bluuebunny/crossref_metadata_2025 huggingface dataset:
Effect of Using Limestone Fines on the Chemical Shrinkage of Pastes and Mortars
Authors: Khatib Jamal , Ramadan Rawan , Ghanem Hassan , ElKordi Adel
Published: November 2021

The main aim of this study is to examine the effect of incorporating limestone fines (LF) on chemical shrinkage of pastes and mortars. For this purpose, five paste and five mortar mixes were prepared with 0, 5, 10, 15 and 20% (by weight) LF as replacement of cement. The water to binder ratio (w/b) was 0.45 for all mixes. The sand to binder (s/b) ratio in the mortar mixes was 2. Testing included chemical shrinkage, compressive strength, density and ultrasonic-pulse velocity (UPV). Chemical shrinkage was tested each hour for the first 24 hrs, and thereafter each 2 days until a total period of 90 days. Furthermore, compressive strength and UPV tests were conducted at 1 day, 7, 28 and 90 days of curing. The results show that the long-term chemical shrinkage of pastes was found to increase with the increase in LF content up to 15%. Beyond this level of replacement, the chemical shrinkage started to decrease. However, the chemical shrinkage for mortars increased with the increase in LF content up to 10% LF and a decrease was observed beyond this level. It was also noticed that compressive strength for pastes and mortars attained the highest value for mixes containing 10 and 15% LF. The trend in the UPV results is somewhat similar to those of strength. Density for pastes and mortars increased up to 15% LF followed by a decrease at 20 % replacement level. Correlations between the various properties were conducted. It was found that an increase in chemical shrinkage led to an increase in compressive strength.
A search for a stochastic archetype of quantum probability
Authors: Jenkins Tim C
Published: November 2021

Superposed wavefunctions in quantum mechanics lead to a squared amplitude that introduces interference into a probability density, which has long been a puzzle because interference between probability densities exists nowhere else in probability theory. In recent years, Man’ko and coauthors have successfully reconciled quantum and classic probability using a symplectic tomographic model. Nevertheless, there remains an unexplained coincidence in quantum mechanics, namely, that mathematically, the interference term in the squared amplitude of superposed wavefunctions gives the squared amplitude the form of a variance of a sum of correlated random variables, and we examine whether there could be an archetypical variable behind quantum probability that provides a mathematical foundation that observes both quantum and classic probability directly. The properties that would need to be satisfied for this to be the case are identified, and a generic hidden variable that satisfies them is found that would be present everywhere, transforming into a process-specific variable wherever a quantum process is active. Uncovering this variable confirms the possibility that it could be the stochastic archetype of quantum probability.
Identification of Benzothiazole‒Rhodanine Derivatives as α-Amylase and α-Glucosidase Inhibitors: Design, Synthesis, In-silico and In-Vitro Analysis
Authors: Sriniv Mahendra Gowdru , Aggarwal Natasha Naval , Gatphoh Banylla Felicity Dkhar , S Madan Kumar , B.R. Kannika , G.V. Pujar , Dixit Sheshagiri , Mandal Subhankar P , B.R. Prashantha Kumar , Khanal Pukar , C Revanasiddappa B
Published: November 2021

In search for possible antidiabetic agents, a new series of Benzothiazole-Rhodanine derivatives (A1-10) have been synthesized and characterized by spectral data(IR, 1H-NMR, C13-NMR,and HR-MS).All the designed compounds were subjected to In-silico studies using Schrodinger softwareand evaluated for In-vitro antidiabetic activityby α-amylase and α-glucosidase inhibitory assays.Among the tested compoundsA5, A6 and A9 showed good activity when compared to the standard Acarbose. Also, Molecular dynamic (MD) simulations were conducted to evaluate the stability of the ligand-protein complex by the calculation of the root mean of square deviation (RMSD), root mean square fluctuation (RMSF), and solvent accessible surface area (SASA).
Renal Cell Carcinoma in People with HIV- An Analysis of the Postoperative Factors Associated with the Long-Term Survival
Authors: Chen Liang , Wu Menghua , Zheng Xin , Zhang Yu , Zhao Jimao
Published: November 2021

Aims: The purpose of the current study is to explore the prognostic factors of the renal cell carcinoma (RCC) in People living with HIV (PLWH), and to evaluate the postoperative factors associated with the survival in PLWH with RCC.Methods: PLWH with RCC who underwent surgical treatment were retrospectively studied. A single-center analysis was conducted from January 2012 to January 2021. General and postoperative clinical data, including age, gender, smoking and drink history, active antiretroviral therapy (ART), cancer histology, clinical and pathological stage, surgical result, Glasgow Prognostic Score (GPS), the Charlson comorbidity index(CCI), the Karnofsky performance status (KPS）, CD4+ T cell count, CD4/CD8 ratio and survival time were collected.Results: A total of 67 patients were included in our study. The Creatine (77.1±18.8 vs 85.7±12.9, P value=0.032), HGB(mg/dL) (113.6±12.6 vs 139.3±20.8, P value=0.694), the CD4/CD8 ratio (0.68±0.40 vs 0.86±0.33, P value=0.006) and overall survival time (months) (74.93±5.249 vs 96.47±3.28, P value=0.009), the progression free survival time (months) (66.47±6.56 vs 90.65±4.82，P value=0.011). The Cox regression analysis showed that the tumor size and the CD4/CD8 ratio were prognostic factors for survival time.Conclusion: In our retrospective analysis, the survival prognosis of negative group was better than that of PLWH with RCC. The risk factors for overall survival in PLWH with RCC was tumor size and CD4+/CD8+ ratio. The lower CD4/CD8 ratio was a significant predictive factor for shorter overall survival.
Compositional Diversity of Rocky Exoplanets
Authors: Putirka Keith D. , Dorn Caroline , Hinkel Natalie R. , Unterborn Cayman T.
Published: November 2021

