bluuebunny/crossref_metadata_2025 huggingface dataset:
FNAC SPECTRUM OF HEAD AND NECK LESIONS :A RETROSPECTIVE STUDY AT TERTIARY CARE CENTER
Authors: A. Bolde S. , Shinde Sonali , Walke Shwetha , R. Gupta E. , S. Shete S. , S. Dantkale S.
Published: July 2023

Objective: This study is done to evaluate the role of Fine needle aspiration cytology(FNAC) in palpable head and neck masses and also to study their distribution. A correlation was done between cytology and histopathology wherever surgical specimens were available. In 150 patients of head and neck swelling Materials And Methods: FNAC smears were done and stained with H& E. Special stains like ZN is done wherever required. FNAC results were interpreted and analyzed according to the anatomical sites and the lesions were categorized into non neoplastic (inammatory, infectious) and neoplastic conditions. The cytological ndings were compared with those of histopathology wherever available. Results: Out of the total 150 cases most common swellings was arising from lymph node(44%) followed by thyroid(23.33%) , salivary gland(8%) other(24.67%).
ASSESSMENT OF COVID-19 STRESS INDUCED TEMPOROMANDIBULAR DISORDERS.
Authors: Sai Krupakar Gunti , Kannan N. , Kumar Manne Rakesh , Sreedevi Beeraka Swapna , V Sarath P , Prathima P
Published: July 2023

Objective: The aim of the study was to evaluate the association between stress levels and temporomandibular disorders in patients affected with COVID-19. 30 patients Patients And Methods: visiting OPD (16-males and 14-females) who had COVID history were recruited after taking informed consent. TMD symptoms were evaluated using the Research Diagnostic Criteria for TMDs followed by clinical examination and psychological stress was evaluated through questionnaire with Perceived Stress Scale. The patients with TMD symptoms were divided into 3 groups. Group1: Myofascial pain, Group 2: Disc displacements on right and left side and Group 3: other joint disorders on right and left sides. Scores ranging from 0-13 indicated a low level of stress, 14-26 indicated a moderate level of stress and 27-40 indicated high level of stress. The results of this study demonstrated that out of 30 patients 1 Results: 8 have shown low stress levels, 8 with moderate stress levels and 4 with high stress levels. Patients with low stress levels didn't show any TMD symptoms whereas out of 8 patients with moderate stress levels 5 have shown myofascial pain, 2 patients have shown disc displacement with reduction on left side and 2 have shown arthralgia on right side. Out of 4 patients with high stress levels all of them have shown group1 disorders, 1 patient have shown group 2 disorder on right side and 2 patients on left side and 3 patients have shown group 3 disorder on right side and all the 4 on left side. The results of this study sup Conclusion: port the hypothesis of a COVID-19 as a stress inducer that may trigger temporomandibular disorders
COVID-19 VACCINE HESITANCY AMONG POST-GRADUATE (P.G) MEDICAL STUDENTS AT S.M.S. MEDICAL COLLEGE, JAIPUR
Authors: Bhardwaj Shiwangi , Chand Verma Mahesh , Pathak Hemnandini , Lal Meena Shyam
Published: July 2023

Background: India had launched the world's largest COVID-19 vaccination program me with the frontline and health care workers on 16 January 2021. There was signicant anxiety and apprehension about the safety, efcacy and side effects of Covid-19 vaccines among health care and frontline workers. To estimate Objective: the level of vaccine hesitancy to novel COVID-19 vaccine along with its association with various socio-demographic variables. Materials and Methods: The study conducted from April 2021 to August 2021 at SMS Medical College and attached Hospital, Jaipur, among 550 post graduate medical students, using validated semi structured questionnaire. Vaccine hesitancy scores were evaluated in relation to various socio demographic variables using appropriate statistical methods. Out of 550 Results: study participants, covid-19 vaccine acceptance was 89% whereas vaccine hesitance was 11%. Vaccine hesitancy scores were high (8%) low (14%) medium (78%) respectively. Main reasons for vaccine hesitancy were safety (60.8%), side effects (46%), efcacy (67%), ethical issues (97.66%) and waiting for more study results Vaccine hesitancy scores were signicantly associated with age, gender, residence, service status and working departments of the working residents. Covid- Conclusion: 19 vaccination of the post graduate medical students is most important because of their high-risk professional working environment
FROM CRISIS TO OPPORTUNITY: A DEVELOPING COUNTRY'S EXPERIENCE OF MOTIVATING EFL/ESL TEACHERS IN THE POST-COVID-19 ERA
Authors: Saeidpoor Sarcheshmeh Mansoureh , Erdenebat Oyun , A. Shanvas S.
Published: July 2023

The COVID-19 pandemic has caused signicant changes in daily life, with many countries implementing quarantines and transitioning to online learning. As the vaccine is not expected to be available before 2021, online learning has become an inevitable option. Despite EFL/ESL teachers expressing favorable attitudes towards online instruction, there is a need to motivate them to return to universities for face-to-face instruction following the pandemic. This research aims to identify the factors that could encourage EFL/ESL teachers to resume traditional classroom instruction in Iranian universities. It is crucial to provide teachers and students with a safe learning environment equipped with the necessary tools and procedures, as their motivation is a key component of successful teaching and learning. The study calls for collaborative efforts from all concerned parties to raise awareness about the importance of boosting motivation to return to universities after the COVID-19 crisis.
TRANSVERSE COLON VOLVULUS PRESENTING AS BOWEL OBSTRUCTION – CASE REPORTS AND REVIEW
Authors: Senthil Kumar M. , Sudha S. , V Raman.
Published: July 2023

