bluuebunny/crossref_metadata_2025 huggingface dataset:
A consolidated approach to the valuation of receivables secured by collateral
Authors: Konkova S. G.
Published: February 2023

Aim. The presented study aims to propose a consolidated approach to determining the market value of receivables secured by collateral and to develop an algorithm for its practical application.Tasks. The author analyzes and systematizes existing methods for the valuation of receivables; formulates prerequisites and trends that necessitate the use of a modified approach.Methods. This study analyzes scientific works and the author's practical experience to identify the advantages and disadvantages of methods for the valuation of receivables. The author's consolidated approach to determining the market value of receivables secured by collateral is based on the application of general scientific methods of cognition: analysis, synthesis, generalization, and visualization.Results. During the study, characteristic trends of the receivables market and factors causing the need for a qualitative and comprehensive analysis of the potential debtor are identified. A systems analysis of the methods and techniques of the income approach to determining market value is performed, taking into account the advantages and disadvantages, due to the possibility of its application in modern conditions. The study proposes a consolidated approach to determining the market value of receivables in the context of a significant amount of debt. The essence of the approach is to determine the value of receivables, making allowance for the availability of mortgaged property that can be sold and thereby cover part of the debt. The remainder of the debt is recovered through repeated appeals to the court or by selling other company assets. An algorithm for the implementation of the approach is proposed, specifying the conditions for its application and the sequence of valuation.Conclusions. The uniqueness of each receivable makes it necessary to apply a modified approach to determining its market value. Using the proposed approach in practice will produce the most reliable valuation result, which, in turn, will allow potential.
ANALISIS DAMPAK KEPEMILIKAN SAHAM MAYORITAS DAN STRATEGI PERUSAHAAN TERHADAP KINERJA KEUANGAN PERUSAHAAN FARMASI TAHUN 2017-2021
Authors: Putri Erika Febia Alviani , Rachmadan Arhan , Munandar Agus , Septiani Indah , Fitri Nadia
Published: February 2023

ABSTRAKPenelitian ini dilakukan dengan tujuan untuk mengidentifikasi dampak dari kepemilikan atas saham mayoritas dan strategi perusahaan terhadap kinerja keuangan perusahaan. Peneliti menggunakan perusahaan farmasi yang terdaftar di Bursa Efek Indonesia (BEI) dari tahun 2017-2021 sebagai populasi dalam penelitian ini. Lima dari sembilan perusahaan farmasi tersebut dijadikan sampel dalam penelitian ini berdasarkan uji dengan metode simple random sampling. Analisis yang digunakan pada penelitian ini adalah jenis analisis regresi berganda dan metodologi uji deskriptif. Penelitian ini menghasilkan sebuah kesimpulan bahwa kinerja keuangan suatu perusahaan tidak dipengaruhi oleh kepemilikan saham mayoritas, tetapi dipengaruhi oleh strategi perusahaan. Kepemilikan saham mayoritas dan strategi perusahaan dengan angka yang negatif menjelaskan adanya hubungan yang bersifat lemah antara keduanya atau berbanding terbalik yang dipengaruhi oleh beberapa faktor, yaitu struktur kepemilikan terkonsentrasi, entrenchment dan input yang digunakan untuk mengukur strategi perusahaan.Kata kunci: Kepemilikan Saham Mayoritas, Strategi Perusahaan, Kinerja Keuangan, Perusahaan Farmasi.ABSTRACTThis research was conducted to identify the impact of majority share ownership and company strategy on the company's financial performance. Researchers used pharmaceutical companies listed on the Indonesia Stock Exchange (IDX) from 2017-2021 as the population in this study. Five of the nine pharmaceutical companies were sampled in this study based on tests using the simple random sampling method. The analysis used in this study is a type of multiple regression analysis and descriptive test methodology. This study resulted in a conclusion that the financial performance of a company is not influenced by majority share ownership, but is influenced by the company's strategy. The majority share ownership and companies strategy with a negative number explain that there is a weak relationship between the two or is inversely influenced by several factors, namely concentrated ownership structure, entrenchment, and inputs used to measure company strategy.Keywords: Majority Share Ownership, Corporate Strategy, Financial Performance, Pharmaceutical Company
PROSTHODONTIC MANAGEMENT OF TRAUMATIC INJURY IN AESTHETIC REGION: A CASE REPORT
Authors: M. Sehgal Monika , Kapur Smriti , Upadhyaya Viram , arora Shaina , Phutela Megha , Sharma Radhika , Chandrama Chandrama
Published: February 2023

The emergency of a traumatically injured oral and maxillofacial region occurs frequently, and such injuries certainly need
dental treatment. Therapy of traumatic dental injury aims to restore the function of the tooth; Towards this goal dentists
will need a carefully managed treatment planning that often involves a multidisciplinary approach. In cases of road trafc accidents, domestic
violence, and sports injuries, multiple and/or complicated tooth fractures may be observed. The loss of anterior teeth leads to extreme
psychological trauma, along with functional and aesthetic debilitations. A critical factor for the overall success is that of choosing a suitable
restorative recourse. This case report describes the aesthetic rehabilitation of traumatic anterior teeth along with space management for missing
teeth and peg lateral using all ceramic-xed prosthesis.
DEMOGRAPHY OF MYCETOMA IN SUDAN
Authors: Abd-Elgader Omer Mosab Elmahi , Mohamed Ikhlas A. , Siddig Afra
Published: February 2023

Demography is science of population ,lead to understand population dynamic it included many parts {1}, this research
focused in age and gender of patients that affected by Mycetoma in Sudan. Mycetoma diagnosed either clinically or by
histopathological nding but denitive diagnose require positive tissue culture {2}. The study deal with demographic manifestation of mycetoma
patient in Sudan
COMPARISON OF ANTI-INFLAMMATORY EFFECT OF DEXAMETHASONE VS KETOROLAC AS PREEMPTIVE ANALGESIC IN IMPACTED MANDIBULAR THIRD MOLAR SURGERIES
Authors: Bhardwaj Shrishty
Published: February 2023