To test whether exoplanets are similar to Earth, knowledge of their host star composition is essential. Stellar elemental abundances and planetary orbital data show that of the ~5,000 known minerals, exoplanetary silicate mantles contain mostly olivine, orthopyroxene, and clinopyroxene, ± quartz and magnesiowüstite at the extremes, while wholly exotic mineralogies are unlikely. Understanding the geology of exoplanets requires a better marriage of geological insights to astronomical data. The study of exoplanets is like a mirror: it reflects our incomplete understanding of Earth and neighboring planets. New geological/planetary experiments, informed by exoplanet studies, are needed for effective progress.
INVASIVE FUNGAL INFECTIONS IN COVID-19 PATIENTS IN THE INTENSIVE CARE UNIT: ABOUT 5 CASES
Authors:   Parasitology and Mycology Department of Avicenna Military Hospital Of Marrakech., Darfaoui Loubna ,   Faculty of Medicine and Pharmacy of Marrakech, Cadi Aayad University., Oussaga Jihane ,   Parasitology and Mycology Department of Avicenna Military Hospital Of Marrakech., Belhaj Ayoub ,   Faculty of Medicine and Pharmacy of Marrakech, Cadi Aayad University.,   Anesthesiology and Reanimation department of Avicenna Military Hospital Of Marrakech., Aissaoui Youness El ,   Faculty of Medicine and Pharmacy of Marrakech, Cadi Aayad University.,   Anesthesiology and Reanimation department of Avicenna Military Hospital Of Marrakech., Esbaai Mohamed ,   Parasitology and Mycology Department of Avicenna Military Hospital Of Marrakech.,   Faculty of Medicine and Pharmacy of Marrakech, Cadi Aayad University., El Mezouari El Mostafa ,   Parasitology and Mycology Department of Avicenna Military Hospital Of Marrakech.,   Faculty of Medicine and Pharmacy of Marrakech, Cadi Aayad University., Moutaj Redouane ,   Parasitology and Mycology Department of Avicenna Military Hospital Of Marrakech.,   Faculty of Medicine and Pharmacy of Marrakech, Cadi Aayad University.
Published: November 2021

Covid-19 is a serious pathology it is associated with a deep immunodepression which favors invasive fungal infections especially in patients in intensive care unit. We report in our work a series of five covid-19 patients with fungal co-infection. We conducted a retrospective study including all COVID-19 patients hospitalized in intensive care unit for acute respiratory distress syndrome. Patients who presented a clinical worsening during their hospitalization were sampled with mycological study (bronchoalveolar lavage, serum and fungal blood culture). The diagnosis of fungal superinfection was retained in five patients, two of whom had probable invasive pulmonary aspergillosis. Two other patients had a Cryptoccocusneoformans infection, one of which was disseminated. Candida albicans sepsis was found in only one patient. In the literature, invasive candidiasis and invasive pulmonary aspergillosis. in covid-19 patients are associated with a high morbidity and mortality rate, hence the importance of early diagnosis and management. It should be noted that the clinical presentation of invasive fungal infections is not very specific, especially at the beginning of the infection when antifungal treatment is more effective.
COMPARATIVE EVALUATION OF POSTOPERATIVE PAIN SCORES AND OPIOID CONSUMPTION IN SEPTORHINOPLASTY AFTER ADMINISTRATION OF SINGLE-DOSE PRE-EMPTIVE PARACETAMOL AND IBUPROFEN: A RANDOMIZED CONTROLLED TRAIL
Authors:   Assistant Professor of Otorhinolaryngology, Head and Neck Surgery, College Of Medicine, Najran University, Kingdom Of Saudi Arabia., a Alshehri , Abdullah A. Ali ,   Assistant Professor of Otorhinolaryngology, Head and Neck Surgery, College Of Medicine, Najran University, Kingdom Of Saudi Arabia.
Published: November 2021

Introduction Septorhinoplasty operates on cartilage and bone of the nose and is ensued by severe postoperative pain. The objective of this study is to evaluate effects of preoperative administration of intravenous (IV) paracetamol and ibuprofen on postoperative pain scores in patients undergoing septorhinoplasty. Methodology 150 patients undergoing septorhinoplasty were randomly assigned into three groups with 50 patients in each group. The control group (Group A) was administered 100 ml saline solution, paracetamol group (Group B) was administered 1000 mg IV paracetamol in 100 ml saline and ibuprofen group (Group C) was administered 800 mg IV ibuprofen in 100 ml saline before surgery. Opioid analgesics were employed to achieve postoperative analgesia. Postoperative pain was evaluated using Visual Analogue Scale (VAS). Postoperative opioid consumption and adverse effects were also recorded for each patient. Results In comparison with Group A, VAS in Group B and Group C was statistically lower in all the time intervals (p<0.05). In 1st and 6th hours postoperatively, VAS in Group C was lower than Group B (p<0.05). In control group, total opioid consumption was highest in all time intervals (p<0.05). In Group C, total opioid consumption was significantly lower than Group B at 0-6 and 6-12 hours interval. (p<0.05). Conclusion- Single-dose pre-emptive administration of ibuprofen has more profound postoperative analgesic effect than paracetamol during first 6 hours in septorhinoplasty. After first 6 hours of the procedure, there is no difference in analgesic effect between ibuprofen and paracetamol.
CREEP RUPTURE LIFE OF PRE-STRAINED SUPERALLOY N07080
Authors:   Assistant Professor, University Of Zenica - Institute Kemal Kapetanovic in Zenica., Beganovic Omer
Published: November 2021

