Evidence demonstrates that inappropriate drug disposal creates a significant risk to global environmental safety. Study participants' knowledge, attitude and practice regarding the disposal of unwanted and expired medications were assessed. The study was carried out at Sebha city, in southwestern Libya, from October 2021 to April 2022. A self-administered questionnaire designed explicitly to be completed by a respondent without an interviewer's assistance was used. Out of 650, only 500 completed questionnaires was returned. The majority of the respondents admitted they have at least one medication stored at home (71.6%). Keeping expired drugs were reported by 28.2% of the respondents compared with unused medications in their house (51.2%). Almost half of the respondents (47.4%) declared that their medication were taking from the private pharmacies. “I’ll need it in the future” (48.8%), "Medicines change" (37.2%) and "Symptoms improve and recover" (32.6%) were the top three explanations given by participants. The majority of drugs reported were antibiotics (41.0%). This is followed by antipyretic and analgesic drugs, which were used by 29.8% and 27.8% of respondents, respectively. 52.2% of the respondents agreed that disposing of medicines in the garbage is the most appropriate method. Concordantly, the majority of them indicated they discarded unused or expired medicines whether they were solid (82.6%), liquid (58.4%), or semisolid (79.6%). The majority of participants indicated they were aware of the negative impact of drug waste on the environment (80.6%). More than three quarters of the participants said they had never been given instructions on how to properly dispose of medications and 60.8% thought a medical team would be the best source of knowledge. Despite acknowledging being aware of the harmful effects on the environment, the majority of participants admitted to keeping unneeded pharmaceuticals in their homes and throwing them out in the trash. The government should support the pharmacists' role in educating the public about how to properly dispose of their medications and establish the Return Unwanted Medicines Project in order to raise awareness and create cost-effective medication waste management programs.

Mediterranean journal of pharmacy and pharmaceutical sciences

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

Salah satu mata pelajaran yang dianggap sulit oleh siswa adalah matematika. Sehingga pelajaran ini kurang diminati siswa. Permasalahan inilah yang menyebabkan banyak siswa mengalami kesulitan belajar matematika. Rumusan masalah dalam penelitian ini yaitu: Kesulitan Belajar Matematika Siswa MI Da’watul Falah Kecamatan Tegaldlimo Kabupaten Banyuwangi Tahun Pelajaran 2018/2019? Sedangkan tujuan penelitian ini adalah untuk mendeskripsikan kesulitan belajar matematika siswa MI Da’watul Falah Kecamatan Tegaldlimo Kabupaten Banyuwangi. Penelitian ini menggunakan pendekatan kualitatif dengan jenis penelitian fenomenologi. Subjek penelitian dalam penelitian ini menggunakan purposive sampling. Teknik pengumpulan data yang digunakan adalah observasi, wawancara, dan dokumentasi. Sedangkan analisis data menggunakan model analisis Miles, Huberman dan Saldana yaitu data Condensation, data Display, serta Conclusion drawing/verivication. Adapun pengecekan keabsahan data yang digunakan adalah triangulasi sumber dan triangulasi teknik. Hasil penelitian ini menunjukkan bahwa kesulitan belajar matematika siswa disebabkan salahnya mindset yang dibangun dari awal oleh siswa, sehingga mereka kesulitan dalam memahami materi yang diajarkan di kelas. Adapun faktor-faktor yang menyebabkan kesulitan belajar terdiri dari faktor internal dan faktor eksternal.