Introduction And Background: Transverse colon volvulus incidence is comparatively rare when compared to caecal and sigmoid volvulus. Incidence is one to four percent. Its diagnosis is still challenging for the surgeon. Delay in the diagnosis of this condition carries high morbidity and mortality rates.
MICROBIAL PROFILE AND ANTIBIOTIC SUSCEPTIBILITY OF BACTERIAL PATHOGENS ISOLATED FROM PAPER CURRENCIES CIRCULATING IN SOME RESTAURANTS AND BUTCHERIES IN HAWASSA, SIDAMA, ETHIOPIA, 2020-21
Authors: Tut May , Mikru Abraham , Habte Tiruha , Reddy P, Surender , Pulluri Harshitha
Published: July 2023

Currency notes could play a signicant role in transmitting pathogenic microorganisms amongst individuals in the society. This study was aimed to determine the microbial prole and Antibiotic susceptibility of bacterial pathogens isolated from Ethiopian paper notes in circulation. 64 currency paper notes of different denomination were tested for bacterial contamination using standard microbiological methods. Antibiotic susceptibility proles of the isolates were determined with approved methods. Results were analyzed using descriptive statistics. Overall mean AMBC was 4.08 log units, with the highest 6.58 log units recorded from denomination 5 followed by 4.50, 3.03, 2.20 log units from denominations 10, 50 and 100 respectively. Total Coliforms (TC) displayed the same pattern with the highest mean counts of 6.52 log units, from denomination 5 and lowest counts of 2.19 log units from denomination 100. Out of 64 currency notes, 35 (54.7%) were contaminated with bacteria. The predominant bacteria isolates were E. coli (60.5%), Salmonella spp. (23.6%) and Shigella spp. (13.2%). Each isolate was resistant to four or more antibiotics tested. All isolates were resistant against Cefepime and Tetracycline and sensitive to Ceftriaxone. This study revealed that currency notes are contaminated with pathogenic bacteria and in most cases these bacterial isolates were resistant to commonly prescribed antibiotics. There fore, contaminated notes are identied as potential public health threat, because pathogens can be spread by circulating the notes and become source of infection. Awareness creation is important among public in this regard.
THE ROLE OF PLATELET-RICH PLASMA IN ANDROGENETIC ALOPECIA: A COMPREHENSIVE NARRATIVE REVIEW
Authors: Camila Ospina Rios Maria
Published: July 2023

Platelet-rich plasma (PRP) is a promising treatment in regenerative medicine for androgenetic alopecia (AGA). PRP, derived from the patient's blood, contains a concentrated platelet fraction rich in growth factors and bioactive molecules that aid in tissue repair and wound healing. When PRP is administered, these factors are released, stimulating hair growth and regeneration. PRP's mechanism of action involves the release of growth factors like PDGF, TGF-β, VEGF, and IGF, which promote cell proliferation, activate dormant hair follicles, and induce hair cycle growth. PRP also reduces inammation, promotes angiogenesis, and may inhibit 5-alpha reductase activity, which contributes to AGA. By understanding these mechanisms, PRP can be optimized for effective hair restoration therapies in AGA
COINCIDENCE OF TRIGGERING FACTORS WITH VARIOUS PRESENTATIONS OF BULLOUS PEMPHIGOID.
Authors: Vijay A. , S Prakashiny , Nifra Fathima , Vijayalakshmi G. , Sudha M.
Published: July 2023

Bullous pemphigoid (BP) is the most frequent autoimmune subepidermal blistering disease provoked by
autoantibodies directed against two hemidesmosomal proteins: BP180 and BP230. Its pathogenesis
depends on the interaction between predisposing factors, such as human leukocyte antigen (HLA) genes, comorbidities, aging,
and trigger factors. Several trigger factors, such as drugs, thermal or electrical burns, surgical procedures, trauma, ultraviolet
irradiation, radiotherapy, chemical preparations, transplants, and infections may induce or exacerbate BP disease.
Identication of predisposing and trigger factors can increase the understanding of BP pathogenesis. Furthermore, an accurate
anamnesis focused on the recognition of a possible trigger factor can improve prognosis by promptly removing it.
HEATING TANK SYSTEM FAULT DIAGNOSTIC MECHANISM USING KERNEL PRINCIPAL COMPONENT ANALYSIS
Authors: An Huynh Duy , Thanh Nguyen Khuong
Published: July 2023

Nowadays, global industry is witnessing the explosion of exible manufacturing systems considered as key role for the fourth industrial revolution. Almost hardware and software producers tried their best to assure the best performance for those system. However, some chemical processes in particular requires more strict conditions beside high-accuracy operation of actuators. Chemical reactions may lead to a poor quality for output product even a small change. Therefore, beside the necessary of high-performance integrated control system, monitoring operation should be fast and correct enough to detect and isolate faults when any problems happened in system. In this paper, a method for process fault detection and diagnostic based on data-driven estimation is investigated. In this method, the process fault is detected based on the error between process model response and process response. The Kernel Principal Component Analysis (KPCA) is utilized to classify errors for fault diagnostic. In this research, the method is veried on Stirred-Tank Heating Process. The simulation results demonstrate the effectiveness of proposed method.
STUDY OF POST CHOLECYSTECTOMY BILIARY LEAKAGE AND ITS MANAGEMENT
Authors: Sheth Dhruvesh , Patel Dhaval , Patel Aashay , Rathod Pradeep
Published: July 2023

