bluuebunny/crossref_metadata_2025 huggingface dataset:
Description of Hematologic Parameters at Arrival and When Pneumonia Occurred in Patients with Stroke Treated at Intensive Care Unit at Prof. I.G.N.G Ngoerah General Hospital Denpasar in from 2019 to 2021
Authors: Siagian Riris Marlina , Widyantara I Wayan , Putri Laksmidewi Anak Agung Ayu
Published: February 2023

Stroke-associated pneumonia is one of the most common complications. Incidence 6.7 - 36.98 % can lead to prolonged hospitalization, poor functional outcomes, also high morbidity and mortality. Hematological results indicating the occurrence of a bacterial infection process are markers in stroke patients with pneumonia. 47 stroke patients with pneumonia. There were 40 male patients (85.1%) and 7 female patients (14.9%). Patients aged 50 years were 28 patients (59.6%). History of trauma occurred in 67 patients (69.7%) and 29 patients (30.2%). Increase in white blood cells in 35 patients (74.5%) at arrival and 41 patients (47.2%) at the onset of pneumonia, platelet 3 patients at arrival (6.4%) and 13 patients at the onset of pneumonia (27.7%), neutrophil 40 patients at arrival (85.1%) and 43 patients at the onset of pneumonia (91.5%), monocytes 7 patients at arrival (14.9%) and 11 patients (23.4%) at the onset of pneumonia, lymphocytes 16 patients (34.0%) at arrival and 22 patients (46.8%) at the onset of pneumonia. Decreased red blood cell values in 17 patients (36.2%) at arrival and 22 patients (46.8%) at the onset of pneumonia, Hb 15 patients (31.9%) at arrival and 27 patients (57.4%) at the onset of pneumonia, and Hematocrit 14 patients (29.8%) at arrival and 24 patients (51.1%) at the onset of pneumonia. There was an increase in blood hematology results from the results of white blood cells, neutrophils, lymphocytes, monocytes, and platelets and there was a decrease in blood results from red blood cells, hemoglobin, and hematocrits. While the neutrophil to lymphocyte ratio, Mean Corpuscular Volume, Mean Corpuscular Hemoglobin, Mean Corpuscular Hemoglobin Concentration, Red Cell Distribution Width, and eosinophil values did not find any significant changes at arrival and at the time of pneumonia in stroke patients who were treated at the Intensive Care Unit.

Keywords: Hematology, Stroke, Pneumonia
Chorioangioma in Twin Gestation - A Case Report
Authors: P Joy Dhiya , Thangam T.F Adaline
Published: February 2023

Large Chorioangioma may be present as a separate mass inside the gestational sac and create fetal complications. We report a case of chorioangioma in twin gestation underwent emergency LSCS in view of ominous NST. Unexpected findings in second amniotic sac with meconium-stained liquor at 34 weeks of gestation. Histopathology confirmed the diagnosis. Though it is a benign tumour, complications can not be excluded.

Keywords: chorioangioma, Twin gestation, Fetal complications
The Comparison between Emily’s and Gabriel’s Expressive Speech Acts in the “Emily in Paris” Movie Series
Authors: Kurnia Saputri Desya , Yuliasri Issy , Pratama Hendi
Published: February 2023

This study aims to compare Emily as a native English speaker and Gabriel as a non-native English speaker to illustrate the types of expressive speech acts, expressive speech effects in the Emily In Paris movie series to see their similarities and differences expressive speech act. This research used descriptive qualitative method. The data was a transcript of data from Emily in Paris movie, the data were taken from the script, then classified according to the Searle's concept and Hymes's concept of type expressive act. Data were analyzed using ten types of expressive act instruments according Searle (1976), namely: thanking, apologizing, congratulating, greeting, wishing, attitude, condoling, blaming, praising, forgiving and supported by (IFID). The data were analyzed by identifying the types of expressive acts, classifying, comparing, interpreting, and concluding. The results of the study show that there are 138 expressive utterances found in the film Emily in Paris, Emily (100) and Gabriel (35).
This study found four similarities; Both of them were dominant presented two types expressive acts such as praising and wishing. Both dominant presented expressive acts explicitly because they always said directly and clearly what they mean. For praing and wishing, they did not present implicitly. Three differences were; Emily presented more expressive acts (100), while Gabriel only (35). In the praising type, the charcaters Emily and Gabriel were always showing compliment statements to their friends.
The most similarity lies in praising and apologizing which were the types most often used by them. Emily uses the act of praising (19) while Gabriel uses the act of praising (11), both tend to implicitly present expressive acts.

Keywords: Expressive Act, Pragmatics, Speech act, Movie series.
Mathematical Communication Ability in Core Learning Realistic Mathematics Approach with the Assist of Quizizz
Authors: Nuzula Laili Hikmatun , Eko Nugroho Sunyoto , . Wardono
Published: February 2023

