bluuebunny/crossref_metadata_2025 huggingface dataset:
Efficacy testing of the SAVOR (Sisters Adding Fruits and Vegetables for Optimal Results) intervention among African American women: A randomized controlled trial
Authors: Brown LaVonne , Sharma Manoj , Leggett Sophia , Sung Jung Hye , Bennett Russell L. , Azevedo Mario
Published: July 2020

Background: In the United States, only about 15% of individuals meet daily fruit intake recommendations of 2 cups per day and only 10% meet the vegetable intake recommendations of 3 cups per day. African American women are a high-risk group. In this study, a fourth-generation multi-theory model (MTM) of health behavior change was used to design and evaluate a Sisters Adding Fruits and Vegetables for Optimal Results (SAVOR) intervention for AA women. Methods: The study utilized a randomized controlled trial (RCT) with measurements taken at pretest, posttest (after the three-week intervention) and follow-up (at the end of eight weeks). SAVOR (n=26) was compared to an equivalent knowledge-based intervention (n=28). Process evaluation was done for program fidelity and satisfaction. A validated 38-item self-reported questionnaire was used to measure changes in MTM constructs and past 24-hour consumption of fruits and vegetables. Results: The SAVOR intervention resulted in improvement of mean consumption of fruits and vegetables in the experimental group from pre-test (2.78) to posttest (4.77) to recommended levels at follow-up (5.04) while in the comparison group they remained at around 3 (P<0.0001) Statistically significant changes (P<0.05) were noted for all MTM constructs except for participatory dialogue. Conclusion: The SAVOR intervention was found to be efficacious and established the robustness of MTM. SAVOR can be replicated for future effectiveness trials.
Coverage of the 2019 Eastern equine encephalitis virus outbreak on news media
Authors: Basch Corey H. , Fera Joseph , Jaime Christie , Quinones Nasia
Published: July 2020

Background: The media plays as an important role in delivering information about emergent issues, such as the Eastern equine encephalitis virus (EEEV) outbreak of 2019. As such, there has been an increase in news coverage of vector-borne disease coverage due to a rise in emerging or re-emerging arboviruses. Methods: The purpose of this study was to describe the content of news clips related to the recent (2019) EEEV outbreak in the United States. Results: Only 3 of the important topics identified were mentioned in a majority of the 110 videos analyzed. These topics were, mosquito mentioned as transmitter, prevention by repellent/ pesticide, and geography. Thus, many aspects of EEEV were lacking in coverage. Conclusion: A priority for public health professionals should be to engage in discourse with news media to assure that information disseminated via news channels is not vague or misleading.
Some Inclusion and Radius Problems of Certain Subclasses of Analytic Functions
Authors: Noor Khalida Inayat , Kamran Muhammad , Shah Shujaat Ali
Published: July 2020

This article presents the study of certain subclasses of analytic functions defined by using the Hadamard product. We derive certain inclusion results and discuss the applications of multiplier transformation. Several radius problems are also investigated.
Broadband Dual-Polarized Single-Layer Reflectarray Antenna with Independently Controllable 1-Bit Dual Beams
Authors: Yin Jiexi , Lou Qun , Wang Haiming , Chen Zhining , Hong Wei
Published: July 2020

A broadband dual-polarized single-layer
1-bit unit cell is proposed for achieving the independently controllable
dual-beam reflectarray antenna. The unit cell independently provides two-state
phase compensation for two orthogonally linearly-polarized waves. The
180-degree reflective phase difference between the two states is achieved by
tuning the magnetic resonance of State 0 and the electrical resonance of State
1. With its two resonances close to each other, the unit cell has a reflective
phase difference of 180±20 degrees
between two states over a broad bandwidth of 27.2-51.1 GHz. The
cross-polarization levels of below -30 dB ensure the high isolation between two
polarizations. Using the proposed dual-polarized unit cells, a 1-bit dual-beam
reflectarray antenna is designed and excited by a dual-polarized horn to show
the ability of independently controlling two orthogonally linearly-polarized
waves. At 33 GHz, the beams direct to -15 degrees and 20 degrees for the
feeding of horizontally and vertically polarized port, respectively. The 1.5-dB
gain bandwidth is greater than 20% for both polarizations. The proposed
dual-polarized reflectarray antenna with independently controllable 1-bit dual
beams provides an alternative design for the multiuser multiple-input
multiple-output applications.
Joan B. Llinares (ed.). Antropología filosófica y literatura. || Ricardo Ibarlucía (ed.). Estéticas del siglo XVIII
Authors: De Benito David Pablo , Vignati María Jimena
Published: July 2020

Joan B. Llinares (ed.). Antropología filosófica y literatura. Valencia: Pre-Textos, 2019, 424 páginas.
Ricardo Ibarlucía (ed.). Estéticas del siglo XVIII: conversaciones sobre D’Holbach, Herder, Gerard, Diderot, Kames, Hamann. Buenos Aires: Centro de Investigaciones Filosóficas, 2019, 191 páginas.
Outcome of Anterior Cervical Discectomy with PEEK Cage Fixation for Single Level Cervical Disc Disease
Authors: KHAN SAJID , ULLAH AKRAM , KHAN MUSAWER , HUSSAIN RAMZAN , ALI MUMTAZ
Published: July 2020

Objective:  To assess the outcome of anterior cervical discectomy and fusion (ACDF) with PEEK cage.

