Evaluation of adverse effects of astrazeneca covid-19 vaccine after the first dose in libyan adults: a cross-sectional study

On January 2021, cases affected by coronavirus epidemic are constantly increasing, Libyan Ministry of Health provides the vaccine to the people those who are most at risk. The purpose of this study was to assess and verify the adverse effects of the first dose of the AstraZeneca COVID-19 vaccine. The study conducted at the Aljmail city, west region of Libya. The study was cross-sectional study during the period of August 31st and November 5th, 2021. The method involved 133 adult Libyan participants of both gender ageing more than 18 years old. The preliminary data were 54.0% who developed post-vaccination symptoms. The participant's aged 60 years and more with chronic diseases were more likely to have adverse effects after receiving the first dose of vaccine. In conclusion, AstraZeneca vaccine was good and effective but this study indicates a need for a large and long period study to confirm the safety of the vaccine use in the adult people.

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

Iot based smart transport management system

Currently, vehicle to vehicle communication is an important application and thrust area of research. In this paper the author highlighted the workings, executions, implementations and the application of the Internet of Things (IoT) in transport management and vehicle to vehicle communication systems. The main advantage of this Industry 4.0 based IoT technology is that it helps us to reduce road traffic and accidents. The limitations of GPS like accuracy, precision, effective analysis, etc. has led to the evolution of Mobile based V2V communication which is more effective, error proof, result oriented and smart. For proper analysis of traffic vehicle to vehicle communication is established. Random Data from vehicles taken by numerous sensors. Any car coming in its variety could effortlessly share the data by either of two cars nearby. With the help of vehicle to vehicle communication we can provide a path of emergency vehicles to reach the destination quickly. Based on the V2V application, Red and Green signals can be marked on the path as per traffic density and the emergency vehicle can take the shortest, fastest and low density route. Similar such examples are elaborated in the current research manuscript that will help the researcher in effectively finding the research gap for further advancement, analysis, innovation and optimization.

Vartika agarwal Vartika agarwal

Effect of poverty diseases and adaptive capacities to climate change on farmers’ incomes along river niger in edo and kogi states, nigeria

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 Sylvester ekemhonye

Relationship of liquidity and solvency in profitability of ultratech and shree cements in india

The main purpose of this research is to know the relationship of liquidity and solvency in profitability of Ultra tech and Shree cements. Cement industry is one of the prime support services in giving work to the general population. In Ultra Tech Cement, return on equity is positively correlated with return on asset, current ratio and quick ratio and negatively correlated with debt equity ratio. In Shree Cements, return on equity is positively correlated with the independent variables. return on asset is negative weak relation with the independent variables. Current ratio is strong correlation with quick ratio and debt equity ratio

Dr. Jeyalakshmi P Dr. jeyalakshmi p

Implementasi model pembelajaran take and give pada mata pelajaran ips kelas v di mi ar-rahim arjasa

