bluuebunny/crossref_metadata_2025 huggingface dataset:
Examination of the Relationship Between Early Maladaptive Schemas, Attachment Styles and Adult Separation Anxiety ın a non-Clinical Sample
Authors: Yurtseven Cansu Selin , Özkul Ebru
Published: April 2022

Early maladaptive schemas are based on belief mechanisms that are shaped in the childhood of individuals and manifest in relationships in their future lives. These schemas consist of 5 domains and 18 sub-dimensions also affect the way people perceive others.Another factor that predicts relationships in adulthood is the quality of the attachment established with the caregiver in early life.Attachment types seen in adults are examined under 4 main headings. The aim of this study is to determine the level and existence of the correlation between early maladaptive schemas and attachment styles of individuals and their perceived separation anxiety in adulthood, using the correlational survey model. The scales used were, Personal Information Form, Young Schema Questionnaire ,Adult Attachment Scale, and Adult Separation Anxiety Questionnaire. 285 individuals, 148 women and 137 men, over the age of 18 and residing in Istanbul, participated in the study. According to the findings of the study, there is a positive correlation between the Fearful, Preoccupied and Dismissive Attachment subscale scores and the Adult Separation Anxiety Scale scores, and there is a negative significant relationship with the Secure Attachment subscale overall score. It is seen that the sub-dimensions of the Young Schema Questionnaire significantly predict separation anxiety in adults. On the other hand, it was found that the Young Schema Scale sub-dimensions were positively correlated with the scores of other attachment styles, except for secure attachment. The obtained results support previous studies.
Management Process in Incorporated Football Clubs: Istanbul Başakşehir Football Clubs Example
Authors: Demir Gökalp
Published: April 2022

Sport sector has become a powerful industry formed by many stakeholders nowadays. Due to the fast progress of the communication age and the fact that sports competitions can meet people more easily, the number of spectators and participants of popular sports has increased and it has been instrumental in the recognition of new branches more easily. The increasing of the numbers has raised the number of athletes and sports clubs and the importance of the management activities of sports clubs. The sports sector, which has become an area where business people invest, has opened the way for football clubs to be managed like companies. Our study is to examine the management process of Başakşehir Football Club as a company. The club, which was previously owned by the municipality incorporated and renamed Istanbul Başakşehir Football Club later. The aim of the study is to see how these activities contribute to the club after the incorporation process. Qualitative research technique was used in the research. In this study, the concept of "case of study" was used for the research method. Semi-structured interview technique was used as data collection method. The data were subjected to content analysis. Sentences were chosen as the unit of analysis and presented with frequencies by transferring them to tables. The data obtained were analyzed with the content analysis method and three different themes (correct use of human resources, financial balance, long-term planning) emerged. These three themes have been the most important guide for the club, and Başakşehir Football Club has been protecting its success standard for a long time in this way. Keywords: Sport, Football Club, Incorporation
Depression and Anxiety among Parkinson’s Disease Patients: Prevalence, Risk Factors, and Impact on Life Quality
Authors: Asif Shakil , Farooq Rizwan , Jawad Unaiza , Irfan Muhammad Shoaib , Fuaad Muazzam , Ullah Subhan
Published: April 2022

Background and Aim: Parkinson’s disease's common symptoms are anxiety and depression and play a determinant role in the quality of a patient’s life. Numerous studies identified several risk factors but very few investigated the specific risk factors associated with Parkinson's disease (PD). The objective of the present study was to assess the depression and anxiety among Parkinson’s disease patients, prevalence, risk factors, and impact on life’s quality. Methodology: This cross-sectional study was conducted on 78 Parkinson’s disease patients at the department of Psychiatry & Behavioral Sciences LGH Lahore, Pakistan and Div HQ hospital, Mirpur AJK in collaboration with Neurology department for the duration from 15 May 2021 to 15 November 2021. All the patients were assessed for anxiety and depression. Unified Parkinson’s Disease Rating Scale (UPDRS) and Holmes and Rahe scale were used for the evaluation of staging and severity among Parkinson’s disease patients. Clinically diagnosed Parkinson’s disease patients aged between 25 and 85 years and stages 1 to 4 on the H-Y scale were enrolled. Patients with movement disorders other than PD, atypical Parkinson's, deep brain stimulation (DBS), visual loss, and secondary Parkinsonism were excluded. Ethical approval was taken from the institutional ethical committee. Depression and anxiety impact on life quality were assessed using World Health Organization Quality of Life (WHOQOL)-BREF. Results: Of the total 78 Parkinson’s disease patients, the prevalence of depression and anxiety was 26 (33.3%) and 32 (41.03%) respectively. About 40 were male and 38 were female patients. The overall mean age was 67±5.9 years. The young population was more susceptible to anxiety and depression was significantly higher in females. The depression and anxiety overlap were in 19 (24.4%) patients. The UPDRS and H-Y scale variance accounted for depression 34.5% and anxiety 38.9%. The severity and advanced disease stage were depression independent predictors whereas younger age and severity were anxiety main predictors. Overall, anxiety and depression had adverse impacts on life quality of Parkinson’s disease patients. Conclusion: Depression and anxiety were found in 33.3% and 41.03% of current Parkinson's disease patients, respectively. Depression and anxiety are relatively common in Parkinson's disease. The main risk factors for developing depression were female gender, low socioeconomic status, and a history of depression. Anxiety was associated with a young age and a history of anxiety. Both had a negative effect on one's quality of life. Keywords: Depression, Anxiety, Risk factors, Prevalence
Relationship of Physical Activity and Eating Practices with BMI; Barriers to Physical Activity and Optimum Eating Practices among Medical Students of Islamabad
Authors: Pervaiz Muddasar , Hamza Muhammad , Mahmud Mahvesh , Javaid Ayesha , Yasir Iram , Ammar Muhammad
Published: April 2022

