bluuebunny/crossref_metadata_2025 huggingface dataset:
role of thoracic epidural analgesia in the management of blunt chest injuries in a resource-poor setting: A case report
Authors: Etta OE  , Anyanwu P  , Edubio MN  , Ekpe EE
Published: December 2023

Background: Chest trauma is a significant cause of morbidity and mortality, accounting for about 25% of all trauma death. Motor vehicle accident is responsible for majority of thoracic trauma while isolated rib fractures is the commonest presentation. Over 90% of thoracic trauma can be successfully managed conservatively. Thoracic epidural analgesia is a significant method of pain relief in chest trauma. We report the role of thoracic epidural analgesia in the successful management of chest trauma in a 54yr old man in a poor resource setting, and suggest that given excellent pain relief, most chest injuries can be managed in low-resourced peripheral centers.
Seasonal variation and socio-demographic factors affecting child- birth in Zaria, north-western Nigeria
Authors: Katung GK  , Randawa AJ
Published: December 2023

BACKGROUNDThe high maternal morbidity and mortality in developing countries can be linked to the skewed manpower distribution and inadequate planning and provision of maternal health services. An understanding of the seasonal variation and effect of social as well as demographic factors on monthly birth rates will help decision makers in the allocation of scarce human and material resources to coincide with periods of high childbirth rates.

OBJECTIVESThis study was carried out to determine the frequency of monthly childbirth and factors that affect such variations.

METHODSIt was a cross sectional retrospective study of delivery records at Ahmadu Bello University Teaching hospital, Zaria from January 2009 to December 2011. Data was collected manually and analysed using SPSS version 20.0

RESULTSThere were a total of 5015 deliveries over the study period with a yearly average of 1670. Forty five percent (45%) of parturient were aged between 25  30 years while 46.3% of them were primiparous. A bimodal distribution of peak birth rate was observed in months of March to May, and September to October respectively. There was a significant association between parity and monthly variation of childbirth which was more for primiparous women (rs= 0.01, α <0.05).

CONCLUSIONThere was an observed increase in the birth rate around the rainy and harmattan seasons. This knowledge can aid planning of health manpower distribution in order to ensure adequate coverage around these periods.
Presentation of primary carcinoma of the oesophagus in southern Nigeria
Authors: Anyanhun GA  , Okugbo SU
Published: December 2023

AIM: To document the presentation and epidemiology of oesophageal carcinoma in a Tertiary hospital in Southern NigeriaMETHOD: This was an 11 year retrospective study of all patients managed for oesophageal carcinoma in the University of Benin Teaching Hospital from January 2004 to December 2014.RESULT: Seventy-six cases were seen, comprising of 58 males and 18 females, with a male to female ratio of 3.2:1. Most patients (55.3%) were within the 60 - 75years age group; all patients (100%) presented with progressive dysphagia. The mean duration of symptoms at the time of presentation was 5.9 months (range 1-13 months). Sixty-two patients (82%) habitually ingested  alcohol and or consumed tobacco. The most predominant cell type was squamous cell carcinoma (81.6%) while the most common location of the lesion was distal third of the thoracic oesophagus (51.9%), followed by middle third (29.9%). Forty three percent of the patients had surgical palliative treatment for the dysphagia. The average survival was 19.8 weeks. The longest survival was 16 months and 1 week.

CONCLUSION:  Dysphagia and weight loss are the commonest symptoms of carcinoma of the oesophagus and late presentation for treatment is the norm.
Solitary inguinolabial neurofibroma mimicking an inguinolabial hernia: A case report
Authors: Etuk EB  , Amanari OC
Published: December 2023

Solitary inguinolabial neurofibroma is very rare. We present a case of a 54-year-old farmer, with a 2-year history of progressive right groin swelling. Intra-operative findings revealed a well circumscribed soft-tissue tumor extending from the inguinal canal into the labia majora. The tumor was excised and a histologic diagnosis of neurofibroma made. We report this case because of the rarity of its form of presentation and its mimicking an inguinolabial hernia.
A Review on the Prevalence of Cervical Dysplasia in Various Geographical Locations
Authors: P Kranthi Priya , Singh Nisha , Ch Gunawanti Babu , M Ramya , Kumar Amit
Published: December 2023

Cervical dysplasia is an unusual growth of cells that occurs on the cervix surface especially in between the uterus and vagina. It is the most common cancer in women that ranks second globally. In 2018, about 570000 women were diagnosed with cervical dysplasia worldwide. There are several factors that affect cervical dysplasia as per worldwide estimation. Cervical dysplasia caused mainly due to human papilloma virus. The main aim of this review mainly focuses on the significant epidemiological factors associated with cervical dysplasia in various geographical locations.
A Review on the Impact of Heavy Metals on Female Fertility
Authors: Pithani Dr. Himasree , Bandaru Dr. Lakshmi Himaja
Published: December 2023

