bluuebunny/crossref_metadata_2025 huggingface dataset:
Knowledge, Attitude and Practice of Dental Practitioners towards Computer Guided Implant Surgery in Central India: A Cross-sectional Survey
Authors: Lahoti Krishankumar , Dandekar Sayali , Gade Jaykumar , Agrawal Megha , Agarkar Anand , Khairkar Ravina
Published: June 2022

Introduction: Incorporating digital technologies has been recently gaining popularity because of the known benefits like increased accuracy, predictable outcomes and reduction in treatment time. It is very important for the clinicians to analyse the necessity of incorporating these digital approaches into routine patient care. Aim: To assess the knowledge, attitude and practice of dental practitioners towards Computer Guided Implant Surgery (CGIS) in Central India. Materials and Methods: A cross-sectional study was conducted in the Department of Prosthodontics at the Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital, Nagpur, Maharashtra, India, to assess the attitude towards CGIS and Non Computer Guided Implant Surgery (non CGIS) by analysing responses from a total of 100 dental practitioners. A questionnaire consisting of 30 questions was circulated through a web based program. Analysis was done using descriptive and inferential statistics using the Kruskal Wallis test and the Mann Whitney U test. Responses were collected and analysis was performed using Statistical Analysis for the Social Sciences (SPSS) 27.0 version. Results: Around 100 participants were included in the survey. 52 participants were female and the remaining 48 were male. Among all 97 (97%) participants were interested in CGIS but only 40 (40%) participants had any previous experience with the technology. Increased accuracy (z=7.08, p=0.0001) and predictability (z=10.64,p=0.0001) were considered the significant advantages by the participants. The overall difference in attitudes of CGIS and non CGIS users towards increased accuracy of CGIS was not statistically significant. (z=0.394, p=0.694). Conclusion: The advantages of CGIS over non CGIS were acknowledged by majority of the practitioners. The major advantages were related to the greater accuracy and predictability associated with CGIS whereas the limited accessibility and higher cost were the most common disadvantages. The specialisation and the clinical experience did not significantly affect the attitude of the practitioners.
CLINICAL STUDY ON EFFECT OF VAMANA AND UDVARTANA KARMA IN THE MANAGEMENT OF STHOULYA
Authors: . Jyoti , Guled Sidram
Published: June 2022

Introduction: The incidence of Obesity is increasing day by day in more percentage due to sedentary lifestyle and food habits and is resulting into many serious systemic complications. Sthoulya is kapha pradhana and medo-pradoshaja vyadhi. Charaka samhita mentioned Sthoulya disease under the eight varieties of personalities which are designated as Astha Nindita Purusha. Sthoulya is kapha and meda predominant vyadhi and vamana karma is prime therapy and it eliminates kapha and meda. Udvartana is another important therapy in Sthoulya that results in kapha meda vilayana and hence the present study is entitled as “Clinical study on effect of Vamana and Udvartana karma in the management of Sthoulya” was planned. Aims and Objectives: To evaluate the efficacy of the Vamana karma, Udvartana in Sthoulya and to compare and assess the effect of both the therapies. Materials And Methods: Total 30 patients were selected, distributed in 2 equal groups, Group A treated with Vamana karma and Group B treated with Udvartana. Observations And Results: The progress was assessed based on subjective parameters considered by giving scores to the clinical signs and symptoms and objective parameters were done before treatment and after treatment with a specially prepared case proforma. Discussion and Conclusion: All the patients in both groups were responded positively without any complications. Group A with Vamana showed highly significant results in symptoms; Atikshudha, Ati pipasa, Nidradhikya, Shrama and Hyperlipidemia. Group B with Udvartana also showed highly significant results in symptoms like Nidradhikya, Swedadhikya, Dourgandya, Shrama and Alasya.
EFFICACY OF UNANI FORMULATION MARHAM-E-EJAZ IN THE MANAGEMENT OF NON-HEALING ULCER: A CASE REPORT
Authors: Rukhsar Aeliya , Siddiqui Nisha Naaz , Alam Saiyad Shah , Sofi Gulamuddin
Published: June 2022

Background and Aim: A Non-healing ulcer is defined as an ulcer that does not heal after 6 weeks of conservative therapy. It is estimated that 1-2% of the people of the world experience a chronic wound during their lifetime. There is direct impact on the physical (amputation), psychological (depression) and social life of individual. Present study was carried out to assess the acclaimed effect of Unani formulation Marham-e-Ejaz in a patient. Material And Method: A female patient of Non-healing ulcer presented in the surgery OPD of our institute. She presented with a chief complaint of wound at the right elbow joint. The diagnosis made was post burn wound. The wound had a history of more than 9 month. The case was treated with Unani Topical formulation, Marham-e-Ejaz for 30 days. The formulation was applied after cleaning it with Normal saline, dressing was changed after every alternate day. The wound was assessed for pain, discharge, size and depth of wound at 0th, 15th, 30th day. Result: On the first day wound size was 2 square cm, depth 0.2 cm, and the floor filled with pale granulation tissue. On 30th day ulcer was completely healed with 100% epithelization. Conclusion: It was observed that there was significant healing of the ulcer. So, Marham-e-Ejaz has potential efficacy in healing Non-healing ulcer.
Opportunity for Innovation: Experiences in Implementing Telehealth Services to Enhance Access to Healthcare during COVID-19 Pandemic in Sri Lanka: A Case Study
Authors: Kumarasinghe Malith , Karunarathne Wedika M. , Karunapema Palitha , Bandara W. M. Palitha , Irfaan Shakira , Kanchana G. D. T.
Published: June 2022

