bluuebunny/crossref_metadata_2025 huggingface dataset:
Family Solidarity and Sustainability: UAE Case Study 2023
Authors: Awad Cecile
Published: November 2023

The current research deals with the topic (family solidarity and sustainability), a case study of the UAE, as one of the axes of social development, important in facing social and economic problems facing families, thus directly affecting the factors of sustainability of family stability. The research aims to reveal the most prominent procedures, policies, and initiatives undertaken by the UAE in supporting families, and to identify its role in supporting family solidarity in its relationship to sustainability and sustainable development in international standards, especially related to the achievement of economic and social sufficiency of the families, and to confirm its role in supporting the cohesion of families, and the sustainability of their stability. The research was based on the descriptive-analytical method. To fit it with the nature of the subject studied, and relied on collecting information and analysing its content, reviewing the content of data, policy documents, and procedures that the UAE has implemented in the field of family care, and its approach to the concept of family solidarity, sustainability, and sustainable development goals, according to the Global Agenda 2030AD, in addition to a number of relevant statistical indicators. The research shows that the UAE has undertaken many initiatives and measures, and launched a number of policies that work to support family cohesion and enhance elements of solidarity among its members. It showed the integration of these procedures and policies with other dimensions of development, economy, and environment, and their compatibility with the sustainable development goals known as the “2030 Agenda”, the research revealed the existence of gaps that reduce family solidarity and negatively affect family cohesion, such as high divorce rates, and late age of marriage for women, and recommended a number of measures to avoid these gaps, which reflects positively on development, thus ensuring its sustainability.
Impact of Online Reviews on Consumer Purchase Decisions
Authors: Mahdi Ahamed
Published: November 2023

This study aims to understand the effect of online reviews on consumer purchase behavior. Therefore, more than 400 Bigz shops’ online reviews were collected. Based on the Stimulus Organism Response (S-O-R) Model, this paper studies the influence on consumer purchase behavior according to online reviews of experience goods from a new perspective of consumer learning. The data were processed using Statistical software tools. The statistical results show that positive reviews, describing ratings, picture reviews, appended reviews, and cumulative reviews influence consumer purchase behavior. The moderate reviews, negative reviews, logistics ratings, and service ratings are not significant in the results.
On the transformations of the logarithmic series
Authors: Naidenov Nikola
Published: November 2023

In this paper we consider transformations of the series \[ l(x) = \sum_{n=1}^{\infty} \frac{x^n}{n}\hspace{5mm} and\hspace{3mm} L(z) = \sum_{n=0}^{\infty}\frac{z^{2n+1}}{2n+1} \] in the forms: (A) $l(x)=\sum_{n=1}^{\infty}\frac{A_{n}x^n}{1-\alpha_nx}$, (B) $L(z)=\sum_{n=0}^{\infty}\frac{B_n}{1-b_nz^2}\bigg(\frac{z}{1-\beta_nz^2}\bigg)^{4n+1}$ and (C) $l(x)=\sum_{n=1}^{\infty}\frac{C_nx^n}{(1-\gamma_1x)...(1-\gamma_nx)}$. Minimization of the coefficients in (A) and (B), under the restrictions $|\alpha_n|,|\beta_n|\leq1$, is explored numerically. The resulting hypothesis is that we can accelerate the convergence like a geometric progression. We prove that the unique lacunary series $l(x)=\sum_{i=0}^{\infty}\frac{A_ix^{2i+1}}{1-\alpha_ix}$ and $L(z)=\sum_{i=0}^{\infty}\frac{B_iz^{4i+1}}{1-b_iz^2}$ diverge for $x \neq 0$ and $z \neq 0$. Assuming $|\gamma_n| \leq 1$ we prove lower and upper bounds for the optimal rate of convergence of (C). A similar upper bound for (A) is proved. Also, some new accelerated series for the logarithmic and other transcendental functions are obtained.
SÍNDROME OCULOGLANDULAR DE PARINAUD POR ESPOROTRICOSE: SÉRIE DE DEZ CASOS: UM ALERTA PARA A AMAZÔNIA BRASILEIRA – O QUE PODEMOS APRENDER COM A SITUAÇÃO DO RIO DE JANEIRO?
Authors: Parreira Rômulo Piloni , Rezende Heitor Tomé , Neves Laís Lauria , Silva Juliana Rocha Mendonça
Published: November 2023

A Síndrome Oculoglandular de Parinaud (SOGP) é classicamente composta pela tríade: febre, conjuntivite folicular granulomatosa unilateral e linfadenopatia satélite préauricular ou submandibular ipsilateral e está relacionada a doença da arranhadura do gato, no entanto, mesmo que não comumente, pode ser causada pelo Sporothrix.sp. A situação se torna importante, sobretudo, devido à dificuldade no diagnóstico e por se tratar de zoonose. Principalmente nas áreas endêmicas e especialmente nas áreas hiperendêmicas, a esporotricose ocular, associada a SOGP, deve ser considerada como hipótese diagnóstica de doenças oftalmológicas externas, por isso descrevemos os achados clínicos e a sintomatologia de dez casos oriundos da região superendêmica do estado do Rio de Janeiro e chamamos a atenção para os novos casos que tem surgido na região Norte, especialmente em Manaus, possivelmente relacionados aos felinos. O reconhecimento precoce pode abreviar sobremaneira o tempo da doença e também a diminuição da cadeia de contaminação, desta forma, ao expormos os sintomas mais prevalentes, as características clínicas, as principais formas de contágio e o tratamento adequado, despertamos os profissionais da saúde da região norte e demonstramos, através do aprendizado com os casos da região sudeste estes casos que são de grande interesse devido à possibilidade de agravo de saúde pública.
Dworek Wincentego Pola – reprezentacje przeszłości w przestrzeni symulakrum
Authors: Kowalczyk Wiktor
Published: November 2023

