bluuebunny/crossref_metadata_2025 huggingface dataset:
Study of middle school teacher’s performance due to overburden of non-educational work in context of middle school
Authors: REDDY NIRMALA , SHRIVASTAVA UPASANA
Published: January 2025

ABSTRACT

Study of middle school teacher’s performance due to overburden of non-educational work in context of middle school. What would be the impact of Performance of middle teachers of non-educational work in private school? What is statistically significant indication of performance of middle teachers due to overburden of non-educational work in context of private school? . This study is conducted on 100 Teachers on Middle School level in Raipur city. Four school of Raipur will be selected. By keeping various objectives and purpose of the study of development of time management scale will be constructed self-made tools. Conclusion – A total of 06 sub-questions were included in this research question, out of which significant difference was found in all the questions at the 0.01 level from which it comes to the conclusion that there will be an impact on the performance of middle teachers doing non-educational work in private school. There fore the research question is accepted. Conclusion –A total of 05 sub-questions were included in this research question, out of which significant difference was found in all the questions at the 0.01 level from which it comes to the conclusion that there will be statistically significant indication of performance of middle teachers due to overburden of non-educational work in context of private school. There fore the research question is accepted.

KEY WORD :- Teacher’s Performance, Overburden of non-educational work, Middle school
ESTUDO DO COMPORTAMENTO DA CORRENTE DE PARTIDA NOS MOTORES DE INDUÇÃO TRIFÁSICOS
Authors: Vinhais Jonathan Tomaz Bento , Moura Maria Angelica Macedo , Reis Alan Kardec Candido dos , Guimaraes Emerson Carlos , Borges Daniela Freitas , Castilho Deives Ferreira , Jesus Aurea Messias de
Published: January 2025

Os motores de indução trifásicos são dispositivos que transformam energia elétrica em energia mecânica, e exercem um papel fundamental na indústria, sendo essenciais para que as operações possam ser realizadas de forma eficiente. O objetivo geral do trabalho é desenvolver um estudo sobre o uso de motores elétricos de indução trifásica, analisando o impacto da corrente de partida na rede elétrica, por meio de medições e simulações no software CADe-Simu. A metodologia utilizada foi a pesquisa exploratória para conhecimento sobre os motores de indução trifásicos e sobre as partidas, realizada em livros, revistas, artigos e outros. Utilizou-se também uma pesquisa descritiva aplicada, onde as variáveis serão manipuladas a fim de comparar o efeito de uma sobre a outra. Durante o estudo dos métodos de partida dos motores de indução trifásicos foram analisadas as partidas estrela-triângulo, partidas com soft starter e as partidas com inversor de frequência. Não é possível afirmar qual método de partida é melhor para os motores de indução trifásicos, uma vez que cada partida tem suas particularidades, desvantagens e vantagens, e deve ser levado em consideração qual a aplicação desejada e o quanto se deseja investir.
SÍNDROME DE FOURNIER: DESAFIOS DIAGNÓSTICOS E TERAPÊUTICOS EM PACIENTES IMUNOCOMPROMETIDOS
Authors: Abreu Thyago Layron Sampaio de , Veloso Lucas Coelho , Feijó Alessandro Menezes Saldanha , Calvão Tatyane Ferreira , Melo Lara Sousa , Garcia Bianca Portela , Sousa Filho Emerson Alcantara de , Sousa Sandyla Leite de , Silva Karla Raissa Pires da , Costa Amanda de Vasconcelos , Santana Fernanda Nathália Sousa , Rocha Darianne Lopes , Guaraná Gabriel Danilo Job , Braga Thauanne de Lima , Mendes Sasha Thallia Rocha
Published: January 2025

A síndrome de Fournier (SF) é uma infecção necrosante rara e rapidamente progressiva, caracterizada pela gangrena das partes moles da região perineal, genital e abdominal inferior. O diagnóstico da síndrome de Fournier em pacientes imunocomprometidos é desafiador, e a natureza agressiva da infecção exige um tratamento imediato e abrangente. O presente artigo tem como objetivo geral analisar os desafios diagnósticos e terapêuticos na gestão da síndrome de Fournier em pacientes imunocomprometidos. A pesquisa é fundamentada em uma revisão abrangente da literatura existente, para a coleta dos dados, foi utilizada a base de dados PubMed e Scielo, a pesquisa foi conduzida com os termos “Síndrome de Fournier”, “Imunocomprometidos”, “Infecções Necrosantes”, aplicando o operador booleano “AND”. A partir da revisão da literatura, conclui-se que a síndrome de Fournier em pacientes imunocomprometidos continua sendo um grande desafio clínico devido à sua rápida evolução e à apresentação muitas vezes atípica. O diagnóstico precoce é fundamental para a redução da morbidade e mortalidade associada à doença, mas é dificultado pela supressão da resposta inflamatória em pacientes imunossuprimidos. A revisão mostrou que, embora exames de imagem como tomografia computadorizada e ressonância magnética sejam essenciais para o diagnóstico e avaliação da extensão da infecção, a identificação precoce ainda depende fortemente de uma abordagem clínica vigilante e de um índice de suspeição elevado, especialmente em pacientes de risco. No tratamento, a combinação de antibióticos de amplo espectro com intervenções cirúrgicas agressivas é crucial para o controle da infecção e para a remoção de tecidos necrosados. A monitoração contínua e a abordagem multidisciplinar têm mostrado resultados favoráveis no manejo desses pacientes, que frequentemente apresentam complicações graves, como sepse e falência multissistêmica. Apesar dos avanços no diagnóstico e no tratamento, ainda há lacunas na padronização das práticas terapêuticas e na definição de protocolos de prevenção, especialmente em grupos de risco. Mais estudos são necessários para melhorar os métodos de diagnóstico precoce, as estratégias terapêuticas e as abordagens de prevenção em pacientes imunocomprometidos.
EFICÁCIA DO EXERCÍCIO FÍSICO NA EVITAÇÃO DO MOVIMENTO EM PACIENTES COM TENDINOPATIA DO MANGUITO ROTADOR: ENSAIO CLÍNICO
Authors: Menezes Pedro Machado , Andrade Talita Santos , Nascimento Filho Flávio Martins do , Silva Junior Walderi Monteiro da
Published: January 2025

