Declining clinical skills in medical education: a perspective on its causes and potential solutions0

Medical science has grown tremendously at a rapid rate over the recent past. This is especially true in the fields of diagnostics and therapeutics encompassing various diseases of all the systems of the human body including psychosomatic disorders. During the past three to four decades, precision in diagnostics has enormously improved due to invention of multiple imaging modalities such as computerized tomography (CT) scan, magnetic resonance imaging (MRI) scan, positron emission tomography scan, ultrasound scanguided studies, CT-guided diagnostic procedures, Doppler studies, arteriography, CT angiography, advanced needle biopsy procedures, histochemistry studies, tumor marker studies, as well as in the ongoing improvements in all diagnostic and therapeutic branches. The surgical advancements due to increasing use of key-hole surgery using scopes such as arthroscope, laparoscope, colonoscope, and bronchoscope have revolutionized the surgical treatments and made surgery safer, less time-consuming, less costly, and less risky with reduced post-operative morbidity. Cardiac catheterization, percutaneous cardiac angiography, angioplasty, and vascular surgery have made the procedures/ surgeries related to the heart and major vessels, much simpler, faster, and safer minimizing the need for big infrastructures or large operative teams.

Karishma Karishma

The religious practices of vietnamese catholic youth: the case of the diocese of xuan loc

Every religion includes a whole series of beliefs and practices and we should start by concentrating our attention on religious practices to understand a religion. This paper intended to clarify the religious practices of Vietnamese Catholic Youth. Based on the theory of Glock and Stark and by using survey method, descriptive statistics, this is the first study to demonstrate the religious practices of youths in a diocese of Vietnam. This issue considered as an interesting research topic in the context of Vietnamese research because it explores youths lives from a different perspective by focusing on the micro level of analysis. The respondents in this study were total of 388 young adults between 18 and 30 years of ages from 24 parishes who were randomly selected through Probability Proportional to size sampling method. The findings of the research indicate that the ritualistic dimension of religiosity among Vietnamese Catholic youth is still so high in the context of change in Vietnam

Le Minh Tien Le minh tien

Educational intervention on knowledge of hypertension and lifestyle/dietary modification among hypertensive patients attending a tertiary health facility in nigeria

Patients’ knowledge of hypertension and treatment has been found to affect health outcomes of hypertension. This study aimed to assess the impact of therapeutic patients’ education on knowledge of hypertension and lifestyle/dietary modification among hypertensive patients in Nigeria. The study was conducted among 317 hypertensive patients randomized into controlled and intervention groups (158 vs 159, respectively) between March 2021 and February 2022. Baseline knowledge of the patients was assessed and intervention was provided for the intervention group with a structured educational program at a baseline and six months. Descriptive data were presented with a frequency table in percentage while the chi-square test and univariate logistic regression were used to determine the association between categorical variables. Out of the total number of 318 patients, 275 completed the study (response rate: 86.8%) with 136 in the control group and 139 in the intervention group. The mean age of the patients was 59.5 (±12.5) and patients > 60 years (49.5%) were the most frequent age category. The baseline knowledge score of hypertension was 9.8 (±2.6) and 9.3 (±2.6) on a scale of 16 points in the control group and intervention group, respectively (P = 0.060) while at six months 11.9 (±2.3) vs 10.8 (±2.4) (P < 0.001) and 12 months 12.6 (±2.5) vs 9.5 (±2.0) (P < 0.001), respectively. Knowledge of lifestyle/dietary modification in the control group and intervention group at baseline was 7.0 (±2.1) and 6.6 (±2.0), respectively, while at six months 7.5 (±1.5) vs 9.9 (±1.3) (P < 0.001) and at 12 months 7.2 (±1.5) vs 10.4 (±1.2), respectively. Marital status, body mass index, and family history of hypertension were associated with knowledge of hypertension and lifestyle/dietary modification (P < 0.001). The educational intervention provided was found to be associated with a significant improvement in knowledge of hypertension and lifestyle/dietary modification. The marital status of the patients, body mass index and family history of hypertension influenced patients’ level of knowledge.