Mathematical communication skills are very important in learning mathematics. The mathematical communication skills of grade III students at SD Tandang 02 were still relatively low, they have not been able to express opinions about mathematics or explain in notation or hull form. This study aimed to determine the increase in students' mathematical communication skills in CORE learning with a quizizz-assisted realistic mathematics approach. The method used in this study was a Quasi-Experimental method. The population in this study were class III students in the even semester of the 2020/2021 academic year. Selection of the sample using cluster random sampling technique. The sample in this study was class III students as an experimental class, the class that was subjected to CORE learning with a quizizz-assisted realistic mathematics approach. Data collection techniques in this study are documentation techniques, test techniques, observation, and interviews. The research instruments used were mathematical communication question sheets, interview guidelines and observation sheets when learning took place. The data analysis technique used is a prerequisite test which includes normality and homogeneity tests, hypothesis testing which includes completeness tests, average difference tests and influence tests. The results showed that there was an increase in mathematical communication skills using the CORE model with a realistic mathematical approach based on quizizz media. The success of this increase can be seen from the results of research on frequency tendencies which show an increase during the posttest or after being given learning. The completeness test also showed that the proportion of completeness of students subjected to the CORE learning model with a quizizz-assisted realistic mathematics approach is more than 75%. The results of the independent sample t-test to find out the difference between the control and experimental classes, the results of the significance value show the number 0.00 <0.05. This proves that there is a difference in the average mathematical communication ability of students in the experimental class and the control class after learning. In the matter of mathematical communication skills, there were no students who achieved high gain scores, students who achieved moderate gain scores had a percentage of 82%, and students who achieved low gain scores had a percentage of 18%.

Keywords: Communication Ability, Model CORE, RME Approach, Quizizz
The Effect of Profitability, Liquidity, and Leverage on Profit Growth with Managerial Ownership as a Moderating Variable in Automotive and Component Companies Listed on the Indonesia Stock Exchange
Authors: Pulungan Mutiara , Maksum Azhar , . Tarmizi
Published: February 2023

This study aims to determine and analyze the effects of profitability, liquidity, and leverage on profit growth with managerial ownership as a moderating variable in automotive companies and components listed on the Indonesia Stock Exchange. Research Period 2017-2021, there are 12 companies. This type of research is causal associative. The population in this study is Automotive companies and components listed on the Indonesia Stock Exchange. The sampling method is a census, so the number of samples used is 60 research sample data. The data analysis method uses SPSS 23. The results showed that profit growth while liquidity and leverage had no significant effect on profit growth in automotive companies and components listed on the Indonesia Stock Exchange. Profitability, liquidity, and leverage significantly affect profit growth in automotive companies and components listed on the Indonesia Stock Exchange. Managerial ownership can moderate the relationship between profitability, to profit growth. In contrast, managerial ownership cannot moderate the relationship between liquidity and leverage on profit growth in automotive companies and components listed on the Indonesian Stock Exchange.

Keywords: Profitability, Liquidity, Leverage, Profit growth, Managerial Ownership
Illocutionary Speech Acts of Japanese Gratitude as Depicted in the Black Cinderella Drama and Directed by Kawamura Taisuke
Authors: Malayu Siti Muharami , Muliadi Yuddi Adrian , Sartika Aras
Published: February 2023

Speech acts are related to the intent and meaning of utterances according to the purpose of the speaker. Illocutionary speech act is the ability to convey something by the speaker to the hearer who is expected to perform the action. This is library research with note-taking method; the utterance is taken from a Japanese Black Cinderella drama. The conclusion is that the speech act of gratitude in Japanese appears in several variations, such as, arigatou gozaimasu, arigatou, hontou ni arigatou gozaimashita, kanshashiteru, sankyu, yokatta, go kyouryoku yoroshiku onegaishimasu, otsukaresama deshita, gochisousama deshita and shoujiki arigatai where their functions differ. The higher the social status of the speech partner is, the more polite the language would be.

Keywords: Speech acts, Illocutionary acts, Gratitude, Black Cinderella, Kamiya
Current Scenario of Educational Policies & Strategies of Mekong Ganga Cooperation Countries with Reference to Higher Education
Authors: Ghanta Bikash
Published: February 2023

Education is the main guide of human progress. Education brings consciousness, increases the innovative power of people, widens the way forward for the future. In the general sense, education is to achieve the development of the larger society and the world by achieving the full development of the inherent abilities and skills of the people. All the countries of the world are gradually trying to establish themselves firmly through incredible changes and refinements in their education systems. New plans are created daily; goals are set for the future. Because every country agrees on one thing that education is the only means and weapon by which it can move forward. Just as primary education and secondary education on the one hand lay the foundations of society, higher education has a significant impact on the larger development of society as higher education is directly related to the country's economy, science, research and industry. This research paper sheds light on the educational plans and strategies on higher education of the countries included in Mekong-Ganga Cooperation. Mekong Ganga Cooperation is a multidimensional organization, consists of India and 5 ASEAN countries i.e., Cambodia, Lao PDR, Myanmar, Thailand and Vietnam, that was launched in 2000 in the capital of the Lao PDP, Vientiane by focusing on four aspects of development namely Tourism, Culture, Education and Transport and Communication. The recent educational policies and strategic plans of these countries are analyzed to know the shape of higher education. Basically it is a qualitative research work where qualitative data is used entirely and the sources of data are secondary sources. A comparative conclusion is reached by analyzing the data obtained. As a result, it is found that each country has its own goals according to its socio-economic context which it strives to achieve. On the other hand, educational frameworks contain goals that are common to all countries.

