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1.
Heliyon ; 10(1): e23263, 2024 Jan 15.
Article in English | MEDLINE | ID: mdl-38163212

ABSTRACT

The central aim of this research endeavor was to delve into the profound influence of affective learning experiences on the cognitive and psychomotor domains. Concurrently, the study sought to discern the effects of these experiences on students' academic accomplishments within the three domains. This differentiation was predicated upon the interplay between pedagogical resources and the multifaceted dimensions of cognitive, affective, and social contexts for learning. Over the course of four consecutive semesters, data were meticulously collected from a cohort of 140 undergraduates enrolled at a private-sector university. The experimental cohorts 1, 2 and 3, comprising 35, 46, and 31 students, respectively, were instructed through distinct methodologies - namely, activity learning, reflective learning, and collaborative learning. In parallel, the control group, composed of 28 students, received instruction via the discussion method. The findings eloquently established a robust and affirmative linear correlation between affective experiences and achievements within the cognitive and psychomotor domains. This correlation notably underscored the far-reaching influence of the affective domain upon its cognitive and psychomotor counterparts. Furthermore, the variable of emotional context for learning emerged as a conspicuously noteworthy determinant of students' achievements across all three domains. In contrast, the remaining independent variables - namely, pedagogical resources, cognitive learning context, and social learning context - did not exhibit a substantial contribution. However, it was observed that the amalgamation of all four independent variables yielded a statistically significant relationship with achievements within the cognitive, affective, and psychomotor domains. This underscored the imperative nature of accounting for all pertinent factors when formulating instructional approaches that yield optimal outcomes.

2.
IEEE Trans Nanobioscience ; 22(1): 63-70, 2023 01.
Article in English | MEDLINE | ID: mdl-35294354

ABSTRACT

pH-sensitive pectin beads were proposed as a protective capsule for layered zinc hydroxide-drug (LZH-Drug) nanohybrids in the gastrointestinal tract in this paper. Baclofen was intercalated between LZH layers using the co-precipitation method as a model drug. By combining LZH-baclofen with pectin, the resulting nanohybrid (LZH-baclofen) was used to make bio-nanocomposite hydrogel beads. FTIR, XRD, and SEM analyses were used to characterize the produced products. Baclofen anions are vertical to the LZH layers in the shape of a monolayer, according to the interlayer space of 19.6Å. The presence of nanocomposites is demonstrated by FTIR, which exhibits a peak at 3489 cm-1 for the OH group, 1564 and 1384 cm-1 for the-COO- vibration mode, indicating that baclofen is intercalated between the layered structures. After intercalation, baclofen's thermal stability is greatly improved. The nanohybrid is more compact, with agglomerates and flat surfaces of the intercalated substance, shown by SEM. In vitro release behaviors of baclofen from LZH and bio-nanocomposites in buffer solution were examined under pH values (pH = 1.2, 6.8, 7.4) chosen from a model of the passing materials through the gastrointestinal tract. For pectin encapsulated LZH-baclofen nanohybrid, drug release studies indicated superior protection against stomach pH and regulated release under intestinal tract conditions. Furthermore, nanohybrid and nanocomposite treatment of a normal fibroblast cell line resulted in cell survival up to 12.5 g/mL for a 24-h period, with inhibition reducing dose-dependently at higher concentrations. A novel intercalation molecule with a sustained release mode and improved toxicity against normal fibroblast cell lines has been produced as a result of the strong host-guest contacts between the LZH lattice and the baclofen anion. Further study into the utilization of brucite-like host materials in drug delivery systems should be based on these findings.


Subject(s)
Baclofen , Nanocomposites , Baclofen/pharmacology , Delayed-Action Preparations/pharmacology , Pectins , Hydroxides/chemistry , Nanocomposites/chemistry
3.
J Cardiothorac Surg ; 17(1): 292, 2022 Nov 19.
Article in English | MEDLINE | ID: mdl-36403033

ABSTRACT

BACKGROUND: Papillary fibroelastomas (PFEs) are a rare subtype of benign primary cardiac tumours, which are most commonly found on the aortic valve. Although median sternotomy is still used frequently there has been different attempts to remove the aortic valve PFEs minimally invasively using robotic and Mini sternotomy approach. CASE PRESENTATION: We report herein a case of totally endoscopic non robotic removal of PFE of aortic valve. CONCLUSIONS: The encouraging intra and post-operative outcomes and fast recovery using totally endoscopic approach for removal of PFE shows the potential benefits of this technique.