Material and Methods:  This prospective study was conducted in the Departments of Neurosurgery Prime Teaching Hospital and Irfan General Hospital Peshawar. Patients undergoing one level ACDF with PEEK cage fixation were enrolled in the study. Patients who needed multiple level ACDF or corpectomy with plating and redo cases were excluded from the study. A proforma, which included age, gender, address, level of prolapsed disc, sign and symptoms, pain score, MRI findings were filled. All patients were assessed on day of discharge and on follow-up visit after one month. Data was analyzed with SPSS version 22.

Results:  Total 95 patients were included out of which 58 (61%) were male and 37 (39%) were female. Range of patients` Age was from 27 years to 64 years with 50.4 years mean age. Most patients (65%) had C6 radiculopathy. 58 patients (61%) had right sided radicular pain. 5 patients (5.26%) had radiculomyelopathy. C5 – C6 was the most common level operated (68 patients). Excellent results were achieved in 75 patients (79%) while satisfactory results in the rest of patients using Odom’s criteria. Bony fusion occurred in 92% of patients at 6 months.

Conclusion:  ACDF with PEEK cage fixation is a safe and beneficial procedure in one level cervical prolapse disc disease
Assessing Nursing Practices Regarding Standard Approaches on Post-Operative Wound Care Dressing
Authors: SALEEM SAMIA , HUSSAIN MUHAMMAD , AFZAL MUHAMMAD , AMIR GILANI SYED
Published: July 2020

Background and Objective:  Post-operative delay wound dressing causes a wound contamination or delay wound healing process. Wound leakage and smell produce acute wounds changed into chronic wound conditions. This study assessed the nursing practices regarding standard approaches used for post-operative wound dressing and its care.

Materials and Methods:  A cross-sectional observational study designed with study population n = 150 in female nurses of two intensive care units and three surgical wards units: I-II-III. Data was collectedusing an adopted, observation checklist. Reliability tested by Cronbach alpha, 0.92. The mean scorewas categorized following rules, less than (1.5) was considered low (L), from (1.5-2.5) considered moderate (M), and greater than (>2.5) was considered high (H).

Results:  The results indicated that 55.3% of nurses had 32 – 38 of age and 48.7% were BS nursing education. According to the mean score majority of nurses had medium (M) and low (L) wound dressing practices observed. Plaster not present (52%) during dressing. 73.3% of nurses had not ensured privacy. The commonpractices were found, no handwashing before and after wound dressing.

Conclusion:  The majority of the nurses were not following the standardized wound dressing checklist. According to the study, findings recommended the education sessions, seminars, frequent departmental observation, and psychomotor simulation practices that need to be discussed with clinical professionals.
Posterior Lumbar Interbody Fusion in Degenerative Lumbar Spine Disease and Risk of Adjacent Segment Disease
Authors: HUSSAIN WADD IJAZ , SHABIR ASIF , MEHMOOD AWAN LIAQAT , MOHSIN AJMAL SYED , MUSHTAQ HUMAIRA , MASOOD BUTT RIZWAN
Published: July 2020

Objective:  To determine the chances of adjacent segment disease (ASD) and risk factors after posterior lumbar interbody fusion (PLIF).

Material and Methods: 110 patients of both genders with degenerative lumbar instability at L4/5 level were included in my study. We did PLIF in all our patients and followed our patients for one year. The following parameters were measured: the degree of lumbar lordosis, the degree lumbosacral angle, the disc space height and their dynamic angulation and the displacement of L3 over L4. We checked the outcome with the help of the Japanese orthopedic association (JOA) and Oswestry disability index (ODI). We divided the patients into groups A and B; group A includes patients with progression of degeneration at the proximal level (L3-L4), while group B with no progression of disease at proximal level.

Results:  The 86 patients (78.18%) were in group A, and 24 patients (21.88%) were in group B. There were no significant difference in radiological parameters of both groups; lumbosacral angle of lordosis, L3 laminar inclination angle, preoperative degenerative changes at proximal level, L4–L5 lordosis and BMD before surgery. The clinically and statistically significant differenceswere of the age of the patients falling in two groups. We found that at the completion of study ODI and JOA were not significantly different in both groups (P >0.05).

Conclusion:  Degenerative lumbar disease is an age related disease with no significant effect of radiological degenerations on the final outcome of our patients.No other possible risk factor has a significant effect on outcome.
Evaluation of Nurses Competency about Surgical Hand Scrubbing
Authors: KHURSHEED UZMA , HUSSAIN MUHAMMAD , AMIR GILANI SYED
Published: July 2020

Objective:  Hands play a significant role in organism transmission. Poor hand hygiene practices in health care settings lead to nosocomial infection. Aseptic practice is the cornerstone of current surgery, thus rigid adherence to prescribed sterile techniques in the operating room is essential.The objective of this study was to evaluate nurses’ competencies regarding surgical hand scrubbing.

Material and Methods: Cross sectional observational design was used. The study was conducted in operating rooms in a tertiary care hospital, Lahore, Pakistan.This setting contains total seven operating rooms with 250 registered nurses. Sample size calculated through Slovin’s formula. Sample size was 154. Convenient sampling technique was used. An adopted checklist was used for observing the nurses’ practices of hand scrubbing. Data was analyzed in Statistical Software of Social Sciences (SPSS) version 25.

Results:  Majority of nurses (72.7%) were between 21-30 years age group. Only 38.3% participants wore a face mask and surgical cap correctly and 61.7% did not wear correctly. Majority participants, 76% had short nails.All participants (100%) removed nail polish, artificial nails, and jewelry before scrubbing. Majority of participants applied a proper amount of Povidone iodine.