Resumo  

Introdução: A tendinopatia do manguito rotador é uma condição comum que afeta a funcionalidade do ombro e pode resultar em dor crônica. A literatura atual carece de estudos que integrem intervenções baseadas em padrões funcionais e a abordagem tradicional de tratamento.  

Objetivos: Este estudo visa investigar se os exercícios de fortalecimento do manguito rotador oferecem benefícios no controle da evitação do movimento em pacientes acometidos com tendinopatia do manguito rotador.  

Metodologia: Os pacientes foram convidados a receber um protocolo de tratamento com exercícios de fortalecimento. Todos os participantes passaram por 10 sessões de fisioterapia ao longo de 4 semanas. A evitação do movimento por meio da ADAP (Avoidance Daily Activities Photo Scale for Patients With Shoulder Pain) foi avaliada no início do estudo e após 4 semanas, no fim do tratamento. Modelos lineares mistos foram utilizados para a análise dos resultados.  

Palavras-chaves: Lesões do Manguito Rotador; Reabilitação; Ensaio Clínico
The Analysis Study of Association of Obesity and Eczema: A Comprehensive Systematic Review
Authors: Christina Hasian Nababan  , Martina Marvinova Hutapea  , Hotma Pebrina P. N
Published: January 2025

Background: Eczema is a chronic inflammatory skin condition that impacts 10% of the adult population worldwide, whereas obesity represents a significant global health issue. The relationship between eczema and obesity is intricate and differs among various populations. Mechanisms encompass eczema symptoms, avoidance of physical activity, gut microbiome influences, glucocorticoid medications, and factors related to obesity. Examining the relationship between eczema severity and related factors can guide targeted interventions and enhance comprehension of the shared pathways among these conditions. Methods: This systematic review adhered to PRISMA 2020 guidelines, focusing exclusively on full-text articles published in English between 2014 and 2024. Editorials and review articles without a DOI were excluded to ensure the utilization of high-quality sources. A literature review was conducted utilizing reputable databases including ScienceDirect, PubMed, and SagePub to identify relevant studies. Result: An initial search in databases yielded approximately 600 publications relevant to this topic. After a rigorous three-stage screening process, eight studies that met the inclusion criteria were selected for in-depth analysis. These studies underwent comprehensive critical evaluation, allowing in-depth exploration of the relationship between obesity and eczema. This systematic approach ensures that the analysis is based on high-quality evidence that is consistent with the research objectives. Conclusion: Studies demonstrate a clear correlation between moderate eczema and obesity. No significant association was discovered between severe eczema and high BMI. A higher BMI, comorbidities, and behavior may affect the association. Without a dose-response relationship, a bidirectional relationship is possible. To understand the complex association between eczema and obesity, future studies should investigate a non-linear relationship utilizing BMI as a continuous variable.
Tratamento do Meningeoma: Manejo e Perspectivas Clinicas
Authors: Macedo Ryan Rafael Barros de , Sousa Thalita Duarte , Nascimento Eula Paula Oliveira , Campolina Gabriela Arbex , Fernandes Fernanda Pimenta , Vianna Laura Diniz Reis , Gomes Nelson Pinto , Lourenço João Vitor de Paula , Previato Eduardo Pizaia , Cardoso Michelle Mércia Martins , Afonso Ananda de Lima , Roque Humberto Pereira , Neves Carlos Eduardo Gonçalves
Published: January 2025

Os meningiomas são os tumores primários mais frequentes do sistema nervoso central, caracterizados majoritariamente por um comportamento benigno e crescimento lento. Embora a maioria seja de baixo grau e apresente bom prognóstico, os graus mais elevados (II e III) possuem maior agressividade e pior desfecho clínico. Este estudo revisa avanços no manejo terapêutico, desde abordagens cirúrgicas tradicionais até técnicas inovadoras, como ressecção guiada por imagem e cirurgia endoscópica. Além disso, discute o papel da radioterapia adjuvante em cenários específicos, os desafios no tratamento de tumores recorrentes e o potencial das terapias moleculares emergentes. Os resultados evidenciam a importância de uma abordagem multidisciplinar para otimizar o manejo dos meningiomas, considerando aspectos clínicos, radiológicos e moleculares.
Pilot Study on Midfoot Pressure Analysis in Individuals with Flat Feet While Climbing Stairs Using a Pressure Sensing System
Authors: Price Donald
Published: January 2025

