A large number of people suffer from gallstones worldwide, and this problem is now increasing significantly due to malnutrition, changes in living lifestyle, lack of exercise and conditions, i.e. industrialization. Medicinal plants have been used for centuries due to their cultural acceptability, efficacy, safety and fewer side effects than modern synthetic medicines. This review aims to gather information on the plants utilized in various parts of society against gallstones. The information provided is beneficial for ordinary people and the scientific community for further phytochemical, toxicological and pharmacological studies, which may lead to the discovery of new, more effective and safer medicines for gallstones.

Dr. salman ahmed

This study aims at classifing hotels in Jordan into groups based on their Total Quality Management (TQM) implementation. Using a survey methodology, the TQM questionnaire was designed to measure the level of TQM implementation throughout Critical Success Factors (CSFs) which are necessary for TQM implementation. A total of 345 TQM questionnaires were distributed to managers, working in 17 four- and five-star Jordanian hotels. The researcher obtained 227 usable TQM questionnaires. The results classified Jordanian hotels based on the CSFs for TQM implementation. More specifically, using cluster analysis on the CSFs of TQM resulted in two groups of hotels: ‘low TQM adopters’ and ‘high TQM adopters’. These two groups showed significant differences across the TQM CSFs

Mukhles m. al-ababneh

The purpose of the presenting review was to share the medicinal and surgical contribution of Greco-Arabic Muslim scientists in diagnosis, surgery and natural medicines for managing and treating urolithiasis. The contribution of Al-Antaki, Al-Baghdadi, Al-Baitar, Al-Bokhari, Al-Razi, Al-Zahrawi, Ibn Sina, and Ibn Zuhr was highlighted. The data compilation was preliminary, and much more efforts are still needed to restore the missing continuity in the history of medicine.

Dr. salman ahmed

Creative tourism has been stimulated as new form of tourism by more skilled forms of tourism activities, by the growth of new consumption patterns, and by changes in the production of tourism products. It can solve that problems experienced by tourists in the conventional tourism. Creativity has many definitions and that based on the function of creativity, it was historically related to creative person, but the recent research in creativity focused on creative product. However, creativity can be located in four areas, and they are: creative person, creative product, creative process, and creative environment. Creativity means “the production of novel and useful ideas in any domain”, which refers to the generation of ideas. Today, creativity becomes as a strategy that promoting individual skill development and innovation, this strategy has been followed by many cities and regions around the world in order to obtain the growth throughout commodification, knowledge development, globalization and increasing competition. Creativity can play a significant role in the mainstream tourism experiences that can be added to the places’ atmosphere, creativity is considered as an attractive policy for stimulating other creative activities and outcomes of social, economic and cultural through spilling knowledge and networking. Indeed, creativity can impact tourism in many ways such as: tourism itself as a creative area, tourism products, skills development and performance development. Thus, the important role of creativity in tourism has been incarcerated in many trends

Mukhles m. al-ababneh

This study investigates the access and equity challenges faced by tribal students in higher education institutions in Telangana, India. Despite various governmental initiatives aimed at improving educational outcomes for tribal communities, significant disparities persist. This research employs a comparative analysis across selected universities in Telangana, focusing on enrolment rates, retention, academic performance, and support services tailored for tribal students. Data is gathered through a combination of quantitative surveys and qualitative interviews with students, faculty, and administrators to gain a comprehensive understanding of the barriers and facilitators affecting tribal education. The findings reveal systemic inequities related to socio-economic status, cultural relevance of curricula, and the availability of financial and academic support. Moreover, the study highlights successful practices and policies implemented by certain institutions that promote inclusive education and enhance access for tribal students. The results underscore the need for targeted interventions to create a more equitable higher education landscape in Telangana, ultimately contributing to the empowerment of tribal communities and their representation in the academic sphere.

