bluuebunny/crossref_metadata_2025 huggingface dataset:
Ambiente e Salute News - n.15 maggio-giugno 2022
Authors: Toffol Giacomo , Biolchini Angela , Bonsembiante Luisa , Briscioli Vinceza , Brusadin Laura , Bulgarelli Sabrina , Caneva Elena , Mariotti Ilaria , Marolla Federico , Nova Aurelio , Pasinato Angela , Primavera Giuseppe , Reali Laura , Sapuppo Annamaria , Todesco Laura , Uga Elena , Valori Anna , Zanino Luisella
Published: September 2022

Environment and health The greatest will the impact of technology on our life be, the greatest will our need for nature be. This is what emerges from this bimonthly review. Some articles put in evidence the importance of soil remediations for the health of people living near polluted sites. Others articles underline children's vulnerability to the heavy metals present in street dust or the risks of pesticides for pregnant women and future offspring. Other articles emphasize the importance of environmental education to increase awareness both in children and teenagers and how activities in natural environments can help cognitive development as well as physical and mental health. Finally, it is highlighted how much work still needs to do be done to train health workers on mitigation and adaptation actions to the impacts of climate change we are experiencing. A part of this work is also up to us pediatricians, and this is one of the tasks of this review. This issue summarizes the main articles published in the monitored journals. All articles and editorials deemed worthy of attention are listed divided by topic, with a concise comment. This number is based on the systematic review of the May and June 2022 publications.
Cosa insegna ai genitori ad essere responsivi? I risultati di una metanalisi “a rete”
Authors: Gruppo di lettura di Parma
Published: September 2022

What teaches parents to be responsive? The results of a "network" meta-analysis Responsiveness is the dimension of parenting most strongly associated with positive developmental outcomes in children. In this study, with the methodology of network meta-analysis, the optimal combination of teaching methods for adults about responsive care for children aged 0-6 was investigated in order to determine how to develop effective training programs in the general population to improve the responsive skills of caregivers. 119 studies (12.376 participants) were collected. 71% of parents who receive these interventions improve their responsiveness. The authors conclude that programs aimed at the general population can be low-cost, short (less than a year), carried out in groups, for target parents of 1-6 years old children. These programs can also be focused on responsive care, can use observation of responsive caregiving models and the assignment of homework. Individual video feedback, home visiting and work-intensive programs, should be reserved for particular groups of parents, not included in this study, such as parents with psychiatric problems.
A Research Study on Effect of Diabetes, Awareness, Guideline and its Treatment
Authors: Abbasi Samreen Kishwar , Omar Abdulfattah , Shabbir Talha , Ullah Kalim , Tauseef Ambreen , Masood Sidra
Published: September 2022

Aim: Diabetes is considered as the major disease which is increasing day by day in world wide. Research shown that it should be properly treated and routine visits to doctors are needed to overcome this issue, otherwise it will lead to major cause and severe health issues. Methods: To check out the actual results, they collect different samples from different clinics of Lahore. They were trying to check out the self-check from patients. Interviews has taken by face to collect certain data. Results: After taking interviews, they collect results as the ages of people suffering from diabetes was between 55-65 years. Patients suffering with type 2 diabetes were about 390 and people who suffers with type 1 diabetes was 80. Glucose in the blood was about 9.03 moll/l. Conclusion: If patients are suffering from type 2 diabetes, they should have proper self-awareness, effectiveness of their treatment, self-efficiency etc. Keywords: Diabetes mellitus, self efficiency, effectiveness, DSM, Type 2 diabetes.
Antimicrobial Activity of Moxifloxacin 4th Generation Quinolones Against H-Pylori in Tertiary Care Hospital Peshawar
Authors: Subhan Zakia , Shah Furqan Ali , Farooq Hassan , Shah, Syed Hasnain Ali , Khan Mizhgan Ovais , Rehman Erum , Raziq Khadija , Ali Safdar , Bangash Sudhair Abbas , Llah Inam-U-
Published: September 2022

Objective: The aim of current study was to evaluate effectiveness of moxifloxacin 4th generation quinolones against patients of H-pylori infection admitted in a tertiary care hospital Peshawar. Study Design:Observational study Place and Duration: This study was carried out at Khyber Teaching Hospital, Peshawar from December 2021 to February 2022 Methods: There were 180 patients of both genders had age 18-55 years with H-pylori infection were included. After obtaining informed written consent detailed demographics of all cases were recorded. Patients were equally divided in two groups. Group I received 400mg moxifloxacin for 6-days and group II received moxifloxacin for 12-days. All the patients received 1000mg amoxicillin and lansoprazole 30 mg twice day. Posttreatment results were compared in terms of eradication rate and complications among both groups. Results:We found that 105 (58.3%) patients were males and 75 (41.7%) patients were females. Mean age of the patients was 47.6±11.74 years and had mean BMI 25.8±12.34 kg/m2. Majority of the patients 98 (54.4%) were smokers. Most common comorbidity was hypertension found in 62 (34.4%) cases, diabetes mellitus in 42 (23.3%) cases, chronic pulmonary disease in 28 (15.6%) and ischemic heart disease in 13 (7.2%) cases. We found that eradication rate among cases of group I was lower found in 59 (65.6%) cases compared to group II found in 80 (88.9%) cases with p value <0.005. Most common complications were diarrhea, nausea, abdominal pain and dizziness but their frequency was higher in group II but difference was insignificant. Conclusion: We concluded in this study that the use of moxifloxacin4th generation quinolones against H-Pyloriinfection for 12-days in reduction of disease severity and higher eradication rate as compared to 7-days treatment. Complications were higher in 10-days of treatment because of excess usage of regular antibiotics but found no any significant difference to 7-days treatment. Keywords: Eradication rate, H-pylori, Complications, Moxifloxacin
Epidemiology and Susceptibility Profile of Aspergillus Species: An Experience from Tertiary Care Hospital
Authors: Munir Gulshan , Farhad Sadia , Alam Shaista , Azim Asma , Hussain Saman , Khan Sikandar Ali , Raziq Khadija , Bangash Sudhair Abbas , Llah Inam-U- , Mir Hina
Published: September 2022

