bluuebunny/crossref_metadata_2025_split huggingface dataset:
ДИСТАНЦІЙНЕ НАВЧАННЯ ДІТЕЙ З ОСОБЛИВИМИ ПОТРЕБАМИ: СТВОРЕННЯ МОДЕЛІ
Authors: Прохоренко Леся , Прохоренко Денис 
Published: July 2023

Обґрунтовано, що здобуття повноцінної освіти є важливим фактором у житті осіб з особливими потребами. Нагальним постає питання дистанційного навчання осіб з особливими потребами, яке є альтернативною формою навчання як в умовах війни, так і в умовах різних кризових викликів, що дає змогу таким особам реалізувати себе, отримати середню/вищу освіту.
Обґрунтовано бар’єри, які виникають в осіб з особливими потребами в процесі навчання, до яких віднесено: особистісно-діяльнісні, технічні й технологічно-методичні. Запропоновано модель системи дистанційного навчання осіб з особливими потребами та озвучено рекомендації щодо удосконалення такого навчання на організаційному, особистісному, діяльнісному і контрольно-оцінному етапах. Описано мету, зміст, специфічні методи, організаційні форми, засоби навчання. Наголошено, що ефективність дистанційного навчання, з одного боку, зумовлено технологічними особливостями навчального процесу, пов’язаних з використанням комп’ютерних мереж у режимі електронної пошти та Інтернету, а з іншого – модально специфічними і модально неспецифічними особливостями дітей з особливими потребами. Водночас, наголошено, що дистанційне навчання дітей з особливими потребами можливе за умови індивідуалізації навчання та активної допомоги батьків.
У висновку заначено, що упровадження дистанційного навчання відкриває нові перспективи для осіб з особливими потребами. Дистанційне навчання має бути цілісним, синтетичним, інтегрованим, гнучким, із широким застосуванням нових інформаційних технологій, передбачати системний психолого-педагогічний супровід та корекційно-розвивальну роботу на основі нових методично-дидактичних ресурсів.
INCIDENCE OF HYPOPHARYNGEAL CARCINOMA IN PATIENTS PRESENTING WITH DYSPHAGIA
Authors: Said Wali Khan  , Muhammad Junaid  , Muhammad Umair  , Zakir Ullah  , Muhammad Irfan  , Naik Muhammad  
Published: July 2023

Objective: To determine the incidence of hypopharyngeal carcinoma in patients presenting with dysphagia
Materials and Methods: A descriptive cross-sectional study was conducted at ENT, Head & Neck Surgery Department, Khyber Teaching Hospital, Peshawar, for one year. All patients who presented with dysphagia for more than three weeks, of both genders and above 15 years of age were included in the study.
Results: A total of 342 patients were included in this study. The mean age was 60 years, with a standard deviation ± 1.87. Seventy percent of patients were male, and 30% of patients were female. Hypopharyngeal carcinoma was found in 24 patients (7%) patients.
Conclusion: Hypopharyngeal cancer should be ruled out if a patient between 40 to 70 years of age presents with dysphagia, cervical lymphadenopathy, and has a history of smoking.
ORAL HYGIENE OF STUDENTS IN PRIVATE SCHOOLS OF CANTONMENT REGION LAHORE; AWARENESS & CURRENT STATUS
Authors: Asma Shakoor  , Aleshba Saba Khan  , Talha Ashar  , Beenish Mehmood  
Published: July 2023

