bluuebunny/crossref_metadata_2025 huggingface dataset:
Association of Physical Exercises with Anthropometric Parameters and Blood Pressure Among Medicals Students: A Prospective Study in Jammu
Authors: Gupta Aprajita , Vaid Rupashi , Imam Anam
Published: February 2023

Background: Physical inactivity is one of the major risk factors for the rise in cardiovascular diseases and excessive body weight among people of all ages, particularly among adults, in both developed and developing nations, according to reports. This study examines the possible associations of physical fitness with anthropometric indices and cardiovascular parameters.
Methods: The present study was conducted on 200 medical students at Postgraduate Department of Physiology, Government Medical College, Jammu over a period of one year from November 2019 to October 2020.
Results: A total of 200 participants were enrolled in the current study, of whom 113 (56.5%) were women and 87 (43.5%) men. The study population's mean age was 21.48±3.46 years, with a range of 18 to 25 years. We observed that physical activity was significantly associated with BMI, WHR, SBP and DBP (p-value<0.0001*).
Conclusion: The present study demonstrated that the physical activity was significantly associated with BMI, WHR, systolic BP, and diastolic BP. The bottom line of the current study suggests that regular exercise lowers the risk of hypertension by aiding in weight management.

Keywords: Exercise, body mass index, obesity, blood pressure, hypertension
Coverage and Connectivity in WSN: A Review
Authors: Saini Shalu , Singh Manjeet
Published: February 2023

Wireless sensor networks (WSNs) are a collection of self-contained nodes with a limited battery life which have applications in medical services, security systems, military surveillance, and environmental monitoring, among other areas, with energy efficiency, lifetime, and network connectivity as research challenges. In the existence of a multi-state sensor node, one of the major research difficulties is to provide application – optimum coverage of the observed region and reliable transmission of obtained data. When regulating sensor sites, it is often necessary to maintain a high area of coverage ratio, and covering explicit point targets to ensure an extended network lifetime is also necessary at times. This review covers the concepts of coverage and network connectivity, as well as how they are studied, quantified, and how they affect network performance. In addition, oversight of the most important key performance indicator influenced by coverage is highlighted, which may have an impact on the envisioned use cases in terms of throughput and huge connectivity.
Influence of Mg2+ Substitution on Structural, Electrical Polarization, Optical Properties and magnetic Properties of Sr-Based R-Type Hexagonal Ferrites
Authors: Iqra Ijaz  , Samreen Saeed  , Imran Sadiq  , Farhan Sadiq  , S.Sajjad Hussain  , Mishal Idrees  , Sajjad Hussain  , Muhammad Shahbaz  , Sadaf Naz  , Saira Riaz  , Shahzad Naseem
Published: February 2023

In this research work the substitutional effect of Mg2+ on Structural, Electrical Polarization, FTIR, SEM and magnetic properties of  Sr1-xMgx Mn2 Fe4 O11 R-type hexaferrite nanoparticles with compositions (x= 0, 0.25, 0.75,1.0) were investigated. The sol-gel auto-combustion method was adopted to synthesize the samples, and the powder was sintered at 800°C for 4 hours to achieve the stable hexagonal phase. XRD pattern showed that all the prepared samples have a single phase R-type hexagonal structure. The lattice parameter a, c, and unit cell volume V decreased with Mg substitution. The dislocation density increased with Mg substitution, while crystalline size varied with Mg doping. The Fourier transform infrared spectroscopy (FTIR) spectra further verified the single hexagonal phase of the produced samples. The saturation and remanent polarization increased with Mg substitution in the polarization versus electric field loops. The P-E loops also indicate the lossy behavior decreased with Mg substitution. By substituting Mg+2, the saturation magnetization, retentivity, and coercivity increased initially, then decreased. VSM measurements reveal ferrimagnetic and paramagnetic nature for all the samples.
Letras e memória: impressões autobiográficas
Authors: Morais Solange Santana Guimarães , Morais Francinaldo de Jesus , Sousa Erika Maria Albuquerque
Published: February 2023

Este livro traz um espaço significativo. Leituras que não se restringem e se preocupam com dimensão literária. Isso mostra o desejo dos autores de não reproduzirem temas. Há ousadias e preocupações que são instigantes e coletivamente ganham um lugar na historiografia. O caminho da História pede agilidade. O livro Letras e Memória: impressões autobiográficas atrai, exalta criatividade, faz o leitor compreender as dificuldades de ser historiador. Ter cuidado com regras acadêmicas não é tudo. Agitar é preciso. Não assuma metodologias antigas, com medo das críticas. O mundo tem seu tempo presente que retoma coisa do passado e balança desejos. Como será o futuro? Os tropeços são constantes e a perfeição não atinge a convivência humana. - Antonio Paulo de Morais Rezende
Morphofunctional changes in the small intestine in acute adhesive small bowel obstruction
Authors: Gulzoda M. K. , Safarov B. I. , Ruziboyzoda K. R. , Kobilov K. K.
Published: February 2023

Aim: To study the features of morpho-functional changes in the small intestine mucosa in acute adhesive small bowel obstruction.

Material and methods. The results of a comprehensive study of morphological and functional changes in the small intestine’s mucous membrane in 20 patients out of 50 with acute adhesive small intestinal obstruction were analyzed. Patients underwent resection of the small intestine with a biopsy from the mucous membrane, followed by a pathomorphological and biochemical examination of biopsy specimens.

Results. The study results show that more pronounced pathomorphological changes in the mucous membrane of the small intestine were observed in patients with acute adhesive small intestinal obstruction with widespread (multiple) adhesions compared with limited (single) adhesions. In the study of biochemical parameters in the small intestine mucosa in patients with acute adhesive small intestinal obstruction with the presence of multiple (widespread) adhesions, there was a significant and critical increase in lipid peroxidation and proinflammatory cytokines, a decrease in antioxidant protection compared to the patient group with the presence of single (limited) adhesions. There was also a decrease in the concentration of serotonin in the mucosa of the small intestine. In the presence of single (limited) adhesions in these patients, it decreases to 0,50±0,3 units, and in patients with multiple (common) adhesions - to 0,20±0,2 arb. units.

