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

Food nutrients are essential for the growth and development of human. In several parts of the world, Cocoyam (Colocasia esculenta), is a tropical root crop cultivated for food formulations and consumption by humans. This study was conducted to assess the nutritional evaluation (weight gain, protein efficiency ratio, net protein retention, and biological value) of the processed cocoyam, soya bean (Glycine max) flours and their blends by feeding trials using Albino rabbits. The sun-dried samples were milled to size (sieve with 25 µm aperture size) to obtain homogenous flours. Blends were obtained with various ratios according to the percentage of soya bean/cocoyam flours. The biological value, protein efficiency ratio, and net protein retention were analysed using standard methods for the calculations. Net protein retention of soya bean flour was higher than that for cocoyam flour. The highest biological value was given by the 50% blend, while the lowest was given by the control diet. The higher the protein efficiency ratio values, the higher the protein quality. The highest protein efficiency ratio value was given by soya bean flour, while the lowest value was from Cocoyam flour. The best blend of Cocoyam and soya bean flours obtained based on chemical and nutritional evaluations was the 50% blend of soya bean and Cocoyam flours.

Mediterranean journal of pharmacy and pharmaceutical sciences

In this review work, we have extracted the essential details from prior patents about the synthesis of popular drug Lamotrigine. This initiative will provide a platform for the global researchers to invent new or innovate over the existing synthetic routes to isolate Lamotrigine with good yield and purity. The details of patents were sourced from “Google patents” search tool and the process specific details were elaborated with reaction schemes. In this context, twenty-four reactions schemes were tabulated for the better understanding of the disclosed ventures. The entire chronological exfoliation of details on the synthesis of Lamotrigine provides a clear evolutional vision of its synthetic flourish towards drug commercialization.

Mediterranean journal of pharmacy and pharmaceutical sciences

The primary cause of many fatalities is hypertension (high blood pressure). Many hypertensive patients are not even aware that they have the condition. As a result, hypertension is sometimes referred to as a silent killer. Until the harmful effects of high blood pressure, such as myocardial infarction, stroke, renal abnormalities, and vision problems, are identified, hypertension is typically asymptomatic. Without the use of herbs and dietary control, conventional medication therapy could not be enough to treat hypertension. The growing number of persons with high blood pressure can be effectively treated using alternative medicine. Numerous alternative therapies, such as diet, exercise, stress management, vitamins, and herbs, have been proven to be effective in lowering high blood pressure. There are several medications available to treat this disorder however popular antihypertensive medications typically have a long list of adverse effects. Numerous active ingredients with pharmacological and preventative qualities found in medicinal plants can be used to treat hypertension. This review discusses an overview of important medicinal plants and phytochemicals with hypotensive or antihypertensive effects.

Mediterranean journal of pharmacy and pharmaceutical sciences

Rasa shastra is aPharmaco – therapeutic branch of Ayurved, incorporates many of the Herbo– mineral – metallic pharmaceutical preparations prepared out of the Parada namely KhalviyaRasayana, ParpatiRasayana, PottaliRasayanaandKupipakwaRasayana.Rasaushadhis are important for their uniqueness in Ayurvedic therapeutics due to lesser doses. KharaliyaRasayanais used in wide range for therapeutic utility and is easy for preparation. Icchabhedi Rasa is one such kharaliyaherbo-mineral formulation mentioned in various Ayurvedic text. Icchabhedi Rasa is a classical preparation commonly used for Virechana. Icchabhedi Rasa is described in various classical texts with some variation of ingredients. Jayapalais the chief ingredient of the preparation having Katu Rasa, UshnaVirya and KatuVipaka. It is well known for its strong purgative action. Though variation is observed in thedescription of these KharaliyaRasayana and compilation of these will help to study in comparative manner.AYU

