bluuebunny/crossref_metadata_2025 huggingface dataset:
CDBC: A novel data enhancement method based on improved between-class learning for darknet detection
Authors: Song Binjie , Chang Yufei , Liao Minxi , Wang Yuanhang , Chen Jixiang , Wang Nianwang
Published: July 2023

With the development of the Internet, people have paid more attention to privacy protection, and privacy protection technology is widely used. However, it also breeds the darknet, which has become a tool that criminals can exploit, especially in the fields of economic crime and military intelligence. The darknet detection is becoming increasingly important; however, the darknet traffic is seriously unbalanced. The detection is difficult and the accuracy of the detection methods needs to be improved. To overcome these problems, we first propose a novel learning method. The method is the Chebyshev distance based Between-class learning (CDBC), which can learn the spatial distribution of the darknet dataset, and generate "gap data". The gap data can be adopted to optimize the distribution boundaries of the dataset. Second, a novel darknet traffic detection method is proposed. We test the proposed method on the ISCXTor 2016 dataset and the CIC-Darknet 2020 dataset, and the results show that CDBC can help more than 10 existing methods improve accuracy, even up to 99.99%. Compared with other sampling methods, CDBC can also help the classifiers achieve higher recall.
Más que una carta: Risāla ilà aṣḥāb al-Šayḫ ʿAbd al-ʿAzīz al-Mahdawī
Authors: Seyma Ozkan Zeynep
Published: July 2023

Tanto en su Iǧāza como en su Fihrist, Ibn al-ʿArabī se refirió a Risāla ilà aṣḥāb al-Šayḫ ʿAbd al-ʿAzīz al-Mahdawī como a una obra separada. Este documento es una carta escrita a los discípulos del Šayḫ ʿAbd al-ʿAzīz al-Mahdawī de Túnez por el propio Ibn al-ʿArabī, y recientemente se ha determinado que también sirve como una especie de prólogo de Mašāhid al-asrār. Este prólogo cubre temas tales como quién debe estudiar el Mašāhid y cómo debe hacerlo, las explicaciones de las palabras difíciles que se encuentran en él y las defensas de posibles críticas contra él. La carta de Ibn al-ʿArabī es importante por derecho propio: desarrolla los conceptos de ḫatmiyya, walāya, nubuwwa y wirāṯa en sus formas originales y hace referencia a discusiones en los círculos académicos de al-Andalus y el norte de África. Este artículo mostrará cómo debe entenderse la Risāla con los Mašāhid y explorará su contenido a la luz de las obras de Ibn al-ʿArabī y su medio social e intelectual.
Organizational Development (OD) Frameworks and Models
Authors: Chakraborty Oindrila
Published: July 2023

The chapter thoroughly investigated various conceptual models for organisational development (OD). The implementation of the theoretical models and organisational development during the COVID-19 crisis would have been covered. The main objective of the book chapter is to equip readers with the knowledge and skills they need to comprehend the various frameworks, models, and concepts for managing organisational development, with a focus on how these concepts were used during the COVID-19-based pandemic. Additionally, the chapter checks on the different changes adapted by various sectors to accommodate sudden changes due to pandemic driven crises.
Training for Crisis Situations
Authors: Martins Helena , Dollmann Lisa , Lehmann Melanie , Rodrigues Ana Cláudia
Published: July 2023

Challenges like pandemics, technological breakthroughs, geopolitical instability, and climate change are making crisis an ever more present reality in the lives of people, organizations, and societies. This chapter examines how people around the world are being trained for crisis situations, focusing on skills and competencies being developed, as well as the training approaches and practices. Two complementary methodologies were used to address theory as well as practice. To grasp the perspective of researchers, a systematic crisis training literature review following the SPIDER approach was conducted; for the examination of training designs, a benchmarking of training websites on Google was completed. The analyses conducted, resulted in practical recommendations for future research and practice in the crisis training niche, ultimately aiming at facilitating crisis management and skills trainings worldwide to better prepare the society for inevitable critical events.
A rare case of type1 proximal spinal muscular atrophy (werdnig - hoffmann disease) – a case report and review of literature
Authors: Yadav Nartu S. K. , Vechangi Bindu , Arun Babu Thirunavukkarasu
Published: July 2023

Spinal Muscular Atrophy (SMA) is an autosomal recessive Motor Neuron Disease (MND) with mutation of Survival motor neuron 1 (SMN1) gene located in chromosome 5(5q13.2) characterized by diffuse proximal and distal muscle weakness. Here the authors report a case of SMA in a 3 months old male infant with hypotonia of proximal muscles in both upper limbs and lower limbs with characteristic fasciculations of tongue and confirmed by genetic studies.
Hyperosmolar Hyperglycemic State as a Stroke Mimic
Authors: Sheetal S. , George Persis Susan , Varghese Timothy Joy , Fernandez Vintu John
Published: July 2023

Hyperosmolar hyperglycemic state (HHS) is a medical emergency, characterized by hyperosmolarity, hyperglycemia, and intravascular volume depletion, in the absence of ketosis. The spectrum of neurological manifestations in HHS is diverse, ranging from mild encephalopathy to coma. The common neurological presentations of HHS include encephalopathy, seizures, and hyperkinetic movement disorders. Stroke-like presentation of HHS is less reported. We report the case of an elderly female, with uncontrolled type 2 diabetes mellitus, who presented with left hemiplegia and, on evaluation, she was diagnosed to have HHS. As she was a chronic kidney disease patient, this case posed challenges in fluid management, which forms the corner stone of HHS management, along with insulin administration. She was discharged at the end of 1 week, with a complete resolution of her neurological deficit.
Immune Thrombocytopenic Purpura
Authors: Thomas Vineeth Varghese , Rao Shoma V.
Published: July 2023