Objective: The primary emphasis of our research is on people with hematologic malignancies, and we want to learn more about the features of clinical and environmental Aspergillus isolates by doing so. Study Design: Prospective study Place and Duration: This study was carried out at Department of Pathology, Mardan Medical Complex from October 2021 to March 2022 Methods: There were 160 patients of both genders included in this study. Included patients were aged between 18-80 years. Patients with hematologic malignancy were included. Invasive aspergiluus isolates from all patients in which 80 were clinical and 80 were environmental. . With the help of SPSS 22.0, clinical data were analyzed and Aspergillus species-level cryptic identification, antifungal susceptibilities, and cyp51 gene sequencing were all carried out. Results: Among 160 included patients, majority of the cases 95 (59.4%) were males and 65 (40.6%) patients were females. We found that 75 (46.9%) cases had age >50 years. Most common diagnostic criteria were probable IA found in 140 (87.5%) cases. Co-morbidities were pulmonary disease, neurological disease, autoimmune disease, cardiac disease and burns. Cryptic Aspergillus species composed 37.5% of environmental and clinical isolates. Section Nigri had a significant value (70.5%) of cryptic species, mostly among A. awamori and A. tubingensis the former was prevalent in ambient samples and the latter in clinical isolates (P 0.003). Twelve (7.5%) of 80 A. fumigatus isolates were azole resistant. At 90 days, A.fumigatus was 100% responsible for all deaths by resistant to azoles. Conclusion: Comparing clinical and environmental isolates, this study reveals a large proportion of cryptic Aspergillus species, highlights the clinical consequences of azole resistance. Keywords: Hematologic Malignancy, Drug Resistance Mechanisms, Aspergillus, Environmental Microbiology, Azoles
Outcomes of Transradial Approach in Terms of Procedural Failure, in Patients Undergoing Percutaneous Coronary Intervention
Authors: Ahmed Iftikhar , Balouch Iram Jehan , Raza Syed Ahsan , Rai Lajpat , Memon Faraz Farooq , Hussain Altaf , Khan Atif Ahmed , Kumar Ashok , Kumar Rajesh , Sial Jawaid Akbar
Published: September 2022

Objective: To evaluate the outcomes of transradial approach in terms of procedural failure in patients undergoing percutaneous coronary intervention. Methods: We have enrolled a total of 276 patients who consented for percutaneous coronary intervention through trans-radial approach at National Institute of Cardiovascular diseases, Karachi. Baseline and clinical data were collected in a structured questionnaire. Patients were assessed at the end of completion of PCI for the achievement of TIMI grade 3 flow by angiography under the supervision of experienced consultant having >5 years' experience of intervention. All the data entered and analysed using SPSS version 22.0. Results: Overall mean age of study subjects was 44.86±12.22 years, with range of 52 (18–70) years and among them 194 (70.28%) were males and 82 (29.71%) were females. The overall mean fluoro time was 10.95±4.83 minutes, with range of 22.1 (3.4–25.5) minutes. Our study's findings have shown no significant association of procedure failure was found with respect to gender, age, CRF, smoking, and obesity, p value <0.05. Significant association of procedure failure was observed in patients with hypertension, diabetes mellitus, family history of ischemic heart disease, hyperlipidemia and fluoro time >10 minutes. Conclusion: Transradial approach becomes the primary choice of vascular access for PCI. The transradial approach eliminates access site complications after PCI. Thus, patients discharge from hospital within 48 hours post-procedure and can mobilize within few hours post-procedure. Keywords: Percutaneous Coronary Intervention, Trans-radial approach, Access outcome, Ischemic heart disease, Pakistan
Effect of Rutin on the Histological Structure of the Heart and Some Biochemical Indicators of Oxidative Stress in Male Albino Rats
Authors: Al Hussani Muhammad Fadhel , Sabour Aseel Najah
Published: September 2022

The current study aimed to know the effect of rutin at a dose of (30 mg/kg of body weight) and (60 mg/kg of body weight) on heart tissues in two groups of normal rats and two groups of rats exposed to oxidative stress with 1% hydrogen peroxide for the duration of the experiment., as well as the effects of rutin on the percentage of some antioxidants such as glutathione GSH, and the percentage of malonaldehyde (MDA) in the serum. (48) male rats were used, they were divided into six groups.: the first group (control) included eight males, and the second group hydrogen peroxide H2O2 1%, H2O2, and rutin at a concentration of 60 mg/kg, H2O2 with a concentration of rutin 30 mg/kg, and with a concentration of rutin at a concentration of 60 mg/kg and with a concentration of 30 mg/kg of rutin. All groups dosed daily for one month, after taking blood samples, sacrificing the animals, and making tissue sections of the heart under study. The results revealed that Rutin increased the GSH glutathione ratio in the groups in which oxidative stress was induced by hydrogen peroxide by 1% compared to the control group treated with hydrogen peroxide only. While rutin reduced MDA in the same groups compared to the control group that was treated with hydrogen peroxide by only 1%. At (P≤ 0.05) The histological study of the heart of mice treated with Rutin revealed a high cure rate, as Rutin showed protection of the heart tissue from the toxicity caused by hydrogen peroxide. While the tissue sections of the positive control group that were treated with 1% hydrogen peroxide showed clear tissue degeneration with hemorrhage and necrosis. The histological results of two groups treated with concentrations of (30 mg/kg of body weight) and (60 mg/kg of body weight) showed no toxic effects of rutin compared with the negative control group. Keywords: Rutin, heart, GSH, MDA
Complex Procedure of Orthopedic Rehabilitation of Patients with Pathology of The Oral Mucosa
Authors: Chirkova Natalya Vladimirovna , Vecherkina Zhanna Vladimirovna , Morozov Alexey Nikolaevich , Leshcheva Elena Alexandrovna , Leshcheva Evgenija Olegovna
Published: September 2022