Conclusion. The severity of morpho-functional changes in the mucosa of the small intestine directly correlates with the severity of the development of the adhesive process and acute adhesive small bowel obstruction.
Impact of pregnancy on allosensitization in women with stage 5 chronic kidney disease
Authors: Usmonov I. M.
Published: February 2023

The article is devoted to the problem of the effect of pregnancy on alloimmunization in women with stage 5 chronic kidney disease and the choice of a donor and immunosuppression for kidney allotransplantation. The analysis showed that alloimmunization of pregnant women is common and remains poorly studied. Studies suggest that endogenous mechanisms contributing to maternal-fetal tolerance during pregnancy may persist in the postpartum period. Moreover, it remains to be determined whether this immunological balance can be used to improve transplant outcomes. Thus, significant opportunities remain for clinical researchers to contribute to this field and improve transplant outcomes for sensitized women.
Peculiarities of the clinical course of intracranial hematomas with regard to age factors and the phase of the disease
Authors: Rakhmonov B. A. , Berdiev R. N. , Rakhmonov H. J. , Turdiboev Sh. A.
Published: February 2023

Aim: To identify the peculiarities of the clinical course of intracranial hematomas taking into account age factors.

Material and methods. One hundred twelve victims with traumatic compression of the brain were examined. The diagnosis was made based on the results obtained during a comprehensive examination, including a dynamic clinical and neurological examination, radiography, CT and MRI.

Results and discussion. More than half of the victims, 31 (56.5%), were admitted in consciousness, 65 (58.0%) in moderate stun, and 8 (7.1%) - in deep stun. Headache was detected in 86 out of 112 patients with ICH (76.8%). In some patients, it was impossible to identify headaches due to severe impairment of consciousness. They are usually considered in the circle of cerebral symptoms, and they are relatively rare - only 13.4% of patients with ICH Aphasic syndrome included a motor or sensory speech disorder and was noted in 16% of patients with intracranial hematoma. If we take only left-sided intracranial hematomas, their specific weight among focal symptoms significantly increased (up to 22%).

Conclusion. Statistical analysis of the results of this study showed that the introduction of new methods into the medical complex in recent years contributed to improving treatment results and decreasing mortality.
一位主動脈竇動脈瘤破裂之罕見案例
Authors: 陳宜伶 陳宜伶 , Yi-Ling Chen 宋怡憓 , Yi-Hui Sung 周怡伶
Published: February 2023

主動脈竇動脈瘤是一種罕見的心臟結構病變，因具非特異性表徵及困難診斷，容易導致高死亡風險。本案例是一位53歲男性患者，因急性胸痛入院治療，藉由實驗室檢查發現心肌酵素升高、D-二聚體升高，心電圖檢查為aVR導程ST段上升、於第I、II、V4~6導程出現ST-T波段變化，初步診斷為左冠狀動脈主幹心肌梗塞，立即行冠狀動脈攝影檢查發現無異常。個案出現胸痛合併心因性休克之症狀，從中排除主動脈剝離、肺栓塞、心包填塞等診斷，深入檢視病史紀錄及影像報告，發現心臟超音波、胸部電腦斷層及冠狀動脈血管攝影檢查有由左流向右心室的瘻管分流，最終確診為主動脈竇動脈瘤破裂。患者緊急接受右冠狀竇動脈瘤修補及主動脈瓣置換手術治療後，胸痛、休克狀況改善且左心室功能恢復，術後預後良好。在面對急性胸痛合併血液動力學不穩定的患者時，除了須考慮症狀相關的疾病診斷外，當聽診發現S1及S2連續性心雜音時，建議將主動脈竇動脈瘤破裂列入考慮，以掌握治療處置之重要時機。

 

Aneurysm of the sinus of Valsalva is a rare cardiac anomaly due to the nonspecific symptoms and dif-ficult confirmation of diagnosis leading to high mortality. This report describes the case of a 53-year-old man who had suffered from acute chest pain. The electrocardiogram showed the ST segment ele-vation in lead aVR and ST-T wave changes in leads I, II and V4-6. Elevated D-dimer levels and cardi-ac enzymes were also observed. Acute myocardial infarction caused by the left main coronary artery obstruction was initial diagnosed. Coronary angiogram was performed immediately and the result indicated non-obstructive coronary artery. However, cardiogenic shock with persistent chest pain was discovered. Aortic dissection, pulmonary thromboembolism and cardiac tamponade were gradually excluded. Through detailed review and analysis of medical history, physical assessment and image ex-aminations with echocardiography, chest computed tomography and coronary angiogram, a ruptured sinus of Valsalva aneurysm was eventually diagnosed based on image examinations which revealed left-to-right shunt communicating with the right-sided heart chambers. The patient received emergen-cy right coronary sinus aneurysm repairment and aortic valve replacement surgery. Symptoms with chest pain and shock gradually disappeared and left ventricular function was restored postoperatively. The patient demonstrated excellent recovery. In facing relevance diagnostics for patients with acute chest pain and hemodynamic instability, a ruptured sinus of Valsalva aneurysm must be considered to endure best treatment timing if heart auscultation reveals S1 and S2 continuous murmurs.