A case of Immune Thrombocytopenic Purpura (ITP) presented as an unusual case of post- operative hemorrhage. Our patient had presented for an elective laparoscopic total extraperitoneal repair for an inguinal hernia. He had undergone the procedure with no procedural or immediate post- operative complications. On post- op day 1, our patient had developed tachycardia with hypotension with clinical examination revealing signs of pallor with petechiae and ecchymosis. A complete blood count revealed thrombocytopenia with normocytic anemia while coagulation parameters were normal. Serum biochemistries did not reveal any renal failure or elevated lactate dehydrogenase. A computer- tomography with angiography revealed features supportive of a hemoperitoneum. Our patient was first stabilized with transfusion and vasopressor support. Evaluation with bone marrow analysis revealed features suggestive of ITP while secondary workup remained negative. Our patient was managed with dexamethasone pulse followed by maintenance steroids, following which there was an incremental response of the platelet count.
Assessment of Risk Factors and Angiographic Profile in Left Main Coronary Artery Disease
Authors: Singh Rao Somendra , Kandoria Arvind Kumar , Negi Prakash Chand
Published: July 2023

Background:

Diagnostic and management challenges with unpredictable angiographic presentations are encountered in left main coronary artery disease (LMCAD) patients. Therefore, this study was designed to evaluate the prevalence, risk factors, angiographic profile, and outcomes associated with LMCAD at 6-month follow-up.

Materials and Methods:

This was a prospective observational study where a total of 1474 patients undergoing coronary angiography were enrolled between March 2018 and August 2019. Demographic details, physical examination, and routine biochemical investigations were reported. Obstructive LMCAD patients were managed either with percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) according to syntax score, and outcomes were recorded at 6-month follow-up.

Results:

The mean age of the overall study population (1474 patients) was 59 ± 8.1 years with male 959 (65%) preponderance. Obstructive LMCAD was observed in 103 (6%) patients. Smoking was the prime risk factor associated with obstructive LMCAD observed among 58 (56%) patients followed by hypertension in 45 (43%), dyslipidemia in 42 (40%), obesity in 26 (25%), and diabetes mellitus in 23 (22%) patients. Among 41 (40%) obstructive LMCAD patients, non-ST-elevation myocardial infarction/unstable angina was the major presentation. The majorly affected target vessels were left anterior descending artery (100%) and left circumflex artery (80%) among 103 and 83 patients, respectively. Triple-vessel disease was predominantly observed among 63 (62%) obstructive LMCAD patients. PCI and CABG were performed in 19 (18.4%) and 27 (26.2%) patients with a mean syntax score of 20 and 31, respectively.

Conclusion:

Smoking, advanced age, diabetes, and dyslipidemia were significantly associated risk factors of LMCAD.
A Study of Parasympathetic Autonomic Function in Different Phases of the Menstrual Cycle among Young Adult Females
Authors: Patra Subhadeep , De Kaberi , Panda Prem Sagar , Chatterjee Sudakshina
Published: July 2023

Background:

The sex hormones, estrogen, and progesterone, as well as the gonadotropins, luteinizing hormone, and follicle-stimulating hormone produced from the anterior pituitary, govern the three stages of the menstrual cycle: menstrual, follicular, and luteal. Hormone fluctuations cause changes in autonomic function. There have been relatively few studies that show autonomic function modification throughout various periods of the menstrual cycle.

Aim and Objectives:

The current study was undertaken to investigate the difference in mean parasympathetic autonomic characteristics between the proliferative and secretory stages of the menstrual cycle.

Materials and Methods:

A total of 120 healthy young adult female volunteers were recruited among Kalinga Institute of Medical Sciences, Kalinga Institute of Nursing Sciences, and Kalinga Institute of Dental Sciences students. The study eliminated 20 students who were in the bleeding phase of their cycle. The electrocardiogram was captured, and parasympathetic parameters were determined using the fully automated CANWin instrument in the Department of Physiology. The data of the abovementioned parameters were compiled, tabulated, and entered into Microsoft Excel 2013 and statistically analyzed using STATA software 15.1.

Results:

The subjects’ mean ages, heights, and weights were 18.9 ± 0.70 years, 156.6 ± 5.25 cm, and 53.7 ± 8.63 kg, respectively. The mean resting heart rate in the secretory phase was substantially greater than in the proliferative phase, indicating sympathetic dominance. The 30:15 ratio between proliferative and secretory stages. The mean E: I ratio calculated from the slow deep breathing maneuver reveals a statistically significant difference between the proliferative and secretory phases.

Conclusion:

During the secretory phase, there is a considerable rise in parasympathetic activity among the individuals in the current study. Changes in parasympathetic activity throughout the follicular and secretory stages of the menstrual cycle may be caused by fluctuations in estrogen and progesterone levels.
Cryotherapy in Egyptian patients with central airway obstruction: impacts on clinical pulmonary scores, pulmonary function tests and quality of life, a single center experience
Authors: Halfawy Ahmed Al , Amin Hassan , Younis Muhammad , Elhassan Usama E Abu
Published: July 2023

Background

Cryotherapy has emerged as an effective modality to manage patients with central airway obstruction (CAO). The aim was to assess the outcomes of using cryotherapy for managing CAO and its effect on the symptoms, and pulmonary function testing (PFT) in patients with CAO.