The creep of the pre-strained superalloy N07080 is described in this work. The pre-strain was achieved by warm rolling at 1050 oC.-The warm rolling was performed due to additional strengthening, i.e increasing of the superalloy hardness.-The pre-strain drastically reduces the creep rupture life of the superalloy compared to the creep rupture life of the standard heat treated superalloy.-The drastic reductionof the creep rupture life is result of rapid creep cavity nucleation on stress concentration sites along primary grain boundaries of the pre-strained superalloy.-Recrystallization eliminates potential sites for rapid cavity nucleation and prolongates the creep rupture life.
JAK INHIBITORS AS A NEW MODALITY FOR TREATING ATOPIC DERMATITIS: A BETTER UNDERSTANDING OF ITS EFFICACY AND SAFETY
Authors: Alnama Abdullah , Mahmood Hassan
Published: November 2021

AD is a chronic relapsing disease characterized by pruritis and chronic inflammatory skin changes, (1) which affects approximately 10Ã¢Â€Â“30% of children and as much as 10% of adults worldwide.(2) This condition has a great significant impact on morbidity and presents an outstanding social economic burden.(3) AD is a multifactorial disease that develop by interaction between these factors in a positive feedback cycle. Treatment of AD interrupts the causal pathway. Management with conventional therapies has been a challenge, but a novel biological treatment called dupilumab was recently approved for the treatment of moderate-to-severe AD, but this drug only achieved 40% clear skin in combination with TCs.(4). JAK inhibitors are another new drug family that inhibit JAK-signaling pathways, which involve JAK1, JAK2, JAK3 and TYK2. JAK inhibitors have been approved to treat inflammatory diseases like rheumatoid arthritis, and high attention is currently being focused on the clinical development of JAK inhibitors for the treatment of AD. Which are a possible treatment for certain disease that are related to lymphocyte activation, such as psoriasis, alopecia areata, vitiligo and AD. JAK inhibitors are available in topical and oral forms, thereby allowing more administration routes depending on the severity of AD, which ranges from mild to severe. Since JAK inhibitors are a new treatment modality in dermatology, the efficacy of this new medicine and the safety thereof are still being debated. A systematic review and metaÃ¢Â€Âanalysis were done for all randomized clinical trials that evaluated JAK inhibitors for Atopic dermatitis to investigate their pooled efficacy and safety compared to placebo. Results might be useful as a milestone to develop a more accurate view of this medication and provide direction for further research.
DETERMINATION DE LA RESISTANCE SERIE DE LA PHOTOPILE AU SILICIUM (N+/P/P+) A JONCTIONS VERTICALES SERIES SOUS CHAMP MAGNETIQUE
Authors:   Polytechnic School of Thies, BP A10, Thies, Senegal., DIOP Gora , Faty Mbaye FALL Mame ,   Polytechnic School of Thies, BP A10, Thies, Senegal., SALL Mamadou ,   Polytechnic School of Thies, BP A10, Thies, Senegal., LOUM Khady ,   Polytechnic School of Thies, BP A10, Thies, Senegal., DIATTA Ibrahima ,   Laboratory of Semiconductors and Solar Energy, Physics Department, Faculty of Science and Technology, University Cheikh Anta Diop, Dakar, Senegal., NDIAYE Mor ,   Laboratory of Semiconductors and Solar Energy, Physics Department, Faculty of Science and Technology, University Cheikh Anta Diop, Dakar, Senegal., WADE Mamadou ,   Polytechnic School of Thies, BP A10, Thies, Senegal., SISSOKO Gregoire ,   Polytechnic School of Thies, BP A10, Thies, Senegal.,   Groupe International de Recherche en Energie Renouvelable, BP. 15003 Dakar Fann, Senegal.
Published: November 2021

Lequation de magneto transport relative aux porteurs minoritaires de charge dans la base de la photopile au silicium a jonctions verticales series, est resolue, munie des conditions aux limites, definies par les vitesses de recombinaison a la jonction et en face arriere. Le photocourant et la phototension sont determines, et representes par la caracteristique courant-tension (Iph(Sf)-Vph(Sf)) de la photopile sous eclairement monochromatique. Le modele electrique equivalent de la photopile en situation de circuit ouvert, conduit a la determination de la resistance serie, pour differentes epaisseurs optimum de la base, imposees par le champ magnetique applique.
A REVIEW ON STUDIES AND RESEARCH ON USE OF PLASTIC, ITS HAZARDS AND SAFE DISPOSAL
Authors:   M.Sc Nursing, Department Of Community Health Nursing, Kasturba Nursing College, Sewagram, Dist Wardha, 442001, Maharashtra, India., Shrikrishna Atre Jyotashri
Published: November 2021

The community has been described together of the foremost fruitful areas for improving the health of the people. It is an incontrovertible fact that social, physical and cultural aspects of the community have a serious influence on an individuals health status. One among the most risky assembling is the plastic which are used on a day to day throughout the planet. The plastic may be a common word thats used for several materials that are synthetic and semi- synthetic in nature. Use of plastic bag and bottle are common. The disposal of plastic waste is major problem due to non biodegradable nature of plastic. Its used for road construction, packaging, protecting, serving, and even removing all types of commodity. The current review summarized the research on use of plastic, its hazards and safe disposal.
UNDERGRADUATE IMPRESSION REGARDING AETCOM AS LEARNING TOOL
Authors:   Associate Professor Dept of Community Medicine SSIMS,Bhilai,C.G, C.G., Dixit Ruchita , Jain Khyati ,   Associate Professor Dept of Microbiology Shri Balaji Institute of Medical Science, Raipur, C.G., K. Dhariwal Somendra ,   Associate Professor Dept Of Pathology Shri Balaji Institute of Medical Science, Raipur, C.G.
Published: November 2021