Conclusion:  Operational hand scrub is very vital component of operative procedure. Results of this study showed inadequate practices of nurses in the operating room, which was overall 77%. There is a need to improve nurses’ practices so, periodically audit, manager supervision and feedback, workshops should be organized.
Assessment of Nursing Care Skills in Neonatal Unit: A Cross Sectional Observational Study
Authors: RAFIQUE RUKHSANA , HUSSAIN MUHAMMAD , AFZAL MUHAMMAD , AMIR GILANI SYED
Published: July 2020

Objective: Increased hospital treatment is required to reduce neonatal mortality in low/middle-income (LMIC) countries. Nurses are vital for providing safe and efficient treatment, but a shortage of nurses and high patient workloads can lead to missed treatment. We aimed to evaluate thecare provided to newborns and finding missing care using direct observation methods.

Material and Methods:  Cross sectional observational study. The sample size was 133 which were calculated through Slovin’s formula. An adopted research tool was used which contain two sections. Section I included demographic data of nurses and neonates admitted in the ward. Section IIwas an Observational checklist on neonate’s care with “Yes” “NO” which include 5 main themes that had sub points.

Result:  Handing over the baby was less fifty five percent. Member not assesses the patient at the end of shift 54.1% nurses done this and 45.1% missed this task. Intravenous drug administration with a septic technique was 42 percent. Counselling of kangaroo mother care was 45.9 percent done and 54 percent missed.

Conclusion:  Research addresses a significant gap in global literature regarding quantification of nurse’s treatment using direct observational methods. We found considerable variability in the implementation of the task with potentially significant consequences for well-being and health of patients. The concentration of nursing tasks in babies was less than 60% on average. Tertiary care setting environment lacks a large proportion of nursing care with potentially serious effects on patient health and outcomes.
Nurses Practices Regarding Medication Administration through a Central Venus Catheter
Authors: ABDUL REHMAN SANIA , HUSSAIN MUHAMMAD , AFZAL MUHAMMAD , AMIR GILANI SYED
Published: July 2020

Objective:  The purpose of this study was to examine nurses’ practices related to medication administration through the CVC.

Material and Methods:  A cross-sectional observational study was conducted at Tertiary Hospital. The study subjects were the female Nurses aged between 21 – 60 years (n = 133). A convenient sampling technique was used.Data collected through an observational checklist which contain two sections; demographic and 19 items of their practices. A pilot study was done on 20 participants to assess the reliability of the observational checklist. Data analyzed by using SPSS version 25.

Results:   82.7% participants’ ages were between 21 – 30 years, 13.5% were between 31 – 40 years and 3.8% were between 41 – 50 years. Participants’ education was as follows: general nursing diploma (84.2%), BS Nursing Post RN (registered nurse) (11.3%), BSN -Bachelor Science in Nursing (Generic) (4.5%). Only 41.4% participants performed hand hygiene before procedure and 58.6% did not perform. 34.6% participants remove gloves and perform hand hygiene; remaining 65.4% did not perform hand hygiene correctly. All participants 100% performed documentation on drug chart.

Conclusion:  The significance of quality care, combined with good practices, particularly when medicines are administered through the Central Venous Catheter. Incorrect practices of medication administration through CVC increase the risk of blood stream infection. This research study shows 50% unsatisfactory practices.
Multimodality Treatment of Craniopharyngioma: Aspiration of Cystic Contents and Placement of Ommaya Reservoir Stereotactically Followed by Gamma Knife Radiosurgery – Single Center Study of 81 Cases
Authors: KALHORO AURANGZEB , B. RAJPER SANAM , SALEEM ABID , SATTAR M. HASHIM A.
Published: July 2020

Objective:  The objective of this present study was to assess the accuracy, result, and safety measures of stereotactic biopsy. The study was conducted at the Neurospinal & Cancer Care Institute Karachi.

Material and Methods:  After the approval from the ethical hospital committee, the study was conducted on 34 patients, in which 9 (26.4%) were females, and 25 (73.5%) were males. 34 consecutive patients with biopsy inclusion deep seated lesion, mid line pathology, eloquent area and operated surgery, previous radiation treatment were excluded, and after that, the biopsy report based surgery or radiotherapy treatment was decided.

Result:  The biopsy underwent histopathological diagnosis proving Astrocytoma in 7 (20.5%) patients out of which four were in the Eloquent area, tuberculosis diagnosed in 5 (14.7%) patient, Oligodendroglioma diagnosed in 3 (8.8%) patients, metastasis in 5 (14.7%), Abscess in 4 (11.7%) patient which was aspirated to maximum and sent for culture, Malignant tumor (grade 3 & 4) 5 (14.7%), Lymphoma in 2 (5.8%) patient both were given radiation therapy Tumor necrosis 1 (2.9%) case,  and No tissue obtained in 2 (5.8%) which was repeated later. No major complication or side effects were observed in the patient.

Conclusion:  Stereotactic Framed biopsy is safe and accurate and can be used in deep seated lesions with high success rate, minimal complication and decrease surgical morbidity for patients, and it is comparable to updated methods
Assessment of Efficacy of Hayman Suture Technique in Management of Intraoperative Atonic Postpartum Hemorrhage
Authors: NAUMAN DRAKHSHAN , SAIF NADIA , SIDDIQUE UZMA , NAVEED NOSHEEN , SIDDIQUE UZMA
Published: July 2020

Objective:  To assess the efficacy of the Hayman suture technique in the management of intraoperative atonic postpartum hemorrhage thus reducing maternal morbidity and mortality.

Study Design:  Simple Descriptive study.

Materials and Method:  A simple descriptive observational study was conducted at Farooq Hospital and AIT, Lahore. The study included all patients with intraoperative atonic PPH after elective and emergency caesarean sections, during the study period, in whom medical management of PPH failed and Hayman suture was applied.

