bluuebunny/crossref_metadata_2025 huggingface dataset:
Experimental Assessment of a Refrigeration System Powered by a Gasoline Engine Utilizing GasolineBioethanol Mixture
Authors: Alajede A. M Alajede A. M , Olafimihan E.O Olafimihan E.O , Ogunsola A.D Ogunsola A.D , Sangotayo E.O Sangotayo E.O
Published: December 2024

Dependable refrigeration is essential for vaccine
preservation, especially in distant and resourcelimited areas with unstable electrical supply.
Gasoline-powered refrigeration systems present a
viable option to electric-powered units; however,
their efficacy and environmental consequences
necessitate comprehensive assessment. This study
investigated the experimental evaluation of a
gasoline-powered refrigeration system featuring a
micro-cooling compartment specifically intended
for vaccine storage. Gasoline-bioethanol blends
(E0, E5, E10, and E15) were evaluated in a fourstroke spark-ignition engine to enhance fuel
economy and environmental sustainability. The
physicochemical characteristics of these blends,
such as pour point, octane number, cetane number,
viscosity, density, carbon residue, and heating
values, were examined to ascertain the optimal fuel
composition. The system's effectiveness was
estimated using COP.
The findings reveal that the E10 gasolinebioethanol blend exhibited significant performance
attributes, featuring appropriate octane ratings,
viscosity, and density, alongside less carbon
residue of 74% and an improved heating value of
410 MJ/kg and COP value of 12%. The
employment of the E10 blend significantly reduced
CO₂ emissions and enhanced engine performance,
rendering it a viable fuel option for gasolinepowered refrigeration systems in this context.
This study emphasizes the promise of E10 as a
more environmentally friendly and efficient fuel
option for gasoline-powered refrigeration systems,
enhancing engine performance and aiding in the
reduction of carbon emissions. This research
provides significant insights into sustainable
refrigeration options for vaccine preservation in
environments where conventional refrigeration is
impractical, hence enhancing public health in
neglected communities.
A Comprehensive Survey on AI-Driven Fashion Technologies: Clothing Detection, Recommendation Systems, and Virtual Try-On Solutions
Authors: Aakash V B Aakash V B , Akmal Abdulla , Chandrababu Amrutha , Jose Ashwin , Vijay Alka
Published: December 2024

The rapid development of AI, deep
learning, and computer vision redefined the fashion
industry landscape, with the fast development of
advanced systems for managing clothing,
recommending styles, and providing a virtual
fitting experience. This survey paper discusses
recent attempts made in the fields, and for that
reason, it analyzes ten different studies that were
centered on various aspects-from deep CNNs that
have been applied for clothing detection to AR
applications that have been used for virtual trials of
fittings and intelligent wardrobe management
systems. Analyzing methodologies, data sources,
and the results of such investigations, the present
paper provides an extensive summary of conditions
existing with regard to technology within fashionoriented AI systems. The survey shines a light on
enormous challenges, trend changes, and future
avenues, through which understanding is well
deepened about the impact of AI and computer
vision in the alteration of experiences into
fashionable customized individuality.
Impact of Spatial Distribution on Green Space Utilisation Patterns during Pandemics in Jos.
Authors: Demshakwa James Demenongu , Prof Sati. Y.C Prof Sati. Y.C , Omoikhefe Ola-Adisa (Phd) Prof Erekpitan
Published: December 2024

This study investigates the impact of spatial
distribution on green space utilization patterns
during pandemics in Jos, revealing critical insights
into urban resilience and public health. Amidst the
challenges posed by the COVID-19 pandemic,
equitable access to green spaces emerged as a
pivotal factor influencing community well-being.
Utilizing a quantitative approach, data were
collected from a sample of 153 respondents
through structured questionnaires, and analyzed
using Partial Least Squares Structural Equation
Modeling (PLS-SEM). The findings substantiate
three key hypotheses: equitable spatial distribution
of green spaces significantly enhances community
resilience, promoting mental and physical wellbeing across diverse socioeconomic groups (Bvalue = 0.27, P-value = 0.00); equitable distribution
of urban resources significantly reduces
socioeconomic disparities, fostering a more
sustainable urban environment (B-value = 0.61, Pvalue = 0.02); and equitable spatial distribution of
green spaces significantly increases their utilization
during the pandemic, leading to improved health
outcomes (B-value = 1.03, P-value = 0.00). These
results underscore the importance of strategic urban
planning that prioritizes equitable access to green
spaces as a means to enhance community resilience
and health during crises. Consequently, it is
recommended that policymakers focus on
developing and maintaining green spaces in
underserved areas, implement public awareness
campaigns about their benefits, and foster
collaborative governance to ensure sustainable
management. This approach not only addresses
health disparities but also promotes a more
inclusive and resilient urban environment in Jos
and similar contexts.
Survey on AI Driven Gym Assistant with Pose Recognition
Authors: Krishna R Devi , Devinandana D Devinandana D , Jayalakshmi V Jayalakshmi V , Merin Mary Sabu Merin Mary Sabu , Asst Prof. Shiny B Asst Prof. Shiny B
Published: December 2024