Introduction: Impacted tooth is a tooth which is completely or partially unerupted and is positioned against another
tooth, bone or soft tissue so that its further eruption is unlikely, described according to its anatomic position. Most
common complications associated with the removal of the third molar include damage of the pain, sensory nerve leading to paresthesia, dry
socket, infection, and hemorrhage. Severe trismus, oro-antral stula, buccal fat herniations, iatrogenic damage to the adjacent second molar, and
iatrogenic mandibular fracture may also occur, though very rarely. This double-blind, and ra Aim: ndomized study was aimed to compare the
efcacy of dexamethasone and ketorolac tromethamine, through the evaluation of pain, edema, and limitation of mouth opening. Methodology:
The study group was composed of 20 adult individuals, who were indicated for surgical removal of mandibular third molars with total or partial
bone impaction. Group 1 individuals received 1 capsule of 10 mg ketorolac tromethamine 1 h before surger6. Group 2 received 1 capsule of 8 mg
dexamethasone 1 h before surgery. The values obtained during the study were compared us Results: ing the t test or Mann Whitney test,
depending on the distribution of values. The level of signicance was set at 5%. The statistical program SPSS version 26.0 was used. There was
no statistically signicant difference between the groups for varied pain across time (2, 6, 12, and 24 h). Post-operatively, for the dexamethasone
group, mouth opening after 24 hrs, 48 hrs and 72 hrs was 42.20mm, 42.90mm and 43.60mm respectively, which was statistically signicantly
higher as compared to ketorolac group. Post-operatively, edema after 24 hrs, and 48 hours was lower in the dexamethasone group as compared to
the ketorolac group but it was statistically insignicant . The results Conclusion: obtained with the use of 8 mg dexamethasone 1 hour prior to the
surgical procedure at a single dose and 10 mg of ketorolac 1 hour before the employed distinctly are effective in the control of postoperative
inammation on the pain, edema, and limitation of mouth opening in the extraction of the third inferior molars.
DIABETIC RETINOPATHY AND CLINICALLY SIGNIFICANT MACULAR EDEMA IN TYPE- 1 DIABETES MELLITUS: A CLINICAL STUDY
Authors: Anjaneyulu K. , Reddy G. Narendranath , Geetha A. , Krishna Priya Rambe
Published: February 2023

Type-1 diabetes mellitus is a metabolic disease resulting from autoimmune disorder involving the pancreas which causes
selective destruction of beta cells responsible for insulin production. Multiple genetic and environmental factors
contribute to the pathogenesis of type-1 diabetes mellitus. Management involves insulin administration and strict glycemic control. In this study
100 patients of type-1 diabetes were studied for retinopathy changes during a period of 2 years from December 2019 to December 2021. The age of
onset of disease was noted and fundus examination was done with indirect ophthalmoscope or by using 90D lens. Laboratory workup including
fasting and post-prondial blood sugars and HbA1C levels. The incidence and severity of diabetic retinopathy and clinically signicant macular
edema (CSME) was noted and found to be associated with increased duration of diabetes and poor glycemic control.
BANKING SECTOR DEVELOPS RURAL WOMEN THROUGH MICRO FINANCE: AN ANALYSIS
Authors: Shanthi D. Udaya , Savaraiah G.
Published: February 2023

The institutional credit agencies like commercial banks, Regional Rural Banks (RRBS) and Cooperative banks have
been playing a pivotal role in the formation, strengthening and development of the Self-Help Groups (SHGs) through
micro nance in India. In fact, the banking institutions have become more instrumental in developing micro-enterprises by the women members
of Self-Help Groups through providing nancial services. Self-Help Groups linkage programmes is suitable and an effective intervention in
economic uplift met and nancial inclusion for the bottom of the pyramid.1 A proven platform initially conceived for increasing the outreach of
banking services among the poor has since graduated to a programme for promotion of livelihoods and poverty the banking sector in rural and
urban areas.2 An attempt is made her to analyze the different, nancial agencies such as CBs, RRBs and Cooperative banks in providing nancial
services to the poor and marginalized sections for the promotion and strengthening of self-help groups in India. Micro-nance is an economic
development tool whose objective is to assist the poor to work their way out of poverty. In fact, micro-nance is powerful weapon to remove the
poverty in our country. There is a greater involvement of banks in providing the loans to the women members of the Self-Help Groups in the
country. The institutional credit agencies have played a crucial role in the development of the poor women members of the SHGs.The Regional
Rural Banks have covered more than 45 per cent of the women by way of providing loans and advances whereas the Commercial Banks have
given the highest amount of loans to the women members of the SHGs. The Cooperative Banks are in the third position in providing the microcredit to the women members of the SHGs. On the whole, the banking sector has played a dominant role in the provision of the bank loans to the
poor women of the SHGs in India.
COMPARATIVE EVALUATION OF REMINERALIZING POTENTIAL OF DIFFERENT COMMERCIALLY AVAILABLE REMINERALIZING AGENTS : AN IN VITRO SCANNING ELECTRON MICROSCOPY/EDS STUDY
Authors: Sarkar Payal , Jawa Singh Deepti , Somani Rani , Jaidka Shipra , Begum Monalisa , Gupta Raman , Kartikey Kumar
Published: February 2023

