Consumption of energy drinks was significantly associated with sleep problems, which are progressively used regardless of negative health effects particularly among adolescents and young adults. The goal of this study is to examine the relationship between energy drinks and sleep patterns on college students by more than one parameter. Target number of students was taken to be 1 000 participants and the study reached 434 participants were invited via self-administered questionnaire at Libyan International Medical University students during 2020 and 2021 in all levels which consisted of 20 questions and the main measurements are dependency, negative effect of energy drink and effect of energy drink on sleep. The results showed that the consumption prevalence rate of energy drinks amongst participants is 59.4%. The majority of participants enrolled in this study are male (52.5%) and 47.5% were female students. In conclusion: energy drinks consumption is a risk factor of poor sleep quality between Libyan International Medical University students. An awareness must be increased about energy drinks consumption to confirm the relation to sleep quality and general health.

Mediterranean journal of pharmacy and pharmaceutical sciences

Background: Measurement of patient health status, or quality of life, has become an important end-point in clinical studies as it represents in part the patient perception of their outcome of care. The objective of this study was to evaluate the effects of systemic dexmedetomidine on intraoperative hemodynamics, postoperative quality of recovery and analgesia. Materials and Methods: 90 subjects posted for elective lower abdominal surgeries under general anesthesia were randomized to receive infusion of dexmedetomidine (1 mcg/kg over 15 minutes followed by a 0.06 mcg/kg/h infusion until the end surgery) (Group 1) or Normal saline (10 ml over 15 minutes followed by infusion @1ml/kg/hr till end of surgery) (Group 2). Intraoperative hemodynamics, extubation variables, postoperative analgesic requirement and quality of recovery score were evaluated. Results: Intraoperative infusion of dexmedetomidine resulted in maintained hemodynamics, achieving early extubation parameters. Time for first postoperative analgesic requirement was increased while total analgesic requirement was decreased with use of dexmedetomidine. Median QoR-40 score was better with the use of dexmedetomidine compared to control group. Conclusion: Use of Intraoperative infusion of dexmedetomidine was associated with early recovery, decreased postoperative analgesic requirement better Quality of Recovery score signifying greater patient satisfaction. Keywords: Dexmedetomidine, Quality of recovery-40, Postoperative analgesia, hysterectomy, General anesthesia

Journal of scientific innovations in anesthesiology

Tuberculosis is communicable disease which is common and often deadly infectious disease caused by mycobacterium tuberculosis. Tuberculosis continues to be a major public health problem in the world. The aim of this study is to assess prevalence and associated risk factors of pulmonary tuberculosis. Treatment and development of multidrug-resistant tuberculosis were also considered. Drugs for Pulmonary tuberculosis confirmed cases used in calculating tuberculosis prevalence in Libya which is obtained from archive department of Abu Seta Hospital. Data obtained from 427 files during 2019 determine the incidence and epidemiology of tuberculosis in Libya. For a total of 427 confirmed cases of pulmonary tuberculosis, about 75.0% of the cases were male and most of the patients (55.0%) were within the age group of 20 - 40 years old. Of the study patients, 114 patients (26.7%) were viral infected and most of the viral infected cases were in the age group of 20 - 40 years and the majority of this age group patients (n = 41, 53.2%) were infected with HIV/HCV, while the least percentage in this group age were infected with HIV/HBsAg (01.3%). Among 427 cases, 73 cases (17.1%) were comorbid with other chronic diseases. Of the 73 cases, 54 cases (74.0%) were diabetes mellitus whereas only 1.4% of them had bronchial asthma, Parkinsonism and renal failure. The drug therapy of active tuberculosis disease needs combination chemotherapy to escape the selection of naturally occurring drug-resistant mutants. Amongst current anti tuberculosis drugs, the rifamycins hold the highest potential for shortening treatment and improving effects. Prevalence of smear positive tuberculosis and bacteriologically confirmed that a high rate of tuberculosis among unemployed population. This study reported that the highest incidence rate is found in people who are smokers.

Mediterranean journal of pharmacy and pharmaceutical sciences

Pheochromocytoma is a catecholamine-producing neuroendocrine tumor leading to hypertensive crises in untreated patients. Presentation in pregnancy can mimic gestational hypertension or pre-eclampsia. Physicians need to keep a high index of suspicion to have timely diagnosis and management of pheochromocytoma during pregnancy. We report a 27-year-old female who was diagnosed with pheochromocytoma at 18 weeks of gestation and she underwent laparoscopic adrenalectomy at 22 weeks of gestation with a good pregnancy outcome and with no recurrence over 8 years of follow-up.