Objectives: To identify levels of the physical activity and patterns of eating habits among medical students of Islamabad and to determine the association of BMI with physical activity and eating habits among medical students of Islamabad. Study Design and Setting: A cross-sectional survey was done in a private and public medical college of Islamabad. Methodology: A total of 463 MBBS students of 1st year to 5th year were included and data was collected by non-probability convenience sampling. Before initiating study enrolment an ethical approval for study was gained from the institutional ethical board. After signing the consent form, the questionnaire was filled formally. Data was analyzed by SPSS 22.0. P value < 0.05 was considered as statistically significant Results: 236 of our population were normal and 117 of our population were overweight, whereas 59 were underweight and 51 were obese. Lack of time for physical activity in time table was the most common occurring barriers of physical activity. The most common occurring barrier to optimum eating practices were lack of money, tasty fast food and don't like home cooked food. Results showed statistically significant relationship between the hours of exercise per week and the BMI status. The Chi-Square value (P-Value) for physical activity and eating habits in association with BMI were 0.228 and 0.570 were insignificant. Conclusions: Results concluded that bad eating habits and lack of physical activity affects the BMI. Individuals in obese group had increased BMI, lack of physical activity and bad eating habits. Keywords: BMI, PAL, Obesity, Medical
Socio-Economic and Health Determinants of Child Labor an Overview of Multiple index Cluster Survey
Authors: Ali Iftikhar , Manzoor Munazzah , Ahmad Shabbir , Noreen Sidra , Masroor Ashir , Mahmood Zia
Published: April 2022

This paper identifies the various determinants of child labor and analyzes the variation in child labor with different socio-economic and demographic factors in the northern Karakoram region of Pakistan. For this paper, the data related to the different socio-economic and demographic variables of child labor have been used from the Gilgit-Baltistan “Multiple Index Cluster Survey (2016-17)” of 6,213 households conducted by the provincial government of Gilgit-Baltistan. The results of the demographic determinants have revealed that the prevalence of child labor is significantly high in rural areas as compared to urban areas. The results also found that there is no significant variation in child labor with gender. While the incidence of child labor increases with age in the study area. Similarly, the findings show a positive relationship between poverty and child labor as the incidence of child labor and children working under hazardous conditions increases with the downward shift from the richest to the poorest wealth index quintile. These hazardous conditions are responsible for multiple health implication for children. Finally, in terms of variation in child labor across divisions and districts of Gilgit-Baltistan province results reveal that the prevalence of child labor is highest in the Baltistan division followed by Diamer and Gilgit division. Regarding the variation across districts, results show that the incidence of child labor is highest in district Nagar while lowest in district Gilgit. The most important measure to combat child labor in this region is the sensitization and awareness of parents about the issue of child labor. Keywords: Demographic, Determinants, Household Level, Child Labor, Northern, Karakoram
Prevalence and Associated Risk Factors of Depression among Public Secondary School Females Students in Majmaah, Saudi Arabia
Authors: Almatham Fahad A , Almutairi Salma H. , Abdelrahman Huda Hakim , Alanazi Renad B , Almimony Ohood L , Almotairi Sarah S , Obaid Atheer M Al- , Albaker Abdulmalik B
Published: April 2022

Introduction: Depression is a state of low mood for more than two weeks associated with feelings of sadness or a loss of interest in activities once enjoyed. It can lead to a variety of emotional and physical problems and can decrease a person’s ability to function at work and home. Depression is more common among females than males and many risk factors contribute to depression. Objectives: To study the prevalence and associated risk factors of depression among public secondary school female students in Majmaah city in the duration of 2019-2020. Methodology: Descriptive cross-sectional institutional-based study among public secondary school female students in Majmaah city was performed from 2019-2020. The sample was 400 students, randomly selected from 6 secondary schools, and the consent form was taken from each participant. The permission was taken from the ethical committee in the university. Result: There were 400 students involved in this study, based on findings shows that 32.25% of the students were having depression while 67.75 have no depression .It was found that most of the students had the risk factors that could be associated with depression such as losing an important person in their life, 38.8% (n=155); life stress, 26.5% (n=106); previous episodes of depression or anxiety, 26.8% (n=107); problems at school or with friends, 20.5% (n=82); family problems, 14% (n=56); and exposure to bullying, 11.3% (n=45). Conclusion: Based on findings, 32.25% of the students were having depression while 67.75 have no depression. The majority of them had mild depression 36.50%, 17.75 % had moderate depression, 11.75% had moderately severe depression, and 2.75% had severe depression.
Determine the Effectiveness of Intranasal Splints in Preventing Nasal Adhesion
Authors: Zada Bakht , Chaudhry Kamran , Ikram Aamir , Akhtar Arsalan , Khan Muhammad Naseem , Iqbal Zafar
Published: April 2022

