Urolithiasis is a common worldwide problem with high recurrence. This review covers Convolvulaceae seven (07), Costaceae four (04), Ebenaceae four (04), Fagaceae six (06), Hypericaceae eight (08), Lauraceae nine (09), Liliaceae twelve (12) and Lythraceae three (03) plants used globally in different countries. Hopefully, this review will be helpful for the general public and attract the scientific world for antiurolithiatic drug discovery.

Dr. salman ahmed

Multiple Sclerosis (MS) is a chronic neurological condition characterized by an interruption of action potentials in the brain and spinal cord due to areas of inflammation, demyelination and axonal degeneration. Most people with Multiple Sclerosis (PWMS) complain of physical activity limitations due to fatigue and reduced Exercise Tolerance that leads to reduction in Functional Independence. Till date, there is a limited published evidence of the efficacy of aerobic training on Exercise Tolerance and Functional Independence in individuals with Multiple Sclerosis, although some studies that incorporate aerobic training into rehabilitation programs report positive outcomes with no harmful effects. This was an effort to study the effect of aerobic training on exercise tolerance and functional independence in patients with Multiple Sclerosis. 12 Subjects were selected for the study on the basis of convenient Sampling method. Subjects who were independently mobile with Kurtzke Expanded Disability Status Scale (EDSS) score between 2 and 6.5 and medically stable were included for the study. The parameters of Exercise Tolerance and Functional Independence were assessed with six min walk test distance (6MWTD) and FIMTM+FAM respectively as Pre test measurement. All the subjects were given Aerobic training(AT) with Elliptical trainer and the intensity of the exercise was individualized according to their tolerance with initial stage incline of 0 (no incline) and a resistance of 1 (lowest possible resistance) was fixed. Training was done in a well ventilated training setup and subject was provided with cool water to minimize the effect of heat on activity. Subjects were monitored during the exercise training via heart rate monitor fixed to the machine; heart rate was taken every 3 minutes. The subjects were advised to perform the exercise in their own pace throughout training session for 30 min with breaks as many as they require. Progression of exercise intensity was achieved by increasing the resistance level of the Elliptical machine and/or by increasing the subject's steps per minute (stepping speed was controlled by the subject and not the elliptical machine).To ensure the progress of exercise protocol, the exercise intensity increased every 3 to 4 sessions. Totally 15 sessions were given in 6 weeks period. After 15 session of training Post test measurement for Exercise Tolerance and Functional Independence were taken. The Significance of the Pre test Post test difference were analyzed statistically using student paired “t‟ test . After 6 weeks (15 sessions) of Aerobic training with Elliptical trainer the subjects improved in Exercise Tolerance and level of Functional Independence as compared with the base line conditions. This was indicated by the changes in the Distance covered in 6 MWT and the FIMTM+ FAM score with P value <0.001. In all the subjects who were participated in this study showed greater improvement in the 6 Minute walk test distance and FIMTM+FAM scores. It implies that Aerobic training by Elliptical Trainer is effective for improving Exercise Tolerance and Functional Independence in PWMS.

Nagarjuna narayanasetti

Industrial waste is one of the most essential sources of contamination in the surface environment. Among different industries, tannery industry releases huge amount of pollutants into the ecosystem. Long term disposal of the tannery wastes has resulted in wide contamination of agricultural land and water sources in different parts of India. An attempt was made to study the diversity status of different microbial organisms in tannery effluent treated samples in Dindugal, Tamil Nadu. It was found that Electrical Conductivity (EC) and heavy metal contents were higher and population density of different beneficial microbes found better. Among different microbes isolated, phosphate solubilizing microbes (PSB) was found maximum which is followed by fungi and actinomycetes. The population density of non-symbiotic and symbiotic nitrogen fixers were found to be low in numbers when compared to other samples screened. Similarly, occurrence and distribution of AM fungal spores were also found low in heavy metal polluted samples as compared to the samples collected from non-polluted outside tannery effluent treatment area. Among different Arbuscular Mycorrhizal (AM) fungi, Glomus species was found to be dominant in the samples collected from outside tannery effluent treatment area as compared to tannery effluent samples.