Keywords: Higher education, Mekong Ganga Cooperation, Educational Policies & Strategies
Perencanaan Event Pementasan Tari Tradisional Dengan Tema “We Are Awesome” Oleh Siswa-Siswi Berkebutuhan Khusus Sekolah Mandiga Untuk Meningkatkan Kesadaran Publik Tentang Sekolah Mandiga
Authors: Febriyola Fitria , Wuliani Lia , Greslya Puttileihalat Ayu Ditha
Published: February 2023

Dengan manfaat yang baik untuk tubuh dan kemampuan komunikasi anak autisme, saya selaku pembuat karya ingin membuat serangkaian event yang ditujukan untuk siswa/i Sekolah Mandiga yang berjudul “Perencanaan Event Pementasan Tari Tradisional oleh Siswa-Siswi Sekolah Mandiga untuk Meningkatkan Awareness”. Selain itu, event ini dapat dijadikan sebagai media komunikasi untuk meningkatkan pengetahuan publik mengenai Sekolah Mandiga ke masyarakat, orang tua yang memiliki anak dengan autisme dan orang-orang yang peduli dengan autisme agar anak-anak autisme dapat berkarya seperti anak yang tidak memiliki kebutuhan khusus.
Konsep Kompetensi Pedagogik Guru dalam Kitab Ushul Al Tarbiyah Wa Al Ta'lim
Authors: Bahruddin Bahruddin , Ahmad Ahmad , Khalim Abdul
Published: February 2023

Educational goals can be achieved with a harmonious relationship between educational components including teachers and their pedagogical competence. Pedagogic competence is also found in the book Ushul Al Tarbiyah Wa Al Ta'lim. So the researcher wants to study more about the concept of Teacher Pedagogic Competence in the Book of Ushul Al Tarbiyah Wa Al Ta'lim. The purpose of this research is to obtain information about the concept of pedagogical competence in the book Ushul Al Tarbiyah Wa Al Ta'lim. The research method was carried out by means of a literature study on the book Ushul Al Tarbiyah Wa Al Ta'lim volumes I, II, III, and IV so that the results obtained were that pedagogic competence has components that must be mastered, namely: (1) The teacher must always have the attitude to work hard also never give up in carrying out learning, (2) Each teacher must be able to understand various theories of general knowledge in education such as meaning, phenomena and educational goals, (3) Teachers must be able to understand the various characteristics of their students (4) Teachers in Islamic boarding schools must have an understanding of how to carry out learning with appropriate methods and materials, (5) Teachers must have an understanding of how to develop the potential of students, (6) Teachers in epsantrean must have an understanding in providing learning (7) Teachers must be able to communicate effectively, full of concern and courtesy to students, (8) Every teacher must have the ability to conduct assessments and evaluations for their students (9) Each teacher must be able to be a role model for each of his students, (10) Teachers not only carry out tutoring but also provide guidance in worship and increase faith.
Kompetensi Pedagogik Guru di Pondok Modern Darul Arqom Patean
Authors: Ahmad Ahmad , Bahruddin Bahruddin , Khalim Abdul
Published: February 2023

The Darul Arqom Patean Modern Islamic Boarding School is one of the Islamic boarding schools in Indonesia which has the principle of providing the best education so that it can form graduates or alumni who are in line with National education goals as stated in Law No. 20 of 2003 concerning the National Education System. To achieve this goal, of course, requires the role of the teacher to carry out his duties and functions in providing the best education or learning. To form quality teachers, every teacher at the Darul Arqom Patean Islamic Boarding School must fulfill their competencies as teachers, one of which is pedagogic competence. The purpose of this study was to determine the achievement of the pedagogical competency components of teachers at the Modern Darul Arqom Patean Islamic Boarding School. The research method used is descriptive qualitative with data collection methods through interviews, observation, and FGD. The number of respondents in this study was 33 consisting of pesantren leaders, heads of student care bureaus, directors of KMI, and 30 teachers. After the data was collected, data analysis was carried out so that the results of the study revealed that 9 components of pedagogic competence had been mastered by teachers so that they were in the good category, 1 component was in the sufficient category, namely the competence to guide students by being role models, and two competencies that were still in the less category, namely the first competency in mastering learning theory and learning, both understanding the characteristics of students.
Rational inhalation therapy in COPD in India: Hope or hype!
Authors: SHITAL VISHNU PATIL  , GANESH RAMKRISHNA PAWAR
Published: February 2023

Chronic obstructive pulmonary disease (COPD) is common chronic lung disease usually treated in all health care settings as per knowledge of disease, availability of medicines and affordability of patients in India. COPD is second leading cause of death in list of all cause of mortality. COPD is under evaluated and half-heartedly treated with irrational oral medicines in spite of rational inhalation therapy in primary to tertiary care settings. More than half of the cases died due to cardiovascular causes are having underlying COPD as precipitating factor. More disease awareness regarding use of spirometry in health care professionals for proper diagnosis of COPD with more emphasis on rational inhalation treatment is must to prevent morbidity of mortality of this treatable disease.
Anemia Due to Heavy Menstrual Bleeding: A Literature Review
Authors: Tabassum Shazia , Ssadaf Rabeea , Kishwar Nasreen , Rauf Bushra , . Samreen , Farhad Umaiyma
Published: February 2023

Objective: The aim of this study is to review the current guidelines regarding the management of HMB, including screening for anemia, Iron studies and iron-based and non-iron-based treatment of ID/IDA. Methods: The literature searched for this article included the latest Guidelines for HMB. The data was collected from authentic websites such as pubmed and well-known clinical guidelines from professional societies. Results: More than 50 guidelines throughout the world were searched and studied for this review. Among them 22 were selected for this review. 16 of these guidelines focused on screening of women with HMB for anemia. There were some inconsistencies concerning screening for ID with eleven of the 22 guidelines providing no recommendation for screening of Iron levels and four even strictly advising against screening for iron levels initially. Almost one third of the selected guidelines provided guidance for oral iron therapy as first line in ID, 4 guidelines provided guidance for use of IV iron replacement in severe anemia, non-responders to oral treatment and prior to surgery. 3 of the guidelines had HB threshold for selecting between oral and IV route while further 4 guidelines were of the view of transfusion in case of severe anemia. Conclusion: Although many of the guidelines are of the view to treat anemia due to HMB, there is lack of consensus regarding screening for ID and treatment with iron supplements, due to this most of the IDA related with HMB goes undiagnosed. Therefore, a proper guidance is required that addresses all the aspects of ID/IDA including screening, relevant tests and treatment in patient with HMB in order to optimize the health outcome of these patients. Keywords: Anemia, Blood, Menstrual Cycle, Surgery
Serum Creatinine Levels Have Been Shown to Accurately Predict in-Hospital Mortality in Individuals who have Been Effectively Treated with PPCI
Authors: Din Iqtidar Ud , Raza Butt Muhammad Ahmad , Khan Muhammad Saeed Afridi , Khan Muhammad Suleman , Akhtar Parveen , . Mujeebullah
Published: February 2023

