Obesity is a complex and challenging global public health concern. It is a major disease involving excessive fat accumulation that may impair health. Obesity is dangerous and has been related to a range of long-term health issues that can impact adults and children. According to the World Health Organization, more than one billion people worldwide are obese as of March 2022. In the Libyan situation, the prevalence of obesity has increased among the public over the last decade. This cross-sectional survey-based study is conducted by using self-structured designed questionnaire to evaluate the use of anti-obesity drugs and herbal products among Libyan people. Additionally, considered as an indirect method, pharmacist performance in obesity management was also evaluated. The investigators collected interview data from three different cities in the Northwest of Libya over a period of five months, 2019. A total of 170 participants who use weight loss products were randomly selected to participate in the study after obtaining their verbal consent. The participants' experience with weight reduction agents revealed that more than half of the participants (52.3%) used herbal products while 32.0% of the participants have used drugs of chemical origin and 15.6% have used both (herbal and drugs). The majority of the participants (91.4%) used these products without medical consultation which in turn led to failure to lose and maintain weight with 74.2% gaining weight after stopping using these products. In conclusion, poor pharmacist intervention in obesity management was revealed where the majority of the participants reported that Libyan community pharmacists had not been offering weight management services, monitoring weight loss progress, or explaining the risks of being overweight or obese.

Mediterranean journal of pharmacy and pharmaceutical sciences

On-farm research was conducted at Gouripur sub-district under Mymensingh district of Bangladesh during the boro (mid November-June) season in 2013-14 and 2014-15 to evaluate the performance of non-puddled rice cultivation with and without crop residue retention. The rice var. BRRI dhan28 was transplanted by two tillage practices, viz., puddled conventional tillage (CT) and non-puddled strip tillage (ST) and at two levels of mustard residues, i.e., no-residue (R0) and 50% residue (R50). The experiment was designed in a randomized complete block design with four replications. There were no significant yield differences between tillage practices and residue levels in 2013-14. But in the following year, ST yielded 9% more grain compared to CT leading to 22% higher Benefit-Cost Ratio (BCR). Retention of 50% residue increased yield by 3% compared to no-residue, which contributed to 10% higher BCR. The ST combined with 50% residue retention yielded the highest grain yield (5.81 t ha-1) which contributed to fetch the highest BCR (1.06).

Svedbergopen

Neuro-Behçet's Syndrome (NBS) is a rare yet potentially severe neurological manifestation of Behçet's disease (BD). Although the condition frequently affects the brainstem, basal ganglia, and diencephalon, [1,2] its occurrence as a mass-like lesion (pseudotumor) is exceedingly uncommon. These tumefactive lesions can resemble neoplastic, infectious, or demyelinating conditions, which often hinders prompt diagnosis and treatment. [1-3] In this report, we discuss a 56-year-old female from Libya with a history of Behçet’s disease, who presented with headaches, visual disturbances, and cognitive slowing. Magnetic Resonance Imaging (MRI) findings indicated a high T2/FLAIR signal in the bilateral basal ganglia and the left cerebellar hemisphere, extending into the middle cerebellar peduncle, accompanied by faint contrast enhancement.

Karishma

Medicinal plants and herbal drugs have widely been used in several diseases which contain highly active pharmacological agents. Several previous studies have mounted about the hepatotoxicity of these remedies which ranges from mild enzyme alterations to liver failure in humans and animals. This study aimed to evaluate the toxicity profile of the crude methanolic seed extract of Calliandra surinamensis on rat liver functions. An acute toxicity study was carried out using modified Lorke’s method and sub-chronic toxicity was done following the Organisation for Economic Cooperative and Development guidelines with testing chemicals 423 and 407 to assess the effect of the seed extract on liver function alongside histopathology assessment of the liver. The haematological indices revealed no significant change in red blood cells and other haematological parameters. The average organ weight of the tested rats showed no significant differences. The histopathological examinations of the rat liver revealed no observable toxic injury to the tissue after treatment with the seed extract across all concentrations. There were desirable morphological vasoactive changes of dilatation and active congestion in the organ across all the concentrations which were dose-dependent. There was induced activation of the sinusoidal kupffer cells, which signified a boost to the local immune system of the liver. The nucleoli in the hepatocyte nuclei were remarkably conspicuous which implied an increase in the production of ribonucleic acid that is deployed in protein synthesis.