Introduction And Objective: Knowledge of proper Attitude, Ethics and Communication Skills with the patients plays a vital role in success of medical professionals. So, AETCOM module has been formulated to train the medical students from first MBBS itself as a part of their foundation course. We wanted to assess the perception of Attitude, Ethics and Communication Skills (AETCOM) Module by first MBBS students as a learning tool in their foundation course. Methods: 1. This is a cross sectional observational study conducted over a period of one month involving first year MBBS students who joined in the year 2019-20 in Private medical college at Chhattisgarh. 2. 105 students were included in this study. 3. The teaching schedule of AETCOM Module had four sessions three hours each. 4. At the end of the AETCOM module feedback on their perception was collected. Results: A majority of the students (77.14%) agreed that the AETCOM Module will definitely improve their communication skills with the patients. They also felt that this type of teaching should be included in their regular curriculum and this should be an ongoing process throughout their semester. Students views on AETCOM were- asset for gaining confidence of the patients (87.62%), useful for themselves and for future practice, excellent method for improvement of diagnosis (81.90%). Conclusion: The AETCOM Module will definitely help students on long-term basis. It will help them gain confidence and develop good communication skills for a better doctor patient relationship.
IMPRESSION TECHNIQUES FOR IMPLANT DENTISTRY (PART 2) : OPEN TRAY TECHNIQUES
Authors: Assila Layla , Soualhi Hicham , El Yamani Amal
Published: November 2021

A highly accurate impression is one of success requirements in implant dentistry. A passively fitting prothesis is achieved when the 3-dimensional position of the implants is precisely transferred to the cast. Various impression techniques are described in the literature. Each one presents indications, qualities and limits. Many studies compared the main techniques which are closed and open-tray impressions along with their specificities. In this second part, the open-tray technique is described and discussed then compared with the closed-tray one.
DIVERSIFICATION OF INDIGENOUS AGRICULTURAL PRACTICES AND IMPLICATIONS ON HOUSEHOLD FOOD SECURITY: PRACTICES AND LESSONS FROM LOCAL COMMUNITIES OF BARINGO COUNTY, KENYA
Authors:   Department of Agricultural Education & Extension, Egerton University, Njoro, Kenya., S.K. Cheplogoi , J.M. Ombati ,   Department of Agricultural Education & Extension, Egerton University, Njoro, Kenya., M.O Udoto ,   Department of Agricultural Education & Extension, Egerton University, Njoro, Kenya.
Published: November 2021

An estimated 690 million people worldwide are hungry denying them the fundamental human right on food. Agriculture, which ought to play a crucial role of sustaining household food security is climate sensitive, hence suffer from the effect of climate change and variability.The fundamental elements of food security which include availability, access, utilization and stability have become untenable. This paper examined the indigenous agricultural diversification strategies and their implication on household food security in Baringo County, Kenya. Descriptive survey design was used in the study. A sample of 140 households and 12 Agricultural Extension staff were selected using purposive, proportionate and simple random sampling techniques. Questionnaire, Focus group discussion guide and observation checklist were used to collect data. The findings indicated that a wide range of diversification strategies including knowledge and skill based, enterprise based, diet based, food sources, farming routines and storage based diversification were adopted by households.The study concluded that diversification strategies were mitigation measure against climate change and food insecurity. The study recommended the up scaling best practices of diversification to improve household food security.
LE PROFIL EPIDEMIOLOGIQUE ET LA PRISE EN CHARGE DES PERFORATIONS GRELIQUES POST-TRAUMATIQUES A PROPOS DE 50 CAS
Authors:   CHU Mohamed VI, Universite Caddi Ayyad, Marrakech, Maroc., Mahamoud Saad , Rabbani Khalid ,   CHU Mohamed VI, Universite Caddi Ayyad, Marrakech, Maroc., Hed Louzi Abdeloua ,   CHU Mohamed VI, Universite Caddi Ayyad, Marrakech, Maroc.
Published: November 2021

Les perforations greliques post traumatique plus frequents chez les jeunes sont de complications tardives et rare dans les traumatismes de labdomen fermees. La disponibilite dun plateau technique performant constitue classiquement une des principales conditions pour la reussite de cette attitude. Nous essayons detudier les differents aspects epidemiologiques, diagnostiques et therapeutiques de cette affection a travers les resultats dune serie de 50 malades. Une serie de 50 patients est prise en charge par le traitement operatoire. La gravite des lesions est appreciee par les donnees cliniques et paracliniques, ainsi que la morbidite et la mortalite sont analysees. Les accidents de la circulation etaient la premiere cause des perforations greliques, suivi par les plaies par arme blanche (34 % cas) dans notre contexte. Les epanchements intraperitoneaux etaient les plus frequentes (30% des cas). La notion de polytraumatisme etait tres frequente. La duree moyenne de surveillance etait de 7 jours. Une laparotomie en urgence etait indiquee chez tous les patients. On avait note un taux de mortalite de 3.7% soit 4 cas. Il semble a partir de notre experience que la rapidite de la prise en charge pluridisciplinaire peut constituer une reference therapeutique dans les pays occidentaux comme dans les pays en voie de developpement, sÃ»re et justifiee.
SOCIAL MOVEMENTS AND CIVIL DISOBEDIENCE IN NIGERIA SDEMOCRACY (1999-2019)
Authors:   Department of Sociology, College of Management and Social Sciences, Salem University, P.M.B 1060, Lokoja, Kogi State, Nigeria., Johnson Akubo Alewo
Published: November 2021