Subject(s)
Cardiac Papillary Fibroelastoma , Fibroma , Heart Neoplasms , Robotics , Humans , Aortic Valve/surgery , Aortic Valve/pathology , Fibroma/diagnostic imaging , Fibroma/surgery , Heart Neoplasms/diagnostic imaging , Heart Neoplasms/surgery , Heart Neoplasms/pathology , Endoscopy
4.
Med Biol Eng Comput ; 60(12): 3341-3356, 2022 Dec.
Article in English | MEDLINE | ID: mdl-36207564

ABSTRACT

The beginning of the twenty-first century saw advancements in all areas of life, including medicine and nanotechnology. This review will look at the most recent advances in nanomaterials for diagnostics and treatments. The emphasis is on the application of nanofibers, nanosensors, and quantum dots (QDs) in medication delivery, neuron regeneration, chemical detection, and microelectrode probes. The manufacture of implantable nanofibers and nanosensors based on QDs, and their application-specific features impacting the interface with targeted brain cells were described. The collaborative efforts have helped us to understand the potential of nanostructured materials in fabrication to overcome the limits of micro and bulk materials in treatments and diagnostics. These advancements will eventually lead to using nanostructures, including nanofibers and nanosensors, in high throughput cutting-edge applications. Only when extensive safety investigations have been completed may the use of nanomaterials on an industrial basis be viable. This review discusses the recent advances in the usage of nanostructures and nanoparticles (NPs) for diagnostics and treatments, with a special focus on nanofibers, nanosensors, and quantum dots (QDs) applications in drug delivery, nerve regeneration, chemical detection, and microelectrode probes.


Subject(s)
Nanoparticles , Nanostructures , Quantum Dots , Nanotechnology , Quantum Dots/chemistry , Quantum Dots/therapeutic use , Drug Delivery Systems
5.
Carbohydr Polym ; 291: 119488, 2022 Sep 01.
Article in English | MEDLINE | ID: mdl-35698361

ABSTRACT

Nacre mimetic coatings are attractive candidates for food packaging, electronics, textiles, protective insulation, and flame retardant materials. Inspired by the hierarchical structure of nacre, we present an environmentally friendly strategy to construct robust and flame retardant films using chitin, which is an abundantly available biopolymer. Chitin was phosphorylated to make it water-soluble. Multilayered films were constructed by assembling poly (vinyl alcohol) (PVA), graphene oxide (GO) nanosheets, phosphorylated chitin (p. chitin), and laponite (LAP) via Layer-by-Layer (LbL) and vacuum-assisted filtration (VAF) assemblies. SEM micrographs revealed the nacre-like layered structure while photographic images showed a similar sheen to that of the mother of pearl. The fabricated coatings possess good mechanical properties with a reduced modulus of 25.53 GPa and hardness of 1.45 GPa. In addition, multilayered films exhibited iridescence and attractive flame retardancy. We believe that our strategy of embedding chitin offers cost-effective and environmentally friendly coatings for textiles, food packaging, barrier, and electronic materials.


Subject(s)
Flame Retardants , Nacre , Biomimetics , Chitin/chemistry , Nacre/chemistry , Polyvinyl Alcohol/chemistry
6.
J Ayub Med Coll Abbottabad ; 34(2): 317-320, 2022.
Article in English | MEDLINE | ID: mdl-35576294

ABSTRACT

BACKGROUND: Iron deficiency is the most common nutritional deficiency worldwide. Common causes of IDA in children are excessive consumption of cow's milk and prolonged breast feeding with delayed and poor weaning. Oral iron is the first line of treatment in children with IDA but occasionally there is inadequate response due to poor compliance. The objective of this study is to assess the effectiveness and safety of intravenous iron in children with IDA, poorly compliant to oral iron therapy. Methods: This study consisted of 90 children from 12-60 months with IDA who were not responding adequately to oral iron therapy. Total iron requirement was calculated and given intravenously (IV) in two divided doses over two consecutive days. Participants were followed up at 2 and 4 weeks to assess the rise in haemoglobin level. Any adverse event was also noted. SPSS version 25 was used for statistical analysis. RESULTS: Of the 90 enrolled children the mean age was 23.1±10.7 months, 47 (52.2%) were males and 43(47.8%) were females. The mean ferritin level before IV iron therapy was 3.75±2.53 ng/ml and mean haemoglobin was 5.9±1.3 g/dL. After IV iron therapy the haemoglobin level was raised to 8.38±1.09 g/dl and 9.74±0.88 g/dl at 2 and 4 weeks respectively which was statistically significant (p<0.05). The adverse events were fever in 3 (3.3%) and urticaria in 2 (2.2%) patients. CONCLUSIONS: Intravenous iron therapy is effective and safe to raise the haemoglobin levels in children with IDA who are poorly compliant to oral iron therapy.


