bluuebunny/crossref_metadata_2025 huggingface dataset:
Investıgatıon of Internet Addiction and Anger Expression Styles of Students of the Faculty of Sports Sciences
Authors: Yalçin Yahya Gökhan
Published: May 2022

Aim: The aim of this study is to examine the Internet Addiction and Anger Expression Styles of students studying at the Faculty of Sport Sciences depending on some variables. Methods: The sample of the study consists of 285 University students, 116 women and 169 men, studying at the Faculty of Sport Sciences at Selçuk University. While the personal information form created by the researcher was used to obtain personal data, the Internet Addiction Scale, developed by Young (1996) and adapted into Turkish by Bayraktar (2001), was used to determine Internet addiction, and The State-Trait Anger Scale (STAS), developed by Spielberger et al. (1983) and whose Turkish validity and reliability was carried out by Özer (1994), was used to determine anger expression styles. Statistical Analysis: Homogeneity and variance of the obtained data were tested, Independent Samples t test was used in pairwise comparisons, One Way Anova test was used in multiple comparisons, and Tukey HSD test was used to determine the source of difference. In this study, Cronbach's Alpha value was determined as .91 for Internet addiction and .82 for anger expression style. Results: Statistical changes were found in the internet addiction values of the students depending on the factors of gender, daily internet usage time and the field of study (p<0.05). While no statistical change was observed in anger expression styles depending on the field of study factor, statistical changes depending on gender and daily internet usage time factors were found (p<0.05). A positive correlation was determined between internet addiction and anger expression style (p<0.05). Conclusion: As a result, it can be said that men are more internet addicted than women, that daily internet usage time increases anger and internet addiction, and that anger increases as the time allocated to the internet increases Keywords: Internet, Anger, Addiction, Sports, University
Effect of Radial Shockwave Therapy on Spine Mobility
Authors: Yurku Kseniya A. , Zaborova Victoria A. , Ivanov Mark V. , Dzhadayev Sergey I. , Tkachenko Svetlana A. , Hassan Shafaei , Babydov Evgenii A. , Shestakov Dmitry Yu.
Published: May 2022

Background and Objective: low back pain has a huge impact on the patient's quality of life and imposes an economic burden on healthcare systems. New possibilities for low back pain treatment have opened up with the implementation of shockwave therapy. The aim of the study was to evaluate the effect of radial shockwave therapy on the lumbar spine mobility. Methods: a randomized controlled trial was conducted in 75 patients with chronic nonspecific low back pain complaints. Patients were randomized into two groups, depending on their treatment methods. Group I (n=36) received complex treatment with massage and exercise. Group II (n=39) received complex treatment with radial SWT, therapeutic exercise and massage. Flexion and lateroflexion of the lumbar spine were assessed during the study. Results: according to the data obtained, patients in both groups showed a positive trend by the end of the study in all measurements (p<0,05). Pairwise comparison of the results of groups I and II at each stage of the assessment revealed no statistically significant difference (p>0,05). Conclusion: shockwave therapy does not improve spine mobility in patients with chronic nonspecific low back pain. Keywords: low back pain, shockwave therapy, spine mobility
Effect of Muscle Relaxant on Pain Perception among Patients of Temporomandibular Disorder
Authors: Hassan Muhammad , Qureshi Shahzad Waheed , Amin Gulrez , Nawaz Muhammad Sohaib , Shahid Tayyaba Nayab , Ikram Amna Mehwish , Tariq Amina
Published: May 2022

Objective: The objective of the study was to explore the impact of muscle relaxants on pain relief among patients of temporomandibular disorders. Method: This research study was based on clinical trial conducted in Oral and Maxillofacial Surgery Department of Dental Hospital, University College of Dentistry, Lahore. Data was collected from 60 patients reported the department of oral and maxillofacial surgery with complaints of myofascial pain using nonprobability convenient sampling technique. SPSS version 25. Was used for data analysis. Age and duration of symptoms were reported in mean and standard deviation whereas to calculate the effectiveness of muscle relaxant, independent sample t test was used. Results: The results of independent sample t test revealed a significant difference between the pre-treatment values and post-treatment values in terms of pain (P=.001) and mouth opening (P=.034). Pre-treatment in terms of pain, mean score was 7.70+2.4 whereas post-treatment, mean score was 4.01±1.3. Pre-treatment, in terms of mouth opening, mean score was 37.70+3.90 whereas post-treatment, in terms of mouth opening, mean score was 41.67±3.06. Conclusion: Muscles relaxant (diazepam) is quite effective in relieving TMD pain and in enhancing mouth opening due to temporomandibular disorders among patients Keywords: Muscle relaxant, Pain perception, TMD, Diazepam
Evaluation of Post-OP Complications using Risk Assessment Tool; Attitude of Surgeons
Authors: Hasnain Hafiz Muhammad Ali , Hamza Muhammad , Javaid Muhammad Faisal , Tariq Amina
Published: May 2022