Background - Modern dentistry aims at non-invasive & biological approach using remineralizing agents for
management of early carious lesion. Aim- To evaluate and compare the remineralizing potential of three commercially
available remineralizing agents containing SDF(Fagamin), CPP-ACPF(GC Tooth Mousse Plus) and BiominF(Elsenz) on demineralized enamel.
Material and methods- Samples from forty extracted premolar teeth were selected and subjected to demineralizing solution for 96 hrs to create
white spot lesion. The demineralized samples were randomly allocated into four groups:Group I(control group), Group II(SDF),Group III(CPPACPF),Group IV(Elsenz). White spot lesion containing demineralized samples were subjected to the test agents for 5 minutes everyday for 30
days. Scanning electron microscope (SEM) and Energy dispersive Spectroscopy (EDS) analysis were carried out at pre-remineralization and
post-remineralization stage. The data were analyzed using SPSS 19.0 software Statistical Analysis- with one-way ANOVA and paired t-test.
Results- All three test agents showed signicant remineralization of previously demineralized lesions. However, Elsenz showed the greatest
remineralization, followed by SDF and then CPP-ACPF paste. Elsenz proved to be Conclusion- the best remineralizing agent and can be strongly
recommended as an alternative to other remineralizing agents used in this study.
TOPICAL GLYCERYL TRINITRATE VERSUS LATERAL ANAL SPHINCTEROTOMY IN THE MANAGEMENT OF FISSURE-IN-ANO
Authors: Singampalli Zwalitha , Bhavana K. , Krishna S Gowtham
Published: February 2023

An anal ssure is a linear ulcer or crack that may extend from the
mucocutaneous junction to the dentate line in the squamous lining of
the anal canal. The most frequent beginning trigger is trauma to the
anal canal, which typically manifests as the passage of a sizable, hard
faecal matter. By encircling the borders of the ulcer and obstructing
sufcient drainage, the internal sphincter's spasm may delay healing.
The traditional procedure for treating this ailment has been a lateral
anal sphincterotomy. Recently, topical glyceryl trinitrate (0.2%) has
been used to lessen sphincter spasms, which helps the ssure heal. The
1
purpose of this study is to compare the two methods .
COVID ASSOCIATED MUCORMYCOSIS — A MULTIDISCIPLINARY APPROACH
Authors: Pandian. S Sundara , Meyyappan. M Hari , Sankar Pavithra , M Balaji. , Mahendran. P Raja , Rupert Secunda
Published: February 2023

Mucormycosis is an aggressive, angioinvasive fungal infection, acquired via inhalation of environmental spores or by
inoculation affecting severely immunocompromised hosts caused by fungal species belonging to order Mucorales.
Invasive Mucormycosis (IM) has been increasingly documented in patients with coronavirus disease 2019 (COVID-19). Predisposing factors
include diabetes, steroid use, neutropenia, malignancies, and immunocompromised individuals. COVID-19 associated rhino-orbital-cerebral
mucormycosis (ROCM) has reached epidemic proportion during India's second wave of COVID-19 pandemic caused due to δ-variant, with
several risk factors being implicated in its pathogenesis. This study is a case series of thirty cases of Covid Associated Mucormycosis (CAM)
aimed to determine the patient demographics, risk factors including co-morbidities, and medications used to treat COVID-19, presenting
symptoms and signs, and the outcome of management.
COMPARING THE IMMEDIATE QUALITY OF LIFE USING COMPLETE CLOSURE AND NON-CLOSURE TECHNIQUES IN THIRD MOLAR SURGERY
Authors: Chukwuma Benedict Chimezie , Olarenwaju Taiwo Abdurrazaq , Akinmoladun Victor , Aremu Ibikunle Adebayo , Bala Mujtaba
Published: February 2023

Background: Surgical extraction of the impacted mandibular third molar is associated with intraoperative and
postoperative complications, subsequently affecting the patient's wellbeing and reducing the quality of life especially in
the week following surgery. Quality of life records are better outcome parameters than clinical variables because it assesses multiple aspects of
life. The wound closure technique is an operative factor reported to affect the severity of postoperative complications. If these affectation would
translate into any difference in the overall quality of life is yet to be studied. Therefore, there was need to compare the quality of life of two widely
varied techniques - the complete closure and the non-closure (sutureless). This wa Methods: s a prospective, randomised clinical study carried
out at the Dental and Maxillofacial Surgery department of a tertiary hospital from December 2019 to November 2020. Seventy-four participants
were randomized into a complete closure group and a sutureless technique group. They were subjected to the procedure under similar conditions
and thereafter followed up for 1 week to assess the changes in their quality of life using the modied OHIP-14 questionnaire. Variables were
recorded and analysed using the SPSS (v 25.0). The critical level of signicance was set at P<0.05. There was no statistically signicant Results:
difference in the overall QoL changes (p<0.05) although the sutureless technique had less affectation in the speaking domain. There Conclusion:
was no statistically signicant difference in quality of life between complete closure and sutureless techniques following impacted mandibular
third molar extraction.
INFLUENCE OF STRESS ON VITAL SIGNS AMONG THE ORAL SURGEON DURING COMPLICATED DENTAL EXTRACTIONS AND REMOVAL OF IMPACTED TOOTH- AN OBSERVATIONAL STUDY
Authors: Sangavi B. , Gurunathan Ulaganathan , Rajasekaran Ganesh Mithun , Mohamed Niazi K. Thanvir , Priya E. Lakshmi
Published: February 2023

Dentistry is identied as a stressful profession since it involves more physical work in addition to the routine surgical
stress. Different studies pointed out that long-term consequence of these stressors make negative impacts on the
professionals. There are many stress related studies available in the dental specialty but very few studies are focused about vital changes. Here we
study the basic vital changes that happen among the oral surgeon during the minor surgical procedure. The aim of this study is to evaluate the blood
pressure, pulse rate and respiratory rate uctuations among the oral surgeon during complicated dental extraction and removal of impacted tooth.
The vital changes comparison were appreciated by calculating the difference in recorded values at three chronological points, 5 minutes before the
dental procedure, intra operatively and immediately at the end of the procedure. The results showed there were greater changes in BP and pulse
rate during complicated dental extraction and removal of impacted tooth and there was no signicant differences in the respiratory rate. In order to
maintain the normal vitals it is suggested to follow the proper diagnosis and treatment plan before the procedure.
AN INHERITABLE STROKE DISORDER PRESENTING WITH UNIPOLAR PSYCHOTIC DEPRESSION: CASE REPORT OF A RARE ENTITY
Authors: Ramesh Bhat Rakshita
Published: February 2023

Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is an
autosomal dominant rare hereditary angiopathy that causes stroke in young patients. Most frequent clinical presentations
include ischemic strokes, recurrent transient ischaemic attacks and migraine with aura. Psychiatric manifestations are conspicuously rare and
especially if present as the only presenting manifestation. Here is a case of a female patient in her fties who was diagnosed with major depressive
disorder with psychotic features and was on medication for the same for one and a half years with no improvement in symptoms. She was
subsequently admitted due to an increased tendency to self-harm and on day 6 of admission had an episode of seizures, which led us to look for
organic causes. After a battery of tests and ruling out various differentials, she underwent an MRI which revealed T2 hyperintense signal in
bilateral frontal, temporal, parieto-occipetal, and periventricular white matter. Based on MRI ndings, family history of her father passing away
due to a stroke at age 68 and poor response to antidepressants, she was suspected to have CADASIL. She underwent genetic testing which
conrmed the same. The clinical course and distinct facts of the case are divulged below.
BREAST CANCER SURVIVAL: A HOSPITAL-BASED STUDY IN REGIONAL CANCER CENTRE, BENGALURU
Authors: C R Vijay , D Ashalatha , K Shobha , Sridhar P , K Venkatesh
Published: February 2023

Introduction: Breast cancer is one of the most common cancer among Indian Women. The age adjusted rate (AAR) of
Breast cancer is 42.1/100000 women in Bengaluru and it is the leading site of cancer in Bengalurian females. The hospital
based cancer registry was established in 1983 and is registering around 800 Breast cancer cases per year. Most of them were diagnosed with late
stage. The objective of this study is to evaluate Pattern of Care and estimate the Survival rate with respect to different stages, Treatment
modalities, ER, PR, HER-2 Status of breast cancer treated only at Kidwai Cancer Institute. A retrospective cohort study was Methodology
carried out with 191 Carcinoma Breast cases at a Regional Cancer Centre (Kidwai Memorial Institute of Oncology), Bengaluru. The study
started from 2006-2007 and was followed-up until the end of 2020. Five-year survival (60 Months) probabilities were estimated using the
Kaplan-Meier and loss adjusted survival analysis method for less than 80% follow-up group for ten years. The log rank test was used to compare
the survival between the factors. The overall observed survival rates at 5years Results (60 months) was 72.7%. When analysis was conducted for
specic stages, Stage II, Stage III and Stage IV survival rates are 95%, 67% and 17% respectively and is statistically signicant (p<0.001), 39
Patients were dead and 13 Patients were lost for follow-up. The overall survival rate at 10 years was 62.4% and lost for follow-up was 26.5% and
death was 27.7%, the Kaplan Meier analysis was unable to be carried out as more than 20% censored cases were seen, hence loss adjusted
survival analysis was carried out for 10 years. 89 Patients were alive, 52 patients were dead and 50 patients were lost for follow-up at 10 years.
Conclusion: In surgical histopathological nding Estrogen receptor, Progesterone receptor and HER-2 status did not have signicant impact on
survival of patients. The post-operative Radiotherapy and combination of modalities of treatment had signicant effect on the long term survival
of the patients after adjusting for disease stage.
A STUDY ON PLATELET COUNT AND PLATELET INDICES IN NEONATAL SEPSIS IN A TERTIARY CARE CENTER
Authors: T Khadeeja. , Ramana babu P.Venkata
Published: February 2023

Background: To determine the signicance of platelet count and platelet indices(MPV,PDW,P-LCR and PCT) in
septicemic patients A Prospective study of Platelet count and platel Materials & Methods: et indices of 100 consecutive
hemograms with a clinical diagnosis of neonatal sepsis were retrieved.The analysis was done on automated blood cell counter. The parameters of
platelet indices were analyzed statistically. In our study 85(85.00%) out of 100 cas Results: es had increased values of mean platelet volume(MPV)
and 75(75.00%) out of 100 cases had increased platelet distribution width(PDW),were statistically signicant. Platelet count and Conclusion:
platelet indices ,which are easily available hematological parameters in remote and resource poor areas of our country, should be taken into
consideration for suspected cases of sepsis so that prompt treatment can be given accordingly and morbidity and mortality can be signicantly
reduced.
EFFECT OF CHLORHEXIDINE SCRUB ON SURGICAL SITE INFECTION - A HOSPITAL BASED RANDOMIZED STUDY
Authors: Sundaramoorthy Kamalraj , R J Guhan , Govindan Vimal Kumar
Published: February 2023