Flat feet, or pes planus, present a prevalent condition impacting mobility and quality of life, warranting an understanding of its biomechanical implications. This study aimed to quantify pressure differentials in the midfoot region between individuals with flat feet and those without during stair ascent. The pilot study evaluated one individual with clinically diagnosed flat feet and one healthy individual, both meeting specific inclusion criteria. The participants ascended stairs while a pressure-sensing system consisting of force-sensitive resistors (FSRs) recorded midfoot pressures. The results showed that individuals with flat feet exhibited lower pressure along the medial longitudinal arch and higher pressure along the lateral longitudinal arch compared to normal feet participants. Statistical analysis revealed significant differences in pressure for FSRs placed on the medial and lateral arches (p < 0.05). These results suggest a compensatory shift in pressure distributions, highlighting the altered loading patterns associated with flat feet. These findings have significant implications for physical therapy, underscoring the importance of arch-strengthening exercises to improve foot stability and redistribute pressure more effectively. By integrating pressure mapping into rehabilitation strategies, therapists can create personalized treatment plans, ultimately improving outcomes for individuals with flat feet. Future studies with larger participant groups and advanced pressure-sensing technologies are needed to validate these findings and refine therapeutic approaches.
Anveshan
Authors: Basu Dr. Sanjib Kumar , Dutta Dr. Sumanta
Published: January 2025

The United Nations Sustainability goals is the guiding thread which weaves the aspirations of an equitable and responsible future. Mahatma Gandhi once remarked that 'The soul of India lives in its villages,' which is the heart of sustainability and women empowerment grace the rural handloom industry of our county.
Implementing OBE to Innovate Entrepreneurship Education in Higher Education
Authors: Novitasari Dewiana , Nuryanti Yulis , Nadeak Multi , Waruwu Hatoli , Asbari Masduki
Published: January 2025

This project focuses on translating Outcome-Based Education (OBE) policy into learning design, execution, and assessment of learning outcomes in higher education entrepreneurial courses. Case study-based qualitative research is used in this study. Data were collected via extensive interviews with lecturers, students, and institutional policymakers, observation of entrepreneurship course learning, and assessment of Semester Learning Plan (SSP) and learning outcomes evaluation materials. Data was analyzed using thematic analysis to find patterns and correlations. The research shows that lecturers understand OBE principles and practises well enough to create learning outcomes, use experiential learning methods like business simulations and collaborative projects, and create relevant evaluation tools. This understanding helps lecturers integrate the OBE policy into the curriculum, improving student creativity, inventiveness, and problem-solving. This technique was successful, but institutional backing remains an issue. Limitations include limited resources, a need for creative evaluation tools, and poor instructor-student communication about OBE-based learning objectives. Students believe OBE-based learning is relevant to professional life, although the intensive exercises require better time management. This study improves theoretical comprehension of OBE policies in practice-oriented courses like entrepreneurship. This research emphasizes the need for continued lecturer training, a more detailed policy implementation guide, and additional resources to improve learning. The paper recommends more research on OBE policy's long-term effects on graduate quality and labor market alignment.
Dissemination of Indonesian Nasionalism and Islamic Religiosity Trough Podcast
Authors: Wibowo Bunga Melanie , Ramadhani Elsa , Putri Dwi Helena , Wati Lowfi Lidiya , Farhati Nalal Muna , Yuliyanti Najwa Putri , Zahra Annisa Nuruz , Syafia Abdil Aleema Dara
Published: January 2025

This study aims to identify and explore the values of Pancasila in the content of Habib Jafar’s podcast on Deddy Corbuzier’s Youtube channel. The qualitative study uses a media observation study approach. The subject matter in this study uses Pancasila values as the theory of analysis. The research data was obtained through documentation techniques. As for data analysis, it is obtained through the stages of data reduction, presentation and verification. This study confirms the existence of dimensions of Pancasila values in the content of Habib Jafar’s podcast, including the value of divinity in building tolerant religious awareness, the value of humanity in realizing a harmonious life, and the value of unity in strengthening diversity. The findings of this study confirm that there is a relationship between Islam and statehood in building the social life of Indonesian people who are tolerant in religion and state. The shortcomings of this study do not know the impact of podcast content on audiences, such as changes in attitudes that are in accordance with the values of Pancasila.
OMNICHANNEL STRATEGY IN IMPROVING CUSTOMER EXPERIENCE IN THE DIGITAL ERA (CASE STUDY ON SYARAH BAKERY BENGKULU CUSTOMERS)
Authors: Edo Dwi Anggara  , Andi Azhar
Published: January 2025

This study aims to analyze the impact of implementing an omnichannel strategy in enhancing customer experience at Syarah Bakery, an SME in Bengkulu. Given the intense competition in the local bakery industry, this research focuses on how the integration of online and offline channels can create a consistent and satisfying experience for customers. The approach used in this study is quantitative with a case study design, where data was collected through questionnaires and interviews with customers and the manager of Syarah Bakery. The study sample consisted of 350 respondents who had used various service channels. The results of the analysis using the Partial Least Squares (PLS) method indicate that service consistency, channel integration, service personalization, ease of access, and responsiveness significantly influence customer experience, with an R² value of 0.68. These findings highlight the importance of service consistency and channel integration in creating seamless customer experience. The study also provides recommendations for Syarah Bakery to improve their omnichannel strategy through service personalization, ease of access, and responsiveness to enhance customer satisfaction and loyalty in the digital era.
Nurse-Driven Patient Education at PKLI Hospital Lahore: A Knowledge-Practice Gap Analysis
Authors: Habib Ullah Riaz  , Nabila Riaz  , Laila Nazir  , Nasreen Server  , Madiha Arooj  , Aliza Fatima
Published: January 2025

