Globally, approximately 12% of the population is inflicted by various types of urolithiasis. Standard treatments are available to avert and treat urolithiasis, but with significant adverse side effects. Pentacyclic triterpenes represent a group of naturally occurring compounds with immense potential as treatments for kidney stones. This review aims to provide an integrative description of how pentacyclic triterpenes can effectively treat calcium oxalate urolithiasis through various antioxidant, anti-inflammatory, diuretic, and angiotensin-converting enzyme inhibition mechanisms. Some pentacylic triterpenes showing promising activities include lupeol, oleanolic acid, betulin, and taraxasterol. Moreover, future perspectives on developing pentacyclic triterpenes in formulations/drugs for urinary stone prevention are highlighted. It is anticipated that compiled information would serve as a scientific baseline to advocate further investigations on the potential of pentacyclic triterpenes in urolithiasis remediation.

Dr. salman ahmed

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

Medical research is defined as "all scholarly activities that deal with any of the areas of studies being conducted in the pre, para, and clinical areas being taught in a medical school". Such a definition is somewhat arbitrary, as medical research covers a much larger field and ultimately affects every individual. The results of research activities are directly translated into social action, such as pollution control, vaccinations, mass fluoridation and nutritional improvements. The eradication of diseases like smallpox, poliomyelitis and plague, the decline in the death rate from infectious and cardiovascular diseases, and the diagnosis of genetic disorders are some examples of how medical research helps to provide improved health care. Thus, the wealth of medical knowledge that grows through the process of discovery and research development becomes part of daily living. The aim of scientific research is always to extend the frontiers of knowledge and to discover rational correlations and principles [1, 2]. Medical research can be divided into biomedical (basic medical), clinical, and health science research. The areas overlap each other and health science research has a component of social research. Experimental research covers areas such as physiology, biochemistry, microbiology, pharmacology and pathology and is relatively easy to conduct. If adequate financial support is obtained, the necessary infrastructure for laboratory research could be built and experimental animals maintained in an animal house. For clinical research, the patients with a particular disease are the direct object of study. This type of research involves dealing with the clinical picture, diagnosis, therapy and prognosis of the disease. Dealing with human beings requires stringent regulations and precautions to be observed. It requires setting up a research team in the hospital to monitor and chart out guidelines involving the ethical dimension of the problem to be studied and maintain a systematic medical recording system. Moreover, it is through a prolonged study of a large number of cases of the same disease that clinical research learns to predict the likely prognosis and judge the efficacy of the treatment. This type of research activity has limitations in the form of having a restricted number of cases of the disease under investigation, a need to update one's knowledge concerning laboratory techniques from which he obtains his 'cues', and the longer time interval required to complete the work. Health science research is a recent development of medical research due to the demands placed on many health services. More often basic medical and clinical research go hand in hand and are inseparable. Furthermore, clinical research workers often conduct studies on experimental animals, due to either the limited number of human cases or for ethical considerations.

Mediterranean journal of pharmacy and pharmaceutical sciences

One of the most important challenges for a company is to manage its supply chain efficiently. One way to do this is to control and minimize its various logistics costs together to achieve an overall optimization of its supply network. One such system that integrates two of the most important logistics activities, namely inventory holding and transportation, is known as the inventory routing problem. Our replenishment network consists of a supplier that uses a single vehicle to distribute a single type of item during each period to a set of customers with independent and deterministic demand. The objectives considered are the management of supplier and customer inventories, the assignment of customers to replenishment periods, the determination of optimal delivery quantities to avoid customer stock-outs, the design and optimization of routes. A genetic algorithm (GA) is developed to solve our IRP. Different crossover structures are proposed and tested in two sets of reference instances. A comparison of the performance of different crossover structures was established. Then, it was used to find the most appropriate crossover structure that provides better results in a minor computation time. The obtained results prove the competitiveness of GAs compared to literature approaches, demonstrate the performance of our approach to best solve large scale instances and provide better solution quality in fast execution time.

Mohamed salim amri sakhri

This proposed work is used to optimize the costs of exceptional elements of machine cells for a variety of components in changing environments to have reduced material movements in cell layout. The exceptional ele¬ments are eliminated in the optimization model by doing machine duplication and part subcontract. Then the shop floor layout is designed to have optimized material movements between cells and within a cell. The result of a linear programming optimization model is cost savings, machines duplicated, parts subcon¬tracted, inter intracellular movements. Finally, the output of the inbound facility design is the floor layout which has machine cell clusters with optimized floor areas. The optimization model is provided with budg¬etary constraints for duplication and the economic tradeoff between machine duplication and part subcontract. Cell layout is prepared to reveal the saving in floor area and material movement lengths than in process layout with the help of distance matrix and dimensions of cells.