Mediterranean journal of pharmacy and pharmaceutical sciences

The COVID-19 was announced as pandemic by WHO on March 11th, 2020. Five days later, on March 16th, 2020 prevention measures to prevent the outbreaks had been taken by authorities in Libya. The health care institutes were working during the quarantine and until now. Pharmacists as health care professionals have a critical role in COVID-19 pandemic. This study aimed to access the levels of knowledge, attitude and practice (KAP) of community pharmacists, hospital pharmacists and pharmacy assistants toward COVID-19 in Libya. A cross-sectional online survey was conducted in period from November, 2020 to January, 2021. Data was analyzed using descriptive statistics and Chi-square to measure the differences and association within socio-demographic variables. Pearson correlation was used to measure the relationship between KAP of pharmacists. A total of 205 responses were received. The majority of respondents were from the eastern part of Libya. The percent of good knowledge score was 61.5%, the percent of adequate attitude score was 59% and the percent of sufficient practice score was 56.6%. There was an association between knowledge score and respondent’s professional and educational level with P=0.008 and P=0.028, respectively. There was an association between score of attitudes and working setup, professional level and educational level with p = 0.003, 0.011 and 0.002, respectively. There was also an association between practice score with regard to gender, age educational level and work place with P=0.004, P=0.017, P=0.002 and P=0.027, respectively. There was a positive relationship between knowledge and attitude (P>0.05). In conclusion, the KAP of community pharmacists, hospital pharmacists and pharmacy assistants were low but acceptable. Therefore, KAP should be improved among pharmacists by implanting an effective health education programs in Libya.

Mediterranean journal of pharmacy and pharmaceutical sciences

Arisaema jacquemontii Blume (Araceae) is a medicinally important plant for treating different diseases, especially dermatological disorders. Alkaloids, phenols, terpenes, flavonoids, glycosides, and tannins have been reported from this plant. Antioxidant, antifungal, antibacterial and anticancer activities are also shown by Arisaema jacquemontii. The present review attempts to compile all the previous data based on its medicinal uses, phytochemistry and pharmacology reported in the earlier articles.

Dr. salman ahmed

Mucosal systems such as orally disintegrating films (ODFs) and mucoadhesive buccal films (MBFs) have gained attention and become a potential alternative to the conventional oral drug delivery systems, especially for patients who are geriatric or pediatric or those having difficulty in swallowing or drugs with extensive first-pass metabolism. Such films provide benefits, including a quick onset of action, increased bioavailability, and patient compliance. Successful development entails meticulous optimization of ingredients such as film-forming polymers, plasticizers, surfactants, taste maskers, and material selection for the corresponding manufacturing process, including solvent casting, hot-melt extrusion, 3D printing, and electrospinning. Limitations remain, with challenges including low drug loading capacity, no unified evaluation standard, stability problems, and regulatory vagueness of the liposome carrier. Emerging trends signal the promise of nanocarrier-based films, solid dispersions, and stimuli-responsive systems to circumvent these barriers. Personalization technologies, specifically 3D printing and natural and biodegradable polymers, are expected to broaden the clinical use of oromucosal films. This article provides an overview of the current state of development, along with formulation and manufacturing considerations of ODFs and MBFs, the role of which is significant in addressing translational and regulatory hurdles.

Karishma

Overall, disability refers to a physical or mental state that impairs an individual's ability to function in daily life. It suffices to say that disability is a medical-social issue that affects both the family and the nation. In a country like India, where girl children are frequently stigmatized as a burden on society, the condition of girl children with special needs is frequently subject to carelessness, lack of compassion, and illiteracy. Though the situation has improved slightly since the introduction of inclusive education, the situation is critical for tribal girl students with special needs. In a fragile socioeconomic environment, tribal girls are already vulnerable to high dropout rates, early marriage, and an ignorant attitude from family members, but the situation is pitiful for tribal girls with special needs. The tribal girl students with special needs suffer quadruple discrimination of being female, being disabled, being ST, and being socio-economically backward. Here, intervention through artificial intelligence (AI) and AI-assisted devices can be critical in overcoming the barriers encountered by tribal girl students with special needs in the process of inclusion and development

