bluuebunny/crossref_metadata_2025 huggingface dataset:
Comparison of Hasson (Open) and Veress Needle (Closed) Technique of Creating Pneumoperitonium in Laparoscopic Cholecystectomy
Authors: Shakoor Namra , Naz Sumera , Khan Muhammad Mudasser
Published: July 2022

Objective: The purpose of this study is to compare the outcomes between hasson (open) and veress needle (closed) technique of creating pneumoperitonium in laparoscopic cholecystectomy. Study Design: Comparative/Randomized study Place and Duration: PHFMC (ZCD 417,Toba Tek Singh). Jun 2019-May 2020 Methods: Ninety patients of both genders with ages 20-75 years were presented in this study. All patients provided written informed consent before having their full demographic information collected, which included their age, gender, and body mass index. All the patients had symptomatic gall stones disease was underwent for laparoscopic cholecystectomy. Patients were categorized into two equal groups. Group I had 45 patients and received veress needle (closed) technique and group II received hasson (open) technique for creating pneumoperitoneum. Post-operatively outcomes in terms of access time , gas leak, visceral injury, vascular injury, need for conversion, umbilical port site hematoma, umbilical port site infection, umbilical port site hernia were assessed and compared among both groups. To analyze the entire set of data, we used the SPSS 24.0 edition. Results: Mean age of the patients in group I was 36.13 ±5.77 years with mean BMI 25.06 ±6.33 kg/m2 and in group II mean age was 37.23 ±6.55 years with mean BMI 25.16 ±4.45 kg/m2 . Majority of the patients 60 (30 in each group) were female. Mean access time in group II was lower 4.78 ±11.43 minutes as compared to group I 6.11±4.12 minutes. Mean closure time in group I was 7.33 ±7.23 minute and in group II mean closure time was 6.03±3.19 minutes. Frequency of gas leak in group I was higher found in 8 (17.8%) cases as compared to group II 3 (6.7%). Visceral injury was greater in group I 3 (6.7%) as compared to group II 1 (2.2%). Vascular injury among both groups was similar 2 (4.4%) and there is no any case found for conversion. Post-operatively complications hematoma, infection and umbilical hernia were greater in group II 4 (8.9%), 2 (4.4%) and 2 (4.4%) as compared to hasson (open) group. Conclusion: Pneumoperitonium was created more quickly and efficiently in laparoscopic cholecystectomy using the hasson (open) approach in this comparative analysis than any other method. When it comes to problems and injuries, the open approach (rather than the closed technique) was determined to be less risky overall. Keywords: Laparoscopic Cholecystectomy, Hasson (open) technique, Needle Veress, Outcomes, Pneumoperitonium
Outcomes of Covid-19 Disease in Cirrhotic and Non-Cirrhotic Patients
Authors: Shakoor Namra , Rasheed Namra , Rehman Abida
Published: July 2022

Objective: The purpose of this study is to evaluate whether there is a difference in poor outcomes between cirrhotic and non-cirrhotic individuals who have been diagnosed with coronavirus infection. Study Design: Retrospective/cohort study Place and Duration: Study was conducted at PHFMC (ZCD QADIR BAKHASH,Toba Tek Singh) within a duration of July 2020-Dec2021. Methodology: There were 140 participants in all, including men and women with or without chronic liver disease. This study included people aged 18 to 70. Two groups of patients were formed. With cirrhosis, 70 individuals are in group I, while the rest are in group II (without cirrhosis 70 patients). The death rates of both groups were compared. Data were analyzed using SPSS 24.0. Results: In group I, there were 40 men (57.1%) and 30 women (42.9%) with an average age of 41.9±8.35 years, whereas in group II, there were 45 men (64.3%) and 25 women (35.7 percent) with an average age of 45.11±7.41 years. With p-value 0.05, we discovered that mortality rates among patients in group I (cirrhotic) were significantly higher than those of patients in group II (non-cirrhotic) with mortality rates of 25 and 8 respectively. Conclusion: We came to the conclusion that the incidence of poor outcomes was considerably higher among cirrhotic patients with coronavirus illness as compared to non-cirrhotic individuals in our research. Keywords: Chronic Liver Disease, Mortality, Corvid-19
Effects of Cochlear Implants on the Quality of Life of Children
Authors: Rasheed Namra , Parveen Kousar , Ahmed Muhammad Aqeel
Published: July 2022

Objective: The purpose of this study is to determine the effectiveness of cochlear implants also examining the factors influencing the quality of life of children after CI. Study Design: Cross-sectional Place and Duration: PHFMC(BHU 189,Toba Tek Singh). Jan 2020-Oct 2020 Methods: Forty five children of aged between 3-10 years were presented in this study. Patients had cochlear implantation were included. Informed written consent was taken from the parents of children for demographically details in which age, sex, parent’s education status, residency and employment. Paediatric Quality of Life Inventory 4.0 - Generic core scale (PedsQLTM 4.0 - GCS) was used. Children were assessed in terms of communication, self-reliance, socio economic behavior, education, family understanding and effects of implantation. SPSS 23.0 version was used to analyze data. Results: Among 45 cases, majority of the patients 27 (60%) were males and 18 (40%) were females. 6.07±3.32 years were the mean age of the children. 24 (53.3%) cases were from urban areas and 19 (46.7%) patients had rural residency. Majority of the mothers 29 (64.4%) were housewives and 21 (46.7%) mothers were literate. Mean age at the time of surgery was 4.12±3.63 years. Mean time of cochlear implantation 4.01±1.21 years. We found that the improvement in communication with the known people was 23 (51.1%) and before cochlear implantation effectiveness of hearing aids were slightly low 11 (24.4%). We found that the improvement of social relationships, family well-being, within-family relationships, educational conditions, and self-reliance were all observed to be satisfactory. Conclusion: In this research we concluded that the cochlear implantation was significantly helpful for children in hearing, language understanding, self-reliance, educational conditions. An understanding of the child's and family's unique needs will aid in the development of personalized speech therapy, which can help enhance outcomes for rehabilitation. Keywords: Children, Cochlear Implant, Quality of life
Frequency of Vitamid Deficiency in Patients with Acute ST Elevation MI
Authors: Ikramullah Syed , Khokhar Aamna , Ali Muhammad Usman , Mustafa Bilal , Raza Syed Ahsan , Ahmad Iftikhar
Published: July 2022