The emergence of social movement can be traced early nineteenth century. Besides, the twentieth century also mark a watershed in the development of social movement at the global scale was the fascist and right-wings groups which were regarded as social movements rather than political parties because of their approach and strategies. This study seeks to examine the challenges of social movement in Nigerias democracy and to examine the implications of civil disobedience on Nigerias democracy. Moreover, this study is situated within the new social movement theory. Besides, data for this study were collected from various secondary sources such as textbooks, journals and internet sources and content analysis was used to analysed the data collected. The challenges of social movements revealed in this study include stiffer regulations guiding social mobilization inability to develop a unifying vision, building trust among various communities, prompting extensive involvement, managing comprehensible home-grown and countrywide strategies, training participants dedicated to peaceful action, and resisting suppression. However, the implications of civil disobedience on Nigerias democracy under present democratic dispensation have been treated with mixed-feeling, as it has resulted in the loss of lives and property.Lastly, this study suggested among other things that good and inclusive governance remain key in achieving sustainable peace and political stability in Nigeria.
FORMULATION DEVELOPMENT AND CHARACTERIZATION OF FAST DISSOLVING TABLET OF ATENOLOL BY DIRECT COMPRESSION METHOD
Authors:   Kailash Institute of Pharmacy and Management, GIDA, Gorakhpur, Uttar Pradesh, India., Patel Sarvesh , Narayan Mishra Jai ,   Kailash Institute of Pharmacy and Management, GIDA, Gorakhpur, Uttar Pradesh, India., Kumar Vishwakarma Dhaneswar ,   Kailash Institute of Pharmacy and Management, GIDA, Gorakhpur, Uttar Pradesh, India.
Published: November 2021

Finally in the project work Atenolol is an anti-hypertensive drug. It has been formulated into fast dissolving tablets by direct compression method by using the Excipients like lactose, sucrose magnesium stearate, sodium lauryl and sulphate and many type super disintegrates such as crosscarmellose and sodium starch glycolate and the prepared by the tablets were evaluated for the pre-compression parameter such as angle of repose, bulk density, tapped density, % index, Hausners ratio, partition coefficients, melting points, UV spectroscopy, % assay, TLC, loss on drying and post compression parameter such as thickness, hardness, friability, drugs contents, weight variation, water absorbance ratio, Invitro disintegrating time , Invitro dissolution studies. All the parameter shows good results. FDTs are prepared by direct compression method are results found to be that the among of nine formulation as the F9 to be best as its shows 87.10% (direct compression method) maximum drug release respectively. The stability testing of manufactured tablets have being at 400 c having 75% relativity humidity for 1month and found to be stable. Prepared fast dissolving tablets of Atenolol 10 mg was found to be under fasting federal condition.
PROPUESTA DE LA IMPLEMENTACION DE UN SISTEMA DE CONTROL DE INVENTARIO DE MATERIAL DE CURACION DE LA CENTRAL DE EQUIPOS Y ESTERILIZACION DEL HOSPITAL COMUNITARIO DE HOPELCHEN, CAMPECHE
Authors: Monserrat Llanes Chiquini Charlotte , Mirna Osalde Hernandez M.I.A. , Alberto Perez Canul Carlos , Manuel Patro Roger , Nadia Kassandra May Acosta M.C. , Thania Del Carmen Tuyub Ovalle M.C.
Published: November 2021

The present work proposes a system of assortment of healing material in the Central Equipment and Sterilization of the Community Hospital of Hopelchen, Campeche starting with the use of input parameters (demand and costs), the analysis to determine how much and when to request consumption material. As well as assess the orders based on your weekly demand. This will be reflected in the improvement of the delivery-reception system, which impacts directly in all areas of the Hospital, thus avoiding serious problems such as shortages, ant theft, and reduction of expenses for excessive and untimely purchases, Expired products and shrinkage, among others. Likewise, the training of personnel in charge of the Central Equipment and Sterilization is considered. The aforementioned, will lead to a solution to a major problem of an economic and public nature, which is to avoid transferring the users belonging to this hospital to the General Hospital of the City of Campeche, for not having the necessary supplies in time and shape. The proposal is necessary, since as a hospital our reason for being is to provide health and well-being to our users, who demand good service and that this is provided with quality and warmth.
SKIN LESION CLASSIFICATION FROM DERMOSCOPY AND CLINICAL IMAGES WITH A DEEP LEARNING APPROACH
Authors:   Department of Medical Physics, School of Medicine, University of Patras, Greece., Korfiati Aigli , Livanos Giorgos ,   Department of Medical Physics, School of Medicine, University of Patras, Greece., Konstandinou Christos ,   Department of Medical Physics, School of Medicine, University of Patras, Greece., Georgiou Sophia ,   Department of Dermatology, School of Medicine, University of Patras, Greece., Sakellaropoulos George ,   Department of Medical Physics, School of Medicine, University of Patras, Greece.
Published: November 2021