 
一位53歲男性以右小腿紅疹與腫脹為表現
Authors: 陳盈螢 陳盈螢 , Ying-Ying Chen 陳金凰 , Chin-Huang Chen 張簡志炫
Published: February 2023

胰臟炎、脂膜炎與多發性關節炎症候群（pancreatitis, panniculitis, and polyarthritis, PPP）是胰臟疾病患者罕見發生於肢體的合併症。雖然PPP症候群罕見，當延遲診斷或缺乏胰臟炎治療時會導致高死亡率。本個案為53歲男性胰臟炎史，此次因右小腿長期反復發紅性皮疹腫脹和復發性雙膝關節炎，經相關檢查後診斷為右小腿膿瘍與多發性膝關節炎住院，於施行右小腿手術中發現與組織病理報告皆有脂膜炎病徵之異常呈現；雖然個案無腹部不適主訴，但回溯先前腹部電腦斷層有滲出性胰臟炎發現，因此於治療後期診斷為PPP症候群，持續給予適當抗生素和抗胰臟炎藥物治療使症狀獲得改善。因此當臨床遇見中年男性胰臟病史患者、伴隨反復性下肢腫脹、發紅性皮疹和復發性膝關節炎症狀，則胰臟炎、脂膜炎與多發性關節炎症候群就必須列入考慮，以避免錯失治療先機。

The pancreatitis, panniculitis, and polyarthritis (PPP) syndrome is a complication that rarely occur inthe limbs of patients with pancreatic diseases. Although PPP syndrome is rare, the mortality rate is high due to late diagnosis, or the lack of pancreatitis treatment. The case is about a 53-year-old man with a history of pancreatitis. This time the patient was hospitalized due to long-term recurrent skin rashes, swelling of the right calf, and bilateral knee arthritis. After necessary examinations, he was initially diagnosed with right lower leg abscess and knee polyarthritis. However, there were abnormal signs of panniculitis from operative findings and histopathological reports. Although the patient had no complaint of abdominal discomfort, but exudative pancreatitis was discovered through backtrack-ing the computer tomography. Therefore, he was diagnosed with PPP syndrome at the later stage of the treatment and continued to undergo appropriate antibiotics and anti-pancreatitis medications until the symptoms were improved. Consequently, when a middle-aged man with a history of pancreatic disease is encountered clinically, accompanied with repetitive lower limb swelling, skin rashes and recurrent knee arthritis, the PPP syndrome must be considered to quire early treatment opportunity.

 
一位以頭痛一個月為表徵的43歲男性
Authors: 謝馴梅 謝馴梅 , Hsun-Mei Shieh 吳冠陞
Published: February 2023

頭痛是臨床常見的主訴，雖然絕大多數的頭痛具自限性病程，卻也可能是中樞神經系統感染的初始症狀之一，此時若未能及時診斷治療，會導致病人有較高的風險發生永久性神經功能缺損、甚至造成死亡。本案例描述一位43歲男性，主訴入院前一個月開始出現發燒及持續性頭頂鈍痛症狀，尤其清晨睡醒時頭痛最為劇烈，入院前一周頭痛加劇，並出現複視、雙下肢麻痛等症狀。到院時意識清楚，身體檢查發現右眼無法外旋，腦部影像正常，腦脊髓液中白血球及淋巴球比例皆異常增多，血清中嗜伊紅性白血球比例偏高。詳問病史發現病人於頭痛前五天曾生食青蛙，以酵素結合免疫吸附法檢驗腦脊髓液及血清後發現有廣東住血線蟲之抗體，診斷為廣東住血線蟲引起之嗜伊紅性腦膜炎。經治療後病人恢復良好，頭痛發燒皆已解除，惟右眼仍無法完全外旋。本案例提醒我們：當遇到淋巴球性腦膜炎，合併血清或腦脊髓液中嗜伊紅性球比例異常偏高時，需主動詢問發病前之飲食狀況，以判斷是否有食入遭寄生蟲汙染之食物與飲水之可能性。

 

Headache is a common clinical complaint mostly with a self-limited course but may also be a symp-tom of central nervous system infection. If the diagnosis is not established in time, permanent neu-rological deficits and even death may occur. We presented a 43-year-old man who had fever and per-sistent dull pain in the top of the head as symptoms for a month before admission, especially the most severe headache when waking up in the morning. The headache got worsened, diplopia and bilateral lower extremities numbness were noticed one week before admission. Despite several visits to a local clinic, no definite diagnosis was made. On admission, the patient was conscious. However, he was un-able to rotate his right eye internally. The brain images showed no abnormality. A cerebrospinal fluid examination suggested that the lymphocytic meningitis and serum eosinophils levels were higher than expected. After a thorough medical history inquiry, we found out that the patient ate raw frogs five days before the headache was occurred. Enzyme-linked immunosorbent assays identified antibodies to Angiostrongylus cantonensis in his cerebrospinal fluid and serum. Eosinophilic meningitis caused by Angiostrongylus cantonensis was therefore diagnosed. The patient recovered smoothly after a four-month treatment with a minor sequelae symptom remaining. This case reminds us that when encoun-tering lymphocytic meningitis and the proportion of eosinophils in serum or cerebrospinal fluid is abnormally high, it is necessary to take the initiative to inquire about the dietary history to determine whether there are ingested parasites potential from contaminated food and drinking water.

 
Prostatic Inflammation's Effects on Individuals with Benign Prostate Hyperplasia's Clinical Consequences
Authors: Shahzad Iqbal , Yousuf Muhammad Ali , Hussain Khadim , Manzoor Mumtaz , Pathan Ghulam Mustafa , Ahmed Tanveer
Published: February 2023