In our research, we reviewed studies
focusing on pose estimation and correction of forms in
exercising using deep learning and machine learning
approaches. One such model was the CNN-LSTMbased model that used a combination of spatial and
temporal attributes for the recognition action with
satisfactory accuracy. Another system utilized
OpenPose in real time for pose estimation and
improved postures of exercises like bicep curls,
shoulder presses, etc. Other researches used 3D pose
estimation methods, such as VIBE, for the detection of
repeated exercises with a high rate of precision. Other
researches utilized wearable sensor data and machine
learning techniques to monitor exercise posture. One
research focused on arm and shoulder exercises of the
user. AI-based models such as Bi-GRU were capable
of providing real-time feedback while the user was
performing squats so that he did not hurt himself.
Advancement on tracking and exercise performance
improvement capabilities was also evaluated through
humanoid fitness trainers and pose-guided graph
convolutional networks. Examples of such studies
hereby establish the potentiality of AI-driven systems
for health monitoring and personalized exercise
feedback.
A Survey on Agricultural E-Commerce Application for Small Scale Farmers with Crop Yield Prediction
Authors: Varghese Anju Elsa , Moncy Melvin Elsa , Krishna S Sanmay , Shahma Shahma , Thomas Sherin , Dev Asst Prof. Suvarna
Published: December 2024

The agricultural industry has come
to understand more and more in recent years how
crucial technology is to improving farming
operations’ profitability and efficiency. The
creation of user-friendly agricultural e-commerce
platforms that help small-scale farmers sell their
produce directly to customers or work together for
bulk sales is the focus of this research review,
which aims to maximize profitability. Additionally,
the incorporation of machine learning models for
agricultural yield prediction is investigated,
emphasizing the importance of vari- ables like soil
quality, climate, and resource availability. These
tools help farmers make educated decisions about
planting and harvesting by giving them predicted
insights. The survey also emphasizes how these
platforms help buyers access markets more easily
by providing a wide selection of regional
agricultural products and expediting transactions.
Through the removal of middlemen, these techbased solutions advance equitable pricing, fortify
regional farming communities, and eventually
improve the agriculture industry as a whole.
Effect of Periwinkle Shell Ash on Compressive Strength and Brittleness of Cement-Stabilized Lateritic Soils
Authors: Omotoyosi Awanu Timothy
Published: December 2024

This study focuses on predicting the strength
characteristics, including compressive strength and
brittleness index, of lateritic soils stabilized with a
periwinkle shell ash (PSA)-cement mixture. The
Scheffe mix model, transformed using Osadebe’s
principle, was employed to develop models that
predict these properties. The validation of these
models shows significant improvement in strength
and durability with the addition of PSA. The
interaction between PSA, cement, and water proves
crucial in determining the optimal mix for
enhancing soil strength. PSA is a promising ecofriendly alternative to conventional stabilizers in
geotechnical applications
Survey on Warehouse Monitoring and Management using AI
Authors: Ann Mathews Reshma , Aleena KV Aleena KV , Abhilash Aparna , Dev Nand D Dev Nand D , Devarajan Kavya
Published: December 2024

Warehouse monitoring and
management utilizes artificial intelligence to
enhance efficiency in inventory tracking, stock
counting, and database management. The system
enables real-time updates to ensure accurate stock
levels, allowing for quick adjustments based on
incoming and outgoing goods. By automating
stock counting, it reduces human error and
speeds up the process, facilitating timely
replenishments. The integration of a real-time
database supports dynamic billing generation,
streamlining the financial aspects of inventory
management. Additionally, the system manages
distributor and company databases, ensuring
seamless communication and coordination among
stakeholders. This AI-driven approach not only
optimizes operational workflows but also improves
overall productivity,making it an essential tool for
modern warehouse management.
Effects of Diversification Strategies on Organizational Competitiveness
Authors: Okonkwo, E. P Okonkwo, E. P , Eromafuru, E. G Eromafuru, E. G , Osazevbaru, H. Osazevbaru, H.
Published: December 2024

The study examined the effects of diversification
strategies on organizational competitiveness of
selected manufacturing firms in Delta State. This
study adopted a descriptive research design. The
study's population included 100 personnel from the
staff of the selected manufacturing firms in Delta
State. The sampling technique that was used for the
study is simple random technique. The sample size
of 80 respondents for the study was determined
using Taro Yamane’s formula. Data collected from
the field survey were analyzed using descriptive
statistics, correlation and multiple regression
analyses. The researcher used self-developed
questionnaire as instrument for data collection.
Findings showed that product diversification
strategy (ß = 0.431, p <0.05) and market
diversification strategy (ß = 0.277, p<0.05) has
significant positive effect on organizational
competitiveness. Findings showed that 32% of the
change in organizational competitiveness was
brought about by the dimensions of diversification
strategies. The study concluded that diversification
strategies have positive effect on organizational
competitiveness of selected manufacturing firms in
Delta State. The study recommended that
companies should maintain high standards of
quality control for all products, including the newly
diversified ones. Consistency in product quality is
essential for building customer trust.
Proximate and Mineral Analyses of Onion (Allium Cepa) and Garlic (Alliumsativum)
Authors: lortile, M. T lortile, M. T , Burbwa, V Burbwa, V , Akoso, V. N Akoso, V. N , Okopi, P.A Okopi, P.A , Abah, C. N Abah, C. N , Emmanuel, J. E Emmanuel, J. E
Published: December 2024