Background: Cholecystectomy is one of the most frequently performed surgery. The surgery is associated with many avoidable complications and hence requires a serious and cautious approach. Aim: The aim of this study was to know the outcome of post cholecystectomy biliary leaks and its management methods. Materials and methods: 10 cases of biliary leaks were studied from 35 open cholecystectomies and 257 laparoscopic cholecystectomies from 2021 April to 2023 April. Pre-operative workup with ultrasound abdomen, LFT and other biochemical investigations were done and diagnosis was established. The outcome of surgery and its most common post-operative complication - biliary leak was studied with following parameters: Post-operative diagnosis, Surgery - Lap or Open, Incision, Method of approach – Fundus or Classical method, CBD exploration, Intra-operative ndings, Drains used, Post-operative symptoms, Amount of collections, Removal of drains, USG Sub hepatic collections, ERCP etc. Results: In the present study of 10 cases, fundus rst method was done in 3 cases of open cholecystectomies and none in laparoscopic cholecystectomies. Classical procedure was done in 7 cases out of which 5 cases were done in laparoscopy method and 2 cases in open method. Intra operative detection of bile duct injury is noted in 3 cases of open cholecystectomies and non in laparoscopic method. In the present study, 56 % of the patients were treated conservatively who required no therapy and surgical placement of the drain itself was sufcient. Conclusion: Pain abdomen, Jaundice, Nausea and Vomiting are the major complaints in case of bile leaks and stulas. Pathologically, chronic cholecystitis is commonest cause of leaks after surgery mainly because of brosis at calot's triangle. Incidence of Post-operative bile leaks is almost the same in open and laparoscopic cholecystectomy. Routine placement of drains is must because it permits post-operative evacuation of serosanguineous exudates and monitoring of bleeding or leakage of bile. Abdominal collections, bilomas or sub-hepatic abscess are reported less with the placement of drains.
PERIODONTITIS AS ONE OF SIGNS OF PREMATURE AGING OF PATIENTS UNDER CHRONIC STRESS
Authors: Emelyanova Nataliya
Published: July 2023

Materials and methods: There was conducted a questionnaire on lifestyle and nutrition, the use of the
stress tolerance self-assessment test and dental examination of 52 patients with metabolic disorders in
the context of military conict. All patients were in remission of chronic generalized periodontitis. Poor and very poor Results:
stress tolerance was detected in 38 patients, as a result of which the above patients were assigned to the main group, while the
remaining patients formed the comparison group. Clinical picture of periodontal condition of the majority of patients in the main
group corresponded to exacerbation of chronic generalized periodontitis; the rate of exacerbation of chronic periodontitis
among the patients with high stress-resistance was more than 2 times lower. Patient Conclusions. s with low stress tolerance are
more susceptible to exacerbations of chronic periodontitis, which can be regarded as a risk of premature aging.
NO ZONE APPROACH FOR MANAGEMENT OF PENETRATING NECK INJURIES-A CASE SERIES
Authors: K Sivasankaran , Prasad Hari , Thirunavukkarasu S , Santhi B.
Published: July 2023

Purpose: The assessment and management of penetrating trauma to the neck has traditionally centered on the anatomical zone based classication over the previous four decades has evolved considerably towards "NO ZONE APPROACH" a more selective option. The purpose of this study was to assess the effectiveness of the “NO ZONE APPROACH” in penetrating neck injuries. Case series of 6 patients with penetrating Materials And Methods: neck injuries admitted in department of general surgery in government Kilpauk medical college and government Royapettah hospital, Chennai. All 6 cases have been analyzed for this descriptive study during a period of 1 year. No specic exclusion criteria applied. All 6 patients survived. 1 patient had nerve injury and external caroti Results: d artery injury. 2 patients had tracheal injuries for which tracheostomy was done. 1 patient had avulsed a part of thyroid gland. 1 patient developed cerebrovascular accident post operatively.3 patients had primary repair& neck exploration avoided in those 3 patients by application of NO ZONE APPROACH. Penetrating neck injuries are complex injuries with no single den Conclusion: itive approach. Surgical intervention is mandatory for unstable patients but rapid swift clinical and logical reasoning helps in determining the outcome of the patient. The 'no zone approach' to penetrating neck trauma is a selective approach with superior patient outcomes in comparison with traditional method of zones of neck injuries in which zone 2 and zone 3 warrants denitive exploration. No zone approach mandates thorough clinical examination. Penetrating neck injuries classied as having hard signs based on the no zone approach may be correlated with internal organ injuries of the neck.
A NOVEL DIAGNOSTIC APPROACH: NEUTROPHIL LYMPHOCYTE RATIO AND SERUM FERRITIN IN TYPE 2 DIABETES PATIENTS WITH DIABETIC NEPHROPATHY
Authors: Pandey Saurabh , Gupta Poonam , Kumar Chaurasia Ajeet , Gupta Arvind , Kumar Mathur Manoj
Published: July 2023

