bluuebunny/crossref_metadata_2025 huggingface dataset:
Efficient oxygen evolution on spinel MFe2O4 (M=Zn and Ni) electrocatalysts
Authors: Liu Yanying , Deng Tianyin , He Guangli , Han Zhihua , Chen Jingyun , Wei Hui , Miao Ping
Published: March 2023

Electrochemical water splitting for the oxygen evolution reaction (OER) requires highly active, long-durable and cost-effective catalysts to meet the needs of large-scale hydrogen production in the future. Herein, we studied the OER performance of spinel MFe2O4 (M=Zn and Ni) and NiOx. These metal oxides showed markedly different activities, which were closely related to their charge-transfer resistance and electrochemical surface area, attributing to the amount of oxygen vacancies. Particularly, ZnFe2O4 exhibits superior OER activity with an overpotential of 318 mV at the current density of 10 mA cm-2 (η10) and a Tafel slope of 50 mV dec−1. Furthermore, ZnFe2O4 also presents outstanding long-term stability for 100 h with negligible decay even at a high current density of 800 mA cm-2. This work provides a fundamental insights into the oxygen vacancy and spinel structure to help for the design of OER catalyst toward highly efficient water splitting.
Surgical and conservative treatment outcomes of medication-related osteonecrosis of the jaw in relation to tori: A retrospective study
Authors: Amin Hameda , Andersen Sanne Werner Moeller , Jensen Simon Storgaard , Kofod Thomas
Published: March 2023

Purpose: Tori and exostoses are considered risk factors for the development of medication-related osteonecrosis of the jaw (MRONJ). The aim of this study was to present the prevalence of MRONJ in relation to tori in the Copenhagen ONJ Cohort, evaluate the surgical treatment of MRONJ in relation to tori and explore trauma to tori as an additional risk factor in patients on antiresorptive medication.
Methods: Data from a consecutive series of 506 patients with MRONJ (Copenhagen ONJ Cohort) were reviewed for the presence of tori and MRONJ in relation to tori. Demographic and medical data were analyzed, and healing outcomes and pain after the prophylactic removal of tori, surgical treatment of MRONJ in relation to tori and conservative treatment of MRONJ in relation to tori were evaluated and compared using Fisher’s exact test.
Results: Thirty-four patients were included, of which 28 were surgically treated and six were conservatively treated. Of the surgically treated patients, 27 (96.4%) healed uneventfully after their first or second revision surgery. Fourteen (41.2%) patients with tori underwent therapeutic removal, eight (23.5%) underwent prophylactic removal, and six (17.6%) underwent both therapeutic and prophylactic removal. Two (33.3%) of the six conservatively treated patients healed spontaneously, while four remained unhealed. Both treatment types resulted in a significant decrease in pain.
Conclusion: Prophylactic and therapeutic surgical removal of tori are reliable treatments and should be considered if a patient’s general health allows surgery.
The study was approved by The Regional Scientific Ethical Committee (H-6-2013-010) on November 20, 2013, and was retrospectively registered
Clinic barriers and facilitators to the implementation of a decolonization strategy for Staphylococcus aureus in hip and knee arthroplasty: A qualitative study
Authors: Whelan Lindsay , Leal Jenine , Leslie Myles , Barkema Herman W. , Ocampo Wrechelle , Rennert-May Elissa
Published: March 2023

Background Decolonization is an important infection prevention and control strategy in the surgical context. Preoperative decolonization of hip and knee replacement patients reduces the incidence of surgical site infections (SSIs), but the implementation of decolonization protocols has been uneven. Understanding the clinical level barriers and facilitators that affect implementation may increase the effectiveness of preoperative decolonization strategies.
Methods Leveraging ongoing quality improvement (QI) activity to reduce SSIs amongst hip and knee replacement patients in Alberta, Canada, qualitative methods were deployed. Semi-structured interviews (n=2) were conducted with surgeons, and focus groups (n=9) were conducted with seven nurses and two administrative staff to understand barriers and facilitators to the implementation of a provincial decolonization strategy. Interview questions were developed in conjunction with the Theoretical Domains Framework (TDF) and the research team. An inductive analysis derived from a Grounded Theory (GT) approach was conducted with the assistance of NVivo software.
Results Knowledge and understanding of the decolonization strategy were central to implementation. When present, they acted as facilitators, but when absent or inconsistent, they were significant barriers to implementation. Specifically, clinics needed more knowledge and direction on how to deliver the decolonization strategy to patients receiving homecare; who had repeat surgeries; who required surgery during COVID-19 outbreaks.
Conclusions Knowledge and understanding was a core category which summarized seven subcategories found within our GT analysis. A successful decolonization strategy will benefit from adopting further planning and development for specific patients and respiratory outbreaks such as COVID-19. Further aspects that may act as facilitators include having a champion in each clinic, regular reporting, and audit and feedback strategies. Findings from our study can provide information on the barriers and facilitators of a decolonization strategy and can be used in making the decolonization strategy successful.
A new approach for achieving successful introduction of robotic sleeve gastrectomy
Authors: Saito Takuya , Fukami Yasuyuki , Komatsu Shunichiro , Kaneko Kenitiro , Sano Tsuyoshi
Published: March 2023

