bluuebunny/crossref_metadata_2025 huggingface dataset:
ANALISIS KEBIJAKAN PUBLIK PROGRAM DALAM PENGUATAN KETAHANAN PANGAN DI KABUPATEN SIDENRENG RAPPANG: POTENSI, TANTANGAN, DAN STRATEGI
Authors: Fitri
Published: December 2024

Penelitian ini bertujuan untuk memahami kondisi dan strategi penguatan ketahanan pangan di Kabupaten Sidenreng Rappang. Pendekatan penelitian ini menggunakan metode penelitian kualitatif eksploratif. Data penelitian ini menggunakan data sekunder, teknik analisis tematik dan disusun dalam matriks SWOT untuk merangkum temuan. Kabupaten Sidenreng Rappang memiliki potensi kuat dalam konsumsi beras berkat produksi yang besar dan statusnya sebagai daerah penghasil beras nasional. Akses terhadap kesehatan dan pangan di wilayah ini tergolong sangat memuaskan, mencerminkan keberhasilan dalam mencapai ketahanan pangan yang optimal. Faktor-faktor seperti efektivitas program pemerintah, kondisi lingkungan yang mendukung, dan partisipasi masyarakat berkontribusi pada pencapaian tersebut. Indeks ketahanan pangan menunjukkan tren stabil dengan skor 80-90 dari 2018 hingga 2022, yang menunjukkan akses masyarakat terhadap pangan aman dan bergizi. Meskipun realisasi program mencapai 68,46% dari target 100%, program unggulan dalam diversifikasi dan ketahanan pangan masyarakat menunjukkan capaian 67,44%. Ini mencerminkan kemajuan signifikan, meskipun masih ada ruang untuk perbaikan. Batasan penelitian ini mencakup wilayah geografis Kabupaten Sidenreng Rappang, fokus pada ketahanan pangan, dan efektivitas kebijakan & program pemerintah. Kedepannya, penelitian ini diharapkan dapat memperluas cakupan dengan mempertimbangkan faktor eksternal, melibatkan populasi yang lebih beragam, dan menerapkan metodologi komprehensif, serta melakukan studi longitudinal untuk memantau perubahan ketahanan pangan di Kabupaten Sidenreng Rappang.
Factors affecting customer`s intention to purchase and use telecommunication services in Siem Reap
Authors: Pak Vanndy , Pech Soriya , Thoun Chanreaksmey , Yam Soleang , Seng Thearan , Nhanh Sereyvathanak
Published: December 2024

The purpose of this research was to evaluate the factors that influence the intention to purchase and use telecommunication services in Siem Reap. The study utilized a sample size of 384 participants selected from clients residing in Sangkat Sala Kamroeuk and Sangkat Svay Dangkum, Siem Reap, using a simple random sampling method. The data was gathered through a closed-ended questionnaire that employed a five-point Likert scale. The information collected from participants was carefully reviewed before being processed using SPSS v.26 for data analysis. The findings from the linear regression analysis indicated that subjective norm factors, Face Consciousness, and perceived value positively influenced purchasing intentions. Conversely, attitude was found to have no significant effect on purchasing intentions. Finally, purchasing intentions independent variables positively impacted dependent variables related to customers' intentions to use telecommunication services. These results provide valuable insights for telecommuni-cation companies, highlighting the importance of developing applications and security systems that protect customer privacy. This, in turn, can help build customer trust and encourage the purchase and usage of the company’s telecommunication services.
Características del sueño y salud autopercibida en profesionales residentes de formación sanitaria especializada
Authors: Amigo Rodríguez Janire , Oyarbide Saralegui Alaitz , Rodríguez Cortés Marta , Olagaray Ramirez Maria , Arrien Bilbao Anne
Published: December 2024

Objetivo: Existe una correlación positiva entre el índice de calidad de sueño, estado de salud autopercibida y adecuados hábitos de higiene de sueño. Se propuso conocer las características del sueño y la salud autopercibida de los residentes de Formación Sanitaria Especializada de Osakidetza. 
Método: Estudio observacional transversal multicéntrico donde 501 residentes voluntarios constituyeron la muestra. 
Se emplearon un cuestionario sociodemográfico, el Índice de calidad de sueño de Pittsburgh, el Cuestionario de salud SF 12 y la Escala de Higiene del Sueño. 
Resultados: El 81,06% (n=351) tiene mala calidad de sueño; siendo más afectados los que tienen ansiedad, los que realizan guardias de 24 horas, los que conviven con personas dependientes y los que realizan especialidades de más duración. Cuanto mejores son los hábitos de higiene de sueño, mejor es la calidad de sueño (p<0,001) así como la salud mental autopercibida (p<0.001). Ser mujer y no tener ansiedad se relaciona con unos mejores hábitos de higiene de sueño. Por el contrario, a medida que la salud mental percibida de un individuo mejora, su salud física percibida empeora, y viceversa (p<0,001). 
Conclusiones: Existe relación entre la calidad del sueño y la salud autopercibida de los residentes de Formación Sanitaria Especializada de Euskadi además de con los hábitos de higiene de sueño que tienen. Es importante que salud laboral ejecute programas educativos según las necesidades detectadas.
Palabras clave en DeCS: Sleep Wake Disorders; Sleep Hygiene; Quality of Life; Internship and Residency
Previous knowledge about the specialty of Occupational Nursing in undergraduate nursing students at the University of Cadiz
Authors: De Pedro-Jiménez Domingo , Domíguez-Romero Esther , Almenara-Angulo María Ángeles , Vega-Escaño Juan
Published: December 2024