Patients and methods

This prospective protocol was carried out at the Chest Department, Cairo University Hospitals, in collaboration with the Military Chest Hospital over 6 months. Patients with CAO underwent cryotherapy and were assessed by the following: grade of airway obstruction, dyspnea, hemoptysis and quality of life scales, and PFT. Outcomes and safety of cryotherapy were evaluated.

Results

A total of 30 patients with CAO were enrolled and were divided into two groups: the malignant obstruction group (n=20) and the nonmalignant obstruction group (n=10). Complete restoration of the airway patency was achieved in 53.3% of patients. Only three (10%) cases encountered complications. There were significant postprocedural improvements of dyspnea, cough, hemoptysis, quality of life scales, and PFT. Logistic regression analysis showed that smoking was associated with worse outcomes.

Conclusions

Cryotherapy is a safe and successful method for both endobronchial exophytic tumor debulking and nonmalignant CAO. These benefits were reflected in the postprocedural improvement of clinical pulmonary scales, PFT, the grade of airway obstruction, and quality of life. Further prospective, multicenter studies are recommended.
Association of inflammatory biomarkers with coronavirus disease 2019 severity: a retrospective study in the UAE
Authors: Said Hedya , Almansoury Ahmed , Fekry Sherif , Abdelfattah Wael
Published: July 2023

Background

The inflammatory process involved in severe acute respiratory syndrome coronavirus 2 infection is one of great interest in understanding the pathophysiology and severity of coronavirus disease 2019 (COVID-19). This study aimed to evaluate the association of inflammatory markers with severe COVID-19.

Patients and methods

The data were collected from patient files admitted to two tertiary hospitals in UAE during the COVID-19 pandemic from April to July 2020. During first COVID-19 wave that hits UAE, general symptoms as well as radiographic, blood, and immunological findings were also recorded.

Results

The study included 320 patients. Men (84.1%) outnumbered women (15.9%). Most (73.8%) patients had no comorbidities. The patients were from several nationalities, with Indians being the majority (51.9%). Most patients (65.6%) had mild, whereas 26.6% had severe manifestations. Only 25 patients were asymptomatic. C-reactive protein level had a significant relation to COVID-19 severity. Some parameters such as lactate dehydrogenase, ferritin, D-dimer, neutrophil/lymphocyte ratio, ICU admission, and death rates as well as radiological findings in the severe group had significant differences compared with the mild and asymptomatic groups.

Conclusions

These data are valuable contributions to the monitoring, severity assessment, and prognosis of patients with COVID-19.
The role of ultrasound in assessment of positive end-expiratory pressure-induced lung recruitment in acute respiratory distress syndrome patients
Authors: Youssef Ayman A E -R , Essawy Tarek S , Mohammad Koot A , Abo-Youssef Shaimaa M
Published: July 2023

Background

In the case of critically sick patients, acute respiratory distress syndrome (ARDS) may be life-threatening and necessitates the need for ICU admission. Continuous monitoring is required for mechanical ventilation and recruitment movements as necessary. In this research, the goal is to investigate the use of ultrasonography in the evaluation of positive end exhalatory pressure-induced lung recruitment in ARDS patients.

Patients and methods

A total of 25 ARDS patients were included in this research, which was done in the hospital’s respiratory care unit. All of the patients were seen by a doctor, had a chest radiograph, and had laboratory tests. Mechanical ventilation was used in the care of all patients. Using positive end-expiratory pressure (PEEP) values of 5 and 15, we measured pressure–volume (PV) and lung ultrasound tracings. The PV curve approach was used to assess PEEP-induced lung recruitment. Between PEEP 5 and PEEP 15, there was an extremely strong positive connection between reaeration score and the change in lung volume (r=0.737, P=0.001).

Results

Between PEEP 5 and PEEP 15, there was a substantial (r=0.577, P=0.003) positive association between the reaeration score and the decrease in PaO2. There was a substantial negative association between reaeration score and mortality (rpb=-0.842, P=0.001), in which mortality reduces as the score increases.

Conclusion

For quantitative evaluation of PEEP-induced lung recruitment, bedside lung ultrasound is equal to the PV curve approach. In patients with ARDS, PEEP-induced lung recruitment may be assessed using ultrasonography.
Impact of COVID-19 Pandemic on Maternofetal Outcome in Pregnant Women with Severe Anemia
Authors: Singh Meenakshi , Puri Manju , Choudhary Vidhi , Kapur Aishwarya , Triveni GS , Gunjan  , Patel Manisha , Kumari Vinita
Published: July 2023

Background:

Anemia is the most common nutritional disease in pregnancy with significant adverse maternofetal outcome. The objective of the present study is to study the impact of COVID-19 pandemic on the pregnancy outcomes of women with severe anemia.

Methodology:

A retrospective observational study was conducted in the Department of Obstetrics and Gynaecology at LHMC and SSK Hospital, Delhi. The study included all antenatal women admitted at a gestational age of >26 weeks (third trimester) with severe anemia and hemoglobin level of 7 g/dL. In our study, a total of 4031 women were included as cases during study period (July to December 2022) and 6659 women as controls from pre-COVID-19 period (July to December 2019).

