bluuebunny/crossref_metadata_2025 huggingface dataset:
Challenges of Adult Education Provision Towards Social Sustainability at the Institute of Adult Education-Morogoro Campus
Authors: Kimaro Emmanuel , Machumu Haruni , Heikkinen Anja , Kalimasi Perpetua
Published: September 2023

The study aimed at examining the challenges affecting the provision of adult education toward social sustainability. The study was conducted at the Institute of Adult Education in Morogoro Campus where fifty adult learners, four adult education teachers and one administrator were involved as respondents. Respondents were obtained by using simple random and purposive sampling techniques. A mixed research approach with a sequential explanatory design was employed. Data were collected through questionnaires, interviews, document review and observation. The collected data were analysed through thematic content analysis and descriptive statistics. The findings of the study show that the provision of adult education toward social sustainability was challenged by several factors, such as insufficient funds, shortage of time for studies, lack of political will, language barrier, family problems, and contextual misinterpretation of the term adult education. These findings implies that apart from the substantial role that adult education play to promote wellbeing of the society, it is still hindered holistically. The study recommends that strategic initiatives should be taken by the government to address the challenges of its provision. Adult education institutions should be given enough funds to enhance their operation. Further, adult education institutions should initiate income-generating venues for creating more income, and there should be equality between the provision of adult education and formal education for social sustainability of communities.
Pendidikan Pesantren dalam Mengantisipasi Dampak Negatif Era Globalisasi di Pondok Pesantren Hidayattullah Batam
Authors: Supardi Supardi
Published: September 2023

Tulisan ini merupakan servey deskriptif melalui penelitian langsung ke lokasi tempat terjadinya fenomena yang bersifat aktual. Dalam penelitian ini penulis mengambil obyek penelitian tentang peran Pendidikan Pesantren Dalam Mengantisipasi  Dampak Negatif Era  Globalisasi Dipondok Pesantren HidayatullahKel. Kibing Kec. Batu Aji Kota Batam. Dalam sistem pendidikan Islam ada komponen yang bersifat tetap dan ada komponen yang bersifat berubah. Antara sains dan teknologi. Dalam pandangan Islam, suatu sistem pendidikan harus bersifat dinamis, fleksibel dengan perubahan dan perkembangan peradaban manusia dan didalamnya melingkupi perkembangan sains, problematika zaman modern ini termasuk harus mampu mengantisipasi segala dampak jahiliyyah modern juga globalisasi. Pencapaian yang diharapkan hendaknya tulisan ini dapat menjadi solusi terhadap dampak negatif era globalisasi merambat ke beberapa sektor, diantaranya di lingkungan pesantren, seperti kurangnya respon masyarakat terhadap pesantren, di lingkungan para santri seperti menirunya gaya hidup ala barat, dan lebih menekuni dunia teknologi, seperti handphone, dan di lingkungan tenaga pendidik seperti Globalisasi budaya, informasi dan komunikasi secara signifikan mempengaruhi format hidup tenaga pendidik di pesantren yang teridentifikasi pada cara berpakaian, meningkatnya cakrawala berpikir dan keinginan mengkonsumsi produk-produk global serta cenderung bergaya demokratis, dan tidak secara langsung akan mendangkalkan reproduksi Ulama.
Sympathetic skin response test in essential hypertensive patients
Authors: Kader Ann Abdel , Farouk Ayatollah , Fathy Shereen , Nawito Amani , Taher Khalid
Published: September 2023

Background

Essential hypertension is the most prevalent type of hypertension, affecting 90–95% of hypertensive patients. Although no direct cause has been identified, there are many factors such as overactivity of the sympathetic nervous system.

Objectives

To study the predictive value of the sympathetic skin response (SSR) test to determine the role of sympathetic overactivity in essential hypertensive patients.

Methods

The study was carried out on 30 essential hypertensive patients and 15 normal controls who were similar in terms of age and sex. Thorough history taking, neurological and cardiological examination, and the neurophysiological technique (SSR) test were performed in both the groups.

Results

Three patients were found to have an upper limb latency less than 1.2 ms, which was faster than the fastest upper limb SSR in the controls, and two patients were found to have a lower limb latency less than 1.9 ms, which was faster than the fastest lower limb SSR in the controls. However, there was no statistically significant difference between the patient and the control groups in terms of the mean SSR latencies and amplitudes in the upper and lower limbs.

Conclusion

Although SSR has a low diagnostic value in patients with essential hypertension, it might be a good diagnostic test particularly in the presence of signs and symptoms of sympathetic overactivity such as tachycardia and sweating.
A rare case of leaking thoracic aortic aneurysm in a patient with massive pulmonary embolism
Authors: Al-Zuabi Shabib , Varkey Alexander P. , Abdalmaksoud Safia F. , Alothman Hadeel S. , Alrashdan Ibrahim
Published: September 2023

