bluuebunny/crossref_metadata_2025 huggingface dataset:
On the comparative analysis of labor potential in the Russian Arctic
Authors: Kazanina M. A.
Published: October 2022

Aim. The presented study aims to determine the level of development of labor potential in the Arctic zone.

Tasks. The author defines the concept of labor potential and its characteristic features; compares the level of development of labor potential in Arctic regions using various indicators to obtain the most accurate results.

Methods. This study uses modern general scientific research methods: comparative analysis, structural and logical methods.

Results. The labor potential of Arctic regions is high according to several indicators. In terms of economic indicators, most regions are above the average level (except for the Republic of Karelia and the Krasnoyarsk region). The same is true for demographic indicators, with only the Republic of Karelia and the Arkhangelsk region below the median. That said, the demographic characteristics of each region remain stable and do not decline. Three of the examined regions are below the national median in terms of education and qualification, five in terms of psychophysiology, and seven in terms of innovation.

Conclusions. According to the results of the study, the level of labor development in Arctic regions is increasing. That said, it is necessary to focus on the development of innovation, education, and healthcare.
The role of digitalization and import substitution in improving the financial standing of St. Petersburg enterprises
Authors: Makarov M. Yu.
Published: October 2022

Aim. The presented study aims to investigate the potential benefits of digitalization and import substitution for restoring the financial standing of St. Petersburg enterprises under the influence of crisis factors.

Tasks. The authors conduct an economic analysis of the potential benefits of digitalization and import substitution for restoring the financial standing of enterprises in Russia in general and St. Petersburg in particular; analyze the financial standing of St. Petersburg enterprises in 2020–2022 to identify the most affected industries and beneficiaries of the current crisis; identify problematic aspects of the innovative development of St. Petersburg enterprises in the context of import substitution and digitalization; develop measures to improve its level.

Methods. The study uses systems and logical approaches, economic-statistical and general scientific methods, including methods of comparative, economic, and financial analysis.

Results. Trends in the development of the Russian economy under modern conditions are considered. The financial standing of St. Petersburg organizations are analyzed by type of economic activity and its dynamics in 2020–2022. Digitalization and import substitution are identified as factors affecting the development of the financial standing of enterprises. Emphasis is placed on the ways of using artificial intelligence systems and automation technologies in production processes. A SWOT analysis of macroeconomic factors affecting the innovative development of St. Petersburg enterprises in the context of import substitution is performed.

Conclusions. Factors facilitating the restoration of the financial standing of St. Petersburg organizations include accelerated digitalization and import substitution. Analysis of the financial standing of St. Petersburg organizations in 2020–2022 shows that some industries have managed to adapt their business processes to the new conditions, while others remain in a difficult economic state and are looking for ways to recover. However, St. Petersburg enterprises have the opportunity to capitalize on the benefits of digitalization for recovery. Introduction of artificial intelligence is particularly important in the current crisis situation. A sound innovation policy for expanding import substitution and the range of available products is also an essential measure. The results of the study can be used to restore small and medium enterprises in St. Petersburg, increase investment activity in the region, solve economic problems, and implement measures to get on the path of sustainable growth of the city’s economy.
Application of SERVQUAL and Delphi methods for making management decisions to improve logistics service in seaports
Authors: Ershova T. V. , Zhokhova V. V. , Blyudik A. R.
Published: October 2022

Aim. The presented study aims to assess the level of logistics service in a seaport using the SERVQUAL method and prediction of the effect of optimization measures using the Delphi method through the example of the Commercial Port of Vladivostok (hereinafter referred to as the CPV).

Tasks. The authors update the SERVQUAL methodology for assessing the level of logistics service in seaports; assess the level and propose optimization measures through the example of the CPV; predict the effect of the adaptation of measures in production.

Methods. This study uses a comprehensive approach, including comparative and content analysis of scientific papers and practical experience, SERVQUAL and Delphi methods.

Results. The SERVQUAL methodology for assessing the level of logistics service in seaports is updated. Growth points are identified and optimization measures are proposed through the example of the CPV. The Delphi method is used to predict the effect of the adaptation of measures in production.

Conclusion. The results of the study facilitate the development of theoretical knowledge about the assessment of logistics service for making management decisions and expanding the practical testing of SERVQUAL and Delphi methods.
Program approach in digital economy development: Republic of Korea and Russia
Authors: Volkova E. Yu.
Published: October 2022

Aim. The presented study aims to comparatively analyze the use of the program approach as a tool for digital economy development in the Republic of Korea and Russia; to provide recommendations for the formation of state policy in Russia based on the experience of the Republic of Korea as a global leader in digital transformation.

Tasks. The authors determine the place of the Republic of Korea and Russia in global rankings reflecting the level of digital economy development; analyze the historical features of innovative development in these countries; substantiate the applicability of the program approach for stimulating digital transformation; provide recommendations for Russia based on foreign experience.

Methods. This study uses general and special methods, including historical analysis, comparative analysis, systematization and generalization, content analysis. The methodological basis includes strategic and policy documents of the Republic of Korea and Russia, international digital economy indices.