Purpose The use of robotic surgery has increased exponentially worldwide, as robots have versatile functions that can amplify the surgeon's skill. At the same time, reports of robotic approach for bariatric surgery are increasing. However, a common problem with the introduction of novel surgeries is a prolonged operation time. Therefore, an innovative approach should be developed prior to the introduction of a novel surgery to ensure patient safety.
Method This article describes robotic sleeve gastrectomy using the stapling-first technique in accordance with our newly revised task protocol, and evaluates the preliminary clinical results of robotic sleeve gastrectomy performed by a single surgeon between June 2021 and December 2022.
Results The cohort comprised 10 patients with a median body mass index of 40.3 (range, 38.1–45.8) kg/m2. The median operation time was 230 (range, 178–281) minutes and median console operation time was 164 (range, 119–204) minutes. The median time for each surgical phase was 72 (range, 39–86) minutes for stomach stapling, 46 (range, 34–66) minutes for suturing the staple line, and 36 (range, 24–48) minutes for stomach dissection. The median blood loss was 15 (range, 5–78) g. Our task protocol was accomplished in all patients and only case 1 was converted to laparoscopic sleeve gastrectomy. No patients experienced postoperative complications or gastroesophageal reflux.
Conclusion Robotic sleeve gastrectomy using the stapling-first technique was safely performed in the introductory phase by following the task protocol.
On the mod 5 congruences of Kiming and Olsson
Authors: Lebowitz-Lockard Noah
Published: March 2023

In this note, we present an alternate proof of a result of Kiming and Olsson related to multiset partitions. We show that certain derivatives of powers of the generating function of the partition function obey specific congruences, then show that similar congruences apply to our multiset partitions.
Mathematics Subject Classification: 11P81, 11P83
WITHDRAWN: Feasibility of Lepton 3.5 using warm-up time for Measuring Leaf Temperature of Crops
Authors: Kim Byungsoon
Published: March 2023

Accurately monitoring leaf temperatures is becoming more and more critical as more studies use crop leaf temperature for irrigation, disease, and pest detection. This study aims explore the potential of using a low-cost Lepton 3.5 camera to measure crop canopy temperature. This is achieved by comparing the accuracy of the Lepton 3.5 with that of a FLIR thermal camera and an infrared thermometer. Using a custom Lepton 3.5 camera, an Implexxio LT-1T thermistor, and an MLX90614 infrared thermometer, the temperature of the target leaf of the laboratory plant was automatically measured every 5 minutes, recorded on a private cloud server, and manually measured with a handheld FLIR E8-XT as well. The performance of the custom Lepton 3.5 camera, FLIR E8-XT, and MLX90614 was compared to the highly-accurate Implexxio LT-1T thermistor using mean absolute error (MAE) and root mean squared error (RMSE). As a result of the experiment, the accuracy of MLX90614 was the highest among the three sensors. However, the accuracy of the low-cost LEPTON 3.5 module was less than ± 2°C, the same as the FLIR E8-XT, and far better than the ± 5°C error value of the device specification.
Hybrid ANT Colony Optimization Routing Algorithm using for AODV Protocol Improvement in Flying Adhoc Network
Authors: Gupta Tripti , Dadoria Ajay Kumar , Shrivastava Laxmi
Published: March 2023

In this world of Unmanned Aerial Vehicle (UAV), Flying Ad-hoc Network (FANET) is the growing field, which is based on unpredictable and dynamic topology, high mobility of nodes and 3-D movement. FANET is used in wide range of civil and commercial applications. The applicability of FANET encourages the difficulties in the development of network connection. It requires special purpose protocols for routing the UAV in any rigorous condition and environment. Adhoc On-demand Distance Vector (AODV) is a well established reactive routing protocol, which is well affected in large and multi-hop networks. AODV protocol does not include the path accumulation and multi-path routing features, as the other reactive protocol like Dynamic Source Routing (DSR) protocol supports. In this work, we used Hybrid ANT Colony Optimization (HACO) Routing Algorithm for AODV protocol improvement. After including this algorithm, AODV protocol supports path accumulation and multi-path routing features. We build a prototype of this work in OMNet++ Simu-lator and performs different simulation for various test conditions. Then, We compares the traditional AODV protocol with this improved version of AODV protocol(AODV-HACO) under different performance parameters. We find out 6.56 % improvement in traditional AODV to get Path accumulation and Multi-Path routing for FANET.
Design and Analysis of Frequency Reconfigurable Antenna for Wideband Millimeter-Wave Communications
Authors: Almawgani Abdulkarem H. M. , Devi Y Usha , Madhav B T P , Alhawari Adam R. H.
Published: March 2023

A novel and compact frequency reconfigurable antenna is proposed for millimeter wave communications. Defected ground structure and complementary split ring resonators are used to obtain wide operating bands. The proposed antenna operates from 20.75-37.8GHz (S11<-10dB) with a wide bandwidth of 17.05GHz. Frequency switching is achieved by including three PIN diodes D1, D2 and D3 at slots in the radiating structure. For various combinations of PIN diodes ON-OFF states, wide and narrow operating bands are attained within the range of 20-38GHz. The proposed antenna exhibits good performance in terms of bandwidth, current distribution and far-field radiation characteristics. A peak gain of 6 dB is achieved and the average radiation efficiency is 96% in the operating band. Experimental results validate the proposed reconfigurable wideband antenna millimeter-wave applications.
Uncovering Neural Pathways Underlying Bulimia Nervosa: Resting-State Neural Connectivity Disruptions Correlate with Maladaptive Eating Behaviors
Authors: Wang Jiani , Wang Miao , Wu Guo-wei , Li Wei-hua , Lv Zi-ling , Chen Qian , Yang Zheng-han , Li Xiao-hong , Tang Li-rong , Zhang Peng , Li Zhan-jiang , Wang Zhen-chang
Published: March 2023