Allium cepa (onion) and Allium sativum (garlic)
are essential spices in the Allium family that offer
significant nutritional and medicinal benefits for
household and industrial uses. This study
performed proximate and mineral analyses of the
two spices using standard official methods of food
analysis and Atomic Absorption Spectroscopy
(AAS) respectively. Proximate analysis of onion
and garlic gave the respective values (in
percentages): moisture (74.467 ± 1.513 and 61.300
± 3.148); ash (1.708 ± 0.088 and 3.282 ± 0.471);
crude fibre (1.893 ± 0.050 and 2.234 ± 0.507);
crude fat (1.198 ± 0.144 and 0.884 ± 0.015);
protein (2.3613 ± 0.134 and 5.437 ± 0.131) and
carbohydrate (18.402 ± 1.418 and 26.863 ± 3.048).
From the mineral analysis, significant values were
obtained for some essential elements (in mg/kg):
Calcium (199.700 ± 0.300 and 168.475 ± 0.004);
sodium (336.575 ± 0.014 and 52.950 ± 0.002);
potassium (185.125 ± 0.005 and 246.325 ± 0.019)
and magnesium (117.625 ± 0.003 and 161.975 ±
0.005) for onion and garlic respectively. The results
from this study showed that, although garlic may
have more potential, both spices are excellent
supplements for human nutritional and medicinal
needs.
Zanlock Bricks: One-Size-Fits-All Solution to Interlocking Bricks Shape and Form for Wall Construction in Nigeria
Authors: Akaka UJI, Zanzan , Ishaya Tanko , Erekpitan Ola-Adisa , Sani-Tal Adamu , Inalegwu Ella,
Published: December 2024

This project underscores the interest that the use of
interlocking bricks, called mortarless construction,
has generated in the last couple of decades in
Nigeria in replacement of conventional means of
wall construction. Although the focus of all
interlocking bricks seems to be on elimination of
mortar as a component of wall construction and
hence reduction of cost and labour, as well as
enhancement of speed of construction, the vastness
of the number of shapes and forms in which
interlocking bricks seem to be emerging, appears to
give the impression of an anxiety to show which of
the emerging forms has the most innovative design.
Having observed the prospective value and
sustainability of the mortarless construction idea,
this study has sought to make its own foray into the
field by taking the idea a notch higher. From the
review of the plethora of forms and shapes of the
existing interlocking systems, the study has
developed a more unique interlocking brick system
named Zanlock Bricks, designed to be a “one-sizefits-all” solution to the cornucopia of the available
interlocking brick shapes. It creates a form whose
interlocking combinations appear endless and
depend only on the creative ingenuity of the
builder. Taking advantage of these apparently
endless combinations of the Zanlock Bricks, the
study has further introduced a new concept called
Design for Deconstruction (DfD) which permits
disassembly and reconstruction of forms of the
mortarless construction as many times as
circumstances may demand and in as many
different configurations and in as many locations as
the ingenuity of the builder permits his creative
exploration, in order to allow for flexibility of the
houses that may be needed for the poor and the
most vulnerable groups in Nigeria.
Analisis Tingkat Kepuasan Petani Terhadap Kinerja Penyuluh Pertanian Lapangan di Kabupaten Aceh Barat
Authors: Ida Armayanti
Published: December 2024

This research was conducted to analyze the level of farmer satisfaction with the performance of Field Agricultural Extension in Johan Pahlawan District, West Aceh Regency. The location in the research was conducted in Johan Pahlawan District, West Aceh Regency, with the total population taken being all rice farmer groups in Johan Pahlawan District, West Aceh Regency. The sampling method was carried out using stratified random sampling. The data analysis method used in this study is to use quantitative analysis and data analysis using simple linear regression analysis. To analyze the respondent's level of agreement, it is measured using a Likert scale. The results of the study found that farmer satisfaction can be significantly influenced by field agricultural extension performance variables in the sense that field agricultural extension performance variables are factors that can significantly increase farmer satisfaction in Johan Pahlawan District, West Aceh Regency.
Efektivitas Penggunaan Aplikasi WargaKu dalam Meningkatkan Pelayanan Publik di Kota Surabaya
Authors: Adilita Vara Riya , Rahmawati Imelda Dian
Published: December 2024

This study investigates the effectiveness of the "WargaKu" mobile application in enhancing public services in Surabaya. The "WargaKu" app facilitates public complaints and interactions between citizens and the local government. Using a quantitative descriptive method, data were collected through online questionnaires distributed to 40 respondents. The results show that the "WargaKu" app significantly improves service efficiency, transparency, and responsiveness. It enables real-time reporting and tracking of complaints, resulting in quicker resolution and higher citizen satisfaction. The study concludes that the "WargaKu" app effectively enhances public service delivery in Surabaya.
Intelligent Tuberculosis Detection System with Continuous Learning on X-ray Images
Authors: A'yuni Qurrata , Nasaruddin Nasaruddin , Irhamsyah Muhammad , Azhary Mulkan , Roslidar Roslidar
Published: December 2024

Tuberculosis (TB) has become a global health threat with millions of cases each year. Therefore, rapid and accurate detection is needed to control its spread. The application of artificial intelligence, especially Deep Learning (DL), has shown great potential in improving the accuracy of TB detection through DL-based X-ray image analysis. Although many studies have developed X-ray image classification models, very few have integrated them into web or mobile platforms. In addition, the models integrated into these platforms generally do not apply continuous learning methods so that model performance cannot be updated. Thus, it is necessary to build an intelligent system based on a web application that integrates the ResNet-101 model for TB detection in X-ray images. This system utilizes continuous learning methods, allowing the model to automatically update itself with new data, thereby improving detection performance over time. The results showed that before continuous learning, the model successfully classified all TB images correctly, but was only able to classify two normal images correctly, resulting in an accuracy of 62.5%. After manual continuous learning, the model showed an increase in accuracy to 71.4%, with better ability to recognize normal images, although there was a slight decrease in performance in detecting TB.
Peningkatan Kualitas Air Bersih di Masjid Al Mushlih RW 07 Desa Wargaluyu Kecamatan Arjasari Kabupaten Bandung Melalui Implementasi Sistem Filter Air
Authors: Deri Rahmi Rismayani , Marvin Marvin , Permana Maya Raeimona , Kamaludin Kamaludin , Dianti Salma Ratna
Published: December 2024