The aim of this study was to report a rare case of a leaking thoracic aorta aneurysm in a female patient with massive pulmonary embolism. A 70-year-old woman with hypertension who had suffered a cerebral vascular accident 2 years ago presented with urinary tract infection, dehydration, and anemia. While in hospital, she was diagnosed with pulmonary embolism, and anticoagulation therapy was started using heparin. As the tachycardia persisted with a further drop in hemoglobin levels, and because a new left-sided pleural effusion was revealed on chest radiograph, a chest CT with a CT angiography was performed. It revealed a large leaking aneurysm of the descending thoracic aorta. This was treated by inserting an endovascular stent. This rare case shows the importance of investigating for other serious coexistent causes of tachycardia in patients with pulmonary embolism during treatment.
A rare presentation of stroke in young age: moyamoya disease
Authors: Radwan Amal F. , Hemaida Afaf , Naguib Ahmed
Published: September 2023

A 37-year-old hypertensive housewife presented with a sudden onset of left-sided hemiplegia, hemianaesthesia, dysarthria and urinary incontinence. The condition was preceded by recurrent attacks of motor neurological deficits over a 3-year duration. She reported a history of a fall from a height at the age of 10, which was followed by a hearing deficit and a history of two caesarean sections after eclampsia. The blood pressure was 170/100 mmHg. Laboratory investigations revealed hyperglycaemia (fasting glucose 306mg/dl) and normal kidney function tests. The computed tomography scans revealed old multiple bilateral cerebral infarcts with recent intracranial haemorrhage in the right parietal region. The inflammatory markers (ESR and CRP) and immune profile (ANA, anti-ds DNA and ANCA) were found to be normal. Cerebral angiography revealed a complete occlusion of the intracranial parts of both internal carotid arteries at their supraclinoid segments along with the proximal parts of the anterior cerebral artery and middle cerebral artery, with collaterals from the posterior circulation. Consequently, the diagnosis of moyamoya disease with the collaterals was confirmed. Antihypertensive medications and insulin were administered. Cerebral dehydration measures were undertaken with partial improvement. A superficial temporal artery–middle cerebral artery bypass operation was performed with some postoperative improvement. One month later, she suffered a new stroke with severe impairment of the level of consciousness; the computed tomography scans revealed a large recent cerebral infarct, her condition deteriorated rapidly and she died shortly thereafter.
Paranasal sinus mucocele: endoscopic marsupialization and surgical outcome
Authors: Namavar Ebrahim , Loh Jenny Che Nee , Gendeh Balwant Singh
Published: September 2023

We report 10 cases of paranasal sinus mucoceles with/without orbital/intracranial extension who presented to the Otolaryngology Department at the University Kebangsaan Malaysia Medical Center (UKMMC). The clinical presentation, pathophysiology, and the endoscopic and combined endoscopic craniofacial approaches in mucocele removal are discussed. The authors recommend the endoscopic transnasal approach as the main surgical treatment for paranasal mucoceles and highlight its outcome.
Septorhinoplasty for the Arabic nose: simple endonasal techniques
Authors: Mottaleb Mamdouh Salah A. , Ashour Baher Badreldin
Published: September 2023

En

Abstract

Introduction

Individuals from the Middle East or of Middle Eastern origins are increasingly seeking cosmetic nasal surgery as their traditional societies gradually become more exposed to the media. This is especially evident in the tribal communities of the Gulf, where financial issues are less of a concern. The Gulf States have also witnessed a rapid influx of foreign migrants over the last 30 years or so. This has resulted in a more racially and ethnically diverse population. The concept of ethnic rhinoplasty is gaining popularity. This entails resculpturing the nose to make it more acceptable within the patient’s own ethnicity and not to overcorrect or alter its characteristics to that of another ethnicity. The characteristic features of the Arabic nose, when exaggerated, are a good example where ethnic rhinoplasty techniques may be of value.

Aim

The aim of this study was to identify patients with exaggerated features of the characteristic Arabic nose, which are a long nose with a dorsal hump and a pendant tip. Subjective as well as objective measures including the clinical nasal index and the projection index were used to identify and quantify these anomalies. We will review some simple endonasal techniques for the correction of these perceived abnormalities for the best cosmetic as well as functional results.

Patients and methods

Sixty four patients with typical Arabic nasal features underwent septorhinoplasty using simple endonasal techniques.

Results

The majority of patients were very satisfied with their appearance after surgery. There were few minor complications with the techniques used.

Conclusion

Exaggerated features of the Arabic nose can be adequately corrected using a few simple endonasal techniques.
Endoscopic-assisted sublabial enucleation of nasolabial cysts
Authors: AboEl-Ezz Tamer
Published: September 2023

En

Abstract

Background

Nasolabial cysts are rare lesions present in the soft tissues beneath the ala nasi. Excision of the cyst through the sublabial incision is the most well-known treatment modality, with a low recurrence rate.

Objective

In this study, we discuss, through a literature review, the diagnosis, differential diagnosis, and a modified combined endoscopic and sublabial surgical technique for the treatment of this disorder.

Patients and methods

Ten patients with a confirmed diagnosis of nasolabial cysts underwent combined endoscopic and sublabial enucleation of the cysts, and were followed up with a clinical examination and endoscopic assessment.

Results

No recurrence was recorded during a follow-up period ranging from 3 to 12 months.

Conclusion

Nasolabial cysts can be enucleated with the use of a nasal endoscope to ensure complete excision.
Infralabrynthine approach as a conservative management of petrositis, our clinical experience in five patients
Authors: Hasaballah Mohammad Saad , El Ezz Tamer Abdel Wahab Abo
Published: September 2023

En

Abstract

Introduction

Although apical petrositis has been typically managed with aggressive surgical intervention, the advent of antibiotics facilitated the conservative management of selected cases, however some resistant cases may still need conservative surgical intervention.

