bluuebunny/crossref_metadata_2025 huggingface dataset:
Study to Determine the Incidence of Allergic Fungal Sinusitis among Patients with Nasal Polyps and Its Related Risk Factors
Authors: Zada Bakht , Ahmed Ejaz , Habib Muhammad , Iqbal Zafar , Saleem Rehan , Rasheed Muhammad Tayyab
Published: September 2021

Aim: To govern the incidence of allergic fungal sinusitis in patients with nasal polyposis. Various anatomical risk factors were also investigated, including turbinate hypertrophy, deviated nasal septum and comorbidities such as asthma and diabetes. Study Design: This is a Descriptive cross-sectional study. Place and duration of study:The study was conducted at ENT Head &Neck Surgery department, Lady Reading Hospital MTI, Peshawar and Azra Nahid Medical College, Lahore for the duration of six months from May 2020 to October 2020. Methods: 110 patients with nasal polyps were evaluated and operated on. Samples were sent for histopathological examination and culture. All patients were assessed with clinical examination and detailed history. Laboratory tests were performed including complete blood counts, urea, electrolytes, ECG and chest radiographs for the suitability of general anesthesia as a prerequisite for surgery. In 95% of cases, computed tomography was recommended to check for sinus involvement, bone erosion, osteo-hypertrophic complex, turbinate hypertrophy, nasal septal deviation, and intracranial and intra-orbital enlargement. MRI examinations were also recommended in cases of suspected intraocular and intracranial disease (5%). Data was scrutinized on a computer using SPSS version 22.0. Results:Of the 110 patients, 65 were male and 45 were female, with a mean age of 1and ranged from 7 to 80 years. All patients had nasal polyps. The incidence of AFS was approximately 29.1% and the remaining 78 had a different pathology. Major deviation of the nasal septum and bilateral hypertrophy of the inferior turbinate’s were observed in 6 (18.7%) and 4 (12.5%) patients, respectively. Unilateral nasal polyps were observed in 7 (21.9%) patients and bilateral nasal polyps in 18 (52.3%). 19/32 (59.4%) of the cases underwent functional endoscopic surgery of the paranasal sinuses, and in 6 (18.7%) external fronto-ethmoidectomy. Two patients underwent nasal ethmoidectomy. Septoplasty and endoscopic sinus surgery were performed in a total of 3 (9.37%) cases. Key words:Allergic bronchopulmonary aspergillosis (ABPA), Allergic fungal sinusitis (AFS).
Determine the Impact of Prone Positioning in Covid-19 Patients
Authors: Imran Muhammad , Rashed Khalifa Rahat , Ali Amjad , Anjum Jahangir , Fuaad Muazzam , Safdar Talal
Published: September 2021

Objective:To determine the effectiveness of prone positioning in patients of covid-19 deisease presented with respiratory failure. Study Design: Retrospective/Observational study Place and Duration: Medicine department of BKMC/MMC, Mardan and Mohiuddin Teaching Hospital, Mirpur AJK for six months during the period from August 2020 to January 2021. Methods: Total 100 patients of respiratory failure admitted to ICU were included in this study. Patients detailed demographics age,sex and body mass index were recorded after taking informed written consent. Patients were aged between 25-80years.Patients were divided in to two groups I and II. Group A had 50 COVID-19 patients underwent prone position and group Bwith50 patients taken as control. Chest X-ray of both groups were taken. Patients of group A were kept in prone position whilegroup B received invasive ventilation and follow up was taken in duration of 15-days. Reduction of intubation rate, mortality, hospital stay and complications were identified among both groups. Complete data was analyzed by SPSS 22.0 version. Results:Majority of the patients was males 76% and the rest were females 24%. Mean age of the patients in prone positioning group was 52.42±13.18 years with mean BMI 26.14±7.13 kg/m2 and in control group A itwas 50.44±14.65 years with mean BMI 26.41±7.13 kg/m2. 55% patients had moderate and 45% had severe covid-19 disease. Mean duration of prone position was 5.14±6.31 hours. Most of the patients 81% had bilateral lung involvementinterstitial infiltrates. Fever, cough and dyspnea were the most common symptom found in both groups. Mean PF ratio was increases in prone group as compared to controlled group. Mean hospital stay in group A was 12.9±4.76 days and in group B mean hospital stay was 17.32±10.24 days. Mortality in group A was 3 (3%) and in group Bmortality was found in 7 (7%). No any severe complications were observed among both groups. Conclusion:We concludedin this study that the use of prone position among patients of COVID-19 was effective and safe method to reduce intubation, mortality and hospital stay. There was no any complication were found after this treatment. Keywords: Prone Position, Covid-19, Respiratory Failure, Mortality
Common Pathogen and their Drug Sensitivity Pattern in Urinary Tract Infection at Chandka Medical College Hospital Larkana
Authors: Abro Hakim Ali , Ali Sheeraz , Chandio Sultan Ahmed , Muqtadir Jamil , Chutto Mumtaz Ali , Lal Chandur
Published: September 2021

Objective: To study the pattern of existing common pathogen of Urinary Tract Infection and their drug sensitivity pattern. Methods: It was a cross sectional study held in Medical Unit-I, CMC Teaching Hospital, Shaheed Mohtarma Benazir Bhutto Medical University(SMBBMU), Larkana with collaboration of Pathology Laboratory CMC Larkana, Aga Khan University Hospital Lab, Rahila Research Lab and Chughtai Lab. All the participants meeting inclusion criteria were enrolled. The reports of Urine culture were collected from above mentioned laboratories which include bio data, causative organism, their count and drug sensitivity pattern. The results were copied on proforma by researcher himself. SPSS version 25 was applied for data analysis. Results: Total 302 participants were registered in the study. Out of them 75.8% of them were female and 24.2% were male. Mean age of the patients was 40 ± 9 years. E-coli was found in 52.3%, Enterococcus in 13.2% and Klebsiella pneumonia in 9.6% cases. Meropenem was found sensitive in 92.4%, while cefoperazone sulbactam, Amikacin and Fosfomycin were found to be sensitive in 86.6%, 85%, 76.2% respectively. Ampicillin and Vancomycin was used in 50 cases for Enterococci. Ampicillin was found sensitive in 70% of cases where as vancomycin was found sensitive in 100% of cases with no vancomycin resistant Enterococci. For Enterobacteria Moxifloxacin was found resistant in 84.4% of cases, Ampicillin in 83.5%, Nalidix acid in 78% cases. While Ceftazidime and Amoxiclav was found resistant in 71.1% and 54.1% respectively. Conclusion: E-coli, Enterococcus and klabsella were the most pathogens found in this study. The drug sensitivity pattern showed that Meropenem, Cefoperazone Sulbactam, Amikacin, Fosfomycin and Vancomycin were found commonly sensitive while Moxifloxacin, Ampicillin, Ceftazidime and Amoxiclav was found resistant. Keywords: Urinary Tract Infection, Culture and Sensitivity, Meropenem, Vancomycin, Cefoperazone Sulbactam CMC @ SMBBMU, Larkana.
Relationship of C-Reactive Proteins and Erythrocyte Sedimentation Rate with Active Disease in Patients with Juvenile Rheumatoid Arthritis
Authors: Farrukh Riffat , Masood Shaheed , Naseer Amber , Rizvi Qamar , Sultana Sarwat , Sharfi Masroor H.
Published: September 2021