Background: In this study, we wanted to evaluate theeffect of chlorhexidine scrub on surgical site infection, compare it
with povidone iodine,and evaluate the microbiological organisms found in surgical site infectionsalong with other risk
factors contributing to the surgical site infections. This was a hospital Materials And Methods: based randomized control study conducted
among 300 patients who presented with elective surgeries to the Department of General Surgery, Paediatric Surgery, and Cardiothoracic and
Vascular Surgery units of PSG Institute of Medical Science and Research Centre, over a period of 9 months after obtaining clearance from
Institutional Ethics Committee and written informed consent from the study participants. Surgical site infections were isolated from 14 Results:
patients out of 300 (4.66%). 50% of isolated organisms (7 out of 14) were found in surgical site. The commonest organism isolated in one study
was Escherichia coli followed byKlebsiella and Staphylococcus spp., by univariate analysis. Patient's age, co-morbid conditions, socioeconomic status, length of hospital stay, ASA scoring, duration of surgery, skin closure type and obesity were associated with signicance in
those with MDRO infected foot ulcers. Analysis by logistic regression indicated that about 3 factors signicantly increased the risk of acquiring
SSI infections: Skin closure type= suture, staples, Duration of surgery, Length of post op stay. Chlorhexidine scrub as a Conclusion:
preoperative skin preparation had less number of surgical site infections when compared to povidone iodine.Factors like duration of surgery,
type of surgery and length of post-operative stay had a signicant impact in development of surgical site infections.Escherichia coli is the
commonest isolate from the surgical site infected patients.Surgical site infections are still a real risk for surgery and represent a substantial
burden of disease for both patients and health care services in terms of morbidity, mortality and economically.Surveillance of surgical site
infections with feedback of appropriate data to surgeons would be desirable to reduce the surgical site infection rates.Chlorhexidine is
commercially available in aqueous or alcohol formulations and has broad activity against gram positive and negative bacteria, anaerobes, yeast
and some lipid enveloped viruses.Research has shown that surgical techniques, skin preparation and the timing, method of wound closure and
length of hospital stay are signicant factors that can inuence of subsequent infection.
AN ANALYSIS OF FEATURE SELECTION TECHNIQUES FOR AN EVOLUTIONARY APPROACH TO GENETIC ALGORITHMS
Authors: Vasanthi V , Prasath E Vishnu , Kumar R Manoj , Mukesh R
Published: February 2023

Data magnitude is growing expeditiously, which pretends the challenges to extensive majority of current mining and
learning algorithms, such as the bane of dimensionality, huge storage requirement, and enormous computational cost.
Feature selection has been proven to be an effective and efcient way to prepare high-dimensional data for data mining and machine learning. The
recent evolution of novel techniques and new types of data and aspects not only advances existing feature selection research but also emerges the
feature selection constantly, becoming applicable to a expansive range of applications. In this entry, we aim to provide a basic introduction to
feature selection including basic concepts, classications of existing systems, recent development, and applications.
BASAL CELL ADENOMA OF PAROTID GLAND: A RARE CASE REPORT AND REVIEW OF LITERATURE
Authors: Patel Prashant , Shah Pinkal , Kanani Sonal , Hathila R.N. , M. Patel Mandakini
Published: February 2023

Salivary gland tumors are uncommon and constitute about 2.0 to 6.5 % of all head and neck tumors. Basal cell adenoma
(BCA), which is classied in benign salivary gland tumors by WHO in 1991, is a rare neoplasm. Incidence rate of BCA is
1.0 %–3.7 % of all salivary gland tumors with most frequent location is the parotid gland(>80% cases of BCA) and other sites such as the upper lip,
buccal mucosa, lower lip, palate and nasal septum rarely affected. It usually presents as a rm and mobile slow-growing mass. Histologically, it
consists of a monomorphic population of basaloid epithelial cells that are arranged in the solid, trabecular, tubular and membranous patterns. It is
important to differentiate BCA from benign tumor like pleomorphic adenoma showing absence of chondromyxoid stroma in former and
malignant tumor like basal cell adenocarcinoma, adenoid cystic carcinoma and basaloid squamous cell carcinoma. We report a case of BCA of the
parotid gland in 59 year male. We also review the literature and discuss the diagnosis and management of this rare entity.
HIV- RELATED PULMONARY ARTERIAL HYPERTENSION: A CASE REPORT
Authors: Tiwari Toshi
Published: February 2023

The use of highly active antiretroviral therapy (HAART) has increased the life expectancy of HIV-infected patients. With
prolonged survival and improved control of infectious susceptibility, vascular complications have emerged as a
signicant source of morbidity and mortality in HIV-infected patients [1]. HIV-associated pulmonary arterial hypertension (HIV-PAH) is an
important lung disease in HIV-infected persons who live longer with antiretrovirals. HIV-PAH may be detected via chest radiographs, CT scans,
or electrocardiograms, but Doppler echocardiography is the most useful screening test to identify candidates for right heart catheterization.
Because the survival for HIV-infected individuals with PAH with advanced symptoms (New York Heart Association, NYHA class III-IV) is
worse compared with less symptomatic individuals (NYHA class I-II) (2), identication of asymptomatic individuals is of critical importance.
Histologically, THE lesions in HIV-infected patients with PAH include concentric laminar intimal brosis, medial hypertrophy, recanalized
thrombi, and plexiform lesions (3). According to a more recent study by Sitbon et al [4] in 2008, the prevalence has remained at 0.5% even in the
modern era of HIV therapy, suggesting that HAART has not made a dramatic impact on the prevention of HIV-PAH. We present a case of HIVPAH to highlight the importance of the non-infectious pulmonary complications associated with HIV disease.
ASSOCIATION OF INTRAOCULAR PRESSURE AND HYPERGLYCEMIC LEVEL IN DIABETIC PATIENTS
Authors: Jain Shubhnav
Published: February 2023

Background- To determine whether hyperglycemic levels as determined from high hemoglobin A1c (HbA1c) levels inuence intraocular
pressure (IOP) in patients with non-proliferative diabetic retinopathy (NPDR). Methods-Across sectional Study was performed on subjects with a
diagnosis of NPDR and a corresponding HbA1c level measured within 90 days before or after an IOP measurement. Exclusion criteria included a
diagnosis of glaucoma or treatment with IOP lowering medications or oral or topical steroids. Results- Mean Hb1Ac in low IOP patients(<14.5)
was 8.67±2.14% and high IOP patients was (>14.5) was 9.12±3.02%. Conclusion- In conclusion our ndings in this study showed that diabetic
subjects with elevated HbA1c levels exhibited signicantly higher IOPs compared to those with lower HbA1c levels.
CLINICO-MICROBIOLOGICAL PROFILE OF DEEP NECK SPACE INFECTIONS IN A TERTIARY CARE INSTITUTE: A PROSPECTIVE OBSERVATIONAL STUDY
Authors: Chandramohan Pednekar Sainath , Goel Leena , De Sa Carnegie , Chander Goel Harish
Published: February 2023