Kualitas air bersih merupakan aspek penting dalam menjaga kesehatan dan kenyamanan masyarakat, terutama di fasilitas umum seperti masjid yang berfungsi sebagai pusat aktivitas keagamaan dan sosial. Masjid Al Mushlih di RW 07, Desa Wargaluyu, Kecamatan Arjasari, Kabupaten Bandung, menghadapi masalah serius terkait kualitas air yang sering tercemar oleh berbagai zat berbahaya, termasuk bakteri patogen dan bahan kimia. Pengabdian masyarakat ini bertujuan untuk meningkatkan kualitas air di masjid tersebut melalui implementasi sistem filter air yang dirancang khusus untuk kondisi lokal. Metode pengabdian masyarakat yang digunakan adalah observasi lapangan, wawancara dengan pengurus masjid, serta analisis laboratorium terhadap sampel air sebelum dan sesudah penerapan filter. Hasil pengabdian masyarakat menunjukkan bahwa sistem filter air yang diterapkan berhasil secara signifikan mengurangi kontaminan dalam air, meningkatkan kejernihan, dan memastikan bahwa air yang digunakan untuk keperluan ibadah dan kegiatan lainnya memenuhi standar kesehatan yang berlaku. Implementasi sistem ini diharapkan dapat menjadi model yang dapat diterapkan di masjid lain dengan kondisi serupa, serta meningkatkan kesadaran masyarakat akan pentingnya akses terhadap air bersih yang aman dan berkualitas.
Edukasi Internet Sehat Sebagai Antisipasi Cyber Crime Pada Santriwati di MTS Hikmatusysyarief Salut Kecamatan Narmada
Authors: Primajati Gilang , Supiarmo M. Gunawan , Soraya Siti , Hidayat Agus Sofian Eka
Published: December 2024

Pendekatan internet sehat bagi siswa melibatkan pendidikan literasi digital untuk meningkatkan pemahaman mereka tentang keamanan siber, pengawasan orang tua dan guru, serta penerapan aturan penggunaan internet yang bijak. Selain itu, penguatan regulasi terkait perlindungan anak di dunia maya dan kolaborasi antara pemerintah, institusi pendidikan, serta platform digital juga penting untuk menciptakan lingkungan online yang aman bagi siswa. Penelitian ini bertujuan untuk mengedukasi penerapan  internet sehat bagi santriwati di MTS Hikmatusysyarief Salut Kecamatan Narmada sebagai upaya preventif dalam  memberikan informasi untuk mengurangi risiko cyber crime pada peserta didik. Kegiatan ini dibagi menjadi dua yaitu kelas materi dan kelas praktik. Pengabdian ini  memiliki hasil kualitatif berupa sesi wawancara memetakan pengetahuan santriwati  dan tanya jawab dilakukan untuk mengukur pemahaman siswa tentang materi yang telah disampaikan. Kemudian menggunakan kuisioner. Hasil pengabdian kepada masyarat di MTS Hikmatusysyarief mencapai persentase rata-rata 84,67 %, dan termasuk dalam kategori sangat puas.
Implementasi Pendidikan Karakter Mandiri di SMA Negeri 2 Kotapinang
Authors: Nurojiyah Siti , Budimayansah Bambang Lestrika
Published: December 2024

Pendidikan karakter merupakan suatu proses pembudayaan dan pemberdayaan nilai-nilai luhur dalam lingkungan sekolah, keluarga, dan masyarakat. Pendidikan karakter menjadi salah satu prioritas pembangunan nasional yang diamanatkan dalam Pancasila, Pembukaan UUD 1945, dan untuk mengatasi permasalahan yang ada di Indonesia saat ini. Karakter mandiri dalam pendidikan merupakan salah satu karakter yang penting dikembangkan karena dengan seseorang bisa mandiri tentu akan menjadikan seseorang mampu berdiri sendiri atas kemampuan yang dimilikinya dapat mengatasi masalah yang sedang dihadapinya dengan lebih baik. Metodologi penelitian yang digunakan pada penelitian ini menggunakan penelitian kualitatif, dengan populasi siswa di SMA Negeri 2 Kotapinang. Kebijakan yang ditempuh dalam implementasi pendidikan karakter kemandirian di SMA Negeri 2 Kotapinang dilakukan dengan melalui kegiatan pembiasaan, terintegrasi dalam pembelajaran, dan dituangkan dalam aturan tertulis.Melalui kegiatan tersebut diharapkan akan mampu tercipta iklim sekolah yang kondusif untuk mendukung keberhasilan pelaksanaan implementasi pendidikan karakter disiplin. Pengembangan pendidikan karakter kemandirian di SMA Negeri 2 Kotapinang tidaklah tanpa kendala. Beberapa kendala yang dialami oleh pihak sekolah di antaranya meliputi: (1) kesadaran diri dari beberapa siswa dan orangtua yang masih kurang memahami tujuan program, juga (2) sekolah belum mampu untuk mengintegrasikan pendidikan karakter mandiri secara komprehensif dalam proses pembelajaran di kelas.
A CLINICO - HISTOPATHOLOGICAL STUDY OF VOCAL FOLD LESIONS
Authors: Gosavi Shishir , Sharadrao Bachhav Kalpesh , Gosavi Rahul , Gosavi Manali , Magdum Vishal , Kalra Shivam
Published: December 2024

