bluuebunny/crossref_metadata_2025 huggingface dataset:
Frequency of Congenital Hypothyroidism in Newborn at Tertiary Care Hospital in Quetta
Authors: Essazai Abdul Baqi , Kakar Zakaullah , Ahmed Syed Moeed , Ullah Naseeb , Jan Pir , Ullah Najeeb
Published: January 2023

Objective: To determine the frequency of congenital hypothyroidism (CH) in newborn at tertiary care hospital in Quetta, Pakistan. Study design: Cross-sectional study. Place and Duration: The Department of Paediatrics, Unit-II, Bolan Medical College Hospital, Quetta, Pakistan from January 2022 to June 2022. Methodology: Neonates of both genders born with birth weight above 1500 grams having gestational age above 28 weeks, presenting between 3 to 5 days following birth were analyzed. At the time of enrollment, demographic characteristics of the neonates were noted and screening of CH was done. The CH was labeled as serum TSH ≥ 20mU/ml and T4 < 9 pmol/l. Results: During the study period, a total of 383 neonates as per inclusion/exclusion criteria were analyzed. There were 239 (62.4%) boys and 144 (37.6%) girls. The mean age was 3.87+0.843 days. The mean TSH level was 12.807+5.11 mU/ml (ranging 7 to 50 mU/ml). We noted that CH was found in 10 neonates (2.6%). Practical Implications: The reported frequency of CH seems higher as compared to contemporary literature which raises the importance of CH screening programs at national level. Conclusion: The frequency of congenital hypothyroidism was 2.6% among newborns at a tertiary care hospital of Quetta, Pakistan. Keywords: Congenital hypothyroidism, newborn, thyroid-stimulating hormone.
Frequency of Metabolic Syndrome in Patients with Chronic Plaque Psoriasis
Authors: Sabir Sadaf , Ilyas Saima , Khan Mehwish , Imtiaz Hina , Khan Eraj
Published: January 2023

Objective: To know the frequency of occurrence of metabolic syndrome in patients suffering from chronic plaque psoriasis. Methods: This cross-sectional study was done in dermatology outpatient clinic of tertiary care hospital Faisalabad. Sample size of the study was 125 patients from population of Faisalabad. For enrolling patients in our study consecutive sampling method was used. After seeking approval from ethical hospital committee and completing inclusion and exclusion criteria, a total 125 patients of both gender having plaque psoriasis (between ages of 20-60 years) were taken in this study. Demographic details were noted. A fasting venous blood sample was taken and delivered to hospital laboratory for accessing triglycerides, HDL and fasting blood glucose levels. Waist circumference and blood pressure reading was taken by staff nurse. All the data was recorded on self-made performa. Results: Out of 125 patients, 71(56.8%) were male and 54(43.2%) were females; 31 (24.8%) were in the range of 20-30 years of age whereas 94(75.2%) were in the range of 31-60 years. Mean +Standard Deviation was measured as 37.96+8.05 years. Out of 125 psoriatic patients, the frequency of metabolic syndrome was seen in 37 (29.6%) of cases. Practical Implication: The connections between MS and psoriasis provide psoriasis patients with early possibilities for MS diagnosis and treatment, which could result in a significant decrease in morbidity and mortality. Different geographic regions and ethnic groups show significant differences in the symptoms of psoriasis and metabolic disorders. It can aid in the prevention and treatment of metabolic syndrome-related complications. Conclusion: Because of significant relationship of metabolic syndrome with chronic plaque psoriasis, all psoriatic patients must be tested for metabolic syndrome and thus managed according to fasting lipid profile levels to decrease the incidence of cardiovascular morbidity and mortality Keywords: chronic plaque psoriasis, metabolic syndrome, dermatology, triglycerides, waist circumference
Prevalence of Shoulder Pain in Smokers
Authors: Ahmed Naseeba Naseer , Zuha Arfa , Shareef Faiza , Muhammad Affifa Sher , Nawaz Arshemah , Anwar Numaira , Hashim Adnan
Published: January 2023

Objective: This study aims to determine the prevalence of shoulder pain among the general population of smokers. Study design: This is an Observational cross-sectional study. Place & duration: Data was collected from the general population of smokers in Kuwait and Pakistan. This study was completed within 2 months. Methodology: This observational cross-sectional study was conducted on 115 smokers that included a proper standardized research questionnaire (internet survey), a comprehensive literature search, study inclusion criteria, screening techniques and exclusion reasons, data collection, data analysis and synthesis using IBM SPSS software. Further data collection is carried out in Pakistan and Kuwait from the general population of smokers. Results: Within the sample size of 115 smokers, 41.74% do not experience shoulder pain and 58.26% smokers have shoulder pain. Conclusion: This study concluded that there is a prevalence of shoulder pain was in smokers despite of any other musculoskeletal disorder. Smoking has an adverse reaction on bones, muscles (rotator cuff), tendons and ligaments and mainly effect the shoulder region. Keywords: Smoking, shoulder pain, musculoskeletal system
Advertising Mental Healthcare through Metaverse: Consequential Effects on Stigmatizing Beliefs, Psychological Safety, and Mental Health Literacy
Authors: Khan Shahzad Alam , Fatima Qurrat-Ul-Ain , Ansari Kashifa , Ahmad Mehboob , Mirbahar Ahsanullah M , Safdar Sohail
Published: January 2023

