bluuebunny/crossref_metadata_2025 huggingface dataset:
Efficacy of Kinesio Tapping vs Mulligan Tapping in Reducing Pain and Improving Hamstring Flexibility, Cadence, and Physical Performance in Individuals with Patellofemoral Pain Syndrome
Authors: Tariq Zainab , Batool Syeda Aiman , Talib Amaar , Amjad Nabeel , . Iqra , Butt Maryam Asghar
Published: November 2022

Pain in the kneecap (patellofemoral joint) or the surrounding soft tissues (ligaments, tendons, etc.) might be grouped together under the umbrella term patellofemoral pain syndrome. Squatting, sit-to-stand exercise, stair climbing activity, jogging, and running are all associated with a worsening of patellofemoral pain syndrome, a chronic disease (2). Objective and Methodology: The purpose of this study is to evaluate the efficacy of kinesio tapping vs Mulligan tapping in reducing pain and improving hamstring flexibility, cadence, and physical performance in individuals with patellofemoral pain syndrome. It was a randomized control experimental trial study with total 20 participants randomly allocated into group A (kinesio taping) and group B (Mulligan tapping). Outcomes included were pain, cadence, physical performance of lower limb and hamstring flexibility. Outcomes were assessed and compared at baseline, after 24 hour, after 48 hour and after 72 hours of tapping application. Data was analyzed with SPSS 21, Shapiro-wilk test for calculating the normality+ of data and two-way mixed ANOVA was applied for outcome comparison. Results: In all, the sample had a mean age of 26.85 + 3.63 years. The average age of those in Group A was 26. + 3.47 years, while those in Group B were 27. + 3.78 years. There were 60% women and 40% men in group A, and 30% men and 70% women in group B. After the treatment period ended, all outcome variables had improved significantly in both groups (P0.05), and there was no significant group difference except for cadence scores (F (3, 54) = 8.039, P = 0.007, 2 = 0.309). Conclusion: The study concluded that Kinesio tapping and Mulligan tapping both are effective in improving cadence, hamstring flexibility, lowering pain, patellofemoral pain severity and physical performance. Keywords: Anterior knee pain, Hamstring, Knee pain, Kinesio tapping, Pain, Patellofemoral pain, Tapping.
Type II Diabetes and Vitamin D Levels Interdependence Among Working Old Adults
Authors: Wazir Tamoor Khan , Nasir Shaiza , Hashmi Hajra , Rana Muhammad Zafar , Shuaib Muhammad , Bashir Adeel
Published: November 2022

Objective: Due to the increase in the development of chronic Type II Diabetes among old working adults due to the role and levels of Vitamin D. The research was conducted for the exploration of the same research topic. This research aims to investigate the association between type II diabetes and vitamin D levels in the old working adults (above the age of 45 years). Materials and Methods: This cross-sectional research was conducted in the premises of Lahore which included a total of 1821 working employees of various institutes, firms and companies. The study included males (83%) and females (17%). The mean age of the research participants was 52±5.5 years. A self-report was used for the assessment of the sociodemographic data of the individuals included in the research. Fasting Plasma Glucose (FPG) and Glycosylated Hemoglobin (HbA1c) were assessed by blood samples for the determination of diabetes and vitamin D level status. We included four categories of vitamin D including <10, 10-19.9, 20-29.9 and ≥30 with measuring unit as ng/ml. Respective Bivariate associations between the composite indicator and vitamin D categories for diabetes mellitus were either self-reported or FPG ≥ 126 mg/dl / HbA1c ≥ 6.5%. Further associations were also made through multivariate models in order to investigate potential controlling cofounders. Results: Increasing FPG has a direct association with severe vitamin D level deficiency (<10 ng/ml) for the FPG values of β, 95% Confidence Interval and P-Value respectively 3.13; 0.78, 5.47 and ≤0.01 and HbA1c values for β, 95% Confidence Interval and P-Value respectively 0.15; 0.08, 0.23 and ≤0.001) which were adjusted in the linear regression models. Multivariate models show that after controlling potential models diabetes mellitus was also associated with deficiency of vitamin D levels with values of OR, 95% Confidence Interval and P-Value respectively 2.55; 1.16, 5.62 and ≤0.05). Practical implication: Vit-D can be used as an essential dose for older DM patients. Conclusion: The outcomes of the research reflect that there is an association between deficiency of vitamin D and diabetes mellitus among older working adults working in different corporate and commercial sectors. The identification of risk is unique with respect to the location and working environment of the individuals who were screened for diabetes mellitus. Keywords: Cardiovascular disease, 25-hydroxyvitamin D, diabetes mellitus (DM), older adults.
Analysis of Otorhinolaryngological Manifestations in Patients Diagnosed with Traumatic Brain Injury
Authors: Khan Khalid Mahmood , Khan Zahid , Ahmad Sohail , Khan Sajid , Baloch Abdul Hafeez , Hussain Sabika
Published: November 2022