Purpose Bulimia nervosa (BN)is characterized by recurrent binge-eating episodes and inappropriate compensatory behaviors. This study investigated alterations in resting-state surface-based neural activity in BN patients and explored correlations between brain activity and eating behavior.
Methods A total of 26 BN patients and 28 healthy controls were enrolled. Indirect measurement of cerebral cortical activity and functional connectivity (FC) analyses were performed in Surfstat. A principal component analysis (PCA) model was used to capture the commonalities within the behavioral questionnaires from the BN group.
Results Compared with the healthy control group, the BN group showed decreased surface-based two-dimensional regional homogeneityin the right superior parietal lobule (SPL). Additionally, the BN group showed decreased FC between the right SPL and the bilateral lingual gyrus and increased FC between the right SPL and the left caudate nucleus and right putamen. In the FC-behaviorassociation analysis, the second principal component (PC2) was negatively correlated with FC between the right SPL and the left caudate nucleus. The third principal component (PC3) was negatively correlated with FC between the right SPL and the left lingual gyrus and positively correlated with FC between the right SPL and the right lingual gyrus.
Conclusion We revealed that the right SPL undergoes reorganization with respect to specific brain regions at the whole-brain level in BN. In addition, our results suggest a correlation between brain reorganization and maladaptive eating behavior. These findings may provide useful information to better understand the neural mechanisms of BN.
Level of evidence Level V, descriptive study.
Advancing Network Securing Strategies with Network Algorithms for Integrated Air Defense System (IADS) Missile Batteries
Authors: Pran Rakib Hassan
Published: March 2023

Recently, the Integrated Air Defense System (IADS) has become vital for the defense system as the military defense system is vital for national security. Placing Integrated Air Defense System batteries among locations to protect locations assets is a crucial problem because optimal solutions are needed for interceptor missiles to intercept attacker missiles for maximizing protection of assets across locations or places. In this research, the procedures of using network algorithms along with developing several network algorithms are going to be demonstrated to develop a model for sequential development of seven network securing strategies of placing Surface to Air Missile (SAM) batteries to maximize the protection of assets across locations (based on given asset values) by generating optimal solutions through computation to destroy maximum attacker missiles by using minimum interceptor missiles with given intercept probability. This network securing strategies can be implemented not only for Integrated Air Defense System (IADS) planning but also Counter Air (CA) planning as Integrated Air Defense System (IADS) is conducted with defensive counter air supported by attack operations in offensive counter air.
Information and Communication Activities: Content and Audience Characteristics
Authors: Mitchuk Olha , Krupskyy Ivan
Published: March 2023

Introduction. The relevance of the research is aimed at revising traditional technologies and transitioning to the creation of highly effective management systems for the entire complex of information resources.
The aim of the study. The purpose of the article is to determine the main regularities of the formation of information and communication activities, in particular content and audience characteristics. The object of research is the information and communication activity of social communications. The subject of scientific research is the content and audience characteristics of the basic concept of the functioning of information culture.
Methods. The basis of scientific research is the analysis of theoretical studies. Processing of the source base was based on the application of analytical-synthetic, logical methods, principles of selection, analysis and generalization of research material. The methodology of typological and species segregation was used as a method of determining the specificity of the segmentation of certain realities, content and audience characteristics were formulated. The analytical method was used to reveal the typological factors of information and communication activities. The inductive method made it possible to carry out a general analysis of existing points of view on the investigated problem.
Results and conclusions. The means of mass communication are a reflection of the consciousness of both an individual and society in general. All attempts to highlight the socio-cultural features of modern mass communication media, which do not take into account the mass communication media themselves as a phenomenon of combining content and constructive-visual forms of information presentation, go beyond the journalistic characteristics of these media. It is correct to interpret any events not in the traditional typological context of the documentary form of mass communication means, but in the technological context, which involves the use of flexible approaches to mass communication means.
Povijest difamiranja integrativne bioetike
Authors: Smiljanić Vlatko
Published: March 2023

Autor se u radu bavi poviješću pokušaja difamacijâ integrativne bioetike od grupe hrvatskih filozofa te uzgrednim medijskim istupima u kojima je tendencija bila kleveta toga višegodišnjega istraživačkoga koncepta zagrebačke bioetičke škole. Uvodno se donosi povijesni pregled osnovnih kvalitativnih i kvantitativnih rezultata integrativne bioetike u hrvatskomu i europskomu kontekstu. Potom slijedi raščlamba konteksta difamiranja integrativne bioetike i aktera difamacije, odjelito u »znanstvenomu« i medijskomu sadržaju. U zaključku, tumači se pokušaj kompromitacije i profanacije integrativne bioetike kao dio fenomena destrolucije, teorije postkomunističkoga kaosa te produkcije patvorenoga jala.
Naivnost vjere u apstrakciju pravnog poretka
Authors: Špoljarić Bernard
Published: March 2023

Iz perspektive političke teorije kakvu u Teologijsko-političkoj raspravi izlaže Benedikt de Spinoza, svrha je države kao pravnog poretka uspostavljanje trajnog stanja sigurnosti i očuvanje slobode građana, što pretpostavlja i instrumentalno-funkcijsku svrhovitost državnog aparata, koja se ogleda u sprezi zaštite i poslušnosti. Takva zakonodavna uspostava ima svoju stvarnu i apstraktnu dimenziju, pri čemu je u ideji potonja u službi prve. Problemi koji se u praksi javljaju kao izazovi pravnom poretku jesu izvanredna stanja koja na neposredan način suprotstavljaju sigurnost i slobodu te ih čine međusobno isključivima. U tom pogledu, pravno-politička misao potrebuje jasno i odjelito shvaćanje pojmova slobode i ropstva u podvrgavanju autonomnom zakonodavstvu uma.
A COMPARATIVE STUDY ON EFFECTIVENESS OF CO2 LASER + MICRONEEDLING AND CO2 LASERIN PATIENTS WITHACNE SCARS
Authors: J. Sanbal Deepika , Hogade Ashok
Published: March 2023