Objective: to measure the influence of metaverse advertising on mental health literacy and metaverse technology adoption while considering its benefits in complex social and psychological considerations Study Design: Retrospective observational study Place and duration: The data was collected from the department of general medicine Nishtar hospital, Multan in population of Multan from April 2021 to March 2022. Methodology: Our sample size was selected as 400 respondents, considering the confidence interval of 95%, wherein at least 383 respondents are necessary with large population size. In this study, the quantitative data was collected through a self-administered questionnaire and it was prepared on the five-point Likert scale to collect the data from the respondents. Only 392 questionnaires were included in the analysis of the study. On the other hand, the structural model was assessed by calculating beta value, standard deviation, T test and p-values. The significance of any relationship is assessed through p values which should be less than 0.05. Results: The results also confirmed that mental health literacy is improved through metaverse advertising on mental health care and by following the mediating role of stigmatized beliefs and psychological safety. Likewise, H2a was tested to reveal that psychological safety mediates the relationship between Metaverse advertising on mental health care and mental health literacy (β= 0.569, t=7.862, p= 0.000). At the same time, H3a was tested to reveal that stigmatized beliefs mediate the relationship between Metaverse advertising on mental health care and mental health literacy (β= 0.0063, t=2.089, p= 0.018). Conclusion: The results of this study conclude that the metaverse is gaining publicity every day, and its application in medical intervention is beneficial and revolutionary. It can root out long-standing social issues like stigmatizing beliefs and psychological safety. In this way, metaverse advertising on mental healthcare is a proven method to enhance mental health literacy which is the desired outcome of this research study. Practical Implication: Current study looked at how mental health literacy and stigma affect people's perspectives on psychiatric treatments in population of Pakistan. To the best of our knowledge no such study was found in local population so this study will provide local statistics on this topic. Keywords: Metaverse, Stigmatizing Beliefs, Psychological Safety, Mental Health Literacy, and Mental Healthcare.
Nutritional Status of Child of Well-Nourished Mother Vs Malnourished Mother
Authors: Masood Fatima , Masood Aymen , Farooq Hafiz Umer , Masood Muhammad Akhtar , Ehsan Sumera , Rana Hatf
Published: January 2023

Background: The nutritional status of children is a good predictor of the community's overall nutritional profile. The nutritional requirements of women before conception, during pregnancy, and during breastfeeding are referred to as maternal nutrition. Globally, 165 million children under the five years are malnourished. It accounts for at least half of all the childhood deaths worldwide. Objective: To find the nutritional status of child of well-nourished mother vs. malnourished mothers Methodology: This comparative1observational study was conducted at Pediatrics Department, Masood Hospital & The Children Complex, Rahim Yar Khan. The study included 294 mothers of children aged 6 to 59 months who were both well-nourished and malnourished. Both mothers of children who were well-nourished when they were admitted to the ward and mothers of children who were malnourished when they were admitted to the NSC were included. Mothers' Body Mass Index (BMI) was assessed, and children's MUAC was obtained. The information was gathered using a designed questionnaire that asked about the mother's age, BMI, the children's age and gender, MUAC.Data was entered in SPSS V 25. Result: Total 294 children were included. Among1them 158(53.7%) mothers malnourished children & 136(46.3%) mothers of well-nourished children. The mean age of children was 2.50 + 0.98. There were 129(43.9%) male children and 165(56.1%) female children. Out of malnourished children, there were 31(19.6%) mildly undеr-wеіght, 9(5.7%) moderately undеr wеіght & 3(1.9%) were severely underweight. Furthermore, 134 mothers1of well-nоurіshеd children, 55(40.4%) mildly1undеrwеіght, 40(30.9%) moderately1undеrwеіght & 27(19.9%) were severely1underweight. There were 145 mothers had normal Hb and 149 mother’s anemic. Practical Implication: The purpose of this research was to determine if there is a correlation between children malnutrition and the health of their mothers. The findings of this study may aid in bringing the attention of the entire family, and notably the mothers, to the treatment of children suffering from severe acute malnutrition. Children can be protected from developing malnutrition through early diagnosis and treatment. Conclusion: Findings of our study showed that many children having history of mother malnutrition were undernourished. Study concluded that malnutrition was not problem of only mothers; it was also a big problem for children as well as whole family. In addition to caring for the malnourished child who has been admitted, the underlying causes of malnutrition must be identified and addressed if the problem is to be resolved for the entire family. Keywords: Body Mass Index, Nutritional Assessment, Malnutrition, Well-nourished
Changes in Sleep Pattern and Digital Media use During Covid-19 Lockdown
Authors: Nisar Nadia , Alam Qurat Ul Ain , Asghar Faisal , Salman Roma , Faisal Ambreen , Ahmed Hassan Burair
Published: January 2023

Objective: To find out an association between covid and sleep and how covid lockdown has affected the sleeping habits of the youth in Pakistan compared to pre-lockdown sleeping patterns. Study Design: Cross-sectional study. Place and Duration: Current research was conducted at HITEC (IMS-HITEC) Institute of Medical Sciences, Taxila Cantt Pakistan from 5th may to 15th may 2020). Materials and Methods: It was a quantitative study in which participants filled out an online survey form. The data was collected on Google forms shared through social media focusing on undergraduate individuals from 16 to 24 years of age to acquire a homogenous example of responders, since youth are more liable to digital media use and their routine is more prone to be affected by the lockdown. The participation rate was 98.2%. SPSS was used for the data entry and analysis purpose. The data obtained was compiled, tabulated and analysed statistically. Chi square test was used to check whether the variables yielded significant or insignificant results. Results: Out of a total of 100 participants, 60 (60%) were females and 40 (40%) were males. The mean age was 21 years and the participants were mostly university students. A set of questions were also asked to determine which social media apps the participants were increasingly using, most of the participants spent time on Instagram (68%) and YouTube (64%), while modest people spent time on Netflix (41%), Snapchat (30%) and Facebook (33%). Lesser participants spent time on TikTok (11%) and Skype/Zoom (25%). Practical Implications: The use of e-learning and other forms of social interaction are becoming increasingly significant in the education of our young people. The findings of the current research make it possible for us to evaluate the influence of lockdown measures on Pakistani population in light of previously published studies that were carried out during the same time period in other countries and continents. Conclusion: Participants in the lockdown reported spending more time in front of screens and suffering delayed sleep habits. It was found that risky behaviours were associated with increased screen screen time.. Keywords: Sleep Pattern, Digital Media, Covid-19 lockdown, Screen Time, Social Applications
Comparison of Outcome of DHS (Dynamic Hip Screw) Vs Cannulated Screws in Managing Fracture of Neck of Femur
Authors: Ullah Syed Hahib , Karim Zubair , Mahmood Mazhar , Saud Abdul Munaf , Abid Mohammad , Tahir Muhammad
Published: January 2023