Objective

To present our experience with apical petrositis successfully treated via an infralabyrithine approach with the preservation of both middle and the inner ear after failure of aggressive medical treatment.

Methods

A retrospective study done by collecting the data of five patients with Gradenigo′s syndrome who underwent surgical drainage by the authors via an infralabrynthine approach. The aim of this approach was to preserve the cochleovestibular function instead of translabrynthine approach as the five patients had variable degrees of pure conductive deafness without any evidence of labrynthine affection.

Results

All patients started showing an improvement immediately after surgery, with the disappearance of diplopia and the lateral rectus palsy being the first outcome to be noted. In our series, only one patient developed mild vertigo and vomiting that lasted for 3 days, and was treated with sedation and antiemetics.

Conclusion

Infralabrynthine approach is a safe and direct way to drain inflammatory exudates from petrious apex.
Research strategies and evidence-based practice in relation to communication disorders
Authors: Osman Dalia M.
Published: September 2023

En

Abstract

Introduction

To be effective, all professional practices, including speech and language pathology, should be built on a foundation of basic and applied research. Clinicians working in these fields, similar to clinicians in other fields, need to be aware of the validity and reliability of the methods they select while dealing with their patients. Moreover, the current emphasis on evidence-based practice in medicine across all scientific fields emphasizes the importance of understanding the philosophy of science, research strategies, and evidence-based practice. This would aid in bridging the gap between the research and clinical work, thereby, maximizing the therapeutic benefit that the patients gain.

Objectives

The aim of this article is to review some of the facts related to research methodology, research evaluation, and evidence-based practice as well as to highlight the importance of integrating individual clinical expertise with the best available external evidence obtained from systematic research.

Recommendations

(a) Research should be considered as an integral part of clinical practice. (b) Keeping the concept of validity, reliability, and evidence-based practice in mind at all times while designing scientific studies. (c) Discussing the project design with an advisor or a group of colleagues to help ensure that validity is maintained at every stage of the process. (d) Correctly forming a research problem, sticking to research ethics while carrying out research work, and closely reviewing the selected literature before as well as during the study. (e) Randomly selecting a representative sample population of adequate size to represent the target population. (f) Identifying variables before starting research, choosing appropriate study designs, and appropriately dealing with missing data and confounding (extraneous) variables.
Laryngeal ultrasound as effective as CT scans for the diagnosis of various laryngeal lesions
Authors: Nasr Wail F. , Amer Hazem S. , Askar Sherif M. , Enaba Moanes M.
Published: September 2023

En

Abstract

Background

Different methods have been used in the past for the diagnosis of many laryngeal diseases. Ultrasound has become a very important, widely used diagnostic tool for head and neck diseases.

Objectives

The aim of this study was to evaluate laryngeal ultrasound as an alternative to computed tomography (CT) scans in the diagnosis of different laryngeal diseases.

Study design and methods

This was a comparative cross-sectional study that was carried out between April 2010 and December 2011 in the Department of Otorhinolaryngology, Zagazig University Hospitals, Egypt. The study comprised two groups of patients: the control group (12 patients) and the study group (54 patients). Individuals of the control group who were undergoing neck ultrasound for thyroid swelling were subjected to laryngeal ultrasound only, whereas patients of the study group were subjected to both laryngeal ultrasound and CT scans of the neck.

Results

Laryngeal ultrasound was found to be effective in detecting vocal cord nodules in 27.3% of patients, polyps and cysts in all patients, Reinke’s oedema in 60% of patients and laryngeal masses in 78.6% of patients. These results were comparable with those of the CT scans.

Conclusion

Laryngeal ultrasound is considered of great value in diagnosing different laryngeal lesions and can be used as an alternative to or complementary to CT scans.

Level of evidence

The level of evidence is 3a.
Pectoralis major flap in the reconstruction after salvage laryngectomy
Authors: Riad Magdy A. , Hamdy Tarek A. , Sabra Reda M. I. , Adly Ahmad
Published: September 2023

En

Abstract

Introduction

Patients undergoing salvage surgery are more prone to developing pharyngocutaneous fistulas, the fistula rates reported are as high as 70%.

Aim of the study

The aim of this study was to present our experiences with patients undergoing reconstruction with a pectoralis major flap.

Methods

We describe the surgical steps we employed during the reconstruction after salvage laryngectomy in 14 consecutive patients.

