Miracle-dz/UniFAR-FTUs huggingface dataset:
Effect of Early Versus Late Umbilical Cord Clamping of Term Infants on Maternal and Neonatal Outcomes

Background: The umbilical cord is usually clamped immediately after birth. There is no sound evidence to support this approach, which might deprive the newborn of some benefits such as an increase in iron storage. however, there is very little evidence to suggest that the timing of cord clamping and cutting has an impact on the incidence of postpartum hemorrhage and other maternal outcomes. Design: This study utilized an experimental research design to identify the effect of early versus late cord clamping at of term infants on the maternal and neonatal outcomes. Setting: The study was conducted at labor & delivery units EL-Minia University hospital, Egypt. Methodology: A total sample of 100 parturient and their newborns comprised the study sample after gaining the mothers’ acceptance. They were equally divided and randomly assigned to two homogenous groups according to the time of cutting their newborn cord. Early cord clamping group (at < 1 min.) and late cord clamping group (at 1 to 3min.). Two tools were used for data collection namely: A structured interview questionnaire for assessing sociodemographic and obstetrical data and assessment tool for assessing maternal and neonatal haematological parameters and outcomes. Results: The findings of the present study were equivalent among both groups regards the mean maternal hemoglobin and hematocrit level, maternal blood loss, postpartum hemorrhage. For neonatal outcomes, the neonatal hematologic parameters were comparable and slightly elevated hematocrit and hemoglobin level among late cord clamping group compared to early group with no significant differences at birth and significant difference was observed at 24 hours later. This elevation was within the prespecified physiologic range. The prevalence of newborn with a hematocrit level of <45% at birth and after 24 hours was slightly higher among the early cord clamping group compared to late cord clamping with no significant differences. There were no significant differences in other neonatal and maternal outcomes. Conclusion: Delaying clamping of the cord for more than one minute to three minutes seems not to increase the risk of postpartum hemorrhage. In addition, late cord clamping can be advantageous for the infant by improving hematological values especially the status which may be of clinical value particularly in developing countries where infants access to good nutrition is poor. [Eman R Ahmad, Sahar A Aly and Kamal M. Zahran. Effect of Early Versus Late Umbilical Cord Clamping of Term Infants on Maternal and Neonatal Outcomes. J Am Sci 2012;8(9):745-752]. (ISSN: 1545-1003). http://www.americanscience. org. 102
Statistical Analysis of Traffic Accidents Locations Using Geographic Information System in Darbandikhan Town- Kurdistan Region of Iraq

Road traffic accidents are a major cause of premature death and disabilities. Every year the lives of almost 1.24 million people are cut short as a result of a road traffic crash. Between 20 to 50 million more people suffer non-fatal injuries, with many incurring a disability as a result of their injury. Road traffic injuries cause considerable economic losses to victims, their families, and to nations as a whole. These losses arise from the cost of treatment (including rehabilitation and incident investigation) as well as reduced/lost productivity (e.g. in wages) for those killed or disabled by their injuries, and for family member who need to take time off work to care for the injured. The aim of the traffic accident analysis to investigate the cause accidents, to determine hazardous locations and to determine to enhance road features, to evaluate traffic safety after enhancement. This kind of system often includes a database query tool to store and analysis information about accidents mainly to identify high crash locations, in other words hazardous locations along the road [2]. The advancements in using GIS and Remote Sensing techniques can be put to effective use in accident analysis. Although GIS has been used for over thirty years however it has only been recently used in the field of transportation. In addition, to promote linkage between various types of data for easy comprehension. This paper aims to observe and analyzed road accidents hazardous locations recognized according to accidents and traffic data and road information. The main purpose of this paper is to use Statistical GIS techniques, SPSS and high resolution imagery for detecting and determine the most critical accidents points along the external and internal roads of the study area. The study area for this research is Darbandikhan town and their surrounding landscape. Darbandikhan is one of the towns belong to Sulaimani Governance in Kurdistan Region at the northern part of Iraq.
ESTIMATION OF SERUM LIPID AND LIPOPROTEINS IN ORAL SQUAMOUS CELL CARCINOMA AND POTENTIALLY MALIGNANT DISORDERS