Objective: In order to ascertain the impact of silent inflammatory prostatitis on the clinical results of individuals receiving trans urethral prostate resection owing to benign prostatic hyperplasia. Study Design: Retrospective study Place and Duration: This retrospective study was conducted at Liaquat National Hospital Karachi in the period from April, 2022 to September, 2022. Methods: Total 330 patients were presented in this study. In this study, individuals over 45 years without a history of urologic surgery who presented to a urology clinic with lower urinary tract symptoms related to benign prostatic hyperplasia were included. Pathological outcomes and clinical indicators were evaluated before and one year after surgery. Mean Standard deviation was used to present data and categorical variables were assessed by frequencies and percentages. Results: Mean age of the patients was 61.3±10.42 years. Among 330 cases, 200 (60.6%) patients were had benign prostatic hyperplasia and 130 (39.4%) cases had both prostatic inflammation (category-IV) and benign prostatic hyperplasia. Before TURP, mean prostate volume in BP patients was 55.7±8.11 m3 and in BPH/PI patients was 55.3±10.6 m3 and after TURP mean prostate volume in BP patients was 23.2±1.20 m3 and in BPH/PI group 23.4±8.17 m3. We found that people with prostate inflammation had lower Qmax values and a higher preoperative prostate score compared to those who had no signs of inflammation before to prostate transurethral resection. Conclusion: In this study, we came to the conclusion that in individuals with benign prostatic hyperplasia, prostate inflammation without symptoms might worsen lower urinary tract symptoms and the rate of urine flow. Keywords: Benign Prostatic Hyperplasia (BPH), Prostate Pathology, Prostatic Inflammation
Ultrasound as a Sole Diagnostic Modality for Diagnosis of Acute Appendicitis-an Experience from Tertiary Care Hospital
Authors: Eid Faryal , Afridi Ayesha Khan , Urooj Sana , Jamil Usba
Published: February 2023

Background: Acute appendicitis is among the most frequent causes of acute abdominal pain that necessitates emergency surgery both internationally and in our country. Ultrasound is a readily available diagnostic modality, however with advancement in its resolution power and technological advancements, its diagnostic accuracy is improving with every passing year. Objective: To evaluate the diagnostic accuracy of ultrasound in diagnosis of acute appendicitis Methodology: This descriptive cross sectional study was carried out in the Surgery department of Khyber Teaching Hospital, Peshawar from 20/6/2020 to 20/12/2020. A total of 165 patients presenting with acute appendicitis with duration of symptoms 1-2 days, patients in age between 18-65 years and both gender (male/female) were included. A detail history, clinical examination and routine laboratory investigations were performed as per study protocol. All the included patients were referred to radiology department for ultrasound for the diagnosis of acute appendicitis. Acute appendicitis on ultrasound was labeled as positive or negative according to criteria defined in operational definition. After surgery the specimen was sent to hospital laboratory for histopathology. Acute appendicitis on histopathology was labeled as positive or negative according to criteria defined in operational definition. Results: In the present study mean age was 41 years with SD ± 11.76. 91. Based on diagnostic accuracy of ultrasound, the sensitivity was 91.71%, specificity was 62.5%, PPV was 97.95%, NPV was 27.77% and the diagnostic accuracy was 90.30%. Conclusion: Our study concludes that ultrasound has the sensitivity of 91.71%, specificity 62.5%, PPV 97.95%, NPV 27.77% and the diagnostic accuracy was 90.30% in diagnosis of acute appendicitis. Keywords: diagnostic accuracy, ultrasound, acute appendicitis, histopathology,
Rifampicin Resistance in Primary Pulmonary Tuberculosis at HMC Hospital Peshawar Department of Pulmonology a Multi Center Study
Authors: Haq Anwar Ul , Khan Muhammad Asif , Khattak Imran Qadir , Zeb Farhan , Ullah Hameed , Awais Muhammad
Published: February 2023

Background: According to estimates from the World Health Organization, TB afflicted about 12 million people in 2019 and claimed nearly 1.7 million lives. Pakistan is rated fifth worldwide for the prevalence of TB and fourth among developing nations for the emergence of treatment resistance. In Pakistan, there are around 525,000 new cases of TB each year, and 20,000 people develop medication resistance. A high mortality rate is caused by drug resistance. Before treating the patient for medication resistance and for a cure, it should be confirmed with a drug susceptibility test. Objective: To determine the prevalence of rifampicin resistance in patients with primary pulmonary TB using a drug susceptibility test. Methodology: In this Multi Center study, all patients who attended the pulmonology department of the HMC Hospital in Peshawar between 2018 and 2020 were included. The study comprised 296 smear-positive TB patients who attended the pulmonology department and had no prior history of ATT consumption. Further testing of the patient's sputum for rifampicin resistance and Mycobacterium TB was done using the PCR-based Gene Expert assay. Results: In the current study, 296 TB patients in total were included. According to our statistics, there were 200, 205, and 140 TB patients in the most recent three years 2018,19,2020, correspondingly (Figure 2). The study's participant population consisted of 157 men (52%) and 139 women (48%) (Table 1). The ratio of men to women was 01.11:12. 192 (64%) of the population lived in Peshawar, 33 (11%) in Khurram Agency, swat 25 (10%) and 45 (18%) in Charsadda (Figure 3). The findings revealed that Peshawar City was home to the bulk of the TB sufferers. 95 (07%) of the TB patients had extremely excellent socioeconomic standing, followed by 106 (36%) patients with average socioeconomic standing, and 166 (57%) patients with poor socioeconomic standing. Rifampicin resistance was found in 18 (06%) of these 296 TB patients (Table 2). It's important to note that 20 (60%) of the positive rifampicin resistance cases were in men and 13 (40%) were in women (Table 1). Additionally, the data we gathered indicated that rifampicin resistance was stronger in patients with low socioeconomic level (17%) and was lower in patients with high socioeconomic status (3%) for TB patients. Table 2. Conclusion: This study demonstrates a clear relationship between patient socioeconomic level and rifampicin resistance. Although TB is curable, a patient's chances of being cured are decreased and they become more resistant to other medications when they develop resistance to one or more treatments, particularly rifampicin. Keywords: Rifampicin, Tuberculosis,GeneXpertassay,drugsusceptibility.
Comparison of Postoperative Sore Throat and Hoarseness Between Two Different Sizes of Endotracheal Tube in Females after General Anesthesia
Authors: Rehman Abdul , Anjum Waqas , Ghafoor Hasham Bin , Zeb Zille Huma , Zareen Abeera , Waqas Muhammad
Published: February 2023