In human health status, the quality of the environment plays an important role. With increased demand for industrial products, food, consumption by continuous growth of human population leads to excessive environmental contamination. The heavy metal group represents pollutants and in natural conditions these elements are not only decompose resistant but may also bio-magnify and bio-accumulate in the food chains which concerns with health problems, seriously connected with a annual emission rate globally. Environment exposure to the most comprehensively distributed pollutants like Cd, Pb, Hg and their contamination causes the main health hazards and at the same time heavy metals exhibits a high level of toxicity against living organisms.  According to the considerable toxicological study report from the recent decades, the heavy metals adverse effect on human beings as immunodeficiency, kidney & other organ failures, neurotoxicity, osteoporosis as well as latent involvement in impaired fertility. Epidemiologically and clinically, it is difficult to interpret the metal-induced effect on female reproduction as other factors are also involved. Toxic manifestations depend on intensity of exposure, timing and duration. The eco-toxicological and risk evaluation needs further critical investigation. Along with the implementation of law regulations for the emission limits, the development of awareness campaigns are also required to decrease the harmful habits & lifestyle to develop the successful techniques for fertility protection.
A Study on the Assessment of Knowledge and Awareness towards Drug-Food Interactions among Pharmacy Students
Authors: R Lavanya , Srujana V.Y.S. , Maryam Hesemeh Seyedeh , P Dr. Rajeswara Rao
Published: December 2023

Aim: To evaluate the knowledge and awareness towards the drug-food interactions among the Indian pharmacy students.

Materials and Methods: A total of 132 pharmacy students were participated in this study by filling the knowledge and awareness questionnaire. In this study the questionnaire was divided into 2 categories that include the evaluation of knowledge and awareness. The knowledge of study participants were graded into good (8-10) moderate (5-7) and poor (> 4).

Results: A total of 132 pharmacy students were participated in the study and among the 43 (32.6%) were found to be males and 89 (67.4%) were found to be females. In this study, 43.2% of the study participants were having good knowledge 53.8% of the study participants were having moderate knowledge and the remianing 3% of the study participants were having poor knowledge about drug-food interactions. About 71 (53.3%) of the study participants had the awareness regarding the usage of the hand book on software programme in order to check the drug interactions before taking them. About 130 (98.5%) of the study participants, felt that the doctors and the pharmacists should update their knowledge about the drug interactions.

Conclusion: Pharmacy students should have enough knowledge in the aspect of drug-food interactions as they are directly or indirectly involving in the pharmaceutical care plan of the patients once they become professionals. They should take the responsibility in creating the awareness regarding the drug-food interactions among the patients and should work efficiently in providing the better patient care.
A Study on the Assessment of Knowledge, Attitude and Practice on COVID-19 among the Indian Pharmacy Students
Authors: M Priyanka , I Bhagya Sri , V Shiva Vinod , Astaneh Mana , P Dr. Rajeswara Rao
Published: December 2023

Aim: To evaluate the knowledge, attitude and practice towards COVID-19 among the Indian pharmacy students.

Materials and Methods: This was a prospective study conducted among the Indian pharmacy students by using the KAP questionnaire which was circulated by means of Google forms to various pharmacy colleges located in India. A total number of 151 pharmacy students were participated in this study by filling the KAP questionnaire. In this study, the questionnaire was divided into 3-categories mainly knowledge, attitude and practice.

Results: According to the grading of the knowledge, most of the study participants were observed to be with good knowledge (92.1%) in the aspect of “COVID-19” followed by moderate knowledge (7.9%). In this study, the attitude of the study participants were observed to be upto the mark as they are considering “COVID-19”is a very serious disease and they are using a face mask to prevent a disease. We observed that most of the study participants increased their frequency of washing hands, using the hand sanitizer and masks, maintaining the social distance and avoiding the unnecessary travelling during the COVID-19 outbreak. Most of the study participants avoided touching their eyes, nose & mouth and also even avoided meeting their friends and relatives.

Conclusion: Pharmacy students and pharmacy professionals should have enough knowledge, attitude and practice towards COVID-19 as they are also part of the health care team. They should get involved in creating the awareness in the society regarding the COVID-19 to fight against it successfully.
A Brief Review on Rabbit Syndrome
Authors: Bonam Jyothi
Published: December 2023

Rabbit syndrome is a rare condition affecting only a small amount of psychiatric patients who are under antipsychotic treatment. This syndrome is characterized by fine, rapid, rhythmic movements along the vertical axis of mouth accompanied by lip sound and these movements occur with a frequency of approximately 5Hz. This syndrome is a late onset extra pyramidal side effect occurring 2- 5% of patients who were chronically treated with neuroleptics. Usually it occurs more in females older than 40years and twice predominant than males. Providing the empirical treatment by considering the neuropathological aspects of the patients may enhance the quality of life. To improve the treatment options, advanced research on the neurophysiological and pharmacological aspects are required.
Post Covid-19 Complications - A Review
Authors: Vamsi Krishna VN , Kumar Amit , Ravi Shankar K
Published: December 2023

Severe Acute Respiratory Syndrome – Corona Virus 2 (SARS-COV 2) is a highly contagious infectious disease, which was turned into global pandemic in the early 2020. Post covid-19 complications are not fully understood, but they are reporting at 12-13 weeks of recovery from covid-19. One in ten people who are recovered from covid-19 experience symptoms after 13 weeks. The pathology of covid-19 is characterized by cytokine storm that leads to thrombosis, multiple organ dysfunction and endothelial inflammation. The main aim of this review is to provide an overview of the post covid complications which may help the health care professionals in implementing the better management strategies.
Behcet’s Disease: A Multifaceted Affliction
Authors: Maram Sireesha , Venkataramana Reddy T , Mylapalli Hima Bindu , Padala Sudeepthi , Vangala Hemanth Kumar , Jangam Aksha Susmitha
Published: December 2023