Karishma

The 2019 coronavirus (COVID-19) pandemic is spreading worldwide, with a spectacular increase in death missing any effective therapeutic treatment up to now. Molecular docking is a recognized computational tool to assist in early drug discovery and development. Molecular docking analysis was carried out using 2-(4-(aminomethyl)phenyl)isoindoline-1,3-dione Schiff base conjugates with SARS-CoV-2 protease enzyme and COVID-19 main protease in apo form 6M03). The compounds with the best normalized docking scores to protease enzyme (6LU7) were ARG3 (-8.1 kcal/mole), ARG7 (-8.1 kcal/mole) and ARG6 (-8.0 kcal/mole). The best docking ligands for main protease in apo form (6M03) were ARG7 (-8.7 kcal/mole), ARG6 (-8.6 kcal/mole) and ARG3 (-8.4 kcal/mole). The structural similarity between these conjugates inspired us to perform in silico studies to check their possible binding interactions with essential SARS-CoV-2 proteins. These studies provide insight into the potential binding between Schiff base derivatives and SARS-CoV-2 proteins to provide an insight for finding an effective therapy. Finally, ADMET calculations were performed for the Schiff base compounds to predict their pharmacokinetic profiles.

Mediterranean journal of pharmacy and pharmaceutical sciences

Financial literacy education is a lifelong asset that every individual needs to function and fit well in modern-day society. It provides the financially savvy better decision making, best investment alternatives and family wellbeing. Unfortunately, most consumers especially in this part of our world appear relatively less active and less confident in participating meaningfully in the financial sector due to a lack of knowledge about the complex nature of financial products and services and indeed the risk that goes with them. As a contribution in addressing this problem, this study looked at financial literacy education and its implication on the economic and social life of the teacher in the Upper East Region of Ghana. With a descriptive survey design, 118 participants responded to questionnaires. Results showed low levels of financial literacy among participants which can negatively affect their daily financial management. It is therefore definite that the financially literate has the advantage to undertake prudent alternative investment decisions and is able to make informed retirement planning. Being financially illiterate adversely affects one’s life in relation to the culture of savings, expenditure pattern, investment decisions and budgeting skills, making the individual economically insecure. The study has policy frontier implications; policymakers in the financial sector, governments, non-governmental organisations and equity owners are encouraged to come to the aid of consumers, especially teachers, by way of introducing professional teacher development programmes specifically tailored at uplifting their financial literacy knowledge and skills.

Juabin matey

The present study focused on analysing the impact of ‘Make in India’ campaign on FDI inflows in country. The research period is divided in two parts one is pre ‘MII’ & another is post ‘MII’ period. The analysis of ‘Make in India’ campaign is done to identify the scope of the campaign & methodology of working of various allied departments monitoring campaign. The present research work also attempted to take overview of various policy reforms initiated by Government of India to promote the FDI as well domestic investment in 25 sectors shortlisted under MII. The FDI inflows statistics reveals that, the post MII period is showing the highest growth in FDI equity inflows as compare to same period i.e. 2009- 2014. The MII initiative is one of the reason for the jump in FDI inflows. The overview of policy reforms shows that GOI through DIPP attempted to open almost all sectors for 100% FDI through automatic route. Government has provided multiple incentives for Foreign Investors to establish their manufacturing facilities in country but very negligible response has been seen in the nature of FDI equity inflows in the same period. Further results of study reveals that multiple ‘MOU’s have been signed by States & Central Governments, but they yet not converted in actual investments. The major reasons behind the same is lack of SWOT analysis through Governments before inviting the foreign investors. As well lack of basic infrastructure, land, lack of skilled manpower, cheap & un interrupted power supply to MIDC’s & SEZ’s is yet not successfully provided, lower rankings in Ease Of Doing Business (EODB), Global Manufacturing Competitiveness Index (GMCI) is also cause of concern & tumbling block in the success of MII mission..