Results. According to international rankings, the Republic of Korea is one of the global leaders in digital transformation thanks to the government strategy to stimulate the economy using programm tools and budget support. For Russia, the transition to the digital economy is one of the development priorities reflected in strategic and program documents. Despite the different historical conditions of development, the experience of the Republic of Korea can be applied to Russia as long as it is adapted to the country’s historical and cultural features.

Conclusions. The experience of digitalization in the Republic of Korea can be relevant to Russia with allowance for national features. This involves reforming patent policy, stimulating innovation activity of small and medium enterprises, implementing programs for the development of information and communication technologies (ICT), infrastructure, and ecosystem of the digital economy, applying a catch-up model of innovative development while building up the country’s technological potential in key sectors of the economy.
Health resort services: Essence, specific features, and approaches to classification
Authors: Likhtin D. A.
Published: October 2022

Aim. The presented study aims to analyze existing approaches to determining the essence of a health resort service and indentifying its individual components and to build a model of such a service as a multicomponent product of the regional health resort complex.

Tasks. The authors investigate approaches to defining a health resort product; describe the relationship between the concepts of ‘health resort product’ and ‘health resort service’; substantiate the need for a compositional approach to modeling health resort services; specify the definition and build an original model of health resort services.

Methods. This study uses general scientific methods of cognition, a compositional approach, and modeling methods to investigate various approaches to defining and identifying the components of a health resort service package. The necessity of expanding the range of organizations involved in the creation of such a service is substantiated.

Results. In modern conditions, a competitive health resort service is often not a product of a specialized health resort organization, but the result of collaboration of several organizations that are different from a functional perspective. A health resort organization can be created not independently, but with the involvement of joint participants. A health resort service is a package of benefits. Thus, a model of such a service should include several levels, including basic components, additional services, and a certain degree of customization.

Conclusions. Currently, a health resort service is a multicomponent package of tangible and intangible elements (services, events, impressions, goods) that allow the customer to satisfy the needs for recreation (wellness and leisure) in general. Such an approach helps to increase the service’s adaptability to the needs and requirements of a particular customer. By developing the package of components of a health resort service, it will be possible to increase the overall economic and investment attractiveness of the health resort complex. The compositional approach makes it possible to plan the activities of a health resort organization more clearly, ensuring greater transparency of the production of services, calculation of their cost, etc.
Challenges Faced in Provision of Information Resources and Services in County Assembly Libraries: Case of Siaya and Kericho Counties
Authors: Ochieng Regina , Kimani Grace
Published: October 2022

Libraries have the key responsibility of ensuring provision of appropriate information resources and services for its users. Special libraries were established in the County Assemblies of Kenya and were expected to meet the information and research needs of all members of staff. The success of such libraries would be judged by their ability to achieve the mentioned objectives. However, this could only be possible if the librarians were fully supported by the County Assembly management and provided with the necessary conducive environment to deliver. The purpose of this study therefore, was to establish challenges faced by librarians in their endeavor to provide information resources and services. The study was conducted in Siaya and Kericho County Assembly Libraries both located in County Assembly Premises of respective towns. The pilot study was done in Kisumu County Assembly Library and purposive sampling was used for the study. The two libraries were selected because combination of staff in both would make enough target population. Exploratory research design was used. Data was collected using Questionnaires with a sample size of 162. Qualitative data was collected, analysed and summarized thematically giving a narrative conclusion. Statistical Package for Social Sciences version 27 was used to summarize, code and analyze quantitative data according to the objectives of the study. Data collected was analyzed, discussed and inferences made to come up with a report. The findings indicated that the two County Assembly libraries have qualified librarians who manage them. However, the librarians faced some challenges which hampered their performance thus inability to achieve their objectives. The findings further indicated that, there was serious lack of involvement in organization’s policy making, existence of politics within the management, inadequate budget allocations, lack of resource and services for users with special needs, failure to construct a purpose-built library and inadequate consideration of beliefs, lifestyles and status of users when providing information resources and services. The study recommended that the management ensures involvement of all libraries and other departments in policy making to ensure that their needs are catered for, organizational politics to be completely avoided to ensure smooth implementation of set objectives. Adequate budget allocation to the library is also recommended that a purpose-built library be constructed to accommodate all categories of users. Users’ beliefs, lifestyles and status should also be taken into account when providing information resources and services.
Assessment Of Utilization of Open Education Resources by Postgraduate Students in Selected Public University Libraries in Kenya
Authors: Karitu Liz Murugi , Kimani Grace
Published: October 2022