Behcet’s disease is a rare systemic vasculitic disorder characterized by a triad of symptoms that includes recurrent mouth ulcers, genital ulcers and inflammation of uvea. The prevalence of this disease tends to be high in the third or fourth decades of life. Genetic and environmental factors may influence the development and progression of this disease. In this article, the involvement of the signs and symptoms of oral, genital, dermatological, musculoskeletal, gastrointestinal, ocular, neurologic, vascular and cardiac systems were reviewed along with the diagnosis and treatment of this disease. Diagnosis is quite complex due to the lack of specific laboratory, radiological and histological findings. Hence, the diagnosis can be completely depends upon the existing clinical features of that particular individual. Pathergy test is considered as an optional diagnostic test in the diagnosis of this disease due to the differences in the evaluation and application of the test. The treatment of Behcet’s disease varies with organs involved, severity of lesion and clinical manifestations associated with the patients. There is no cure for this disease and all the available treatments are mainly focused in resolving symptoms and recurrence. Since this condition is rare, the health care professionals should have regular discussions regarding the treatment goals for better therapeutic outcome and to prevent the further complications. Proper coordination and communication among the health care professionals of various departments is a prerequisite for effective therapy as this disease requires a periodic monitoring of multidisciplinary approach.
Risk Factors of Black Fungus- A Review
Authors: Siva Ganga M , Kumar Amit , Ravi Shankar K
Published: December 2023

Mucormycosis (Black fungus) is a rare deteriorating fungal infection and acquired predominantly by the inhalation of sporangio-spores. According to CDC, India has reported 8,480 cases of black fungus. Spores of black fungus are ubiquitous and were present everywhere in soil, leaf, compost piles and decaying organic matter at once. But, they have less virulence and mostly don’t cause any infection. There are some risk factors which weaken the immune system and makes advantages for black fungus to infect humans. The main aim of this review is to overview the risk factors of black fungus which help the public and health care professionals for better prevention strategy.
Syncope: A Brief Review
Authors: Jemini Charan K , Guttula Sunil Paul
Published: December 2023

Syncope can be described as the transient loss of consciousness due to decreased blood flow to the brain, also termed as pass out. Syncope may results from a sudden drop in blood pressure, reduced heart rate (bradycardia) or due to fluctuations in the blood volume. People are likely to become conscious and alert immediately after an episode of syncope or pass out but with little confusion. Depending on the etiology, syncope can be categorized into Vasovagal syncope (cardio-neuriogenic syncope), Situational syncope, Postural syncope, Neurological syncope and Metabolic syncope. Syncope and non-syncopal conditions, with real or apparent loss of consciousness, are often differentiated in most cases with an in depth clinical history, but this might sometimes be extremely difficult. In order to develop an effective mechanism?specific treatment, determining the mechanism of syncope is a prerequisite for advising the patients with regard to prognosis.
A study on the Assessment of Knowledge, Attitude and Practice towards Antibiotic Utilization among Pharmacy Students
Authors: Vinutna Roses B , Sri Divya K , Bhargavi M , Jyothsna D , Srinivasa Rao V , Rajeswara Rao P
Published: December 2023

Aim: To assess the knowledge, attitude and practice towards the antibiotics utilization among the pharmacy students. Materials and Methods: This was a prospective study conducted among the pharmacy students by using the KAP questionnaire which was circulated by means of Google form to various Pharmacy colleges located in Andhra Pradesh, India. Students from pharmacy colleges with both the gender of all age groups were included. Students who were studying the first and second years of B.Pharm & Pharm.D and students other than the pharmacy field were excluded from the study. Results: A total of 256 pharmacy students were participated in the study and among them 73 (28.5%) were found to be males and 183 (71.5%) were found to be females. Among the 256 study participants 90 (35.1%) were having good knowledge towards the antibiotics utilization, 88 (34.4%) were having moderate knowledge towards the antibiotic utilization and the remaining 78 (30.5%) were having poor knowledge towards antibiotic utilization. Most of the study participants were having good knowledge (35.1%) followed by moderate knowledge (34.4%). About 147 (57.4%) study participants thought that antibiotics should be prescribed only after culture and sensitivity report, 208 (81.2%) study participants thought that antibiotic resistance is a serious global health issue and 213 (83.2%) study participants thought that abuse of antibiotics has become the main cause leading to bacterial resistance. About 202 (78.9%) study participants used to consult a doctor before starting antibiotics, 196 (76.6%) study participants used to take the full course of antibiotics prescribed by a doctor and 157 (61.3%) study participants used to stop taking antibiotics when started feeling better. Conclusion: Pharmacy students should have good knowledge, attitude and practice towards the antibiotic utilization as they are directly or indirectly involving in the patient care where the rational usage of the antibiotics is mandatory to deal with the serious global health issue like the antibiotic resistance.
A Case Report on Hypokalemic Quadriparesis
Authors: Kumar Amit , Ovung Mhayani R
Published: December 2023

Hypokalemic quadriparesis is a rare phenomenon with potentially life-threatening clinical syndrome. It represents a heterogeneous group of disorders characterized by hypokalemia and acute systemic weakness which are clinically modifiable. It results from alteration in transcellular distribution of potassium or transcellular shift of potassium and actual potassium depletion from renal and extra-renal losses. Hypokalemic quadriparesis management depends on the etiology of hypokalaemia, duration of disease, underlying diseases, family history, medication history and disease state. The cause of hypokalemia induced quadriparesis is relatively low which gets resolved over time; with most of the symptoms remain undetected. Patients with normal thyroid function, no renal loss of potassium and normal acid balance can be pharmacologically managed with oral potassium and intravenous potassium.
A Brief Review on Hepatopulmonary Syndrome
Authors: Pithani Himasree
Published: December 2023