This research is the result of research that describes the implementation of the Take and Give learning model in the fifth grade social studies subject at MI Ar-Rahim, Arjasa, Jember. The learning process includes 3 stages, namely the planning, implementation, and evaluation stages. This research aims to answer. Based on the background described above, the formulation of the problems in this study are: 1. How is the preparation in implementing the Take and learning model for class V social studies subjects at MI Ar-Rahim, Arjasa District, Jember Regency? 2. What is the process of implementing the Take and Give learning model for the fifth grade social studies subject at MI Ar-Rahim, Arjasa District, Jember Regency? 3. How is the evaluation in implementing the Take and Give learning model for the fifth grade social studies subject at MI Ar-Rahim, Arjasa District, Jember Regency? The research method used is descriptive qualitative with data collection techniques using observation, interviews and documentation. The data sources in this study were the Principal, Teachers and Grade V Students of Class V Social Studies at MI Ar-Rahim, and other supporting documents. The results of this study indicate: 1. The implementation of the Take and Give learning model in the preparation stage has fulfilled all preparations well. 2. The process of implementing learning in class makes the learning atmosphere fun and students become more active. 3. At the evaluation stage all students have reached the assessment criteria in 3 aspects of the assessment, namely attitudes, knowledge and skills Penelitian ini adalah hasil penelitian yang menggambarkan tentang implementasi model pembelajaran Take and Give pada mata pelajaran IPS kelas V di MI Ar-Rahim Kecamatan Arjasa Kabupaten Jember. Proses pembelajaran tersebut meliputi 3 tahap, yaitu tahap perencanaan, pelaksanaan, dan evaluasi. Adapun penelitian ini bertujuan untuk menjawab Berdasarkan latar belakang yang telah dipaparkan di atas, maka rumusan masalah dalam penelitian ini adalah: 1. Bagaimana persiapan dalam mengimplementasikan model pembelajaran Take and mata pelajaran IPS kelas V di MI Ar-Rahim Kecamatan Arjasa Kabupaten Jember? 2. Bagaimana proses dalam implementasi model pembelajaran Take and Givemata pelajaran IPS kelas V di MI Ar-Rahim Kecamatan Arjasa Kabupaten Jember? 3. Bagaimana evaluasi dalam mengimplementasikan model pembelajaran Take and Givemata pelajaran IPS kelas V di MI Ar-Rahim Kecamatan Arjasa Kabupaten Jember? Metode penelitian yang digunakan adalah kualitatif deskriptif dengan teknik pengumpulan data menggunakan observasi, wawancara dan dokumentasi. Adapun sumber data dalam penelitian ini adalah Kepala Sekolah, Guru dan Peserta didik kelas V mata pelajaran IPS kelas V di MI Ar-Rahim, dan dokumen penunjang lainnya. Hasil penelitian inimenunjukkan: 1. Implementasi model pembelajaran Take and Give pada tahap persiapan sudah memenuhi segala persiapan dengan baik. 2. Proses pelaksanaan pembelajaran dikelas membuat suasana belajar menjadi menyenangkan dan peserta didik menjadi lebih aktif. 3. Pada tahap evaluasi semua peserta didik telah mencapai kriteria penilaian dalam 3 aspek penilaian yaitu sikap, pengetahuan dan keterampilan.

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

Knowledge, attitudes, and practices toward covid-19 among healthcare workers in shabwah governorate, yemen: a cross-sectional study

Background: The first wave of the COVID-19 pandemic was associated with significant morbidity and mortality among healthcare workers worldwide. The present study aimed to assess the knowledge, attitudes, and practices of healthcare workers toward COVID-19 at Ataq General Hospital, and three other hospitals and health centers in Shabwah Governorate, Yemen. Materials and Methods: From January 1, 2022, to February 28, 2022, a cross-sectional survey of healthcare workers was conducted in the city of Ataq, Shabwah Governorate at the following hospitals: Ataq General Hospital, Al Shefa’a Hospital, Al Aafiah Hospital, and COVID-19 Isolation Center. Results: A total of 107 healthcare workers completed the survey. Their mean age was 28.17 ± 7.73 years, 79 (73.8%) of them were male and 28 (26.2%) were female. The overall knowledge was good, with a score of 19 out of 21; however, most participants were unaware of some of the extra-respiratory symptoms of the disease, such as diarrhea and confusion, and about 57% of them were unaware that eating or interacting with wild animals may contribute to the infection with the COVID-19 virus. Attitude analysis of the participants revealed that about half of those surveyed do not believe that Yemen can contain COVID-19. In general, the practice of the participants was good. Conclusion: Although the overall knowledge score in this study was good, most respondents could not recognize some of the extrapulmonary manifestations of COVID-19 and were unaware of the possibility of transmission of the disease from wild animals. In addition, about half of those surveyed do not believe that Yemen can contain COVID-19

Karishma Karishma

Bacterial load on suture material after surgical removal of third molars – a comparative clinical studies between silk suture vs antibacterial suture

Oral cavity harbors a complex network of microorganisms which are in steady state of equilibrium with another microflora. Surgical removal of third molar is a very common procedure in oral surgery and suturing of surgical site is a crucial component determining success of wound healing. These suture materials sometime act a nidus of infection because of potential adherence of bacteria to its rough surfaces which may lead to surgical site infection. AIM- The aim of this study was to compare bacterial load on normal silk suture over antibacterial suture following third molar removal in 50 healthy individuals free of any systemic and local pathology. MATERIALS AND METHODS – A microbiological analysis using culture sensitivity test of distal most suture was evaluated after 7 days of procedure. RESULT - In relation to the colony count silk group showed higher number of colonization with a median of 80,000 cfu/ml. Relatively on the other side, antibacterial showed significant decrease in number of colonization with a median of 11,000 cfu/ml (p value < 0.0005). CONCLUSION – Antibacterial sutures group showed statistically significant reduction in bacterial count and can be possible alternative in patients who are unable to maintain good oral hygiene.