Ponad dwa wieki temu w Lublinie przyszedł na świat Wincenty Pol (1807–1872) – późniejszy uczestnik powstania listopadowego, poeta, krajoznawca, geograf i etnograf, człowiek licznych zainteresowań, aktywny w wielu dziedzinach. Za życia był osobą powszechnie znaną i znaczącą, dziś popadł w zapomnienie. W jaki sposób i na podstawie czego można dokonać „reanimacji” tej postaci? Poświęcone jej muzeum – Dworek Wincentego Pola (filia Muzeum Literackiego, oddział Muzeum Narodowego w Lublinie) gromadzi, bada i wystawia różnego typu zasoby pamięci. Mieści się w drewnianym dworku z końca XVIII wieku, będącym niegdyś własnością rodziców poety. Przeniesiony pół wieku temu na nowe miejsce został zrekonstruowany, a niezachowany wystrój jego wnętrz zastąpiła muzealna aranżacja o charakterze symulakrum. Obok nielicznych pamiątek osobistych po autorze Pieśni o ziemi naszej znajdziemy tu kilka kolekcji obiektów pośrednio z nim związanych. Obcowanie z nimi, ich „odczytywanie” i interpretacja pozwalają na swego rodzaju doświadczenie przeszłości – życia i świata Wincentego Pola, zarówno tego realnego, jak i przedstawionego przezeń na kartach utworów literackich. Owe reprezentacje, ilustrujące biograficzną narrację, wraz z faktami stanowią oparcie dla budowania świadomości historycznej. Pozostaje jednak pytanie, na ile adekwatny w stosunku do minionej rzeczywistości obraz tworzą.
Pamiątki karnawału w Krośnie. O dwóch karnetach balowych w zbiorach Muzeum Narodowego w Krakowie
Authors: Paś Monika
Published: November 2023

W zbiorach Muzeum Narodowego w Krakowie znajdują się oprawy na notesiki służące do zapisywania nazwisk partnerów do tańca i kilkanaście karnetów balowych datowanych na okres od XVIII do XX wieku. Podczas gdy ekskluzywne bibeloty o kartach wyciętych z kości lub perłowca mogły służyć damom wielokrotnie, to te skromniejsze, drukowane na papierze, były zazwyczaj związane tylko z jedną imprezą towarzyską, ponieważ trudno byłoby bez śladu usunąć z nich ołówkowe wpisy, a ponadto nierzadko nazwa balu z konkretną datą widniała na okładce karnetu, uniemożliwiając jego powtórne wykorzystanie. Do tej drugiej grupy zaliczają się są dwa karnety z balu w Krośnie, który odbył się w lutym 1922 roku. Zabytki, mimo że nie przedstawiają sobą szczególnych walorów artystycznych, stanowią cenną pamiątkę obyczajową. Można je zaliczyć do artefaktów będących śladem kultury niematerialnej, a więc niekultywowanych obecnie – a przynajmniej nie powszechnie – obyczajów towarzyskich związanych z zabawami tanecznymi. Należą do kategorii przedmiotów, które, całkowicie wyszedłszy z użycia, przypominają o konwenansach obowiązujących w poprzednich epokach w wyższych sferach społecznych. Tym samym stają się swoistymi katalizatorami wspomnień o wydarzeniach i ludziach biorących w nich udział, dając dziś asumpt do wieloaspektowych rozważań.
„Kijów 2022. Raport z jednego dnia”. Wystawa czasowa w Muzeum II Wojny Światowej w Gdańsku
Authors: Zambrzycki Marek , Krzencessa Monika
Published: November 2023

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Power Generation Policies, Governance Mechanism and Utilization of Indigenous Resources: A Case of Pakistan
Authors: Rehman Muhammad , Habib Shahid
Published: November 2023

Energy has been playing a vital role in the socio-economic development of the country. Pakistan’s energy security holds paramount importance as it is essential for enhancing socio-economic development. Pakistan is currently facing a rising electricity demand and contending with a substantial deficit in natural gas supply. Most of the power generation plants in Pakistan are thermal and generate electricity from oil and gas. Pakistan is not an oil-producing country and natural gas reserves will be died out after 12 years. Under the Power Generation Policy 2015, most of the plants generate electricity from imported coal instead of utilization of national indigenous reserves i.e. local coal. Under the PGP 2015, all the power plants operated under the PPP model known as (BOO). Over the last three decades Government of Pakistan has announced seven energy policies to attract the foreign investors in the power generation sector that have led to acute governance, admirative and implementation problems in the energy sector. This study explores the intricate relationship between energy security, energy crises, demand and supply, and renewable potential in Pakistan. Using qualitative analysis, it addresses the ongoing energy crises and proposes the development of national indigenous resources, presenting a policy framework to achieve power generation goals. The energy status in Pakistan, including supply and demand aspects, is discussed, along with major challenges such as electricity theft and circular debt annually. By considering various approaches, the study identifies key challenges for policy development and implications to create a comprehensive policy framework, incorporating domestic energy resources, policy actors, criteria, and tools. This study highlights Pakistan’s significant non-renewable energy potential, advocating for tapping into domestic resources, optimizing energy planning, and policy development to ensure a secure and sustainable energy future for the nation, promoting prosperity and progress.
Frequency of Thyroid Dysfunction in Healthy Pregnant Women
Authors: Aziz Amna , Nadia Naz  , Muhammad Nasir  , Anam Fatima  , Fatima Zia  , Shahida Parveen
Published: November 2023