Objective:
To determine document the comparison of oral hygiene status amongst different groups of school going children.
Materials and Methods:
A cross section study was condducted started from march 2017 to May 2017 at contorment region of Lahore. The sample size consisted of 4566 individuals categorized in to two groups; 7-12 years old (n= 4356) & 16-21 years old (n= 210). Examiners were calibrated to perform check up on a modified WHO Oral health assessment forms with dental mirrors in natural daylight. Oral hygiene, gingivitis & calculus were the recorded measures. Another parameter measured was bleeding gums with a simple yes & no answer amongst the two age groups. The students were given dental hygiene awareness & subsequently referred for treatment. Chi square test was used to check association. SPSS version 20 was used for analysis.
Results:
Out of total 4556 students, 7-12-year-old group 1416 (33.40%) were marked with good oral hygiene with proper maintenance, 1828 (43.10%) had fair oral hygiene with occasional mild staining while 994 (23.50%) were categorised with poor oral hygiene with occasional brushing. In the 16-21 year old age category, a total of 202 students were checked. Amongst them, 41 (20.30%) fell in the good hygiene category, 136 (43.10%) had fair oral hygiene while 25 (12.40%) were categorized as having poor oral hygiene. Most of the students in 7-12 years’ age group had no bleeding gums. (p-value <0.001). There was association between calculus and age group (p-value < 0.001).
Conclusion:
High level of unmet dental health care still exists in Lahore as reflected by the comparison groups by their poor oral hygiene.
ATTITUDE OF DENTAL SURGEONS REGARDING RADIATION PROTECTION IN TEACHING DENTAL HOSPITALS OF PESHAWAR.
Authors: Sana Javed  , Syed Imran Gilani  , Saira Afridi  , Muhammad Khalid Khan  , Saiqa Saleem  
Published: July 2023

Objective:
To determine attitude of dental surgeons regarding radiation protection in teaching dental hospitals of Peshawar.
Materials and Methods:
It was a cross sectional study, carried out in all the teaching dental hospitals of Peshawar. A self-administered questionnaire was distributed amongst all the house officers who were present and willing to participate in the study. The questionnaire included both open and close ended questions regarding radiation protection. Descriptive data was analyzed using frequency tables and categorical variables was analyzed using chi-square test.
Results:
Majority of house officers reported that they remain in the room with the patients while taking the radiographs, most of them belonging to a public dental college i.e. (74%). Only 7% from the public sector dental hospital reported that they wear protective lead apron as compared to private dental teaching hospitals i.e. Private teaching hospital A, (35%) and B (37%). Regarding ALARA guidelines for radiation safety, none of the participant form the public dental college was aware, while less than 10 % of participants from the private dental hospitals were aware. Majority of the participants were unsatisfied with the radiation protection measures provided at their institutes.
Conclusion:
This study concluded that attitude regarding radiation protection standards amongst house officers in teaching dental hospitals of Peshawar requires marked improvement to prevent radiation related hazards.
FAKE NEWS, MYTHS AND REMEDIES REGARDING ORAL HEALTH CARE IN PATIENTS COMING TO A RIVATE TEACHING DENTAL HOSPITAL OF PESHAWAR, PAKISTAN.
Authors: Zahid Hashim  , Syed Imran Gilani  , Sofia Kabir  , Muhammad Yasir Israr  , Muhammad Asif Khan  , Madiha Riasat  
Published: July 2023

Objective:
To determive the frequent of myths and remedies rampant among the patients visiting a private teaching dental hospital.
Materials and Methods:
It was a cross-sectional study at SBDC Peshawar, Pakistan, of patients coming to the hospital in months of Sept-Oct 2019. They were questioned about wrong beliefs, erroneous remedies and fake news among the masses. Data was analyzed using SPSS 16.
Results:
The sample comprised of 250 adults with 66.8% males and 33.2% females. Mean age was found to be 29.87 with a SD of 11.36. Most common beliefs were that whiter teeth are sign of healthy teeth (77.3%) and intake of antibiotics is mandatory after every extraction and RCT (66.8%). Many believed that scaling can weaken teeth (44%) and amalgam can cause cancer (40.8%). did regular dental checkups were not regarded important by 40.8%. A large number of female population (51.8%) believed in false remedies like treating a painful tooth with clove oil, aspirin and salt water rinses.
Conclusion:
There is wide spread of misconception in public about oral health care and what constitutes a healthy dentition as well as the proper management of oral health diseases.
ASSESSMENT OF STERILIZATION STANDARDS IN PUBLIC AND PRIVATE DENTAL SETTINGS OF PESHAWAR – A CROSS SECTIONAL SURVEY
Authors: Adeela Mustafa  , Hayat Muhammad Khan  , Saifoor Ahmed Khan  , Romana Ayub  , Imran Ullah  , Sadaf Bilal  
Published: July 2023

