bluuebunny/crossref_metadata_2025 huggingface dataset:
Fatigue Detection System Based on Eye Blinks of Drivers
Authors:   School of C&IT REVA University, Bangalore, India., Aravind A , Agarwal Aditya ,   School of C&IT REVA University, Bangalore, India., Jaiswal Ayush ,   School of C&IT REVA University, Bangalore, India., Panjiyara Ayush ,   School of C&IT REVA University, Bangalore, India., PM Mallikarjun Shastry ,   School of C&IT REVA University, Bangalore, India.
Published: July 2023

In recent years, road accidents have increased significantly. One of the major reasons for the accidents as reported is driver fatigue. Therefore, there is a need for a system to measure the fatigue level of the driver and alert the driver when he/she feels drowsy to avoid accidents. So, in this paper we propose a system which comprises of a camera installed in the car dashboard. It will continuously monitor the blink pattern of driver and detect whether he is feeling drowsy or not. If the system finds the driver is feeling drowsy then an alert will be generated to avoid accident. This project attempts to contribute towards the exercise of analyzing driver behavior-based Eye Aspect Ratio (EAR) in order to reduce preventable road accidents.
ASSESSING PUBLIC SERVICE QUALITY & SERVICE SATISFACTION: WITH REFERENCE TO GOVERNANCE IN KARNATAKA, INDIA
Authors: D Padiyar Raghavendra , Eswara Reddy E. , R Sugant.
Published: July 2023

Being a democratic country India has brought in various acts and reforms to uphold citizen centricity. Right to service act has been one of such initiatives. As on 2023, the state of Karnataka has been able to provide highest number of services under this act. This study explores and investigates citizen's perspective of service quality & service satisfaction attained by availing the public services. A questionnaire survey was formulated and study found that the ve factors 'Reliability' 'Assurance', 'Empathy', 'Valence', and 'Waiting Time' are determinants of the quality of citizen/government services. The outcome indicate that overall service quality has signicantly positive impact on service satisfaction. This research is of greater value to scholars who are interested in the area of governance, administration, and service delivery
EFFECTIVENESS OF GUM CHEWING ON THE POST-OP RECOVERY OF GASTROINTESTINAL FUNCTION AFTER CAESAREAN SECTION
Authors: Agarwal Surya , Rani Sharma Raj , Gupta Abha , Gill Gurkiran , Badesra Sonam
Published: July 2023

Introduction: Caesarean section (CS) is the most common major surgery in the world and the rates are 1 increasing (Degani and Sikich, 2015) . Postoperative ileus is an impaired condition of gastrointestinal motility dened as the interval from surgery until the passage of atus or stool and the tolerance of an oral diet that should 2 occur within the fourth postoperative day and complicates up to 20% of caesarean delivery (Vather et al, 2013) . Aims and Objectives: To study the effectiveness of Gum Chewing on the post-op recovery of gastrointestinal function after caesarean section. The primary objective is to determine the relationship between gum chewing and recovery of gastro intestinal function after uncomplicated caesarean section. Materials and Methods: This prospective study was conducted on 300 patients from the immediate post-operative ward of PMCH who had undergone caesarean section. Written informed consent was obtained from all post caesarean women who participated in the study. They were given one stick of sugarless chewing gum from 4 hours postoperatively for 20 minutes once in every 4 hours till the passage of rst atus. Further management was done according to the hospital protocol. Post caesarean women were followed up to discharge. Time taken for the auscultation of rst bowel sound, rst atus, rst stools were recorded along with any bloating, nausea, vomiting, eructation or other difculties. Time taken for the above parameters were compared between the study and control groups and studied for signicance. The parameters were analysed and compared with equal number of matched controls. Results: The result showed that the mean time until 1st bowel sounds was signicantly (p=0.0001) lower among Gum chewing (10.05±1.65) group than Controls (15.58±1.50). The mean time until 1st atus was signicantly (p=0.0001) lower among Gum chewing (17.66±2.13) group than Controls (24.52±3.83).The mean time until 1st bowel movement was signicantly (p=0.0001) lower among Gum chewing (20.20±2.54) group than Controls (30.11±3.40). Conclusion: The study concluded that chewing gum is associated with early recovery of intestinal function after caesarean section, which may be helpful in reducing postoperative parameters and shorten the length of hospital stay.
FACULTY'S PERCEPTION ON E-ASSESSMENT DURING PANDEMIC – AN ONLINE APPROACH
Authors: S Sujithra , Jain Vipin , Srivastava BK , Bharadwaj Aarya , Shinkre Rohan
Published: July 2023

Objectives: The study aims to assess the perception of faculty across health care sector on e-assessment during the pandemic. Materials and Methods: A cross-sectional study was conducted on faculty from medical, dental and allied health sciences using snowball sampling. A self-designed validated questionnaire was utilized to collect data across the faculty. Statistical analysis was performed on SPSS version 26 (p-value <0.05). Results: Among 102 participants who were a part of the study, the mean difference across medical, dental, and allied sciences for domain one (knowledge and attitudes) and domain ve (affective factors) was highest for dental faculty with statistical signicance.
ASSESSMENT OF ROLE OF SERUM MAGNESIUM IN ACUTE EXACERBATION OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE.
Authors: Bhattacharjee Soumya , Karmakar Debasish , Ghosh Priyanka , Paul Kaushik , Bhattacharya Somnath , Dey Atin
Published: July 2023