Educare: journal of primary education

Air pollution is a major health problem in developing countries and has adverse effects on human health and the environment. Non-thermal plasma is an effective air pollution treatment technology. In this research, the performance of a dielectric barrier discharge (DBD) plasma reactor packed with glass and ceramic pellets was evaluated in the removal of SO2 as a major air pollutant from air in ambient temperature. The response surface methodology was used to evaluate the effect of three key parameters (concentration of gas, gas flow rate, and voltage) as well as their simultaneous effects and interactions on the SO2 removal process. Reduced cubic models were derived to predict the SO2 removal efficiency (RE) and energy yield (EY). Analysis of variance results showed that the packed-bed reactors (PBRs) studied were more energy efficient and had a high SO2 RE which was at least four times more than that of the non-packed reactor. Moreover, the results showed that the performance of ceramic pellets was better than that of glass pellets in PBRs. This may be due to the porous surface of ceramic pellets which allows the formation of microdischarges in the fine cavities of a porous surface when placed in a plasma discharge zone. The maximum SO2 RE and EY were obtained at 94% and 0.81 g kWh−1, respectively under the optimal conditions of a concentration of gas of 750 ppm, a gas flow rate of 2 l min−1, and a voltage of 18 kV, which were achieved by the DBD plasma packed with ceramic pellets. Finally, the results of the model's predictions and the experiments showed good agreement.

Niloofar

A leader is a person, who influences his followers. The role of leader is often associated with managerial concepts, where a leader leads a team of employees, guides them, motivates them and influences them, in such way that the organisational productivity is honed up. A lot emphasis is on the style of leadership, exhibited by the manager, in honing the productivity of the organisation. According to (Hanvey, 2002; Janus, Kopechanski, Cameron, & Hughes, 2007; Morinaka, 2012; Reio & Fornes, 2011), most parents have dreams and hopes about their children and their lives. But, parents of children with special needs, though have, such dreams and hopes, have a harder time meeting these goals. According to Hanvey (2002), these parents need to devote more time and responsibilities, when it comes to raising a child with special needs, like caring for the child’s physical requirements due to his/ her disability, helping them with their physical and social needs and also help them in developing relationships with the others, so that they get a feeling of belongingness. Families with children having special needs undergo a higher level of stress (Gottfried & McGene, 2013). Families that have children with special needs, go through enormous stress levels, at times even financially stressed are they … (Hanvey, 2002; Moriwaka, 2012). But, Current study focusses on the effective leadership role played by a mother during the Pandemic, which is helping the kids, especially the children with special needs in combating the stress, that they are undergoing. A case of a child, diagnosed with autism(a serious behavioural disorder among young children that now occurs at epidemic rates in developing countries like India), since she turned two and how her mother has been helping her adapt to the new normal of staying home for all her activities and coping up with the increased stress levels.

Nandini

The study identified the pragmatic competence level of the second language (L2) learners through Written Discourse Completion Test (WDCT) administered to purposively selected 40 first-year education students. A modified questionnaire based on Survey for Academic English Language Exposure (SAELE) was used to determine the effectiveness of academic English language exposure on the pragmatic competence development of the respondents. The study employed the descriptive-correlational method, while various statistical tools were utilized to analyze and interpret the data. Weighted mean was used to determine the respondents’ pragmatic competence level and the effectiveness of academic English language exposure on the pragmatic competence development of the respondents. Moreover, Pearson Product Moment Correlation (PPMC) was employed to determine the significant relationship between the two variables. Results in WDCT showed that the average scores in the pre-test and post-test results fall under the competent level. Meanwhile, the effectiveness of academic English language exposure on the pragmatic competence development of the respondents was 0.207, which is ineffective. Lastly, the statistical correlation of the two variables showed no significant relationship between them (r=0.046, p>0.05). Based on the study’s results, pedagogical implications for pragmatic and L2 teaching and learning were conceptualized.

Darrel ocampo

The presented mathematical model is used to form machine cells, optimize costs of exceptional elements and design the shop floor layout for various demands of components. The complete similarity measure algorithm forms machine cells and part families in a refined form. Later, exceptional elements are eliminated in linear programming optimization model by using machine duplication and part subcontract. Then the shop floor layout is designed to have optimized material movements between cells and within a cell. The performance evaluation of cell formation algorithm is done on case studies of various batch sizes to give the process capability compared with other similar methods. The result from a linear programming optimization model is cost savings, machines duplicated, parts subcontracted, inter intra cellular movements. Finally, the output of inbound facility design is the floor layout which has machine cell clusters with optimized floor area.