Objective: Vitamin D deficiency in individuals with acute ST Elevation is the goal of this study. Stud Design: Case control/Prospective study Place and Duration: Conducted at Islamabad medical and dental college, Islamabad. Duration was six months from 1st July, 2021 to 31st Dec, 2021. Methods: There were one hundred and six patients were presented in this study. ACS patients were included if they had ST elevation myocardial infarction (STEMI) or not if they had non-STEMI. Informed permission was obtained prior to obtaining demographic data on the enrolled patients. These demographics included age, sex, BMI, and any co-morbidities they may have. Patients were divided in two groups, group I had 53 patients had ST elevation myocardial infarction (STEMI) and group B had 53 patients without STEMI. Frequency of vitamin deficiency among both groups were assessed and compared. SPSS 24.0 was used to analyze complete data. Results: There were majority males 68 (64.2%) and 38 (35.8%) females among all patients. Mean age of the patients was 56.8±11.53 years with mean BMI 27.12±14.43 kg/m2 in group I and in group II mean age was 54.13±6.23 years and had mean BMI 25.7±10.51 kg/m2. Hypertension, diabetes mellitus, myocardial infarction and dyslipidemia were the commonest comorbidities found among all cases. Frequency of vitamin D deficiency in group I was higher found in 42 (79.2%) cases as compared to group II found in 22 (41.5%) cases with p value <0.004.Frequency of vitamin D insufficiency was also higher in patients with STEMI. Conclusion: Vitamin D deficiency and insufficiency were shown to be more common in individuals with acute coronary syndrome, including ST-elevation myocardial infarction (STEMI). People with ACS who had a vitamin D deficit were more likely to have an ST-elevation myocardial infarction (MI). Keywords:Acute coronary syndrome, ST elevation myocardial infarction (STEMI), Vitamin D Deficiency, Comorbidities
Positive Pattern of Antibiotic Sensitivity in Blood Cultures Disease Caused by a Typhoid
Authors: Amin Maham , Fatima Muqaddas , Waheed Samia
Published: July 2022

Objective: The purpose of this study establish the antibiotic sensitivity pattern in blood culture positive typhoid illness. Study Design: Retrospective study Place and Duration: Mayo Hospital Lahore. April 2021-Dec 2021 Methods: There were a total of 98 male and female patients. Patients ranged in age from 8 to 60. After obtaining informed written permission, we collected demographic data on each patient, including age, gender, and BMI. All of the patients were suffering from a fever. All patients had their blood tested for the presence of salmonella species. Antibiotic susceptibility was determined using the Kirby Bauer Disc Diffusion technique and interpreted in compliance with National Committee for Clinical Laboratory Standards (NCCLS) standards. SPSS 24.0 was used to analyse all of the data in the study. Results: Among 98 patients, 61(62.2%) were males and 37 (37.8%) females. Majority of the patients 38 (38.8%) were from age group 21-30 years. Frequency of typhi 69 (70.4%) was greater than that of paratyphi 29 (29.6%). According to our research findings, Azithromycin, chloramphernicol, cotrimoxazole, genramycin, and azithromycin all had better sensitivity than ciprofloxacin and ofloxacin (10.2%, vs 7.1%) . However, both medications have a significant level of resistance. Salmonella typhi was resistant to 91(92.9 %) of the nalidixic acid tested. Conclusion: We found a wide range of antimicrobial sensitivity patterns, including exceptionally high sensitivity to antibiotics like chloramphenicol and cotrimoxazole that have been used in the past. Quinolones, which have been extensively used in the previous two decades, have been shown to have an extremely low sensitivity. Keywords: Resistance, Sensitivity ,Typhoid fever, Antibiotics
Risk Factors Leading to Acute Decompensation of Chronic Heart Failure in Patients Presenting to a Tertiary Care Hospital, Islamabad, Pakistan
Authors: Nawaz Muhammad Said , Bibi Kalsoom , Shah Syed Nasir Ali , Khan Zarak , Ilyas Muhammad , Khan Nouman
Published: July 2022

Objectives: To determine the risk factors leading to acute decompensation of chronic heart failure in patients presenting to a tertiary care hospital, Islamabad, Pakistan Methodology: Study was conducted at Pakistan Institute of Medical Sciences, Cardiology department, Islamabad, Pakistan, 164 chronic heart failure patients aged ≥18 years; diagnosed with CHF from both genders were included. Patients with sudden onset of disease and unstable vital signs, impaired mobility; diagnosis with major depression or those having cognitive functioning disorder were excluded from study.Medical records were analyzed for the patient’s chronic heart failure risk factor profile i.e., history of diabetes, hypertension, hyperlipidemiaand smoking. Details of the coronary angiogram, laboratory investigations, and metabolic and cardiac biomarker were noted. Data was entered and analyzed using statistical package for social sciences (SPSS) version 2.0. P< 0.05 will be considered as significant. Results: In study analysis it was found that out of total 164 participants, study included 78 males (47.6%) and 86 females (52.4%). out of which 157 (95.7%) were having history of hypertension and 85 (51.8%) were found to be having history of diabetes. Participant included in study who used to smoke were 92 (56.1%), patients having dyslipidemia were found to be 85 (51.8%) and 85 (51.8%) were obese. Out of all patients 157 (95.7%) were found to be having a sedentary life, while 19 (8.5%) participants have developed new ischemia. Out of all participants 93 (56.71%) were found to be having ECG changes and 72 (43.9%) were found to have cardiac enzyme changes. Mean age of participant was found to be 59.51±45.54. Mean HB level was found to be 12.8±1.8 and mean respiratory rate was found to be 19.12 ±3.4. Mean pulse was found to be 94.7±3.4. Mean BP was found to be 118.22±10.7.
Risk Factors Leading to ST Elevation Myocardial Infarction in Young Patients Presenting to a Tertiary Care Hospital, Islamabad Pakistan
Authors: Nawaz Muhammad Said , Bibi Kalsoom , Shah Syed Nasir Ali , Khan Nouman , Ilyas Muhammad , Khan Zarak
Published: July 2022