Discussion

This flap will give the patient the advantages of early oral feeding, good tracheostomy care, short hospital stay, and protection against catastrophic vascular blowouts.
Simultaneous laryngeal squamous cell carcinoma and thyroid carcinoma in the contralateral lobe of a nonsmoker woman
Authors: Elsheikh Ezzeddin , Elanwar Mohammad W. , Abdel-aziz Hesham R.
Published: September 2023

We report a 60-year-old nonsmoker woman with laryngeal squamous cell carcinoma for which total laryngectomy and right conservative neck dissection was decided. Right hemithyroidectomy is usually a part of this procedure, but in this case, because of inadvertent ligation of the left inferior thyroid artery, total thyroidectomy was performed. A small nodule 0.5 cm of papillary microcarcinoma in the left lobe that was not diagnosed preoperatively was discovered in the final pathological examination. Therefore, ultrasound evaluation of the thyroid gland should be added to the work-up of all cases undergoing total laryngectomy and there is a need for new guidelines to treat incidental thyroid lesions in the context of laryngeal cancer.
Atypical superior semicircular canal dehiscence case report
Authors: Asal Samir
Published: September 2023

Superior canal dehiscence syndrome is a rare medical condition with many variants. In this case report, we present a 35-year-old patient who presented with atypical presentation of superior canal dehiscence syndrome. We discuss his audiological, vestibular, and radiological findings before and after surgery. We present a protocol to establish the diagnosis of a similar condition, especially those presenting atypically.
Correlation of immunoglobulin E levels and peripheral eosinophilia with paranasal sinus mucosal disease
Authors: Osman Mohamed M. , Adballah Maggie , Salem Mohamed A. M.
Published: September 2023

En

Abstract

Objective

The aim of this study was to assess whether total immunoglobulin E (IgE) levels and peripheral eosinophilia correlate with the extent of sinus mucosal disease on computed tomography (CT) of paranasal sinuses.

Patients and methods

CT scans were performed; total IgE and peripheral eosinophil levels were measured for all patients. The relationships between peripheral eosinophilia, total IgE levels, and the presence of mucosal disease on sinus CT imaging were also determined.

Results

The total IgE did not correlate with CT stage of the disease, whereas there was a significant moderate positive correlation between CT stage and peripheral eosinophil levels.

Conclusion

The data suggest that eosinophil levels contribute toward mucosal inflammation in paranasal sinuses and the presence of peripheral eosinophilia in patients with sinusitis indicates a high likelihood of extensive disease. However, IgE levels did not correlate with CT scan findings. Calculation of the percentage of peripheral eosinophils by measurement of the differential leukocyte count is a simple, easy, and rapid technique for assessment of the severity of chronic rhinosinusitis.
Redaktionelt forord
Authors: Kærgård Niels
Published: September 2023

»Når bønderne har penge, har alle penge«, sagde man for mange år siden. Da var landbruget Danmarks hovederhverv. I løbet af 1950’erne overhalede industrien landbruget som vort største eksporterhverv, og så sagde vi: »Man kan ikke leve af at klippe hinanden«. Men også det er ved at være længe side. Nu lever vi faktisk af handel og service; det er under 15 procent af den danske arbejdsstyrke, der er beskæftiget i landbrug og industri. Det er altså meget længe siden, at landbrug, skovbrug og fiskeri var de erhverv, danskerne levede af. Det er der mange, der ikke rigtigt har opdaget. Axelborg og Dansk Industri er stadigt vore mest magtfulde erhvervsorganisationer, men de har jo også pustet sig op ved at medtage store områder uden for deres oprindelige interesseområde, »fødevareklyngen« og de store servicevirksomheder.
Rural micro-credit model design and credit risk assessment via improved LSTM algorithm
Authors: Gao Xia , Yang Xiaoqian , Zhao Yuchen
Published: September 2023

Rural microcredit plays an important role in promoting rural economic development and increasing farmers’ income. However, traditional credit risk assessment models may have insufficient adaptability in rural areas. This study is based on the improved Long Short Term Memory (LSTM) algorithm using self organizing method, aiming to design an optimized evaluation model for rural microcredit risk. The improved LSTM algorithm can better capture the long-term dependence between the borrower’s historical behavior and risk factors with its advantages in sequential data modeling. The experimental results show that the rural microcredit risk assessment model based on the self organizing LSTM algorithm has higher accuracy and stability compared to traditional models, and can effectively control credit default risk, providing more comprehensive risk management support for financial institutions. In addition, the model also has real-time monitoring and warning functions, which helps financial institutions adjust their decisions in a timely manner and reduce credit losses. The practical application of this study is expected to promote the stable development of rural economy and the advancement of financial technology. However, future work needs to further validate the practical application effectiveness and interpretability of the model, taking into account the special circumstances of different rural areas, in order to achieve sustainable application of the model in the rural microcredit market.
Genetic connectivity and population expansion inferred from multilocus analysis in Lutjanus alexandrei (Lutjanidae–Perciformes), an endemic snapper from Northeastern Brazilian coast
Authors: Veneza Ivana , da Silva Raimundo , Ferreira Charles , Mendonça Patrícia , Sampaio Iracilda , Evangelista-Gomes Grazielle
Published: September 2023

Previous studies about the genetic diversity, connectivity and demographic history in Lutjanidae fishes have reported a common pattern of genetic homogeneity and expansion in populations from Western South Atlantic. In the present work, we inferred the population structure, the levels of genetic diversity and the demographic history of the Brazilian snapper Lutjanus alexandrei, a recently described and endemic species from Northeastern coast of Brazil. Five different fragments, including mitochondrial DNA (Control Region, Cyt b and ND4) and nuclear DNA (Myostatin and S7) regions were analyzed in 120 specimens of L. alexandrei from four localities in Northeastern Brazil, representing the first study of population genetics in this species. High levels of genetic diversity were observed following a panmictic pattern, probably related to the larval dispersal by the current tides along the Brazilian coast. In addition, both demographic history and neutrality tests indicated that L. alexandrei has undergone population expansion during Pleistocene. In this sense, the sea level variation from this period could have increased the available resources and suitable habitats for the Brazilian snapper.
An Unusual Case of Post-traumatic Intramuscular Organised Haematoma of the Left Hand
Authors: Kallam Anji Reddy
Published: September 2023