S ramesh

The work presented in this paper is analysis and design of power efficient Network on Chips (NoCs). NoC architecture, routers, structure of NoC, topologies and their components has been discussed in this work. The parameters likely speed, latency, static and dynamic power is analyzed. This work found better results as compared to previous works.

Ashish mulajkar

The human body has been theorized in many ways, including the entire notion of the woman as a human creation. It is generally agreed that this concept refers to our perceptions, thoughts, and feelings about our bodies, which influence our behaviour about our bodies. The article examines numerous authors whose individual genealogies meet on the common ground of identity theory and women's lives and is supported by a theoretical framework based on conceptions of identity, body-image and self-image in women and feminist discourse. This paper probes into the concepts of identity in women through the literary canvas of Dr. Bhabendra Nath Saikia and demonstrates the effects of body image and self-image on the development of identity. Of course, an extensive discussion of the short stories of Dr. Saikia is beyond the scope of this paper. The aim of this paper is to analyse the concepts through the two short stories short titled "Dhura Xaap" (ঢ োৰো সোপ 1958) and "Sringkhol" (শ ৃংখল, 1970) by Dr, Bhabendra Nath Saikia. The paper seeks to explore the concepts of self-image, identity and body image through three female characters ‘Chandrika’, ‘Janeki’ and ‘Ambika’.

Banani das

India is in the midst of a severe second wave of Covid-19. As per the Global Commission for Post-Pandemic Policy by mid-April of 2021, India had manufactured nearly 17 percent of all Covid-19 vaccine doses globally. It was the world’s fourth-largest producer, after China (about 36 percent), the United States (about 22 percent) and the European Union (more than 17 percent). Even so, following a shortage of vaccines and with insufficient local production, Government of India decided to import more foreign vaccines with quicker approval process for vaccines accepted in US/EU markets. India is currently using made-in-India vaccines, namely, Covishield manufactured by Serum Institute India and Covaxin of Bharat Biotech in its COVID-19 immunisation programme. The shortcoming in the production of vaccines and its dissemination within the country urges one to understand who the local producers are and how the market is playing out. This paper looks at the evolving market structure of vaccine production in India in the textbook framework of an oligopoly market. We use secondary data sources and daily newspaper briefs.

Nandini

Inflammation is said to be a healthy component of the body immune system's reaction. Inflammation is characterised by four key symptoms: pain, redness, heat or warmth and swelling. As secondary metabolites, plants may produce a wide range of phytochemical compounds, which possess anti-inflammatory characteristics. Herbal remedies are important therapies for a wide range of ailments all over the world. There are around 7 500 species of medicinal plants, including representatives from over 17 000 flowering plant species. Even when synthetic chemistry has developed out their expectations, the use of natural ingredients in the manufacture of drugs used in contemporary medicine is unparalleled. By interfering with the biology of inflammation, anti-inflammatory medications may assist to minimise tissue damaging and increase patient’s comfort. Because of the bulky figure of species reachable for study, the effective development of novel naturally taking place anti-inflammatory drugs is mostly dependent on a multidisciplinary approach to discovering new chemicals. Despite the statistic that many review papers have been produced in this field, the conventional of them simply examined the issue from an area perspective. Several non-steroidal anti-inflammatory drugs have been shown to reduce inflammation and pain by decreasing the isoform of the cyclooxygenase enzyme's digestion of arachidonic acid, hence lowering prostaglandin production. Non-steroidal anti-inflammatory drugs have a host of harmful effects. There are, however, medicinal herbs with anti-inflammatory pharmacological properties that have few or no negative effects.

