bluuebunny/crossref_metadata_2025_split huggingface dataset:
Assessment of interoperator variability in shade selection using two shade guides
Authors: Saini Ravinder Singh , Kaur Kanwalpreet 
Published: August 2022

Background: Shade determination for direct and indirect restorations has always been a challenging aspect of esthetic dentistry. Hence; the present study was conducted for assessing Interoperator Variability in Shade Selection using Two Shade Guides. Materials & methods: Two different shade guides used were: Shade Guide 1- Vitapan classical shade guide and Shade Guide 2-VITA toothguide 3D-Master shade guide. A total of 40 subjects were enrolled. Only those subjects were enrolled which had healthy maxillary right permanent central incisor. Two independent operators participated in the study. Each subject was seated upright in the dental chair and the middle third portion of the maxillary right central incisor teeth to be matched was slightly moistened. The percentage of variability in shade selection between the operators was calculated. All the results were subjected to statistical analysis. Results: For shade guide 1, kappa value and interpersonal variability was 0.89 and 16% respectively. For shade guide 2, kappa value and interpersonal variability was 0.71 and 29% respectively. Hence; interpersonal variability was higher for shade guide 2 in comparison to shade guide 1. Conclusion: From the above results, the authors concluded that VITA Toothguide 3D-Master showed higher variability in comparison with Vita lumen shade guide.
Evaluation of flexural strength of glass carbomer cement and conventional glass ionomer cement
Authors: Saini Ravinder Singh , Kaur Kanwalpreet 
Published: August 2022

Background: The conventional glass ionomer cement (GIC) has been advocated as a restorative material because of its ability to chemically bond to tooth structures and release fluoride.Recently, glass carbomer cement, a GIC-based restorative material, has been introduced with claims of improved physical characteristics. Hence; the present study was conducted for comparing the Flexural Strength of Glass Carbomer Cement and Conventional Glass Ionomer Cement.Materials & methods: The present study was conducted for comparing the Flexural Strength of Glass Carbomer Cement and Conventional Glass Ionomer Cement. Study moulds were made out of silicone putty material. Stainless steel scaffolding was used for creating a mould of desired dimensions. Total 40 specimens were prepared and divided into two study groups with 20 specimens in each group. One group was of conventional GIC while the other group was GCC.After preparation of the specimen, testing of flexural strength was done using universal force testing machine. All the results were recorded, analysed and compared. Results: Mean flexural strength of GIC and GCC was 28.3 MPa and 26.9 MPa respectively. Non-significant results were obtained while comparing the mean flexural strength of GIC and GCC. Conclusion: Flexural strength of glass carbomer cement was similar to conventional glass ionomer cement.
Penyuluhan Manfaat Penerapan Psikologi Komunikasi dalam Keluarga di Dusun Jenggala, Kecamatan Pringgarata, Lombok Tengah.
Authors: Ekaningtyas Ni Luh Drajati 
Published: August 2022

Pola komunikasi yang tidak efektif dalam keluarga dapat menyebabkan anggota keluarga tidak saling mengenal dengan baik satu sama lain, sehingga sulit untuk saling memahami dan merasakan kelekatan, keluarga menjadi tidak hangat dan suasana rumah kurang menyenangkan. Kegiatan pengabdian kepada masyarakat di Dusun Jenggala, Desa Bilebante, Kecamatan Pringgarata, Kabupaten Lombok Tengah, Nusa Tenggara Barat ini bertujuan untuk mengedukasi masyarakat melalui penyuluhan tentang penerapan psikologi komunikasi dalam keluarga untuk mencapai keluarga sukinah. Penyuluhan dilakukan dengan materi dan metode yang disesuaikan dengan kondisi dan kebutuhan masyarakat dan kelompok usia yang terdiri dari ceramah, diskusi, bernyanyi dan bercerita, pendampingan, dan konseling. Hasil dari kegiatan ini adalah masyarakat memperoleh: (1) pengetahuan yang lebih baik tentang peran psikologi komunikasi dalam menghasilkan keluarga sukinah, (2) bekal keterampilan untuk dapat menerapkan psikologi komunikasi dalam keluarga, (3) sikap positif dan komitmen untuk berupaya menerapkan psikologi komunikasi demi tercapainya keluarga yang sukinah.