Subject(s)
Anemia, Iron-Deficiency , Iron Deficiencies , Iron , Administration, Intravenous , Anemia, Iron-Deficiency/drug therapy , Anemia, Iron-Deficiency/etiology , Animals , Child, Preschool , Female , Hemoglobins/analysis , Humans , Infant , Iron/administration & dosage , Iron/therapeutic use , Iron Deficiencies/drug therapy , Male
7.
Int J Dent Hyg ; 20(4): 732-738, 2022 Nov.
Article in English | MEDLINE | ID: mdl-34689408

ABSTRACT

OBJECTIVES: To assess community pharmacists' knowledge, attitude and practice towards oral health care in Asir region, Saudi Arabia. METHODS: A prospective cross-sectional study was carried out using a self-administered structured questionnaire, targeting 254 community pharmacies across the Asir region. The questionnaire consisted of four domains: demographics, knowledge, attitudes and practice related to oral health care. Statistical analysis was performed using Social Sciences (SPSS) version 23.0. RESULTS: Of the 254 pharmacists, 202 respondents completed the survey, yielding a response rate of 79.5%. Almost two-thirds (66%) of the community pharmacists exhibited good knowledge, 65% possessed a positive attitude, and 55% perceived a good practice towards oral health care. Pharmacists have shown a good understanding on dental care (p < 0.001) and oral conditions. Fifty-five per cent (n = 119) of pharmacists preferred to have dental-based subjects in Pharmacy curriculum. CONCLUSION: Community Pharmacists possess overall good knowledge and attitude required for the provision of dental care counselling patients. They may participate in oral health development programmes to make a better practice.


Subject(s)
Oral Health , Pharmacists , Humans , Saudi Arabia , Cross-Sectional Studies , Health Knowledge, Attitudes, Practice , Prospective Studies , Attitude of Health Personnel , Surveys and Questionnaires
8.
Int J Clin Pract ; 75(12): e14940, 2021 Dec.
Article in English | MEDLINE | ID: mdl-34606135

ABSTRACT

BACKGROUND: Community pharmacists are one of the most accessible healthcare practitioners worldwide and their services are used by a large proportion of the population. Expanding the roles of community pharmacists could contribute to reducing pressure on general health practice and other areas of the health services. This research aimed to evaluate the contribution of community pharmacists in the provision of public health services and to investigate the perceived barriers for the provision of these services in Saudi Arabia. MATERIALS AND METHODS: This study followed a cross-sectional design using an online anonymous self-administered questionnaire. The study took place in Asir region, Saudi Arabia, between September 2019 and February 2020. A convenience sampling strategy was used to select and recruit the study participants. The questionnaire was adapted from previous research and involved three sections: demographics, involvement in public health services and barriers for practising public health roles. RESULTS: The total number of respondents was 193. The proportion of respondents who reported that they were "very involved" or "involved" in each service was 61.7% for weight management, 60.6% for sexual health, 57.5% for healthy eating, 53.4% for physical activity promotion, 51.3% for dental health, 46.1% for smoking cessation, 39.4% for screening for diabetes, 35.7% for screening for hypertension, 31.1% for alcohol dependence and drug misuse counselling, 30.6% for screening for dyslipidaemia, and 21.8% for vaccination and immunisation. Most of the barriers in the current research were rated as having low relevance to the provision of public health services. CONCLUSION: Findings in the current research suggest that community pharmacists in Asir region have varying levels of involvement in public health roles. Further research needs to be undertaken to understand the barriers to the provision of public health services and what strategies would be beneficial for enhancing the public health role of community pharmacists in Saudi Arabia.