Introduction- DM is a chronic metabolic disease characterized by elevated blood sugar levels
(hyperglycemia) caused by impaired insulin production, cellular insulin resistance, or both. DM is a
systemic disease having severe microvascular and macrovascular complications. Diabetic nephropathy (DN), diabetic
retinopathy, and diabetic neuropathy are examples of microvascular complications whereas stroke, cardiovascular diseases
(CVDs), and peripheral vascular diseases are examples of macrovascular complications. DN is a common micro-angiopathic
complication in patients with diabetes. Inammation plays a crucial role in the development and progression of DN, as many
inammatory cytokines such as interleukin-1 (IL-1), interleukin-6 (IL-6), interleukin-8 (IL-18), and tumor necrosis factor α (TNF- )
contribute in the pathogenesis of DN. An increase in neutrophil count is seen in thrombus forming and ischemic diseases. The
Neutrophil-Lymphocyte ratio (NLR) in complete blood count is studied in many cardiac and non-cardiac diseases as
inammatory marker and is used to predict the prognosis. Serum ferritin concentration is usually increased in poorly controlled
type 2 diabetic patients reecting increased oxidative stress. Objectives- To study the Neutrophil Lymphocyte ratio (NLR) and
serum ferritin in patients of type 2 diabetes. Methods- A cross-sectional study was conducted on 150 patients with T2DM in SRN
hospital, afliated to MLNMC, prayagraj. Blood samples were taken to estimate CBC, LFT, KFT, S. Electrolyte, HbA1C,
FBS/PPBS, S. ferritin and urine for microalbumin. Data was collected, entered in MS Excel Spreadsheet & appropriate
statistical package applied. Results- The median NLR of the type 2 DM patients was 2.10. Of total 150 diabetic patients 26
patients (17.3%) were having nephropathy based on urine microalbumin. Based on nephropathy in patients of T2DM, two
groups (A and B) were made. Group A includes patients with nephropathy, while Group B includes patient without
Nephropathy. The mean Hb, MCV, and ALC were lower in Group A (T2DM patients with nephropathy) patients. In contrast, TLC,
Mean ANC and NLR were higher in Group A (T2DM patients with nephropathy) patients. NLR and haemoglobin show a signicant difference between both groups A and B. The mean S. ferritin levels were higher in Group A (T2DM patients with nephropathy) patients, difference was signicant between both groups. In the present study, NLR was negatively correlated with S. ferritin with r= - 0.092, and the correlation was insignicant. Conclusion- the results of our study showed that there was a signicant relation between NLR, S. ferritin and DN. Therefore, NLR and S. Ferritin may be considered as a novel surrogate marker of DN in early stages
CLINICAL PROFILE AND FACTORS AFFECTING PROGNOSIS IN LEPTOSPIROSIS : A RETROSPECTIVE STUDY FROM A TERTIARY CARE CENTER IN RURAL KARNATAKA
Authors: Dixit C Manasa , K Prabhakar , P Praveen
Published: July 2023

Purpose Aim: Leptospirosis, a globally contagious zoonotic infection, is more prevalent in tropical regions. Its clinical presentation and course vary widely, ranging from mild symptoms to severe multiple organ dysfunction, which can result in mortality and morbidity, often requiring intensive care unit (ICU) hospitalization. Therefore, to To effectively manageoptimize the management of leptospirosis, it is crucial to have a comprehensive understanding of the illness disease characteristics, ICU needs, and mortality rates associated with the disease. By gaining insights into these aspects, healthcare professionals can optimize the management strategies and improve patient outcomes in cases of leptospirosis. Methods: The retrospective observational study was conducted between 1st April 2021 and 31st March 2022 in the Department of general medicine, at R.L Jalappa Hospital, India. The study collected clinical and laboratory parameters, as well as the Sequential Organ Failure Assessment (SOFA) score, within the rst 24 hours of admission. The outcome at discharge was considered, and a prediction model was constructed using regression analysis. Results: The study included 61 patients with a mean age of 36.79 years. Patients with abnormal respiratory ndings during clinical evaluation were more likely to require ICU care. A signicantly high mortality rate was observed among patients who needed ICU care. Furthermore, a signicant difference in the SOFA score, calculated within the rst 24 hours of hospital admission, was observed between between deceased and recovered patientspatients who died and those who recovered. The predictors of mortality, as evaluated by regression analysis, included the SOFA score, abnormal respiratory ndings in the clinical examination, and the Coagulation component of the SOFA score. Conclusions : The presence of a Abnormal respiratory ndings, altered sensorium, total white blood cell (WBC) counts, and the coagulation component of the score were identied as signicant predictors of ICU requirement. In leptospirosis, the SOFA score, particularly the coagulation component, and the presence of abnormal respiratory system ndings were found to be predictors of outcome. These factors can be easily assessed even in resource-poor settings to prognosticate patients with leptospirosis
GENDER AND DISARMAMENT
Authors: Lakshmi G.
Published: July 2023

In the history of international relations, it has always been the plight of women to bear the brunt of pain and hardship caused by wars and conicts. Regardless of nation, community or class, the burden of deprivation and hardship often falls on women. While all civilians suffer when war breaks out, it is women and girls that face most risk and bore disproportionately large share of the burden of conict, but they had a marginal say in matters of peace. The author believes women's rights and empowerment fundamentally predicate on maintenance of peace and security. However, women do not have a hand at the ofcial political level of negotiations and in determining terms of agreements concerning peace and security. Women will have to claim their political space, will have to gain ofcial political power so that gender perspectives will be integrated into State and intra-State decisions on peace and security
URBANIZATION IN KARNATAKA; A GEOGRAPHICAL APPROACH
Authors: L. Chitragar Suresh
Published: July 2023