1Senior Resident, Dept. of Oral Pathology and Microbiology, Faculty of Dental Sciences, KGMU Lucknow 2Prof. & Head, Dept. of Oral Pathology and Microbiology, NIMS Dental College Jaipur 3Senior Lecturer Dept. of Oral 4Consultant, Dept. of Onco-Pathology, Bhagawan Mahavir cancer hospital and research centre, Jaipur 5Senior Resident, Dept. of Oral Pathology and Microbiology, Faculty of Dental Sciences, KGMU Lucknow
POTENTIAL VASCULAR COMPLICATIONS OF CHIROPRACTIC CERVICAL MANIPULATIONS: A REVIEW

Chiropractic is a system of complementary medicine based on the diagnosis and manipulative treatment of misalignments of the joints, especially those of the spinal column. During the last decade, the use of such complementary therapies have increased considerably. In spite of its increasing popularity, there is limited understanding of the true risk involved in chiropractic. Safety has been debated and estimates vary widely for the incidence of serious adverse reactions of chiropractic manupulations. Vascular accidents account for the majority of criticism surrounding chiropractic cervical manupulations, although there is disagreement about their association. The aim of this review is to investigate the risk of vascular complications of chirporactic cervical manipulation and their predictibilty as well.
PC1_OA_Ayan edit 1

Background: Seizure is a very common manifestation of a variety of disorders in pediatric age groups. The choice of antiepileptic drugs varies in different age groups in various doses, routes and frequencies. The perception of the care giver regarding proper use of medications is also equally important for success of pharmacotherapy. This study aimed to explore the prescribing pattern of seizure medications in pediatrics inpatients of a tertiary care hospital and assess the parent’s knowledge on drug intake simultaneously. Methods: A prospective observational study carried out with the prescription data of 107 children aged less than 18 years admitted in the pediatric department with the diagnosis of seizure and analyzed with descriptive statistics to obtain drug utilization indices. A questionnaire survey was employed on the parents of the children to assess their knowledge. Results: Neonatal presentation with seizure was more common than older pediatric age group. Commonest causes of convulsions were birth asphyxia with its sequel (84.78 %), CNS infection (39.34%) and epilepsy (32.79%). Monotherapy was highly prevalent (73.80%) with phenobarbitone and phenytoin being commonest drugs in neonatal and post-neonatal populations respectively. No newer generation antiepileptics were used. Generic prescribing was 28.03% with all the drugs being enlisted in essential medicine list. Average no. of anticonvulsants per prescription was 1.28. Parent’s knowledge about frequency of drug administration and food interaction was largely deficient. Conclusion: Monotherapy with older antiepileptics are preferred in pediatric indoor patients presenting with seizures. Parent education on appropriate use of medication is needed to rationalize the therapy.
STUDY OF SELF-ESTEEM AND EMOTIONAL MATURITY OF SENIOR SECONDARY SCHOOL STUDENTS

The present study has been designed to investigate the study the self-esteem and emotional maturity of senior secondary school students.For the purpose of the present study, a sample of 200 secondary school students (100 male and 100 female) of Ludhiana District.Self-esteem Inventories by Stanley Coppersmith. Emotional Maturity Scale (EMS) by Dr. Yashvir Singh and Dr. Mahesh Bhargava were used to measure the self-esteem and emotional maturity of senior secondary school students. The data was analyzed using Mean, S.D. , t-test. The findings of the study revealed that there exists significant difference between the self-esteem and emotional maturity of senior secondary school students. Further results revealed that there exists no significant difference between the self-esteem of male and female senior secondary school student and there exists significant difference between the emotional maturity of male and female senior secondary school students.
16. OA_Kirti_2_3_21