Objective:
To assess the sterilization standards of the dental setups both in public and private settings of Peshawar.
Materials and Methods:
This Cross Sectional Study was started from Nov 2017 to Apr 2018 in Khyber College of Dentistry, Sardar Begum Dental College Peshawar, Rehman Dental College Peshawar and Private Clinics in Board Bazar and University Town Peshawar which were included in the study through Convenient Sampling technique. Total 100 professionals were interviewed; 50 from public and private. A semi-structured questionnaire was used with open and close ended questions. Data was analyzed using SPSS version 20 and Microsoft Excel.
Results:
Of the 100 total professionals, dental surgeons, house officers, TMOs, Specialists and technicians were interviewed. All the private settings were using autoclave method of sterilization i.e 50 while the public sector was 46. Immediate sterilization of instruments after use public : private 27 : 33. Disinfection of operatory surfaces in between patients: public : private 33 : 25. Presence of destruction boxes for syringe disposal: public : private 13 : 44. Both these settings were almost identical in sterilization practices except use of destruction box.
Conclusion:
Sterilization practices needs to be improved both in public and private settings. Dental personnel need to be given proper training on regular interval.
THE PATTERN OF COMPLICATIONS OF OPEN VS LAPAROSCOPIC CHOLECYSTECTOMY; A COMPARATIVE STUDY
Authors: Muhammad Naeem  , Waleed Mabood  , Sajjad Ali  , Imtiaz Ahmed Khattak  , Wajeeha Arshad  
Published: July 2023

Objective:
To compare the pattern of complications of open vs laparoscopic cholecystectomy
Materials and Methods:
A Randomized Controlled Trial was carried out at the Department of Surgery, Khyber Teaching Hospital, Peshawar from January 2019 to July 2019 laparoscopic cholecystectomy. A total of 200 patients (100 in each group) with the indication of cholecystectomy fulfilling the inclusion criteria were subjected to open and laparoscopic cholecystectomy. The complications were observed and plotted in terms of frequencies and percentages; were compared through SPSS (Statistical Package for Social Sciences) version 21.
Results:
A total of 200 patients with indication of cholecystectomy were operated on, which were divided into two equal groups. The mean age was 42.14 years ±9.34 2SD. Out of 200 patients, 21% were male while 79% were female. No common bile duct, duodenal or colonic injuries were noticed while wound infection was reported more in the open group (5%). Intraoperative bleeding (02%) and gallbladder perforation (10%) was seen more in the LC group as compared to the open group with a 1% occurrence of such complications.
Conclusion:
The open technique will remain valid as long as the laparoscopic technique remains in motion since the laparoscopic technique has shortfalls that are managed by the open approach only. Thus, the importance of both techniques is justified.
MATERNAL HEALTH CARE SEEKING BEHAVIOR IN WOMEN OF KHYBER PAKHTUNKHWA
Authors: Kamran Alam  , Zia Ul Haq  , Madiha Riasat  , Hassan  , Maqbool Zaheer Babar  , Nauman Arif  
Published: July 2023