Topicality: Removаble orthopedic struсtures of dentures in the сourse of time irritate the оral mucosa. Competent mаnufacturing, timely cоrrection, recommendаtions for professional and individual hygiene of the оral cavity and the dentures themselves do nоt аlways guarantee the absence of аn inflammatory reаction of the prosthetiс bed tissues. During orthopedic treаtment, a dentist fаces the challenge of preventing dysbiotic аnd inflammatory complicаtions. The Purpose: of this reseаrch is to study the influenсe of the basiс mаterial of removable orthоpedic structures on the stаte of prosthetiс bed tissues and to prоve the effectiveness оf the comprehensive method of оral dysbiosis prevention prоposed by the аuthors. Material and Methods of Reseаrch: Pаtients needed removable prosthetiсs were allocated to 3 equivаlent study groups, each wаs offered specific therаpeutic and preventive mеasures. The method of mаcrohistochemical reaction enabled to assess the muсous membrаne condition under the bases of removablе dentures made of acrylic polymer in a day, 7 and 14 days of applying a removable dеnture. The quantitative and quаlitative compоsition of the oral mucosa micrоbiocinosis was alsо studied. Results оf the Study: The results of clinicаl and microbiolоgical mucоus membrane examinatiоn of the prоsthetic bed indicаte the expedience of using the оrthopedic rehаbilitation method prоposed by the authоrs for the prevention of oral dysbiоsis. Conclusion: Studying these prоblems is especially significаnt for imprоving the effectiveness of orthоpedic rehabilitatiоn due to reducing inflammatory and dysbiotic dental complicatiоns. MeSH words: removаble dentures, oral mucоsa, acrylic base plаstic, dysbiоsis, synbiоtics, probiоtics, dental gel, disinfectant sоlution.
Frequency of Abnormal Sperm Motility in Male Smokers with Primary Infertility
Authors: Zahra Syeda Sahar , Khalid Uzma , Gul Pari Imam , Qureshi Asim Iqbal , Sattar Nimrah , Haq Ishfaq Ul
Published: September 2022

Objective: To assess the frequency of abnormal sperm motility and related factors in male smokers with primary infertility. Place and duration of the study: From 8th Feb 2021 to 8th Feb 2022 at Gynaecology Department of Bakhtawar Amin Trust Teaching Hospital Multan for 1 year Study design: A retrospective study Methodology: A total of 120 patients were included in the study among which 100 patients were smokers and 20 patients were non-smokers. For sample collection, patients were asked to masturbate and collect the first portion of ejaculate to ensure the maximum amount of sperm. Semen analysis was done on regular basis under a light microscope according to WHO guidelines. After the semen liquefaction, the 10μl of the sample was analyzed on a glass slide covered with a coverslip. For evaluating the motility, 200 spermatozoa were counted in 5 fields at 200x magnification. Results: Six non-smokers (30%) showed low motility. In comparison, 76 smokers (63.3%) showed low motility. Low motility was observed more in smokers as compared to smokers. The difference between motility in smokers and non-smokers was statistically significant (<0.001) (Chi sq= 23.55). Cigarette smoking also affected the sperm count as 24 (20%) smokers had a low sperm count. Conclusion: Smoking affects vital sperm characteristics such as sperm count and motility and in turn, be a potential cause of subfertility or infertility. Keywords: Cigarette smoking, male fertility, sperm count, sperm motility.
A Retrospective Investigation of Determining the Factors of Dental Implant Survival Rate
Authors: Kazmi Syed Ali Danish , Omar Abdulfattah , Manzoor Hina , Haque Tahsinul , Rashid Atifa , Kousar Rubina
Published: September 2022