Introduction: Deep Neck Space Infections (DNSI) are potentially life-threatening infections and need vigorous management in patients with or
without diabetes mellitus. Worldwide, treatment comprises of early initiation of effective empirical anti-microbial treatment with surgical drainage
of abscess. Hence, for optimal management one must know the etiology, presentation, anatomical space involvement as well as common
microorganisms encountered in DNSI in both diabetic and non-diabetic patients. Aim: To describe the prevailing clinical and microbiological
prole of DNSI in diabetic and non-diabetic patients presenting to a tertiary care hospital in Goa, India. Materials and Methods: This is a
prospective, observational, descriptive (hospital based) study conducted in Goa Medical College, Goa over a duration of 18 months. Forty-one
cases of DNSI with abscess, consisting of 25 non-diabetic and 16 diabetic patients were included in the study. A comparative evaluation of the
clinico-microbiological prole was performed. Results: Pain and swelling in the neck (78%) was the most common presenting symptom in both
the groups. Most DNSI were of odontogenic origin (44%) and preceded by upper respiratory tract infections (22%). The peritonsillar space was
most frequently involved (27%). The most frequently isolated microorganism in non-diabetic patients belonged to Staphylococcus (29%) and
Streptococcus spp, (12.5%) while in diabetic patients they belonged to Klebsiella (35%) and Pseudomonas spp (23.5%). Conclusion: DNSI
patients with concomitant diabetes mellitus are likely to present with severe disease, should be monitored closely for development of
complications and administered empirical antibiotics providing coverage of Klebsiella and Pseudomonas spp.
DESARDA'S VS LICHTENSTEIN'S TECHNIQUE IN INGUINAL HERNIA REPAIR : A COMPARATIVE STUDY
Authors: Singh Siddharth , Mishra Yukteshwar , Shukla Priyesh , Sharma Puneet
Published: February 2023

Background: About 75% of abdominal wall hernias are inguinal hernias, with a lifetime risk of 27% in men and 3% in women. Lichtenstein's
hernia repair was favored and became the gold standard of open tension-free hernia repair. However, the use of synthetic prostheses can result in
new clinical problems. In order to reduce the incidence of complications and postoperative dysfunction, the tissue-based groin herniorrhaphies has
re-attracted the attentions in recent years. In 2001, Dr. Mohan Desarda proposed a solution which involves use of a strip of external oblique
aponeurosis to strengthen the posterior wall of the inguinal canal.(1) To compare the Aim: post-operative complications, short-term outcomes and
recurrence rate for one year between Lichtenstein's and Desarda's technique. Materials And Methods: This is a prospective, randomised study
(ODD – EVEN basis) in GSVM Medical College, LLR & Associated Hospitals, Kanpur (UP). 100 patients in two groups with 50 patients in each
group: Group A (Lichtenstein's repair) and Group B (Desarda's repair). Outcomes were assessed on the basis of recurrence (with regular follow ups
at one month, three months, six months and one year); Operating time; Cost of procedure in total; Post operative course (post operative pain,
induration, redness of operated site, post operative wound infection rate. discharge time or hospital stay). Out of 100 patients majority of Results:
patients were having right sided indirect hernia. The duration of the surgery was statistically less in Desarda group (53.68±20.21) than Lichtenstein
(68.4±53.68) (p<0.05). The pain was signicantly lesser in Desarda group than Lichtenstein groups (p<0.05). The duration of hospital stay was
signicantly lower in Desarda group (p<0.05). Seroma Formation was major complication in Lichtenstein group followed by Hematoma
Formation, Surgical site infection and recurrence whereas in Desarda group seroma formation was found in only 2 patients and recurrence was in
only 1 patient (association of complications in both groups was found to be statistically signicant (p<0.05)). The result of the Conclusion:
inguinal hernia treatment with Desarda technique are comparable to results of Lichtenstein surgery. Desarda technique do not use mesh, this makes
Desarda repair cost effective and easy to learn. Patients after Desarda's procedure get sooner ambulatory than Lichtenstein mesh repair.(2,3).
Recurrence rate is more in Lichtenstein's group although the association was insignicant.(3,4). Hence, Desarda's no mesh repair is favorably
comparable with Lichtenstein's mesh repair.
PHENOTYPES OF POLYCYSTIC OVARY SYNDROME AND THEIR ASSOCIATION WITH METABOLIC SYNDROME- A NORTH INDIAN TERTIARY CARE CENTER BASED STUDY
Authors: Deep Kaur Bhupinder , Kaur Parneet , Garg Rama , Gupta Saryu , Anju Anju
Published: February 2023

Background PCOS (Polycystic Ovary Syndrome) is a widely recognized endocrine disorder of the reproductive age group. PCOS women are
known to have insulin resistance and an increased tendency for weight gain, leading to an alteration in the metabolic prole. Objectives To
categorize women diagnosed as PCOS into various phenotypes and study their correlation with metabolic syndrome. Methods A study was
conducted in the department of Obstetrics and Gynecology, GMC Patiala from Jan 2019 to June 2020 and the PCOS were diagnosed and classied
into 4 Phenotypes and prevalence of metabolic syndrome as per ATP III/ NCEP criteria was studied in various phenotypes. Results During the
study period 116 patients were diagnosed as PCOS. The mean age of the PCOS cases was 24.86 ± 4.96 years (n=116). The PCOS Phenotype A had
the maximum prevalence, 52.59%, followed by Phenotype B 18.97%, Phenotype D 16.38%, and Phenotype C 12.06%. The lipid prole was
maximally deranged in Phenotype D. The metabolic syndrome was present in 26.72% of cases, with maximum cases belonging to Phenotype A.
Conclusion The PCOS cases have a higher prevalence of deranged metabolic proles at a young age. An early multidisciplinary approach in PCOS
cases is essential, to lower the prevalence of deranged metabolic prole and long term co-morbidities.
A STUDY ON ADVERSE EVENTS FOLLOWING IMMUNIZATION RELATED TO COVISHIELD VACCINE WITHIN 28 DAYS AMONG G
Authors: Lakshmanan Manju Thandayan , Vati Shakhy , Anandabhavan Kumaran Jayasree
Published: February 2023