The study highlights the importance of patient education in healthcare, particularly emphasizing the crucial role nurses play in facilitating it. A study conducted at PKLI offers insights into nurses' knowledge, attitude, and practice regarding patient education, revealing factors that impact healthcare service delivery. To investigate the knowledge, attitude, and practice of patient education among nurses. The current cross-sectional study included 120 registered nurses through convenient sampling technique from a hospital in Lahore, Pakistan. Data was collected during the period of 2032 to 2024 through a self-administered questionnaire and analyzed using SPSS. Nurses value patient education, with most acknowledging its importance (75%). While many feel confident in their understanding (75%), some admit to lacking clarity (25%). Practices generally align with positive trends, though improvements are needed, particularly in assessing educational needs (64%) and utilizing diverse teaching methods (61%). By focusing on areas needing enhancement and leveraging current strengths, the hospital can cultivate a more unified and patient-focused nursing team. This, in turn, is expected to lead to better healthcare results and increased patient contentment.
How Dementia Stages Influence the Impact of Stressors and Caregiving Appraisals on Caregiver Well-being
Authors: Dr. Muhammad Rizwan Mushtaq  , Iqra Alam  , Zainab Anwar Ali
Published: January 2025

This study investigates the influence of dementia stages on the relationship between caregiving stressors, appraisals, and caregiver well-being. A total of 300 caregivers of individuals with dementia, divided into three groups based on dementia severity (early, middle, and late stages), participated in the study. Key variables, including caregiving stressors, perceived burden, caregiving satisfaction, depression, anxiety, and physical well-being, were assessed. The results revealed that caregiving stressors and perceived burden significantly increased across dementia stages, while caregiving satisfaction, physical well-being, and mental health (depression and anxiety) declined. Pearson correlation analyses demonstrated strong associations between caregiving stressors, perceived burden, and poorer well-being, with caregiving satisfaction acting as a protective factor. Moderation analyses showed that caregiving appraisals, particularly perceived burden and caregiving satisfaction, moderated the impact of caregiving stressors on caregiver well-being. Specifically, higher perceived burden intensified the negative effects of caregiving stressors on depression and physical well-being, while greater caregiving satisfaction buffered the negative impact on physical health. These findings suggest that interventions aimed at reducing caregiving stress, enhancing caregiving satisfaction, and managing perceived burden are essential to supporting caregiver well-being across the dementia trajectory. Future research should explore longitudinal data and examine additional factors such as coping strategies and social support.
Comparative Analysis of Sodium Salt and Potassium Salt for Meat Preservation: Efficacy, Safety, and Quality Impact
Authors: Iqra Saddique Masih
Published: January 2025

The preservation of meat products is a critical aspect of ensuring food safety, extending shelf life, and maintaining quality. While sodium salts have been the traditional choice for meat preservation, increasing concerns about high sodium intake have led to the exploration of potassium salts as alternatives. This study investigates the antimicrobial efficacy, quality retention, and sensory characteristics of sodium chloride and potassium chloride in meat preservation, comparing findings with data from similar studies. The results highlight the potential of potassium salts to serve as a substitute for sodium salts, although challenges related to sensory attributes remain.
The Health Benefits of Spirulina: A Superfood for the Modern Age
Authors: Iqra Saddique Masih
Published: January 2025

This review article highlights the versatile health benefits of spirulina, a nutrient-rich dietary supplement. Spirulina has various advantages, including functioning to support the immune system, increase energy, and has antioxidant properties. Being high in protein, essential amino acids, and iron, spirulina can be added to the diet to improve nutritional intake and improve overall health. The versatility of spirulina as a dietary supplement makes it feasible to incorporate spirulina into different diets by simply adding it to a smoothie, salad, or a supplement. Spirulina is an alternative for people who want to conveniently and sustainably optimize their health.
Bridging the Gaps in Pediatric Orthopaedics: A Holistic Approach to Strengthening the Workforce
Authors: Grewal Rajvarun , OkoroAjuzie Adaeze , Sees Julieanne
Published: January 2025

The pediatric orthopaedic workforce in the United States faces critical challenges as the demand for specialized services grows. Despite recent advancements, significant gaps remain in the availability and geographic distribution of pediatric orthopaedic surgeons, particularly in rural underserved areas. These disparities affect the quality of care pediatric and adolescent patients deserve. While efforts to improve disproportionality have shown some progress, overall gender and racial diversity remains low. Furthermore, the osteopathic approach, which emphasizes whole-person care and preventive strategies, offers valuable insights and interventions for addressing these workforce challenges. By integrating osteopathic principles, such as the interrelationship of structure and function and osteopathic manipulative treatment (OMT), into preoperative and postoperative care, pediatric orthopaedists can enhance patient outcomes and long-term recovery, benefitting both subspecialists and generalists. This article reviews the current state of the pediatric orthopaedic workforce, proposes recommendations to address existing gaps, and highlights the role of osteopathic distinctiveness in strengthening healthcare for pediatric patients.
The efficacy and safety of acupoint application for cirrhotic ascites: A protocol for systematic review and meta-analysis
Authors: Yao Xiaoying , Zhang Liuping , Gao Yulan , Li He , Long Fangyu
Published: January 2025