Objective: The aim of this study is to determine the effectiveness of intranasal splints in preventing nasal adhesion. Study Design: Descriptive case series Place and Duration: The study was conducted at ENT department of Lady Reading Hospital Peshawar and Chaudhary Muhammad Akram Teaching and Research Hospital, Lahore for the duration of six months April 2021 to September 2021. Methods: There were 120 participants of both sexes in this research. In this study, the patients ranged in age from 16 to 50 years old. Patient demographics, such as gender, age, and height/weight were logged with their informed written consent. During general anesthesia, a patient with a deviated nasal septum and septoplasty was selected for the procedure. Immediately following the septoplasty treatment, the patient had intra-nasal splints and nasal packing placed. The nasal packing was removed on the second postoperative day, while the nasal splints were removed on the 15th day after surgery. After a three-week follow-up, frequency of nasal adhesion was calculated. Data were analyzed 24.0. Results: Among 120 cases, 75 patients, 59.2% were between the ages of 26 and 40.The mean age of the patients was 26.34±7.51 years with mean BMI 23.07±9.44 kg/m2. Most of the cases were 67 (55.8%) male and 53 (44.2%) were females. Nasal obstruction was found among 53 (44.2%) patients, frequency of rhinorrhea was 33 (27.5%) and mixed symptoms were found in 20 (16.7%). At final follow up prevalence of nasal adhesion was found in 9 (7.5%). Conclusion: According to the findings of this study, intranasal splints were an efficient and safe treatment for preventing nasal adhesion after septoplasty. Keywords: Septoplasty, Intra nasal adhesions, Deviated nasal septum, Intra nasal splints
The Psychological Impacts of Acne
Authors: . Shumaila , Soomro Naeem , Shaikh Samreen , . Muneeba , Shaikh Irfan
Published: April 2022

Objective: To determine the frequency of different category of Dermatology Life Quality Index (DLQI) in patients with Acne Vulgaris visiting to tertiary care hospital. Study Design: Descriptive Cross-Sectional Study. Place and Duration: This study was conducted at the Department of Dermatology, Shaheed Mohtarma Benazir Bhutto Medical University, Larkana, Pakistan during the period from August 23, 2019 to February 22, 2020. Materials and Methods: All patients who fulfilled the inclusion criteria and visited to SMBBMU, Larkana were included in the study. Informed consent was taken after explaining the procedure, risks and benefits of the study. In our study, patients with acne vulgaris were diagnosed on the basis of relevant clinical history and examination. Patients were asked to fill the DLQI questionnaire themselves to assess the DLQI. All the collected data were entered into the proforma attached at the end and used electronically for research purpose. Results: Mean ± SD of age was 25.4±5.2 years. Out of 343 patients, 157 (45.8%) were male and 186 (54.2%) were female. In frequency of different category of dermatology life quality index (DLQI) 44 (12.8%) patients had no effect, 105 (30.6%) had mild, 74 (21.6%) moderate effect, 86 (25.1%) had very large while 34 (9.9%) patients had extreme larger effect. Conclusion: It is to be concluded that his study showed significant impairment of QoL in acne patients. Assurance and counseling along with early treatment of acne vulgaris are important to reduce disease-related psychosocial sequelae. Keywords: Dermatology Life Quality Index, Acne Vulgaris, Influencing Factors, Quality of Life, Psychosocial, Cosmetological Treatments
Incorrect use for Inhalation Techniques of Inhaled Medication among Children with Asthma in Qassim Region: Prevalence and its Risk
Authors: Almutairi Aisha , Alolayan Abdullah M. , Alazmi Afrah H. , Alghurayr Raghad Y. , Alrashidi Rehab A. , Alsaud Jolan S.
Published: April 2022

Introduction: Asthma is one of the world's most common chronic respiratory disorders, and inhalers are frequently recommended to help manage allergy symptoms, improve quality of life, and reduce the risk of exacerbations or flare-ups. In Saudi Arabia, the prevalence of asthma is relatively high. Inhaler misuse can result in a variety of problems. This study aims to measure the prevalence of correct use of inhalation techniques of inhaled medication among children with asthma and investigate whether improper inhaler use can lead to uncontrolled bronchial asthma and its problems. Material and Methods: A cross-sectional study used a validated self-administered Arabic questionnaire given to 180 participants who visit paediatrics pulmonology clinic at Qassim University Medical City and Dr. Sulaiman Alhabib Hospital in Buraydah from June to December 2021. This study used a completed questionnaire consisting of sociodemographic characteristics, questions assess the participants’ condition and its severity, and questions to evaluate their inhalation technique of inhaled medication and if they were educated about the correct inhalation technique or not. Results and Conclusion: Findings demonstrate that number of ED visits is significantly associated with the time of diagnosis and frequency of using an inhaler (P=0.032) and (P=0.010) respectively. When we looked at the relationship between several characteristics and the timing of diagnosis, we discovered that age and times of using an asthma inhaler (Ventolin) in one week were significantly related (P=0.000). Revealing association between variables and frequency of using inhaler; the significant association with the source of advice about on the correct use of inhaler (P=0.005), and way of fixing the mask (P=0.040). Although our study showed enhanced knowledge and techniques using inhalers, physicians and other health workers should teach children and their caregivers how to use their inhalation devices properly whenever possible, and rectify errors when they occur, to ensure that medication is delivered effectively. As a result, future awareness campaigns should focus more resources on educating families and caregivers of asthmatics on correct medication use to avoid asthma complications and control asthma episodes for children.
Impact of COVID-19 on the Mental Health of Medical Students of Karachi, Pakistan
Authors: Ahmed Fareena Khalil , Sukhia Hr , Ejaz Rabia , Khan Qurat-Ul-Ain , Mushtaque Ujala , Mushtaque Saher
Published: April 2022