Introduction: Chronic Pulmonary Obstructive Disease is a treatable and preventable disease but characterize by frequent exacerbations which leads to complications and even death. Magnesium, because of its association with bronchial wall relaxation and inammatory process, has been recognized as one of the factors inuencing acute exacerbation of COPD. Aim: This study aims to assess the role of hypomagnesaemia in acute exacerbation of COPD. Methods: This is an observational study with COPD patients having 40 years or more and did not have co- morbid illnesses were selected. 50 cases each of stable COPD and acute exacerbation of COPD were taken and their serum magnesium level were measured. Comparison of the serum magnesium level between the two groups was done. Result: Majority of the patients in both acute exacerbation and stable groups were of 50-70 years of age, male (78% and 76% respectively) and smokers (82% and 68% respectively). Majority of patients in stable group were GOLD GRADE A (62%) where as in acute exacerbation group majority of patients were GOLD D (42%). 64% of the patients in acute exacerbation group had low magnesium level (<1.5mg/dl) but no patient in stable group had low magnesium. Mean serum magnesium level was 2.118mg/dl ± 0.209SD in stable group and in acute exacerbation group it was 1.406mg/dl± 0.361SD. Conclusion: Present study shows that low serum magnesium level is signicantly associated with acute exacerbation of COPD.
LOW IRON STATUS: A POSSIBLE RISK FACTOR FOR FIRST FEBRILE SEIZURE
Authors: Patwardhan Ajay , Gohil Nikita , Kumar Brajendra
Published: July 2023

The peak incidence of febrile seizures is between one and two years of age.The mean age being 18 months. A male preponderance is observed in all age groups with male: female ratio of 1.4:1. Family history of febrile seizures is observed in 28.5% of cases. The mean Serum Ferritin, Hemoglobin and Mean Corpuscular Volume are signicantly lower in children with febrile seizures as compared to controls. Signicantly, a greater proportion of children with febrile seizures have low Serum Ferritin (<10ng/ml) ; low Hemoglobin (<11gm/dl) and low Mean Corpuscular Volume (<70) as compared compared to controls.
A CASE SERIES OF LICHEN PLANUS PIGMENTOSUS IN WOMEN OF INDIAN ORIGIN
Authors: Akhila Vara Madhuri V. , S Soundarya , Jeyaraman Brindha , Thomas Jayakar
Published: July 2023

Lichen planus pigmentosus is a variant of lichen planus which is characterized by slate grey to dark brown pigmented macules and patches involving the sun exposed areas, which is seen among the darker races, the exact etiopathogenesis of which remains unclear. It is usually recalcitrant to treatment. In this article we report a case series of lichen planus pigmentosus in three women of Indian origin.
ELECTROLYTE DISTURBANCES IN ACUTE EXACERBATION OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE AT SMS MEDICAL COLLEGE, JAIPUR
Authors: Verma Pankaj , Jain Manisha , Sharma Ambika , Khippal Narendra
Published: July 2023

Background: COPD is a leading cause of morbidity and mortality worldwide. With increasing industrialization and smoking, the prevalence of COPD is increasing. Serum electrolyte imbalance is a very common nding in patients with acute exacerbation of COPD which results in signicant morbidity and mortality. This study attempts to measure the concentration of major serum electrolytes (sodium and potassium) in COPD patients with acute exacerbation to determine the possible effects of these electrolyte disorders. Objective: The main objective of this study was to determine the prevalence of electrolyte disturbances in patients with acute exacerbation of COPD and to determine possible effects of these electrolyte disorders. Materials and Methods: A hospital-based observational study was conducted at S.M.S. Medical College, Jaipur. 104 patients with AECOPD were selected after applying inclusion and exclusion criteria. Clinical characteristics, arterial blood gases analysis and serum electrolytes were assessed. Results were interpreted and data analysis was done Results: The proportion of male (75.96%) AECOPD patients was signicantly higher than the female (24.03%) and the mean age (years) of patients were 62.40±9.056. The majority of patients were smokers (77.88%). The proportion of respiratory failure was 79.8% out of which 57.56% was in Type II respiratory failure and 19.2% was in Type I respiratory failure. Low levels of serum sodium (131 ± 5.66 mEq/L) and potassium (3.20 ± 0.44 mEq/L) were found in subjects with acute exacerbation of COPD. In patients with respiratory failure, sodium and potassium levels were markedly reduced. The unfavourable outcome was signicantly higher in patients with hyponatremia. Conclusion: Serum electrolytes in acute exacerbation of COPD patients should be monitored routinely and should be corrected early to avoid poor outcomes.
STUDY OF CLINICO-RADIOLOGICAL PROFILE OF LOWER LUNG FIELD TUBERCULOSIS CASES AT IRD, SMS MEDICAL, COLLEGE, JAIPUR
Authors: Kumar Singh Aashish , M Sangma Leechang , Dayma Kapil
Published: July 2023

Background: Lower lung eld tuberculosis is dened as tuberculosis with involvement of lower lung elds without simultaneous involvement of upper lobe. Lower lung eld tuberculosis when encountered for the rst time often suggest a diagnosis other than tuberculosis such as pneumonia, bronchogenic carcinoma, bronchiectasis or lung abscess. Hence this study was designed to nd out the clinico-radiological prole of lower lung eld tuberculosis cases. Methods: This study was conducted from 1 April 2021 to 31 March 2022 at Institute of Respiratory Diseases, Sawai Man Singh Medical college, Jaipur. Results: Mean age of patients was 51.7+-15.1, it was more common in age group of >60 years. Males (69.3%) were more commonly affected. Chest radiograph showed predominance of right side (82.0%). The relative risk of having the lower lung eld tuberculosis in diabetes patients, HIV, renal disease patients was high. Conclusion: Lower lung eld tuberculosis is not an uncommon entity. It is more common in right side on chest x-ray. Clinico-radiological features are different from upper lobe tuberculosis.
ULTRASOUND ASSESSMENT OF SUBGLOTTIC LARYNGEAL DIAMETER FOR ESTIMATION OF APPROPRIATE ENDOTRACHEAL TUBE SIZE IN PAEDIATIRIC PATIENTS – A PROSPECTIVE RANDOMIZED STUDY
Authors: S Manickam , K G Premkumar
Published: July 2023