Results:  Hayman suture was 97.5% successful in controlling primary PPH due to intraoperative uterine atony. It failed in only one patient (2.5%) and that patient needed a hysterectomy.

Conclusion:  Hayman suture is an effective and quick technique in controlling primary PPH due to intraoperative uterine atony. It is an effective surgical technique after failure of conservative medical management. It is easy to apply and can be applied by Postgraduate trainees and registrar in emergency as lifesaving procedure.
Subspecialization, a Cause of Concern for Neurosurgeons in Pakistan, an Opinion Piece and Open Discussion
Authors: ASHRAF MOHAMMAD
Published: July 2020

Specialization is a process of becoming an expert. In medicine, it was a long and gruelling journey that medical graduates embarked upon in their chosen field with pride and enthusiasm to become leaders. The specialists seen as the culmination of years of hard work and the marker of prestige. In the old days this distinction was very apparent between the barber surgeons who had little to no formal education and trained as an apprentice and the physicians, who had a university education, went on to become fellows of one of the Royal Colleges and were treated as experts. Eventually, as knowledge expanded, 65 specialities fragmented from medicine and surgery and as of today 31 subspecialties are recognized by the general medical council in the UK.1
Framed Stereotactic Brain Biopsy Outcome – Single Center Study
Authors: KALHORO AURANGZEB , M. HASHIM A. SATTAR
Published: July 2020

stereotactic biopsy. The study was conducted at the Neurospinal & Cancer Care Institute Karachi.

Material and Methods:  After the approval from the ethical hospital committee, the study was conducted on 34 patients, in which 9 (26.4%) were females, and 25 (73.5%) were males. 34 consecutive patients with biopsy inclusion deep seated lesion, mid line pathology, eloquent area and operated surgery, previous radiation treatment were excluded, and after that, the biopsy report based surgery or radiotherapy treatment was decided.

Result:  The biopsy underwent histopathological diagnosis proving Astrocytoma in 7 (20.5%) patients out of which four were in the Eloquent area, tuberculosis diagnosed in 5 (14.7%) patient, Oligodendroglioma diagnosed in 3 (8.8%) patients, metastasis in 5 (14.7%), Abscess in 4 (11.7%) patient which was aspirated to maximum and sent for culture, Malignant tumor (grade 3 & 4) 5 (14.7%), Lymphoma in 2 (5.8%) patient both were given radiation therapy Tumor necrosis 1 (2.9%) case,  and No tissue obtained in 2 (5.8%) which was repeated later. No major complication or side effects were observed in the patient.

Conclusion:  Stereotactic Framed biopsy is safe and accurate and can be used in deep seated lesions with high success rate, minimal complication and decrease surgical morbidity for patients, and it is comparable to updated methods.
Pengaruh Zona Penempatan Berbeda pada Closed House terhadap Mikroklimatik Amonia, Ukuran Relatif Organ Limfoid, Kelenjar Tiroid, dan Usus Halus Ayam Broiler
Authors: Arfianta Wahyu Fajar , Sarjana Teysar Adi , Widiastuti Endang
Published: July 2020

Tujuan dari penelitian ini untuk mengetahui pengaruh zona penempatan yang berbeda pada closed house terhadap mikroklimatik amonia, ukuran relatif organ limfoid, kelenjar tiroid dan usus halus ayam broiler. Materi yang digunakan dalam penelitian yaitu ayam broiler sebanyak 360 ekor yang diambil dari populasi 11.000 ekor dengan bobot badan awal 44,8 ± 1,66 gram. Rancangan yang digunakan adalah Rancangan Acak Kelompok dengan 4 perlakuan dan 6 kelompok sehingga terdapat 24 unit percobaan dan masing-masing unit terdapat 15 ekor. Perlakuan yang diberikan adalah T1 = zona 1 ; 0 m dari inlet, T2 = zona 2 ; 15 m dari inlet, T3 = zona 3 ; 30 m inlet, T4 = zona 4 ; 45 m dari inlet. Parameter yang diamati yaitu mikroklimatik amonia pada zona berbeda, bobot organ limfoid, kelenjar tiroid, panjang dan bobot usus halus ayam broiler. Hasil analisis ragam yang telah dilakukan dapat diketahui bahwa perubahan mikroklimatik amonia pada zona penempatan berbeda tidak berpengaruh nyata (P>0,05) terhadap ukuran relatif organ limfoid, panjang dan bobot usus halus ayam broiler. Simpulan dari penelitian ini adalah zona penempatan berbeda dalam kandang closed house yang diikuti dengan perubahan mikroklimatik amonia tidak mempengaruhi ukuran relatif organ limfoid, kelenjar tiroid dan usus halus ayam broiler.
Penambahan Sari Jeruk Nipis (Citrus aurantifolia) sebagai Acidifier terhadap Profil Lemak Darah pada Ayam Pelung Jantan
Authors: Krismiyanto Lilik , Suthama Nyoman , Tristiarti Tristiarti , Prabowo Doni Eko
Published: July 2020