Background: The biggest dilemma of today’s world is COVID-19. This pandemic situation has completely engulfed the globe with a rapidly increasing number of cases and has affected a great number of lives along with their lifestyle including the educational sector. Objective: This study explores the impact of COVID-19, how frequent lockdown, and online learning have affected the mental health of the students of medical college. Methods: A cross-sectional study was conducted among the medical students of Karachi, in September 2021, in Jinnah Medical and Dental College. A total of 312 medical students were enrolled in the study. Out of which 208 were females and 104 were males. Depression Anxiety Stress Scale-21 (DASS-21) was used to assess the mental health of students of medical college. Results: The results of the study revealed that a total of 312 medical students were enrolled in the study; belonging to the age group of (18-25) years. Approximately 104 (66 %) of female students experienced depression, 44 (21%) anxiety, and 60 (28%) stress. Hence gender and year of study of the participants were found to be significant (p-value<0.05). The odds of first-year students showed high levels of anxiety as compared to final-year students (OR = 1.679, 95% CI [1.202–2.634], P = 0.002). Conclusion: This study will help in making relevant policies, mental health strategies and providing a better framework for the medical colleges and universities which is essential for the mental health of students. Keywords: Anxiety, COVID-19, Depression, Karachi, Medical Students, Stress
Comparison of NAFLD Fibrosis Score with Shear Wave Elastograpghy to Identify Liver Fibrosis in Patients with NAFLD
Authors: Waseem Muhammad Azhar , Saleem Sonia , Younis Muhammad Yasir , Khan Saad Hassan , Jabbar Sadia , Ullah Asmat
Published: April 2022

Introduction: NAFLD is diagnosed by non-invasive and invasive methods. Non-invasive methods include NAFLD fibrosis score, AST/Platelets ratio index (APRI), FIB-4 score, BARD score, USG abdomen, Fibro-scan liver, transient elastography, MRI and MRI with elastography (MRE). Objectives: To determine the frequency of different grades of fibrosis on shear wave elastography in patients with NAFLD and to compare mean NAFLD fibrosis score in different stages of liver fibrosis. Study design: Cross-sectional study. Study duration: 26th February 2021 to 25th August 2021. Settings: Department of Gastroenterology SZH, Lahore. Materials & Methods: A total of 197 patients with NAFLD of age 18-70 years were included. Patients with hepatitis B and/or C infection, hemochromatosis, Wilson’s disease, Alpha 1 antitrypsin deficiency, celiac disease, autoimmune hepatitis, primary biliary cholangitis, primary sclerosing cholangitis were excluded. Hepatic ultrasonographic examination was performed. Blood samples were taken in a 10cc BD syringe and were sent for assessment of PT/INR, LFTs including albumin, platelets count and fasting or random glucose level. Reports were assessed and the NAFLD fibrosis scores were calculated. Shearwave elastography was used as gold standard test for the detection and confirmation of liver fibrosis; and results were compared. Results: Age range in this study was from 18 to 70 years with mean age of 49.30 ± 12.05 years. Majority of the patients 145 (73.60%) were between 41 to 70 years of age. Out of these 197 patients, 80 (40.61%) were males and 117 (59.39%) were females with male to female ratio of 1:1.5. In this study, frequency of different grades of fibrosis on shear wave elastography in patients with NAFLD was as follows; F0 in 44 (22.34%), F1 in 89 (45.18%), F2 in 31 (15.74%), F3 in 22 (11.17%) and F4 in 11 (5.58%) patients. Conclusion: This study concluded that non-invasive NAFLD fibrosis score should be used to rule out the presence or absence of liver fibrosis by using simple clinical and biochemical variables and thus avoid the need of liver biopsy. Keywords: Non-Alcoholic Fatty Liver Disease, Fibrosis Score, Shearwave Elastography
Frequency and Outcome of Full Term Pregnant Patients with Previous Cesarean Section
Authors: Naseeb Shazia , Bibi Fouzia , Rashid Shaista , Ali Beena Barkat
Published: April 2022

Objectives: To determine the frequency of repeat Cesarean Section in patients with previous one cesarean section To compare the maternal and perinatal outcome in vaginal birth after Cesarean and repeat caesarean section Material and Methods: This Cross sectional study was conducted at Obstetrics & Gynecology unit1 JPMC Karachi from Jan 2020 to31 Dec2020.A total of 137 women with history of previous one cesarean section were included in this study. All patients’ history and examination was taken. The data was collected on a predesigned Performa. Mean and Standard Deviation for quantitative variables and percentage for categorical qualitative variables. Maternal and perinatal outcomes was compared between women who have VBAC and those who have repeat Cesarean section by using chi-square test with P-values less than or equal to 0.05 significant. Results: The average age of the women was 29.88±3.26 years. Frequency of repeat caesarean section in patients with previous one cesarean section was 52.55%. PPH was observed in 37.96% cases while prolong hospital stay in 28.47%. There were 15.33% still birth, Apgar score less than 7 in 42.34% at 1 minute, and NICU admission was observed in 23.38%. Rate of Postpartum hemorrhage and prolong hospital stay was significantly high in repeated caesarean section. Conclusion: All of the maternal and prenatal outcomes were significantly high in repeated Cesarean section as compare to vaginal deliveries. The trial of labor in women with a single previous caesarean delivery can safely reduce rate of caesarean section. Keywords: Caesarean section, vaginal birth after Cesarean, repeats caesarean section
Penile Fracture, Surgical Success and Complications Rate
Authors: Rahman Sami Ur , Khan Noorshad , Khan Asif , Rashidullah Mohammad , Ullah Sami , Ullah Saif
Published: April 2022