Background and Aim: The appropriate size of endotracheal tube for children are traditionally selected based on their age, height and or weight by using formulas. The ultrasound guided measurement of subglottic laryngeal diameter can be used to appropriate selection of endotracheal tube. The endotracheal tube is selected based on the nearest external diameter corresponding to the measured subglottic region. The aim of the study is to compare the appropriateness of uncuffed endotracheal tube selection based on age based formula with that of ultrasound assessment of subglottic diameter in children. A prospective randomised parallel group study involving 6 Materials and Methods: 0 children of age 2-6years undergoing elective surgeries under general anaesthesia were selected for study. They are divided into two groups as Group A – Endotracheal tube selection based on ultrasound assessment of diameter of subglottic region and Group B – Endotracheal tube selection based on age based formula which is (Age /3)+ 3.5mm ID. The noted parameters were internal diameter (ID) and external diameter (OD) of the predicted ETT by the two methods, ID and OD of the appropriate size ETT used and the ultrasound assessed subglottic diameter. The incidence of ETT size predicted b Results: y ultrasound assessment of subglottic diameter was 83.33% while with age based formula it is 53.34%. The linear regression equation model in Group A showed R²= 0.694, P = 0.001 which was statistically signicant. While in Group B it was R²=0.258., p=0.001. There Conclusion: was a strong correlation between the outer diameter of clinically used uncuffed ETT and the subglottic diameter assessed with ultrasound examination in paediatric patients. Hence USG assessment of the subglottic diameter is a better tool in predicting the appropriate uncuffed ETT in paediatric patients undergoing elective surgeries under general anaesthesia than the agebased formula.
An Overview on Generative AI at Scale with Edge-Cloud Computing
Authors: Wang Yun-Cheng , Xue Jintang , Wei Chengwei , Kuo C.-C. Jay
Published: July 2023

As a specific category of artificial intelligence (AI), generative artificial intelligence (GenAI) generates new content that resembles what is created by humans. The rapid development of GenAI systems has created a huge amount of new data on the Internet, posing new challenges to current computing and communication frameworks. Currently, GenAI services rely on the traditional cloud computing framework due to the need for large computation resources. However, such services will encounter high latency because of data transmission and a high volume of requests. On the other hand, edge-cloud computing can provide adequate computation power and low latency at the same time through the collaboration between edges and the cloud. Thus, it is attractive to build GenAI systems at scale by leveraging the edge-cloud computing paradigm.  In this overview paper, we review recent developments in GenAI and edge-cloud computing, respectively.  Then, we use two exemplary GenAI applications to discuss technical challenges in scaling up their solutions using edge-cloud collaborative systems. Finally, we list design considerations for training and deploying GenAI systems at scale and point out future research directions. 
Using eDNA Metabarcoding for the Analysis of Fish Communities in Rivers
Authors: Yoon Mi-Ra , Oh Seung-Eun , Cho Yun-Suk , Ahn Hee-Jun , Kwak Min-Ji , Han Song-Hee , Kim Tae-Hyun , Lee Kang-Hyuck , Hong Soon-Mo , Jeong Ju-Yong
Published: July 2023

The present study aims to assess the effectiveness of eDNA metabarcoding for the analysis of fish communities in rivers. The findings suggest that the methodology attained an accuracy rate of 80% for species identification and was able to detect between 79.2% and 87.5% of the fish species recorded in the fish monitoring database for three rivers of Anseong, Bokha and Gyeongan during the period 2019 to 2021. Significantly, the eDNA metabarcoding technique enabled the successful detection of comparatively larger fish species, such as Channa argus and Silurus asotus. Furthermore, depending on the river, this method identified 12 to 14 additional species that could not be observed through traditional methodologies. However, it is worth noting that the Mifish primer used amplifies short gene segments, which can pose challenges in identifying species with identical gene sequences. Notwithstanding this limitation, the advantages of eDNA analysis over conventional methods are significant, enabling the identification of a broader range of species within a shorter timeframe, using smaller sample volumes and minimizing risks to both endangered fish and to researchers. As a result, eDNA analysis represents a valuable alternative for assessing biodiversity and for collecting data on fish species that are challenging to analyze.
El diseño curricular complejo basado en competencias
Authors: Quispe Choque Santos Luis
Published: July 2023