The demand for university education coupled with inadequate teaching/learning resources such as print resources whose cost among others contribute to very expensive education, has posed challenges to progression in university education in Kenya. As such, Open Education Resources (OER) have been championed as suitable alternative to complement educational resources in learning institutions with relevant, quality and up-to-date teaching/learning materials at little or no cost. Despite the increase in volumes provided freely under the Creative Common licenses, studies have shown that uptake of OER has remained low among students in Kenyan universities. This study therefore, assessed OER use by postgraduate students in three universities which are Nairobi University, Kenyatta University and Moi University. The study was guided by four objectives; to determine the level of OER awareness among postgraduate students, to determine the accessibility of OER by postgraduate students, to determine availability of ICT infrastructure which support utilization of OER and the promotion strategies employed by librarians to enhance awareness of OER among postgraduate students. The study employed descriptive survey design approach. Random sampling method was used to obtain requisite number of respondents. The target population was the 34,445 postgraduate students and university librarians in the selected libraries in public universities in Kenya. Data obtained was analysed using descriptive and inferential statistics. The study concluded that OER awareness significantly contributed to OER utilization by postgraduate students. The findings also concluded that OER accessibility enhanced OER utilization. In addition, ICT infrastructure was critical in supporting OER resources while promotional strategies that include lecturers influence, policies and guidelines, training, workshop and OER sensitizations contributed to OER adoption. The study recommended that academic libraries need to develop OER policies to guide on utilization of OER. Universities should also ensure there is adequate ICT infrastructure to support OER resources and students should be sensitized on OER, trained on how to use the OER facilities and onsite staff should be available to support the students.  Internet and power should also be stabilized in order to ensure accessibility of OER without any interruption.
Strategic Innovation and Communication on the Performance of Building Construction Companies in Nairobi Kenya
Authors: Ngiri George , Njagi Elias
Published: October 2022

Construction sector has been facing declined in performance despite the immense growth in construction projects. The study sought to examine the influence of strategic innovation and strategic communication on the performance of building construction companies in Nairobi Kenya. The study was informed by diffusion theory of innovation and technology acceptance theory. A descriptive and cross-sectional research design was used while the target population comprised of CEOs drawn from 126 registered building construction companies in Nairobi County. The study used a sample size of 96 CEOs, sampled through a combination of stratified random and purposive sampling techniques. A structured questionnaire was used to collect the data. Prior to main data collection, a pilot study involving 10% of the sample size was conducted with a view to test for reliability and validity. While Cronbach’s alpha was used to check for reliability, both face and content validity was checked using subject-matter expert, that this the thesis supervisor, while construct validity will be tested through confirmatory factor analysis. The obtained data was analysed using both descriptive and inferential statistics through Statistical Package for Social Sciences (SPSS) Version 27. The study found that strategic innovation and strategic communication had a positive and significant influence with the performance of building construction companies in Nairobi Kenya. The study concluded that strategic innovation structures efforts around the organizational goals and ensures that all departments of the organization support them. Strategic communication helps organizations focus on and live their purpose, mission and values by aligning expectations, actions and behaviors to business objectives. The study recommended that the organization should align its innovation strategy with the overall business model and its mission, vision, and value proposition. The organization should use great communication tools to make internal communication within its team more effective, meet with employees regularly in order to improve communication and collaboration.
TRUTH OR DARE GAME ON THE KNOWLEDGE AND SKILLS OF BRUSHING TEETH OF STUDENTS IN CLASS IV MI CILEDUG TASIKMALAYA CITY
Authors: Aini Tri Damayanti , Taftazani Rieza Zulfahmi , Robbihi Hilmiy Ila
Published: October 2022

Background: Dental health is important for individuals, including children. Childhood is a very important period for maintaining dental health. The condition of deciduous teeth will determine the condition of the replacement teeth, therefore it is very important to maintain dental health at this time. Counseling using truth or dare game media can have an effect on increasing students' knowledge, attitudes and actions to maintain dental and oral health. Objective: This study aims to determine the effect of dental and oral health counseling using the game truth or dare on the knowledge and skills of brushing teeth of fourth grade students of MI Ciledug, Tasikmalaya City. Methods: Quasy experimental with one group pre-post test design, the number of research samples is 44 students of class IV MI Ciledug Tasikmalaya City using total sampling. The measuring instruments used are questionnaires and observation sheets for brushing teeth, data analysis using the Wilcoxon test. Result: statistical test obtained a significance value of 0.000 <0.05 explaining that there is a significant effect of counseling using the truth or dare game on the knowledge and brushing skills of fourth grade students of MI Ciledug. Conclusion: Counseling on oral and dental health using the game of truth or dare has an effect on the knowledge and skills of brushing teeth for fourth grade students of MI Ciledug, Tasikmalaya City.
ROLE OF THE MOTHER WITH STATUS DENTAL CARIES OF CHILDREN IN TK Al-KHAIRIYAH BANDA ACEH
Authors: Reca Reca , Putri Citra Feriana , Nuraskin Cut Aja
Published: October 2022

The status of dental caries in kindergarten children is still very high, this is because children cannot be independent in maintaining dental health so that mothers have a role in preventing caries. This study aims to determine the relationship between the mother's role and the dental caries status of children at Al-Khairiyah Kindergarten Banda Aceh. This research is analytic with cross sectional study approach. Sampling using total sampling, namely all children aged 4-6 years and their mothers as respondents amounted to 60 people in TK Al-Khairiyah Banda Aceh. The research instrument used a questionnaire and a dental caries index. Data analysis used Chi-Square statistical test. The results showed that from 60 mothers who had a poor maternal role as many as 29 people (48.8%) with the results of the examination of the dental caries status of children in the very high category as many as 23 children (38.3%), the results of the chi-square test obtained a p value =0.000 (p<0.05). It was concluded that there was a relationship between the role of the mother and the dental caries status of children at the Al-Khairiyah Kindergarten in Banda Aceh.
SOGI IMAGE BOOK MEDIA AS AN EFFORT TO INCREASE KNOWLEDGE AND THE PRACTICE OF BRUSHING TEETH
Authors: Niakurniawati Niakurniawati , Zahara Elfi , Liana Intan , Imran Herry
Published: October 2022