Computer-aided diagnosis (CAD) systems based on deep learning approaches are now feasible due to the availability of big data and the availability of powerful computational resources.The medical image-based CAD systems are of great interest in numerous diseases, but especially for skin cancer diagnosis, deep learning models have been mostly developed for dermoscopy images. Models for clinical images are few, mainly due to the unavailability of big volumes of relevant data. However, CAD systems able to classify skin lesions from clinical images would be of great valueboth for the population and clinicians as an initial early screening of lesions that would leadpatients to visiting a dermatologist in case of suspicious lesions. This is even more pronounced in areas where there is lack of dermoscopy instruments. Thus, in this paper, we aimed to build a classifier based on bothdermoscopy and clinical images able to discriminate skin cancer from skin lesions. The classification is made among three benign and two malignant categories, which include Nevus, Benign but not nevus, Benign but suspicious for malignancy, Melanoma and Non-Melanocytic Carcinoma.The proposed deep learning classifier achieves an Area Under Curve ranging between 0.75 and 0.9 for the five examined categories.
EPIDEMIOLOGY AND COMPLICATIONS OFPERIPHERAL NERVE BLOCKS IN ORTHOPEDICS AND TRAUMATOLOGY : RABAT MILITARYHOSPITAL EXPERIENCE
Authors:   Service de Traumatologie-Orthopedie de lHopital Militaire DInstruction Mohamed V Rabat., Abdi M. El , Ahtil R. ,   Service de Traumatologie-Orthopedie de lHopital Militaire DInstruction Mohamed V Rabat., Wali A. El ,   Departement d Anesthesiologie de lHopital Militaire DInstruction Mohamed V Rabat.
Published: November 2021

In recent years, Peripheral Nerve Blocks (PNB) have undergone a significant development due to the simplicity of management of patients under peripheral nerve blocks and especially the quality of postoperative analgesia. This study aims at reviewing the epidemiology and complications of Peripheral nerve blocks. We conducted a prospective surveillance study including all patients who had undergone surgery under peripheral nerve blocks for anesthesia or analgesia in the Trauma Department of the Military Hospital Mohammed V of Rabat over four (4) years. We recorded demographic characteristics, ASA class, effects of puncture, time of performing peripheral nerve blocks, failure, requirement for further block, perioperative and postoperative complications and theirmanagement. One thousand four hundred and twelve (1412) patients underwent nerve blocks during the study period, representing 49% of anesthetic activity in Trauma Department. The mean age is 35 years old. For 85% of patients, the indication of peripheral nerve blocks was advised for anesthesia and 15% PNBwere purely for analgesia. The most performed anesthetic nerve blocks were the infraclavicular blocks followed by blocks at the humeral canal. For analgesia, the ilio-facial and femoral blocks are the most performed. Minor complications are dominated by vascular punctures and paresthesia. As far asmajor complications are concerned, we noticed four (4) cases of convulsions and two (2) cases of neuropathies. Peripheral locoregional anesthesia is an effective and safe method for anesthesia and analgesia. Minor incidents are frequent, serious complications are possible. Their prevention is achieved through compliance to rules on peripheral nerve blocks performance, contraindication, benefit and risk analysis of each block and ultrasound skills.
A STUDY TO ASSESS THE EFFECTIVENESS OF SELECTED YOGA ON THE LEVEL OF ANXIETY, PREGNANCY DISCOMFORTS, CLINICAL PARAMETERS, MATERNAL AND NEONATAL OUTCOME AMONG PRIMIGRAVIDA WOMEN
Authors: Vijayalakshmi V. , Jaya N.
Published: November 2021

Background: Pregnancy is a wonderful landmark in the life of a woman. It is the origin of human life. Pregnancy is a time of physical and hormonal changes and of emotional and psychological preparation for motherhood. Comforting techniques may enhance the women to settle and provide with an appreciation of personal capabilities. Therefore yoga can be an effective way to emancipate women during labour and to assist in attaining and maintaining their optimal level of functioning. Yoga is the great way to stay fit during pregnancy because yoga posture can easily meet the needs of pregnant women. It educates pregnant women to listen to their body and reduce stress and anxiety, and to calm the mind. Methodology: The research approach selected for this study was Quasi experimental -Pre and Post test design. The intervention for study group consisted of selected yoga which includes Asanas (tadasana, utkatasana, katichakrasana, konasana, ardhatitali, purnatitali), pranayama (nadishodhana, bhramari, sheetkari, sheetali, OM chanting), ashwini mudra, deep relaxation practice from 28th weeks of pregnancy till delivery. Result: There was a significant reduction in level of anxiety and pregnancy discomfort for primigravida women and improved maternal and neonatal outcome. The selected yoga was found to be effective in reduction of anxiety and pregnancy discomfort and improved the maternal and neonatal outcome for study group. Conclusion: Regular practices of selected yoga were effective in minimizing the level of anxiety during pregnancy, pregnancy discomfort and improving maternal and neonatal outcome.
MEASURING THE DETERMINANTS OF ADAPTIVE CAPACITY TO UNDERSTAND THE VULNERABILITY RISK AMONG THE RIVERBANK EROSION AFFECTED HOUSEHOLDS IN BANGLADESH: A STRUCTURAL EQUATION MODELING (SEM) APPROACH
Authors:   Assistant Professor, Department of Public Administration, University of Barishal, Barishal-8254, Bangladesh., Zahan Israt
Published: November 2021

Bangladesh is one of the most disaster-prone countries in the world. In particular, its riverine dwellers face continuous riverbank erosion, frequent flooding, and other adverse effects of climate change which makes the life of people more vulnerable. In order to assess adaptive capacity, understanding of how different households comprehend climate change is crucial. This paper aims to measure the determinants of adaptive capacityto understand the vulnerability risk among the riverbank erosion affected households. An integrated model was proposed with the constructs derived from Awareness-Ability-Action (AAA) and Socioeconomic-Sociopolitical and Institutional-Socioecological (SSS) model. A structured questionnaire survey was used to collect data from 300 participants who were affected by natural disaster specifically river erosion. The proposed research model was tested using the partial least-squares (PLS) method, a statistical analysis technique based upon structural equation modeling (SEM).The results show that the loss of farming land and all levels of riparian households impacted severely by riverbank erosion and forced into a low livelihood status, strong adaptive capacity would reduce vulnerability risk in the affected areas, community-level vulnerability measurement enhances communities understandings, build capacity, make aware, and allow them to identify appropriate locally adaptation strategies, and local level adaptation strategies may reduce the impact of such hazards on all sorts of vulnerability risk among rural households. The nature of this study may restrict its generalizability to other research settings. Future research may be necessary to validate the findings by applying this model in the vulnerability context in other developing countries. This research method and results would generate new insights with respect to planning the sustainable development goal and provide a reference for decision-making.
LEGAL REGULATION OF CROSS-BORDER BANKRUPTCY OF LEGAL ENTITIES
Authors:   Senior Lecturer at TSUL, Uzbekistan Tashkent., Ergashev Azamat
Published: November 2021