Suri abhiram

This research was conducted at Al-Baitul Amien Elementary School Jember which aims to answer the problem 1) How is the concept of prophetic education in shaping the character of students in Al-Baitul Amien Elementary School Jember? 2) How is the implementation of prophetic education in shaping the character of students in Al-Baitul Amien Jember Elementary School? 3) How is the evaluation of prophetic education in shaping the character of students at Al-Baitul Amien Elementary School Jember? The method used in this research is qualitative research methods. The approach used is a descriptive qualitative approach. The results of this study indicate: (1) The concept of prophetic education in shaping the character of students at Al-Baitul Amien Elementary School Jember, namely: the formation of a distinctive curriculum based on the historical values ??of the mosque, religious habituation programs, and the commemoration of Islamic holidays. (2) Implementation of prophetic education in shaping the character of students in Al-Baitul Amien Jember Elementary School, namely: Dhuha Prayers, Dhuhr and Asr Prayers in Congregation, Asmaul Husna Habits, Tahfidz Qur'an, Juz 30 Hafalan Program, Tartil Qur'an, Tilawati Qur'an (Qiro'ah), Friday charity, Islamic Studies, Team of action / affection, Learning the Koran, PAI Subjects, Learning Arabic, Student Liaison and Achievement Books, Commemoration of Islamic Holidays, Sholawat and Hadrah, Nasyid, and Da'i Little. (3) Evacuation of prophetic education in shaping the character of students at Al-Baitul Amien Jember Elementary School, namely: a connecting book for reports on the implementation of student sunnah prayers, compulsory prayer services, student morals at home, and also letters from parents to teachers and vice versa. Penelitian ini dilakukan di Sekolah Dasar Al-Baitul Amien Jember yang bertujuan untuk menjawab permasalahan, 1) Bagaimana konsep pendidikan profetik dalam membentuk karakter peserta didik di Sekolah Dasar Al-BaitulAmien Jember? 2) Bagaimana implementasi pendidikan profetik dalam membentuk karakter peserta didik di Sekolah Dasar Al-Baitul Amien Jember? 3) Bagaimana evaluasi pendidikan profetik dalam membentuk karakter peserta didik di Sekolah Dasar Al-Baitul Amien Jember? Pendekatan yang digunakan adalah pendekatan kualitatif deskriptif dan jenis penelitian lapangan (field research). Teknik pengumpulan data menggunakan wawancara, observasi, dan dokumentasi. Dan keabsahan datanya menggunakan triangulasi sumber dan teknik. Hasil penelitian ini menunjukkan: (1) Konsep pendidikan profetik dalam membentuk karakter peserta didik di Sekolah Dasar Al-Baitul Amien Jember yaitu: Kurikulum dibuat berdasarkan nilai historis masjid, program pembiasaan keagamaan, dan peringatan hari besar Islam. (2) Implementasi pendidikan profetik dalam membentuk karakter peserta didik di Sekolah Dasar Al-Baitul Amien Jember yaitu: melalui kegiatan Sholat Dhuha, Sholat Dhuhur dan Ashar berjamaah, Pembiasaan Asmaul Husna, Tahfidz Qur’an, Program Hafalan Juz 30, Tartil Qur’an, Tilawati Qur’an (Qiro’ah), Jum’at beramal, Kajian Islami, Tim penindak/ afeksi, Pembelajaran Al-Qur’an, Mata pelajaran PAI, Pembelajaran Bahasa Arab, Buku Penghubung dan Prestasi Siswa, Peringatan Hari Besar Islam, Sholawat dan Hadrah, Nasyid, dan Da’i Cilik. (3) Evaluasi pendidikan profetik dalam membentuk karakter peserta didik di Sekolah Dasar Al-Baitul Amien Jember yaitu: buku penghubung laporan mengenai pelaksanaan ibadah sholat sunnah siswa, ibadah sholat wajib, akhlak siswa dirumah, dan juga lembar surat dari orang tua kepada guru maupun sebaliknya.

Educare: journal of primary education

Sheath blight and Sheath rot of rice caused by Rhizoctonia solani and Sarocladium oryzae is an economically important disease causing rigorous yield losses. Biological control of the disease using plant growth promoting rhizobacteria (PGPR) is a potential substitute to the presently available chemical control methods. The present investigation was aimed to study the plant growth promoting (PGP) activity and antagonistic activity of two rhizobacteria Pseudomonas fluorescence and Rhizobium sp., isolated from rhizosphere area of rice, against two major rice pathogens. In the present work IAA (Indole acetic acid production) was found maximum amount in Pseudomonas fluorescence (30 mg / ml) and trace amount in Rhizobium sp. Maximum amount of Siderophore production was noticed in both isolates. Pseudomonas fluorescence showed positive result for the HCN production but Rhizobium sp., was found to be negative and both bacterial isolates solubilized phosphate in very effective manner. Both rhizobacteria were found to produce ammonia and catalase. The cross streak studies revealed that the complete inhibition of mycelia growth of Rhizotonia solani (85%) and partial inhibition of Sarocladium oryzae (45%) against two rhizobacteria. Antifungal compound extracted from both rhizobacteria were found to exhibit maximum antagonism against rice pathogens. This result concluded that both PGPR’s can be used as best bio-control agent against rice pathogens instead of hazards chemicals.