Objective: Current study was designed to assess the attitude of surgeons towards the use of surgical risk assessment tools in Sargodha. Method: This study was of descriptive crossectional nature. It was a survey based study conducted in a 4 tertiary care hospitals of Sargodha. Data of 30 surgeons was collected using a questionnaire. Frequencies and percentages were calculated to interpret results. Results: The usage of online risk calculator was never used by majority of surgeons (83.33%). Risk assessment is always based on prior experience (76.67%). Evaluation of risk assessment based on existing literature is always practiced by 53.33% surgeons. Conclusion: majority of surgeons are not using risk assessment calculator in surgical settings. They are focusing on prior experience based assessment of post-op complications. The briefing time given by surgeon to the patients while communicating their risk assessment is very less which should be maintained by the hospital management. Keywords: Risk Assessment, Post-op Complications, Surgeons, Infections
Effectiveness of an Instructional Program for Nurses' About Nursing Documentation at Pediatric Surgical Wards
Authors: Ibraheam Huda A. , Khudhair Suad Hassoon
Published: May 2022

Objectives: Evaluate the effectiveness of the instructional program for nurse's knowledge's about nursing documentation at pediatric surgical wards. Study design: A quasi-experimental design was implemented in the research to achieve the study goals by using pre- and post-tests for one group of nurses in pediatric surgical wards. in Baghdad city. The study has been carried out during the period extended from the 23th december 2021 to 20th July 2022. Data collection: It was done at three times: baseline data (before any instruction was provided to the study group), then post-test 1 after 21 days of starting to give the instructional program (in the study group), and post-test 2 after 2 months of starting to give the instructional program. Conclusion: Illustrated from this study, the nurses have poor knowledge regarding nursing documentation at pediatric surgical wards at pretest in study group. Association between nurses' knowledge and their (gender, level of education, years of experience and main source of information. Recommendations: Recommendations were made based on findings. for further research is imperative, that will pay more attention to the accuracy of nursing documentation, factors leading to variation in practice, flaws in nursing documentation quality and the effects of these on nursing practice and pediatric patient outcomes. Keywords: nurses, nursing documentation, pediatric surgical wards.
Ultrasound Findings in Dengue Fever: A Single Center Study
Authors: Bashir Zahid , Kamran Asad Ullah , Saeed Harris , Nazir Romale , Patras Sehrish , Mehmood Khurram , Zulqarnain Muhammad
Published: May 2022

Dengue fever is the most quickly spreading and transmitted mosquito bite disease, with an annual incidence of around 50 million people. Plasma leakage during dengue fever results in the development of serious consequences. Objective: To determine the ultrasonography findings used for diagnosing plasma leakage in patients managed with diagnosis of dengue fever Study Design: Cross sectional descriptive study Setting: Department of Radiologist, Bahawal victoria hospital Bahawalpur. Duration of Study: 4 months (August to November, 2021) Methodlogy: All the patients of dengue fever admitted in the dengue isolation ward of the hospital, diagnosed using anti-dengue serology were enrolled to be included in the study after a written informed consent from the parents or attendants. All these patients were sent to a consultant radiologist for ultrasound abdomen to look for ascites, pleural effusion, gall bladder thickness, liver size, hepatomegaly, spleen size and splenomegaly. Results: Dengue fever is one of the most frequent diseases in our region of the globe. It manifests itself in a variety of ways, but early detection and treatment can help to reduce case fatality rates. This demonstrates the ultrasonography results that might be observed in Dengue Fever patients showing capillary leakage are seen in around thirty percent of the patients. Further studies should be done to correlate ultrasonography findings with the severity of dengue. Conclusion: Dengue fever is one of the most frequent diseases in our region of the globe. It manifests itself in a variety of ways, but early detection and treatment can help to reduce case fatality rates. This demonstrates the ultrasonography results that might be observed in Dengue Fever patients showing capillary leakage are seen in around thirty percent of the patients. Further studies should be done to correlate ultrasonography findings with the severity of dengue. Keywords: Dengue, splenomegaly, Ultrasonography, Ascites, Pleural effusion, Gall bladder thickness
Impact of Different Types of Cancer on Health-Related Quality of Life
Authors: Alharbi Raed Abdullah
Published: May 2022

Aim: Cancer is known as a condition that some cells in the body can uncontrollably proliferate and spread to other body's parts. Although various studies have shown a link between cancer and patient quality of life, this cross-sectional study has investigated the impact of different types of cancer along with treatment status on HRQoL including physical and mental health, in adult cancer patients. Methods: The impact of cancer on HRQoL in adult patients in this cross-sectional study used data provided from Behavioral Risk Factor Surveillance System, 2020 in the United States. BRFSS is a health, behaviors, and social life questionnaires of people in the United States provided by Centers for Disease Control and Prevention (CDC). There were 401,958 participants in this questionnaire. To achieve the study's purpose, the Statistical Analysis System (version 9.4) was used to conduct several statistical approaches, including descriptive, inferential, and predictive methods. Results: Of the 401,958 participants in the BRFSS 2020, 22,551 were adult patients with cancer with different status of treatment. This study showed that cancer with different treatment status has a statistically significant impact on HRQoL in adult patients. Conclusion: Cancer has a significant impact on physical and mental health in adult patients. Different status of treatment can increase the impact on physical health problems to be increased by 70.08% and mental health problems to be increased by 74.02%. Keywords: Cancer; Physical Health; HRQoL; Mental Health; BRFSS; Health Informatics
Optimism, Spousal Support and Quality Of Life in Women with Breast Cancer
Authors: Khalid Maryum , Majeed Saima
Published: May 2022