Urbanization is a world-wide process and it is a cause and effect of heightened economic progress in a region. It plays an enormous role in social transformation and economic mobility all over the world. In fact, the process and level of urbanization has been transforming the developing countries from 'countries of villages' to 'countries of towns and cities'. With 31.16 percent urbanites lived in 2011, India is at a low level of urbanization compared with the developed nations. There exists large inter-regional disparities in different parts of the nation as far as level of urbanization is concerned. The present paper is an attempt to study the trends, degrees and tempo of urbanization and urban morphology in Karnataka from 1901 to 2011. It is the 7th largest state in India with 38.67 percent of urbanites living in 347 towns and cities as of 2011, which is 7.51 points above the national average in terms of urbanization and plays a signicant role in the state's as well as country's economy and progress of IT and BT sector. The paper is an effort to analyses the regional disparity in the process and level of urbanization among the districts of the state from 1991 to 2011. Finally, the study also enlightens the socio-economic consequences of this inter-regional disparity in urbanization in Karnataka. Present study is mainly based on the secondary sources of data and is collected from Indian Census Handbooks of Karnataka and other related reports. After collecting data, these were analysed in a suitable manner by using appropriate statistical and cartographic techniques. Results show that the state exhibits a uctuating trend in level of urbanization with a high regional variation and a high disparity in the concentration of urbanities. Disparities exist at the levels of urbanization in state shown that, Bangalore is the most urbanized district with 90.94 percent followed by Dharwad (56.82 percent) district and on the other end of this scale Kodagu with 14.61 percent, was the least urbanized district in the state. 78.24 percent of urbanities lived in only 19 percent of urban centres and the remaining 81 percent of towns contained only 21.76 percent of the state's urbanities. Thus, urbanization in Karnataka is a by-product of the demographic explosion, poverty encouraged rural-urban migration and reclassication of towns and it also reects uneven economic progresses across the state and needs special attention.
SUCCESSFUL HYSTEROSCOPY GUIDED SUCTION & EVACUATION OF PRODUCT OF CONCEPTION ALONG WITH REMOVAL OF UTERINE SEPTUM IN SAME SITTING.
Authors: Bhavsar Akanksha , Mishra Jyoti
Published: July 2023

Objective To report a case of early pregnancy loss with septate uterus, successfully managed by hysteroscopy guided suction & evacuation of product of conception along with removal of uterine septum in same sitting. Design Case report. Setting Tertiary care hospital. Patient One woman with early pregnancy loss with septate uterus. Intervention Hysteroscopy guided suction & evacuation of product of conception along with removal of uterine septum in same sitting. Result Hysteroscopy guided suction & evacuation of product of conception followed by septum removal with hysteroscopic scissor was performed, with minimal blood loss, in same sitting. Products of conception were sent for pathologic examination. There were no intra-operative or postoperative complications. Conclusion Even though the role of septum as a contributing factor to miscarriage in not certain, early pregnancy loss may be seen in patients with septate uterus. Blind removal of POCs with dilatation & curettage, may be complicated with retained products of conception (RPOC) or intrauterine adhesion formation, which can lead to adverse fertility outcomes in the future. Also removal of septum, which may or may not be the cause, is often performed before further pregnancy. This requires another admission & exposure to anaesthesia, along with added cost. Hysteroscopy guided resection of POC with septum removal in same sitting has been associated with complete tissue removal under vision, less damage to surrounding endometrium, cost effective combination of two surgical procedures & earlier time to conception compared with 2 sitting procedure (dilation and curettage than septum removal). Thus, hysteroscopy guided suction & evacuation of POC & septum removal in same sitting can be considered as an alternative surgical technique for management of early pregnancy loss in patients diagnosed with septate uterus. This case report demonstrates the successful application of hysteroscopic procedure in a case of early pregnancy loss with septate uterus.
PROSPECTIVE STUDY ON ACUTE MESENTRIC ISCHEMIA AT A TERTIARY CARE CENTRE
Authors: Math Seema , Kumar Agarwal Surendra , Wasay Abdul , R Kamble Ashwini
Published: July 2023

Background: Mesenteric ischemia develops when your small intestine's blood supply is restricted by narrowed or blocked arteries. The small intestine might suffer severe damage from decreased blood supply. A blood clot that suddenly cuts off the small intestine's blood supply (acute mesenteric ischemia) necessitates emergency surgery. Angioplasty or open surgeries are options for treating chronic mesenteric ischemia. In this study, predictive factors for mesenteric vascular disorders are assessed, with a focus on mesenteric ischemia. Methods: All the consecutive cases of Acute abdomen who were diagnosed & treated for acute mesenteric ischemia in the Department of emergency & surgical gastroenterology at Al Ameen Medical Collage and Hospital from July 2021 to Jan 2023 were included in the study. NOMI and low ow / perfusion states were excluded from the study. There were 20 patients Results: of acute mesenteric ischemia, of which 17 were males and 3 were female. 12 patients had acute mesenteric ischemia who had under gone surgical management & follow up medication, 5 on medical management with follow up medication & 3 expired. 18 out of 20 patients had risk factors mesenteric thrombosis. 14 required ICU stay, 12 required surgical management, 8 out 20, had undergone stoma reversal after 6 to 8 weeks at the later date. 4 of them had re-admission for dehydration and dyselectrolytemia, TPN and ICU admission .2 patient had just D LAP & then explored where in segment of the bowel was dusky and congested settled with 100% O2 & warm saline but he was admitted with chest infection and ARF needing with ICU stay and dialysis. Duration of Hospital stay varied from 1 to 30 days with mean of 15 days in mesenteric vascular diseases. Average incidence of AMI is 18 out of 95 Patients over period of 18 months (8.2%in one year). AMI is an uncommon but life-thr Conclusions: eatening vascular emergency that requires immediate diagnosis and urgent treatment that is more surgical than medical, or in some circumstances, IR guided.
EV-ecosim: A grid-aware co-simulation platform for the design and optimization of electric vehicle charging stations
Authors: Balogun Emmanuel , Buechler Elizabeth , Bhela Siddharth , Onori Simona , Rajagopal Ram
Published: July 2023

All data used are referenced in the main text of the paper
La predicción de la quiebra empresarial: Una revisión del modelo de Edward Altman
Authors: Urizar Monzón Ronald Enrique
Published: July 2023