Dr. saranya devi k

The government has implemented the Healthy Living Community Movement (GERMAS) program by promoting the pharmaceutical sector related to drug storage at home. However, many problems still exist in storing household medicines in the community. This activity was carried out through a community empowerment approach using the community capacity-building method for a community organization, Aisyiyah, which consists of Muslim women in the Grendeng village, Purwokerto. This activity was carried out in stages, namely pre-test methods, lectures, group teaching, self-empowerment through peer teaching and training, and measuring the success of activities using post-tests. Based on the activities, partners' knowledge about storing medicines at home has increased in a good category.

Much ilham novalisa aji wibowo

A 55‑year‑old male patient who has undergone physiotherapy sessions on and off for about 6 months has been admitted to the hospital for the recurrence of back pain along with it he has slight breathing issues while performing day‑to‑day activities, especially in forward bending activity and has been treated with pain killers and muscle relaxants during the medication periods. The patient is feeling better again, but his symptoms continue to worsen. Later, he was referred to a pulmonologist for additional evaluation after presenting with decreased diaphragm excursion, which was causing a disordered breathing pattern. He was treated with medication and referred to additional rehabilitation for low back pain management after a thorough physical examination that also included checking the patient's core and deep breathing muscles Activities of Daily Living (ADL) activities. Keywords: Chronic low back ache, diaphragm excursion and lumbar mobility, diaphragmatic breathing exercise

Nagaraj sibbala

Brushites are the most commonly found phosphate stones in the kidneys, ureters and urinary bladder. The study was conducted to observe the possible growth patterns of brushite crystals in the gel for 14 days. The crystal formation was observed as a bullet, needle, platy, columnar shaped and their aggregates. Magono and Lee's meteorological classification further explained these shapes. Besides the morphology, the average size, number and weight of crystals were also observed on the 7th and 14th days. Energy Dispersive X-ray, Fourier Transform Infra Red spectroscopy and Scanning Electron Microscopy were used to characterize the crystals. These results can help to determine the promotion, modulation and inhibition of the crystals, which will be helpful in evaluating the risk factors and prophylactic management of brushite-type urinary stones.

Dr. salman ahmed

Diabetes is a global issue, the diabetes epidemic is expected to continue, and the burden of diabetes causes catastrophic expenditure for healthcare system. The current study aimed to determine the presentation, the clinical feature and cardio-vascular risk factors in patients with diabetes. A retrospective observational study had been conducted in out-patients department at Almustaqpal Almosherq Centre during September, 2013 till September, 2020, the total number of attended out-patients department were 1 024, 820 patients who were selected for this study. A special perform was completed for every patient, which included details about patient’s demographics, points in clinical history, relevant investigations and clinical examinations were recorded. The study reported that out of 820 patients, 66% (n = 538) was female and their age range was between 14 - 87 years with a mean age of 56.53 ± 13.49 years, 96% (n = 791) were clinically diagnosed as type II diabetes, 07% of the patients were diagnosed as pre-diabetes, the duration of diabetes ranged from newly diagnosed to more than 10 years, with 46% (n = 379) of the studied population were more than 10 years diabetes duration, 70% (581) were presented with classical symptoms of diabetes. Initial treatment for diabetes also different in the studied sample, were absent of anti-diabetic medications in 30% (n = 248) of the patients, they refused to start glucose lowering drugs, 34.6% (n = 284) of them have morbid obesity (body mass index is more than 40), 80% (n = 662) have high HBA1c (more than 8 g%), 40.3% (n = 240/596) were uncontrolled hypertension on anti-hypertension drugs, 95.6% (n = 682/713) were controlled on treatment of lipid lowering drugs. This study showing the presentation of diabetes were the common, type II diabetes, at age group between 41 - 66 years about 65%, female sex, with high body mass index, high glycated hemglobulin and uncontrolled hypertension. There is concern that diabetic patients were occurring at a high frequency in younger adults, where longer duration of illness could increase the risk of developing more complications in later life. The rate of coexist cardiovascular risk factors (hypertension, dyslipidaemia and obesity) in Libyan patients with diabetes is highlighted.