S ramesh

This article explores the increasing prevalence of mental health disorders and the pivotal role of Artificial Intelligence (AI) in diagnosis and treatment. It highlights how AI enhances diagnostic processes, continuous monitoring, and personalized mental health care experiences. The piece showcases examples of AI applications in detecting signs of mental illness through speech and video analysis, emphasizing improved accuracy for conditions like depression, Post-traumatic stress disorder PTSD, Attention deficit hyperactivity disorder ADHD, and Autism spectrum disorder ASD. Additionally, it discusses AI's role in continuous monitoring, prediction, and addressing the shortage of psychiatrists globally. The article concludes by introducing AI-based apps designed to assist individuals in managing depression, serving as complementary tools in collaboration with healthcare professionals. Overall, it underscores the transformative impact of AI on mental healthcare, offering innovative solutions for more effective, personalized, and accessible support.

Dhruvitkumar talati

Background Predisposing factors for chronic obstructive pulmonary disease (COPD) comprise endogenous genetic factors and exogenous factors such as positive and negative smoking, air pollution, inhalation of dust, and work-related chemicals. Because only a small percentage of smokers develop COPD, it is thought to arise as an outcome of environmental harm and a host’s response system, which boosts the tendency of the disease to arise. Objective To clarify the effect of smoking on the level of oxidant–antioxidant in patients with COPD. Patients and methods Thirty patients with COPD (20 smokers and 10 nonsmokers) and 40 healthy individuals (18 smokers and 22 nonsmokers) participated in this study. The investigations included measurement of malondialdehyde (MDA), superoxide dismutase (SOD) activity, catalase (CAT) activity, glutathione peroxidase (GPx), glutathione reductase (GR), vitamin C, and glutathione (GSH) content. Results SOD, CAT, GPx, GSH, GR, and vitamin C were significant lower (P<0.0001) among patients with COPD (smokers and nonsmokers) than in the control group, whereas the MDA levels were elevated (P<0.0001) in patients with COPD (smokers and nonsmokers) when compared with the control group. Moreover, the values of SOD, GSH, and GPx were significantly lower (P<0.001) in smokers with COPD as compared with nonsmokers with COPD. Finally, there was no significant difference in the level of MDA between patients with COPD (smokers and nonsmokers). Conclusion There is a significant reduction in the level of some antioxidants (SOD, GSH, and GPx) in smokers with COPD compared with nonsmokers with COPD, but other antioxidants (CAT, GR, and vitamin C) did not change significantly, whereas the oxidant levels (i.e., MDA) were relatively convergent in patients with COPD (smokers and nonsmokers). This, in turn, points to the modest role of smoking in the causation of oxidant–antioxidant imbalance in this diseas

Dr. mahmood a. al-azzawi

Human resource management is critical for hospitals but is frequently disturbed by employee retention issues. This research aims to determine the influence of compensation, organizational commitment, and work motivation on employee retention at Malahayati Medan. The research method applied is quantitative research by collecting data through questionnaires distributed from July to October 2022. The sampling method used is purposive sampling, with 78 employees as the sample. The data analysis method used is descriptive statistics, coefficient determination, multiple linear regression analysis, and hypothesis testing with t-test and F-test. The results of the t-test are compensation, organizational commitment, and work motivation partially influence employee retention. The results of the F test showed that all independent variables simultaneously influence employee retention and 61.1% of employee retention is influenced by compensation, organizational commitment, and work motivation. It is recommended for companies in similar industries pay attention to the results of this research.

Lila maria kaban

Febrile convulsions have been defined as any convulsion associated with a fever of more than 38 oC without central nervous system infection in a child aged six months to five years. Febrile convulsion can be divided into two groups of simple and complex seizures. This study aimed to determine the prevalence of febrile convulsions in Libyan children and to investigate the associated risk factors related to this type of seizure in children. 120 cases of febrile convulsions with one day - 12 years old were collected during from April to August 2022. A study has conducted in the Pediatrics Hospital in Bayda City, Libya about the prevalence of febrile convulsions in children, the data collection tool was a self-designed pre-tested validated questionnaire including general information such as age, gender, family history, and admission to the hospital. In addition, data such as body temperature, recurrent convulsion attacks, the condition of hospital admission, discharge status, the treatment in-hospital and out-hospital. The collected data were analyzed by using descriptive methods. Among the 120 children, the majority of the cases were aged between two years and five years old. The gender prevalence rate in this study was 55.0% in males and 97 of the children were hospitalized due to simple febrile seizure (80.8%), 92 of the cases with no family history of febrile convulsions (75.0%) and respiratory tract infections is the main cause of febrile convulsions. In conclusion, this study indicated that respiratory tract infections is the most common cause of febrile convulsions among Libyan children, however, a large sample study is needed to support this issue in Libya.