Sari jeruk nipis mengandung asam sitrat dapat digunakan sebagai aditif alami untuk unggas. Penelitian ini bertujuan untuk mengevaluasi pengaruh penambahan sari jeruk nipis dalam ransum terhadap profil lemak darah pada ayam pelung jantan. Ayam pelung jantan sebanyak 64 ekor dengan bobot badan awal 1.084,44±210,89 g, digunakan sebagai ternak percobaan. Perlakuan meliputi T0: ransum peternak tanpa sari jeruk nipis, T1: ransum peternak+1 % sari jeruk nipis, T2: ransum peternak+2 % sari jeruk nipis, dan T3: ransum peternak+3 % sari jeruk nipis. Penelitian disusun dalam rancangan acak kelompok dengan 4 perlakuan dan 4 kelompok (masing-masing 4 ekor) berdasarkan bobot badan. Parameter yang diamati meliputi kolesterol, trigliserida, high density lipoprotein (HDL) dan low density lipoprotein (LDL) darah. Data dianalisis ragam dan jika berpengaruh nyata (p<0,05) dilanjutkan uji ganda Duncan. Hasil penelitian menunjukkan bahwa penambahan sari jeruk nipis dalam ransum nyata (p<0,05) menurunkan trigliserida, LDL dan meningkatkan HDL darah, tetapi tidak berpengaruh terhadap kolesterol. Simpulan adalah penambahan 3 % sari jeruk nipis dalam ransum mampu menurunkan trigliserida, LDL dan meningkatkan HDL pada ayam pelung jantan dengan kolesterol darah masih dalam batas normal
Mobile medical simulation for rural anesthesia providers: A feasibility study
Authors: Premkumar Kalyani , Valerie Umaefulam , O'Brien Jennifer
Published: July 2020

Introduction: Family practice anesthesia (FPA) providers are family physicians trained to deliver anesthesia care; they often practice in rural hospitals to facilitate surgical care. FPA providers in rural hospitals face challenges including professional isolation and limited opportunities for formal continuing education. To address needs identified by FPA providers, we piloted mobile medical simulation in rural Saskatchewan.
Methods: Using a logic model framework, we evaluated feasibility of a one-day interdisciplinary mobile simulation workshop for healthcare providers in a rural Saskatchewan hospital. As part of this mixed methods pilot study, we interviewed stakeholders to explore their perceptions of human and financial resources associated with delivering medical simulations in rural locations. Multiple simulation scenarios were utilized to train participants in clinical and professional skills. Participants completed pre- and post-workshop surveys to evaluate their experience.
Results: Financial and human resources included cost of renting, transportation of mannequins, and the time required to create the scenarios. Participants (n = 10) reported improved knowledge and found the experience valuable. The session prompted participants to reflect on their deficiencies in certain clinical procedures/skills and highlight learning strategies to address the gap.
Discussion: Mobile medical simulation brought continuing medical education (CME) to health professionals in a rural location, but the program was expensive. Our logic model may inform educators and administrators considering mobile medical simulation for physicians in rural areas when balancing resource allocation and the organization’s commitment to CME for rural physicians.
Role of behavioral sciences in development of professionalism among MBBS students
Authors: Butt Ammara , Ashar Abid
Published: July 2020

Background: Professionalism is a global quality expected in medical students’ along with clinical skills. Behavioral sciences have been included in 3rd year MBBS curriculum since 2014 at FJMU. The purpose of this change is to enhance Professionalism formally in addition to other areas of the subject. This study aims to determine effectiveness of studying behavioral sciences as a subject in enhancing elements of Professionalism.

Subjects and Methods: The mixed-methods study was used and a sample of 240 3rd year medical students was taken by convenient sampling. In the first (quantitative) phase of the study, Penn State College of Medicine Professionalism Questionnaire (PSCOM-PQ) was administered before and after studying behavioral sciences as a subject, to collect pre and post statistical results about students’ attitudes towards professionalism. The results were analyzed by paired sample t-test. In the second (qualitative) phase, Focus Group Discussion (FGD) was conducted to reveal the reasons for professionalism development and role of Behavioral Sciences in its development. 8 students were selected by purposeful homogeneous sampling technique. FGD session was audio-taped and transcribed, finally thematic analysis was done.

Results: The results showed highly significant increase (p-value= 0.00, t= -74.39, mean= -72, SD= 14.99) in the scores of Professionalism after studying behavioral sciences as a subject. The broad themes identified by FGD were “Professionalism Related Skills Learned through Behavioral Sciences” and “Modes of Information Transfers’ Role in Professionalism Understanding”. The professional skills conceptualized by the students included emotional stability, empathy, psychoeducation, confidentiality, competency and sense of responsibility. The participants felt that professionalism develops by the means of lectures, workshops, role plays, modeling and formal assessment sessions.

Conclusion: Study of behavioral science has significant effect in the development of professionalism among MBBS students and is well received by third year MBBS students.
EXPERIENCE OF COMBINING PLATELET-RICH AUTOPLASM THERAPY AND LOW-INTENSITY SHOCK-WAVE THERAPY IN TREATMENT OF PEYRONIE’S DISEASE
Authors: Заседа Юрий
Published: July 2020

Relevance. The spectrum of combined mechanisms of action of PRP-therapy, LISWT and LNP therapy suggests the clinical eff ect for patients with fi broplastic penile induration, which currently does not have conservative therapies that have suffi cient effi cacy.The aim of the study was to determine the effi cacy of combined PRP-therapy with intracavernous activation of growth factors by LISWT method + LNP and ICA pharmacotherapy in treatment of fi broplastic penile induction.Design. The study group comprised 23 patients of the Men’s Health Clinic in Kyiv, suff ering from fi broplastic penile inducing (Peyronie’s disease, ICD-10: N48.6) with erectile dysfunction.Results of the study. A 6-month follow-up observation showed a reduction of pain during erection, a signifi cant improvement in erectile function, a total regression of the areas less than 25 mm2 and a signifi cant decrease in the density and area of the induration areas that over 25 mm2. Conclusions. It has been established that the therapeutic model of the combined use of PRP-therapy with intracavernous activation of growth factors by LISWT method + LOD + ICA in the treatment of fi broplastic penile induration, shows a pronounced clinical eff ect, which makes this therapeutic model a promising option for conservative correction of pain and erectile dysfunction in fi broplastic penile induration.
EXPERIENCE OF PREMATURE EJACULATION CORRECTION BY COMBINED THERAPY OF PLATELET-RICH PLASMA AND LOW-INTENSITY SHOCK-WAVE THERAPY
Authors: Заседа Юрий
Published: July 2020