Objective: To compare the frequency of postoperative sore throat and hoarseness between two different sizes of endotracheal tube in females after GA. Material and Methods: It was comparative analysis study carried in Anaesthesia Department, QIH, Islamabad. During study 200 patients were included (100 patients in each group) according to inclusion criteria. All data was entered in computer software SPSS version 24.0. Results: Mean age of the patients in Group-A (ETT size 6.0 mm) was 42.2 ± 15 years and 46.7 ± 13.1 in Group-B (ETT size 7.0 mm). The mean duration of surgery among the patients was 57.90 ± 19.8 minutes in Group-A and 77.4 ± 42.2 minutes in Group-B. In Group-A nasogastric tube was used among 36 patients while in Group-B it was used among 25 patients. In both groups, throat pack was not used for any patient. In Group-A, 96 patients and in Group-B, 55 patients had no sore throat. None of the patients in both groups had hoarseness of voice after the procedure. Conclusion: Study concluded that there was significant difference in the mean score of sore throat when ETT of two different sizes were used. ETT size 6.0mm significantly reduces the incidence of sore throat among females after GA. Keywords: Incidence, sore throat, endotracheal tube, intubation.
RELATIONSHIP OF NOISE AND FATIGUE AT SULTAN HASANUDDIN AIRPORT APRON WORKERS
Authors: S. Russeng Syamsiar , Muhammad Saleh Lalu , Thamrin Yahya , Aulia Utami S Siti
Published: February 2023

Fatigue is a particular situation accompanied by a drop in efficiency and durability of work. Fatigue showed differences in physical and mental, but all the result caused decrease of power and reduction body's resistance to work. In the apron area, the intensity of noise is quite high due to several types of work that cause noise. Workers will feel fatigue if they are exposed to the noise. In addition, age factors, workload, length of work and years of service are some of the causes of work fatigue in apron workers. This study aims to determine the relationship of age, workload, and length of work, work period, and noise intensity with the fatigue of Apron Section workers at Sultan Hasanuddin Airport, Makassar. It uses observational analytic research with a cross sectional study approach. The data collection was conducted in against 71 workers as a sample of 242 populations taken using the proportionate random sampling technique. Work fatigue data is taken by using measurement of reaction timer, measurement of pulse, measurement of noise intensity, data on age, length of work and length of service with the questionnaire. The data analysis was univariate and bivariate with chi square test. The results showed that workers who experienced work fatigue were 48 people (67, 6%) and workers who did not experience work fatigue were 23 people (32, 4%).

 The statistical test results show that there is a relationship between age (p=0,001) (p˂0, 05), workload (p=0,001) (p˂0, 05), length of work (p=0,001) (p˂0, 05), work period (p=0,001) (p˂0, 05) and noise intensity (p=0,017) (p˂0, 05) with fatigue of Apron Section workers at  Sultan Hasanuddin Airport Makassar. The company is advised that the length of work of the workers is according to established standards and to workers to use the Personal Protective Equipment (earplug) provided by the company.
ELLIPTOCYTOSIS AT UNIVERSITY HOSPITAL SOURO SANOU (CHUSS)
Authors: S Sawadogo , J Kouldiaty , Zoungrana C Traoré , A.S Kissou , E Kafando , S Diop
Published: February 2023

Elliptocytosis at CHU Souro Sanou.

This study is about elliptocytosis (anomaly of the Red Blood Cells membrane) in a family of the county of “Hauts Basins”. On the members’ blood smears, elliptocytes, at variable percentage according to the persons, have been found. The same images have been found among the descendants who have been examined. All (the propositus) have hemolysis offset and women had a visual defect. 

Materials and Methods

 The following examinations were made: CBC, smears on fresh blood, smears after 24 hours in a blood autoclave, results of hemolysis for some, ektacytometry, visual acuity, visual field. Some factors of significance were sought: Research of the anomalies of the Hemoglobin by capillary electrophoresis and high performance liquid chromatography, martial balance, balance sheet vitamin.

Results: while some have presented a simple elliptocytosis, the other had a pyropoikilocytosis. The women presented for some a decrease in visual acuity and for other an amputation of the visual field in temporal.

The relationship between the hematological’s disease and visual disturbances could not be performed because the molecular biology has not been able to be carried out.
The Paradigm of Neil Robinson’s Thought on Islamic Philosophy among Orientalists
Authors: Supriyanto Supriyanto
Published: February 2023

Al-Quran is God's revelation that has a position as a source of knowledge. It contains all matters of knowledge and supports the description of the existence of God and his majesty and the universe. Islam has a view of the concept of knowledge, which is closely related to God's involvement, the source of knowledge is believed to be God. This paper will examine several paradigms of Neal Robinson's thought in Islamic Philosophy among Orientalists, especially on the knowledge in the Qur'an. This is qualitative research with a library approach. The results of this study are that Neal Robinson's book consists of three main chapters, namely: Phenomenology; Text Chronology and Morphology; and Structure and Coherence. A text that has various roles and functions in the lives of its believers. Some of Robinson's studies are: how Muslims listen to the Qur'an, listening to the Qur'an; how do Muslims memorize the Qur'an, having the Qur'an by heart; and how the Qur'an is present in the daily life of Muslims, and the Qur'an in everyday life.
Effect of instructional guidelines on pregnant women's knowledge regarding immediate insertion of an intrauterine contraceptive device during cesarean section versus late insertion after the puerperium
Authors: Dawoud Salwa El Saied Mahmoud , Abdelwahed Amal Yousef , Mohamed Noha Hassan Abd Elfattah
Published: February 2023