Hepatopulmonary Syndrome is defined as decreased saturation of arterial oxygen due to dilatation of pulmonary vasculature in the presence of portal hypertension or advanced liver disease. In the year 1977, hepatopulmonary syndrome was first proposed based on the clinical findings and autopsy. In the patients with chronic liver disease, pulmonary manifestations like pulmonary vascular dilatation were observed in the autopsies.In the liver disease setting, dyspnea is usually present in the patient. The onset of dyspnea is gradual and aggravates by exertion. Most of the patients are asymptomatic during the early stages. This review article mainly focuses on the epidemiology, pathophysiology, clinical manifestations, diagnosis along with the treatment and management. A multidisplinary approach is required with the involvement of hepatologists, pulmonologists, primary clinicians, addiction medicine specialist, transplant surgeons and clinical pharmacists in the management of HPS.
A Review on Modern Trends in Analytical Instruments
Authors: Kosuru Slesha Kumar , G Santhosh Kumar , M Asha Jyothi , D Jayasri , M.M.V.V Sai Durga , P.V.S.S Saranya
Published: December 2023

Pharmaceutical analysis stands as an essential cornerstone within the pharmaceutical sector, playing a critical role in upholding the safety, effectiveness and quality of medicinal products. This scientific discipline encompasses a range of techniques for scrutinizing pharmaceutical compounds, dosage formulations and associated materials, with its primary mission being the fulfilment of regulatory standards and the preservation of public well-being. In this review, we mainly focussed on the modern trends in analytical instruments that include miniaturization & portable devices, multimodal & hybrid instruments, high resolution imaging techniques, data driven approaches, spectroscopy advancements, mass spectrometry innovations, advancements in chromatography, emergence of electrochemical sensors and nanotechnology integration. In pharmaceutical analysis, the horizon of innovation and transformation is being explored with enthusiasm and determination. The visionaries of this evolving landscape are the dedicated pharmaceutical analysts, scientists and researchers. They are at the forefront of pioneering the advancements that promise to reshape drug development, quality control and healthcare.
A Case report on Spondylolisthesis associated with Inter Vertebral Disc Prolapse
Authors: Raj Anannya , Hassan Alisha , Nair Dr. Divya S
Published: December 2023

Spondylolisthesis is the most common type of spinal disease which in advance cases requires surgical intervention. It is also known as ‘slipped disc’. It occurs when there is ‘slipage’ of vertebral body above on the vertebral body below. It causes instability and neural compression due to repetitive micro traumas which leads to absent pars interarticularis due to which an additional stress is applied to the facet joints causing advanced degeneration of the disc space. The associated symptoms are muscle spasms in hamstring, numbness and weakness in the foot, difficulty in standing or walking for longer period and back stiffness. Also L4-L5 spondylolisthesis is associated with caudal segment (L5-S1) degeneration which is mostly seen in elderly patients. Early diagnosis and treatment may benefit the patients’ quality of life. The selection of spinal stabilization exercise will be very helpful and safe after the surgery for better recovery in older patients. In this case study, we discussed the case report of patient who has under gone surgical treatment.
Urinary Incontinence
Authors: Kashyap Ritik , Saha Kumar Akash , L Devakar , Sharma Rishabh , Kumar Amit
Published: December 2023

Urinary incontinence is the complaint of involuntary leakage (loss) of urine. It has a substantial impact on health related quality of life and is associated with considerable personal and societal expenditure. The potential cause of urinary incontinence includes dysfunction of the detrusor muscle or muscles of the pelvic floor, dysfunction of the neural controls of storage & voiding and many more. A full evaluation for the urinary incontinence requires physical examination, past medical & medications history, urinalysis and assessment of quality of life. Interventions can include non-surgical options (lifestyle changes, pelvic floor muscles training, drugs) and surgical options to support the urethra or increase bladder capacity. In this article, the concept of urinary incontinence along with its treatment aspects was discussed.
Pharmaceutical Analysis in Drug Discovery and Drug Development
Authors: Kosuru Slesha Kumar , G Santhosh Kumar , Rafi Sk. , M Asha Jyothi , D Jayasri , M.M.V.V Sai Durga
Published: December 2023

Pharmaceutical analysis stands as a linchpin within the intricate and multifaceted landscape of drug development. It assumes a pivotal role in upholding the safety, efficacy and quality of medicinal products at each juncture of their odyssey from conceptualization to market integration. Within this discourse, we delve into the paramount role of pharmaceutical analysis within the sphere of drug development. Pharmaceutical analysis plays an instrumental role in the identification and characterization of lead compounds that harbor therapeutic potential. Techniques such as high-throughput screening, mass spectrometry and nuclear magnetic resonance (NMR) serve as guiding lights in the quest for promising candidates. The elucidation of molecular structures through the means of NMR and X-ray crystallography takes center stage, facilitating a profound comprehension of the intricate interplay between drugs and biological targets. In this review we focused on role of pharmaceutical analysis in drug development and drug discovery. Inadequate pharmaceutical analysis and manufacturing practices can lead to the distribution of unsafe and ineffective medicines. Thus, adherence to cGMP is not only a legal obligation but also a moral imperative to protect public health and maintain the integrity of the pharmaceutical industry.
A Case Report on Complex Polytrauma with Multiple Complications
Authors: Sarella Prakash Nathaniel Kumar , Maddali Seetha Sirisha , Asogwa Patrick Oliver , Kakarparthy Ravishankar
Published: December 2023