Results:

In present study, a total of 4031 women delivered during study period as compared to 6659 in control period. In the present study, the prevalence of anemia was observed to be 74.7% in the study group and 51.6% in the control group (P < 0.001). Mean hemoglobin level was significantly lower in study group as compared to the control groups P<0.05. Microcytic hypochromic anemia was the most common morphological type of anemia in both groups. Serum ferritin, serum iron, serum B12, and folic acid levels among cases were significantly (P < 0.05) lower as compared to controls. Odds of fetal growth restriction were 1.4 times higher among study group as compared to control groups. The odds of newborn complications such as low birth weight were 2.49 (95% CI: 1.04–5.91) and need for nursery or NICU admission were 4.84 times (95% CI: 0.48–48.24) higher in cases as compared to controls. Low birth rate was higher in cases and was found to be statistically significant.

Conclusion:

COVID-19 pandemic had indirect impact on adverse maternal and fetal outcome in women with severe anemia.
Two Parallel Roads Impacting the Functional Preparedness of Accredited Hospitals: The Indian Healthcare Quality Standards and Disaster Management Act 2005
Authors: Yadav Nidhi , Sodani Parshu Ram , Vishwakarma Gayatri
Published: July 2023

Background:

Quality management of healthcare service providers and disaster preparedness are two important aspects that affect patient safety and the overall outcome of care delivery. Accreditation standards and legal framework for disaster management are intertwined and pave the way for achieving the optimum level of safety in healthcare system.

Aims:

The aim of the study is to evaluate the functional preparedness of hospital staff for managing disaster situations.

Materials and Methods:

It was a quantitative, cross-sectional, ex-post-facto study to understand the functional elements by deeply studying the Knowledge, Attitude and Practice (KAP) scores of various level hospital staff.

Results:

Knowledge scores of the participants showed positive correlation with attitude scores (r = 0.424, P < 0.001) and practice scores (r = 0.446, P < 0.001). The study showed a significant difference between mean KAP score of males (14.96 ± 3.5) and female (16.38 ± 2.6). Similarly, the staff who obtained excellent scores in the KAP study belonged to a higher age group while those who obtained poor were in the lowest age group (F (2, 715) =10.739; P < 0.001). The performance of staff significantly increased (P < 0.01) with increase in age as number of years of experience and on-the-job training enriched their understanding. Inspite, of the same level of inputs in terms of training and sensitization inputs, the staff of Administration departments showed higher knowledge than other staff (χ2 =97.37, P < 0.001). Analysis of educational qualification of participants elicits that it has a statistically significant effect on their performance in KAP study (F (5, 709) = 12.82; P < 0.001).

Conclusion:

The KAP scores are direct indicator of effectiveness of quality standards in preparing the hospital for disaster management. The study shows that variables like age, gender, department, educational qualification are correlated with performance and affect the attitude and practice during a disaster event.
Medical Termination of Pregnancy Act of India: Treading the Path between Practical and Ethical Reproductive Justice
Authors: Pai Satvik. N. , Chandra Krithi S.
Published: July 2023

One of the most important facets of reproductive freedom and justice is the right to abortion. For centuries, the debate on legalisation and regulation of abortion has caused ethical dilemmas with proponents for both sides of the argument. India, a developing nation, with a wide spectrum of cultures, traditions, socio-economic statuses and religious beliefs, would be expected to be grappling with this problem. However, India since the 1970s made a clear stance on the matter of abortion. Respecting the right to personal liberty, reproductive freedom of women and upholding the importance of women’s health, Medical Termination Pregnancy (MTP) has been legal in India since 1971. We look at the laws governing MTP in India, the practical and ethical considerations, the recent amendments in these laws and the road ahead.
A case report on the management of Luta visha (~spider bite poisoning) through Ayurveda strategies
Authors: Chandni K. C. , Shukla Urmila , Ujjaliya Nitin
Published: July 2023

Spider bites are commonly reported from many parts of the world. Clinical manifestations of spider bites reported range from simple local irritations and dermonecrotic lesions to potentially lethal neurotoxicity and intravascular hemolysis. In Agada Tantra, spider envenomation is coined as Luta visha (~spider bite poisoning), and a detailed description of different types of spider bites with their treatment is available in the literature. A 28-year-old female with a history of spider envenomation, presented with two reddish lesions with pale blue depression at the center associated with pain, burning sensation, and itching on the dorsum of her left leg. The lesion was a fast-progressive necrotic lesion and was diagnosed as Pitta-kapha predominant manifestation due to the spider bite. She was administered Guduchyadi kashayam (15 mL) and Vilwadi agada (1000 mg) thrice daily and external Shatadhouta ghrita application after washing with Triphala kashaya. On the fifth day of the bite, when the pain increased and was associated with a mild fever, Sooryaprabha gutika (125 mg) thrice daily was given. The lesion was fully necrosed by the seventh day of the bite. The necrosed tissue was removed, and Mahatiktaka ghrita was applied. By the 17th day of the bite, the wound was healed with no pain on palpation. After 21 days of bite, all the medications were stopped. Dooshivishari agada (500 mg) and Haridrakhandam (5 g) twice daily were prescribed to eliminate residual poison, if any. Eladi kera thailam was administered externally to reduce the blackish discoloration of the bite site. This fast-progressive necrotic lesion was solely managed by Ayurvedic medicines.
Ayurveda management of primary infertility associated with hypothyroidism and hyperprolactinemia: A case report
Authors: Asmabi M. A. , Veena R.
Published: July 2023