Souren bhattacharya

Kompetensi pedagogik merupakan kemampuan yang harus dimiliki guru dalam mengelola pembelajaran. Berkaitan dengan pengelolaan Pembelajaran Tematik fakta di sekolah menunjukkan banyak guru belum sepenuhnya mampu mengimplementasikan pembelajaran yang memiliki prinsip mengintegrasikan banyak materi. Untuk itu, penelitian ini bertujuan untuk mendeskripsikan kemampuan guru: 1) Memahami peserta didik dalam melaksanakan Pembelajaran Tematik di MI Miftahul Hidayah Tegalsari Tahun Pelajaran 2018/2019. 2) Merencanakan pembelajaran dalam melaksanakan Pembelajaran Tematik di MI Miftahul Hidayah Tegalsari Tahun Pelajaran 2018/2019. 3) Melaksanakan pembelajaran pada Pembelajaran Tematik di MI Miftahul Hidayah Tegalsari Tahun Pelajaran 2018/2019. 4) Mengevaluasi hasil belajar dalam melaksanakan Pembelajaran Tematik di MI Miftahul Hidayah Tegalsari Tahun Pelajaran 2018/2019. Hasil penelitian menunjukkan bahwa: 1) Kemampuan guru memahami peserta didik sudah sesuai indikator kompetensi pedagogik. 2) Kemampuan guru merencanakan pembelajaran sudah sesuai dengan indikator kompetensi pedagogik. 3) Kemampuan guru dalam melaksanakan pembelajaran ada satu indikator yang perlu diperbaiki. 4) Kemampuan dalam mengevaluasi hasil belajar sudah sesuai dengan indikator kompetensi pedagogik.

Educare: journal of primary education

The current study explores creative cultural tourism as a new model of the relationship between cultural heritage and tourism. Cultural heritage with its tangible and intangible components represents an essential part of culture tourism. Many changes have been happened in tourism due to new forms of consumption patterns, tourism activities, and tourism products. These changes require shifting from traditional culture tourism to creative cultural tourism as a new concept of cultural heritage. Tourists face many problems in the traditional culture tourism which is a form of mass tourism, thus, creative cultural tourism came to solve these problems. In addition, this study explains the transformation from traditional culture tourism to creative culture tourism.

Mukhles m. al-ababneh

Climate variability also has the potential to worsen existing vulnerabilities such as Malaria, HIV/AIDS and Tuberculosis. This study examined the effects of poverty diseases and adaptive capacities to climate change on farm income along river Niger in Edo and Kogi States, Nigeria. Questionnaires were collected from 358 respondents using multistage sampling techniques from Edo and Kogi States. Descriptive statistics and different functional forms of ordinary least squares (OLS) were used as analytical tools. The results revealed that increase in farm size and age will lead to 1.27% and 1.83% increase in farmers’ income respectively. The major constraints identified by the respondents were lack of funds and credit challenge (94.40%), distance to health centres (93.90%) and access to freshwater supplies (82.70%). It was concluded that the majority 83.80% of respondents had malaria diseases. The study recommends that to reduce the effect of poverty disease, there is a need for policy makers to engage communities when making decisions relating to their health.

Sylvester ekemhonye

The “Green AI Revolution” distils a paradigm-shifting methodology for creating machine learning solutions for the design and enhancement of ecologically sustainable communication networks. To address sustainability concerns in communication infrastructures, this study presents a comprehensive architecture that emphasises the integration of machine learning (ML) and artificial intelligence (AI) techniques. With the fitting moniker “Green AI”, the suggested model aims to improve overall resource efficiency in communication networks while minimising energy usage and carbon footprints. The goal of Green AI is to transform conventional communication systems by utilising sophisticated algorithms, dynamic optimisation, and intelligent decision-making techniques. Higher energy efficiency, less of an impact on the environment, and better network performance are the main goals. The present study examines the fundamental elements of the Green AI architecture, encompassing intelligent routing, dynamic power management, and adaptive power distribution of resources. Furthermore, case studies and simulations highlight the real advantages of incorporating machine learning into communication networks, highlighting the technology’s potential to make a substantial contribution to a future that is more environmentally friendly and sustainable. The Green AI Revolution is a paradigm shift in the way we think about and use communication technology. It encourages innovation that is in line with environmental stewardship and technical progress.