Polytrauma involving injury to multiple organ systems poses tremendous challenges in emergency management and long term recovery. Averting disastrous complications while managing life-threatening conditions frequently requires painful judgements that weigh delivering prompt definitive treatment of any specific problem against cautious, step-by-step management of the entire frail system of patient care. This case report aims to convey the challenges inherent to polytrauma through injury to multiple organ systems simultaneously. Prevention of the worst fate remains the sole definition of success, attained not through perfection but persistence. Though complex, diligent management of threats is possible through a continuum of care. Monitoring entire systems, not individual tissues or limbs alone, determines the difference between loss and preserved ability. This complex case of traumatic leg fractures in a patient with uncontrolled hypertension and bradycardia highlights the challenges of surgical management in such cases. Despite hours of cardiovascular resuscitation, pharmacologic control of blood pressure and pacemaker placement, delayed healing of the fractures and development of post-traumatic stress disorder with severe anxiety and insomnia occurred. This case emphasizes the importance of vigilance, coordination of specialists, willingness to delay procedures when stability cannot be achieved pharmacologically and diligence in post-operative monitoring for complications. The patient continues rehabilitation and close follow-up aims to maximize function and manage health issues to prevent future catastrophic events.
Analysing Impurities and Degradation Products
Authors: Kosuru Slesha Kumar , Tadi Suvarna , M Asha Jyothi , D Jayasri , P.V.S.S. Saranya , M.M.V.V. Sai Durga
Published: December 2023

In the realm of pharmaceutical analysis, the analysis of impurities and degradation products takes centre stage, and its significance cannot be overstated. These undesired substances can profoundly impact the quality, safety and efficacy of pharmaceutical products, necessitating rigorous analytical methods and processes at every stage of drug development and manufacturing. Forced degradation studies are instrumental in identifying and characterizing impurities that may arise within a product, a pivotal source of information for quality control and regulatory compliance. Stability testing is integral to the batch release process, ensuring each product batch meets established stability criteria before entering the market. Stability testing and degradation studies are indispensable constituents of pharmaceutical analysis. They substantially contribute to preserving the quality, safety, and efficacy of pharmaceutical products. Beyond their regulatory mandates, these studies serve as proactive instruments for comprehending and supervising product stability across their life cycles. The insights gleaned from these endeavours inform critical judgments during drug development and manufacturing, ultimately assuring the welfare of patients and compliance with stringent regulatory requisites.
PENGEMBANGAN APLIKASI PENILAIAN KINERJA BERBASIS PRESENSI GURU PADA SEKOLAH SWASTA DI KABUPATEN BANDUNG
Authors: Hendrayati Heny , Tia Yuliawati  , Sisda Ferlianti  , Chairul Furqon  , Annisa Ciptagustia  , Eka Surachman  , Mochamad Achyarsyah
Published: December 2023

Dalam rangka meningkatkan motivasi kerja dan kinerja guru, maka upaya pengendalian dan pengawasan kerja terutama dalam lembaga pendidikan perlu dilaksanakan secara terus menerus dan konsisten. Salah satu faktor yang dapat dijadikan sebagai alat pengawasan dan pengendalian adalah melihat tingkat kehadiran guru yang secara periodik di evaluasi yaitu dengan melalui sistem pelaporan presensi yang berfungsi sebagai alat perekam kehadiran guru secara cepat, tepat, dan akurat. Pada sekolah-sekolah yang bernaung di Yayasan Pendidikan Handayani 1979, sistem yang digunakan untuk merekam kehadiran guru masih manual yakni menggunakan tanda tangan maupun pengecekan secara individu sehingga dapat terjadi pelanggaran dalam proses maupun hasil rekam kehadiran tersebut. Oleh karena itu, diperlukan pengembangan aplikasi penilaian kinerja berbasis presensi guru di sekolah-sekolah di bawah Yayasan Pendidikan Handayani 1979. Berdasarkan hal tersebut, melalui kegiatan PKM, dilakukan peningkatan kompetensi guru melalui pengembangan aplikasi kinerja berbasis presensi guru.
PENDIDIKAN POLITIK DAN PEMILU TERHADAP PEMILIH PEMULA DI KECAMATAN NUNUKAN SELATAN
Authors: Novianti Novianti
Published: December 2023

Rendahnya pemahaman terhadap pentingnya pemilu yang dihadapi pemuda Kecamatan Nunukan Selatan sebagai pemilih pemula dan untuk meningkatkan partisipasi pemilih pemula melatarbelakangi  Pelaksanaan program pengabdian kepada masyarakat ini. Untuk memecahkan persoalan tersebu t perlu dilakukan Pendidikan Politik dan penyuluhan pemilu dengan tujuan untuk meningkatkan pengetahuan, pemahaman, wawasan, dan kesadaran serta minat menggunakan hak pilih dalam pemilu yang akan datang. Metode yang digunakan adalah penyuluhan, pemdampingan dan pembelajaran bagi Pemuda Kecamatan Nunukan Selatan Kabupaten Nunukan. Pada program penyuluhan ini kami ingin memberikan materi yang meliputi Undang- undang Pemilu No 7 Tahun 2017, Bonus Demografi, Demokrasi dan Partai politik, Pemilu sebagai dan Kekuasaan, dan Peran Partisipasi Pemilih Pemula dalam pemilu. Target dari Penyuluhan ini pertama diharapkan dapat meningkatkan partisipasi Pemilih pemula, kedua Pemuda dapat memiliki tambahan pengetahuan, pemahaman, wawasan, dan kesadaran tentang Demokrasi dan berpartisipasi aktif memberikan hak pilihnya pada pemilu. Kesimpulan, penyuluhan Pemilu sebagai Upaya Meningkatkan Partisipasi Bagi Pemilih Pemula serta dapat meningkatkan pengetahuan, pemahaman, dan wawasan tentang pentingnya pembelajaran pemilu bagi pemuda Kecamatan Nunukan Selatan.
PENGELOLAAN MANAJEMEN DAN AKUNTANSI BARANG KONSINYASI UMKM LAPIS TUGU SURABAYA
Authors: Irwandi Soni Agus , Diah Ekaningtias  , Kartika Marta Budiana  , Emma Yulianti
Published: December 2023