Anshuman vijay magar

Development of Human Resources is being given due importance by all the organizations as it aims at developing all the employees of an organization in a planned manner to acquire, sharpen and apply their existing capabilities as well as their inner potentials. HRD is a total system in which its various mechanisms are embedded together to act as an integrated unit. No sub-system can work in isolation. The researches show that the working of each sub-system has its impact on other subsystems e.g. Performance appraisal is basis for assessing training needs, career planning etc. Training is useful tool for increasing individual efciency. It is also a part of employee welfare and is used for promotions. Implementing these HRD sub-systems helps in developing a climate in the organization where the people collaborate with each other; respect and trust others and work as a team. This, in turn, develops a highly positive and motivated workforce which enables the organization to achieve its goals. Human being is a creature composed of heredity and environment and creates values for their own. In the context, during the interactions with others, the values manifest spontaneously. Human beings are tempted by all kinds of emotions, impulses, instincts, prejudices, wishful thinking, hopes, fears, desires, and almost everything.

Dr.kailaspathi vishwakarma

This paper delves into the dynamic intersection of Artificial Intelligence (AI) and Remote Patient Monitoring (RPM), exploring how the integration of these technologies is reshaping the landscape of healthcare. By examining recent breakthroughs, practical implementations, and ethical considerations, the article elucidates the transformative potential of AI-enhanced RPM in providing personalized, proactive, and efficient healthcare solutions.

Dhruvitkumar talati

Flow control techniques are broadly classified into two types 1.passive control 2.active control. Present paper discuss about the experimental investigation of flow control using passive method on bluff body. Authors also explains about the various flow control techniques used in bluff body aerodynamics. Experimental setup consists of L m span and diameter d of cylinder model. The next model is having strip of cross section 0.01d dia is placed on the cylinder along the span wise distance with equal polar distance around 30o. both the models were kept between four walls in a Reynolds number ranging from 10000 to 15000. The results show that the Cp values changes according to the changes in cylinder roughness.

Boopathy govindarajan

Blister beetle, Mylabris pustulata (Thunb.) is a polyphagous pest attacking flowers of pigeonpea (Cajanus cajan), cotton (Gossypium sp), lady’s finger (Abelmoschus esculentus), mungbean (Vigna radiata), urdbean (Vigna mungo), ricebean (Vigna umbellata) etc. throughout the country. Because of its polyphagous feeding nature and hard protective adaptation against insecticides, long term management of this pest with a single molecule is difficult. Therefore, field cum laboratory experiments were carried out for three consecutive cropping seasons during kharif 2008-09, 2009-10 and 2010-11 to find out the persistence and efficacy of different insecticides. It was found that decamethrin 2.8EC was 3334 times toxic with lowest LC50 value (0.0000563) followed by monocrotophos 36SL as compared with endosulfan which was the least toxic with LC50 value (0.1877). Insecticides evaluated for their persistent toxicity during 2009-10 revealed that decamethrin and thiodicarb caused cent per cent mortality of adult blister beetle immediately after spray. At 8th days after spraying, decamethrin caused 60 per cent mortality. Insecticides evaluated for their efficacy during the year 2010-11 revealed that the plants were found free from adult blister beetle population in treatments involving decamethrin and cypermethrin even at ten days after spray. Among all the treatments, spraying of thiodicarb 75WP @ 625 g ha-1 provided the highest grain yield (18.87 q ha-1). Maximum cost-benefit ratio was observed in monocrotophos 36SL, cypermethrin 25EC and decamethrin 2.8EC

Dr. babu lal jat

This paper aims to explore the supporting and inhibiting factors in the effort to integrate character education in akidah akhlak subjects at MIN 11 Aceh Tenggara. This study uses a qualitative method with a narrative approach and data collection techniques of interview, observation, and documentation; then, the data is analyzed using the methods developed by Miles and Huberman, namely data reduction, data presentation, and data verification. This study shows that the supporting factor for integrating character education in aqidah moral learning at MIN 11 Aceh Tenggara is the availability of learning media in the form of focus and Madrasah residents who work together to supervise all students, both outside and inside the Madrasah environment. The inhibiting factors are the limitations of Madrasah infrastructure in the form of no mosque or prayer room, family support, and social media and games that have an influence on student character.

Educare: journal of primary education

The presented review was an attempt to share the contribution of Greco Arabic Muslim scientists in the field of medicine. In this regard, al-Andalusi, al-Antaki, al-Baghdadi, al-Jawhari, al-Kindi, al-Nafis, alRazi, al-Tabari, al-Zahrawi, Ibn Abdallah Ibn Idris al Qurtubi, Ibn al-Jazzar, Ibn al-Baitar, Ibn alHaitham, Ibn El-Quff, Ibn Haiyan, Ibn Sina, Ibn Wahshiyyah and Ibn Zuhr with their contribution has discussed.

