bluuebunny/crossref_metadata_2025 huggingface dataset:
On cycle slipping in infinite-dimensional control systems with periodic nonlinearities
Authors: Elsakov Alexandr P. , Proskurnikov Anton V. , Smirnova Vera B.
Published: December 2024

In this paper we consider control systems with periodic nonlinearities characterized by countable sets of equilibria, both Lyapunov stable and unstable. The simplest example of such a system is the mathematical pendulum; therefore, these systems are often called “pendulum-like” systems. In pendulum-like systems, the very concept of stability differs from that in systems with a unique equilibrium. Stability is defined as the convergence of any solution to a certain equilibrium. For stable pendulum-like systems, the problem of cycle slipping arises. In the case of a mathematical pendulum, the number of slipped cycles corresponds to the number of rotations of the pendulum around its suspension point. In general, it represents the distance between the initial value of the input and its limit value. In this paper, we obtain frequency-domain estimates for the number of slipped cycles in infinite-dimensional systems using the Popov method of a priori integral indices. These estimates are tighter than those established in previous works. The paper presents an expanded version of the talk delivered at the International Conference on Physics and Control (PhysCon 2024).
Modeling Simulation of Tidal Flows in Jakarta Bay Waters
Authors: Awaluddin Awaluddin , Santosa Yoyok Nurkaya , Bakri Muhammad , Hawati Hawati , Malik Kurnia , Pranowo Widodo Setiyo
Published: December 2024

Jakarta Bay is one of the important waters in Indonesia that plays a major role in economic activities, shipping, defense, and coastal tourism. Therefore, field observations and numerical modeling with Mike 21 are needed to determine the pattern of tidal current movement. Field observations of currents and tides were carried out for 15 days at the marina beach where the observation data will later be processed using the admiralty method to determine the harmonic component and tidal type and the observation data is used to validate the data from the MIKE 21 modeling simulation. The tidal validation results got an RMSE value of 0.13 with a correlation of 0.95 and the current validation results got an RMSE value of 0.05 with a correlation of 0.14.
Transformation of Milkfish Bone into Profit: A Financial Study of Milkfish (Chanos chanos) Bone Abon Business in Tanralili District, Maros Regency
Authors: Asriadi Asriadi , Fakhriyyah Sitti , Hasani M. Chasyim
Published: December 2024

This study aims to determine the profitability of milkfish bone floss business (Chanos chanos) in Tanralili District, Maros Regency and analyze the feasibility of milkfish bone floss business in Tanralili District, Maros Regency. The research was conducted in March - April 2022 in Maros Regency. Sampling in this study used the census method, which is a sampling technique where all members of the population are used as samples. The data sources used are primary data and secondary data and then analyzed using income analysis and business feasibility analysis (short term). From the results of the study it was found that the profit from the milkfish bone shredded business in Tanralili District, Maros Regency amounted to Rp. 30,860,083,- / year and financially the milkfish bone shredded business at Cahaya Bandeng UMKM in Tanralili District, Maros Regency is said to be feasible to continue after a feasibility analysis.
A Comprehensive Review of Research on Academic Perspectives Regarding Boko-Haram Insurgency in Northern Nigeria
Authors: Nasidi Nadir Abdulhadi
Published: December 2024

Although scholars have written extensively on different aspects of Boko-Haram insurgency in Northern Nigeria, a systematic review of the literature appears to be lacking. The significance of this study lies in its unique approach to addressing the gap in the literature on the Boko-Haram insurgency in Northern Nigeria. While previous works have explored various dimensions of the insurgency, this study makes an original contribution by conducting a systematic review to synthesize the findings of existing studies published between 2015 and 2023. Scopus and Science Direct databases were searched, and 107 journal articles and book chapters were sampled, out of which 46 were excluded for reasons. While 65 full-text articles were assessed for eligibility, 28 more papers were excluded for not being relevant. 37 studies were selected having met the review criteria. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, this paper shows how scholars approached the phenomenon of Boko-Haram insurgency. Results show that there is a higher number of works on Boko-Haram, accounting for 24.3% and 18.9% of the publications in 2020 and 2023 respectively.
The Mediating Effect of Academic Stress on Fear of Failure and Academic Procrastination of College Students
Authors: Obenza Brandon Nacua , Kileste Fer Livette , Mesajon Joemelyn , Canciller Cristamae , Escudero Mari Janzyle Faith , Ligasan Nina Grace , Palacios Gretchen , Solis Jamila
Published: December 2024

This quantitative non-experimental study delves into the factors associated with academic procrastination among college students. Using stratified random sampling, the identified and included 409 students from different higher educational institutions in Region XI, Philippines. The study adopted validated measurement scales for the Academic Procrastination, Academic Stress, and Fear of Failure. Using SmartPLS 4.0 software a mediation analysis was conducted on the data. The results revealed that college students manifest moderate levels of academic stress, fear of failure, and academic procrastination. Further, significant direct and indirect effects were found to all hypothesized paths thus supporting the hypothesized mediation model of academic procrastination. The coefficient of determination (R² = 0.433) indicates that fear of failure and academic stress together explain 43.3% of the variance in academic procrastination among college students. Implications and limitations of the study were also provided.
Cultural Identity Among Thai Youth in Urban and Rural Areas
Authors: Phiwhorm Surachai , Charoenphol Sudarat , Somboon Nattawut , Wongsuwan Chalermpol , Ratanapol Kanyarat
Published: December 2024

