bluuebunny/crossref_metadata_2025 huggingface dataset:
ANALISIS KEBUTUHAN E-MODUL BERBASIS PROJECT BASED LEARNING (PJBL) PADA PEMBELAJARAN IPA UNTUK MENINGKATKAN KEMAMPUAN BERPIKIR KRITIS SISWA KELAS V SEKOLAH DASAR
Authors: Maulita Pinasti Putri , Hidayat Otib Satibi , Hasanah Uswatun
Published: June 2023

Penelitian ini dilaksanakan dengan tujuan untuk melakukan analisis terhadap kebutuhan bahan ajar E-Modul berbasis PjBL pada mata pelajaran IPA dalam peningkatan kemampuan berpikir kritis siswa kelas V SD. Objek yang akan diteliti yaitu bahan ajar E-Modul berbasis PjBL. Sedangkan subjek penelitiannya yaitu guru dan siswa kelas V SDI Al Maghiroh Nurul Yaqin. Penelitian dilakukan saat berlangsungnya semester genap tahun ajaran 2022/2023. Penelitian ini dilaksakanan dengan jenis penelitian pengembangan (research and development) yang menerapkan acuan pada model 4-D, yaitu model yang terdiri dari 4 sintaks di antaranya ialah pendefinisian (define), perancangan (design), pengembangan (develop), dan penyebaran (disseminate) tetapi penelitian ini terbatas pada sintaks pertama disebabkan oleh keterbatasan waktu. Data yang dikumpulkan yaitu dengan teknik non-test seperti wawancara, observasi, dan angket. Temuan penelitian menunjukkan adanya tanggapan positif dari pendidik dan peserta didik. Mereka merasa tertarik dan memerlukan adanya pengembangan bahan ajar yang dapat meningkatkan kemampuan berpikir kritis pada peserta didik. 

Kata kunci :  E-Modul, PjBL, Kemampuan Berpikir Kritis
A Philosophical Analysis of the Doctrine of Cause and Effect
Authors: Jayantha Kalansooriyage
Published: June 2023

The purpose of many studies has been to investigate the causes of a particular outcome. In such a context, knowledge of the meaning of the term 'causes' and its scope is particularly important. Therefore, the main purpose of this study is to investigate a cause-effect classification that is still not popular among scholars on cause-effect relationships. This was based on the classification of causal relationships called 24 Paccayo (condition) in Buddhist philosophy. Meanwhile, efforts have been made to use Internet references instead of sources to make it easier for others to understand. This qualitative study revealed several things. That is 1. Still not popular among academic and research community 24 Paccayo (condition) classification is a scientific classification about cause-effect relationships. 2. That there are basically 24 types of conditions that influence a particular outcome and that there is an ordered relationship between them. 3. That this classification is more appropriate for social science studies involving human behavior. 4. That the source of the causes affecting human behavior originates within itself. It was realized that this scope is very deep and an essential, scientific body of knowledge. Therefore, we suggest the scholars to study further in this regard.
Secondary School Principals' Perceptions and Support of Professional Development for Science and Mathematics Teachers in Zamfara State, Nigeria
Authors: Sodangi Umar , Isma'il Akilu , Abdulrahaman Aliu
Published: June 2023

This qualitative study sought to find out the perspectives of secondary school principals regarding their roles in organizing school-based professional development activities for science and mathematics teachers and the related challenges at school level in Zamfara State, Nigeria. Twenty secondary school principals were purposively sampled for the study from the four educational zones in the state. Collection of data was done through structured interviews, and data obtained were analyzed through content analysis. The findings of the study revealed that despite the crucial role of principals in promoting professional development, the majority of them do not fulfill their role optimally in this respect. Professional development activities organized by few principals are limited to workshops and seminars, and there are not sustained as ongoing opportunities. Challenges faced by principals in organizing school-based professional development include inadequate funding, lack of support from higher authorities, inadequate training of principals, and lack of motivation among teachers. The study concluded that, the poor involvement of principals in promoting professional development has significant implications on the quality of teaching and learning of science and mathematics in Zamfara State. The study recommends that government and education stakeholders provide adequate funding and support to principals to enable them organize sustainable and relevant professional development activities for teachers. Additionally, training and motivation programmes should be developed for principals to enhance their capacity in promoting professional development among teachers.
Assessment of the Knowledge and Practice of Doctors to Antibiotics Used in the Treatment of Diabetic Foot Ulcers at Alribat University Hospital, Khartoum 2019
Authors: Ali Mowahib Osman , Babiker Alzahra A. Mohamed , Elkhawad Abdalla Omer
Published: June 2023