Introduction: Nursing has evolved significantly resulting in various specialties about which there is lack of knowledge, partly due to lack of guidance during undergraduate training. The objective is to explore knowledge about the specialties, particularly in relation to occupational nursing and occupational health concepts.
Methods: Cross-sectional study in October 2023 in third-year nursing students in Algeciras (Cádiz). An ad hoc pre-test post-test questionnaire was administered. For quantitative variables, median and minimum and maximum values were calculated due to non-normality of the sample. For qualitative variables, frequencies and percentages were calculated. Chi2 test and Fisher's exact test were used to compare pre- and post-test variables, considering a statistical significance level of p<0.05.
Results: The prevalence of the female sex (92.1%), the majority of patients were from Cadiz (28.9%) followed by Malaga (23.7%). There was a high level of knowledge about the duration of the specialty (89.5%) and occupational hazards (89.5%). Initial disinterest in doing an internship in an SPRL decreased from 39.5% to 25.8%, although the difference was not significant. After receiving information, 10.5% of those who would do the specialty went to 48.4% (p<0.001).
Conclusions: The data reveal a lack of knowledge about specialties. Many would consider doing internships in an SPRL with additional information. This deficit needs to be addressed in undergraduate training so that students can make an equal choice of specialty, which will result in quality nursing care.
Study of cardiovascular risk in university workers
Authors: Hernández Martín Marta María , Meneses Monroy Alfonso , Moreno-Pimentel Antonio Gabriel , Mayor Silva Luis Iván , Moreno Muñoz Guillermo , Rodríguez Pedrosa María Isabel , De Pedro Jiménez Domingo
Published: December 2024

Introduction:
The study of cardiovascular risk factors in workers and their characterization by types of work is essential for the primary prevention of cardiovascular diseases. The objective was to analyze the differential cardiovascular risk profile between university professors and administration and service workers.
Methodology:
Retrospective observational study of a sample of 1245 workers from a public university in Madrid. Sociodemographic variables (sex, age), physiological variables (BMI, systolic and diastolic blood pressure, glucose, total cholesterol, HDL and LDL) and lifestyle variables (physical activity, alcohol consumption and smoking) were analyzed. Percentages were calculated for qualitative variables and median and maximum-minimum range for quantitative variables. The Mann-Whitney U test and the Chi-Square test were used.
Results:
66.7% (n = 830) were university professors compared to 33.3% (n = 415) of administration and service workers. In this last group there was a higher proportion of women (62.9% vs 52.2%, p<0.001), a higher median age (53 [24-66] vs 45 [23-73], p<0.001). Regarding the cardiovascular risk variables, the administration and service workers group presented a higher percentage of smokers (21.7% vs 11.3%, p<0.001), a lower proportion of daily drinkers (7.0% vs 8.5%, p< 0.003), higher BMI (25 [16.9-42.8] vs 24.1 [16.7-46.7], p<0.001), higher LDL cholesterol levels (116 [33-232] vs 111 [ 24-266], p<0.03) and total cholesterol (194.2 [89-334] vs 188 [105-372], p<0.004). This group also presented higher levels of systolic (121 [87-193] vs 118 [79-174], p<0.001) and diastolic blood pressure (74 [49-117] vs 71 [48-113], p<0.001). ). No differences were found in the rest of the variables.
Conclusions:
Lipid levels, blood pressure and smoking are significantly higher in PAS. It is necessary to study the possible influence of working conditions on the cardiovascular risk of these workers.
Conflict Situations in a Hospital in the Community of Madrid, Spain: Impact of Training in Conflict Management and Intervention Strategies
Authors: Calvo-Patiño María de los Ángeles , Bueno-Pous María Kyralina , Aparicio-Herguedas Marta , Pajares-Ruano María del Pilar , Martínez-Martínez Patricia
Published: December 2024

Objetive: To evaluate the impact of training in “Management of Conflict Situations” on SERMAS workers in our hospital, analysing causes, patterns and areas most exposed to conflicts, and identifying the changes observed after the training.
Methods: We performed a retrospective analysis of the years 2021, 2022 and 2023 by collecting data on conflict situations using the REMAC form (Madrid Register of Aggressions and Conflicts).
Results: 103 conflict situations were recorded, highlighting verbal aggressions and threats, mainly directed at women. Internal Medicine and the Emergency Department accounted for 29.13% and 16.50%, respectively. 34.95% were related to dissatisfaction with hospital care received, and there was a 2.5-fold increase since March 2022.
Conclusions: We attribute the increase to growing awareness following the training provided in March 2022. We further propose, with the results obtained, a risk map focused on critical areas to guide formative and preventive actions in response to the findings.
Cardiovascular risk in the Workplace
Authors: Editorial Board
Published: December 2024

Cardiovascular diseases (CVD) are the leading cause of death worldwide. According to the World Health Organization, approximately 18 million people die annually from CVD, representing 32% of all deaths. According to the Ministry of Health's 2021 report, CVD is estimated to account for approximately 30% of all deaths in the country, with around 120,000 annual deaths attributable to these conditions.The prevalence of cardiovascular risk factors in the work context shows a similar epidemiology to the general population. Kivimäki et al. analyzed data from more than 100,000 workers and found that 30% of them had at least one significant cardiovascular risk factor, such as hypertension, obesity, or diabetes.
Alchymista Petr Hlavsa ve službách Viléma z Rožmberka – myšlenkový svět a společenské poměry českého alchymisty v 16. století
Authors: Dostálová Magda
Published: December 2024