Hypothyroidism and hyperprolactinemia adversely affect the fertility potential of women by impairing ovulatory function. There is a high prevalence of hypothyroid-associated hyperprolactinemia in infertility. Long-standing hypothyroidism promotes hyperprolactinemia which leads to irregular periods, and anovulation and ultimately results in infertility. This is a case report of the primary infertility of a couple married for seven years. The female partner had anovulatory cycles with elevated levels of Thyroid-Stimulating Hormone (TSH) and prolactin. Ayurveda treatment was planned in this case to evaluate its role to address hormonal imbalance, ensuring regular ovulation, and thereby helping to have a normal pregnancy. Based on the parameters of Ayurvedic Science, this case was diagnosed as Vandhyatva (~infertility), which was treated with both internal medicines and external therapies including Shodhana (~bio cleansing therapy) and Shamana chikitsa (~therapy which is aimed at mitigating the disease by pacifying Dosha). After the treatment, TSH was reduced from 14.99 to 4.0 μIU/mL and the prolactin level was reduced from 47.23 to 13 ng/mL. The intervention resulted in conception within three months, and she delivered a full-term female baby.
Evaluation of the effect of direct sinus lift surgery on maxillary sinus volume by Mimics software
Authors: Sheikhi Mahnaz , Haghighat Abbas , Lourizadeh Neda , Tavangar Hosein , Aryaee Parmida
Published: July 2023

Introduction:

Sinus lift surgery allows sufficient volume of bone to be created in the posterior part of the maxilla. The aim of this study was to investigate the changes in maxillary sinus volume after a sinus lift and the rate of increase in ridge height at the site of the graft.

Methods:

Eleven patients were chosen for sinus lift from among those who were referred to the radiology department for implant placement in the posterior region of the maxilla and whose bone height at the posterior of the maxilla was less than 4 mm on the cone-beam computed tomography (CBCT) image. The sinus volume was measured after importing the CBCT file in DICOM format into Mimics software. After determining the sinus volume, the patients underwent sinus lift surgery, and the amount of material used during the surgery was measured. After the time required to repair the area, the CBCT image was taken again. Then, the changes in the volume of the maxillary sinus and the increase in the height of the maxillary ridge at the surgical site were calculated. Then, the second stage of the surgery was performed to place the implant at the implant site.

Results:

For an average of 1.40 cm3 of material, the rate of increase in ridge height was 10.52 mm, and the average change in sinus volume was 1.19 cm3.

Conclusions:

CBCT images and Mimics software have many applications in examining and predicting parameters before and after sinus lift surgery.
Evaluation of healing in mandibular molar extraction sockets with and without turmeric gel
Authors: Raut Shreya Jeetendra , Shetty Lakshmi , Domah Trivina K. , Gadkari Nishtha , Chhatriwala Adnan
Published: July 2023

Context:

In the present era of allopathic medication usage, there is always a risk of toxicity. Turmeric is a wonderful natural herb with excellent healing properties and a plethora of many clinical trials in dentistry. Hence, this study aims to evaluate the efficacy of healing in mandibular molar extraction sockets with and without turmeric gel.

Aim:

This study aimed to evaluate the efficacy of turmeric gel with the objective of analyzing the soft tissue healing in mandibular molar extraction sockets with and without turmeric gel.

Settings and Design:

The split-mouth study design with randomization of the sites was done using the sequentially numbered opaque sealed envelope (SNOSE) in the same patient indicated for bilateral lower molar extraction. A total of 50 patients were included in the study, who were divided into group A, 25 patients in the experimental site using turmeric gel, and group B, 25 patients in the control site without turmeric gel.

Materials and Methods:

Turmeric in the form of gel was used in the experimental site to evaluate its efficacy in soft tissue healing of the mandibular molar extraction socket. The extraction sites of the same patient were evaluated for soft tissue healing on postoperative day 1, day 7, and day 21 using Landry, Turn Bell, and Howley scale.

Statistical Analysis:

A comparison of soft tissue healing between group A and group B, which showed a consequential difference in group A on day 7 with P = 0.001 and day 21 with P = 0.001, was significant.

Results:

Results revealed postoperative day 1 showed a significant beginning of healthy granulation tissue formation in both the groups. There was a consequential difference in soft tissue healing in group A on postoperative day 7 and day 21 as compared to group B. The turmeric in the form of gel proved to enhance the soft tissue healing in the mandibular molar extraction socket.

Conclusions:

The present study revealed that enhanced soft tissue healing of the extraction socket of the mandibular molar was present in the turmeric gel group on postoperative day 7 and day 21 than in without the turmeric gel group.
Comparative evaluation of implant stability and crestal bone level between tapered and cylindrical implants in the posterior regions of the mandible: A prospective, randomized, split-mouth clinical trial
Authors: Wakure Poonam , Ghalaut Pankaj , Rathee Manu , Jain Prachi , Alam Maqbul , Malik Sanju
Published: July 2023

Purpose:

To compare the clinical outcome of tapered and cylindrical implants placed in the posterior region of mandible by measuring implant stability and crestal bone level at the healing period.