PROBLEMA: El diseño curricular orientado al desarrollo educativo y formativo en el proceso de enseñanza aprendizaje, carece de un método que permita construir en el saber humano el aspecto interpretativo y comprensivo, y que estos permitan desde su aplicación, la construcción de conocimiento, considerando las relaciones entre el hombre, la sociedad, la vida y el mundo. OBJETIVO: Determinar ¿Qué es el diseño curricular complejo basado en competencias? MÉTODO: Se aplicó el método analítico sintético, esto con el fin de comprender por partes el objeto de estudio y luego hacer un análisis de los mismos de manera conjunta. En ese sentido se fue consultando distintas bibliografías y de esa manera comprender que diseño, hace referencia al planteamiento de un plan. RESULTADOS: Un plan orientado a un currículo académico para aplicar el proceso de enseñanza aprendizaje en el estudiante, asimismo incorporar al mismo las competencias para identificar en el estudiante la pericia, aptitud, capacidad para hacer algo en un asunto determinado en el mercado laboral, y posteriormente incluir a este diseño curricular por competencias la complejidad, para lo cual se analizó las teorías del pensamiento complejo y los sistemas complejos. CONCLUSIÓN: Un pensamiento complejo que nos permita poner en orden, claridad, distinguir el desarrollo de un diseño curricular por competencias, asimismo el analizar los sistemas complejos, el cual es un sistema que presenta propiedades que son el resultado de las interacciones entre sus partes, esta definición ultima nos hace comprender que la elaboración de un diseño curricular por competencias tiene su grado de complejidad.
Clasificación de San Elián y su uso para establecer severidad en úlceras en pie diabético
Authors: Velásquez Cabrera Alejandro Josué
Published: July 2023

PROBLEMA: Las úlceras por pie diabético son la principal causa  de amputación de miembros inferiores, morbilidad y mortalidad a nivel mundial. OBJETIVO: describir la utilidad de la clasificación de San Elián como sistema de clasificación de gravedad en pie diabético. MÉTODO: Se recopiló información de revistas médicas y libros donde se encontraron metaanálisis, guías, artículos y protocolos sobre el empleo de la clasificación de San Elián para establecer la severidad en úlceras de pie diabético. RESULTADOS: La clasificación de San Elián es un método eficaz y preciso para determinar la gravedad de las úlceras del pie diabético. Esto se debe a que considera regiones anatómicas, factores agravantes y condiciones de los tejidos entre sus componentes, y recopila información para evaluar las diversas partes. Todo esto contribuye al diagnóstico y mejora la fomra de abordar la patologia. CONCLUSIÓN: La clasificación de San Elián permite dar grado de severidad al pie diabético y a la suma de sus partes se puede clasificar como leve (con puntaje < a 10), moderado (10 a 20 puntos) y grave (21 a 30 puntos). Entre las partes a considerar está la localización, aspectos topográficos, factores agravantes (isquemia, estado infeccioso, edema y neuropatía), afectación tisular (profundidad, área y fases de cicatrización). Con esta clasificación se puede dar un diagnóstico más certero y un abordaje inicial más adecuado con nuestros pacientes.
PEMBUATAN PROTOTYPE GAME EDUKASI BERBASIS ROLE PLAYING GAME (RPG) SEBAGAI MEDIA PEMBELAJARAN KIMIA UNSUR
Authors: Wijanarko Andang , Solikhin Febrian
Published: July 2023

Game dalam bentuk media pembelajaran merupakan salah satu inovasi dalam dunia pendidikan. Berdasarkan wawancara yang dilakukan penulis terhadap siswa dan guru terungkap bahwa materi Kimia Unsur merupakan salah satu materi dianggap sulit. Selain itu siswa juga kurang termotivasi untuk mengikuti pembelajaran Kimia karena sulitnya memahami materi-materi yang disampaikan. Untuk membantu guru dan siswa dalam proses pembelajaran materi Kimia Unsur di dalam kelas, maka pembuatan game sebagai media pembelajarn Kimia Unsur menjadi sebuah peluang untuk diteliti. Penelitian ini merupakan penelitian dan pengembangan dengan menggunakan desain penelitian ADDIE (Analyze, Design, Development, Implementation, dan Evaluation). Penelitian ini telah berhasil menghasilkan produk game edukasi berbasis role playing games (RPG) sebagai media pembelajaran materi Kimia Unsur. Game edukasi tersebut berhasil dikembangkan menggunakan aplikasi RPG Maker. Adapun hasil uji validitas ahli dan uji respon guru terhadap game edukasi yang dibangun yaitu 1) Validator ahli materi dengan nilai rata-rata 3,33 masuk dalam kategori sangat baik 2) Validator ahli media dengan nilai rata-rata 3,22 masuk dalam kategori baik 3)Validator ahli pembelajaran dengan nilai rata-rata 3,27 masuk dalam kategori sangat baik 3) Hasil uji respon guru dengan nilai rata-rata 3,62 masuk dalam kategori sangat baik. Hasil uji validitas dan uji respon menunjukkan bahwa game edukasi yang dibuat layak untuk diimplementasikan didalam kelas dan dijadikan sebagai media pembelajaran materi Kimia Unsur.
The Hottest Radical Pre-Colonial and Colonial Massacred of Native Muslim Algerians in the Maghrebians under 74 Changing Portfolios of Diplomatic Agents of Intensive Manipulations of Exploration, Exproriation and Exploitation (3Es) from Early 19th to Mid-20th Centuries
Authors: Fonju Pr. Njuafac Kenedy
Published: July 2023