Objective: The purpose of this study was to assess the predictive value of serum creatinine for in-hospital mortality among patients who had acute coronary syndromes. Study Design: An observational study Place and Duration: This observational study was conducted at Department of Cardiology, Rashid Latif Medical College, Lahore and Nowshera Medical College, Nowshera, KPK in the duration from 1st May, 2022 to 31 October, 2022. Methods: Total 198 patients had acute coronary syndromes who underwent successful primary percutaneous coronary intervention (PCI) were included. Patients were aged between 25-80 years. After receiving written consent, we recorded the subjects' ages, sexes, BMIs, and diagnoses in detail. Within 12 hours of an AMI diagnosis, serum creatinine levels were taken. Patients were split into two groups based on their serum creatinine levels upon admission. There are two categories, those with high levels of serum creatinine (over 1.3 mg/dL) and those with normal levels (below 1.3 mg/dL). Life expectancy at death was measured at one year. All of the information was analyzed with SPSS 22.0. Results: There were majority 140 (70.7%) males and 58 (29.3%) females in this study. Mean age of the patients was 55.18±11.24 years and had mean BMI was 24.6±14.52 kg/m2. Mean serum urea level was 37.3±0.22 mg/dL. Diabetes found in 40 (20.2%) cases and frequency of hypertension was 82 (41.4%). Anterior myocardial infarction was found in 79 (39.9%) cases followed by Inferior MI in 73 (36.9%) cases and non-ST MI in 46 (23.2%) cases. Mean left ventricular ejection fraction (LVEF) was 45±7.17 %. We found elevated serum creatinine in 37 (18.7%) cases and normal creatinine in 161 (81.3%) cases. Mortality in elevated group was higher found in 10 (27.02%) cases and as compared to normal group 8 (4.96%). Conclusion: The results of this study indicate that patients with AMI who had even slightly raised serum creatinine levels at admission have a significantly higher risk of dying within a year. Keywords: Myocardial Infarction, Comorbidities, Primary percutaneous coronary intervention, Mortality, Serum Creatinine
A Study to Determine the Perinatal Outcome in Isolated Oligohydramnios at Term Pregnancy
Authors: Sadaf Rabeea , Muddassar Saman , Kishwar Nasreen , Farhad Umaima , . Samreen , Khattak Shazia , . Laila
Published: February 2023

Objective: A Study to Determine the Perinatal Outcome in Isolated Oligohydramnios at Term Pregnancy Study Design: A cross-sectional study Place and Duration: Department of Gynecology and Obstetrics, Hayatabad Medical Complex from October 2022 to March 2023 Methodology: Our sample size was 250 which were divided into 1:1 including 125 cases with isolated oligohydramnios and 125 control cases. Patients with chronic medical disorders and having fetal anomalies or IUGR were excluded. The mode of delivery was noted. Neonatal outcomes in the form of Apgar score, baby weight and need for NICU were noted. Results: The cases with isolated oligohydramnios were associated with an increased incidence of CTG changes, meconium-stained amniotic fluid and the cesarean section as compared to women with normal amount of amniotic fluid. There was no difference between the cases and controls as regards duration of labor, need for oxytocin augmentation, need for neonatal resuscitation, APGAR score at 5 minutes, NICU admission birth weight of neonates or incidence of LSCS for fetal distress. A significant association (OR=1.85, P<0.001) was found between caesarean section in mothers with oligohydramnios compared to controls. Conclusion: Our study found increase cesarean section rate due to CTG changes and meconium stained liquor in isolated oligohydramnios. However neonatal outcome in the form of birth weight, Apgar score and NICU admission was same for both cases and control. Keywords: Oligohydramnios, Perinatal, Term Pregnancy
Comparison of Clipped Laparoscopic Cholecystectomy and Clipless Laparoscopic Cholecystectomy in Context of Biliary Leakage
Authors: Khan Aurangzeb , Shar Zulfiqar Ali , Memon, Munawer Latif , Zai Abdul Rasheed , Chandio Sadaf
Published: February 2023