This study explores how Thailand’s youth balance tradition and modernity, focusing on the impact of globalization and urbanization on cultural identity. The research aims to understand how younger generations engage with traditional practices while navigating the pressures of modern life. The study employs a qualitative approach with in-depth interviews, focus group discussions (FGDs), and participant observation, targeting youth aged 18-30 in both urban areas (Bangkok, Chiang Mai) and rural regions (Isan) between March and September 2024. The findings reveal a significant disparity in cultural engagement between rural and urban youth. In rural areas, 75% of youth actively participate in traditional cultural practices, while only 50% of urban youth report similar engagement. Urban youth are more inclined to creatively adapt traditions, incorporating them into modern fashion and digital media. In contrast, rural youth maintain a stronger connection to traditional practices due to slower-paced lifestyles and close-knit communities. This research highlights the challenges and opportunities in preserving cultural heritage amidst rapid modernization. It suggests that while urban youth adapt traditional practices, rural youth remain more rooted in them, creating a cultural divide. Future research should explore how creative adaptations of traditions in urban areas can be applied in rural contexts to foster cultural preservation across generations. Additionally, intergenerational dialogue should be examined to reduce conflicts and strengthen cultural identity in a modernizing society.
Educational Inequality and Its Impact on Social and Economic Opportunities in Rural India
Authors: Kumar Arjun , Sharma Priya , Patel Ravi , Gupta Ananya , Singh Vikram
Published: December 2024

Educational inequality remains a significant challenge in rural India, with disparities in access to infrastructure, teacher quality, and technology hindering equitable learning opportunities. This study examines these inequalities in two rural regions: Barwani, Madhya Pradesh, and Kalahandi, Odisha. Using a mixed-methods approach, the research combines qualitative interviews with students, teachers, and policymakers, alongside quantitative data on enrollment, infrastructure, and learning outcomes. Findings reveal that 72% of schools in Barwani lack science laboratories, while 65% of schools in Kalahandi lack digital tools, reflecting severe infrastructural gaps. High student-to-teacher ratios of 70:1 in Barwani and 60:1 in Kalahandi further strain educational quality, exacerbated by a lack of trained teachers. Poor access to technology and unreliable internet connectivity limit digital literacy, perpetuating the digital divide. The study also evaluates government interventions such as the Sarva Shiksha Abhiyan and digital education initiatives, finding implementation inconsistencies in remote areas. The findings highlight how educational inequality restricts social mobility and economic opportunities, particularly in underdeveloped regions. Future research should focus on the effectiveness of targeted policies and explore innovative, technology-driven solutions to bridge these disparities, fostering equitable educational development and sustainable growth in rural India.
School Environment and Retention of Learners with Disabilities in Universal Primary Schools in Kasese District
Authors: Kyakimwa Sarah , Muhammad Tukur , Wanjala Gidraf Joseph , Kimani Wilson , Silaji Turyamureeba
Published: December 2024

This study investigates the relationship between the school environment and the retention of learners with disabilities in Universal Primary Schools (UPS) within Kasese District, Uganda. Employing a descriptive research design integrating quantitative and qualitative methodologies, the study examines three main objectives: the impact of teacher support, school infrastructure, and school relationships on the retention of learners with disabilities. A total of 154 respondents, including teachers, head teachers, and pupils from six selected UPS, participated in the study. Data collection involved self-administered questionnaires, interviews, and focus group discussions. Findings reveal various home-related factors influencing the retention of learners with physical disabilities, such as poverty, negative parental attitudes, and lack of essential self-help skills training. Despite respondents indicating moderate levels of school attendance and retention for learners with disabilities, enrolment and retention rates remain significantly lower compared to non-disabled peers. The study underscores the need for collaborative efforts among government bodies, school administrators, teachers, parents, and other stakeholders to implement sustainable measures aimed at improving the school environment and enhancing retention for learners with disabilities.
Enhancing Industrial Sustainability in Uzbekistan through Solar Energy Adoption in Reducing Costs and Carbon Emissions
Authors: Ivanov Aleksandr Sergeyevich , Tursunov Muhammadali Ikboljon , Akbarov Mustafo , Rahimova Soliha , Sharipov Mirzo-Ulugbek , Abdullaev Kamiljan
Published: December 2024

This study evaluates the impact of solar energy adoption on industrial sustainability in Uzbekistan, focusing on both economic and environmental outcomes. A mixed-methods approach was employed, combining quantitative data from energy savings, carbon emissions reduction, and operational cost savings with qualitative analysis from interviews and field observations across three villages: Mirzo-Ulugbek, Karakol, and Fergana. The results indicate that higher adoption of solar energy, particularly in Mirzo-Ulugbek, led to significant improvements, including a 30% reduction in energy use, a 40% decrease in carbon emissions, and a 25% saving in operational costs. In contrast, Karakol, with minimal solar adoption, showed much lower reductions. The study also highlights the challenges of widespread adoption, such as high initial investment, technological limitations in integrating solar systems, and regulatory obstacles. Data were analyzed using comparative analysis, with a focus on identifying the barriers and benefits specific to Uzbekistan’s industrial context. The findings suggest that while solar energy offers substantial potential for economic and environmental sustainability, overcoming financial and infrastructural challenges is essential for its broader adoption. Future research should explore financing models, policy development, and international case studies to further facilitate solar integration into Uzbekistan’s industrial sectors
STUDY OF CORRELATION OF SEVERITY OF SEPSIS AND ITS OUTCOME WITH VITAMIN D, THIAMINE & SERUM LACTATE LEVELS
Authors: Almas Fouzia , M Kalburgi Mehboob , R Itagi Nasiruddin , D Raghavendra
Published: December 2024