Background: Even though otorhinolaryngological injuries are relatively common, they are occasionally neglected, missed, and overlooked. Objective: The study aimed to analyze the Otorhinolaryngological manifestations in patients suffering from brain injury admitted in tertiary care unit. Study design: This analytical study was conducted at the Neurosurgery Department of Lady Reading Hospital Peshawar and Neurosurgery Department of Prime Teaching Hospital Peshawar for the duration of the six months from August 2021 to January 2022. Material and Methods: There were 448 patients that were admitted in the tertiary care unit with complaint of head injury. Only 365 patients fulfilled the inclusion criteria. The ethical and review board committee of our hospital approved the study. The written consent was taken from the patients. Results: There were 75 (25%) patients who were linked with ENT manifestation. The patients having ENT manifestations included more male than female. The average age of the patients was 37.3 ± 15.3 years. The 52% came with minor injury in the head. It was seen that recovery rate was quite good in case of patients having ENT manifestations. Conclusion: In case of head injuries ENT injuries are seen commonly. Injuries in the soft tissues of nose, ear and face are some of the commonly observed findings some other findings like CSF rhinorrheas was also observed. There was no prominent link of ENT injury with the overall impact of hospital stay of the patients and the head injury. Keywords: CSF rhinorrheas and Otorhinolaryngological manifestations.
Prevalence of Solitary Thyroid Nodule in Patients Admitted in Hospital of Dera Ismail Khan, KPK, Pakistan
Authors: Khan Rasif , Khan Rashed Ali , Shehzad Shahid , Naeem Muhammad , Jameel Fouzia , Gul Jaweria
Published: November 2022

Solitary nodules are a typical thyroid disease appearance. Solitary thyroid nodules are little swellings that are ordinarily impalpable glands. Solitary thyroid nodules are typically benign. With a mean age of 35 years, ladies are more likely than males to develop cancer (10–20%). An endocrine gland called the thyroid is located in the lower front and sides of the neck. Its primary purpose is to regulate basal metabolic rate. It also promotes somatic and psychic growth and is crucial for calcium metabolism. The identification, examination, and treatment of thyroid nodules can be difficult. These lumps frequently develop near the thyroid gland's border and are enormous in size, causing them to feel or seem like a lump in front of the neck. A multitude of variables, including age, sex, food, iodine deficiency, and even therapeutic and ambient radiation exposure, affect the occurrence of these nodules in a given population. This study was conducted in hospital of Dera Ismail Khan, KPK,Pakistan to determine the prevalence of solitary thyroid nodules in patinets admitted in the hospital. The results indicates that females between the ages of 26 and 30 are more likely to have thyroid nodules. Swelling at the front of the lower neck is the most frequent presenting ailment. The majority of patients presented between 6 months and 3 years after the edoema first appeared. The sensitivity and specificity of FNAC in the current investigation were 92% and 98%, respectively, while sensitivity and specificity of USG were 70 and 90%, respectively. Histopathology verified all malignant tumours on FNAC, demonstrating its superiority. USG and FNAC aids in proper management planning as a result, preventing the need for additional surgery. Keywords: Solitary thyroid nodule; Thyroid neoplasm; Neck swelling; Body mass index; Pakistan
The Role of Micrornas in Lipid Metabolism and their Probable Associations for Progress and Treatment of Atherosclerosis
Authors: Rehman Erum , Shoaib Muhammad , Khurshid Aina , Raziq Khadija , Khan Mizhgan Ovais , Mohammad Nabila Sher , Llah Inam-U-, , Tara Tanveer , Bangash Sudhair Abbas
Published: November 2022

Introduction: Since plasma microRNAs (miRNAs) are stable in the circulatory system and are associated with a number of disorders, including coronary artery disease (CAD), the primary worldwide source of mortality and morbidity, they have been found in these conditions. Objective: This study aimed to define the functions of miRNAs in lipoprotein and lipid metabolism with a focus on the conceivable participation in the onset and development of atherosclerosis. Methods: This study was carried out at Hayatabad Medical Complex from November 2021 to March 2022. 85 patients (25 females and 60 males) diagnosed with the coronary angiography (CAG) were included because they were suspected of having CAD. Results: The results showed that patients with CAD exhibited down-regulated expression of miRNA-199a-5`, miRNA-135a-3`, miR17-5`, and miRNA-222-3` and up-regulated expression of miRNA-144-3`, miRNA-185-5`, miRNA-133a-5`, and miRNA-222-5` in comparison to the control group. Individuals with CAD and the group that didn't take statins both had significantly higher levels of miRNA-144-3` than the control group (p=0.040 and p=0.018, respectively). Both the statin and non-statin groups significantly outperformed the control group in terms of plasma level of miRNA-133a-5` (p=0.037 and p=0.011, respectively). Conclusion: The current study's findings revealed that CAD patients' expression levels of the miRNAs HSA miRNA-144-3`, HSA miRNA-222-5`, and HSA miRNA-133a-5` are significantly different from controls. Keywords: microRNAs, lipid metabolism, atherosclerosis, treatment
Comparison of Lipid Profile in Insulin Dependent Diabetic Patients and Control Groups
Authors: Akhtar Yasmeen , Ijaz Tabinda , Ahmad Fayyaz , Atif Muhammad
Published: November 2022

Background: Insulin dependent diabetes mellitus is a worldwide health problem. In diabetic patients’ high levels of cholesterol leads to atherosclerosis and coronary heart diseases. Aim and Objective: Our objective was to investigate the comparison of dyslipidemia in insulin dependent diabetic patients and control group. Methods: A cross sectional study was done on 48 people in which 24 were insulin dependent diabetic patients and 24 were normal people, sample were taken from Gulab Devi hospital, Lahore. Blood samples were collected from both the patients and the control group after an overnight fasting for lipid profile and serum was separated from the whole blood by centrifugation. Samples were analyzed and the data was entered and analyzed by using SPSS version 20. Results: In this study increased triglycerides levels 21(87.5%), cholesterol levels 10(41.66%), LDL levels 8(33%), VLDL 21(87.5%) levels and decreased HDL levels 6(25%) were found in insulin dependent diabetic patients. Conclusion: We concluded that the levels of Cholesterol, Triglyceride, LDL and VLDL were increased in insulin dependent diabetic patients while HDL levels were low. Keywords: Lipid profile, Insulin dependent diabetes.
Vitamin D Deficiency in Children with Tuberculosis: A Cross Sectional Study
Authors: Tha Sidra Tul Mun , Rasheed Saima , Mukhtar Ayesha , Rasheed Madiha , Naz Sehrish , Javaid Muhammad Faisal
Published: November 2022

