bluuebunny/crossref_metadata_2025 huggingface dataset:
An Analysis of Presuppositions in the Victory Speech of President Joe Biden
Authors: Lathar Vikas , Shet Jayashree Premkumar , J Christy Paulina , Vennila S , Moorthi S. , R Retna Mony , Raj Solomon Paul , R. Aseda Fatima , C. Divya
Published: April 2023

"Pragmatics is the study of the meaning of a speaker's utterance," according to Yule (1996:3).At the same time it’s the hearer, who deduces the meaning of the utterance from the context of what the speaker wants to convey. Speakers generally make indirect assumptions about the true picture of the situation in everyday status quo, and the meaning or comprehension of what is stated may be altered by the speaker's preconceptions (Haji, and Mohammed, 2019). On this note the notion of presupposition arises. Presupposition is defined as the speaker's implicit but communicated assumption. (Levinson, 1983) As a corollary, the intent of this present descriptive qualitative study is to investigate many types of presuppositions, their triggers and their relevance in Joe Biden's Victory Speech. Additionally, this discourse analysis research investigates what types of presuppositions, and their triggers are used by Biden, as well as it explores in depth the most prominent type of presupposition in the chosen speech. Yule's theory of presupposition classifies presupposition into six categories: existential presupposition, factual presupposition, lexical presupposition, structural presupposition, non-factual presupposition, and counterfactual presupposition. The study's data is comprised of statements that involve presupposition triggers. Levinson's list of lexical and syntactic triggers is adapted to identify presuppositions.The analysis of Biden’s speech has shown that the president heavily depends on lexical level triggers that have ranked first scoring eight hundred ninety-four occurrences, this means that this level triggers have effect on the speech. The topmost sub category trigger is Noun clauses that are the most prominent one with 683 occurrences. There were one hundred and eleven syntactic level triggers amongst which thirty-four of them are temporal clauses. It was also determined that, like every other speech, Biden's speech is laden with existential presupposition type (82.28%) and every other type of presuppositions has been identified in the president’s speech. The finding of a large number of triggers in this work would aid both linguistic and pedagogical domains.
Rethinking Cartilage Lesions of the Ankle: An Update on the Role of Biologic Adjuvants
Authors: Gianakos Arianna L. , Kennedy John G.
Published: April 2023

Osteochondral lesions of the talus are common injuries in the ankle joint often resulting in early-onset osteoarthritis if left untreated. The avascular nature of articular cartilage limits healing capacity; therefore, surgical strategies are typically used in the treatment of these injuries. These treatments often result in the production of fibrocartilage rather than the native hyaline cartilage, which has decreased mechanical and tribological properties. Strategies to improve the ability of fibrocartilage to be more hyaline-like and thus more mechanically robust have been widely investigated. Biologic augmentation, including concentrated bone marrow aspirate, platelet-rich plasma, hyaluronic acid, and micronized adipose tissue, has been used in the augmentation of cartilage healing, with studies demonstrating promise. This article provides an overview and update on the various biologic adjuvants used in the treatment of cartilage injuries in the ankle joint.
Orthopaedic Surgery Residency: Perspective of Applicants and Program Directors on Medical Student Virtual Experiences
Authors: Hicks Justin J. , Khalafallah Youssef M. , Wright-Chisem Joshua , Mulcahey Mary K. , Levine William N. , LaPorte Dawn , Patt Joshua , Kogan Monica ,   Collaborative Orthopaedic Educational Research Group
Published: April 2023

Introduction: Orthopaedic Residency Directors advised against visiting subinternship rotations in the peak of the pandemic. To adapt, programs offered multiple virtual experiences. The purpose of this study was to evaluate programs and applicants perceptions regarding the value of virtual experiences during the 2020 to 2021 application cycle and their utility in future application cycles.

Methods: A survey was disseminated to 31 residency programs gathering data about virtual experiences offered in this cycle. A second survey was disseminated to interns who have successfully matched at those programs to identify how interns think to have benefited from the experiences.

Results: Twenty-eight programs completed the survey (90% response rate). One hundred eight new interns completed the survey (70% response rate). Virtual information sessions and resident socials were the highest attended (94% and 92%, respectively). Interns and leadership agreed that virtual rotations provided students with a good understanding of program culture and what the programs offer educationally. Neither the leadership nor the interns would recommend replacing in-person aways with virtual experiences.