Aim: Dentists have developed as both a novel potential treatment for the majority of the patients, and they are projected to play aa significant part in oral rehabilitation in future. The latest research was carried out to evaluate several parameters influencing the chance of survival of dental work. Methods: The current investigation was carried out in Services Hospital, Lahore. This study includes 5300 individuals who had dental implants implanted between June 2020 and May 2021. Individuals with hormonal imbalances, chronic infectious illnesses, immunosuppressive medication, pregnant women, drug and alcohol abusers, and suffering from chronic periodontal disorders have also been excluded. Name, age, gender, length of implant, diameter of implant, placement of implant, and biomechanical properties were among the parameters reported. Results: There were 2900 men and 2500 women among 5400 individuals. Highest implantation losses (56) were observed in patients above the age of 59 (males – 560, females – 740). There were 21 unsuccessful implantations in the 41-year-old age category (males 760, women 560). There were 46 unsuccessful implants in the age category 40–61 years (males – 1600, women – 1100). The change remained not statistically substantial (P = 0.22). Implant with a length of more than 12.6 mm (44/720) failed the most, followed by implant with a length of 11 mm (23/1670) and 11–11.6 mm (63/2870). The increase was statistical implication (P 0.06). Fasteners with just a diameter of 4.77 mm (17/1640) and implantation with a length of 5.77–3.6 mm (53/2700) failed the most (33/1050). Conclusion: The existence rate of prostheses is resolute by limitations just like age, entrenched length, diameter, bone quality, also implanted location. Researchers discovered that implants more than 12.6 mm in height and 4.76 mm in diameter, put in the mandibular posterior area of Type III bones, had the highest failure rate. Keywords: Dental Implant Survival Rate, potential treatment.
Efficacy of Levetriacetam and Phenytoin as Combination Therapy in Infants Presented with Status Epilepticus
Authors: Liaqat Samra , Khalid Quratulain , Khan Asad Mahmood , Ali Malik Abid , Javaid Muhammad Faisal , Khan Muhammad Salman Ali
Published: September 2022

Levetiracetam may be an effective and safer alternative to phenytoin as a second-line intravenous anticonvulsant for the treatment of juvenile convulsive status epilepticus. Objective of this study was to determine the efficacy of Levitriacetam and Phenytoin as combination therapy in infants presented with status epilepticus. Material and Methods: In this cross observational sectional study (01-02-2020 to 31-07-2020) at department of pediatrics mayo hospital Lahore. study the infants were enrolled of either gender and age less than 1 year that were suffering from a seizure with 5 minutes or more of continuous clinical seizure activity or recurrent seizure activity without recovery between seizures.Then these cases were started with both Phenytoin (Loading: 15 - 20 mg/kg IV *Maintenance: 5 - 8 mg/kg/d) and Levitriacetam (Loading dose5 10 mg/kg IV and Maintenance dose 10 – 30 mg/kg/dose q12 hours ) and were observed daily to look for fits. Efficacy was labelled as yes where there were no fits for 48 hours after the treatment. Results: In this study there were total 120 cases and out of these 74 (61.67%) were males and 46 (38.33%) females. Mean age of the subjects was 4.57±3.97 months. Mean duration of symptoms was 2.23±1.47 days. Out of 120, tonic clonic seizures were noted in 78 (65%) of the cases and 30 (25%) of the cases had family history of epilepsy. Efficacy was noted in 84 (70%) of the cases. Conclusion: Combination of Levetriacetam and Phenytoin is highly efficacious in infants presented with status epilepticus. Keywords; Levetriacetam, Phenytoin, Status epilepticus, Fits, Infantile seizures
Comparative Effects of Whole-Body Vibration and Squatting Training on Balance and Mobility in Chronic Stroke Patients. A Randomized Controlled Trial
Authors: Irshad Attiya , Abbas Tahir , . Sumaira , Ijaz Muhammad , Irshad Sobia , Rasheed Atoofa , , John Nayab
Published: September 2022

Background: A stroke occurs when the central nervous system is disrupted by brain injury caused by a cerebrovascular hemorrhage, resulting in hemiparesis, nerve dysfunction, and muscular weakness but the use of innovative modalities for stroke is still unknown. The objective of this study is to investigate the comparative effects of whole-body vibration (WBV) training and squatting performance in chronic stroke patients. Methods: we reviewed 86 chronic stroke patients with the commencement of more than 6 months in physical therapy department of central park medical college, Lahore (2021-2022). An independent examiner randomized the patients individually after doing the baseline assessment. 86 ambulatory patients (51 men and 35 women) who are recruited in hospital. Results: During 2020-2021, 86 chronic stroke patients were investigated in hospital of whom all patients had a pre-existing medical condition like uncontrolled hypertension and diabetes. Total number of participants is N=86. Number of male participants N=25 and females N=18 in group A. Number of male participants in group B is 23 while number of females is 20. The participants in both groups demonstrated a significant increase in balance and mobility scores after 6 weeks of WBV training. Experimental group having 6th week BBS mean, standard deviation, 52.37, 1.92 and Control group having 6th week BBS mean, standard deviation 45.25, 4.18 respectively. The participants in both groups demonstrated a significant increase in balance and mobility scores after 6 weeks of WBV training but more pronounce results in experimental group. Conclusions: The results of this study concluded that whole-body vibration exercise with routine physical therapy treatment is very effective in improving balance, mobility, postural control, muscle strength, tone, power output, coordination reduced muscle spasticity and functional disability in patients with chronic stroke. Keywords: Whole-Body Vibration, Berg Balance Scale, Squats Exercise, Mechanical Vibrations
The Validity of Ultrasound KUB; in the Diagnosis of Ureteric Calculus
Authors: Akram Faiza , Khan Waleed , Fayyaz Muhammad , Siraj Syed Komal , Banaras Faizan
Published: September 2022