Objectives: To compare the outcome of DHS (dynamic hip screw) vs cannulated screws in managing fracture of neck of femur. Study Design: Randomized controlled trial. Study Duration: 22-06-2021 to 21-12-2021 (6 months) Settings: Department of Orthopedic, D.G Khan Hospital, D.G Khan. Materials & Methods: A total of 60 patients with fresh fracture neck of femur, 18 to 60 years of age of both genders were included. The DCS group was managed by internal fixation with Dynamic hip screw and CS group was treated by internal fixation with cannulated screws. All patients were followed for 3 months for outcome. Results: Total 60 patients of fracture of femur neck was recruited. Mean age and mean duration of fracture was 44.42 ± 12.45 years and 10.67 ± 5.66 days. In DCS group, mean age and duration of fracture was 44.57 ±11.60 years and 10.23 ± 5.86 days respectively. In CS group, mean age and mean duration of fracture was 44.27 ± 13.46 years and 11.10 ± 5.51 days respectively. In DCS group, satisfactory outcome was found in 25 (83.33%) patients while in CS group, it was found in 13 (43.33%) patients. After applying chi-square test, it was noted that DCS group had significantly (P=0.003) higher proportion of satisfactory outcome as compared to CS group. Conclusion: Results of this study showed that DCS group had significantly higher proportion of satisfactory outcome as compared to CS group in cases of femur neck fractures. Most of the patients were between 41-60 years of age but difference of satisfactory outcome between DHS group and CS group was not significant. Regarding male patients, significantly higher rate of satisfactory outcome was noted in DHS group as compared to CS group. Keywords: femur neck fracture, dynamic hip screw, cancellous screw.
Comparison of Tamsulosin Versus Silodosin for Treatment of Patients with Benign Prostatic Hyperplasia
Authors: . Abdullah , Dilawar Omer , Yasmin Rifat , Kazmi Tazaeen Hina , Ali Mohammad , . Sadia
Published: January 2023

Objective: To evaluate the efficacy of drug in improving lower urinary tract symptoms for improved health care and better management of patients. Study Design: Randomized controlled trial Place and Duration of Study: Department of Urology, Department of General Medicine and Department of General Surgery, Pakistan Ordinance Factories Hospital, Wah Cantt from 1st January 2021 to 31st July 2022. Methodology: One hundred patients, age more than 45 years, moderate to severe prostate hyperplasia and prostrate size >50 gm were included. Detailes demographics were recorded after taking informed written consent. Patients were divided into two groups randomly through lottery method. In group A; patients were given tablet Tamsulosin 0.4 mg once daily and in group B; patients were given tablet Silodosin 4 mg once daily for 12 weeks. Effectiveness between both groups were compared. Results: In group A, mean age of 59.70±7.45 years. In group B; mean age of 59.74±7.69 years. In group A; pre-treatment mean IPSS score 16.74±1.78 while in group B; mean score was 16.12±2.46. Pre-treatment PVR in group A was 57.62±8.9 while in group B mean PVR was 57.96±8.71. The post-treatment IPSS score showed that group A mean IPSS score of 9.26±1.61 while group B had mean IPSS score was 6.58±1.26 and P<0001. The post-treatment PVR volume results showed that group A mean PVR volume of 29.5±3.03 while group B had mean PVR was 25.12±1.94 and P<0001. Conclusion: The silodosin is an effective therapy for LUTS in men with benign prostatic hyperplasia. Keywords: Treatment, Benign prostatic hyperplasia, Lower urinary tract symptoms
Primary Caregivers of Patients with Psychoactive Substance Use Often Suffer from Depression & Anxiety
Authors: Marri Muhammad Umar , Khan Zainullah , Mufti Ali Ahsan , Tareen Zarmina , Kamal Asif , Gul Ejaz
Published: January 2023

Objective: To determine the frequency of depression and anxiety in carers of psychoactive substance use patients. Study Design: Cross sectional study Place and Duration of Study: Department of Psychiatry, Baluchistan Institute of Psychiatry & Behavioural Sciences, Quetta from June 2020 to December 2020. Methodology: One hundred and twenty caregivers of psychoactive substance use patients were enrolled. Detailed demographics of patients and caregivers were recorded after taking informed written consent. Patients were aged between 18-70 years. Depression and anxiety were calculated in primary caregivers of patients of psychoactive substance use. A DASS-21 criterion was used to examine the depression. Data was analysed by SPSS 22.0. Results: Mean age of patients was 35.27±15.43 years. 90 (75%) patients were males while 25% were females. Among caregivers 78 (65%) were females while 42 (35%) were males with mean age 36.86±16.48 years. Among caregivers, 12.5% of the patients had mild, 37.5% showed moderate and 18.33% caregivers showed severe depression while 38 (31.67%) had no depression. Anxiety among caregivers was mild in 12 (10%), 26 (21.7%) had moderate and 15 (12.5%) caregivers had severe anxiety while 67 (55.83%) caregivers had no anxiety. Conclusion: The frequency of anxiety and depression was high in primary caregivers of patients with psychoactive substance abuse. Keywords: Anxiety, Depression, Substance use, Caregivers
Routine Histopathological Evaluation of Tonsillitis Specimens before Tonsillectomy: Analysis of Clinician Perspective and Opted Practices
Authors: Arif Nighat , Kanwal Beenish , Hassan Muhammad Haris , Naseem Sehar , Singla Poonam , Mussaddiq Asiya
Published: January 2023