Manish anand

Growth of urinary calcium oxalate crystals on glass slide and their inhibition by phaseolus vulgaris l. infusion

The study was conducted on glass slides to observe the growth patterns of urinary calcium oxalate monohydrate crystals and their inhibition using 5, 10 and 15% Phaseolus vulgaris seed infusion. For this purpose, a drop of gel medium (sodium metasilicate of 1.06 specific gravity and 3M acetic acid solution) at pH 5.02-5.17 was placed in the middle of the glass slide and converted into gel. A single drop of 1 M oxalic acid was dropped to the left, and 1 M calcium chloride and magnesium acetate (1:1) solution fell to the right side of the adequately formed gel. The glass slide was observed under microscope till it was completely dried. In the case of the crystal inhibition study, a drop of Phaseolus vulgaris infusion was also added on the right side just after adding calcium chloride and magnesium acetate solution. The results without infusion showed detailed morphology and aggregation patterns of observed crystals as donut, dumbbells, needles, platy, prismatic, rosette, round edges, and loose and compact aggregates. All infusions of Phaseolus vulgaris showed defective crystals. 5 % infusion inhibited crystals of all morphologies with their loose and compact aggregates except rosettes. Whereas 10 and 15 % infusion converted the rosette crystals into ineffective calcium oxalate dihydrate crystals of tetragonal bipyramidal and elongated rod shape. The microscopic study of calcium oxalate crystal growth and its inhibition is simple and provides rapid qualitative analysis of antiurolithiatic activity.

Dr. Salman Ahmed Dr. salman ahmed

A study to determine impact of life style, body mass index and dietary habits on blood pressure among nursing students at selected nursing college , vijayapur

A study to evaluate the influence of body mass index, life styles and dietary habits on blood pressure among the nursing students at selected nursing college of Vijayapur. The objective of the study is to assess relationship of life style factors, body mass index and dietary habits with blood pressure. A sample of 500 nursing students was included in the study. The study result showed there is significant association between body mass index, life style dietary habits and blood pressure

Shwetha hitnal Shwetha hitnal

Pengembangan program pembelajaran pendidikan agama islam dalam meningkatkan budaya keagamaan di sdn bletok bungatan situbondo

Pengembangan budaya keagamaan di sekolah merupakan suatu kewajiban yang harus dilaksanakan oleh sekolah dengan mendesain program pendidikan agama islam yang mengarah pada pengembangan budaya keagamaan. Fokus penelitian ini adalah Bagaimana perencanaan pengembangan program pembelajaran Pendidikan Agama Islam dalam meningkatkan budaya keagamaan di SDN Bletok Bungatan Situbondo? Bagaimana pelaksanaan pengembangan program pembelajaran Pendidikan Agama Islam dalam meningkatkan budaya keagamaan di SDN Bletok Bungatan Situbondo? dan Bagaimana pengawasan pengembangan program pembelajaran Pendidikan Agama Islam dalam meningkatkan budaya keagamaan di SDN Bletok Bungatan Situbondo? Penelitian ini menggunakan pendekatan deskriptif analisis, jenis studi kasus. Teknik pengumpulan data menggunakan wawancara, observasi, dan dokumentasi. Analisis data menggunakan model interaktif dan keabsahan data menggunakan triangulasi sumber. Hasil dari penelitian ini menunjukkan: 1) Perencanaan pengembangan program pembelajaran pendidikan agama islam dalam meningkatkan budaya keagamaan di SDN Bletok Bungatan Situbondo, yaitu: penyusunan buku pintar, Penugasan anggota membuat rancangan kegiatan, nilai-nilai karakter prioritas utama, rencana strategis pendekatan botton up, perencanaan pengembangan budaya keagamaan oleh tim agama. 2) Pelaksanaan pengembangan program pembelajaran pendidikan agama islam dalam meningkatkan budaya keagamaan di SDN Bletok Bungatan Situbondo, yaitu: Roling tanggung jawab job deskription pengembangan budaya, Quality Insurence (Jaminan Mutu) pembiasaan keagamaan, Model uswah guru, pelaksanaan Budaya keagamaan. 3) Pengawasan pengembangan program pembelajaran pendidikan agama islam dalam meningkatkan budaya keagamaan di SDN Bletok Bungatan Situbondo, yaitu: pengawasan internal kinerja anggota dan eksternal melalui pengguna layanan siswa dan orang tua, evaluasi supervisor sekolah terhadap kinerja anggota, anak berkepribadian sesuai dengan nilai-nilai agama, monitoring oleh komponen sekolah dan tim agama, monitoring siswa, monitoring tingkah laku dan pembiasaan siswa, penetapan capaian dari Quality Insurence.