Objective: To determine the relationship between serum C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) with active disease in patients with juvenile rheumatoid arthritis (JRA). Methods: This is a cross-sectional analytical study conducted at the Department of Paediatrics, Abbasi Shaheed Hospital, Karachi for one-year duration from April 2020 to April 2021. All patients who met the MJA’s American College of Rheumatology (ACR) criteria were enrolled in the study. The ACR 20 improvement criteria were used to define the pardon of the disease, and those who met the ACR20 recovery criteria were included in the remission group. Laboratory tests such as PCR and ESR. Statistical analysis was performed using SAS software (version 10.3). Results: The study involved 90 patients, including 28 in the remission group (31.2%) and 62(68.88%) in the active disease group. There were 61.11% (n = 55) of females, and the ratio of males to females was 3: 4. The mean age of the subjects was 10.12 ± 3.39 years (4–17 years). Distribution of the age of admission by different subgroups, 13 patients (14.44%) aged 1-5 years, 31 patients (34.44%) aged 5-10 years, 40 patients (44.44%) aged 10-15 years and 6 patients (6.66%) were over 15 years old. The mean duration of the disease was 2.40 + 2.11 years (range = 0.3–7 years). The onset of the disease in 21 patients (23.33%) lasting one year (22.9%) from the onset of the disease, 48 patients (53.33%) presented one to five years from the onset of the disease, and 21 patients (23.33%) over five years. The most common type of arthritis was polyarthritis in 43 patients (47.77%), followed by oligo-arthritis in 31 patients (34.44%) and systemic onset in 12 patients (13.33%). The mean ESR was 41.03 + 27.80 mm / hour 1. (Range = 07-128 mm / hour 1) And mean CRP 16.1 + 13.80 mg / L (range = 6-47 mg / L). While the ESR was> 30 mm / 1 hour in 50 of the 90 patients (55.55%), 43 of these 50 patients (86%) were in the active disease group. Similarly, positive CRP was found in 58 patients (64.44%), of whom 52 (89.7%) belonged to the group with active disease. Compared with the remission and active disease groups, 33 patients of active diseases were female. In the active disease group, the mean age was 11.01 + 3.30 years, and the duration of the disease began at one year in patients. Polyarthritis was detected in 26/62 (41.9%) of patients in the active disease group. Conclusion: High CRP and ESR parameters are good for predicting active disease in JRA patients. Keywords: C-reactive protein, Juvenile rheumatoid arthritis, JRA and Erythrocyte mentation rate.
Sensitivity of Plasma Micrornas as a Probable Non-Small Cell Lung Cancer Biomarker and Its Significance
Authors: Ali Qazi Talal , Iqbal Muhammad Javaid , Masood Ayesha , Hussain Aamir , Usman Muhammad
Published: September 2021

Non-small cell lung cancer (NSCLC) is the chief origin of death due to cancer. The development of a less invasive diagnostic technique for NSCLC, especially at the beginning, can improve outcomes. By means of microarray platforms, we formerly diagnosed 12 microRNAs (miRNAs) abnormally expressed in primary cancer cells associated with early NSCLC. Objective: In this study, we will extend previous studies to determine if miRNAs may be beneficial as a NSCLC potential plasma biomarker. Methods: We primarily confirmed miRNA expression from PCR of 32 stage one NSCLC patients with lung tumor and plasma specimens were assessed, then assessed the investigative value of plasma miRNAs in 61 patients of NSCLC and 30 normal subjects. It was confirmed that the alteration of MiRNA expression influences the regeneration of neoplastic tumors. MiRNAs were steady and reliable in plasma measurements. The cohort consisted of 21 men and 11 women. Their age ranges from 47 to 80 years. AC tumors were classified in 17 and SCC in 15 patients. Smoking packets use in these patients were 39 ± 28. In addition, IV blood were taken from healthy subjects with matched data distribution to studied group as age, race, sex and smoking, and aided as a control to evaluate fluctuations in plasma in cancer patients. Results: Five out of 12 miRNAs showed a significant change of level in plasma and the corresponding tumor tissue (all r40850, all P< 0.05). Four genes (miRNA-126, 21, 486-5 and 210p) set the best logistic regression pattern, with 87% sensitivity and 97% of specificity of at the time of NSCLC in differentiating from healthy patients. Moreover, the miRNA genes generated a sensitivity of 79.41% and 92.59% of specificity in patients diagnosed with SCC and AC. Moreover, genes have specificity of 96.67% in the analysis of lung adenocarcinoma and squamous cell carcinoma. (P less than 0.05). A change in square miRNA expression may offer potential NSCLC blood-derived biomarker. Conclusion: Finally, we show that miRNA expression identified from surgical tumor tissue can be easily and correctly determined in plasma. Though, prominently, a plasma miRNA recognition panel would be cast-off as a less invasive analytic method for NSCLC, including long-term adenocarcinoma. However, the presence of an independent potential biomarker requires further verification. Keywords: Lung cancer; Diagnosis; Plasma; Microrna; Qrt-PCR
Rise of Lower GI Complaints in Young Population: 5 Year Detailed Analysis of Colonoscopic Findings Using ASGE Guidelines in Public Center Hospital of Pakistan
Authors: Riaz Ramish , Ahmed Tanveer , Abbas Shah Rukh , Yousuf Imran
Published: September 2021