Dr. saranya devi k

India is undergoing rapid urbanization, leading to significant transformations in land use, infrastructure, and population densities. Concurrently, climate change is intensifying heat waves across the country, exacerbating the vulnerabilities of urban populations. This study explores the intersection of urban growth and climate change, analysing how expanding cities, with their heat-absorbing materials and altered landscapes, contribute to the urban heat island effect. The research highlights how extreme heat waves, fuelled by global warming, are becoming more frequent and severe in Indian cities, affecting public health, energy consumption, and economic productivity. Furthermore, this study reviews adaptive strategies being implemented, such as green infrastructure, sustainable urban planning, and climate resilient policies, and assesses their effectiveness in mitigating the impacts of heat waves. Through an integrated approach combining climate science and urban studies, the paper emphasizes the urgency of rethinking urbanization to build heat-resilient cities in India. underline the importance of immediate policy interventions, public awareness campaigns, and investments in climate adaptation to safeguard the health and livelihoods of urban dwellers in the face of escalating heat risks.

Dr gedam kamalakar

Digital governance has become a cornerstone of modern administrative systems, enabling governments to provide efficient and transparent services to citizens. Telangana, a state in southern India, has emerged as a pioneer in implementing various digital governance initiatives to enhance service delivery and promote inclusive development. This paper provides a comprehensive overview of the digital governance initiatives undertaken by the Government of Telangana, highlighting their objectives, key features, and impact on governance. The paper begins by outlining the context of digital governance in Telangana, emphasizing the state government's commitment to leveraging technology for governance reforms. It then delves into specific initiatives across various sectors, including e-governance, digital infrastructure, citizen services, and smart city projects. Each initiative is analyzed in terms of its objectives, implementation strategies, technological components, and outcomes. Key initiatives such as the Telangana State Portal, T App Folio mobile app, MeeSeva portal for e-services, and the T-Fiber project for broadband connectivity are discussed in detail. Additionally, the paper examines the integration of emerging technologies like artificial intelligence, blockchain, and Internet of Things (IoT) in governance processes to improve efficiency and transparency. Furthermore, the paper evaluates the impact of these initiatives on governance outcomes, including enhanced service delivery, increased transparency, and improved citizen engagement. It also identifies challenges faced in the implementation process and offers recommendations for overcoming them. Overall, this paper provides valuable insights into the digital governance landscape in Telangana, showcasing the state's efforts in harnessing technology to build a more efficient, responsive, and citizen-centric administration. By documenting the successes, challenges, and lessons learned, it aims to inform policymakers, researchers, and practitioners interested in digital governance and public administration reform.

Dr gedam kamalakar

The purpose of this paper is to offer insights that can help researchers to link ontology, epistemology and research methodology. This paper outlines the links among ontology, epistemology and research methodology by exploring ontological, epistemological and methodological perspectives in the research. It discusses how ontological and epistemological issues influence research methodology by providing a clear understanding of different research methodologies based on ontology and epistemology. Furthermore, attention is given to research aspects such as the elements of the research process, research philosophy, research approach, research strategy, the choice of method, and research design

