Nursing Leadership Practices

Nurses face assorted difficulties while giving the heath care offices, thus, self-assurance and solid accept on the self-capacities help them to adapt to these difficulties. In this manner, representative's confidence assumes a vital job in the effective human services administrations. In study setting it is seen that the leaders are not notable with their job and set of working responsibilities and even not with power. There for their practices are very little successful. That is the reason they can't manage their sub ordinates in formal way. Other thing in perception is dependability which not pursued extraordinarily in general human services by pioneers. Suggestions for Nursing Administration As this examination proposes, the chiefs, as saw without anyone else's input and their subordinates, respectably show uncommon authority rehearses. There is a requirement for nurture overseers to be perceptive of these practices and perceive that for unprecedented things to be cultivated in an association the five initiative practices must be displayed reliably. Consideration must be given to the present medical attendant director's development as pioneers. Keywords: nursing, leadership DOI: 10.7176/JHMN/68-12 Publication date: November 30th 201

Educational game based on macromedia flash in Indonesian language learning in junior high school

Educational Game is an application package that is used as a tool that aims to encourage students to undergo learning activities. The objectives of this study are (1) to describe educational games based on Macromedia Flash for Indonesian language learning in junior high schools; and (2) to describe the results of implementing Macromedia Flash-based educational games with the Fisher Yates Shuffle algorithm in learning Indonesian in junior high schools. The research approach is a qualitative descriptive research. The research is based on case studies with subjects and objects that focus on class VIIIC students and Indonesian language teachers at SMP Negeri 2 Jatisrono. Data collection techniques are by using observation techniques, questionnaires, interviews, and tests. The research sample is 30 VIIIC students. Data analysis is guided by Miles & Huberman's view which consists of three streams of activities that occur simultaneously, namely: data reduction, data presentation, drawing conclusions/verification. The data validity test was carried out using source triangulation technique. In connection with the research results based on eight indicators, it can be understood that the level of student activity in learning Indonesian based on educational games based on Macromedia Flash with the Fisher Yates Shuffle algorithm has increased. The percentage of 87% of students explained that the Macromedia Flash application based on the Fisher Yates Shuffle algorithm was able to increase student activity. This research encourages the integration of technology in the world of education. Flash-based games can offer interactive and dynamic content, enhancing the learning experience

ASSESSMENT AND IMPORTANCE OF LIPID PROFILE IN PRE-ECLAMPSIA WOMEN

Objective: The aim of this study is to know the assessment and importance of lipid profile in preeclampsia women. Study Design: A cross-sectional analytical study. Place and Duration: In the Physiology Department of Nishtar Medical University, Multan in Collaboration with Gynecology and Obstetrics Department of Nishtar Hospital Multan for One year Duration from September 2017 to September 2018. Methods: The study consisted of 90 subjects, each of which consisted of 30 people. 30 were apparently healthy subjects, 30 mild preeclamptic and 30 severe preeclamptic. Clinical details were collected. Fasting blood samples were obtained by aseptic methods and serum lipid profile was analyzed. Results: Of the 90 subjects studied, 30 had normal triglycerides (176.76 mg / d1). However, 30 subjects with severe preeclampsia show serum triglycerides 242.mg / dl according to normal. The difference in both groups was statistically more significant than normal. Conclusion: It was concluded that high circulating levels increased with preeclampsia in the pathogenesis of preeclampsia associated with preeclampsia, which may be a risk factor during pregnancy. Key words: Lipids, Preeclampsia

Proximate and Sensory Analysis of Wheat Bread Supplemented with Onion Powder and Onion Peel Extract