PROBLEMA:  la predicción de la quiebra empresarial es un tema crucial para las empresas, ya que permite tomar medidas preventivas para evitar la insolvencia financiera y sus consecuencias negativas. Para determinar la posibilidad de quiebra en empresas, se pueden utilizar diferentes modelos financieros que analizan las variables clave que influyen en el rendimiento de la empresa. OBJETIVO: analizar el modelo financiero de Edward Altman para predecir la quiebra de empresas para tomar decisiones estratégicas que eviten posibles problemas que pongan en riesgo la continuidad de la organización. MÉTODO: se realizó con enfoque de investigación cuantitativo, método deductivo y un alcance explicativo. Para la selección de la muestra se realizó de forma no probabilística dentro de un universo infinito, utilizando un muestreo por conveniencia. Se seleccionó una muestra de 10 empresas que operaran en el municipio de Guatemala. RESULTADOS: después de analizar empresas y realizar una validación cuantitativa, se determinó que el modelo de Altman tiene una precisión alta en la predicción de quiebras en empresas que desarrollan proyectos en Guatemala. CONCLUSIÓN: se aprecia que el modelo de predicción de quiebra de Edward Altman describe una tendencia de la situación financiera de la empresa, detectando cuando una empresa se encuentra en buena o mala situación financiera. En consecuencia, resulta beneficioso utilizar esta metodología para monitorear el desempeño financiero de una empresa de manera constante y temprana.
Derecho Penal contemporáneo
Authors: García González Emma Lucrecia
Published: July 2023

PROBLEMA: el derecho penal contemporáneo representa un enfoque multidimensional y actualizado en el campo del derecho penal. Considera aspectos como la prevención y lucha contra la delincuencia, la atención a la víctima y la protección de los derechos fundamentales. La justicia restaurativa es un elemento clave, ya que busca promover la reparación, la reconciliación y restauración de las relaciones afectadas por el delito. Este enfoque implica la participación víctimas e infractores en el proceso diseñado para dar solución a un conflicto. OBJETIVO: reflexionar respecto de los fundamentos teóricos y éticos del Derecho Penal Contemporáneo y las alternativas para garantizar un sistema penal equitativo y preventivo del delito. MÉTODO: inductivo, partiendo de una noción particular, deductivo que establecerá elementos particulares e histórico para el desarrollo y evolución del Derecho Penal. RESULTADOS: el derecho penal contemporáneo se guía de distintas disciplinas como la sociología, criminología y política criminal. Esto permite desarrollar estrategias de prevención, intervención y tratamiento del delito, ofreciendo una mayor comprensión de los fenómenos delictivos y favoreciendo el uso de métodos más efectivos y humanos. CONCLUSIÓN: el derecho penal contemporáneo examina la prevención del delito como un componente esencial de la política criminal. Esto implica la implementación de medidas orientadas a abordar las causas subyacentes de la delincuencia, como la desigualdad y la exclusión social. Asimismo, el derecho penal contemporáneo enfatiza y procura la atención a la víctima del delito, incluyendo el reconocimiento de sus derechos y la atención a una reparación adecuada por el daño sufrido.
Self- Medication Practices and Complications among Workers in Federal Medical Center, Owerri, Imostate, Nigeria
Authors: Emeagha Emeagha , Oluchi Tina , Odira Chika C.
Published: July 2023

The study's objective was to evaluate self-medication habits and side effects among employees at the Federal Medical Centre in Owerri, Imo State, Nigeria. To direct the study, six objectives, six research questions, and four research hypotheses were developed. The study used a cross-sectional research design. Four (4) departments and respondents were chosen utilising a multi-stage sample technique and simple random technique. 436 workers in all were chosen for the study. A self-created questionnaire served as the data collection tool. The test-retest approach was used to establish the instrument's reliability and the spearman rank order correlation coefficient produced a positive result of 0.8. Utilising frequencies, percentages, means, and standard deviations, the data was sorted, examined, and summarised. The chi-square, T-test, and ANOVA were used to evaluate the hypotheses at the 0.05 level of significance. The findings indicated that 73% of Federal Medical Centre Owerri employees self-medicated, with problems being the most common (x = 2.87; SD =.765). A greater 94.3% of workers in the 50–59 age group reported using self-medication. Self-medication is more common among female workers than male workers (78.9% versus 69.8%). Workers between the ages of 40 and 49 report more self-medication difficulties (x = 3.02; SD = 1.2). Self-medication issues are worse for female workers than for male workers (x = 2.92; SD =.765). Based on age (x2=11.976, df = 6, p-value =.73) and gender (x2=1.674, df = 1, p-value =.196), there were no appreciable differences in the self-medication practises among employees at the Federal Medical Centre in Owerri, Imo State. The only factor that significantly differed in the problems of self-medication among employees at the Federal Medical Centre in Owerri, Imo State, was age (F(6, 413) = 2.996, p =.000). To keep staff members informed and reeducated about the risks of self-medication, regular workshops and seminars should be organised.
Effect of Vernonia amygdalina and Ocimum gratissimum on Antioxidant Status and Lipid Profile of Wistar Rats Exposed to Long-Term Administration of Artemisinin-based Combination Therapies
Authors: Nnaemeka Ugwu Melvin
Published: July 2023