Background: Sepsis, a systemic inflammatory response to infection, poses high mortality risks, especially in cases with
organ dysfunction or shock. Globally, it affects around 31 million people annually, with vitamin D deficiency—a
common issue in India—linked to increased sepsis susceptibility and ICU mortality. Thiamine deficiency further exacerbates sepsis by causing
lactic acidosis and impaired metabolism. This study explores associations between vitamin D, thiamine, and lactate levels with sepsis severity,
aiming to enhance prognostic evaluations and therapeutic approaches. The study at Al-Ameen Medical Methods: College investigated the
relationship between vitamin D, thiamine, and serum lactate levels in patients aged 18 and older admitted with sepsis. It included patients
meeting systemic inflammatory response syndrome (SIRS) criteria with organ dysfunction. Exclusions were pregnancy, malabsorption
syndromes, hepatic dysfunction, and vitamin supplement use. Demographic and clinical data were collected, and serum 25(OH)D, thiamine, and
lactate levels were measured within 24 hours using chemiluminescence immunoassay (CLIA). Vitamin D deficiency was defined as <30 ng/mL,
and thiamine deficiency as ≤9 nmol/L. Lactate levels ≥4 mmol/L indicated poor prognosis. Our study i Results: nvestigated the association of
vitamin D, thiamine, and serum lactate with sepsis severity and outcomes in 100 patients aged 18 years and above. Most participants were males
(67%) and over 60 years old (57%). Common comorbidities included diabetes (34%) and hypertension (31%). Results showed a high prevalence
of vitamin D insufficiency (67%) and normal thiamine levels (93%), with elevated lactate levels in 21%. Patients with higher sepsis severity had
significantly lower vitamin D and thiamine levels and higher lactate levels (p <0.001). Mortality predictors included age over 60, hypertension,
CKD, and dialysis requirement. Our study effectively demonstrated significant associations between lo Conclusion: wer vitamin D and thiamine
levels, higher serum lactate, and increased sepsis severity and mortality. These findings justify the objective by highlighting the potential role of
these biomarkers in predicting sepsis outcomes, suggesting that monitoring and supplementation could enhance treatment strategies, ultimately
improving prognosis and reducing mortality in sepsis patients.
COMPOSITE AUTONOMIC SYMPTOM SCALE (COMPASS 31): TRANSLATION AND LINGUISTIC VALIDATION IN MARATHI
Authors: Metange Deepika , Iyer Saraswati , Dadani Fatima , Deo Medha
Published: December 2024

Objective: A clinical questionnaire for the evaluation of relevant autonomic symptoms has been considered necessary
for several years to assess the severity and distribution of symptoms and the autonomic capacity of patients with
autonomic disorders. COMPASS 31 is a refined, internally consistent, and markedly abbreviated quantitative measure of autonomic symptoms.
So far, a reliable Marathi version of the COMPASS 31 was not available although it is needed for a more standardized clinical evaluation of
patients with autonomic complaints. The translations provide a required uniform, internationally comparable and still comprehensive
questionnaire that delivers valid and reliable data. The goal of the research was to translate and l Materials And Methods: inguistically validate
the Composite Autonomic Symptom Scale (COMPASS 31) in Marathi. There were two phases of the research. The first phase involved
translating the Composite Autonomic Symptom Scale (COMPASS 31) from English to Marathi. To verify test-retest validity and reliability, the
translated version was field-tested in the second phase. Phase 1 of this study was carried out as per the recommendations given by the American
Academy of Orthopedic Surgeons (AAOS). Using Spearman correlations, test-retest reliability was eval Results: uated by comparing the overall
score and domain scores obtained from the English and Marathi versions of COMPASS 31. Between the Marathi and English versions, there was
a positive association for the overall score (r = 0.99, P<0.001) as well as for the scores for each specific domain. The internal consistency was very
good (alpha value > 0.9). Overall, there was nearly perfect agreement (single measures value >0.8) with a p-value that was statistically significant
(p <0.01). In conclusion, this study offers a highly internally consistent and reliable translation o Conclusion: f COMPASS 31 into Marathi that
yields results that are precisely representative of the original English version.
PERCEPTION REGARDING TEMPOROMANDIBULAR DISORDERS AMONG DENTAL PRACTITIONERS IN SUDAN
Authors: Moh. Ahmed Nasr , Gareeballa Abbas , Elhassan Yasir Hassan , Elbaghir Samia Mekki , Elwahab Nourein Ahmed Abed , Abdallah Abdalbari Mal Osman , Imam Syed Nazar
Published: December 2024