An organised haematoma is a benign cystic lesion in which the haematoma is enclosed by a superficial fibrotic capsule. It is also referred to as chronic expanding haematoma or hematic cyst. Organised haematoma can be observed in various sites, but it is extremely rare to find it in an intramuscular location. This is a rare case of organised haematoma in the palm of the left hand of a 75- year-old female, which occurred after an accidental injury from broken bangles fifteen years ago. The swelling gradually increased in size and became painful over the years. A pre-operative Magnetic Resonance Image (MRI) revealed a well-defined, large soft tissue density lesion located in the subcutaneous plane of the interdigital space between the left thumb and index finger, extending into the volar and dorsal aspects of the hand. An incision was made on the skin over the swelling, followed by excision. The patient was discharged with a good post-operative outcome.
Red Cell Distribution Width and Platelet Indices in Women with Pre-eclampsia: A Cross-sectional Study
Authors: Naik Manuja , Kumar HS Ashok , . Greeshma
Published: September 2023

Introduction: To determine the prognosis and fetomaternal outcome in eclampsia and pre-eclampsia, a simple and costeffective approach is to assess the Red cell Distribution Width (RDW) and platelet count. RDW, Neutrophil-to-Lymphocyte Ratio (NLR), Platelet-to-Lymphocyte Ratio (PLR), and platelet markers such as Mean Platelet Volume (MPV) have been the subject of research. Aim: To compare the variation of RDW, NLR, PLR, and platelet indices between women with pre-eclampsia and gestational age-matched healthy controls. Materials and Methods: A cross-sectional study was conducted among 208 pregnant women (104 with pre-eclampsia and 104 controls) at the Department of Obstetrics and Gynaecology, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India, from January 2020 to June 2021. RDW, NLR, PLR, and platelet indices were analysed after obtaining detailed history, conducting clinical examinations, and relevant investigations. An Independent t-test was used as a test of significance to identify the mean difference between the two quantitative variables. Results: The RDW among cases was 17.05±4.01, whereas among controls, it was 15.09±1.86. The mean age of subjects among case group was 25.72±4.741 years, while in the control group it was 23.25±3.803 years. There was a significant difference in mean Red cell Distribution Width- Coefficient of Variation (RDW-CV) between the two groups. The MPV among cases was 9.86±1.14, while among controls, it was 8.92±1.40 (p-value=0.001). The PDW among cases was 11.30±2.20, and among controls, it was 12.72±3.50. The mean NLR among cases was 5.92±4.94, whereas among controls, it was 4.59±2.22. There was a significant difference in mean platelet count, MPV, PDW, and NLR between the two groups. Conclusion: According to the findings of the current study, RDW, NLR, and MPV were all shown to be higher in women with pre-eclampsia. Additionally, pre-eclamptic women consistently exhibited decreased PDW and platelet counts.
Relationship between Chest CT Scan Findings and Clinicians’ Expectations in Diagnosis and Prognosis of Respiratory Disease Patients at a Tertiary Care Hospital: A Retrospective Observational Study
Authors: Aneja Ankit , Kumar Tanya , Goyal Nitin , Tangri Nitin
Published: September 2023

Introduction: The use of chest Computed Tomography (CT) scans has significantly increased in recent times, and it is also considered the preferred investigation method in various cases, including occult pneumothorax and interstitial lung diseases. Aim: To assess the relationship between chest CT scan findings/outcomes, clinicians’ expectations, and their influence on treatment outcomes. Materials and Methods: The present retrospective analytical observational study was conducted in the Department of Radiodiagnosis and Respiratory Medicine at a tertiary-level hospital, Adesh Medical College and Hospital, Kurukshetra, Haryana, India. The findings of the selected chest CT scans were classified as normal, incidental, or pathological. The response of the consulting physicians to these scans was divided into three grades: highly expected, moderately expected, and unexpected. The impact of these scans on patients’ treatment was divided into three categories: major, minor, and none. The collected data were analysed using the Statistical Package for Social Sciences (SPSS) version 28.0, and the Chi-square test was used to assess the association between different variables. Results: The mean age of study participants was approximately 58±15 years. Out of the total 74 scans (each belonging to a different individual), the findings of the chest CT scans revealed that 59 (79.7%) scans were pathological, 11 (14.9%) were incidental, and only 4 (5.4%) were normal. The outcomes of these scans were highly expected in 42 (56.7%) cases, moderately expected in 25 (33.8%), and unexpected in 7 (9.5%). These scans had a major impact on the patient’s treatment course in 28 (37.8%) cases, minor impact in 40 (54%), and no influence in 6 (8.1%) cases. The Chi-square test showed a significant association between chest CT scan outcomes and clinicians’ expectations, chest CT scan outcomes and their influence on treatment, as well as clinicians’ expectations and the effect of scans on treatment. The p-value <0.05 was considered statistically significant for all three cases. Conclusion: Chest CT scans significantly impact the diagnostic and treatment pathway for patients.
Diagnosis of Hepatocellular Carcinoma through Telehealth: A Unique Case Report
Authors: Ali Mubasheer , Nazneen Ayesha , Janjal Prashant
Published: September 2023