Cirrhotic ascites significantly impacts patients’ quality of life and poses seri-ous clinical challenges. Conventional treatments, such as diuresis and ab-dominocentesis, are costly and prone to recurrence. Acupoint application, a traditional Chinese medicine (TCM) external therapy, offers a safe, painless, and cost-effective alternative widely used in clinical practice. However, its efficacy and safety lack systematic evaluation. This study aims to compre-hensively assess the effectiveness and safety of acupoint application for treating cirrhotic ascites through a meta-analysis of randomized controlled trials retrieved from databases including CNKI, VIP, WanFang, PubMed, Embase, and the Cochrane Library. The findings will provide evidence to guide clinical decision-making.
Two Cases of Maxillofacial Vascular Malformations Associated with Blue Rubber Bleb Nevus Syndrome And Literature Review
Authors: Meng Xin , Guo Yongjie , Zhang Jingrui , Ma Jun , Li Xinyu , Han Linfu , Wang Maiquan , Wang Yonggong
Published: January 2025

Blue Rubber Bleb Nevus Syndrome (BRBNS) is a rare systemic vascular malformation-related disorder that primarily affects the skin, gastrointestinal tract, and central nervous system. Approximately 55.9% of patients have lesions involving the oral and maxillofacial region. Due to the potential risks of gastrointestinal hemorrhage and intracerebral hemorrhage, it is crucial for dental practitioners to promptly identify and refer such cases to relevant departments to improve patient prognosis and enhance quality of life. This paper reports two cases of BRBNS associated with maxillofacial vascular malformations treated at the Oral and Maxillofacial Surgery Department of Henan Provincial People's Hospital. In conjunction with a literature review, this study discusses the clinical features, diagnosis, and treatment strategies of BRBNS, aiming to raise awareness among dental practitioners to avoid missed or incorrect diagnoses.
Global Trends and Hotspots in Tongue Cancer Research: A Bibliometric Analysis (2014-2024)
Authors: Meng Xin , Zhang Jingrui , Guo Yongjie , Ma Jun , Li Xinyu , Han Linfu , Wang Maiquan , Wang Yonggong
Published: January 2025

This study conducts a bibliometric analysis of 1,553 tongue cancer-related publications from 2014 to 2024, sourced from the Web of Science data-base, to uncover global research trends, hotspots, key contributors, and future directions in the field. Results indicate a significant rise in research activity, with China, the United States, and Japan leading in output and in-ternational collaboration. Emerging hotspots include the use of advanced technologies such as artificial intelligence, deep learning, and radiomics for early diagnosis, prognostic evaluation, and treatment, as well as a growing focus on younger patient populations and immunotherapy strategies. Future research should emphasize interdisciplinary collaboration, integrating bioin-formatics, imaging, and clinical studies, while fostering international cooper-ation and data sharing to advance understanding of tongue cancer patho-genesis and improve treatment outcomes, survival rates, and quality of life for patients.
Enhanced Fluoride Release from Glass Ionomer Cements and Compomers Modified with Clove Oil and Thymol: A Step Toward Advanced Caries Prevention
Authors: Shajia Haider  , Yawar Ali Abidi  , Affan Ahmad  , Fareeda Islam  , Aeliya Batool  , Syed Saqib Raza
Published: January 2025

Dental caries, a prevalent global health issue, significantly impacts oral health and quality of life. Glass ionomer cements (GICs) and compomers, valued for their fluoride-releasing properties, are pivotal in caries prevention and management. This study explores the enhancement of fluoride release from GICs and compomers modified with natural additives—clove oil and thymol—at varying concentrations (0.5%, 1%, 2%). These additives, known for their bioactive and antimicrobial properties, were incorporated into the dental materials, and fluoride release was measured over 30 days. Disc-shaped specimens were fabricated, standardized, and tested for fluoride ion release at predetermined intervals (Days 1, 7, 14, 30) using an ion-selective electrode. Results revealed that modified materials exhibited significantly higher fluoride release compared to unmodified controls. The 2% clove oil and thymol-modified samples demonstrated the greatest cumulative fluoride release, with a dose-dependent effect observed across concentrations. Statistical analysis confirmed significant differences (p < 0.05) between control and modified groups, indicating that natural additives enhance fluoride release properties effectively. The findings underscore the potential of clove oil and thymol in improving the therapeutic efficacy of dental materials, with implications for sustained caries prevention. By combining fluoride delivery with the bioactive benefits of natural additives, this study provides a pathway for developing advanced restorative materials to address oral health disparities, especially in high-risk populations. Future research should focus on optimizing these materials for broader clinical application, ensuring enhanced fluoride release without compromising structural and functional integrity.
Precision Irrigation Systems for Sustainable Water Management in Maize Cultivation: Impact on Yield and Water Use Efficiency
Authors: Arnab Kundu  , Sadia Waris  , Shagufta Sanam  , Hira Aslam  , Buhram Khan  , Sindhu Kumari Bogati  , Muhammad Rizwan  , Muhammad Jamshed  , Muhammad Saad Majeed  , Mohammad Ashfaq
Published: January 2025