Maintaining dental health is an important thing in children's lives, because untreated teeth and gums can interfere with the health of other bodies. One of the prevention efforts that need to be done through dental health education is the media of sogi image books. This study aims to analyze the effect of sogi image book media on increasing knowledge and practice of brushing teeth in fifth grade students of MIN 13 Aceh. The design of this study was a quasi-experimental design with a pretest-posttest control group design. Sampling technique with a total sampling of 80 students, consisting of the intervention group of 40 students of class V-A and 40 students of the control group of class V-B. The data collection instrument used a questionnaire and a checklist sheet brushing teeth with a time span between pretest and posttest for a month. Data analysis using t-test. The results showed a significant increase in knowledge of the intervention group and control group p = 0.000 with an average difference of 3.5 and 0.3, while for the practice of brushing teeth the intervention group and control group p = 0.000 with an average difference of 1.4 and 0.23. It can be concluded that sogi image book media can increase knowledge and practice of brushing teeth.
COMMUNITY KNOWLEDGE ABOUT THE USE OF TOOTH PICKS ON GINGIVA STATUS IN LAMTEH VILLAGE BANDA ACEH
Authors: Keumala Cut Ratna , Mardelita Sisca
Published: October 2022

Excessive use of toothpicks as a tooth cleaning tool can lead to tooth and gum disease. The people of Lamteh Village, Banda Aceh City are known to have a habit of using toothpicks after every meal. This study aims to determine the knowledge of toothpick use on gingival status. The study was conducted using a cross sectional design. The research sample as many as 83 people from Lamteh village were used as samples for this study. Data was collected through questionnaires and gingival index cards. Data were analyzed by chi-square test. The results of the bivariate analysis of knowledge of toothpick use with gingival status showed that the p-value = 0.000. So it can be concluded that there is a relationship between knowledge of toothpick use and gingival status in Lamteh Village, Banda Aceh City. It is recommended that the public raise awareness of toothpicks for gum health and understand the benefits, risks and use of toothpicks.
Gobernanza y Ética en las instituciones de salud
Authors: Gómez Rojas Eduardo , Salazar Tostado Angel , Salazar Tostado Vida , Babun Castilleja Tania
Published: October 2022

La gobernanza hace referencia a un modelo horizontal de gestión basado en la corresponsabilidad entre el gobierno y las instituciones. Requiere de un cambio radical ético, social, cultural y económico que exige nuevos espacios públicos de participación en los procesos de toma de decisiones. Dicho modelo también se basa en la autonomía, la autodeterminación informativa y la corresponsabilidad en materia de salud. No obstante, es difícil que se aplique en las sociedades con desigualdades estructurales y culturales. Los principios éticos deben de regir la gobernanza y los sistemas de salud como una responsabilidad de los profesionales y como una práctica de todo el sistema, ya que la ética en las organizaciones tiene bases fundamentales como la vida, el bien común y la solidaridad. Acorde a esto es importante proporcionar un servicio de salud a la población con oportunidad, conocimientos médicos y éticos vigentes con predominio de la beneficencia, la calidad de la atención, la justicia distributiva y la equidad.
Lex Artis en oftalmología, análisis ético y bioético
Authors: Arellano Martínez Claudia Lorena , Martínez Palomo María Fernanda , Dávila Mendoza Rene , Paulin Huerta Juan Manuel , Navas Villar Carlos Francisco , De Dios Cuadras Ulises , Rosales Padrón Jaime Francisco , Nemer Yaspik Jane , González Rodríguez Camila
Published: October 2022

Las personas dedicadas a otorgar servicios de la salud tienen el compromiso legal, ético, profesional y humano de velar por la salud y el bienestar de la sociedad. Un médico no sólo debe formarse en el ámbito académico y técnico, también debe construir y trabajar en su ética profesional. La actualización médica continua en medicina basada en evidencia y el continuo adiestramiento en el área práctica y clínica, si bien son de suma importancia, deben ir de la mano con la aplicación de los principios éticos tales como el respeto por la autonomía, la beneficencia, no maleficencia al paciente y la justicia. El análisis de casos clínicos reales a la luz de la ética es un ejercicio muy enriquecedor para trascender en nuestra práctica diaria. No solamente es de gran ayuda para detectar y prevenir conductas que pudieran vulnerar o atentar contra la dignidad de los pacientes, sino para reafirmar el valor y la centralidad de la persona humana en el abordaje médico.
Salas de consumo supervisado de droga: una visión general de los servicios prestados y los datos disponibles
Authors: Roque Camacho Maleny Estefanía
Published: October 2022