Objective: To analyses the clinicians perspective on routine histopathological evaluation of tonsillitis specimens before tonsillectomy. Study Design: Cross sectional study. Place and Duration of Study: ENT Department, Islamic International Medical College, Rawalpindi from 1st July 2021 to 30th June 2022. Methodology: One hundred clinicians from both genders were enrolled and 14 questions based proforma was generated. All questions were answered in yes, no or not applicable domains. The survey was software designed and uploaded on a software post data receive. The sample size for collecting data was taken as hundred ENT clinicians were actively practicing and performing surgical procedures. Results: The mean age of the clinicians was 41.3±5.6 years. Majority of the clinicians had an experience of 10-20 years. 32% of the clinicians only sent adult samples for hisptopathoocal asseseemtn while only 5% of the peditric cases were sent for same before tonsillectomy while there were 33% such clinicians who sent it foradults as well as pediatric cases. Conclusion: There are more clinicians who sent adult tonsillitis specimens for histopathological assessment than pediatric cases individually while 33% are such clinicians who sent both adults and pediatrics samples for histopathological evaluation before tonsillectomy. Keywords: Evaluation, Tonsillectomy, Histopathological assessment
Functional Outcome of Tip Apex Distance in Predicting Implant Failure in Intertrochanteric Fracture Femur Treated with Dynamic Hip Screw
Authors: Hussain Hafiz Umair , Jamal Ahmad , Hussain Manzoor , Ishfaq Muhammad , Ahmad Muhammad Mahmood , Siddiqui Muhammad Kamran
Published: January 2023

Objective: To evaluate the importance of tip apex distance in implant failure in intertrochanteric fracture femur treated with Dynamic hip screw, so that optimum tip apex distance should maintain to decrease the implant failure in intertrochanteric fracture femur treated with DHS. Study Design: It was a descriptive cross sectional study. Study Setting and Duration: Patients were selected from orthopedic unit of Nishtar Hospital, Multan, from July 2020 to June 2021. Methodology: All patients meeting the inclusion criteria who presented with a femur fracture were included in the analysis. SPSS version 24.0 was used to analyse the data. Quantitative data analysis was done using means and standard deviations like age and tip apex distance. Categorical variables like gender, functional outcome and implant failure was calculated and presented as frequency and percentage. Results: A total of 81 patients with mean age of male patients were 38.51 and SD was 11.79, similarly in female patients mean age was 41.87 and SD 11.60. Mean tip apex distance in male was 16.08 and SD 8.49, in female mean tip apex distance was 15.40 and SD 9.368. Tip Apex distance was ≤ 25 cm in 61 (75.3%) patients and >25 cm in 12 (24.7%) patients. As concern to the outcome variable (implant failure) 12 (14.8%) patients were having implant failure and 69 (85.2%) patients were having successful outcomes. Practical implication: The use of Dynamic Hip Screw in Intertrochanteric Fracture Femur treated would show improved clinical results and fewer hardware failures Conclusion: Tip Apex distance is a valuable measurement in dynamic hip screw fixation of Intertrochanteric fracture femur. Keywords: Fracture, Femur, Tip Apex Distance, Dynamic Hip Screw, Implant Failure, Orthopedic
Relationship of Neutrophil to Lymphocytis Ratio with Success of Thrombolysis in Patients of STEMI
Authors: Kamal Asma , Siddique Shazia , Muneer Khadija , Kamal Asifa , Khosa Mahrukh Mansoor , Ilyas Aneeqa
Published: January 2023

Objectives: To determine the frequency of success of thrombolysis using SK in patients of STEMI, To investigate the association of success of thrombolysis with NLR in patients of STEMI. Methodology: A descriptive cross sectional study was carried out at Coronary Care Unit (CCU) of Services Hospital, Lahore. The sample size of 130 patients were enrolled by non-probability consecutive sampling. In this study all male and female patients from 25 to 100 years of age with STEMI who were given SK were included from CCU of Services Hospital, Lahore using non probability consecutive sampling. NLR was calculated. Success of thrombolytic therapy was determined by relief of chest pain & resolution of ≥ 50% ST-elevations (STE) in ECG taken 90 minutes after completion of SK. Results: In this study, there were total 130 cases and out of these 72 (55.38%) were males and 58 (44.62%) were females. High NLR was seen in 43 (33.08%) of the cases. Successful thrombolysis was observed in 99 (76.15%) of the cases. Successful thrombolysis was observed in 29 (67.44%) cases with high NLR and 70 (80.46%) cases with low. There was no significant association of NLR, BMI, smoking, DM and HTN with successful thrombolysis. Practical Implication of this Study: is that in our resource limited country NLR is one of cheapest test to access severity and prognosis so patients with high NLR can be reffered early for intervention even if responded successfully to thrombolysis as complications of STEMI are frequent in high NLR patients as compared to lower NLR. Conclusion: Successful thrombolysis was seen in almost 3/4 cases in acute STEMI. Although a cheaper and readily available prognostic tool, no statistically significant association was found in terms of the admission NLR and the success of thrombolysis. Moreover, there was no significant association in terms of any of the confounders of the study. Keywords: Thrombolysis, Streptokinase (SK), Neutrophil to Lymphocytis Ratio (NLR), ST Segment Elevation MI (STEMI)
Characterization of biochar enriched with compost tea, its effects and after-effects in continuous cultivation of maize (Zea mays L.) on a ferralsol of Lubuya Bera, Tshopo Province, R.D.Congo
Authors: Adrien MOANGO MANGA  , Jeannette Kolongo Etiabilea  , Marie Claire Yandju Dembo  , Mavinga Blaise Mbala  , Léon Kasaka Dingbo  , Achille Monzongo Linzembe  , Hubert Katapulu Kunda
Published: January 2023