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

The role of high-performance liquid chromatography in the pharmaceutical analysis

High-Performance Liquid Chromatography (HPLC) is a frequently utilized analytical method that has numerous characteristics, including high selectivity, sensitivity, and a reduced time requirement. Upon using this fabulous technique, the limit of detection is reduced, and the accuracy, precision, reliability, and specificity can be expanded. This technique plays a crucial role in both qualitative and quantitative analysis throughout the various stages of drug production, from the initial discovery of the drug to its excretion from the body. The role of High-Performance Liquid Chromatography (HPLC) in pharmaceutical analysis during various stages of drug discovery, production, and clinical use, including drug pharmacokinetics, is reviewed and discussed in detail. This provides an overview of the benefits of High-Performance Liquid Chromatography from the chemical, pharmaceutical, and clinical perspectives.

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

Human resource management - mind map on traditional functions of hrm

Human resource management refers to the process of employing people, training them, compensating, and developing policies and strategies to keep them (Storey, 2016). Personnel management is an administrative specialisation that focuses on hiring and developing employees to become valuable to the organisation (Bondarouk, Trullen, and Valverde, 2016). Management of personnel can be characterised as a satisfied workforce being achieved, used, and maintained (Sheehan, Garavan & Carbery, 2014). It constitutes an essential aspect of the management of employees in the organisation and their connection. According to Schroeder (2012, p.4), personnel management is achieved to help organisational, individual, and social goals, as the planning, organisation, offsetting, and maintaining of people. Vargas et al. (2018, p. 3052) add that personnel management is the element that primarily deals with human organisational resources. Management of personnel covers job, development, and compensation functions. In consultation with other departments, the personnel management performs these functions principally (Vargas et al., 2018, p. 3053)

Zamzam Abdelazim Zamzam abdelazim

Human resource management

Human resource management (HRM) is the process of employing people, training them, compensating them, developing policies relating to them, and developing strategies to retain them. As a field, HRM has undergone many changes over the last twenty years, giving it an even more important role in today's organizations

Zamzam Abdelazim Zamzam abdelazim

Evaluating the differential efficacy of disinfectants against microbial forms using logarithmic reduction analysis

Background: Effective disinfection protocols are crucial in healthcare and pharmaceutical settings to mitigate infection and cross-contamination risks, especially with a growing immunocompromised population. Disinfectant efficacy varies, and understanding microbial resistance profiles is essential. This study aimed to evaluate the differential efficacy of ethanol (ET), isopropyl alcohol (IPA), and a peracetic acid-hydrogen peroxide (PA+HP) blend against diverse microbial forms (bacterial spores, fungal spores, and vegetative yeast cells) and to analyze differences in susceptibility. Methods: The efficacy of ET, IPA, and PA+HP was evaluated against Bacillus subtilis (bacterial spores), Aspergillus niger (fungal spores), Candida albicans, and Kocuria rosea (vegetative yeast cells). Logarithmic reduction (LR) values from 10 replicates per group were analyzed using nonparametric (Friedman test with Dunn’s post-hoc) and two-way omnibus tests. Results: The Friedman test revealed significant differences across microbial groups (p < 0.0001). B. subtilis showed maximal susceptibility (LR = 6.70 ± 0.00), while A. niger exhibited minimal susceptibility (LR = 3.77 ± 0.21). ET outperformed IPA against C. albicans (LR = 5.43 vs. 4.91, p = 0.0232). The microbial group accounted for 92.36% of the variance (p < 0.0001). Conclusions: Microorganism-specific disinfection strategies were emphasized by the findings. A routine disinfectant evaluation program is crucial to mitigate microbial infection and crosscontamination risk in healthcare settings. The study highlights the importance of selecting appropriate disinfectants based on microbial resistance profiles.