Background: Generally, antibiotics misuse has serious effects on health. The main cause of bacterial resistance is the misuse of antibiotics. Also, the duration of antibiotic has a big role in treating the infection especially in diabetic foot infections. And this is the main problem for which this research is done for. Aim: In this study we tried to estimate the knowledge and practice of doctors in surgery unit to antibiotics in the treatment of diabetic foot ulcers and infections. Methodology: The study was a total coverage of Alribat university hospital at the surgery unit from the period 10th of June till 5th of August. A well-organized questionnaire was dispensed to the house officers, general practitioners, registrars and specialist. The results were analyzed using statistical package for social science. Results: We found that 76% of participants have a good knowledge score and 24% of them have a poor knowledge score. Also, 46% of doctors have poor practice while 54% of them have a good practice. Also, there is a significant and positive relation between the knowledge score and the position and age of participants. And regarding practice score there is a positive association between it and the gender, position and age group. Participants with good practice score have a higher knowledge score and vice versa. However, Specialists have the highest knowledge and practice score. Registrars’ knowledge and practice score is higher than general practitioners and house officers. Participants who are 35 years old and more have the highest knowledge and practice score. And the ones ranged from 26-35 years old have higher knowledge and practice score than those who are 21-25 years old and participants whose have more than 10 years of experience have the highest mean knowledge and practice score, then those with 6 to 10 years, then those with 2 to 5 years of experience and those with less than 2 years have the lowest mean knowledge and practice score. Conclusion: There is
Acute Peritonitis Revealing a Gastrointestinal T-Cell Lymphoma Associated with Celiac Disease
Authors: Iliass Maouni , Fellah Youssef , Abdellah Y. Moufid , Zakaria Berkaoui , Taib Lachguer , Gridda Meryem , Elabsi Mohamed
Published: June 2023

This case report describes a 52-year-old man who had undiagnosed and poorly managed celiac disease, and presented with acute peritonitis. Further examination revealed a rare complication of celiac disease, which was a T-cell lymphoma of the gastrointestinal tract. Imaging is important in confirming the diagnosis and chemotherapy is the main treatment option.
Acute Pancreatitis: an Unusual Complication of COVID 19 - about a Case Report
Authors: Houba Abdelhafid , Halhoul Youssef , Ababou Mourad , Amahrouq Reda , Fjouji Salaheddine , Doghmi Nawfal
Published: June 2023

Covid 19 is an emerging infectious disease, responsible for severe acute respiratory syndrome. It has an essentially respiratory tropism, but this does not prevent it from causing a series of complications affecting several organs. Acute pancreatitis is an acute inflammation of the pancreas caused mainly by bile duct obstruction and alcohol abuse. In this work, we report a rare and unusual complication of this virus affecting the pancreas in a 38-year-old woman who developed acute pancreatitis associated with SARS-CoV-2 infection. We would also discuss the causal link between SARS-CoV-2 and acute pancreatitis, as well as their different diagnostic, epidemiological and therapeutic aspects.
Pectoralis Major Metastasis of Esophageal Adenocarcinoma: An Unusual Site Abdelfettah Touibi, Imane Mouslim, Rachid Laaroussi, Sanaa Berrag, Fouad Nejjari, Tarik Adioui, Mouna Tamzaourte Published: May 30, 2023 | 10 19 DOI: 10.36347/sjmcr.2023.v11i05.069 Pages: 1034-1037 Downloads Abstract Esophageal cancer is a tumor of poor prognosis and its most common sites of metastases are lymph nodes, lung, liver and bones. However, it has also been reported some unexpected metastasis to uncommon sites which has consequently affected the pathway of diagnosis, management and staging. We report the case of a 31year old man patient with history of dysphagia, weight loss and induration in the left pectoral region. Endoscopic, radiological and pathological examination confirmed the diagnosis of Esophageal adenocarcinoma with pectoralis major metastasis. The patient was qualified for radiotherapy and concurrent systemic chemotherapy. Unfortunately, the patient died 3 months after the first CRT.
Authors: ALakkad Ashraf , Sami Mahmoud , Mohammed Noorullah
Published: June 2023

The case revolves around a 62-year-old male patient who was a smoker and had inadequately-controlled hypertension and dyslipidemia. He was admitted to the Medical Intensive Care Unit after having an emergency PCI (percutaneous coronary intervention) performed on his LMS (left main stem) and LAD (left anterior descending). The patient had gone into acute cardiogenic pulmonary edema, which immediately warranted intubation. He had been diagnosed with a case of anterolateral STEMI (an ST-elevation myocardial infarction) which had led him to develop this condition. A bedside ECHO carried out revealed problems with his heart as well, and particularly the left ventricle. This put him at a great risk of developing cardiac arrest, which could have fatal consequences if not appropriate interventions were not carried out. To resolve this condition, an IABP (an intra-aortic balloon pump) was inserted under the guidance of an ECHO, and only once the ROSC (return of spontaneous circulation) had been achieved. Once everything had been settled, an infusion of noradrenaline and vasopressin was started. The IABP was maintaining pressure at 100 mm Hg. The patient was extubated after six days and his IABP was removed four days later. To assess if there was any internal damage to his brain, a plain CT scan of the brain without contrast was ordered, which revealed cerebellar infarcts. This infarct had manifested itself in the form of hypophonia and wide-based ataxia. By the end of his stay at the hospital, the patient had started to walk and had greatly stabilized. The prognosis seemed favorable and the patient’s life was saved on discharge medications protocol. This case study is an example of how cardiopulmonary resuscitation, if done correctly and promptly, can help save the life of a patient with very little hope. It can be a matter of seconds before a patient’s condition deteriorates or turns fatal. The same applies to patients undergoing sudden cardiac arrest (SCD), .........
Pectoralis Major Metastasis of Esophageal Adenocarcinoma: An Unusual Site
Authors: Touibi Abdelfettah , Mouslim Imane , Laaroussi Rachid , Berrag Sanaa , Nejjari Fouad , Adioui Tarik , Tamzaourte Mouna
Published: June 2023