Background: TMDs encompasses various clinical issues affecting the jaw muscles and temporomandibular joint, with
diverse etiologies and presentations. Proper function of the TMJ, crucial for jaw movement, relies on coordinated muscle
activity. TMD prevalence ranges widely, affecting 28% to 86% of the population. Diagnosing TMD poses challenges, influenced by
practitioners' knowledge and attitudes. Understanding and managing TMD can mitigate the cycle of patient referrals, crucial for addressing
chronic facial pain associated with TMD. To study the perception Regarding Temporomandibular Disord Objective: ers among Dental
practitioner in Sudan. The methodology employed a descriptive cross-sectional design to evaluate de Methodology: ntal practitioners'
perceptions of Temporomandibular Disorders (TMD) in Sudan during 2023. The study encompassed both public and private dental clinics and
hospitals, collecting data from March 25 to December 3, 2023. All actively practicing dental practitioners in Sudan were eligible, and a
structured questionnaire assessed their knowledge, attitudes, and practices related to TMD. Ethical approval was obtained from the Al-Fajr
College for Science and Technology ethics committee, ensuring adherence to ethical standards. Stratified sampling aimed for demographic
representation, with statistical analysis conducted using SPSS software. The study investigated demo Results: graphic and professional traits of
participants, revealing a predominantly female cohort (63.3%) with a notable proportion in general practice (38.9%) and dental internships
(34.2%), indicating early career stages. Most reported less than 5 years of experience (63.6%). Nearly half lacked specialization (49.5%), with
varied specializations including oral surgery (7.9%) and orthodontics (6.8%). Regarding TMD knowledge during education, over half had
limited information (52.7%). Symptom assessment unveiled diverse presentations, including difficulty in mouth opening (13.0%) and
preauricular pain (15.2%), emphasizing the multifaceted nature of TMD. Co-occurring symptoms and uncertainty were prevalent, necessitating
tailored management strategies. Variations in dental professionals' views on the association betwee Conclusion: n orthodontic treatment and
TMDs, coupled with disparities in interpreting frequency tables and study outcomes, reveal a substantial knowledge gap. Improving TMD
education and fostering interdisciplinary collaboration are crucial for standardized diagnostic practices and enhanced patient care.
COMPARATIVE STUDY OF FUNCTIONAL OUTCOME OF REGIONAL FLAP AND MICROVASCULAR FREE FLAP IN ORAL MALIGNANCY
Authors: Jain Mohit , Abhishekh Rajul , Singh Monika , Sharma Yasharth , Kumar Gaurav
Published: December 2024

Introduction-Free flaps have been the preferred method for reconstruction after resection of oral cavity cancer. However, pedicled flaps remain
valuable alternatives in appropriate settings. To assess the comparative study of functional outcome Objective- s in terms of microvascular free flap
and regional flap reconstruction in oral malignancy and to assess donor site morbidity. A total of 10 Methods - 0 patients were included in this
prospective study. 66 underwent reconstruction with pectoralis major flap and in 34 patients, a radial forearm or anterolateral thigh free flap had
been used. In the group 34 patients who had received microvascular free flaps, 88.2% were male (30 patients), while 11.76% were female (4
patients). In contrast, the regional flap group of 66 patients had a higher percentage of males at 67.4% (62 patients) and only 6.06% females (4
patients). Overall, 92.0% of the total patient population were male (92 patients), and 8.0% were female (8 patients). A comparative analysis of
functional outcome was carried out between the two groups. less donor side deformity, good activity, Results- better tongue movement,
employment, swallowing, occlusion and pain improvement has significant difference (p value <0.05) ) in free flap as compare to regional group
patients. But functions like chewing is statistically not significant but improved with time as recovery progress for both groups. With Conclusioncomparable complications and functional outcomes, pectoralis pedicled flaps are a useful alternative to free flaps in oral cavity cancer
reconstruction.
PREVALENCE OF LIVER FIBROSIS IN CHRONIC PANCREATITIS PATIENTS WITH NORMAL LIVER FUNCTION TEST USING TRANSIENT ELASTOGRAPHY – FIBROSCAN
Authors: Patel Jimmykumar , Kini P. Ratnakar , Premkumar K. , Murali R. , Shanthiselvi A. , Agera Stefan
Published: December 2024

Background & Aim: Chronic pancreatitis (CP) is a long-standing inflammation of the pancreas that changes its normal structure and functions,
leads to both exocrine and endocrine insufficiency. While the liver and pancreas share common pathways and metabolic relationships, the
occurrence of liver fibrosis in CP patients with normal liver function tests (LFTs) remains poorly defined. Transient elastography (FibroScan) is a
non-invasive tool for measuring liver stiffness, which correlates with liver fibrosis. This study aims to evaluate the prevalence of liver fibrosis in
patients with CP who have normal LFTs using FibroScan. A cross-sectional study was conducted on 100 Methods: patients diagnosed with chronic
pancreatitis, all of whom had normal LFTs. FibroScan was performed to measure liver stiffness, with the results categorized based on the stages of
liver fibrosis (F0-F4). The relationship between clinical characteristics, the severity of CP, and the presence of liver fibrosis was analyzed. Results:
Among the 100 CP patients with normal LFTs, liver fibrosis (F ≥ 1) was detected in 35% of patients. Mild fibrosis (F1) was found in 22%, moderate
fibrosis (F2) in 8%, advanced fibrosis (F3) in 3%, and cirrhosis (F4) in 2%. Patients with longer durations of CP and those with more severe
pancreatic exocrine and endocrine insufficiency showed a higher prevalence of fibrosis. Pancreatic exocrine insufficiency was present in 30% of
the patients, with 51% of these patients showing liver fibrosis (p = 0.03). Pancreatic endocrine insufficiency (diabetes) was present in 35% of
patients, with 48% of these patients showing liver fibrosis (p = 0.04). Both forms of pancreatic insufficiency were independently associated with
liver fibrosis. No significant correlation was observed between fibrosis stages and alcohol consumption or smoking status. Liver Conclusion:
fibrosis was prevalent in 35% of chronic pancreatitis patients with normal liver function tests, as detected by transient elastography. This highlights
the importance of screening for liver fibrosis in CP patients, even in the absence of abnormal LFTs, as early detection may help in managing the
progression of liver disease.
POST CHOLECYSTECTOMY RETAINED CYSTIC DUCT STUMP STONES CLEARED BY ENDOSCOPIC SPYGLASS CHOLANGIOSCOPY WITH LITHOTRIPSY
Authors: Dixit Abhishek , Mathew Praveen , Y kanni Prashant , Naidu Chandrababu , B Naidu Sidhartha
Published: December 2024