Mediterranean Journal of Pharmacy and Pharmaceutical Sciences Mediterranean journal of pharmacy and pharmaceutical sciences

A review of medicinal uses, phytochemistry and pharmacology of vigna mungo (l.) hepper

Vigna mungo (L.) Hepper belongs to the family Papilionaceae. It is an erect, hairy annual plant with long, twining branches. The flowers are small and yellow in color, while the fruits are cylindrical. The pods are hairy containing 1-4 seeds per pod. Seeds are used as a nervine tonic and in urinary reflex disorder. The phytochemical analysis revealed the presence of flavonoids, saponins, tannins, alkaloids, vitamin C and steroids. Seeds possess antidiabetic, antioxidant and hypolipidemic properties. The present review provides updated information on its medicinal uses, phytochemistry and pharmacology.

Dr. Salman Ahmed Dr. salman ahmed

Classification and its purpose in internet age: current trends and future direction

A study of knowledge seeking behaviour of users is essential for evolving suitable guidelines for knowledge organisation and processing. The features of knowledge organisation and its use in problem-solving and decision-making are explained. Classification plays an important role in knowledge organisation. An understanding of mental models and mental maps helps in information needs of users effectively. The schemes classification in knowledge processing is highlighted. The paper examines the scope of knowledge organisation in the modern technology and its application.

Subhash reddy b

Body size dependent rate of oxygen consumption, ammonia excretion and o:n ratio of fresh water bivalve, lamellidens marginalis during summer season.

The study of molluscan animals is called Malacology and the study of molluscan shell is called as conchology. The scaling of metabolic rates with body mass is one of the best known and most studied characteristics of aquatic animals. We studied here how body size is related to rate of oxygen consumption, ammonia excretion and O: N ratio in Freshwater Bivalve Mollusc Lamellidens marginalis species in an attempt to know how body size specific changes affect their metabolism. The freshwater bivalve molluscs with specific body size i.e. small (76-79 mm in shell-length) and large (90-94 mm in shell-length) were chosen for experimental work from Bhima River at Siddhatek on April and May during summer. The adult bivalve molluscs with small body size reported high value in rate of oxygen consumption and O: N ratio but rate of ammonia excretion was low value in small body sized bivalves compared to large ones. The results are discussed in the flush of metabolic processes in fresh-water bivalve molluscs.

Dr. Pritesh Ramanlal  Gugale Dr. pritesh ramanlal gugale

Standardization of artificial diet for the mass rearing of helicoverpa armigera

Experiment was carried out to standardize the artificial diet for mass rearing of Helicoverpa armigera (Hübner) under laboratory conditions. The average length and breadth of egg was 0.51±0.06 mm, 0.46±0.37 mm and 0.52±0.03 mm, 0.48±0.62 on artificial and natural diet. The average length and breadth of first, second, third, fourth and fifth instar larvae was 1.40±0.09 mm, 0.46±0.02 mm and 1.42±0.01 mm, 0.47±0.16 mm and 4.03±0.22 mm, 0.66±0.07 mm and 4.31±0.01 mm, 0.89±0.25 mm and 8.19±0.36 mm, 1.57±0.63 mm, and 10.29±0.72 mm, 1.87±0.91 mm and 18.70±0.44 mm, 2.78±0.040 mm and 20.15±0.03 mm, 3.17±0.55 mm and 26.01±0.19 mm, 4.09±0.39 mm and 27.32±0.027 mm, 5.88±0.69 mm, respectively with the average duration of 2.69±0.32 and 2.54±0.29, 3.77±0.65 and 3.79±0.11, 3.88±0.49 and 3.72±1.23, 5.35±0.55 and 5.72±0.91 and 6.61±0.008, 6.46±1.07 days, respectively on artificial as well as on natural diet. The average length and breadth of adult male and female was 18.01±0.48 mm and 35.09±1.25 mm, 18.51±1.04 mm and 38.11±1.37 mm, 19.00±0.18 mm and 19.10±0.49 mm, 37.75±1.27 mm and 41.23±1.69 mm, respectively. The average pre-oviposition, oviposition and post-oviposition period was 2.52±0.86 and 2.76±0.84 days, 4.93±0.78 and 5.08±0.90 days and 0.65±0.49 and 0.79±0.93 days, respectively. The total life cycle of male and female was 40.50±2.29 and 41.81±1.89 days and 42.59±1.77 and 43.80±1.93 days.