Ineffective communication patterns in the family can cause family members do not know each other well, making it difficult to understand each other and feel attachment, the family and home atmosphere is not warm and less pleasant. This community service activity in Jenggala, Bilebante Village, Pringgarata District, Central Lombok, West Nusa Tenggara Barat aims to educate the community through counseling about the application of communication psychology in the family to achieve a sukinah family. Counseling is carried out with materials and methods adapted to the conditions and needs of the community and age groups, consisting of lectures, discussions, singing and storytelling, mentoring, and counseling. The results of this community service activity are that the community gains: (1) better knowledge about the role of communication psychology in forming a sukinah family, (2) provision of skills to be able to apply communication psychology in the familu, and (3) a positive attitude and commitment to trying to apply communication psychology in order to achieve a happy family.
The Effect of Digital Transformational Leadership, Creative Self-Efficacy on Innovative Behaviour Mediated by Perceived Organizational Support
Authors: Susanti Susanti , Ardi Ardi 
Published: August 2022

The Covid-19 pandemic crisis creates many hardships in organizations and unlocks numerous opportunities for organizational growth. Innovation is an essential aspect of creating a sustainable future, and it depends on the individual innovative behaviour in the organization. Although there are many opportunities to innovate, not all schools can accomplish it. School leaders are expected to overcome gaps in digitizing school systems and learning processes. This study aims to measure the positive effect of digital transformational leadership and creative self-efficacy on innovative behaviour with perceived organizational support as a mediator. The 25 items of the questionnaire were distributed to 104 teachers and employees at a XYZ school in Tangerang. Data were processed and analyzed using PLS-SEM method. The results indicated that digital transformational leadership and creative self-efficacy positively affected innovative behaviour. The results also show that perceived organizational support as a mediating variable positively affects innovative behaviour.
Male Involvement in Maternity Care And Birth Preparedness Of Their Spouse
Authors: Haque Nohri Mansoor Ul , Akhter Memon Parveen , Ali Mallah Manthar , Bux Mangiro Khuda , Ali Malik Anwar , Ahmed Soomro Mushtaque 
Published: August 2022

Lack of involvement in maternity care by male is a major public health issue and it is most neglected aspect of health in Pakistan .although males are involved in every decision making for female and children’s for health care facilities. Methods: A descriptive cross sectional study was conducted to select 461 male Participants a Systematic random sampling technique was used. Ethical approval was taken from Ethical Review Committee. The information collected by interview to assess the involvement of male. The data collection tool comprised of two parts demographic variable and maternity and birth preparedness related variables. The mean, standard deviation and percentage, was calculated and know the association and chi-square test applied for data analyze. Results: Mean age of male was 35.3 years S.D ±6.6, less than half of the participants (42.3%) were illiterate followed by primary (23.2%), middle (18.9%), and Matric (10.4%), above Matric (5.2%). Husbands were main decision makers for maternity care and place of birth (92.6%) followed by fathers (6.1%) and brothers (1.3%). During the antenatal visits 41.6% men had accompanied their spouses or women for antenatal visits but there is 58.4% men not accompany their spouses or women for antenatal visits. Conclusion: Male involvement in maternal care and birth preparedness is not appropriate enough and knowledge related complication and labor, about overall maternal and child health and complications of pregnancy and labor, level of education, encouragement of their spouses, are the decisive factors in availing the benefits of maternal and child care
Role of CT-KUB for Detection of Obstructive and Non-Obstructive Hydronephrosis on The Basis of Frequency of Calculi
Authors: Akram Hifza , John Akash , Ali Abid , Jamil Maryam , Rasheed Laiba , Kiran Warda 
Published: August 2022