Dr gedam kamalakar

Purpose: The study aims to explore all possible morphological features of calcium oxalate monohydrate and calcium oxalate dihydrate crystals and their habits in case of inhibition. Methods: The study was carried out on a glass slide to observe the growth and inhibition of calcium oxalate monohydrate (COM) crystals by using infusions (5-20%) of Macrotyloma uniflorum (Lam.) Verdc, Phaseolus lunatus Linn. and Phaseolus vulgaris Linn. The reagents of the double diffusion gel technique were used for this purpose. Results: Calcium oxalate crystals are divided into three types: calcium oxalate monohydrate, dihydrate, and trihydrate. These types are further divided into sub-types based on their morphology. In the case of calcium oxalate monohydrate (COM), these crystals are donuts, dumbbells, needles, platy, prismatic, rosette, round edges and X-shaped. Calcium oxalate dihydrate (COD) is the elongated large rods and tetragonal bipyramidal forms. In the present study, dendritic or arborescent (tree-like platy crystals) were observed for the first time as part of a COM growth. Long chain loose agglomerates and compact aggregated crystals are the typical pattern of calcium oxalate crystals. All tested infusions caused growth inhibition of calcium oxalate crystals. Smaller nucleation zones and defective shapes of the grown crystals are declared different growth inhibition patterns. Conclusion: This study gives extensive information about morphology, aggregation and growth inhibition of calcium oxalate crystals.

Dr. salman ahmed

Cisplatin, cisplatinum, or cis-diamminedichloroplatinum (II), is a well-known chemotherapeutic drug. It is one of the most widely used chemotherapeutic agents for various solid tumors in the clinic due to its high efficacy and broad spectrum. The antineoplastic activity of cisplatin is mainly due to its ability to cross-link with DNA, thus blocking transcription and replication, Subsequently inducing apoptosis in cancer cells. However, because of drug resistance and numerous undesirable side effects such as severe kidney problems, allergic reactions, decreased immunity to infections, gastrointestinal disorders, hemorrhage, and hearing loss especially in younger patients. Other common side effects include ototoxicity, neurotoxicity, gastrointestinal toxicity, hematological toxicity, cardiotoxicity, and hepatotoxicity. These side effects together reduce the life quality of patients and require lowering the dosage of the drug, even stopping administration, thus weakening the treatment effect Therefore, substantial effort has been made to explore the complicated biochemical processes involved in the toxicology of cisplatin, aiming to identify effective ways to reduce or eradicate its toxicity. This review summarizes and reviews the updated advances in the toxicological research of cisplatin.

Nehal

The present review was written to describe the effects of the COVID-19 pandemic on followup and treatment process of gynecological cancers and breast cancer in accordance with current literature, guidelines from national and international cancer associations. Recommendations were provided based on the consensus conference model. In the follow-up and treatment process of gynecological cancers and breast cancer, there are many factors, such as the clinical course of patient, the possibility of an emergency of the patient, the stage of the cancer and the current status of the chemotherapies. Although opinions in all types of cancer differ among themselves, general beliefs are postponement of non-urgent surgical operations, re-evaluation of chemotherapy processes, postponing appointments for new nonurgent diagnoses, reducing the length of hospital stay of patients in emergency procedures, conducting consultations by telemedicine or telephone, treatment of patients with COVID-19 suspicions after 15 days, planning biopsies or surgeries according to the staging status of cancers and planning conferences as video conferences in cases that require a multidisciplinary approach. Patients diagnosed with cancer during the COVID-19 pandemic should not be lost, followup and treatment should be continued without disruption, patients should be remembered to be in the high-risk group in this process and necessary hygiene measures should be taken in both follow-up and treatment concerning risks and COVID-19 pandemics.

Reyhan aydin doğan

Researchers have developed several authentication techniques for route predictions based on user requirements. These techniques estimate the shortest path and available resources in vehicular communication networks. In the current research, the existing authentication techniques for vehicular communication are compared and their inadequacies are identified. Then, new authentication technique based on route forecasting are presented for vehicular communication networks, with the service provider anticipating alternate routes for customers if the current routes have more network traffic congestion. By presenting the most efficient route, the suggested model allows users to maximise their time efficiency. Using A* algorithm, VCN agent seeks path with less network traffic congestion. This algorithm determines the shortest path between a source and a destination. Users are provided with several options by the service provider. User accepts the finest option that meets their needs. This method allows the service provider to deliver at least 15 routes within three seconds. This strategy is beneficial when a significant number of vehicles are stuck in traffic and consumers require network resources to utilise their time effectively.