Objective:
To determine the maternal health care-seeking behavior amng women of Khyber Pakhtunkhwa.
Materials and Methods:
This was a cross-sectional study using self-administered questionnaire to examine the maternal wellbeing care pursuing behavior of the women. The sampling technique used was random multistage sampling for 3320 females of seven districts of urban and rural areas of Khyber Pakhtunkhwa started from Feb 2016 to March 2017.SPSS version 22 was used for analysis.
Results:
Most of the pregnant women preferred doctors for the last delivery of their child (20.9%), (14.2%) preferred Trained Traditional Birth Attendant, (5.0%) visited Nurse or Midwives, the delivery of (2.3%) pregnant females were attended by their Relatives/ Friends, (1.8%) deliveries were made by LHWs, and LHVs were preferred by (0.8%) females.
Conclusion:
Most pregnant women preferred doctors for delivery, Trained Traditional Birth Attendant, Nurse or Midwives, Relatives/Friends, LHWs, and LHVs.
PERCEPTION OF MEDICAL/DENTAL UNDERGRADUATES REGARDING INTERACTIVE LECTURES IN OUTCOME INTEGRATED CURRICULUM
Authors: Sofia Shehzad  , Samin Khan Kabir  , Zainab Waheed  , Hamid Hussain  , Sofia Haider Durrani  , Faisal Saeed  
Published: July 2023

Objective:
To determine the feedback of medical and dental undergraduate students towards interactive lectures in an integrated curriculum.
Materials and Methods:
A cross-sectional study was conducted in the Kabir medical college and Sardar begum dental college, Peshawar. In this study, 400 undergraduate medical and dental students participated (200 MBBS & 200 BDS). The duration of this study was 2 months (October and November,2020). The sample size was selected through simple random sampling. 1st year and 3rd year students were excluded from the study. A questionnaire was designed, comprises of 20 questions and responses were recorded in 5-point Likert rating scale. Pre-testing of the questionnaire was done on 10% of the population. SPSS (version 22) were used for data analysis.
Results:
The results shown that medical and dental students understand integrated curriculum and they considered that it provides framework and modification in learning, as 66.5% of MBBS and 80.0% of BDS response was positive (p-value <0.05). Student’s perception about the integrated curriculum results showed that the Mean ± SD of MBBS students were 4.32 ± 0.69 where the BDS students were 4.48 ± 0.66 with -0.16 mean difference. 81.5% MBBS students and 86.0% BDS students also contemplate it as an effective mode of teaching which helps to achieve learning outcomes.
Conclusion:
Students have understanding about the interactive lectures and integrated curriculum, they provided positive feedback. It is helpful for students in their learning perspective which will also motivate them to excel in their profession.
SERUM IRON LEVELS IN PSORATIC PATIENTS IN PAKISTAN
Authors: Shahnaz Dilawar  , Zafar Ahmad Khan  , Shabir Ahmed Orakzai  , Mohammad Tayyab Ahmad  , Asmat Shaheen  , Zahoor Ahmed  , Naghma  , Jamil Ur Rehman  
Published: July 2023

Objective:
The persuasive evidence shows that proper iron (Fe) nutrition has a chief role in human health. Hence a study was designed to estimate the serum iron in psoriatic patients in Pakistan.
Materials and Methods:
500 patients (males & females) with different ages and different types of psoriasis were randomly chosen for this study. Similarly 100 non–psoriatic volunteers, sex and age matched were included who served as controls were evaluated for serum iron level. Serum iron level was measured with atomic absorption spectrophotometer (AAS).
Results:
The serum iron level was found to be low in 80% patients. Mean ± SD of serum iron was 850.40 ± 2.30 µg/dL in disease group and 898.10 ± 1.50 µg/dL in control subjects. In patients serum iron level was notably lower than normal healthy control subjects (p<0.001)
Conclusion:
It was concluded that deficiency of iron may play a role in the pathogenesis of psoriasis and routine serum iron estimation in patient with psoriasis will be helpful in evaluating and describing the severity of psoriasis.
EVALUATE ESTHETIC SATISFACTION OF PATIENTS WITH METAL-CERAMIC RESTORATIONS IN THE ANTERIOR MAXILLA
Authors: Amira Qadeer  , Asifullah Khan  , Jawad Rafique  , Aamir Syed  , Afsheen Akhtar  , Zaheer Babar  
Published: July 2023