The kidneys and ureters are the most prevalent sites for stones. The swelling of the kidneys due to renal stones, most often ureteric stones, is known as hydronephrosis. For detecting the position of stones, CT-KUB has a high sensitivity. Objective: To determine the frequency of obstructive and non-obstructive hydronephrosis due to calculi in CT-KUB. Methods: A cross-sectional study was conducted from January, 2022 to May, 2022 at Tertiary Hospital in Lahore, Pakistan. A sample size of 166 patients was obtained using a non-probability convenient sampling technique based on the previously published articles. All patients with renal calculi were included. 64 Slices Aquilian CT Machine was used. SPSS ver. 22 was used for data entry and analysis. Results: 166 Patients were in the age ranges of (15-25), (26-35), (36-45), (46-55), (56-65), and (66-75) were 27(16.3%), 39(16.3%), 32(19.3%), 37(22.3%), 22(13.3%), 9(5.4%) respectively. There were 126(75.9%) males and 40 (24.1%) females. Flank pain was present in 154(94%) and hematuria in 68(41%) patients. Stones were noted in kidneys 102(46.6%), proximal ureter 35(16%), mid ureter 21(9.6%), distal ureter 51(23.3%), urinary bladder 10(4.6%). 96 patients were diagnosed with obstructing hydronephrosis (57.8%). Conclusion: Urinary tract stones are most commonly seen in the kidneys and ureters. Obstructive and non-obstructive hydronephrosis is mostly caused by kidney stones. Obstructive hydronephrosis accounted for 57.8% of the total, whereas non-obstructive hydronephrosis accounted for 42.2%. CT-KUB plays a vital role in the diagnosis of hydronephrosis.
Association of Post Vaccination Shoulder Pain with Sinovac and Astrazeneca COVID-19 Vaccines: A Cross-Sectional Study
Authors: Sheher Bano  , Amjad Faiza , Haider Muhammad Waleed , Khalid Maham , Jabbar Saima , Iftikhar Komal , Alam Ayesha , Aslam Saira 
Published: August 2022

The world is facing severe pandemic due to COVID-19. AstraZeneca and Sinovac both vaccines are being used in many countries to fight against this Fatal Virus. Both AstraZeneca and Sinovac vaccines have some side effects, shoulder pain is one of the most common post vaccination side effect after receiving these vaccines. Objectives: Purpose of this study was to determine the association of post-vaccination shoulder pain among individuals who had been administered with AstraZeneca & Sinovac COVID-19 Vaccines. Methods: A descriptive study design was chosen to conduct this research. Study duration was six months. Sample selection was based on inclusion and exclusion criteria. Sample size was 143 with 71% response ratio. Snowball sampling (non-probability sampling) technique was adopted. Data were collected from various areas of Lahore using self-administered questionnaire. Responses were collected using questionnaire and data was analysed by using SPSS version 22.0. Chi-square test and cross tabulations were executed to determine association of the variables. Results: 143 individuals were reviewed for this study. Among total respondents, 65% reported shoulder pain after first dose and 50.3% respondents reported shoulder pain after second dose. P-value after chi-square test was <0.001 after both doses and level of significance was adjusted to 0.05. Conclusion: This study concluded that there is significant association of post vaccination shoulder pain among those individuals having received Sinovac and AstraZeneca inoculation for COVID-19.
Determination of Proximate Composition of Nigella sativa L. Seeds and its Effective Role in Improving Lipid Profile Among Hyperlipidaemic Women
Authors: Zanib Rida , Basharat Shahnai , Khursheed Tara , Ali Shah Zarnain , Gulzar Zainab , Shaheer Muhammad , Fatima Sakina 
Published: August 2022

Hyperlipidaemia is characterized by abnormally elevated levels of body’s plasma cholesterol and triacylglycerol. Objective: To find out the proximate composition of Nigella sativa L. and its hypolipidemic effect on blood lipid profile among hyperlipidaemic women. Methods: To determine the proximate composition of Nigella sativa seed the kjeldhah method, soxhlet extraction using petroleum ether, and AOAC procedure were used. For the identification of hypolipidemic impact, a total of 64 women with mild to moderate hyperlipidaemia, aged between 25-35 years were selected for the 8 weeks of study. The sample was selected from the University of Lahore Teaching Hospital, Lahore. After removing physical contaminants like dirt, dust, and other foreign grains black seeds were air dried. After drying, seeds were grounded into fine powder by using commercial blender. Each capsule was prepared with 500mg powder of N. sativa, and was transferred in air tight jars. After screening the participants of experimental group, they were advised to use 2 capsules of N. sativa supplement before breakfast and two capsules in the afternoon prior to their meal for 8 weeks. Participants were also advised to follow the given 7-day diet plan for 8 weeks. The anthropometric measurements, biochemical evaluation (lipid profile), and dietary intake data were collected. Results: The mean age group of Hyperlipidaemic patients enrolled in study was 32.5±0.34 years. There was a significant reduction in Low Density Lipoprotein (LDL), total cholesterol level, and triglyceride levels with p-value less than 0.05. High density lipoprotein levels were also improved from 49.5±8.38mg/dl to 51.81±10.21mg/dl. Conclusion: The study concluded that Nigella sativa L. seed powder supplementation showed a significant improvement in lipid profile of hyperlipidaemia patients. The study found an increase in high density lipoprotein among patients.
Comparison between Strength Training and Endurance Training in Neck patients: A RCT
Authors: Bugti Mahnoor , Khan Rabia , Bugti Muhammad Khan , Shakoor Umar , Ammar Naveed Muhammad , Shahid Shabbir Muhammad , Azfar Hanan , Latif Danish 
Published: August 2022

