bluuebunny/crossref_metadata_2025 huggingface dataset:
Suitability of Geography Textbooks for the Development of Critical Thinking of Lower Secondary School Students, Based on Bloom's Taxonomy
Authors:   University of Prishtina “Hasan Prishtina”, Samadraxha Bekim , Alihajdari Veton ,   Ministry of Education, Science, Technology and Innovation
Published: November 2023

The Geography textbook for the 8th grade has been drawn up based on the program of the Ministry of Education, Science, Technology and Innovation, in different years, with the aim that the students acquire geographical knowledge, reinforces this knowledge in everyday life situations, integrating the cause-effect relationships of natural and human phenomena and processes with geographical research methods. According to the content of the curriculum, regional geography and other eco-continents will be taught in the eighth grade, as well as the submission of questions is covered at the end of each topic in the text. This text deals with interesting issues for several continents, countries, and we will analyse the approaches of the authors, the clearest elaboration for the student on the topics and the questions posed to the students with the goal; remembering, understanding, and applying. A special care and attention has been shown to preserve the right ratios between informative and non-formative material, theoretical and factual, historical and contemporary, respecting the scientific and didactic criteria. We will base the research on Bloom’s taxonomy, beginning with knowledge, understanding, application, analysis, synthesis and evaluation, with the aim of better reflecting the state, analyse the revised taxonomy and we will also present the students’ recollection, understanding and application in everyday life.
Qualidade sanitária de sementes de feijão-caupi submetidas a diferentes doses de produtos com efeito fungicida
Authors: Silva Carla Michelle da , Silva Antônio Veimar da , Silva Lucas Fagundes da , Araujo Roberto Fontes , Cecon Paulo Roberto , Araujo Eduardo Fontes
Published: November 2023

O presente artigo avaliou a eficácia de extratos naturais no controle de fungos em sementes de feijão-caupi. Objetivou-se com o trabalho avaliar a qualidade sanitária de sementes de feijão-caupi submetidas à aplicação de doses de produtos que apresentam potencial fungicida. Para o tratamento de sementes foram utilizados cinco extratos naturais (alfavaca, arruda, canela, cidreira e pirolenhoso), aplicando-se doses de 0, 2, 4, 6 e 8 mL Kg-1 de sementes. Foi realizado o teste de sanidade nas sementes para verificar quais tipos de fungos contaminavam as mesmas. O delineamento foi o inteiramente casualizado em esquema fatorial (5x5) com quatro repetições, totalizando 100 unidades experimentais. Os resultados mostraram que os extratos naturais de alfavaca, arruda, canela, extrato pirolenhoso e capim cidreira foram eficazes no controle de Aspergillus, Fusarium e Cladosporium. O extrato pirolenhoso e o de capim cidreira foram os mais eficazes no controle de Fusarium. Todos os extratos naturais foram eficazes no controle de Cladosporium a partir da dose de 2 mL kg-1 de sementes.
Frequências alélicas e genotípicas do gene da beta-caseína do leite em bovinos da raça Curraleiro Pé Duro criados no estado do Tocantins
Authors: Rodrigues Matheus Henrique Dias , Fioravante Fernanda Caroline Rotta Cristino , Ferraz José Bento Sterman , Fukumasu Heidge , Santos Helcileia Dias , Nepomuceno Leandro Lopes , Ferreira Jorge
Published: November 2023

Objetivo do presente estudo foi identificar as frequências alélicas e genotípicas para o gene beta caseína em relação aos alelos A1 e A2, em rebanhos Curraleiro Pé Duro (CPD) criados no Tocantins, Brasil. Foram selecionados rebanhos CPD criados no Estado do Tocantins, Brasil, totalizando 160 amostras, distribuídos em 09 municípios, pertencentes as mesorregiões ocidental e oriental do Estado. As amostras para dois marcadores das regiões polimórficas foram caracterizadas e confirmadas por PCR em tempo real, usando um sistema de detecção de sequências (Applied Biosystems). As frequências alélicas e genotípicas foram determinadas utilizando o sistema de detecção TaqMan ™, no qual o primer e a sonda emitem diferentes sinais de fluorescência para cada alelo do polimorfismo. Com base nos resultados observou-se maior frequência do alelo A2 (65,62% - 105/160) que do alelo A1 (34,38% - 55/160), com frequência de genótipos A1A1 de 16,88% (27/160), de genótipos A1A2 de 35% (56/160), e de genótipos A2A2 de 48,12% (77/160). Encontrou-se para a mesorregião Ocidental uma frequência de 29,5% (29,5/100) para o alelo A1, e de 70,5% (70,5/100) para o alelo A2. Na mesorregião Oriental a frequência foi de 42,5% (25,5/60) para A1, e 57,5% (34,5/60) para A2. No entanto, não foi possível associar maior frequência do alelo A2 com o nível de conservação do rebanho e o nível tecnológico e industrial das regiões estudadas.
Improving Supply Chain and Logistics Through Automation
Authors: Cheng Dong
Published: November 2023