Background: This descriptive study aimed to understand the clinical and histopathological characteristics of various vocal fold lesions, which are
vital vibratory structures in the larynx. The study involved 60 consecutive patients aged 11-80 yea Material and Methods: rs, who underwent a
detailed evaluation including history and physical examination. Only those who underwent surgery for vocal cord lesions were included in the
study. The results showed that vocal fold lesions were more prevalent in males than females, with a Results: male-to-female ratio of 2.7:1. Out of
60 cases, 44 (73.3%) were males and 16 (26.6%) were females. The highest frequency of vocal fold lesions was noted in the age range 51-60 years.
Benign vocal fold lesions comprised 42 cases (70%), while premalignant and malignant lesions comprised 2 cases (3.3%) and 16 cases (26.6%)
respectively. The most frequently observed benign vocal fold lesion was vocal fold nodules, comprising 18 cases (30%). Premalignant lesions
included vocal fold dysplasia and vocal fold keratosis, each having a latency of less than 10 years. In malignant lesions originating from vocal folds,
10 cases (16.6%) comprised of well differentiated squamous cell carcinomas, the highest frequency when compared to moderately differentiated
squamous cell carcinoma. In conclusion, vocal fold lesions can cause vocal hoarseness and dyspnea, Conclusion: impacting a patient's social
well-being and quality of life. Proper therapeutic measures are crucial for improved functional outcomes, and diagnostic accuracy improves with a
70-degree video laryngoscope. It is extremely important to diagnose laryngeal malignancy at an early stage, so that voice preservation surgery or
radiotherapy can be started early so that patient can lead a normal life with minimal morbidity
3D PRINTING IN INTERDISCIPLINARY DENTISTRY
Authors: C V Rashmi , Akshayaa V Kiran , Poovani Shwetha
Published: December 2024

3D printing, an additive manufacturing approach, has revolutionized dentistry in several significant ways, enhancing both the efficiency and
precision of dental practices. The technology enhances treatment by enabling precise, customized solutions. Computer-aided design (CAD) is
integrated with 3D printing technology. CAD receives the drawings and instructions, and uses them to instruct the printer to build the product threedimensionally layer by layer. The integration of 3D printing not only streamlines workflows but also enhances patient outcomes, making it a
valuable tool in modern dental practices. Right from the production of accurate models for day-to-day crowns and bridges, 3D printers may help in
rapid production of custom devices, reducing the wait time for patients. Customized aligners, and surgical guides for implant placement with high
accuracy can be produced easily. The use of 3D printing has quickly spread to a number of fields, including tissue engineering and regeneration, the
creation of prosthetics and anatomical materials, and the development of drug delivery systems, in dentistry.
A CLINICAL STUDY ON UGI ENDOSCOPY IN PATIENTS PRESENTING WITH UPPER GI SYMPTOMS
Authors: Karuprolu Raja Sekhar
Published: December 2024

Introduction : Upper gastrointestinal problems are the commonest presentations to surgical outpatient department due to change in lifestyle and
food habits. These chronic symptoms may turn into severe complications including malignancies. Hence thorough evaluation of these patients is
essential and early diagnosis and appropriate management of the condition can prevent life threatening complications.Upper GI endoscopy is an
effective diagnostic as well as therapeutic tool for the patients presenting with upper GI symptoms. The objective of the study is to Objective:
assess the clinical indications of upper gastrointestinal endoscopy and its outcomes and to show the effectiveness of UGI endoscopy as an initial
diagnostic, screening and therapeutic tool in patients with upper GI symptoms . This was a retrospe Methods: ctive study conducted at Department
of General surgery, JJM Medical College, Davangere, karnataka from January 2022 to June 2022. Five hundred patients presenting with upper
gastrointestinal symptoms were included in this study. Results: Out of 500 patients, 307 were males and 193 were females. The maximum number
of people who underwent the procedure were within 20 -40 year age group.out of all pain abdomen(25.2%) was the commonest indication,
followed by dyspepsia(20.6%), dysphagia(17.8%) , hematemesis(17.6%), vomiting(5.6%), anemia(5.4%) etc. Among the endoscopy findings
commonest finding was gastritis(45.5%) followed by esophageal varices(14.6%), gastric and duodenal ulcers(9.4%), hiatus hernia(6.4%),
carcinoma esophagus and stomach (5.2%) and normal findings are seen in 11.2% cases .Other patients had candidiasis, corrosive strictures and
foreign body. Upper GI endoscopy is a simple, safe, more reliable and valuable tool. It enables us t Conclusions: o diagnose malignancies of upper
GI tract which can be completely treated and cured if detected at early stage. In cases of hematemesis, early diagnosis and treatment of esophageal
varices in the form of EVL/Sclerotherapy may reduce the mortality. Hence UGI endoscopy will remain as the initial investigation of choice for the
patients with upper GI symptoms to prevent and manage life threatening complications.
A CLINICAL STUDY ON CUTANEOUS MANIFESTATIONS OF OBESITY AMONG PATIENTS ATTENDING TERTIARY CARE HOSPITAL
Authors: A Sushma , Rajashekhar Nadiga , B. Patil Aditi
Published: December 2024