Objective: To determine the risk factors leading to ST Elevation Myocardial infarction in young patients presenting to a tertiary care hospital,Islamabad Pakistan Methodology: Prospective observational study was conducted at Pakistan Institute of Medical Sciences, Cardiology department, Islamabad, Pakistan for duration of 10 months. Study was conducted on sample size of 164 selected through non-probability consecutive sampling technique. Study included participants with age less than or equals to 45 and participants from both genders.However, participants with Age more than 45and those having non ST myocardial infarction were excluded. findings including Blood pressure, pulse, respiratory rate, cyanosis, S3, Killip class and JVP were noted. Data was entered and analyzed using statistical package for social sciences (SPSS). P value of < 0.05 was considered as significant. Results: Mean age of participant was found to be 25.3±4.3, mean BMI was found to be 25.8 ±0.81. Mean HB level was found to be 12.8±0.8 and mean respiratory rate was found to be 18. Risk factor HTN in association with gender was found to have significant difference between two with p value of 0.01 In study analysis it was seen that risk factor HTN in association with age was found to have significant difference between two with p value of 0.05.Smoking in association with age was found to have shown significant difference between two with p value of 0.02Family history of MI in association with age was found to have shown significant difference between two with p value of 0.04. Conclusion: Risk factors HTN ,Smoking and family history were found to be positively associated with ST elevation myocardial infarctionin young age.
Risk Factors of Pulmonary Tubercuosis and its Hematological Parameters
Authors: Amin Maham , Fatima Muqaddas , Arshad Saghira
Published: July 2022

Objective: The purpose of this study is to determine the different peripheral blood parameters and risk factors in pulmonary tuberculosis patients. Study Design: Case Control study Place and Duration: Mayo Hospital Lahore. Feb 2021-Aug-2021 Methods: There were 70 patients of both genders were presented in this study. Age of the patients was between 20-70 years. After obtaining informed written agreement, the demographics of enrolled patients were recorded, including age, sex, physique mass index, socioeconomic status, residence, and employment. All the patients had confirmed tuberculosis. As a precaution, a little amount of venous blood was drawn. Sysmex KX 21 haematology analyzer and a peripheral smear were used to analyse around 2 ml of blood in an EDTA tube. Only 2 cc of the patient's blood were utilised to calculate ESR using the Westergren tube technique. Patients filled out a questionnaire that asked them about their symptoms, and the information was then entered into a database. SPSS 21.0 was used to analyze complete data. Results: Among 70 cases, 38 (54.3%) were males and 32 (45.7%) were female patients with mean age 42.61 ±11.43 years. Majority of the patients 52 (75.7%) had lower socio-economic status and 50 (71.4%) patients were from rural areas. 45 (64.3%) patients were jobless. Smoking and alcohol abuse was the most common cause among all cases. There were significant differences between the sexes patients and normal level in the hematocrit (Hb), PCV, RBC count, MCV, MCH values (p-value 0.05). Cases had a considerably lower platelet count. Patients had considerably higher total leukocyte, ESR readings compared to normal level (p-value 0.05), and the difference was statistically significant.ad considerably higher total leukocyte, ESR readings compared to normal level (p-value 0.05), and the difference was statistically significant. Conclusion: We concluded that ESR, platelets, and leukocytes are all haematological markers that may be used to identify patients at an early stage of the illness. Common risk factors for TB transmission in the target group were malnutrition, cigarette use, living in crowded conditions, illiteracy, and poverty. Keywords: Tuberculosis , Hemoglobin, Hematology, ESR, Risk factors
Hearing Loss in Diabetic Patients Linked with Glycolyzed Hemoglobin A1C
Authors: Afzal Muhammad , Aslam Zaid , Umair Ali
Published: July 2022

Objective: Glycolyzed haemoglobin A1c (HbA1c) and hearing loss in diabetic individuals are the primary goals of the present research. Study Design: Randomized Case Control Place and Duration: THQ Hospital Kamalia. Aug 2021 to Feb 2022. Methods: There were 80 patients of both genders with ages 16-75 years were presented. Detailed demographics of enrolled cases included age, sex, body mass index and comorbidities were recorded after taking informed written consent. Patients were divided in two groups. Group I had 40 diabetic patients and group II had 40 non-diabetic patients. Hearing loss among both groups was compared by different glycolized hemoglobin levels. SPSS 25.0 was used to analyze complete data. Results: There were 32 (80%) males and 8 (20%) female in group I and in group II 24 (60%) males and 16 (40%) females. Mean age in group I was 41.31±5.81 years and had men BMI 24.13±7.15 kg/m2 while in group II mean age was 39.11±4.28 years with mean BMI 22.17±11.32 kg/m2. In group I 18 (45%) patients were smokers and in group II 15 (27.5%) were smokers. Frequency of hearing loss in group I was higher found in 23 (57.5%) patients as compared to non-diabetic patients in only 2 (5%). Frequency of tinnitus, vertigo and dizziness were also significantly higher in diabetic patients with p value <0.05. Conclusion: Patients with diabetes mellitus may suffer from impaired hearing and balance even if they do not show any symptoms. As a result, early rehabilitative care should be established to prevent future difficulties. Keywords: Diabetes Mellitus, Hearing Loss, Hemoglobin A1c
Nutritional and phytochemical assessment of dried seeds from Buchholzia coriacea harvested in Côte d'Ivoire
Authors: Yolande Dogoré Digbeu  , Casimir Anauma Koko  , Léticia Ahou Loukou  , Edmond Ahipo Dué
Published: July 2022