The field of logistics is undergoing a transformative shift, marking the advent of a new age. The progression of digitalization and technologization facilitates the emergence of novel business models, enhanced operational efficiency, innovative planning strategies, and several other benefits. However, it is important to acknowledge the potential drawback of being overwhelmed amongst the rapid pace of advancements. The logistic operations automation and the subsequent creation of autonomous logistics systems are significant phenomena that have profound implications for the future execution and planning of logistics processes. This article seeks to add to the ongoing discourse and delve into the inquiry of how the development of automated and autonomous logistics systems should be strategically planned and executed. The current editorial establishes a framework by elucidating the practical domains in which automation is used and deliberating on the conceptual trajectory leading to the development of autonomous logistics systems. The following papers provide valuable insights into the latest research findings on the autonomization and automation of physical and informational logistics operations, with a strong emphasis on practical applications.
The Importance of Implicit Knowledge in Chemistry Teaching and Learning
Authors: Dong Madeleine Wang Yue
Published: November 2023

The term "implicit knowledge" encompasses a variety of subfields, including but not limited to experiential knowledge, tacit knowledge, and accidental learning paradigms. This article explores the concept of implicit knowledge and its perceived importance in the process of learning. The concept of tacit knowledge holds significant importance in the development of research aimed at investigating student cognition and comprehension in the field of chemistry, as well as in the analysis and application of research outcomes in educational settings. Literature on cognition argues that most knowledge, which individuals utilize when evaluating their environment and executing decisions is not available to conscious reflection. As a result, scholars in the realm of chemistry education must explore alternative methods to elicit tacit knowledge, which holds significant ramifications for their research endeavors. Hence, it is crucial to consider that the outcomes of numerous chemistry-related investigations, which document the conceptions of students, may reflect cognitive processes that rely on tacit knowledge to some extent. The differentiation between implicit and explicit information is paramount in understanding the cognitive process of learning chemistry, as the former operates subconsciously without conscious effort.
The Flinders University/TAFE SA Bachelor of Creative Arts dual award model: A case study
Authors: Gander Michelle , Bouvet Eric
Published: November 2023

This study aims to evaluate the effectiveness of the Bachelor of Creative Arts (BCA), a dual award degree offered jointly by Flinders University and TAFE SA. It first sets the rationale for the award while placing it in the Australian educational context, comparing it to equivalent programs offered at other institutions. It then provides an insight into the characteristics of a cohort of students. To achieve this, the study analyses a range of key quantitative metrics including demographics, enrolment numbers, attrition, student experience surveys and grade distributions to determine the cohort’s profile. Additionally, the study seeks information from recent graduates already in the workforce to establish if the BCA provides the skills leading to successful employment. This study reveals a mixed picture of the BCA’s success. While degree completion and student satisfaction are high, alumni are not all convinced that having a university degree provides a significant advantage for the job market as opposed to only having a TAFE qualification. Finally, the study offers recommendations to address these issues and improve the overall student experience as well as enhance their employment prospects.
Income and revenue analysis of garden egg leaf (Solanum aubergine) marketing among smallholder farmers in Onitsha and Awka agricultural zones, Anambra state
Authors: Chinwe Annunciata Isibor  , Chineze Darlington Nkamigbo
Published: November 2023

The study examined income and revenue analysis of garden egg leaf (solanum aubergine) marketing among smallholder farmers in Onitsha and Awka agricultural zones, Anambra State, Nigeria. Specifically, it described describe the socioeconomic characteristics, estimate the socioeconomic factors that determine the net marketing income, determines the profitability, the economic efficiency, and examines the constraints to garden egg leaf marketing. A multistage and random sampling procedure was used to select 160 respondents for the study. Data were collected from primary sources and were analyzed using descriptive statistics, enterprise budgeting, multiple regression, and relative importance index. Findings from the result show that the majority of the marketers are within the age limit of 25-35 years (56.25%), presence of female dominance, and a high percentage of marketers who sell both in the market, hawk in the street, events, and offices. Out of 12 independent variables included in the model, age, branding of product, education, household size and mode of delivery statistically and significantly influenced the net marketing income earned by the marketers. Profitability indicators such as net marketing income, return on investment, net return on investment, and coefficient of marketing efficiency of N441, 336.63, 1.3, 0.28, and 77% proved the enterprise profitable. The implication of the net return on investment figure is that the marketers return 28 kobo for every 1 Naira invested in the enterprise. The findings show that the perishable nature of garden egg leaf, inadequate price control, and hazards associated with hawking were perceived as the most serious constraints. Underage children should be encouraged to desist from street hawking especially during school hours also there is a need to address the activities of middlemen by relevant stakeholders to combat the price fluctuation in the marketing of garden egg leaves.
Decolonising the curriculum at the University of Reading
Authors: Laville Al
Published: November 2023

From a series of listening exercises as part of the Race
Equality Review (2021) at the University of Reading, it become clear
that decolonising the curriculum is important to both students and
staff.

The aim of the decolonising the curriculum project was to create
an effective resource to support colleagues to decolonise their
curricula across a varied range of disciplines across the
University.