Objective: To compare the outcome of clipped laparoscopic cholecystectomy and clipless laparoscopic cholecystectomy in context of biliary leakage. Study Design: Cross-sectional analytical study Place and Duration of Study: Department of Surgery Unit-II, Benazir Bhutto Hospital Rawalpindi from 1st September 2021 to 31st August 2022. Methodology: One hundred and twenty patients were included in the study and divided into two major groups. The biochemical analysis and ultrasonography was performed post 8 hours fasting. Group one had those cases which underwent clipped laparoscopic cholecystectomy while group 2 had those cases which underwent clipless laparoscopic cholecystectomy. The age of the patients was selected between 40 to 60 years and the prevalence for this sampling was considered as 20% in Pakistan. The demographic details, clinical history, signs and symptoms, clinical diagnosis based on USG, lipid profiling, and variables as post-operative time, hospital stay and ease in procedure were documented. Results: The mean age of the cases underwent clipped laparoscopic cholecystectomy was 42.3±12.11year with 40 females and 20 males who underwent those procedures. The mean age of the cases underwent clipless laparoscopic cholecystectomy was 40±11.05 years with 45 females and 15 males. The present study results evidently highlighted the fact that there were high percentage cases of biliary leakage seen in clipped cases than in the clipless cases. There were22 cases with 36.6% in clipped groups while 9 cases with biliary leakage such as 15% in clipless group. Conclusion: Clipless laparoscopic cholecystectomy is a better optional procedure with efficient usefulness in context to biliary leakage, operation time and hospital stays. Keywords: Outcome, Clipped laparoscopy cholecystectomy, Clipless laparoscopic cholecystectomy, Biliary leakage
Prediction of Esophageal Varices by Non-Invasive Markers in Patients of Hepatic Cirrhosis due To Chronic Hepatitis C
Authors: Rauf Hafiza Faiza , Rana Mahwash , Ahmad Adeel , Waheed Khalid
Published: February 2023

Background: Esophageal varices develop as a consequence of portal hypertension in patients with chronic liver disease. Predicting the varices by non-invasive methods at the time of registration is likely to predict the need for prophylactic β blockers or endoscopic variceal ligation in patients with cirrhosis and portal hypertension. Objective: To evaluate the accuracy of combined non-invasive parameters in predicting the presence of esophageal varices in patients with hepatic cirrhosis due to chronic hepatitis C, using the positive predictive value (PPV) as a measure of performance. Methods: In this cross-sectional study conducted in the Department of Medicine, Unit-I, Sir Ganga Ram Hospital, Lahore, 125 patients fulfilling the inclusion criteria were included. Platelet count, Prothrombin Time/International Normalized Ratio (PT/INR) and portal vein diameter was assessed. Upper gastrointestinal endoscopy was done in all patients to check the presence or absence of esophageal varices. Results: Mean age of the patients was 52.52±8.39 years with 64% males. Mean PT was 10.09±3.13, mean INR was 1.75±0.22, mean platelet count was 83.56±13.47 while mean portal vein diameter was 13.79±0.84. In 61 patients (48.8%) esophageal varices were present on endoscopy and in 85 patients (68%) esophageal varices were predicted by combined non-invasive parameters. Positive predictive value of combined non-invasive parameters was 71.7%. Practical implications: Noninvasive predictors can be used as a screening tool to decide need for preventive drug therapy in esophageal varices and thus help reduce the workload and financial burden of routine endoscopies in all cirrhosis patients. Conclusion: The results suggest that combined non-invasive parameters may be a useful tool in the prediction of esophageal varices in patients with hepatic cirrhosis Keywords: Esophageal varices, Non-invasive predictors, Portal hypertension
Anatomically Abnormal Placement of Placenta and its Under Lying Factors Maternal Tobacco Exposure, History of Cesarean Section and Hypertension among Gravid Females Detected by Sonographically
Authors: Nahra Riasat Ali , Ullah Hafsah Ehsan , Nahra Areeba Riasat , Siddiqi M. Faheem , Gulzar Arif , Mobeen Noor ul
Published: February 2023

Aim: To ascertain, placenta previa, acreta and per acreta by ultrasonography during antenatal visit of pregnant mother in 3rd trimester with history of risk factors smoking active passive, hypertension previous history of surgery with consents. Design: cross sectional. Duration: December 2020 to May 2022 (one year & Six Months). Site: Radiology, Gynae & Obstetric department of Pak Red Crescent Medical & Dental College and teaching hospital Dina Nath Multan Road Kasur. Method: convenient sampling with written consent for participation in study. Pregnant mother in 3rd trimester were examined with ultrasonography and color Doppler. Keywords: Abnormal placement of placenta, Risk factors, Ultrasonography.
Comparison of Post-Operative Pain after Lap Mesh Hernioplasty and Open Mesh Hernioplasty
Authors: Aslam Rana Shoaib , Hassaan Muhammad , Rashid Jehanzaib , Arshid Assam
Published: February 2023

Objective: To compare the outcome of two tension free methods of hernia repair: laparoscopic mesh repair versus open mesh technique in terms of severity of chronic post-operative pain. Material and methods: In this randomized controlled trial, total 100 male patients with inguinal hernia, age between 20-60 years were selected from Department of Surgery, Arif Memorial Teaching Hospital Lahore. Duration of study was 6 months (from April 2021 to October 2021). Chronic pain was compared between the groups. Results: In our study, mean age in group A and B was 41.84+8.92 years and 43.18+8.58 years respectively. Chronic pain was recorded in 4%(n=2) patients in Laparoscopic group (Group-A) and 28%(n=14) patients in Lichtenstein group (Group-B) while 96%(n=48) patients in Laparoscopic group (Group-A) and 72%(n=36) patients in Lichtenstein group (Group-B) had no chronic pain. Difference was significant (P=0.001). Pain intensity shows that 96%(n=48) patients in Laparoscopic group (Group-A) and 16%(n=8) patients in Lichtenstein group (Group-B) had no pain while moderate pain was reported in 4%(n=2) patients and 72%(n=36) patients respectively in Laparoscopic group and Lichtenstein group and severe pain was noted in Group-B as 12%(n=6), p value was 0.001. Group A was subjected to Laparoscopic Mesh repair and Group B hernia was repaired by Lichtenstein repair Conclusion: We concluded that laparoscopic mesh repair versus open mesh technique in terms of severity of chronic post-operative pain, laparoscopic mesh repair is found with significant lower pain. Keywords: Laparoscopic mesh repair, inguinal hernia, open mesh, severity of chronic post-operative pain.
Levels of C-Reactive Proteins in Pregnant Women and its Relation with Preeclampsia in Singleton Pregnancy
Authors: Akhtar Nasreen , Zafar Arifa , Ain Qurat-Ul-, , Rasheed Tuba
Published: February 2023