Materials and Methods:

A prospective clinical study was conducted on 15 patients who were included in the study based on the inclusion and exclusion criteria. A total of 30 dental implants were placed in both groups: 15 implants in Group I (tapered implants) and 15 implants in Group II (cylindrical implants) in the posterior region of mandible. Implant stability assessment by periotest was done at the time of implant placement (baseline) and after 3 months. The crestal bone level was measured with the help of radiovisiography (RVG) at the time of implant placement (baseline) and at 3 and 6 months.

Results:

At baseline, there was statistically significant (P < 0.01) difference in primary implant stability. Tapered implants had higher primary implant stability than cylindrical implants. However, at 3 months, there was no statistically significant (P > 0.05) difference in the secondary implant stability of both the groups. Also, the crestal bone level on the mesial and distal sides of dental implant for tapered and cylindrical implants was statistically nonsignificant (P > 0.05) at all time intervals, that is, at baseline and at 3 and 6 months.

Conclusion:

Tapered implants had higher primary stability than cylindrical implants, and no difference was found in secondary stability. The crestal bone level was similar for both groups during early healing and early post-loading periods.
An efficient and secure mutual authentication protocol in wireless body area network
Authors: Kumar Manoj , Hussain S.Z.
Published: July 2023

Wireless Body Area Network (WBAN) is an emerging field which is gaining a lot of attention in healthcare sector. It facilitates remote monitoring by gathering health related data using wearable bio-sensors based on IOT. This technological advancement would significantly improve the tracking of fitness, health care delivery, medical diagnostics, early disease prediction, and associated medical dealings of any individual. Several challenges persist in WBAN due to its openness and mobility. The medical data is extremely sensitive and personal in nature therefore it must be protected at any cost while being communicated between nodes. Highly resource constrained tiny sized bio-sensors restrict the usage of energy seeking traditional cryptographic techniques and hence require new methods to be evolved to secure the communication. The current study proposes a lightweight mutual authentication based key agreement scheme which is dependent on XOR operations and cryptographic hash functions. BAN logic is used for formal verification and automatic security verification tool Scyther is used for the analysis of security protocol. Proposed scheme is compared with other related works on 15 key security parameters which are identified on the basis of literature survey. The results indicate that the proposed scheme follows all the security parameters and performs better in terms of computation cost, energy consumption, communication cost and storage requirement as compared with other schemes.
Fuzzy and Machine Learning based Multi-Criteria Decision Making for Selecting Electronics Product
Authors: Agarwal Raghav , Suthar Jayesh , Panda Sujit Kumar , Mohanty Sachi Nandan
Published: July 2023

In this study, we have considered electronics product as laptop one of the essential items in digital era. The decision-making and buying processes for laptops are time consuming and fraught with competing priorities. Furthermore, machine learning is used to pick and purchase laptops using a variety of strategies. Through a questionnaire that provided them with many choices for the newest features and essential components they desire in their devices, the participants' replies were sought. The participants' responses were elicited from eighteen independent input variables: processor, ram capacity, gpu, graphics card, laptop brand, type of storage, storage size, ports, screen size, backlit keyboard, pc body, category, screen display, weight, webcam, battery life, operating system, and price range. Each of the input variables was quantified using a scale using the terms very low, low, medium, high, and very high. Five input and one output processes were designed using the Mamdani technique, a conventional fuzzy reasoning tool (FLC). To arrive at a more precise knowledge of the procedure for choosing a laptop in accordance with the user's requirements, standard fuzzy systems were employed.
2-LC triangulated manifolds are exponentially many
Authors: Benedetti Bruno , Pavelka Marta
Published: July 2023

We introduce “

t

-LC triangulated manifolds” as those triangulations obtainable from a tree of

d

-simplices by recursively identifying two boundary

(d-1)

-faces whose intersection has dimension at least

d-t-1

. The

t

-LC notion interpolates between the class of LC manifolds introduced by Durhuus and Jonsson (corresponding to the case

t=1

), and the class of all manifolds (case

t=d

). Benedetti and Ziegler proved that there are at most

2^{d^2 N}

triangulated

1

-LC

d

-manifolds with

N

facets. Here we prove that there are at most

2^{\frac{d^3}{2}N}

triangulated

2

-LC

d

-manifolds with

N

facets. This extends an intuition by Mogami for

d=3

to all dimensions. We also introduce “

t

-constructible complexes”, interpolating between constructible complexes (the case

t=1

) and all complexes (case

t=d

). We show that all

t

-constructible pseudomanifolds are

t

-LC, and that all

t

-constructible complexes have (homotopical) depth larger than

d-t

. This extends the famous result by Hochster that constructible complexes are (homotopy) Cohen–Macaulay.
Long-term quality-of-care score for predicting the occurrence of acute myocardial infarction in patients with type 2 diabetes mellitus
Authors: Li Pi-I , Guo How-Ran
Published: July 2023

The prevalence of diabetes mellitus is increasing in resource limited settings. Simultaneously, there has been an increase in the number of novel therapies for the management of diabetes mellitus. However, use of novel antidiabetic therapies is limited because of major market access challenges in resource limited settings. Niching products to those patients with the highest absolute risk for major adverse cardiovascular outcomes, and thus most likely to benefit from the therapy, are less likely to have negative budget impact for funders. To improve access, and reduce morbidity and mortality, requires alignment amongst key stakeholders including patient advocacy groups, health care professional councils, national departments of health, the pharmaceutical industry, treasury and finance departments.
Correlation between glycated hemoglobin A1c, urinary microalbumin, urinary creatinine, β2 microglobulin, retinol binding protein and diabetic retinopathy
Authors: Song Jia-Jia , Han Xiao-Fang , Chen Jian-Feng , Liu Ke-Mei
Published: July 2023