Reseña
A COMPARATIVE RANDOMISED STUDY OF EFFECT OF INTRATHECAL CLONIDINE AS AN ADJUVANT TO INTRATHECAL LEVOBUPIVACANE AT DIFFERENT DOSES TO DETERMINE THE OPTIMUM DOSE IN LOWER ABDOMINAL SURGERIES
Authors: Deshpande Mukul S. , Barsagade Wasudeo , Tiwari Vinamra
Published: October 2022

Background and Aims: Clonidine is widely used as an adjuvant to spinal anaesthesia to improve quality
of anaesthesia but with haemodynamic side effects with increasing dose. We have conducted a study to
observe the effects of Clonidine as an adjuvant to intrathecal isobaric levobupivacaine at different doses in terms of time to
onset, duration and quality of block along with hemodyanamic changes to determine the optimal dose. Methods: Seventy-ve
patients were divided randomly in three groups of 25 patients each who got admitted for lower abdominal surgeries. Group
LC15: 0.5% 15mg 3 ml levobupivacaine with Clonidine 15µg (0.1ml) and 0.4cc of normal saline. Group LC30: 0.5% 15mg 3 ml
levobupivacaine with Clonidine 30µg (0.2ml) and 0.3ml of normal saline. 0.5% 15mg 3 ml levobupivacaine with Group LC45 :
Clonidine 45µg (0.3ml) and 0.2ml of normal saline. volume of drug was equal in all three groups. The time to onset Results: of
sensory as well as motor block was decreased in dose dependant manner, was least in group LC45 and most in group LC15
(Pvalue=0.0001). The two segment regression, duration of analgesia was most in group LC45 (Pvalue=0.0001). There was
signicant fall (>80%) in blood pressure in group LC45 seen in 9 cases out of 25 (36%) than in group LC30 seen in 3 cases out of
25 (12%) and LC 15 seen in 0 cases. the optimum dose of Clonidine as an adjuvant to sp Conclusion: inal anaesthesia given
with intrathecal isobaric levobupivacaine 0.5% was 30µg with dose dependant decrease in duration to onset of sensory and
motor blockade and prolonged postoperative analgesia with haemodynamic stability most with 30µg dose.
MBL PRODUCING P.PENNERI - A MAJOR THREAT TO THE HOSPITAL
Authors: Dayanand Putta Shilpa , Jangale Neeta Prashant , Deshpande Smita Kalyan , Kulkarni Vijay Narayan
Published: October 2022

Introduction: Proteus spp. has been the signicant cause of wound infections as they commonly colonize
the wound. Simultaneously multiple drug resistance mechanisms also pose a therapeutic challenge.
P.penneri is commonly misidentied as P.mirabilis which is multidrug resistant. Aim and objectives: The current study was
conducted to determine the prevalence of MBLs in P.penneri among wound infections at a tertiary care hospital from Western
Maharashtra. Material and Methods: Specimens collected from wounds of OPD and IPD patients were examined by standard
bacteriological methods. All Proteus isolates were subjected to Antimicrobial susceptibility and MBL production test as per
CLSI guidelines. Results: Total 1826 wound samples were screened over the period of May 2017 to July 2018. Overall
prevalence of Proteus spp. was 7.12%, P.mirabilis being the commonest. Among all isolates 53.68% and 37.04% of P.mirabilis
and P.vulgaris were ESBL producers, respectively. The rate for MBL production was 11.58% and 0% for P.mirabilis and P.vulgaris,
respectively. On the contrary 75% of P.penneri isolates were ESBL producers and 12.5% were MBL producers. Discussion and
conclusion: Emergence of ESBL and MBL producers is of special concern as Proteus spp. is intrinsically resistant to tigecycline
and colistin. Identication of P.penneri from clinical specimens is necessary, due to its multidrug resistance which makes
clinical treatment extremely difcult. This will limit its control and eradication especially from wound infections as they are
common colonizers. Therefore isolation of such beta lactamases producing P.penneri shall be considered as an alarming sign
to control the spread of this superbug.
PRE- AND POST- SHUNT CEREBRAL PERFUSION MEASURED BY DYNAMIC SUSCEPTIBILITY CONTRAST MRI IN PATIENTS WITH NORMAL PRESSURE HYDROCEPHALUS.
Authors: Shaheen Sehrish , Shaheen Feroze , Nazir Umar , Jabeen Shumyla , Gojwari Tariq , Arif Sajad
Published: October 2022