Post cholecystectomy syndrome is very common in patient of cholecystectomy and among these patients cystic duct stump stones are one of the
most troublesome cause. Traditionally surgery is performed to remove cystic duct stump stones. Repeated surgeries has its complication like
biliary injury, infection and postoperative bleeding. Endoscopic retrograde cholangiopancreatography is used to remove cystic duct stump stones
but the success rate is not high due to technical difficulties. Recently peroral cholangioscopy with lithotripsy, has been used as an alternative
method for removal of post cholecystectomy cystic duct stump stones. We report four cases of cystic duct stump stones which were removed using
peroral cholangioscopy with laser lithotripsy using thulium laser and electrohydraulic lithotripsy(EHL).
ASSESSING THE RISK FACTORS IN PATIENTS WITH MYOCARDIAL INFARCTION
Authors: S Dwajani. , Jagirdar Noorain Zeba , Ur Rahman Omar Jameel , Ali Khan Adnan , Raghu T.R
Published: December 2024

Introduction: Myocardial infarction is a term applied to myocardial necrosis secondary to an acute interruption of the coronary blood supply. It
occurs due to prolonged myocardial ischemia causing hypoxia of cardiac muscles. Aim: To study and assess the majorly affecting risk factors of
myocardial infarction. Materials And Methods: This study is a hospital-based, observational, case-control study conducted at Rajarajeswari
Medical College and Hospital in Bangalore, India conducted on 60 patients (30 cases and 30 controls) from 13/10/22 to 10/2/2024. Data was
collected using a specially designed Case Record Form (CRF), put into a Microsoft Excel sheet and analysed using the SPSS package version 21.
Results: The present case-control study,The mean age in cases was 58.13 and in controls was 54.23 . when we looked into the association between
case and controls for age, diet, BMI, habits we did not find any statistical significance. However, when the association was done for exercise and
family history and presence of risk between cases and controls we did find a statistically significant association. On analysing the status of
smoking and alcohol among the cases and controls, with respect to their smoking duration, total smoking pack per year, alcohol in duration of years
and alcohol in bottles consumed, we found statistical significance on association. Conclusion:The study concluded that inherited and acquired risk
factors like family history, smoking, alcohol and physical activity play an important role in the development of myocardial infarction. Habits like
smoking and alcohol can be an added risk factor which can aggravate the condition. Regular exercise in relation to physical activity due to work or
sports also reduces the risk of myocardial infarction.
MAPPING OF INTEGRATED RESEARCH TRENDS IN ORAL AND GENERAL HEALTH: A BIBLIOMETRIC ANALYSIS
Authors: T Subhashree , R Yashoda , P Puranik Manjunath
Published: December 2024

Overall health cannot be achieved without prioritizing oral health. Integrated oral and general health research provides knowledge on the multiple
factors relating to oral and general health. The aim was to investigate the trends in integrated research of various health disciplines with oral health,
analyze research hotspots, major contributors and perform analysis to provide recommendations of emerging research foci in integration of oral
health and general health. Using Pubmed database as the source, bibliometric analysis was performed to analyze publications between January
2015 to March 2024 pertaining to integration of oral and general health. Publication year, journals and keywords were analyzed. VOSviewer
software and Microsoft Excel were used for analysis. Out of 1,931 articles retrieved, 321 were eligible for analysis. The publication trend showed a
noticeable increase in the number of publications related to this topic of interest over the past decade. The highest contributors among dental and
medical journals were BMC Oral health and International Journal of Environmental Research and Public Health with 46 and 36 publications
respectively. Network analysis identified the most commonly occurring keywords like oral health, primary health care, health status, quality of life,
pregnancy, periodontitis, diabetes mellitus, neoplasms, mental disorders, interprofessional relations etc. Psychometrics, neoplasms and aging are
emerging foci of interdisciplinary research. In conclusion, there is an increase in integrated publications, reflecting a growing realization on the role
of oral health in general health and shows an increase in interdisciplinary healthcare approach.
TERRIBLE TRIAD OF ELBOW- SURGICAL DECODING
Authors: Shinde Abhishek , Oberai Tanishque , Wagh Mohit
Published: December 2024