Alchemist Petr Hlavsa in services of Wilhelm von Rosenberg (Vilém z Rožmberka) – the world of thought and social conditions of a Bohemian alchemist in the 16th century

The main theme of the study is alchemy developed at the court of Wilhelm von Rosenberg (1535–1592). The article is a sequel to the study “Alchemist Petr Hlavsa in services of Wilhelm von Rosenberg – operational processes and technical equipment of laboratory.” It analyzes the correspondence of Petr Hlavsa, the alchemist and manager of Wilhelm von Rosenberg. Hlavsa was supposed to oversee all of the work in laboratories in Prague and Třeboň and to inform Wilhelm about achieved progress. This article gives an idea of the reality in Rosenberg’s laboratories. It especially describes the relationships among alchemists, and it engages in the alchemist’s world of thought.
Krátká zpráva Ottaviana Roveretiho (1556–1626), lékaře Rudolfa II.
Authors: Divišová Bohdana
Published: December 2024

Short message of Ottaviano Rovereti, doctor of Rudolf II

The theme of the article is a translation and commentary of the Latin file called “Relatio brevis.” It describes the evolution of the health status of the Emperor Rudolf II in the last few months of his life. The author was one of the emperor’s personal physicians, Ottaviano Rover (Roboreto), who subsequently directed the posthumous dissection of the emperor’s body. The document Relatio brevis has always been used by historians as a source of information but has often been misinterpreted. The aim of the article is a detailed interpretation of the translated text as well as an introduction to Ottaviano Rovereti’s life for the interested public. Though Rovereti held a very important place at the Prague imperial court, he remains almost unknown.
Communicating Politics in the Dissecting Room The Influence of Medical Students and Physicians from Prague Charles-Ferdinand University on the Liberal Model of Human Progress at Vienna University
Authors: Seebacher Felicitas
Published: December 2024

Communicating Politics in the Dissecting Room The Influence of Medical Students and Physicians from Prague Charles-Ferdinand University on the Liberal Model of Human Progress at Vienna University

In the first decades of the 19th century, universities in the Habsburg Monarchy were supervised by the government and patronized by the state. The philosopher Bernard Bolzano, professor at the University of Prague, had to leave, as he had incited liberal ideas among students. Due to the lack of career prospects in Bohemia or Moravia, quite a few of them left Prague for Vienna. Believing in the ideals of liberty and equality, especially medical students and young physicians developed a strong oppositional attitude against the government and its university system. In order to put down important liberal ideas in society, the Prague Community in Vienna was deeply involved in the Doctors’ Revolution of 1848. With the university reforms of 1849, a reform process was initiated towards political participation and a modern civil society.
Nová, hezká, německá a česká: dělení pražské univerzitní botanické zahrady (1882–1898)
Authors: Čermáková Lucie
Published: December 2024

New, beautiful, German and Czech: The Division of university Botanical Garden in Prague (1882–1898)

In the year 1882, two new universities were established, German and Czech, replacing the old Karl-Ferdinand University in Prague. Professors were allowed to choose where they would teach; their institutes followed them to the corresponding university. The position of the botanical garden was, however, more complicated. It had to serve both universities, but achieving agreement on cooperation between Czech and German chairs of botany at the height of national tensions in Bohemia was complicated.
The aim of this study is to describe the process that led to the foundation of two new university botanical gardens in 1898. It highlights particularly the role professors of botany played in this process. It is difficult to compare this case with situations in other university institutes, as the relationship between Czech and German universities has not yet been systematically surveyed. In the realm of the history of botany, this episode of institutional development has been insufficiently described. Thus, this study is meant to serve as an opening for a broader research on this topic.
Ošetřovatelské školství mezi tradicí a modernitou: snahy o prosazení anglosaského modelu v meziválečném Československu
Authors: Zaoralová Růžena
Published: December 2024

Nursing education between tradition and modernity: efforts to enforce Anglo-Saxon model in interwar Czechoslovakia.

Although the international context was of key importance for nursing education in inter-war Czechoslovakia, the topic has been solely studied by American scholars so far; the Czech historiography of nursing and medicine has not paid due attention to it until now. The study focuses on how American nurses got involved in the improvement of nursing conditions, what problems the implementation of their approaches met with, efforts to interconnect public health nursing with hospital nursing had failed for a long time and why the aim to establish new nursing schools was difficult to implement. The retrospective analysis of these questions is based on primary (Czechoslovak and U. S. nursing periodicals, Czechoslovak archival documents) and serves as a basis for comparison with published archival material U. S. provenance. The author regards the introduction of new approaches in nursing as a part of the process of medicalization. She argues that the exercise of biopower in relation to nursing education provoked a number of conflicts conditioned by gender stereotypes, adjusted political and legal framework, cultural customs and mentality.
Botanický dokument z poloviny 18. století – Joannes Kisling (1713–1748)
Authors: Smolka Josef
Published: December 2024

Botanical document from the half of the 18th century – Joannes Kisling (1713–1748)

The article is devoted to Joannes Kisling, professor of philosophy in Prague – Clementinum, Jesuit university. He dealt with disciplines that were not usually a focus of Jesuit science. Though he propagated natural sciences he was a resolute exponent of the opinion that the sciences are to be interpreted the basis of Aristotelian philosophy. The article follows up a botanical part of his work on planets and plants (pun in Latin – and the same in English: de plantis et planetis).
Kerentanan Perempuan Penyandang Disabilitas Terhadap Kekerasan Seksual
Authors: Pratiwi Audya Dwi Cahya
Published: December 2024