Objective: To investigate the frequency of thyroid dysfunction in healthy women during pregnancy. Study Design: Descriptive cross sectional study.
Place and Duration of Study: Department of Gynecology and Obstetrics Unit 1, Nishtar Hospital, Multan from 6-1-2016 to 6-7-2016.
Methodology: It was a descriptive cross-sectional study done in Department of Gynecology and Obstetrics Unit 1 Nishtar Hospital and included 451 pregnant women. The participants who were found to have some abnormality in TSH were further evaluated for levels of T3 and T4. The outcome variable that is frequency of thyroid dysfunction was recorded by researcher on Performa. All the data was analyzed by using SPSS-23.
Results: The Mean age of the study participants was 27.87±4.76 years. The Mean parity was 2.88±0.99 and Mean gravidity was 3.96±0.95. Most of expecting ladies307 (68.1%) were at parity of 1–4. The Mean Value of gestational age of participants was 20.25±4.30 weeks with minimum of 13 weeks and maximum of about 26 weeks. 90 (20.0%) cases were found to be Euthyroid. There were 94 (20.8 %) cases of subclinical hypothyroidism and 54 (12.0%) cases of subclinical hyperthyroidism.
Conclusion: The frequency of thyroid problems is alarmingly high according to results of our study. Subclinical hypothyroidism was found to have marked association with increasing age of mother, high parity of mother, and gestational age.
Comparison between Manual Blood Culture and Automated Blood Culture System in Cardiology Institute
Authors: Syed Khizar Abbas  , Syed Jawad Hussain Shah
Published: November 2023

Objective: In this study we compared the two techniques used for detection of microorganisms.
Study Design: Retrospective cross-sectional.
Place and Duration: study was conducted at Choudhary Pervaiz Ellahi Institute of Cardiology, Multan from 2018 to 2019.
Methodology: Blood culture is gold standard for the detection of bacteremia. Two types of techniques are used for blood cultures which are the manual blood culture system (conventional) and the automated blood culture system (modern). We conducted 214 blood culture tests on manual blood culture system and 339 on automated blood culture system ( bact/alert).
Results: The percentage of positive yield was 10.3 with manual blood culture system and percentage of positive yield was 15.3 with bact/alert which is significantly higher.
Conclusion: This finding will contribute to reduction in mortality of patients with sepsis in our hospital and we recommend use of automated blood culture system over manual blood culture system at tertiary care hospitals.
Assessment of Oral Health Status and Oral Health Education Programmed in Community Living in Rural Area of Jahangirabaad of Multan
Authors: Sajid Mustafa , Mohsin Javeed  , Muhammad Jamil  , Mehwish Munawar  , Awais khan  , Reema Kouser
Published: November 2023

Objective: To investigate the role of oral health education programme in oral health status in peoples living in rural areas of Multan.
Study Design: Study design was cross sectional survey.
Place and Duration: This study was done to record the initial assessment of oral health status of Jahangirabad community in Multan from November 1, 2014 to December 1, 2014.
Results: The results of the study revealed the occurrence of dental caries to be 53.1 %, while mean DMFT was 1.5. the results from recording the periodontal conditions showed that about 50% of the sample population had healthy gums, reflecting good oral hygiene. in term of virulence, the mean number of healthy sextants, bleeding, and calculus, were 5.2, 0.4 and 0.2 respectively. Total of 42.9% of the sample population had gingival bleeding and calculus. the study found that there was a statistically significant association between high education and better oral health index namely DMFT and CPITN [pvalues= 0.036 and 0.012, respectively]. In this study, no significant association was found between average monthly incomes versus oral health status.
Prevalence of Vit-D Deficiency in Medical Students
Authors: Faryal Adnan  , Qadir Memon Naheed , Sami Adnan , Meraj Munazzah , Shaikh Rehnaz , Zahid Ali Syed
Published: November 2023

Objectives: The main purpose of this study was to evaluate the prevalence of vitamin D status in medical students and to evaluate the risk factor of vitamin-D deficiency which will be helpful for their physical and mental health. It was cross sectional study conducted in PUMHS.
Material and Methods: Sample was collected from PUMHS (SBA). To collect data written consent was taken. Permission was sought from in-charge of ethical committee of PUMHS. Student’s age was from 18 to 27 years. Students who were suffer from any endocrinal disorder and who were on drug therapy, which affect calcium and vitamin-D metabolism like corticosteroids, rifampicin and phenytoin was excluded. Sample size was 282.The two main factors were included in this study Sun exposure and Diet.
Results: In this study 4.9% (n =14) students had exposure to sunlight <15minutes/day with mean vitamin D values 14.71±3.75. 66. 9%(n=188) have exposure to sun light 15-30 minutes with mean vitamin D values 15.45±9.32 and 28.2%(n= 80) have exposure to sun light > 30 minutes/ day with mean vitamin D values35.80±7.79.p value was 0.001. 7.7%(n=22) medical students taken poor diet with mean vitamin D values 13.23 ± 7.61, 89.4%(n=252) taken good diet with mean vitamin D values 31.81±8.88 and only 2.8% (n=8) taken extraordinary diet with mean vitamin D values34.57±3.23.p value was 0.000.So it was concluded that both factors plays a crucial role in vitamin D synthesis.
Cystobiliary Fistula in Hepatic Hydatid Cyst Disease; A Case Report and Literature Review
Authors: Ahmad Ashar , Tania Mahar  , Abdul Manan  , Irfan Ahmad  , Abdul Qadir  , M. Usman  , M. Waseem
Published: November 2023

Objectives: To evaluate the level of physical activity among menopausal women in Nawabshah.
Methods: This cross-sectional  study  was  conducted  during November 2019  to  January  2020among  menopausal  women  in  Nawabshah.  Participants were approached   through   convenience   sampling   technique, and   comprised   of   200 menopausal  women.  Data was collected  from  houses,  hospitals  and  OPDs  from different areas of Nawabshah. Data was collected through standardized questionnaire that is related to  physical  activity.  Moreover, a demographic  proforma  was  used  to obtain demographic information of all participants.
Result: Among the population of 200 menopausal women  in  Nawabshah,  98  (49%)  were inactive  and  102  (51%)  were active.  Moreover, 17.5%  were  engaged  in  vigorous  activity,  40%  were  engaged  in moderate physical activity, while 41% were engaged in walking. It was found that the mean age  is  54.32  years  (age  range  45-70  years).  Majority of  women  were  married 73.5% and unemployed (77%).
Conclusion: On the basis of results, we found that the level of physical activity among menopausal women is higher than the physical inactivity.
Medical education in Pakistan, Where Do we Stand?: Medical Education in Pakistan
Authors: Masood Alam
Published: November 2023