Subject(s)
Community Pharmacy Services , Pharmacists , Cross-Sectional Studies , Humans , Public Health , Saudi Arabia , Surveys and Questionnaires
9.
Int J Clin Pract ; 75(2): e13667, 2021 Feb.
Article in English | MEDLINE | ID: mdl-33448574

ABSTRACT

BACKGROUND: Community acquired pneumonia is a commonly presenting respiratory tract infection around the world. Its treatment is problematic at times because of diversity of infecting organisms and change in susceptibility pattern to commonly prescribed antimicrobials. METHODS: This was a single centred prospective cross sectional study. About 165 patients diagnosed with community acquired pneumonia were included and blood samples, sputum samples were taken for culture sensitivity and antimicrobial susceptibility. RESULTS: Of the 165 patients (43% males and 57% females), 77 (46.6%) patients tested positive for bacterial pathogens out of a total of 165. The most common pathogen was Streptococcus pneumonia (34%) followed on by Hemophilus influenza (16%), Staphylococcus aureus (13%) Klebsiella (12%), Pseudomonas aeruginosa (10%), Legionella (6%), Eschericha coli (5%) and Proteus mirabilis (2%). The sensitivity pattern of all 77 bacterial isolates was high for cephalosporins (ceftriaxone, 81%; ceftazidime, 80%), penicillins (amoxicillin/sulbactam, 70%), quinolones (levofloxacin, 74%) and aminoglycosides (amikacin, 80.5%). The sensitivity to macrolides (azithromycin, 59.7%; clarithromycin, 53.2%) and tetracycline's (55.8%) is somewhat intermediate and low for ampicillin (42.8%) and cotrimoxazole (51.9%). CONCLUSION: The decreased susceptibility to macrolides and tetracyclines is a matter of concern and judicious use of antimicrobials should be done to prevent further rates of resistance.


Subject(s)
Anti-Infective Agents , Pneumonia , Anti-Bacterial Agents/pharmacology , Anti-Bacterial Agents/therapeutic use , Cross-Sectional Studies , Female , Humans , Male , Microbial Sensitivity Tests , Pneumonia/drug therapy , Prospective Studies , Saudi Arabia/epidemiology
10.
Cureus ; 13(12): e20572, 2021 Dec.
Article in English | MEDLINE | ID: mdl-35103151

ABSTRACT

Objective This trial aimed to evaluate the safety and efficacy of pre-exposure prophylaxis (PrEP) with various hydroxychloroquine (HCQ) doses against a placebo among healthcare personnel (HCP) with high-risk exposure to coronavirus disease 2019 (COVID 19). Methods A phase II, randomized, placebo-controlled trial was conducted including 200 subjects with no active or past severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection (antibody testing and reverse transcription-polymerase chain reaction (RT-PCR) were taken at the time of enrollment). Subjects of experimental groups one to three received HCQ in various doses and the control group received a placebo. The study outcomes in terms of safety and efficacy were monitored. Participants exhibiting COVID-19 symptoms were tested for SARS-CoV-2 during the study and by the end of week 12 with RT-PCR or serology testing (COVID-19 IgM/IgG antibody testing). Results Out of the total participants, 146 reported exposure to a confirmed COVID-19 case in the first month, and 192 were exposed by week 12 of the study. Moreover, the precautionary use of personal protective equipment (PPE) significantly varied; initially more than 80% of the exposed HCPs were not ensuring PPE being used by the patients treated by them, which gradually developed over time. Mild treatment-related side effects were observed among the interventional and placebo arm patients. There was no significant clinical benefit of PrEP with HCQ as compared to placebo (p>0.05). Conclusion It is concluded that the PrEP HCQ does not significantly prevent COVID-19 among high-risk HCPs.

11.
East Mediterr Health J ; 23(3): 168-172, 2017 May 01.
Article in English | MEDLINE | ID: mdl-28493263

ABSTRACT

This study assessed the pattern of drug abuse and the reasons for relapse of addiction among male drug addicts seeking rehabilitative services in different centres in Lahore, Pakistan. A cross-sectional survey was conducted on male drug abusers from April to December 2016. Nonprobability purposive sampling was done to collect a sample of 119 participants. A structured questionnaire and in-depth interviews were used for data collection. Out of 119 participants, 71.4% were in the age group 15-35 years. Educational levels were low in the majority, with 68.1% below secondary education. Unmarried (51.3%) and unemployed (44.5%) participants were at the greatest risk of using drugs. The age of addiction in 45% of patients was < 18 years and 40% had been abusing substances for > 5 years. Reasons for starting drug abuse were recreation (37%), curiosity (34.5%), and lifechanging events (14.3%). Reasons for relapse included association with former addicts, negative reactions from family, inability to manage the craving and work/social stress.