Introduction: Acne is one of the most common disorders. Quite often, acne results in scar formation due to the preceding inflammation causing either loss or gain of tissue. Ablative CO2 laser resurfacing and microneedling are proven effective modalities for the treatment of acne scarring. However, one out of two techniques is done exclusively in a patient. In the present study we have compared the sequential usage of CO2 laser + Microneedling Versus Only CO2 laser. Materials and Methods: A total of 50 patients were recruited for the study. 25 patients with moderate-to-severe acne scars underwent one sitting of fractional CO2 laser, followed by Microneedling after 3 weeks to follow the same sequence making total of four sittings over 6 months, while other 25 patients underwent total of four fractional CO2 laser sittings within a gap of 3 weeks each. Outcomes were based on GoodmanÂ’s Qualitative and Quantitative assessment. Results: Acne scarring improved significantly in all the 50 patients. Mean scar scores decreased to 9.05% as compared to 58.52% before treatment, decreasing by a mean of 49.47% in Group A, while in Group B, the mean scar scores decreased to 7.45% as compared to 30.20%, decreasing by a mean of 22.75%. Based on quantitative assessment of after treatment reduction of Acne Scars Comparing Group A and Group B. Very good reduction of acne scars was found in 2 (8%) patients in the Group A whereas in the Group B none of the patients had found the very good reduction. Good reduction of Acne scars was found to be in 12 patients (48%) in the Group A, whereas in the Group B was found in the 3 patients (12%), moderate reduction was found in the 10 patients (40%) in the Group A whereas in the group B had found in the 15patients (60%). It was found to be statistically significant association (P value= 0.001). This infers, maximum good reduction was found to be in association with the Group A than Group B. In the Group A, all the 25 patients presented with erythema, edema, needle impression and all the 25 patients in the Group B presented with the erythema respectively Conclusion: The use of combination therapy of CO2 laser + Microneedling and CO2 laser is more efficacious than CO2 laser alone. This combination present with more or less similar side effects as compared to monotherapy.
ACTIVITES ANTIFONGIQUE ET ANTIBACTERIENNE DES EXTRAITS DE FEUILLES DESTYLOSANTHES ERECTABEAU
Authors:   Laboratoire de BiochimiedeSubstances Naturelles (LBASNa)Faculte des sciences et Techniques, (FST), Universite des Sciences des Techniques et des Technologies de Bamako,(USTTB) Mali., Keita Singou , A. Konare Mamadou ,   Laboratoire de BiochimiedeSubstances Naturelles (LBASNa)Faculte des sciences et Techniques, (FST), Universite des Sciences des Techniques et des Technologies de Bamako,(USTTB) Mali., Diakite Meminata ,   Laboratoire de BiochimiedeSubstances Naturelles (LBASNa)Faculte des sciences et Techniques, (FST), Universite des Sciences des Techniques et des Technologies de Bamako,(USTTB) Mali., Doumbia Moriba ,   Laboratoire de Biochimie Alimentaire, lInstitut des Sciences Appliquees(ISA),Universite des Sciences des Techniques et des Technologies de Bamako,5USTTB), Mali., Togola Issiaka ,   Laboratoire de BiochimiedeSubstances Naturelles (LBASNa)Faculte des sciences et Techniques, (FST), Universite des Sciences des Techniques et des Technologies de Bamako,(USTTB) Mali., Diarra Nouhoum ,   Laboratoire de BiochimiedeSubstances Naturelles (LBASNa)Faculte des sciences et Techniques, (FST), Universite des Sciences des Techniques et des Technologies de Bamako,(USTTB) Mali.
Published: March 2023

During this work, phytochemical analyzes were carried out on the powder of the leaves of Stylosanthes erecta P. Beauv., as well as qualitative analyzes by thin layer chromatography(TLC) and evaluations. The antifungal and the antibacterial activities of the aqueous extracts were made respectively by the diffusion method and by the dilution method.The TLC revealed the spots including gallic tannins, catechism tannins and flavonoids.The antifungal activity against Candida albicans is proportional to the increase in the concentration of the extracts of total tannins. Concentrations of 1000 Âµg/mL and 1500 Âµg/mL showed complete inhibition of fungal density. Maceration extracts have more antifungal activity than decoction ones. As for the antibacterial activity, Streptococcus ss and N. gonorrhea were more sensitive to thecrude and tannin extracts than flavonoids ones. The largest inhibition diameters were 15 Â± 0.05 mm and 16 Â± 0.04 mm on clinical strains. S. typhi was more sensitive to flavonoid extracts. The minimum inhibitory concentration was around 0.5 mg / mL on E. coli, S. typhi, Streptococcus and N. gonorrhea.
SOLITARY INTRAMUSCULAR CYSTICERCOSIS OF RIGHT ELBOW REGION
Authors:   Apollo Hospital, CBD Belapur, Navi Mumbai., Agrawal Prashant , Borse Amey ,   Apollo Hospital, CBD Belapur, Navi Mumbai., Jessani Laxman ,   Apollo Hospital, CBD Belapur, Navi Mumbai.
Published: March 2023