This paper brings out the identification of 74 French Diplomatic Massacred Agents of Native Muslims of Algerians (FDMANMA) from 1830 to 1962 with extension of radicalism and slaughtering cutting through the worst period of history. The perpetuators of Pre-colonial and Colonial Diplomatic Agents of Exploration, Expropriation and Intensive Exploitation (PCDAEEIE) till Confusing Self-Determination guided by the mechanisms of neo-colonialism in 1962 illustrated how the French presence in Algeria was a historical accident to the natives. Shortly after the July Monarchy of Louis Philippe I was overthrown in the Revolution of 1848, the new government of the Second Republic ended Algeria's status as a colony and declared it in the 1848 Constitution an integral part of France. Three civil departments were organized under a civilian government namely: Alger, Oran, and Constantine. Whatever the case may be in terms of pre-colonial and colonial activities orchestrated by the French diplomatic agents in Algeria, their identification is our concerns in this paper so that any of such claims can be well done within their tenure of offices in their diverse portfolios of 3Es from 1830 to 1962.The scrutiny of several documentary evidences, specialized works and related materials enable us to use a historical analytical and statistically approach to justify of findings which are not frequently seen in the recent history books makes this branch of history very interesting as it opens the way forward for more research activities and to know what each of the EEIE did in Algeria. By the year 1962 when France granted independence to the Algerians, the later had experienced 132 years with manipulations under 74 Pre-colonial and Colonial agents as illustrated on table No. 1 ahead of the is study with table No.2 illustrating 19 French leaders who appointed their agents. In the teaching of African history during the pre-colonial and colonial periods, students are often worried about ...........
The Anachronism of International Pre-Colonial Loan Burdens and Intensive occupation of Tunisian Territory as a Colonial Yoke of France under 23 Appointed Diplomatic Agents of Exploration, Expropriation and Exploitation (3Es) 1863-1956
Authors: Fonju Njuafac Kenedy
Published: July 2023

This paper brings out evidences of unscrupulous pre-colonial debts burden of Tunisia owning to foreign companies and governments and how it acted as a motivated factor among others to intensive occupation and colonization of the territory which was never the case in other pre-colonial and colonial sphere of influences in North Africa as well as in Sub-Saharan Africa. The then Great Powers of the World especially Britain and Germany who strictly carved the African Continent the way the wanted supported the French motives against the non-payment of loans incurred by the Bey Government during the mid-19th Century. Therefore, the implantations of the French imperialist actors were imminent and could only recover their finances through the effectiveness of the 3Es. This makes the history of Tunisia very interesting because it stands as a very special case study in which the colonization of the country was as a result of corruption, embezzlement of the borrow funds for internal developmental projects which were neither completed with the required borrowed sum nor refunded to the lenders. This is part of the African history which has been hidden and hardly seen in most history books as researchers at times generalized the colonization of North African countries like Morocco and Algerian. Therefore, the French colonialist were not to be blamed because the Tunisian Ministers been unable to manage the funds borrowed exposed their country to suffer the consequences of colonialism from 1863 to 1956 when the country finally gained independence from France and became a full member of the United Nations Organisation created in the aftermath of the Second World War of 1939-145.The scrutiny of documentaries, specialized sources and related studies enable us to use a historical analytical and narrative approaches with our findings bringing out the 23 agents of 3 Es. It should be noted here that the history of Tunisia is very interesting because it faced many different ....
Pediatric Ophthalmology: Amblyopia (Lazy Eye), Strabismus, and Pediatric Eye Examinations
Authors: Alkhatib Ali Wasef
Published: July 2023

The preset study was conducted to review updates of the literature regarding clinical problems related to pediatric ophthalmology including amblyopia (lazy Eye), strabismus, and pediatric eye examinations. The field of pediatric ophthalmology is responsible for the discovery and treatment of vision abnormalities in children, both of which are extremely important obligations that fall under its purview. This subspecialty of pediatrics focuses on the treatment of ocular disorders in children. Both amblyopia and strabismus are prevalent disorders that, if left untreated, can have long- term negative repercussions on a person's vision. Amblyopia is more common than strabismus. The condition known as amblyopia is defined by a lack of eye movement, whereas strabismus is characterized by eyes that are turned inward. It is only via the delivery of routine eye examinations to juvenile patients that it is possible to detect these diseases as well as other abnormalities of the eye at an early stage. This not only paves the way for fast treatment but also provides the best visual outcomes that are achievable. Eye exams should be a priority for both parents and healthcare providers so that children can reach their full potential in terms of their visual development. This will allow children to attain their full potential as adults. Because of this, the child's eyes will be able to grow and develop to their full potential.
Correlation between Prolonged Aortic Cross Clamp and New Onset Cardiac Arrhythmia after Cardiac Surgery
Authors: Khassawneh Mohammad H. , Maayah Sakher M. , Taleb Mohammad A. Abu , Alrihani Malek A. , Alhourani Waed K.
Published: July 2023

Objectives: Cardiac arrhythmia involves a wide range of abnormalities associated with heart rhythm and rate disorders. It mainly refers to an irregular rhythm of the heart. It has been demonstrated through various clinical studies that aortic cross-clamp time during cardiac surgeries are independent predictors of the morbidity and mortality, and prolonged cross-clamp (XCL) time have been linked to the low cardiac output. Present study was aimed to examine the correlation between the prolonged aortic cross clamp time (XCL) in low-risk patients and the incidence of cardiac arrhythmia during cardiac surgery within 48 hours postoperatively. Methods: A retrospective study was carried out from March 2020 to February 2021 including 100 patients who underwent elective cardiac surgery as low-risk patients. The duration of XCL and new-onset cardiac arrhythmia was monitored within the first 48 hours postoperatively. Result: This study revealed a significant relationship between new onset Arrhythmia and prolonged cross clamp time (more than 90 min). It also revealed a weak correlation (r = 0.26) between the aortic cross clamp time and new onset of cardiac arrhythmia after cardiac surgery (average XCL time 60 min). Therefore, this study suggested XCL time one of important predictors of cardiac arrhythmia postoperatively. Conclusion: Prolonged aortic cross-clamp time was found to minimally affect the incidence of arrhythmia in cardiac surgery within 48-hour post-operatively in low-risk cardiac patients. Patients with cross clamp time of over 90min were observed to be the most affected by the Arrhythmia with a high prevalence rate, which further buttress on the fact that extended/prolonged XCL affect cardiac arrhythmia after cardiac surgery.
Basal Cell Carcinoma on Forearm- A Rare Presentation: A Case Report
Authors: Jain Sumit , Singla Chetan , Bhati Tushar , Talwar Ashutosh
Published: July 2023