DR. BABU LAL JAT Dr. babu lal jat

Customer satisfaction towards banking services with reference to corporation bank

The Banking sector influences the economic growth and development of the country both in terms of quality and quantity, there by adopting the various strategies for economic growth. Technological advancements and new initiatives of government have helped banks to provide efficient services to its customers all over the country. The study has been conducted to know the extent of problems faced by the bank customers, and their level of satisfaction towards the banking services provided by the Corporation Bank, Kodialbail Branch, Mangalore. 100 customers of the bank, who are the employees of Besant Institutions, are contacted and data was collected through questionnaire. Study revealed that 66% of respondents have faced problems in operating their bank accounts. 63% of the respondents have availed net banking facilities. Only 18% of the respondents are satisfied and 32% of respondents are neutral about the services of the bank. Some of the respondents provided valuable suggestions to improve the banking services.

Thara S Shetty Thara s shetty

Study of medicinal herbs and its antibacterial activity: a review

The beneficial medicinal effects of plant materials typically result from the secondary products present in the plant although, it is usually not attributed to a single compound but a combination of the metabolites. The medicinal actions of plants are unique to a particular plant species or group, consistent with the concept that the combination of secondary products in a particular plant is taxonomically distinct.The screening of plants usually involves several approach; ethno botanical approach is one of the common methods that are employed in choosing the plant for pharmacological study. In the present review paper, antimicrobial properties of various medicinal plants were reviewed. The present review deals with the antibacterial activity of various medicinal plants.

Tapan kumar Mahato Tapan kumar mahato

Serum uric acid as an adjunct in the assessment of psychiatric disorders: an overview

Oxidative stress is due to altered levels of prooxidants and anti-oxidants in the body. This can lead to tissue damage especially the central nervous system. Oxidative damage has been implicated in several disorders including some psychiatric disorders such as schizophrenia and major depressive disorder. Uric acid is an anti-oxidant which prevents tissue damage caused by oxidative stress. In this review, the reduced levels of serum uric acid in schizophrenia and depression are discussed. The effect of treatment in these disorders leading to increased serum uric acid levels are also reviewed.

Mediterranean Journal of Pharmacy and Pharmaceutical Sciences Mediterranean journal of pharmacy and pharmaceutical sciences

Spinal brucellosis without apparent risk factors: a case-based diagnostic approach and literature review

Brucellosis is a zoonotic infection often linked to direct or indirect exposure to animals or unpasteurized dairy products. Atypical presentations in patients without classical risk factors pose significant diagnostic and management challenges. A 68-year-old woman presented with a 2-month history of burning pain involving cervical and lumbar regions, associated with weight loss, decreased appetite, and subjective fever. Examination revealed paravertebral tenderness and left knee swelling with effusion. Previous MRI showed multifocal marrow edema and soft tissue thickening in the lumbar spine, suggesting infection or inflammation. The patient denies exposure to unpasteurized dairy products, raw meat, or animals. Brucella serology revealed positive IgG with Brucella melitensis titer 1:160, later confirmed by blood cultures. PET imaging demonstrated multifocal metabolically active arthritic changes involving the spine, shoulders, and knees. Arthrocentesis confirmed inflammatory arthritis due to brucellosis. The patient was started on doxycycline, rifampin, and a 14-day course of intravenous gentamicin. During hospitalization, management was complicated by persistent knee pain and swelling requiring multimodal analgesia. Spinal brucellosis in the absence of classical risk factors is an odd presentation, emphasizing the importance of maintaining a high index of suspicion in endemic regions. Advanced imaging and microbiological confirmation are pivotal procedures in diagnosis. Early recognition of atypical brucellosis is critical to prevent complications and improve outcomes.