The terrible triad is a commonly occurring and extremely unstable injury pattern involving the elbow, characterized by posterior dislocation of the
elbow, fracture of the radial head, and fracture of the coronoid process. It is crucial to have a well-defined approach to management to prevent longterm complications, such as stiffness, particularly in extension, and residual instability, particularly in the posterolateral aspect. Treatment goals
focus on achieving optimal stability to facilitate prompt joint mobilization.
AN ANALYSIS OF POST TRAUMATIC EAR RECONSTRUCTION: CHALLENGES ENCOUNTERED AND AESTHETIC OUTCOMES
Authors: Preethika K , Ahmed R Ashik , Sridevi S
Published: December 2024

Background: Ear reconstruction is one of the most challenging procedures for the plastic surgeon. Post trauma ear reconstruction, unlike microtia
reconstruction poses unique set of challenges that need to be overcome to provide a functional and aesthetic ear to the patient. In this study we aim
to analyse the various difficulties encountered while reconstruction of traumatic ear injuries and the strategies employed to overcome them.
Methods: Retrospective chart review of all patients who underwent ear reconstruction secondary to trauma from January 2023 to December 2023.
Results: A total of 30 patients were included. All patients underwent autologous reconstruction. Lower third defects were the most common and
postauricular skin flap was the commonest flap used for reconstruction. 6 patients underwent framework creation using costal cartilage and
temporoparietal fascia flap was used in 5 patients. Majority of the patients (n=27) reported good to excellent outcomes. The Conclusion:
reconstructive surgeon must be aware of versatile options in ear reconstruction to provide an aesthetic and functional ear to the patient. A tailored
approach is essential to tackle unique needs of each patient.
COMBINATION OF CEFTRIAXONE, SULBACTAM, AND DISODIUM EDETATE IN THE MANAGEMENT OF MULTI-DRUG RESISTANT GRAM-NEGATIVE PATHOGENS
Authors: Ostwal Karan Indra , Ranka Shweta
Published: December 2024

Background: Antimicrobial resistance (AMR) poses a global threat, contributing to millions of deaths annually. Disodium edetate (EDTA), a
well-known chelating agent, acts as a potentiating and sensitizing agent when combined with antibiotics. Therefore, the present study aimed to
conduct a comparative analysis of cefoperazone, sulbactam, and EDTA in combination with other antibiotics in terms of pathogen susceptibility.
Methods: This retrospective study was conducted from January 2023 to July 2023. All patients (aged>25 years) admitted to the medical intensive
care unit, surgical intensive care unit, and coronary care unit, with a duration of admission exceeding two days, were included. Gram-negative
isolates were collected from the patients' blood, urine, and respiratory secretions. Results: Isolates were obtained from 40 urine, respiratory
secretions, and blood samples, each. Ceftriaxone combined with sulbactam and EDTA showed the highest susceptibility among blood samples,
particularly against K. pneumoniae, E. coli, Enterobacter spp, P. mirabilis (100%). In urine samples, K. pneumoniae displayed mixed
susceptibility, with high efficacy observed for ceftriaxone, sulbactam, and EDTA. Escherichia coli showed high susceptibility across all antibiotics.
Pseudomonas aeruginosa exhibited varied susceptibility, with the highest susceptibility seen with ceftriaxone combined with sulbactam and
EDTA. Respiratory samples showed high susceptibility of A. baumannii to ceftriaxone with sulbactam and EDTA, contrasting with low
susceptibility to other combinations, highlighting varied efficacy against different pathogens. Conclusion: Ceftriaxone combined with sulbactam
and EDTA demonstrated high susceptibility against gram-negative pathogens, highlighting its potential as a valuable treatment option for
antibiotic resistance.
INTERNET ADDICTION AMONG GOVERNMENT NURSING COLLEGE STUDENTS OF MANDYA CITY: A CROSS-SECTIONAL STUDY
Authors: K Monisha , S Poornima
Published: December 2024

Internet addiction is defined as excessive or poorly controlled preoccupations, urges or behaviours regarding computer use and internet access that
can lead to impairment or distress. The study aimed to find out the prevalence of Internet addiction among nursing students of Mandya, Karnataka.
Methods: This cross-sectional study was carried out in Mandya Institute of medical sciences, Mandya district, south Karnataka between February
to March 2023 among nursing and allied health sciences students in the institute. Young's Internet Addiction Test (IAT), a 20-item questionnaire is
used to screen for the presence of various degrees of Internet addiction. Descriptive statistics like frequency, proportion, mean and standard
deviation were used. The chi-square test was used to find the association. Results: The study was conducted among 103 students. Of these, 18
(17.5%) were found to have internet addiction. While 12 (11.7%) of students had mild addiction, 6 (5.8%) had moderate addiction and none of them
had severe addiction. 8 (44%) who felt having decreased sleep had internet addiction as compared to 10 (56%) of participants who slept well which
was statistically significant. Conclusions: The burden of internet addiction was high among college students. The quality of sleep was found to be
affected due to their internet usage.
Thank you very much for your Vital Advice for me, Suora Anna-Maria! (Tcheonzamun 113th-128th)
Authors: Park Hyeonhi Regina , Kim K. DaegonAndrea , Kim Jiah Anna , Lee Sangmin , Kim Rosa , Hamon Alain , Kim Sohwa Therese , Kim Sangdeog Augustin
Published: December 2024