Cysticercosis and Taeniasis are two conditions that tapeworms can transmit to humans. Cysticerci can be contracted by eating pork meat or eating eggs with tainted water. Cystocercosis of the muscles typically has no symptoms. Once the infection has been identified, it is critical to screen out intra-ocular and intra-cranial involvement since involuting cysticercus causes a strong inflammatory response that, if not discovered and treated promptly, can result in blindness. Controlling fecal contamination of water and food requires proper sanitation and personal hygiene. Food that is raw or inadequately cooked should be avoided, especially in endemic areas. A crucial component of treatment is conservative treatment with medicines. Surgical intervention is reserved for instances that do not react to conservative treatment and do not provide symptomatic relief. In our case, after establishing the diagnosis with ultrasound and magnetic resonance imaging, albendazole was administered as treatment and the definite diagnosis was made. In conclusion, although isolated soft tissue cysticercosis is difficult to identify most of the time, especially when it is not accompanied by central nervous system infection, if larvae can be demonstrated with any imaging modalities, cysticercosis can be easily diagnosed without further differential diagnosis.
COMPLETE RESPONSE AFTER HYPOFRACTIONATEDRADIOTHERAPY TREATMENT OF A RECURRENT CUTANEOUS SQUAMOUS CELL CARCINOMA OF THE AMPUTATED FINGER
Authors:   Radiation Oncology Department, Oncology Hospital, Hassan II University Hospital. Fes, Morocco., Soussy Kaoutar , Assenhaji Bouthaina ,   Radiation Oncology Department, Oncology Hospital, Hassan II University Hospital. Fes, Morocco., Sadiki Mehdi ,   Medical Physics Unit, Hassan II University Hospital, Fes, Morocco., Ait Erraisse Mohamed ,   Radiation Oncology Department, Oncology Hospital, Hassan II University Hospital. Fes, Morocco., Hassani Wissal ,   Radiation Oncology Department, Oncology Hospital, Hassan II University Hospital. Fes, Morocco., Alami Zenab ,   Radiation Oncology Department, Oncology Hospital, Hassan II University Hospital. Fes, Morocco., Zahra Farhane Fatima ,   Radiation Oncology Department, Oncology Hospital, Hassan II University Hospital. Fes, Morocco., Bouhafa Touria ,   Radiation Oncology Department, Oncology Hospital, Hassan II University Hospital. Fes, Morocco.
Published: March 2023

Cutaneous squamous cell carcinoma is a relatively uncommon type of skin cancer that occurs most frequently on the hands. An 84-year-oldright-handedwomenpresented a recurrent cSCC of the 3rd finger four months following amputation and after declining adjuvant radiotherapy indicated given insufficient limits. Salvage hypofractionated Radiotherapy was performed with the 3D technique (60 Gy of RT in 20 fractions, at a daily dose fraction of 3 Gy over four weeks), with complete response and good aesthetic results.
INTUSSUSCEPTIONIS IN ADULT, CASE REPORT OF ACUTE INTUSSUSCEPTIONON DUE TO METASTASIS FROM A TESTICULAR TUMOR
Authors:   CHU Mohamed VI, Marrakech Faculty of Medicine and Pharmacy, Cadi Ayyad University of Marrakech., Ait Ben Addi Rachid , Ait Blaid Wafae ,   CHU Mohamed VI, Marrakech Faculty of Medicine and Pharmacy, Cadi Ayyad University of Marrakech., Ahbala Tariq ,   CHU Mohamed VI, Marrakech Faculty of Medicine and Pharmacy, Cadi Ayyad University of Marrakech., Rabbani Khalid ,   CHU Mohamed VI, Marrakech Faculty of Medicine and Pharmacy, Cadi Ayyad University of Marrakech., Louzi A. Abdelouahed ,   CHU Mohamed VI, Marrakech Faculty of Medicine and Pharmacy, Cadi Ayyad University of Marrakech.
Published: March 2023

Intestinal intussusception is a rare pathology in adulthood and often secondary to an organic cause, reporting the observation of a young 36-year-old patient with no particular pathological history, who was diagnosed with intussusception due to metastasis of a testicular tumor.
ROLE OF 128 SLICE MDCT IN PANCREATIC TRAUMA DIAGNOSIS AND MANAGEMENT
Authors:   Post Graduate, Department of Radiodiagnosis, Narayana Medical College &Hospital, Nellore, Andhra Pradesh., Indraja Kulluru , Gayatri M. ,   Associate Professor, Department of Radiodiagnosis, Narayana Medical College &Hospital, Nellore, Andhra Pradesh., Pranitha C. ,   Post Graduate,Department of Radiodiagnosis,Narayana Medical College & Hospital, Nellore, Andhra Pradesh., Krishna Rao Baru Rama ,   Head of Department, Professor, Department of Radiodiagnosis, Narayana Medical College & Hospital, Nellore, Andhra Pradesh.
Published: March 2023

Aims and Objectives:This study aimed to detail how multi-detector computed tomography (MDCT) can be utilised to the study diagnosis of pancreatic trauma and its management. Material and Methods:This Hospital-based prospective study was carried out over 10 months from December 2020 to SEP 2021 at the Department of Radiodiagnosis, Narayana medical college, Nellore. 30 patients with pancreatic injury were included in study. All patients underwent Contrast enhanced computed tomography abdomen on128 slice CT(GE OPTIMA 660).Grading of pancreatic injury done using American Association for the surgery of trauma organ injury scale .One patient underwent MRI abdomen and MRCP. 20 patients are treated conservatively. 10 out of 30 patients underwentsurgery.Intraoperative findings noted. Results: 1. According to American Association for the surgery of trauma organ injury scale 19/30 patients are of grade I &grade II injury. 6/30 in grade III and 5/30 were grade IV injuries. 2. Grade I &II patients were managed conservatively and improved remarkably on followup. 3. Grade III&IV patients underwent surgery and CT findings are confirmed intraoperatively. 4. 6 patients with grade III injury undergone Distal pancreatectomy + Splenectomy and 4 patients undergone Spleen preserving Distal Pancreatectomy. 5. Grade IV patients initially managed conservatively in which 4 patients developed pseudocyst they were treated with cystogastrostomy and one patient developed fistula .This fistula was initially controlled with Percutaneous catheter drainage followed by roux -en- y fistulojejunostomy. Conclusion: 1. CT represents an accurate tool for diagnosing pancreatic trauma, it provides useful information to plan therapeutic approach .
ACTION OF KANCHANAR GUGGULU IN THE MANAGEMENT OF GALGANDA (HYPOTHYROIDISM) : A REVIEW
Authors:   PG Scholar, Department of Rasa Shastra and Bhaisajaya Kalpana, Govt. Ayurveda College and Hospital, Patna, Bihar, India., a Gunjan , Kumar Dwivedi Prabhat ,   Professor, Department of Rasa Shastra and Bhaisajaya Kalpana, Govt. Ayurveda College and Hospital, Patna, Bihar, India.
Published: March 2023