The cultivation of maize, the second crop after cassava in terms of consumption in the Kisangani region, is faced with edaphic constraints aggravated by itinerant slash and burn agriculture. Our study proposes the use of biochar enriched with compost tea to remove these constraints. The chemical characteristics of biochar are: 2.48 to 4.68 c. moL.g-1 for the acid functions; 0.64 to 1.03 c. moL.g-1 for basic functions; 8 for the pH at the point of zero load; 64 to 103% for retention capacity; 875.3 mg.g-1 for the iodine index. From a microbiological point of view, out of around thirty isolates, the majority of Gram-negative bacilli corresponding to the genera Nitrosomonas, Azotobacter and Nitrobacter were identified. The experimental site was arranged according to the Device in complete random blocks with 4 blocks and 4 plots of dimensions 6 m x 4.5 m each corresponding to the following 4 treatments: T0 (witness); T1 (Biochar over 2 mm in diameter); T2 (Biochar 2 mm in diameter); T3 (Biochar 2 mm in diameter and enriched with compost tea). The average yields obtained increase during 8 cropping seasons under all the treatments and vary from 2.38 t.ha-1 under T0 to 7.39 t.ha-1 under T3. They are relatively higher in the dry season than in the rainy season with an average increase of around 18% and a marginal rate of return for grain maize of 4.4 under T3. Compost tea-enriched biochar, due to its resilience, with substantial aftereffects is an important input for climate-smart agriculture.
Acute Consumption of New Zealand Blackcurrant Extract Has No Effect on Cycling Performance in Normobaric Hypoxia with Trained Cyclists
Authors: Ross Matthew , Wilson Megan , Reed Katherine , Waterworth Sally , McManus Chris
Published: January 2023

Introduction: New Zealand Blackcurrant Extract (NZBC) is a popular ergogenic aid used to improve endurance performance. The aim of this research was to determine the effects of a single bolus of NZBC on 10-km time trial (TT) cycling performance in normobaric hypoxia.
Methods: A double-blind, crossover design study was conducted with trained cyclists. The effects of acute NZBC (900 mg) were compared with a placebo in normobaric hypoxia (NH) (FiO2 = 15.5%). Testing comprised of three laboratory-based visits for (1) familiarisation (and screening of TT performance before entry into study), (2) placebo and (3) NZBC, whereby a 10-km cycling TT was completed one hour after consumption. After completion of the TT blood lactate was assessed at four time-points in the 10 minutes following. Throughout the TT, power output (PO), rating of perceived exertion (RPE) and heart rate (HR) were recorded.
Results: NZBC had no effect on TT cycling performance in NH compared to a placebo (1078.4 s [1009.4, 1147.4] and 1071.0 s [1006.4, 1137.5] respectively, p=0.31; d=-0.31). Additionally, no difference was observed for mean power output (p=0.20; d=0.39), HR (p=0.76; d=0.09) or at 1-km intervals for performance time (p=0.80), PO (p=0.77) or RPE (p=0.41). Post exercise blood lactate recovery did not differ between placebo and NZBC (p=0.42).
Conclusion: Acute intake of NZBC has no effect on cycling performance or blood lactate recovery in simulated altitude.
Studied the Impact of the Foundation on the Underground Cavity Using the Finite Element Method
Authors: TALEB Hosni Abderrahmane , GUEMIDI Ismahene
Published: January 2023

The world is widely exposed to risks related to the presence of underground cavities, whether natural or linked to human activities. These cavities represent a potential risk of collapse and thus of danger, particularly in urban areas. This article aims to explore through numerical modeling the effect of the mechanical characteristics of the soil on the instability of the underground cavity. Subsequently, a parametric study was conducted to study the influence of certain factors, including the relative distance between the foundation and the cavity and the influence of the size of the cavity on the ground. The studies will be carried out after a calculation by the finite element method.
Twitter Veri Kümesi ile Depresyon için Duyarlılık Analizi Özellik Çıkarma
Authors: ÖZTÜRK Kübra
Published: January 2023

Depresyon son yıllarda özellikle de sosyal medyanın yaygınlaşması ile gittikçe artan ve bir çok insanın iş, ev, sosyal yaşamını etkileyen mental bir sağlık problemidir. Erken tespitinin önemini Dünya Sağlık Örgütü tarafından sunulan istatistikler göstermektedir. Depresyonun küresel olarak birincil endişe nedeni olduğunu ve tespit edilmediği takdirde vakaların çoğunda intihara yol açtığı gözlemlenmiştir. Günümüzde sosyal medya kullanımı ile insanların fikirlerini metin, ifadeler, fotoğraflar veya videolar aracılığıyla ifade etmeleri ve böylece duygularında ve ruh hallerindeki değişimleri yansıtmaları ve tespit edilmesi için harika bir araç olmuştur. Bu çalışmanın amacı, kullanıcıların Twitter'daki kişiliğini ve gönderilerini incelemek ve çevrimiçi kullanıcıların depresif belirtilerini gösterebilecek nitelikleri belirlemektir. Bunun için anksiyete ve depresyon hastalarının yazımlarında en çok kullandıkları kelimeler tespit edilmiş ve bu kelimeler üzerinden analiz aşaması tamamlanmıştır.
Reflexiones sobre la crisis sanitaria por COVID-19 experimentada
Authors: Remuzgo Artezano Anika
Published: January 2023

La pandemia de COVID‐19 y la crisis sanitaria derivada de ella, ha generado una serie de desafíos para la salud pública y deja además una serie de temas que se deben reflexionar para así construir un sistema de salud con una verdadera capacidad resolutiva que contribuya al bienestar de la población. Los profesionales enfermeros, son la fuerza laboral medular de los servicios de salud, su formación teórica practica dentro del marco de la ciencia del cuidado permite que a pesar de las adversidades presentadas, respondan al llamado para ponerse en primera línea al servicio de la población, durante esta pandemia.
Engagement en personal de salud de un policlínico privado de Lima Norte
Authors: Matta Solis Silvia Cristina
Published: January 2023

Objetivos: Determinar el engagement en personal de salud de un policlínico privado de Lima Norte.