Objective: To find the levels of C-reactive protein pregnant women and its relation with preeclampsia in singleton pregnancy. Study Design: Case control study. Place and Duration of Study: Department of Obstetrics & Gynaecology, Mohtarma Benazir Bhutto Shaheed Medical College, Mirpur Azad Kashmir from 1st July 2021 to 30th June 2022. Methodology: One hundred preeclampsia and 50 control women were enrolled. Protein in the urine presenting renal impairment, decrease platelet counts and renal disease were assessed. Cases that had a blood pressure which was chronically high in cases prior to gestation or were chronic renal disease patients were excluded from the study. A biochemical analysis of C-reactive proteins was conducted through ELISA. The results were than interpreted in terms of their association with preeclampsia. Demographic details and clinical parameters as body mass index (kg/m2), familial history, any related comorbidities, clinical signs and symptoms were documented. Results: The mean age of the preeclampsia women was 31.3±3.2 years while that of pregnant women who were normal controls as 25.8±3.8 years. Primigravida was higher in preeclampsia women while multigravida was higher in normal control pregnant women. Hypertension was prevalent in 73% of the preeclampsia cases than 10% of the normal control pregnant cases. Urinary protein was high as 2 gm in 51% cases of preeclampsia The C-reactive protein value was also significantly higher in preeclampsia cases than normal controlled pregnant women. Conclusion: There is a direct significant association between preeclampsia and high levels of C-reactive proteins. Keywords: C-reactive protein, Pre-eclampsia, Pregnancy
Effectiveness of Extracorporeal Shockwave Lithotripsy and Percutaneous Nephrolithotripsy for the Management of Moderate Size Kidney Stone
Authors: Ahmad Tausif , Anwar Khursheed , Khan Noorshad , Khan Liaquat Ali , . Rafiullah
Published: February 2023

Aim: To provide a specific guidance in managing renal stones. Study Design: Place and Duration of Study: Pakistan Atomic Energy Commission, General Hospital Islamabad from 1st 2018 to 30th November 2018. Methodology: Eighty two patients were included and divided into two groups. Patients in group A underwent ESWL, while those in group B underwent PCNL. All of the participants underwent thorough diagnostic and therapeutic procedures. As per inclusion and exclusion criteria, patients with renal stones (10-20 mm), detected by CT scan were selected for either ESWL or PCNL. Results: Thirty four patients in the PCNL group and 21 patients in the ESWL group, had post-operative hematuria at the time of presentation (p=0.072). There is a substantial difference between patients between 18-38 years and those in the 60+ years. According to the stone-free rate, 76 individuals had favourable results whereas only 6 had negative ones (p=0.756 and p=0.050). Conclusion: Extracorporeal shockwave lithotripsy and pecutaneous nepthrolithotripsy are both effective technique options for kidney stones. However, since ESWL is non-invasive and has fewer adverse effects than PCNL treatment option, it is more successful in treating medium-sized kidney stones (20 mm or smaller). Keywords: Extracorporeal shockwave lithotripsy, Percutaneous nephrolithotripsy, Kidney stone
Use of Endodontic Imaging Modalities in Forensic Identifications
Authors: Zaheen Uzma , Nadeem Khurram , Ramzan Shaiqa , Mirza Mansoora , Khan Haroon Anwar
Published: February 2023

Background: Forensic odontology has a advance role in identifying a deceased person using dental records. Because of the growing trend of litigation around the world, precise recording of clinical dental operations has become increasingly necessary. Objective: To see the endodontic obturation radiographs have a hidden function in identification. Study Design: Cross-sectional study. Place and Duration of Study: Dental OPD, Central Park, Lahore and Private Clinics of Lahore from 1st March 2022 to 31st August 2022. Methods: From the digital X-ray system's data bank, 30 periapical radiographs of patients who had endodontic treatment of the mandibular left (first molars with three canals) were randomly selected. The ante-mortem data "Set 1" consisted of post-operative radiographs. From the thirty radiographs, ten were reprinted, labelled (A-J), and deemed post-mortem data "Set 2."This "Set 2" post-mortem group of 10 radiographs would be compared to the "Set 1" ante-mortem group of 30 radiographs. Ten dentally educated persons would examine these two sets of radiographs. Each examiner was given thirty radiographs from "Set 1" and ten radiographs from "Set 2," with the task of matching the individual post-mortem radiographs ("Set 2") with the ante-mortem radiographs ("Set 1"). Results: Thirty four examiners had a 100% success rate, 4 examiners had a 97.5% success rate (1 mismatch), and 2 examiners had a 95% success rate (2 mismatches). Conclusion: On the off chance that after death radiographs are precise duplicates of endodontic obturated radiographs, the obturation's novel shape can be taken advantage of for forensic ID. Keywords: Forensic odontology, Endodontic obturated radiographs
Xanthine Oxidase Inhibitory Activity of Ethanolic Extract of Ficus Carica Fruit
Authors: Irum Zoobia , Siddiqui Amer Hassan , Khan Fariha Ahmad , Perveen Fouzia , Firdous Asia , Yousaf Neelofer
Published: February 2023