Background: Obesity is one of the major public health problem leading to a wide range of metabolic, cutaneous, cardiovascular and
musculoskeletal disorders. Knowledge about the various cutaneous manifestations of obesity is important as they can be prevented and treated.
Objectives: To study the various cutaneous manifestations of obesity and correlate the cutaneous manifestations of obesity with Body mass
index(BMI). A descriptive cross-sectional was conducted in the dermatology outpatient department of Materials and methods: a tertiary care
hospital. Demographic details, history, physical and cutaneous examination findings were recorded in a pre-set proforma. The study was approved
by Institutional Review Board. Out of 200 patients included in the study, 64(32%) were males and 13 Results: 6(68%) were females. Most of the
patients belonged to 31-40years age group(39%) and class-1 obesity(46%) whereas least number of patients were seen in >60years of age(4.5%)
and class-3 obesity(12%). Acanthosis nigricans(64.5%) was the most common cutaneous manifestation followed by acrochordons(58%), striae
distensae(49.5%), frictional hyperpigmentation(33.5%) and fungal infections(26%). All these conditions correlated with the BMI. Conclusion:
This study highlights the various cutaneous changes seen in obesity. These manifestations not only affect quality of life but also serve as markers for
metabolic and systemic disorders. Early recognition and management improves the patient outcome.
CORRELATION OF MEAN PLATELET VOLUME AND HbA1c WITH DIABETIC RETINOPATHY IN PATIENTS OF TYPE 2 DIABETES MELLITUS
Authors: Shantveer B , S Harsoor Suresh
Published: December 2024

Background: Diabetes Mellitus (DM) is a group of metabolic disorders, characterized by chronic hyperglycaemia, metabolic abnormalities
which lead to multiple complications. Mean Platelet Volume (MPV), a marker of the platelet function and activation. The increased platelet activity
is emphasized to play a role in the development of vascular complications of this metabolic disorder. Though MPV appears to be a simple
parameter; it can indirectly gauge vascular complication in diabetic patient easily at a comparatively lower cost. Greater values of MPV signify
larger platelets, which are more active enzymatically and metabolically, with a higher potential for causing thrombotic events. Materials And
Methods: The study is performed on the out patients and on the inpatients admitted in Basaveshwar Teaching and General Hospital attached to
Mahadevappa Rampure Medical College Kalaburagi. Results:The results showed significant difference in Mean Platelet Volume in various stages
of Diabetic Retinopathy. Additionally, it revealed Age, gender, BMI, duration of diabetes, abdominal diameter, and status had no statistically
significant role to play on Mean Platelet Volume. Conclusion : The Mean Platelet Volume distribution was better in patients with lower grades of
Retinopathy when compared with patients with severity of Diabetic Retinopathy indicating the increased platelet activity which emphasized to
play a role in the development of vascular complications.
RED BLOOD CELL DISTRIBUTION WIDTH IN HEART FAILURE: PATHOPHYSIOLOGY, PROGNOSTIC ROLE, CONTROVERSIES AND DILEMMAS
Authors: Anuragi Neelam , Sahani Manoj Kumar , Anuragi Arun Kumar
Published: December 2024

Red blood cell distribution width (RDW), an integral parameter of the complete blood count (CBC), has been traditionally used for the
classification of several types of anemia. However, over the last decade RDW has been associated with outcome in patients with several
cardiovascular diseases including heart failure. The role of RDW in acute, chronic and advanced heart failure is the focus of the present work.
Several pathophysiological mechanisms of RDW's increase in heart failure have been proposed (i.e., inflammation, oxidative stress, adrenergic
stimulation, undernutrition, ineffective erythropoiesis, reduced iron mobilization, etc.); however, the exact mechanism remains unknown.
Although high RDW values at admission and discharge have been associated with adverse prognosis in hospitalized heart failure patients, the
prognostic role of in-hospital RDW changes (∆RDW) remains debatable. RDW has been incorporated in recent heart failure prognostic models.
Utilizing RDWas a treatment target in heart failure may be a promising area of research.
A STUDY ON INCIDENCE AND CAUSES OF NEW ONSET THROMBOCYTOPENIA IN THE MEDICAL INTENSIVE CARE UNIT IN TERTIARY CARE HOSPITAL.
Authors: Krishna Manne Hari , B Kinagi Satish
Published: December 2024

Background : Thrombocytopenia, defined as a platelet count of <150,000/µl, is one of the most common laboratory abnormalities seen in
critically ill patients admitted to Intensive Care Unit (ICU); its incidence ranges from 15% to 60% in patients admitted to ICU.It is commonly
associated with sepsis, disseminated intravascular coagulation (DIC), massive blood transfusion, and chemotherapy. Thrombocytopenia has also
been associated with increased ICU and hospital length of stay and need for organ support. Due to the limited data available in our country, the
present study was performed. The main objective is to find the prevalence, causes and outcomes of NOTin ICU. Materials And Methods:This is a
prospective observational study conducted in the department of General Medicine in Basaveshwara Teaching and General Hospital from 1 August
2022 to 31 January 2024. A total of 105 patients were categorised into cases and controls and outcomes were studied. Results: The prevalence of
NOTis found to be 23.8%, with most common underlying cause being Sepsis (76%) followed by DIC (8%). There was a significant requirement of
ventilatory support and blood product transfusion between the study groups with p-value of 0.031 and 0.029 respectively. The outcomes studied
were Acute Kidney Injury and length of hospital stay with significance of 0.003 and 0.005 respectively. Conclusion: Thrombocytopenia is one of
the commonest findings, frequently encountered in patients admitted to ICU. In an ICU setting thrombocytopenia prevails as a poor prognostic
marker with regards to patient outcome. It is commonly associated with multi organ failure, thus requiring detailed evaluation and prompt
treatment
PROBABILITY OF GETTING CARDIAC ARREST IN PATIENTS WITH A KNOWN HISTORY OF PANIC ATTACK
Authors: Gaurangkumar Thakar Aspee , Vaghela Mitrangi , Quadri Mohammed Sohel , Chauhan Arvind Kumar
Published: December 2024