The key consideration points throughout the project were a) to
make sure we established a clear vision of what decolonising the
curriculum means for Reading students and staff, b) the resource
provides guidance on how to consider decolonising the curriculum
within your own practice, c) informs how other colleagues have
engaged in decolonising the curriculum, and d) what additional
learning can take place to advance your understanding of
decolonising the curriculum.

Challenges included balancing a call to action with a considered
approach to encouraging personal reflection.

The resources have received excellent feedback from students and
colleagues, and received external recognition from colleagues
working across the sector.
TPO Gene Expression in Relation with Promoter SNPs in Iraqi Patients with Hyperthyroidism
Authors: Al-Mofarji Sarah Talib , Jasim Hameed Majeed , Mohammed Sanad Baqer , Al-Samerraie Abdilkarim Yahya
Published: November 2023

Background: Thyroid peroxidase (TPO) gene mutations are one of the most common causes of thyroid disorders. Objective: To investigate the effect of genetic polymorphisms in the TPO promoter region on gene expression in early-diagnosed hyperthyroid patients. Methods: Genomic DNA was extracted from 100 blood samples (75 hyperthyroid patients and 25 healthy controls), then the TPO promoter region was amplified and sequenced for genotyping rs2071399, rs2071400, and rs2071403 SNPs. Total RNA was also isolated, and cDNA synthesis was performed to determine quantitatively the expression of TPO by using qPCR. The level of TPO antibodies in serum was determined by using an enzyme-linked immunosorbent assay (ELISA). Results: The prevalence of hyperthyroidism in women was significantly higher than in men, as were serum levels of TPO-Abs. There was a significant increase in serum TPO-Abs in hyperthyroid patients (235.29 IU/ml) compared with healthy controls. Genotypes of three SNPs (rs2071399 G/A, rs2071400 C/T, and rs2071403 A/G) in the TPO promoter region were TPO rs2071399 AG and GG, and rs2071400 CT and TT genotypes were more frequent in hyperthyroid patients. There are no significant differences between rs2071403 polymorphic and non-polymorphic genotypes among hyperthyroid patients and healthy controls. The rs2071399 G/A and rs2071400 C/T gene promoter polymorphism significantly down-regulated constitutive TPO gene expression in hyperthyroid patients, but rs2071403 A/G has no major effect on gene expression. Conclusion: There was an association between the mutation in the promoter region of TPO and the incidence of hyperthyroidism.
Analysis of clinical audiological characteristics of noise-induced silent hearing loss
Authors: Li Chunmin , Du Xiaoxu , Zhang Dandan , Bai Tuya , Xu Xiuli
Published: November 2023

Objective: To explore the characteristics of audiology examination of Noise-Induced Hidden Hearing Loss (NIHHL), and then explore its valuable diagnostic methods.Methods: A total of 80 young men aged between 19 and 35 were selected. They were classified into the experimental group with noise exposure history and the control group without noise exposure history, with 40 men in each group. We carried out extended high-frequency audiometry test for good ears; conducted speech in noise measurement and distortion product emission for good ears; DPOAE test, compare and analyze the results of each test.Results: The extended high frequency hearing threshold test results showed that the hearing threshold of the experimental group was larger than that of the control group at the frequency above 8kHz, with significant statistical difference (p < .01). The results of speech audiometry under noise showed that the signal-to-noise ratio loss in the experimental group was greater than that in the control group, with a significant statistical difference (p < .01). The results of otoacoustic emission showed that the signal-to-noise ratio of the experimental group was lower than that of the control group at the frequency of 6 kHz and above, with a statistically significant difference (p < .01). There is a correlation between pure tone audiometry and DPOAE test results at high frequencies (6 kHz: p <. 0001, r = -.478; 8 kHz: p < .0001, r = -.491;) ; There was a correlation between speech audiometry and DPOAE test results under noise (p = .031, r = -.299).Conclusion: Compared with the control group, the extended high frequency pure tone hearing threshold increased or could not be elicited in the experimental group, speech recognition ability decreased significantly under noise, DPOAE was normally elicited but signal-to-noise ratio decreased, and there was a certain correlation between them. The above three audiological examination methods have a certain reference value for early recognition of hidden hearing loss.
Intellectual and Physical Management of Files on Archival Holdings of Fonds and Collections in the State Archives in Zagreb
Authors: Čičko Domagoj
Published: November 2023

In this paper, the focus will be on the files on archival holdings of fonds and collections and the development of a database, as an aid for their search and use. In this case, the file on an archival fonds or collection contains documentation related to that fonds or collection, which differs in provenance and form. The organization of the abovementioned files and database represents systematic work on creating a comprehensive record on archival records of all fonds and collections stored in the Department for Arranging and Processing of Archival Records of the State Archives in Zagreb for the purpose of achieving permanent and efficient intellectual and physical supervision over said archival holdings. This paper will give an overview of the database and its layout, as well as provide an account of its use in processing of archival records and the possibilities for its further development and upgrade.
Operativna uporabnost orodij za prepoznavanje z roko napisanega besedila na podlagi analize razpoznanih vsebin
Authors: Cotič Jan , Sabadin Ivančica
Published: November 2023