Esophageal cancer is a tumor of poor prognosis and its most common sites of metastases are lymph nodes, lung, liver and bones. However, it has also been reported some unexpected metastasis to uncommon sites which has consequently affected the pathway of diagnosis, management and staging. We report the case of a 31year old man patient with history of dysphagia, weight loss and induration in the left pectoral region. Endoscopic, radiological and pathological examination confirmed the diagnosis of Esophageal adenocarcinoma with pectoralis major metastasis. The patient was qualified for radiotherapy and concurrent systemic chemotherapy. Unfortunately, the patient died 3 months after the first CRT.
COVID 19 and Acute Ischemia of Lower Limbs
Authors: Ezzahraoui R. , Almaghraoui O. , Elfilali O.
Published: June 2023

COVID19 infection does not only affect the airways but it appears to progress to systemic disease in some patients. Pulmonary embolism remains the most commonly described event in patients with COVID-19 in intensive care, however, arterial thrombosis of the upper and lower limbs remains an unrecognized complication. Patients with this condition who have other risk factors must imperatively receive thromboprophylaxis based on low molecular weight heparin. We report here a case of bilateral acute ischemia of the lower limbs following covid 19 infection.
Cultural Development in the New Phase from the Viewpoints of the Party and the State
Authors: Hương MSc Đỗ Thị Thu
Published: June 2023

Currently, the trend of globalization, regionalization and international economic integration has been having a strong impact on the cultural life of our country. Globalization and regionalization is an objective trend that has both positive and negative aspects affecting the national culture. We resolutely oppose the imposition of cultural values, ethics, lifestyle in the way of “Europeanization, Americanization”. On the other hand, we need to actively study and absorb positive values, the quintessence of human culture to enrich ourselves, avoid closed-minded, xenophobic. The view that culture is considered a resource for socio-economic development is a scientific, modern and highly practical view, especially in the period of accelerating industrialization associated with the knowledge economy and integration. international today. We must pay special attention to enhancing the vision and culture in the guidelines and policies of the Party and State in all different fields. Deep understanding of the era and the nation is an important starting point for us to make the right policy and action. The article mentions the views of the Party on building and developing an advanced culture imbued with national identity; direction of cultural construction and development; At the same time, he mentioned the basic tasks in the process of building and developing the cause of cultural development in our country.
President Ramon Magsaysay State University Graduate School (PRMSU-GS) Lecturers’ Job Satisfaction in the ‘New Normal’
Authors: Guzman Marie Fe D. de , Villalobos Roy N.
Published: June 2023

A study on job satisfaction study among Graduate School professor/lecturer respondents of President Ramon Magsaysay State University, Iba, Zambales, Philippines was conducted during the first quarter of the school year 2023. A descriptive research design with standardizes survey checklist on job satisfaction. The study used a descriptive statistical tool in analyzing the data gathered. Dimensions of the job satisfaction include pay, promotion, supervision, fringe benefits, contingent rewards, operating conditions, co-workers, nature of work and communication. Majority of the Graduate School professor/lecturer respondents are female, holders of Doctorate degree, Associate Professors and Assistant Professors and working in PRMSU for less than two decades. The Graduate School professor/lecturer respondents strongly agreed that they are satisfied with the aspect of job satisfaction primarily Supervision; followed by nature of work and communication. Overall the Graduate School professor/lecturer respondents perceived strongly agreed they are satisfied with their job/work at the Department during the New Normal.
Psycho-Social and Physical Factors Influencing Teaching and Learning of Secondary School Students in Nigeria
Authors: Ifeoma Ehiemere Francisca
Published: June 2023

The primary objective of the school as an organization is to effect learning in the learners which they can demonstrate both in attitude and in their mental and adjustment behaviours. In Education, emphasis is laid on three domains of the educational objectives. These are cognitive (mental) domain, affective (behavioural) domain, and psychomotor (hand) domain. However, to achieve these three essential domains, the learner should respond to the three objectives under certain conditions. These conditions affect how the learner learns and also his willingness to learn. This paper therefore, examines the effects of the factors that affect the learner’s desire to learn and also proffers solution to the problems inhibiting the positive effects in teaching and learning under psycho-socio-physical parameters.
An Initial Discussion on River Tourism Teaching
Authors: Zou Gao-lu
Published: June 2023