In current era, the agro-waste production is tremendously increasing which strongly influences the stability of the ecosystem and ultimately the human health. Onion is among one of the most commonly consumed vegetables worldwide, but its peel is generally regarded as waste, which is rich in various phytonutrients. Wheat bread is consumed as a staple food by large number of populations hence this study was aimed at improving the nutritional quality of bread by supplementing it with onion peel extract (OPE) and onion powder (OP). A control bread was synthesized using standard formulation while breads supplemented with OPE and OP were prepared by substituting wheat flour with OPE and OP at 1%, 3% and 5%, 7% respectively. Proximate analysis of five types of bread (A, B, C, D, E) presented that addition of onion peel extract significantly (p <0.05) improved the moisture content (21.06-21.79%) of breads while incorporation of onion powder brought significant improvement in fiber (0.24-0.32%), protein (9.80-10.35%) and ash content (1.55-1.94%). Sensory analysis of the breads was done by a semi- trained panel constituting of 7 members. Significant differences were reported among the five treatments for appearance, texture, taste, odor and overall acceptability. Maximum score for all the above- mentioned attributes was obtained by 1% OPE fortified bread while the 7% onion powder fortified bread attained the lowest scores. The sensory attributes of OPE makes it a good flavoring ingredient for baked items.Peer reviewe

Knowledge attitude and practices among urban women of Karachi, Pakistan, regarding breast cancer

Objective: To determine the knowledge,attitudes and practices of urban women regarding breast cancer and its available screening modalities.Methods: The cross-sectional, questionnaire-based, descriptive study was conducted in the urban population of Karachi in November 2010. Female attendants (n=373) visiting a tertiary care centre and four of its urban outreach centres during the study period were administered a questionnaire. The answers were then scored with regard to their knowledge. Frequencies and percentages were computed through SPSS 17, and analysis of variance was used to confirm significance.Results: Of the 373 participants with a mean age of 32.4+/-10.9 years, 293 (78.6%) were married, and 257 (69%) were housewives. The education level was considerably high; with 214 (57.4%) graduates. The mean score for knowledge of risk factors was 2.84 out of a total of 13; which was significantly associated with marital status and income. Age \u3e 40 years, education level, income and employment status were also significantly associated with higher mean screening awareness scores. Nearly 182 (48.8%) had heard about Breast Self Examination and 142 (38%) knew how to perform one. However, only 97 (25.9%) regularly performed such an exam. Almost all 3621 (97%) women wanted more media awareness campaigns regarding the issue.CONCLUSION: There is a real need for comprehensive health education programmes focusing on breast cancer awareness in Pakistan

Proximate and Sensory Analysis of Wheat Bread Supplemented with Onion Powder and Onion Peel Extract

In current era, the agro-waste production is tremendously increasing which strongly influences the stability of the ecosystem and ultimately the human health. Onion is among one of the most commonly consumed vegetables worldwide, but its peel is generally regarded as waste, which is rich in various phytonutrients. Wheat bread is consumed as a staple food by large number of populations hence this study was aimed at improving the nutritional quality of bread by supplementing it with onion peel extract (OPE) and onion powder (OP). A control bread was synthesized using standard formulation while breads supplemented with OPE and OP were prepared by substituting wheat flour with OPE and OP at 1%, 3% and 5%, 7% respectively. Proximate analysis of five types of bread (A, B, C, D, E) presented that addition of onion peel extract significantly (p < 0.05) improved the moisture content (21.06-21.79%) of breads while incorporation of onion powder brought significant improvement in fiber (0.24-0.32%), protein (9.80-10.35%) and ash content (1.55-1.94%). Sensory analysis of the breads was done by a semi-trained panel constituting of 7 members. Significant differences were reported among the five treatments for appearance, texture, taste, odor and overall acceptability. Maximum score for all the above-mentioned attributes was obtained by 1% OPE fortified bread while the 7% onion powder fortified bread attained the lowest scores. The sensory attributes of OPE makes it a good flavoring ingredient for baked items202

Proses Perubahan Pembelajaran Siswa dari Daring ke Luring pada Saat Pandemi Covid-19 di Madrasah Tsanawiyah