The prevalence of diabetes mellitus is increasing in resource limited settings. Simultaneously, there has been an increase in the number of novel therapies for the management of diabetes mellitus. However, use of novel antidiabetic therapies is limited because of major market access challenges in resource limited settings. Niching products to those patients with the highest absolute risk for major adverse cardiovascular outcomes, and thus most likely to benefit from the therapy, are less likely to have negative budget impact for funders. To improve access, and reduce morbidity and mortality, requires alignment amongst key stakeholders including patient advocacy groups, health care professional councils, national departments of health, the pharmaceutical industry, treasury and finance departments.
PENGEMBANGAN MEDIA PEMBELAJARAN BERBASIS ADOBE FLASH PADA MATERI KARAKTERISTIK GEOGRAFIS INDONESIA
Authors: Simanjuntak Audi Agma , Fakhrudin Ali , H.M. Lubis Patricia
Published: July 2023

Abstract: Based on observations at SD Negeri 185 Palembang, students are less interested in social studies material, especially in the material of Indonesian Geographical characteristics. This is evidenced by the average score in Theme 1 of 64.16 where the completeness score is 65. In accordance with the 2013 curriculum, teachers must be more creative in developing materials. One of the materials that will be developed is the material on Indonesian Geographical characteristics in class V using Adobe Flash-based learning media. So the purpose of this study is to determine the stages, validity, and development of learning media based on Adobe Flash on the material of Indonesia's geographical characteristics. The method in this study is a research and development method using the ADDIE model (Analysis, Design, Development, Implementation, and Evaluation). The results of this study, development of learning media based on Adobe Flash on the material of Indonesia's geographical characteristics obtained the "very valid" and "very feasible" criteria. Keywords: development, Adobe Flash, Indonesia’s geographical Abstrak: Berdasarkan observasi di SD Negeri 185 Palembang, para siswa kurang tertarik dengan materi IPS, khususnya pada Karakteristik Geografis Indonesia. Hal ini dibuktikan dengan nilai rata-rata pada Tema 1 sebesar 64,16, dimana nilai ketuntasannya adalah 65. Sesuai dengan kurikulum 2013, guru harus lebih kreatif dalam mengembangkan materi pembelajaran. Salah satu materi yang akan dikembangkan adalah materi Karakteristik Geografis Indonesia di kelas V dengan menggunakan media pembelajaran berbasis Adobe Flash. Maka dari itu, tujuan dari penelitian ini adalah untuk mengetahui tahapan, validitas, dan pengembangan media pembelajaran berbasis Adobe Flash pada materi Karakteristik Geografis Indonesia. Metode yang digunakan dalam penelitian ini adalah metode penelitian dan metode pengembangan dengan menggunakan model ADDIE (Analysis, Design, Development, Implementation, dan Evaluation). Dari hasil penelitian ini, media pembelajaran berbasis Adobe Flash memperoleh kriteria “sangat valid” dan “sangat layak”. Kata Kunci: pengembangan, Adobe Flash, geografis Indonesia
La corrupción desde el mirador republicano: un concepto filosófico
Authors: Fragoso Lugo Lucero
Published: July 2023

El propósito de este trabajo es formular un concepto de corrupción desde una perspectiva filosófica que permita examinar el tipo de vínculo entre el Estado y los ciudadanos detrás del manejo anómalo de la actividad gubernamental. Así, con fundamento en el pensamiento republicano, se argumenta que la corrupción es una práctica de dominación estatal basada en la interferencia arbitraria de los funcionarios públicos en el diseño y ejecución de las leyes y políticas, lo que socava la legitimidad del poder político y, en consecuencia, las razones de los individuos para adherirse a normas formales. Este enfoque considera las dimensiones valorativas y prácticas del término, y también la forma en que la corrupción coarta la libertad de las personas para definir sus intereses y concretarlos.
IMPACTO ECONÓMICO DE LA PANDEMIA DE COVID-19 EN LAS MIPYMES DE NAVOJOA, SONORA MEXICO
Authors: Hermosillo Anduaga Gustavo Cesar , Kaplan Navarro José César , Padilla Torres Dr. Hugo Neftalí
Published: July 2023