The purpose of this study was to determine how common vitamin D insufficiency is among TB patients between the ages of 2 and 12. Specifically, a descriptive and cross-sectional research strategy was used for this investigation. The research was conducted in the Faisalabad, Pakistan location of the DHQ Hospital's Pediatric Medicine Division. Material and Methods: In this study, total 93 patients presented to the out-patient department of Pediatrics Medicine, DHQ Hospital, Faisalabad were selected from: December, 2021 to May, 2022 and informed written consent was taken. Blood sample 3 ml of each patient was sent vitamin D levels for presence or absence of vitamin D deficiency. Results: Among the 93 cases, 44.09% (n=41) were between 2-6 years of age whereas 55.91%(n=52) were between 7-12 years of age, mean+sd was calculated as 7.14+2.22 years, 54.84%(n=51) were male whereas 45.16%(n=42) were females. Frequency of Vitamin D deficiency among children suffering tuberculosis age 2-12 years shows that 49.46% (n=46) had vitamin D deficiency. Conclusion: We concluded that the frequency of vitamin D deficiency is higher among children suffering with tuberculosis age 2-12 years; however, further multicenter studies are required to validate our results. Keywords: Children, tuberculosis, vitamin D deficiency, TB,
Evaluation of the Satisfaction and Expectation Levels of the Orthodontic Patients with Their Orthodontic Treatment
Authors: Sohail Saad Bin , Tariq Anum , Saad Ui Hasan Muhammad , Jawed Ammad , Shaikh Waheed Gul
Published: November 2022

Background: The success of orthodontist treatment lies in the satisfaction and expectation levels of the patients. There is a need to explore factors which determine the expectation and satisfaction levels of the patients. Objective: The study aimed to analyze the satisfaction level and expectations of orthodontic patients with their orthodontic treatment. Study design: This cross-sectional and observational study was conducted at dentistry department of Islamic International Medical and Dental College Islamabad. The duration of the study was six months from Jan 2022 to June 2022. Material and Methods: The 210 patients that visited orthodontic department of the hospital were selected for analysis. Among those 210 patients, there were 170 females and 40 males. The participants were fully aware of the study and written consent was taken from the patients. The satisfaction level was analyzed. It was observed that there were 16% participants that were unsatisfied. There were 176 patients that were satisfied with the orthodontic treatment they were given. There was no significant co-relation found between people of different age groups (p=0.5). The study was carried out to find features like ethics, behavior and the degree of orthodontist that did the treatment. The comparisons of groups with the orthodontic treatment was carried out and the satisfaction of the patients post-treatment. Results: It was observed that 16% participants were unsatisfied it included 7 males and 27 females. Among the 210 patients that participated there were 176 patients that were satisfied with the orthodontic treatment they were given. There was no significant co-relation found between people of different age groups (p=0.5). There were 70% patients that reported that they had no problem during the treatment. And there were 30% patients that felt problems. There were many problems described by the patients. Conclusion: The study reported that majority of the patients significantly met their expectations of the treatment. There was no orthodontic treatment linked factor that had significant association on the satisfaction of the patients. Keywords: Orthodontic patients, satisfaction level and degree of orthodontist.
Evaluation of the Treatment Efficacy of Corticosteroid Injection in Reducing the Pain Intensity in the Patients Diagnosed with the Plantar Fasciitis
Authors: Wahid Abdul , Shah Rahim , Shakeel Muhammad , Kashmiri Muhammad Nadeem
Published: November 2022

Background: Plantar fasciitis is an orthopedic ailment that affects athletes and non-athletes equally. The 10% of the general population attend the orthopedic surgeons with heel pain in their lifetime. The degenerative changes in plantar fasciitis worsen the conditions of patients. Objective: The study aimed to evaluate the treatment efficacy of corticosteroid injection in reducing the pain intensity in the patients clinically diagnosed with the plantar fasciitis. Study design: This descriptive study was conducted on 40 patients who attended the orthopedics department of Lady Reading Hospital Peshawar. The duration of study was one year from April 2021 to March 2022. Material and Methods: The patients who were clinically diagnosed with the plantar fasciitis and met the inclusion criteria were selected for the study. The study was approved by the ethical and review board committee of the hospital. The selected patients were administrated with the Triamcinolone injection in the heel. The visual analog scale was used to assess the outcomes. The data was collected and SPSS was used for the statistical analysis. Results: The total 40 patients were selected for the study. The mean calculated age was 42.83± 7.07. Out of 40 patients the (22) 55% were male and remaining (18) 45% were female. The mean pre injection VAS improved from 6.30±2.1 to 1.5±6 post injection. The p-value was 0.03. Conclusion: It was concluded that the single injection of corticosteroid significantly reduce the pain intensity associated with plantar fasciitis. Keywords: Triamcinolone injection and visual analog scale.
Placental Vitamin D Metabolism as Well as its Relations to Circulating Vitamin D Metabolites in Pregnancies
Authors: Mohammad Nabila Sher , Yasmeen Nighat , Qazi Zahhara , Tariq Kalsoom
Published: November 2022