Kekerasan seksual dapat dialami oleh perempuan normal dan dapat dialami oleh perempuan penyandang disabilitas, salah satunya perempuan penyandang disabilitas intelektual yang menjadi korban perbudakan seksual. Pasal 5 ayat (1) huruf d Undang-Undang Penyandang Disabilitas menyatakan bahwa penyandang disabilitas mempunyai hak keadilan dan perlindungan hukum maka dari itu perlindungan terhadap perempuan penyandang disabilitas harus diperhatikan karena mereka memiliki kerentanan ganda sebagai perempuan dan sebagai penyandang disabilitas. Penelitian ini bertujuan untuk mengetahui pentingnya perempuan penyandang disabilitas intelektual korban kekerasan seksual memerlukan perlindungan khusus dan bentuk perlindungan hukum yang diberikan oleh LRC-KJHAM bagi perempuan penyandang disabilitas intelektual yang menjadi korban perbudakan seksual. Metode penelitian ini adalah penelitian yuridis sosiologis menggunakan metode analisis data deskriptif kualitatif. Teknik pengumpulan data melalui wawancara serta dokumentasi dengan menggunakan data primer dan data sekunder. Hasil penelitian ini menunjukkan bahwa perempuan penyandang disabilitas intelektual korban kekerasan seksual belum mendapatkan hak-haknya dan mereka lebih rentan menjadi korban kekerasan seksual sehingga mereka perlu mendapatkan perlindungan khusus dan LRC-KJHAM memberikan perlindungan hukum secara preventif dan represif bagi perempuan penyandang disabilitas intelektual yang menjadi korban perbudakan seksual berupa layanan konseling, bantuan hukum, layanan kesehatan dan melakukan diskusi dan kampanye untuk mencegah kekerasan terhadap perempuan penyandang disabilitas intelektual.
Kata Kunci: Disabilitas Intelektual, Kekerasan Seksual, Perlindungan.
A Percepção dos Procuradores da Fazenda Nacional sobre a Importância das Soft Skills para a Consultoria
Authors: Ribeiro Thaísa
Published: December 2024

The main purpose of this study is to investigate the perception of the Attorney for the National Treasury on the importance of soft skills for the consultancy and legal advisement functions in general coordination of the central body of the Attorney General´s Office for the National Treasury (PGFN). A descriptive and qualitative research, with semi-structured interviews with Attorneys for the National Treasury working on PGFN's central body, and document analysis. The content analysis was the chosen technique to interpret the data and observation, due to the experience of the researcher in PGFN over the past 13 years in the general coordination offices of the PGFN's central body. From the primary and secondary data collected, it was possible to extract the importance of soft skills to optimize the performance of the Attorney for the National Treasury for the consultancy and legal advisement functions, in view of its strategic role in the formulation and development of public policies, in which it needs to be aware of its role in making the interests of political agents, materialised by public policies, compatible with the legal system.
SURVIVAL STRATEGIES FOR TRADITIONAL MARKET TRADERS IN THE DIGITAL ERA
Authors: Anggraini Safinka  , Khairani  , Putri Safa Aulia Lubis  , Raisa Aulia Rahmah  , Tria Manda Sari
Published: December 2024

Traditional Markets are facing great challenges from the development of digital technology. This research aims to explore the survival strategies of traditional market traders in the Pajak USU Medan in facing changes in the digital era. The method used is qualitative descriptive with a field approach based on data analysis obtained from interviews and observations. It was found that the results of the study showed that developments in this digital era have a considerable impact on traders in the Pajak USU as for the impact, namely a decrease in the level of buyers, as for the survival strategies carried out by traders, namely by following market trends, maintaining the quality of goods sold, trying to offer their products through social media, and providing the best service to visitors
PROXIMALLY BASED SUPERFICIAL SURAL ARTERY FLAP UTILITY AND COMPLICATION
Authors: Ali Qazi Amjad , Khan Nasir Hayat , Hayat Waqas , Ahmad Shahzad , Khan Mansoor , Khan Zarak
Published: December 2024

Background: Most of the patients presenting with such injuries belong to the low socio-economic class, where the whole family is dependent upon the earning of a one single person. Due to the critical role of knee in mobility, its coverage is of critical importance in order for the patient to achieve ambulation.
Objectives: To determine the uses and frequency of complications for proximally based superficial sural artery flaps in a tertiary care center.
Settings: This descriptive cross-sectional study was performed at Burns & plastic surgery, Peshawar and Burns & Plastic Surgery, Peshawar from June 2020 to March 2024.
Methodology: Patients were included in the study after informed consent. After clinical history and examination, the patient was optimized for surgical procedure. Per-operatively the defect size, location and exposed structures were identified and documented. Follow-up was done for 1 month for any complications. The data was organized and analyzed with the help of Statistical Package for Social Sciences (SPSS) and presented in the form of tables and figures. 
Results: A total of 12 patients were included in this study. The mean age was 33.7 ± 15.2 years. Most of the patients (91.7%) were male. Most common mechanism of injury was road traffic accident (RTA) as shown in table 1. Flap delay was done in one (7.7%) patient. Two patients had partial necrosis.
Conclusion: Sural artery flap is a good reconstructive option for defects of distal thigh, knee and proximal leg. It can cover large defects and the donor site morbidity is low.
CORRELATION OF CLINICOPATHOLOGICAL FEATURES AND DISEASE PROGRESSION IN BREAST CARCINOMA PATIENTS-A MULTINOMIAL LOGISTIC REGRESSION ANALYSIS
Authors: Sahar Sana , Gul Tamjeed , Khan Muhammad Ihtesham
Published: December 2024