Background: Diagnostic techniques have utilized to diagnose ureteric calculus in patients presenting with ureteric calculus. The availability, cost and expertise of these techniques varies greatly from region to region. Among them ultrasound is the widely available, can be rapidly performed and also can be repeated without any exposure to radiation. We conduct this study which helps to establish the level of sensitivity, the specificity level, the value of Positive Prediction and the value of the negative prediction KUB ultrasound in the diagnosis of ureteric calculus. Methods: They collect this data from 193 patients from suspected ureteric calculus. All these 193 patients underwent for Ultrasound KUB followed by non-contrast CT KUB. These results of ultrasound are compared with CT KUB, which helps to report and to determine the accuracy level of ultrasound. Results: The USG enables and helps diagnose 105 number of cases in 193 patients with the accuracy of 62.60%. Number of cases diagnosed as having ureteric calculus on CT KUB, were 171 out of total 193 patients with 22 cases being missed. Conclusions: This ultrasound is a key to the preliminary test for the diagnosis of ureteric calculus. These results show some significant relationship for the last and final CT KUB report. The Professional level of experts used to perform this task.
Prevalence of Neck Pain in Drivers
Authors: Wahab Rana Abdul , Khalid Sadia , Khalid Fatima
Published: September 2022

Background: Neck pain is a common problem. About two-thirds of people will experience neck pain at some point in their lives. People in general, and drivers in particular, often have neck pain that doesn't go away. Neck pain is a common cause of disability, but not much is known about how often it happens or how it acts. Objective: The goal of this study was to find out how many drivers have neck pain. Methodology: A cross-sectional study was done, and the data were gathered through convenient sampling. From different taxi stands in Lahore, Pakistan, 150 people filled out self-reported questionnaires to gather data. The SPSS20.0 software was used to analyze the data that was collected, and the results were figured out. Results: We can say that physical work, driving, and sitting in a chair are the main things that can make neck pain worse or better. The Visual Analogue Scale is used to measure how often and how bad neck pain is caused by driving (VAS). We found that 65 percent of the people who answered the survey have neck pain. 42 of the 150 people who answered said they had mild pain. The other 39 people who answered said they had average pain while driving, and only 17 of the 150 people who answered said they had high pain. On the other hand, Neck Disability Index NDI checked the pain level for physical work and sitting in a chair. Also, "during physical work and sitting on chair" are two things that have more to do with how bad the neck pain is because these two things also make it worse for drivers to have neck pain. Keywords: Prevalence of Neck Pain, Physical Work, Sitting on Chair, Driving.
Molecular Detection of Hospital-Acquired and Community-Acquired Staphylococcus Aureus by PCR Amplification of NUC Gene
Authors: Hashim Qutaiba Dhiaa , Al-Taai Hadi Rahman Rasheed
Published: September 2022

A total of 44 Staphylococcus aureus isolates have been reactivated and diagnosed by using bacteriological and biochemical methods and confirmed by VITEK 2 compact system. The specimens were obtained from several causes included vagina, urine, nose wounds and burns. The results of virulence factors investigation showed that 70.5% of S. aureus isolates were beta hemolytic, 56.8% have Dnase activity, 45.5% were gelatinase positive and 91% were biofilm producer. The results showed a great prevalence of MDR strains of S. aureus with significant p value (<0.001) which were 77.2% while the XDR, PDR and sensitive isolates were 14.6%, 2.2% and 6.8% respectively. Hospital acquired infections caused by S. aureus isolates were the majority in the current study which was 72.72% while the community acquired infections were 27.27% with a significant p value (<0.05). Genetic detection results showed mecA was found in 19 of 24 isolates, whereas the nuc gene was found in 20 of 24 isolates. Keywords: S. aureus, MRSA, nuc, mecA.
Enhanced Photocatalytic Degradationof Rhodamine-BDye using Photocatalyst ZNO Sensitized by Visible Light
Authors: Abd Shadia Farhan , Alshamsi Hassan Abbas
Published: September 2022

In the current study, zinc oxide nanoparticles in different concentrations were synthesized by environmentally friendly biosynthesis method using Argyreia nervosa leaf extract and used to remove Rhodamine-B dye. The structure, optical activity, morphology and porosity of the obtained nanomaterials were determined using different techniques including These include X-ray diffraction (XRD), field emission scanning electron microscopy (FE-SEM), elemental spectroscopy (EDX), and scanning electron microscopy (TEM), and fluorescence imaging. ultraviolet. The reflection spectroscopy (DRS) and Brunauer-Emmett-Teller (BET), and the zinc oxide chemical bond formations were confirmed by FT-IR, then the XRD results showed that the zinc oxide nanoparticles were successfully synthesized. TEM images of (ZnO-NPs) showed that the majority of the particles were spherical and weakly agglomerated, the best RhB stain removal was approached under ideal conditions (RhB = 5 ppm,10ppm,15ppm, pH = 11, catalyst dose = 1.4 g/L and time irradiation = 180 minutes). The high efficiency of the catalyst showed enhanced photocatalytic behavior for the degradation of RhB dye with a removal rate (48% ) at 5ppm concentration, at a concentration of 10ppm about 31% and at concentration 15ppm the decomposition efficiency is 19%, without using any metal doping Keywords: green synthesis, ZnO, Photodegradation, RhodamineB, Argyreia nervosa, mechanism.
Efficacy of Hip Abductors Strengthening as Compared to Piriformis Muscle Stretching in Improving Lower Extremity Function in Patients with Piriformis Syndrome
Authors: Idrees Kinza , Khan Khalid , Sharif Khadija , Ahmad Khadija , Rahman Hamna , Fahad Farzana
Published: September 2022