River tourism occurs on the water or along the riverside. River tourism includes water rafting, cruises, boat vacations, canoeing, riverside walks, and riverside cycling. River tourism is a consequence of post-industrialization tourism evolution. Since post-industrialization, human beings have returned to recognizing rivers' natural attributes. River tourism teaching offers the concept of river tourism, urban river tourism, river cruising, and construction of tourism facilities. The paper suggests that the river cruise is developed in Europe and the Yangtze River. Also, river tourism teaching stresses the ecological value and sustainable tourism. The on-site river tourism teaching and classroom group discussion are essential. ORIGINAL RESEARCH ARTICLE | May 13, 2023
Causes and Consequences of Domestic Violence among Married Women in Port Harcourt Metropolis of Rivers State
Authors: Enimapopo Ekwale Theresa , Nwamadi Love
Published: June 2023

The study investigated the causes and consequences of domestic violence among married women in Port Harcourt Metropolis of Rivers State. The descriptive survey research design was used for the study. Two research questions and their corresponding null hypotheses were used to guide the study. The population for the study comprises of all married women in Port Harcourt Metropolis of Rivers State which comprised both Obio/Akpor and Port Harcourt City Local Government Area. The population of the study was made of 37,801 married women. A sample size of 554 married women was used for the study. A researcher developed instrument titled Domestic Violence Causes and Consequences Inventory (DVCCI) was used for data collection. The face and content validities of the instruments was determined by the dissertation supervisor and one expert each in counselling psychology and measurement and evaluation. The reliability of the instrument was established using Cronbach Alpha Technique with coefficients of 0.82 and 0.92 obtained for the sections on causes and consequences respectively. Mean was used to answer the research questions, while independent samples t-tests and Analysis of Variance was used where applicable. Testing of the hypotheses was done at 0.05 level of significance. The major results from the study were that there is a high incidence of domestic violence against women in Port Harcourt Metropolis of Rivers State. The major factor driving this problem is the family history of abuse by the partner. This results in physical bruises and injuries. Based on the results obtained, it was recommended that there should be greater awareness on the options available to women who are exposed to domestic violence because when women have a clear understanding of these options and the resources available to them, they are better able to make informed choices and leave their abusive spouses. ORIGINAL RESEARCH ARTICLE | May 30, 2023
The Reality of Training Communication Skills for First-Year Students at Hung Vuong University - Phu Tho
Authors: Thu Le Thi Xuan , Thanh Do Khac , Chi Pham Que
Published: June 2023

Communication skills are among those of great significance for everyone in general and for students in particular. They are difficult to master, because when it comes to communication, there are countless circumstances that require skillful conduct. In fact, students in general and those from Hung Vuong University in particular have poor communication skills; the communication skills performance among the freshmen are still at low level (average level); many employers are saying that students lack them or have low level, etc. Hence, it is essential to study the current situation of training students on communication skills so that solutions for developing communication skills among students can be brought to light.
The Sustainability of Industrial Logging under Gabonese Environmental Laws
Authors: Chibikom Ebenezer Che
Published: June 2023

The importance of forests in supporting millions of livelihoods in the world cannot be over emphasized. In Gabon like in all the other Countries of the Congo Basin Forests, forestry exploitation is carried out under the concession regime but with considerably diminished European interests as opposed to Asian conglomerates gaining grounds particularly the Chinese. Indeed, the emergence of Sino-Indian rivalry in the forest sector in Gabon is emerging. The State of Gabon, being one of the principal stakeholders in the protection of forests on its national territory has enacted forest protection legislation and equally erected a forest perseveration institutional framework. Inspite of these laudable efforts, forest loss particularly emanating from mechanized logging is still going on. As such, the very existence of Gabonese forests which constitute an integral part of the greater Congo Basin Forests is seriously threatened. Through a content analysis of primary and secondary data, this article thus reviews how the plethora of legislative and institutional frameworks put in place to check logging at a large scale have been implemented and enforced to ensure the continuous existence of the forest. The findings of this study reveal that Gabon has a great forest potential per km2 of its 267.667km2 surface area that is very diversified and harbours a very rich and endemic biological diversity. Hence, the need for its protection for humanity’s sake is imperative.
Legal Reconstruction of the Prosecutor Authority in the Settlement of Juvenile Crime Based on Pancasila Restorative Justice
Authors: Fitrianto Benny Kurniawan , Soponyono Eko , Hafidz Jawade
Published: June 2023

Oversight of the case settlement process using a restorative justice approach and the implementation of the resulting agreement rests with the direct supervisor of the responsible official at each level of examination. As long as the restorative justice process takes place and after restorative justice is carried out, social counselors are required to provide guidance and supervision. If the restorative justice agreement is not carried out within the time specified in the agreement, the social adviser immediately reports to the responsible official. The approach method used in this study is the juridical-normative research method, which is a research method that examines secondary data (data that has been documented). The results of this study are (1) Weaknesses of restorative justice policies in cases of children as perpetrators of crimes are Weaknesses in Legal Substance is Article 7 of the Juvenile Criminal Justice System Law which explains the implementation of diversion at the level of investigation, prosecution, and examination of child cases in District Court. The weakness of the legal structure is that law enforcement officials, especially the National Police, who are part of the criminal justice subsystem, are required to seek settlement of child cases as perpetrators of crimes through restorative justice. The weakness of the Legal Culture is the low level of public understanding in terms of understanding the investigation process through diversion, where often the parties (perpetrators and victims) ask for diversion even though the formal requirements for diversion are not fulfilled/the threat is more than 7 years and is a repetition of a crime. (3) Reconstruction of Article 140 (2) letter (a) by adding a termination of prosecution based on the concept of restorative justice.
Legal Reconstruction of Government Responsibility in Mental Disorder Rehabilitation Based on the Dignified Justice Value
Authors: Ngazis Muhammad , Rosita Henny , Prasetyo Teguh , Wahyuningsih Sri Endah
Published: June 2023