Background: Uncertainty exists about the impact of placental vit D metabolism on mother's blood levels of vit D in people. Objective: Awareness of placental vit D metabolism and how it affects the amount of vit D metabolites in mother's blood was one of the goals of this investigation. Methods: To take part in a 14-week controlled feeding experiment, 27 third-trimester singleton pregnant women in good health from Hayatabad Medical Complex during Jan 2022 to April 2022. Female trophoblasts in vitro were further treated using Vitamin D3-13C to investigate the synthesis of vit D intermediates. Results: In maternal tissue, there was a substantial connection between 24,25-Dihydroxycholecalciferol and 25-hydroxyvitamin D. These placental metabolites were also closely connected to the corresponding compounds found in maternal circulation. 3-epi-25-Hydroxyvitamin D3 and low density lipoprotein-related protein 2 with 25-hydroxyvitamin D; CYP2R1 with 3-epi-25-Hydroxyvitamin D3; Cubilin (CUBN) with 25-hydroxyvitamin D; CYP27B1 with 3-epi-25-Hydroxyvitamin D3 and 1,25-dihydroxyvitamin D and CYP24A1 with 25-hydroxyvitamin D, 24,25-Dihydroxycholecalciferol all showed positive relationships. Conclusion: Strong relationships between the levels of circulating vit D metabolites in pregnancy and a number of placental markers of vit D metabolism suggest the hypothesis that the profile of vit D metabolites in mother's blood is altered by the placenta. Keywords: 24,25-Dihydroxycholecalciferol (24,25(OH)2D3), 25-hydroxyvitamin D (25(OH)D3), 3-epi-25-Hydroxyvitamin D3 (epi-25(OH)D3), CYP2R1, CYP24A1
Quadriceps Femoral Angle (Q Angle) Variations in Knee Osteoarthritis Patients
Authors: Anwer Nadia , Manzoor Naila , Kiran Qurba , Saleem Maryam , Fatima Syeda Areeba , Rehan Azka
Published: November 2022

Background: Osteoarthritis is a degenerative disease most commonly occur in females, aged and obese population. Knee osteoarthritis is most common. Repetitive stress or some trauma to joint or some genetic disorder may be the cause of osteoarthritis. Q angle is the quantifying value between patellar angle and quadriceps. There is valuable rise in the value of Q angle in knee OA patients because of increased medial tibial torsion. Standard value of Q angle is 17 for females and 14 for males. Objectives: To find out the variations of value of Q angle in knee OA. To find how BMI, age, gender affects the value of Q angle? Is there any effect of increased value of Q angle on foot arches? Materials and Methods: This study is a cross sectional study that has been conducted from December 2015 to June 2016. Data from 200 subjects was collected that had knee osteoarthritis (male and females) of different era. The data was collected from hospitals of Rawalpindi, Islamabad and Wah cantt. With the help of self created questionnaire. Different measuring devices including goniometer for measuring q angle measuring tape for sit to stand navicular drop test, are used weighing machine for weight measurement. Further analysis on collected data was made through SPPS.. Results: The study results showed the significant increment in value of Q angle was linked to weight and gender of the subjects. Value of Q angle was higher for overweight and obese females. Increased BMI was linked to increased risk of knee osteoarthritis. Chi-square test with cross tabulation was applied for the association of osteoarthritis and Q angle which were categorized in to 3. Category 1 was ranged from 14-20, category 2 was ranged from 20.1 to 25 and category 3 was ranged from 25.1 to 30 degrees. Chi square test results have shown p value is less than 0.005. This value is significant. Conclusion: The study concluded there was a marked rise in Q-angle in patient with knee OA who were obese ,overweight as compare to the normal BMI.OBESE PERSONS are prone to knee OA. The obese women normally have increased Q angle. Over-pronated feet or different position of foot also puts extra strain on the Q angle because of massive internal rotation of the tibia. Keywords: Osteoarthritis, Q angle
To Evaluate the Level of Serum Cholesterol, Uric Acid, Urea, Creatinine and Urine Albumin in Diabetic Patients from Peshawar
Authors: Mehreen Rabia , Niaz Falak , Rehman Aziz Ur , Shah Syed Jawad Ali , Fayaz Muhammad , Khan Faisal , . Abdullah , Khan Muhammad Amad
Published: November 2022

Diabetes Mellitus is a metabolic disorder that causes chronic hyperglycemia. Its progression may lead to the dysfunction of multiple organs such as kidneys, eyes, blood vessels and neurons. It is caused by a combination of two basic factors that are abnormal insulin secretion and sensitivity of tissues to insulin. Group of parameters were selected in this study that have some relation with diabetes mellitus which included serum uric acid, cholesterol, urea, creatinine and urine albumin. The aim of this study was to find the impact of diabetes mellitus on these parameters. The blood and urine samples were collected according to the recommended protocol. The biochemical parameters had been determined by Micro-lab 300 biochemistry analyzer and urine qualitative was performed through uric-v3 strips. A cross-sectional study was carried out by 105 diabetic subjects and their samples were collected from different laboratories of district Peshawar. The mean age was 44 ± 12.54 years and samples were comprised of 50.48%male and 49.52% females. According to our findings among 105 diabetic patients 29% had elevated uric acid, 69% cholesterol, 57% urea, 39%creatinine and 40% urine albumin levels respectively. The overall result concluded that these parameters must be considered or taken seriously to monitor and to limit its progression to irreversible changes. Keywords: cholesterol, creatinine, diabetes mellitus, nephropathy, serum urea, uric acid, urine albumin.
Diabetic Foot Ulcers: Insights into Management and Prevention
Authors: Rafiq, Muhammad Kashif , Kamran Haider , Ayub Asif , Jameel Fouzia
Published: November 2022