Tujuan program pengabdian masyarakat ini adalah untuk melakukan pendampingan pengelolaaan manajemen dan akuntansi barang konsinyasi pada UMKM Lapis Tugu Surabaya. Alasan pemilik outlet melakukan penjualan konsinyasi disamping menjual kue lapis yang menjadi brandnya yakni alasan yang mendasarinya adalah stock produk menjadi bertambah, risiko kerugian minim, dan dapat menambah keuntungan penjualan tanpa mengeluarkan modal.

Penjulan konsinyasi ini juga harus didukung oleh pengelolaan sumber daya manusia yang kompeten untuk melakukan pencatatan akuntansi barang konsinyasi Metode pelaksanaan pengabdian masyarakat ini dengan melalui tiga tahapan, yaitu tahap perencanaan, pelaksanaan dan pelaporan.

Tahap pelaksanaan ini berfokus pada bagaimana UMKM Lapis Tugu surabaya mampu mengelola barang atau produk konsinyasi serta memberikan pelatihan dan pendampingan peningkatan sumberdaya manusia untuk mampu melakukan pencatatan akuntansi produk konsinyasi dengan baik dan benar. pelaksanaan pengabdian masyarakat ini menginformasikan bahwa penjualan konsinyasi pada Oulet Lapis Tugu Surabaya telah berjalan sesuai dengan perlakuan akuntansi konsinyasi Terakhir adalah tahap pelaporan yang difokuskana untuk mengevaluasi penjulan barang konsinyasi dan kemampuan pegawai toko untuk melakukan pencatatan akuntansi produk konsinyasi agar program pengabdian masyarakat ini dapat terus bermanfaat bagi pemilik pemilik
Introspection, reflection, qualia, & consciousness: Making sense of an 80-hour psychotherapy internship
Authors: Selvaratnam Naren Deepan
Published: December 2023

The following is an introspective report that elaborates on lessons I learned as a trainee psychotherapist during an 80-hour internship at one of Sri Lanka’s state-run hospitals. I have carefully analyzed thoughts, feelings, and emotions associated with three patient cases, and interpreted key learnings via Gibbs reflective cycle. The lessons learned portray a self-realization of a variety of my strengths and weaknesses akin to the practice of psychotherapy. Based on the nature of the content learned, I have identified some of the key areas of professional development that undergird career success. Similarly, making sense of my internal state during these 80 hours through reflective practice displays the mastery of a critical skill for improved training outcomes. This report further highlights the need for more subjective introspective reports from contemporary professionals to establish discourse on consciousness to promote the consideration of subjective accounts of professionals as foundational evidence for more intuitive, logical, and rigorous endeavors of scientific inquiry.
Complex psychotropic polypharmacy among patients with bipolar disorder
Authors: Selvaratnam Navodya Chaminie
Published: December 2023

Psychotropic polypharmacy, which is the use of two or more psychotropic drugs in the same patient could be simple or complex depending on the number of psychotropic drugs prescribed. In clinical psychiatry, a common practice of polypharmacy is observed. As polypharmacy can lead to adverse health outcomes in patients, it is a public health concern of greater significance. The contributing factors to polypharmacy may be patient-related or clinician-related. In comparison to other conditions, bipolar disorder is observed to be associated with complex polypharmacy more commonly. Despite the observations, research exploring the prescription patterns in treating patients with bipolar disorder and the practice of polypharmacy is limited. The present perspective illuminates the significance of prioritizing investigative explorations into prescription patterns and polypharmacy, focusing on bipolar disorder, and proposes an uncomplicated conceptual study design that can be utilized to conduct investigative explorations in the local context.
Fenomena LGBT Menurut Pandangan Psikologi, Sosial dan Agama
Authors: Rahmah Hardiyanti , Amalia Devi , Hamidah Hamidah
Published: December 2023