Objective: The aim of current study is to determine the causes, symptoms of penile fracture and post-operative outcomes. Study Design: Prospective study Place and Duration: Conducted at Urology department of Miangul Abdulhaq Jehanzeb Kidney, Swat for the duration of one year from 1st January to 31st December, 2020. Methods: Total 30 patients had penile fracture were presented in this study. Included cases were aged between 20-50 years. After receiving informed written permission, detailed demographic information about the enrolled patients was compiled, including age, body mass index, place of residence, and marriage status. Causes and clinical features of fracture were assessed. Patients were undergone surgery and success rate was observed. Post-treatment rate of complications among enrolled cases were also calculated. We used SPSS 22.0 version to analyze complete data Results: Included patients had mean age 35.7±12.32 years with mean BMI 24.7±4.31 kg/m2. Majority of the cases were married 26 (86.7%) and rest were unmarried 4 (13.3%). 12 (40%) patients had urban residency and majority were had rural 18 (60%). Most common cause of fracture was coital 20 (66.7%), followed by masturbation in 6 (20%) and 4 (13.3%) patients had manipulation during sleep. Deformity, swelling, detumescence and crackling sound was the most common symptoms. Right corpus was the most common tunical tear 24 (80%) and most common site was proximal 22 (73.3%). Success rate was found among 26 (86.7%) cases. Post-operatively complications were found among 5 (16.7%) cases in which plaques/ nodules, curvature, erectile dysfunction, pain and swelling were included. Conclusion: For the purposes of this study, we found the penis fracture to be a rather simple condition to diagnose. Cavernosography may be used to confirm a diagnosis if necessary. Penile fractures may be successfully treated with immediate primary surgical repair, resulting in normal erection without substantial sequelae. Short hospital stays and fast restoration of sexual function are common outcomes of this procedure. Keywords: Surgical Outcomes, Penile Fracture, Complications, Causes
Transient Monocular Visual Loss Induced By Celecoxib: A Rare Adverse Effect
Authors: Harbi Norah Al-
Published: April 2022

Background: The cyclooxygenase (COX) enzymes are competitively inhibited by nonsteroidal anti-inflammatory medications (NSAIDs). COX enzymes come in two distinct isoforms, each of which is encoded by a separate gene and has its own expression pattern. The therapeutic anti-inflammatory impact of NSAIDs is obtained by inhibiting COX-2 activity, whereas the majority of the unwanted side effects are caused by inhibiting COX-1 activity. As a result, selective COX-2 inhibitors are thought to have fewer negative effects. Medical disciplines such as rheumatology and orthopedics routinely prescribe COX-2 inhibitors like Celecoxib for the management and control of acute and chronic pain. Celecoxib is a medicine that is thought to be safe. Celecoxib, like other NSAIDs, can have side effects, the most prevalent of which are to the gastrointestinal (GI), cardiac, and renal systems. Ocular problems, which are included in the prescribing label as a potential concern, are among the less usually reported adverse effects of Celecoxib. Blurred vision, conjunctivitis, cataracts, and eye pain are among the side effects. More uncommon ocular problems have been recorded, including acute temporary and even severe permanent vision impairment. To my knowledge, this is the first published study on Celecoxib-related monocular vision loss. Keywords: Cyclooxygenase (COX) enzymes, Ocular problems,
Surgical Presentation of Abdominal Tuberculosis at a University Hospital
Authors: Khan Toor Habib Ur Rehman , Baloch Shahida , Shah Lal , . Mamona , Shah Kashif Ali , Leghari Shahnwaz
Published: April 2022

Aim: To determine various surgical presentation of abdominal tuberculosis Study design: cross sectional study Place and duration: This study was conducted at Peoples University of Medical & Health Sciences for Women (PUMHS-W) Nawabshah Pakistan from October 2017 to march 2020. Methodology: The data in this study were from cases of abdominal TB that were admitted as an acute or subacute abdominal emergency. The data of the patients were analyzed using SPSS version 22. Descriptive analysis was used to examine the data. The data was presented using numbers and percentages. Results: Females made up 62.66 % of the 150 cases. A total of 55.33 % of the cases were between the ages of 30 and 50 years. No history of TB was shown in 60.66% of the cases and a history of pulmonary TB was found in 26.66 % of the cases. In 96.66% of patients, abdominal pain was present, followed by vomiting in 52 % and fever in 22 %. 60.66 percent of the cases were classified as having subacute intestinal obstruction, whereas 39.33 % had acute abdominal symptoms. The most common symptom was abdominal pain, and the most common clinical presentation was subacute intestinal obstruction. Early identification is crucial for avoiding intestinal TB's systemic and local effects. Conclusion: Intestinal obstruction was the most common clinical presentation of abdominal tuberculosis followed by intestinal obstruction. Acute abdominal TB is one of the most common causes of acute abdomen in endemic areas, as intestinal TB is a common extrapulmonary manifestation of TB. The key to avoiding systemic and local consequences of intestinal TB is early detection. Keywords: Abdominal, Clinical presentation, Intestinal, Symptoms, Tuberculosis
Evaluation of the Clinical Parameters of Patients with Influenza and Covid-19 using Blood Test Data
Authors: Akhtar Muhammad Javed , Javed Aleena
Published: April 2022