Diabetic foot ulcer (DFU) is one of the greatest thoughtful difficulties of diabetes, negatively affecting the patient's health and socioeconomic status. Around the world, diabetes prevalence is increasing in both developing and developed countries. There are several measures in place in most countries to limit diabetes complications. This review summarizes the pathogenic mechanisms that lead to diabetic foot and focuses on prevention and management. It may be possible to prevent diabetic foot ulcers and thus amputation risk by increasing physicians' awareness and ability to identify risky feet. Diabetes neuropathy, peripheral artery disease, and immune dysfunction are the three major contributing factors. In order to treat diabetic foot disease, a detailed history and physical examination are necessary. Diabetic neuropathy and peripheral arterial disease manifestations, such as diabetic foot ulcers and infections, should be examined during this examination. Prevention approaches should integrate a multidisciplinary method centered on patient education. Preventive efforts must, however, be sustained for a long time for them to be effective. Keywords: Diabetic foot; Ulceration; Neuropathy; Pathogenesis; Peripheral arterial disease
Anatomy and Physiology of Right Heart Adaptation to Pulmonary Arterial Hypertension Along with Treatment
Authors: Attaullah Najma , Javed Mahvish , Khattak Mariya Azam , Khan Malik Shandar , Farhat Sahar , Tara Tanveer , Bangash Sudhair Abbas , Daar Farwa , Malhi Umar Amin , Ullah Irfan
Published: November 2022

Background: Right ventricular (RV) performance is directly correlated with staying alive in individuals with the pulmonary arterial hypertension (PAH). There is still large degree of heterogeneity in the RV's response to pulmonary hypertension, despite the fact that the load of pulmonary i.e. lung, is a key factor in determining RV systolic performance in PAH. Objective: The main reason why this study was conducted to find out the normal differential function, interrelationships, and response to pulmonary arterial hypertension apical, right ventricular (RV) input and outflow compartments (PAH). Methods:40 individuals were examined using echocardiography which was 2-dimensional (2D) and also 3-dimensional (3D) in addition to traditional Doppler methods, including 15 controls, with the number of patients with left-sided heart failure was 25, 13 without secondary PAH which was named group-1 (G1) and 12 with secondary PAH was calledgroup-2 (G2). Results: The apical ejection percent was lower in controls than in patients for example the ejection of control was p≤0.01 and p≤0.01, for G1 it was: p≤0.05 and p≤0.01 and the ejection fraction forG2 was: p≤0.05 and p≤0.01, as well as in patients. The Inflow was decreased i.e.: p≤0.001 for both, same in the case of the apical: p≤0.01 for both, and again also in outflow tract: p≤0.05 for both patients showed decreased ejection percent. In G2, however, the inflow compartment achieved the minimal volume simultaneously with the outflow and apex, as opposed to controls where it took 20 ms for it to do so. In patients (in G1: the apical ejection percent was p=0.02 and p=0.01 and forG2 it was: p=0.01 for both), the times for both isovolumic contraction and that of relaxation were lengthened. In controls, volumetric outflow rate decline and the peak RV ejection time were associated (r=0.6, p0.05), however G2's peak RV ejection time was connected with the apex. Conclusion: The inflow of the right side ventricular, apical, and also the outflow tract compartments each have distinctive characteristics and share to the total combined systolic function to varying degrees. The ventricle of the right side becomes one non synchronous compartment in PAH, that can lead to a long-term impact on systemic cardiac dysfunction.
Comparison of Ziehl-Neelsen Microscopy Technique and Genexpert in the Diagnosis of Tuberculosis in Sudanese Patients
Authors: Ali Ali Mohammedain , Elkarsany Mubarak S
Published: November 2022

Aim: The quality of tuberculosis diagnosis service is indispensable for early infection control and preventing unnecessary anti-tubercular therapy use. TB diagnosis in Sudan mainly relies on detecting tubercule bacilli using the Ziehl-Neelsen (ZN) staining technique. Thus, the current study aimed to compare the ZN microscopy with GeneXpert in diagnosing pulmonary tuberculosis (PTB) in TB laboratories center in Khartoum state, Sudan. Methods: A cross-sectional study was carried out at the TB laboratories diagnosis center in Khartoum state from April 2019 to January 2020. A total of 183 sputum samples were processed and examined by the Ziel-Neelsen (ZN) technique and GeneXpert assay for the detection of tubercle bacilli. Results: Out of 183 sputum samples analyzed, 80.9% were AFB smear-positive, of which 65.6% were male patients. Most patients (57.4%) were within the age group of 20 – 39 years old. All smear-positive samples were detected positive for Mycobacterium tuberculosis by GeneXpert. However, one case of smear-positive PTB was given a negative result by GeneXpert. These results demonstrate that GeneXpert is crucial for confirming TB cases to control TB infection and avoid unnecessary anti-tubercular drug use. Conclusion: ZN microscopy can result in false positivity, which may lead to the misuse of anti-tuberculosis drugs. A positive test should also be confirmed by the GeneXpert and culture techniques. Keywords: Mycobacterium tuberculosis, Tuberculosis, GeneXpert, Ziel-Neelsen stain
Tecnologias educacionais de promoção da saúde bucal em pessoas idosas no brasil: revisão de escopo
Authors: Amélia Capelo Barroso Maria , De Souza Bezerra Socorro , Lopes Soares Stela , Andrade Lourinho Lídia
Published: November 2022