Fenomena Lesbian, Gay, Biseksual, dan Transgender atau yang biasa disebut LGBT sekarang ini perkembangannya telah menyebar keseluruh lapisan masyarakat dan cenderung bukan lagi perbuatan yang memalukan bagi pelakunya, bahkan mereka beranggapan bahwa LGBT itu adalah suatu hal yang sangat membanggakan untuk dilakukan. Di beberapa tempat saat ini sudah ada sekelompok orang yang membuat perkumpulan khusus untuk LGBT mereka mulai gencar menyatakan pendapat mereka agar LGBT itu dilegalkan. Tujuan penelitian ini adalah untuk mengetahui bagaimana fenomena LGBT berdasarkan pandangan psikologi, sosial dan agama. Adapun metode penelitian ini merupakan metode kualitatif dengan menggunakan studi literatur. Hasil yang didapat dari penelitian ini untuk menunjukkan pandangan psikologi, sosial dan agama terhadap LGBT dan juga untuk mengetahui dampak dan cara menanggulangi pesatnya perkembangan pelaku LGBT. Menurut pandangan masyarakat LGBT adalah kaum berdosa dan merupakan perilaku yang menyimpang bahkan tidak diakui oleh Negara. Menurut pandangan agama LGBT merupakan perilaku yang sangat tercela dan sangat tidak dibenarkan oleh agama karena telah menyalahi kodrat manusia yang sebenarnya.  LGBT bisa dilakukan oleh laki-laki dengan laki-laki atau perempuan dengan perempuan. 
KONSEP ABDULLAH DAN KHALIFATULLAH DALAM PANDANGAN ISLAM (SEBAGAI KECERDASAN INTRAPERSONAL)
Authors: Rahim Abdan
Published: December 2023

Konsep Abdullah menekankan hubungan individu dengan Allah sebagai hamba yang taat, sementara Khalifatullah menyoroti tanggung jawab manusia sebagai khalifah bumi. Fokus utama adalah eksplorasi bagaimana pemahaman dan penerapan konsep ini dapat memperkaya kecerdasan intrapersonal seseorang, termasuk kesadaran spiritual, pemikiran introspektif, dan pengelolaan diri yang berdasarkan ajaran Islam. Penelitian ini menggunakan pendekatan kualitatif dengan metode studi kepustakaan (library research), yaitu bahan rujukan dan acuan dalam mengolah data adalah menggunakan literatur; karya-karya ilmiah, artikel jurnal, dan  teks lainnya. Tujuan dari penulisan ini untuk membahas bagaimana individu seorang muslim dalam menjalankan peran Abdullah dan Khalifatullah di bumi dalam kehidupan sehari-hari
Progressive muscle relaxation in the treatment of anxiety in selected groups of patients – a review of the literature
Authors: Siek Bartłomiej , Kodzik Aneta , Gworys Kamila , Zwoliński Tomasz
Published: December 2023

Wprowadzenie

Zaburzenia lękowe są niemal tak powszechne jak depresja i mogą być wynikiem działania bardzo różnych czynników biologicznych, psychologicznych czy społecznych. Dlatego tak ważne jest poszukiwanie skutecznych i prostych do stosowania metod terapeutycznych. Jedną z takich metod jest technika progresywnej relaksacji mięśni Jacobsona.

Cel

Celem pracy jest przedstawienie przydatności stosowania relaksacji progresywnej mięśni (progressive muscle relaxation – PMR) według Jacobsona w leczeniu lęku w wybranych grupach pacjentów na podstawie analizy piśmiennictwa naukowego.

Materiał i metody

Dokonano analizy literatury indeksowanej w bazach Scopus i Medline za lata 2001–2023. Uwzględniono artykuły prezentujące wyniki badań klinicznych oraz prace kazuistyczne. Kryteriami wyszukiwawczymi były słowa kluczowe.

Wyniki i ich omówienie

Na podstawie przeprowadzonego przeglądu piśmiennictwa, wnioskuje się, że zastosowanie PMR jest uzasadnionym postępowaniem terapeutycznym, wspomagającym proces leczenia i umożliwiającym redukcję lęku.

Wnioski

Zastosowanie PMR zmniejsza poziom lęku i stresu, dzięki czemu redukuje objawy depresji oraz poprawia jakość snu. Może być stosowana jako leczenie uzupełniające w celu zmniejszenia lęku hospitalizowanego pacjenta psychiatrycznego.
Physiotherapy Practice Patterns for the Management of Patients undergoing Cardiac Surgery
Authors: Kazim Hussain Kazim , Malik Atif , Rameen Mahboob  , MahNoor Liaqat  , Junaid Iqbal  , Zulkaif Asghar
Published: December 2023

Background: This study explores physiotherapy practices in managing patients undergoing cardiac surgery in Lahore's hospitals. It focuses on evaluating pre and postoperative physiotherapy techniques, identifying common practices, and examining their alignment with evidence-based guidelines.
Objective: This prospective survey aimed to determine the pre and postoperative physiotherapy treatment used on patients undergoing open heart surgery.
Methods: The current survey involved physiotherapists working in cardiothoracic units throughout Lahore. A cross-sectional, descriptive study was carried out to know the practice of physiotherapy following routine open-heart surgery in Lahore. Patients having neurological symptoms, restricted lung disease, obstructed lung disease, cardiac vise unstable, under emergency procedure and excesses weight were not considered.
Results: In this survey, 90% (66 out of 73) of physiotherapists routinely provided preoperative physiotherapy. During the post-operative period, 96% (70 out of 73) applied various physiotherapy treatments. Of the respondents, 97% considered physiotherapy vital after surgery. The survey also found 91.8% (67 out of 73) of physiotherapists emphasized early mobilization, 94.5% (69 out of 73) used deep breathing exercises, and 84.9% (62 out of 73) implemented coughing/huffing techniques.
Conclusion: This survey provides an overview of current physiotherapy practices in the leading hospitals of Lahore in cardiac surgeries. Although, patients are provided with commonly used physiotherapy procedures, but in order to enhance the evidence-based practice, physiotherapists working in the cardiothoracic units should limit and improve their current treatment techniques and conduct new researches by taking benefits from the evidence based guidelines.
Effect of Punching Bag Exercises on Body Mass Index (BMI)
Authors: Muhammad Waqas Munir Hafiz , Latif Afifa , Mehmood Nasir , Ahmed Mukhtar Patafi Mahtab , Ahmed Noman , Malika
Published: December 2023