Relevance. The spectrum of combined mechanisms of action of PRP-therapy, LISWT and LNP therapy suggests the clinical eff ect for patients with fi broplastic penile induration, which currently does not have conservative therapies that have suffi cient effi cacy.The aim of the study was to determine the effi cacy of combined PRP-therapy with intracavernous activation of growth factors by LISWT method + LNP and ICA pharmacotherapy in treatment of fi broplastic penile induction.Design. The study group comprised 23 patients of the Men’s Health Clinic in Kyiv, suff ering from fi broplastic penile inducing (Peyronie’s disease, ICD-10: N48.6) with erectile dysfunction.Results of the study. A 6-month follow-up observation showed a reduction of pain during erection, a signifi cant improvement in erectile function, a total regression of the areas less than 25 mm2 and a signifi cant decrease in the density and area of the induration areas that over 25 mm2.Conclusions. It has been established that the therapeutic model of the combined use of PRP-therapy with intracavernous activation of growth factors by LISWT method + LOD + ICA in the treatment of fi broplastic penile induration, shows a pronounced clinical eff ect, which makes this therapeutic model a promising option for conservative correction of pain and erectile dysfunction in fi broplastic penile induration.
THE ANALYSIS OF EFFICACY OF “CEFPOTEC” AND “CLABEL” PREPARATIONS IN TREATMENT OF SPECIFIC AND NONSPECIFIC PROSTATITIS
Authors: Заседа Юрий
Published: July 2020

Objective: to establish the eff ectiveness of Сefpotek (cefpodoxime) and Сlabel (clarithromycin) drugs in the treatment of chronic prostate infl ammation in the stage of pronounced exacerbation caused by nonspecifi c infectious agents and infections of the mycoplasma and chlamydia groups.Materials and methods. The study was conducted in a prospective design on parallel groups. The study contingent consisted of 60 patients of the “Men’s Health Clinic”, suff ering from chronic prostatitis in state of pronounced exacerbation. The following research methods were used: sonographic examination of the prostate gland, bacteriological examination of the ejaculate, analysis of ejaculate and PCR diagnostics of specifi c infections.The results of the study. A diff erentiated course of etiotropic therapy was carried out. In case of non-specifi c prostatitis: oral administration of the drug “Cefpotek” (cefpodoxim) 1 tablet (200 mg) 2 times a day for a course of 14 days with the possibility of extending the course to 28 days. With specifi c prostatitis: oral administration of the drug “Clabel” (clarithromycin) 1 tablet (500 mg) 2 times a day for a course of 14 days.Conclusions. In the treatment of chronic infl ammation of the prostate gland in the stage of pronounced exacerbation caused by nonspecifi c infectious agents using oral administration of the drug “Сefpotek”, the full eff ectiveness was achieved in range from 83.3% to 96.6% of observations.In the treatment of chronic infl ammation of the prostate gland in the stage of pronounced exacerbation caused by infectious agents of the mycoplasma and chlamydia groups using oral administration of the drug “Clabel”, the full eff ectiveness was achieved in the range from 80.0% to 86.6% of observations (regardless of features of combinations of specifi c mixed infections).
ASSESSMENT OF THE EFFICIENCY OF THE APPLICATION OF THE COWBERRY AND BLUEBARRY PASTE IN COMPLEX TREATMENT OF CHRONIC BACTERIAL PROSTATITIS
Authors: Заседа Юрий
Published: July 2020

In order to evaluate the eff ectiveness of cowberry and blueberry pastes in the complex treatment of chronic bacterial prostatitis, 72 patients of the Men’s Health clinic in Kyiv were examined. According to the survey results, 2 symmetric groups of 23 patients were formed. The main group was treated according to the model: antibiotic therapy, auxiliary pharmacotherapy (venotonic drugs and enzymes), local physiotherapy and diet therapy with the inclusion of cowberry and blueberry pastes. The control group received a similar treatment, but without changing the diet.Evaluating the eff ectiveness of cowberry and blueberry pastes in the complex treatment of chronic bacterial prostatitis shows that patients treated with the inclusion of homogenized cowberry and blueberry pastes in the diet demonstrate a lower intensity of symptoms of chronic bacterial prostatitis (according to the I-PSS scale) 3 months after treatment, namely: “urination urgency” and “subjective reduction in the quality of life” (p=0.03).
THE EXPERIENCE OF THE USE OF ALLOKINE-ALPHA IN TREATMENT OF CHRONIC PERSISTING VIRAL MIXT-INFECTIONS IN MEN
Authors: Заседа Юрий , Соломенный Руслан , Шихалиев Фарид
Published: July 2020