One of the phenomena that indicate that there are still social problems today, among others, can be seen in the many people with mental disorders can cause suffering and obstacles in carrying out people's functions as human beings. This study aims to analyze the regulation of the Government's responsibility in the rehabilitation of people with mental disorders that have not been fair and dignified. This research method uses the legal positivism paradigm and the legal post-positivism paradigm with a sociological juridical approach to solving research problems. The results of the study indicate that there are weaknesses in terms of legal substance, legal structure, and legal culture related to the regulation of the Government's responsibility in the rehabilitation of people with mental disorders. Reconstruction of regulation on the Government's responsibility in the rehabilitation of people with mental disorders based on the value of dignified justice, namely by reconstructing Article 10, Article 18, and Article 25 of Law Number 18 of 2014 Concerning Mental Health.
Association of Elevated Serum Homocysteine Level in Women with Gestational Diabetes Mellitus
Authors: Tanzin Sayeda Tania , Rahman Md. Ashiqur , Begum Khadija , Choudhury Farhana Haque , Bushra Rumysa Taher , Akter Hasina
Published: June 2023

Background: In gestational diabetes mellitus (GDM), risk prediction is mostly based on maternal history and clinical risk factors and may not optimally identify high risk pregnancies. Therefore, universal screening is widely recommended. Homocysteine levels during pregnancy in women with GDM have been studied; however, it remains unclear whether hyperhomocysteinemia is a useful predictor of GDM. Objective: To determine the association of serum homocysteine level in women with gestational diabetes mellitus. Methods: Case control study was conducted in the Department of Obstetrics and Gynaecology, Institute of Child and Mother Health (ICMH), Dhaka. Pregnant women in their 24 weeks to 40 weeks of gestation attended for antenatal care diagnosed as GDM was selected as cases. Non- diabetic pregnant women matching with cases by age and gestational age were selected as control in this study. GDM was diagnosed by oral glucose tolerance test (OGTT). The serum homocysteine level of these patients was measured. Descriptive and inferential analysis was carried out using SPSS version 22.0. P-value less than 0.05 will be considered as statistically significant. Results: Among the cases fasting blood sugar (6.13 ± 0.66) and controls (4.60 ± 0.57). Similarly, 2 hours after 75 gm. glucose blood sugar among cases (8.46 ± 0.88) and controls (6.32 ± 0.96). Both results were statistically significant p=0.001. Majority of patients were at third trimester of pregnancy (67.0%). 37.5% were primigravida and 2.5% were multigravida. Mean gestational age of cases (30.25 ± 2.74) and controls (30.02 ± 3.03). Among the cases 62.1% had history of GDM where 37.9% don’t have history of GDM. Among control group only 7.7% had history of GDM. This result statistically significant p=0.001. 6.9% cases had history of macrocosmic child which was not statistically significant p=0.49. There was no history of still birth or other congenital defect. Mean serum homocysteine level among cases (6.50 ± 1.72) and controls (5.20 ± 1.87) which was statistically significant p=0.001. Positive correlation observed between maternal serum homocysteine level and maternal blood sugar (r=0.209, p=0.005) in this study. Respondents with high homocysteine level have 3.94 times more chance to develop GDM (OR=3.94; 95% CI = 1.59-9.77). Conclusion: Finding from the present study suggests that maternal elevated serum homocysteine level in pregnancy is significantly associated with Gestational Diabetes Mellitus.
Evaluation of Post Placental Copper T380 A Insertion in Women during Caesarean Section
Authors: Shamim Tahasina , Tahsin Sheikh Tapaty , Rezvi Ahmed
Published: June 2023

Objective: The study was carried out to evaluate the outcome of post placental COPPER T380 A insertion in women during caesarean section. Methods: A descriptive quasi-experimental study was carried out to evaluate the outcome of post-placental COPPER T380 A insertion in women during caesarean section. They were interviewed with a specific pre-designed questionnaire Results: The patients were asked to visit 1, 6 and 12 months after the insertion of COPPER T380 A to record the complaints during the follow-up period. It was found that only 2(1.33%) complaints of expulsion after 1 month of insertion and 1 (0.66%) after 6 months, and there was no complaint of expulsion at 12 months of follow-up. In case of PID, there were 3(2%) at 1 month, 1(0.66%) at 6 months and 1(0.66%) at 12 months follow up. The most frequent complaint was pain lower abdomen which accounted for 13 (8.67%), 12 (8.00%) and 8 (12.67%) at 1. 6 and 12 months of follow-up, respectively. The next common complaint was the vaginal discharge of 9 (6.00%) at 1 month, 8 (4.67%) at 6 months and 10 (6.67%) at 12 months of follow-up. No failure of COPPER T380 A insertion during cesarean section within 12 months of follow-up (No pregnancy within 12 months). Conclusion: Clients and providers can benefit from COPPER T380 A's high motivation, low risk of infection, and fast insertion speed when used after childbirth. The use of an intrauterine device as a form of birth control immediately after delivery has been shown to be effective and safe. Furthermore, considering the large number of puerperal who do not return for contraception, the use of a safe contraceptive method, provided quickly after delivery and before discharge from the hospital, is a far-reaching reproductive health strategy.
Tumor Lysis Syndrome in Adults with Hematologic Malignancies
Authors: Mohamed El Fegigi , Hanane Khalki , Rihab Bentahar , Safae Regragui
Published: June 2023