Mediterranean journal of pharmacy and pharmaceutical sciences

This paper throws light on the role played by culture and traditions specifically of Hindu religion in legitimising the subordinate position of women in Indian society. Along with presenting a brief account on the status of women from ancient times to contemporary situation, the sex-gender binary has also been explored. How a child after his birth socialised to behave in a certain way on the basis of his/her sex has been noted. This process of socialisation is based on the age old customs and traditions which are discriminatory in nature. The male child is taught to be strong, dominating and aggressive in nature and henceforth assigned laborious work to do for managing the finances of house. On the other hand, female child is taught to be sensitive, loving and caring and therefore assigned to manage household work, child nurturing and motherhood related responsibilities.

Swati sharma

Purpose Noise pollution is a common health hazard worldwide which is emitted along with chemical air pollutants, simultaneously from many sources. Some studies have been conducted to control these pollutants, simultaneously with promising results being achieved. Dielectric beads have been used in air pollution control technologies, successfully and probable effectiveness of them in noise reduction can be promising in dual use of them in the exhausts emitting noise and air pollution, simultaneously. Methods In order to investigate the effectiveness of dielectric beads in noise reduction, two types of them; namely glass and ceramic beads, were placed separately inside the connecting tube of a double-expansion chamber muffler. Then the transmission loss (TL) of muffler was examined using impedance tube. A factorial design was used to evaluate and optimize the effect of noise related parameters on TL of such a system. Results Results show that the presence of dielectric beads has significant effect on TL of muffler. The maximum TL was obtained as 74.76 dB for muffler with ceramic beads, under the optimal condition of 5250 Hz and 120 dB. Measurement of TL and sound absorption coefficient (SAC) of glass and ceramic beads showed that the noise reduction in muffler with ceramic and glass beads is probably due to SAC in ceramic beads and noise reflections in glass beads, respectively. Conclusion These results promise the dual use of dielectric beads in the exhausts emitting noise and air pollution simultaneously.

Niloofar

To report a case of neurogenic stress cardiomyopathy post-trauma, managed using Non-Invasive Cardiac Output Monitor (NICOM)-guided conservative therapy. A middle-aged patient with traumatic subdural and subarachnoid hemorrhages developed hemodynamic instability. ECG showed QT prolongation; echocardiography revealed apical ballooning. We used NICOM which indicated low cardiac output (3.5 L/min). Fluids and inotropes were adjusted based on NICOM trends. The patient showed gradual hemodynamic and cardiac recovery. NICOM guided safe de-escalation of inotropes. Echocardiography normalized, and the patient was discharged. NICOM can be used for precise, non-invasive hemodynamic monitoring, aiding recovery in stress cardiomyopathy. Keywords: Traumatic brain injury, Takotsubo cardiomyopathy, Stress cardiomyopathy, Non-invasive cardiac output monitoring, Hemodynamic instability, Apical ballooning, Neurocritical care.

Journal of scientific innovations in anesthesiology

Worldwide, the threat created by antibiotic resistance to public health calls for immediate action. Antibiotic resistance is one of the main causes of the emergence and spread of dispensing of antibiotics without a prescription. This study aims to investigate the dispensing of antibiotics without a prescription and the reason behind that in the community pharmacy in Libya. The study was randomized analytical conducted between March and April 2023 among pharmacists and assistant pharmacists employed by community pharmacies in various Libyan areas Tripoli, Zawia, and Sabratha. The data were analyzed by Fisher's exact and Chi-square tests to predict the determinations of dispensing antibiotics without prescriptions. In this study, a total of 293 participants were included, 63 had been excluded because they did not meet the inclusion of the study. The remaining 230 were enrolled for final analysis, most of them were female subjects (70.7%). Findings showed that 78.7% of the participants consulted with patients about the reason for requesting a specific type of antibiotic, while 68.7% dispensed antibiotics with probiotics. Study participants with 2 - 4 years' work experience were 76.6% higher toward dispensing of antibiotics without a prescription (P=0.683). The major reason for dispensing antibiotics without prescriptions were pharmacists knowledgeable enough to give a patient antibiotics without a prescription (68.3%). In Libya, misuse of antibiotics by the public is widespread. People can purchase antibiotics without prescription. Thus, dispensing of antibiotics without a prescription in community pharmacies is an alarming issue in Libya which can increase antibiotics resistance. Pharmacists' knowledgeable is high in dispensing patients antibiotics without a prescription, but patient pressure and financial issues are the major reasons behind dispensing antibiotics without a prescription. It can be recommended that the importance of antimicrobial stewardship and the need for ongoing education support for community pharmacy professionals is of importance.