Buchholzia coriacea is a spontaneous wild edible plant, which is consumed by the peoples of Africa countries. This study aims to contribute to the valorization of Buchholzia coriacea flour in Côte d’Ivoire. The assessment of the physico-chemical, phytochemical and nutritional characteristics of Buchholzia coriacea flour powder showed respectively very low levels of lipids (1.5 ± 0.11%), ash (4.49 ± 0.14%), crude fiber (2,11 ± 0.06) and reducing sugars (8.66 ± 0.10%) while the carbohydrate, total sugars and protein levels obtained were 68.02±0.85%, 15.66 ± 0.22% and 17.1 ± 0.55, respectively. Then the moisture content was low at 9.79 ± 0.42%. In contrast, the results for the flour powder phytochemicals showed polyphenols richness (422.92 ± 1.32%) followed by alkaloids (38.69 ± 0.64%), flavonoids (26.88 ± 0.71%), tannins (26.87 ± 0.51%) and anthocyanins (19.10 ± 0.85%). Steroids were low at 0.33 ± 0.23%. Antioxidants such as vitamin C were 2.38± 0.06 mg/100g DM. Finally, minerals such as magnesium, phosphorus and iron have high levels of 789.7 ± 085 mg/100g DM, 665.1± 0.99 mg/100g MS, and 559.1 ± 0.99 mg/100g DM, respectively. In contrast, potassium with an average of 2.44 ± 0.09 mg/100 g DM was the weakliest represented mineral. In short, Buchholzia coriacea seed had very interesting nutritional and phytochemical characteristics. This diversity could be beneficial to populations in food and in the prevention of oxidative stress related diseases.
Digital Environmental Activism and its Effects on Canadian Politics, Education Institutions, ESG Corporate Management and Socially Responsible Investment
Authors:   Korea Association for Public Value, Park Kyung Seo (Elysia) , Pang Jason , Park Choigaon
Published: July 2022

Purpose: In this technology dense era, the methods of activism have progressed digitally, especially after the start of the COVID-19 pandemic. The developing generation of environmentally conscious individuals utilize digital electronics as the main method of advocacy, resulting in a positive shift in environmental public value worldwide.
Method: This paper will analyze the tangible effects of environmental digital activism in Canadian politics, British Columbia’s education institutions, Environmental, Social, Governance (ESG) corporate management, and socially responsible investments (SRI).
Conclusion: Conclusively, this paper will provide multidisciplinary recommendations for ongoing sustainable management that can ameliorate ESG practices and digital environmental activism.
Addressing Vaccine Hesitancy Among Immigrant Communities in Canada
Authors:   Korea Association for Public Value, Choi Jinny , Woo Sangwook Michael
Published: July 2022

The digital communication era has given rise to quick and convenient access to information. With vaccine disinformation and anti-vaccine rhetoric becoming increasingly prevalent across social media, the need to improve vaccine literacy at a population level has become urgent. Immigrant communities face unique challenges that hinder their access to credible and coherent sources of vaccine-related information, potentially leading to reliance on disinformative sources of information. Additionally, factors such as language barriers, social exclusions, and the amplification of anti-vaccine narratives across social media culminate the perfect milieu for vaccine hesitant attitudes to propagate within immigrant communities. By identifying the determinants behind the adoption of anti-vaccine narratives among immigrant communities in Canada, strategies to counter vaccine hesitancy can be optimized to improve health education and vaccine literacy within immigrant communities.
Influence of Natural and Creative Elements in the Intel-lectual Development of the Children and Youths and its Impact on Human Society
Authors:   Korea Association for Public Value, Billah Abu Musa Mohammad Arif
Published: July 2022

Nature is a composite phenomenon of all the physically identifiable and visible objects. However, there is an invisible nature which exists in human mind. The reflection of bodily existent things or matters or images appear in the mind which finally work as principle sources of basic knowledge in human thought processes. The mental state here is to be considered as the sky in a natural atmosphere. Thus, the human mind acts not only as a reservoir of memory function rather it also works like a camera which takes the picture of seen or perceived objects and stimulates the person to think, to contemplate or to enjoy or feel sorrow - confounding the criteria of the natural objects or images. This is why the types of elements or the shape of nature is important to form a child’s mind. Creative elements such as games, TV serials, books or other study materials, have more impact than the natural one which might divert a child from natural mental growth to a synthetic or superficial manifestation. In most of the cases these creative elements are designed and motivated by the subjective notion of the politicians - government officials or state organs to try to model their citizens.
The paper, providing with the definition of natural and phenomenal objects, analyses the issues related to nature, mind, self, perception, individuals, society, and more specifically relations between the acquisition of child perception and the effect of creative and natural elements using primary and secondary sources of materials. Finally it will make a proposition for the responsible authorities in order to enable them to understand how to help the children and the youths to get appropriate atmosphere of achieving perfect knowledge.
Ethnography of Communication: The Analysis of Dell Hymes’ SPEAKING Model in the Communication among the Infertility Husband and Wife
Authors: Setyawati Ketut Ari
Published: July 2022