Breast cancer is the 2nd most common cancer among women. Aim: To determine the level of optimism and spousal support in women with breast cancer. Study Design: Cross sectional study. Methodology: Data was collected using the purposive sampling technique from oncology departments of two public hospitals. Measures for data collection consisted of a demographic information sheet, and three scales including LOT-R (Ay,2009), DCI (Shuja et. al., 2020) and WHO-QOL BREF scale (Saqib,2017). A total of 80 women with a mean age of 35(SD=6.95) participated in the research. Statistical analysis: The collected data was analyzed by using SPSS version 25. Chi square ware applied with P-value< 0.05 as significant. Results: Correlation revealed that optimism had a significant positive relationship with negative dyadic coping and with QOL scales except for Physical Health. All the subscales of DCI had a significant relationship with the subscales of QOL. It was found through HLM that education, socioeconomic status, cancer stage, monthly income, professional status after illness and optimism made a statistically significant contribution. Conclusion: It was concluded that optimism, negative dyadic coping and quality of life has a significant relationship. Likewise, education, socioeconomic status, cancer stage, monthly income, professional status after illness and optimism were found to be the determining factors of quality of life. Keywords: Optimism, Quality of life and Spousal Support.
Association among four aspects of Oral Wellness Standard of Living and Wellness Quality of Life Concepts in the Dental Patient Sample
Authors: Nawaz Filza , Waseem Maham , Tariq Hassan , Haq Usman Ul , Riaz Sadia , Saleem Sara
Published: May 2022

Aim: The main goal of our current research was to look into association here among four aspects of Oral Health-Associated Quality of Life Also Health-Related Quality of Life concepts in the dental cases sample. Methods: Health Partners in Lahore, Pakistan, conducted cross-sectional research. This research is founded on the secondary statistics examination of data from senior dental treatment. The Oral Health Effect Profile–version including 52 questions and Physician Results Events Data System events v.1.2 Global Health Instruments Client Described Performance Indicators have been utilized to evaluate OHRQoL and HRQoL components, accordingly. The connotation among OHRQoL and HRQoL remained resolute using Structural Equation Modeling. Results: Three thousand eighty-five dental patients took part in the study. The correlation coefficient among OHRQoL in addition HRQoL was 0.57. (96 percent CI: 0.53-0.61). The OHRQoL also Physical Health dimensions of HRQoL had a 0.57 correlation (96 percent CI: 0.53-0.58). The OHRQoL also Mental Health dimensions of HRQoL had a 0.52 correlation (96 percent CI: 0.48- 0.56). Whenever the correlation coefficients were corrected for age, sex, and anxiety, they were 0.53 among HRQoL in addition HRQoL Physical Health and 0.48 amid OHRQoL in addition HRQoL Mental Wellbeing. Every one of the model fit statistics were satisfactory and suggested a decent fit. Conclusions: OHRQoL and HRQoL have a lot in common. The OHRQoL score is useful for dental practitioners in determining its patients' overall health condition and vice versa. According to the study's findings, effective therapy treatments offered via dentists’ increase cases HRQoL and also HRQoL. Keywords: OHRQoL, HRQoL, Lahore, Pakistan, Dental Issues.
Cardiac Biomarker for Acute Cardiac Toxicity in Breast cancer Patient Receiving Anthracycline or Trastuzumab in King Abdulaziz University Hospital, Observation Study
Authors: Alkhayyat Shadi
Published: May 2022

Aim: To determine if using cardiac biomarker will predict cardiotoxicity in patients with breast cancer receiving cardiotoxic anti-cancer therapy. Chemotherapy, biological therapy and immunotherapy are associated with this type of toxicity. In our study we focused on the use of anthracycline and trastuzumab. Methods: We conducted an observational study in which we followed patients who received cardiotoxic medication and assessed cardiac biomarker before therapy, 48-72 hours after and before next cycle. A mixed effect linear regression model was used with patient as a random intercept to model the clinical endpoints before and after the chemotherapy while controlling important demographics Results: 30 patients with early breast cancer who are receiving treatment at King Abdulaziz University Hospital were eligible. Two patients developed drop in left ventricular ejection fraction. No patient developed symptoms of congestive heart failure. There was no correlation between the elevation in cardiac markers and the decrease in the ejection fraction. Conclusion: In a small observational study on breast cancer patients at KAUH, there was no correlation between cardiac markers changes and reduction in the left ventricular ejection fraction. A larger cohort will be of benefit to prove if there is a significant correlation. Key Words: Breast cancer, Anthracycline, Trastuzumab, Cardiac biomark
Association between the Organizational Culture and Burnout among the Faculty Members of Medical Institutions and Teaching Hospitals of Punjab Pakistan
Authors: Malik Rabia , Zahra Qundeel , Aslam Fatima , Khan Rehan Ahmed , Mahboob Usman , Mustafa Remsha , Latif Waqas
Published: May 2022

It has been empirically suggested that organizational culture and burnout are strongly interlinked. Aims: To assess the association between organizational culture and burnout among faculty members of medical colleges and their affiliated hospitals of Punjab, Pakistan. Study Design: Cross-sectional study. Methodology: Present study enrolled 444 participants who full-filled inclusion criteria. Informed written consent was taken from all the participants. They completed Hofstede Organizational Culture Questionnaire and Maslach Burnout Inventory respectively. Statistical analysis: Pearson Product Moment Correlation Analysis was applied with P-value of < 0.05 taken as significant. Results: The results showed that the participants perceived parochial organizational culture in medical colleges and affiliated hospitals of Punjab. The findings of Pearson Product Moment Correlation showed significant relationship between these two factors among employees. Conclusion: It was concluded that a favourable working environment is necessary to reduce the incidence of job burnout in every set-up especially the higher education sector. Academicians suffering from burnout must be identified and adequately managed. Keywords: Organizational Culture; Job Burnout; Faculty Members and Parochial Culture.
Effectiveness of Nifedipine in Preterm Labour Suppression
Authors: Jan Sadiq , Naeem Ayesha , Abbasi Sughra , Anwar Zubda
Published: May 2022