Telehealth is the delivery of health-related services and information using electronic information and communication technologies. Telehealth enables the health service providers to connect with a remote patient to provide care, advice, reminders, education, intervention, monitoring and facilitates remote admissions. Due to COVID-19 related travel restrictions, disruptions in access to healthcare were observed in Sri Lanka. Therefore, a telehealth solution to connect patients where specialist medical doctors were inaccessible or unavailable, was planned and implemented in the North Central province of Sri Lanka in 2020. The objective of this case study is to describe the experience during the planning and implementation of the telehealth intervention. Issues faced during planning and implementation were securing adequate funds, limited knowledge of information technology among the health staff, the reluctance of patients to explain and show the signs through video consultation, and difficulties faced during the allocation of responsibility at each step of the telehealth services and provision of network facilities to peripheral hospitals. These issues were overcome by creating awareness among the key stakeholders on telehealth and its advantages, addressing concerns of the patients and conducting awareness campaigns on telehealth, streamlining the maintenance of equipment and most importantly, addressing concerns of the administrators, including health officials, and obtaining their consensus for the implementation of telehealth services. If these key issues can be forecasted and addressed timely, telehealth services could be successfully implemented in a resource-limited country like Sri Lanka.
Effect of an Active Open Dumpsite on the Earth’s Subsurface and Groundwater Resource
Authors: Omeiza Alao J. , Abdulwahab O. O. , Nur M. S. , Danjuma T. T. , Jaiyeoba Emmanuel , Abdullahi Diya’ulhaq , Adekanye Oluseyi O. , Mary Ekwu T.
Published: June 2022

An electrical resistivity survey was carried out at a dumpsite and controlled station located about 200m away from the dumpsite to assess the vertical extent of leachate contamination of the dumpsite and its impact on the soil and groundwater resources. Subsurface resistivity of the dumpsite and the controlled stations were examined, which reflects the subsurface soil tolerance and the impact of the vertical extent of leachate contamination on the subsurface. The leachate infiltration may reflect the state and the quality of the groundwater.  This implies that leachates from the dumpsite must have also migrated into the aquifer system, thereby contaminating the water-bearing unit.
Can Full Enteral Feeds during Therapeutic Hypothermia be Achieved without Adverse Effects? An Observational Study
Authors: Veeraiah Prashanth S. , S. Kumar Vikram , R. Dhananjaya S. , Kallesh Anil , K. Sajna M. , Kumar Patil Vinay , Gowda Shivaraj
Published: June 2022

Objectives: The aim of our study is to evaluate the effects of perinatal asphyxia and subsequent treatment with therapeutic hypothermia (TH) especially on gastrointestinal system in newborns diagnosed with moderate-to-severe Hypoxic-Ischemic Encephalopathy (HIE). The primary objective was to determine the time for initiation of enteral feeds, enhancing the feeds and achieving full feeds in a group of newborns with HIE undergoing TH with secondary objectives to determine the risk of necrotising enterocolitis (NEC), late onset sepsis and duration of hospital stay.

Methods: This is a retrospective study done at Neonatal Intensive Care Unit (NICU), Sarji hospital, a tertiary care centre in Shivamogga, India. A review of the medical records for feeding charts of the babies who underwent TH between December 2018 and October 2021 was carried out. A total of 50 newborns either in-born (n = 3) or out-born and referred (n = 47) to our NICU were included.

Results: Among the 50 babies (both hemodynamically stable and unstable) undergoing TH, feeds were initiated at Day 2 of life. All hemodynamically stable babies were on full feeds by 5th day of life, while 14 out of 16 unstable babies were on full feeds by 8th day of life. For the remaining 2 babies, we could achieve full feeds by 11th day of life.

Conclusion: This study not only supports the recent studies, but also highlights the safety of achieving complete enteral nutrition in neonates (both hemodynamically stable and unstable) undergoing TH without the risk of late-onset sepsis or NEC.
Ovicidal and Larvicidal Activities of n-hexane Extract of Murraya paniculata (L.) Leaves against Aedes aegypti
Authors: Alafia A. O. , Ajelara K. O. , Reis G. A. , Oyeniran D. P. , Olayeri A. A. , Denloye A. A.
Published: June 2022

Aims: Aedes aegypti is a widely distributed mosquito and the primary vector of several arboviral diseases attracting major global health concerns. This laboratory study accessed the ovicidal and larvicidal activities of n-hexane extract of Murraya paniculata (L.) Jack leaves on eggs and first instar larvae of Aedes aegypti.

Study Design: Conventional bioassay,

Place and Duration of Study: Department of Zoology, ETF Laboratory and Central research laboratory, College of Medicine, University of Lagos, Idi-araba, between February and July 2021.

Methodology: Eggs and larvae were exposed to various quantities of test plant extract ranging from 20ppm to 80ppm for 72 hours at ambient laboratory temperature(30\(\pm\)0.570c). Probit analyses and analysis of variance were used to analyze the data.

Results: Results revealed that the plant extract recorded the highest ovicidal activity of 61% at 80 ppm concentration against the eggs of Aedes aegypti, after 72 hours. The LC50 values of ovicidal and larvicidal activities at 72hrs were 85.162ppm and 80.270ppm respectively, there was a significant difference between the ovicidal and larvicidal activity of each concentration while mortality increased with increasing concentration.