Background:Anxiety disorders represent the most prevalent psychiatric disorders, with a considerable burden associated with them, not only for
individual sufferers, but also for the health care system. Generally, anxiety disorders show an early onset and, as such, impair school and work
performances, and later psychosocial functioning. Anxiety disorders are very frequent in community settings, as well as in primary and secondary
medical care, with a lifetime prevalence of about 25% (Katzman 2007).Panic disorder is one of the most frequent anxiety disorders (American
Psychiatric Association 2013), with higher rates in women than men. To embark with the increased prevalence of anxiety disorders like panic attack
and Cardiac arrest it's a need of hour to have a clear vision about both the terms. Aim: determine the probability of getting cardiac arrest in patient
with known history of panic attack Methodology: The cross-section study was conducted after taking ethical approval from institutional ethical
committee. Based on inclusion and exclusion criteria, 150 patients with known history of panic attack were recruited for the study. Written
informed consent form was taken from patients. Each patient was assessed severity and quality of life by DSM-IV criteria. Result & Conclusion:
The data were analyzed using the percentage according to DSM-IV criteria. During the study all participate assessed with using DSM-IV score. the
score of percentage is use to determine the probability of cardiac arrest in patient with history of panic attack . So in this study higher score in panic
attack and anxiety in cardiac arrest patient . Thus, the present study concluded that the panic attack and anxiety that show changes on heart function
and quality of life and chances to develop cardiac arrest. Conclusion: We aimed in this study to determine the probability of getting cardiac arrest in
patient with known history of panic attack. This study included 150 patients with history of panic attack were screened as per inclusion criteria.
DSM-IV use for each participants to evaluate probability . The data were analyzed and result obtained that there were higher chance to develop
cardiac attack in patient with history of panic attack. The study concluded according to DSM-IV criteria anxiety and panic attack consist more
percentage that other categories it indicate the patient has a more chance to cardiac arrest with the history of panic attack. Moreover, DSM-IV
criteria suggest that the there are changes in autonomic nervous system its common in panic attacks and anxiety so it directly develop risk of cardiac
arrest.
A COMPARATIVE STUDY BETWEEN SINGLE-DOSE INTRALESIONAL AUTOLOGOUS BLOOD AND CORTICOSTEROID INJECTION IN CHRONIC PLANTAR FASCIITIS – A SHORT-TERM FOLLOW-UP STUDY
Authors: Shubham Shankar Upadhyay , Khaitan Ravi
Published: December 2024

Introduction: Chronic plantar fasciitis, a common cause of heel pain, affects many individuals, leading to prolonged discomfort and impaired
mobility. This study compares the efficacy of autologous blood and corticosteroid injections to offer a treatment alternative with better long-term
outcomes. Objective: This study aims to compare the efficacy of single-dose intralesional injections of autologous blood versus corticosteroid in
treating chronic plantar fasciitis. Additionally, it seeks to assess the incidence of heel spurs in these patients and examine the treatment outcomes
based on the presence of heel spurs. Methodology:Atotal of 50 patients diagnosed with chronic plantar fasciitis were enrolled in this prospective
study conducted at Mata Gujri Memorial Medical College & L.S.K. Hospital, Kishanganj, Bihar, from April to August 2024. The patients were
divided into two groups: one receiving autologous blood and the other corticosteroids. Pain levels were evaluated using the Visual Analog Scale
(VAS), and activity levels were assessed using the Nirschl stages at intervals of 2, 4, and 12 weeks. Outcomes were categorized as excellent, good,
acceptable, or poor based on post-treatment recovery. Results: Corticosteroid injections demonstrated faster pain relief and a quicker return to
daily activities compared to autologous blood injections, which provided sustained effects over time. Heel spurs were present in 54% of the
participants, but outcomes for patients with and without heel spurs were nearly comparable. Conclusion: Corticosteroid injections offer superior
short-term relief in chronic plantar fasciitis, while autologous blood injections, though slower in effect, are a safer alternative with no significant
risk factors. The presence of heel spurs did not significantly alter treatment outcomes.
HIDDEN IN PLAIN SIGHT: RECOGNISING KIMURA DISEASE AMONG COMMON CONDITIONS
Authors: Malavika P. , Somu L. , Thirunavukarasu P.
Published: December 2024

Kimura disease is a rare chronic inflammatory disorder of unknown etiology, predominantly seen in young Asian males. It is characterized by
painless subcutaneous swelling, serum and tissue eosinophilia with raised IgE levels.
ROLE OF MR SPECTROSCOPY IN DIAGNOSIS OF PAEDIATRIC BRAIN LESIONS.
Authors: Gadhavi Sonali , Aggarwal Simmi
Published: December 2024