Objective: To understand the safety and effectiveness of nifedipine as a tocolytic agent in preterm labor. Study Design: A Quasi-experimental study. Place and Duration: The study was held in the Obstetrics and Gynecology Department of Riphah International Hospital Rawalpindi for one-year duration from January 2021 to December 2021. Methodology: 90 singleton pregnancies with cervical dilatation less than 3 cm and intact membranes with preterm labour occurred between 28-34 weeks of pregnancy were included and nifedipine was given as a tocolytic agent. Results: This study was performed on 90 patients, 55(61.1%) of whom were primigravida and 35(38.9%) were multiparty. 27.1 + 5.2 years was the mean age of patients (range 20 to 45 years), 74.4% were unbooked patients compared to 25.6% were booked patients. The tocolysis was obtained successfully in 76.7% of patients. The number of days obtained in delayed delivery was analyzed (Table 1B). Overall achievement in postponing delivery over 2 and 3 days is 76.7% (69/90). 21 patients (23.3%) were considered treatment failures. Of the patients who failed treatment (21/90), 18 patients gave birth in one day and 3 patients in two-days. The mean delay in delivery <2 days was 1.0 + 0.3 days, while the delay >2 days was 4.31 + 9.0, which is statistically important at> p 0.008. The mean heart rate prior to treatment was 83.0 + 5.0, afterwards to treatment with nifedipine it was 92.0 + 5.0, indicating a difference of 9 bpm: statistically insignificant in heart rate. Conclusion: Nifedipine was effective in suppressing preterm delivery and delaying delivery long enough to achieve therapeutic effect and transfer the mother to the 3rd degree care unit. Keywords: Tocolysis, Premature labour, Nifedipine (calcium channel blocker).
Survival Rate of Tunneled Hemodialysis Catheters in Patients on Hemodialysis due to Chronic Kidney Disease (CKD)
Authors: Sattar Faiza , Siddiqa Maryam , Zahoor Asim , Zahoor Umer , Manzoor Ayesha , Zahoor Ali
Published: May 2022

Objectives: To determine the survival rate and reasons of failure of tunneled hemodialysis catheters in patients on hemodialysis due to chronic kidney disease (CKD). Study Design: Prospective case series. Place and Duration of Study: Department of Nephrology, Sheikh Zayed hospital Rahim Yar Khan from 1-June-2020 to 30-June-2021. Methodology: A total number of 195 patients of CKD in whom tunneled hemodialysis catheters (HDCs) were inserted for hemodialysis were included. Data regarding baseline study variables e.g. age, and gender, site of insertion and reason for removal was also collected. All patients were followed for 06 months to determine the survival rate of tunneled hemodialysis catheters. Results: Mean age in this study was 46.79±13.54 years. There was 130 (66.7%) male population. HDC was inserted in Jugular vein in 184 (94.4%) patients and in subclavian vein in only 11 (5.6%) patients. HDCs were survived in 156 (80%) patients at 3 months and in 134 (68.7%) patients at 6 months follow-up. The reasons for removal of HDCs were sepsis in 16 (8.2%) patients, catheter clotting in 14 (7.7%) patients and mechanical damage in 8 (4.1%) patients. On univariate analysis, we did not find any statistical association of advanced age, female gender, diabetes and hypertension with failure of HDCs. Conclusion: The 06 month’s survival rate of HDCs was 68.7%. Sepsis was the predominant cause of failure of these catheters. Keywords: Chronic kidney disease, Tunneled hemodialysis catheters, Survival rate.
Natural Antioxidants as a Tool to Protect the Organs from Tumors Induced Ehrlich Ascites in Mice
Authors: Hemdan Dalia I. , Hemdan Dina I.
Published: May 2022

The objective of this study was to estimate if pre-treatment with pomegranate or beetroot juice and their combination for EAC which induces tumor in mice has the antitumor effect. Therefore, antioxidant activity DPPH scavenging was determined. The organs liver, spleen, and kidney were weighted to body weight in mice injected with EAC and treated by cisplatin, pomegranate, beetroot, and both of each pomegranate and beetroot and compared with the mice normal group. Single-cell suspension from the spleen was determined and RNA was extracted from the liver using a total RNA isolation kit and mRNA gene expression in EAC Cells was quantitative Real-Time PCR (RT-qPCR) analysis. The results showed that the pomegranate and beetroot contained high amounts of phenolic acid and flavonoid compounds and the highest antioxidant activity, which gave the highest DPPH scavenging activity. Moreover, the changes in the organ weight of vital organs were determined and compared with the control group. Because homologous recombination appears a new objective for cancer treatment by pomegranate and beetroot juice as an alternative to anticancer drugs. Therefore, pomegranate and beetroot juice have antitumor and antiproliferative influences on the Ehrlich tumor. Therefore, the pomegranate or beetroot and their combination were homologous recombinations that sensitize cells to growth inhibition and apoptosis. Keywords: Pomegranate, Beetroot juice, Ehrlich Ascites, Cisplatin, Cancer
Impact of Pregnancy Induced Hypertension Upon Fetal Risk During Second and Third Trimester: A Follow-Up Study
Authors: Majeed Zainab Yaseen , Ibrahim Nuha Adel
Published: May 2022