Conclusion: The results suggest that n-hexane extract of M. paniculata can be used as an environmentally friendly method for the control of Aedes aegypti.
Determinants of Financial Performance of the Microfinance Institutions in Tamil Nadu
Authors: Rani S. Padma , Nithyavathi K. , Vidhyavathi A. , Hemalatha S. , Prahadeeswaran M.
Published: June 2022

Aims: To study and analyze the major determinants of financial performance of the microfinance institutions in Tamil Nadu.

Study Design:  Purposive Random Sampling method was used. Both primary and secondary data was used for the analysis.

Place and Duration of Study: In Tamil Nadu, Coimbatore district was purposively selected for the study. Survey was conducted for the collection of primary data pertaining to the period of 2021-22 and also secondary data was collected for the period of 2010-2019 from the Microfinance Information Exchange Market.

Methodology: The secondary study is based on unbalanced panel data consists of 10 major Microfinance institutions in Tamil Nadu, out of around 25 microfinance institutions. To study the major determinants of financial performance of the 10 microfinance institutions in Tamil Nadu panel regression (fixed and random effect model) technique was employed. In addition, to analyze the general characteristics and constraints the percentage analysis and Garrett ranking technique was employed respectively.

Results: The results of the study revealed that financial indicators such as operating self-sufficiency, Return on Assets, and Assets had a positive impact on increasing the performance of MFI. According to the panel regression, Debt-Equity Ratio, Number of Active Borrowers, Percentage of Women Borrowers, Operating Expenses to Asset ratio and Total Equity to total Asset are statistically significant in the model and suggesting the improvement in the Microfinance loan and building of training facilities.

Conclusion: This study shows that the majority of the respondents depend on MFIs are females than males, and most of the beneficiaries were in the middle age group of 30-40 years old who preferred to approach the MFI for getting loans. The results specified Operating Self Sufficiency is positively and significantly related compared to Return on assets and Asset value.
Road Safety of Agglomerating Cities in India– Bhubaneswar
Authors: Gowd R. Jethindra , Mishra Siba Prasad , Mishra Abhishek
Published: June 2022

Background: The clashing of vehicles with others inattentively is considered a road accident. Its mapping and mitigation can be addressed through awareness, road engineering interventions; traffic planning, and signaling in the Bhubaneswar city, Odisha as increasing at a fast pace annually.

Introduction: About 11064 Road Traffic Classes (RTCs) causing 5333 mortalities occurred during 2019 which has risen by 12% in the year 2021. There also occurred RTC deaths, traumas, and smashing of vehicles, in Bhubaneswar; the capital city of Odisha, which has raised from zero to nine black spots in the last 3 to 4 decades. Its positioning and topography, and located at critical junctions of the Kolkata-Chennai national highway (NH-16) and NH roads connecting to the pilgrim city of golden sands at Puri (NH 236).

Methodology: Collection of traffic data, traffic study at a few places, geographical information studies, remote sensing of geo-referenced satellite data, use of ERDAS software, and analytical studies to initiate up-gradation proposals for existing risky and vulnerable roads. The agglomerated city needs planning for new routes to address the accidents and reduce traffic congestion during peak hours.

Results: The rising demography, added with daily floating people and heavy traffic plying through NH-16 and NH-316 have caused traffic congestion, delays, and accidents are identified as black spots. The dominant black spots found are at road junctions, Ravi Talkies, Rasulgarh, Vanivihar, CRP, fire station, Baramunda, and Patia. Environmental malfunctions, rider's faults, the mental health of driver and user, and mechanical failures are major causes of RTCs. GIS/RS maps need to be plotted over small-scale maps (1:1000m). Probable black spots are identified and their redressing by proposals of up-gradation, and new road creation have been proposed.
Trend Analysis of Annual Rainfall in Bastar Plateau and Northern Hill Zones of Chhattisgarh, India
Authors: Kumar Keerti , Das G. K. , Puranik H. V. , Beck Manoj Kumar
Published: June 2022

This study was to find out the trend of annual rainfall for 11 districts of Bastar plateau and the Northern hill zone of Chhattisgarh. Long-term rainfall data of (27 years) in respective districts were collected from the Department of Agro-meteorology. IGKV, Raipur (Chhattisgarh). The trend analysis of rainfall was computed with the help of the Mann-Kendall method and linear trend graph method. Results revealed that the annual rainfall of two districts i.e. Sukma and Kondagaon of the Bastar plateau zone recorded a significant increasing trend at a 5 % level of significance whereas two districts i.e. Bastar and Bijapur were showing a significant increasing trend at a 1 % level of significance. Jashpur district of Northern hill zone shows a significantly decreasing trend at a 5 % level of significance whereas rest five districts i.e. Dantewada, Narayanpur, Surguja, Surajpur, and Koria districts reported non-significant. Two districts showed a non-significant increasing trend i.e. Narayanpur and Balrampur districts. The maximum number of districts reported more or less stable rainfall during the years. On an annual basis, the Bijapur district recorded the maximum amount of rainfall i.e. 3144.5 mm in a year while the lowest rainfall was 511.4 mm in the Dantewada district. The maximum average annual rainfall over the study period was 1624.7 mm in the Sukma district and the lowest average annual rainfall was 1029.5 mm (in 17 years data set) in the Balrampur district.
Effect of Levels of Nitrogen and Seed Rate on Growth and Yield of Wheat (Triticum aestivum L.)
Authors: Sravani Chebrolu , Singh Rajesh , Tripathi Pratyasha
Published: June 2022