Relevance. Chronic persistent viral infections are a category of andro-urological problems that currently have no defi nite solutions.The aim of the study is to evaluate the eff ectiveness of treatment of chronic infl ammatory diseasesof the prostate gland (persistent viral mixed infections: combinations of herpes simplex virus (first and second types) and human papilloma virus using the drug “Allokin-alpha”(Alloferonum)), in comparison with recombinant human interferon-2b.Materials and methods. The study was conducted on a contingent of 60 patients of the clinic “Men’s Health”, Kyiv. The study design suggested the use of 2 parallel groups of 30 patients receiving treatment according to diff erent therapeutic models.The results of the study. When comparing therapeutic models using parenteral administration of Alloferonum in the composition of the drug “Allokin-alpha” and parenteral administration of recombinant human interferon-2b in parallel groups of patients suff ering from chronic persistent mixed infections, a number of diff erences regarding serological and clinical effi cacy and long-term eff ects were found.Findings. The eff ectiveness of the elimination of chronic persistent viral mixed infections for Alloferonum was 66,7%, for recombinant human interferon-2b in - 40%. The catamnestic eff ects of therapeutic models also diff ered. For Alloferonum 6 months after the course of treatment, the recovery of serological activity of viruses occurred in 13,4% of patients, the return of systemic clinical manifestations was observed in 23,3% of patients, the return of symptoms of specifi c prostatitis - in 10,0% of patients. For recombinant human interferon-2b, similar fi gures were 23,0%, 33,3% and 20,0%, respectively.
SUDANESE EXPERIENCE TOWARDS IMPLEMENTATION OF BIOMASS GASIFICATION AS AN ALTERNATIVE SOURCE OF ENERGY FOR RURAL ELECTRIFICATION
Authors: MOHAMED ELHASSAN ABDELSLAM ABDELELAH , FAWZI BANI MFARREJ MANAR
Published: July 2020

As many of the developing countries in the world, Sudan depends heavily on the biomass energy sources as a major source of energy for household and traditional industries sectors. Recently, the biomass energy accounts for more than (61%) of the total energy consumption in the national energy balance. The dependence on the biomass energy sources creates serious environmental problems including desertification and climatic changes in many of the rural areas. Sudan is rich in agricultural residues in both irrigated and rain fed agricultural sectors. The country launched a new energy and environmentally sound policy to encourage the transfer of advanced sustainable biomass energy technologies. The policy is based on the optimal and efficient utilization of the available agricultural residues by the implementation of biomass renewable energy technologies. The main objectives of this paper are to highlight the filed experience on using biomass gasifier-based project for decentralized power supply for remote location in Gezira State, Sudan, and to present the challenges facing the large scale applications of the technology in the country. Three types of biomass were used: Raw Cotton Stalks, Cotton Stalks Briquettes, and Groundnut Shells Briquettes. The efficiency and the technical performance of the gasifier has been evaluated. The research concluded that gasifier could be one of the best technical option to convert agricultural biomass products into sustainable energy in rural areas. Biomass gasification proved that it is a promising technology for dementalization power generation in rural areas (Off-Grid), both because of difficulties in providing good quality grid power, and due to the wide availability of biomass even in remote villages in the country. The cotton stalks briquettes were found to be the best biomass sources for the gasification process. The obtained results give a very encouraging picture to make villages self-sufficient in their primary energy needs. It is therefore, highly recommended that, an accurate estimation of the potential biomass resources (agricultural. residues) base in Sudan, should be undertaken for implementation of a decentralized biomass gasification power plants in rural areas.
THE ELEMENTARY CHARACTERIZATION OF ANTHILL CLAY FOR COMPOSITE MATERIALS AND INDUSTRIAL DEVELOPMENTS
Authors: ALUVIHARA SURESH , KALPAGE C. S. , BANDARANAYAKE P. W. S. K.
Published: July 2020

Anthill clay is a distinct soil/clay genre among common soil types because of the stockpiling method. The small particles are carried in and erected an anthill by a small creature that it is called as termite. In generally, clay is a conspicuous raw material for industrial applications greatly and the assay of expediencies of anthill clay for advanced material applications were the prospects of the existing research. Carefully collected anthill clay samples were characterized under the physically and chemically using standard procedures and instruments. The mechanical characteristics of prepared bricks from anthill clays under 8000C were investigated. As the major outcomes of the existing investigation of raw clays, there were looked to 5.56 of PH value, 15% of natural moisture content, gap graded and symmetrically distributed arrangement of grains, 60% finer particle percentage (<0.075mm) according to the weight, composition of Fe, Ti, Ba and K based compounds including Fe minerals with large sorption capacity for other metals. In addition that 25% of water absorption, 2.62 of bulk specific gravity, 65% of apparent porosity, 21 MPa compressive strength and 0.4 MPa splitting tensile strength were observed with respect to the bricks which were prepared from the anthill clay. Based on the behaviors of such anthill clay it should be an influential material in the advanced material manufacturing in the industrial purposes such as the water treatments, rigid materials and refractors.
MANAGEMENT OF AIR QUALITY THROUGH ENERGY MEDIATION
Authors: LAKSHMI R VIDHYA , V.G SRISANTHI , J EUNICE
Published: July 2020

Air Quality and its management has been quite strained in the past few years and a cumulative approach in dealing with it would help reduce the emission and enhance the air quality index. As the government focuses on raising in-house technical capacities, the extent of Micro, Small and Medium Enterprises are shooting up. MSMEs contribute to majority of the country’s industrial enterprises and considerable amount of its carbon emissions. It is imperative to concentrate on their environmental impacts based on their energy consumption pattern. However, understanding this key challenge – the MSMEs are to check on their Energy consumption patterns and the source of energy, thus eliminating the over-utilization of resources. This would not only make the MSMEs Energy Efficient but also lead to a decreased emission load and carbon footprint. GHG emission reduction could be mapped over the years. Mapping out the impact of these ambitious policies and its enablers would be critical. This work would aim at building an advanced understanding of potential benefits/impacts of MSMEs on the emissions/concentration of air pollutants v/s business as usual – based on varying levels of Energy Efficient equipment penetration and the fuel being used. This would involve a combination of Air emissions inventory and dispersion modelling approaches based on scientific understanding of comprehensive industrial structure in the industrial clusters. Broadly, energy demands and their usage details – coupled with established local air emissions would be used for establishing a detailed understanding of air quality impacts.
GEOTECHNICAL CHARACTERISTICS AND FOUNDATION CONDITION OF PEGU GROUP IN YANGON AREA
Authors: SOE MOE KHIN , NAING TUN , HTUN KYAW
Published: July 2020