Objective: The study's goal was to determine the effects of hip abductors strengthening and piriformis stretching on pain, hip abductors strength, and lower extremity functional status in piriformis syndrome patients. Methodology: A total of 60 patients were diagnosed with piriformis syndrome and referred to the Physiotherapy department from the NILD Assessment Clinic. Then, using simple random sampling, 60 patients were divided into two groups: Group-A (Hip abductor and Sciatic nerve mobilisation) and Group-B (no hip abductor and sciatic nerve mobilisation) (Sciatic nerve mobilisation and piriformis stretching). Each subject's demographic data was collected prior to the intervention. Data on pain severity, muscle strength (hip extensor and abductor), and lower extremity functional scale score were collected before and after treatment. Both groups continued to take their medications according to the evaluation clinic's recommendations. Results: Patient’s average age was 57.18 ± 2.64 years. Out of 60 patients 19 belongs to age 35-45 year, 13 belongs to 45-55 year and 28 belongs to age group of 55-65 year. This table explains that mean difference of NPRS and Hip Abductor strength between two groups showed p-value 0.082 and 0.100 respectively statistically non-significant result, whereas, Hip Abductor strength and LEFS showed p-value 0.001 statistically significant difference between two groups. Conclusion: According to the findings piriformis syndrome can be treated without the use of stretching, electrophysical agents, or soft tissue mobilization. Considering that piriformis insertion is on greater trochanter. The excessive hip adduction and internal rotation shown during functional movement testing were exerting tension on this muscle, resulting in sciatic nerve compression. However only Group A improved in terms of hip abductor strength. Group A demonstrated considerable improvement in strength of hip abductor and lower extremity functional scale when compared to Group B. Keywords: Piriformis syndrome, Sciatica,
Frequency of Vitamin D Deficiency among Patients Presenting with Stroke
Authors: Khan Amir Taj , Khan Kalim Ullah , Ishfaq Muhammad , Ahmad Naveed , Khalid Muhammad , Khan Muhammad Zubair , Ahmad Izhar
Published: September 2022

Background: Stroke is the leading cause of both mortality and disability on a global scale. The documented incidence of cerebral hemorrhages at Pakistan's CT scan facilities varies from 31-40% of cases, whereas ischemic stroke is claimed to be responsible for 60-90% of cases Objectives: The objective of the study was to assess the prevalence of vitamin D deficiency in patients presenting with stroke Methodology: The current study was descriptive and cross-sectional carried out at the Medicine Department, Hayatabad Medical Complex Peshawar for duration of six months February 2018 to August 2018. Patients were enrolled from both the emergency and accident department and outpatient department. The blood samples were taken and transferred to the hospital diagnostic laboratory for the assessment of deficiency of vitamin D in serum. The data analysis was done by using IBM SPSS version 16. Results: In this study, totally 341 patients were enrolled. There were 239 (70.09%) male patients while female patients were 102 (29.91%). The vitamin D deficiency in serum was observed in 50.1% patients. Conclusion: Stroke is still a calamity, and vitamin D could have played pivotal role in the pathogenesis of stroke. Since most of our population is already deficiency in 25-hydroxyvitamin D, therefore, relationship between stroke and vitamin D deficiency cannot be studied at hospital settings. We recommend more analytical research projects not only at hospital level but also at community level to draw conclusions about the relationship between vitamin D status and occurrence of stroke. Keywords: Stroke, Cerebrovascular accident, acute ischemic stroke, hypertension, vitamin D, 25-hydroxyvitamin D
Assessment of the Efficacy of Reflective Activities in Obstetrics and Gynecology Residents for Improving Certain Recognized Abilities
Authors: Fazal Naveed , Abbasi Samreen Kishwar , Masood Sidra , Fatima Tahira , Hussain Sadam , Afzal Rukhsana Shaheen
Published: September 2022

Aim: To assess the efficacy of reflective activities in obstetrics and gynecology residents for improving certain recognized abilities. Methods: Continuously communicate permission, twenty-five patients from across all five years of the residency program have been included in the research. Surgical skills, professionalism, communication skills, and especially analytical thinking abilities were recognized as competencies. The introspective activities were evaluated using a foundation for the rest designed for this purpose. Results: The findings revealed that the resident’s capacity to participate in intentional reflecting activities was originally weak, but improved with practice and yielded promising results. In comparison to others made up to the mark, reflective exercises were very beneficial in improving training and expertise. Conclusion: Regularly engaging postgraduate trainees in intentional reflecting activities have yielded good outcomes in terms of growth in surgical, communicative, and quality assessment abilities, as well as a role in enhancing professionalism amongst residents. Prospective multicenter research, on the other hand, can provide more information about the efficacy of such a therapy. Keywords: Reflective Activities, Obstetrics and Gynecology, Residents.
Dissimilar Perspectives and Facts about Procedure of Amenorrhea between Fledgling Ladies
Authors: Salam Rohana , Mir Sajawal , Alam Jamshaid , Manzoor Hina , Kousar Rubina , Shabbir Talha
Published: September 2022

Objective: This investigation work aimed to find out the awareness and numerous perspectives towards the procedure of mensuration between ladies of fledgling age. Methodology: This descriptive investigation work carried out in Jinnah Hospital, Lahore and its remote areas from December 2017 to November 2018. The selection of the 500 ladies carried out from remote areas of hospital and students of this institute with the help of non-probability sampling method. Ladies present with the abnormalities in amenorrhea procedure or suffering from other gynecological problems were excluded from this investigation work. All the selected ladies were in their menstruating age regardless of their marriage and education stage. SPSS V. 22 was in use for the arithmetical exploration of the collected information. We recorded all the information of a well-organized Performa. Results: Out of total five hundred participants, 84.5% (n: 415) ladies stated that this procedure is beneficial for health; however, 18.5% (n: 85) felt that this incident was not healthy. Out of total five hundred ladies, 88.65% (n: 438) ladies regarded the procedure of amenorrhea as normal procedure, while 13.45% (n: 62) ladies thought this as God’s curse. Conclusion: Health education of the ladies particularly living in the rural areas is much necessary. Health education will prepare the ladies emotionally to face this procedure of amenorrhea with less adverse reactions. Faulty perception, un-acfactsment and unsecure practices about the procedure of amenorrhea are very common between ladies of fledgling age. Keywords: Arithmetical, exploration, unsecure, Sampling, amenorrhea, Performa, abnormalities.
Major Congenital Malformations of Gastrointestinal Tract Among Neonates Presenting to Tertiary Care
Authors: Sohrab Saba , Shabbir Talha , Kousar Rubina , Hussain Sadam , Siddique Quratulain , Khoso Saleem Ahmed
Published: September 2022