Objective: The study was aimed to investigate the impact of pregnancy-induced hypertension on fetal risk during the second and third trimesters. Methods: The descriptive cross-sectional study design approach is done in AL-Diwaniyah City/ Iraq, by interrogating members of the study population, with the aim of describing the studied phenomenon. To conduct the study, a non-probability (purposive) sample of (72) they were monitored and evaluated during two periods (during second and third trimester). The instrument dependability was established through a pilot research, and it was subsequently presented to experts for validation. The information was collected through interview and analyzed using descriptive and inferential statistical data analysis. Results: Out of 72 participants aged 30-34 years from urban residents and housewife and demonstrated that the impact of pregnancy induced hypertension in second trimester upon fetal were low impact as described by higher mean and standard deviation 16.44 (±1.65). While, a moderate impact of pregnancy induced hypertension upon fetal in third trimester at moderate mean and standard deviation 14.67 (±2.16). There is significant difference in impact of pregnancy induced hypertension upon fetal between second (low impact) and third (moderate impact) trimester (t=7.079; p=0.001). Conclusions: Pregnancy induced hypertension in terms of impact, women expressed a moderate fetal impact in two period of measurement second and third trimester (significant fetal impact associated higher the gestational age). Health education and providing a realistic picture of the dangers and difficulties of pregnancy can help reduce pregnancy risks. A handbook brochure on pregnancy hazards and how to handle them should. Keywords: Impact, Pregnancy Induced Hypertension, Fetal Risk.
Calculating the Increased Morbidity and Mortality Related with Emergency General Surgery while Adjusting for Patient-Specific Characteristics
Authors: Aslam Muhammad , Mukhtar Sumbal , Ullah Sheikh Muhammad Ubaid , Gillani Syed Aqeel Akbar Shah , Wahab Fakhra , Masood Sidra
Published: May 2022

Aim: When compared with untreated, emergency general surgery entails inconsistent share of responsibility from medical mistakes, infections, in addition mortality. Early work has been restricted by patient and procedure variability; however, it appears that EGS individuals have an even worse prognosis due to preoperative danger the current aspects. The objectives of this paper were to assess additional overall mortality highly regulated environment with EGS while adjusting for case-explicit variables. Researchers predicted that EGS remains a significant predictor for disease and mortality on its own. Methods: Researchers studied information from American College of Surgeons-National Operational Performance Development Program in the past. From 2020 to 2021, fifteen processes shared by both EGS and NEGS can be included. Individuals have been divided into groups depending on the level of emergency. Clinical symptoms represented secondary endpoints. Variables were compared using the W2 and Wilcoxon signed-rank tests. To discover individual risk variables for death and morbidity, multivariate logistic model was applied. Results: There were 26,076 EGS and 43,650 NEGS among the 67,680 individuals. EGS individuals die at a rate of 13.52 percent, whereas NEGS deaths occurred at a rate of 3.67 percent (p G 0.0002). In 34.81 percent of EGS cases and 13.75 percent of NEGS participants, significant problems happened (p G 0.0002). EGS remained autonomously linked through mortality (odds ratio, 1.39; p = 0.028) in addition significant complications (odds ratio, 1.34; p = 0.002) when postoperative factors and surgery type were adjusted for. Conclusion: EGS is a cause of morbidity and mortality and complication rates on its own. EGS's increased incidence and mortality are not caused entirely by preoperative health conditions, making EGS a viable target for improvement initiatives. Keywords: Emergency general surgery (EGS), medical mistakes, infections, and mortality.
Effectiveness of Interventional Program on Nurses’ Practices concerning Physiotherapy Protocol at Intensive Care Units in AL-Nasiriyah City
Authors: Waheed Noor Hasan , Abdulwahhab Musaab Majid
Published: May 2022

Background: Respiratory physiotherapy is a treatment option that addresses secretory elimination and promotes airway clearance, hence reducing breathing workload, promoting lung expansion, and preventing collapse. Most respiratory disorders benefit from chest physiotherapy as an adjuvant treatment, including COPD, bronchiectasis, and cystic fibrosis, as well as neuromuscular diseases and peri-operative care, particularly in upper abdominal procedures. The goal of the study is to see how effective the intervention program was in altering the nursing staff's practices of physiotherapy protocol in intensive care unit. Methods: Pre-experimental (one group pre-test- post-test) design was carried out about physiotherapy protocol at an intensive care unit at AL-Nasiriyah Heart Center and AL-Nasiriyah General Hospital in AL-Nasiriyah city. The sample was non-probability (purposive). The data was analyzed using descriptive statistics and SPSS. Results: Statistically significant improvements (pre-test 38.9 %, post-test 84.64%) of nurses’ knowledge and practice of physiotherapy after the educational program. Conclusion: interventional program has a positive effect for increasing nurses' knowledge and practice of physical therapy protocol. The Application of physiotherapy guidelines issued by the American Association of Respiratory Care’s (AARC) and more studies should be done of the physiotherapy protocol in the intensive care unit. Keywords: Intensive Care Units/ Interventional Program/ Physiotherapy/Practice
Infection of the Urinary Tract and its Prevalence Among Children Presenting with Malnutrition
Authors: Rehman Sijad-Ur- , Noor Bilal , Ishaq Muhammad , Ullah Kaleem , Lala Gule , Bibi Romana
Published: May 2022