In this study the effect of Vernonia amygdalina and Ocimum gratissimum on antioxidant status and lipid profile of Wistar rats exposed to long-term administration of artemisinin-based combination therapies were investigated. Forty-two albino rats were divided into seven groups. The rats were given two different types of drugs, artesunate amodiaquine (AA) and artemether lumefantrine (AL) base on their body weight. Group 1: Control, received distilled water, group 2, received of 2.86mg/7.7mg AA, group 3, received of 1.14mg/6.86mg AL, group 4 received of 2.86mg/7.7mg AA + 200mg VA, group 5 received of 1.14mg/6.86mg AL + 200mg VA, group 6 received of 2.86mg/7.7mg AA + 200mg OG and group 7 received of 1.14mg/6.86mg AL + 200mg OG. The animals were sacrificed under chloroform anaesthesia and blood samples obtained through cardiac puncture for biochemical investigations. Artesunate-amodiaquine and arthemeter-lumefantrine and plant extracts were administered once daily for 21 days after which the total cholesterol, triacylglycerol, high density and low-density lipoprotein, superoxide dismutase (SOD), catalase (CAT) and gluthatione (GSH) and malondialdehyde (MDA) were determined. Co-administration of artesunate/amodiaquine and arthemeter/lumefantrine significantly increased (P< 0.05) total cholesterol, triacylglycerol and low-density lipoprotein. The SOD and CAT activities and GSH concentration significantly decreased (P< 0.05) with an increase in the MDA concentration in treated groups when compared with the normal control. The results obtained suggest that long term co-administration of artesunate/amodiaquine and arthemeter/lumefantrine could result to coronary heart disease and depletion of antioxidant capacity and should be given with caution.
Minimally Invasive Surgery in Total Hip Arthroplasty: Analysis of Clinical Results and Practical Implications
Authors: Alami Reda El , Jalal Mekaoui , Mouncef Boufetal , Allah Bassir Rida , Kharmaz Mohammed , Lamrani Moulay Omar , Salah Berrada Mohammed
Published: July 2023

This study presents a comprehensive analysis of the clinical results and practical implications of minimally invasive surgery (MIS) in total hip arthroplasty (THA). The study aimed to evaluate the outcomes of MIS-THA compared to traditional open surgery, focusing on postoperative pain, functional improvement, complications, and patient satisfaction. A retrospective analysis was conducted on a cohort of 20 patients who underwent MIS-THA. The results showed significant improvements in postoperative pain levels and functional outcomes among patients who underwent MIS-THA. The MIS approach demonstrated reduced tissue trauma, shorter hospital stays, and faster recovery times compared to traditional open surgery. Complication rates were also found to be lower in the MIS-THA group. Additionally, patient satisfaction scores were higher in the MIS-THA group, highlighting the positive impact of this technique on patient experience. The findings of this study support the use of MIS in THA as a viable alternative to traditional open surgery. The benefits of MIS include reduced postoperative pain, improved functional outcomes, shorter hospitalization, and enhanced patient satisfaction. These results have important implications for clinical practice, as MIS-THA can contribute to improved patient outcomes and cost-effective healthcare delivery.
Trichoepithelioma of Upper Eyelid: A Case Report
Authors: Jain Sumit , Makkar Nikhil , Singla Chetan , Talwar Ashutosh
Published: July 2023

Solitary trichoepithelioma is a rare benign adnexal tumour of hair follicles, especially over the upper eyelid. Reconstruction in these cases has not been discussed in the literature. We are reporting a case of a 60-year-old male patient with trichoepithelioma of the upper eyelid involving 70% of the upper eyelid which was managed by primary closure; thus avoiding unnecessary extensive and time-consuming reconstructive procedures.
Thyroid Tuberculosis: Case Report
Authors: Eddine Hiba Safi , Gourram K. , Rachdi S. , Belgadir H. , Merzem A. , Amriss O. , Moussali N. , Benna N. El , Bouzoubaa Youssef , Karmouch M. , Oukessou Y. , Rouadi S. , Abada R. , Mahtar Mahtar
Published: July 2023

Introduction: Thyroidal tuberculosis is a rare entity. The clinical presentation is not specific. The purpose of our observation is to underline the diagnostic problems posed by thyroid tuberculosis. Observation: We report a case of a 60 years old female patient with neck swelling related to a tuberculous infection, who received a anti-tuberculosis therapy. Discussion: This localization is often secondary, and exceptionally primary it is favored by advanced age, diabetes, malnutrition and HIV infection. The clinical presentation is not specific. It evolves in a chronic or subacute mode. The presence of another tuberculous localization concomitant allows to evoke the diagnosis. A thyrotoxicosis or hypothyroidism can be observed. The differential diagnosis includes, besides thyroid cancer, all other disorders of the gland. The appearance on imaging is not specific and the fine-needle aspiration cytology is only of value when it is positive. Only pathological examination confirms the diagnosis. The treatment is medical and surgical in case of complications. Conclusion: Thyroid tuberculosis is a differential diagnosis that should be considered in front of a cold nodule in a clinical or epidemiological evocative context.
Ouassima EL Kadiri, Samiha Sabri, Raja Ousalm, Salma Chabli, Ibtissam Zrara Touiti, Mouna Darfaoui, Abdelhamid El Omrani, Mouna Khouchani
Authors: Kadiri Ouassima EL , Sabri Samiha , Ousalm Raja , Chabli Salma , Touiti Ibtissam Zrara , Darfaoui Mouna , Omrani Abdelhamid El , Khouchani Mouna
Published: July 2023