Mediterranean journal of pharmacy and pharmaceutical sciences

The COVID-19 crisis has impacted all dimensions of our lives say it as the public health, the labour system, the social interaction, the political debate, the use of public spaces, the economy, the environment, and last but not the least it has proved to be a major contributor to the cultural value system of the individual living in society. This research paper is to analyse and understand the changes enforced by this pandemic on Indian culture and individual of the society. It also analyses the context of COVID-19 scenario with special reference to Indian culture and Hofstede’s theory of cultural dimension. This research paper is an attempt to emphasize the changes in culture and value system during the COVID-19 pandemic faced by India. India is enriched enough in cultural dimensions to combat COVID-19. The Hofstede’s model analysed in depth also leads to this finding that it also fits well in the present context. Thus, it is hereby summed up that as India is enriched in its cultural values it has posed itself as a fighter for this pandemic

Mamta gaur

In April 2020, Food and Drug Administration (FDA) requested immediate withdrawal of all prescription and over the counter ranitidine products. Ranitidine recalled due to the presence of unacceptable level of carcinogenic substance N-nitosodimethylamine (NDMA). Several pharmaceutical manufacturers have issued ranitidine product recalls including brand and generic ranitidine. FDA alerts patients to stop using ranitidine and advised to talk with their health care professional about alternative treatments. In Libya, limited studies have been conducted to address people awareness and knowledge in this regard. The objective of this study was to assess people's awareness and behavior towards ranitidine recall and related issues. A cross-sectional study was conducted in Zawia city for two months. Online questionnaire was distributed to 300 participants. Descriptive statistics analysis using statistical package for social sciences (SPSS) version 26.0 was used. The study found that more than half of the participants and their family member were likely to utilize ranitidine inappropriately. They seem to consume ranitidine more often without medical consultation. The findings also showed that 82.5% of the participants that were using ranitidine obtained the drug from pharmacies after the date of announcing ranitidine withdrawal from the market by FDA. Furthermore, the vast majority of the participants were poorly informed or even they had no information about ranitidine toxicity and their perception of the dangers of continue use of this drug is limited. The participants argued that pharmacists do not provide slightly information about dispensed ranitidine. In conclusion, all results reported as benefits of the participants in the study whereas the participant's perception and awareness increased when a brief notification regarding the reason of ranitidine toxicity was provided.

Mediterranean journal of pharmacy and pharmaceutical sciences

The article devote to strategic planning of transport and logistical infrastructure development in territory of Siberia and Far East areas, network of regional terminals and the Multimodal transport logistical centers creation incorporated in regional logistical transport and distributive systems on the basis of formation uniform organizational-economic, information, scientific and technical and normal laws is expedient. It is the first in the literature that the multimodal logistical centers, which functions on the commercial basis, providing the coordinated interaction of all transport types and other participants of the logistical process, considered as basic elements of a International transport corridors logistical infrastructure and strategic points of Russia economy growth. Formation and development Purposes of International transport corridors in Russia territory are integration providing with the Russian transport in the European and world transport systems as the equal in rights partner.

Екатерина Аборкина

A mobile adhoc network is a Self-configuring network of mobile routers connected by wireless links. In the mobile adhoc network, each and every device moves independently in any direction so that there are frequent changes in the links. It is essential to learn the position of the neighbors because there is increase in location-aware services. So, there is a chance that the malicious nodes are easily abused the process. The significant problem in mobile networks is correctness of node locations and also it is primarily challenging in the presence of adversaries. So, the neighbor position verification protocol is used to a fully distributed, a lightweight NPV procedure which allows each node to obtain the locations advertised by its neighbors and asses their truthfulness. Further to extend neighbor position verification protocols in the proactive model that need to each node constantly verify the position of its neighbors. So, we introduce a technique called secure link state updating which provides secure proactive topology discovery that is multiply useful for the network operation. This technique is vigorous against individual attackers, it is capable to adjust its capacity between local and network-wide topology discovery, and also operating in networks of frequently changing topology and membership nodes. Experimental results show that the proposed system is high efficiency in terms of security when compared to the existing system.