Prepoznavanje z roko napisanega besedila oz. rokopisa (angl. handwritten text recognition) je tehnologija, ki bi olajšala problematiko prepoznavanja vsebine tovrstnih dokumentov. Cilj uporabe orodja za prepoznavanje z roko napisanega besedila je ustvaritev besedila, ki bi omogočilo hitrejše razumevanje, večjo dostopnost in lažjo uporabo specifičnega gradiva ter omogočil prosto iskanje po celotnem besedilu (angl. full-text search). Avtorja sta čez analizo treh dostopnih orodij za prepoznavanje z roko napisanega besedila predstavila postopek in dobljene rezultate na digitaliziranem gradivu Pokrajinskega arhiva Koper. Rezultati so pokazali, da je povprečna napaka za vsa tri orodja 57 %, kar pomeni, da so orodja zaznala narobe več kot polovico besed.
Analisis Nilai-Nilai Moral dalam Novel “Nias: Penyelamat Berkalung Matahari” Karya Ghyna Amanda Putri
Authors: Lahagu Supriaman , Zega Imansudi
Published: November 2023

This article discusses the development of learning outcomes and child psychology at MI Al-Awwal Palembang, focusing on first-grade students. This research is a field study with a qualitative descriptive approach. Data collection methods used in this study included interviews, documentation, and observations. Data analysis techniques involved data collection, data presentation, and data verification stages. The research results indicate that the development of learning outcomes and child psychology is influenced by various factors, including parents, the student's personal characteristics, and the child's environment, both formal and informal. These factors are interconnected and can impact the well-being and success of teaching and child psychology. The role of educational institutions, parents, the community, and teachers in supporting the success of teaching and child psychology is crucial. The importance of collaboration between schools and families in creating an environment that supports the holistic development of children's learning outcomes and psychology is emphasized
Pengaruh Mindset Terhadap Self-Concept Siswa di SMP Negeri 1 Hiliserangkai
Authors: Hulu Kurniawan , Laoli Jonisman Kristian , Damanik Hosianna Rodearni
Published: November 2023

Mindset Is a way of thinking that is formed from beliefs that affect one's behavior and attitude. Self-concept is a person's view of himself which includes a picture of himself, and the desired personality obtained from the results of experiences and interactions that include physical or psychological aspects. This study aims to determine the influence of Mindset on students' Self-concept. The method used in this study is a quantitative associative method by selecting a sample of 30 grade VIII-D students at SMP Negeri 1 Hiliserangkai. The data collection instrument is a questionnaire with Likert scale. Data analysis using the correlation coefficient with the Product Moment formula and calculations using SPSS for windows data processing obtained results of 0.648 and the coefficient of determination obtained an R Square of 42.0%. The influence of variable X (Mindset influence) on variable Y (student self-concept) can be proven from the calculation results obtained from calculations using the t test. The result of the calculation of tcalculate is substituted by the magnitude of the ttable value. Where t_hitung=4.502 does not lie in the interval: 1.701≤t≤1.701, or in other words the value of tcount = 4.502 > 1.701 then declare Ho rejected and accept Ha accepted. So, the hypothesis that reads: "there is a significant influence between Mindset on Self-concept students" is accepted at a significant level of 5%.
Hubungan Konsep Diri dengan Perencanaan Karir Peserta Didik di SMK Negeri 1 Gunungsitoli
Authors: Laoli Jonisman Kristian , Lugu Windi Wulandari
Published: November 2023

The purpose of the study was to determine the positive and significant relationship between self-concept and career planning of students at SMK Negeri 1 Gunungsitoli. This research is quantitative research with data collection techniques using observation techniques and questionnaires. The data was analyzed by parametric statistical methods i.e., multiple regression analysis with the help of the SPSS program. The sample number is 30 students and sampling is carried out randomly with cluster random sampling technique. Based on data analysis, the results of the t-test analysis are known that there is a positive and significant influence between self-concept variables and career planning variables. With a t-test calculation result of 14.454. While the table is 1.701 at a significant level of 5%, which means that there is a positive influence and significance between a variable of self-concept (X) and a variability of career planning (Y) class XI Fashion Design SMK Negeri 1 Gunungsitoli
Pengaruh Sikap dan Kepribadian Guru Terhadap Kepuasan Siswa dalam Layanan Bimbingan dan Konseling Kelas XI–IIS-1 SMA Negeri 1 Gido
Authors: Lase Ukiran , Munthe Mondang , Era Justin Foera
Published: November 2023

This study aims to determine the influence of BK teachers' personality attitudes on student satisfaction in Guidance and Counseling services held at SMA Negeri 1 GIdo. The research approach is a quantitative approach with an associative type. The sample of this study was class XI.IIS-1 students who had attended guidance and counseling at SMA Negeri 1 Gido totaling 35 students. The data collection tool used in this study was an instrument in the form of a questionnaire. Based on the results of the study, it can be concluded that the attitude and personality of BK teachers jointly affect student satisfaction in Guidance and Counseling Services. The results of the hypothesis test, known R-Square value 0.474. This means that the attitude and personality of BK teachers affect student satisfaction in guidance and counseling services by 47.4%. This shows that simultaneously the attitude and personality of BK teachers have a significant effect on student satisfaction in guidance and counseling services. So that the more capable the attitude and the more personality of the BK teacher towards students, the higher the satisfaction of students in the Guidance and Counseling Service. The attitude of BK teachers has a positive effect so that the more capable the attitude of BK teachers will increase student satisfaction in Guidance and Counseling Services.  The personality of the BK teacher has a positive effect so that the more capable the personality of the BK teacher will increase student satisfaction in the Guidance and Counseling Service
Pengaruh Model Think Pair and Share (TPS) Terhadap Hasil Belajar Siswa Kelas IV SD Negeri 0510 Sihiuk
Authors: Hasibuan Nur Kholilah , Harahap Nurhalimah , Saputra Rizki Hamdan
Published: November 2023