Context: Magnetic resonance imaging (MRI) is a non-invasive Technique for diagnosis, grading, and post-treatment follow-up of pediatric brain
tumors. Although it is considered the gold standard for the evaluation of brain tumors, in many instances, reliable differentiation of neoplastic from
non-neoplastic brain lesions or of high from low-grade tumors are difficult with conventional MRI. Neuro-Imaging plays an invaluable role in the
diagnosis, treatment, and monitoring of pediatric brain tumors. While traditional imaging techniques are good at detecting pediatric brain cancer,
they offer low specificity, lack of histological correlation and have limited capacity to evaluate therapeutic response evaluation. MR spectroscopy
(MRS) can assess pediatric neurological abnormalities at microscopic levels by quantifying cellular metabolites and studying their distribution in
the tissues. MR spectroscopy has been proven to provide additional clinically relevant information for several pediatric neurological disease
processes such as brain tumors, infectious processes, white matter disorders, and neonatal injury. Aims: To assess the radiological profile of
pediatric brain lesions on magnetic resonance imaging, The role of MR Spectroscopy in pediatric brain lesions & To correlate the MRS findings
with clinical profile, histo-pathological findings wherever possible. Settings and Design: Prospective type of Research study, which is performed
after approval of research proposal by Institutional Ethics Committee (I.E.C.). Material and Methods: MR examinations were performed using a
1.5 T scanner. The protocol includes MRI Brain scan with T1W, T2W, DWI & ADC, FLAIR, and SWI Sequences in Axial modes. T1W Coronal &
T2W sagittal images are also taken. Post contrast T1W with fat saturation coronal, axial & sagittal Sequences were taken. And then After Multi
Voxel Spectroscopy Were Performed. Statistical Analysis: The data were analyzed by using of Spss program 16.00 version and Sensitivity and
specificity were calculated to depict diagnostic accuracy. Results: The Study found that MR Spectroscopy Plays crucial role in the diagnosis and
characterization of various intracranial space occupying lesions in pediatric patients. Besides differentiation of benign from malignant lesions. It
also helps in the grading of malignancies. MR Spectroscopy and it correlation with the Clinical Profile and histo-pathology which also helps in the
confirmation of the different brain lesion in the Pediatric Patients. This study also concludes that MRS should be used in combination with MRI.
Single voxel spectroscopy is shown to be a valuable characterization tool for use in pediatric brain tumors. Conclusion: MR spectroscopy
Technique is a most sensitive for diagnosis of the pediatric brain Lesions.
CORRELATION OF ERYTHROCYTE SEDIMENTATION RATE (ESR) AND CREACTIVE PROTEIN (CRP) WITH GRADE OF SPUTUM POSITIVITY IN PULMONARY TUBERCULOSIS PATIENTS
Authors: Khondekar Shaheed Arman , Sharma Guneet , Pandhi Naveen , Sharma Arjun
Published: December 2024

This study investigates the correlation between C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), and sputum grades in pulmonary
tuberculosis patients. Conducted in the Department of Pulmonary Medicine at Government Medical College, Amritsar, 100 sputum-positive TB
patients were analyzed. The study found that CRPand ESR levels significantly correlate with sputum smear grades, indicating that higher levels of
these markers reflect increased disease severity. Specifically, the highest ESR and CRP values were observed in patients with Grade 3 sputum
smears. The study concludes that ESR is strongly correlated with disease severity,and it could be a valuable diagnostic tool in resource-limited
settings. Both CRPand ESR are recommended as adjunctive markers for assessing severity of the disease.
INCIDENCE OF ICU PSYCHOSIS IN CHRONICALLY ILL PATITENT
Authors: Joshi Sandesh , B R Halesha , Kumar S P Priya , V Megha
Published: December 2024

Background: ICU psychosis is a common and serious complication of critical illness. However, the incidence, risk factors, and outcomes of ICU
psychosis in developing countries are not well understood. Objective:To determine the incidence, risk factors, and outcomes of ICU psychosis in a
developing country. Methods: A prospective observational study was conducted in a 20-bed ICU at a tertiary care hospital in India. All patients
admitted to the ICU for more than 24 hours were screened for ICU psychosis using the Confusion Assessment Method for the ICU (CAM-ICU).
Demographic and clinical data were collected from all patients. Results: A total of 200 patients were screened for ICU psychosis. ICU psychosis
was diagnosed in 46 patients (23%). The mean age of patients with ICU psychosis was significantly higher than those without psychosis (70 ± 12
years vs. 63 ± 16 years, p=0.023). The presence of chronic cardiovascular diseases (p=0.032), a history of previous ICU admissions (p=0.011), and
the use of concomitant medications (p=0.005) were significantly associated with an increased risk of ICU psychosis. Patients with ICU psychosis
had a longer ICU stay (12 ± 5 days vs. 7 ± 4 days, p<0.001) and higher mortality rate (26% vs. 12%, p=0.027) than those without psychosis.
Conclusion: ICU psychosis is a common and serious complication of critical illness in developing countries. It is associated with older age,
chronic cardiovascular diseases, and a history of previous ICU admissions. Early identification and treatment are essential to improve outcomes.
EARLY INTERVENTION IN VOICE AND SWALLOWING REHABILITATION FOR UNILATERAL VOCAL FOLD PARALYSIS POST-CARDIOTHORACIC SURGERY: A CASE REPORT
Authors: Thejesh Ramanadham , Jasper Paul , Thomas Philip , Sebastian Swapna , Oviya M. P.
Published: December 2024

Unilateral vocal fold paralysis (UVFP) is a common complication of cardiothoracic surgery, leading to significant voice and swallowing
dysfunction. This case report demonstrates the efficacy of intensive voice and swallowing therapy in improving outcomes in a 49-year-old female
patient with iatrogenic UVFP following mitral valve replacement surgery. Comprehensive assessments of voice and swallowing, including
acoustic, aerodynamic, FEES, perceptual, and self-rating scales, were conducted pre- and post-therapy. Following eight sessions of therapy,
significant improvements were observed in voice quality, swallowing function, and patient-reported quality of life. The patient's nasogastric tube
was removed, and she regained oral feeding ability. This case highlights the importance of early detection and intervention in achieving optimal
outcomes for individuals with UVFP, underscoring the critical role of speech-language pathologists in the assessment and treatment of voice and
swallowing disorders.