Hepatocellular Carcinoma (HCC) is common among individuals with cirrhosis, regardless of the cause, but rare in those without cirrhosis. While HCC typically spreads to lymph nodes in the abdomen, lungs, and bones, metastasis to the cardiac region is relatively uncommon. Early screening and diagnosis are crucial for determining the feasibility and prognosis of HCC treatment. In addition to well-known causes such as alcohol consumption and viral hepatitis B and C, Non alcoholic Fatty Liver Disease (NAFLD) is emerging as a significant risk factor for cirrhosis, steatosis, and advanced liver fibrosis, contributing to the rise in HCC cases due to the increasing prevalence of metabolic syndrome. The present case report highlights a 71-year-old patient with HCC who was able to receive a timely diagnosis through telemedicine and initiate treatment with an oncologist. The patient underwent Intensity Modified Stereotactic Radiotherapy (IMSR) followed by bridge therapy with chemotherapy drugs. The treatment plan was implemented in July 2022, and the patient tolerated it well, remaining haemodynamically stable with no complaints.
THE ‘DESIGN MUSEUM’ CONCEPT IN RZESZÓW: COMBINING SOCIAL EXPECTATIONS AND INNOVATIVE DESIGN IN THE CREATION OF AN EDUCATIONAL SPACE
Authors: Martyka Anna , Tur Agata
Published: September 2023

This article presents selected issues on the role of design in everyday life and in the social context, from its historical roots, through the development of different styles to the present day.  Design plays a key role in shaping spaces and everyday objects. The creation of design is not only an aesthetic or functional act, but also a social one, affecting the quality of life of different groups of people, including people with disabilities and the elderly. This article describes the process and results of exploratory survey research related to the creation of the design concept of the ‘Design Museum’ in Rzeszów. The results suggest that the public sees great educational potential in such an endeavour.  Most respondents are in favour of the museum offering various forms of education, such as workshops or lectures. Based on these results, the concept of the Rzeszów Design Museum was designed to be an educational and accessible place for all.
THE FOREST AS A KEY ELEMENT FOR SUSTAINABLE DEVELOPMENT AND IMPROVED QUALITY OF LIFE IN CITIES – SELECTED PROBLEMS AND EXAMPLES
Authors: Martyka Anna , Figurska-Dudek Joanna
Published: September 2023

This article focuses on the role of green and blue infrastructure, including forests, in the context of urban planning and sustainable urban development. Using an interdisciplinary approach, the authors highlight theoretical frameworks on resource management, ethics and efficiency in architecture and construction. The remainder of the paper examines practical strategies for sustainable urban development, including the application of natural solutions and resource-saving systems. The case study shows real-life examples such as the 'Madrid Metropolitan Forest' or applications in Poland, including Sopot, where greenery plays a key role in the quality of life of residents and adaptation to climate change. The article highlights that integrated green urban spaces have benefits on many levels - from energy efficiency to social well-being and public health. The authors point to a growing body of evidence demonstrating the effectiveness of nature-based solutions in the context of challenges such as urbanisation and climate uncertainty. Long-term integrated urban planning that considers these aspects is key to creating sustainable and resilient cities
On the Effect of a Fixed Cost on an Inventory Model with Time – Dependent Parameters
Authors: Nwakobi Micheal Nnamdi
Published: September 2023

An economic order quantity model with a time-dependent demand, a fixed cost and a time-dependent holding cost is developed. It provides quantitative insight into a serious practical problem where costs are incurred even when an order is not placed. The effect of a fixed cost on the inventory model is examined. Previous models incorporating time-dependent demand rate assume that the holding cost is constant for the entire inventory cycle. The holding cost is considered as an increasing function of time spent in storage. Differential calculus is used for finding the optimal solution. A numerical example is used to validate the proposed model. Sensitivity analysis is carried out to analyze the effect of changes in the optimal solution with respect to changes in various parameters.
Insecticidal Property of Parthenium Hysterosphours and Vitex Nirgundi Leaf Extract (Acetone) Against Sitophilus oryzae (Rice Weevil) (Coleptera, Cruculionidae) in Stored Grain Pest
Authors: Deshmukh Sanket Surendra , Shinde Priyanka Subhash
Published: September 2023

The insecticidal property of Parthenium hysterosphorous and vitex nigundi leaf extract in acetone’ against the rice weevil were very effective to control the pest Different concentration, dose were checked and the result showed that high doses or the extract of Parthenium and vitex were significantly more toxic to Sitophilus oryzae compared to lower dose.