Background: Major congenital malformations of gastrointestinal tract (CMGIT), are usually manifested in early neonatal period by signs of intestinal obstruction and may be life threatening. A broad spectrum of Gastrointestinal Tract (GIT) anomalies can be seen including both upper and lower GIT. As compared to other congenital anomalies, GIT anomalies are not well studied and till now very few studies have reported prevalence and pattern of GIT malformations. Objective: To determine different type of common gastrointestinal anomalies among neonates presenting at tertiary care hospital. Methods: This descriptive cross sectional study was done at National Institute of Child Health (NICH) Karachi over period of 6 months, from 1-8-17 to 31-1-18. All neonates presenting to emergency department and got hospitalized with CMGIT were enrolled. Results: There were 35 neonates enrolled with CMGIT. Out of these 16(45.7%) were male and 19(54.3%) were females. Mean age 9.4+3.82 (range 1-20) days. Mean weight was 2.5±0.98 (range 0.5-4.5) kg. Mean duration of symptoms was 5.8+1.72 (range 1-9) days. Among the CMGIT, 12 (34.3%) cases were of Anorectal malformation, persistent Vitelline duct was found in 6 (17.1%), Intestinal atresia in 4(11.4%), Intestinal stenosis in 5(14.3%), Hirshsprung disease in 4(11.4%) and Exomphalos in 4 (11.4%). Conclusion: Anorectal malformations were most common anomaly followed by persistent vitelline duct. Antenatal follow up and anomaly scan of all neonates should be done. Keywords: Gastrointestinal anomaly, Neonates, congenital anomaly.
Distribution of Brucellosis and Toxoplasmosis, among Butchers of District Karak Pakistan
Authors: Khan Noor Zada , Ahmad Zakir , Tara Tanveer , Rashid Faiza , Ulla Muhammad Jawad , Rahman Farhad , Qazi Nazif Ullah , Hayat Fawad
Published: September 2022

Background: Brucellosis is one of the ultimate well-known zoonotic diseases and is endemic in many cultivated countries affecting both humans and livestock. In humans’ obstacles of brucellosis are continuous fever, joint pain, sweating, weakness, fatigue, headache, chest pain and abdominal pain. Toxoplasmosis is a parasitic infection caused by a protozoan apicomplexan parasite named Toxoplasma gondii. Though it is symptomless but in severity it causes encephalitis, myocarditis, and pneumonia. Methods: The study aim was to accomplish the serological prevalence of Brucella melitensis and Toxoplasma gondii in butchers processed through ICT and serum agglutination tests. For this purpose, 270 blood samples were randomly collected from active butchers at seven different union councils of district Karak. The blood samples were examined for brucellosis and toxoplasmosis based on serum slide agglutination and immune chromatographic tests. SPSS version 22 for windows will be used for the analysis of data. Results: The overall prevalence of brucellosis and toxoplasmosis was 15.6% and 21.9%, respectively. Furthermore, a higher prevalence of brucellosis and toxoplasmosis was found in butchers with age group (15-31 years) 7.4% and 8.1% and weight group (63kg-80kg) 7.4% and 10.7%. In conclusion, brucellosis is a significant public health problem in and around district Karak. Conclusion: This disease can be forestalling, especially in rural areas, through preventive measures. It is endorsed that public health supremacy should enlighten the public about the prevention and control of brucellosis and toxoplasmosis. Keywords: Brucella melitensis; Toxoplasma gondii; Prevalence; Butcher; Karak
Analyze the Heterogeneity in Sources of Plasma, Cells, in Addition Aim to Discover Saliva Degradation Markers to Enhance Saliva Diagnostic Results
Authors: Zulfiqar Sumaiya , Mir Sajawal , Junaid Rabiya , Tauseef Ambreen , Rizwan Muhammad , Abbasi Samreen Kishwar
Published: September 2022

Aim: Saliva carries indicators for both systemic and oral illnesses. This research intended to find saliva degradation markers in regards to enhance saliva therapy results by assessing the diversity in the sources of such biomarkers. Methods: Salivary albumin, as well as transferrin concentrations, were measured to identify inter-and intra-subject variance in salivary gingival crevicular fluid balance. Bacterial culture had been used to assess the cleanliness of obtained glandular secretions, while cell counting and optical density measurements were used to quantify the variation in epithelial cell counts. Results: Ten-fold variability in plasma-derived albumin also creatinine stages were detected, underscoring requirement for more biomarker standardization in relation to plasma supplies to saliva. In samples collected during a meal, epithelial cell numbers differed by a factor of 30. Salivary fungal levels ranged from 0 to >1,100 colony-forming components per milliliter between and across participants. Five peptides that consistently improved in strength over time in saliva samples cultured at 36°C have been found and might be investigated as "deterioration indicators." Conclusion: Considering saliva properties into consideration effectively will assist achieve the promise that this bodily fluid is ideal for dependable health care monitoring and supervision.
Nutrtional Status and its Correlation with Academic Performance of School Going Children
Authors: Ullah Waheed , Khan Sara Jamil
Published: September 2022