Mediterranean journal of pharmacy and pharmaceutical sciences

This research was conducted at SD Darus Sholah, Jember which aims to answer the main problems related to the implementation of the Student Team Achievement Divisions learning strategy in integrated thematic learning. The problem studied in this research is the Implementation of the Student Team Achievement Divisions Strategy in integrated thematic learning at SD Darus Sholah, Jember. This research approach uses a qualitative approach with the type of phenomenological research. Methods of data collection using interviews, observation and documentation. Data analysis used the interactive model of Miles and Huberman, with the process of data collection, condensation, data display, and data verification. To test the validity of the data using triangulation. The results of this study indicate that: 1) At the presentation stage, the teacher starts with story material, reviews previous material, and learning activities in teams. 2) The teacher prepares a worksheet as a guide for group work and each member can contribute, the teacher makes observations, provides guidance, motivation, and assistance if needed. 3) Individual tests in groups. 4) Score development for individuals, the teacher combines the previous score with the final score. 5) Appreciation for the team is based on the assessment of individuals in the group so that the process of group assessment recapitulation is based on individual assessment of each group. Penelitian ini dilakukan di SD Darus Sholah Jember yang bertujuan untuk menjawab pokok permasalahan berkaitan dengan penerapan strategi belajar Student Team Achievement Divisions dalam pembelajaran tematik terpadu. Permasalahan yang dikaji dalam penelitian ini, Implementasi Strategi Student Team Achievement Divisions dalam pembelajaran tematik terpadu di SD Darus Sholah Jember. Pendekatan penelitian ini menggunakan pendekatan kualitatif dengan jenis penelitian fenomenologis. Metode pengumpulan data menggunakan wawancara, observasi dan dokumentasi. Analisis data menggunakan model analisis interaktif Miles dan Huberman, dengan proses data collection, condensation, data display, and data verifiying. Untuk menguji keabsahan data menggunakan trianggulasi. Hasil penelitian ini menunjukkan bahwa: 1) Pada tahap presentasi, guru memulai dengan materi cerita, mereview ulang materi sebelumnya, dan kegiatan belajar dalam tim. 2) Guru menyiapkan lembaran kerja sebagai pedoman kerja kelompok dan setiap anggota dapat berkontribusi, guru melakukan pengamatan, memberikan bimbingan, motivasi, dan bantuan jika diperlukan. 3) Tes individu dalam kelompok. 4) Skor pengembangan bagi individu, guru menggabungkan skor nilai sebelumnya dengan skor akhir. 5) Penghargaan bagi tim mendasarkan kepada penilaian terhadap individu dalam kelompok sehingga proses rekapitulasi penilaian kelompok, didasarkan kepada penilain individu masing-masing kelompok.

Educare: journal of primary education

Gaucher Disease (GD) is the most common lysosomal storage disorder. The prevalence of GD is approximately 1/100,000, and type III GD accounts for 5% of cases. [1] It is an autosomal recessive disease due to a GBA gene mutation, leading to glucocerebrosidase enzyme deficiency. [1,2] Gaucher disease (GD) is categorized into three types according to clinical presentation: [3] Type I, which is non-neuronopathic and most common, particularly among Ashkenazi Jews; Type II, which is acute neuronopathic and marked by significant neurological involvement and high mortality rates; and Type III, which is subacute neuronopathic, exhibiting both systemic and neurological symptoms. In this report, we discuss a 24-year-old man from Libya diagnosed with GD type III. His diagnosis was established at the age of one due to symptoms including pallor, poor appetite, and hepatosplenomegaly. Laboratory tests indicated a hemoglobin level of 5.6 g/dL, chitotriosidase activity of 18,742 μmol/L, and an angiotensin-converting enzyme level of 251 UI/L. Genetic analysis confirmed a homozygous L444P mutation. He underwent splenectomy at the age of three, and enzyme replacement therapy (ERT) was administered intermittently with regular follow-ups until 2011. In December 2023, the patient experienced two weeks of abdominal pain, distension, and fatigue. A physical examination revealed ascites, dilated abdominal veins, and an enlarged liver and spleen.