French Missionary Dallet (1874) introduced Tcheonzamun (in English it is called as ‘The thousand character essay’). In Korea, it is firmly believed that Tcheonzamun is written by Chinese people (Han, 1583). However, several researchers found that Tcheonzamun can be translated through Korean pronunciation (Kim, 2023) and on the basis of the meaning of Chinese character on Tcheonzamun (Park et al., 2021). In this work, the researchers tried to translate on Korean grammar method (Park et al., 2021). In this study, Tcheonzamun poem was translated on the meaning of Chinese characters on Tcheonzamun (Park et al., 2021). The Chinese grammar is on the following order; B A D C. But Korean grammar is D C B A (Park et al., 2021) for the translation of Chinese character ABCD. The researchers tried to translate on the method of Korean grammar (Park et al., 2021). This study concerns (Tcheonzamun113th-128th). The title of this study is ‘Thank you very much for your vital advice for me, Suora Anna-Maria! (Tcheonzamun 113th-128th)’. The theme of this research is as follows. 121-124 遐(Ha) 邇(i) 壹(il) 體(Tche). My husband! Even though the distance is far (遐) from here or near (邇), it does not matter. My husband! The body (體) is one (壹), when the two persons have the close and intimate relationship.
Impact of Anxiety-Depressive Disorders in COPD Patients
Authors: Kaddaf Anouar , Zegmout Adil
Published: December 2024

Introduction: Hypertension in the elderly is an independent risk factor for cardiovascular disease. Our objectives were to describe the clinical, electrocardiographic, and echocardiographic features of hypertension in elderly patients. Methods: We conducted a descriptive and cross-sectional study from January to September 2023. Elderly hypertensive patients aged 60 years and older, who were followed in the outpatient cardiology service at HIAOBO Hospital in Libreville, Gabon, were included. Statistical data were analyzed using Epi Info 7 software, and a p-value of < 0.05 was considered statistically significant. Results: A total of 210 patients were included. The average age was 60 years with a female predominance (sex ratio of 0.85). The average blood pressure was 162/90 mmHg. Hypertension was controlled in 13% of cases. Electrocardiogram results showed rhythm disturbances (17.78%), left atrial enlargement (45.19%), left ventricular hypertrophy (28.85%), and two cases of complete atrioventricular block. The Holter ECG revealed four cases of non-sustained ventricular tachycardia (Lown stage IVb), six cases of paroxysmal atrial fibrillation, and one case of paroxysmal atrial flutter. Echocardiography, performed in 140 patients, revealed left ventricular hypertrophy (LVH), predominantly concentric, in 25 patients, more frequent in males (p = 0.04), and left atrial dilation in 56.42% of cases, more common in older patients (p = 0.01). Conclusion: Electrocardiographic and echocardiographic features in the elderly hypertensive population are characterized by left ventricular hypertrophy, particularly concentric hypertrophy, and the frequent occurrence of arrhythmias, sometimes detected by long-term electrocardiographic monitoring.
Cervical Lymphnode Relapse Taken for Tuberculosis 15 Years After Treatment of Testicular Seminoma
Authors: Debbagh A. , Elktaibi A. , Azekhmam M. , Allaoui M. , Tanz R.
Published: December 2024

Introduction: In case of adenopathy from cancer of unknown primary it may be very challenging, and integration between medical history and clinical, radiological, and cytological findings become fundamental. We will report the case of a 50-year-old patient treated 15 years ago for a testicular seminoma and who currently presents with isolated cervical lymphadenopathy. Case Report: This is a 50-year-old patient treated 15 Years ago for a testicular seminoma who benefited from surgery with adjuvant chemotherapy with complete remission until he presented recently with isolated cervical lymphadenopathy; the patient benefited from a biopsy of the cervical lymphadenopathy and the pathological study suggested a tuberculosis, second reading comfirmed germinal origin. Conclusion: Late relapses of seminomas in the form of cervical lymphadenopathy although it is a rare possibility but it remains entirely possible which has been confirmed in the literature and through our case; a good histological study with immunohistochemical complement is necessary to confirm the diagnosis.
Necrotizing Fasciitis with Vulvar Origin: About an Observation
Authors: Traoré Ibrim , Bennani A. , Idrissi M.B. , Mamouni N. , Errarhay S. , Bouchikhi C. , Banani A.
Published: December 2024

Necrotizing fasciitis is a rapidly spreading soft tissue infection characterized by extensive necrosis of the deep and superficial fascia. It is a polymicrobial infection in approximately 70% of cases. The infection is serious and fatal due to decompensation of underlying defects and septic shock. The occurrence of this clinical entity in healthy subjects is rare. We report through this observation a case of necrotizing fasciitis with vulvar origin in a 76-year-old patient with a serious medical history.
Evaluation of Left Ventricular Function and Volumes at Maximum Workload in Patients with Euthyroid Goiter
Authors: Ceylan Sule
Published: December 2024