Objective: To determine the correlation between breast carcinoma progression pattern with age, tumor cell receptor status, histopathological diagnoses, and stage of disease in patients. 
Materials and Methods: The study was conducted in the surgery unit of Khyber Teaching Hospital, from January 2023 to December 2023. Patients diagnosed with breast cancer who did not receive treatment were included while those already on chemotherapy were excluded. Patients received neoadjuvant chemotherapy in the oncology department from a consultant Oncologist. A cohort of 54 patients were followed up until completion of chemotherapy. Pre- and post-chemotherapy CT scans were done to re-stage and determine disease progression. The normality of data was recognized by Kolmogorov-Smirnov and Shapiro-Wilks test. The association between categorical variables was determined by the chi-square test of association. The Kruskall-Wallis test was used to determine the correlation between nominal and continuous variables. Multinomial logistic regression was applied between nominal variables where correlation was significant. A p-value < 0.05 was considered statistically significant.
Results: Mean age of 54 patients was 44.11±10.87 (range: 17-70) years. Early-stage disease was seen in 20(37%) cases, while 25(46.3%) had locally advanced breast carcinoma and 9 (16.7%) had metastatic disease.  Disease progression was seen in 19 (35.2%), while 24(44.4%) showed regression and 11 (20.4%) showed no change in disease progression (p-value<0.05). A statistically significant strong association was seen between disease progression and stage (?2=14.7, p=0.004). Multinomial logistic regression analysis showed that patients with early disease at diagnosis were more likely to observe disease regression (OR=24.5, p= 0.008, CI 95%=2.28-262.5).
ENHANCING FACIAL FEATURES: EVALUATING SURGICAL OUTCOMES AND SATISFACTION IN MALE RHINOPLASTY
Authors: Afridi Riaz Ahmed Khan , Muhammad Tahir , Tauqeer Zahra , Hussain Saddam
Published: December 2024

Background: Rhinoplasty is a commonly performed procedure, often undertaken for cosmetic, functional, or both reasons. Yet, male rhinoplasty poses particular challenges, often stemming from difficulties in communication and attention to detail.
Objectives: To assess surgical outcomes in terms of patient satisfaction and complications.
Methodology: This observational study was carried out at a private practice at Lady Reading Hospital in Peshawar, following approval from the ethical committee, for a duration of nine months. Male patients with age range 18-50 years were enrolled while Exclusion criteria comprised individuals with body dysmorphic disorder or a history of previous nasal surgery or trauma. Data was gathered using a predefined form, and pre-operative and post-operative photographic documentation was obtained. Patients were monitored for a duration of six months. Data was analyzed using SPSS version 22.
Results: The mean age observed was 28.3 ± 4.8years (range 20-40 years). Among participants, 37 patients (58.7%) opted for rhinoplasty solely for cosmetic reasons, while 26 (41.2%) underwent the procedure for both cosmetic and functional concerns. Overall satisfaction rate observed was 81% (P<0.05). 9.5% patients expressed high satisfaction, 71.5% patients were satisfied, while dissatisfaction was noted in 5 patients (7.9%) who underwent rhinoplasty for functional reasons. No major complications were noted during the study period.
Conclusion: A thorough pre-operative assessment, including a psychological evaluation to identify unrealistic expectations, along with clear communication with patients undergoing cosmetic surgery, boosts the chances of successful outcomes and enhances patient satisfaction.
CORRELATION OF HISTOLOGICAL SPECTRUM OF HYSTERECTOMY SPECIMENS WITH CLINICAL DIAGNOSIS. A MULTI-CENTRIC STUDY
Authors: Pervez Shagufta Nasir , Naz Shazia , Muhammad Asim , Balooch Farhan , Ahmad Mushtaq , Ismail Naila
Published: December 2024

Objective: To investigate the relationship between the histological spectrum of hysterectomy specimens and preoperative clinical diagnosis.
Methodology: From January 2020 to December 2023, three major medical centers—MTI Hayatabad Medical Complex, Kabir Medical College, and Naseer Teaching Hospital, Peshawar and Saidu Medical College and Saidu Group of Teaching Hospital Swat—collected 12,200 hysterectomy specimens for our retrospective cross-sectional investigation. Information contained the histological results, preoperative clinical diagnosis, and patient demographics. Histopathological and clinical diagnoses were correlated and at every stage of the study, patient confidentiality and conformity with ethical standards were guaranteed by institutional review board approval.
Results: There are 12,200 hysterectomy cases in the research. The patients were primarily 53 ± 6 years of age. They were operated on for a variety of clinical manifestations, such as irregular uterine hemorrhage, pelvic pain, and masses. Histopathological results showed that adenomyosis was the most common disease. High agreement for malignancy but lower agreement for adenomyosis was revealed by concordance analysis.
Conclusion: This study shows that clinical diagnosis has an invaluable role in recognizing pathologies of the uterus but the proper diagnosis and treatment required histopathological examination. In conditions where there is high concordance such as malignancies, clinical assessment may be quite accurate, this is because there is low agreement in diseases such as adenomyosis hence, the validity of clinical diagnosis may be limited. These results underscore the significance of the combined use of clinical and histopathological approaches in helping patients achieve the best possible results
ASSESSING THE RISK OF LEFT VENTRICULAR DIASTOLIC DYSFUNCTION IN NON-OBESE AND OBESE NON-ALCOHOLIC FATTY LIVER DISEASE
Authors: Khan Jibran Umar Ayub , Arif Nauman , Subhan Shoaib , Fayyaz Humera , Sameen Dur -e – , Shah Azhar Zahir
Published: December 2024