Objective:
To determine esthetic satisfaction of patients provided with metal ceramic fixed restorations in the anterior maxilla.
Materials and Methods:
A cross sectional study was carried out from February 2015 to March 2016 at the Department of Prosthodontics, Khyber College of Dentistry Peshawar. A total of 159 subjects were observed by using 28% proportion of satisfaction with fixed partial dentures by using WHO sample size calculator. Moreover, nonprobability consecutive sampling technique was used for data collection. Patients after giving informed consent were asked to evaluate their metal ceramic fixed restorations by looking at them in a wall mounted mirror from a conversation distance. The score pointed out by the patient for each of the three aspects of aesthetics (shade, shape and texture) of the restoration was recorded. These were summed to document the overall score assigned to restoration. Data was analysed using SPSS 17.
Results:
Out of total of 159,the mean age of the participants included in the study was 31.71±7.88 (SD) years. Males comprised 40.3% of the participants. Majority of patients i.e. 69 (43.4%) were in the age group 31-40. Majority of the patients 59 (37.1%) were poorly satisfied with their maxillary anterior metal ceramic restorations, 42 (26.4%) patients showed moderate satisfaction with their restorations. Higher frequency (49.1%) of poor satisfaction levels with the maxillary anterior metal ceramic fixed partial dentures was found in the age group 20-30 years. Gender stratification showed no significant statistical difference.
Conclusion:
Aesthetic attitude towards the anterior metal ceramic fixed restorations differed with the differing age groups, with the ageing subjects more satisfied with their anterior restorations than younger subjects. This must be recognized in treatment planning for future restorations.
ATTITUDE AND AWARENESS REGARDING COVID-19 IN PATIENTS PRESENTING TO THE DEAPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY KHYBER COLLEGE OF DENTISTRY PESHAWAR
Authors: Basheer Rehman  , Braikhna Murad  , Sana Mushtaq  , Muslim Khan  , Atta Ur Rehman  , Farhad Ali  , Tariq Ahmad  , Hassan Shafi  , Shuja Riaz Ansari  
Published: July 2023

Objective:
To assess the attitude and awareness of COVID-19 infection among patients presenting to the department of oral and maxillofacial surgery.
Materials and Methods:
This cross sectional study was conducted on 150 patients in the department of Oral & Maxillofacial surgery, Khyber College of Dentistry Peshawar from March 2020 to August 2020. Awareness and attitude scores were determined for each individual by allocating scores to different responses in such a way that a score of 1 was awarded for each positive response and a score of zero for each negative response. Thus, awareness was categorized as aware (score above 10) unaware (score 10 and below) while attitude was grouped as Good (score above 10) and poor (score 10 and below). Collected data was analyzed using SPSS v.20. Awareness and attitude categories were stratified among age groups, gender and educational levels using chi square / Fisher Exact Test. logistic regression was performed to know the strength of association taking awarness (yes/no) as an outcome variable.Results:Out of 150 patients, 70.7% (106) were Male while 29.3% (44) were female with a male to female ratio of 2.4:1. The mean age was 33.12 ± 13.76 SD. Most of the participants were either illiterate (39.4%) or having only primary education (35.3%). One hundred and eleven (74%) were aware and 39 (26%) were unaware. Thirty two patients (21.3%) were having a good attitude towards precautionary measures and 118 (78.7%) were having a poor attitude. Statistically significant results (p-value <0.05) were only found in awareness category against educational level when logistic regression test was performed. Statistically significant odd ratio (OR) 4.125 (95% Cl 1.71-9.96) was shown for patients with a Master educational level.
Conclusion:
Majority of patients presenting to the Department of Oral and Maxillofacial Surgery at the Khyber College of Dentistry have an acceptable level of knowledge about COVID-19, but a poor attitude toward preventive measures. The study also found that educational attainment has a significant impact on patient awareness.
FREQUENCY OF COMMON PATTERN OF IMPACTED MANDIBULAR THIRD MOLAR IN PATIENTS PRESENTED TO A TERTIARY CARE HOSPITAL IN PESHAWAR
Authors: Kamran Khan  , Imran Khan  , Salman Khan  , Yasir Kamal Khan  , Khadim Shah  , Faryal Maqsood  , Nazish Zaman  , Muhammad Mushtaq  
Published: July 2023