The present study was employed qualitative descriptive methods to examine ethnography of communication using Dell Hymes’ SPEAKING mnemonic in the communication between husband and in wife who has no children for a long time in their family. the findings showed a connection between a childless couple with Hymes’ SPEAKING terms. The results were communication among husband and wife who get infertility took place in the couple’s house particularly in the living room (Setting) in which the scenes were a debate between husband and wife (Participants) who sat opposite in the night (Scene) to seek a corporate solution and maintain the relationship (Ends). The Act was started by awkward conversations which trigger argument and lead to quarrel (A). There were several tones such as serious, tense, sad, promised, regret, apologize, anger, mocking, rude, and pleading in which the communication was conducted in verbal and non-verbal speech (Key) by including code-mixing (Instrumentalities). The husband and wife communicated alternately as speaker and hearer who asking and questioning to respect each other and understanding each situation (Norms of interaction and interpretation). The genre was quarrel as the dialogues were about the debate (Genre).
A Critical Discourse Analysis of Song "Easy on Me" by Adele
Authors: Dewi Putu Sukma
Published: July 2022

The purpose of this research is to analyze how the role or attitude of the author towards a song that was created by examining the effect, judgment, and appreciation. The researcher used descriptive qualitative method by using three analytical processes proposed by Fairclough's CDA model. The data from this research are the lyrics of Adele's song entitled "Easy on Me". The findings show that Adele describes her feelings in this song explicitly by using a figure of speech. In her song, Adele conveys the effect of how worried and devastated she is when faced with the problem of her divorce. In the aspect of assessment, Adele admires nature through her own point of view, so that some of her song lyrics are interpreted using the beauty and serenity of nature. Based on appreciation, Adele assesses that divorce or separation in a relationship is the end of her journey, so she wants to give up and surrender.
TAŞKENT BÖLGESİNİN DAĞLIK ARAZİSİNDE BULUNAN GÖKTÜRK KAĞANLIĞI’NA AİT SÜNGEK MEZAR KURGANLARI HAKKINDA YAPILAN ÇALIŞMALAR
Authors: MURADALİYEV Raxmanali , RASHİDOV Niyoz
Published: July 2022

Makalede Özbekistan’ın Taşkent vilayetine bağlı Çarvak su barajı kıyılarında bulunan Batı Göktürk Kağanlığı dönemine ait Süngek mezarında sürdürülen arekolojik kazı çalışmaları ve burada elde edilen bilimsel sonuçlardan bahsedilmektedir. 2019 yılından beri gerçekleştirilmekte olan arkeolojik kazılarda elde edilen buluntular diğer iskan yerlerindeki buluntular ve ölü gömme gelenekleriyle karşilaştirilmiş ve genel benzerliklerin yanı sıra adı geçen mezarıdakı kendine özgülükler tespit edilmiştir. Adı geçen mezarlıkta insan ve hayvan kemikleriyle birlikte çeşitli biçimlerdeki seramik kaplar, demir yapımı çeşitli eşyalar ve iş aletleri bulunmuştur. Mezarlardaki insan kemikleri, özellikle insan kafatası üzerinde alınan ölçüler, bazı insan kemiklerinin bulundurulduğu yön ve tas kemiğinin durumu, cins ayırımına dikkat edilmiştir. Merhumların yaşını belirtirken de onların baş kemiklerdeki yarıkların kapanış derecesi, dişlerin yıpranması ve kemik boğumlarının oluşum sahfaları göz önünde bulundurulmuştur. Süngek’te elde edilen buluntular, Göktürk Kağanlığı dönemine ait yerel ölü gömme gelenekleri ve yerleşkenin bulunduğu bölge ahalisiniin iktisadî ve sosyal yaşam tarzı üzerine durulmaktadır. Süngek mezarının sakinleri yerel kültür elemanlarını kendinde barındıran hayvancılıkla uğraşan göçebe toplumların Eski Türk dönemine özgü yadıgarlıklar grubuna dahildirler. Mezarnın sahipleri komşu bölgeler: Çırçık – Ahengeran vadisi, Güney Kazakistan, Talas, Farğana ve Yedisu bölgelerinin sakinleriyle sıkı ilişkilerde bulunduğu anlaşılmaktadır. Süngek mezar kurganlarından elde edilen yeni buluntular, Orta Asya topraklarının miladi birinci binyıllığı ortalarında yaşayan toplumların kültürü ve tarihininin oldukça güncel ve aynı zamanda tartışmalı olan Kavunçı kültürünün historiografisi, Çırçık vadisi yukarı havzasının Erken orta çağlar döneminin etnik yapısı, hayvancı göçebe toplulukların ölü gömme gelenekleri ve dinî dünya bakış açıları gibi meselelerin incelenmesi için kaynak görevini yapacağı anlaşılmaktadır. Adı geçen tarihlerde Avrasya bozkırlarında olup biten migrasyon süreçlerinin incelenmesi ve daha anlaşılır olması yüzünden Süngek mezarı ve benzerlerinin ileride daha derin incelnemesi gerekmektedir.
DOĞU ASYA TARİHİ: ÇİN, JAPONYA, KORE - MEDENİYETİN KÖKLERİNDEN 21. YÜZYILA KADAR
Authors: KARAKAŞ Selim
Published: July 2022

Charles Holcombe tarafından kaleme alınmış, Doğu Asya Tarihi: Çin, Japonya, Kore - Medeniyetin Köklerinden 21. Yüzyıla Kadar - adını taşıyan çalışma, bütüncül bir bakış açısıyla Doğu Asya tarihinin başlangıcından günümüze dek izlerini süren bir araştırma eserdir.
TÜRK DÜNYASI'NIN ORTAK KÜLTÜR TARİHİNDE AİLE VE KADIN
Authors: KARAASLAN Betül
Published: July 2022

Abdülkadir Yuvalı ve Hikmet Demirci’nin hazırlamış olduğu bu araştırma/ değerlendirme eserinde