Vartika agarwal

The formation of social sciences in general, and sociology in particular, often includes foundational courses such as Introduction to Sociology as part of its curriculum. Many of these courses traditionally place the teacher at the center of teaching, with learners acting as passive recipients of knowledge. This approach limits learners' initiative in seeking knowledge and expressing their own perspectives on social issues, thus excluding them from the knowledge production process. This contradicts modern educational principles that emphasize learner participation in the educational process. Therefore, adopting a constructivist perspective of teaching necessitates the use of new teaching methods, with the Photovoice method being one of the essential tools due to its emphasis on participatory learning. Participatory learning involves students actively engaging with and redefining the knowledge presented in the classroom, rather than passively receiving it. This paper describes our experience using the Photovoice method in the Introduction to Sociology course at Ho Chi Minh City Open University, Vietnam, during the first semester of the 2023-2024 school year. Additionally, the paper presents survey results reflecting students' opinions on the Photovoice method after completing the course. The survey data indicates that Photovoice is an effective pedagogical tool.

Le minh tien

Madrasah Ibtidaiyah KAHASRI merupakan lembaga yang ditunjuk oleh Kementerian Agama RI untuk melaksanakan Kurikulum 2013 atau yang disebut K13 baik pada pembelajaran tematik maupun pembelajaran agama sesuai dengan Keputusan Direktur Jendral Pendidikan Islam Nomor 3525 tahun 2017 tentang Penetapan Pelaksanaan Kurikulum 2013. Berdasarkan latar belakang tersebut, maka fokus penelitian adalah: 1) Bagaimana perencanaan pembelajaran kurikulum 2013 di Madrasah Ibtidaiyah KAHASRI Kota Probolinggo Tahun Pelajaran 2018/2019? 2) Bagaimana pelaksanaan pembelajaran kurikulum 2013 di Madrasah Ibtidaiyah KAHASRI Kota Probolinggo Tahun Pelajaran 2018/2019?, 3) Bagaimana evaluasi pembelajaran kurikulum 2013 di Madrasah Ibtidaiyah KAHASRI Kota Probolinggo Tahun Pelajaran 2018/2019? Hasil penelitiannya adalah: 1) Perencanaan pembelajaran K13, guru di Madrasah Ibtidaiyah KAHASRI Kota Probolinggo membuat perangkat pembelajaran berupa Kalender Pendidikan, RPE, Prota, Promes, Silabus, dan RPP. Dalam pembuatan perangkat pembelajaran ada guru yang membuat perangkat pembelajaran secara individu dan ada yang dengan bersama KKG (Kelompok Kerja Guru). (2) Pelaksanaan pembelajaran K13 di Madrasah Ibtidaiyah KAHASRI Kota Probolinggo memiliki 3 kegiatan yaitu, kegiatan pendahuluan, inti, dan penutup. Pada kegiatan pendahuluan diawali dengan memberikan apersepsi, memberikan stimulus/motivasi, menyampaikan tujuan dan manfaat pembelajaran. Pada kegiatan inti guru telah melakukan kegiatan saintifik yang meliputi kegiatan mengamati, menanya, mencoba, mengasosiasi/mengumpulkan, dan mengkomunikasikan. Pada kegiatan penutup dilakukan dengan membuat kesimpulan dari materi yang telah dipelajari, merefleksikan materi yang diajarkan, dan memberikan tindak lanjut berupa penugasan. (3) Evaluasi pembelajaran K13 di Madrasah Ibtidaiyah KAHASRI Kota Probolinggo menggunakan model penilaian autentik yang meliputi 3 aspek yaitu: aspek sikap, aspek pengetahuan, dan aspek keterampilan.

Educare: journal of primary education

The seed flours of Macrotyloma uniflorum (Lam.) Verdc., Phaseolus lunatus Linn., and Phaseolus vulgaris Linn. were investigated for their total, soluble and insoluble oxalate contents by HPLC. The total oxalate content of Macrotyloma uniflorum, Phaseolus lunatus and Phaseolus vulgaris were 1.24, 1.77 and 1.71 mg/ g, respectively. The % age of soluble oxalate was Macrotyloma uniflorum (19.50), Phaseolus lunatus (15.08) and Phaseolus vulgaris (15.88). The calculated soluble oxalate: calcium ratio of all tested legume flours is lesser than one and hence will not create any resistance in calcium bioavailability.