This study aims to determine the effect of the think pair and share model on the learning outcomes of grade IV students of SD Negeri 0510 Sihiuk. This study used quantitative research with an experimental research approach with a one group pretes-posttes research design model. The population of this study was all grade IV students at SD Negeri 0510 Sihiuk, and the sample of this study was determined by population, namely all grade IV students of SD Negeri 0510 Sihiuk, Lubuk Barumun District, Padang Lawas Regency, totaling 35 students. Data collection is carried out by tests and documentation with data analysis techniques, namely descriptive statistics, normality tests, homogeneity tests, linearity tests and T tests. Based on the results of data analysis, it was concluded that the average pretest score was 50 and the average posttest score was 71. There is a significant influence of Think Pair and Share (TPS) Model Learning in Improving Student Learning Outcomes in Science Subjects. This is evidenced by calculations carried out using the t test showing that the tcount > ttable is (1 < 2.48).  This means that there is an influence of the Think Pair and Share (TPS) learning model on student learning outcomes in Class IV science subjects SD Negeri 0510 Sihiuk.
Pengembangan Aplikasi Sistem Pemantauan Praktik Industri Berbasis Sinkronisasi di Sekolah Menengah Kejuruan
Authors: Widodo Agus , Santosa Budi , Sayuti Muhammad , Mahmudah Fitri Nur
Published: November 2023

The research aims to: (1) analyze the application of synchronization-based industrial practice systems at SMK Muhammadiyah I Playen; (2) develop a synchronization-based industrial practice system application at SMK Muhammadiyah I Playen; and (3) test the feasibility of the developed school synchronization-based industrial practice system application. The research uses research and development (R&D) methods using the codeigniter framework application. The subjects of the study included students of class XI TKJ SMK Muhammadiyah I Playen, Gunungkidul, Special Region of Yogyakarta. Data analysis uses quantitative analysis. The expected result is the application of industry practices that will be used to monitor students during industry practices based on the Codeigniter framework system. The results of the study include: (1) the PI monitoring system still uses conventional methods, monitoring guidance teachers directly come to the students to carry out PI. Students during attendance still use the presisnsi sheet held by the IDUKA supervisor, students also make activity journals on paper that has been provided by the school to fill in every day; (2) development of a PI monitoring system using the codeigniter framework application that makes it easier for guidance teachers, IDUKA supervisors and students to carry out PI implementation; and (3) a pilot of the PI monitoring system involving 56 students, five teachers, three IDUKA places is very easy to use and more effective
Effectiveness of Nurse-led Educational Intervention on Therapeutic Communication of Undergraduate Nursing Students by Using SBAR tool
Authors: Ilyas Aleena , Ali Amjad , Ahmed Tanseer
Published: November 2023

Efficient communication is most noteworthy because it impacts patient quality care. A prepared tool can useful to adequately impart patient data, lessen unfavorable incidents, improve patient safety, enhance quality of care, and amplify the healthcare team members’ satisfaction. Objective: To identify the effectiveness of nurse-led educational intervention on therapeutic communication of undergraduate nursing students by using the SBAR tool. Methods: This pre & post-quasi-experimental study was conducted from Jan-2021 to May-2021 among 120 undergraduate students from two different nursing institutions in Karachi by using a purposive sampling technique. Ethical approval was obtained and written informed consent was taken from each participant in the study. Data was collected by adopting the SBAR tool comprising 10 multiple-choice questions. Nurse-led educational intervention was provided after pre-assessment through lectures and discussion in the classroom. Data were analyzed using SPSS version-23. Results: Results showed a mean ± SD of age 30.44±5.40 varied from 23 to 51 years. Most of the participants (51.7%) were female and 70.8% of the participants had working experience ranging from 2 to 10 years. In the pre-test assessment, most of the participants secured a 4 out of 10 score (25.0%) whereas 8 out of 10 score (29.2%) in the post-test. A significant impact on the knowledge of undergraduate nursing students after educational intervention (p<0.001) was seen.  Conclusions: This study concludes that undergraduate student nurses have very low knowledge related to the SBAR tool for therapeutic communication. Nurse-led education interventions improve nursing knowledge and understanding of the SBAR tool, as evident by post-test scores.
Frequency of Vitamin D Deficiency in Patients with Bacterial Vaginosis during First Trimester of Pregnancy
Authors: Baloach Shazia , Arshad Maria , Parveen Tahira , Seher Aisha , Sohail Farzana , Malhan Asifa , Fazal Adnan
Published: November 2023