Dr h shaheen

Abstract Cigarette smoking has been linked to health challenges of global concern. This study determined Body Mass Index (BMI), serum cotinine and C-reactive protein levels of smokers. Forty-five smokers and forty-five aged-matched non-smokers were recruited into the study. Informed consents were obtained from the participants. Ethical consideration was granted by Cross River State Ministry of Health. Blood samples were collected by standard phlebotomy. Smokers were categorized based on Smoking Pack Years (SPY) into light, moderate and heavy smokers. Serum cotinine and C-reactive protein levels were determined by spectrophotometry. Height and weights were measured and BMI calculated. The data were analyzed using SPSS version 23.0. Student’s t-test, ANOVA, Pearson’s correlation were utilized for comparison, results were considered significant at p<0.05. There was no significant difference (p=0.103) between the mean age of smokers and non-smokers. Mean BMI of smokers was significantly lower (p=0.015) than that of non-smokers. Mean Serum cotinine and C-reactive protein of smokers were significantly higher (p=0.001) than those of non-smokers. Mean age, serum cotinine and C-reactive protein levels vary significantly (p<0.05) among the smokers categorized based on SPY. BMI did not vary significantly (p=0.269) among the groups. A correlation between age and serum cotinine was negative (r=-0.359, p=0.016), and that between age and SPY was negative (r=-0.348, p=0.019). Correlations between cotinine and C-reactive protein and between cotinine and SPY were positive (r=0.928, p=0.001) and (r=0.947, p=0.001) respectively. A correlation between C-reactive protein and SPY was positive (r=0.957, p=0.001). The study had shown that C-reactive protein increases with cotinine levels and smoking pack years in smokers.

Eworo raymond

This study was conducted to develop and evaluate the Optimal Poly-1-Order (OP-1) model for approximating solar photovoltaic (PV) power generation. Using a mixed research method, the study employed Ibrahim’s simulation and prediction of grid-connected PV system theory with two objectives and their corresponding research questions. The study gathered primary and secondary data to approximate the implementation of a solar-PV system with an OP-1 model for generating electricity: optimizing energy production, load demands, and financial viability in the medical hostel facility of the University of Port Harcourt, Rivers State, Nigeria. With the use of simulation and descriptive methods of data analysis, results showed that the lighting system had 400 lights, each with 12W power. It operated for a total of 18 hours. Daily power consumption was 36,400 Wh. More so, it showed that 60 fans with 100W power were used during the same hours, resulting in a daily power usage of 108,000 Wh. Based on a comprehensive economic evaluation, the OP-1 solar-PV system was found to be economically viable for powering the medical hostel. The system met electricity demand, resulting in a remarkable 407% ROI and substantial savings for the grid, despite a lower optimized size of 193kW compared to the base peak generation of 383.90k. The study concluded and recommended that the proposed OP-1 Solar-PV power plant can meet the facility's electricity needs with a peak generation of 383.90kW and detailed energy analysis. Deploying this efficient solar-PV setup guarantees reliable and green electricity for the Medical Hostel, slashing the campus's carbon footprint and grid reliance.

Fxintegrity publishing

Blister beetle, Mylabris pustulata (Thunb.) is a polyphagous pest attacking flowers of pigeonpea (Cajanus cajan), cotton (Gossypium sp), lady’s finger (Abelmoschus esculentus), mungbean (Vigna radiata), urdbean (Vigna mungo), ricebean (Vigna umbellata) etc. throughout the country. Because of its polyphagous feeding nature and hard protective adaptation against insecticides, long term management of this pest with a single molecule is difficult. Therefore, field cum laboratory experiments were carried out for three consecutive cropping seasons during kharif 2008-09, 2009-10 and 2010-11 to find out the persistence and efficacy of different insecticides. It was found that decamethrin 2.8EC was 3334 times toxic with lowest LC50 value (0.0000563) followed by monocrotophos 36SL as compared with endosulfan which was the least toxic with LC50 value (0.1877). Insecticides evaluated for their persistent toxicity during 2009-10 revealed that decamethrin and thiodicarb caused cent per cent mortality of adult blister beetle immediately after spray. At 8th days after spraying, decamethrin caused 60 per cent mortality. Insecticides evaluated for their efficacy during the year 2010-11 revealed that the plants were found free from adult blister beetle population in treatments involving decamethrin and cypermethrin even at ten days after spray. Among all the treatments, spraying of thiodicarb 75WP @ 625 g ha-1 provided the highest grain yield (18.87 q ha-1). Maximum cost-benefit ratio was observed in monocrotophos 36SL, cypermethrin 25EC and decamethrin 2.8EC