The effect of nitrogen and seed rate on wheat trails like growth and yield was studied through an experiment conducted during Rabi 2021 at Crop Research Farm, Department of Agronomy, SHUATS, Prayagraj (U.P). The soil of experimental plot was sandy loam in texture, nearly neutral in soil reaction (pH 7.1), low in organic carbon (0.36 %), available nitrogen (171.48 kg/ha), available phosphorous (15.2 kg/ha) and available pottasium (232.5 kg/ha). The experiment was laid out in Randomized Block Design with nine treatments each replicated thrice on the basis of one year experimentation. The treatments which are T1: nitrogen 80kg/ha + seed rate 75kg/ha, T2: nitrogen 100kg/ha + seed rate 75kg/ha, T3: nitrogen 120kg/ha + seed rate 75kg/ha, T4: nitrogen 80kg/ha + seed rate 100kg/ha, T5: nitrogen 100kg/ha + seed rate 100kg/ha, T6: nitrogen 120kg/ha + seed rate 100kg/ha, T7: nitrogen 80kg/ha + seed rate 125kg/ha, T8: nitrogen 100kg/ha + seed rate 125kg/ha, T9: nitrogen 120kg/ha + seed rate 125kg/ha are used. The results showed that among different seed rate and nitrogen, the treatment with nitrogen 120kg/ha and seed rate 75kg/ha produced significantly highest plant height (101.20 cm). The treatment combination with nitrogen 120kg/ha + seed rate 100kg/ha produced significantly higher No. of Tillers/plant (7.27), Plant dry weight (21.60 g/plant), Crop growth rate (0.48 g/m2/day), Relative Growth Rate (0.014g/g/day), spikelets/spike (20.07), Grains/spike (58.53), Test weight (46.23 g) and Grain yield (5.91 t/ha). However, the treatment with nitrogen 120kg/ha and seed rate 100kg/ha was found to be effective in highest gross returns (89060.00 INR/ha), net return (58360.03 INR/ha) and benefit/cost ratio (2.90) when compared to other treatments.
Efficacy Evaluation of Abiotic Elicitors for the Management of Black Rot Disease of Cauliflower Incited by Xanthomonas campestris pv. campestris
Authors: Geat Neelam , Singh Dinesh
Published: June 2022

Aims: To find out the effective abiotic elicitor for management of black rot disease of cauliflower.

Study Design: Completely randomized block design (Pot experiment in glasshouse condition).

Place and Duration of the Study: This experiment was conducted at glasshouse of Division of Plant Pathology, ICAR-IARI, New Delhi during the year 2021-22.

Methodology: Different abiotic elicitors were applied by spraying whole plants (45 days old) with the aid of a fine atomizer onto the upper leaf surfaces. Pathogen X. campestris pv. campestris was inoculated after 72 h of elicitor treatment, Control plants were treated with the distilled water. The disease assessment was done at 14 and 21 days after inoculation by using six- point scale and Percent Disease severity was calculated.

Results: In case of foliar spray of Salicylic acid before 72 h of inoculation of pathogen, minimum percent diseases severity (25.56) was recorded at the concentration of 3 mM after 21 days of pathogen inoculation. In case of BABA, minimum percent disease severity (18.37) was observed at 800 \(\mu g/ml\) concentration. INA helps to reduce the disease severity at 100 uM concentration. ASM was found effective at 350\(\mu g/ml\) with 14.07% disease severity and 82.91% disease control efficiency. In case of MeJA, minimum percent disease severity (30.32) was observed at 2mM concentration.

Conclusion: Among all the tested abiotic elicitors at different concentration, ASM at the concentration of 350 \(\mu g/ml\)was found very effective to manage the disease.

Black rot caused by Xanthomonas campestris pv. campestris (Xcc) is a very important and devastating disease of cauliflower (Brassica oleracea var. botrytis) crop resulting into 10–50% yield losses every year. So for the management of black rot disease, five abiotic elicitors viz; salicylic acid(SA-0.5, 1.0, 2.0, 3.0 mM), methyl jasmonte (MeJA-0.5, 1.0, 1.5, 2.0mM), \(\beta\)-Aminobutyric acid (BABA-200, 400, 600, 800 \(\mu g/ml\), acibenzolar-S- methyl (ASM-150, 250, 350, 450 \(\mu g/ml\)) and dichloroisonicotinic acid (INA-50, 100, 150, 200 \(\mu \)M) were tested to induce systemic resistance against the disease. The experiment was conducted under glasshouse condition at Division of Plant Pathology, ICAR-IARI, New Delhi during the year 2021-22. Foliar application of these abiotic elicitors was done on 45 days old plants of susceptible cv. Pusa Sharad of cauliflower. Results indicated that among all the tested chemical elicitors at different concentration, ASM@350 \(\mu g/ml\) was found very effective to manage the disease. It shows 82.91% disease control efficacy with 14.07% disease severity.
Evaluation of the Performance of Parental Line and their F1 Hybrids for Yield and Quality Traits in Brinjal (Solanum melongena L.)
Authors: Maurya Vipin Kumar , C. Yadav G.
Published: June 2022