Mrutyunjaya s yalawar

Purchasing is one of the key managerial activities in every organisation, its significance having been identified during the 19th century. According to Kasilingham (2012, p.57), the period shortly before the Second World War marked the discovery of the fact that a firm’s success was not so much dependent upon what it was capable of selling but rather on how able organisations were to acquire necessary services together with materials from vendors. This discovery was triggered by a global shortage of virtually all fundamental materials for supporting operations, coupled with an abnormal rise in prices following the First World War. Since that time, purchasing has gained significance for the critical role it plays towards ensuring continuity of production (Hacioglu, 2019 p.265). Worth noting is that purchasing acts as “an interface between suppliers and functional areas within the buying organisation” (Crandall, Crandall & Chen, 2009 p.265). Among some of the functional areas that are influenced by purchasing are finance, marketing, production, and quality assurance (Magad & Amos, 2013 p.225). A vital deduction that can be made from this latter statement is that for the purchasing function to proceed smoothly and make the other functions- and the entire organisation- active, organisations must cultivate and maintain good relationships with suppliers and all other players in the supply chain. In addition, organisations operate in environments that are highly unpredictable; the techniques needed to perform the purchasing function become more refined almost every day due to constant changes in the market (Kasilingam, 2012 p.57). Subsequently, there is a need for managers in organisations to understand and embrace the idea of sustainable procurement.

Mohamed sorogy

Development of thematic teaching materials based on Islamic values, especially those related to the contents of the verses of the Alqur'an and / or hadith as the basis of all science. In the available books, there are no thematic teaching materials that are integrated with the Al-Quran and Hadith, as well as Islamic values ??that are able to implement the core competencies of the 2013 curriculum, namely the competence of spiritual attitudes in thematic learning. The formulation of this research is: (1) producing thematic teaching materials based on Islamic values ??theme 7 (Leadership) class 6 Madrasah Ibtidaiyah Negeri 2 Jember. (2) to determine the effectiveness of thematic teaching materials based on Islamic values ??in learning. This study uses a research and development research type, the Borg and Gall model which is divided into 10 steps, namely: (1) research and data collection (2) planning, (3) product draft development, (4) initial field trials, ( 5) revising the results of trials, (6) field trials, (7) improving products from field tests, (8) conducting field trials, (9) improving product results, and (10) disseminating and implementing. The testing technique was carried out by comparing the pre-test and post-test values. The data was calculated using the t-test and processed using the SPSS application to determine the effectiveness of teaching materials. The results of this study indicate: the validation test produces an average of 88.79% with the criteria that the book is very suitable for use in learning. In terms of attractiveness, this book is very interesting to use for students, this is based on the results of the questionnaire data given to students with an average of 88.24% with very attractive qualifications. Meanwhile, from the results of the pre-test and post-test based on the t count which shows that it is greater than the t table, it means that the book is effective for use in learning. Pengembangan bahan ajar tematik berbasis nilai keislaman, terutama yang terkait dengan isi ayat Alqur'an dan/atau hadits sebagai dasar dari semua sains. Dalam buku yang telah tersedia tidak ada bahan ajar tematik yang terintegrasi dengan Al-Quran, dan Hadits, serta nilai-nilai Islam yang mampu mengimplementasikan kompetensi inti dari kurikulum 2013 yaitu kompetensi sikap spiritual dalam pembelajaran tematik. Perumusan penelitian ini yaitu: (1) menghasilkan bahan ajar tematik berbasis nilai keislaman tema 7 (Kepemimpinan) kelas 6 Madrasah Ibtidaiyah Negeri 2 Jember. (2) mengetahui efektifitas bahan ajar tematik berbasis nilai-nilai keislaman dalam pembelajaran. Penelitian ini menggunakan jenis penelitian pengembangan Research and Development, model Borg and Gall yang terbagi menjadi 10 langkah, yaitu: (1) penelitian dan pengumpulan data (2) perencanaan, (3) pengembangan draf produk, (4) uji coba lapangan awal, (5) merevisi hasil uji coba, (6) uji coba lapangan, (7) penyempurnaan produk hasil uji lapangan, (8) uji pelaksanaan lapangan, (9) penyempurnaan produk hasil, dan (10) diseminasi dan implementasi. Teknik uji coba dilakukan dengan membandingkan nilai pre-test dan post-test. Data dihitung dengan uji-t dan diolah menggunakan aplikasi SPSS untuk mengetahui efektifitas bahan ajar. Hasil penelitian ini menunjukkan: uji validasi tersebut rata-rata menghasilkan 88,79 % dengan kriteria bahwa buku tersebut sangat layak untuk digunakan dalam pembelajaran. Dari segi kemenarikan, buku ini sangat menarik untuk digunakan pada siswa, hal ini berdasarkan dari hasil data angket yang diberikan kepada siswa dengan rata-rata 88,24% dengan kualifikasi sangat menarik. Sedangkan dari hasil pre-test dan pos-test berdasarkan uji t hitung yang menunjukan lebih besar dari t tabel, berarti buku tersebut efektif untuk digunakan dalam pembelajaran.