Karishma Karishma

Open theological education: borderless pedagogy

Is open theological education reducing barriers and increasing access to theological training? Has the use of digital technologies in accessing theological training deviated from or complied with the training criteria? This paper highlights the seminarians’ borderless access to theological education and its benefits. Several persons frowned on open education a few years ago, but from March 2020, the COVID-19 pandemic has seen many institutions adopting elearning. Is it a wake-up call for theological education? The study discovered that theological education without barriers enhances theological training, research writing, scholarship, and academic honesty. The accreditation criteria for open theological learning does not alter contents but ensures that the greater populace can access a high standard of delivery of theological training equal to the on-campus programmes.

Ransford K Awuku-Gyampoh Ransford k awuku-gyampoh

Application of amorphous zirconium (hydr)oxide/mgfe layered double hydroxides composite in fixed-bed column for phosphate removal from water

BACKGROUND AND OBJECTIVES: Fixed-bed column has been considered an industrially feasible technique for phosphate removal from water. Besides the adsorption capacity, the effectiveness of an adsorbent is also determined by its reusability efficiency. In this study, phosphate removal by a synthesized amorphous zirconium (hydr)oxide/MgFe layered double hydroxides composite in a fixed-bed column system was examined. METHODS: The effects of flow rate, bed height, phosphate concentration, solution pH, and adsorbent particle size on the phosphate adsorption ability were examined through a series of continuous adsorption experiments. The appropriate breakthrough curve models, phosphate adsorption from real anaerobic sludge and synthetic seawater, column regeneration and reusability, and adsorption mechanism were also investigated for practical application feasibility. FINDINGS: The results showed that the increased bed height and phosphate concentration, and reduced flow rate, pH, and adsorbent particle size were found to increase the column adsorption capacity. The optimum adsorption capacity of 25.15 mg-P/g was obtained at pH 4. The coexistence of seawater ions had a positive effect on the phosphate adsorption capacity of the composite. Nearly complete phosphate desorption, with a desorption efficiency of 91.7%, could be effectively achieved by 0.1 N NaOH for an hour. Moreover, the initial adsorption capacity was maintained at approximately 83% even after eight adsorption-desorption cycles, indicating that the composite is economically feasible. The high phosphate adsorption capacity of the composite involves three main adsorption mechanisms, which are electrostatic attraction, inner-sphere complexation, and anion exchange, where the amorphous zirconium hydr(oxide) on the surface of the layered double hydroxides likely increased the number of active binding sites and surface area for adsorption. CONCLUSION: The amorphous zirconium (hydr)oxide/MgFe layered double hydroxides composite, with its high adsorption capacity and superior reusability, has the potential to be utilized as an adsorbent for phosphorus removal in practical wastewater treatment. This study provides insights into the design of amorphous zirconium (hydr)oxide/MgFe layered double hydroxides composite for phosphorus removal and recovery in a practical system.

Professor J. Nouri Professor j. nouri

Applying the third-party logistics concept to improve business profitability: a study of the manufacturing industry in the uk