Ayurveda is a system of medicine for the treatment of every disease manifested must have some certain name but it is more important to considered the doshas and dhatus, concept of Agnimandyata, srotovoradha, we can manage the signs, symptoms and complaint according to different diseases. A lifestyle disorder mostly occurs due to lack of awareness about proper diet (Ahara) and way of living (Vihar), which manifest as diseases as a result of imbalance of Doshas. In present environmental situation endocrine disorder is a common prevailing disorder among the adults,these include diseases like Diabetes mellitus (prameha) and Hypothyroidism (galganda) have profound influence on tissue metabolism and thermogenesis all over the body. Hypothyroidism trend is increasing i.e. 15 billion in 110 plus countries globally more than 2 billion and more than 40 million in India. [1] All the metabolic process of the body is being controlled by metabolic factors located in the digestive tract (Jatharagni). In Ayurveda, thyroid glanddisorder is correlated with Galganda, Gandamala but about the concept of hormones over production has not been mentioned clearly in the Ayurvedic text. Hence, here is an act of trying to do something to get understand the disease Hypothyroidism with galganda through vivid action of KanchanarGuggulu.
EFFECT OF CLIMATE CHANGE ON SOIL EROSION: A REPORT
Authors:   M.E. (Control System) from Electrical Engineering Department, M.B.M. Engineering College, Jodhpur and is Presently Working in Arid Forest Research Institute, Jodhpur, India., Kulsrestha Shubhi
Published: March 2023

Climate change refers to the changing Earths climatic system lasting from over a few decades to millions of years. The formation of soil is a complex and a long process involving the multifarious interaction of the number of forces viz relief, climate, parent material, organisms all acting over time. Climate is one of the most important factors affecting the formation of soil with important implications for their development, use and management perspective with reference to soil structure, stability, topsoil water holding capacity, nutrient availability and erosion. Assuming constant inputs of carbon to soils from vegetation, different estimate predicts that expected changes in temperature, precipitation and evaporation will cause significant change in organic matter turnover and CO2 dynamics. In conclusion, increased productivity would generally lead to greater inputs of carbon to soil, thus increasing organic matter in soil.
QUANTITATIVE DISCERNMENTS OF THE DIFFERENT CALCIUM COMPOUNDS IN THE TARFAYA OIL SHALE (MOROCCO)
Authors:   Department of Chemistry, Faculty of Sciences Ben msik Casablanca, University Hassan II Morocco., Adli Soumia , Attaoui Abdeljabbar ,   Department of Chemistry, Faculty of Sciences Ben msik Casablanca, University Hassan II Morocco.
Published: March 2023

Calcium exists in several compounds, calcite (CaCO3), dolomite (CaMg (CO3)2), calcium oxide (CaO) and calcium chloride dihydrated (CaCl2, 2H2O). All of these calcium compounds occur in oil shale. This work consists of using some physical and reaction analytical methods to try to discernthese calcium constituents quantitatively. By the methods of this work, which are the complexometry reaction using dimethyl tetra acetic acid (EDTA), the hydrochloric acid etching reaction and dispersive X-ray diffraction, we have tracked these calcium qualities. Pure calcite and pure hydrated calcium chloride were the references used. By combining the three analytical methods and making calculations, we were able to identify calcium chlorides and free chloride in the Tarfaya oil shale. The material account of the calcium compounds mentioned in addition to calcite and dolomite was established.
EVALUATING THE MATERNAL OUTCOME IN OBSTETRIC ICU A STUDY FROM A TERITIARY CARE HOSPITAL IN SOUTH INDIA
Authors: Uma Naga Venkata Swetha Konakalla , Ravali Guntuku
Published: March 2023

Background : Critically ill obstetric patients pose challenges to the intensive care unit team due to their altered physiology as well as due the presence of the foetus and safety of both the mother and the foetus is of most important. A better knowledge of the spectrum, characteristics and outcomes of the diseases involving this group of patients is the first step towards achieving prevention and the current study is done to supplement the present knowledge on obstetric emergencies requiring ICU care. Aims and Objectives :The objective is to study the profile of cases admitted to obstetric ICU and to evaluate maternal outcome and prognosis. Materials and Methods :This is observational study was conducted at Andhra Medical College ,visakhapatnam a teritiary care hospital from January 2022 to June 2022 . 1. All antenatal women irrespective of the period of gestation and postnatal women within 42 days of delivery requiring ICU admission for obstetric, non-obstetric reasons,irrespective of age, parity, mode of delivery, and co-morbid conditions were included . 2. Results were subjected to statistical analysis and conclusions drawn. Results : During the study period of 6 months, a total number of 82 obstetric patients were admitted to ICU. Specific interventions that had been undertaken at the ICU (such as the use of intubation, mechanical ventilation, and intensive monitoring )were recorded. The complications that were encountered at the ICU, such as disseminated intravascular coagulation (DIC) and multiorgan failure, were recorded. Majority were of obstetric reasons (n=58, 70.7%).Non-obstetric reasons (n=24, 29.3%) 28 maternal deaths occurred during the study period.Most common cause of death in our study was MODS followed by complications of hypertensive disorders of pregnancy. Discussion : Present centre being a tertiary care hospital majority of the women had severe complications and many were referred after a significant amount of delay .This stresses the idea that, in cases involving obstetric patients, there could not be much time for transfer to an intensive care unit and that things could swiftly deteriorate. Lack of antenatal care, poor socio economic background, delay in referral from the peripheral health centres predicted poor outcomes. Conclusion : The findings of the present study reinforce the statement by WHO that There is a story behind every maternal death or life-threatening complication. Understanding the lessons to be learned can help to avoid such outcomes. A multidisciplinary team approach is required in ICU. All residents of obstetrics and gynaecology should have short mandatory training phase in critical care.
IMPACT OF FAMILY WELFARE SERVICES IN A RURAL AREA OF CENTRAL KERALA, INDIA
Authors:   Assistant Professor, Department of Community Medicine, Sree Mookambika Institute of Medical Sciences, Kulasekharam, Tamilnadu, India., A.J Austoria , A.P Xavier ,   Assistant Professor, Department of Forensic Medicine, Sree Mookambika Institute of Medical Sciences, Kulasekharam, Tamilnadu, India., Mohamed Ismail Bismi ,   MPH Student, University of Melbourne, Australia., Mohamed Aazmi ,   Assistant Professor, Department of Community Medicine, Tirunelveli Medical College, Tamilnadu, India.
Published: March 2023