Introduction: Colonoscopy gives detail account of lower gastro intestinal tract pathologies. As the procedure is invasive, operator dependent and associated with few complications, clear indication has to be established.Current study was conducted to evaluate detailed account of clinicopathological findings on colonoscopy that will give idea about the prevalent lower gastrointestinal tract disorders, common complaints, correlation between findings and symptoms, age and gender wise distribution of these pathologies among our population. The study will serve as baseline to construct nationwide guidelines for the procedure. Materials & Methods: This retrospective study was carried out at Gastroenterology Department, Pakistan Institute of Medical Sciences from January 2014 to June 2019. All the patients fulfilling the ASGE criterion or having complaints of lower GI tract for more than 2 months underwent colonoscopy. Patients with inadequate preparation or other undergoing therapeutic procedures were excluded from the study. Total 850 patients fulfilling the criterion were included in the study. Data was recorded and analyzed by SPSSv20. Results: Mean age of the patients was 43.02 ± 18.22. Majority (63.9%) of the patients were males. Majority (n=543, 63.9%) of the patients had some finding on colonoscopy. Most common finding on colonoscopy was hemorrhoid followed by ulceration, mass, inflammation and polyps.Most common complaint was per rectum bleed followed by diarrhea, suspected growth on other modalities andsuspected inflammatory bowel disease.Total 540 patients i.e. 63.52% were below age of 50 years.. Trend of pathologies showed ulceration to be most common finding in patients below 50 years followed by hemorrhoids and mass. Conclusion: The results of our finding shows rise of lower GI pathologies in young male population of Pakistan with ulcerative colitis, hemorrhoids and colorectal cancer being top three diseases. This is an alarming situation and we need to take urgent big steps to control it. Keywords: Colonoscopy, Hemorrhoids, Colorectal Cancer, Per Rectal Bleed, Ulceration
Clinical Profile and Demographic Features of COVID-19 Patients in a Tertiary Care Hospital of Pakistan
Authors: Farrukh Ghazala , Sukhera Shazia , Muhammad Fida , Amjad Aneela , Zaman Qamar , Ambreen Asma
Published: September 2021

Background and Objective: The COVID-19 pandemic is an ongoing health challenge for both developed and developing countries worldwide. The epidemiological and clinical features of COVID-19 should be analyzed in our country. The current study aims to evaluate the demographic features and clinical profile of COVID-19 patients ina Tertiary Care Hospital of Rahim Yar Khan, Pakistan. Materials and Methods: This observational, cross-sectional study was conducted on 85 patients with positive real-time reverse transcriptase-polymerase chain reaction (RT-PCR) verified by nasopharyngeal swabs and throat at Covid 19 setup in Sheikh Zayed Hopsital, Rahim Yar Khan, Pakistan for period of six months i.e from September 2020 to February 2021. Institutional consensus protocol and COVID-19 SOPs were followed to investigate each individual. Various parameters such as symptom presentation, demographics’ details, ventilator therapy and oxygen required, and co-morbidities were studied. Results: The mean age of the patients was 37.6±5.7 years with an age range of 15 to 81 years. Of the total 104 patients enrolled, 60 (58%)were male and 44 (42%). The prevalence of COVID-19 caused by contact was 67 (65%).Symptomatic patients out of enrolled were 49 (47.1%). In this study, a significant association was found between severe COVID-19 and parameters such ashypertension and diabetes history, and patients having age above 65 years. Out of104 COVID-19 positive patients, symptomatic complaints were as follows; Cough 29(27.9%), fever 63 (60.6%), and breathe shortness 12 (11.5%). Tachypnea (RR>24), hypoxia and comorbid illness were found 32 (31%), 27 (25.8%), and 45 (43.2%)respectively. About 19 (18.2%) patients needed intensive care unit admission with 5 (4.8%) required immediate ventilation assistance. Mortality was 3.8% (4 patients) observed in this study. Conclusion: The COVID-19 pandemic mortalityrate is higher among patients above 60 years of age and with co-morbidities. TheCOVID-19 majority of patients presented in our hospital were of young or average age and asymptomatic. Respiratory symptoms were present in half and fever was recorded in more than half patients. Comorbidities patients were more venerableto the COVID_19 complications. Early admission and aggressive treatment must beprovided to COVID-19 patients to help reduce the mortality rate. Keywords: COVID-19,Comorbidities, Hypoxia
Recurrent Urinary Tract Infections Risk Factors in Patients with Primary Vesicoureteral Reflux
Authors: Khan Sardar , Hussain Sajjad , Said Zahir , Haq Ihsan Ul , Rehman Habib U , Ahmed Ayaz
Published: September 2021

Background: Knowing the risk of recurrence of urinary tract infection (UTI) in vesicoureteral reflux (VUR) can assist clinicians to sort therapeutic decisions. The current study's aim was to assess the association of UTI in VUR. Additionally, UTI recurrence might be predicted by the risk score. Materials and Methods: This case-control study was carried out on 123 children at department of Paediatric, Saidu Group of Teaching Hospitals, Swat for the duration of one year from 1st July 2020 to 30thJune 2021. Out of 123 children, the group-I had 57 children with documented previous UTIs history while group-II had 66 children with no previous UTIs and was referred to as a control group. All the patients were VUR diagnosed and were thoroughly followed up at a Renal Unit of single tertiary. UTI recurrence was referred to more than one follow-up episode. A regression model was used for independent variables identification regarding UTI recurrence. . A questionnaire on bowel habits was provided to the parents. The abdominal plain film was evaluated by the observer and recorded on the documented scoring system. The constipation history was compared with the radiological and symptomatic scores. Organism single species with > 105/ml count in a single midstream catch of urine sample was reflected as UTI evidence. Result: Out of 123 children, 88 (71.5%) were females while 35 (28.5%) were male. A total of 123 children had been investigated for UTI complaints. After the multivariable analysis adjustment, five recurrent UTIs predictor variables were the clinical presentation of UTI, female gender, reflux several grades, age less than 6 months, and syndrome dysfunction elimination. The UTIs recurrence risk factors were classified as high, medium, and low with prevalence 52 (42%), 41 (34%), and 30 (24%) respectively. The prevalence of UTIs rate per person-month was 10.9 (95% CI, 9.8, 12.7), 8.2 (95% CI, 6.7, 9.1) for medium, and 5.2 (95% CI, 3.3, 5.5) for the low-risk group. Conclusion: The formulation of therapeutic strategies can be done based on prediction model for UTIs recurrence besides early detection of morbidity long-term risk for the patients. Keywords: Vesicoureteral reflux, Urinary tract infection, Dysfunctional voiding, Constipation
Frequency of Depression, Anxiety and Stress among Gynae Residents during Covid Pandemic
Authors: Khan Imran , Afridi Muhammad Zaman , Wasim Zahra , Jawad Nadia Khan , Wazir Zubaida Khanum , Asif Shakil
Published: September 2021