Brinjal or eggplant (Solanum melongena L.) is one of the most important cultivated solanaceous vegetable, mainly grown for its edible fruits. The present investigation was carried out in order to obtained per se performance of parents and their cross combinations for genetic improvement in brinjal. Ten parents were crossed in diallel fashion excluding reciprocal. Half diallel set of crosses and their all possible 45 F1’s (excluding reciprocals) in brinjal (Solanum melongena L.)were evaluated in Randomized Complete Block Design (RBD) with three replications for nineteen yield and yield contributing traits during Kharif 2020-21 (Y1) and 2021-22 (Y2) at the Main Experiment Station (MES) of Department of Vegetable Science, Acharya Narendra Deva University of Agriculture and Technology, Narendra Nagar, Kumarganj, Ayodhya (U.P.) India. The study revealed that highly significant differences were observed for most of the traits under study. Based on the per se performance, the parentP9 (2.61 kg) registered highest fruit yield per plant followed by P7 (2.49 kg) in both the year and pooled. The per se performance of crosses viz., P2 x P9 (3.11 kg), P4 x P6(2.66 kg), P1 x P8(2.55 kg)and P6 x P7(2.42 kg) were produced significantly highest fruit yield per plant than the general mean. These hybrids may be subjected to multi-locational and multi-seasonal trials for their release for commercial cultivation. The findings with respect to salinity tolerance must be correlated to develop the salt tolerant cultivars.
Correlation of Physico-chemical Parameters of Soil and Soil Nutrient Index Status of Kollam District, Kerala, India
Authors: G. M. Vishnu Gopan , Hasan Amreen , Thomas Tarence , David Arun Alfred , Reddy Iska Srinath
Published: June 2022

The present investigation was carried out at Sam Higginbottom University of Agriculture Technology and Sciences in the department of Soil Science and Agricultural Chemistry lab, India In this study, a total of 27 soil samples were collected from nine different villages on 27 November 2021 in the Kollam district of Kerala, and from each village 3 soil samples were collected and analyzed for their Physico-chemical parameters by using standard laboratory techniques. According to Nutrient Index values, the villages were found to be high in Organic Carbon (2.59), Phosphorus (2.88), Calcium (3), and Magnesium (2.55). The low category was found in Nitrogen (1). The medium category was found in Potassium (1.88). According to the critical limits of soil nutrients the results observed, 100% soil samples were in low range of Nitrogen (N) (64.5 – 181.32 kg ha-1), 92.5% soil samples were in high range of Phosphorous (P) (9.40 – 56 kg ha-1), 89%  soil samples were in low to medium range of Potassium (K) (100 – 403 kg ha-1), 100% of soil samples were in the high range of Calcium (Ca) (3.2 – 18 Meq/100g), 78% of soil samples were in high range of Magnesium (Mg) ( 0 – 7.60), 100% of soil samples were in the low range of Sulphur (S) (0.96 – 7.2). The results showed that improvement has to be one for improving soil fertility and quality by practicing improved cropping patterns, decomposition of organic wastes, mulching, and tillage practices.
Assessment of Primary Percutaneous Coronary Intervention Outcomes in Elderly and Very Elderly Patients
Authors: Seif Sherif , Salama Mai , Elsaeid Ayman , Zaki Aly , Badr Seham
Published: June 2022

Background: To date, data regarding safety and efficacy of primary percutaneous coronary intervention (P-PCI) in elderly patients are scarce. We aimed to assess the outcomes of P-PCI in the elderly subgroup, and to evaluate whether the advantages of P-PCI diminish with advanced ages.

Methods: This retrospective study included elderly patients who underwent P-PCI for acute STEMI. Patients were sub grouped according to their age into three groups (Group A: aged 75-84, Group B: aged ³85 and control Group C: aged 65-74). The primary endpoint was in-hospital and 30-day all-cause mortality, and secondary endpoints were MACE (death, stroke, MI or re-PCI), stroke, vascular complication, bleeding and transfusion, target vessel re-intervention, contrast induced acute kidney injury (CI-AKI) and gastrointestinal (GI) bleeding.

Results: A total of 1111 patients were included with 339 patients in group A, 95 patients in group B and 677 patients in the control group C. In terms of the primary endpoint of our study, no significant difference could be detected between the studied groups. CI-AKI was the only secondary outcome to show a significant difference (P =0.005). Arterial hypertension and a previous history of chronic kidney disease (CKD) were independent predictors of in-hospital mortality, with OR 5.336, 95% CI 1.187 – 23.998 and OR 11.024, 95% CI 2.104 – 57.756, respectively. Additionally, final TIMI flow less than 3 (OR 42.322, 95% CI 5.674 – 315.667) and bleeding that required blood transfusion (OR 87.144, 95% CI 3.086 – 2460.628) showed higher risk of in-hospital MACE.

Conclusion: our study revealed that outcomes of P-PCI for STEMI in elderly population (³75) are favourable and comparable to younger patients. Therefore, P-PCI should be offered to every elderly patient presenting with acute STEMI, after considering risk factors for mortality and MACE in this special age group.
Relation between Vitamin D and Uterine Fibroid
Authors: Hammad Aml A. , Elbohoty Shereen B. , Hazzaa Sahar M. , Hewedy Medhat S. , El-Gharib Mohamed N.
Published: June 2022

Background: Uterine fibroids (UFs) are the most common benign tumors affecting women of reproductive age]. patients with uterine fibriod suffer from pelvic pain, menorrhagia, dysmenorrhea/dyspareunia, pressure-related symptoms, miscarriage, and subfertility. The aim of this study was to assess the relationship between occurrence, size, and clinical symptoms of uterine fibroid and the serum level of Vitamin D.

Methods: The study was designed as an observational case control study.