Karishma Karishma

Assess the premenstrual symptoms and coping strategies among adolescent girls

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 Elsi queen

Finance for decision makers

In their different ownership structures, business enterprises pursue different strategies towards accomplishing their owners’ needs and interests. At the heart of these accomplishments is the generation of sufficient financial returns to cover obligations as they become due and residual incomes for the owners. It is doubtless that without a grip of financial stability, the survivability of for-profit organizations becomes bleak. Financial management plays and instrumental role in this case. The generation of sufficient information for decision making for the business and investors alike is integrally critical in shaping the progression of the business enterprise. While businesses provide financial statements according to prevailing laws and accounting standards to the public for their consumption in decision making, they are further needed to be accountable to them regarding their performance and investors’ engagements, especially considering that investors are foundational sources of capital for organizational operations.

Zamzam Abdelazim Zamzam abdelazim

Phosphorus and potassium availability and uptake in rice and wheat crop under conventional and conservation agriculture practices

Conservation agricultural (CA) practices prove to be beneficial in terms of resource utilization and maintenance of soil health. Rice-Wheat cropping system (RWCS) is the majorcropping system in Indo-Gangetic plains of India. CA practices are becoming popular in this cropping system as sustainable agricultural management practices. Phosphorus (P) and potassium (K) are important primary nutrients and are required for crop growth. A field experiment was conducted during the period of 2015-2017 at Taraori village of Karnal district in Haryanato study the effects of conservation agricultural practices on P and K availability as well as uptake in rice-wheat cropping system. The experiment comprised of four treatments i.e. Transplanted rice + Conventionally tilled wheat (T1), Direct seeded rice + Zero tilled wheat with residue retention (T2), Transplanted rice + Zero tilled wheat (T3) and Transplanted rice + Zero tilled wheat with residue retention (T4). Results showed that P uptake was highest in T4 treatment in wheat crop. P uptake in rice was highest in T4 treatment while direct seeded rice (T2) showed lowest P uptake. CA practices also increased K uptake in both the crops. Practicing zero tillage in wheat increased the availability of soil phosphorus as compared to conventionally tilled treatment with highest value (34 kg ha-1) recorded in T3 treatment. But direct seeded rice soil showed lower values of soil available P. Similar to phosphorus, available potassium of soil also increased in all treatments. Highestvalue (341.5 kg ha-1) of available K was recorded in T4 treatment while it was minimum (307.2 kg ha-1) in T1. Residue incorporation in soil led to more availabilityof K in T2 and T4 treatment. This study features the significance of conservation agricultural practices over conventional practices in terms of increasing the uptake and availability phosphorus and potassium in soil. Key words : Conservation agriculture,

Dr.renu dhupper

An efficient deep learning approach for colon cancer detection

Colon cancer is the second most common cause of cancer death in women and the third most common cause of cancer death in men. Therefore, early detection of this cancer can lead to lower infection and death rates. In this research, we propose a new lightweight deep learning approach based on a Convolutional Neural Network (CNN) for efficient colon cancer detection. In our method, the input histopathological images are normalized before feeding them into our CNN model, and then colon cancer detection is performed. The efficiency of the proposed system is analyzed with publicly available histopathological images database and compared with the state-of-the-art existing methods for colon cancer detection. The result analysis demonstrates that the proposed deep model for colon cancer detection provides a higher accuracy of 99.50%, which is considered the best accuracy compared with the majority of other deep learning approaches. Because of this high result, the proposed approach is computationally efficient.