Rhabdomyosarcoma (RMS) is a malignant neoplasm that originates from undifferentiated myogenic progenitor cells. It is predominantly a pediatric disease, and its occurrence in adults is exceedingly rare. Adult primary RMS of gynecologic origin is an uncommon phenomenon, and the cervix is the most frequently involved site. The incidence of adult primary uterine RMS is extremely scarce. Herein, we present the case of primary uterine RMS in a 59-year-old Moroccan postmenopausal woman who presented to clinic attention with a two-month history of metrorrhagia. The patient received a multimodal therapy comprising a combination of surgery, chemotherapy and radiotherapy with a good clinical and radiological evolution.
Arrested Pneumatisation of the Sphenoid Sinus: Important Normal Variants Not to be Overlooked
Authors: Garmane Abdelhamid , Outaghyame Sabrine , Zouita Ibtissam , Basraoui Dounia , Jalal Hicham
Published: July 2023

An arrested pneumatization of the sphenoid sinus is an anatomical variation. It is understood that the sphenoid bones undergo early conversion of fatty marrow before normal pneumatization. Being a developmental condition, it typically occurs as an incidental discovery. The specific clinical symptoms associated with this condition cannot be attributed. They are usually observed as an incidental finding during radiological examinations. If not recognized, it can be easily mistaken for pathological lesions. The purpose of this article was to highlight this rare condition by examining the existing literature and presenting a case report.
Unforeseen complication of Open mesh hernioplasty: A Case Report
Authors: Singh Gaurav Raj , Dayma Ajay Kumar , Jenaw Rajkamal , Khan Irfan Hussain
Published: July 2023

Open inguinal hernias are the most commonly performed surgical procedure in the general surgery, by this case report we intend to highlight the complication that we encountered while operating in the absence of previous surgical history and try to emphasis on the importance of detailed radiological investigations (USG and Colour Doppler) in cases with history of peripheral vascular diseases, as in our case patient was not aware of his previous surgical procedure and thus when we operated for bilateral inguinal hernia we met with unforeseen complication of torrential bleed on table. The post operative work up regarding the site of bleed revealed presence of a graft, history of which was not known to patient. Such complication could have been prevented by modifying approach, provided we had proper history and detailed radiology studies.
Blindness by Mega Foreign Bodies During Work Accidents: about 2 Cases at CHU IOTA Bamako
Authors: Saye Gounon , Coulibaly Brainima , Diallo Oumar , Sissoko Modibo , Coulialy Mory , Cheik Sogodogo , Simaga Aissatou , Guirou Nouhoum
Published: July 2023

Trauma is a frequent reason for consultation in ophthalmological emergencies. The intraocular foreign body (IEB) is the dreaded situation, which can go as far as the functional and even anatomical loss of the eye. The occurrence of ocular trauma as a result of a work accident issevere, often leads to temporary and sometimes permanent incapacity for work. We have reported two cases of foreign bodies; the first case, a 35-year-old woman consulted in our service for eye trauma by fish stoppage occurring as a result of housework; The second case, a 25-year-old young man consulted in emergency 4 days after an eye trauma by falling wood on his head in a traditional gold panning site. The intervention consisted in the extraction of the various foreign bodies.
A Case of Compound Heterozygous HbS and HbD Disease in Premarital Screening
Authors: Jariwala Tulsi , Patel Arpita , Patel Riddhi , Shah Aashka , Shah Hiral , Kariya Tushar
Published: July 2023

Introduction: Among the inherited disorders of blood, haemoglobinopathy and thalassaemia constitute a major bulk of non-communicable genetic diseases in India. They cause a high degree of morbidity in affected individuals. Moderate to severe haemolytic anaemia among vulnerable segments of the society like infants and children, adolescent girls, pregnant women, etc. may result in many deaths in India. Hemoglobinopathies are a vast group of inherited disorders of hemoglobin production and function. Compound heterozygous HbSD-Punjab is an uncommon hemoglobinopathy encountered in Indians. In premarital screening, molecular testing is mostly inconvenient and diagnosis often relies on the abnormal hemoglobin analysis, family studies and epidemiological facts. We present the clinical and laboratory characteristics of hemoglobin D-Punjab with sickle cell disease found on premarital screening. Case Report: Blood sample of a 22 year old patient for high-performance liquid chromatography was received. A complete blood count (CBC) showed mild anemia with Hb of 8.3 g/dl with mild microcytic hypochromic red cell indices.The HPLC showed HbD and S-window on BIO RAD D10 machine. The high-performance liquid chromatography showed normal hemoglobin Hb F and Hb A2, which indicates presence of a Compound heterozygous for HbSD-Punjab. Conclusion: Compound heterozygous state for HbD-Punjab with S-window is a rare disorder. HbSD-Punjab has a heterogeneous clinical presentation. Anemia and sickle crises are quite common. The data obtained from the clinical findings, blood picture and electrophoresis or HPLC will help in diagnosis. Genetic counseling is advisable in patients with presence of a Compound heterozygous HbSD-Punjab.
Cytophagic Histiocytic Panniculitis with Undetermined Autoimmune Disease: A Rare Case Report
Authors: Desai Suresh , Karulkar Shubhadha , Desai Pranav , Patel Riddhi , Patel Gargi , Jariwala Tulsi
Published: July 2023

Cytophagic histiocytic panniculitis is a rare disease, associated with either nonmalignant conditions or subcutaneous panniculitis-like T-cell lymphoma (SPTL), and often also associated with hemophagocytic lymphohistiocytosis (HLH). We report the case of a 63-year-old woman who developed a multiple tender, indurated, erythmatous lesions over the abdomen, back, trunk and limbs. Histopathologic findings from skin biopsy specimens revealed significant lobular panniculitis with benign histiocytes showing hemophagocytosis. ANA by IF was positive. Though it is very rare, to confirm diagnosis of CHP by histopathology is very important as CHP and SPLT may span a clinicopathologic spectrum in which there is a natural disease progression from CHP to fatal SPTL.