Serum electrolyte levels in libyan patients with type ii diabetes mellitus

The incidence of diabetes mellitus has increased globally making it a major public health concern. Diabetes mellitus is the most common metabolic disorder that causes an imbalance in the electrolytes which regulate essential metabolic mechanisms of the body. This study aimed to estimate the electrolyte levels in Libyan patients with type II diabetes mellitus and to investigate their relations to glycemic control and body mass index. A total of 122 Libyan subjects whose ages ranged between 35 years and 60 years for both sexes were included in this study, 77 patients were type II diabetic patients (37 males and 40 females) and 45 subjects were healthy individuals (23 males and 22 females) live in Tripoli area, Libya. The levels of blood glucose, HbA1c, sodium, potassium, chloride, magnesium and calcium were estimated in this study along with the measurement of body mass index, systolic and diastolic blood pressure. All the findings were statistically analyzed by one-way ANOVA test. Significant increases in glucose, HbA1c, potassium, chloride, calcium, blood pressure and BMI among diabetic patients were observed as compared to the healthy individuals. On the other hand, significant decreases in sodium and magnesium levels among the diabetic patients were observed as compared to the control group. In addition, significant alterations in all the biochemical parameters in uncontrolled diabetic patients as compared to the controlled diabetic patients, and in unhealthy weight diabetic patients as compared to the healthy weight patients. It is concluded that diabetes mellitus results in an imbalance of electrolytes. Poor glycemic control and obesity have adverse effects on electrolyte balance among diabetic Libyan patients. Good glycemic control, maintaining a healthy weight and regular evaluation of electrolytes among diabetics can reduce the fatalities associated with electrolyte rearrangements.

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

Uric acid and glucose metabolism in uncomplicated libyan diabetic patients

Uric acid has increasingly been associated with insulin resistance, hyperinsulinemia, and type 2 diabetes mellitus. Diabetic patients who are hyperuricemic have a risk of developing diabetic complications. Pathogenesis of uric acid may decrease nitric oxide bioavailability in vascular smooth muscle, endothelial cells and direct scavenging of nitric oxide by uric acid. A decrease in endothelial nitric oxide production by uric acid has also been associated with endothelial dysfunction and insulin resistance. This study aims is to determine the relationship between uric acid and glucose levels in patients with type 2 diabetes mellitus. The study included 161 Libyan patients (67 males and 94 females) diagnosed with type 2 diabetes mellitus. Both levels of serum uric acid and hemoglobin A1c (HbA1c) were determined. The patients were divided into two groups. The controllable diabetic group with HbA1c of less than 06.0% and the uncontrollable diabetic group with HbA1c of more than 06.0%. Patients who are suffering from type 2 diabetes mellitus without complications were included whereas patients with smoking, alcoholism, nephrotic disease, malignancy, hepatitis, and renal failure or kidney disease were excluded. The mean and standard deviation of uric acid, HbA1c and Pearson correlation coefficient test were considered. In the controllable diabetic group, serum uric acid mean was found to be 4.807 ± 1.39 and HbA1c was found to be 5.032 ± 1.39. In the uncontrollable diabetic group, serum uric acid was 4.897 ± 1.66 and HbA1c was 8.396 ± 1.65. Uric acid level has significantly been correlated with HBA1C in controlled and uncontrolled diabetic patients (p < 0.05). In addition, the uric acid level was found to be higher in uncontrolled diabetic group than that in the controlled group (p < 0.05). A possible relationship between serum uric acid and incidence of type 2 diabetes mellitus was noted. Thus, uric acid can be used as a potential biomarker to indicate impaired glucose metabolism.