Türk kültüründe aile yapısı ve Türk kadını detaylı bir şekilde aktarılmaktadır. Eser dil ve üslup açısından

bakıldığında ise akıcı, akademik bir şekilde yazılmıştır. Eserde arkeolojik örneklerle birlikte,Türk kültüründe

önemli yer tutan Manas Destanı, Divan-ı Lügati’t-Türk gibi önemli kaynaklardan da faydalanılmıştır. Bunun

yanında eserde Türk aile yapısının Asya Hun aile yapısından başlanarak kronolojik olarak aktarılması konunun

kavranmasını ve kültür aktarımınn nasıl gerçekleştiğinin gözlemlenebilmesini sağlamıştır. Ek olarak evlenme

sürecindeki geleneklere detaylı olarak yer verilmesi bu konu ile ilgili okuma yapmak isteyen araştırmacılara

önemli bir yarar sağlamaktadır.
VAN’DA COĞRAFYACI BİR İNGİLİZ KONSOLOS YARDIMCISI YÜZBAŞI BERTRAM DICKSON’IN KOLONİAL BAĞLARI VE OSMANLI-İRAN SINIRI ÜZERİNE GÖZLEMLERİ
Authors: KARLIOĞLU Fatih
Published: July 2022

Bu makale, İngiliz siyasi duruşunun Osmanlı toprak bütünlüğüne karşı olumsuz yönde değiştiği ve İngiliz emperyalist kaygılarının hedefi haline geldiği bir dönemde Kraliyet Coğrafya Topluluğu (RGS) ile İngiliz devlet görevlileri arasındaki ilişkiyi tartışmaktadır. 1830’larda salt bilimsel coğrafya bilgisinin geliştirilmesi amacıyla resmen kurulan RGS, İngiliz devlet adamlarının yeni politikalar oluşturması için ihtiyaç duyulan coğrafi bilgiyi üretip muhafaza ederek İngiliz emperyalizminin de katalizörü haline gelmiştir. Makale, İngiltere emperyalizminin İngiliz konsolos, konsolos yardımcıları, askerî ataşeler gibi farklı unvanlara sahip RGS üyelerinin görüşlerini nasıl etkilediğine veya her ikisinin de paradoksal olarak nasıl iç içe geçtiğini incelerken Osmanlı-İran sınırının hem fiziksel hem de sosyal unsurlarını keşfetmek için RGS’te devlet merkezli bir coğrafya anlayışının Van ve çevresinde bulunan konsolosluk bölgesinde nasıl uygulandığını değerlendirmektir. Bu bağlamda, I. Dünya Savaşı öncesi ihtilaller döneminde 1906-1908 yılları arasında Osmanlı Van Vilayetinde coğrafya meraklısı İngiliz bir kâşif, konsolos yardımcısı ve askeri konsolos olarak görev yapan Yüzbaşı Bertram Dickson’ın (d.1873-ö.1913) tıpkı diğer İngiliz devlet görevlileri gibi Kraliyet Coğrafya Topluluğu ile sıkı bir bağı bulunmaktadır. Makale, Dickson’ın Osmanlı sınırında yaptığı keşiflerde sınıra özgü ihtilaflar, isyanlar ve gerilimler çerçevesinde imparatorluklar arası siyasi ve askeri rekabeti ele aldığı ve yerel unsurların çekişme dinamiklerini, yönetilebilirlik ve jeo-sosyolojik özelliklerini değerlendirdiği çalışmalarında RGS benzeri koloniyal bakış açısına sahip olduğunu iddia etmektedir.
XVIII. YÜZYILIN İLK YARISINDA YENİÇERİLER TARAFINDAN KURULAN VAKIF ÖRNEKLERİ
Authors: KARASU Naime
Published: July 2022

Osmanlı toplumunda hemen hemen her statüde, askerî veya reâyâ sınıfına mensup, zengin ya da orta halli, pek çok hayırsever malî durumuna göre yaşadıkları şehre, kurdukları vakıf hayrat ve onlar için tesis ettikleri akarlarla katkı sağlamışlar, hizmet sunmuşlardır. Yaygın bir katılımla oluşturulan, etkin bir yönetim ve sıkı bir denetimle faaliyetlerini icra eden vakıfların Osmanlı tarihi boyunca zamanla hem sayıları artmış hem de hizmet alanları genişlemiştir. Osmanlı İstanbul’unda askeri faaliyetleri yürüten yeniçeriler, özellikle de XVIII. yüzyıl ile birlikte finans kaynakları açısından güçlenmelerinin de etkisi ile çeşitli vakıf kurucuları olmuşlardır. XVIII. yüzyılda Yeniçeri Ağası gibi ocağın en üst kademesindeki görevliden, en alt kademesindeki ocak elemanlarına kadar çok sayıda yeniçeri tarafından vakıflar kurulmuştur. Buna bağlı olarak bu çalışmada, Osmanlı askerî gücü içerisinde önemi bir yere sahip olan Yeniçeri Ocağı’na mensup kişiler tarafından kurulan vakıflar İstanbul örneği üzerinden incelenecek ve yeniçerilerin bireysel vakıf kurucuları olarak ortaya çıkan yeni kimlikleri ile ele alınacaktır. Bu çerçevede, yeniçerilerin sivil hayatla iç içe geçen ilişkileri, ocağın ekonomik gücü ve bu gücü sağlayan sermaye birikimlerine bağlı olarak ortaya çıkan dayanışma ve kredi ilişkileri ortaya çıkarılmış; şehrin ekonomik düzenine olan etkileri belirlenmiştir. Araştırma konusu olan dönem İstanbul’unda, gerek Vakıflar Genel Müdürlüğü Arşivi’nde bulunan ve gerekse şerʻiyye sicilleri içerisinde yer alan vakfiyelerden tespit edilen vakıf belgeleri incelenecektir.
Enhancing students critical thinking skills in writing by promoting ESP-based language learning environment
Authors: Hasanuddin Pg Ahmad , Zin Zamrin Md , Yamin Noor Azlin , Kaur Harjinder
Published: July 2022