Postpartum intrauterine contraception (PPIUC) should be made more widely available because it can decrease unplanned pregnancies and short inter-pregnancy intervals. The aim was to evaluate the effect of instructional guidelines on Pregnant Women's Knowledge regarding immediate insertion of an intrauterine contraceptive device during cesarean section versus late insertion after the puerperium. Subjects and method: Design: To accomplish the goal of this study, a quasi-experimental research design was used. Setting: the study was carried out antenatal clinic at Beni-Suef University Hospital. Subjects: A purposive sample of 100 pregnant women was included in this study. Tools for data collection: A structured interview questionnaire which consisted of three parts; part (I) pregnant women's personal data; part (II) pregnant women's current obstetric history, part (III) pregnant women's knowledge regarding immediate versus late insertion of the intrauterine contraceptive device (pre/post). Results: The study's findings showed that pregnant women's knowledge regarding early vs late placement of an intrauterine contraceptive device after cesarean section showed highly significant improvements post-instructional guidelines (P<0.001). Conclusion: The results of the current study showed that the application of instructional guidelines improved pregnant women's knowledge of early vs late placement of an intrauterine contraceptive device during cesarean section.
Effects of Various Liming Materials on the Growth of Rice under Rainshelter Condition
Authors: Azman Elisa Azura , Ismail Roslan , Jusop Shamshuddin
Published: February 2023

A study was conducted to evaluate the effects of liming materials on the growth of rice under rainshelter conditions and MR 219 rice variety was used in this experiment. The treatments were: 1) T1, no application of lime, 2) T2, 4 t ha-1 of ground magnesium limestone (GML), 3) T3, 2 t ha-1 of hydrated lime, 4) T4, 20 L ha-1 of liquid lime. It was found that the application of 4 t ha-1 of GML had produced the highest rice yield of 8.2 t ha-1. The result showed that as panicle length increase, spikelet per panicle also increases. Relative rice yield is negatively correlated with the soil pH, and this indicates that as soil acidity increase (observed with pH between 2 to 3), the rice yield decrease and vice versa. At harvest, the soil pH exceeded 6 for all the treatment. It was also observed that as soil exchangeable Ca increase, soil pH also increases. Among the treatment, soil treated with 2 t ha-1 of hydrated lime gave the highest exchangeable Ca in the soil of 11.86 cmolc kg-1 soil with Ca concentration of 0.12% in the root. It was observed that liming increases soil pH and exchangeable cations in the soil. Therefore, liming is essential to ameliorate the acid sulfate soils for rice cultivation.
CROSS-SECTIONAL STUDY OF COVID-19 PATIENTS AND THEIR INFLAMMATORY MARKERS IN TERTIARY CARE HOSPITALS OF PESHAWAR, PAKISTAN
Authors: IQBAL U , BASHIR K , KHAN MA , HASSAN N , JAMIL S , ULLAH I , ULLAH A
Published: February 2023

Coronavirus is one of the pandemic diseases that infect millions of people worldwide. The aim of the study was a cross-sectional study of COVID-19 and its inflammatory markers in tertiary care hospitals in Peshawar, Pakistan. Samples of nasopharyngeal swabs were collected from 150 COVID-19 patients. Blood samples were collected aseptically in three different tubes to measure serum ferritin, D-dimer and CBC. The samples were further analysed at the PCR laboratory, Hayatabad Medical Complex, Peshawar. In the study, 100 samples were found positive based on PCR among 150 patients in which the D-dimer was reported to have a high relationship (95%) with inflammatory markers. Abnormal ferritin (87%), Hb (26%), neutrophil (73%) and abnormal lymphocytes were reported (63%) in patients. The relationship between the age factors with risk of inflammatory markers revealed that in the age group 61-80, ferritin, D-dimer, Hb, Neutrophil and lymphocytes were observed with abnormal levels 18, 20, 05, 14 and 13, respectively. The prevalence of COVID-19 infection was recorded as higher in males than females. The study showed that COVID-19 infection significantly affects the parameters, including abnormal ferritin levels in males 55% and females 32%. The male was reported with a high-level abnormal D-dimer (58%) than the female (37%). The other inflammatory markers, such as abnormal neutrophils and lymphocytes, counted 44 and 37% in males and females at 30 and 29%, respectively. The study concludes that an increase in inflammatory markers correlates with disease severity; this could be used as a significant prognostic factor of the disease. More advanced immunological studies need to explore the mechanism of COVID-19 with inflammatory markers.
Sosialisasi pengadaan rumah produksi pengolahan ikan cumi di Kepulauan Riau Kabupaten Kepulauan Anambas Melalui Kegiatan Pejuang Muda 2021
Authors: Siregar Zufri Hasrudy , Mawardi Mawardi , Puspita Riana , Siregar Roswani , Fazri Muhammad , Saktisahdan T. Jukdin , Rigitta Prinsi , Refiza Refiza , Zurairah Masdania
Published: February 2023

Negara kepulauan selalu disematkan pada Indonesia dimana memiliki sekitar 17.504 pulau, Pulau Anambas merupakan pulau yang indah dan memiliki potensi alam yang besar, salah satunya yaitu ikan cumi, Desa Air Bini merupakan daerah produksi cumi-cumi yang relatif besar di antara Kepulauan Anambas. Pengolahan yang terbatas menjadi kendala pada pulau tersebut untuk berkembang secara ekonomi dan teknologi, melalui program kementrian yaitu Pejuang Muda sosialisasi mengenai pengadaan rumah produksi menjadi hal yang ditunggu realisasinya dari program tersebut disebabkan diharap dapat membantu dalam peningkatan ekonomi dan teknologi pengolahan. Tujuan pengabdian tersebut adalah membantu masyarakat di Air Batu Kabupaten Anambas dalam pengolahan ikan cumi dan menampung keluhan yang terjadi di daerah tersebut. Metode yang digunakan dalam pengabdian ini yaitu pelaksanaan kegiatan proyek, identifikasi potensi dan masalah, proses dan hasil analisis kebutuhan masyarakat. Adapun hasil dan kesimpulannya adalah pahamnya masyarakat mengenai pengolahan ikan cumi dan menjadi alternatif solusi ekonomi dan teknologi
Riesgos potenciales de lesiones músculo-esqueléticas en la recolección de residuos
Authors: García Villa Laura Cristina , Hernández-Torres Diana Laura , Gutiérrez-Escajeda María Teresa
Published: February 2023