Mapear as evidências científicas acerca das tecnologias educativas de promoção da saúde bucal em pessoas idosas no Brasil. Trata-se de uma revisão de escopo, realizada a partir da consulta nas bases de dados Pubmed, Medline, Lilacs, Bibliografia Brasileira de Odontologia e Google acadêmico. A busca foi realizada de setembro a outubro de 2022, de forma concomitante em todas elas, tendo retornado um total de 75 registros e, após aplicação de filtros e critérios de inclusão e exclusão, 14 manuscritos compuseram a amostra. São várias as tecnologias educacionais empregadas na promoção de saúde do idoso. Destacam-se: vídeos, aplicativos para dispositivos móveis, cartilhas e/ou manuais, infográficos, encontros grupais, teleducação. As tecnologias educacionais são apropriadas para promoção da saúde do idoso, podendo proporcionar mudanças nos hábitos, autonomia e empoderamento dessa população. O conhecimento do perfil do idoso e do cuidador são necessários para que a seleção da tecnologia.
As variações va ação de produção antecipada de provas na justiça do trabalho
Authors: Baraldi Lopes Juliana
Published: November 2022

O presente artigo busca analisar a produção antecipada de prova sob o prisma da Justiça do Trabalho (inclusive no tocante à perícia médica), especialmente à luz de julgados e casos concretos, assim como seus impactos em relação aos honorários advocatícios. Para isso, foram analisadas as disposições legais a respeito do tema, além de julgados oriundos de tribunais regionais do trabalho e do Tribunal Superior do Trabalho.
Uma análise dos limites de gastos com pessoal da federação brasileira, no período de 2000 a 2019, a partir da Lei de Responsabilidade Fiscal
Authors: Oliveira Poliana Karla Pedro , Oliveira Marcos Roberto Gois , Modenesi Thiago Vasconcellos
Published: November 2022

O presente estudo tem por objetivo analisar, através de frequência estatística, quais Estados brasileiros cumpriram e descumpriram os limites legais e quais ficaram nos limites de alerta e prudencial, no lapso temporal de 2000 a 2019. Os dados foram obtidos por meio de sites governamentais e através da Lei de Acesso à Informação. A análise foi realizada por meio de frequência estatística e dados em painel, a fim de verificar a elasticidade da Receita Corrente Líquida (RCL) na despesa total de pessoal como forma de averiguar se há relação do aumento de despesas com pessoal com o comportamento da RCL. Foi observado, neste estudo, que pela metodologia aplicada pelos entes federados, no período de 2015 até 2019, aproximadamente 44% dos estados cumprem o limite legal de despesa com pessoal. Mas, quando aplicada a metodologia da Secretaria do Tesouro Nacional, menos de 30% dos estados estão de acordo com os preceitos normativos. Também foi constatado, por meio de testes econométricos, que a despesa total com pessoal tende a aumentar aproximadamente 6% a mais que qualquer aumento da RCL e que, nos períodos eleitorais, há um comportamento inversamente proporcional entre despesa com pessoal e RCL.
Espiritualidade em saúde: percepções e desafios na educação médica do Brasil
Authors: Ramos Juliana Larissa Lauriano , Pessoa Junior Djeify Alexandre , Ribeiro Juliana Terra , Bomfim Marcela Barros , Briglia Charlote Aguiar Buffi
Published: November 2022

Objetivo: Identificar as percepções de estudantes de medicina acerca do tema Espiritualidade em saúde, e pontuar os principais desafios encontrados na inserção do assunto durante a graduação médica no Brasil. Método: Revisão sistemática transversal e descritiva de artigos científicos originais a partir de estudos realizados com universidades brasileiras entre 2010 e 2021. Resultados: Durante a análise, foram identificadas percepções dos estudantes de medicina a respeito do conceito de espiritualidade e da relação do tema com o atendimento em saúde. Como desafios, foram identificados fatores relacionados ao perfil dos estudantes, como o gênero e a religião / crenças culturais pessoais, e fatores relacionados à abordagem do assunto, ou a falta dela, durante a graduação.  Conclusão: A inclusão da Espiritualidade como tema na educação médica é essencial para uma formação centrada em prestar o melhor atendimento ao paciente. Há a necessidade de sistematizar as estratégias didáticas das universidades brasileiras quanto ao assunto. Há, também, a necessidade de atualizar informações a respeito da abordagem do tema nas universidades a nível nacional.
Processo de trabalho dos núcleos de apoio à Saúde da Família do município de Belém - PA
Authors: Dias Ronnes de Azevedo , Costa José Francisco da Silva , Cardoso Raiane Ribeiro , Ferreira Ronald Margalho , Sena Patrícia do Socorro Ferreira , Silva Carla Lima , Nascimento José Wilton Serrão , Chaves Emanuele Cordeiro
Published: November 2022