Healthcare providers and doctor community is considered very respectable in society. It is not a small task to deal with human lives. This high regard for the community has a big responsibility. This is a very important and sensitive profession where a small mistake can cause disaster. Considering its importance and sensitivity it is required that doctors and healthcare providers should have proper skill, knowledge, ethics and professional attitude to avoid the repercussions and deal the challenges that daily life brings. Medical education system is way to prepare and equip healthcare providers from raw recruits to skillful manpower. Medical education curriculum should be updated with time according to the advancement in science, medical practice and social needs. Many factors play the role in converting and preparing the student of first year in medical college and university into a professional doctor. Some of the factors cannot be controlled like his social activities, financial problems, family and social problems and intellectual acumen. Factors that can be planned and controlled are quality of medical curriculum and standard of teaching. Corona virus pandemic which started from Wuhan has greatly affected the teaching and education. It has brought new challenges in medical education. Students of the whole world have suffered due to the closing of universities and colleges. Medical institutes have shifted from physical classes to the online teaching. New advancements in technology of our time has opened many opportunities for distant learning and exchanging the knowledge and experience worldwide due to the internet connectivity and accessibility. Medical education systems of the world has developed and designed online courses considering the present situation. Developing world has different challenges to shift to online learning from the developed countries .
Nutritional Knowledge and Dietary Use among Cardiac Patients at Chaudhary Pervaiz Elahi Institute of Cardiology, Multan
Authors: Romana Abbas Syeda
Published: November 2023

Background: Globally, Cardiovascular Diseases (CVDs) are the leading cause of Disability Adjusted Life Years (DALYs) among all complex chronic diseases. The CVD mortality rate has been on the rise in individuals over the age of 65. Globally 17.7 million deaths each year are attributed to CVDs, making an estimated 31% of all global deaths. Risk factors are unhealthy weight reduction, physical inactivity and harmful use of un healthy food leading to raised blood pressure, elevated blood glucose, obese and increase weight studies on nutrition that focuses on the cultural food of traditions and the lifestyles of different countries. This study aim was to examine the life habits, and risk factors that associated as risk with cardiovascular diseases between people in different areas.
Methodology: A cross- sectional study was held in the region of Multan. The random sampling apply with a questionnaire according to geographical are age and gender. A total 404 sample was collected a questionnaire was designed to calculate their intake of nutrients, exercise and dietary habits.
Results: The study showed that 75.7% were cutting down salt.47.8% people were doing exercises to control blood pressure. Only 10.9% were reading food labels to choose low sodium content. Most of the time were only28.2% who read labels to choose lower in calories. The patients who were drinking regular soft drinks pop/soda more than once a day were (4.2%).
Conclusion: The results of the study concluded that nutritional knowledge among patients of cardiovascular disease is not sufficient. The patients were not taking healthy diet. There is a strong need to improve the knowledge regarding nutrition in these patients and encourage then to adopt healthy lifestyle.
Frequency of Deranged Coagulation Profile in Patients having Pregnancy Induced Hypertension
Authors: Rehman Rabia , Siddiq Shazia , Rehman Asiya , Irshad Rao Shahid
Published: November 2023

Objective: To evaluate the frequency of deranged coagulation profile in patients having pregnancy induced hypertension.

Study Design: Descriptive cross sectional Study

Place and Duration: Department of Obstetrics and Gynecology, Nishtar Hospital Multan, from 10 July 2016 to 31 December 2017

Methodology: A total number of 540 patients were involved in the study. Sample was collected with the help of non-probability consecutive sampling technique. Patients were divided into three groups, pregnancy induced hypertension, preeclampsia and eclampsia. Following variables were calculated and assessed, age, gravidity. Parity, gestational age, diagnosis of eclampsia or preeclampsia, platelet count, prothrombin time, activated partial thromboplastin time, serum fibrinogen and serum albumin. Data thus obtained was subjected to statistical analysis which was performed by a computer software SPSS version 23. Frequency and percentage was calculated for qualitative variables while mean and standard deviation was calculated for quantitative variables. Chi square test was applied to assess the association among different variables and p value less than or equal to 0.05 was taken as significant.

Results: Frequency of low platelet count, low serum fibrinogen level, prolonged PT and prolonged aPTT in PIH group was 45.7%, 4.3%, 2.9% and 2.9% respectively. Frequency of low platelet count, low serum fibrinogen level, prolonged PT and prolonged aPTT in preeclampsia group was 39.4%, 8.7%, 5.1% and 4.2% respectively. Frequency of low platelet count, low serum fibrinogen level, prolonged PT and prolonged aPTT in eclampsia was 52.8%, 12%, 7.5% and 5.1% respectively.

Conclusion: This study concludes that derangement in clotting profile occurred in certain percentage of patients suffering from preeclampsia and frequency of derangement was significant.
Surgically Induced Astigmatism after Phacoemulsification with Clear Corneal 3.2 Mm Incision While Using Superior versus Temporal Approach
Authors: Farhan Ali
Published: November 2023