 The probit analysis of data demonstrated mortality rate for acetone extract was mortality % of Parthenium leaf extract in acetone 5%,10%, 15% = 25%, 40%, 60% mortality % of vitex left extract in acetone 5%, 10%, 15 %= 15%, 35% 65%, Mortality % of mixture of Parthmium and vitex leaf extract in acetone =5% 10%, 15%, 30%, 40%, 80%, respectively from10 days. Hence we concluded that leaf extract of Parthenium hysterosphorous and vitex nigundi served as a potential insecticide used against (Rice weevil).
Comparative Effect of Spent Mushroom Compost and NPK Fertilizer on the Growth of Sorghum bicolor L. Moench and Zea mays L. Using Fodder Hydroponics Techniques
Authors: Oluwabamiro K. S.  , Adenipekun C. O.  , Ijimbili S. B.  , Oyetunji O. J.
Published: September 2023

The grains of maize and sorghum were converted to grass in the screenhouse for eight days. The treatments evaluated were control (water), spent mushroom compost (SMC), NPK fertilizer, and SN (combination of SMC and NPK). Each treatment was replicated thrice in a complete randomized block design. Growth parameters and nutrient analysis were determined. The effect of organic and inorganic fertilizer was tested on proximate, minerals and digestibility of hydroponics maize fodder (HMF) and hydroponics sorghum fodder (HSF). The study showed significant difference (P < 0.05) in all the compositions and parameters except pH values. SN application gave the highest proximate compositions (%) of maize-crude-protein (23.66±0.05), maize-moisture (14.62±0.01), maize-CHO (57.86±0.03), maize-NFE (43.96±0.02), maize-fibre (2.44±0.03), sorghum-ash (1.28±0.02), and sorghum moisture (12.56±0.01). NPK gave the highest result of sorghum-crude-protein (18.51±0.04); while SMC gave the highest results of maize maize-crude-fibre (27.71±0.02), maize-fibre (2.22±0.01), maize-ash (3.21±0.01), sorghum-CHO (61.00±0.03) and sorghum-NFE (54.87±0.02). SN gave the highest mineral compositions (mg/100g) of maize-P (155.20±0.02), maize-Ca (34.95±0.08); sorghum-Fe (11.35±0.13), sorghum-P (153.20±0.87), sorghum-Ca (30.00±0.30). NPK gave the best results of maize-Fe (8.00±0.26), maize-Mn (1.55±0.08), and sorghum-Mn (3.40±0.15). There was significant difference in plant heights, fresh weight, dry weight, digestibility, dry matter. The comparative effects of SMC and NPK showed that utilization of SMC, NPK and SN could serves as nutrient supplements for fodder hydroponics used as feed supplements for dairy animals.
Registry of Ischemic Heart Disease Patients in the Region of Mid Delta, Egypt Data Base and Quality Initiative Project
Authors: Shone Abdelrahman Adel Taha , Elbarbary Mohammed Ahmed , Elhefnawy Suzan Bayoumy , Elsaidy Mona Adel
Published: September 2023

Background: Cardiovascular diseases are significant contributors to global increased mortality rates. coronary artery disease (CAD) is the most common cause of heart disease globally.

Aims: Detection of the characteristics [clinical, electrocardiographic, echocardiographic and coronary angiographic] of ischemic heart disease patients in Med Delta region in Egypt and also their management plan.

Methodology: The registry included 1000 patients of ischemic heart disease (IDH) at Med Delta Region. All patients underwent full medical history, full cardiac examination, detection of ECG changes, cardiac enzymes, other labs, Echocardiography and coronary angiography

Results: Out of 1000 patients studied 72.1% had chronic coronary syndromes and 27.9% had acute coronary syndrome. Seven hundreds and sixty-seven (76.7%) were known to have hypertension and 725 (72.5%) patients were smokers. left anterior descending artery (LAD) was diseased in 54.9 % of the patients. Single vessel disease was affected in 61.7%, 21.5% had double vessel disease and about 16.8 % had multi vessel disease.

Conclusion: Chronic coronary syndrome was the most common presentation in the studied patients with hypertension being the most prevalent risk factor and LAD was the mostly affected vessel.
Integrated Management of Blast Disease in Finger Millet
Authors: Anand T. , Senthilraja G. , Senthilkumar P.
Published: September 2023

Aims: To test the effect of bacterial biocontrol agents (Pseudomonas-TNAU-Pf1) and fungicides (Tricyclazole) individually and their integration as seed treatment and foliar spray against finger millet blast under field conditions.

Study Design: The field experiments were conducted in a Randomized Block design.

Place and Duration of Study: The experiments were conducted at the Regional Research Station farm, Tamil Nadu Agricultural University, Paiyur, Krishnagiri District, Tamil Nadu, India, during 2016-17 and 2017-18.

Methodology: Two field experiments were conducted to evaluate the efficacy of talc-based formulation of Pseudomonas -TNAU-Pf1 and Tricyclazole individually and in combination as seed treatment and foliar application for the management of finger millet blast with five treatments and four replications using a variety Paiyur 2. The bioagent and the fungicide were applied as seed treatment and foliar spray.

Results: The results revealed that seed treatment with talc-based formulation of Pseudomonas -TNAU-Pf1 (10g/kg) plus two sprays of tricyclazole (0.1%) one at the maximum tillering phase and another at the  heading phase was significantly most effective in reducing leaf, neck and finger blast in both the seasons. The treatment recorded 1.65 and 1.25PDI of leaf blast, 0.33 and 0.22% of neck and 2.55 and 1.33% of finger blast in the first and second season, respectively. The treatment also recorded highest grain yield of 2663 and 2543 kg/ha with BC ratio of 1:3.94 and 1:3.85 in the first and second season, respectively.