The last decade has been marked by the rapid development of International private law within the framework of globalization and unification of norms. Therefore, in the international community, the issue of interethnic application and harmonization of rules and norms for individual emerging legal relations becomes acute. This article examines the issue of legal regulation of cross-border bankruptcy of legal entities. In particular, the author provides a number of statistics and analytical data from a number of countries (developed and developing) in order to substantiate the point of view on this issue.Moreover, the author examines foreign law enforcement practice and the legal framework on bankruptcy and insolvency of legal entities. Considering the bankruptcy procedure, the author comes to the conclusion that this issue has not been sufficiently studied both from a theoretical point of view and from a practical one. Within the framework of this study, sufficient arguments are made to accelerate the resolution of conflicts in International private law. As a result, the author gives some conclusions and suggestions applicable both in the Republic of Uzbekistan and in other states.
VEGETATION INSULATION SCREEN AS A PASSIVE COOLING SYSTEM IN HOT HUMID CLIMATE: HEAT AND MASS EXCHANGES
Authors:   Universite de Kara, Laboratoire Materiaux, Energies Renouvelableset Environnement LaMERE - Kara, Togo., Samah Hodo-Abalo , Banna Magolmeena ,   Universite de Lome, LaboratoiresurlEnergieSolaire LES/GPTE - Lome, Togo., Zeghmati Belkacem ,   Universite de Perpignan, Laboratoire de Mathematiqueset Physique des SystemesLaMPS - Perpignan, France.
Published: November 2021

Planted roofs are passive cooling techniques that reduce the thermal load of buildings. In this paper, a Dynamic mathematical model based ontime average Navier-Stokes equationsfor a plantedroof in hothumidclimates has beendeveloped for evaluating the cooling potential.Transfer equations are solved using a finite difference scheme and Thomas algorithm. The model was applied for the simulation of a planted roof in Togolese climate conditions. Results showed that, evapotranspiration and Solar Heat gain Factor are functions of the Leaf Area Index LAI which is the most important parameter when considering the foliage material. For LAI equal to 6, latent heat peak value reaches 900 W.m-2while that of sensible heat is around 350 W.m-2. Solar heat gain factor can bereducedto 15% fortheplantedroofagainst 45% forbareroof. It is clearly proved that the foliage density and hence the vegetation canopy type selection greatly influence the thermal efficiency of the bioclimatic insulation screen. A larger Leaf Area Index reduces the solar flux penetration and increases evapotranspiration which is an important parameter when considering surrounding microclimate formation.
EVALUATION OF C - REACTIVE PROTEIN AS A PROGNOSTICATOR OF THE COURSE OF COVID 19 DISEASE
Authors: Kumaravelu Rani , Shanmugam Priyadarshini , Soundararajan Nirupa , Peace R. Alice , Jayaraman Perumal
Published: November 2021

Diagnosis of COVID 19 is based on clinical manifestations, history of exposure, positive CT scan findings and laboratory tests. Inflammation plays a key role in pathogenesis of COVID 19. CRP is an acute phase protein in the serum and is also a surrogate marker for the pro inflammatory cytokine IL 6. Significant rise in CRP indicates clinically relevant inflammation. Aim and Objectives: To analyse the CRP levels in COVID 19 infected patients and to validate CRP as an indicator of the severity of SARS CoV 2 infection. Materials and Methods: This retrospective study was carried out at Chettinad Hospital and Research Institute, a tertiary care hospital situated on the outskirts of Chennai, India, for a period of 4 months. A total of 10263 patients were tested for COVID-19 by RT PCR. Viral RNA Extraction was automated and SARS CoV2 RTPCR performed with ROTOR GENE Q(QIAGEN) using SD Biosensor Real Time PCR kit. The CRP levels were measured using QDx Instacheck Fluorescence immunoassay system, Indianapolis, IN. Results: Among 10263 patients, 2694 (26.2%) patients tested SARS CoV-2 positive. CRP levels were measured for 1472 SARS CoV 2 patients (including both OP and IP). Among them 745 (50.6%) patients were found to be CRP reactive. Of the CRP reactive patients, 7 patients (0.9%) were <18 years, 190 patients (25.5%) were between 18 - 45 years and 548 patients (73.5%) were >45 years. Of the 592 patients with elevated CRP levels, 167 patients were from ICU and 425 patients were from non-ICU. Highly elevated CRP levels of >100mg/L were found in 65% (n=109) of the COVID positive ICU patients and 23% (n=101) of the non-ICU patients. Increased CRP levels were noted in SARS CoV- 2 infected individuals. Elevated CRP was common among elder patients aged >45 years and in males. Conclusion This study concludes that the significant rise of CRP levels was noted in hospitalized SARS CoV 2 positive patients aged > 45 years. Thus, estimating the early rise of serum CRP levels in SARS CoV-2 patients is a well affordable and less invasive parameter to guide the clinicians that is readily available in all the health care centers.
ELECTRON MICROSCOPIC STUDIES OF SOME ANTICANCER PLANTS POLLEN GRAINS
Authors:   Assistant Professor and Head Department of Botany, S.K.Porwal College of Arts and Science and Commerce, Kamptee Dist-Nagpur (MS), India., Sandesh Thaware Jayshree
Published: November 2021

