International journal of health sciences
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The association between CKD-associated pruritus and quality of life in patients undergoing hemodialysis presenting to nephrology division, Khyber teaching hospital Peshawar
Background and Aim: Chronic kidney disease-associated pruritus (CKD-aP), commonly known as uremic pruritus is a frequent and inconvenient disease for patients undergoing hemodialysis. The purpose of the present investigation was to determine the association of CKD-associated pruritus with quality of life in patients undergoing hemodialysis presented to the nephrology division of Khyber Teaching Hospital Peshawar. Patients and Methods: This cross-sectional study was conducted on 227 CKD-associated pruritus patients investigated in the Nephrology Division of Khyber Teaching Hospital Peshawar from March 2022 to February 2023. Patients of either gender (>18 years) undergoing hemodialysis were enrolled. Demographic details, dialysis duration, duration of disease, and various comorbidities conditions were recorded based on a pre-designed questionnaire. Results: Out of 227 patients, there were 142 (62.6%) male and 85 (37.4%) female. The overall mean age was 40.82±6.82 years. The incidence of CKD-associated pruritus was 68.7% (n=156). The presence of various comorbidities such as diabetes mellitus, hypertension, hyperlipidemia, and cardiovascular disease was found in 30 (13.2%), 124 (54.6%), 16 (7.0%), and 6 (2.6%) respectively. The overall mean duration of CKD and duration on hemodialysis was 34.4 [12.0–48.0] months and 22.8 [12.0–36.0] months respectively. 
Influence of dental status on nutritional status of geriatric patients
Man's number one goal has always been to be in perfect health. In addition to the patient's socioeconomic status and eating habits, the patient's age is a major factor in the development of a number of medical illnesses and diseases that have a nutritional component. The goal of this study is to put together what has been learned about the relationship between food and oral health in older people from other studies. A cross-sectional study needs to gather clinical data. Six months at the RAK College of Dental Sciences' outpatient center. The data for the study came from the older people who went to the RAK outpatient center. Patients are chosen for samples based on their health and culture, which is separated by gender. There may be a total of 40 people, with about 20 men and 20 women. Patients of both sexes are put into groups based on their habits and health problems. The patients will be given a piece of paper with a list of questions on it. Most patients, regardless of age or gender, were labeled with cardiovascular and endocrine diseases. 
Patterns of skeletal class II in patients reporting to Ayub Dental Section
Researchers have used a variety of techniques to distinguish between the distinct elements of malocclusion. While some academics have used various indices to determine prevalence, the majority of researchers have followed Angle's categorization. Individual malocclusion studies, such as those looking at class II or class III malocclusion, have employed cephalometric analysis. Objectives: There is currently a lack of information in the literature about the prevalence of malocclusion in the Abbottabad region generally in the city among people of different ages that might benefit from orthodontic services. This study's goal was to assess local population skeletal class II patterns in order to better treat patients at the appropriate time by utilizing variations in skeletal class II patterns' growth periods. Methodology: From February 2022 to April 2023, the Department of Orthodontics at Ayub Dental Section, Abbottabad, conducted this retrospective (cross-sectional) study. The institutional ethical committee at Ayub Medical College in Abbottabad gave its approval to the plan. On a specially created proforma, data for 100 patients were collected using prior records. Patients of either gender who had skeletal class II jaw relationships with any dental relationships and were between the ages of 8 and 35 were required to meet the inclusion criteria
Effect of gut microbiome alteration in inflammatory bowel disease: Microbiome-based therapy for irritable bowel syndrome
High morbidity rates are associated with inflammatory bowel diseases such as Crohn's disease and ulcerative colitis. New studies have suggested that dysbiosis may play a role in the etiology of inflammatory bowel disease, although the cause of IBD remains unknown. Several disease pathologies, such as inflammatory bowel disease, have been associated with the intestinal microbiota, a metabolic organ with multiple physiological functions. This review summarizes the present level of knowledge regarding the impact of altered gut microbiota in inflammatory bowel disease, the mechanisms by which this occurs, and the potential significance of therapeutic methods based on gut microbiota in the prevention and treatment of IBD. It has been demonstrated that directly targeting the intestinal microbiota can treat both inflammatory bowel disease and colitis in humans and animals. To characterize the core microbiome associated with IBD and the underlying pathophysiology, however, additional research employing well-designed randomized control trials and animal models is required, as there are currently insufficient data and contradictory results from previous studies. The environment will influence the probiotic and prebiotic treatment for IBD
Experience of mothers with a history of preeclampsia in pregnancy: Scoping review
Pre-eclampsia is a disease that can occur in pregnancy, and is one of the causes of death in large numbers in childbirth. One indicator of a country's health status is the low maternal mortality rate, where preeclampsia is one of the main causes of maternal death. Objective this Scoping Review is to review and map research on mother's life experience with a history of preeclampsia in pregnancy. Scoping Review it uses framework PRISMA-ScR with search of articles through relevant databases Pubmed, ScienceDirect, and Willey then do Critical Appraisal use The Joanna Briggs Institute (JBI). Based on the search results of the selected 921 articles, there were 10 articles that met the inclusion criteria, and then the review process was continued to identify keywords that resulted in 3 themes, namely Mother's Experience with a history of preeclampsia in pregnancy Impacts related to preeclampsia in pregnant women and Outlook Society believes that preeclampsia is a disorder of evil spirits. History of preeclampsia in pregnancy still really need attention from families and health workers, especially from the aspect of vigilance for the symptoms that are felt and the importance of information about preeclampsia in pregnancy