Introduction: Tumor lysis syndrome (TLS) is a metabolic complication commonly seen in patients with hematologic malignancies, particularly high-grade non-Hodgkin lymphomas and acute leukemia. It is characterized by biochemical abnormalities that can lead to cardiac, neurological, and renal complications that can be fatal. The purpose of our study is to describe the epidemiology, laboratory profile and the outcome of TLS in order to identify patients at risk, and to implement appropriate prophylactic measures to prevent the clinical repercussions. Material and Methods: This work is a retrospective study of all patients who developed a laboratory TLS in hematologic malignancies according to the classification of Cairo and Bishop over a period of 3 years (from November 2019 to November 2022), and whose data were collected at the adult hematology unit of the Mohammed VI University Hospital of Tangiers. Results: The incidence of TLS among hematologic malignancies identified during this period was 3.7%. The underlying disease was acute leukemia in 10 patients (55.6%) and high-grade lymphoma in eight patients (44.4%). TLS was spontaneous in fifteen cases (83%) and chemotherapy-induced in three cases (17%). All our patients presented with hyperphosphatemia. 94% of cases had hyperuricemia, 44% of cases had hypocalcemia, while 6% of cases had hyperkalemia. Lactate dehydrogenase levels were elevated in all cases. Treatment consisted of hyperhydration and administration of hypouricemic agents in all cases. Three patients received hemodialysis. The outcome was favorable in 83% of cases and 17% of cases died during follow-up. Conclusion: TLS is a severe complication, most often seen in highly proliferative hematologic malignancies. The role of the laboratory remains paramount in the diagnosis of TLS and in the biological monitoring after the implementation of appropriate therapeutic measures.
An Empirical Study of the Impact of Customer Satisfaction on Brand Repurchase among Fast Moving Consumer Goods in Nizwa
Authors: R Renjith Kumar, , Tobi Al Zahra 'Abdullah Khalifa Al , Hussaini Hudhaifa Rashid Hamed Al , Hinai Marwa Suleiman Saif Al
Published: June 2023

There are many fast moving consumer brands available in the market, and this research analyses consumer’s preference, satisfaction and loyalty of these brands of daily consumer products. This study aims to identify the brand usage of selected FMCG products, satisfaction, brand loyalty of consumers. The study also analyses the impact of satisfaction on repeat purchase of selected FMCG brand products. A sample of 277 Omani consumers are selected for the study from Nizwa. The findings of the study revealed that 34% of the consumers use the Rainbow brand of evapourated milk. It is the most consistent and reliable brand in satisfaction among the Omani consumers. The impact of brand satisfaction on recommending evaporated milk is found to be significant for Rainbow, Omela, Al Mudhish and Al Marai. The impact of brand satisfaction on repurchase of Evaporated Milk is found to be significant for Rainbow, Omela, Al Mudhish, and Al Marai. In Arabic bread, 42% of the consumers use Al Kowther brand. 32% of the Omani consumers prefer Dahabi brand. Al Kowther is the most consistent and reliable brand in satisfaction among the Omani consumers. The impact of brand satisfaction on recommending Arabic bread is found to be significant for Al Kowther, Carrefour, Dahabi, Lulu, and Sohar brands. Impact of brand satisfaction on repurchase of Arabic bread is found to be significant for Al Kowther, Dahabi, Lulu, and Sohar brands. In the case of yoghurt, 50% of the consumers use Mazoon brand of yoghurt. 38% of the Omani consumers prefer Almarai brand. A’Safwah is the highest and most consistent and reliable brand in satisfaction. The impact of brand satisfaction on recommending yoghurt brand is significant for Almarai and Mazoon. Impact of brand satisfaction on repurchase of yoghurt is significant for Almarai, A’Safwah and Mazoon.
A Systematic Review of Audit Quality: Research Linkages with Practice Confirmation
Authors: Dhania Dhania , Setiawan Temy
Published: June 2023