Dr. salman ahmed

Background and Aim: Second and third-generation supraglottic airway devices (SADs) are increasingly used in laparoscopic surgeries due to their improved oropharyngeal seal and gastric drainage. This study evaluated and compared the clinical efficacy of the Ambu AuraGain (AAU) and the i-gel in patients undergoing laparoscopic cholecystectomy. Materials and Methods: In this prospective, randomized comparative study, 80 adult patients (ASA I and II) were randomly assigned to two groups (n=40 each): Group A (Ambu AuraGain) and Group G (i-gel). The primary objective was to compare oropharyngeal leak pressure (OLP). Secondary objectives included insertion time, ease of insertion, success rate, fiberoptic view of the glottis, and postoperative complications. OLP and peak airway pressure (PAP) were measured at various intervals, including during carboperitoneum. Results: The mean OLP was significantly higher in Group A than in Group G, both after insertion (32.9 ± 3.45 vs. 26.53 ± 1.61 cm H2O; p<0.001) and after deflation of carboperitoneum (34.15 ±2.9 vs. 28.2 ±1.71 cm H2O; p<0.001). The margin of safety (OLP–PAP) was significantly higher in the AAU group at all times (p<0.001). However, the i-gel was significantly faster to insert (14.8 ±2.94 vs. 22 ± 3.74 seconds; p<0.001) and easier to place (100% easy vs. 37.5% easy; p<0.001). Fiberoptic alignment was significantly better in the i-gel group, with 70% achieving a Grade 4 view compared to 29% in the AAU group (p<0.001). Postoperative complications were low and comparable between groups. Conclusion: Ambu AuraGain provides a superior oropharyngeal seal and a higher safety margin against leaks during laparoscopic surgery compared to i-gel. Conversely, i-gel is superior in terms of ease of insertion, speed, and anatomical alignment with the glottis, making it a better conduit for fiberoptic-guided intubation. Keywords: Ambu AuraGain, i-gel, Laparoscopic cholecystectomy, Oropharyngeal leak pressure, Supraglottic Airway device.

Journal of scientific innovations in anesthesiology

Introduction and importance: Human echinococcosis, also known as‘hydatid cyst,’ constitutes a zoonotic parasitic disease attributed to Echinococcus granulosus or Echinococcus multilocularis. Primary af ictions occur in the liver and lungs, whilst the implication of alternative organs remains infrequent. The clinical presentation can vary, and large cysts may cause compression symptoms and complications. This case involved a 21-year-old Palestinian female with three large hydatid cysts in the liver, causing compression of adjacent structures and unique clinical manifestations. Case presentation: A female aged 21 arrived with signs of heart palpitations, shortness of breath, tiredness, and pain in the right upper abdomen, alongside a background of infertility. During routine pre-IVF ultrasound, three liver hydatid cysts were unexpectedly found, leading to a referral to the surgical department. Laboratory tests and imaging con rmed this diagnosis. The surgery involved cyst aspiration, hypertonic saline injection, and marsupialization. Post-surgical complications were managed as they occurred. The symptoms lessened afterward, and a successful pregnancy was achieved 9 months post-surgery. Clinical discussion: Zoonotic infection by cystic echinococcosis (CE) primarily engages the liver and lungs. The progression of symptoms is contingent upon cyst placement and resultant pressure on adjacent tissues. Diagnosis requires imaging alongside serological assays, while large cysts necessitate surgical intervention. Conclusion: The presented case underscores the complexity of managing multiple extensive liver hydatid cysts, highlighting the necessity to consider hydatid disease amidst patients presenting with indeterminate symptoms, particularly within endemic zones. An extensive surgical strategy produced positive outcomes, illustrating the signi cance of prompt intervention for symptom alleviation and sustained patient health.

Mohamad banat

This research assessed the nutritional composition, microbiological and sensory attributes of maize-based fortified food with peanut and carrot blends. A total of six composite flour samples were formulated using varying ratios of maize, peanut, and carrot: (MPC1) 100% maize flour (control), (MPC2) 90% maize, 5% peanut, and 5% carrot, (MPC3) 80% maize, 15% peanut, and 5% carrot, (MPC4) 70% maize, 20% peanut, and 10% carrot, (MPC5) 60% maize, 25% peanut, and 15% carrot, and (MPC6) 50% maize, 30% peanut, and 20% carrot. The proximate, mineral, vitamin, antinutrient, and functional properties of these fortified food samples were assessed using established methodologies. The proximate analysis revealed a significant increase (p<0.05) in moisture, crude protein, fat, crude fibre, ash, and energy content of the fortified samples, with values ranging from 1.63% to 3.80%; 3.08% to 44.43%; 2.39% to 15.16%; 3.58% to 7.04%; 2.34% to 3.80%; and 381.75 to 432.52 KJ/100g, respectively, as the supplementation of peanut and carrot flours increased. Conversely, the carbohydrate content decreased from 86.98% to 27.64%. The mineral content of the fortified samples also showed a significant increase (p<0.05) with higher levels of peanut and carrot flour supplementation. The findings of this study indicated a statistically reduction (p<0.05) in the antinutrient profiles of the fortified food samples. Additionally, the vitamin content significantly increased (p<0.05) with the addition of peanut and carrot flours. The overall viable counts were significantly low, and there were no detectable coliform or fungal counts. Although, the result of sensory evaluation indicated that the control sample was more organoleptically acceptable than the substituted samples, incorporating these nutrient-rich and functional ingredients in the production of maize-based cereals may broaden the application of peanut and carrot flours in the creation of various cereal types and other cereal-based food items.