Mukhles m. al-ababneh

This research was conducted to form students to be more disciplined in maintaining time, especially in prayer, as well as to strengthen aqidah and increase the worship of students of Madrasah Ibtidaiyah Salafiyah Syafi'iyah. The focus of this research is: 1) How to plan the prayer chapter of fiqh learning through audio-visual media for students of Class IV Madrasah Ibtidaiyah Salafiyah Syafi'iyah Ajung, 2) How to implement the prayer chapter of fiqh learning through audio-visual methods for students of Class IV Madrasa Ibtidaiyah Salafiyah Syafi 'iyah Ajung, 3) How is the evaluation of fiqh learning in the prayer chapter for fourth grade students of Madrasah Ibtidaiyah Salafiyah Syafi'iyah Ajung. This research uses qualitative research with descriptive qualitative research. Determination of research subjects in this study was carried out purposively. Data collection techniques used observation, interviews, and documentation. Analysis of the data, the researcher used the data analysis model of the Miles, Huberman, and Saldana models including: Data Condensation (Condensation), Data Presentation (Display), Conclusions Drawing. The validity of the data in this study used source triangulation and technical triangulation. The results showed that: 1) The use of audiovisual media was very relevant in learning fiqh in the prayer chapter 2) Active, innovative, creative, effective and fun learning made students enthusiastic and enthusiastic in learning and not boring. 3) the completeness of learning facilities and infrastructure is very influential in the evaluation stage including summative evaluation and formative evaluation, input evaluation, process evaluation and output evaluation. Penelitian ini dilakukan untuk membentuk peserta didik lebih disiplin dalam menjaga waktu khususnya dalam shalat, serta memantapkan aqidah dan meningkatkan ibadah peserta didik Madrasah Ibtidaiyah Salafiyah Syafi’iyah. Fokus penelitianini adalah: 1) Bagaimana Perencanaan Pembelajaran fiqih bab sholat melalui media audio visual bagi peserta didik Kelas IV Madrasah Ibtidaiyah Salafiyah Syafi’iyah Ajung, 2) Bagaimana Pelaksanaan pembelajaran fiqih bab sholat melalui metode audio visual bagi peserta didik Kelas IV Madrasah Ibtidaiyah Salafiyah Syafi’iyah Ajung, 3) Bagaimana evaluasi pembelajaran fiqih bab sholat bagi peserta didik kelas IV Madrasah Ibtidaiyah Salafiyah Syafi’iyah Ajung. Penelitian ini menggunakan penelitian kualitatif dengan jenis penelitian kualitatif deskriptif. Penentuan subyek penelitian dalam penelitian ini dilakukan secara purposive.Teknik pengumpulan data menggunakan observasi, wawancara, dan dokumentasi. Analisis data, peneliti menggunakan model analisis data model Miles, Huberman, dan Saldana meliputi: Kondensasi Data (Condensation), Penyajian Data (Display), Penarikan Kesimpulan (Conclusions Drawing). Keabsahan data dalam penelitian ini menggunakan triangulasi sumber dan triangulasi teknik.Hasil penelitian menunjukkan, bahwa: 1) Penggunaan media audiovisual sangat relevan dalam pembelajaran fiqih bab sholat 2) Pembelajaran aktif, inovatif, kreatif, efektif, dan menyenangkan membuat peserta didik semangat dan antusias dalam belajar serta tidak membosankan. 3) kelengkapan sarana dan prasarana pembelajaran sangat berpengaruh pada tahap evaluasi meliputi evaluasi Sumatif dan evaluasi Formatif evaluasi input, evaluasi proses dan evaluasi output.

Educare: journal of primary education

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

Business nowadays has no boundaries of time, place, or information, so any firm must evaluate its performance regularly to ensure long-term viability. This study aims to determine the impact of employees’ motivation and job training on company performance in a family business called PT Anugrah Mandiri. It is an automotive spare parts distribution company in Medan, Indonesia established in 2010. As a family business run by many family members, PT Anugrah Mandiri tends to undervalue the importance of providing motivation and delivering practical training to its employees. This results in most employees being overwhelmed, and the business performance is decreasing. As this study's quantitative research method shows, motivated and skilled employees are the keys to a successful firm. The instruments used to collect data are questionnaires about employees’ motivation, job training, and company performance, and then processed using SPSS. Saturation sampling is used as the sampling method by administering the questionnaires to 50 employees of PT Anugrah Mandiri. The data analysis tool in this study is a multiple linear regression by carrying out a classic assumption test continued by testing the partial hypothesis or t-test, the simultaneous hypothesis test or the F test, and the calculation of the coefficient of determination. The statistical result shows that company performance increases by 0.422 and 0.384 when employees’ motivation and job training increase by 1 unit. All hypotheses in this research are accepted, and it can be concluded that employees’ motivation and job training influence company performance.