OBJECTIVE: To determine the risk of left ventricular diastolic dysfunction in obese and non-obese Non-Alcoholic Fatty Liver disease
RESULTS: Mean age of patients in obese and non-obese group was 46.34±12.52 and 45.43±11.83 years. In obese group minimum and maximum age of patients was 22 and 74 while in non-obese group it was 19 and 73 years. In obese group 109(56.8%) patients were males and 83(43.2%) were females while in non-obese group 101(52.6%) patients were males and 91(47.4%) were females. Mean body mass index of patients in obese and non-obese patients was 34.25±5.42 and 20.38±1.45 respectively. Severity of LVDD show significant difference between groups. The Grade-I LVDD was significantly higher in obese patients as compared to non-obese group respectively. i.e. p-value=0.036. Among non-obese patients age and gender were significant predictors of LVDD. As for gender it was OR:0.459. Among non-obese patients for gender the risk of LVDD was 0.459 times higher for female patients as compared to male patients
CONCLUSION: The left ventricular diastolic dysfunction is a common finding in NAFLD patients and routine echocardiography should be performed on time.
EFFECTIVENESS OF OF ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY FOR TREATMENT OF OBSTRUCTIVE JAUNDICE
Authors: Asghar Muhammad , Khan Jibran Umar Ayub , Hameed Khalid , Shah Azhar Zahir , Shah Syed Abdul Ahad Ali , Fayyaz Humera
Published: December 2024

Background: Endoscopic retrograde cholangiopancreatography is one of leading procedures for diagnosis and management of obstructive jaundice.
Objective: To assess the effectiveness of endoscopic retrograde cholangiopancreatography for biochemical and symptomatic improvement in patients of obstructive jaundice
Results: The mean age of the patient was 51 years with a minimum of 30 and maximum of 79 years. There was equal male to female ratio.46% of patients had CBD stones ,43% had strictures in CBD,8.4% had carcinoma pancreas and 2.6% had periampullary growth .46% patients  underwent sphincterotomy with balloon extraction while 54% had stent placement for stones evacuation and drainage of bile flow  74% of the patients had significant improvement of clinical symptoms in 7 days while 26% had improvement in 3 days .Post ERCP pancreatitis was 2% of cases .The mean ALT and AST before intervention were 124 and 123 units/L respectively .The mean ALP and bilirubin were 602 and 4.6 units/L respectively .The mean ALT,AST,bilirubin and ALP after the intervention were 73,74,410 and 2.6 units/L respectively. Significant improvement was seen in the liver function tests, clinical symptoms as reflected by a p value of less than 0.05
Conclusion: In conclusion ERCP is an excellent therapeutic procedure for the management of obstructive jaundice.
DAME SHEILA SHERLOCK, SPIDERS, CAPILLARIES, AND THE EVOLUTION OF HEPATOLOGY
Authors: Khan Sheraz Jamal
Published: December 2024

Dame Sheila Sherlock stands as an unprecedented and unparalleled towering figure in the entire history of hepatology, a discipline she defined and shaped. Her keen scientific mind and untiring drive led to many landmark discoveries, yet it was her unconventional mix of wit, satire, and a unique love and haterelationship with her colleagues and students that made her an icon. Notably, her most famous paper: “Spiders and Capillaries”published way back in time ( Hepatology in 1989) encapsulated both her genius and her foresight into the future of liver diseases, predicting the profound changes that would sweep hepatology over the next half-century and more¹.
Normalización de la terminología de la conservación y restauración del patrimonio cultural Chileno: un proyecto interdisciplinario
Authors: Benavente Covarrubias María Angela , Hoces de la Guardia Soledad , Naranjo Mogollones Natalia , Rivera Sánchez Catalina , Rojas Zepeda Ana María , Pissolato de Oliveira Luciana , Tebé Soriano Carles
Published: December 2024

El Centro Nacional de Conservación y Restauración (CNCR) es el organismo de referencia en Chile en materias de conservación de patrimonio que, mediante acciones de conservación-restauración de bienes culturales, elabora estudios, informes y análisis del estado de conservación del patrimonio nacional. Un problema crítico que enfrentan organismos públicos que producen y transmiten conocimiento especializado es la falta de una terminología normalizada, es decir, aprobada por consenso entre especialistas y terminólogos. En el CNCR esta carencia genera problemas de fijación o representación del conocimiento que dificultan su comunicación o transferencia. Este artículo presenta un proyecto de normalización terminológica de las alteraciones en la conservación-restauración de los bienes patrimoniales chilenos: sus objetivos generales y específicos, la metodología propuesta y algunos avances de resultados obtenidos en los trabajos preliminares desarrollados junto con especialistas del CNCR, de la Pontificia Universidad Católica de Chile (PUC) y del Comité Nacional de Conservación Textil (CNCT).
ИССЛЕДОВАНИЕ МИНЕРАЛОГИЧЕСКОГО СОСТАВА ЗАБАЛАНСОВЫХ СМЕШЕННЫХ СЕРЕБРО СОДЕРЖАЩИХ РУД НА СОДЕРЖАНИЕ БЛАГОРОДНЫХ МЕТАЛЛОВ
Authors: Нурмуродов Мехриддин Нарзуллаевич , Холмуродов Ферузжон Фарходугли , Вохидов Бахриддин Рахмидинович , Савриев Элёр Эркинович
Published: December 2024