Background: UTIs are a common cause of acute illness in newborns and young children, affecting 8% of girls and 2% of boys by age seven, with a recurrence rate of 10% to 30%. A UTI is a serious condition that can develop into sepsis and other life-threatening consequences in children Objective: To assess the frequency of urinary tract infections in malnourished children. Material and Methods: The study included 241 patients from the Pediatric Department of Children Gajju khan medical collage Swabi. Pakistan. July 7, 2019 – January 7, 2020, All children had urine samples taken by urine bags and catheterization and forwarded to the hospital laboratory to test for UTIs. The same consultant microbiologist with at least five years of expertise supervised all laboratory studies. Results: As per frequencies and percentages for UTIs, 19 (7.88%) patients had UTIs. Conclusion: Given the high frequency of UTIs in children with severe malnutrition, additional research utilizing standardized microbiological approaches is essential. To support the treatment recommendations for UTIs in these children, using urine dipsticks and microscopy in conjunction with urine culture is critical. Keywords: Protein Energy Malnutrition, Bacterial Infection, Urinary Tract Infections.
Recent Advances in DNA Analysis for Criminal Cases with the Applications of Forensic Sciences, A Comparative Study
Authors: Ullah Abd , Iqbal Shahid , Ali Muhammad Ikram , Samad Abdul , Rasheed Aisha , Aziz Ijaz
Published: May 2022

Aims and objectives: The aims and objectives of this study were to describe the use of forensic DNA analysis for reliable investigation of different criminal cases. Conclusion: In current study DNA and fingerprints data of 63 employees was collected through oral swab and powder dactyloscopy technique. All comparative analysis of different individuals were negative except two workers, their RT-PCR data was positive and completely matched with the suspects data. Suspect’s data were collected from crime scene through hair follicles and surface markers. Keywords: Deoxyribonucleic acid, Polymerase chain reaction, Dactyloscopy
Overview of the First 500 Cardiac Surgeries Performed at Peshawar Institute of Cardiology, Peshawar, Pakistan
Authors: Ahmed Shah Syed Shahkar , Nasir Abdul , Tariq Muhammad , Khan Mubashir Zareen , Bilal Muhammad
Published: May 2022

Objective: To examine the postoperative outcome of the first 500 cardiac surgeries performed at the newly established cardiac institute in Peshawar, Pakistan. Material and methods:This retrospective observational study examines the first 500 cases of cardiac surgery conducted at Peshawar Institute of Cardiology in Peshawar, Pakistan, between December 2020 and October 2021. Off-pump coronary artery bypass (OPCAB), on-pump coronary artery bypass (ONCAB), mitral valve replacement (MVR), aortic valve replacement (AVR), Conventional Ventricular Septal Defect closure (VSD), and congenital procedures were performed by PIC expert faculty. Results:The mean age of the patients was 51.56±17.03 years. There were 371 (74%) males and 129 (25.8%) females. EuroSCORE II recorded was 1.88±0.76. 308 (61.6%) patients presented with Triple-vessel coronary artery disease, followed by Severe symptomatic aortic regurgitation 43 (8.6%). Total 337 coronary artery bypass grafting (CABG) surgeries were performed. 303 ONCAB and 34 OPCAB surgeries. In-hospital mortality was observed in 9 (1.8%), and 17 (3.4%) patients who had postoperative surgical bleeding. The mean ventilation time recorded was 5.66±1.7 hours. The mean hospital recorded was 4.93±1.4 hours Conclusion:Establishing a high-quality cardiac institute in Peshawar has resulted in remarkable outcomes in terms of management and surgical treatment of cardiac diseases. Keywords: Cardiology, surgery
Molecular Identification of Different Bacteria isolated from Infected Wounds at Hayatabad Medical Complex Peshawar Pakistan
Authors: Shuaib yed Luqman , Haq Mohsina , Khan Bakht Biland , Haq Farishta , Haq Ihteshamul , Ahmad Ibrar , Ullah Wahid , Nazir Azhar , Farooq Muhammad , Israr Hasnain , Hussain Shahid , Khan Kamran
Published: May 2022

Wound infections are one of the most common hospital acquired infections and are an important cause of morbidity and account for 70-80% mortality. The Purpose of the current study was to determine the commonest bacteria associated with wound infections at Hayatabad Medical Complex Peshawar January 2019 to June 2020. A total of 100 culture positive samples from patients with mean age of 6.2+0.25 were analyzed. Patient history and clinical findings were collected on a pre-coded form. Pus samples or wound swabs were collected from infected wounds and were analyzed through culturing and biochemical methods for aerobic bacteria. A total of 109 bacteria were isolated from 100 samples with almost same frequency of Gram positive cocci 54(49.54%) and Gram negative bacilli 55(50.45%). Most frequently isolated organism was S. aureus 45(41.28%) followed by Pseudomonas species 20(18.35%).From this study we conclude that Wound infection remains an ongoing problem which, although, cannot be completely eradicated, however by taking prompt control measures against the most commonly isolated organism and proper care of wound may lead to the minimum of wound infection. Keywords: Abscess, wound infection, padiatric surgical wounds, arobic bacteria
Accuracy of Mcmurry’s Test in Diagnosis Meniscal Tears
Authors: Zeb Ahmad , Khan Farmanullah , Husain Akhtar , Khan Muhammad Shoaib , Khan Shehryar , Iqbal Khalid
Published: May 2022