Objective: To find the frequency of depression, anxiety and stress among Gynae residents during covid pandemic. Methodology: This Cross-sectional survey was carried out in different Teaching Hospitals of Khyber Pakhtunkhwa during the period of six months i.e from August 2020 to January 2021. After the ethical approval from the research community, data was collected from Post Graduate Gynae Residents of Teaching Hospitals. Sample size for the study was 405 participants. Depression, anxiety and gross scale shorten version DASS-21 containing 21 items was standard research to use in study i.e. depression, anxiety and stress was identified on the basis of their cutoff scores i.e. normal scores were ≥10, ≥8 and ≥15 for depression, anxiety and stress respectively. Result: In depression, 136 (34%) participants were normal followed by moderate level having frequency 121 (30.25%). In the anxiety category, 116 (29%) participants were normal followed by moderate level having frequency 101 (25.5). In the category of stress, 179 (44.75%) participants were normal followed by mild levels having frequency 106 (26.50%). Only COVID positive status was statistically significant with depression, anxiety and stress as their P-valve was 0.02 less than 0.05. Conclusion: Considerable number of post graduate Gynae trainees working in different tertiary care hospitals have varying degrees of depression, anxiety and stress due to COVID-19 pandemic. Keywords: COVID-19, Pandemic, Post graduate, Psychological impact, Trainee doctors, Gynae residents, Mental health, Obstetrics, Gynaecology.
Diagnostic Accuracy of Hysterosonography in Diagnosis of Uterine Lesions by Taking Hysteroscopy as Gold Standard
Authors: Naz Farah , Ahmed Adnan , Shaikh Samina , Rehman Hafeez ur , Baig Tahir , Akram M. Nauman
Published: September 2021

Background and Aim: Evaluation of uterine abnormalities is infertility core partto be assessed in impaired reproduction cases. Uterine abnormalities can be assessed by various radiological imaging modalities such as transvaginal sonography, hysterosalpingography and hysterosonography. The current study aims to evaluate the diagnostic accuracy of hysterosonography in diagnosis of uterine lesions by taking hysteroscopy as gold standard. Materials and Methods: This observation-based cross-sectional study was carried out on 108 reproductive-age women at the Department of Obstetrics and Gynecology of Liaquat University of Medical and Health Sciences, Jamshoro during the period from January 2020 to June 2020.These women had uterine abnormalities such as recurrent pregnancy loss, abnormal uterine bleeding, infertility, and clinically diagnosed lesions of intrauterine. All individuals underwent hysteroscopy evaluation.Global sensitivity analysis technique was used to calculate the bias-adjusted specificity and sensitivity of hysterosonography. Uterine abnormalities were assessed by hysteroscopy taking it as a gold standard. SPSS version 20 was used for data analysis. Results:The mean age of the women was 27.3 ± 5.63 with age range 20 to 34 years and parity ranged from 0 to 5. Out of 108 patients, 49 (45.4%) had positive findings of abnormal uterine lesions including myomas in 13 (12.3%), polyps 17 (15.7%), uterine septum 7 (6.4%) and intrauterine adhesions 12 (11.1%). Among all, forty-nine (45.4%) women had infertility, previous cesarean section 20 (19.1%), recurrent pregnancy loss 18 (16.6%), and menstrual disorders 21 (19.4%).Diagnostic accuracy of hysterosonography in terms of specificity, sensitivity, and Positive prediction value (PPV) was 94%, 77%, and 74% for uterine lesions respectively while taking hysteroscopy as a gold standard. Conclusion: The present study concluded that uterine lesions among reproductive-age women could be easily assessed with higher accuracy of hysterosonography. Based on the specificity and sensitivity of hysteroscopy as a gold standard for hysterosonography is the most reliable, safe and accurate diagnostic technique for uterine lesions. Keywords:Hysterosonography, Uterine lesions
Spirometric Values of petrol pump workers of Lahore: A cross sectional study
Authors: Aslam Waqas , Ashraf M. Zubair , Saeed M Saqib , Salman Fariha
Published: September 2021

Background: Petrol pump workers are exposed to air pollution and fumes of petrol and diesel that may lead to poor lung function followed by chronic diseases, where the city is highly polluted. Aim: To determine lung functioning capacity by spirometry among petrol pump workers Methods: A cross sectional study was designed and conducted in the pulmonology department of Mayo, hospital Lahore. Two seventy five (275) subjects were enrolled in the study after fulfilling the inclusion/exclusion criteria and giving informed consent by consecutive sampling. Information like name, age, weight, height, duration of working was recorded. Spirometry was performed to calculate FEV1, FVC and FEV1/FVC ratio. Data was entered and analyzed by SPSS version 23. Mean and standard deviation of age, height, weight, and work duration, Spirometric values for lung functions (FEV1, FVC and FEV1/FVC Ratio) were calculated. Data was divided into groups by age and work duration and spirometric values for lung functions were compared in these groups. T test & Pearson correlation was used for analysis and p value less than 0.05 was considered significant. Results: Participant age was 28.75±6.89.FEV1 was2.35±0.44, FVC 3.18±0.66 and FVC 74.91+9.40. FEV1 & FEV1/FVC ratio were significantly different (p<0.05) in age groups (<30, ≥30) & work duration groups(<8, ≥8yeras). Negative Correlation was found between work duration & lung functions (FEV1, FEV1/FVC ratio). Conclusion: Spirometric values were lower in petrol pump workers. Age and working duration further affects lung function of petrol pump workers. Keywords: FVC, FEV1, Spirometer, Petrol Pump Workers, Pulmonology
Effects of Circuit Training on Vestibular Dysfunctions in Geriatric Population
Authors: Waris Sadaf , Waris Misbah , Muneeb Muhammad , Raza Mian Ali , Noor Rabiya
Published: September 2021