Penelitian ini bermaksud memberikan gambaran mengenai proses pembelajaran siswa dari daring ke luring pada saat pademi covid-19, praktik pembelajaran luring setelah pandemi, dan dampak yang terjadi pada siswa setelah pembelajaran daring. Teknik pengumpulan data yang digunakan dalam penelitian ini adalah observasi, wawancara dan dokumentasi. Adapun hasil dari penelitian ini ialah proses perubahan pembelajaran dari daring ke luring yang dirasakan dari pihak sekolah terletak pada perubahan sikap dan perilaku siswa yang semakin berkurang terhadap rasa hormat serta taat aturan. Praktek pembelajaran luring di masa new normal ini dilakukan di ruang kelas dengan jumlah siswa satu kelas sekitar 25 orang yang terdiri dari 3 rombel kelas VII, 3 rombel kelas VIII, dan 3 rombel kelas IX dengan jumlah siswa 218 orang. Dampak yang dirasakan siswa dengan adanya perubahan proses pembelajaran dari daring ke luring ini pada prestasi belajar, siswa merasa prestasinya meningkat pada saat pembelajaran luring diterapkan karna siswa lebih mudah memahami apa yang dijelaskan guru dibanding pada saat pembelajaran daring kemarin

Optimized Extraction of Polyphenols from Unconventional Edible Plants: LC-MS/MS Profiling of Polyphenols, Biological Functions, Molecular Docking, and Pharmacokinetics Study

Plant bioactive phenolic metabolites have recently attracted the attention of researchers due to their numerous health advantages. Therefore, this study aimed to investigate with advanced techniques the bioactive metabolites and antioxidant and antidiabetic capacity of four unconventional edible plant leaves: lemongrass (Cymbopogon citratus (DC.) Stapf), chicory (Cichorium intybus L.), moringa (Moringa oleifera Lam.), and ryegrass (Lolium perenne L.). The extraction process was optimized using different solvents. These plants’ phenolic composition, identification, and characterization have been determined herein using LCESI-QTOF-MS/MS. This research identified 85 phenolic compounds, including 24 phenolic acids, 31 flavonoids, 7 stilbenes and lignans, and 17 other metabolites. Moreover, the study determined that moringa has the highest total phenolic content (TPC; 18.5 ± 1.01 mg GAE/g), whereas ryegrass has the lowest (3.54 ± 0.08 mg GAE/g) among the selected plants. It seems that, compared to other plants, moringa was found to have the highest antioxidant potential and antidiabetic potential. In addition, twenty-two phenolic compounds were quantified in these chosen edible plants. Rosmarinic acid, chlorogenic acid, chicoric acid, ferulic acid, protocatechuic acid, and caffeic acid were the most abundant phenolic acids. In silico molecular docking was also conducted to investigate the structure–function relationship of phenolic compounds to inhibit the alpha-glucosidase. Finally, the simulated pharmacokinetic characteristics of the most common substances were also predicted. In short, this investigation opens the way for further study into these plants’ pharmaceutical and dietary potential

Radiological Parameters to Predict Hemorrhagic Progression of Traumatic Contusional Brain Injury

Introduction: Traumatic intracerebral contusion is a frequent factor culminating in death and disability, and its progression relates to unfavorable outcome. We evaluated the radiological factors associated with hemorrhagic progression of contusions (HPC). Materials and Methods: Two hundred and forty-six patients were enrolled in this prospective cohort over a period of 1 year. Contusion volume was quantified using the “ABC/2” technique, whereas progression was considered as >30% increase in the initial volume. Univariate and multivariate statistics were used to examine the correlation between the risk factors of interest and HPC. Results: HPC was seen in 110 (44.7%) patients. Binary logistic regression showed in the final adjusted model that multiplicity (relative risk [RR]: 2.24, 95% confidence limit [CL]: 1.00–5.48), bilateral lesions (RR: 2.99, 95% CL: 1.08–8.25), initial volume of contusion (RR: 4.96, 95% CL: 1.87–13.13), frontal location (RR: 1.42, 95% CL: 1.08–3.56), and presence of concomitant intracranial hematoma (extradural-RR: 3.90, 95% CL: 1.51–10.01, subdural-RR: 2.91, 95% CL: 1.26–6.69, and subarachnoid-RR: 2.27, 95% CL: 1.01–5.80) were significantly associated with HPC. The overall mortality was 18.7% and was almost equal among patients with and without HPC. Mortality was significantly associated with Glasgow Coma Scale on admission (adjusted RR: 12.386, 95% CL: 4.789–32.035) and presence of comorbid conditions (adjusted RR: 0.313, 95% CL: 0.114–0.860). Conclusion: Initial computed tomography scan is a good predictor of high-risk group for HPC