Dr. babu lal jat

Paracetamol is one of the most found over the counter drugs worldwide. It is widely used as an analgesic and antipyretic drug. Many commercial types of paracetamol tablets are available under different brand names in the Libyan drug market. The present study was conducted to evaluate post-marketing quality parameters for three brands of paracetamol tablets marketed in Libya. All three brands were evaluated for weight variation, hardness, friability, disintegration time and uniformity of content following British pharmacopeia guidelines. The outcomes of this study showed all tested brands complied with the British pharmacopeia specifications for the weight variation test, friability test (0.05%-0.17%), and hardness test (171.3N-197.6 N). In addition, two brands passed the British pharmacopeia requirements for the disintegration time test, whereas one brand exceeded the allowed disintegration time by about five minutes. Furthermore, high performance liquid chromatography was used to determine paracetamol content. Although the average amount of paracetamol drug available in these brands is not very close to 100%, where one brand achieved the lowest value (438.1 mg), the loaded dose of paracetamol in selected tablets in the three brands was within the British pharmacopeia standard specifications for the uniformity content test. Therefore, it can be concluded that almost all the three tested brands of paracetamol tablets that are available in the Libyan drug market meet the British pharmacopeia specification for quality control analysis.

Mediterranean journal of pharmacy and pharmaceutical sciences

In this article, a systematic flow of contents was provided with regard to the synthesis of Atovaquone 1a on critical examination of the prior-arts. Several patents and study articles were published, disclosing different synthetic methods for the preparation of Atovaquone 1a at various scales. Based on the starting materials used, there are a few one-step, two-step and multi-step synthetic routes were reported with varied yields. In this work, we have put in our sincere effort to collect all the synthetic routes of Atovaquone 1a in detail with distinct and elaborate reaction schemes for a better and collective process clarity. From this review, global researchers will get a platform to re-design or re-work on the synthetic approach of Atovaquone 1a with better atom economy and purity. In addition, the drug commercialization angle could also be looked in during the design stage itself alongside green chemistry concepts. We have done the chronic analysis of study articles to highlight the commercial feasibility of the disclosed synthetic methods. A special emphasis was given to the synthetic routes with process development initiatives towards, recovery/reuse of costly starting materials/reagents/solvents and their feasibility for large scale manufacturing of drug Atovaquone 1a.

Mediterranean journal of pharmacy and pharmaceutical sciences

One of the unique features of Indian society is prevalence of caste system which was originated thousands of years back to demarcate the people engaged in different occupation or jobs. Initially it was not much rigid but gradually people belonging to upper castes for their own selfish means to maintain their monopoly made this arrangement hereditary and started treating people of lower castes disgracefully. For preservation of this system, people started controlling their women to prevent inter-caste marriages and the concept of endogamy came up. This robbed away many types of freedom from women. For women belonging to lower castes, this situation is worse as they are doubly subjugated on the basis on caste as well as gender. Men belonging to their own caste treat them as secondary beings. This paper throws light on this intersection. How intersection of these two kinds of inequalities place them at the lowest position in Indian society. Dr. B.R. Ambedkar rises as their leader who all his life worked for empowerment of downtrodden section of society. He argues that education is the primary tool for evading these differences among people. He further emphasizes to adopt the concept of exogamy to break the backbone of Indian caste system and to immediately leave a religion or culture which legitimizes such system of inequality among people of the same land.

Swati sharma

Penelitian ini adalah jenis penelitian deskriptif-kualitatif. Penelitian ini secara umum bertujuan untuk mendeskripsikan muatan nilai-nilai karakter yang terdapat pada buku siswa kelas IV Tema Indahnya Kebersamaan. Sumber data penelitian adalah buku siswa kelas IV Tema Indahnya Kebersamaan. Data penelitian berupa nilai-nilai karakter yang terdapat pada buku siswa yaitu nilai sopan, nilai santun, nilai religius, nilai nasionalisme, nilai mandiri, nilai gotong royong, dan nilai integritas. Berdasarkan analisis yang telah dilakukan, jumlah nilai karakter yang ditemukan sebanyak 84. Jumlah tersebut merupakan akumulasi dari semua tema yang terdiri dari tiga subtema yaitu keberagaman budaya bangsaku, kebersamaan dalam keberagaman dan bersyukur atas keberagaman. Adapun rincian jumlah setiap karakter yaitu: (1) sopan 2; (2) santun 4; (3) religius 22; (4) nasionalisme 26; (5) mandiri 10; (6) gotong royong 19; dan (7) integritas 1. Berdasarkan hasil analisis muatan nilai-nilai karakter pada buku siswa kelas IV tema Indahnya Kebersamaan dapat disimpulkan bahwa buku siswa tema Indahnya Kebersamaan kelas IV SD/MI memuat 7 nilai karakter.

Educare: journal of primary education