This study was conducted at Tanta University Maternity Hospital at the department of obstetric and Gynecology from March 2020 to September 2020.This study was conducted on 75 women in their reproductive age (20-45 yrs) recruited at Tanta obstetric and gynecology department                        (inpatient wards), they were subdivided into two groups:Group A: case group: 50 Women with uterine fibroid. Group B: control group: 25 Women with normal uterine examination and transvaginal ultrasound. Measuring the level of serum vitamin D3 in both control and women with uterine           fibroid.

Results: The age, in case group, ranged from 20-45 yrs with mean level 30.50± 4.56 yrs and in control group ranged from 20-45 with mean value 31.01+ 5.11 yrs. the diagnostic performance of vitamin D test in diagnosing uterine fibroid through illustrating sensitivity and specificity of vitamin D level to predict uterine fibroid. Area under the curve was 0.881with cut off value 14.3 ng/ml, the sensitivity of vitamin D to predict the fibroid was 79.3%, the specificity was 66.7 and test accuracy was 74.4%.

Conclusions: The current study showed a significant association between vitamin D3 deficiency in reproductive age women and the occurrence of uterine fibroid, the mean vitamin D3 level in the case group was 13.8±7.93 ng/ml and in the control group was 20.79+8.95 ng/ml.

There is correlation between vitamin D3 level and the size of uterine fibroid.

Vitamin D3 deficiency is widely spread among the study population with 80 % prevalence while vitamin D3 insufficiency is prevalent in 14% among study participants
Study of Urinary Level of Vitamin D Binding Protein in Diabetic Nephropathy
Authors: Moussa Doaa El-Sayed Saad , Sweilam Aalaa Mohamed , Aboelnasr Mohamed Sabry , Mohamed Wesam Salah , Elbendary Amal Said
Published: June 2022

Background: Diabetic nephropathy is usually a clinical diagnosis made based on the presence of albuminuria and or reduced estimated glomerular filtration rate in the absence of signs or symptoms of other primary causes of kidney damage. The aim of this work was to study urinary level of vitamin D binding protein as an early predictor for DN and its role in early diagnosis of diabetic nephropathy.

Methods: This prospective cohort observational study was carried out on 60 subjects. All subjects were divided into 3 equal groups: Group I: Patient with type 2 DM. with UACR<30 mg\gm. Group II: Patient with type 2 DM. with UACR 30-300mg\gm. Group III: Healthy Controls (matched with other groups as regard the age, gender and body mass index). All patients were subjected to routine laboratory investigation and specific laboratory investigation (Urinary Vitamin D Binding Protein by ELISA).

Results: The area under the ROC curve of urine VDBP levels for the diagnosis of DN was 90%. The analysis rendered an optimum cut-off value of \(\geq\)125µg/ml/mg corresponding to 77.50% sensitivity and 85.00% specificity. There was significant positive correlation between Urinary VDBP level and FBS serum level (P value<0.001). There was significant positive correlation between Urinary VDBP level and HA1C serum level (P value<0.001)

Conclusions: Our findings indicate that UVDBP levels may be a potential biomarker for early detection of DN. In the present study, urine samples were collected from patients with DN only but not from patients with additional nephropathies. This may have caused an overestimation of the specificity of VDBP as a biomarker for the detection of DN.
The Impact of Socio-economic Factors on the Perception towards Solar Energy
Authors: Malik Viraj
Published: June 2022

Solar Energy is an upcoming solution to one of the world’s biggest problems: The lack of clean energy. This research paper focuses on understanding the factors that influence the perception of Indian respondents toward solar energy, in order to fill in the gap in the data regarding how basic socio-economic factors such as age, education, and income level can influence one's thoughts towards solar energy. This is a mixed-method study that aims to draw relations and trends between the above-stated factors and the perceptions of the respondents. It was concluded after analyzing a dataset of 140 respondents(middle Class and upper-class respondents from Metropolitan cities of Delhi, Mumbai, Bangalore, and Chennai, and Lower Class respondents from Kishangargh Village, New Delhi), from different income and education levels, that there was a positive relationship between education level and awareness as well as income and likelihood of adoption. Other factors such as age and gender of the respondents have also been taken into account in the study. The age of the respondents had a positive relationship with their perception of solar energy, Whereas gender showed no relation with the perception of the respondents.
Dynamics of Neo-Liberal Workplace and Employment Relations: Implications and Challenges to Social Partners
Authors: Oladeinde Olusegun
Published: June 2022

The challenges facing social partners in Employment Relations occasioned by evolving global dynamics continue to task the actors; stretching the capacity of institutional arrangements for managing employment relations, even in the face of globalization and socio-economic challenges. Indeed, one of the inevitable implications of global capitalism on contemporary workplace has been the accentuating challenges, and evolving “new” roles for social partners in employment relations, within the tripartite arrangement of industrial relations system. In the context of this evolving challenges, institutions and actors of Industrial Relations are confronted with how to tackle emerging issues such as; the volatility of the labour market, vulnerability and precarity, mobility of labour, labour policy reforms, part-time work and flexible work arrangement, on the one hand, and how to cope with the consequences of neo-liberal dictates such as privatization and restructuring, with implications for industrial harmony, and productivity in the workplace. In the emerging context, social partners are to be more innovative and strategic in coming up with approaches, attitudes and practices, not only at sustaining employment relations, but indeed on the need to further ensure decent work for all. For instance, Labour (trade unions) as one the strategic partner in Industrial Relations, has come to realize that beyond negotiations on working conditions, they wish to extend their mandate to participate in the formulation of productivity polices at a consultative level, with the management, and even on broad national public policy that have direct impact on the living conditions of the entire citizenry, at the national level. This posture, the State (also a strong partner) is often uncomfortable with; arguing that Labour should limit itself to its traditional roles of improving the terms of employment and welfare of workers. In view of these diverse interests in which industrial relations constituents are pitched, this paper contends that priority should therefore be given to ways of evolving sustainable framework of social dialogue that will continuously assure industrial harmony within the context of ever-fluid environment. This paper contributes to understanding the relevance of participative (social) dialogue as resilient institutional framework in the context of the new challenges.
“Identity-Work” and Workers’ Interests Articulation in an Oil Refinery, Nigeria: A Post-Structuralist Evaluation
Authors: Oladeinde Olusegun
Published: June 2022