Background: The increasing global prevalence of obesity and overweight conditions necessitates effective physical activity interventions for weight management. Punching bag exercises, utilized in martial arts and boxing, offer a combination of aerobic and strength training, which could be beneficial for Body Mass Index (BMI) reduction. This study aims to investigate the impact of a structured punching bag exercise regimen on BMI among young adults.
Objective: The primary objective of this study was to assess the effectiveness of a six-week punching bag exercise program in reducing the BMI of university students.
Methods: The study was designed as a six-week experimental intervention, involving 30 undergraduate students (37% male, 63% female) with an average age of 24.42 ± 0.631 years, randomly selected from various institutions. Participants engaged in a punching bag exercise regimen on alternating days. Each session comprised four rounds of three-minute exercises with one-minute breaks between each round, totaling 15 minutes per session. BMI was measured weekly throughout the program. Data were analyzed using SPSS-21 software, with descriptive statistics and paired t-tests applied for statistical evaluation.
Results: The study commenced with an average BMI of 25.67 kg/m^2. Week-by-week analysis revealed a consistent decrease in BMI: 25.63 kg/m^2 in the second week, 25.22 kg/m^2 in the third week, 25.13 kg/m^2 in the fourth week, 24.36 kg/m^2 in the fifth week, and 24.11 kg/m^2 in the sixth week. Statistically significant reductions in BMI were observed in the fifth (p = 0.038) and sixth weeks (p = 0.011), compared to the baseline.
Conclusion: The six-week punching bag exercise regimen resulted in a significant reduction in BMI, particularly notable in the final weeks of the intervention. These findings suggest the potential efficacy of punching bag exercises in BMI management and weight reduction strategies among young adults.
Seated Straight Leg Raise Test; Sensitivity & Specificity in Patients with Disc Herniation at Lumbosacral Interface Using MRI as A Gold Standard
Authors: Bashir Ayesha , Mehmood Nasir , Ahmed Mukhtar Patafi Mahtab , Syed Ramsha , Uddin Shahab , Malika
Published: December 2023

Background: Lumbar disc herniation (LDH) at the L5-S1 level is a prevalent condition, often leading to lower back pain and sciatica. Diagnosing this condition accurately is crucial for effective treatment. The Straight Leg Raise (SLR) test, particularly in its seated variation, has been a subject of interest in clinical diagnostics due to its non-invasive nature and ease of administration.
Objective: The study aimed to assess the diagnostic efficacy of the seated SLR test in identifying lumbar disc herniation at the L5-S1 level, comparing its results with Magnetic Resonance Imaging (MRI) findings.
Methods: Conducted over one year, this validation study involved 117 patients at two hospitals in Bahawalpur. The age range of participants was 20 to 50 years, with an even distribution across three age groups. Both male and female patients experiencing low back pain radiating beyond the knee were included. The seated SLR test was administered in a standard manner, and pain was assessed using the Visual Analogue Scale (VAS). MRI was used as the gold standard for diagnosis. The study calculated sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and test accuracy using a 2 x 2 contingency table.
Results: The mean age of participants was 39.67±9.47 years. Gender distribution showed a female predominance with 68 females (58.2%) and 49 males (41.8%). Pain assessment revealed unilateral pain in most cases. The seated SLR test's sensitivity was found to be 48.8%, and specificity was 68.6%. The test’s accuracy stood at 51.2%, with a PPV of 78.2% and an NPV of 27.4%.
Conclusion: The seated SLR test demonstrates moderate effectiveness in diagnosing lumbar disc herniation at the L5-S1 level. While it is more effective in confirming the diagnosis, its ability to exclude the condition is limited. This suggests the need for supplementary diagnostic methods in conjunction with the seated SLR test for a comprehensive evaluation.
Correlation of Numeric Pain Rating Scale and Oswestry Disability Index of Non-specific Low Back Pain among Nursing Staff
Authors: Abdul Ghaffar  , Muhammad Mahmood Alam  , Akhtar Waseem , Ishrat Fatima  , Muhammad Burhan  , Muhammad Mustafa Gul
Published: December 2023

Background: In Pakistan, nurses are pivotal in healthcare, often facing musculoskeletal discomfort, with low back pain being particularly prevalent. Given their vital role in patient care, understanding the extent of this issue is crucial for improving their work conditions and health outcomes.
Objective: This study aims to evaluate the prevalence and impact of low back pain among nurses in Pakistani healthcare facilities, particularly focusing on those working in gynecology and obstetrics wards.
Methods: A cross-sectional study was conducted over six months, involving 150 nurses from gynecology and obstetrics wards across four major hospitals in Lahore. The Oswestry Low Back Disability Questionnaire and the Numerical Pain Rating Scale were employed for data collection. Analysis was performed using IBM SPSS Statistics 23, with a significance level set at 0.05.
Results: The study found that 58.7% of the nurses experienced low back pain, while 41.3% did not. A strong correlation (0.887) was observed between the Numeric Pain Rating Scale and Oswestry Disability Index, with a highly significant p-value of 0.000, indicating statistical significance at the 0.01 level.
Conclusion: The study concludes that nurses working morning shifts in gynecology and obstetrics wards are more likely to report higher average pain scores. Additionally, the strong correlation between the Numeric Pain Rating Scale and Oswestry Disability Index underscores the relationship between pain intensity and disability in this group.