Mehdhar S. A. M. Al-Gaashani Mehdhar s. a. m. al-gaashani

The role of financial perspective measures in enhancing organizational performance: an empirical analysis

The contribution of financial perspective measures to improving organizational performance is empirically examined in this article. The study examines how financial metrics like ROI, cost control, profitability, and revenue growth relate to organizational effectiveness using the case of MTN Ghana. It is based on the balanced scorecard framework. The study uses a quantitative approach to investigate the relationship between financial performance metrics and important success indicators like market share, operational effectiveness, and shareholder value, using data from a dataset of different companies in multiple industries. The results of the study show how important financial perspective metrics are for reaching competitive advantage and sustainable growth. Businesses that put a high priority on strategic fiscal management typically perform better, especially when it comes to cost-effectiveness, liquidity, and profit margins. But the study also highlights the drawbacks of depending only on financial indicators. To create a more thorough performance evaluation system, it emphasizes the need to combine financial measurements with non-financial indicators like employee development, internal processes, and customer satisfaction. In summary, the study offers practitioners and scholars useful information by offering evidence-based recommendations for enhancing financial strategies. Organizations can develop a balanced approach to performance measurement that promotes long-term success by using both financial and non-financial metrics. The article ends with practical suggestions for businesses looking to increase output and streamline their budgets.

Suleman mohammed yakubu

Peran guru dalam peningkatan kualitas belajar peserta didik pada pembelajaran daring di madrasah ibtidaiyah

In the teaching and learning process, teachers are required to be able to carry out their role to the fullest as a motivator and initiator in an effort to maintain and at the same time increase the enthusiasm of students to learn. Especially in the Covid-19 pandemic situation which requires educational institutions to carry out online learning. This study aims to discuss the teacher's role as a motivator and the teacher's role as an initiator in improving the quality of student learning in online learning at Madrasah Ibtidaiyah Ma'arif Condro Jember. This research uses qualitative research methods and the type of research is a case study. Data collection techniques using observation, interviews and documentation. The validity of the data using source triangulation and technical triangulation. Meanwhile, data analysis uses data condensation, data presentation and verification/conclusion. The results of this study indicate: 1) The teacher's role as a motivator in improving the quality of learning in online learning, namely: providing opportunities for students to play an active role in learning, providing reinforcement, praise or verbal appreciation, teachers listening to students' concerns and wishes to bond. good relationship between teachers and students. 2) The role of the teacher as an initiator in improving the quality of learning in online learning, namely: utilizing information and communication technology such as Whatsapp, Facebook, Google Meet and Google Form. Dalam proses belajar mengajar, guru dituntut untuk mampu melaksanakan perannya secara maksimal menjadi motivator dan inisiator dalam upaya menjaga dan sekaligus meningkatkan semangat belajar peserta didik. Terlebih dalam situasi pandemi Covid-19 yang menuntut lembaga pendidikan untuk melaksanakan pembelajaran secara Daring. Penelitian ini bertujuan untuk membahas tentang peran guru sebagai motivator dan peran guru sebagai inisiator dalam meningkatan kualitas belajar peserta didik pada pembelajaran daring di Madrasah Ibtidaiyah Ma’arif Condro Jember. Penelitian ini menggunakan metode penelitian kualitatif dan jenis penelitiannya adalah studi kasus. Teknik pengumpulan data menggunakan observasi, wawancara dan dokumentasi. Keabsahan data menggunakan triangulasi sumber dan triangulasi teknik. Sedangkan analisis data menggunakan kondensasi data, penyajian data dan verifikasi/kesimpulan. Hasil penelitian ini menunjukkan: 1) Peran guru sebagai motivator dalam meningkatkan kualitas belajar pada pembelajaran daring yaitu: memberikan kesempatan kepada peserta didik untuk berperan aktif dalam pembelajaran, memberikan penguatan, pujian atau apresiasi secara verbal, guru mendengarkan keresahan dan keinginan peserta didik agar terjalin ikatan yang baik antara guru dan peserta didik. 2) Peran guru sebagai inisiator dalam meningkatkan kualitas belajar pada pembelajaran daring yaitu: memanfaatkan teknologi informasi dan komunikasi seperti Whatsapp, Facebook, Google Meet dan Google Form.