Mediterranean journal of pharmacy and pharmaceutical sciences

The motto behind the keenness of urban areas has become unmistakable in current cities because of the rise of installed and associated shrewd gadgets, frameworks, and innovations. It is possible to connect every object to the Internet. As a result, in the impending Internet of Things era, the “Internet of Vehicles-IoV” will play a critical role in newly developed dazzling urban communities. The IoV can possibly address different traffic and street wellbeing issues successfully to forestall deadly crashes. In any case, a specific test of IoV, particularly in “Vehicle-to-Vehicle” as well as “Vehicle-to-Infrastructure” communications, guarantees quick, in order to transmit securely and exact performance of the information. The above effort is modifying Blockchain innovation for continuous application called RTA to meet “Vehicle-to-Every thing-V2x” communications problems in order to overcome these challenges. As a result, the main goal of the study is to develop a Blockchain-based IoT framework for establishing communication security and creating a completely decentralized computing platform. Research methodology used here is divided into two major sections. In the part 1 presented below, authors discuss the traceability and optimization over Merkle trees. The second section deals with implementing an actual blockchain with our optimized Merkle tree as the underlying technology to represent a distributed trust based ledger.

Dr h shaheen

Several diseases affect maize plants and one among them is black bundle disease, causal organism of which is yet to be confirmed with conflicting reports appearing in literature. In the present work, an effort was made to record the disease incidence by carry out filed surveys in Southern most district of Karnataka state, India and also to isolate and identify the causal organism. The surface sterilized pith tissue from the infected plants was cultured on PDA medium to identify the organism in the affected vascular tissue. The isolated tissue produce Cephalosporium acremonium which was confirmed based on morphological characters. In addition, Simplicillium sp. and Macrophomina phaseolina were also isolated from the same infected plant material and suspected to have participated in the disease development. In accordance with several reports in literature, Cephalosporium acremonium was tested and confirmed as the causal organism of disease in green house experiments by following the Koch’s postulates. This is in contrast with some earlier reports, wherein the exact symptoms of black bundle disease were reported as barren stalks in corn caused by Fusarium sp. The simplicillium sp. which had morphological similarity with C. acremonium and had an ambiguous taxonomic status in literature was confirmed as a distinct species through PCR based diagnosis.

Veerabhadraswamy al

Plants, the beauty of nature, have been the basis For treating human ailments. The current accepted modern medicine has gradually developed over the years and is undoubtedly the gift of God in the sense of traditional knowledge about different medicinal plants. However, what is needed are rapid screening techniques, structure base design and combinatorial chemistry for drug development under innovations, which will share the profit of products derived from indigenous plants. There is less known information about Ficus exasperata Vahl., and Cleome ciliata Schmach and Thonn. However, the author of this book presents comprehensive information about traditional uses and the biological and phytochemical investigation of Ficus exasperata Vahl. and Cleome ciliata Schmach and Thonn.

Dr. salman ahmed

Avian influenza has impacted negatively on poultry production in Nigeria. The aim of this study was to determine the status of avian influenza virus (AIV) antibodies in wild birds to provide early warning of an outbreak. One hundred and forty-six sera from five different species of wild birds were tested for antibodies to avian influenza A viruses (H5 and H9) using enzyme linked immunosorbent assay and haemagglutination inhibition (HI) tests. An overall seroprevalence of 3.4% (5/146) was recorded in the study area. Seroprevalence of 6.67% (2/30) was recorded in speckled pigeons (Columba guinea) and Village weavers (Ploceus cucullatus) respectively and 3.33% (1/30) in Cattle egrets (Bubulcus ibis). No antibodies were detected in laughing doves (Spilolepia senegalensis) and African silver bill (Euodice cantans). The serological detection of AIV subtypes H5 and H9 by HI showed the exposure of these birds to the two subtypes. The result from this study indicates evidence of the presence of H5 and H9 AI viruses in wild birds in Zaria, Kaduna State. Therefore, comprehensive surveillance of influenza A involving wild birds’ population and H5 as well as H9 subtype is recommended. This is necessary in order to know the actual status of these strains in the poultry population in Nigeria in view of their zoonotic and economic importance.