Family planning was considered the centre of our national development since 1952 and India is the first country in the world to launch National Programme for Family Planning for the same. Objectives: To find the impact of family welfare services in Arpookara panchayat in Kerala and to find the prevalence and factors associated with the acceptance of contraception. Methodology: This cross-sectional study was done among 650 eligible couples selected by Purposive sampling in Arpookara panchayat of Kottayam in Kerala, India. Data were coded and analysed using SPSSv20.0. Results: 2.76% (18/650) of the study participants used any type of contraception to delay the first pregnancy. Only 2.8% accepted vasectomy. Hindu religion and nuclear family were found as independent predictors for accepting contraception. Conclusion: Social factors of a couple do have an impact on family welfare indicators. Family planning in men should be encouraged with proper IEC activities.
A CLINICAL STUDY ON EFFECT OF CHANDANADI SHATADHAUT GHRITA IN THE MANAGEMENT OF KIKKISA W.S.R. TO STRAIE GRAVIDARUM
Authors:   Asst. Prof., Dept of Prasuti Tantra Avun Sri Rog, Major S D Singh P G Ayurvedic Medical College & Hospital, Farrukhabad, UP., Yadav Shweta , Saxena Jolly ,   Principal & HOD, Dept. of Rasa Shastra & Bhaishjya Kalpana, Major S D Singh P G Ayurvedic Medical College & Hospital, Farrukhabad, UP., S. Chandran Irina ,   Asst. Prof., Dept. of Rasa Shastra Evum Bhaisjya Kalpana, Major S D Singh P G Ayurvedic College And Hospital, Farrukhabad, UP., Saxena Ankur ,   Assit. Prof., Dept of Roga Nidan & Vikriti Vijyan, Major S D Singh P G Ayurvedic Medical College & Hospital, Farrukhabad, UP., Biswal Debasis ,   Prof & HOD, Dept of Kaya Chikitsa, Major S D Singh P G Ayurvedic Medical College & Hospital, Farrukhabad, UP.
Published: March 2023

Twak is a link between internal and external environment and is also the seat of complexion, which maintains beauty and personal identity in the society. About more than 90% of total woman populations are affected by stretch marks on the body particularly on the abdomen, groin and on the chest region during and after pregnancy, which remains rest of life. Kikkisa is a type of skin ailment that occurs during pregnancy and mentioned in the disorders of pregnancy by the various Acharyas. An attempt is made to evaluate clinical efficacy of Chandanadi Shatadhaut Ghrita in 30 patients of Kikkisa. Though Kandu is a symptom of Kapha but here in Kikkis Kandu is due to dryness of skin. So Kandughna action of Tikta Rasa and Snehana effect of Snigdha Guna protect and give relief from Kandu. Tikta Rasa and Katu Vipaka have Kandughna property that helps to reduce Kandu and also Chandana and Karanaj area Kandughna drugs. Tikta and Kashaya Rasa have Daha Shamak property whereas chandan and ushira also have Pittashamak property, which reduce the Vidaha. Tikta Rasa and Katu Vipaka have Kushthaghna property and ushira and chandan have Varnya action. Kandu, Vidaha and Vaivarnyata were reduced markedly after the treatment of Kikkisa with chandanadi shatadhaut ghrita. There was no effect was seen of the chandanadi shatadhaut ghrita on reduction of the area of Kikkisa lesion. No any untoward effect was noticed during follow up study.
TRICHOSCOPY IN ALOPECIA AREATA : A SUPER TOOL FOR DIAGNOSIS
Authors:   Post Graduate, Department of Dermatology, Bhaskar Medical College, Moinabad, Hyderabad., Sushmitha B. , Yerneni Aashritha ,   Assistant Professor, Department of Dermatology, Bhaskar Medical College, Moinabad, Hyderabad., Janardhan B. ,   Professor, Department of Dermatology, Bhaskar Medical College, Moinabad, Hyderabad., Manmohan G. ,   HOD and Professor, Department of Dermatology, Bhaskar Medical College, Moinabad, Hyderabad.
Published: March 2023

