± 0.04 g/L). Pasteurization could be used to stabilize the nutritional value of milk.
NLP for sentiment analysis, customer service automation, and market trend predictions
Authors: B Harmanpreet  , G Harikrishna  , I Dhulipalla
Published: October 2024

Natural Language Processing (NLP) has emerged as a transformative technology in various domains, particularly in sentiment analysis, customer service automation, and market trend predictions. This paper explores the application of NLP techniques to analyze and interpret vast amounts of unstructured textual data, providing valuable insights and enhancing decision-making processes. In sentiment analysis, NLP algorithms classify and quantify customer opinions expressed in reviews, social media posts, and feedback, enabling businesses to gauge public sentiment and respond proactively. For customer service automation, NLP-powered chatbots and virtual assistants streamline interactions, offering personalized and efficient support while reducing operational costs. Additionally, NLP-driven market trend predictions analyze news articles, social media trends, and financial reports to forecast market movements, helping businesses stay ahead of the competition. By leveraging advanced machine learning models and linguistic data, NLP not only improves customer satisfaction and operational efficiency but also empowers organizations with actionable intelligence for strategic planning. This paper highlights the significant impact of NLP in transforming how businesses understand and engage with their customers and the market.
Macrophage activation syndrome: An unusual complication of brucellosis
Authors: Nabila Kalla  , Ouanassa Hamouda
Published: October 2024

Introduction: During acute septicemic brucellosis, macrophage activation syndrome is a rare but serious complication. We report two cases of acute brucellosis complicated by macrophage activation syndrome (MAS). Materials and methods: We conducted a retrospective study on the medical records of patients admitted for brucellosis complicated by SAM between February 2021 and January 2023. The diagnosis of brucellosis is based on the isolation of brucellosis in blood cultures and/or on positivity serology. The SAM was retained based on Henter's diagnostic criteria. Results: During the study period, 30 patients were hospitalized for brucellosis. The average age is 46.7 years. Acute brucellosis complicated by SAM was noted in two immunocompetent male patients aged 47 and 46 years. Both patients were hospitalized for treatment of recent acute fever with deterioration in general condition, chills and diffuse arthromyalgia. The biological assessment revealed an inflammatory syndrome and pancytopenia in our patients. Blood cultures were requested returning positive for Brucella spp. Both patients presented more than five diagnostic criteria for SAM (fever, SPM, severe pancytopenia, hypertriglyceridemia and hyperferritinemia, histological signs of hemophagocytosis). Our patients improved only under antibiotic therapy. Conclusion: Macrophage activation syndrome is a described but rare complication during brucellosis.