Yangon is highly dense populated city in Myanmar. Today Yangon area has undergone very rapid development and expansion because of its socio-economic cum political significance. Therefore it is required to expand the new satellite town. Therefore, geotechnical site characteristics and zonation of Yangon area is carry out. In Yangon, three geological rock units such as alluvial deposits, Irrawaddy Formation and Pegu Group can be found. For this research, geotechnical characteristics and foundation condition of Pegu Group is investigated. Based on the sample collected and the laboratory results, foundation condition of Pegu Group are studied. The purpose of the research is to point out the engineering characteristics and foundation properties of Pegu Group in the Yangon Area. The Pegu Group consists of three lithostratigraphic units recognizable from surface geologic characters and subsurface data. They are Besapet Alternation, Thardugan Sandstone and Hlawga Shale from youngest to old. Besapet Alternation consists of shales and thinly laminated sandstone which are exposed in the vicinity of Besapet Lake and also exposed behind the police training school. Besapet Alternation is characterized by blunish grey to greenish grey, bedded to nonbedded, silty shale with very thin parting of micaceous sandstones. Thardugan Sandstone consists of blunish grey to brownish grey, fine to medium grained micaceous and argillaceous sandstone with ferruginous bands. They are exposed around the Thardukan Pagoda, southwestern and south of Hlawga Lake.It exposes as massive body sandstone around Thadukan Pagoda and thin bedded sandstone at police training school. Hlawga Shale consists of shale and laminated clay. They occur at the low land area at the west of Hlawga Lake beside the Thardugan Sandstone. According USCS classification, CL, ML, MH, SC, SM and SW soil types are found as residual soil in Pegu Group. The ultimate bearing capacity of residual soil of Pegu Group is 15 kPa to 600 kPa. The unconfined compressive strength of Thardugan Sandstone varies from 8 MPa to 61 MPa.
EMPLOYEE VOICE MANAGEMENT AND WORKPLACE PERFORMANCE: A BANKING SECTOR PERSPECTIVE
Authors: EMMANUEL AGBAEZE , YUSUF OBIOYI , OKORO AGU AGU , FRANCIS MONYEI , ISAAC CHUKWUMA , LEO MADU
Published: July 2020

Globally, employee voice addresses the notion that people want to be heard because being heard reinforces a sense of belongingness within an organization; while endearing a belief that a person’s action can have an impact in the overall productivity of a workplace. This study therefore becomes pertinent in accordance with calls for scholarly investigation to determine the rate of its impact on the banking sector amid the recent financial recession and turbulence of the sector. Taking a quantitative method, the descriptive survey research design was adopted for the study. The findings indicated that employee voice management had a significant positive correlation on workplace performance of the banking sector (r = 0.597; t = 23.703; F= 561.823; p < 0.05). It concluded that employee voice management improved job behaviours, industrial relations, and ultimately improved individual and team outcomes. The study further recommended that the banking sector should increase the autonomy and empowerment of its workforce, as it spurs their commitment to the workplace.
METHOD OF CALCULATING THE STRESSSTRAIN STATE OF FRAME STRUCTURES OF THE TRACTOR TRAILERS AT VARIOUS EXTERNAL INFLUENCES
Authors: A. TOGAEV ANVAR , A. SHERMUKHAMEDOV ABDULAZIZ
Published: July 2020

In the article on an example of the tractor-trailer, a load-carrying capacity of 4 tons considers the technique for calculating the stress-strain state of the trailer frame. The comparative analysis of the results of theoretical and experimental researches is given. The calculations take into account the specific road conditions of the cotton-producing countries, which occupy four categories of road sections. The proposed method of calculation of the stress-strain state of the frame gives a good agreement with the experimental data (maximum values of stress in the range 11%) and can be used in justifying the strength parameters of tractor-trailers.
POTENTIAL EVALUATION OF YELLOW COTTON (COCHLOSPERMUM REGIUM) PIGMENTS FOR DYE SENSITIZED SOLAR CELLS APPLICATION
Authors: KHAMMEE PHITCHAPHORN , UNPAPROM YUWALEE , SUBHASAEN UBONWAN , RAMARAJ RAMESHPRABU
Published: July 2020

Recently, dye-sensitized solar cells (DSSC) have concerned significant attention attributable to their material preparation process, architectural and environmental compatibility, also low cost and effective photoelectric conversion efficiency. Therefore, this study aimed to use potential plant materials for DSSC. This research presents the extraction of natural pigments from yellow cotton flowers (Cochlospermum regium). In addition, the natural pigments were revealed that outstanding advantages, including a wide absorption range (visible light), easy extraction method, safe, innocuous pigments, inexpensive, complete biodegradation and ecofriendly. Methanol was used as a solvent extraction for the yellow cotton flower. The chlorophylls and carotenoid pigments extractions were estimated by a UV-visible spectrometer. The chlorophyll-a, chlorophyll-b, and carotenoid yield were 0.719±0.061 µg/ml, 1.484±0.107 µg/ml and 7.743±0.141 µg/ml, respectively. Thus, this study results suggested that yellow cotton flowers containing reasonable amounts appealable in the DSSC production.