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

Nano fabrics in the 21st century: a review

Nano technology refers to enhancing the function and delivering the upcoming smart solutions to products at the nanoscale level. It relates to organizing the molecules for altering in dimension and characteristic for improvement like smart fabric. These fabrics could assist producers with the added prominence on a standard of living, visual attraction, and system wanted technological produces. Nanosize particles can unveil unpredicted characteristics dissimilar from the bulk matter. The fundamental principle is that the features could radically be altered after the material is decreased to the nanometer scale. Nanotechnology has multipurpose functions in fabric manufacturing in producing the stain and wrinkles defiance, flame retardant, antimicrobial and antistatic properties, moisture control, ultraviolet protection, and release features. The nanomaterials inside the fabric could influence numerous qualities, comprising reduction, electrical conductivity, flammability, and strength. Nanotechnology has additionally created a significant impression on various application and implementation. Nano-doctored fabrics may advance numerous fabrications as the nano-science progresses further.

Munima haque

Economic and health damages from inadequate sanitation: experience from rural villages

Poor water quality and lack of access to improved sanitation continue to pose a significant threat to human health. The burden of disease analysis suggests that lack of access to safe water supply, sanitation and hygiene is the third most significant risk factor for poor health in developing countries with high mortality rates. Diarrhoea is the leading disease associated with unsafe water supply, sanitation and hygiene and is responsible for the deaths. The study observed that out of the 150 respondents, 37% are 31-40 years, followed by 20-30 years with 32%. 130 (86.7%) respondents have got married, and 61% of the respondents are female. 85% adopted the nuclear family system, and 50% of respondents are illiterates in the study areas. 85% of respondents are daily wage earners, 37%are earnings rupees between 2000-2500 per month. 27% of respondents are landless labours, and 37% of households possess below 2 acres of land. 40% of respondents suffer from health problems, and 44% consume rice as their staple food. 62% of respondents have debts, and 33% got from money lenders. 62% of respondents do not have toilet facilities and go open defecation. 92% of respondents stated that toilet makes dignity, saves time and energy, saves their children school days, makes adolescent girls privacy, save wage loss, and toilet makes quality life.

B Suresh Lal B suresh lal

Phytochemical evaluation and in-vitro thrombolytic activity ofsalvia hispanica

The present study was designed to investigate the in-vitro thrombolytic activity of various extracts of seeds of Salvia hispanica by Clot lysis method. In this study, Streptokinase was used as a positive control and the human blood was taken as test sample. The mean % of clot lysis for streptokinase was found to be 66.8%. Similarly the methanolic, ethanolic, aqueous and acetonic extracts of salvia hispanica exerted 48.5%, 35.8%, 33.3%, 27.7% lysis of the blood clot in thrombolytic activity test respectively. From our findings it was observed that all the extracts of Salvia hispanica revealed remarkable thrombolytic activity

Zeenath Banu Zeenath banu

The untethered soul pdf

The seeds for this work were planted many years ago when Linda Bean wastranscribing some of my lectures and encouraged me to write a book. Shepatiently labored through years of archived material until it was time for me tobegin writing. Her commitment and dedication to this project are deeplyappreciated.Once I began writing, Karen Entner assisted me by organizing materials,making content suggestions, and maintaining the manuscript. We workedtogether to edit version after version until the flow of words brought a sense ofpeace to the heart, mind, and soul. Her dedication and heartfelt work are muchappreciated and one of her lifelong dreams comes to fruition with the publicationof this book. “This above all: to thine own self be true, and it must follow,as the night the day, thou canst not then be false to any man.” —William ShakespeareShakespeare’s age-honored words, spoken by Polonius to his son Laertes in ActI of Hamlet, sound so clear and unambiguous. They tell us that to maintainhonest relations with others we must first be true to ourselves. Yet if Laerteswere to be totally honest with himself, he would realize that his father may aswell have told him to catch the wind. After all, to which “self” are we to be true?Is it the one that shows up when we’re in a bad mood, or the one that is presentwhen we feel humbled by our mistakes? Is it the one who speaks from the darkrecesses of the heart when we’re depressed or upset, or the one that appearsduring those fleeting moments when life seems so fanciful and light?From these questions we see that the concept of “self” may turn out to be abit more elusive than initially presumed. Perhaps if Laertes could have turned totraditional psychology, it would have shed some light on the subject. Freud(1927), the father of psychology, divided the psyche into three parts: the id, theego, and the superego. He saw the id as our primal, animal nature; the superegoas the judgment system that society has instilled within us; and the ego as ourrepresentative to the outside world that struggles to maintain a balance betweenthe other two powerful forces. But this certainly would not have helped youngLaertes. After all, to which of these conflicting forces are we to be true?Again we see that things are not always as simple as they seem. If we dare tolook past the surface of the term “self,” questions arise that many people wouldrather not ask: “Are the many aspects of my being all equally part of my ‘self,’or is there only one of me—and if so, which, where, how, and why?”In the following chapters, we will undertake a journey of exploration of“self.” But we will not do so in a traditional manner. We will neither call uponthe experts in psychology, nor upon the great philosophers. We will not argueand choose between time-honored religious views, or resort to statisticallysupported surveys of people’s opinions. We will, instead, turn to a single sourcethat has phenomenal direct knowledge on the subject. We will turn to one expertwho, for every moment of every day of their life, has been collecting the datanecessary to finally put this great inquiry to rest. And that expert is you.