Educare: journal of primary education

Inhalation of a gas anesthetic produces rapid induction of anesthesia without the need for intravenous drugs. Although it is specifically useful for patients who are afraid of injections or if their intravenous access is difficult, single-breath induction may also allow patients to wake up more quickly than intravenous induction drugs. The object of this study is to compare isoflurane and sevoflurane during inhalation in Libyan patients undergoing surgery in terms of side effects like blood pressure and heart rate changes and complications. Seventy- five patients were recruited in this study from different hospitals in Benghazi City, Libya (January to March, 2022) including Aljalaa Hospital and Alatfal Hospital, and data including side effects and complications were collected through data collection. Surgeries that used isoflurane, or sevoflurane or both inhalation gases for anesthesia were included in our data. While the surgeries which did not use any of these inhalation gases were excluded from our data. When we compared the side effects of using isoflurane with sevoflurane according to the age group, we found that hypotension is the most occurring side effect companies to the use of isoflurane in our adult population (28.6%) and in pediatrics (14.3%) but there was a low incidence of other side effects related to sevoflurane administration. Regarding to side effects related to the use of sevoflurane according to the age groups, 16 adult Libyan patients experienced no side effects (61.5%) compared to 10 children (38.5%). It can be concluded that both isoflurane and sevoflurane are suitable for daycare anesthesia. Sevoflurane might be an ideal drug for single-breath inhaled induction of anesthesia due to it has fewer side effects and complications.

Mediterranean journal of pharmacy and pharmaceutical sciences

Long periods of free-movement Restrictions may negatively affect Cardio-Pulmonary fitness and health. As, the COVID-19 virus primarily affects Respiratory system, and also associated with cardiovascular disease, can induce the following complications like thrombosis, myocardities, Interstitial pulmonary fibrosis, diffuse alveolar damage and persistent decline in lung function, as the lung capacity decreases it may results in decrease in Cardio Pulmonary endurance. The Present study investigated changes after the COVID-19 confinement in total distance covered in 6 minutes by patients and correlation between 6 minutes walk test vs. oxygen saturation; Results suggest that the Mean ± SD of age is 43.4 ± 10.8years. Male: Female 1:0.5.Mean ± SD of total distance walked in 6 minutes by patients is 443.5 ± 55 compared with Hypothetical mean (normative value) is 571 ± 90.Correlation between Total distance walked in 6 minutes vs. oxygen saturation is r = 0.055.

Nagarjuna narayanasetti

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

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

In view of the on-going global debate about the economics curriculum and its teaching, this paper explores how the faculty responsible for teaching introductory economics at a South African university understand learning and teaching of their subject. We have adopted a qualitative research approach, phenomenography, to complement what we already know from mainstream literature on undergraduate economics education, predominantly published by academic econ- omists using a quantitative methodology. After a phenomenographic analysis of interview data with lecturers and tutors, six conceptions of teaching introductory economics (Economics 1) emerged: (I) team collaboration to implement the economics curriculum; (II) a thorough knowledge of the content; (III) implementing the curriculum in order for students to pass as- sessment; (IV) helping students learn key economics concepts and representations to facilitate learning; (V) engaging students through their real-life economics context to acquire economic knowledge; and (VI) helping students think like economists. These are discussed first in relation to the implications for student learning and second, in a broader context of higher education discourses and educational development

Dr emmanuel ojo

Adolescence is considered as a crucial stage for emotional development. It is also seen as a time of hyper-emotionality, emotional conflict, and volatile mood states. Given that adolescents lack skills for emotional management, emotional distress during these years can hamper their immediate growth and adversely affect their transition to the next stage of life. Interventions that promote positive emotional development during adolescence are the need of the hour. Keeping this in focus, the present study investigated the Effect of Life Skills Training on Adolescent boys and girls with high Emotional Distress. The study used pre- and post-test experimental design with a control group to examine the stated objectives. 160 adolescent boys and girls (n=80), with a mean age of 16.44 years, were selected for the study using Positive and Negative Affect Schedule. Of these, 80 in the experimental group (boys=40, girls=40) were trained in life skills. Descriptive statistics, independent sample ttest and repeated measures of ANOVA were used to analyze obtained results. Major findings of the study indicate that Life Skills training has significant effect in reducing emotional distress and improving emotional health in adolescents. And the significance of it was found to be higher in girls compared to boys.

Hita claudia rao