La recolección de Residuos Sólidos Urbanos (RSU) en México se lleva a cabo mediante el método de acera, donde los recolectores recogen los residuos colocados enfrente de las viviendas. Durante la jornada, los recolectores adoptan posturas inadecuadas que influyen en el desarrollo de padecer lesiones músculo-esqueléticas. El presente estudio tiene como objetivo evaluar el método de recolección de RSU en la ciudad de Delicias, Chihuahua, México; a través de la observación de las posturas forzadas y la manipulación de cargas con aplicación del método ergonómico Valoración Rápida del Cuerpo Completo (REBA por sus siglas en inglés) y la ecuación del Instituto Nacional para la Seguridad y Salud Ocupacional (NIOSH por sus siglas en inglés) identificando el nivel de riesgo postural. Este estudio se realizó en una muestra representativa de 20 recolectores. Los resultados indicaron que, al manipular el bote metálico, el 80 % de los recolectores alcanzó un nivel de riesgo muy alto y el 20 % un riesgo alto; con el bote de plástico, el 23.4 % muestran un riesgo muy alto, 70 % un riesgo alto y el 6.6 % un riesgo medio. Por lo tanto, los recolectores de RSU son más propensos a desarrollar algún Trastorno Musculoesquelético (TME) en hombros, cuello, brazos, piernas, tronco y muñecas por la continua e incorrecta manipulación de los RSU.

DOI: https://doi.org/10.54167/tch.v17i1.1093
Cistoadenoma Mucinoso Paratesticular: Caso Interesante en el Instituto Guatemalteco de Seguridad Social
Authors: González López Edgar Estuardo , Estrada Pazos Carlos Gonzalo
Published: February 2023

Antecedentes: De los tumores testiculares la mayoría (aproximadamente 95%) son de origen germinal y se clasifican en seminomatosos y no seminomatosos. De ellos el subtipo más frecuente es el seminoma que supera a las demás estirpes celulares.1,4 Los tumores testiculares y paratesticulares de superficie ovárica de tipo epitelial son extremadamente infrecuentes. La mayoría de ellos se origina en regiones paratesticulares como la rete testis, epidídimo, cordón espermático o túnica vaginal. No se tiene registro en nuestro país o en países de América Latina de este tipo de tumores por lo que hace que el caso clínico presentado aporte información relevante. 2, 3  Materiales y Métodos: Se presenta el caso con fotografías clínicas e histológicas de un paciente de la tercera edad quien consulta a nuestra unidad con historia de presentar una masa testicular de seis meses de evolución, a quien se le realizan múltiples biopsias sin presentar diagnóstico definitivo.  Se le realiza resección de masa escrotal y perineal la cual es reportada como Cistoadenoma mucinoso paratesticular. Conclusiones: El Cistoadenoma mucinoso paratesticular puede localizarse en el testículo, albugínea o en epidídimo; el cual para su diagnóstico es imperativo una adecuada muestra para su estudio patológico. El tratamiento se basa en la resección quirúrgica, con buen pronóstico a largo plazo.
Skutki mobbingu dla pracowników
Authors:   Centralny Instytut Ochrony Pracy – Państwowy Instytut Badawczy, Warszewska-Makuch Magdalena
Published: February 2023

Wyniki wielu badań pokazują, że mobbing w miejscu pracy wiąże się z doświadczaniem silnego, długotrwałego stresu, prowadzącego do poważnych zaburzeń w obrębie zdrowia psychicznego i fizycznego, w tym do syndromu stresu pourazowego (PTSD) oraz zaburzeń lękowych i depresji. Konsekwencją tego jest często utrata zdolności do pracy przez osoby doświadczające mobbingu. Można przypuszczać, że niemożność kontynuowania pracy przez ofiary mobbingu wynika również z istotnego pogorszenia ich funkcjonowania poznawczego. W artykule omówiono skutki mobbingu dla pracowników. Skupiono się na konsekwencjach zarówno dla zdrowia psychicznego, jak i funkcjonowania poznawczego.
Factors influencing leaving the bed in post-gynecological surgery patients: An exploratory study using a “walking diary”
Authors: Okajima Shoko , Kawamura Tomio , Okabe Haruka , Shomura Masako
Published: February 2023

Objective: Early walking post-surgery is vital to prevent surgical complications and enhance recovery. This study aimed to investigate the factors that affect the number of steps taken after leaving the bed by patients following gynecological surgery using a “walking diary” and clinical outcomes.Methods: Data collected from the walking diary included the target number of steps and general condition of 95 gynecological patients who underwent laparoscopy or laparotomy following clinical pathways. We analyzed the data using logistic regression.Results: The average number of steps on the first postoperative day of laparoscopy and laparotomy was 878 and 250 steps respectively, and increased to 2,525 and 1,023 steps, respectively, on the second postoperative day. The target number of steps and motivation at the time of waking up increased significantly with the postoperative course, and pain decreased significantly. The amount of bleeding and laparotomy were factors that inhibited the number of steps taken. Additionally, the larger the target number of steps on the two days after surgery, the greater the steps taken may be promoted. The surgical invasiveness of the procedure was a factor that influenced the number of steps taken.Conclusions: Patients who set a higher target number of steps for themselves took a higher number of steps in practice. They were presented with a guideline for the target number of steps for patients post-surgery: around 900 on post-operative day 1 (POD 1) and 2500 in POD 2. Improving postoperative symptoms might aid patients’ feeling of recovery, and reviewing the walking diary may enhance their motivation for walking as well as self-efficacy.
Antioxidant and Antimicrobial Activities Along with Physico-Chemical Studies of Medicinal Plant HYGROPHILA AURICULATA
Authors:   Department of Zoology, Thiruvalluvar University, Serkkadu, Vellore, 632115, Tamil Nadu, India, M Gnanasri , N Bharathiraja ,   Department of Zoology, Thiruvalluvar University, Serkkadu, Vellore, 632115, Tamil Nadu, India, R Mangaleshwari ,   Department of Zoology, Thiruvalluvar University, Serkkadu, Vellore, 632115, Tamil Nadu, India, M Nagalingam ,   PG and Research Department of Biochemistry, Indo-American College, Cheyyar, 604407, Tamil Nadu, India, A Ramkumar ,   PG and Research Department of Biochemistry, Indo-American College, Cheyyar, 604407, Tamil Nadu, India
Published: February 2023