Background: The declaration of COVID-19 as a pandemic was followed by a race for development of a vaccine against it. Covishield was one of
the vaccines approved and successfully rolled out in many countries, including India, even before its phase III clinical trials were over. This study
was done to determine the pattern of AEFI of Covishield vaccine. ACross-sectiona Methods: l study was conducted at a designated government
vaccination site in Kannur District. 100 individuals above 18 years of age who had received both doses of vaccine were selected using simple
random sampling. Data collected using a semi-structured questionnaire through phone interviews of the participants was analyzed using
descriptive statistical analysis. The mean age of the study population w Results: as 47.37±11.9 years. 79% and 26% of individuals had experienced
some form of AEFI after the 1st and 2nddose of vaccine respectively. The common AEFI reported include fever, local tenderness, malaise and
headache.More number of younger participants(<45 yrs) reported AEFI after rst dose, with a signicant association between AEFI after 1st dose
and age. Only minor AEFI were reported after each dose, with AEFI reported more Conclusion: commonly after the rst dose than the second
dose.There was a statistically signicant association between the age of the participants and AEFI after 1st dose, with more AEFI being reported by
individuals who were <45 years old. No such association was found between age and AEFI after the 2nddose of vaccine. Gender and comorbidity
were not found to have any association with the reporting of AEFI.
STUDY OF SERUM URIC ACID, CALCIUM AND ALPAND URINARY HYDROXYPROLINE CREATININE RATIO IN POSTMENOPAUSAL WOMEN
Authors: Aruna V. , Revathi A. , Murthy VR T. Nrusimha , Durga T.
Published: February 2023

During menopause women succumb to physiological and biochemical changes along with middle age health hazards. In view of sudden fall in
Estrogens during menopause Osteoporosis of aging is fortied by Estrogen deciency. The present study was done to evaluate bone health through
biochemical parameters in Guntur Urban area between September 2021 and January 2022. 50 Premenopausal women and 60 postmenopausal
women were selected for the study after screening verbally . Serum Calcium, Phosphorus, Alk, Phosphatase and Uric acid along with 24Hrs
urinary excretion of Creatinine, Calcium and Hydroxyproline were estimated in both groups. We could not nd wide difference in the mean values
of serum Ca , P, ALP& UAbut Urine 24 Hrs Ca was lower in postmenopausal women (104.55±23.86) compared to premenopausal group (124.42
±17.78 ). Urine Hydroxyproline(HOP) showed higher values in postmenopausal women (25.79±1.44 ) than in Premenopausal women.(18.00 ±
2.55). All the analytes showed statistically signicant values between the groups and within the groups with P value value of <0.0001. 24Hrs urine
Hydroxyproline , which is collagen degradation product correlated with 24hrs urine Ca and Creatinine.With P value < 0.0001 Serum ALP , Ca &
Uric acid as shown by ANOVA, both within groups and between groups was statistically signicant P <0.0001. We conclude that collagen
degradation product like HOPcan be evaluated and considered as marker for assessment of bone health in postmenopausal women.
Epidemia de Monkeypox humana 2022 em países não endêmicos: os primatas não humanos não são vilões!
Authors: Souza Alex Junior Souza de , Zwarg Ticiana , Lauri Liura Sanchez , Heinemann Marcos Bryan , Sá Lilian Rose Marques de
Published: February 2023

A mpox (varíola dos macacos ou monkeypox) é uma zoonose causada por um orthopoxvírus, da espécie Monkeypox virus (MPXV). Historicamente, primatas não humanos (PNHs) e, principalmente, roedores selvagens participam da manutenção do ciclo de transmissão em regiões endêmicas da África. Na atual epidemia de mpox em países não endêmicos, incluindo o Brasil, o ciclo epidemiológico apresenta transmissão direta de MPXV entre seres humanos, sem a participação de PNHs. O objetivo da revisão é apresentar informações históricas e o estado-da-arte da mpox com o intuito de orientar e fornecer subsídios sobre a doença aos médicos-veterinários, outros profissionais de saúde e a população em geral, além de desmitificar a participação dos PNHs, uma vez que estes não participam do ciclo de transmissão da doença em países não endêmicos.
Taxa de lesões de ligamento cruzado anterior em jovens atletas de futebol: uma revisão sistemática
Authors: Api Gustavo , Legnani Elto , Pfeiffer Astrid , Nunes Alex Inácio , Suota Camila , Velho Rodrigo Baumann , Foschiera Diogo Bertella , Legnani Rosimeide Francisco dos Santos
Published: February 2023