La epidemia de COVID-19 fue declarada por la OMS una emergencia de salud pública de preocupación internacional, el 30 de enero de 2020. La caracterización de pandemia significó que la epidemia se había extendido por varios países, continentes o todo el mundo, y que afectaba a un gran número de personas (Organización Panamericana de la Salud, 2020). Ciertamente, la humanidad no estaba preparada para esta emergencia dada la falta de tratamientos para combatir el brote epidémico. La aplicación de la cuarentena domiciliaria, como medida de salud pública, para controlar la transmisión del SARS-CoV-2 trajo consigo un impacto económico que afectó a hogares y empresas. Entre las afectaciones principales que mostraron las compañías en el año 2020 se encontró la disminución de los ingresos, baja de demanda y escases de insumos y/o productos (Nacional Financiera, 2021). Las micro, pequeña y mediana empresa (Mipymes) de Navojoa Sonora no fueron la excepción y se vieron afectadas al igual que millones en el mundo. Se encontró que el 63% de las empresas encuestadas mantuvieron operaciones, el 26% estuvieron laborando a puerta cerrada y 7% de las empresas encuestadas ordenaron el cierre total de operaciones. Se encontró que el 77% experimentó una baja en sus ingresos en un promedio del 20% al 30%, un 61% mencionó sufrir escasez de mercancías por parte de sus proveedores. Las empresas mencionan varias estrategias de sobrevivencia para enfrentar la crisis provocada por la pandemia, destacando la venta por internet y trabajo remoto. Por su parte, el 81% de las compañías menciona no haber tenido información sobre ningún tipo de apoyo del gobierno. Asimismo, de las empresas que si se enteraron sobre el programa de gobierno el 70% mencionó que era insuficiente. Finalmente, las empresas recomiendan estar a la vanguardia sobre este tipo de situaciones y buscar la manera de no interrumpir la actividad económica de las sociedades
Educación tributaria en la colectividad: un estudio exploratorio de las necesidades organizacionales en el cantón La Maná
Authors: Hurtado García Ketty del Rocío , García Bravo Mayra Elizabeth , Torres Briones Rosa Marjorie , Reyes Armas Rodrigo Arturo
Published: July 2023

El problema de evasión de impuestos es constantemente presenciado en Ecuador, por lo que el gobierno a través del Servicio de Rentas Internas pierde ingresos por varios tipos de impuestos. El propósito de la investigación es analizar el efecto de la educación tributaria basado en las necesidades y conciencia del contribuyente. Para ello se lo relacionó con el efecto que provocan las sanciones sobre el cumplimiento de declarar sus impuestos. El método aplicado fue cuantitativo, puesto que se aplicó una encuesta que estuvo dirigida a 191 contribuyentes (mipymes) a través de un muestreo aleatorio simple. Los factores evaluados fueron el conocimiento del contribuyente, sanciones, nivel de educación, conciencia, y cumplimiento fiscal. Los resultados revelaron que el conocimiento tributario, las sanciones y la educación tributaria tienen un efecto positivo significativo en la concientización del contribuyente. Asimismo, el conocimiento tributario, las sanciones tributarias, la educación tributaria y la concientización de los contribuyentes tienen un efecto positivo y significativo hacia el cumplimiento de los contribuyentes (R2=91,9%). Se concluyó que se debe realizar esfuerzos por parte del Gobierno y Organismos de control para educar al contribuyente para aumentar los ingresos del Estado e impulsar el desarrollo económico del país.
Penerapan Nilai Profil Pelajar Pancasila melalui Model Project Based Learning (PjBL) terhadap Hasil Belajar PJOK
Authors: Achmed Zoki  , Rahayu Prasetiyo
Published: July 2023

Penelitian ini bertujuan untuk meningkatkan hasil belajar PJOK dengan memasukkan nilai-nilai profil siswa Pancasila ke dalam model pembelajaran berbasis proyek (PjBL). Penelitan tindakan kelas adalah desain yang digunakan dalam jenis penelitian ini.  Terdapat dua siklus penelitian, dan setiap siklus dilakukansatu kali, melalui beberapa tahap: 1.planning; 2 implementation/acting;3  observing; and (4) reflecting.  Studi ini melibatkan 29 siswa dari kelas 5 SDN Balongbesuk. Data dianalisis dengan kuantitatif deskriptif. Diperoleh hasil bahwa pembelajaran dengan PJBL mampu meningkatkan hasil belajar PJOK pada aspek kognitif,psikomotorik, dan afektif. Ketuntasan meningkat sebesar 24,1% dari pra siklus ke siklus pertama dan 20,7% dari siklus pertama ke siklus kedua.
Welfare of Horses in Inner West Anatolia
Authors: GÜCÜYENER HACAN Özlem , ÇELİKELOĞLU Koray , KOÇAK Serdar , ESER Mustafa , BOZKURT Zehra Bozkurt , TEKERLİ Mustafa , KILIÇ İbrahim
Published: July 2023

This study was carried out to evaluate the feeding, management and health practices in horse farms in Inner West Anatolia with the aspects of animal welfare. The study was carried out in 53 horse farms in Afyonkarahisar, Eskişehir, Kütahya, and Uşak provinces. The measurements, observations and declarations of breeders were recorded on the questioner forms. Furthermore, a fecal parasitic examination was carried out. The breeds of horse were Arab, Thoroughbred, local and crosses. The percentages of boxed and tied barns were 60.4 and 39.6%. The average temperature and humidity in the shelters were 20.7°C and 38.6%, the mean values for carbondioxide, oxygen, and ammonia were measured as 848.0, 20.9, and 5.0 ppm respectively. Although antiparasitic applications were reported in the visited farms, 61.7% of the horses were found to have parasites in the parasitic examination. 90.6% of the interviewed personnel claimed that they were experienced in horse breeding but only 3.8% had knowledge about animal health and welfare. In conclusion, horse breeding in Inner West Anatolia is insufficient in terms of windows and chimney openings in shelters, shelter enrichment, paddock areas and exercise, dental care, antiparasitic applications, and trained personnel for animal health and welfare; while box dimensions, feeding standards, grooming, hoof care, tail docking, foal care and transport applications were in accordance with ideal standards.