Common Neck pain is one of the most common issues in this era. Every other working woman have been complaining about neck problems. Objective: To determine the effect of intensive isometric and mild endurance training of neck muscles in women with chronic neck pain. Methods: Female patients suffering from neck pain were randomly enrolled into three groups. Group A was of control patients and group B and C were Interventional group. Consent form was taken and participants were fully informed about the task. This process ensured that in each group patients distributed with equal severity of neck pain. These states were assessed mainly by medical history and clinical examination before entering the study. Results: In current study, exercise program was examined at different intervals of follow-up visits through interviews. Conclusion: Strength and Endurance training both methods are effectively improving discomfort and debility in females by nonspecific, long-lasting neckline discomfort. Aerobic exercises and stretching along with strength training are more effective as compare to perform alone aerobic exercise.
Impact of mobile phone use on health, behavior and social interactions among children aged 2 – 12 years
Authors: Iqbal Mohammed , Saeed Farhan , Qassim Bham Shireen , Athar Khan Mohammed , Ahmed Sharif Umer Hayat 
Published: August 2022

Children and teenagers are becoming increasingly dependent on their mobile devices, which they use for entertainment, education, and self-expression in addition to keeping in touch with friends and family. The prolonged use of mobile phones can have deleterious effects on children. Objectives: This study was conducted to evaluate these effects on specific areas of the children. Methods: It was a cross-sectional study conducted at the outpatient department during the study period from September 2019 to February 2020. Children below the age of 2 years or mentally challenged children were excluded. Informed consent was taken from parents who participated in the activity. The child and the parents are explained the research purpose and data collected in the pre-designed and pre-tested questionnaire. SPSS version 21.0 was used to enter and analyses the data. Results: A total of 399 participants of age 2 to 12 years were included in the study. In 50.3 % of children who were using mobile for more than 2 hours, 55.1% of children slept less than 6 hours a day with 68.9% of children having a disturbance in sleep pattern. 33.9% of children reported having been wearing glasses and 34.8% of children showed an increase in weight. Regarding social interaction and behavior, 39.9% of children showed rude behavior towards their parents.53.2% of children using mobiles were associated with behavioral issues like isolation thus avoiding gathering while 77.3% were addicted to mobiles and showed anger and frustration when mobiles were taken away from them. Conclusion: The use of the mobile phone negatively impacts the various aspects of a child’s life.
Evaluation Of Histopathological Lesion In Oral And Maxillofacial Department At Tertiary Care Hospital Peshawar
Authors: Ahmad Sana , Muhammad Asim , Un Nisa Waqar , Bakhtiar Shabana , Ashfaq Samar , Ali Farhan , Aslam Maryam , Khalid Aqsa , Ullah Irfan 
Published: August 2022

Around the world, maxillofacial disorders are distributed widely. The oral and maxillofacial area is affected by a wide variety of illnesses, from inflammatory lesions to benign and malignant cancers. Objective: This is a base line study that will aid in the diagnosis and management of oral healthcare and also guide recommendations and associated research in the local population in the future. Methods: In this descriptive observational study, 124 patients with orofacial lesions reported at the Hayat Abad medical complex, Department of Oral Maxillofacial and Dental Surgery between 2021 and 2022 were analyzed. Result: A total of 124 orofacial lesions were found, of which 47 were malignant and 57 benign, with the posterior mandible being the most commonly affected area. The pathology that affected most frequently was squamous cell carcinoma. In the fourth, fifth, and sixth decades of life, the soft tissue lesion affected 41% of males and 37% of females. These included squamous cell carcinoma well-differentiated in 32 (25.80%), fibrous epulis in 11 (8.8%), and pyogenic granuloma in 16 (12.90%) of cases. Conclusion: With the posterior mandibular area being the most common site, oral squamous cell carcinoma affects adolescents and the elderly with the most incidence rate.
Multi Drug Resistance Pseudomonas Aeruginosa Frequency and Antibiogram in A Tertiary Teaching Care Hospital in Pakistan
Authors: Ali Shah Syed Hasnain , Ali Wajid , Ali Shah Furqan , Fahad Falah Shaikh , Rehman Erum , Umar Amna , Hidayat Yumna , Afreen Saira , Riaz Aayesha , Ullah Irfan 
Published: August 2022