Bacterial vaginosis (BV) is an infection mainly results due to overabundance of germs. Because it affects a variety of immune system functions, it is crucial for BV. In order to timely assess, rationalize prospectively, and manage patients to combat vitamin D deficiency in bacterial vaginosis, this study planned to conduct on patients with bacterial vaginosis in relation to vitamin D deficiency, evaluate the magnitude, and generate local data. Objective: To determine the frequency of vitamin D deficiency in patients with bacterial vaginosis during first trimester of pregnancy. Methods: This cross-sectional study was conducted at Gynecology and Obstetrics department of Shaikh Zaid Women Hospital, SMBBMU Larkana from 10-September-2018 to 10-march-2019.  A total of 192 pregnant women of first trimester with bacterial vaginosis were selected for this study. All the pregnant ladies with bacterial vaginosis were recruited and entered in the study and was screened for vitamin D deficiency. The data were collected on prepared proforma. Results: The age range from 25 to 35 years with a mean of 29.8±6.5 years, with mean gestational age of 8.09 ±2.29 weeks. Frequency of vitamin D deficiency was 47.4% in women with bacterial vaginosis in their first trimester. Conclusions: Findings of our study suggest association between vitamin D insufficiencies with BV during first trimester of pregnancy.
Factors Affecting Weight Loss Management among Obese Nurses Working in Public and Private Health Care Sectors
Authors: BiBi Yasmeen , Mukhtar Madiha , Sarwar Hajra , Kanwal Tasleem
Published: November 2023

Obesity in the general population have been growing globally in recent years, a trend that has also been seen among nurses. Along with the severe health consequences of obesity, the condition impairs an individual's capacity to work and increases absenteeism rates. It is therefore essential to understand the factors that are producing all of this. Objectives: To explore the barriers of weight loss management among obese nurses. Methods: In this study, an exploratory qualitative study approach was adopted. Data was collected from the 12 study participants who were purposive sampled, semi-structured face-to-face individual interviews were conducted. The audio recordings were translated into English and verbatim transcribed. The analysis was conducted out using the computer-assisted programmer NVIVO-12. NVIVO-12 produced codes that were grouped into sub-themes, and themes. Results: Obstacles to weight loss management among obese nurses were a lack of desire and a change in lifestyle owing to a lack of time, nurses, and resources. Weight management was hindered by the workplace environment and shift changes. Conclusions: The demanding nature of hospital work leads to stress-induced unhealthy eating habits among nurses, hindering their ability to maintain a balanced diet and manage their weight.
Knowledge and Practices of Patients Regarding Diabetes Self-Management: A Mixed Method Approach
Authors: Ul-Islam Noor , Ali Shah Bakhtyar , Muhammad Dildar , Ajmal Hina , Karim Shakila
Published: November 2023

Diabetes Mellitus is a major source of death globally and has shaken middle-income and low-income countries including Pakistan. Objective: To determine diabetes knowledge, and explore the patient’s experiences of type-ii diabetes along with its self-management. Methods: A mixed-method design was used to carry out this study at a tertiary care hospital in KP Pakistan from April to September 2021. Information on patients’ demographic characteristics, diabetes knowledge, and diabetes self-practices, patients’ lived experiences of diabetes self-practices, and barriers to self-care activities were collected. Data were collected through a structured questionnaire and in-depth (IDIs) interviews for measuring diabetes knowledge, and its management. Results: Out of 215 recruited participants, the majority 90% had inadequate knowledge (score=0-4). 3.2% (n=07) had average knowledge (score=5-8) of diabetes, and its self-management. 60% of the participants were from the age group 50-59 years. 70% (n=151) of participants were from poor socioeconomic classes. The results showed an association between illiteracy, poverty, diabetes knowledge, and self-management (p-Value 0.001). The qualitative results expressed that the illiterate and low socioeconomic participants had inadequate diabetes self-management practices. Conclusions: The study inferred that the participants, who had inadequate knowledge about type-II diabetes and its management, were having poor self-care practices of diabetes.
Prevalence and Predictors of Non-Compliance with Pharmacological Treatment in Diabetes
Authors: Jehan Ayesha Shah , Roshan Summaya , Hussain Shujaat , Maheen Azka , Mahmood Jawad , Zada Akhtar
Published: November 2023

Although the incidence of failure to comply to prescribe drugs is very varied, it may be the most frequent cause of suboptimal treatment results in diabetic patients. In the research region, there are little data on the extent of non-adherence to medicines and related causes. Objective: To determine the prevalence of non-adherence to medications in patients with diabetes and the factors leading to such practices. Methods: A descriptive study designed was chosen to evaluate 191 patients with diabetes enrolled at the department of medicine, combined military hospital, Nowshera, during the period May 2022 to May 2023. Non-adherence was confirmed clinically by taking history and biochemically by poor glycemic profile. SPSS version 24 was used to analyze the data. Results: The age of the patients ranged from 18 to 60 years. The mean age of the patients was 36.17 years with standard deviation 7.53. Age group 18 to 40 years comprised of 113 (59.2%) participants. The male participants were 129 (67.5%) in number. Non-adherence was observed in 86(45.5%) patients. Factors leading to non-adherence included financial constraints 32(37.2%), medications related to complications 16(18.6%). Conclusions: Diabetes patients often fail to comply with their prescribed prescriptions in the study region. To reduce disengagement among diabetes patients, public health programs should be reinforced.
Assessment of Self-Care Abilities and Associated Factors among Elderly Patients after Hip Fracture Surgery
Authors: Julious Roofen , Sarwar Hajra , Afzal Muhammad , Aziz Zunaira
Published: November 2023