Objective: The left ventricular ejection fraction (LVEF) is a critical predictor of coronary artery disease and cardiac mortality. This study aimed to evaluate changes in cardiac volume at rest and under stress conditions in patients with euthyroid goiter who were followed in a thyroid diseases outpatient clinic.
Mateial and Methods: This retrospective study included 557 patients who underwent gated myocardial perfusion scintigraphy between 2016 and 2023. Of these, 378 patients (66%) were female, with a mean age of 57 years (range: 48–64). Pharmacological stress was administered to 123 (44%) of the 277 patients with euthyroid goiter, while treadmill exercise stress was applied to 154 (56%). In the control group of 280 patients, 125 (45%) underwent pharmacological stress, and 155 (55%) underwent treadmill exercise stress.
Results: No significant difference was observed between the two groups regarding resting ejection fraction values. However, post-stress ejection fraction values were significantly lower in patients with euthyroid goiter compared to the control group. This difference was particularly pronounced in patients subjected to pharmacological stress using adenosine.
Conclusion: While euthyroid goiter patients are typically monitored without treatment, the emergence of recurrent hypothyroid symptoms may indicate the need for thyroxine therapy. Even in the absence of hypothyroid symptoms at rest, these patients may exhibit atypical responses to certain medications and cardiac stress procedures. Clinicians should exercise caution regarding the potential for prolonged drug effects in this population.
Effects of Controlled Hypotension on Cerebral Oxygenation in Tympanoplasty and Tympanomastoidectomy Surgery
Authors: Shabanova Gulel , Onan Elvan , Biricik Ebru , Karacaer Feride , Laflı Tunay Demet , Güneş Yasemin
Published: December 2024

Background: Controlled hypotension can reduce bleeding and improve visualization of the surgical field. We aimed to evaluate the effects of deliberate controlled hypotension by using esmolol and nicardipine on cerebral oxygenation, hemodynamics, bleeding, surgical satisfaction and quality of recovery.
Methods: Sixty patients between the ages of 18 and 65 who were scheduled tympanomastoidectomy surgery were included. Anesthesia induction was performed with propofol, rocuronium and general anesthesia was maintained with sevoflurane and remifentanil infusion. The mean arterial blood pressure was aimed to be <30% from baseline for controlled hypotension. Nicardipine infusion (1-5 µg/kg/min) was used in group N and Esmolol infusion (30-300 µg/kg/min) was used in group E. Surgical bleeding and surgical satisfaction, extubation and recovery time, postoperative side effects, antiemetic and additional analgesic medications were recorded.
Results: There was no difference between the groups in demographic data, duration of anaesthesia, extubation time, recovery time, Aldrette recovery scores, and the use of antiemetic and additional analgesics. The NIRS values in N group were observed higher than E group at the 20th and 40th minutes on the left, and at the 25th, 30th, 35th, 40th, 45th and 60th minutes on the right (p<0.05). Mean arterial blood pressure at the 70th and 80th minutes, and heart rate at the 15th, 25th, 30th, 35th and 40th minutes were observed higher in N group when compared to the E group. In the esmolol group, it was observed mild bleeding in 23 patients, moderate bleeding in 7 patients. In the nicardipine group, it was observed mild bleeding in 11 patients, moderate bleeding in 18 patients, severe bleeding in 1 patient. Surgeon’s satisfaction was higher in the Esmolol group (p<0.05).
Conclusion: It was concluded that both Nicardipine and Esmolol could be applied for controlled hypotension during the otologic surgery, cerebral oxygenation was maintained with at doses administered Nicardipine and Esmolol in sevoflurane-remifentanil anesthesia. Surgical bleeding was lesser and surgeon’s satisfaction was higher with the Esmolol group than the Nicardipine group.
Micro-Grid Wind Energy Conversion Systems: Conventional and Modern Embedded Technologies - A Review
Authors: AGBOOLA Mutiu , HASSAN K.A. , AJEWOLE T.O.
Published: December 2024

This study assesses the effectiveness of an electric microgrid wind energy conversion system using both traditional techniques and contemporary embedded systems, such as artificial neural network-based control mechanisms and fuzzy logic control. The text compares and lists the advantages and disadvantages of various types of wind turbines (WTs). Moreover, this control falls into one of two groups: conventional power control or non-traditional power control. On the other side, conventional control describes methods of control such as manually controlling the turbine rotor's rotation speed and using computational analysis. The current work, in contrast, investigates and evaluates contemporary embedded control techniques used in wind energy conversion systems (WECS), including maximum power point tracking, Artificially intelligent control systems, in relation to the control mechanism, provide complete control over the pitch angle, power coefficient, and tip speed ratio for the best possible wind energy extraction. This makes a direct comparison possible. Nonetheless, there are a few drawbacks and difficulties with the two widely utilized contemporary techniques for power quality extractions: artificially intelligent neural networks and their embedded control systems. However, combining contemporary technology with integrated artificial intelligence controllers may be a workable strategy to lessen and even eliminate these difficulties, as well as advantageous for upcoming studies.
System Dynamics Approach to Potable Water Management in Eastern Cape Province of South Africa
Authors: MATLAKALA Motsi Ephrey , MONA S. T.
Published: December 2024

Large swaths of rural communities in South Africa are faced with water shortages. The Eastern Cape province is one of the most hard-hit areas in the country with very unskilled water administrators and old infrastructure exacerbating the problem. Water shortage is due to the mismanagement of resources that are meant to install, operate, and improve water infrastructures in the province. An increase in population also contributes significantly to the challenge of water shortages. Available water is not potable enough for consumption, as a result, the province is under the stress of access to potable water. The purpose of this study was to model the water supply chain and to determine the nature and causes of water delivery challenges. The model will be used as a decision-support tool to help achieve sustainable water management in the province. System dynamics is an appropriate methodology used to understand cause and effect relationships, policy decisions, and feedback and has been successfully used in solving water management problems in particular. A System dynamics model is developed using the Vensim PLE 8.0.9 (Double Precision) to determine opportunities for improvement in water management, water access, and water supply. The systems dynamics modeling is discussed herein.