This dissertation aimed to critically investigate how UK manufacturing companies can employ 3PL services to enhance business profitability. A simple, cross-sectional sequential mixed methods research methodology was implemented with the qualitative phase being used to explain the findings of the quantitative phase, which was performed first. Data for the quantitative period were collected using an online questionnaire that was designed and administered through a Google survey (N= 416). At the same time, semi-structured interviews were performed via Zoom calls with senior executives and managers of UK manufacturing firms (N= 5). Descriptive statistics, a one-sample t-test, and stepwise regression were used for quantitative data analysis using SPSS while manual analysis of interview data was performed in Microsoft Excel. The results showed that transportation and fleet management were the services that UK manufacturing companies outsourced to the most significant extent while clearing and forward and inventory management were the services that were outsourced to the lowest degree. The reasons behind this trend included the level of risk involved in outsourcing a particular service, availability of 3PL providers offering the outsourcing service, and the cost involved. In terms of feasibility, all items were scored highly, although increased operational flexibility and significant reduction of operational costs ranked highest. Finally, the stepwise regression test revealed four statistically significant models with an overall prediction power of 20.1% on business profitability. The statistically significant predictor variables were a reduction of operational costs, increased operational flexibility, reduced fixed asset costs, and the gaining of external resources from 3PL service providers.

Mohamed Sorogy Mohamed sorogy

Practices towards artificial fruit ripening among fruit vendors in rivers state

This study investigated the practice of artificial fruit ripening among fruit vendors of banana, plantain, mango and pawpaw in Rivers State. The study adopted a descriptive cross-sectional survey design. Two objectives, corresponding research questions and null hypotheses guided the study. The population for the study comprised all the accessible 1,810 fruit vendors in Rivers East senatorial district. A sample size of 472 fruit vendors was drawn using multi-stage sampling procedure. A validated self-structured questionnaire titled ‘Practice of Artificial Fruit Ripening’ with inter-scale reliability co- efficient of 0.896 was used as instrument for data collection. The descriptive statistics of mean and standard deviation were used to answer the research questions, while inferential statistics of Z-test and One-Way Analysis of Variance were used to test the hypotheses at 0.05 alpha level. It was found that fruit vendors in Rivers State sometimes practiced artificial fruit ripening using chemical and non-chemical methods. It was also discovered that regardless of their level of education and years of experience in the fruit business, the fruit vendors sometimes indulged in unhealthy practice of artificial fruit ripening. More so, the study revealed significant difference in practice among the fruit vendors in Rivers State based on level of education and years of experience. Based on the findings, it was concluded that the current practice of artificial fruit ripening in Rivers State is not in tandem with global best practices and therefore portend danger to the wellbeing of Rivers people and other Nigerians. The study therefore recommended among others that; community health workers should carry-out regular and effective health awareness campaigns concerning the dangers of using chemicals to ripen fruits. The Government of Rivers State through the Ministry of Agriculture should organise training programmes for fruit vendors on faster, safer, and economically feasible methods of fruits ripening and other post-harvest management techniques

FXintegrity Publishing Fxintegrity publishing

A rare case of solitary endobronchial plasmacytoma presented with complete airway obstruction: a case report

This case report presents a rare instance of solitary endobronchial plasmacytoma in a 58-year-old male, who had progressively worsening shortness of breath and a productive cough. The patient, who had a smoking history, was found to have a large, hypervascular mass completely obstructing the right main bronchus, confirmed as a plasma cell tumor via endoscopic biopsy. Further diagnostic imaging, including positron emission tomography-computed tomography (PET-CT) and chest CT, revealed a mass measuring 1.7 cm with abnormal fluorodeoxyglucose (FDG) uptake. The bone marrow biopsy ruled out multiple myeloma. The patient underwent challenging endoscopic debulking of the tumor, although margins were not well defined due to its size. Post-operatively, the patient showed significant symptomatic improvement and was discharged home on post-operative day 4. Two months after the procedure, follow-up with a chest CT scan and bronchoscopy showed no evidence of residual tumor or local recurrence, and the patient reported significant respiratory improvement. The literature review revealed that extramedullary plasmacytoma (EMP) is uncommon and often occurs in the upper aerodigestive tract. The diagnostic workup generally involves histopathological analysis, bronchoscopy, and imaging studies. Treatment is tailored to the patient’s condition and the characteristics of the tumor. This case underscores the need for a high index of suspicion and comprehensive diagnostic evaluation of patients presenting with obstructive bronchial mass. Furthermore, it highlights the importance of considering endobronchial plasmacytoma in the differential diagnosis of obstructive bronchial masses and the value of early intervention in achieving favorable outcomes. Regular follow-up is crucial to monitor recurrence and ensure ongoing patient well-being.

Mohamad  Banat Mohamad banat

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

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