Objective:
To determine frequency of common patterns of impacted mandibular third molar impaction in patients presented to a tertiary care hospital in Peshawar.
Materials and Methods:
This descriptive cross-sectional study which is carried out on 195 patients at Oral and Maxillofacial Surgery department, MTI/HMC, Peshawar from 07 June 2018 to 07 December 2018. Detailed history and thorough clinical and radiographic (orthopantomogram) examination with informed consent of all patients were taken. Based on the collected data, the definitive diagnosis of third molar impaction was established.
Results:
As per common patterns, 85 (43.58%) patients were recorded with mesioangular impaction, 51 (26.15%) patients were recorded with horizontal impaction, 33 (16.92%) patients were recorded with vertical impaction, whereas only 26 (13.33%) patients were recorded with distoangular impaction.
Conclusion:
We concluded that the most prevalent pattern for Impacted Third mandibular is mesioangular position.
FREQUENCY OF IN HOSPITAL MORTALITY IN ACUTE MYOCARDIAL INFARCTION PATIENTS WITH METABOLIC SYNDROME
Authors: Muhammad Salman  , Amber Ashraf  , Amjad Abrar  , Kashif Shahid Khan  , Sadiq Rehman  , Mehboob Ur Rehman  
Published: July 2023

Objective:
To determine frequency of in hospital mortality in acute myocardial infarction patients with metabolic syndrome.
Materials and Methods:
It was a descriptive case series study was conducted in cardiology department Khyber teaching hospital Peshawar, Pakistan from 02/01/2016 to 21/07/2016. Sample size was calculated 72 using non probability sampling technique. Age, gender, SBP, serum FBG, serum HDL-C, serum TG and waist circumference was noted. Patients were followed for 5 days to determine outcome i.e. in hospital mortality.
Results:
Out of 110 patients, 72 were fulfilling the criteria for my study. Mean age of the patients was calculated to be 57.47 years. 35 (48.6%) patients were males and 37 (51.4%) were females. Frequency of in hospital mortality was 6 (8.3 %) with 11.4 %( n=4) in males and 5.4 %( n=2) in females.
Conclusion:
We concluded that in hospital mortality ratio is relatively high in acute myocardial infarction and those having more metabolic disturbances. There is significant association between age of onset and co morbid medical or endocrinological problems, while gender, educational status, marital status, occupational status, duration of illness and family history with the patient are not as much associated with mortality rate.
VARIATION OF CUSPS AND ROOTS OF UPPER WISDOM TOOTH IN PATIENTS VISITING KHYBER COLLEGE OF DENTISTRY
Authors: Nighat Shafiq  , Dilabaz Khan  , Tehmina Majid  , Saira Afridi  , Shakeela Aleem  , Sobia Kanwal  
Published: July 2023

Objective:
To determine the variation of cusps and roots of maxillary 3rd molars.
Material and Methods:
This descriptive cross-sectional study was carried out on 100 extracted 3rd molars. Informed consent was taken from the patients. The teeth with carious lesions and damaged crown were excluded from the study. Data was collected and entered into SPSS for the calculations of percentage and frequencies.
Results:
A total of 100 maxillary 3rd molars were collected in the department of surgery. Among maxillary 3rd molars most prevalent was tricuspid 44 % and 43% followed by tetracuspids 40% and 16 % of the teeth had five cusps. Only 2% of the third molars had more than five cusps. The most prevalent were fused roots that were 46 %and 68% are followed by two roots and three roots in right and left quadrants respectively.
Conclusion:
3rd molars are the most variable teeth in the oral cavity. cusps of the 3rd molars vary from tricuspid to more than 5cusp. Root variation is more than crown variation. Genetic, ethnic and geographical factors affect the morphology of cusps and roots.