This paper analyses the study of the mineralogy of silver-ore ores with the method of their processing based on the study of rational analysis and method of enrichment and sorption extraction of metals. The authors of the work studied the possibility of attracting these types of ores to processing with the evaluation of the study of mineralogical and rational composition of mixed-sulphide ores. The article is a detailed study of the mineralogical composition of off-balance silver-bearing ores and offers a technological scheme for their processing.  The research is carried out at a high level, using modern methods of analysis and enrichment.
Peritoneal Closure at Caesarean Section; A Comparative Cross-Sectional Study
Authors: Bibi Saira , Sultan Shahnaz , Usman Muhammad , , Heema , Robeen Kousar , Khattak Saima
Published: December 2024

Background: Cesarean section rates have been growing consistently on a worldwide scale. Peritoneal closure is important because it can help provide the best possible surgical results and recuperation after surgery. The surgical incision site could not receive enough support and protection if the peritoneal layer is not closed.
Objective: To compared the mean pain score following peritoneal closure with non-closure during Caesarean procedure.
Materials and Methods: Comparative cross-sectional study, conducted at department of obstetrics and gynecology of Hayatabad Medical Complex Peshawar. The research comprised 276 pregnant women with primigravida, who were having an elective caesarian section, categorized into two groups (Closure & Non-closure) of 138 participants in each. To prevent surgical skill bias, senior obstetricians with over three years of experience conducted Caesarean sections on both groups. SPSS (version 22) was used to enter and analyze all the data.
Results: A total of 138 with closure patients were observed in which 38(60%), 48(35%), and 7(5%) patients had mild, moderate, and sever pain respectively. While in closure group, a total 138 patients were observed in which 64(46%) had mild, 62(45%) moderate, and 12(9%) patients had severe pain. The p-values for mild, moderate, and severe pain across age groups were 0.571 and 0.681 for the non-closure and closure groups, respectively.
Conclusion: Our study highlights that peritoneum non-closure discomfort is less severe than peritoneum closure during a cesarean section. It is advised that during an emergency cesarean section, both visceral and parietal peritoneal closure can be safely skipped because the surgical result is better.
IMPACT OF DIAPHRAGMATIC BREATHING WITH PURSE LIP BREATHING VERSUS PURSED-LIP BREATHING ALONE ON DYSPNEA AND EXERCISE CAPACITY AMONG COPD PATIENTS
Authors: Riaz Hifza , Amina Amjad  , Nimra Mustafa  , Amon  , Ahmad Ammar Asif  , Muhammad Ahsen Tahiri  , Hafiz Ali Bin Asim
Published: December 2024

Background: Chronic obstructive pulmonary disease (COPD) is a leading global health concern, affecting 13.6% of the population worldwide and ranking as the third most common cause of mortality. It is characterized by progressive respiratory dysfunction that significantly impacts quality of life. Integrating diaphragmatic breathing (DB) and pursed-lip breathing (PLB) into rehabilitation programs has shown potential in alleviating dyspnea and improving exercise capacity, offering a cost-effective and accessible non-pharmacological intervention for COPD patients.
Objective: To evaluate the effect of diaphragmatic breathing combined with pursed-lip breathing versus pursed-lip breathing alone on dyspnea and exercise capacity in COPD patients.
Methods: This experimental study included 32 clinically stable COPD patients, aged 45–75 years, categorized as GOLD II or III. Participants were recruited from Government Mozang Teaching Hospital, Sir Ganga Ram Hospital, and Lahore General Hospital using purposive sampling. Exclusion criteria included pleural effusion, liver or kidney disease, pulmonary tuberculosis, post-tuberculosis obstruction syndrome, unstable angina, and recent myocardial infarction. Participants were randomized into Group A, receiving diaphragmatic breathing combined with pursed-lip breathing, and Group B, receiving pursed-lip breathing alone. Both interventions were administered over eight weeks with four sessions per week. Dyspnea and exercise capacity were assessed using the modified Medical Research Council (mMRC) scale and the six-minute walk test (6MWT), respectively. Data were analyzed using SPSS version 24.
Results: Between-group analysis revealed that Group A demonstrated significantly greater improvements in dyspnea (mMRC: 3.2 ± 0.5 to 1.4 ± 0.6, p = 0.033) and exercise capacity (6MWT: 310.5 ± 45.3 to 365.9 ± 50.2 meters, p = 0.020) compared to Group B (mMRC: 3.1 ± 0.6 to 1.9 ± 0.7; 6MWT: 315.2 ± 50.1 to 350.3 ± 55.6 meters). Within-group analysis for both groups showed statistically significant improvements (p < 0.001).
Conclusion: Diaphragmatic breathing combined with pursed-lip breathing significantly outperformed pursed-lip breathing alone in reducing dyspnea and enhancing exercise capacity in COPD patients. This combined approach represents an effective and practical addition to pulmonary rehabilitation programs.
Sustainability in Solid Waste Management to Reduce Environmental Impact and Improve Resource Efficiency
Authors: Dilip Mishra
Published: December 2024