This research aims at evaluating the effectiveness of precision irrigation systems in increasing yield and water productivity in maize production. While it is well understood that the technology offers the ability to apply water selectively and, therefore, be resource-saving, the potential benefits in practice have not been researched adequately. Quantitative data was obtained through survey administration with 50 maize farmers on the use and perception of precision irrigation. Descriptive and inferential analytical tools such as Chi-Square tests, t-tests and regression analysis were used to test the hypothesis that precision irrigation practices has positive effects on crop yields and water use. The results suggest that precision irrigation technologies do not increase crop productivity or water use efficiency in the sample analyzed. The correlation and regression tests showed no meaning co-efficient and there were no correlations for most variables and no impacts were found in variance analysis either, moreover, the R-squared in regression analysis was very low, thus there might be other factors that could be possibly more important for defining the results of maize production The research also finds that despite the potential advantages of precision irrigation systems, their implementation does not improve crop yield or water use in the examined scenario. This underlines the fact that agricultural systems are highly differentiated and that is why it is necessary to take into account the local conditions in order to use such technologies.
Comparison of Efficacy of Dapsone 5% Gel Vs Clindamycin 1% Gel in Mild to Moderate Acne Vulgaris
Authors: Soonha Iqra  , Rabia Ghafoor  , Asif Ali  , Misbah Zari Qadir  , Muhammad Khurram
Published: January 2025

Background and Aim: Acne vulgaris is the most prevalent dermatology condition causing pleomorphic disorder that usually affects individual aged 12 to 25 years with varying prevalence from 50% to 95% in various countries. It can have a significant psychological impact on young people as it primarily affects their face. The present study aimed measure the efficacy of clindamycin 1% versus dapsone 5% gel in patients with mild to moderate acne vulgaris. Materials and Methods: This randomized controlled trial investigated 64 acne vulgaris cases (mild-moderate) in the outpatient department of Dermatology, Jinnah Postgraduate Medical Center (JPMC), Karachi from April 2024 to September 2024. Acne vulgaris patients of either gender having age 20 to 65 years enrolled. Patients were categorized into two groups: Group-I (CLINDAMYCIN 1% GEL) (N=32) and Group-II (DAPSONE 5% GEL) (N=32). Each group received clindamycin 1% gel or dapsone 5% gel once daily night for 12 weeks (about 3 months). Global Acne Grading Scale used for improved efficacy in both groups. Patients achieving post-treatment score ≤ 18 referred as efficacy. Data analysis done using SPSS version 27. Results: The overall mean age of Group-I and Group-II patients was 25.64±6.50 years and 23.96±4.82 years, respectively. Of the total 64 patients, there were 29 (45.3%) male and 35 (54.7%) female. Female patients dominated both groups. Clindamycin group showed promising outcomes in terms of efficacy than Dapsone group. A significant variance in efficacy observed in stratification by age and gender, particularly among patients with duration of acne onset ≤ 3 months. Conclusion: Clindamycin 1% gel showed promising results in terms of effectiveness and efficacy in treating acne vulgaris as compared to Dapsone 5% gel, allowing for once-daily topical application for 12 weeks (3 months).
Intensive vs. Standard Systolic Blood Pressure Control in Type 2 Diabetes: A Retrospective Study
Authors: Tooba Adil  , Zafar Ahmad Khan  , Misbah Farooq Awan  , Ghazala Masood Farrukh  , Nuzhat Firdous  , Shazia Nazar
Published: January 2025

Background: Systolic blood pressure (SBP) control is a critical aspect of managing Type 2 diabetes, which is associated with an increased risk of cardiovascular events. This retrospective study compares the effects of intensive SBP control (targeting < 120 mmHg) versus standard SBP control (targeting < 140 mmHg) on cardiovascular outcomes, mortality, and adverse effects in Type 2 diabetes patients. Methods: A total of 500 patients with Type 2 diabetes were included, with 250 in the intensive control group and 250 in the standard control group. Cardiovascular outcomes (heart attacks, strokes, cardiovascular mortality), adverse effects (hypotension, hyperkalemia), and medication adherence were assessed. Cox proportional hazards regression was performed to evaluate the effect of intensive SBP control on cardiovascular risk. Results: The intensive control group showed a significantly lower incidence of heart attacks (4.8% vs. 7.2%, p=0.03), strokes (3.2% vs. 5.6%, p=0.02), and cardiovascular mortality (2.4% vs. 4.8%, p=0.04) compared to the standard control group. However, the intensive group had a higher incidence of hyperkalemia (3.6% vs. 1.2%, p=0.04) and symptomatic hypotension (5.6% vs. 3.2%, p=0.09). Cox regression analysis revealed a 21% reduced risk of major cardiovascular events in the intensive control group (HR = 0.79, 95% CI: 0.62-0.99, p=0.04). Conclusion: Intensive SBP control significantly reduces cardiovascular events and mortality in patients with Type 2 diabetes. However, the increased risk of hyperkalemia and hypotension suggests that careful monitoring and individualized treatment strategies are essential. Further prospective trials are needed to confirm these findings and refine management guidelines for patients with Type 2 diabetes.
Outcome of Volar Plate in Patients with Intra Articular Distal Radius Fracture
Authors: Gul Muhammad  , Muhammad Bakhsh Shahwani  , Asad Khan Ghilzai  , Shah Jamal  , Khushal Khan Kakar  , Muhammad Luqman  , Ainuddin Khan  , Sana Ullah kakar
Published: January 2025