Objective: The characteristics of the novel corona virus ailment 2019 (COVID-19) vs influenza were not described, such as blood test data. As a result, we compared the diagnostic features of COVID-19 and flu, along with blood test data. Materials and Methods: A cross-sectional study was conducted at Nishtar Hospital, Multan. We enrolled individuals diagnosed with COVID-19 between January 1, 2020, and December 31, 2020, and had they undergo blood tests. In comparing, we enlisted an equal percentage of participants who'd been identified with flu that had blood tests. Results: During the course of the study, 228 people were identified of COVID-19 (men:women ratio, 123 [54.0 percent]:105 [46.0 percent]; age, 54.68 18.98 years). We also enlisted the help of 228 flu clients (male:female, 129 [56.6 percent ]:99 [43.4 percent ]; age, 69.6 21.25 years). Clients with COVID-19 had a vastly greater age range of 15 to 70 years (vs. 71 years), respiratory problems, as well as ennui than someone with flu. Nevertheless, discomfort, a body temperature greater than 38.1oC, as well as a white blood cell count greater than 9000/lL were far more prevalent in flu patient populations. Conclusions: Our findings are helpful in distinguishing COVID-19 from flu, so they'll be remarkably helpful for future practice as we understand to interoperate with COVID-19. Keywords: Medical aspects, COVID-19, influenza, Critical respiratory syndrome coronavirus-2, blood test, malaise, respiratory problems, leukocytosis, vomiting.
Outcome of Covid-19 Related Ards Patients at a Tertiary Care Hospital
Authors: Rizwan Hafiz Muhammad , Mehmood Shazia , Salam Abdul , Sadaf Saira , Durrani Arsalan Ahmad Khan , Farooq Muhammad Mohsin
Published: April 2022

Background: In covid-19 related ARDS patients, early approach to proper health care facility and non-invasive ventilation lead to better outcome. Objective: To determine the outcome of covid-19 related ARDS patients at a tertiary care hospital, Rahim Yar Khan. Methodology: This retrospective study was carried out at department of ICU & anesthesiology in collaboration with department of Pulmonology, Sheikh Zayed Medical College/Hospital, Rahim Yar Khan. A total of 74 (confirmed positive PCR) covid-19 ARDS patients with age of 18-90 years of either sex were admitted in covid ICU from June – December 2020. Patients with negative PCR for covid-19 or who presented in gasping condition or received dead were excluded from the study. Outcomes were labelled as recovered (survivors) or died (non-survivors) and treatment outcome was observed in both groups those who were on non-invasive ventilation (NIV) and on invasive mechanical ventilation (IMV). Data was analyzed by using SPSS version 23.0 Results: Out of 74 patients, 60 (81.08%) were male and 14 (18.02%) were female. Middle and old age patients were more affected as compared to young age group (p-value 0.01) and more than half 41 (55.40%) patients went in to severe ARDS. Regarding treatment outcome 44 (59.5%) patients received NIV and 30 (40.5%) patients received IMV. Survival rate better (35.4%) among the patients on NIV as compared to those on IMV (6.7%) respectively. Conclusion: Survival was better among the covid-19 ARDS patients who received NIV as compared to those on IMV. Keeping an eye on respiratory rate and SpO2 is the main factor for the early recognition of ARDS development and severity.
Thuja Occidentalis l. Expedites Functional Recovery after Sciatic Nerve Crush Injury in Mice
Authors: Naz Sanam , Farooq Tahir , Hameed Arruje , Anwar Haseeb , Aslam Rizwan , Malik Shoaib Ahmad , Akram Rabia , Sajid Faiqa , Saeed Zakia , Hussain Ghulam
Published: April 2022

This study was conducted to find the potential of Thuja occidentalis (crude powder) in promoting the rate of recovery following the sciatic nerve injury in a mouse model. Thuja occidentalis was administered orally at a dosage of 2g/kg body weight. The motor functional recovery was measured using muscle grip force, sciatic functional index (SFI), and muscle weight. While the hotplate test and formalin test were performed to measure the recovery of sensory functions. Other biochemical tests were performed to analyze oxidative stress. We noted an early recovery of motor functions in the treatment group as determined by SFI (P<0.001) and grip strength test (P=0.01). Additionally, the mass of Gastrocnemius (P=0.04) and the Tibialis anterior (P=0.008) muscle was also recovered in response to the treatment. Similarly, it significantly expedites the recovery of sensory function as checked by the hotplate test (P=0.005). Moreover, the reduced oxidant status (P=0.03) and elevated antioxidants capacity (P=0.005) were also found in the treatment group. Collectively, all of these findings highlight that the Thuja occidentalis possesses the potential to accelerate functional recovery. The enhanced antioxidant capacity and reduced oxidants status of the biological system appears the possible reason for this improved functional regain after the sciatic nerve crush. Keywords: Peripheral nervous system, nerve injury, oxidative stress, sensorimotor functional regain, Thuja occidentalis.
"The Effect of Physical Work Environment on the Job Satisfaction of Nurses in the Rural Health Care Settings of Punjab, Pakistan"
Authors: Nawaz Iqra , Maan Ashfaq Ahmed , Khan Izhar Ahmad , Shahbaz Babar
Published: April 2022

Pakistan faces a severe shortage of nurses because of high turnover rates. Job dissatisfaction is one of the leading causes of turnover intentions. An excellent physical environment in the workplace setting can play a positive role in enhancing the satisfaction level among the employees. The present study investigated the effect of the physical work environment on the job satisfaction level of the nurses working in rural health settings. Data were collected from 452 randomly selected nurses from the rural health care settings of the Punjab province. The quantitative survey design was used to collect data. The five-point Likert scale was used to collect the data on the conditions of physical work environment and job satisfaction of the nurses. A structured questionnaire was developed. The mean score and standard deviations were used to describe the data collected. The study's findings suggest adequate levels of job satisfaction and a comfortable physical environment among nurses working in Punjab's rural health care settings. The physical environment at the workplace is responsible for 43 % variation in the job satisfaction level of the nurses. The physical environment at the workplace is the strongest predictor of the job satisfaction level among nurses. By improving the physical work environment of the workplace, the retention rate of nurses can be improved. Keywords: Physical environment, Workplace, Job satisfaction, Turnover intensions, Nurses, Rural health care settings
Comparative Masticatory Performance of Bilateral Balanced Occlusion and Lingualized Occlusion in Complete Denture Patients
Authors: Khan Umair Wali , Zeb Akhtar , Sultan Muhammad Babar , Khan Babar Ali , Mufti Zohaib Ur Rehman , Shaheen Ghazala , Mannan Sara , Shamim Tahira
Published: April 2022