Basal cell carcinoma is a type of skin cancer. IT begins in the basal cells — a type of cell within the skin that produces new skin cells as old ones die off. BCC often appears as a slightly transparent bump on the skin. Basal cell carcinoma occurs most often on areas of the skin that are exposed to the sun, such as your head and neck.Most basal cell carcinomas are thought to be caused by long-term exposure to ultraviolet (UV) radiation from sunlight. Avoiding the sun and using sunscreen may help protect against basal cell carcinoma.
Rare Case of Giant Cervical Paraganglioma
Authors: Kaitouni Zinah Idrissi , Anigri Mariem El , Darfaoui Mouna , Lalya Issam , Elomrani Abdelhamid , Khouchani Mouna
Published: July 2023

Paragangliomas are rare, mostly benign, adult neuroendocrine tumors that develop at the expense of the autonomic nervous system along major vascular axes. They are most frequently located in the cervico-facial region, and the diagnosis is usually made by the suggestive clinic and imaging workup. We present the case of Mr C.A., aged 55, without a notable history, who consults for a left laterocervical swelling that has been evolving for four years and gradually enlarging. The examination found a deterioration of the general condition and an evening heat without excessive sweating. Tinnitus such as ringing in the ears and pulsatile earache associated with hearing loss has been reported. The physical examination found ipsilateral facial paralysis, as well as a large swelling of the left parotid region measuring 7cm in long axis, firm, painless, mobile in the horizontal plane and fistulated in the skin, without palpable cervical lymph nodes. Imaging examinations including cervical ultrasound and a cervico-facial tomodensitometry found a hypervascularized deep tissue cervical mass arising at the left carotid bifurcation suggesting a tumor of the left carotid glomus. Initial workup for metastases did not find a second tumor location. The laboratory test for excretion of fractionated urinary metanephrines and normetanephrines in a 24-hour urine sample was negative, ruling out the diagnosis of secreting paraganglioma. Due to the size of the tumor lesion and the potential morbidity of a surgical procedure, surgery was not a therapeutic option. The patient was treated with arterial embolization followed by local radiotherapy. At two years follow up, reduction in tumor volume and regression of neurosensory symptoms.
Bladder Rhabdomyosarcoma: A Case Report
Authors: S Outaghyame , A Garmane , I Zouita , D Basraoui , H Jalal
Published: July 2023

Tumors of the urogenital sinus in children are very rare. Rhabdomyosarcoma is the most common tumor. In girls, it includes tumors of the uterus, vagina, cervix, vulva and bladder. Rhabdomyosarcomas account for 8℅ of all pediatric malignancies. Rhabdomyosarcoma of the bladder is a rare condition. We report an observation of a bladder rhabdomyosarcoma in a one-year-old girl, who consulted for hematuria with impaired renal function. The aim of this paper is to review the clinical symptomatology and radiological appearance of this condition in children, following a literature review of the condition, and to discuss therapeutic options. Rabdomyosarcoma should be considered in the presence of dysuria associated with hematuria in children. Its diagnosis is suspected by imaging and confirmed by anatomopathology.
Black Henna Temporary Tattoo: A Case of Sometimes Debilitating Dermatological Complication
Authors: Youssouf Fofana , Alimata Kéita , Zeinabou Diallo , Galo Dicko Amadou , Moussa Savané , Sokona Touré , Ramata Fofana , Madjako Soumahoro Nina , Mamadou Diakité , Binta Guindo , Koureissi Tall , Alassane Diarra , Adama Kondé , Mamoutou Dembélé , Lamine Sidibé , David Thera Thioukany , Koné Bakary , Yamoussa Karabinta , Mory Koné , Dramane Samake
Published: July 2023

In Africa, henna tattooing is generally practiced on the hands and feet during ceremonies such as weddings and baptisms. Many allergic reactions including allergic contact dermatitis have been described, not directly linked to pure henna, but especially to the addition of para-phenylenediamine. We report the case of a 35-year-old female patient who presented with allergic contact dermatitis following the application of a black henna tattoo. A 35-year-old woman presented with very itchy vesiculobullous lesions on the backs of the hands and forearms with a burning sensation 48 hours after the application of a black henna tattoo containing paraphenylenediamine (PPD) vesiculo-bullous, edematous lesions which sat at the tattoo site and exactly followed the initial design on the hands and forearms. The diagnosis retained was contact dermatitis allergic to black henna. Black henna tattooing is an ancient practice, responsible for a large number of allergic contact dermatitis due to the various products mixed with henna. It is therefore important that there be information, especially among young people, about the skin risks of this practice.
Metastatic Rectal Leiomyosarcoma Involving the Liver: A Case Report and Literature Review
Authors: Antar Doha Ait , Alouani Charazad El , Laabid Khaoula , Darfaoui Mouna , Omrani Abdelhamid El , Khouchani Mouna
Published: July 2023