Bitrus inuwa

Heavy metals and trace elements such as lead (Pb), mercury (Hg), cadmium (Cd), arsenic (Ar), nickel (Ni), Chromium (Cr), cobalt (Co), copper (Cu), mercury (Mg), iron (Fe) and aluminum (Al) are detected in various types of herbal cosmetics. Heavy metals and elements can accumulate at high concentrations causing serious risks to human health when consumed. In this study, the levels of potential heavy metals of Pb, Ar, Cd, and Ni were quantitatively determined using atomic absorption spectroscopy. Samples of Henna leaves, Henna paste, Khol stones and baby Talcum powder were collected randomly from different public markets of Tripoli city. The results were evaluated by using different international guidelines, US-FDA, EU regulation, German (BVL), World Health Organization (WHO) and Canadian Guidelines. Because of controversial global guidelines, the study urgent the ultimate need for setting up harmonized minimum levels of heavy metals in cosmetics that could be applicable worldwide. Generally, the presence of a higher concentration of some of the studied heavy metals was observed, and the effect of these heavy metals at higher levels will be more harmful to consumer health after prolonged usage. In conclusion, nationally, the need for developing and updating the national specification for cosmetics by the Libyan National Centre for Standardization and Metrology (LNCSM) to protect consumers from more catastrophic cosmetic hazards is urgently required.

Mediterranean journal of pharmacy and pharmaceutical sciences

Abstract---In contemporary society, most females are deprived of proper education, healthcare, job opportunities, etc., to uphold family customs, patriarchal dominance, and occasionally negligence towards the feminine gender. According to researchers, gender inequalities in health care, especially in eye care, are evident between accessing the care and getting treatment in developing countries. Therefore, we aim to measure the gender-wise eye-care follow-up regularity in accessing long-term glaucoma consultation among various age groups with a sample size of 564 in Delhi-NCR, India. The age groups (in years) are 15-29 (Group I), 30-44 (Group II), 45-59 (Group III), 60-74 (Group IV), and 75 and above (Group V). Groups I to V show, intragroup males have higher odds of getting regular eyecare by 20% (OR 1.20, 95% CI 0.413 to 3.4871), 2.08% (OR 1.0208, 95% CI 0.4637 to 2.2472), 3.4% (OR 1.034, 95% CI 0.6369 to 1.6787), 8.46% (OR 1.0846, 95% CI 0.6783 to 1.7344), and 45.83% (OR 1.4583, 95% CI 0.4575 to 4.6484) respectively. The probable causes of gender-wise irregularity are lack of seriousness, financial limitations, dependency, loneliness due to widowhood, etc. To make eye-care services equally accessible to everyone, healthcare agencies should first take various progressive policies to overcome gender-wise socio-economic barriers.

Dr. ashwani kumar ghai

The global endeavor to develop and deploy COVID-19 vaccines has underscored both significant scientific progress and enduring disparities in worldwide access. This analysis examines regional vaccine distribution patterns across World Health Organization (WHO) regions—Africa, the Americas, Eastern Mediterranean, Europe, and Western Pacific—revealing substantial variations in vaccine types and manufacturer contributions. Data indicate that the Americas and Europe demonstrate a broad vaccine portfolio, with prominent contributions from major international pharmaceutical companies alongside regionally developed vaccines. Conversely, African, Eastern Mediterranean, and Western Pacific regions show considerable reliance on vaccines from Asian (notably China and India) and Russian manufacturers, in addition to Western products. This distribution highlights the influence of geographical proximity to manufacturing centers, regional alliances, and local production capabilities (e.g., CIGB and Finlay in the Americas, COVIran Barakat in the Eastern Mediterranean, and various Chinese products in the Western Pacific) on vaccine availability. Predominant vaccines by country count include Pfizer-BioNTech's Comirnaty, AstraZeneca's Vaxzevria, Janssen's Ad26.COV2-S, Moderna's Spikevax, Beijing CNBG's BBIBP-CorV, and SII's Covishield. The observed regional variations in vaccine types and supply chains carry implications for comparative effectiveness research, the understanding of differential immune responses, and the evaluation of pandemic control strategies. Furthermore, inconsistencies in global data reporting and product nomenclature present challenges for comprehensive analysis. The findings emphasize the importance of diversified supply chains, the growing role of regional manufacturing in enhancing global health security, and the need for standardized global data for a more profound understanding of vaccine equity and efficacy to inform future pandemic responses.