India has a significant opportunity to contribute to the growing global demand for medicinal and aromatic plant products. Plants have been used for long as medicine by humans, seeing back to prehistoric eras. Among the ancient civilization’s, India have been known to be rich renowned as a rich source of medicinal herbs. Ayurveda, Siddha, Unani and Folk lore (tribal) medicines are the major systems of indigenous medicines. Among these systems, Ayurveda is most developed and widely practiced in world wide. Green plants have been synthesized and preserved a variety of secondary metabolites and phytochemical products. The medicinal plant Hygrophila auriculata belonging to Acanthaceae family and generally presents in aquatic area. It is a rare and endemic species all over the countries; the plant has been used to treat various diseases and disorders. Extracts and bioactive compounds from the plant have been found to possess antimicrobial, anthelmintic, antitermite, nephroprotective, hepatoprotective, central nervous system protective, antitumour, antidiabetic, anticataract, antioxidant, haematopoietic, diuretic, antinociceptive, anti-inflammatory, antipyretic, antimotility, aphrodisiac, neuroprotection, anti-endotoxin and anti-urolithiatic activities. In this study focused the preliminary tests are antibacterial activity for MIC, antioxidant scavenging activity using DPPH, FRAP, ABTS and Hydrogen peroxide activities, and qualitative and quantitative analysis phytochemicals and physical parameter evaluation for study plant.
Atrophic maxilla and osseointegrated implants: a systematic review
Authors: Pinos Raúl Alexander Matute , Palácios Adriana Janneth Palácios , Idalgo Fabio Alarcon , Fornazari Wesley Antonio Galhardi
Published: February 2023

Introduction: In the scenario of the dental implants, what makes implantology unique is the ability to achieve this goal, however, the more teeth a patient loses the more challenging the task becomes. Osteoporosis may be a risk factor for the use of implants. Alternative approaches such as guided surgery and placement of short implants are progressively supplanting more invasive bone regeneration procedures. There are some drugs that help in the treatment of postmenopausal osteoporosis, they are calcitonin, bisphosphonates and the selective modulators of estrogen receptors. Objective: Foi realizar uma revisão sistemática sobre as principais considerações e desfechos clínicos da maxila atrófica no cenário dos implantes dentários osseointegrados, osteoporose e o uso dos bifosfonatos. Methods: The systematic review rules of the PRISMA Platform were followed. The search was carried out from October 2022 to January 2023 in the Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases, using articles from 2005 to 2022. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 225 articles were found, and 65 articles were evaluated in full and 31 were included and developed in this systematic review study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 45 studies with a high risk of bias and 90 studies that did not meet GRADE. In the scenario of atrophic maxilla issues, it was concluded that osteoporosis is a metabolic condition that affects alveolar bone density, but does not present problems for the installation of osseointegrated implants, provided there is enough bone mass in the region where the tooth will be implanted. The rehabilitation of atrophic maxilla through dental implants is still challenging, however, alternatives such as guided surgery and the installation of short implants are progressively supplanting the more invasive bone regeneration procedures. Some drugs that help in the treatment of postmenopausal osteoporosis, are calcitonin, bisphosphonates, and the selective modulators of estrogen receptors. Bisphosphonates have been the best drug associated with significant improvement in the quality of life of patients with bone diseases such as Paget's disease, bone metastases, osteogenesis imperfecta, hypercalcemia, and even severe osteoporosis.
TSSB’de Bilişsel Davranışçı Terapi: Olgu Sunumu
Authors: TABUR Selin , SUNA Eminhan , APAR Mehmet
Published: February 2023

Posttraumatic Stress Disorder (PTSD) is a severe stress response that can have a long-term impact on an individual's functionality after experiencing traumatic events such as accidents, natural disasters, or physical or sexual violence. The PTSD treatment model developed by Ehlers and Clark, which is one of the CBT protocols used in trauma therapy, suggests that the negative evaluation of the trauma and/or its aftermath by the individual, the differences in the nature of memory related to the event, and the coping strategies used by the person also play a role in the formation and continuation of trauma. This article discusses a CBT process using Ehlers and Clark's model in a young 18-year-old with PTSD. During the process, the re-experiencing was reduced, the negative evaluations of trauma and its consequences were addressed, and the dysfunctional coping strategies were modified. After 12 sessions, the client no longer met the PTSD diagnostic criteria, their complaints were resolved, and there was a significant improvement in their functionality.
Keywords: post-traumatic stress disorder, cognitive behavioral therapy; PTSD
A survey paper on blockchain and its implementation to reduce security risks in various domains
Authors: Abubakar Ayesha , Minhas Sidra
Published: February 2023

Every technology with its powerful uses has issues connected to it and security is at the top of it. As for the changing environment, the world has been shifting to Virtual Reality, the new coming world seems to be the internet and blockchain technology which is more powerful than others and has its applications in every field, be it quantum computing, internet of things, security or others. This survey paper covers the blockchain and its security in different fields of sciences and technology. We begin with the introduction of blockchain and then discuss its structure. After that security issues have been highlighted which include attacks and their behavior in quantum computing, internet of things, cloud computing. Furthermore, we have discussed the most common types of attacks and the SRM model of blockchain followed by the conclusion.