Background: NPH-related dementia is the only surgically manageable dementia. Response to
ventricular shunting in NPH is variable. This study aims to establish a possible correlation between the
changes in cerebral perfusion with clinical response to shunting. The study group consisted of Methods: 20 patients with NPH
diagnoses who underwent ventricular shunting. Pre- and 3-month post- shunt DSC-MRI was done to assess the change in
relative cerebral blood ow (rCBF). Mean ± SD values of rCBF in frontal grey matter, frontal periven Results: tricular white
matter, parietal periventricular white matter and hippocampus were 0.91 ± 0.11, 0.61 ± 0.09, 0.47 ± 0.11 and 0.93 ± 0.06 before
shunt surgery and 0.98 ± 0.06, 0.70 ± 0.07, 0.54 ± 0.07 and 0.98 ± 0.06 after shunt surgery in NPH patients who responded to
shunt surgery; and 0.78 ± 0.17, 0.37 ± 0.14, 0.41 ± 0.11 and 0.89 ± 0.10 before shunt surgery and 0.79 ± 0.14, 0.37 ± 0.19, 0.38 ±
0.09 and 0.84 ± 0.07 after shunt surgery in NPH patients who did not respond to shunt surgery. Therefore, regional rCBF in these
regions increased in responders after shunt surgery, with a signicant statistical difference (p-value < 0.05) while no signicant
change was seen in shunt non-responders (p-value > 0.05). There is a correlation between a si Conclusion: gnicant increase in
regional rCBF and clinical improvement after shunt surgery.
A CROSS SECTIONAL STUDY; COMPARISON OF DIAGNOSTIC PARAMETERS AND COMORBID CONDITIONS IN HYPERTENSION ALONE AND HYPERTENSION PLUS DIABETES
Authors: Bhate Shreya , D. Purkar Prashant , Bhate Archana
Published: October 2022

Comorbidities such as hypertension and type 2 diabetes are widespread. Hypertension is twice as common in diabetic
individuals as it is in non-diabetics. The purpose of this research was to better understand the clinical profile, laboratory
features, and vulnerability to end organ damage in hypertensive patients with and without diabetes. Method: This was a
cross-sectional observational study conducted in the outpatient and inpatient departments of Medicine. Study
participants were divided into two groups according to their presence of hypertension or diabetes mellitus. Patients
were examined clinically and the data was further analysed using statistical methods. We observed th Results: e mean
age of 53.08 years (±11.48) and 55.96 years (±11.23) with no associations between the age group and gender of the
hypertensive patient group (p<0.344) and the hypertensive diabetic group (p<0.597). The most frequent symptom of
presentation in both groups was a headache. There was a significant statistical difference in mean systolic blood
pressure between hypertensive and hypertensive-diabetic group t (165.8) =4.643, p<0.001. Our study shows a higher
value of mean HbA1c, mean postprandial glucose levels, and mean fasting blood glucose levels in the hypertensive
diabetic group as compared to the hypertensive group. Our study demonstrated that end organ damage Conclusion:
was more prevalent in hypertensive diabetic individuals, indicating the effect of diabetes-hypertension co-morbidity on
target organs.
TERRORISM AS A GLOBAL THREAT: A BRIEF ANALYSIS
Authors: Pradhan Mamini
Published: October 2022

Terrorism is the gravest human security problem of 21st century. Today, it is not the problem of one country, rather the
whole world is witnessing the menace of terrorism in one way or the other. It has spread its tentacles to almost all the
countries and has posed a great threat to the world.It has not only the killed people,but has also annihilated social and
economic systems various countries. It has broken the civilized world order that took millennia to form. Militancy,
insurgency, cross-border terrorism, state terrorism, international terrorism are few words which are interchangeably
used as different expressions of terrorism,though they are conceptually different from each other.Thus,in this paper an
attempt has been made to make a brief analysis of different forms of terrorism which have posed a great threat to the
entire world. Further, in this paper an endeavor has been made to offer suggestive measures for solutions to the
prolonged problem of terrorism.
DIFFUSE LEIOMYOMATOSIS OF THE ESOPHAGUS – A RARE CAUSE OF PEDIATRIC PSEUDOACHALASIA.
Authors: Raman Rajesh , Jagadesh Geetha Mukunda , Yelauri Chinmayi
Published: October 2022

Achalasia is an esophageal motility disorder with progressive
dysphagia for liquids and solids. It occurs due to absence or
degeneration of myenteric plexus of nerves in the distal
esophagus. The term pseudoachalasia refers to achalasia like
symptoms and imaging manifestations caused by diseases
other than aganglionosis [1]. It can be due to stricture,
extrinsic compression, malignant neoplasm or proliferation
of smooth muscle cells as in leiomyomatosis. Diffuse
leiomyomatosis of the esophagus is a very rare cause of
pseudoachalasia and requires total esophagectomy with
gastric pull through surgery. We present a rare case of a seven
year old boy with diffuse leiomyomatosis of esophagus
presenting with pseudoachalasia, aspiration pneumonitis and
bronchiectasis secondary to recurrent aspirations.
PSYCHOGENIC DERMATITIS IN A CORGI DOG TREATED BY INJECTABLE HOMEOPATHY – CASE REPORT
Authors: Viana Valle Ana Catarina , de Carvalho Aloísio Cunha
Published: October 2022