Dr. salman ahmed

Colon is part of the digestive system in the human body responsible for absorbing water and nutrients from food residues. There are many problems affecting the colon including irritable bowel syndrome, constipation, hemorrhoids, anal fissures, abscess, colitis and colon cancer which considered one of the most common diseases among the Libyan community. The aim of this study was to search the presence of colonic disease and the tendency of those diseases to transform into colonic cancer at Benghazi medical center in Benghazi-Libya. A survey was comprised of 15 questions concerning colon diseases, proper diagnosis and treatment type. The survey was distributed to the physician specialized in medicine at Benghazi medical center and they fill it voluntary. The initial part of the questionnaire designed to obtain demographic data concerning the physicians who diagnose the colon illness. The rest part of the questionnaire was concerning special questions to define frequency of the diagnosed disease. There were 20 participants at this study. The response to all questionnaires were collected and analyzed for drug use, patients and disease distribution. In conclusion, this study demonstrates that the correct diagnosis, prescribing the appropriate treatment for the colon disease and using the medicine properly is one of the most important things that help in treating the disease and reducing its exacerbation. In some cases, eradication procedures may be required if the medicine is not sufficient to treat the disease without the need for operations

Mediterranean journal of pharmacy and pharmaceutical sciences

The development of science and technology proves once again how infinite human needs are. The concentration of the population in large cities, on the one hand, accelerates the process of urbanization and affects the level of development of the state. On the other hand, the state of the environment has a negative impact on urban ecology. From ancient times the population has been striving to create favourable conditions for themselves and such a process is still going on, especially when the negative consequences of this are clearly felt in the health of the population living in cities. Solving this problem is one of the main tasks of urboecology. The development of modern methods of geo-ecological monitoring of the ecological condition of cities, especially in areas with high industrial specialization. The development of measures to improve the health of the population in ecologically critical areas is of a great importance today. To this end, this article discusses in detail the industrialized Navoi region and its urban and ecological situation, the factors affecting it.

Mediterranean journal of pharmacy and pharmaceutical sciences

Background: This study was conducted to determine the level of the public knowledge, attitudes and practices related to common eye diseases in the southern Indian population. Methods: A cross sectional population-based survey used a semi structured questionnaire on awareness, knowledge, attitude and practices related to eye diseases. Stratified multistage cluster random sampling method was used with a sample size of 867 adults >16 years based on, estimated awareness of cataract 70%, assuming an expected rate of 85%, design effect of 1.5, margin of error 4% with 95% confidence interval with 25% from urban areas and 75% from rural areas. A pilot study was conducted to validate the questions used in the main study. SPSS (version 19) used for analysis. Results: A total of 782/867 (90.1%) subjects participated in the survey, with females 47.4%. Awareness of major eye diseases for cataract 81.5%, glaucoma 47.8%, refractive error 74.3%, squint 89.0%, diabetic retinopathy 65.0% and age-related macular degeneration 36.7% respectively. 41.8% subjects reported wearing glasses either for distance, near or for both. Of the 777 subjects only 294 people underwent an eye examination by an ophthalmologist in the last two years (37.8%). 57.5% subjects had knowledge of the nearest eye care facility within five kilometers of their residence. Electronic media were the major source of information on eye health. Conclusions: Though the awareness levels of common eye diseases were quite high, the knowledge of cataract (10.4%) was poor. There is a need to increase the level of awareness for eye diseases like glaucoma and age-related macular degeneration.