Background: Both natural and artificial dentition has an occlusal scheme defined by the shape and positioning of the occlusal contacts. Complete denture fabrication has used a variety of occlusal designs that might have impact on stability of denture and masticatory function. Objective: To determine comparative masticatory performance of bilateral balanced occlusion and lingualized occlusion in complete denture patients Methodology: This study design was randomized trial carried out at the department of Prosthodontics, Altamash Institute of Dental Medicine for duration of six months. A total of 80 subjects were enrolled in the current study and were divided into two groups. Forty subjects were included in each group. In group LO subjects, complete dentures were provided with Lingualized occlusion whereas in group BBO participants, complete dentures were provided with bilateral balanced occlusion. All the required information’s including demographic features were documented in a predesigned Performa. SPSS version 19 was used to enter and analyze all of the data. Results: The mean weight of masticated peanuts in group LO was 5.30gm with standard deviation of 0.89 while in group BBO, the mean weight of masticated peanuts was 9.45gm with standard deviation of 2.10. The difference was significant statistically between two occlusions schemes (p=0.021). Conclusion: Our study concludes that masticatory efficiency was higher in complete dentures patients with lingualized occlusal than bilateral balanced occlusal scheme.. Keywords: Masticatory performance; Bilateral balanced occlusion; Lingualized occlusion
SO2 Buharına Maruz Bırakılmış Bazı Doğal Taşların Yüzey Özelliklerinin İncelenmesi
Authors: AKBULUT Zehra Funda
Published: April 2022

Doğal taşların dayanım ve estetik özellikleri piyasada tercih edilmesinin en önemli sebeplerinden birisidir. Kaplama olarak kullanılan doğal taşlar zaman içerisinde çeşitli atmosferik etkilere maruz kalmakta ve bozulmaya uğramaktadır. Özellikle hava kirliliğinin fazla olduğu yerlerin havasında bulunan SO2 ve NO2 gibi gazlar doğal taş yüzeyinde önemli oranda hasara sebep olmaktadır. Bu çalışmada, asit yağmurlarının kaplama taşı olarak kullanılan bazı mermer, kireçtaşı, granit ve siyenitlerin yüzey özellikleri üzerinde meydana getirdiği değişiklikler araştırılmıştır. Bu amaçla iki farklı konsantrasyonda çözelti hazırlanmıştır. A çözeltisinin hazırlanmasında, 500 ml %5’lik H2SO4 ve 150 ml de iyonize su kullanılırken B çözeltisinin hazırlanmasında ise 150 ml %5’lik H2SO4 ve 500 ml deiyonize su kullanılmıştır. Doğal taşlar, hazırlanan asit çözelti buharında 21 gün boyunca bekletildikten sonra renk, parlaklık ve pürüzlülük özelliklerinde meydana gelen değişiklikler belirlenmiştir. Çalışma sonucunda, asit buharı maruziyeti karşısında parlaklık ve renk değişiminden en fazla etkilenen numunenin MW olduğu ve en az etkilenen numunenin ise DB olduğu tespit edilmiştir. MW’nin diğer karbonatlı doğal taşlara kıyasla asit buharından daha fazla oranda etkilenmesinde; kristal tane boyutunun, içerisinde bulunan safsızlıkların ve renginin etkili olduğu belirlenmiştir. Buna ilave olarak, doğal taş çeşidi ve sülfürik asit konsantrasyon oranının da doğal taş yüzey özellikleri üzerinde önemli rol oynadığı görülmüştür.
Doğanın İnsan-Hayvan İlişkisi Bakımından Kentleşme Olgusu Özelinde İncelenmesi
Authors: AKGÜL Yakup , YILMAZ Nedim
Published: April 2022

Kent kendine özgü nitelikler taşıyan fiziksel, kültürel, sosyo-ekonomik, tarihi ve biçimsel faktörleriyle başlı başına bir olguyu ifade eder. Tanım olarak belirli bir nüfus büyüklüğüne ulaşmış, üretim faaliyetlerinin var olduğu, belirli yapısal öğelere sahip, insanların içinde örgütlü bir şekilde yaşadığı büyük yerleşim alanlarıdır. Geçmiş çağlarda kentlerde yaşayan insanlar geçimlerini sağlamak adına tarım ve hayvancılıkla uğraşmış iken, sanayi devrimiyle birlikte meydana gelen değişimlerle birlikte söz konusu ekonomik faaliyetler ticaret, sanayi ve hizmet sektörünün ağırlıklı olduğu işlere dönüşmüştür. İnsanlık tüm tarihsel zaman içerisinde geliştirdiği kent yaşamında hayvanlarla ilişki kurmuş ve bu hayvanların insan yaşamı üzerinde pek çok olumlu etkileri olmuştur. Nitekim bu hayvanlar iş gücü olarak yardım etmiş, haberleşme aracı olarak görev görmüş, kendilerini korumak amacıyla eğitilmiş veya binek aracı olarak kullanılmıştır. Buna karşın insan ve hayvan ilişkisinde tedbir alınmadığı takdirde doğan riskler de bulunmaktadır. Hayvandan insana geçen hastalıkların varlığı ve insanın doğaya yoğun müdahalesine paralel olarak ortaya çıkan ekolojik dengenin bozulması bu risklere örnek teşkil eder. Günümüzde bu hususların tamamına yönelik tedbirler alınması tüm insanlığı ilgilendiren riskler barındırması sebebiyle küresel çapta bir görev haline gelmiştir. Doğanın bir bütün olarak varlığını sürdürebilmesi adına insan-hayvan-çevre ilişkisi hiçbir şekilde kesintiye uğramamalı, özellikle kentlerde yoğunlaşan insan nüfusunun hayvanlarla olan ilişkisi ve çevreyi koruma görevine dair oluşan bilinç korunmalıdır.
BERBANTUAN YOUTUBE SEBAGAI MEDIA PEMBELAJARAN DAN METODE TUTOR SEBAYA (PEER TUTORING) UNTUK MENINGKATKAN PRESTASI BELAJAR KOMPOSISI FOTO DAN VIDEO (TYPE OF SHOT)
Authors: Rokhim Abdul
Published: April 2022