Conclusion: Seed treatment with Pseudomonas TNAU-Pf1 (10g/kg) plus two sprays of tricyclazole (0.1%) was found to be effective in reducing the incidence of blast disease and increasing grain yield in finger millet.
Addressing Challenges and Opportunities: A Critical Assessment of RFID Adoption in Agriculture
Authors: Divya T. , Patil Atish Ajit , Roy Deepjyoti , Saikanth D. R. K. , Kashyap Namrata , Singh Budhesh Pratap , Kumar Kailash , Singh Rajesh Kumar
Published: September 2023

This review paper critically assesses the challenges and opportunities associated with Radio Frequency Identification (RFID) adoption in agriculture. RFID technology has the potential to revolutionize agricultural processes, offering benefits such as improved supply chain management, enhanced livestock tracking, and data-driven decision-making. However, its implementation also faces various obstacles, including technical, economic, and integration challenges. Through an in-depth analysis, this review explores the socio-economic and environmental implications of RFID adoption, considering its impact on labor dynamics, job displacement, rural communities, energy consumption, and waste generation. The paper concludes with insights into the future prospects of RFID integration in agriculture and provides strategic recommendations for overcoming challenges and ensuring responsible adoption.
Identification of Contrasting Parents and Development of Mapping Population for Sucking Pest Resistance in Cotton
Authors: Akash A. , Boopathi N. Manikanda , Ravikesavan R. , Subramanian A. , Thirukumaran K.
Published: September 2023

The current study was conducted to identify the best parents with good agronomical features and contrasting characteristics for sucking pest resistance to develop a population that can be used for Quantitative Trait Loci mapping of resistance component traits. Initial attempts at this university have enabled to identify of five potential parents (viz., KC3, NDLH 1938, CO18, K12, and RG8) with improved sucking pest resistance and yield characters and they were crossed with the recently released high-yielding variety CO-17, which is also suitable for high-density planting.  All these six parents were evaluated for fiber yield and quality traits besides anatomical characters such as trichomes density, length, width, and sharpness that confers sucking pest resistance and genotyped with 200 Simple Sequence Repeats markers that span the entire genome. Efforts have been dedicated to the careful selection of optimal parents, namely CO17 and KC3, each possessing distinct traits related to resistance against sucking pests and also fiber quality characters in addition. This strategic approach aims to combine their contrasting genetic components for sucking pest resistance, to develop a new generation of plants that exhibit heightened resilience to these types of pests. CIR139, a polymorphic SSR marker of these two parents was used to fix the true hybrids which were advanced to generate an F2 mapping population.  This population is believed to be useful for QTL mapping of anatomical features that confer sucking pest resistance such as trichome length, density, breadth, and sharpness besides fiber yield and quality traits.
Study of Ground Water Behaviour in the Tons Pump Canal Command Area of Karchhana Tehsil, Prayagaraj
Authors: Singh Sachchida Nand , Alam Mohd. Aftab
Published: September 2023

The study of groundwater behaviour in the Tons Pump canal command area of Karchhana Tehsil was carried out by utilizing ground water table data from 1997 to 2021 (25 years). During the study period, the pre-monsoon water table depth ranged from 3.25 m to 19.55 m, whereas the post-monsoon depth ranged from 1.71 m to 17.70 m. The water table trend in the study area during the pre-monsoon season revealed that at 83.55% of the locations having falling trend, while the remaining 16.45% experienced neither rising nor falling trend in the water table. During post-monsoon season, the water table was falling at 89.99% locations, with the rest 10.10% having neither rising nor falling trend. Therefore, the study found that the majority of the study area was experiencing water table fall due to over-exploitation of ground water in the both pre and post-monsoon season. Development stages of the groundwater utilization study from 1997 to 2021 showed that during the year 1997, all block of the study area was found under safe category.The overall utilisation of groundwater development stage was determined to be 44.93%. In 2021, the overall development stage of groundwater utilization was found to be 64.11% and the entire study area comes under safe category of groundwater utilization. It was found that groundwater levels in the study area were progressively rising. Therefore, it was necessary to enhance the surface water supply through canal systems to reduce the draft of groundwater as well as artificial groundwater recharge is necessary to arrest the groundwater at the desired level in the study area.
Densification of Witnesses for Randomized Algorithm Design
Authors: Wang Xingbo
Published: September 2023

This paper investigates the densification of witnesses for randomized algorithm design and its application in factoring integers. By defining a set operation named with Cartesian subtraction on two countable sets and proving several properties of the operation, it is shown that the Cartesian subtraction can densify certain elements in a countable set so as to promote the abundance of witnesses for the randomized algorithm design. It is also proven that the Cartesian subtraction of two sets containing consecutive integers can form a triangular lattice zone that has a higher density of witnesses. Through designing an algorithm of a two-dimensional simple random walk on the triangular lattice zone, it is demonstrated that composite integers can be factored by means of the random walk. The study of the paper explores a pathway feasible and workable to densify the small witnesses in a countable set for randomized algorithm designs.