Skin problems in dogs represent a daily important casuistic in veterinary practices. They affect both young and adult
animals and may have varied causes, challenging the correct diagnosis. Within this context, it should be emphasized the
close coexistence and attachment to their owners who play a crucial role in the development and treatment of part of the
so-called psychogenic dermatitis. This type of illness must be understood as a multifactorial problem that requires a lot
from all parties involved to be an effective therapy for the patient. Several medicines are indicated for the treatment, but
most of them cause long-term side effects. For these reasons, different therapies, such as homeopathy, should be
considered as alternative treatments. This article aimed to report a psychogenic dermatitis case in a 10-year-old male
dog suffering from separation anxiety, which led to the development of a compulsive licking behavior. The patient was
treated with injectable homeopathic medicines, and excellent results were recorded in a short period.
EFFECT OF IRON DEFICIENCY ANEMIA ON HbA1c IN DIABETIC, PRE-DIABETIC AND NONDIABETIC PATIENTS- IS THERE A DIFFERENCE??
Authors: Chhikara Aruna
Published: October 2022

Background and objectives: HbA1c is routinely used to follow up blood sugar levels and is a useful index of chronic
hyperglycaemia. Besides blood sugar, several factors like hemoglobinopathies, nutritional deficiencies etc. affect
HbA1c levels.Present study was conducted to study the effect of IDA on HbA1c levels in Indian diabetic,pre-diabetic and
non-diabetic adults. Materials & Methods: This is a retrospective cross section study consisting of 1657 patients over a
period of 3 months.The diabetic group,prediabetic and normal control groups comprised of 251 ,373 and 1023 patients
respectively . Results: The mean HbA1c levels were significantly lower in IDA diabetic group as compared to non-IDA
diabetic group.In the prediabetic group the HbA1c levels were higher in IDA group as compared to non-IDA group but
the difference was not statistically significant. In the normal control group the mean HbA1c levels were significantly
higher in IDA group as compared to non-IDA group.HbA1c did not show significant correlation with RBC indices or iron
profile parameters. Interpretation & Conclusion: HbA1c levels are higher in IDA patients in pre diabetic and normal
controls. On contrary HbA1c levels are lower when IDA coexists with diabetes.It is highly advisable to correct the IDA
deficiency in all patients before diagnosing diabetes as well as correction of IDA once the diagnosis so that the HbA1c
levels are actual depiction of glycaemic control.
CASE STUDY ON DIABETIC FOOT- MEDICATED COLLAGEN DRESSING VERSUS CONVENTIONAL DRESSING.
Authors: Juneja Mohammad Asad , Parker Pratik
Published: October 2022

Aims and Objectives: The aim is to evaluate the clinical efficacy of medicated collagen dressing versus conventional
dressing,as topical dressing material in diabetic ulcer to promote healing.In terms of:
1) Healing time
2) Duration of antibiotics
3) Duration of length of stay in hospital.
Background: Diabetic foot ulcers are a major source of morbidity, limb loss, and mortality.A prolonged inflammatory
response,extracellular matrix degradation irregularities,and increased bacteria presence have all been hypothesized
a major contributing factors in the delayed healing of diabetic wounds. Collagen components such as fibroblast and
keratinocytes are fundamental to the process of wound healing and skin formation. Wound dressings that contain
collagen products create a biological scaffold matrix that supports the regulation of extracellular components and
promotes wound healing Methods: The study was conducted in patients admitted with diabetic foot ulcer in the
Department of General Surgery,GMERS Hospital,Vadoadara. The no. of patients included in the study was 30, out of
which,15 in Group A-Topical dressing with medicated collagen powder (medicated with metronidazole and mupirocin)
were applied with operative/bedside surgical debridement whenever indicated and 15 in Group B- Conventional
Topical dressing with operative/bedside surgical debridement. Data was analyzed using appropriate software.
Results: The results concluded that healing time, duration of antibiotics and duration of stay in hospital were
comparatively low in Group A patients then in Group B patients. Conclusion: Medicated Collagen powder dressing is
safe and effective in the treatment of diabetic foot ulcer and significantly reduces healing time, duration of antibiotic
therapy and duration of stay in hospital.
PATTERN OF GERIATRIC DERMATOSES IN A TERTIARY CARE HOSPITAL - A PROSPECTIVE CROSS – SECTIONAL OBSERVATIONAL STUDY
Authors: P.P Nivetha , Punithavathi K.
Published: October 2022

Objective: Geriatric dermatosis is an emerging branch in the field of dermatology to know about the physiological and
pathological changes related to ageing. This study was done to find out the pattern of distribution of geriatric dermatosis
among elderly patients in a given population. This is a prospective cross sectional Materials And Methods:
observational study carried out on 100 consecutive patients aged above 65 years in the department of Dermato Venereo
Leprology, Kanyakumari Government Medical College Hospital, Nagercoil after fulfilling the inclusion and exclusion
criteria. Out of 100 patients studied, with male to female ratio of 4:1, xerosis was the commonest p Results: hysiological
changes noted followed by wrinkling. Infective dermatosis followed by allergic contact dermatitis were the commonest
pathological conditions observed in our study. A thorough knowledge about the pattern of distributio Conclusion: n of
geriatric dermatosis in a selected population gives some insight regarding the epidemiology as well as gender
distribution of various dermatosis among that area. This helps in the better allocation of resources, distribution of
material, manpower and help the healthcare providers to serve the needy in better way
ACCESSIBILITY OF CUSTOMERS – A STUDY ON HOW FAR THE BANKING SECTOR COULD ACHIEVE THE SPREAD AMONG RURAL POPULATION
Authors: Abraham Minija , Sasidharan V Sheena
Published: October 2022