Objective: is to assess incidence of surgically induced astigmatism followed by phacoemulsification with clear corneal 3.2mm incision while using temporal and superior approach. Study Design: Quesi Experimental trial. Place and duration: study was conducted at ophthalmology department of Ghazi medical collage Dera Ghazi Khan from December 2021 to November 2022 in one year period.
Methodology: Patients were enrolled in two groups, temporal approach with clear corneal incision and superior approach with clear corneal incision was used. Main variables of study were astigmatism (D) after cataract surgery through phacoemulsification. For outcome measure at 1st postoperative day keratometery was performed and after that followed up at 2 weeks and 8 weeks period. SPSS versio 24 was used for data analysis.
Results:  Overall, 250 patients were included in our study. The Group I included 125 patients had 130 eyes. The Group II included 125 patients had 132 eyes. The average age of Group I and Group II was 56.45±3.92 years and 57.97±3.61 years, respectively. (p=0.275). The sex distribution of both the group was almost equal, (p=0.893). Whereas, the mean astigmatism of Group I was less than Group II, as 0.51±0.22 and 0.85±0.29, respectively, (p<0.001).
Conclusion: Clear corneal incision 3.2 mm and temporal approach induces less surgical astigmatism, even it can be used in against the rule astigmatism cases where horizontal meridian is steeper.
Serial Measurement of Lipid Profile In patients with Acute Myocardial Infarction
Authors: Ramzan Faisal , Noshad Javed  , Yasin Tahir , Hanzlah Shahid Hafiz Muhammad , Ali Khan Ansar
Published: November 2023

Objective: To investigate the effect of acute myocardial infarction (AMI) on the levels of lipid profile and inflammatory markers. Study Design: Prospective study. Place of study: Choudhary Pervaiz Elahi institute of Cardiology in one year duration from May 2020 to April 2022. 
Methodology: Patients admitted within 24 hours of onset of symptoms were enrolled in study and their total cholesterol, triglycerides, high density and low density lipoprotein was assessed. SPSS version 23 was used for data analysis. Tests of significance were applied and o value less than or equal to 0.05 was taken as significant.
Results:  The mean total cholesterol, triglyceride, low density lipoprotein cholesterol, high density lipoprotein cholesterol, TC / HDL-C, LDL-C / HDL-C, high sensitive C-reactive protein, interleukin-6 and interleukin-10 of the control patients was 169.02±6.69 mg/dl, 152.27±3.59 mg/dl, 108.18±4.22 mg/dl, 50.93±4.81 mg/dl, 3.97±0.49, 2.48±0.64, 0.96±0.48 mg/dl, 14.31±4.68pg/dl and 13.98±2.53pg/dl, respectively.
Conclusion: Early treatment of lipid changes provides advantages and treatment line for clinical decisions and lipid lowering therapy. Therefore, within 24 hours of onset of symptoms serum lipid values should be assessed. within 24 hours of onset of symptoms serum lipid values should be assessed.
CRP versus Alvarado Score in Appendicitis Diagnosis
Authors: Haider Zeshan
Published: November 2023

Objective:To evaluate whether C-reactive protein (CRP) level results on admission could aid the diagnostic accuracy of Alvarado score in patients with suspected appendicitis. Study Type: cross sectional study. Study Place and Duration: January to December 2019 in the Surgical Unit, Nishtar Hospital, Multan.
Material and methods: Total 230 patients participated in the study with suspected acute appendicitis. Patient’s Alvarado score, age of the patients, sex, length of period of complaint for abdominal pain and level of CPR were recorded on the time of admission. Descriptive statistics for study data included mean, median, standard deviation, minimum and maximum frequency and ratio values. Quantitative data was examined using Mann-Whitney U test. On the other hand a receiver operating characteristic curve was used for effects and cut-off values.
Results: The mean C-reactive protein of AA complicated and AA uncomplicated patients was 40.61±9.59 mg/L and 38.25±9.08 mg/L, respectively. The difference was statistically insignificant, (p=0.905). The mean Alvarado score of AA complicated and AA uncomplicated patients was 7.51±1.72 and 7.75±2.08, respectively. The difference was statistically insignificant, (p=0.248).
Conclusion: Serum levels of C-reactive protein when assessed alone are not adequate enough in making a diagnosis of acute appendicitis. When combined with Alvarado score, they increase the overall diagnostic value. Moreover these levels in serum also help in differentiation of uncomplicated and complicated acute appendicitis.
Management of liver trauma after blunt trauma abdomen
Authors: Abdul Manan  , Khan Ashar Ahmad , Ahmad Irfan , Qadir Abdul , Usman Muhammad , Athar Saim
Published: November 2023

Objective: is to investigate the better management plan for liver injury after blunt trauma abdomen according the latest classification system.
Methodology: Prospective study was conducted at department of general surgery Nishtar hospital Multan from 31st July 2022 to 30th June 2023 in one year duration. A total of 70 patients with liver injury diagnosed intraoperatively or by CT scan were enrolled in the study. Main variables of study were Moore score, Mirvis score, mechanism of injury, organ affected and type of injury according to classification. SPSS version 23 was used for data analysis.
Results: Frontal car accident was the most common trauma mechanisms in type A patients 51.6% and complex traffic accident was the most common trauma mechanisms in type B patients 38.5%. High-energy trauma in type A and type B patients was 80.6% and 89.7% patients respectively. Further, demographic and baseline characteristics of type A and type B patients were almost equal, (p>0.010).
Conclusion: The management of liver injury has shift towards a more individualized approach depending on the localization of parenchymal disruption (damage to the liver tissue) and may correlate with the mechanism of trauma. Type of injury is the correlation with necessity of surgical management.
Prevalence and abnormalities of intervertebral discs (ivd) at various levels in lumbosacral spine magnetic resonance imaging (mri)
Authors: Afridi Abdul Wadood
Published: November 2023