Background: This study was conducted to compare the three technique Conventional blind, Nerve stimulator guided and Ultrasound guided for Interscalene brachial plexus block in surgeries of upper limb. Methods: Total 60 patients were included in our study which were randomly allotted by closed envelope technique into either of the three groups namely Conventional blind (group CB), US-guided (group US) or NS-guided (group NS). The drug bupivacaine 0.5% (2 mg/kg) was used and diluted with normal saline to make a total volume of 30 ml. Results: Comparison between the Conventional blind (CB), Nerve Stimulator (NS) and Ultrasound guided (US) technique of interscalene brachial plexus block revealed that the block execution time, time of onset of sensory and motor block was significantly less in ultrasound group as compare to other groups. The mean duration of analgesia too, was significantly higher in both NS and US group (3 hr & 23 min ,3 hrs 30 min respectively), while it was 2 hr 47 min in CB group. The incidence of patchy effect (3 cases) and blockade failure requiring general anesthesia (4 cases) were significantly higher in CB group compared to NS group (2 cases each) and US group (1 case each). Conclusion: The success rate and effective quality of the block were more satisfactory with ultrasound technique than the nerve stimulator or conventional blind technique.
A PROSPECTIVE STUDY ON THE EFFECTIVENESS OF METFORMIN AND ETHINYL ESTRADIOL-CYPROTERONE ACETATE IN THE MANAGEMENT OF HYPERANDROGENISM IN POLYCYSTIC OVARY SYNDROME PATIENTS

Polycystic Ovary Syndrome (PCOS) is a common endocrine disorder affecting 5-8% of women of reproductive age group characterized by associated problems such as infertility, diabetes mellitus, hypertension, dyslipidemia, endometrial cancer, depression and hyperandrogenism. The aim of the review is to evaluate the effectiveness of Metformin and Ethinyl EstradiolCyproterone Acetate (EE-CA) in the management of Hyperandrogenism in PCOS patients. As there are only few studies in Indian literature regarding the evaluation of effectiveness of the drugs in the management of hyperandrogenism associated with PCOS, the present review is undertaken. The review had shown that EE-CA is a more effective way of treating hyperandrogenism and menstrual dysfunction compared to Metformin which outperforms EE-CA in improving insulin resistance, reducing Body Mass Index and improving ovulation.
Determinants Of Foreign Direct Investment In Mauritius: Evidence From Time Series Data

Over the last two decades Foreign Direct Investment (FDI) claimed an impressive economic record, as it enables economy to transit from an agrarian to knowledge based economy. This paper focuses on the determinants and impact of FDI in Mauritius using annual time series data from 1975 through 2015. The Vector Error Correction Model (VECM) analysis reveals that macroeconomic variables namely inflation rates and exchange rate are among the major and important factor that affect FDI in Mauritius over this period of time. Exchange rate exhibited negative significant influence on FDI while interest rate affects FDI positively. The study therefore recommends that government should continue to diversify the export and tourism markets, ensure stable macroeconomic policies, implement reforms on doing business, increase its expenditure in the area of infrastructural development and redirect FDI in productive sector of the economy as ways to accelerate the growth of Mauritian economy.
Association of HCV infection and diabetes mellitus type 2 in Damietta

Background: Hepatitis C virus (HCV) infection and diabetes mellitus are the major public health challenges with increasing morbidity and mortality disease burden. Several studies reported that HCV infection may also contribute to the development of diabetes mellitus. Objective: to clarify the presence of any possible relationship between HCV and type 2 Diabetes mellitus and the prevalence of diabetes mellitus in HCV seropositive patients in Damietta. Subjects and Methods: This is a case control study done on 70 HCV positive patients as a case group who were attended to Damietta University Hospital and 30 healthy individuals as a control group, during the period from May 2016 to April 2017. An informed consent was taken from all subjects participating in this study. All subjects included in this study were subjected to: Full history taking, Clinical examination and Laboratory investigation in the form of (complete blood picture, liver enzymes, S.albumin, T.bilirubin, fasting & 2hpp blood glucose, fasting plasma insulin and screening for HCV and HBV). Results: The results of present study showed no statistical significant differences between case and control groups as regard to age, sex and total leukocytic count. while there were statistical significant differences between case and control groups as regard to fasting plasma insulin, fasting plasma glucose,2hpp plasma glucose, ALT, AST, albumin, bilirubin, cholesterol and triglycerides. Conclusions: Many epidemiological studies have shown an association between T2DM and CHC. The processes through which HCV is associated with DM seem to involve direct viral effects, IR, proinflammatory cytokines, chemokines, suppressors of cytokine signalling, and other immune-mediated mechanisms. [Mohammed I. Aref, Mekky A. Ali, Mahmoud F. Salem and Mohammed E. Ahmed. Association of HCV infection and diabetes mellitus type 2 in Damietta. Nat Sci 2017;15(7):124-127]. ISSN 1545-0740 (print); ISSN 2375-7167 (online). http://www.sciencepub. net/nature. 17. doi:10.7537/marsnsj150717.17.
Brain MRI Medical Image Segmentation Using Fuzzy Based Clustering Algorithms