Materiales y métodos: El presente trabajo de investigación fue desarrollado desde un enfoque cuantitativo y su diseño metodológico fue descriptivo/transversal. La población estuvo conformada por 57 personas que forman parte del personal de salud. La técnica de recolección de datos fue la encuesta y el instrumento de medición fue la escala Ultrech Work Engagement Scale-17, que presenta 17 ítems y 3 dimensiones. 

Resultados: En cuanto al engagement, predomino el nivel alto con 52,6% (n=30), seguido del nivel medio con 35,1% (n=20) y nivel muy alto con 12,3% (n=7). De acuerdo a sus dimensiones, en vigor, predomino el nivel alto con 50,9% (n=29), seguido del medio con 42,1% (n=24) y muy alto con 7% (n=4); en dedicación, predomino el nivel muy alto con 49,1% (n=28), seguido del alto con 38,6% (n=22) y medio con 12,3% (n=7) y en absorción, predomino el nivel medio con 50,9% (n=29), seguido del alto con 40,4% (n=23) y muy alto con 8,8% (n=5).

Conclusiones: En cuanto al engagement, predomino el nivel alto, seguido del medio y muy alto. De acuerdo a sus dimensiones, en vigor, predomino el nivel alto, seguido del medio y muy alto, en dedicación, predomino el nivel muy alto, seguido del alto y medio y absorción, predomino el nivel medio, seguido del alto y muy alto.
Empatía en internos de un programa de enfermería en Lima, 2022
Authors: Matta Solis Diana Karim
Published: January 2023

Objetivos: Determinar la empatía en internos de un programa de enfermería en Lima, 2022

Materiales y métodos: El presente trabajo de investigación fue desarrollado desde un enfoque cuantitativo y su diseño metodológico fue descriptivo y transversal. La población estuvo conformada por 68 internos de enfermería de los semestres 9 y 10. La técnica de recolección de datos fue la encuesta y el instrumento de medición fue la escala de empatía Jefferson, que presenta 20 ítems y 3 dimensiones. 

Resultados: En cuanto la empatía, predomino el nivel medio con 60,3% (n=41), seguido del nivel alto con 29,4% (n=20) y nivel bajo con 10,3% (n=7). De acuerdo a sus dimensiones, en toma de perspectiva, predomino el nivel alto con 61,8% (n=42), seguido del medio con 27,9% (n=19) y bajo con 10,3% (n=7); en cuidado con compasión, predomino el nivel medio con 51,5% (n=35), seguido del alto con 32,4% (n=22) y bajo con 16,2% (n=11) y en capacidad para ponerse en el lugar del paciente, predomino el nivel medio con 47,1% (n=32), seguido del alto con 32,4% (n=22) y bajo con 20,6% (n=14).

Conclusiones: En cuanto a la empatía, predomino el nivel medio, seguido del alto y bajo. De acuerdo a sus dimensiones, en toma de perspectiva, predomino el nivel alto, seguido del medio y bajo, en cuidado con compasión, predomino el nivel medio, seguido del alto y bajo y en capacidad para ponerse en el lugar del paciente, predomino el nivel medio, seguido del alto y bajo.
Validez y confiabilidad de un instrumento para evaluar el cumplimiento de las funciones de la atención primaria en contexto peruano
Authors: Tafur Contreras Stephany , Reyes Barros Jefferson Alexandro , Ayala Mendívil Ronald Espíritu
Published: January 2023

Objetivo: Medir la validez y confiabilidad de un instrumento para evaluar las funciones de la APS desde la perspectiva de los usuarios. Materiales y métodos: Se realizó prueba piloto con 110 usuarios adultos de dos Centros de Salud Mental Comunitario de Lima; la validez se evaluó la a través del Coeficiente V. de Aiken y el Análisis Factorial Confirmatorio, índices de ajuste CFI y SRMR; la confiabilidad se evaluó a través del Alfa de Cronbach. Resultados: Se obtuvo un V. de Aiken de 0,96, con cargas factoriales >0,300 (CFI=0,842 y SRMR=0,0809); un Alfa de Cronbach de 0,85 para el instrumento. Conclusiones: Pudiéndose hacer algunos ajustes mínimos en los ítems de las funciones secundarias, el instrumento cuenta con aceptable validez y una excelente confiabilidad.
Halofitik Tohumlarda Adaptasyonlar
Authors: DURMAZ Alper , KORKMAZ Hasan , BOYRAZ Mehtap
Published: January 2023