Background: Maturing is followed by slow physiological changes in body structures, such as decreases in muscle strength, movement speed, response time, and changes in equilibrium and integumentary systems. Deftness is constantly compromised by maturing procedure. Aim: To determine effects of circuit training on vestibular dysfunction in geriatric population Methods: This research included 34 participants with age ranges from 50 to 85. All the participants were divided into two groups. Participants were assessed pre and post treatment by using modified CTSIB, DHI and Fukuda test. Group A received Cawthorne & Cooksey protocol. The standardized protocol consists of 4 steps that include specific exercises carried out during lying, sitting position, position of standing and walking state. These exercises were undertaken during the following 12 weeks until the end of the intervention. Results: Modified CTSIB pretreatment mean±SD for conventional group was 93.64± 20.709 and post treatment was 80.35± 30.211. On the other hand, pretreatment mean±SD for treatment group was 96.07± 15.349 and post treatment was 79.47± 25.169. Pretreatment P.value for CTSIB is .166 and of post treatment is .466 (P= > .05). DHI pretreatment mean±SD of conventional group was 41.41± 22.25 and post treatment was 20.0± 12.74. Pretreatment mean±SD of treatment group was 38.7± 22.404 and post treatment was 19.8± 16.501. Conclusion: Conventional treatment and circuit training both are equally effective for the rehabilitation of vestibular dysfunctions. However, according to the P.value (P= <.05) of Fukuda test statistically significant results are seen. That’s mean circuit training is effective for treating vestibular problems. Key words: Geriatric Population, Vestibular dysfunction, Dizziness, Modified CTSIB, DHI
Functional Outcome of “Reconstruction Patellar Plate” in the treatment of patella fractures
Authors: Thakur Abhishek Kumar , Ghalib Khizer , Hamid Muhammad Siddique , Amjad M. Junaid , Hassan Ali , Usman M. , Tahir M. Mohsin
Published: September 2021

Background: The patellar fractures treatment has changed by enhancements in both an improved understanding of patellar function and fracture fixation techniques. The goals of operative fixation include repair of extensor mechanism, restoration of articular congruity, secure fixation and early movements. In this Study Reconstruction patellar plate was introduced in the management of patellar fracture. Aim: To determine the Functional outcome of fixation method of patella fractures by Open Reduction and Internal Fixation with Reconstruction Patellar Plate. Methods: This Prospective study was performed at Department of Orthopaedic Surgery at Lahore General Hospital for a period of 12 months after the approval Research Board of University of health Sciences, Lahore. Non probability purposive sampling method was used to induct 30 patients (who met the inclusive Criteria) underwent reconstruction patellar plate for the treatment of patella fracture. The patients were followed in outpatient department at 4 weeks and 16 weeks. Variables mentioned in Modified Hospital for Special Surgery Knee Score were recorded and Knee score was calculated and graded at 16 weeks. Results: In this study, overall mean age was 25.26 ± 5.02 years. There were 19 (63%) male and 11 (37%) female subjects. The mean of Modified Hospital for Special Surgery Knee Score (MHSSKS) was 84.90±8.87. In this study, there were 12(40%) patients with excellent functional outcome, 14 (46.67%) patients with good functional outcome and 4(13.34%) patients with fair functional outcome. There was no patient with poor functional outcome. Conclusion: Reconstruction Patellar Plate fixation method of patella fractures by Open Reduction and Internal Fixation produced good Functional outcome, which can be familiarized as an alternate to tension band method for the treatment of transverse patellar fracture. Keywords: fracture, patellar, reconstruction patellar plate, tension Band wiring
دور المجتمع الكويتي في التعامل مع البيانات الضخمة وانتشار فيروس كورونا
Authors: بوعركي هنادي , الحمود نهلاء , العمر مشاعل , العنزي علي
Published: September 2021

ملخص

انتشر استخدام مصطلح "البيانات الضخمة" لوصف البيانات التي يصعب معالجتها باستخدام قواعد البيانات التقليدية بشكل يتيح إدارتها خلال فترة زمنية مرضية، وتعد الفائدة من البيانات الضخمة من أحد أبرز مظاهر تطور استخدامات تكنولوجيا المعلومات والاتصالات البارزة عالمياً مما يشكل تحديات على المؤسسات. حيث برز استخدام البيانات الضخمة لما تتمتع به من مميزات ساعدت في انتشارها على جميع الأصعدة وبشكل بارز في مجال إدارة واسترجاع المعلومات لإدارة الأزمات وصناعة القرار ولا سيما في جائحة كورونا.

أتت أهمية الدراسة للتعرف على مدى وعي المجتمع الكويتي لمفهوم "البيانات الضخمة" وأهميته ومدى الاستفادة منها أثناء أزمة كورونا، وقد تم جمع البيانات من خلال الإجابة على أسئلة الدراسة وتوزيع استبانة وانتهاج المنهج المسحي، الذي ارتكز على الإنتاج الفكري المنشور والمتعلق بالتعامل مع البيانات الضخمة وأزمة كورونا. كما استخدم التحليلين الوصفي والإحصائي لوصف التركيبة السكانية للمشاركين وتحديد مدى معرفتهم بمفهوم البيانات الضخمة واستخدامهم للتطبيقات للتعامل مع أزمة كورونا.

تضمنت الدراسة عينة عشوائية شملت جميع المحافظات والفئات العمرية بالكويت الا إن هناك تدني في عدد الفئات العمرية الشابة للمشاركة، مما يعني تحيز النتائج من ناحية العمر، ومن أبرز النتائج التي توصلت إليها الدراسة هي أن 36٪ من المشاركين لديهم دراية بمفهوم "البيانات الضخمة"، وكذلك تأكيد معظم المشاركين بالأهمية القصوى لاستخدام بياناتهم الشخصية في الأزمات وفائدة تحليلها لاتخاذ القرارات، كما بينت الدراسة وعي المجتمع بوجود البيانات الضخمة وبرز ذلك من استخدامها بعدة جوانب منها التزام الأسرة كويتية بالتعليمات الرسمية التي نشرتها وزارة الصحة وشفافية الجهات الحكومية بعرض البيانات الهامة عن مرض الكورونا في الكويت.