Abstract
Objectives: To use magnetic resonance imaging to identify the prevalence and various abnormalities inside the intervertebral disc at different levels in the lumbosacral spine.
Methodology:
Cross-sectional study was conducted in the Radiology Department of Hayatabad Medical Complex Peshawar, Pakistan for six months from January 2023 to June 2023. Patients with Intervertebral disc abnormalities were scanned using standard protocol sagittal T1WI, T2WI, T2W STIR, T2W myelo, and in axial T1WI and T2WI. SPSS version 26 was used for data analysis. Tests of significance were applied and a p-value less than or equal to 0.05 was taken as significant.
Results: The most frequently affected levels were L4-L5 and L5-S1, with single-site engagement being 30.0% and multi-site involvement being 69.9%. Numbness was 69.9%, Tingling 30.0%, herniated nucleus pulposus 30%, Protrusion 23.5%, Extrusion 6%, Posterolateral 2.7%, Posterocentral 26.2%, Foraminal 3.1%, Canal stenosis (mild 42.2%, moderate 63.2%, severe 5.5%, Thecal sac 36.4%, Lateral recess 55.5%, Foramen 20.1%, Multiple locations 8.3%, Diffuse disc bulge 96.4% (most common on L4-S1), Asymmetric disc bulge 2.4% and Modic changes 21.1% (grade-I 4.2%, grade-II 15.5%, grade-III 1.4%). Ligamentum flavum hypertrophy was at 20.1%, Facet joint hypertrophy at 22%, High-intensity zone (HIZ) at 29.4%, and Annular tear at 26.8% were all abnormalities that were frequently found on the L4-L5 level.
Conclusion: Middle-aged persons are at increased risk, females and older individuals showed higher Intervertebral disc abnormalities, and L4-L5 and L5-S1 are the two most afflicted regions.
Keywords: [Annular tear, Disc Bulge, High-Intensity zone, Lumbosacral spine, Modic Changes]
Propofol or Midazolam for sedation and early extubation following coronary artery bypass graft surgery
Authors: Asad Hira , Shahid Hussain  , Hamid Mahmood  , Imran Ali  , Imran Hafeez  , Rashid Hussain
Published: November 2023

Objective: to evaluate the efficacy of Midazolam and Propofol for postoperative sedation and early extubation following cardiac surgery.
Methodology: Randomized control trial was conducted cardiac anesthesia department of the National Institute of Cardiovascular Diseases in one year duration of 1st February 2018 to 30th January 2019. Study was conducted on ASA 3 who was selected for coronary artery bypass graft surgery. After shifting in ICU patients were divided in two groups by lottery method and study drugs propofol and midazolam were started. Both infusions were terminated after four hours and patients were assessed for extubation. Hemodynamic parameters arterial blood gases and respiratory function was assessed and recorded.
Results: The mean time to awakening, time to extubation in midazolam group was 94.11±4.36 minutes, 94.47±6.11 minutes respectively and in propofol group it was 96.58±4.31 minutes, 91.91±3.94 minutes respectively. Difference was statistically significant.
Conclusion: Results of our study reveal that there was no difference in both drugs regarding sedation and extubation time; both drugs are safe, effective and useful in patients of coronary artery bypass graft surgery.
Comparison of ultrasound guided aspiration versus incision drainage in breast abscess
Authors: Muhammad hassaan anwar  , Maham Ubaid  , Humayun Amjad  , Muzaffar  Aziz  , Aleena Tahir
Published: November 2023

Objective: is to compare the outcomes of ultrasound guided needle aspiration technique with traditional incision and drainage technique in breast abscess.

Methodology: Study was randomized controlled trial conducted at general surgery department of Nishtar Hospital; Multan from 9th may 2023 to 8th November 2023 in 6 months’ duration. A total of 228 patients were enrolled in study and divided into two groups A and B. Group A include 143 patients aspirated with ultrasound guided needle aspiration and in group B 85 patients treated with incision and drainage method. Main outcomes were hospital stay, pain intensity, location and size of abscess, parity and demographics.

Results: The mean duration of pain in Group A and Group B was 5.79±2.18 days and 7.01±2.38 days, respectively, (p<0.001). Further, the mean duration of fever, volume of pus, size of USG was almost equal in both the groups, (p>0.050). The distribution of site of abscess of both the groups were shown in figure. I. The difference was statistically significant, (p<0.001).

Conclusion: Needle aspiration of a breast abscess with ultrasonographic guidance combined with antibiotics is a commonly used and effective approach in the treatment of breast abscesses. This method is especially valuable when dealing with abscesses of small size.
Comparing Pain and Quality of Life Measures after Anatomic Lung Resection Using Either Thoracoscopy or Thoracotomy
Authors: Shahid Hussain  , Hamid Mehmood  , Hira Asad  , Syed Ali Abbas Rahat  , Faiza  , Amna Khan
Published: November 2023

Objective: is to compare the pain score and quality of life between thoracoscopy and thoracotomy in lung resection surgery.

Methodology: Randomized controlled trial was conducted at National Institute of cardiovascular diseases (NICVD) during 1st September 2022 to 30th August 2023. A total of 60 patients were enrolled and dived into two groups 35 patients in thoracoscopy and 25 in thoracotomy groups. Patients were compared in terms of quality of life and pain score. Eight pints scoring scale was for quality of life assessment and Brief pain index scale for pain measurement.

Results: The comorbidities in both the groups were almost equal. Adenocarcinoma were noted 20 (80.0%) and 22 (62.9%) in thoracotomy and VATS group, respectively. Further, the mean length of stay of thoracotomy and VATS group was 5.61±2.11 days and 6.31±2.47 days, respectively. The differences were statistically insignificant in both the study groups, (p>0.050). The comparison of life quality score at baseline, postoperative, 4th month, 8th month & 12th month of mental and physical component summary was shown in table. II. The differences were almost equal in thoracotomy and VATS group, (p>0.050).

Conclusion: Patient-reported Physical Component Summary (PCS) and pain scores were similar in the first 12 months following in two different surgical procedures Video-Assisted Thoracoscopic Surgery (VATS) and thoracotomy.
Monkey pox Knowledge Assessment among the Undergraduate Nursing Students of Hyderabad
Authors: Irum Qureshi  , Victoria Samar  , Shaneela Khowaja  , Sabiha Sarwar  , Hafsa Bibi  , Farzana Parveen
Published: November 2023

Objective: The study objectives were to measure baseline knowledge, assess familiarity with disease spread concepts, evaluate awareness about diagnosis and preventive measures, and explore attitudes among nursing students.