Rectal leiomyosarcoma is a very rare tumor with a poor prognosis. We report the clinical case of a 45-year-old patient who presented with an externally palpable mass during defecation, accompanied by mild rectal bleeding. Colonoscopy revealed an ulcerated, budding, hemorrhagic, semi-circumferential rectal tumor. An anatomopathological examination with immunohistochemical study confirmed the diagnosis of leiomyosarcoma. The staging showed multiple secondary liver lesions. The case was discussed in a multidisciplinary meeting, and the decision was made to initiate first-line chemotherapy. However, the patient passed away before the treatment could commence.
Primary Naso-Sinusal Tuberculosis: Case Report
Authors: Kirami S. , Azzahiri I. , Boutkioute B. , Idrissi M. Ouali , Ganouni N. Cherif Idrissi El
Published: July 2023

Tuberculosis remains a public health problem in morocco. Extrapulmonary localizations account for 20 to 30% of tuberculosis disease. We present a case of nasosinusal tuberculosis, an unusual and rare localization of the disease, in a 55 year old women. The main symptoms were dominated by nasal obstruction. CT-scan showed a filling of the maxillary sinus extending into the nasal cavity. Tuberculosis was confirmed histologically after an endoscopic middle meatotomy.
Extracranial Metastasis of Glioblastoma: A Case Report
Authors: Daysi León Sanguano , Christian Jara Santamaria , Vanessa Orozco Moya , Daysi Brito Puni , Edwin Alarcón Herrera , Antonio Palacios Molina
Published: July 2023

Glioblastoma is the most frequent malignant neoplastic pathology among glial neoplasms, extra neural metastases are atypical, presenting in 0.2 to 2% of cases, risk factors include recurrence of the neoplasm, early age of the patient, and prolonged survival. The most frequent localization sites of metastases are lungs, cervical lymph nodes, bone tissue. This article details the case of a 36-year-old patient with no history of previous disease who presented tonic-clonic seizures. In extension tests, a right frontal intracranial tumor was observed. It was decided to perform resection of the tumor with pathology results that indicated a grade IV right frontal glioblastoma, presents a recurrence of the disease, for which reason a surgical reintervention is warranted and subsequent treatment with radiotherapy and chemotherapy one year after the second surgery, a right temporal extracranial lesion is evidenced, which was biopsied and reported as glioblastoma with a component primitively, resection of the tumor mass was chosen with the double scalpel technique and reconstruction with a cervicofacial flap and skin graft. Late post-surgical patient with adequate pain control, without signs of inflammatory response, without evidence of neurological deficit, is discharged.
Etiological Profile of Bilateral Papillary Edema in Young Subjects at the CHU-IOTA – Bamako
Authors: Coulibaly Brainima , Diallo Oumar , Diallo Salimata , Simaga Aissatou , Sissoko Modibo , Sangaré Rouky Djibril , Sidibé Fatoumata Tata , Diallo Seydou , Traoré Tenin , Napo Abdoulaye , Guirou Nouhoum , Thera Japheth Pobanou
Published: July 2023

Introduction: Papillary edema is the clinical expression of various conditions. This is fluid and/or axonal swelling of the optic nerve head due to blockage of axoplasmic flow at the level of the cribriform plate. The aim of our study was toto assess the etiological aspects of bilateral papillary edema in young subjects and their impact on vision. Patients and Method: This was a 36-month prospective study, January 1, 2018 to December 31, 2020 including all young patients aged 15 to 40 followed for papilledema at CHU-IOTA Bamako. Results: Ninety-four affected eyes were collected in 47 patients, with a female predominance of 76.6%. Our average age was 25.7 years and the sex ratio 0.31. Papillary edema was bilateral in 100% of cases. Stasis papilledema due to intracranial hypertension (ICH) was the most common etiology (91.5%). Intracranial hypertension was idiopathic in 74.5% of cases and secondary in 25.7% of cases. In idiopathic HIC the main risk factor was overweight found in 78.3% of cases (all women) followed by taking oral contraceptives with 21.7% and alcoholism in 7.7%. Secondary HIC resulted from tumor or compressive (55.6%), infectious and cerebral thrombophebitis (22.2%) each. Conclusion: This prospective study including 47 patients for papilledema without obvious cause highlighted the frequency of intracranial hypertension as the main etiology.
Phyllodes Tumors of the Breast Apropos of 20 Cases: Experience of the Military Hospital Moulay Ismail Meknes
Authors: Bardaa Salma , Bouazizi Yassine El , Mohammed Laghzaoui Boukaidi , Omar Laghzaoui Boukaidi
Published: July 2023

Phyllodes tumors of the breast are rare fibro-epithelial tumors, representing 1% of primary breast tumors. Their diagnosis is histological. The aim of our work is to determine the epidemiological, clinical, histological, therapeutic, and prognostic characteristics of these tumors. This is a retrospective study conducted in the gynecology department at the MOULAY ISMAIL Meknes military hospital, over a period of 10 years, involving 20 patients who had histologically proven breast phyllodes tumors. The average age of onset of phyllodes tumors was 32 years, 80% of patients were multiparous. The mode of revelation was clinical, dominated by the increase in breast volume in 90% of patients, the right breast was the most affected by the tumor, and the QSE was the site of 60% of these tumors. The average tumor size was 6 cm. Confirmation of the diagnosis was histological after micro biopsy or lumpectomy, and conservative treatment was decided in 90% of cases while 10% benefited from radical treatment. Radiation therapy was reported in 2 women. The follow-up was marked by a favorable evolution in 16 cases, 2 cases of death were noted, while two women presented a local recurrence and were revised surgically. Phyllodes tumors of the breast mainly affect young women, and their treatment is based on surgery with a healthy excision margin greater than 1 cm. The evolution is marked by local recurrences, and most often lung or bone metastases. The prognosis is based on the histological characteristics of the tumor and on the quality of the surgical excision.
Strategies of Increasing The Growth and Results Pakcoy by Modification of Media and Nutrition in The Axis System Hydroponic (Wick System)
Authors: Riski Darmawan Made , Ginting Candra , Syah Ryan Firman
Published: July 2023