Abstract: The purpose of this study was to improve the Learning Achievement of Photo and Video Composition (Type of Shot) students of class XI Production and Broadcast Television Program (PSPT) SMK Negeri 1 Bangil, peer tutoring learning methods and assisted by YouTube as a learning medium with 32 students as the
subject. .
This research is a classroom action research conducted in two cycles with the stages (1) initial design, (2) observation, (3) reflection, and (4) revised design. Based on the research that has been done, it can be concluded that there is an increase in learning achievement of the Composition of Photos and Videos (Type of Shot) with peer tutoring and assisted by YouTube as a learning medium, namely in cycle I with an average of 68.91 and students. 22 students (68.76%) experienced mastery learning with a value> 70. Whereas in cycle II with an average of 82.97 and students who complete learning as many as 28 students (87.50%), thus the peer tutoring method and assisted by YouTube as a learning medium can improve the learning achievement of Photo and Video Composition ( Type of Shot) students of class XI Production and Broadcast Television Program (PSPT) SMK Negeri 1 Bangil and can be used in other schools on different subjects.

 

Keywords: Youtube, Peer Tutoring, Photo and Video Composition ( Type of Shot)
SISTEM INFORMASI PELAYANAN ADMINISTRASI KELURAHAN BERBASIS WEB DENGAN FASILITAS E-COMPLAINT MENGGUNAKAN TELEGRAM BOT
Authors: Rahardiyanto Panca , Prihandono Zuhri
Published: April 2022

Abstract : public service is the provision of services carried out by the government as the realization of state administration to meet the need of the community accordance with applicable regulatons / laws. Pogar village’s one of the government agencies located in Bangil district, Pasuruan regency. The method used in this research is rapid application development. Collecting data through interviews with officers from the Pogar village office, observing daily services to the community at the Pogar village office. With this system,it is hoped that it will facilitate the public in requesting services and reporting through the telegram application and making it easier for officers to administer documents at the village office.

 
Keywords : Information Systems, Public Services, Telegram Bot, RAD (Rapid Application Development)
PERBANDINGAN BERBAGAI MIKROORGANISME LOKAL (MOL) PADA PROSES PENGOMPOSAN SECARA ANAEROBIK
Authors: Kamarullah Novitasari , Dwi Wahyu Purwiningsih  , H Haikun , Laudo Karmila , Bano Efirufini H. , Derlen Zainy Azhary
Published: April 2022

Garbage is solid waste consisting of organic and inorganic substances which are considered useless and must be managed. Composting is a method of converting organic materials into simpler materials using microbial activity. MOL is a group of micro-organisms that function as a "starter" in making compost. In this study, discussed the comparison of the ability of various local microorganisms (MOL) in the Anaerobic Composting process. This study aimed to provide benefits to the community in utilizing waste. This type of research is experimental, namely, the comparison which aims to determine the length of time composting and the amount of compost produced. The research location was conducted in Sangaji Urban Village. The research sample was a sample of various kinds of local microorganisms. Organic wastes used such as fruits, vegetables, food scraps, and a mixture of other organic waste, each as much as 20 kg. The fastest composting between the 5 compost spices and the control for the longest composting time was stale rice MOL which was 10 days and the most compost produced was shrimp paste MOL which was 6 kg. The length of time needed for the 5 compost spices and controls is ± 1-2 weeks.
Arrythmia prediction from high dimensional electrocardiogram’s data corpus using ensemble classification
Authors: Jyothi Sreedhar , Geethanjali N.
Published: April 2022

In clinical practice, software aided arrhythmia diagnosis from electrocardiographic signals is critical, and it has the capability to minimize mortality induced by untrained clinicians. Furthermore, computer-assisted methods are generally successful in detecting arrhythmia extent from ECG readings early. The buzzword in computer-assisted clinical settings is branch of artificial intelligence. Computer-assisted arrhythmia forecasting approaches, particularly, are widely used machine learning methodologies. Most recent research is focused on the utilization of high-dimensional learning data sets to build machine learning models. The large dimensions of data points used for the machine learning techniques, on the other hand, frequently leads to false alarms. Though the few contemporary models endeavored to handle this by using multiple classifiers as ensemble model, they evince improved decision accuracy when trained on high volume of data. They do, however, frequently exhibit significant false alerting, with the training data representing the high dimensional data points of the enormous amount of training data provided. This paper discussed an ensemble learning approach that selects optimal subset of data-points by fusing diversity evaluation method.