Background: Intra-articular variations of distal radius fractures, which are common orthopedic injuries, might make it difficult to achieve anatomical reduction and functional rehabilitation. Because of its durability, capacity to restore joint congruity, and ability to facilitate early mobilization, volar plate fixation is the recommended technique. Objective: The purpose of this study is to assess the radiological, functional, and clinical results of volar plate fixation in intra-articular fractures of the distal radius. Methodology: At a Quetta tertiary care hospital, a cross-sectional study was carried out between August 2022 and August 2024. Included were 55 adult patients who had displaced intra-articular fractures of the distal radius. The AO system was used to classify the fractures, and volar locking plates were used to cure them. The Modified Mayo Wrist Score was used to measure functional outcomes, and follow-ups at two, six, three, and six months were used to gauge union time and complications. Results: The most prevalent fracture type (41.8%) was AO type 23-C2, and the mean age was 37.2 ± 10.05 years. With a mean duration of 11.98 ± 1.64 weeks, union was attained in 98.2% of patients. With 67.2% reporting good results and 27.2% reporting very good results, the functional outcomes were positive. There were just a few complications, such as median nerve neuropathy (1.8%), wound dehiscence (3.6%), and superficial infections (11%). Conclusion: volar plate fixation is a successful treatment for intra-articular distal radius fractures because it has minimal complication rates, good union rates, and functional results.
Comparison of Misconception of Heart Attack Pain with Heart Burn How Common Is It
Authors: Noman Pervez  , Muhammad Afzal  , Fazal Ur Rehman  , Abdul Ghaffar Khan  , Muhammad Hashim  , Syed Abdul Bari  , Rawindar Kumar  , Sana Ullah kakar
Published: January 2025

Background: The public often misunderstands the difference between a heart attack (myocardial infarction, MI) and heartburn. Heartburn, which is frequently brought on by acid reflux, commonly manifests as a burning ache in the chest, whereas myocardial infarction is characterized by sudden chest discomfort and additional symptoms like palpitations. Particularly among those with limited healthcare literacy, confusion between these two disorders can result in misdiagnosis, increased health risks, and delayed treatment. Methods: At a tertiary care hospital in Quetta, 200 volunteers from various socioeconomic levels (upper, middle, and lower) were enrolled in a cross-sectional descriptive study. The study gathered information on symptom interpretation, healthcare-seeking behaviour, and associated characteristics such belching, nausea, and the location of chest pain through semi-structured interviews and self-administered questionnaires. Thematic analysis was used to examine the data. Results: The findings showed that a considerable number of people confused MI pain for heartburn, with those from lower socioeconomic classes being most affected (50.5%). Symptoms that were frequently misconstrued included nausea (17.5%), chest discomfort (22%), and epigastric pain (36%). On the other hand, the most often identified MI symptoms were shortness of breath (24.5%) and chest discomfort (28%). Conclusion: In conclusion, many people confuse heart attacks with heartburn, particularly those from lower socioeconomic backgrounds who have less access to healthcare and less literacy. To improve early identification of myocardial infarction and lower health problems, this study emphasizes the significance of enhancing public awareness and health education.
The Effect of Cognitive Behavioral Therapy on Anxiety in Adolescents
Authors: Zuha Khan  , Qandeel Zaib  , Kanwal Saeed  , Bakhtawar Khan  , Haadi Ashal Pal  , Muhammad Zaman
Published: January 2025

Background: Anxiety disorders are prevalent among adolescents, significantly impacting their emotional well-being, academic performance, and social interactions. Objective: This study aimed to evaluate the effectiveness of Cognitive Behavioral Therapy (CBT) in reducing anxiety symptoms in adolescents. Methodology: The study was conducted at Holy Family Hospital, Rawalpindi, from May 1 to October 30, 2024 and included 115 participants. All participants were screened to confirm an anxiety diagnosis and completed baseline assessments using standardized tools, including the State-Trait Anxiety Inventory for Children (STAIC) and the Beck Anxiety Inventory (BAI). Results: Participants were divided into experimental and control groups with similar demographic characteristics, including mean ages of 15.4 ± 1.2 and 15.3 ± 1.1 years, respectively, and a male majority in both groups. Most participants were diagnosed with generalized anxiety disorder (GAD) (66.7% in the experimental group, 68% in the control group), while the remainder had social anxiety disorder (SAD). Baseline anxiety scores were comparable between groups, with mean BAI scores of 24.5 ± 5.2 and 23.8 ± 4.8, and STAIC scores of 38.7 ± 6.3 and 37.4 ± 5.9, respectively. Conclusion: CBT led to significant improvements in anxiety scores in the experimental group, with benefits sustained at 3- and 6-month follow-ups. These findings confirm the efficacy of CBT as a treatment for reducing anxiety symptoms in adolescents, offering a structured and evidence-based approach to managing this prevalent mental health challenge.
Maternal Nutrition and Its Impact on Low Birth Weight in Newborns
Authors: Sana  , Irum Sajid  , Sher Alam Khan  , Shafqat Hussain  , Masood Ur Rehman  , Mian Sohail Adnan
Published: January 2025

Maternal nutrition and its effects on birth weight especially with reference to dietary inadequacy, socio demographic status and health services. Using a mixed-methods approach, data from 300 postpartum women revealed significant nutritional gaps, including insufficient energy (mean intake: Energy (1800 kcal vs. recommended 2500 kcal), protein (45 g vs. 75 g), and micronutrients including iron, calcium, and vitamin D. These deficiencies were strongly associated with LBW, with multivariate regression showing significant odds ratios for energy (AOR: 2.privilege were significantly associated with higher energy intake (AOR: 5.0; 95% CI: 1.6–4.0) and higher protein intake (AOR: 3.1; 95% CI: 1.9–5.2). The study also realized that 33.3% of infants were categorized as LBW, which was similar to the current global statistics of low-income settings. The study affirmatively confirms maternal dietary interventions, use of supplementation, and the improvements in socio-economic wellbeing and its cruciality for decreasing the LBW prevalence. This research gives practical recommendations to both policy makers and health care practitioners who wish to enhance maternal and neonatal health.
Various Prebiotics and Probiotics, Their Usage and Importance in Maintaining Normal Microflora in Animal
Authors: Muhammad Talha Ahmad  , Danyal khan  , Sidra khan  , Sohail Ahmed  , Muhammad Waqas Amin  , Muhammad Zahid Gulshan  , Shahzada Khurram Adrian Shah  , Ambreen Shafaqat  , Munazza Zia  , Maaz Noor
Published: January 2025