The impact of a proposed physical sport program to develop water buoyancy as a swimming skill among students
This study aimed to identify the effect of a proposed educational program in swimming on the level of skill performance for the skill of buoyancy in water and the degree of fear for first-year students of the Common Core of the Institute of Physical Education and Sports. A proposed educational program was developed for a period of four weeks at a rate of two educational units per week. The study sample was chosen intentionally and consisted of 10 students who had no previous swimming experience. We used the experimental method on a study sample of students from the Institute of Physical Education and Sports at Hasiba Ben Bouali University, and they were randomly distributed by lottery into two equal and equal groups, one of which was experimental to which the educational program was applied and the other a control group to which the regular generalization curriculum was applied
The effect of peer support group (PSG) on stress levels of parents with mental retardation children in Bogor
Raising a child with mental retardation is an extraordinary and very emotional experience for parents and can affect the functioning of the family as a whole. The study shows that parents of children with mental retardation experience higher levels of stress and are at risk of mental health problems compared to parents of normal children. One of the efforts to reduce stress is by peer support group (PSG). Peer support group is a gathering of similar groups that carry out activities with the aim of improving coping, providing social support, sharing experiences, reducing fear and worry. This research aims to obtain an overview of the effect of PSG on stress levels in parents of mentally retarded children in Bogor City. This research is a quantitative study with a quasi-experimental pre test–post test control group design method to compare the intervention results of two groups: the intervention group (parents who received PSG and the control group (parents who did not receive PSG). Results showed that there was a significant effect on stress levels after PSG was carried out with P value of 0.000 at α 0.005. 
Frequency of Diabetic and Non-diabetic patients having fetal anomalies at 3rd trimester using ultrasound
Background: Pre-gestational or gestational diabetes in pregnancy is now more common among pregnant mothers as a result of the obesity pandemic. Objective: To determine frequency of diabetic and non-diabetic patients having fetal anomalies at 3rd trimester using ultrasound. Methodology: Descriptive study was conducted at radiology department Chughtai Lab, Lahore. About 250 Diabetic and Non-Diabetic pregnant women of all age were included in this study. Consecutive sampling technique was used Data was analyzed by SSPS version 24.0. All quantitative variables were reported in mean ± S.D were presented in frequency and percentage and bar charts were presented. Results: The mean age of 250 participants was 28±5.1 with minimum age of 15 years and maximum age of 45 years. Out of 250 participants, 210(84%) had no Gestational Diabetes Mellitus and 40(16%) had Gestational Diabetes Mellitus. Out of 250 patients, 204(81.6%) had adequate Amniotic Fluid Index value, 27(10.8%) had Oligohydramnios and 19(7.6%) had Polyhydramnios. In our study 16(6.4%) diabetic patients and 26(10.4%) non-diabetic patients have anomalies. Conclusion: The study concluded that frequency of anomalies doesn’t depend on patients being diabetic or non-diabetic. As in our study diabetic patients are lesser anomalies than the non-diabetic patients.
 
Zone defense exercises to develop agility and balance and their impact on the offensive skills of wheelchair basketball players
The aims of the research Preparing the Zone defense exercises to develop fitness and balance and their impact on the offensive skills of basketball players on wheelchairs, and to learn about the impact of the Zone defense exercises to develop agility and balance and their impact on the offensive skills of basketball players on the wheelchairs, and the experimental curriculum adopted the design of the experimental and control groups, on a sample of players Maysan Governorate Committee on the (12) moving chairs, who are continuing their training for the season (2021-2022), were chosen intentionally from their asset in the comprehensive method by (100%), and then divided into the two groups with an equal number, and after specifying the appropriate tests for the privacy of this The sample, the region's defense exercises were tried for a period from 18/4/2022 to 15/6/2022, and then treatment by (SPSS), The Extracts and applications were that the Zone defense exercises are important and effective to develop agility, balance and offensive skills for basketball players on wheelchairs, and that agility and balance is a major requirement for the success of the attacking skill performance in basketball because they contain movements that require attention and rapid action
Effect of bubble PEP on vital parameters in hospitalized COPD patients-an experimental study
Chronic bronchitis and emphysema are included in the group of illnesses known as Chronic Obstructive Pulmonary Disease (COPD). Breathing becomes more difficult with COPD with time. Although lung damage cannot be reversed, lifestyle adjustments and medication adjustments can help to manage the symptoms. It is seen most frequently in adults all over the world and which has a negative impact on the patients' quality of life as it relates to their health, presents a significant obstacle for medical professionals and other health care workers. The biggest cause of death throughout the world is COPD. The prognosis of COPD patients may be improved by the management of functional and psychological deficits, as well as the reduction of activity restrictions. According to the new GOLD recommendations that has released in 2020, the goal focuses on the symptomatic treatment of COPD and the reduction of the risk of adverse health events that will have an effect on COPD patients over the long run in the form of exacerbations. In this paper we studied an effect of bubble PEP on vital parameters in hospitalized COPD patients. The data collection was done through sample collection techniques.