Kamal Singh Kamal singh

Ascorbic acid has an anxiolytic-like effect in the presence of flumazenil in rats

Ascorbic acid (vitamin C) is a water-soluble vitamin; it is present in the highest concentration in the brain. Ascorbic acid in high doses acts as a potential treatment for various neuropathological and psychiatric conditions. Flumazenil is a benzodiazepine antagonist; it competitively inhibits the activity of benzodiazepine and non-benzodiazepine substances that interact with benzodiazepine receptors site on the GABA/benzodiazepine receptor complex. This study aims to investigate the effect of flumazenil on the anxiolytic action of ascorbic acid using an elevated plus maze model of anxiety in rats. Male Albino Wistar rats weighing between 250 and 320 grams were used. Rats were divided into four equal groups of seven rats each and treated as follows: Group I, the control group received a single dose of 1.0% tween 80; Group II treated with a single dose of 125 mg/kg ascorbic acid; Group III was injected by a single dose of 1.0 mg/kg flumazenil; Group IV received a combination treatment of 125 mg/kg ascorbic acid and 1.0 mg/kg flumazenil. Behavioural measurements using a plus maze were scored 30 min after the administration. The parameters scored are the time spent on the open and closed arms, the lines and number of entries into open and closed arms, and the anxiety measure. Ascorbic acid decreased anxiety measure and increased the total lines and total number of entries; this effect was abolished by the administration of flumazenil with ascorbic acid. Thus, ascorbic acid produces an anxiolytic-like effect in rats; this effect was abolished by flumazenil administration with ascorbic acid. This may indicate that the GABA/benzodiazepine receptor complex has to be stimulated to produce the anxiolytic effect.

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

Is glucose-6-phosphate dehydrogenase deficiency a risk factor for melioidosis?

Melioidosis is an infection that causes high morbidity and mortality. Predisposing risk factors include diabetes mellitus (DM) and immunocompromised state. We report a case of septic shock secondary to bacteremia caused by Burkholderia pseudomallei in a patient who is supposed to be previously healthy and subsequently diagnosed with DM and glucose-6-phosphate dehydrogenase (G6PD) deficiency. He completed 17 days of intravenous antibiotics followed by a 12-week course of oral trimethoprim/sulfamethoxazole. We postulate that G6PD deficiency could be a risk factor for melioidosis.