Hip fractures are a significant cause of morbidity and mortality among the elderly population, often requiring surgical intervention to restore mobility and independence. Following hip fracture surgery, the assessment of self-care abilities becomes crucial as it directly impacts the overall recovery of these patients. Objective: To assess the self-care abilities and associated factors among elderly patients after hip fracture surgery. Methods: A descriptive cross-sectional study was conducted at Mayo Hospital Lahore to assess self-care abilities among elderly patients who had undergone hip fracture surgery. 150 patients were selected using a simple random sampling technique. A self-developed questionnaire with a content validity of 0.88 and reliability of 0.674 was used for data collection. Results: Most of the participants were female 53.3%, almost 45.3%, within the age of 61 to 65 years and 38% had received education up to middle school level. Furthermore, 65.3% of the participants were married. In terms of self-care ability, 58.7% of the participants demonstrated a moderately adequate level of self-care. The findings of this study indicate that increasing age, lack of formal education, and being married are factors associated with a decrease in self-care ability, with a significance level of p<0.05. Conclusions: The findings indicate that the participants have moderate adequacy in terms of their self-care abilities. These results emphasize the significance of addressing self-care needs not only during the surgery period but also in the post-operative phase, particularly when individuals experience self-care deficit.
An Assessment of Radiolucencies Associated with Second Molar Adjacent Impacted Third Molar in Left in Comparison to Right Mandible
Authors: Shafique Maha , Farrukh Samra , Tajamal Hafiz Zain Bin , Babary Darab Fatima , Qasim Amna , Butt Hira
Published: November 2023

Mandibular third molars are the most prevalently impacted teeth in the oral cavity. These partially impacted teeth in addition to being the root cause of pathologies in the third molar themselves also pose problems for their adjacent second molars. The second molars adjacent impacted third molars lead to the development of various pathologies that manifest themselves as radiolucencies on radiographic evaluation. Objective: To evaluate the radiolucencies of the left mandible's second molar next to the impacted third molar in comparison with right mandible. Methods: A cross-sectional and descriptive study was undertaken on patients visiting College of Dentistry, Sharif Medical and Dental College (SMDC). A total of 385 OPGs were assessed for the presence of radiolucencies in the second molars adjacent impacted mandibular third molars from December 2020 to February 2021. Results: The association between the availability of periapical radiolucencies (p≤0.001) and radiolucencies due to caries and external resorption in second molar in the right and left mandible (p≤0.001) was significant. Conclusion: It was seen that majority of the cases with periapical radiolucency in the right mandible also had them left mandible as well but most of the cases with caries and external resorption in the right mandible did not have them in left mandible as well.
Comparing Heat-Induced Antigen Retrieval Methods for ER Expression in Invasive Breast Carcinoma
Authors: Akbar Shela , Khan Hina , Qadir Abdul
Published: November 2023

In the realm of cancer diagnosis and treatment, immuno-histochemical staining has become a pivotal tool for discerning molecular markers within tissue samples. Objective: To comprehensively compare different heat-induced antigen retrieval methods for evaluating estrogen receptor (ER) expression in female invasive breast carcinoma of no special type. Methods: A cross-sectional design was employed utilizing 250 formalin-fixed paraffin-embedded (FFPE) tissue samples from confirmed cases of invasive breast carcinoma. The study was conducted within Histopathology Department in CMH Peshawar. The study spanned from January 6, 2022 to June 30, 2023. Three heat-induced antigen retrieval methods were evaluated: conventional microwave-based retrieval, pressure cooking retrieval, and water bath heating. ER expression was assessed through immune-histo-chemical staining, and scores were analyzed using descriptive statistics and ANOVA. A post hoc Tukey's Honestly Significant Difference (HSD) test was conducted to identify which specific retrieval methods exhibited significant differences in ER expression scores. Results: The pressure-cooking retrieval method exhibited significantly higher mean ER expression scores (7.52) compared to the conventional microwave-based (6.87) and water bath heating methods (6.65). Post hoc analysis confirmed the substantial differences. Standard deviations and interquartile ranges were consistent with each method. Conclusions: The study underscores the pivotal role of retrieval techniques in accurate ER expression assessment in female invasive breast carcinoma of no special type. The pressure cooking method emerges as a potent enhancer of ER expression, advocating for standardized protocols to ensure consistent diagnostic outcomes and informed therapeutic decisions. Despite limitations, this research contributes to the refinement of patient care in the management of invasive breast carcinoma.
Combined Effectiveness of Static Stretching With and Without Post-Isometric Relaxation (PIR) in Managing Pain, Range of Motion and Functional Status Among Upper Cross Syndrome Patients
Authors: Mudassar Palwasha , Butt Zara , Salik Sumbal , Munawar Raheel , Hamid Khizra , Yaseen Iqra , Saeed Arslan , Khalid Amna
Published: November 2023