Maintaining balanced microflora in animals is essential for health, immunity, and productivity, particularly considering the increasing global demand for antibiotic-free animal products. This review examines the contributions of prebiotics and probiotics, separately and in combination as synbiotics, to gastrointestinal health and the enhancement of animal performance. This review consolidates contemporary data regarding these therapies' mechanisms, uses, and advantages, highlighting their capacity to foster microbial stability, improve nutrient absorption, and augment immunological responses across diverse animal species, including poultry, swine, ruminants, and aquaculture. Key themes, including the effectiveness of prebiotic and probiotic strains, and discrepancies in the literature concerning doses, combinations, and species-specific treatments are examined. The review additionally analyzes the synergistic effects of synbiotics, which enhance the advantages of these chemicals. This review examines the current research landscape, identifies significant knowledge gaps, and provides insights into the difficulties and potential for enhancing microbial-based techniques in animal production systems. The results underscore the promise of prebiotics and probiotics as sustainable substitutes for antibiotics, enhancing animal welfare and production while mitigating the environmental effects of livestock systems. The review culminates with essential recommendations for future research, highlighting the necessity for longitudinal investigations, established methodology, and the investigation of innovative microbiological possibilities. It enhances the comprehension and implementation of microbial-based therapies, providing a basis for superior health management and sustainable practices in animal agriculture.
Metabolic Risk Factors in Calcium Oxalate Stone Formers: A Comparative Analysis with Healthy Control
Authors: Bikalpa Khanal  , Haris Jameel  , Syed Rabiullah  , Tanzeel Gazder  , Farag Mohsen Saleh Abo Ali  , Manzoor Hussian
Published: January 2025

Objective: To determine the metabolic abnormalities in the urine of calcium oxalate stone former patients and non-stone formers. Method: A descriptive study was performed in the Department of Urology, SIUT, Karachi, Pakistan, from June 27, 2022, to December 26, 2022. Patients with suspected renal calculi were evaluated, and those confirmed with them had surgical interventions including percutaneous nephrolithotomy, open surgery, or minimally invasive techniques. Stone specimens were examined with infrared techniques. Urine (24-hour) and blood specimens were obtained from 44 patients with calcium oxalate calculi and 51 healthy controls, with serum metabolic parameters evaluated using standard chemical methods. Data were documented electronically. Results: The comparison of metabolic parameters between stone formers and non-stone formers indicated no significant differences in mean urine uric acid levels (415.98 ± 156.51 vs. 366.80 ± 128.52 mg/24 hours, P = 0.096), urine phosphorus (5.84 ± 0.60 vs. 6.19 ± 0.73 mmol/24 hours, P = 0.723), urine oxalate (25.23 ± 15.70 vs. 30.83 ± 28.27 mg/24 hours, P = 0.246), or urine citrate (148.39 ± 113.85 vs. 190.29 ± 151.16 mg/24 hours, P = 0.135). Notable differences were detected in urine magnesium (80.93 ± 33.33 vs. 78.24 ± 39.68 mg/24 hours, P = 0.013) and urine calcium levels (179.02 ± 102.95 vs. 122.02 ± 91.36 mg/24 hours, P = 0.005) between the two cohorts. Conclusion: In conclusion, those with calcium oxalate stones exhibited elevated amounts of magnesium and calcium in their urine relative to those without stones.
Impact of Chest Radiation and Separate Coronary Ostia on Left Anterior Descending Artery Dissection in Female Patients
Authors: Azhar Shahzad  , Fahad Irshaad Siddiqui  , Naveed Hussain  , Haad Imran  , Naheeda Nisar  , Rizwan Ali  , Uzma Baig
Published: January 2025

Background: Left anterior descending (LAD) artery dissection is a rare and potentially life-threatening condition, particularly in female patients with a history of chest radiation therapy and congenital coronary anomalies, such as separate ostia of the left coronary arteries. Objective: The main objective of the study is to find the impact of chest radiation and separate coronary ostia on left anterior descending artery dissection in female patients. Methodology: This retrospective observational study was conducted at Chaudhary Pervaiz Elahi Institute of Cardiology, Multan during January 2022 to January 2023. Data were collected from 22 female patients. Results: The mean age of patients was 58.4 ± 8.3 years, with a mean interval of 15.2 ± 6.7 years since chest radiation therapy. Hypertension (54.5%) and diabetes mellitus (40.9%) were common comorbidities. Chest pain was the predominant symptom (90.9%), and LAD dissection was confirmed in all cases through coronary angiography. Separate ostia of the left coronary arteries were identified in 100% of the cohort. Conservative management was applied in 59.1% of cases, while 31.8% underwent percutaneous coronary intervention (PCI), with 85.7% success. In-hospital mortality was 4.5%, and the 12-month event-free survival rate was 81.8%. Conclusions: It is concluded that LAD dissection in this population results from a combination of radiation-induced vascular damage and congenital coronary anomalies. Advanced imaging techniques are critical for diagnosis, and management should be personalized to patient stability and disease severity.