Introduction: Meniscal tears in knee joint are of utmost importance to be treated as these injuries not only hamper the quality of life but also lead to unrepeatable degenerative changes in the menisci which ultimately result in knee arthritis. Early diagnosis and treatment is necessary to avoid long term complications of these injuries. Certain clinical tests including McMurry’s test along with MRI knee joint aid in the diagnosis of these injuries but currently arthroscopic examination is the gold standard. Method: This prospective, cross-sectional was conducted in the department of Orthopedics, Khyber Teaching Hospital, Peshawar from Jan, 2020 to Dec, 2021, including 162 patients with suspected meniscal knee injuries. All the patient were evaluated by McMurry’s test followed by arthroscopy of the affected knee joint for diagnosis of meniscal tears. Result: Among 162 patients, 110 (67.90%) were males and 52 (32.10%) were females. The age ranged from 15 to 50 years. Most of the patients (105, 64.81%) were below 30 years of age. The mean age was 30.55±8.13 years. McMurray’s test was having sensitivity of 56.8% and specificity of 78.66% for medial meniscal tears while it had sensitivity of 67.70% and specificity of 86.33% for lateral meniscus tears. Conclusion: McMurray’s test is beneficial if used for the screening purpose for meniscal knee injuries. Keywords: arthroscopy, diagnostic accuracy, McMurray’s test, meniscus tear
Effects of Levetiracetam Drug an Magnesium on Hematological Parameter and some Biochemical Parameters in White Rats
Authors: Sabaagh Shaimaa J. Al , Mahood Hanaa E.
Published: May 2022

Objective :The current study aimed to study the role of magnesium in reducing the effect of the Levetiracetam at a dose (25 mg/kg body weight) on hematological parameter and renal functions in White Rats. Materials and Methods: Thirty two adult male rats of160 -170 grams weight were adopted. Rats randomly allocated in to four groups ;control ,Levetiracetam 25 mg ,Levetiracetam25 mg with magnesium(Mg+2)100mg and the four group Levetiracetam25 mg with magnesium(Mg+2)150mg .all groups were dosed daily for one month . Results: the results revealed that levetiracetam causes significant decrease in hematological parameter(RBC, Hb , pcv)and significant elevations in WBC count ,and its causes significant elevations in renal urea and creatine comparing among the treatment groups with the control at (p≤0.05) . The magnesium show demonstrated beneficial effects on hematological parameters renal functions in the present study. Keywords: Levetiracetam ,magnesium, kidney, Rats.
The Effects of Levetiracetam on the Histological Structure of the Brain and Some Biochemical Parameters in White Male Rats
Authors: Sabaagh Shaimaa J.Al , Mahood Hanaa E.
Published: May 2022

The current study aimed to investigate the side effects of Levetiracetam at a dose (25 mg/kg body weight) on brain tissue, as well as the effects of Levetiracetam on liver and renal functions in male white rats. (16) males were used, who were divided into two groups: the first group (control) included eight males, and the second group (treatment) included eight males, who were dosed with drugs throughout the trial period, which amounted to 30 days, after taking blood samples, sacrificing the animals, and making tissue sections of the brain under study. The results revealed that levetiracetam causes a significant increase in hepatic aminotransferases, alkaline phosphatase, renal urea, and creatine when compared to the control at(P≤ 0.05) . The histological study of rat brains in the second group that was treated with Levetiracetam revealed a clear After comparing it to the control group, neurophagia is observed in the brain tissue with clear infiltration of astrocytes and microglia and the presence of edema around blood vessels, as well as degeneration of neuron central, which notes the presence of congestion inside the blood vessel with severe edema. The study concluded that Levetiracetam drugs have effects on the histological of the white rat brain. Keyword: levetiracetam ,brain,liver ,kidney
Immunological Changes of HCV and Typhoid Fever Patient
Authors: Alwan Jabbar Afat , Saeed Zeayd Fadhil , Njum Ali Anok
Published: May 2022

Endeavors to appraise the sign of invigorated pointers CD4 and CD2 in patients tainted with HCV and evaluation of gamma - INF and IL-10 in serum positions in patients with intense HCV and intense typhoid fever An aggregate of (100) seropositive patients for HCV and 100 seropositive for typhoid fever were evaluated for this investigation .Patients went to general lab., in view of stomach torment , jaundice and loss of hunger and other liver grumbling, any serum tests communicated positive for against HCV antibodies and widal test straightforwardly choosed to show level of gamma - INF and IL-10 in serum of patient and show articulation of CD4 and CD2 in blood of HCV patients and typhoid patients. Results showed that serum tests were examined for IL-10 and gamma - INF by ELISA , showed profoundly huge increments (p<0.001) in serum level of HCV and typhoid patients as contrasted and sound benchmark groups , Actuated markers study uncovered high articulation of CD4 and CD2 in HCV and typhoid patients as contrasted and solid typical gatherings.
The Relationships of Future Anxiety with some Variables among the Vocational Training Students
Authors: Ahmed Zegaoua
Published: May 2022