"Flipped classroom" business English classes are required at most universities that teach economics, and this study will investigate how these classes help students learn critical thinking skills and improve their academic performance, as well as what students think of this model. A multimedia textbook titled "English for Business" enhances the learning environment. This was an exploratory investigation that used a range of methodologies. The study examined children's critical thinking and academic progress (learning outcomes). Surveys of students' critical thinking abilities and placement assessments were utilized to acquire statistical data. The Cronbach alpha coefficients were used to evaluate the critical thinking test outcomes, and the aggregated data was analyzed using SPSS AMOS statistical software. The study revealed that teaching ESP and Business English to Economics students via the "flipped schoolroom" technique can enrich both the learners' and instructors' education experiences. Because students are held responsible for their progress, this method develops critical thinking skills and academic accomplishment by using a variety of teaching methods. A student-centered approach replaces the teacher-centered approach in the preceding paradigm.
Evaluation of uterine cavity after myomectomy by ultrasonography and hysteroscopy
Authors: Khalifa Abdel Samee Hassan , Ouf Tamer Fares , Muhamed Yusuf Haggag Abdo , Muhamed Yusuf Haggag Abdo
Published: July 2022

Background: Uterine fibroids are tumor of the smooth muscles and the connective tissue of the uterus. They are considered to be the most common benign tumor of the pelvis. Objective: The aim of the study was to evaluate uterine cavity after myomectomy by hysteroscopy and ultrasonography. Methods: A prospective (observational) analytical design will be used in this study. This study was including 50 patients was selected from the outpatient gynecological clinic, (Dar Al-Om Medical Center & Fares Medical Center & Al-Azhar University Hospital “Al-Hussien and Sayed Galal”). Results: We aimed to evaluate uterine cavity after myomectomy by hysteroscopy and ultrasonography. This study was including 50 patients was selected from the outpatient gynecological clinic, (Dar Al-Om Medical Center & Fares Medical Center & Al-Azhar University Hospital “Al-Hussien and Sayed Galal”). Conclusion: From our study we could conclude that hesteroscopy improves results 3-4D ultrasound imaging it’s not currently available in all units, its use has significant implications in terms of cost and training. Saline infusion on the other hand may be undertaken easily using various dedicated systems or modifications of readily available cheaper catheters such as Intra-uterine Insemination catheter or a paediatric feeding tube.
Green ideas, technology, university, and business in the 21st century
Authors: Valdiviezo Nivaldo Vera , Litardo Elsye Cobo , Loor Marilyn Vera
Published: July 2022

The link between university and business has become more intrinsic due to the need to articulate green ideas as part of sustainable development, with technological development; although the latter has historically generated unemployment, on the one hand; on the other hand, it has increased production and productivity levels, affecting the population through cost reduction. In this context, the general objective was to establish the relationship between green ideas and innovation with the link between the University and the company, as actors capable of promoting the search for a balance between technological and economic development and the environment. These factors, when harmonized together, make it possible to achieve sustainable and sustainable development.
Efficacy of combination of multinutrients in reduction of sperm DNA fragmentation
Authors: Arora Asha , Ranawat Dhiraj Singh , Dave Vivek , Pandya Chhavi , Rathore Krishna Kawar , Rahul Rahul
Published: July 2022

High Sperm DNA fragmentation can cause decreased fertility & implantation rate or can cause Recurrent implantation failure and if fetus born then can lead to Genetic abnormality in the fetus such as Down Syndrome, Edward syndrome or Patau’s syndrome. The objective of the study is to combine the peripheral data of the patients to evaluate the safety and efficacy of Combination tablet in reduction of Sperm DNA fragmentation index. The result shows that the factors affecting the DFI .The Institutional Ethics Committee approved the study procedure (Ref No: SRMC/RP/4505).
DNA damage assessment of Hela cancer cell line by biosynthetic zinc oxide nanoparticles
Authors: Hussain Mohammed Nazar , Alzubaidy Mohanad W. Mahdi
Published: July 2022

The current study examined the genotoxic effect of the biosynthetic zinc oxide nanoparticles ZnONPs using the Vitex agnus-castus plant, which contains effective compounds that inhibit the growth of pure cancer cells. The phenotypic and structural characteristics of the biosynthesized nanoparticles were detected using scanning electron microscopy (SEM). Most of the ZnONPs were dense and spherical with sizes ranging from (20-61) nanometers, on the cervical cancer cell line Hela and compared with the normal line Human Foreskin Fibroblast cells (HFF) using green dye. Comet assay technique and genotoxicity experiments were carried out at the Iraqi Center for Cancer Research / Al-Mustansiriya University. The results of this study showed the presence of damage to the DNA of cervical cancer cells Hela, which stopped cell division and entry. Cells are in the stage of programmed death a result of the release of reactive oxygen radicals (ROS) and changing cell functions by linking the nanomaterial to the genetic material. This gives hope for discovering a successful treatment to eliminate cervical cancer Hela or any type of cancer using methods Biosynthesis of nanoparticles.
study of black oppression in Alice Walker's the color purple
Authors: Hussain Mohammad Naji , Khalefa Maytham Ali
Published: July 2022

The life of most women in American society during the era of the nineteenth century made them into victims as the case with the protagonist of the novel The Color Purple by Alice Walker. Such a life of women as depicted in the novel is full with obstacles that come around due to the negative dealings they face by men aided with bad social norms, which make men use women as a tool to satisfy their sensual desires. Thus, the experience of black women in America is one of such great suffering. This study aims to clarify how Celie and other women suffer a lot to justify their life under the dominance of males as well as filling out their suitable seats in such environment of unjust social norms. Therefore, by studying this topic about the southern slave system, the research is going to have a good understanding of the community of the American society as a whole.
Economic empowerment and satisfaction of Kerala women through responsible tourism entrepreneurship
Authors: Sanuja K. V. , Joseph Sindhu
Published: July 2022