Visando o fortalecimento da ESF, a melhoria da qualidade e a resolubilidade da Atenção Básica, foi criado em 24 de janeiro de 2008, por meio da Portaria GM/MS n. 154, o Núcleo de Apoio à Saúde da Família (NASF), que tem como objetivo ampliar a abrangência e o escopo das ações de Atenção Básica (AB), bem como sua eficácia e eficiência. O objetivo deste estudo foi analisar o trabalho dos Núcleos de Apoio à Saúde da Família no município de Belém – PA através da Autoavaliação para Melhoria do Acesso e da Qualidade (AMAQ). A pesquisa foi realizada no município de Belém, no estado do Pará. Foram incluídos na pesquisa os profissionais atuantes a no mínimo 6 meses nos seguintes Núcleos de Apoio à Saúde da Família de Belém: NASF Terra Firme, NASF Bengui, NASF Telégrafo, NASF Sacramenta, NASF Paraíso dos Pássaros, NASF Marambaia, NASF Tapanã e NASF Guamá. O instrumento usado para a pesquisa foi o questionário “SUBDIMENSÃO E: Organização do Processo de Trabalho do NASF”, do instrumento Autoavaliação para melhoria do Acesso e da Qualidade(AMAQ). Dos 45 profissionais atuantes nas equipes NASF, 33 concordaram em participar da pesquisa. A média de idade dos participantes do estudo foi de 33,4 anos.Foi constatado que um número pequeno de profissionais tem formação complementar na área de saúde coletiva/saúde pública. O principal fator positivo no trabalho, segundo os profissionais, é a própria relação entre a equipe. A falta de coordenação específica para os Núcleos de Apoio à Saúde da Família do município, foi o fator mais citado entre os que dificultam o processo de trabalho no NASF. Concluiu-se a necessidade da implantação de estratégias de saúde que possibilitem o reforço dos pontos positivos e diminuição das limitações referentes ao processo de trabalho nos NASFs.
Diabetes Mellitus e fatores de risco para amputação de extremidades de membros inferiores
Authors: Pessoa Djeify , Ramos Juliana Larissa Lauriano , Silva Geovanna Ferreira , Ribeiro Juliana Terra , Bomfim Marcela Barros
Published: November 2022

Objetivo: Identificar os principais fatores de risco para amputação de membros inferiores dos portadores da doença. Método: Revisão bibliográfica, utilizando material já publicado nas bases de dados Scielo, PubMed e Google Acadêmico. Os critérios de inclusão foram: artigos completos publicados nas línguas portuguesa ou inglesa, no período de 2010 a 2017.Resultados: Na análise das publicações, agruparam-se informações de modo a apresentar os fatores de risco relacionados ao portador da doença, os relacionados à evolução da morbidade e os relacionados ao acompanhamento ambulatorial preventivo. Percebeu-se, além disso, a relação do tabagismo com a maior ocorrência de amputações. Dentre os fatores relacionados à morbidade, estão o índice glicêmico no momento da admissão hospitalar, o tempo de ocorrência do problema atual e a presença ou não de úlceras infeccionadas (sendo relevante a profundidade e o tamanho), de edema pré-tibial, de doenças arteriais periféricas e de gangrena. Notou-se, também, um risco maior para pacientes que já realizaram amputações anteriores. Conclusão: Os principais fatores de risco para a amputação de extremidades de membros inferiores são associados à idade, aos hábitos de vida e, sobretudo, ao monitoramento e controle da doença, principalmente no que se trata da saúde dos pés.
A surdez e causas: educação inclusiva no âmbito da Educação Superior, o direito e as legislações Educacionais
Authors: Ferreira Costa Kélli Cristina de Jesus , Ferreira Tatiane da Luz , Costa Giulya Maria Ferreira , Barreto Silene André , Vasconcelos Gracielma Mesquita , Rodrigues Rosiomar Lobato Pinheiro , Araujo Rilma Ferreira de , Costa Poliana Silva
Published: November 2022

Esse artigo propões como pesquisa a Surdez e suas causas com enfase na educação inclusive considerando a educação superior com base no direito e nas legislações educacionais. Nessa perspectiva, assegurar condições para que as pessoas com deficiência, em especial os discentes surdos, tenham os direitos de aprendizagem garantidos é um grande desafio, principalmente por enfatizar que essa situação adversa pressupõe dar visibilidade aos sujeitos que foram historicamente esquecidos e subjugados por possuírem características peculiares. Salienta-se que a discussão a respeito do processo de inclusão educacional pressupõe mudança de paradigmas há muito estabelecidos, para isso se faz necessário repensar e reorganizar o cenário educacional propondo recursos e metodologias que possibilitem a vivência dessa realidade. Com o intuito de compreender os meandros desse processo, o estudo investiga o processo de inclusão de pessoas surdas na Educação. A inquietude proposta pela temática fomentou a discussão do problema da pesquisa que ponderou: de que maneira está sendo realizado o processo de inclusão de pessoas surdas na educação superior? Nesse contexto, a metodologia de pesquisa traz um carater bibliográfico considerando a inclusão de pessoas com surdez na Educação Superior, tendo em vista que concebe-se que a educação é sim um meio de emancipação e empoderamento do sujeito, entretanto, para que isso aconteça, devem ser proporcionadas condições para a vivência de situações reais de aprendizagem, ou seja, a comunidade acadêmica na qual o indivíduo está incluído, deve ter o entendimento e a disponibilidade em realizar. Empoderar um profissional é proporcionar-lhe os subsídios necessários à sua formação, para que assim possa desempenhar a docência com excelência. Pretende-se que esse estudo, tenha trazido contribuições significativas em relação a essa discussão, fomentando possíveis análises de outros sujeitos a esse respeito. Espera-se que outros pesquisadores se permitam, a partir do que foi produzido, ter olhares diferenciados relativos à inclusão, e que essa brevemente, torne-se uma realidade vivenciada por todos os excluídos, os esquecidos e marginalizados dessa sociedade.
The Comparison of Characters, Setting and Characterization Analysis Between Novel and Film of Paper Towns (A Study of Comparative Literature)
Authors: Rizka Aniek , Sakinah R. Myrna Nur , Lukman Arief
Published: November 2022