Subject(s)
Drug Users/psychology , Substance-Related Disorders/epidemiology , Substance-Related Disorders/psychology , Adolescent , Adult , Cross-Sectional Studies , Female , Humans , Male , Middle Aged , Pakistan/epidemiology , Recurrence , Risk Factors , Surveys and Questionnaires
12.
Eval Program Plann ; 62: 35-48, 2017 06.
Article in English | MEDLINE | ID: mdl-28242513

ABSTRACT

The experimental study was undertaken to examine the effect of emotionalized learning experiences on the academic achievement of students at Preston University. The major objectives of the study were to identify the effect of teaching methods on students' academic achievement and to evaluate the relationship between affective learning conditions and students' academic achievement. Based on four intact semesters, the population of the study comprised 140 students from the Bachelors of Business Administration Program. The whole population was considered as the sample. The control group (28 students) was taught through the interactive lecture method, whereas, the experimental group 1 (35 students), experimental group 2 (46 students) and experimental group 3 (31 students) were taught through the activity method, reflective learning method and cooperative learning method respectively. Results indicated a significant difference between the pretest and posttest scores obtained in the achievement test as a result of the effect of teaching methods used for offering the emotionalized learning experiences. There was also a significant relationship between affective leaning conditions and students' academic achievement. Furthermore, it was found that students' academic achievement in the affective domain was highest with regard to workshops 1, 2 and 3. It was concluded that the emotionalized learning experiences offered to the students via the four teaching methods helped students in enhancing their knowledge, changing their attitudes and developing their skills with regard to living a happy, healthy and meaningful life. However, the reflective learning method proved to be the most suitable followed by the interactive lecture method, the cooperative learning method and the activity method.


Subject(s)
Academic Success , Emotions , Problem-Based Learning/methods , Social Skills , Teaching , Cooperative Behavior , Environment , Female , Humans , Male , Program Evaluation , Social Environment , Socioeconomic Factors , Young Adult
13.
Pak J Pharm Sci ; 23(4): 463-6, 2010 Oct.
Article in English | MEDLINE | ID: mdl-20884464

ABSTRACT

Prunes are used by folks as a remedy of various diseases including hepatitis. A clinical trial was designed to see the effects of prunes (Prunus domestica) on liver function. 166 healthy volunteers were divided into three groups randomly. Either three (about 11.43g) or six (23g approx.) prunes were soaked in a glass of water (250ml) overnight. Each subject from two test groups was asked to drink prune juice & eat whole fruit(single or double dose of prunes) as well, early in the morning, daily for 8 weeks; whereas each subject from control group was given a glass of water to drink. Blood samples were taken at week 0 and week 8 for chemical analysis. There was significant reduction of serum alanine transaminase (p 0.048) and serum alkaline phosphatase (p 0.017) by the lower dose of prunes. There was no change in serum aspartate transaminase and bilirubin. Alteration in liver function by use of prunes may have clinical relevance in appropriate cases and prunes might prove beneficial in hepatic disease.


Subject(s)
Liver/drug effects , Prunus/chemistry , Adult , Alanine Transaminase/blood , Alkaline Phosphatase/blood , Aspartate Aminotransferases/blood , Beverages , Bilirubin/blood , Desiccation , Diet , Female , Food Preservation , Humans , Liver Function Tests , Male , Middle Aged , Phenols/analysis
14.
J Ayub Med Coll Abbottabad ; 22(1): 28-31, 2010.
Article in English | MEDLINE | ID: mdl-21409897

ABSTRACT

BACKGROUND: Fruits and vegetables are shown to reduce blood pressure. It is not merely the antioxidants contained in fruits and vegetables that have health benefits such as lowered systolic and diastolic blood pressures. This study was undertaken to see the cardiovascular protective effects of prunes. METHODS: A placebo controlled clinical trial study was designed to see the effects of Prunus domestica on blood pressure in 259 pre-hypertensive (Systolic BP = 120-139 mmHg, diastolic BP = 80-89 mmHg) volunteers. Treated groups drank prune juice and ate the whole fruit (dried plums) while either 3 (about 11.5 gm) or 6 prunes were soaked overnight in a glass of water whereas control group took only a glass of plain water early in the morning on empty stomach. Blood pressure was recorded fortnightly for 8 weeks, and blood samples were taken at 0 and 8 weeks. RESULTS: There was significant reduction of blood pressure by single dose of prunes daily group and the controls (p < 0.05). With the double dose of prunes, only systolic BP was reduced significantly (p < 0.05). Control group had significantly increased serum HDL whereas test groups had significantly reduced serum cholesterol and LDL (p < 0.05). Data was analysed by paired-sample t-test with 95% confidence interval. CONCLUSION: The data predicts cardiovascular protective effects of prunes.


Subject(s)
Hypertension/prevention & control , Phytotherapy/methods , Prunus , Adult , Female , Humans , Male , Placebos , Treatment Outcome
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