Mostafa eissa

Using off-label drugs in obstetric-gynecology patients requires caution because of the high risk of pregnancy. Although there is still debate, data profiling its use in clinical practice is lacking. This study aims to observe the use of off-label drugs in obstetrics and gynecology patients in private hospitals, especially the pill Misoprostol. This study used a descriptive observational approach to hospital medical record data. Retrieval of research data retrospectively at Bunda General Hospital (X Hospital) for July 2017 – December 2017 and Sinar Kasih Hospital (Y Hospital) for January 2018 – December 2018. The number of samples was determined using the Slovin formula, with a systematic random sampling technique at X Hospital and total sampling at Y Hospital. The samples were 220 RM at X 130 Hospital and Y 90 Hospital. The research was conducted in the period January 2019 - March 2019. The results were analyzed univariately using several related references. The results showed 26.92% of misoprostol off-label use in X Hospital and 4% in Y Hospital. The off-label drug found was Misoprostol which belongs to the category of off-label indications (Missed Abortion, Incomplete Abortion, Blighted Ovum, and Induction of labor in cases of Serotinus, KPD, and IUFD), off-label doses (50 µg, 100 µg, and 400 µg), and off-label routes of administration (sublingual and vaginal). ​

Much ilham novalisa aji wibowo

Introduction: The right lung has two fissures, an oblique and a horizontal, dividing it into three lobes namely the upper, middle, and lower. The nature of the fissure is of great importance in planning operative strategy for thoracoscopic pulmonary resection where an the incomplete fissure may contribute to post-operative air leakage Aim: To assess the gross morphological features of the right lung with special emphasis on the completeness of horizontal fissure. Material & Method: Material for the present study comprised of right lungs obtained from 50 well-embalmed adult human cadavers of both the sexes dissected as a part of 1 MBBS curriculum in the Department of Anatomy, Govt. Medical College, Amritsar. Results: Horizontal fissure was found to be complete in only 10% of the lungs while in rest 90% it was either incomplete or absent. Conclusion: Inferable from the huge variation in nonappearance or partial appearance of horizontal fissure in the right lung and to the absence of an acceptable classification of fissures, an endeavor has been made to give one such classification. In like manner, the horizontal fissure is evaluated from Grade zero to IV contingent on its absence and profundity from coastal surface to the hilum. Each evaluation is additionally divided into 3 subgrades relying on the culmination or incompleteness of these fissures with respect to their length.

Dr kulbir kaur

Cryopreservation is a process that preserves intact living cells, tissues or any other biological constructs by cooling and storing the samples to very low temperatures in order to maintain their viability and to save them for future use. At very low temperatures, enzymatic and chemical activities that may cause harm to the biological material are effectively stopped. Cryopreservation methods look to reach very low temperatures without causing further harm caused by the creation of ice crystals during freezing. Cryopreservation human samples for storage including variety of diseases such as cancer, genetic and degenerative disorders and bio-banking. This review aims to describe and highlight dimethyl sulfoxide in cryopreservation. Dimethyl sulfoxide is a non-toxic solvent and is one of the most commonly used pharmaceutical agent with a varied range of pharmacological actions including membrane penetration, anti-inflammatory effects and local analgesia as well as weak bacteriostatic. The main use of dimethyl sulfoxide is a vehicle for some drugs to enhancing the action of the drug and helping penetration of other drugs into the skin. However, dimethyl sulfoxide has been the cryopreservative agent of choice in situation to its exceptional performance in mitigating freezing-related damages. It is frequently used in cell banking applications as a cryoprotectant. When added to media, it prevents intracellular and extracellular crystals from forming in cells during the freezing process. There has been a concern over the toxicity of dimethyl sulfoxide and its potential side effects in different highly concentration after administration to patients. Therefore, there has been growing demand for robust dimethyl sulfoxide for cryopreservation method that can improve safety and maintain potency and efficacy