Methodology: The study employed a descriptive cross-sectional approach, using a questionnaire comprising 19 binary-scale questions related to Monkeypox. This study conducted at People School of Nursing LUMHS, Jamshoro, aimed to assess the knowledge of 162 undergraduate nursing students in Hyderabad regarding Monkeypox and communicable diseases. Data collected during the period of May 15,2023 to June 10,2023. Convenience Sampling technique was used and participants filled an adopted questionnaire

Results: Revealed that 54.3% of participants had prior knowledge of Monkeypox, yet only 13% demonstrated good knowledge. A significant 51.9% exhibited poor knowledge, and 35.2% had very poor knowledge about the disease.

Conclusion: The findings underscored a substantial lack of knowledge among the participants, highlighting the urgency to enhance educational awareness on communicable diseases, their epidemiology, prevention, and treatment. Empowering medical and nursing students with this knowledge is crucial, enabling them to actively contribute to community efforts in controlling communicable diseases. Strengthening the knowledge base of healthcare professionals, including nursing students, is vital in the collective global effort to prevent and manage emerging infectious diseases like Monkeypox.
Comparison of antibiotic therapy versus appendectomy in patients with Acute appendicitis
Authors: Muhammad hassaan anwar  , Maham Ubaid  , Humayun Amjad  , Muzaffar Aziz  , Muhammad Osama Rauf Hiraj
Published: November 2023

Objective: To compare antibiotic therapy versus appendectomy in patient with acute appendicitis.

Methodology: Study was randomized controlled trial conducted at general surgery department of Nishtar Hospital; Multan from 9th may 2023 to 8th November 2023 in 6 months’ duration. After obtaining written informed consent after detailed description, using lottery method, patients were divided into two groups antibiotic therapy and appendectomy. Using visual analogue scale pain scores were obtained from 0 no pain to 10 severe worst possible pain. Starting from the day they presented until the patient had VAS score of = 2, duration of pain was measured.

Results: The mean pain experienced of Group A and Group B was 3.53±0.88 days and 3.65±0.87, respectively. The difference was statistically insignificant, (p=0.404). The mean length of stay in hospital of Group A and Group B was 4.51±2.19 days and 4.94±1.77 days, respectively. The difference was statistically insignificant, (p=0.155).

Conclusion: Findings of this study reveal that patients that fall in the antibiotic treatment group  i.e conservative group were not in need of surgical appendectomy during the six-month follow-up period. This suggests that antibiotic treatment was effective in managing the condition in these patients.
Aspek Praktis Konsep Pelayanan Inkarnasional:
Authors: Marselina Grace Kelly
Published: November 2023

Berdasarkan keyakinan akan inkarnasi Kristus yang menjadi jalan untuk memperkenalkan diri lebih dekat dengan umat ciptaan-Nya, beberapa teolog, misiolog, dan praktisi misi mengembangkan konsep dan model pelayanan inkarnasional. Konsep pelayanan inkarnasional ini relevan untuk pengembangan pelayanan misi lintas budaya, termasuk misi perkotaan.[1] Namun, konsep pelayanan inkarnasional ini tidak lepas dari perdebatan pro dan kontra. Melampaui apa yang disampaikan oleh para pengkritik konsep pelayanan inkarnasional yang lain, kritik-kritik J. Todd Billings solid, jelas, dan terarah. Ia menyampaikan keberatan-keberatannya yang mencakup beberapa aspek penting yang terdapat dalam konsep pelayanan inkarnasional, yaitu aspek biblis, teologis, dan praktis. Khusus dalam aspek praktis konsep pelayanan inkarnasional, Billings berpendapat bahwa pelayanan inkarnasional tidak dapat dijadikan model pelayanan yang tepat karena sisi abstraknya (abstract pattern). Konsep pelayanan inkarnasional menjadi abstrak karena model pelayanan ini dinilai tidak relevan dan efektif dalam mewujudkan pelayanan yang berpusat kepada Kristus. Khususnya di dalam ranah kontekstualisasi, pelayanan inkarnasional tidak serta-merta dapat digunakan sebagai model pelayanan yang tepat bagi para misionaris di dalam pelayanan lintas budaya.[2] Billings menganggap konsep union with Christ lebih tepat digunakan sebagai model pelayanan karena Allah telah menyatakan diri-Nya secara khusus dan unik melalui ketaatan seorang Hamba, Yesus Kristus. Kerendahan hati Kristus merupakan model konkret yang dapat diterapkan sebagai gaya hidup dan pelayanan.[3] Melalui penelitian yang lebih saksama terhadap aspek Christo-praxis dalam konsep pelayanan inkarnasional dan menyandingkannya dengan kritik Billings terhadapnya, saya menemukan bahwa di satu sisi kritik Billings tidak memiliki dasar yang kuat, tetapi di sisi yang lain konsep ministry in union with Christ yang diajukan oleh Billings tidak harus beroposisi atau menggantikan konsep pelayanan inkarnasional. Sebaliknya, konsep ministry in union with Christ yang diajukan oleh Billings bisa menjadi pelengkap konstruktif bagi pengembangan model pelayanan inkarnasional.
HUBUNGAN PSIKOLOGI DENGAN ILMU SOSIOLOGI
Authors: Yenti Yenti Arsini , Dinda Tazkiyah Harahap  , Jamilatul Khoiriah Hasibuan
Published: November 2023