This study seeks to determine the growth response and yield of Pakcoy plants grown in various nutrient concentrations and growing media types. This study employs a wick system and the split-plot method, which consists of the main plot, which is the Ab mix nutrition with three nutrient concentrations: 5 ml (N1), 7.5 ml (N2), and 10 ml (N3). The subplot is comprised of three kinds of planting media: Rockwool (M1), husk charcoal (M2), and cocopeat (M3). These two parameters were obtained through nine different treatment combinations. Each treatment was administered three times. The research data were analyzed with a split-plot design at a significance level of 5%. Followed by Duncan's test with a 5% significance level if there is a treatment difference. The results demonstrated a significant interaction between nutrient concentrations and the type of growing medium on the parameters of the number of leaves, plant dry weight, root fresh weight, root dry weight, root dry weight, root fresh weight, root fresh weight, root dry weight, crown fresh weight, and shoot dry weight. The results demonstrated a significant interaction between nutrient concentrations and the type of growing medium. The optimal treatment combination was found for all parameters at a nutrient concentration of 10 ml with Rockwool growing media.
Fostering Hope and Resilience Through Children’s Literature
Authors: Arnold Jackie Marshall , Sableski Mary-Kate
Published: July 2023

Significant traumatic events affect communities and schools. Teachers need tools to help navigate challenging conversations with their students. Consequently, we utilized our children’s literature course on the use of picture books that would invite dialogue supporting children responding to traumatic events. Specifically, we reconceptualized an existing read-aloud assignment to focus on selecting and using literature that facilitates children’s responses to challenging life experiences. This article describes the read-aloud assignment, providing a content analysis of the books the preservice teachers selected, and examples of both preservice teachers’ responses and K-12 students’ responses to the literature.
Bigger Than a Cupcake: Reimagining Birthday Celebrations Through an Equity and Inclusion
Authors: Cline Keely D. , Wikite Lee Maureen A. , Gilb Merlene , Bielicki Lauren
Published: July 2023

This article shares the story of a preschool teacher who courageously embarked on a yearlong journey of re-envisioning how an important milestone in children’s lives—their birthdays—were celebrated in the classroom. She accepted the preschool leadership’s invitation to align birthday practices with the center’s identity influenced by the Reggio Emilia Approach. What resulted was the teacher co-constructing a new set of rituals with the children that contributed to more equitable spaces that celebrated children’s individuality and fostered agency within an inclusive child-centered, children-driven learning environment.
Intentionally Collaborating, Instructing, and Reflecting: Core Principles of Teaching Practice
Authors: Córdova Ralph Adon , Gamrath Nikki , Colmaire Sarah
Published: July 2023

Emerging from the Covid-19 pandemic, a school’s teacher-leaders draw on an Interactional Ethnographic Approach to co-construct an inquiry community of Professionals Developing Professionals called Depth of Study (DOS). The study examines the three premises that undergird DOS: Making Visible the Invisible through an Interactional Ethnographic Perspective, Culture-in-the-Making, and The Over-Time Nature of Change: Periphery to Center. Through the analysis of three Telling Cases, the authors make visible how each of the three premises learned within the DOS setting affect student learning in the classroom setting.
By Way of the Heart: Cultivating Empathy Through Narrative Imagination
Authors: Dias Dany
Published: July 2023

When trying to promote empathy, it is not sufficient to merely learn about other people and cultures if we seek to understand them better (Case, 1993). As a language arts teacher and researcher, the author sought to explore the potential for multicultural literature to expand adolescent learners’ worldviews and shape their perceptions as global citizensthrough classroom inquiry. This doctoral research features the case study of her Grade 8 class. Findings revealed that through narrative imagination (Nussbaum, 1997), learners’ experiences led to emerging themes of empathy, insight, and agency. This article focuses on the most prominent of these themes: empathy.
How Does It Feel To Be a Design Thinking Teacher in Changing Times in Nepal?
Authors: Shrestha Bhawana , Poddar Mahima , Khadka Samaya
Published: July 2023

Design thinking is emerging as a popular student-centric teaching approach in Nepal. However, limited research has been done to understand how teachers feel about using these approaches in their classrooms. In-depth interviews with five design-thinking teachers revealed that cultural context plays a crucial role when new teaching approaches are used. The pedagogical and mindset shift required by teachers when exploring new teaching approaches directly affects their emotions, resulting in varying levels of joy or frustration. Critical reflection helps teachers manage their emotions, which is crucial in navigating challenges and emotional exhaustion.
Review Board (Vol. 16)
Authors: Houde Christine
Published: July 2023

Review Board
Resisting Concepts as Starting Points in a High School Leadership Pathway Alongside Indigenous Youth
Authors: Dubnewick Michael , Lessard Sean , Hopper Tristan , Lewis Brian
Published: July 2023

This writing draws on an ongoing narrative inquiry with 10 Indigenous youth as they negotiated their lives within a high school leadership pathway. Our research demonstrates the need to resist starting in concepts as an intentional shift to being and becoming wakeful to storied lives on and off school landscapes. Three resonant threads are highlighted as we listened across the youths’ lives. These threads are framed as pathways the youth asked us to consider in terms of reimagining schools as places of unfolding kinship, reimagining schools beyond notions of becoming responsible adults, and reimagining in-between spaces as landscapes that matter.