— In this paper, the performance of the various fuzzy based algorithms for medical image segmentation is presented. Fuzzy c-means (FCM) algorithm has proved its effectiveness for image segmentation. However, still it lacks in getting robustness to noise and outliers, especially in the absence of prior knowledge of the noise. To overcome this problem, different types of fuzzy algorithms are introduced with and without spatial information for medical image segmentation. The algorithm utilizes the spatial neighborhood membership values in the standard kernels are used in the kernel FCM (KFCM) algorithm and modifies the membership weighting of each cluster. In this paper, the available various fuzzy algorithms are tested on brain MRI which degraded by Gaussian noise and Salt-Pepper noise. The performance is tested in terms of score for the clustering of images.
Comparative evaluation of induction characteristics of Propofol and Etomidate during general anaesthesia

Introduction: In general anaesthesia, induction of patients with intravenous anaesthetic agents is a common practice. Induction is a very crucial time as at this time the patient is liable to undergo sudden unexpected haemodynamic changes due to the exaggerated physiological effects of the induction agents. Anaesthetist all the time needs to choose an agent with least adverse effects for the safety of the patient. Aim and Objective: In this study, our objective was to observe the effects of propofol and etomidate on the haemodynamics during induction of general anaesthesia. Materials and Method: The study included 60 ASA Grade I and II patients aged between 18 and 60 years who were given general anaesthesia for elective surgery. The patients were allocated to two groups randomly with 30 patients in each group. Patients induced with propofol 2mg/kg were assigned to Group P and those induced with etomidate 0.3 mg/kg were assigned to Group E. The groups were compared for the changes in systolic blood pressure (SBP), diastolic blood pressure (DBP) and mean arterial pressure (MAP)* The data collected was statistically analysed using the computer software SPSS. A “p” value of 0.05 or less was considered as statistically significant. Observation and Results: It was observed that in Group P after induction with the study drug there was a significant decrease in the haemodynamic parameters – systolic blood pressure (SBP), diastolic blood pressure (DBP) and mean arterial pressure (MAP) as compared to the parameters before induction (p ≤ 0.05). On the other hand in Group E the post induction values of haemodynamic parameters were not statistically different than the values before induction (p ≥ 0.05). Conclusion: Thus from our study, we came to the conclusion that etomidate when used for induction of general anaesthesia offers greater stability of haemodynamics than propofol and hence can be preferred as the agent of choice for induction of patients and especially more so for those with cardiac disease in whom stable haemodynamics are all the more important.
RELATIONSHIP BETWEEN DENTAL ANXIETY AND PAIN EXPERIENCE DURING DENTAL EXTRACTIONS

Objective: To assess the effects of anxiety on pain experienced during dental extractions. Methods: A prospective study was conducted during the academic year July-September 2016, randomly among 60 dental patients who visited the outpatient Department of Oral and Maxillofacial Surgery, Saveetha Dental College, Saveetha University, Chennai, for single tooth extraction. Anxiety was measured using the Hamilton anxiety rating scale. The pain was measured using the pain visual analog scale (VAS) for the level of pain perceived during extraction. Data collected were analyzed with Statistical Package for Social Sciences for Windows, Version 16.0 (SPSS Inc., Chicago, IL, USA) and results obtained. Results: From regression analysis, R2=0.605 which meant that the independent variable (anxiety) explained 60.50% of the variability of the dependent variable (pain) with significant t-value. There was a statistically significant correlation between VAS and total anxiety score (p<0.05). This strongly suggests that an increase in pain level is associated with an increase in anxiety level. Conclusion: Pre-operative dental anxiety is a major predictor of pain experienced by patients during dental extractions. Hence, it is an important to reduce anxiety before treatment to reduce pain during the treatment. Pharmacologic modalities like sedation can be used for reducing anxiety and pain related to the treatment in indicated patients.
OT2_OA_Praveena edit