تعد الدراسة ذو قيمة علمية عالية تعكس مدى وعي المجتمع الكويتي بمفهوم البيانات الضخمة والاستفادة منها في الأزمات، وتوصي الدراسة بتحليل وتوظيف البيانات الضخمة لجهات الدولة المختلفة للاستفادة منها في اتخاذ القرار، ولوضع الخطط المستقبلية وكذلك تدريب العاملين عليها، وتؤكد الدراسة توظيف اختصاصي المعلومات لإدارة ونشر الوعي المعلوماتي عن البيانات الضخمة، ومن الضرورة أيضا تثقيف المجتمع وزيادة وعيه المعلوماتي بأهمية توظيف البيانات الضخمة وتحقيق الاستفادة منها.
GILO (TINOSPORA CORDIFOLIA (WILLD.) MIERS: A WONDER DRUG OF UNANI SYSTEM OF MEDICINE
Authors: Kalam Mohd Afsahul , Noor Arshia , Qayoom Ifra , Gani Riehana , Humma Humma
Published: September 2021

Gilo or Tinospora cordifolia is considered as a wonder drug of Unani System of Medicine because of its broad-spectrum therapeutic properties. It is an herbaceous vine, commonly grown in tropical India, and is being widely used in AYUSH system and unorganized systems (folk, tribal, native) of medicine. It is a storehouse of various phyto constituents like alkaloids, terpenoids, glycosides, hormones, polysaccharides, steroids, minerals etc. Its main pharmacological properties are antipyretic, anti-diabetic, antioxidant, hepato protective etc. Now a days, Gilo is being extensively assessed for its immunomodulator activity and it is proving to be a promising herb in this respect. The current study presents a critical review on the morphology, habitat, phytochemistry, pharmacological actions and therapeutic uses of this medicinal plant as mentioned in the classical literature of Unani System of Medicine as well as to cover its recent researches.
EVALUATION OF IN-VITRO ACTIVITY OF AERIAL PART OF BARANJASIF (Achillea millefolium Linn.) EXTRACTS
Authors: Khanday Suheena , Kalam Mohd. Afsahul , Ahmad Ansar , Yousuf Aamir , Salim Sajad , Dar Younis
Published: September 2021

Hasah al-Kulya (renal calculi) is one of the leading problems affecting kidney. Recurrence of kidney stone formation is approximately 50%, after 2-3 years of recovery. This makes the prevention of its recurrence an essential problem to address.
Despite substantial progress in medical therapy, there is no drug with satisfactory effect. Furthermore, the drugs those are being used for its treatment have many side effects. Baranjasif (Achillea millefolium Linn.) is one of the drugs used in Unani
Medicine that has been extensively used for the management of urolithiasis. The aim of this study is to evaluate the lithotriptic action of Baranjasif in-vitro. In this study, calcium oxalate stones were prepared experimentally followed by the preparation of
semipermeable membrane by dissolving the outer shell of egg in 2M HCl overnight. Calcium oxalate stones weighing 10mg were then allowed to react with 7 extracts of A. millefolium L. viz, Pet-ether, Chloroform, Ethyl Acetate, Methanol, Acetone, Hydro-alcohol and Aqueous by packing them together in semipermeable membrane. The reaction was performed on three different concentrations of each extract i.e., 50 mg, 100 mg and 150 mg. In addition to 7 groups, two more groups were taken, i)
a negative group containing only the stone of weight 10 mg and ii) standard group consisting of stone weighing 10 mg and cystone (in concentrations of 50 mg, 100 mg and 150 mg). Statistical methods like mean standard deviation, percentage
dissolution, percentage inhibition, IC and Pearson's correlation were applied to understand the extent of dissolution of stones 50 in each group. The study advocates that Baranjasif reveals lithotriptic activity comparable to standard drug. The efficacy of the drug is directly proportional to its concentration. Ethyl acetate extract of the plant showed the most promising results.
Caracterización y evaluación de potencia y eficiencia de un sistema híbrido eolico fotovoltaico off-grid
Authors: Aranguri Cayetano Denis Javier , Solis Alberca Anapaula Marianella , Sáenz Gutiérrez Ronny Jhonatan
Published: September 2021

La diversificación de la matriz energética es un ámbito fundamental para el desarrollo del Perú, lo cual conlleva al desarrollo de energía sustentable y renovable, y que a su vez reduzcan al mínimo los potenciales impactos negativos ambientales; siendo las opciones más viables el recurso eólico y solar en función de nuestra situación geográfica. Es así, que el presente artículo presenta el estudio de tecnología híbrida autosustentable, mediante la presentación de datos a tiempo real obtenidos en el Módulo Solar-Eólico Energy Cube instalado en la Universidad Nacional del Santa, Nuevo Chimbote/ Ancash, con una potencia nominal de 6200 Wp. Se ha realizado el estudio del rendimiento de generación de energía eléctrica y la eficiencia de conversión de energía, por la disposición del recurso eólico-solar en función de la potencia generada tanto por los módulos fotovoltaicos, así como por el aerogenerador, siendo caracterizado como un sistema conjunto. En función al periodo de funcionamiento evaluado, los resultados obtenidos indican que la potencia máxima obtenida fue el 14 de octubre equivalente a 1896.3 W con un rendimiento de generación de energía eléctrica promedio de 30.58% y una eficiencia de conversión promedio de 13.37% con datos meteorológicos de irradiación solar promedio de 764.67 W/m^2 y una velocidad de viento promedio de 5 m/s, alcanzando un máximo de rendimiento de generación de 55.48% a las 11:45 de la mañana; y la potencia mínima obtenida fue el 13 de junio equivalente a 333.8 W con rendimiento del sistema y eficiencia de conversión promedio del sistema de 8.09% y 7.5% respectivamente, con datos meteorológicos promedios de irradiación solar de 196.6 W/m^2 y velocidad de viento de 1.2 m/s.
Penerapan Metode RAD dalam Merancang Aplikasi Web Proyek PLN UIP Sulbagut
Authors: Mandang Cleorangga , Wuisan David , Mandagi Jeener
Published: September 2021