Objective : Alopecia areata (AA) is a non-scarring form of hair loss1.Trichoscopy is the study of hair conditions by the use of magnified light sources2.Trichoscopy aids in confirmatory diagnosis of Alopecia areata.Objective of our study is to present various presentations of alopecia in trichoscopy. Methods : 50 patients with Alopecia areata were included in the study. Dermlite 4 Dermoscope (10X magnifications) with polarised light was employed in the study. Abstract : A Case study of 50 patients both female and male clinically diagnosed with Alopecia areata has been studied to evaluate the trichoscopic findings specific to Alopecia areata and make a final diagnosis. Results : A total of 50 patients were evaluated and trichoscopic findings of white dots were seen in 45 patients (i.e.90%), black dots in 40 patients (i.e.80%),yellow dots in 25 patients (i.e.50%), broken hairs in 20 patients(i.e.40%), white hairs in 15 patients (i.e.30%), short vellus hairs in 10 patients (i.e.20%), exclamation marks 10 patients (i.e.20%), circle hairs in 6 patients (i.e.12%), tapering hairs in 5 patients (i.e.10%). Conclusion : Trichoscopy evaluates specific patterns in Alopecia areata to identify disease activity and severity of disease. It helps avoid invasive methods to diagnose& is also cost effective.
A META-ANALYSIS ON CORRELATION OF SITE AND SIZE OF TYMPANIC MEMBRANE PERFORATION WITH THE DEGREE OF HEARING LOSS
Authors:   Fellow, Dr. Shroffs Eye Charity Hospital, New Delhi., Parmar Parul , Singh Ambalika ,   Senior Resident, Department Of Ent, Bundelkhand Medical College Hospital, Sagar, Madhya Pradesh., Narang Shivam ,   PG Resident, Department Of Ent, Index Medical College Hospital & Research Center, Indore, Madhya Pradesh.
Published: March 2023

A discharging ear is the most common presenting symptom for ENT conditions. However, some degree of hearing loss is always present. In order to compare the degree of hearing impairment with the size and location of the perforation, we made an effort to conduct this study. The purpose of the study is to ascertain whether, and if so, what, a relationship exists between the location and extent of the tympanic membrane perforation and the severity of hearing loss. In a systematic scoping review of randomized controlled trials, each database was subjected to a unique systematic search approach. Utilizing the methodological approaches specified in the Cochrane Handbook for Systematic Reviewers, a systematic scoping review is conducted after selection criteria, with results reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA). Tympanic membrane anomalies are the root cause of various degrees of conducive deafness. The size of the perforation affects how much hearing is lost. More of an impact is felt on lower frequencies than on higher frequencies. More deafness results from posterior-inferior perforations than anterior-inferior perforations.
PALATAL MYOCLONUS-A CASE STUDY
Authors: Saud Alrahili Ahmad
Published: March 2023

Palatal myoclonus is a repetitive, involuntary jerking movement of the pterygopalatine arch and soft palate, frequently involving the diaphragm and vocal muscles. Palatal tremor is classified into essential palatal myoclonus (EPM) and symptomatic palatal myoclonus (SPM). In EPM, the only clinical signs are palatal tremor and ear clicks, whereas, in SPM, tremor may encompass facial, ocular, and extremities muscles. In our study, a healthy 26 years old man presented a persistent auditory clicking on the temporomandibular joint bilaterally 18 months ago. The clicking was not related to mandibular movement. The final clinical examination showed that the patient suffered from palatal myoclonus with EPM. EPM is a rare condition characterized by clicking noises and muscle contraction at the back of the throat. Due to the conditions rarity, there have yet to be any randomized controlled trials of treatment options for EPM. However, our patient showed positive results after one week of treatment using Carbendazim 200mg.
INCIDENCE, RISK FACTORS AND FETOMATERNAL OUTCOME IN ABRUPTIO PLACENTA
Authors: Ramya Satya Pavani Devi Yenugudhati , Adi Lakshmi Vaddadi
Published: March 2023

Abruptio placenta is defined as placental detachment before and during delivery.It remains a major cause of maternal and perinatal morbidity and mortality in developing countries.Over 50% of all perinatal deaths attributed to abruptio placenta are accompanied by premature delivery.In addition it accounts for 20-25% of antepartum hemorrhage,increased risk of DIC,maternal shock ,renal failure,PPH,and maternal death.This study aimed to determine the incidence ,risk factors and fetomaternal outcome in abruptio placenta.
A COMPARATIVE STUDY TO ASSESS THE STRESS LEVEL OF EXAMINATION PRACTICE IN SEMESTER AND ANNUAL SYSTEM AMONG THE STUDENTS OF SCHOOL OF NURSING SCIENCE AND RESAERCH SHRADA UNIVERSITY, GREATER NOIDA UP
Authors:   Sharda University., Sharma Komal , Mahato Elisha ,   Sharda University., Thakur Poonam ,   Sharda University.
Published: March 2023

A research study title A comparative study to assess the stress level of examination practice in semester and annual system among the students of School of Nursing Science and Research, Sharda University, Greater Noida U.P. The objectives of the study were to assess the stress level among students in Semester and annual system of examination, to compare the stress level among students of semester and annual system of examination, to find out the association between semester and annual System of examination with selected demographic variables. A Quantitative research approach was used and the research design adopted for the study was Comparative research design was adopted for this study. Samples were selected by using random sampling technique. The sample consists of 100 students, who are in age group of between 17-23 years from the School of Nursing Science and Research, Sharda University of Greater Noida. The date was collected by using 2 tools Demographic variables and Likert scale, the self prepared questionnaire was used to assess the stress level of examination practice in semester and annual system among the students. The shows that stress level mean score and SD in semester system was 33.5Â±3.7 and mean score and SD in annual system was 28.9Â±4.5 and the mean difference was 4.5 (2.9-6.2). Thus the p-value came out to be <0.0001**. Hence the semester system students had more stress than the annual system students. According the level of stress , majority (56%) of semester system had moderate level of stress and (44%) were having severe level of stress and annual system students (90%) had moderate level of stress and (10%) of students were having severe level of stress.