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Volume 9 Issue 6

S.No. Title & Authors Page No View
1

Title : A Case of Unilateral Exophthalmos Due To Thyroid Orbitopathy in A Clinically Euthyroid Patient

Authors : Adeel Ahmad Khan, Ahmad Radwan Mahmoud Muammar, Ijaz Kamal

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Abstract :

Graves ophthalmopathy (GO) is the most common extra-thyroidal manifestation of Graves’ disease (GD). Most cases of GO are bilateral whereas unilateral ophthalmopathy is less common. We report a case of a 24-year-old male with right sided exophthalmos for 6 months. He did not have any other visual or thyroid related symptoms. Laboratory results revealed low TSH, normal free T3 and free T4, elevated serum creatinine (418 umol/L) and positive TSH receptor antibodies US KUB showed features of chronic kidney disease (CKD). MRI Head showed unilateral thyroid associated orbitopathy. GO is still the most common cause of unilateral exophthalmos. Association between CKD and unilateral GO in clinically euthyroid patient is rare.

01-03
2

Title : Analysis of Transport Logistics Cost in Pakistan and CPEC Infrastructure

Authors : Noman Ashraf, Ni Lin, Muhammad Suleman, Waqas Farid

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China Pakistan economic corridor is a mega project signed in the form of an agreement between two countries to gain one mutual goal, economic growth in the region. With the huge investment capability of china and important geopolitical position of Pakistan, CPEC is like a catching straw for the drowning economy of Pakistan and a golden opportunity for China to develop a new Eurasian Land Bridge to expand its markets.  The project is based on one belt one road initiative to redevelop the ancient silk road. The population and infrastructure in china is not uniformed around the country. The most of the population lives in southeast of china called as Hu Huanyong Line [1]. While the western region is not much developed as compared to eastern region. Similarly, on Pakistani side the northern areas are not much developed. CPEC has a mutual goal of infrastructure development but it faces two different nations to work on it under different circumstances. The coast line of eastern china is 3500 km away from the Kashgar, northwestern city of china. While the Gwadar port is 1500 km away.  This does certainly decreased logistics cost for trade. The logistics cost is still different on both sides due to many reasons. In this research study we calculate the Road transport logistics cost in Pakistan and analyze the effect of CPEC infrastructure on Logistics. Further suggestions are concluded to develop cooperation in logistics on CPEC.

04-07
3

Title : The Application Mode and Effectiveness of Playful Positive Psychology Course with Six Bricks and DUPLO® Play Box for High School Students

Authors : Pay-Ling Harn

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Abstract :

This study was aimed at using the playful approach of Six Bricks and DUPLO® Play Box (SBPB) to develop the playful positive psychology course (PPPC) for Taiwan high school students. 21 Taiwanese high school students were invited to attend 2-hour SBPB PPPC, including 14 male students and 7 female students. The core curriculum content was based on the broaden-and-build theory of positive emotions. The "positivity-ratio scale" developed by Fredrickson was used to conduct pre-test and post-test. Paired-sample t test was adopted to evaluate the impact of SBPB PPPC on the positive emotions, negative emotions and positivity-ratios of high school students. The findings of this study were as follows: (1) positive emotions and positivity-rations exhibited upward trends, whereas negative emotions presented a declining trend. The positivity-ratio is from 1.79 to 13.54. After participating in the course, it is converted from below positivity-ratio 3 to above positivity-ratio 3. (2) The score of positive emotions, negative emotions, positivity-ratio achieved significant immediate effect.

SBPB PPPC has the effect of promoting positive emotional adaptation for high school students. Based on the results of the study, suggestions are made for the subsequent use of Six Bricks and DUPLO® Play Box in the adolescents’ curriculum.

08-11
4

Title : Breast Density and Aesthetic Outcomes of Volume Displacement Oncoplastic Techniques for Breast Cancer

Authors : Mohamed M. Farag, Mohamed I. Abdel Aziz, Ayman M. Essawy

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Oncoplastic breast surgery (OBS) is an evolving comprehensive surgical approach for the management of early breast cancer; it has been recently expanded to include a wide range of volume displacement and volume replacement procedures performed by surgeons to optimize both shape and volume of the breast following breast cancer surgery. Many studies have analyzed the role of many influencing factors including breast density on the final aesthetic outcome of the volume displacement techniques. From June 2016 to September 2018, 200 patients presented with unilateral primary breast cancer including multifocal and post neoadjuvant cases with predicted excision volume (PEV) less than 20% managed with volume displacement oncoplastic technique and fulfilling the other eligibility criteria of the breast conservative therapy; were enrolled in this prospective study. Breast density (BD) was determined by the mammography according to American College of Radiology (ACR) density score; aesthetic outcomes were objectively evaluated one year after surgery by the semi-automated Breast Cancer Conservative Treatment (BCCT) core software. Patients’ age has ranged from 27 to 74 years old (mean 43.4 ± 4.6 years), breast volume from 375 to 1140 cc (mean 735.5 ± 124.2 cc), and specimen volume from 64 to 220 cc (mean 120.3 ± 37.5 cc); total aesthetic results according to the objective BCCT core assessment were excellent in 41.5% (83 cases), good in 29.5% (59 cases), fair in 19.5% (39 cases), and poor in 9.5% (19 cases). Patients with high breast density ACR C and ACR D have achieved acceptable aesthetic results (excellent and good BCCT core outcomes) at a rate of 90% and 80% respectively in contrast to the low density breasts ACR B and ACR A (52% and 40% respectively). Breast density is one of the influencing factors of the aesthetic results of the volume displacement OBS; its preoperative value can refer to the most suitable oncoplastic surgical technique for each patient, expect the forthcoming postoperative complications, discrepancy and the necessity for contralateral symmetrization. Volume displacement OBS gives high aesthetic results with the high breast density and less acceptable results with the low one.

12-15
5

Title : Organizational Justice Dimensions and Relationship to The Turnover Intention

Authors : Amir Eilbeigi

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This research provides knowledge of the relationship between turnover intention and organizational justice. Employees state that behaviors and practices at work are affected by the behavior, choices and activities of the organization. If the organization does not deal adequately with all abilities and exercises, the employee may leave the organization. In this way, this article talks about the ideas and previous research that are identified with the previous problems.

16-19
6

Title : Implementation of Project-Based Learning in Environmental Education

Authors : Nurul Ain Zulhaimi, Siti Katijah Johari, Nur Shafiekah Sapan, Siti Aishah Ramliand Siti Nurul Aishah binti Abdul Hamid

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Abstract :

Environmental education is becoming more important and relevant as we reach the 21st century and the need for sustainable development to protect the earth for the future generation. The lacking of knowledge and awareness of the scarcity of our nature means there is that our natural resources becoming scarce and we are facing all types of environmental consequences. This paper explores the implementation of project-based learning in educating and enhancing ecological awareness among university students.  The application of project-based learning in solving and protecting precious earth environmental being discussed and presented. Also, this paper shows the value of the project-based approach by the respondents' reflection. It is proved that project-based learning has helped to nurture a positive attitude towards the environment. 

20-23