Hyperuricemia is a purine metabolism disorder characterised by an excess of uric acid in the blood and considered as a risk factor for gout, coronary heart disease, hypertension, diabetes, and a variety of other illnesses. Xanthine oxidase inhibitors have key role in management of hyperuricemia and related disorders but multiple adverse effects associated with these agents have minimized their chronic use. Ficus carica fruit has been widely used around world as a therapeutic agent for several disorders. In traditional medicine it has been used to treat gouty arthritis but the effect has not been scientifically established so far. Objective: This study was conducted to assess the in vitro xanthine oxidase inhibition of Ficus carica fruit extract. Method: The ethanolic extract of Ficus carica fruit was evaluated in vitro at five different doses for its xanthine oxidase inhibition. Xanthine oxidase inhibitory activity was measured spectrophotometrically and inhibitory concentration IC 50 was calculated. The dose dependant inhibition of Ficus carica fruit was compared with inhibition of standard drug allopurinol. Results: Ficus carica fruit extract was found to possess xanthine oxidase inhibition with IC50 27.5 µg/ml in comparison to the allopurinol with IC50 11.0 µg/ml.Thus the agent can be used as alternative to standard drug allopurinol for treatment of hyperuricemia and related disorders. Conclusion: The study showed that Ficus carica fruit has potential to inhibit the xanthine oxidase so can be used as natural source to treat gout and many other xanthine oxidase related medical disorders. Keywords: Ficus carica Extract (FCE), Xanthine Oxidase (XO), Xanthine Oxidase Inhibition (XOI), Hyperuricemeia (HU).
Episiotomy Repair With Calf Tongue Simulators
Authors: TÜRKMEN Hülya , KARACA SİVRİKAYA Sibel
Published: February 2023

Determining whether or not using calf tongue simulators in repairing episiotomy increases students’ knowledge and skill levels. Materials and Methods: The study in the form of a single-group “pretest-posttest” pretrial was carried out in April 2019 with students of midwifery (n=66). During episiotomy repair simulation training, suture techniques were shown by using calf tongue simulators. The data were collected by using a personal information form, while the Episiotomy Knowledge Levels Assessment Form and Episiotomy Repair Skill Levels Assessment Form were used for the pretest and posttest. Results: As a result of the simulation training, increases were observed in episiotomy knowledge and repair skill levels in comparison to the pre-training period (p
STUDY ON ESSENTIAL OIL COMPOSITION AND BIOLOGICAL ACTIVITIES OF ESSENTIAL OIL AND ETHANOL EXTRACT’S FROM ARTEMISIA SCOPARIA WALDST.et KIT GROWN IN MONGOLIA
Authors: Ayurzana Amarjargal
Published: February 2023

Mongolia is rich in medicinal plants. Essential oils of aromatic and medicinal plants generally have a diverse range of activities because they possess many active constituents that work through a several modes of action. Artemisia, the largest genus of the family Asteraceae, has a number of effects against human and plant diseases [8].This study was aimed to evaluate antioxidant, cytotoxic activities of aerial parts ethanol extracts from Artemisia scoparia  Waldst.et Kit  grown in Mongolia. The antioxidant and cytotoxic activities of the essential oil and ethanol  extract was determined by using DPPH and MTT assays.  The ethanol extracts showed higher antioxidant activity than essential oil.  The essential oil of  Artemisia scoparia  Waldst.et Kit with a concentration of 150 mg/ml or 3μg/disk inhibits the growth of  S.enterica 10.6±0.58 mm, B.subtillus 11.6±1.15 mm, and has a moderate bacterial activity.The  half-lethal dose (IC50) 56.542 μg/ml  is  of essential oil of Artemisia scoparia Waldst. et. Kit, so essential oil of Artemisia scoparia  Waldst. et. Kit is active in inhibiting of liver cancer cell line  (HepG2).The half-lethal dose (IC50)  72.611 μg / ml   is  of essential oil  Artemisia scoparia Waldst. et. Kit,  which has the active  in  inhibiting the growth of human stomach  cancer  cell line (AGS).The results clearly showed that the essential oil presented satisfactory cytotoxic activity  against human stomach cancer cell line AGS. Our work revealed that the ethanol extracts and essential oil of Artemisia scoparia  Waldst.et Kit  grown in Mongolia has potential as sources of new antioxidant, and cytotoxic compounds, respectively.
ABNORMALITIES OF TESTICULAR FUNCTION OF MALE WISTAR RATS FED SOME PROTEIN SUPPLEMENTS
Authors: El-barasi Osama M. Y. , AL-kelany Yousef M.
Published: February 2023

Athletes and bodybuilder consumed high protein supplements to obtain a lot of energy and enhance the development and strength of their muscles. However, after time, different investigations revealed dysfunctions of their body organs. There are contradictions between scientists concerning the benefits and the alarm of developing body dysfunction. In the present work, we selected three animal groups of male Wistar albino rats (n=10), control, hyper whey (HW) 2.6g/kg body weight and super amino 2500 (SA) 2.6g/kg body weight. The dose was provided through a healthy water tap for 14 weeks. The body weight was regularly measured. At the end of experiment, animals were sacrificed, dissected and blood collected from puncture of heart and the testes were removed and weighed. A biochemical analysis of function testes and histopathological investigations are done. From Morphometrical prospect, the total number of seminiferous tubules were markedly decreased in HW & SA. On the other hand, by using histopathological method on the symbol supplemented by WH, the spermatogenic cells were apparently declined and lacked normal pattern of arrangement. There was a noticeable increased number of necrotic spermatocytes and cell debris occupied the central region of the tubular lumina. Super amino supplementation revealed alterations of the seminiferous tubules. There was a clear reduction of spermatogenic cells. Biochemically. In HW and SA supplemented groups, it has registered a decrease in plasma total testosterone. The levels of T3 and T4 was markedly decreased in HW supplementation and slightly affected in SA fed rats
ANTIDIABETIC AND HYPERINSULINEMIC EFFECTS OF FENUGREEK AND TERMIS SEEDS AQUEOUS EXTRACTS IN EXPERIMENTAL RATS
Authors: MARZOUK M. , OMAR T. Y. , SOLIMAN A. M.
Published: February 2023