L

The current study was conducted to explore the antiemetic activity of two marine algae, Iyengaria stellata Børgesen (Phaeophycota) and Valoniopsis pachynema Børgesen (Chlorophycota), by chick emesis model. Emesis was induced by copper sulphate (50 mg/kg), and the extracts were tested orally at 150 mg/kg. Chlorpromazine (150 mg/kg orally) was used as a standard antiemetic drug. The results showed that methanol extracts of both seaweeds have antiemetic activity.

Dr. salman ahmed

Systemic onset juvenile idiopathic arthritis (SoJIA) is a rare inflammatory disorder. It is the severest form of juvenile idiopathic arthritis, and complications occur most commonly in this type. Non-responsiveness to standard therapy with corticosteroids and disease-modifying antirheumatic drugs is not uncommon. Interleukin-1 beta (Il-1β) has been shown to be a main contributor to the pathogenesis of SoJIA. Anakinra, a recombinant Il-1β receptor antagonist, was shown to be effective in small cohorts of therapy-resistant adult and pediatric still's patients. This study aimed to evaluate the real-world efficacy, steroid-sparing effect, and safety profile of anakinra in patients with SoJIA at a tertiary care center in Libya. A retrospective case series was conducted on patients with SoJIA treated with anakinra at the Tripoli Children's Hospital between 2010 and 2017. Data on demographic characteristics, disease activity, corticosteroid dosage, concomitant medications, and adverse events were collected at baseline and at 1-, 3-, 6-, and 12-month post-treatment. 13 patients were treated with anakinra with a mean age of 9.4±4.6 years at anakinra initiation and a female-to-male ratio of 2: 1. All patients were on corticosteroids and 92.3% on methotrexate at treatment initiation. The proportion of patients achieving inactive disease (Jadas 10=0) increased over time. A marked steroid-sparing effect was observed: the number of patients requiring high-dose steroids (>0.5 mg/kg/day) decreased from 100% at baseline to 7.6% at 12 months, and 53.8% successfully discontinued corticosteroids entirely. All patients experienced injection site reaction, and macrophage activation syndrome occurred in 15.4% as a side effect after treatment initiation. But no severe infections or fatalities occurred. Reasons for discontinuation included remission (46.1%), drug unavailability (23.0%), inefficacy (15.3%), and side effects (15.3%). Anakinra demonstrated significant efficacy in inducing rapid disease control and reducing corticosteroid dependence in patients with refractory SoJIA, with a manageable safety profile

Mediterranean journal of pharmacy and pharmaceutical sciences

his study explored the English Language Teaching appraisal of teachers in the trifocal Philippine education system in the Bicol Region as a basis for policy and advancement programs. This study used the descriptive-comparative-associational method using a content-validated and reliability-tested questionnaire. The frequency and percentage technique, weighted mean, Chi-Square, and Anova Test of Variance were used in the data treatment. Findings revealed that ELT teachers were predominantly females with 73.97%, CHED, 80.21%, DepEd, and 71.43% TESDA along age groups of early and mid-30s and 46 years above. They served the agencies for less than 10 years, mostly married. Professionally, these teachers were still pursuing post-graduate education and attending training. Along with appraisals on their professional and work responsibility, ELT Trifocal teachers very evidently performed their professional and work responsibilities; on the delivery system, respondents conveyed the mastery and application of theoretical and pedagogical knowledge; on their communicative competencies, they were classified as experts. Meanwhile, there was no significant difference among ELT teachers’ appraisal in the three systems (F–value 2.21< t-value 3.35; 5% level of significance). It follows that Philippine education has maintained an undeviating quality of ELT teachers regardless of which system of education they belong. The result showed no variations in ELT competencies despite differences in modalities, urgencies, and the attainment of quality education. Findings also unveiled that the ELT teachers’ appraisal and integration of ICT to language teaching are directly associated with their age, sex and civil status, and educational attainment. The higher the educational attainment, the higher the integration of ICT in language teaching. With these results, a policy development for the Professional Advancement Program in ELT was crafted.