Halofit bitkiler tuzlu habitatlarda devamlılıklarını sağlamak için, diğer organlarında geliştirdikleri adaptasyon mekanizmalarının yanında, generatif çoğalmadaki temel organlarından tohumlarında da birçok anatomik, morfolojik, fizyolojik vs. nitelikte mekanizmalar geliştirmişlerdir. Çünkü vejetatif yapılarında geliştirdikleri adaptif mekanizmaların hiçbiri, tohumun çimlenme döneminde fonksiyonel olamayacağı için halofitler, özellikle tuzlu habitatlarda başarılı çimlenmelerini sağlayacak, adaptif stratejiler geliştirmek zorundadırlar. Temel olarak, embriyonun canlılığının korunması ve başarılı bir dormansi/çimlenme düzenlemesinin sağlanmasına yönelik tüm adaptif mekanizmalar, tohumlardaki heterojeniteden kaynaklanmaktadır. Halofitler bu sayede, tuzlu habitat şartlarındaki öngörülemeyen değişikliklere rağmen başarılı çimlenmelerini gerçekleştirerek, hayatta kalmalarını sağlayan adaptif stratejiler geliştirmişlerdir. Biz bu derlemede halofit türlerin tohumlarında oluşan anatomik, morfolojik, fizyolojik vs. nitelikteki adaptasyonları, farklı türlerden örnekler vererek açıklamaya çalıştık.
Peran Pemimpin Gereja dalam Mempersiapkan Jemaat menuju Gerenasi Emas 2045
Authors: Ginting Kaleb , Dora Lut
Published: January 2023

Abstract: The role of leaders in the church or Christian leaders is a very important thing to prepare the congregation for the golden generation because the church must also participate in realizing what the government declared golden Indonesia in 2045. The author describes in this paper that a Christian leader plays a role in preparing the congregation for the golden generation where church leaders must have good characters if they want to be effective leaders. A leader must have the foresight to achieve the same goal.  The method used in this writing was the literature study method.    By collecting data and with thematic approach, it was used to understand the role of leadership especially the Christian leadership from various sources consisted of books, scientific journal articles.   The result was leaders gave an impact on the people they lead. Leaders who are able to set an example in character and have a vision can be the answer in preparing the congregation for the golden generation of 2045.Abstrak: Peran pemimpin dalam gereja atau pemimpin Kristen merupakan satu hal yang sangat penting untuk mempersiapkan jemaat menuju generasi emas, karena gereja juga harus ikut serta dalam mewujudkan yang dicanangkan pemerintah di tahun 2045 Indonesia emas. Penulis mendeskripsikan dalam tulisan ini bahwa seorang pemimpin Kristen berperan untuk mempersiapkan jemaat menuju generasi emas di mana pemimpin gereja harus memiliki karakter yang baik apabila ia ingin menjadi pemimpin yang efektif. Seorang pemimpin harus memiliki pandangan ke depan untuk dapat dibawa pada tujuan yang sama. Adapun metode yang digunakan dalam penulisan ini adalah dengan menggunakan metode studi literatur atau metode studi pustaka. Dengan mengumpulkan data dan dengan pendekatan tematis digunakan untuk memahami peran kepemimpinan terutama pemimpin Kristen dari berbagai sumber mengenai sumber buku, jurnal artikel ilmiah. Hasilnya pemimpin memberi dampak terhadap orang-orang yang dipimpin. Pemimpin yang mampu memberi keteladanan dalam karakter dan punya visi dapat menjadi jawaban dalam mempersiapkan jemaat menuju generasi emas 2045.
Climax and Henderson Porphyry Molybdenum Deposits and the Leadville District, Colorado
Authors: Stegen R.J. , Thompson T.B.
Published: January 2023

This guidebook provides copies of the key previously published papers of Climax, Henderson and Leadville districts. This is a departure from the traditional SEG. Guidebook format in that it does not contain new papers of the deposits. The Climax and Henderson porphyry Mo and Leadville district carbonate-hosted manto deposits are within the Colorado Mineral Belt, a mineralized belt that contains the mostproductive porphyry molybdenum and some of the largest base- and precious-metal manto deposits in the world. Since the discovery of molybdenum-bearing stockwork veinlets at Climax in 1879, the Urad orebody in 1914, and Henderson in 1964, collectively these mines have produced over 2.9 billion pounds of Mo. In late 2009, Henderson produced its billionth pound of molybdenum and in 2012 Climax commissioned a new concentrator and is now producing ore from an open pit. Significant published reserves remain and for both Climax and Henderson that total 1 billion pounds of molybdenum metal. The Leadville district is noted for its long history of production having produced 3.1 million ounces of gold, 260 million ounces of silver and significant base metals since its discovery in 1860, research on carbonate-hosted Ag-Zn-Pb-(Au) deposits, and the founding of the Guggenheim mining fortune, including the formation of ASARCO, Inc.
Porphyry Systems of Central and Southern BC: Tour of Central BC Porphyry Deposits from Prince George to Princeton
Authors: Logan James M. , Schroeter Tom G.
Published: January 2023

This six-day trip presents the geological setting and structural history of the central Intermontane belt, a composite of Late Triassic to Early Jurassic volcanic and plutonic arc rocks and porphyry-related mineral deposits that developed on the fringes of ancestral North America before terrane accretion in late Early Jurassic. The trip comprises transects of southern Stikine, Cache Creek, and Quesnel terranes, with visits to six operating mines: Endako (Thompson Creek Metals Company Inc.), Gibraltar (Taseko Mines Limited), Mount Polley (Imperial Metals Corporation), Highland Valley (Teck Resources Limited), New Afton (New Gold Incorporated), and Copper Mountain (Copper Mountain Mining Corporation).
Major Copper-Molybdenum Porphyry Systems, Southwestern USA
Authors: Chávez William X. , Petersen Erich U.
Published: January 2023