OBJETIVO: Identificar a taxa de lesão de LCA em jovens atletas de futebol.MÉTODOS: A metodologia contou com a busca sistemática dos artigos em 4 bases de dados: “Pubmed/Medline”, “Science Direct”, “Web of Science” e “Lilacs” através dos seguintes descritores combinados: “Anterior Cruciate Ligament”, “Injury”, “Adolescents”, “Soccer Players” e “Athletes”. Foram selecionados para a revisão os estudos de 2016 a 2021 com dados referentes a lesões de LCA em atletas com idades dos 13 aos 18 anos de ambos os sexos. A revisão seguiu as diretrizes PRISMA, e avaliação da qualidade metodológica foi realizada através da lista de verificação STROBE.RESULTADOS: Foram encontrados 544 estudos, sendo selecionados os publicados no período de 2016 a 2021 (144). Através das etapas de leitura dos títulos (89), dos resumos (66), e dos artigos na íntegra (13), foram selecionados 4 estudos que atenderam o critério de inclusão apresentando desfecho sobre a taxa de lesões, onde se constatou maior incidência de lesões do LCA para meninas. Apesar disso, apenas dois dos estudos averiguou a incidência em relação a outras características (atividade, mecanismo, evento) de forma específica.CONCLUSÃO: Concluiu-se que a taxa de lesões de LCA é significativamente maior em meninas do que em meninos durante adolescência, tendo características de lesões sem contato e ocorrendo principalmente em competições, porém ainda são escassos os dados a respeito da natureza destas lesões.
PELATIHAN AKUPRESUR DENGAN AROMATERAPI LAVENDER UNTUK MENGATASI MUAL MUNTAH PADA IBU HAMIL SEBAGAI UPAYA PENCEGAHAN KEK (KEKURANGAN ENERGI KRONIS)
Authors: Solichatin  , Tetty Rihardini  , Retno Setyo Iswati  , Nina Hidayatunnikmah
Published: February 2023

Mual muntah pada ibu hamil dapat menimbulkan efek yang merugikan ibu dan janinnya. Peningkatan kadar hormon Human Chorionic Gonadotrophin (HCG), terutama pada kehamilan 12-16 minggu menjadi salahsatu penyebabnya . Kekurangan Energi Kronik sering terjadi pada pada wanita usia subur (WUS) dan pada ibu hamil apalagi bila ditambah kondisi mual muntah yang berat. Di Indonesia tahun 2017 ibu hamil dengan KEK 4,8 % dan tahun 2018 menjadi 17,3% . Angka ini semakin jauh dari target yang ditetapkan oleh pemerintah Indonesia yaitu 12,2%. Akupresur pada titik Perikardium 6 (P6), mampu meningkatkan pelepasan beta-endorphin di hipofise dan adrenocorticotropic (ACTH) sepanjang chemoreceptor tringger zone (CTZ) yang dapat menghambat pusat muntah, hal inipun bisa dilakukan pada ibu hamil yang mual muntah. Tujuan kegiatan ini adalah meningkatkan pengetahuan dan ketrampilan ibu untuk mengurangi mual muntah sehingga kehamilan dijalani dengan sehat selain itu juga mengurangi angka kejadian stunting ibu hamil di Desa Krembung Kecamatan Krembung Sidoarjo. Pelaksanaan kegiatan ini melalui beberapa tahapan. Tahap awal pemilihan kelompok ibu hamil yang mengalami mual muntah dan bersedia mengikuti pelatihan akupresure. Tahap berikutnya untuk mengukur sejauh mana pengetahuan ibu dilakukan pretest dan penyuluhan dilanjutkan pelatihan akupresure, tahap terakhir adalah evaluasi ketrampilan dan post test untuk mengetahui sejauh mana keberhasilan pelatihan tersebut
BIMBINGAN TEKNIS DAN PENDAFTARAN LEGALITAS UMKM MIKRO DI DESA GADING KECAMATAN KREMBUNG
Authors: Asmaul Rina , Rachmad Nur Afandi  , Riska Ananda Yafa
Published: February 2023

Kegiatan pengabdian ini bertujuan untuk meningkatkan pemahaman pemilik usaha tentang memanfaat program pemerintah untuk membuat pembeli lebih percaya akan kelegalan produknya, sehingga pengelola dapat meningkatkan pendapatan usaha dan pengelola dapat melakukan inovasi dan melewati perputaran modal kerja mendapatkan sertifikasi tentang kelegalan UMKM sangat berpengaruh dengan kepercayaan konsumen. Metode yang digunakan dalam pelaksanaan kegiatan ini dibagi menjadi 3 tahapan yaitu rapat dan sosialisasi mahasiswa KKN dengan pihak Kecamatan Krembung, survey UMKM yang tersebar di Desa Gading dan pelaksanaan pendaftaran izin usaha dalam bentuk NIB. Pendafataran izin usaha dalam bentuk NIB dilakukan dengan melakukan kegiatan Website resmi Kementerian Investasi/Badan Koordinasi Penanaman Modal (BKPM) menjelaskan tata cara pendaftaran izin ini melalui website resmi OSS berbasis risiko yaitu https://oss.go.id/. Hasil yang diperoleh dalam kegiatan ini yaitu antusiasme warga desa sangat tinggi sehingga terdapat peningkatan pemahaman terkait pentingnya memiliki legalitas usaha, serta jumlah pelaku UMKM di yang telah memperoleh NIB dari kegiatan pendaftaran NIB yang bekerjasama dengan pihak UMKM Kecamatan Krembung berjumlah 28 UMKM dengan jenis usaha yang beragam.
PEMBERDAYAAN KOMUNITAS: STEM UNTUK PEMBELAJARAN MATEMATIKA MENYENANGKAN
Authors: Hidayati Fina Hanifa , Fitrianna Aflich Yusnita , Cahdriyana Rima Aksen
Published: February 2023

Learning abilities that are elements of learning in the 21st century require teachers to have skills in guiding students to develop communication skills, process information, think creatively, solve problems, collaboration and manage themselves. These abilities can be developed through the implementation of innovative learning in the classroom, one of which is the STEM approach. STEM-based learning integrates four fields, namely science, technology, engineering and mathematics in one learning activity. This service activity was carried out by 30 mathematics teachers who were members of the Mathematics teacher community in Denpasar City. The activity is carried out using the Asset Based Community Development (ABCD) method. The service activities that have been carried out have a good impact on teachers. At the end of the activity, teachers can understand STEM-based mathematics learning through practical learning activities and are able to develop learning innovations by compiling STEM-based learning scenarios.