Responsible tourism has received great attention in recent years due to its positive impacts and its capability to contribute towards women’s empowerment. However, studies related to women empowerment and the outcome such as satisfaction are scant. This study aims to examine the economic empowerment of women entrepreneurs involved in responsible tourism in Kerala. The study also tests the relationship between economic empowerment and satisfaction of women entrepreneurs. A quantitative method was employed and data was collected from 385 women entrepreneurs registered with Responsible Tourism Mission, Kerala, India. The study found that responsible tourism impacts in economic empowerment of women while having a weak positive relationship between the economic empowerment and their satisfaction.
Detection of Alzheimer’s disease in MRI images using different transfer learning models and improving the classification accuracy
Authors: Rajendiran M. , Kumar K. P. Sanal , Nair S. Anu H.
Published: July 2022

Alzheimer's disease (AD) is a neurodegenerative illness that damages brain cells and impairs a patient's memory over time. If detected early so, the patient can avoid permanent memory loss and further damage to their brain cells. Various automated technologies and techniques have been developed in recent years for the detection of Alzheimer's disease (AD). Methods that focus on rapid, accurate, and early identification of the condition in order to reduce the negative impact on a patient's mental health are available. Medical imaging systems for Alzheimer’s disease (AD) diagnostic performance have been greatly improved by machine learning models. There is a major difficulty with multi-class classification, however, which is the presence of brain structural characteristics that are extremely closely associated. It is possible to improve deep learning by increasing the number of layers and including features and classifiers at all levels of the classification hierarchy. Nevertheless, the vast majority of deep learning models (like traditional CNN model) fail to deliver acceptable results in real-world situations.
To compare the effect of non-steroidal anti-inflammatory drugs (NSAIDS) and opioids in KNEE pain
Authors: Dwivedi Karunakar , Raazi Jamil , Rahman Ayesha Kriti
Published: July 2022

Introduction: Osteoarthritis is a most painful condition mostly seen in old age people in knee and hip joints. This painful condition may causes change in physical activity and reduces quality of life. There are some topical and oral non steroidal anti-inflammatory drugs such as paracetamol, diclofenac sodium and opioid analgesic drugs tramadol. The main aims of the study compare the effect of NSAIDs and opioid analgesic in treatment of knee pain. Aim: To Compare The Effect of Non-Steroidal Anti-Inflammatory Drugs (NSAIDS) and Opioid In Reducing Knee Pain.  Materials and Methods: The present was conducted at Moti Lal Nehru Medical College, Prayagraj in orthopedics department. Total of 50 patients were included in the study aged 40-60 years. Results: Patients were prescribed with NSAIDs such as paracetamol prescribed to 4 patients, diclofenac 13 patients, ibuprofen 8 patients and opioid analgesic Oxycodone 07 patients, Acetaminophen/hydrocodone 14 patients and tramadol 04 patients. Patients were followed for every 15 days. On the 1st visit after prescribing paracetamol 0 patients were got relief from the pain, diclofenac 3 patients, ibuprofen 02 patients, Oxycodene 0 patients, Hydrocodene 04 patients, tramadol 01 patient.
study on employee commitment in Delphi TVS diesel systems limited, Chennai
Authors: Krishnaveni K. , Bargavi N.
Published: July 2022

Employee commitment is a very hot topic for any organization in the era of globalization. Engaged employees prejudice to contribute to greater organizational efficiency. It also helps the organization in maintaining a higher level of dedication on the part of the employee. Employee Commitment is the extent of employee’s contribution towards their organization and its values. The organizational success relies upon productivity of the employee through his/her commitment towards the organisation. This paper is an attempt to analyze the significance of engaged employees for the growth and development of organisation and its success. This paper makes an attempt to study the factors that influence for the effectiveness of employee commitment towards Delphi TVS Diesel Systems Limited. The researcher had used stratified random sampling method and the sample size is 120. Data analysed and interpreted based on the response of the employees in the organization. Percentage analysis and chi square test for hypothesis testing. The results were presented in the different charts and diagrams. Findings of the study were arrived from the analyzing of data’s, suggestions and conclusions have been derived based on the findings of the study.
Evaluation of antimicrobial activity of ellagic acid on Methicillin-resistant Staphylococcus aureus (MRSA), Pseudomonas aeruginosa, and Escherichia coli
Authors: Aljassim Zainab G. , Kadhim Haitham M. , Al-Mizraqchi Abbas S.
Published: July 2022

Serious infections, and rising resistant infections, by pathogenic bacteria, have become developing threats worldwide. There is an increasing need to develop and discover a new treatment options that can act effectively to cure infections, with lesser resistance, side effects and toxicity. Identification of new treatment options against pathogens is an important issue nowadays. Ellagic acid is a non-drug compound that has been shown to possess many biological activities and  is presented in many red fruits and berries. This study aims to evaluate and measure the antimicrobial activity and the minimum bactericidal concentration (MBC) of ellagic acid on Methicillin-resistant Staphylococcus aureus (MRSA), Pseudomonas aeruginosa, and Escherichia coli. The antibacterial activity of ellagic acid was evaluated against ten purified bacterial isolates via agar disc diffusion assay, and minimum bactericidal concentration assay (MBC). The results show that ellagic acid was an effective antimicrobial compound against all the tested pathogens. The MBC range was shown to be between (1-2) mg/ml for MRSA, and E.coli, and between(1-1.5) mg/ml for P. aeruginosa. This current study has detected and proved the antimicrobial activity of ellagic acid against important and widely resistant pathogenic bacteria like MRSA, P.  aeruginosa, and E.coli.