Karishma Karishma

Evaluation of student’s perception and attitudes towards switching from in-class to online teaching in the era of covid-19

Worldwide, the focus on online learning during the era of the COVID-19 pandemic faced many challenges. The present study aimed to evaluate the preferences, perceptions, and attitudes of university students toward various strategies of learning. A pre-piloted cross-sectional survey was posted on the internet in Arabic and English language. Questions covered the demographical characteristics of the participants and their preferences and perceptions of various learning strategies. We received 270 questionnaires from various countries. The majority (n=199, 73.7%) of respondents were from the University of Sharjah, United Arab Emirates, with n=125 (46.3%) participants from the College of Pharmacy. The majority (n=198, 73.0%) of respondents were females, Arabs (n=262, 97.0%), living with their families (n=208, 77.0%), and with only the father working (n=174, 64.0%). Preference was, for online learning (n=145, 53.7%) as compared to in-class learning (n=119, 44.1%). More students (n=110, 40.7%) claimed improvement in their grades with online learning but 62 of students (23.0%) stated that their grades were worsened. Student’s performance in online exams was similar to that in paper exams. The majority (n=168, 62.2%) of students claimed that their overall expectations of online learning were not the same as those for in-class learning. 50.0%-60.0% of respondents believed that in-class learning allows them to learn more effectively, and achieve the best work preparation, best exam performance, and best education value, and they were more likely to recommend it. Despite the disadvantages of online learning, it remains the future strategy for higher education. Appropriate planning of courses, and helping students by reducing digital inequity, if any, would certainly prove satisfactory for the millennial generation of students

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

Business law - status of law in the context of the uk

This paper attempts to review the status of law in the context of the UK. The critical areas reviewed in the study included the nature of the legal systems within the UK, focusing on the role played by law within the community and the sources of law. In the second task, the connection between law and the business world is established, trying to ascertain the role of company law, employment laws, the law of contract, and the intellectual property to the businesses. Task three assessed the existing laws regarding the different types of business organizations created in the country, concentrating on the legal requirements for establishing the same. The last task focused on the recommendation that the study makes in conclusion regarding the dispute resolution processes available in the current business world.

Zamzam Abdelazim Zamzam abdelazim

The rise of patanjali

This case is designed to highlight the marketing strategies adopted by a new entrant in the fast-moving consumer goods (FMCG) sector. The importance of brand architecture in building brand relevance in this competitive environment and enhancing customer loyalty has been put forth as illustrated by the experts. The synchronization of branding strategies and marketing communications in terms of establishing a customer connect purely on the basis of nationalism, price, and natural preparations have been highlighted from the perspective of Patanjali’s growth strategy. The brand has been envied by all the big players of the sector for proving itself as the major disruptor being portrayed in terms of its voluminous sales and ever-rising revenues. This case on Patanjali offers an insight into the strategies followed by a new company to position the brand at the right time and acquire a substantial market share. It also highlights the facts that exceptional competitiveness in distribution strategies may not be the only determinant for effective management of distribution strategies, and the road ahead needs to be rightly sorted out. This case also tries to unlock the path that determines the success the brand Patanjali has achieved which otherwise took decades for Nestle, Proctor & Gamble, ITC, or Unilever to achieve.

Dr. neena prasad

Fake news detection using machine learning ensemble methods

The advent of the World Wide Web and the rapid adoption of social media platforms (such as Facebook and Twitter) paved the way for information dissemination that has never been witnessed in the human history before. With the current usage of social media platforms, consumers are creating and sharing more information than ever before, some of which are misleading with no relevance to reality. Automated classification of a text article as misinformation or disinformation is a challenging task. Even an expert in a particular domain has to explore multiple aspects before giving a verdict on the truthfulness of an article. In this work, we propose to use a machine learning ensemble approach for the automated classification of news articles. Our study explores different textual properties that can be used to distinguish fake contents from real. By using those properties, we train a combination of different machine learning algorithms using various ensemble methods and evaluate their performance on 4 real world datasets. Experimental evaluation confirms the superior performance of our proposed ensemble learner approach in comparison to individual learners. The advent of the World Wide Web and the rapid adoption of social media platforms (such as Facebook and Twitter) paved the way for information dissemination that has never been witnessed in human history before. Besides other use cases, news outlets benefitted from the widespread use of social media platforms by providing updated news in near real-time to its subscribers. The news media evolved from newspapers, tabloids, and magazines to a digital form such as online news platforms, blogs, social media feeds, and other digital media formats. It became easier for consumers to acquire the latest news at their fingertips. Facebook referrals account for 70% of traffic to news websites. These social media platforms in their current state are extremely powerful and useful for their ability to allow users to discuss and share ideas and debate over issues such as democracy, education, and health. However, such platforms are also used with a negative perspective by certain entities commonly for monetary gain and in other cases for creating biased opinions, manipulating mindsets, and spreading satire or absurdity. The phenomenon is commonly known as fake news.