Solid waste management is essential for promoting environmental sustainability, public health, and resource conservation. This paper examines the multifaceted challenges associated with solid waste, including municipal, industrial, and hazardous waste streams. Inefficient waste management practices lead to detrimental impacts on ecosystems, human health, and climate change. A holistic approach is necessary, emphasizing waste reduction, reuse, recycling, and responsible disposal techniques. The project aimed to enhance solid waste management through comprehensive strategies, including awareness campaigns, waste segregation initiatives, and the establishment of treatment facilities. The results showed a notable reduction in waste generation, an increase in recycling rates, and improved waste segregation practices among residents and businesses. Additionally, the project successfully developed enhanced treatment and disposal infrastructure, including composting facilities and engineered landfills, which adhere to environmental safeguards. Significantly, the project incorporated waste-to-energy technologies, demonstrating their potential in reducing landfill volumes while generating valuable energy. A prototype system was developed to convert waste combustion heat into electrical energy, which was then stored in batteries for practical use, illustrating the feasibility of small-scale energy recovery from waste. Challenges encountered, such as community resistance and logistical issues, highlight the importance of continuous engagement and collaboration among stakeholders. The findings underscore the necessity of robust policies and community involvement in implementing sustainable WM practices. Overall, this research contributes to the understanding of effective solid waste management strategies and their role in achieving environmental sustainability and resource recovery, offering valuable insights for communities seeking to improve their waste management systems.
Sorting Machine for Fruits and Vegetables for Agricultural Advancements using IoT
Authors: Ashutosh Mishra  , Sukhwinder Kaur Bhatia  , Reeta Mishra
Published: December 2024

The increasing demand for high-quality agricultural produce necessitates the modernization of sorting processes, traditionally reliant on manual labour. This study presents the development of a smart fruit and vegetable sorting machine utilizing advanced machine learning and computer vision technologies to enhance sorting accuracy, throughput, and efficiency. The methodology encompasses a systematic approach, including the design and configuration of a conveyor system, implementation of imaging sensors, and the integration of a convolutional neural network for real-time classification of produce. A dataset of 10,000 labelled images was utilized to train the model, which achieved an impressive sorting accuracy of 95% and a throughput of 120 items per minute during testing. The machine demonstrated a low error rate of 5%, underscoring its effectiveness in minimizing post-harvest losses and ensuring quality control. These results highlight the significant advantages of automation in agricultural practices, surpassing traditional manual sorting methods in both speed and reliability. Additionally, an economic feasibility analysis indicated the potential for substantial cost savings in labour and reduced spoilage, making the technology viable for small and medium-sized farms. The findings of this research demonstrate that the smart sorting machine is a transformative solution for contemporary agriculture, addressing critical challenges in sorting efficiency and accuracy. Future work is recommended to explore advanced imaging techniques, real-time monitoring systems, and broader applications across diverse crop types. By embracing these innovations, the agricultural sector can enhance productivity, sustainability, and overall profitability, ultimately contributing to a more efficient food supply chain.
Experimental Analysis of Banana Fiber and Phosphogypsum in Soil Stabilization
Authors: Ashutosh Mishra  , Priyanka Singh
Published: December 2024

This study investigates the potential of banana fiber as a natural reinforcement material for soil stabilization, specifically in conjunction with phosphogypsum. With construction often reliant on soils with inadequate bearing capacity and shear strength, enhancing soil properties is crucial. The research employs banana fibers extracted from the pseudo stems of banana plants, assessing their effects on soil characteristics at various reinforcement percentages (0%, 0.1%, 0.3%, and 0.5%). Key parameters evaluated include Unconfined Compression Strength (UCS), Maximum Dry Density (MDD), and Optimum Moisture Content (OMC) through standardized laboratory tests. The findings reveal that the inclusion of banana fibers significantly raises the OMC of the soil, indicating improved moisture retention capabilities. Notably, the OMC values for the reinforced samples increased with higher fiber content, peaking at 12.3% for Sample 1 and 13.5% for Sample 2 at 0.5% fiber. Additionally, the UCS tests demonstrated enhanced compressive strength, with the highest value recorded at 1.70 MPa for Sample 1 at 0.5% fiber content. These results suggest that banana fibers effectively improve the mechanical properties of soil, making it more suitable for construction applications. This research highlights the potential of utilizing agricultural waste, such as banana fibers, for sustainable soil stabilization practices, offering an eco-friendly alternative to synthetic materials.
Effect of Temperature on the Percentage of Germination of Mung Beans
Authors: Devendra Pratap Singh
Published: December 2024

This study explores how temperature affects the germination percentage of mung beans (Vigna radiata), a crucial crop valued for its nutritional benefits and adaptability to various climates. As global temperatures rise, understanding the influence of temperature on seed germination becomes increasingly important for agricultural productivity. We hypothesized that higher temperatures would enhance germination rates due to increased metabolic activity and improved seed coat permeability. Mung beans were subjected to three distinct temperature conditions: cold (10°C), room temperature (25°C), and warm (35°C). Over ten days, we recorded the number of seeds that successfully sprouted in each environment. Our results showed a significant correlation between temperature and germination percentage. The warm environment yielded the highest germination rate at 85%, while the cold environment resulted in only 30% germination. Statistical analysis confirmed that these differences were significant (p < 0.01). These findings align with previous research suggesting that optimal temperatures for mung bean germination range between 30-35°C. We conclude that temperature is a critical factor influencing mung bean germination, with warmer conditions promoting faster and more successful sprouting. Future research could explore the impact of extreme temperatures on subsequent plant growth and yield, offering insights for agricultural practices in a changing climate.