Mediterranean journal of pharmacy and pharmaceutical sciences

Menstruation is a normal physiological impact on each girl’s life. Menstruation is monthly uterine bleeding for 3-5 days after every 28 days from puberty till menopause. A change in mood, behaviour, appearance of some abnormal vague symptoms is often noticed in the second half of the cycle. Symptoms are severe enough to disturb the life cycle of a woman called premenstrual syndrome (PMS). The study aimed to assess the premenstrual symptoms and coping strategies among adolescent girls. The majority of the students suffered from premenstrual syndrome. Objective: to assess the premenstrual symptoms and coping strategies among adolescent girls. Methodology: A nonexperimental descriptive research design was adopted in this study. Non probability convenient sampling technique was used to select the sample size of 30 adolescent girls. The assessment of premenstrual symptoms and coping strategies was carried out using a self-reported Likert’s rating scale. Data was analyzed by using descriptive and inferential statistics. Result: Majority (93.3%) of the samples sometimes had physiological and psychological problems, 90% of them had behavioural symptoms. Majority (43.3%) of the samples always followed coping strategies and 16.7% of the samples sometimes followed coping strategies and 40% never followed any coping strategies. Conclusion: PMS was common among students at 18-24 years. The most common physical symptoms experienced by adolescent girls were headache, backache and lower abdominal pain. Adolescent girls used coping strategies as taking hot / cold drinks, do not express anger to others, and turn to study and forget things, hearing music and taking medications. Keywords: Premenstrual Symptoms, physiological, psychological & behavioural symptoms, Coping Strategies, Adolescent Girls.

Elsi queen

Efforts to understand the causes of poverty, how poverty is perceived have become important in the fight to mitigate poverty. In Vietnam, studies on the attitudes of poverty in specific populations, such as Vietnamese students, are rare. Thus, this dataset reports the results collected from 180 social work students and non-social work students of Ho Chi Minh City Open University through attitudes toward poverty and poor people in Vietnam. The Attitude toward Poverty Short Form 21-item scale, developed by Yun & Weaver, was used for the data collection. The survey results showed that when looking for causes of poverty, social work students and non-social work students put the most emphasis on structural factors of poverty. However, social work students, compared with non-social work students, consider personal deficiency and stigma more important. In future, this dataset can serve as a reference source for comparative studies on student’ attitudes toward poverty and impoverished persons and for social work education

Le minh tien

Kegiatan belajar mengajar siswa disekolah yang berpusat pada guru mengakibatkan siswa hanya menerima mata pelajaran secara pasif pembelajaran yang seperti ini mengakibatkan siswa kurang berminat dalam mengikuti pembelajaran tematik,proses pembelajaran yaitukurang maksimal pelaksanaan proses pembelajaran yang diterapkan sehingga peserta didik kurang menarik dengan pembelajaran dan metode yang sebelumnya, Sehingga berpengaruh kepada pemahaman siswa. Berdasarkan latar belakang Fokus dalam penelitian ini adalah 1)Bagaimana Perencanaan metode Rol Playing pada pembelajaran tematik di Madrasah IbidaiyahDarul Ulum Sukorambi Jember tahun pelajaran 2018/2019? 2)Bagaimana Pelaksanaanmetode Rol Playing pada pembelajaran tematik di Madrasah Ibidaiyah Darul Ulum Sukorambi Jember tahun pelajaran 2018/2019? 3) Bagaimna evalusai Metode Role Playingpada pembelajaran tematik di Madrasah Ibidaiyah Darul Ulum Sukorambi Jember tahun pelajaran 2018/2019? Hasil dari penelitian ini adalah: Perencanaan metode Role Playing pada pembelajaran tematik di kelas IV yaitu: dengan menyusun Program tahunan, program semester, silabus dan RPP(Rencana Pelaksanaan Pembelajaran) dan dikembangkan dalam RPP dengan menggunakan metode Role Playing sehingga setiap siswa dapat memahami materi yang telah dipelajarinya.

Educare: journal of primary education