Abstrak— PLN UIP Sulbagut merupakan unit perusahaan bidang konstruksi ketenagalistrikan, unit ini melakukan pengendalian konstruksi dan pengelolaan pembangunan Pembangkit, Transmisi dan Gardu Induk. Perancangan Aplikasi Web Proyek PLN UIP

Sulbagut merupakan satu solusi dalam membantu masyarakat mengetahui tentang PLN UIP Sulbagut serta proyek-proyek konstruksinya. Hasil dan pembahasan disini memperlihatkan Aplikasi Web Proyek PLN UIP Sulbagut menjadi media yang memudahkan masyarakat mengetahui tentang unit kerja ini. Aplikasi ini dikembangkan atas dasar model Rapid Application Development (RAD) yang merupakan salah satu metode pengembangan sistem dan dimodelkan dengan tools pemodelan berorientasi objek yang cocok dengan model RAD yaitu Unified Modelling Language (UML).
Aplikasi Augmented Reality Penuntun Shalat Untuk Anak Usia Dini
Authors: Adjis Ramdan , Rantung Vivi Pegie , Kumajas Sondy , Rorimpandey Gladly Caren
Published: September 2021

Abstrak— Aplikasi Augmented Reality Penuntun Shalat ini dirancang untuk anak usia dini dengan pengawasan orangtua. Tujuan pengembangan aplikasi adalah memberikan pengalaman baru untuk anak usia dini dalam belajar gerakan Shalat dengan menerapkan teknologi Augmented Reality. Metode yang digunakan dalam pengembangan aplikasi ini adalah Multimedia Development Life Cycle (MDLC) yang terdiri dari enam tahapan, yaitu Concept, Design, Material Collection, Assembly, Testing, dan Distribution.Setelah proses pengembangan aplikasi, hasil dari penelitian adalah sebuah Aplikasi Augmented Reality Penuntun Shalat yang dapat anak usia dini belajar gerakan Shalat dengan menggunakan Smartphone.
PENGARUH LATIHAN KEKUATAN OTOT LENGAN TERHADAP KEMAMPUAN PUKULAN FORE HAND DALAM PERMAINAN TENIS LAPANGAN PADA MAHASISWA PUTERA SEMESTER IV JURUSAN PENDIDIKAN KEPELATIHAN OLAHRAGA FIK UNIMA DI TONDANO
Authors: Parapaga Andhika
Published: September 2021

Masalah dalam penelitian ini adalah Apakah terdapat pengaruh latihan terhadap

kemampuan pukulan fore hand dalam permainan tenis lapangan pada mahasiswa putera

semester IV jurusan pendidikan kepelatihan olahraga FIK UNIMA di Tondano. Tujuan

Penelitian ini untuk mengetahui sejauh mana pengaruh latihan kekuatan otot lengan terhadap

kemampuan pukulan fore hand dalam permainan tenis lapangan pada mahasiswa putera

semester IV jurusan pendidikan kepelatihan olahraga FIK UNIMA di Tondano. Hipotesa dalam

Penelitian ini Terdapat pengaruh latihan kekuatan otot lengan terhadap kemampuan pukulan

fore hand dalam permainan tenis lapangan pada mahasiswa putera semester IV jurusan

pendidikan kepelatihan olahraga FIK UNIMA di Tondano. Metode Penelitian yang gunakan

adalah metode eksperimen dengan perlakuan berupa program latihan yang diberikan selama

delapan minggu. Populasi adalah seluruh mahasiswa putera semester IV jurusan pendidikan

kepelatihan olahraga FIK UNIMA di Tondano. sebanyak 20 orang dan sampel berjumlah 13

orang yang diambil secara acak, kemudian dibagi menjadi dua kelompok masing-masing 10

orang kelompok eksperimen dan 10 orang pada kelompok kontrol. Instrumen pengumpulan

data, Tes kekuatan otot lengan dan pukulan fore hand dalam permainan tenis lapangan.

Rancangan penelitian menggunakan : randomized control groups group pre-test and post-test

design. Pengujian hipotesa menggunakan teknik statistik dengan Uji t. Hasil analisis hipotesis,

diperoleh t observasi senilai 7,45 sedangkan t tabel yang diperoleh dari derajat kebebasan n-1

+ n2 – 2 yaitu 10 + 10 – 2 = 18 dan taraf keyakinan = 0,05 adalah 1,734. Sesuai dengan kriteria

pengujian terima Ho jika t observasi lebih kecil dari t tabel dan tolak Ho jika t observasi lebih

besar dari t tabel. Oleh karena t observasi lebih besar dari t tabel maka hasil analisis

menunjukkan tolak Ho dan terima Ha. Kesimpulan dalam penelitian ini adalah Program latihan

peningkatan yang diberikanan selama delapan minggu dengan frekuensi tiga kali seminggu

dapat meningkatkan kemampuan pukulan fore hand dalam permainan tenis lapangan pada

mahasiswa putera semester IV jurusan pendidikan kepelatihan olahraga FIK UNIMA di

Tondano.
PENGARUH GAYA MENGAJAR KOMANDO TERHADAP PENINGKATAN GERAK DASAR CHEST PASS DALAM PERMAINAN BOLA BASKET SISWA SMP NEGERI 7 MANADO
Authors: Dissa Jefta Z , Kumenap Eduard E , Sengkey ARJ
Published: September 2021