Beyond mainstream “essentialist” discourse and analysis of management and leadership practices in work organizations, labor process theory has continued to interrogate normative assumptions behind management roles and practices, in shaping the “lived-work” experiences and “agentic” responses of workers, in contemporary workplace. Critical analysis of management roles in the context of contemporary workplace has been able to make insightful and critical connections between work processes, workers own–sense making, and articulation of their interests in the workplace. Using post-structuralist analysis in the evaluations of the concepts of “identity-work”, and “interest articulation”, the paper offers a somewhat different understanding of management and leadership discourses and their normative assumptions, in an Oil Refinery, Nigeria. Workers construct and enact their workplace identity, thereby giving a re-interpretation and re-appropriation of management discourse in the organization. While utilizing the analytical remits of labour process theory and critical perspectives, the paper re-conceptualizes how workers in the oil refinery, enact “repertoire” of “selves” in securing their identities in the workplace. In their “knowledgeability” and “agentic orientation”, workers in the refinery “collude” with the “hubris” of management in the organization, in order to invert and subvert managerial practices, and its normative intentions. Through theoretical conceptualizations, the paper demonstrates the specific dimensions of these inversion and subversion. The paper therefore seeks to insert “workers-agency” back into the analysis of power-relations in the workplace; agency that is not overtly under the absolute grip of management’s control, but with multiplicity of identities and multilevel manifestations.
Prevalence of ESBL in Klebsiella Sp. and Its Antibiotic Resistance Pattern from Various Clinical Samples in a Tertiary Care Hospital
Authors: Deshmukhe Snehal Mayanand , S. Karande G. , Sharma Shanu Braj Kishor , Patil S. R. , V. Shinde R. , Pawar S. K. , V. Patil H. , M. Mane P.
Published: June 2022

Background: Klebsiella infection presents a global medical challenge because it is an important opportunistic GNB in health care institutions. The isolation and identification of resistance pattern of Klebsiella infections helps in selection of appropriate antibiotics, reducing the morbidity and mortality of patients and reducing the spread of resistant strains in the community

Objective: The present study was carried out to investigate the prevalence of ESBL in Klebsiella species and its antibiotic resistance pattern from various clinical samples.

Method: Specimens like urine, blood, sputum, pus, wound swab, tracheal aspirates

Microbes from urine, blood, sputum, pus, wound swab, and tracheal aspirates after preparation and cultivation, and isolation were identified by Gram’s staining and various biochemical reactions. Antibiotic susceptibility testing was done including third generation cephalosporins and the resistant were done by Double disc synergy test (DDST) and Combined disc diffusion test (CDDT).

Result: Klebsiella pneumoniae subsp. aerogenes (48%) was the most common species isolated followed by Klebsiella oxytoca (46%), Klebsiella pneumoniae subsp pneumoniae (6%). Among 100 isolates of Klebsiella spp., 53(53%) isolates were ESBL producers. Of the 53(53%) ESBL isolates, 46(46%) isolates showed ESBL production by double disk synergy test and 51(51%) by combined disk diffusion test.

Conclusion: Most of Klebsiella ESBL positive isolates were observed in pus sample. Combined disc diffusion test demonstrated more effectivity than double disc diffusion test. So, CDDT being simple and cheaper method should be included in the microbiology laboratories as a routine test for early deduction of ESBL producing organisms in specimen from critically ill patients.
Comparison of Position of Glenoid Fossa in Skeletal Class I and Class II Malocclusion
Authors: Mushtaq Maryam , Mehmood Amjad , Jabbar Abdul , Akram Anam , Hameed Masooma
Published: June 2022

Aim: To evaluate the mean position of the glenoid fossa in patients with skeletal class I and skeletal class II malocclusions in a specialist care hospital.

Method of Research: A descriptive cross-sectional study.

Location and Peroid of Study: Out Patients Department of Orthodontics, Margalla Institute of Health Sciences Rawalpindi from 1-12-2013 to 30-05-2014.

Methodology: Clinical records of patients, who had approached or had been referred to orthodontics department, were maintained as per Orthodontics protocol including clinical history, physical examination and radiographs inclusive of Lateral Cephalogram. Radiographs were taken with the informed consent of patient or parents as per the requirement in horizontal plane parallel to floor, lower jaw in maximal intercuspation with lips at rest. Patients were segregated into 2 groups of skeletal class I and class II relationships. On Cephalogram, SNA, SNB, ANB, GF-S on FHP and GF-FMN were measured.

The details were assessed on statistical package for social sciences (SPSS version 14). Descriptive statistics were utilized to calculate the frequency and percentages for qualitative variables like gender. Means and standard deviation were analyzed for quantitative variables like SNA, SNB, ANB, GF-S on FHP, and GF-FMN for skeletal class I and class II groups. Independent sample t-test was employed to juxtapose the means and SD for GF-S on FHP and GF-FMN in millimeters for both the groups.