This thesis examines the comparison between film and novel of Paper Towns by John Green. In both novels and films, has two elements, namely the intrinsic element and the extrinsic element. In this thesis, the researcher focuses on the intrinsic elements, there are in characters, characterization, and setting. The comparison between novel and the film version of Paper Towns. The method used by researchers is a qualitative method. Researchers used the original novel in English, as well as watched the film on Netflix. To include a table in the form of snippets of scenes from Paper Towns film.The theory used is the book Comparative Literature: A Critical Introduction by Susan Bassnett. The characters in the novel are diverse, when the novel become a film, many of these characters disappear. Usually the characters that are not used in the film are characters that do not have an impact on the threads of the story. The setting in the novel is presented in a more complex and detailed manner than in the film. The characterization in the novel is also complex, but it does not mean that after being a film the characterization that is already in the novel changes
Deixis Analysis of Journal Entitled “Indonesia is Exploiting The Covid-19 Crisis for Illiberal Purposes”
Authors: Aziz Rahardian Kemal , Nirwana Ria , Hartono Hartono
Published: November 2022

This study examines the deixis of a journal from Melbourne Asia entitled “Indonesia is exploiting the Covid-19 crisis for illiberal purposes”. The design of the research is qualitative method. The main source of this research is an online website MelbourneAsia entitled “Indonesia is exploiting the Covid-19 crisis for illiberal purposes”. The analysis of the data is following by few steps. First, the researcher read about the journal entitled “Indonesia is exploiting the Covid-19 crisis for illiberal purposes”. Next step, the research breakdown the journal and sorting the utterance which indicated as deixis. The las step, the researcher draws a conclusion about the journal. The conclusion of the usage of deixis of journal entitled “Indonesia is exploiting the Covid-19 crisis for illiberal purposes” are: 1. Personal deixis. 2. Discourse Deixis. 3. Time deixis. 4. Social deixis. The personal deixis use They, their, him, it, and we. The discourse deixis use This, These, That, Those. Now is belong to the time deixis and President stick with the social deixis.Keywords : Pragmatics, deixis, covid-19
A TRANSITIVITY ON ENGLISH NEWS: CNN News,CNBC News,BBC News,and Jakarta Post (A STUDY CASE OF DEATH QASEM SOLEIMANI NEWS)
Authors: Fadilah Lukman
Published: November 2022

The purpose of this study is to define the ideational meaning and function of ideational meaning in the English news  in the case study of the death of Qasem Soleimani. This study reveals the Ideational meaning of type in the English news headline of death of Qasem Soleimani and also aims to explain the function of the transitivity analysis trough decriptive the text. The reseacher used qualitative descriptivemethods, and describes the clauses in the English news headlines.Theory’s Haliday used in this research. Data used from CNN, BBC, CNBC and Jakarta Post official website. The procedure of collecting data included selecting, reading and identifying the data. In analyzing, the data are collected by reading and segmenting them into clauses. The transitivity analysis are conducted to figure out the type of process in all of the clauses, and then explained each type of process found in the news.The results showed that the material processes, verbal processes, mental procesess, behavioural procesess, relational procesess and existensial procesess are found in this research. The function of all processes is to indicate that there is an action performed by the actor who is the actor of each action and the circumstances in which it occurs. Also the construe the inner perspektife of the news death of qasaem soleimani as represented by mental procesess and behavioural, meanwhile the outer perspektife as represented material, verbal procesess.
SPEECH ACTS IN ENGLISH SPEAKING CLASS : CASE STUDY IN POLTEKKES BANDUNG
Authors: Novita Dien
Published: November 2022

This research aims to analyze the types of speech acts during the discussion of speaking class in Poltekkes  Bandung in majoring of Medical Laboratory Technologist. The research objectives are in finding the types  of speech acts and the classification of illocutionary act based on the theory of Searle in 1962.  The method used by researcher   is qualitative  descriptive method  by  Seliger and shohamy. The data source  is 38 students of Poltekkes Bandung in majoring of Medical Laboratory technologist.  The  result found that    all types of speech acts are found from the analysis, from five types of speech acts  found that Assertives is the most common used by students during  class discussion and Declarations types is the least of usage in discussion.  Keywords  :  Speech Acts, English Speaking , Poltekkes Bandung
CONVERSATIONAL IMPLICATURE IN THE “ TOY STORY 4”
Authors: Nurfatwa Silvia Alfi
Published: November 2022

This research uses the film as the object of research entitled Conversational Implicature In The Toy Story 4 and this research focused on the character’s utterance. The researcher has taken the data from the Toy Story 4 Movie Script and the Movie from the internet. The character’s utterance has an implicit meaning to deliver the message, in the pragmatics in the pragmatic scope it’s called implicature. Based on that, the researcher tries to explain the hiding meaning from the implicature utterance using Grice’s theory. Grice classified the types of implicature into two that is generalized implicature and particularized implicature. In this research, the researcher found twenty data that contains conversational implicature, 16 data including particularized implicature and 4 generalized implicature. The characters more frequently used the particularized implicature than generalized implicature. In other word, the characters determine their feelings and show their personality indirectly. The implied meaning is found from how the characters refuse, complain, and reminder.keywords : generalized implicature, particularized implicature, toy story 4 movie
SLANG WORDS IN “THE FAULT IN OUR STARS” NOVEL BY JOHN GREEN : A SOCIOLINGUISTIC STUDY
Authors: Dwiyanti Nisa Aulia
Published: November 2022

The relationship between humans and language is referred to as sociolinguistic. The language used by humans is as diverse as the variety of formal language used when someone has a higher level or when in certain formal events, then there is a variety of casual language or familiar variety, which is also called slang. The object of his research is the novel "The Fault in Our Stars" by John Green. Therefore, the researcher tries to analyze the types of slang and what meanings are used by the author in the book by using theory from Allan and Burridge, and theory from Leech. The results of the study found that the most dominant type used by the author was the Fresh Creative type because the researcher found a lot of new words in this novel. While, the classification of the type of meaning is the most dominant type found in this novel, namely stylistic meaning because this type is heavily influenced by the social environment.