Psikologi adalah ilmu yang sangat erat kaitannya dengan ilmu-ilmu lain. Hubungan psikologi dengan ilmu-ilmu lain dapat dikatakan seperti simbiosis mutualisme, yaitu saling membantu, saling mengisi satu sama lain. Psikologi dan sosiologi merupakan ilmu induk bagi lahirnya satu cabang ilmu yang kemudian kita kenal dengan istilah psikologi sosial. Namun psikologi sosial ternyata berbeda dengan psikologi dan sosiologi. Perbedaannya psikologi sosial mempelajari tingkah laku/perilaku individu untuk berinteraksi dengan lingkungannya, objeknya pada individu tersebut. Psikologi dan sosiologi sama-sama mempelajari perilaku hubungan antar individu. Jadi psikologi sangat erat hubungannya dengan sosiologi.
KETERKAITAN PENDIDIKAN KEWARGANEGARAAN DENGAN MATA PELAJARAN LAIN DALAM FAKTA SEJARAH
Authors: Nasution Toni , Lu’Lu Rahmadanti  , Melvi Sari Anggraini  , Fadiah Dian Nashfati
Published: November 2023

Citizenship education plays a role in every educational institution in Indonesia, especially in tertiary institutions, namely that students are expected to have insight and national awareness and form a caring attitude towards others. Teaching materials for civic education applied in tertiary institutions are associated with other subjects such as religious education, Pancasila moral education, social education, and the history of the formation of Pancasila as the foundation of the state. the method used in collecting information in this article uses the method of literature analysis. With sources of information in the form of books and journals.
From the results of this analysis it is expected that citizenship education will become a basic subject that must exist at every level of education in Indonesia, especially at tertiary institutions. So that future generations of the nation are not only good citizens, but also instill the meaning of Pancasila in their character, nature and deeds and are able to apply the values of citizenship in their daily lives, both in the social environment and in the learning environment in universities. In addition, citizenship education also functions to shape the character of students to become individuals who are democratic and virtuous and care for others in the life of the nation and state.
ELEKTRONİK KÜLTÜR ORTAMINDA HALK HİKÂYELERİNİN YENİDEN KEŞFİ: KARİKATÜRİZE HALK HİKÂYELERİ
Authors: ÇELİK Gizem
Published: November 2023

Halk bilimi ürünleri yüzyıllarca birincil sözlü kültür ortamında icra edilmiştir. Teknolojinin gelişmesine bağlı olarak kitle iletişim araçları yaygınlık kazanmış ve halk biliminin yüz yüze ve yazılı olan geleneksel ortamının yanına internet odaklı elektronik kültür ortamı da eklenmiştir. Walter Ong, halk biliminin yeni icra mekânı olan elektronik kültür ortamını “ikincil sözlü kültür ortamı” olarak adlandırmaktadır. İkincil sözlü kültür ortamında gelişen folklora ise netlore, internet folkloru gibi isimler verilmektedir. İkincil sözlü kültür ortamında masal, efsane, halk hikâyeleri, halk inanışları, halk mutfağı gibi birçok ögenin kendine yer bulduğu görülmektedir. Bu çalışmada ise halk hikâyelerinin internet folklorundaki karikatür haline gelmiş gönderiler ele alınıp incelenecektir. Facebook, Twitter, Instagram, Pinterest, katılımcı sözlükler vb. sosyal paylaşım sitelerinden alınan ve halk hikâyelerine atıfta bulanan çeşitli karikatürler çalışmanın sırını oluşturmaktadır. Çalışma konusuna uygun düşen karikatürlerden hareketle “Leyla ile Mecnun”, “Kerem ile Aslı”, “Ferhat ile Şirin” ve “Köroğlu” hikâyeleri incelenecektir. Bu hikâyelerin geleneksel ortamındaki şekli ile ikincil sözlü kültür ortamındaki mizahla harmanlanmış şekli karşılaştırılacaktır. İnternet folklorunda karşılaşılan halk hikâyelerine göndermede bulunan karikatürlerde geleneksel ortamdaki hikâye kahramanının başından geçen olayın esas alındığı ve bu olayın mizah ve yergi ile harmanlanarak günümüzdeki yozlaşmaların eleştirisinin yapıldığı dikkat çekmektedir.
“Âşık Sümmâni’de Varlık Bilgisi (Ontoloji) ve Varoluşa İlişkin İzlekler”. Kitabı İncelemesi
Authors: BALIKÇI Şakire
Published: November 2023

Çiğdem Akyüz Öztokmak tarafından kaleme alınan çalışmada yazar; giriş bölümünde çalışmanın amacının halk şâirlerine gereken kıymetin tam olarak verilmediğine dair yaygın inanışın sonlanmasına katkıda bulunmak olduğunu belirtir. Yazar, Umay Günay’dan iktibasla “aydınların halk edebiyatı metinlerinin, çağdaş kuramlar ışığında değerlendirilebilecek edebî içeriğe sahip olmadıklarını düşündüklerini belirtir” (1). Mezkur ifadelerin yüzyıllardır süregelen halk şiiri/halk sanatı kavramlarının hak ettiği yeri bulamamasındaki anlayışı yansıttığını gündeme getirir. Bu bağlamda yazar, 19. yüzyılın en önemli ümmî halk şâirlerinden Âşık Sümmânî’nin bu özelliğinin altını çizerek halk estetiğinden ve âşıklık geleneğinden beslenen varoluş felsefesini ve tabiatıyla tasavvufî unsurları eserlerine ustalıkla işleyen düşünce boyutunu irdelemeye çalışmıştır. Çalışmada âşığın varoluşçu felsefe açısından ele alınan şiirlerine Abdulkadir Erkal tarafından yayımlanan Âşık Sümmânî Divanı (2010) ve Narmanlı Âşık Sümmânî (2018) adlı eserlerden ulaşılmıştır. Yazar, çalışmanın araştırma yöntemini ise “varoluşçuluk felsefesi yaklaşımından beslenmekle birlikte âşık şiirinin sunduğu veriler bağlamında ‘varoluşa ilişkin izlekler’” (4) olarak belirlemiştir. Araştırmada, âşığın eserlerini doğrudan varoluşçu felsefenin ürünleri olarak değil bu felsefenin öğretilerinin iz düşümleri olarak değerlendirileceğini vurgulayan yazar, çalışmanın sınırlarını bu açıdan da çizmiş olur.