Kamal Singh Kamal singh

Progress in antimalarial drug discovery and development: obstructions and opportunities

Mosquitoes conveying Plasmodium store parasites into the skin of the mammalian host. Parasites make a trip through the circulation system to the liver, where they cross a few hepatocytes prior to building up a disease. Inside the last hepatocyte the parasite goes through morphogenesis and afterward abiogenetically partitions to become more than 20,000 blood-infective parasites, called merozoites. On account of P. vivax, P. ovale, and P. cynomolgi, the parasites can stay lethargic in the liver in structures called hypnozoites. The merozoites are delivered once again into the circulation system, where they start the repetitive blood stage. Inside erythrocytes, a little division of parasites separate into male or female gametocytes. These gametocytes are ingested by the mosquito during blood taking care of, where they will duplicate explicitly, in the long run prompting the arrangement of sporozoites

Rukshi naaz

Quality evaluation of functional bread produced from blends of wheat and soy-okara flour

This present study evaluated the quality attributes of functional bread developed from the blends of wheat and soy-okara (SOF) flour. A completely randomized design which generated six (6) experimental runs based on different combinations of wheat (60–90%) and soy-okara (10–40%) flours was adopted for the production of functional bread. The flour blends were processed into bread and analyzed for sensory properties. The optimum flour combination in obtaining higher sensory acceptability was 85.34% WHF and 14.66% SOF with desirability function of 85% using numerical optimization techniques. The control (100% whole-wheat bread) and optimized bread produced were assessed for physicochemical, antioxidant properties and sensory qualities. The carbohydrate, calcium, phosphorus, and sodium of the optimized bread were significantly higher (p<0.05) than in the control sample having 58.14 and 75.14%, 128.80, and 75.60 mg/100 g, 68.18 and 63.77 and 13.83 ppm and 12.62 ppm respectively. The total flavonoid and phenolic contents of the control and optimized bread were significantly (p<0.05) different with values ranging from 92.77 to 114.86 mg/100 g and 66.43 to 57.51 mg/100 g respectively. A significant variation was observed in the sensory qualities between the control and optimized bread. The study revealed that the nutritional and antioxidant properties of the developed functional bread validate its potential health-promoting effects.

OKECHUKWU OBED CHUKWUEMEKA Okechukwu obed chukwuemeka

Abundant wave solutions of the boussinesq equation and the (2+ 1)-dimensional extended shallow water wave equation

In this article, we establish the exact wave solutions of the Boussinesq equation and the (2 + 1)-dimensional extended shallow water wave equation by applying the new generalized (G'/G)-expansion method. When the condition of the fluid is such that the horizontal length scale is much greater than the vertical length scale, the shallow water equations are mostly suitable. In Ocean engineering, Boussinesq-type equations are commonly used in computer simulations for the model of water waves in shallow seas and harbors. We explained the new generalized (G'/G)-expansion method to seek further general traveling wave solutions of the above mentioned equations. The traveling wave solutions attained by this method are exposed in terms of hyperbolic, trigonometric and rational functions. The shape of the obtained solutions are bell shaped soliton, kink soliton, singular kink soliton, singular soliton, singular periodic solution and compaction. This method is very influential mathematical tool for extracting exact solutions of NLEEs which frequently arise in mathematical physics, engineering sciences and many scientific real world application fields.