Srinivasa reddy pallerla

On 18 March 2020, all South African universities and colleges were closed due to the COVID-19 virus. By early April, 10 universities announced that they were planning to resume teaching and learning online, including the University of the Witwatersrand (i.e., Wits University), Johannesburg, which is the joint highest ranked university in Africa. Therefore, the purpose of this editorial was to examine the perceptions and attitudes of these students regarding online learning in an era of disruption of COVID-19, uniquely using both multi-mixed methods research approaches (i.e., involving the partial integration of multiple methods research approaches and mixed methods research approaches) and meta-methods study approaches (i.e., involving the full[er] integration of multiple methods research approaches and mixed methods research approaches). A total of 4,419 Wits University students completed an online survey. A principal components analysis of one of survey’s scales, namely, the Attitude of Students Towards COVID-19 and its Impact on Higher Education scale, revealed 2 subscales, namely, Students’ Self-regulation Towards COVID-19-Based Higher Education and Attitudes Toward Teaching, Learning, and Assessment in COVID-19-Based Higher Education. Nonparametric analyses revealed that scores on these measures discriminated gender, age group, level of student (i.e., undergraduate vs. postgraduate), locality status (i.e., local vs. international student), and registration status (i.e., full-time vs. part-time). A multiple analysis of the open-ended responses by the VOSviewer 1.6.14 text mining software program led to the identification of 6 metathemes. Similarly, WordStat 8.0.29 topic modeling yielded 5 metathemes that mapped onto VOSviewer’s 6 metathemes, indicating triangulation of findings. A sentiment analysis revealed negative sentiments that identified not only the biggest challenges for students but also the characteristics of students who experience these challenges. Finally, a cluster analysis, combined with chi-square analyses, led to the identification of 4 clusters of students who differed with respect to their attitudes and online experiences. Implications of these findings are discussed.

Dr emmanuel ojo

Good prescription writing is essential for dispensing the right drug formulation and dose. When prescriptions are not legible, inaccurate and do not include complete information, there is a possibility of prescribing errors occurring, which leads to adverse events. Poor handwriting is another important issue that makes the information unclear; especially look-alike drug names that may be confused by the pharmacist. World Health Organization has issued a practical manual for Good Prescribing that includes the essential information that should be included in a prescription. In this study, we attempt to investigate the problem of bad prescribing habits in out-patient prescriptions in Benghazi, Libya. Two hundred seventy-five out-patient prescriptions were collected from two private pharmacies on four consecutive days. These prescriptions were scanned for any errors or missing information depending on the standard criteria established by World Health Organization in its practical manual "Guide to Good prescribing". The collected data were processed and statistically analyzed by using SSPSS to calculate the percentage of missing information. Eleven percent (11.0%) of the prescriptions had no address or name of the prescriber on them while 58.0% had no date written on them and in 21.0% the prescriber did not sign the prescription. The age of the patient was only written on 38.0% of the prescriptions. The name of the medication was not clearly written in 18.0% of the prescriptions, while the dosage form of the medication was not written at all in 18.0% and not clearly written in 20.0% of the prescriptions. The total amount of the prescribed drug was not written in 30.0% of the prescriptions. It is to conclude that prescribers included in this study wrote prescriptions with a lot of missing and unclear information as per WHO guidelines for a good prescribing. This shows the weak attitude of Libyan prescribers toward the different aspects of “Good Prescribing”.

Mediterranean journal of pharmacy and pharmaceutical sciences

The very first recruitment for a public relations practitioner in Malaysia was encountered in 1948 and was advertised by the federal government of the British Colony in Malaya. This paper examines the subsequent advertisements after Malaya sought independence from the British colonial government. A total of eleven recruitment advertisements were found before the formation of Malaysia on the 16th September 1963. This paper outlines the advertisers, the titles of positions, as well as their qualifications and duties. The results show that the job requirement mainly came from the federal and local governments. Generally, the duties were related to information services and some specific responsibilities.

Mohammed fadel arandas

Cancer is one of the most severe medical conditions in the world, causing millions of deaths each year. Chemotherapy and radiotherapy are critical treatment approaches, but both have numerous adverse health effects. Furthermore, the resistance of cancerous cells to anticancer medication leads to treatment failure. The rising burden of cancer requires novel, efficacious treatment modalities. Natural remedies offer feasible alternative options against malignancy in contrast to available synthetic medication. Selective killing of cancer cells is privileged mainstream in cancer treatment, and targeted therapy represents the new tool with the potential to pursue this aim. The discovery of innovative therapies targeting essential components of DNA damage signalling and repair pathways, such as ataxia telangiectasia mutated and Rad3-related Checkpoint kinase 1 (ATR-CHK1), has offered a possibility of significant therapeutic improvement in oncology. The activation and inhibition of this pathway account for chemopreventive and chemotherapeutic activity, respectively. Targeting this pathway can also aid in overcoming the resistance of conventional chemo- or radiotherapy. This review enlightens the anticancer role of natural products by ATR-CHK1 activation and inhibition. Additionally, these compounds have been shown to have chemotherapeutic synergistic potential when used in combination with other anticancer drugs. Ideally, this review will trigger interest in natural products targeting ATR-CHK1 and their potential efficacy and safety as cancer-lessening agents.

Dr. salman ahmed