The Purpose of this study was to investigate the level of future anxiety among students of' vocational training. The relationship of future anxiety gender and vocational specialization was tested. The researcher developed a questionnaire of future anxiety which was distributed to 112 students who were in four vocational specializations. The results revealed that there was an average level of future anxiety among the vocational training students, in the total score as well as in the vocational, academic, social, and psychological dimensions. However, there was low level of future anxiety in the economic dimension. There were also statistically significant differences between males and females on the level of future anxiety, while there were no statistically significant differences on the other dimensions attributed to the vocational specialization. In light of the findings the researcher proposed a number of recommendations.
Modeling the Causal Relationships among Test Anxiety, Working Memory, and Academic Achievement of Primary Stage Students in Oman in the Light of the Processing Efficiency Theory
Authors: Abd-El-Fattah Sabry M.
Published: May 2022

This study aimed at investigating the relationships among test anxiety, working memory, and academic achievement in the light of the processing efficiency theory. The sample of the study included 159 fifth graders (84 females and 75 males) distributed over three public elementary schools in the Sultanate of Oman. Results of the mean testing analysis showed that the participants had high levels of worry and emotionality as well as overall test anxiety (both worry and emotionality). The results of the structural equation modeling analysis showed that (1) worry and emotionality had negative effects on central executive, phonological loop, and visuo-spatial sketch pad; (2) emotionality had a negative effect on the visuo-spatial sketch pad, and (3) central executive, phonological loop, and visuo-spatial sketch pad had positive effects on academic achievement. The results of the mediation analysis showed that the central executive and the phonological loop mediated the relationship between worry and academic achievement, and that the central executive, phonological loop, and visuo-spatial sketch pad mediated the relationship between emotionality and academic achievement. The results of the moderation analysis showed that gender was not a moderator of the relationships among worry, emotionality, central executive, phonological loop, visuo-spatial sketch pad, and academic achievement.
Relationships of Positive and Negative Psychological Stress Coping Strategies with Locus of Control and Some Variables among a Sample of Al-al Bayt University Students
Authors: Al Masaed Aslan S.
Published: May 2022

This study aimed to test relationships among positive and negative psychological stress coping strategies with locus of control. Academic level and specialization were also variables of interest in this study. The sample consistedof 202 male and female freshmen and senior students from the colleges of education and nursing. To answer the research questions two instruments were used. One measured the coping strategies and the other measured locus of control. Several statistical techniques were used: Mean, MANOVA and partial correlation. The results indicated that senior students used negative and positive coping strategies more than their freshmen counterparts. The results also showed that there was interaction between students' specialization and locus of control in using positive coping strategies; students in the college of education who had external locus of control used positive coping strategies more than nursing students. Also, there was interaction between academic level, specialization, and locus of control in using positive coping strategies. Furthermore, there was interaction between academic major, sex and locus of control in using positive coping strategies. Finally, there was positive relationship between external locus of control and positive coping strategies; and there was negative correlation between internal locus of control and positive coping strategies.
The Quality of Student Services Provided by the Deanship of Student Affairs at Sultan Qaboos University
Authors: Al-Ani Wajeha T. , Al-Rasbiya Zahra N.
Published: May 2022

This study aimed to investigate the quality of student services provided by the Deanship of Student Affairs at the Sultan Qaboos University. The study sample consisted of 610 students. Data were collected using a questionnaire consisting of 59 items distributed in seven areas which are: social services, housing services, and food services, and counseling and religious guidance services, cultural and artistic services, sports activities, and sustainable training services. The results showed that the highest mean of the responses is in the counseling and religious guidance 3.79, while the lowest mean is for the area of student food services 2.82.the Results of (MANOVA) showed that the quality of services provided by the Deanship of Student Affairs for students for female was a higher level compared with males in the areas of social services, housing services and sustainable training services. As for the results on the year variable, the result of the study revealed that there are statistically significant differences (α=0.05) related to the field of social services in favor of the second year students. Also the results showed that there are statistically significant differences related to students' points of view in humanities colleges in the areas of social services 3.37, and sustainable training 3.27, while in the area of religious guidance services it is in favor of scientific colleges 3.87. Based on the results of this study, many recommendations and suggestions were developed.
The Impact of the Use of Methods of Immediate Corrective Feedback on Cognitive and Applied Rules of the Quran Recitation among Tenth Grade Omani Students
Authors: Al-zedgali Maimuna , Shabibi Thureya S.
Published: May 2022

The purpose of this study was to identify the impact of immediate corrective feedback in classroom discussions on the level of knowing and applying the rules of Quran recitation among tenth grade students. To achieve this, researchers used two tools: a written test, and a verbal test. After confirming the validity and reliability of the tools, they were administered to 84 tenth grade female students. The results revealed that the second experimental group outperformed the first experimental group and the control group in the application of the rules of Quranic recitation. Also, the two experimental groups outperformed the control group in the knowledge of rules of Quranic recitation. The study puts forward a number of recommendations. The most important of which is the need to provide corrective feedback as it is one of classroom practices that provide the learner with information about the accuracy of her performance, and to modify underperformance or error. Also, there is a need to use a variety of methods of active corrective feedback in classroom.