Pollen is appropriately referred by some as Golden dust extremely valuable on account of their tremendous applications in science, industries and public health. No other plant part even though extremely tiny in size is packed with so much information and power. Similar to other plant parts, pollen characters are so varied that the classification system of plants can be built up entirely on the basis of pollen morphology.Palynology is the distinct branch of biology that deals with the dispersed microscopic tiny living and fossil entities including pollen grains, spores, algal and fungal fragments and others. An important aspect of Palynology is the Pollen morphology. The importance of Palynology in taxonomic and phylogenetic consideration of plants is well known. The changes occurring through hybridization and years of cultivation are reflected in pollen morphology. The scope and interest in the study of pollen morphology have widened with the advent of Scanning Electron Microscopy (SEM) and with regards to unipalynous taxa particularly the understanding of finer morphology is of fundamental importance. SEM gives a correct understanding of exine surface as the electron photographs of the surface replica of the exine provides the exact picture of the ornamentation pattern. The variation in the pollen morphological characters helps in the classification of plant taxa and their assessment of their phylogenetic relationship. In the present investigation, the pollen morphological studies were carried out of some ethnomedicinal plants like Catharanthus roseus, Allamanda cathartica, Datura metel, Brassica juncea, Raphanus sativus and Cleome viscosa pollen grains by Scanning electron microscopy. All that they possess anticancer characteristics in common.
IMPACT OF FACTORS INFLUENCING CONSUMER BEHAVIOR IN WEST BENGAL
Authors:   Assistant Professor Haldia Institute of Management West Bengal., Agasti Sarmistha
Published: November 2021

In the last years, consumer behaviour and their decision-making process has advanced and has become an important topic in the marketing society. this paper presents an extensive review on the influencing factors on consumers behavior and their buying decision-making process in marketing. The marketing starts and finish with the consumer hence, consumer purchasing decision taking shows how well the organizations marketing strategy suits marketing demand. Consumer behavior includes the psychological procedures which consumers experience in understanding their requirements. Discovering patterns to rectify these requirements, taking buying decisions for example, whether to purchase goods and services and if so, which types of brands and where, interpret tips, making plans, and executing these plans for example, with engaging in comparison shopping or real buying of products, Totally, modern and professional marketing staffs try to know consumers and their responses, therefore, analyses the essential traits of their behavior.
EVALUATE THE EFFECTIVENESS OF HEARTFULNESS MEDITATION TECHNIQUE ON REDUCTION OF STRESS AMONG NURSING COLLEGE STUDENTS, BHOPAL (M.P.)
Authors:   M.Sc (N)., Sister Tutor, J.P. Govt. Hospital, Bhopal, M.P, India., Rai Sapna , Jayakumar T. ,   M.Sc(N), Ph.D (Nsg) Scholar, Vice-Principal,L.N. Nursing College, Bhopal, M.P. India., Devasirvadam Victor ,   M.Sc (N), Ph.D Guide, Principal., Sudhadevi M. ,   PhD (N), Principal, NIMS Nursing College, NIMS University, Jaipur.
Published: November 2021

The aim of the study is to evaluate the effectiveness of Heartfulness meditation technique on reduction of stress among Nursing college students, Bhopal. The study was conducted by adopting a one group pre and post test design. 60 nursing students who fulfilled the inclusion criteria were selected by using Non-probability convenient sampling technique. The study was conducted in L.N. Nursing college, Bhopal, M.P. With the ethical consideration, pre assessment of stress level has been done among nursing college students. Heartfulness meditation has been practiced for 14 consecutive days and post test was conducted after 14 days. The analysis of the study depicts that heartfullness meditation is more effective in reduction of stress among nursing college students at p< 0.05 level.
ASSOCIATION OF SERUM TNF- A WITH INSULIN RESISTANCE IN PRE-DIABETES AND TYPE 2 DIABETES MELLITUS
Authors:   PhD Scholars, Department of Biochemistry, Peoples College of Medical Sciences & Research Center, Bhopal (MP)., Gupta Poorvi , Hisalkar P.J. ,   Professor & HOD, Department of Biochemistry, Government Medical College and Hospital, Dungarpur, Rajasthan., Mallick Neerja ,   Professor & Registrar, Peoples University, Bhopal.
Published: November 2021

Background- First adipocyte derived biomarker is tumor necrosis factor alpha which connect the link between inflammation and diabetes. It expresses m-RNA which is contributing to the development of insulin resistance. However, the relationship between tumor necrosis factor alpha, pre-diabetes and Type2diabetes mellitus is still contradictory and restricted. Material & Methods: This study was hospital based analytical cross-sectional study. Total 900 subjects were distributed into three groups (300 pre-diabetic subjects, 300 type 2 diabetic subjects and 300 healthy subjects) as per ADA criteria. The biochemical parameters as Fasting Blood Glucose, 2-hr glucose (after 75 gm oral glucose intake), HbA1c and fasting insulin were analyzed. HOMA-IR was used to calculate insulin resistance mathematically. Anthropometric measurements were done. Tumor necrosis factor alpha was done by ELISA method. Results: Tumor necrosis factor alpha concentration was significantly increased in patients with type 2 diabetes mellitus and pre-diabetes in comparison to the control group at p value < 0.001 and showed a positive correlation with HOMA -IR. In conclusion, our findings suggested that systemic inflammation has an important role in the pathogenesis of pre diabetic condition. There is a progressive raises value of tumor necrosis factor alpha in pre diabetic and diabetic patients. Therefore, inflammation reflects the severity of the disease and signifies the presence of ongoing disease process.