Introduction: The nutritional status of the children is satisfactory in Asian countries like Pakistan however the prevalence of malnutrition is observed to decrease because of the various health programs at national and international level in order to improve the health status of growing children. The aim of this study was to assess the prevalence nutritional status and correlation between nutritional status of students and their academic performance of school going children in Timergara. Methodology: This cross sectional study was conducted by administering and filling the questionnaire from 400 children, 200 from private and 200 from public sector schools of ages 6 to 11 years in different public and private sector schools of tehsil Timergara Lower Dir, KPK. Nutritional status of children was calculated by anthropometric method and compared with WHO growth chart. Academic performance was calculated from the percentage of the marks obtained in the last annual exam. Data analysis was done using IBM SPSS 24.0. Results: The prevalence of male gender were 61% and female gender were 39%. The prevalence of stunting, underweight, thin and Overweight+Obese were25.0 %, 17.0%, 7.5 % and 5.0% correspondingly. The low level of educational performance was significantly higher among the stunted (60.0%), underweight (38.2%), thin (33.3%) and Overweight+Obese (10.0%)children than that of the normal children.The low level of educational performance was significantly higher (p < 0.05) among the stunted, underweight and wasted children than that of the normal children. Conclusion: The nutritional status of school going children of Lower Dir, KPK was satisfactory however emphasis on the awareness regarding nutrition must be given. Keywords: Private, Public, School going children, Nutritional status
Economia da educação: o papel da escolarização no desenvolvimento econômico
Authors: Machado dos Santos Adelcio , Twardowski Rita Marcia , Alves dos Santos Caetano Audete , Martins Leffter Danielle , Escher Alisson André
Published: September 2022

A relação educação e desenvolvimento econômico, ou seja, entre o enriquecimento das nações e seu grau escolar, entre o progresso econômico e a capacidade criadora e transformadora de seu povo. A política educacional está relacionada ao contexto e a organização política de cada sociedade, dependendo em grande parte, desse aspecto da sociedade em que ela se processa. A política educacional deve assegurar o direito à educação para todos os cidadãos, com as demais políticas sociais, assegura direitos, proporcionando condições mais igualitárias de vida e oportunidade de existência para todos. O financiamento da educação básica se refere ao uso e ao controle da aplicação dos recursos financeiros na educação escolar brasileira, abrangendo a a educação infantil, o ensino fundamental e o ensino médio. O  papel da educação no desenvolvimento econômico é mais que a formação de mão-de-obra profissional e técnica, é importante sua influência na inversão tecnológica, na difusão de inovações, na aptidão empresarial, nos padrões de consumo, na propensão à poupança, na adaptabilidade a mutações econômicas e na participação ativa dos distintos setores sociais nas tarefas do desenvolvimento.
Intervenção e ensino de ciências sustentáveis: para uso de energia
Authors: Junger Alex Paubel , Corrêa Erico Darlan , Oliveira Victor Inacio de , Morais Diogo Martins Gonçalves , Racowski Ilana
Published: September 2022

Esse artigo tem por objetivo propor momentos de intervenção e ensino para minimizar o gasto de eletricidade por meio de elementos de conscientização social. Para tanto, faz uso de uma metodologia qualitativa exploratória, onde se considera um aporte teórico, que, em sequência, endossou o uso um método de aquisição de sinal e foi instalado em um painel elétrico um medidor de Energia, permitindo assim, aferir o consumo. Como resultado, foram diagnosticados indicadores acerca de Educação Ambiental Crítica que permitiram concluir a considerável viabilidade para disseminar novos hábitos de consumo para o setor.
promotion of well-being for the elderly based on the 5 Ᾱyussadhamma in the Dusit District, Bangkok, Thailand
Authors: Sutthisanmethi Phra , Wetprasit Sunee , Thepa Phramaha Chakrpol Acharashubho
Published: September 2022

The study has objectives as (1) to study the concept of health-promoting of the elderly, (2) to study PWBE based on 5 Ᾱyussadhamma practices behaviour (5APB), and (3) to display a guideline of PWBE based on 5APB in Dusit District, Bangkok, Thailand: A Case Study of WSC. The study used mixed methods of focus-group and in-depth interviews and empirical research with instruments a semi-structured interview and using content analysis with data saturation measurement. The structured questionnaire was computed by ANOVA & MRA. The participant's behaviour influenced validities as the significance of demography associated (ρ ˂0.05), with significant factors between SMI-Benefit pension and MSCPA as Spearman's Rho (ρ ˂0.032). The interpretation of practices based on 5APB instant "very high" frequency in daily life as the highest AYU-P5 Brahmajari (mean 4.88, ± 0.29). The impact of all variables predictor is PWBE (ρ ˂0.000) R2 = 0.880 predictions activated. The variables prediction was the best of the linear regression model as ŷ=0.217SAP1+0.150SAP2+0.222SAP3+0.129SAP4+0.263SAP5+e  Zŷ=0.213ZSAP1+ 0.149ZSAP2+ 0.224ZSAP3+0.126ZSAP4+0.289ZSAP5+e Finally, research display the guideline of PWBE based on 5APB that composite with (1) Physical self-care (ρ ˂0.000), (2) Mental self-care (ρ ˂0.000), and (3) Social self-care (ρ ˂0.000).