To investigate antidiabetic efficacy of Fenugreek (F) and Termis (T) seeds aqueous extracts in streptozotocine induced diabetes in rats. Experimental diabetes was induced by intraperitoneal injection of a single dosage of STZ (50 mg/kg, i.p.). Adult male rats were divided into five groups; (1) normal control, (2) diabetic control, (3) diabetic-F supplement (1 g/kg b. wt.), (4) diabetic-T supplement (1 g/kg b. wt.) and (5) diabetic- mixture (M) supplement (1 g/kg b. wt.) of each seed extracts concurrently for 30 days. The decreased insulin, plasma GSH, GST, CAT, as well as liver and muscle glycogen content and increased serum glucose, total lipids, triglycerides, total cholesterol, creatinine, urea, uric acid, AST, ALT, and ALP were the salient features recorded in diabetic control rats. This study showed that the regular intake of the T. foenum graecum, L. albus seeds water extract and their mixture can improve antioxidant status and considered as an effective agent in modulating the alterations due to diabetes.
PREVALENCE OF INTESTINAL PROTOZOAN PARASITIC INFECTIONS AMONG PEOPLE ATTENDING SEBHA CENTRAL LABORATORY IN SEBHA, LIBYA: A RETROSPECTIVE STUDY
Authors: Ibrahim Hasan M. S. , Baraka Morad A. S.
Published: February 2023

Intestinal d protozoan parasites are still major public health problems in the world, particularly in developing countries. This retrospective study was conducted using data obtained from the Department of Parasitology of Sebha Central Laboratory in Sebha, Libya. A total of 740 stool samples were recorded from January to December, 2017. All samples were examined by direct wet smears using normal saline and Lugol’s iodine. The objective of this study was to determine the different types of intestinal protozoan in Sebha city. The results were analyzed using SPSS version 20.0, the Chi-square test was used to measure the statistical significant differences at level p<0.05. The overall prevalence rate of protozoan parasitic infections was 10.5% (78/740). Four species of protozoan parasites were detected as single infections: Blastocystis hominis (6.8%; 50/740), Entamoeba histolytica/Entamoeba dispar (2.3%; 17/740), Giardia lamblia (0.9%; 7/740), and Entamoeba coli (0.3%; 2/740). Two samples were obtained with mixed infections: the first by Blastocystis hominis with Entamoeba histolytica/Entamoeba dispar (0.1%; 1/740), and the second by Blastocystis hominis with Giardia lamblia (0.1%; 1/740). Prevalence of protozoan infections was insignificantly (p=0.740) higher in males, 10.9% (43/396) than females (10.2%; 35/344). The prevalence of protozoan infections was highest in the 10-19 years age group (14.1%, 14/99), and lowest in the 30-39 years age group (5.7%; 4/70), with no significant differences between the intestinal protozoan infection and age groups (p=0.641). According to the seasonal variations, the results revealed that the highest rate of infection was in November (20.8%, 11/53), followed by 19.6% in September (9/46), while the lowest infection was 4.3% in July (3/70). No significant differences were detected in the prevalence of infection between the different months (p=0.236).
FORECASTING OF THE MAXIMUM ANNUAL FLOOD HEIGHT OF A RIVER USING THE LEAST SQUARES METHOD
Authors: Binyahmed K. , Said H.
Published: February 2023

This paper deals exclusively with mathematical functions that link between time and the maximum annual flood height of Ocmulgee River in the U.S. state of Georgia during 60 years.

The best equations used this study were the cftool program including with the Matlab program. This program is based on the least square method using ready functions or suggesting any other functions. We looked at the data as a whole and found the best curve with the smallest errors. The second method was to look at the data horizontally. The differences between the years are 10 years, because there is a close approximation of these data. The results found that the error in the second method was much less than the error in the first method and the error did not exceed 1.6%.
THE (G′/G) -EXPANSION METHOD FOR SOLVING A NONLINEAR PDE DESCRIBING THE NONLINEAR LOW-PASS ELECTRICAL LINES
Authors: Alurrfi Khaled A. E. , Shahoot Ayad M. , Elmrid Mohamed O. M. , Almsiri Ali M. , Arwiniya Abdullah M. H.
Published: February 2023

In this paper, we apply the (G′/G)-expansion method based on three auxiliary equations namely, the generalized Riccati equation, the Jacobi elliptic equation and the second order linear ordinary differential equation to find many new exact solutions of a nonlinear partial differential equation (PDE) describing the nonlinear low-pass electrical lines. The given nonlinear PDE has been derived and can be reduced to a nonlinear ordinary differential equation (ODE) using a simple transformation. Solitons wave solutions, periodic functions solutions, rational functions solutions and Jacobi elliptic functions solutions are obtained. Comparing our new solutions obtained in this paper with the well-known solutions are obtained. The given method in this paper is straightforward, concise and it can also be applied to other nonlinear PDEs in mathematical physics.