Darrel ocampo

Provision of clean water is one of the United Nations Sustainable Development Goals. Water quality assessment as an ongoing exercise, in view of the threat of contamination from natural sources and human activities, plays a pivotal role in the sustainable management of water resources. Potable water samples were collected from Enugu Metropolis for water quality assessment. The physicochemical parameters were determined using APHA (1995 - 1998) protocols, and the presence of 7 heavy metals (Chromium, Zinc, Manganese, Silver, Cadmium, Iron and Lead) in the waters were determined using Atomic Absorption Spectrophotometer (AAS). The results of the physicochemical analysis of the four samples show a pH range of 8.60 - 8.95mg/l; this result showed that pH of the water samples were slightly alkaline and above the WHO stipulated range of 6.50 - 8.50. Acidity ranged from 5.00 - 6.88mg/l, while alkalinity values were between 7.52 - 13.00mg/l. The total dissolved solid (TDS) and total solids (TS) was present in very minute quantities and below their permissible limit of 0.45mg/l; while total suspended solid (TSS) was not present at all. The heavy metal analysis showed that all but 2 heavy metals (Cadmium and Lead) were below the permissible standard set by the WHO in all four samples. Cadmium was present in samples A and C with values 0.021mg/l and 0.006mg/l respectively, which is above its WHO limit of 0.005mg/l; while Lead was present in samples A, B and C with values of 0.021mg/l, 0.011mg/l and 0.015 mg/l respectively, which were above the WHO limit of 0.010mg/l. Given the well-documented toxicity of certain metals, there is a need for safety checks to be carried out in potable water companies to address the source of this contamination and ensure production of safer drinking water.

Okechukwu obed chukwuemeka

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

Compliance with pharmacological therapy is the primary key to treating diabetes, but it has not received full attention from clinicians. Several systematic reviews of compliance factors have been conducted in several regions of the country. However, it does not feature studies from Indonesia. This study aims to systematically review the factors that can influence adherence to diabetes mellitus (DM) medication in Indonesia. A systematic literature review was conducted by searching the National (Garuda and Sinta) and International (PubMed and Science Direct) journal databases. Research that met the inclusion criteria was published from January 2011 to December 2020. The quality of the study was assessed using the SQAT guidelines. The research reporting method uses the PRISMA guidelines. Compliance factors are classified based on the domain of compliance factors, according to the World Health Organization (WHO). A total of 370 scientific research articles from the Garuda database (n=36); Science Direct (n = 108); PubMed (n = 18); Sinta (n= 208). Three hundred forty-one research articles were excluded, 29 full-text screening articles, and 16 research articles met the inclusion criteria for analysis. Factors that influence adherence to taking diabetes medication are social and economic (income, education level, and occupation), factors of personnel and health systems (health workers), factors of patient therapy (amount of diabetes medication, frequency of taking medication, and drug products), factors patient's disease (blood sugar levels, disease duration), patient factors (gender, emotional factors, social support, level of knowledge, and treatment satisfaction), and disease management factors (pharmacy counseling and education). Factors that influence adherence to taking DM medication in Indonesia are very diverse and are multi-factor. These factors can serve as relevant intervention targets. Clinicians must consider adjusting the frequency of taking medication and providing social support to DM patients.

Much ilham novalisa aji wibowo

Pneumonia is an acute pulmonary infection that can be caused by bacteria, viruses, or fungi. It infects the lungs, causing inflammation of the air sacs and pleural effusion: a condition in which the lung is filled with fluid. The diagnosis of pneumonia is tasking as it requires a review of Chest X-ray (CXR) by specialists, laboratory tests, vital signs, and clinical history. Utilizing CXR is an important pneumonia diagnostic method for the evaluation of the airways, pulmonary parenchyma, and vessels, chest walls among others. It can also be used to show changes in the lungs caused by pneumonia. This study aims to employ transfer learning, and ensemble approach to help in the detection of viral pneumonia in chest radiographs. The transfer learning model used was Inception network, ResNet-50, and InceptionResNetv2. With the help of our research, we were able to show how well the ensemble technique, which uses InceptionResNetv2 and the utilization of the Non-local Means Denoising algorithm, works. By utilizing these techniques, we have significantly increased the accuracy of pneumonia classification, opening the door for better diagnostic abilities and patient care. For objective labeling, we obtained a selection of patient chest X-ray images. In this work, the model was assessed using state-of-the-art metrics such as accuracy, sensitivity, and specificity. From the statistical analysis and scikit learn python analysis, the accuracy of the ResNet-50 model was 84%, the accuracy of the inception model was 91% and lastly, the accuracy of the InceptionResNetv2 model was 96%.

Dr. chandrashekhar uppin