Results: On conduct of various descriptive statistics / sample tests, results were achieved. P < 0.05 was considered significant. Measurement of mean location of glenoid fossa in skeletal class I and skeletal class II groups was end result of the study which was compared subsequently in both groups. Mean GF-S on FH in skeletal class I was 17.47\(\pm\)3.45 mm and in skeletal class II it was 17.01\(\pm\)3.79 mm, which was statistically non consequential (p = 0.528). Similarly Mean GF-FMN in skeletal class I was 80.50\(\pm\)6.17 mm and in skeletal class II it came out to be 77.72\(\pm\)7.69 mm, which was statistically substantial (p=0.048).

Conclusion: It is inferred from results that difference between glenoid fossa position and FMN point in skeletal class I and Class II malocclusions is statistically significant.
Crisis Communication in the Time of Recovery from COVID-19 in Central Asia
Authors: Roedyati M. A. Joevi
Published: June 2022

The end of covid-19 pandemic in Central Asia, presumably would enhance the region of its robust economic recovery. But read from 2 policies briefing of the multilateral forums such as World Bank and UN ESCAP, we have known that there is still a long way to go those aims.Witer want to deploy these two multilateral forums in a crisis communication theories during and after the pandemic time.

Methods: Qualitative method research from second resources data analysis would be conducted, in order to find policies recommendations in the Central Asia as general.

Results and Discussion: In the discussion, we found out that three policy briefs from ESCAP need to be elaborated in depth line or wise development plans. Neigbors countries which have a same borders, mostly same products, and interdependent to each other, had to reconciled their differences and then manage their own interest, so there would be no conflicting interests arise in their region.

Since the beginning of the covid-19 pandemic spread on 2020, countries such as Kazakstan, Uzbekistan, Kyrgystan, Tajikistan and Turkmenistan swiftly responded, and they have to took emergencies measure in order to manage the spreading of the virus. They have to closed their borders, re-newed their health sector, and built a virus emergency centre.

While the World Bank stressed on three main objectives, for example widespread of vaccination, empowering labour market with increasing employment, and strengthening social programs for the most vulnerable citizens. These three policies have to be planned and implemented by these neighboring countries.

Conclusion: Both strategies have been conducted, so that it need a review to know if their targeted areas had been achieved so far.

Author’s tried to seek the difference approaches brought by few international forums regarding pandemic recovery actions in 5 Central Asia countries, which could be useful for its own revival process with crisis communication theory, and find out summary. It might be limited, since author do not live in these 5 countries. Regardless of its limitation, few policies recommendations are good to explore and implemented for other regions.
Antioxidant properties of a thermoultrasonicated cactus pear [Opuntia ficus indica (L.) Mill, (Cactaceae)] blend juice in comparison with traditional thermal processing
Authors: Ayala-Niño Alexis , Cruz-Cansino Nelly , Ramírez-Moreno Esther , Sánchez-Franco J. Antonio , Ariza-Ortega J. Alberto , Calderón-Ramos Zuli G. , Delgado-Olivares Luis
Published: June 2022

Functional beverages market requires conservation methods where bioactive compounds could persist for their bioavailability. The aim of this work was determined the extractwion yield, antioxidant capacity and bioavailability of a cactus pear (Opuntia ficus-indica) juice blended using different solvent to extraction after pasteurization (PAST) or thermoultrasonication (TUS) treatment. The best properties were exhibited by TUS juice, showing 575.8 ± 11.1 mg GAE·L-1 for total phenolic, and 392.78 ± 4.1 mg betanain E·L-1 for pigment content. Which resulted in a greater antioxidant activity bioavailable (87% DPPH; 38% ABTS). The highest antioxidant activity was found in the TUS methanolic extraction, exhibiting higher bioaccessibility than the juice (78% ABTS; 179% DPPH). It can be concluded that thermoultrasonication and methanolic extraction of a cactus pear juice blend allows a greater antioxidant compounds to be bioavailable
In-Vitro Evaluation of Some Traditional Medicinal Plants on Calcium Oxalate Urolithiasis
Authors: . Abdel Bar Fatma , Foudah Ahmed , Majrashi Amjad , Dossery F. Al- , Galala Amal
Published: June 2022

The prevalence of urolithiasis in Middle East countries is predominantly high. Traditional medicinal plants play a role in the prevention and management of urolithiasis. The effect of Petroselinum crispum, rind of Citrus sinensis L., rind of Citrus limon L., Ammi visnaga (L.) LAM., Tamarindus indica L., Nigella sativa L., Cymbopogon proximus Hochst. ex A. Rich., Hibiscus sabdariffa L., Hordeum vulgare L., and Cymbopogon schoenanthus (L.) Spreng. on calcium oxalate crystallization was investigated in-vitro. The antispasmodic activity on acetylcholine-induced contraction in rat ileum was also screened ex-vivo.  A significant reduction in the mean diagonal of calcium oxalate crystals was observed for P. crispum, C. proximus, N. sativa, and C. limon (4.41 mm, 4.71, 5.44, and 5.67 mm, respectively) compared to the negative control (12.19 mm). H. sabdariffa exhibited antinucleation effect however, P. crispum showed a marked inhibition of calcium oxalate aggregation at 10 mg/mL after 60 min compared to the negative control. A remarkable ex-vivo antispasmodic activity was observed for C. proximus, C. schoenanthus, and A. visnaga extracts. Our results provide scientific evidence for the traditional use of the studied plant-derived products as potential therapies for calcium oxalate urolithiasis.