Audit quality is a condition about an auditor finding and reporting misstatements in the accounting system. This study aims to analyze what factors affect audit quality both from literature studies and the results of distributing questionnaires to respondents. This research also involves interviews with the auditors and clients of public accountant representatives. This research is a qualitative study. Data collection through google with the garuda.kemdikbud.go.id website by limiting 100 sinta-accredited studies for the 2018-2023 period. The results showed different priorities between academics and respondents' opinions (55 people who are auditors and clients) on the variables that determine audit quality. In addition, interestingly in this study, the different factors were confirmed through interviews and found other variables for future research such as communication skills, time management, EI, SI and AI for further research. In future audit quality research, it is also necessary to conduct a pilot study before determining the variables because of the gap between academia and industry in seeing the problems that affect audit quality.
Communication and Perception of Emerging Science, Technology and Innovation in Nigeria: Implications for Development
Authors: Batta Herbert E. , Ekeanyanwu Nnamdi , Obot Charles D. , Nda Iniobong C.
Published: June 2023

There is a paucity of empirical research on emerging Science, Technology, and Innovation (STI) communication in Nigeria, and the impact on national development. This study sought answers to: what are the perceptions of emerging STI among Nigerian citizens and academics, and to what extent do emerging STIs contribute to national development? Based on the science-technology-society theory, the study conducted a survey of 2400 Nigerians in 12 states and an interview of select STI experts in 12 Nigerian universities. The study focused on synthetic biology, nanoscience and technology, robotics and artificial intelligence, drones, etc. The findings showed that a greater majority of the respondents perceived agricultural drones as the most necessary emerging STI in Nigeria while neuroparasitology was seen as the least necessary to the country’s development. Respondents also agreed that emerging STI had the more impact on ICTs and the least on security, economy and the environment. Also, large segment of respondents perceived that the new/ mass media were the predominant sources of emerging STI information. Also, STI experts perceived emerging STIs to be in their infancy in Nigeria, communication of STIs was concentrated within the scientific community, and collaboration was lacking between the STI community and other stakeholders.
Evaluation and Control of Pain in Clinical Settings
Authors: Nwonu Chukwunwike N.
Published: June 2023

Background: Pain is a subjective and an unpleasant sensory and emotional experience associated with actual or potential tissue damage or injury. It can also occur without actual tissue damage, even though the patient refers to it. Pain is a conscious experience, an interpretation of the nociceptive input influenced by memories, emotional, pathological, genetic, and cognitive factors. Pain promotes defensive action and future avoidance behaviour, which requires associating defensive behaviour with resultant changes in pain. Pain has been a predominant health concern for mankind since the dawn of recorded history, and pain control is one of the cardinal objectives of the practice of medicine. It is the most common symptom of disease reported to physicians; more than 80 % of all patients who present to hospitals and clinics do so because of pain. Pain affects the general health, psychological health, social and economic well-being of an individual. The annual cost of uncontrolled chronic pain in the general population is in amount of hundreds of billions of dollars. Objective: The work discussed the evaluation tools and protocols, strategies for pain control, and future therapeutic drug targets for pain and analgesia. Method: The literature search used for the narrative review employed electronic databases in the search for relevant research articles, and they included scopus, pubmed, medline, google scholar, and the directory of open access journals. Others were the use of standard textbooks and the review of references of identified journal articles. Articles on pain and analgesia were identified and reviewed for selection. The keywords used in the search were: ‘’Pain evaluation, Pain assessment, Pain control, Pharmacotherapy of pain, Pain management, Types and characteristics of pain, Aetiology/ Cause of pain, Classification of pain, Severity of pain, Measurement of pain intensity, Pain evaluation tools, and Novel therapeutic drug targets for pain’’. The exclusion criteria used, included articles not written in English and those articles that hinged the clinical management of pain on herbal and alternative medicines (e.g., acupuncture, homeopathy etc.). Result: One hundred and ninety-seven works, ranging from published journal articles to non-journal articles were identified. A total of 82 research works, monographs and textbooks were selected. The works were extracted and reviewed after screening of the titles and abstracts, and in compliance with the inclusion/ selection criteria. Conclusions: Clinical pain is a serious public health concern. Pain evaluation is a multi-strategic observational assessment of a patients’ pain experience. The tools (self-report, behavioural and physiological) for pain evaluation have been demonstrated to be clinically effective in assessing acute pain. Pain evaluation is crucial and clinically useful for an effective and successful pain management. Pharmacotherapy is a critical component in the clinical management of pain, including acute, chronic and acute-on-chronic pain.
Hygiene Practices of Food Handlers and their Health Implications in Fast Food Resturants in Port Harcourt, Rivers State, Nigeria
Authors: Essor Maureen Ngbechi , Dimkpa Gospel Chimenma , Ihua Confidence Waribo , Paul John Nwolim , Chinda Samuel Chiburuoma , Ogba Amaka Azubuike , Wike Blessing Ihunda , Obinna Richard Owen , Jones Gloria Stanley Acra , Obia Joyce Chisa , Nwokah Rita Chika-Alfred , George Sogbeye Tonye , Nwikasi Kiaka , Madume Anelechi Kenneth , Oparaocha Evangeline
Published: June 2023