This SEG Foundation-sponsored student field trip visits fivemajor Cu-Mo porphyry deposits and two advanced exploration projects. A mill complex visit is also included. Examination of open pit exposures, drill cores from mines and exploration prospects, and outcrops will focus on recognizing the characteristics of porphyry and skarn mineral assemblages, including study of the distribution and zoning of ore-forming minerals, variations in alteration assemblages, multiple intrusion/mineralization events, hydrothermal processes and their geochemical signatures. Additionally, the Mission orebody and the Rosemont copper deposit are superb examples of Laramide orebodies that have been tilted and dismembered by major post-mineralization tectonic events characterized by low-angle faulting. Recognition of post-mineralization structural features is an important key in exploration for these types of deposits.
Carlin-type Gold Deposits of Northern Nevada, USA
Authors: Cline Jean , Muntean John , Putnam Borden , Lipson Rael , Taylor Ryan
Published: January 2023

Northern Nevada is so intensely mineralized that it offers the opportunity to visit mining districts where multiple commodity types have been explored for and mined over the past 150 years. The region is host to a plethora of deposit types, from synsedimentary stratiform bedded barite (exhalative) to sedimentary, igneous related porphyry copper and molybdenum, skarns, and all manner of epigenetic occurrences (veins, mantos, etc.). The material for this week-long field trip covers a number of gold deposits located in and around historic mining districts throughout northern Nevada. The guidebook includes a detailed itinerary and route map.
Precious Metal Epithermal and Porphyry Deposits of the Maricunga Belt, and Copper-Silver IOCG Deposits of Northern Chile
Authors: Chavez William X. , Petersen Erich
Published: January 2023

Over the course of a week, participants of this student field trip visited several epithermal and porphyry precious metal deposits in the Maricunga belt and copper-silver IOCG and manto deposits in northern Chile, with visits to active open-pit and underground operations, including Punta del Cobre, Atacama Kozan, Las Luces, El Guanaco, and Marimaca, as well as drill core reviews of exploration projects at Caspiche, Cerro Casale, and Salares Norte. The geology and mineralization of these deposits was studied in the context of regional and local geological settings, focusing on their similarities and differences, ore resources, deposit models, and exploration methods; the strong structural control on most of the deposits was highlighted. The guidebook includes detailed course itinerary and route map.
Tectonomagmatic Pulses and Multiphase Mineralization in the Sierra Madre Occidental, Mexico
Authors: Ferrari Luca , Levresse Gilles , Aranda-Gómez José Jorge , Henry Christopher D. , Valencia-Moreno Martín , Landín Lucas Ochoa
Published: January 2023

The material covered over this six-day field trip explores the regional stratigraphy, tectonic setting, and mineral deposits of the central Sierra Madre Occidental and western part of the Mesa Central in Mexico. The course builds on similar field trips held in 1997, 2003, and 2014, adding updates of the geology based on new studies and opening of new roads in this rugged and poorly accessible region. A completely new section presents a detailed overview of the geology of the classic San Dimas mining district and the Sabinas and La Colorada mines. A road trip log with descriptions of each stop is included.
УПРАВЛІННЯ КОНКУРЕНТОСПРОМОЖНІСТЮ ІТ-ПІДПРИЄМСТВ В УМОВАХ КРИЗИ
Authors: ХУДОЛЕЙ Вероніка , КИРИЧЕНКО Сергій , ТУЛЬЧИНСЬКА Світлана
Published: January 2023

У статті було розглянуто питання управління конкурентоспроможністю ІТ-підприємств в умовах кризи. На сьогоднішній день в Україні та світі дослідженню підвищення конкурентоспроможності приділяють велику увагу, тому що світова економіка зазнає посиленню конкуренції. Перемогу в конкурентній ситуації здобувають ті підприємства, які ефективно організовують свій бізнес. Приклади таких підприємств саме показано в дослідженні. Розглянуто основні тенденції розвитку ІТ-сфери в Україні та порівняно з світовими показниками. Показано вплив ІТ-підприємств на забезпечення економічного зростання країн, бо саме в сучасних умовах воно полягається на конкурентоспроможність, іноваційність та продуктивність. Обґрунтовано динамічний розвиток ІТ-сфери за останні роки та в моменти кризи та показано показники його внеску у ВВП країни. Проаналізовано кількість та важливість ІТ-спеціалістів в конкурентоспроможності ІТ-підприємств, які на сьогодні переходять до зарубіжних компаній за високою оплатою праці, яку не можуть надати українські підприємства. Досліджено основні проблеми, які затримують розвиток ІТ-підприємств. Проведено аналіз сильних та слабких сторін, можливостей та загроз ІТ-сфери в Україні. Та на основі проведеного дослідження запропоновано подальшу роботу для підвищення конкурентних сил в ІТ-сфері.
РИНОК ЗЕМЛІ, ЯК ЕЛЕМЕНТ ЄВРОІНТЕГРАЦІЙНИХ ПРОЦЕСІВ В УКРАЇНІ
Authors: ТУЛЬЧИНСЬКА Світлана , ПОГРЕБНЯК Анна , МАЛАХОВА Юлія
Published: January 2023

В роботі проаналізовано попередні роботи науковців з теми євроінтеграційних процесів в Україні та регулювання ринку землі, визначено недоопрацьовані аспекти теми. Автором визначено основні напрямки та підходи до процесу євроінтеграції в Україні, зокрема, одним з найважливіших аспектів євроінтеграції для України і її агропромислового комплексу визначено відкриття ринку землі. Висвітлено принципи регулювання земельних питань в Україні з часів отримання незалежності та основні принципи Закону про обіг сільськогосподарських земель, які є визначаючими для агробізнесу в країні з 2021 року. Проаналізовано практичну реалізацію Закону в дії, «на місцях», прописано проблемні аспекти інтегрування нового законодавства, серед яких згадано цінове регулювання ринку, недопрацьоване право сервітуту, фактичне продовження мораторію, заборона на придбання землі юридичними особами тощо. Сформульовано власне бачення щодо проблем регулювання ринку землі в Україні.