Okechukwu obed chukwuemeka

The problem of chemical fertilizers and pesticides can be solved by the action of plant growth promoting fungi (PGPF). The indigenous fungal isolates obtained from the rhizosphere soil can be used as they are said to solubilize the insoluble zinc, phosphorous, potassium etc. They are known to control the different fungal pathogens and thus promoting the plant growth and health. In the present study, attempt was made to isolate soil beneficial fungi from the rhizosphere soil samples of important medicinal plants such as Aegle marmelos, Azardirachta indica and Citrus limon. A total of 22 fungal isolates was isolated and screened for their efficacy on phosphate and zinc solubilization and antagonistic potential against selected plant pathogenic fungi under in vitro condition and the isolates were identified up to species level.

Dr. saranya devi k

Here, we report the draft genome sequences of Bacillus subtilis A1, Sphingobacterium sp. strain A3, and Pseudomonas sp. strain A29; Sphingobacterium sp. A3 and Pseudomonas sp. A29 were identified as Bacillus velezensis strain A3 and Bacillus subtilis strain A29, respectively, after a quality control check of the wholegenome sequences deposited in the NCBI database. These bacteria exhibit tremendous production of siderophores and significant antimicrobial potential. When inoculated on maize, these isolates increase its yield

Oluwaseyi samuel olanrewaju

Women are multi taskers in their lives- mother, wife, daughter, sister and a lot more. And hence are exposed to a lot of emotions. A working woman is exposed to many other more roles- boss, subordinates. A working woman has to develop skills of self awareness, self management, be motivated, feelings of optimism, positivity and internality, empathy and social skills (collectively called as emotional intelligence) to perform her multiple roles, both at home and at, work place efficiently so as to meet the expectations of both the family members and their organization. Current study focuses on investigating the influence of demographic factors on the level of emotional intelligence among the respondents in Coimbatore city. These factors tested against being determined by their age, job profile, marital status.

Nandini

This study examined the level of physical access of pupils to lower basic schools in Rivers State. One research question guided the study. The descriptive research design was used. The population for the study was the 942 public lower basic schools in Rivers State. A sample of 289 schools was used for the study. Stratified random sampling was used to draw the sample. Document analysis was the instrument used for the study. The instrument was validated by five experts. Mean statistics was used to answer the research question. Findings revealed that the radius per child for pupils in Rivers State lower basic schools is unsatisfactory high. It was therefore recommended among others that the Ministry of Education in collaboration with the Universal Basic Education should ensure that schools are properly sited in such a way that it will adhere to the 2-kilometre standard distance for developing countries. The Ministry of Education should ensure strict compliance with the policy provision on the maximum distance a child could cover to access the nearest school by re-mapping the current school network.

Fxintegrity publishing

Concrete is a material which is used in construction. Weight of concrete plays a major role in the construction industry. If the weight of the concrete is increased, it will pose more structural problems on the later date of construction. It also increases the cost of construction, without any specific benefit. So if lightweight concrete is used, it not only reduces cost of construction, but also not poses any structural problems unnecessarily. Light weight concrete also aids workers in smooth handling of materials. In this study, vermiculite in the form of exfoliated form is used to replace partially natural sand. By this action dead weight of the structure is reduced. Once the dead weight of structure is reduced, it in turn reduces cost of construction. In this study three mixes were casted with the cement content of 383 kg/m3 in M20 concrete and the water cement ratio of 0.45 is chosen. Vermiculite at 10%, 20% and 30% are choosing to partially replace the natural sand. The Tests conducted on concrete for evaluating mechanical properties include compressive strength and split tensile strength. For evaluating durability properties, tests like acid resistance, sulphate resistance, chlorine penetration and water absorption.

Kiran kumar narasimhan