Md khorshed alam

A comprehensive review on icchabhedi rasa – an herbo - mineral formulation

Rasa shastra is aPharmaco – therapeutic branch of Ayurved, incorporates many of the Herbo– mineral – metallic pharmaceutical preparations prepared out of the Parada namely KhalviyaRasayana, ParpatiRasayana, PottaliRasayanaandKupipakwaRasayana.Rasaushadhis are important for their uniqueness in Ayurvedic therapeutics due to lesser doses. KharaliyaRasayanais used in wide range for therapeutic utility and is easy for preparation. Icchabhedi Rasa is one such kharaliyaherbo-mineral formulation mentioned in various Ayurvedic text. Icchabhedi Rasa is a classical preparation commonly used for Virechana. Icchabhedi Rasa is described in various classical texts with some variation of ingredients. Jayapalais the chief ingredient of the preparation having Katu Rasa, UshnaVirya and KatuVipaka. It is well known for its strong purgative action. Though variation is observed in thedescription of these KharaliyaRasayana and compilation of these will help to study in comparative manner.AYU

Suri abhiram

Analgesic activity of leaves, flowers and fruit peel of luffa cylindrica (l.) roem.

Ethanol extracts of leaves, male flowers and fruit peel of Luffa cylindrica (L.) Roem., were evaluated for analgesic effect using the analgesy meter test, a mechanically induced pain model. Extracts at 500 mg/kg, p.o., were tested and compared with diclofenac sodium 50mg/kg as a standard analgesic drug. The mechanical force was applied to the rat's paw and continuously increased. The point at which the rat can’t bear further pressure and starts to struggle to free the paw was taken as a nociceptive response. Readings were taken before and after 1, 2 and 3hr following drug administration. The analgesic response was continuously increasing till 3hrs. Tested extracts produced significant and comparable analgesic effects as with diclofenac sodium.

Dr. Salman Ahmed Dr. salman ahmed

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

Social skills development and educational outcome of special need students in special and inclusive settings

Lack of development of adequate social skills of special need students results in many disruptive behavior and poor academic gains. School setting is also an indicator of rise in academics and learning of social skills. The purpose of the current study was to investigate the social skills development and educational outcomes of special need students attending special and inclusive settings. Only 110 visually impaired students (60 from special and 50 form inclusive school setting) represent as special need children who participated as sample of the study. Data were collected from 5 Special Schools for Visually Impaired and 5 Inclusive Schools located in Delhi and NCR. Hindi Version of the Matson Evaluation of Social Skills with Youngsters: Self-rating form (MESSY) by Sharma (2000) was used to assess social skills development and to measure the educational outcome, aggregate percentage marks obtained by the students in their previous year‟s annual examination were collected from the records of the schools. Hypotheses formulated for this study were verified by applying appropriate statistical techniques- Mean, Standard Deviation and t-test. Significant differences found in the development of social skills and educational gains of the special need children in special vs. inclusive settings. Inclusive setting, to a great extent provides conducive learning environment and platform to develop social skills. Results of the study recommend implications for special and normal children, teachers and administrators.

Rubul Kalita Rubul kalita

The complex landscape of human trafficking: a comprehensive exploration with emphasis on legal safeguards for victims in egyptian and arab legislation

Human trafficking victims suffer a direct assault on their fundamental rights, enduring a modern form of slavery and exploitation. Perpetrated by criminal groups, human trafficking exploits victims, especially women and children, in forced labor, prostitution, or organ trafficking, treating them as commodities in a market driven by supply and demand, thereby profiting at the cost of fundamental rights and human dignity. This chapter underscores the critical significance of understanding the multifaceted challenges inherent in combating human trafficking, emphasizing the urgent need for effective measures. By delving into the complexities of the transnational organized structure of this crime, the chapter provides valuable insights into the hurdles faced by law enforcement and investigative agencies. Recognizing the gravity of human trafficking as a direct violation of fundamental rights and human dignity, this chapter aims to contribute to the development of comprehensive strategies and policies to address this pervasive issue.

Prof. Ramy El-Kady Prof. ramy el-kady

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