Karishma

: About 12% of the world population is affected by different forms of urolithiasis, the recurrence rate of which is 47-60% in females and 70-80% in males. According to WHO, 75% of people rely on traditional medicines to prevent and cure different ailments. Similarly, the majority of the world population uses several plants to treat problems related to the urinary tract system, of which urolithiasis is the primary cause. The review aims to collect data on the plants used in different parts of the world and cultures against urolithiasis, including their parts, mode of preparation, dosage, and administration. A literature review was conducted for traditionally used antiurolithiatic plants. The articles mentioning plant, parts, mode of preparation, dose and route of administration were selected. This information was extracted to compose Mono and Polyherbal antiurolithiatic formulations used in Appalachia (a region in the Eastern United States), Canada, India, Iran, Israel, Italy, Jordan, Latin America, Pakistan, Turkey and Yemen. The review provides essential data about plants used as antiurolithiatic in different parts of the world. The information is not only useful for ordinary people but also for the scientific community to carry out further phytochemical, pharmacological and toxicological studies for discovering new, effective, safer molecules against urolithiasis.

Dr. salman ahmed

This study aims to determine the process of implementing PJOK learning in limited face-to-face learning during the Covid-19 pandemic in class V MIN 2 Palangka Raya City. This type of research is qualitative with case studies. Data collection techniques by observation and interviews. Meanwhile, data analysis uses descriptive data analysis. The results of this study show that:1) planning for sports and health physical education learning during the Covid-19 pandemic in MIN 2 Palangka Raya City: Teachers plan the PJOK class V learning program, develop the Annual Program, carry out Semester Program activities, carry out learning plans in the learning syllabus, distribute effective weeks.2) Implementation of Sports and Health Physical Education learning in MIN 2 Palangka Raya City, namely: development of the Annual Program into the Learning Implementation Plan, carrying out Semester Program activities, implementation of learning plans in the learning syllabus, online teaching, and learning process activities teachers explain teaching materials, apply learning methods.

Educare: journal of primary education

Dr. G. Kamalakar, Pursuing Post-Doctoral Fellow ICSSR, Research Assistant, ICSSR Major Research Project, Department of History, Dr. B.R. Ambedkar Open University. with a Ph.D in Political Science. He is awarded Doctorate by the Osmania University, Hyderabad, for the thesis on “WTO and GATS: Implication for the Indian Higher Education”. He is the recipient of RGNF Fellowship from the UGC and Pre-Doctoral Fellowship from OUCIP. He worked as a guest faculty at City College, Hyderabad and as a Counselor at Ambedkar Open University. He has written 3 books and edited 4 books and also published research articles in 17 UGC care list Journals. He also reviewed 11 Books and published them in UGC care list journals and sage publications. He received 7 awards including Amazing Grace Award, Pride India Award, Dr.B.R. Ambedkar Excellency Award, International Research Excellence Award, Dr. A.P.J. Abdul Kalam Life Time Achievement National Award, National best Teacher Award and Vidya Bharati Award. He presented research papers in more than 24 International, National Conferences and seminars. He has published thematic research papers in 13 National and 30 International Level Peer Reviewed / Refereed Research Journals He is also the Assistant Editor to an International journal and a Member of Editorial board & Reviewer for National and International journals published from 20 countries like USA, Turkey, Syria, UK, Pakistan, China etc. and has membership in 4 various associations.

Dr gedam kamalakar