Masalah dalam penelitian ini adalah apakah pemberian gaya mengajar komando berpengaruh terhadap gerak dasar chest pass dalam permainan bola basket pada siswa SMP Negeri 7 Manado. Penelitian ini bertujuan untuk menguji rata-rata skor gerak dasar chest pass dalam permainan bola basket pada siswa SMP Negeri 7 Manado. Metode penelitian yang digunakan adalah metode penelitian eksperimen. Yang menjadi populasi dalam penelitian ini adalah seluruh siswa kelas VIII SMP Negeri 7 Manado berjumlah 60 siswa. Dan yang menjadi sampel dalam penelitian ini adalah siswa kelas VIII SMP Negeri 7 Mando berjumlah 30 siswa yang diambil menggunakan simple random sampling. Instrumen penelitian yang digunakan adalah Tes gerak dasar chest pass dalam permainan bola basket. Hasil analisis statistic dengan menggunakan statistic uji t, diperoleh thitung senilai 2.79. Berdasarkan tabel distribusi t pada  dengan derajat kebebasan n1 + n2 - 2 = 15 + 15 - 2 = 28 maka diperoleh ttabel senilai 2.048. Jadi thitung lebih besar dari ttabel yaitu thitung = 2.79 > ttabel = 2.048. Hasil penelitian ini dapat disimpulkan bahwa terdapat pengaruh gaya mengajar komando dalam meningkatkan gerak dasar chest pass dalam permainan bola basket pada siswa SMP Negeri 7 Manado.
PENGARUH GAYA MENGAJAR CAKUPAN TERHADAP KEMAMPUAN SMASH KEDENG DALAM PERMAINAN SEPAK TAKRAW PADA SISWA SMK N 1 TONDANO
Authors: Tamara Argent , Berhimpong Jud , Ompi Serli
Published: September 2021

Masalah dalam penelitian ini adalah Apakah terdapat pengaruh gaya mengajar cakupan terhadap kemampuan smash kedeng dalam permainan sepak takraw pada siswa   SMK Negeri 1 Tondano. Tujuan Penelitian ini Untuk mengetahui pengaruh gaya mengajar cakupan terhadap kemampuan smash kedeng dalam permainan sepak takraw pada siswa SMK Negeri 1 Tondano. Metode Penelitian yang digunakan adalah metode eksperimen dengan perlakuan berupa gaya mengajar cakupan yang diberikan selama delapan minggu. Populasi adalah seluruh siswa putera Kelas XI SMK Negeri Tondano  sebanyak 20 orang dan sampel sebanyak 20 orang kemudian  dibagi menjadi dua kelompok masing-masing 10 orang kelompok eksperimen dan 10 orang pada kelompok kontrol. Instumen pengumpulan data: Tes Keterampilan Smash Dalam Permainan Sepak Takraw. Rancangan penelitian menggunakan : Randomized control groups pre-test and post-test design. Pengujian hipotesa menggunakan teknik statistik dengan Uji t. Hasil analisa hipotesa, diperoleh t observasi senilai 6,86 sedangkan t tabel yang diperoleh dari derajat kebebasan n-1 + n2 – 2 yaitu 10 + 10 – 2 = 18 dan taraf keyakinan   = 0,05 adalah 2,101. Sesuai dengan kriteria pengujian terima Ho jika t observasi lebih kecil dari t tabel dan tolak Ho jika t observasi lebih besar dari t tabel. Oleh karena t observasi lebih besar dari t tabel maka hasil analisis menunjukkan tolak Ho dan terima Ha. Kesimpulan penelitian : Gaya mengajar cakupan yang diberikan selama delapan minggu dengan frekuensi tiga kali seminggu dapat meningkatkan kemampuan smash kedeng dalam permainan sepak takraw pada siswa   SMK Negeri 1 Tondano.
Analisis Tingkat Kepuasan Pengunjung Terhadap Fasilitas Umum Di Bandar Udara Abdulrachman Saleh Malang
Authors: Firdausi Mutiara
Published: September 2021

Rencana pemerintah merubah sistem Bandara Abdulrachman Saleh Malang dari domestik menjadi internasional tentunya memerlukan pengembangan kualitas pelayan serta fasilitas umum yang memadai. Bandar Udara Abdulrachman Saleh Malang sebaiknya melakukan evaluasi terhadap tingkat kepuasan pengunjung. Populasi pengunjung dalam 5 tahun terakhir 2013-2017 mencapai 765.804 orang per tahun. Sampel pada penelitian ini adalah penumpang yang menunggu jadwal keberangkatan di ruang tunggu, jumlah responden dihitung dengan rumus Slovin sebanyak 121 responden, pengumpulan sampel menggunakan kuesioner. Teknik pengambilan sampel menggunakan Probability Sampling. Metode pada penelitian ini adalah CSI untuk mengukur tingkat kepuasan. Hasil penelitian menunjukan tingkat kepuasan pengunjung terhadap fasilitas umum di Bandar Udara Abdulrachman Saleh Malang adalah 77,43 persen masuk dalam kategori Puas. Ketidakpuasan pelanggan terhadap kinerja pelayanan dan fasilitas menunjukkan 23,57 persen responden yang menyatakan tidak puas terhadap kehandalan peralatan dan fasilitas seperti, AC, Televisi dan lainnya, kemudahan mendapatkan inter-moda seperti, taksi, bis, dan lainnya, serta acara khusus yang diadakan pihak bandara seperti, promo tiket di waktu tertentu.
KINERJA ANGKUTAN UMUM AG (ARJOSARI - GADANG) PADA MASA PANDEMI COVID-19 KOTA MALANG
Authors: Primasworo Rifky Aldila , Joni Andreas
Published: September 2021

Angkutan umum penumpang yang disebut juga sebagai angkutan kota adalah salah satu sarana transportasi yang digunakan untuk melayani aktifitas masyarakat di Kota Malang. Pada saat Pandemi, volume jumlah penumpang pengguna jasa angkotan umum penumpang semakin hari semakin berkurang, namun pada dasarnya angkutan umum penumpang masih dibutuhkan oleh masyarakat Kota Malang dalam melakukan aktifitas sehari hari. Dalam pelayanannya waktu tempuh angkutan umum penumpang jalur AG ± 1 jam dengan jarak tempuh ± 16 km. Adapun Tujuan dari penelitian ini adalah untuk mengetahui tingkat pelayanan angkutan umum penumpang trayek AG (Terminal Arjosari-Gadang) selama masa pandemi covid-19. Metode analisis data yang dipergunkan dalam penelitian ini yaitu metode deskriptif dan kuantitatif. Survey yang dilakukan menggunakan survey statis,dinamis dan wawancara atau interview. Hasil penelitian didapatkan bahwa Parameter kinerja lalu lintas yang perlu ditingkatkan selama pandemi covid-19 meliputi frekuensi angkutan umum, jumlah kendaraan yang beroperasi, waktu pelayanan (awal dan akhir waktu pelayanan).