Tightness of cervical muscles especially upper trapezius and levator scapulae leads to the limitation of cervical ranges and develop a painful condition named as Upper cross syndrome. Objective: The aim was to determine the effect of Static Stretching along with and without Post Isometric Relaxation (PIR) in managing pain, ranges and disability among the patient with Upper Cross Syndrome. Methods: A hospital-based study was carried out following convenience sampling. Study included 22 patients of 18-50 years suffering with Upper Cross Syndrome divided into two groups. Group A (n=11) managed by Post Isometric Relaxation with Group B (n=11) through Static Stretching. Visual Analogue scale (VAS), Neck Disability Index (NDI) and Goniometer were used for assessment of outcomes. The data was analyzed by suing SPSS version 25.0 in which within and between group analysis were done by using parametric test with p-value< 0.05. Results: The results showed VAS and NDI were significantly improved by PIR with 2.27± 1.27 and SS was 4.00± 1.94 and post-NDI value was 24.90±2.21 and 25.09± 2.84 respectively. Similarly; the post ranges of PIR showed statistically significant results in improving cervical ranges as compared to Static stretching with p-value <0.05 Conclusions: The study concluded that combination of Static Stretching and PIR is significantly effective in improving pain, ranges and functional status among Upper cross Syndrome patient along with rapid recovery rate having p-value <0.05.
Frequency of Temporomandibular Joint Dysfunction among Undergraduate University Students: A Cross Sectional Study
Authors: Ilyas Tamknat , Wadood Asma , Jawa Rabia , Ali Sidra , Ayub Rahat , Maqbool Sania , Qamar Saddiqa
Published: November 2023

Temporomandibular joint dysfunction (TMJD) is an umbrella term covering pain and dysfunction of the muscles of mastication (jaw muscles). Disorder of temporomandibular Joint is one of the most common health problems. It is a term used to cover a number of multiple clinical issues related to temporomandibular joint, muscles of mastication and teeth. The trio that effects the arrangement and balance of TMJ, dental occlusion and muscles of mastication revolves mainly around “psychological, postural and structural elements. Objective: To find out Frequency of TMJD among undergraduate university students. Methods: Cross-sectional survey was conducted in duration of 3 months after approval of synopsis across University of Management and Technology (UMT). Self-designed questionnaire and TMJ dysfunction questionnaire was used. The sample size of this study was 200 calculated by Rao software.   It took 9 months’ time period to complete the study. Random sampling technique has been used in this study to collect the data. SPSS version 21 was used to analyze data, frequency tables and bar charts were made. Results: Results showed that 63.5% (n=127) were considered themselves chronically fatigued and 77% (n=154) grinded their teeth at night. 64% (n=128) of the students were from health sciences background. This shows the association of prevalence of TMJDs and stress in university students. Conclusions: Study showed high frequency of TMD amongst students due to chronic fatigue, overload of study, poor ergonomics, and working hours, which are associating risk factors for TMD. Stress management & good ergonomics strategies are required.
Analyzing Communication Strategies of the Saudi Ministry of Health During COVID-19
Authors: Alotaibi Jareh Fares
Published: November 2023

Effective communication is imperative during crises such as the COVID-19 Pandemic. The study investigates the communication strategies employed by the Saudi Ministry of Health through its official Twitter account during the pandemic. A content analysis of 1129 Tweets from the Saudi Ministry of Health’s official Twitter account was conducted from January 21, 2020, to July 21, 2020. Twitonomy software was used to collect the tweets. A coding sheet was developed and validated for measuring communication strategies, content types, language, target audience and user interaction. The results demonstrate that the Saudi Ministry of Health utilized an “information strategy” (74%) to communicate with the public. Most tweets included infographics (75.9%), followed by videos (16,95%). Text-only tweets (2%) and links to external websites (0.35%) were less absent. Arabic was the predominant language (86%), followed by English (12%), and a mix of ten other languages (2%). This study emphasizes the value of understanding audience dynamics for upcoming crisis communication strategies as well as the significance of effective communication in public health crises. The results can help public health authorities approach similar circumstances more effectively and effectively.
Does Emotional Intelligence Make You an Effective Teacher? A Study of Higher Education Institutions
Authors: Verma Richa
Published: November 2023

The study aims to analyze the impact of Emotional Intelligence (EI) on Teacher Effectiveness (TE). 300 teachers from Management and Engineering Department of Higher Education Institutions participated in this study. The data were analyzed through SMART PLS version 4. Findings revealed that there is a significant relationship between Emotional Intelligence and Teacher Effectiveness. The research offers new insights and suggestions for higher education institutions regarding the significance of hiring new instructors who possess strong emotional intelligence (EI) abilities and conducting training programs to enhance the EI skills of existing educators. The study has implications for teachers and those involved in policy decisions in higher education.