Background: The objective of the study is to assess the central corneal thickness (CCT) among type 2 diabetes mellitus patients and to correlate the central corneal thickness with duration of diabetes, HbA1c and severity of diabetic retinopathy. Methods: A hospital based descriptive study was conducted in Govt Medical College Kannur, Pariyaram, from April 2017 to March 2018.CCT of known diabetic patients was correlated with duration of diabetes, HbA1c and severity of retinopathy. Results: The mean central corneal thickness in diabetic patient was 550.1± 35. 0μm with a range between 364 and 665 μm. Correlation of duration of diabetes and severity of diabetic retinopathy were not statistically significant. The CCT was thicker in patients with HbA1c more than 7% than HbA1c less than7% (p=0.005) which was statistically significant. Conclusion: We found that higher HBA1c level may be a marker for predicting the increase in CCT in patients with type II diabetes.
Giant Magnetic Flares about Kerr Black Holes: A Review

Introduction Since the discovery of Quasars in 1963, the nature of high-energy phenomena and processes, especially the energetic radiation and power generation of black holes (BHs) has been one of the most important subjects in modern astrophysics and astronomy [1,2]. In this field, the most striking enigma is the mechanism of the origin and evolution of the observed giant flares which manifest themselves via quasi-periodic oscillations (QPOs) [3,4], γ-ray bursts (GRBs) [5,6], outflow jets [7,8] etc., in the X/γ-ray spectra.
TESTING THE MODERATION ROLE OF LEADERSHIP FOR QUALITY IN THE RELATIONSHIP OF QUALITY MANAGEMENT PRACTICE AND INNOVATION PERFORMANCE

This paper focuses on the moderation role of leadership for quality on the relationship between Quality Management practices and innovation performance in hospitals of Kingdom of Saudi Arabia. Survey was implemented by sending a questionnaire to a selected sample of hospitals. The targeted respondents were the directors of the hospitals. The obtained data were analyzed using Partial Least Squire-Structural Equation Modeling. The results of the analysis showed that leadership for quality has a moderation role. Results of this study are helpful in enhancing the management and quality-based leadership for achieving higher levels of innovation performance. In addition, the study has contributed to the literature by adding the view of the important role quality in quality management and innovation performance.
Cardiovascular risk management after reproductive and pregnancy-related disorders: A Dutch multidisciplinary evidence-based guideline

Background In the past decades evidence has accumulated that women with reproductive and pregnancy-related disorders are at increased risk of developing cardiovascular disease (CVD) in the future. Up to now there is no standardised follow-up of these women becausee guidelines on cardiovascular risk management for this group are lacking. However, early identification of high-risk populations followed by prevention and treatment of CVD risk factors has the potential to reduce CVD incidence. Therefore, the Dutch Society of Obstetrics and Gynaecology initiated a multidisciplinary working group to develop a guideline for cardiovascular risk management after reproductive and pregnancy-related disorders. Methods The guideline addresses the cardiovascular risk consequences of gestational hypertension, preeclampsia, preterm delivery, small-for-gestational-age infant, recurrent miscarriage, polycystic ovary syndrome and premature ovarian insufficiency. The best available evidence on these topics was captured by systematic review. Recommendations for clinical practice were formulated based on the evidence and consensus of expert opinion. The Dutch societies of gynaecologists, cardiologists, vascular internists, radiologists and general practitioners reviewed the guideline to ensure support for implementation in clinical practice. Results For all reproductive and pregnancy-related disorders a moderate increased relative risk was found for overall CVD, except for preeclampsia (relative risk 2.15, 95% confidence interval 1.76–2.61). Conclusion Based on the current available evidence, follow-up is only recommended for women with a history of preeclampsia. For all reproductive and pregnancy-related disorders optimisation of modifiable cardiovascular risk factors is recommended to reduce the risk of future CVD.