Indian economy in general and banking services in particular have made rapid strides in the recent past. However, a
sizeable section of the population,particularly the vulnerable groups, such as weaker sections and low income groups,
continue to remain excluded from even the most basic opportunities and services provided by the financial sector.To
address the issue of such financial exclusion in a holistic manner,it is essential to ensure that a range of financial services
is available to every individual.The present study attempts to analyse the accessibility of banking products and services
to customers of commercial banks
SOME MITES OCCURRING ON EDIBLE AND WILD MUSHROOMS FROM THREE DISTRICTS OF WEST BENGAL WITH THEIR ECONOMIC IMPORTANCE
Authors: Dutta Arijit Kumar , Mondal Sagata , Gupta Salil K.
Published: October 2022

The present paper reports occurrence of 15 species of mites under 10 families and 12 genera collected from edible and
wild mushrooms from three districts of West Bengal during,September 2021 to April 2022.Among the mites,there were 9
predatory and 3 each of damage causing and of uncertain association.All the species have been listed giving collection
data and remarks pertaining to their importance as damage causing, predatory, or of uncertain association. The mites
like Tyrophagus putrescentiae, Fuscuropoda marginata and Leiodinychus krameri were abundantly encountered and
were regarded as pest species. Similarly,the mites like Parasitus consanguineous and Asca biswasi were observed to be
predator in nature.
PIT AND FISSURE SEALANT APPLICATIONUSING SELF- ETCH BONDING AGENT; A LITERATURE REVIEW
Authors: Vincent Jittymol , Thakur Seema
Published: October 2022

Self-etch adhesive systems may be an alternative for occlusal sealant especially in young children,where simplifications
in the clinical procedures are warranted.This paper describes self- etch adhesive systems and their role in the retention
of pit and fissure sealant.
MATHEMATICS TEACHING AT VARIOUS LEVELS IN SCHOOL: PRACTICES AND PROBLEMS
Authors: Babu S. Suresh
Published: October 2022

Mathematics is a study of measurements, numbers, and space. It has Greek origin which means tendencies to learn.
Everyday activities like driving, timekeeping, and cooking as well as professions like accounting, finance, banking,
engineering, and software all rely heavily on mathematics. Mathematics is a powerful tool for developing mental
discipline and aids in our understanding of the world.Mathematics is required to comprehend other fields of study.All
rely on mathematics in some capacity. Mathematics is a natural method of conducting research and analysing data to find
solutions to mathematical problems. At all levels, mathematics is taught as a fundamental subject. However, at every
stage, teachers face several problems while teaching mathematics. The problems are related to planning a lesson,
teaching of concepts, methods of teaching and assessment and upgradation of teachers in the subject. This paper
discusses the aims of mathematics education at different levels based on NCF 2005 and sheds light on the problems
faced by teachers in imparting mathematics education. Prevailing practices in mathematics education are also key
aspect of this paper.The paper is concluded with some suggestions to resolve the issues related mathematics teaching
APPLICATIONS OF BIOINFORMATICS IN FOOD ALLERGY: A BRIEF REVIEW
Authors: Bagchi Anamika
Published: October 2022

This literature review mainly deals with the concepts of food science,food allergy,allergenomics,bioinformatics and its
application in solving challenges pertaining to food allergy.When an after eating a certain food, the immune system
gives out a reaction,it is defined as Food Allergy.It is a complex disease that has many challenging area related to its cure
and is a worldwide problem. Bioinformatics help in providing solutions to these challenges. As allergens are mainly
proteins.There are many allergy databases and tools available in the market that can be used to identify the differences
between novel proteins and food allergens that could be the epicentre of multiple allergy syndromes.This review article
talks about food allergenicity,allergy and computational approaches employed to solves issues related to it.
PRINCIPLES OF ULTRASOUND TECHNOLOGY IN MEDICAL IMAGING OF NON IONIZATION IMAGES
Authors: Economou Giorgos , Kandarakis Ioannis , Panagiotakis Giorgos , Vlachos Ioannis , Sklavounos Pavlos
Published: October 2022

The X-ray tube is one of the most important components in any X-ray system. In the beginning, physicists and physicians
used gas ion tubes. The so-called Coolidge tube applied a high vacuum and is still used today. Medical examinations
have required continuously improved designs of X-ray tubes (smaller focal spots at a higher output). The principle of the
Goetze line focus is still applied in any diagnostic X-ray tube. Different anode materials and the rotating anode
contributed to an increased output and reduced exposure time. Bearings needed special attention. Spiral groove
bearings are the most advanced design today. The heat storage capacity of the anode and the tube housing assembly
influences examination time and patient throughput. Cardiac imaging required less motion blurring in cine film images
and increasing radiation exposure in interventional procedures called for measures to reduce dose. Protection against
radiation and electric shock has always been a concern of design engineers. Focal spot sizes dedicated to specific
applications and heat management within the total tube housing assembly will be future issues. Even with the event of
ultrasound and MR technology, X-ray procedures will still be applied for diagnostic and interventional purposes.