The trend in global food safety production, processing, distribution, and preparation is creating an increasing demand for food safety research in order to ensure a safer global food supply. The aim of this study is to assess the level of food hygiene practises of food handlers and their health implications in fast food restaurants in Port Harcourt, Rivers State. The study employed a cross-sectional descriptive survey to investigate the hygiene practises of food handlers. Also, an experimental method of analysis was used to determine the microbial quality of food served in restaurants. The data were also collected with the aid of a well-structured questionnaire through face-to-face interviews. A Statistical Package for Social Sciences (SPSS, version 20.0) was used to analyse the collected data. Descriptive statistics were used to display the results of the study, and the statistical association was ascertained with the chi-square test. From the results, 105 (66%) reported having good knowledge of food hygiene practises. 70 (36.8%) received training and had a certificate in cooking, while 120 (63.2%) did not. The respondents were assessed on their means of food preservation; 140 (73.7%) reported they stored food in refrigerators. Personal observation from the restaurants showed that adequate protection of food from flies and dust scored 40 (44%), while no protection scored 50 (56%). In conclusion, there is relatively low knowledge among respondents about the health implications of fast food restaurants. The majority of restaurant owners are not well or fully aware of the HACCP system in formal setups. The Ministry of Health, through the public health authorities in the urban centre, should adequately educate all restaurant owners, managers, staff, and other stakeholders on system implementation.
A Rare Case of Carpal Tunnel Syndrome in a Teacher
Authors: TB Bagayoko , I Sacko , B Samaké , M Keita , T Traoré , A Bah , A Kassogué , SI Koné , H Toungara , DS Coulibaly , AN Coulibaly , MA Togo , A Sanogo , A Kodio , BM Dramé , AKM Maiga , M Diallo , A Touré
Published: June 2023

A case of carpal tunnel syndrome was incidentally discovered during an occupational pathology consultation in a 51-year-old class teacher, with more than 24 years of service, presenting with tingling and tingling in the right hand and pain radiating to fingers and forearm. The use of chalk on the blackboard and the pen on paper constituted the professional causes found. The symptomatology was exacerbated after each working day, calmed down during weekends and holidays, and awoke to rare domestic work such as (washing linen, sifting flour, etc.). The patient, after numerous consultations in traumatology for joint pain in the wrist, was also followed by another doctor for arterial hypertension. The result of the first ultrasound was contradictory to the clinic, concluding with De Quervain's tendonitis. The CT scan of the wrist did not provide any evidence for the diagnosis. The requested electromyogram was not made available. The infiltration of corticosteroids helped to calm the pain and the associated signs.
Acute Myocarditis Mimicking ST-Elevation Myocardial Infarction in 19 Years Old Male with Pneumonia
Authors: Jamaluddeen Nawwar Burhan , Akkad Ashraf AL , Nour Seema El Khider
Published: June 2023

Background: Acute myocarditis is an inflammatory disease of the heart muscle that manifests clinically with a spectrum of symptoms, ranging from mild chest pain to myocardial infarction. It can also be linked to viral or bacterial illnesses like pneumonia. Case summary: A 19-year-old male with no notable medical history reported to the Emergency Department with substernal chest pain radiating to the left arm, accompanied by nausea and profuse perspiration. His vital signs were stable and his physical examination was normal, with the exception of left lower chest crackles. The electrocardiogram revealed ST segment increase in inferior and lateral leads, along with ST depression in leads V1 through V3. A portable chest x-ray revealed a patchy opacity in the lower lobe of the left lung. Invasive coronary angiography revealed normal coronary arteries. Further evaluation with echocardiography and cardiac MRI revealed characteristics of acute myocarditis, including a minimally dilated LV and subtle hypokinesia in the midventricular inferior and lateral segments, as well as mild global hypokinesia in the LV and RV. Perimyocarditis was detected in the patient, and antiplatelet medication were terminated. Due to a low ejection fraction, Bisoprolol, Ramipril, and spironolactone were administered, and he was hospitalised until his intravenous treatments for pneumonia were completed. Further laboratory tests revealed a decrease in troponin T, white blood cell count, and C-reactive protein. He was discharged with medications including spironolactone, metoprolol, Ramipril, and colchicine. Unfortunately, he failed to comply with the directive. On the eighth day of hospitalisation, a discharge ECG revealed sinus rhythm with no ST-T alterations. Conclusion: When evaluating an acute cardiac event, healthcare practitioners should examine the possibility of uncommon bacterial myocarditis and keep in mind that Streptococcus pneumoniae infection might imitate acute MI in otherwise healthy young males. The timely diagnosis and administration of appropriate antibiotics are critical in the treatment of such conditions.
Enhancing Medication Adherence in Chronic Patients
Authors: Amer Mohammad Abdul Kareem , Mohiuddin Syed Iqbal , Shaikh Shafeeque , Tamkeen Zubariya
Published: June 2023

Background: Due to the lack of gold standard techniques for adherence measurement, accurate measuring and monitoring of patient medication adherence is a problem that affects the entire world. Adoption of technology for medication adherence monitoring has received recent attention since it allows for the ongoing monitoring of patient behaviour with regard to medication adherence. However, there are differences in the technological characteristics and data collection techniques of the many medication adherence monitoring technologies currently in use, which affects how well they can be used and how well they can perform. Overall, there is a dearth of adequate standards to evaluate medication adherence monitoring technology for the best uptake and application. Objective: In order to encourage technology development and implementation, this study seeks to offer a narrative review of the available medication adherence monitoring systems.