Antibiotic usage and misuse increases the risk of developing bacteria that are resistant to treatment. A Gram-negative, aerobic bacillus called Pseudomonas aeruginosa is mostly responsible for nosocomial opportunistic infections. Objectives: To assess pathogen load and drug susceptibility profiles of Peshawar clinical specimens collected with MDR Pseudomonas aeruginosa isolates. Methods: Isolates were gathered from a variety of specimens, including pus, tracheal aspirate, swabs containing wound samples, fluids such as urine or blood, from department of microbiology hospital of Khyber teaching Peshawar. Clinical in-vitro study which were carried out at the Pharmacology Department, University of Peshawar. Kirby Bauer Disc diffusion method was used to identify the pattern of antibiotic susceptibility. Requirements of Clinical and Laboratory Standards Institute (2018) were followed for processing samples. Results: P. aeruginosa was found to be multidrug-resistant in about 56 percent of cases. The majority of the isolates (36.5%) were found in people between the ages of "60-80". Pus included the greatest percentage of MDR P. aeruginosa (34.2%), followed by tracheal aspiration (21.7 percent). Colistin had the highest sensitivity (100%) and was followed by ceftolozane/tazobactam (61 percent). With imipenem, the least sensitivity was noticed (20 percent). However, all anti-pseudomonal medications showed an increase in resistance. Conclusion: In our system, MDR P. aeruginosa infections are becoming more frequent. This threat can be avoided by prescribing antibiotics carefully. For the community to receive appropriate healthcare, regular lab identification and surveillance of this resistant pathogen is necessary
Association of the thyroid Function disorder with recurrent pregnancy loss in women
Authors: Naeem Ayesha , Heema . , Jan Sadiq , Gohar Shah Bushra 
Published: August 2022

Thyroid function disorder is a very common disorder among the general population. Almost 3% of the people around the globe are receiving thyroid replacement therapy around the globe. Objectives: The study aimed to screen the thyroid function disorder among the women with recurrent pregnancy loss. The treatment effects of thyroid disorder on the pregnancy outcomes were also assessed. Methods: This longitudinal study was conducted at Allama Iqbal Memorial Teaching Hospital Sialkot and Islamic International Medical College, Rawalpindi for duration of six months from October 2021 to March 2022. The 110 patients were included in the study to screen abnormal thyroid function and its association with recurrent pregnancy loss. All patients were fully aware of the study and informed consent was taken. Different screening test such as free thyroxin (FT4), Thyroid stimulating hormone (TSH), free tri-iodothyronin (FT3) and thyroperoxidase antibodies test were performed and data was collected. The thyroxin was given to the patients with abnormal TSH levels. Results: The free thyroxin (FT4), (TSH), free tri-iodothyronin (FT3) and anti thyroperoxidase level were measured. Out of 110 patients that participated there were 36% in which elevated levels of thyroid stimulating hormone was observed. Among these 36%, there were 22% that had the level of TSH more than 10 mU/L and there were 14% patients that had their TSH levels in the range of 7-10 mU/L. These patients were given thyroxin approximately 26-75 μg per day and the amount of thyroxin was adjusted according to the level of Thyroid stimulating hormone. Out of these 36% women that had high levels of TSH, there were 21 women that conceived within 1 year of treatment. Among the 33% women with high level of TSH, there were 39 that underwent the anti TPO test. Conclusion: Women who face recurrent pregnancy loss should be checked for thyroid abnormality as it was detected that there is significant number of women who face hypothyroidism and recurrent pregnancy loss.