EDUCARE: Journal of Primary Education Educare: journal of primary education

Creating consensus: priorities of the g20 leadership

The Group of Twenty (G20) has emerged as a pivotal forum for international cooperation, bringing together leaders from the world's major economies to address pressing global challenges. In this paper, we analyse the priorities of G20 leadership in fostering consensus and advancing collective action on key issues facing the global community. Drawing upon recent declarations, communiqués, and policy statements, we identify and examine the core areas of focus for G20 members, exploring both common ground and divergent perspectives. Our analysis reveals several recurring themes that underscore the G20's commitment to promoting economic stability, sustainable development, and inclusive growth. Addressing climate change and environmental sustainability emerges as a top priority, reflecting growing recognition of the urgent need for concerted action to mitigate the impacts of climate change and transition to a low-carbon economy. Additionally, enhancing global health resilience and strengthening pandemic preparedness feature prominently on the agenda, as demonstrated by recent efforts to coordinate responses to the COVID-19 crisis and bolster health systems worldwide. Furthermore, the G20 remains committed to advancing trade and investment liberalization, promoting financial regulatory reform, and fostering innovation and digital transformation to drive economic recovery and prosperity. However, divergent views on issues such as trade imbalances, protectionism, and technology governance persist, posing challenges to consensus building and cooperation among member states.

Dr Gedam Kamalakar Dr gedam kamalakar

Assessment of knowledge and awareness of community pharmacist toward epilepsy

Community pharmacist plays an essential role in educating the epileptic patients about their disease and medications. Improving the patient’s awareness may lead to improve their compliance and decrease drug-drug interaction and ultimately improve their quality of life. Pharmacist can detect the emergence of health problems and can help prevent progression of comorbidities. Considering the complexity of treating epilepsy and the lack of information about pharmacists’ contributions to epilepsy management, pharmacist performed pharmaceutical counselling, pharmaco-therapeutic follow-up and systematic measurement and evaluation of findings and increase medication adherence of patient with epilepsy. This study was aimed to assess the community pharmacist's knowledge about epilepsy and their treatment by antiepileptic drugs in Libya. The design of the study is a cross sectional study. The knowledge was collected through a questionnaire which included 35 questions divided into three sections: demographic data, general information about epilepsy and information about epilepsy and antiepileptic drugs. The questionnaire was prepared and validated by consultant training in Ali Omer Asker Hospital in Tripoli for two months. The findings indicate that over 200 patients are altered viewed, of whom, only epileptic patients were observed. The majority of the participants were female, qualification degree BSc and years of experience from one to five years. Unfortunately, some of the participants (40.0%) had poor knowledge and about 60.0% of them had good knowledge. This study indicates that the importance of community pharmacist in Libya requires more improvement to achieve the existing function and that the impact of continuous study of everything related to diseases and medicines is important to obtain a qualified pharmacist who can become an effective agent for a change.

Mediterranean Journal of Pharmacy and Pharmaceutical Sciences Mediterranean journal of pharmacy and pharmaceutical sciences

Therapeutic potential of marine peptides in malignant melanoma

Malignant melanoma is the most dangerous type of skin cancer. It is becoming more common globally and is increasingly resistant to treatment options. Despite extensive research into its pathophysiology, there are still no proven cures for metastatic melanoma. Unfortunately, current treatments are frequently ineffective, costly, and have several adverse effects. Natural substances have been extensively researched for their anti-MM capabilities. Chemoprevention and adjuvant therapy with natural products is an emerging strategy to prevent, cure or treat melanoma. Numerous prospective drugs are found in aquatic species, providing a plentiful supply of lead cytotoxic chemicals for cancer treatment. Anticancer peptides are less harmful to healthy cells and cure cancer through several methods, such as altered cell viability, apoptosis, angiogenesis/metastasis suppression, microtubule balance disturbances and targeting lipid composition of the cancer cell membrane. This review addresses marine peptides as effective and safe treatments for MM and details their molecular mechanisms of action.

Dr. Salman Ahmed Dr. salman ahmed

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