Conclusion: Virtual experiences helped bridge the gap after away rotations were canceled. Alongside in-person aways, virtual experiences are likely to play a role in future cycles. However, virtual experiences remain incomparable to in-person away rotations and are not recommended as a replacement.
Prevalence and Impact of Cell Phone Elbow among Mobile Users in Different Cities of Punjab, Pakistan
Authors: Yawar Azeem Khan Muhammad , Akram Samrood , Rehman Haseeb Ur , Taufiq Amna , Afzal Muniba , Javed Hassan
Published: April 2023

Cell phone elbow is the pinching of ulnar nerve behind the elbow resulting in tingling or numbness within the hand when using a cell phone, sleeping with your elbows bent, or holding your arms bent and by your head for long period of time. Objective: To find out the prevalence of cellphone elbow among mobile phone users and its associated impairments and functional limitations. Methods: A cross-sectional study was conducted during October 2021 to April 2022. Data were collected from different Punjab colleges and universities: NUR International University, Riphah International University, The University of Lahore, University of Faisalabad, Niazi College of Physical Therapy and Fatima Memorial Hospital and College. Participants were recruited through convenience sampling from 17-50 years of age with positive Tinel sign test. Data collection were done by using the Numeric Pain Rating Scale and Boston Carpal Tunnel Syndrome Questionnaires. Results: Out of 250 subjects 33.2% were having noticeable symptoms associated with prolong phone usage. Among them 39.6% experienced numbness and tingling. Hand pain is reported in 32.8% and 27.6% experienced pain on ulna side of elbow. Conclusions: The prevalence of cell phone elbow was 33.2%, higher than the previous studies. This research advice the cell phone users to minimize their mobile usage, avoid prolonged calls, use hands alternately to avoid strain on one hand, use hands-free and ear pods while taking calls
Factors Affecting On Dialysis Patients to Choose or Refuse Kidney Transplantation as Renal Replacement Therapy
Authors: Ali Azfar , Khan Wifaq Hasrat , Tariq Alam Aisha , Aslam Waraich Touqeer , Muhammad Kathia Usama , Rizwan Gill Muhammad , Hayat Gondal Khizar
Published: April 2023

Kidney transplantation (KT) is the most successful treatment for end-stage renal disease patients. But objective data about patients' willingness to undergo kidney transplant is still lacking in Pakistan. Objective: To assess barriers to KT and identify factors which could influence the willingness regarding KT among hemodialysis dependent patients.  Methods: This cross-sectional study carried out at Dialysis Unit, Dept. of Urology and Kidney transplantation Lahore General Hospital, Lahore on 100 hemodialysis dependent patients by completion of structured questionnaire about their knowledge and attitudes toward KT and how satisfied they were with dialysis. Results: The mean age of the patients was 42.8 ± 10.6 years with 55% male and 45% female patients. The percentage of patients who were willing to get a kidney transplant was 60%. The main reason of unwillingness to undergo KT was lack of donor (83.3%). Motivating factors in patients to choose KT were vascular access constraints 75%, studies or work difficulties 70%, fluid and dietary restrictions account for 63.3%. The percentage of patients who wanted a deceased kidney for transplant was 50%, whereas the percentage of patients who preferred a living kidney for transplant was 25% (17 % relatives and 8% non-relatives) and 25% of patients had no preference. Conclusion: Willingness to get kidney transplant is relatively low in Pakistan. Lack of donor, fear of surgery and financial problems are the main barriers for KT in ESRD patient
A Scientometric Analysis of Research Productivity in Surgery from Arab countries (2001-2021)
Authors: Imran Muhammad , Malik   Ahmad Azam
Published: April 2023

Several surgical procedures are being performed on daily basis globally along with continuously expanding research in all surgery fields. Objective: To assess the surgery related research trends and performance in Arab countries using bibliometric indicators. Methods: In this descriptive bibliometric study, data were extracted from the Web of Science (WoS). All surgery related English language articles, from 2001 to 2021 from Arab countries were analyzed in R-Bibliometric package. Results: There were 10,269 articles in English language, with 158 authors’ countries. There was increase in publications each year with escalating trend from 2017 onwards. Al-Qattan MM was the leading author with >200 publications and >2000 total citations (TC)), while the highest h-index was demonstrated by Alio 25. Egypt USA, and Saudi Arabia were leading in production and TC. Cairo University (Egypt) and King Saud University (Saudi Arabia) were the leading affiliations. International Journal of Surgery Case Reports was the leading sources. Case report, bariatric surgery, surgery, laparoscopy and sleeve gastrectomy were the most frequently used keywords. Conclusions: This study showed increasing publications over time with more productivity since 2017. The magnitude and increasing trend of obesity and bariatric surgery-research was observed. Egypt and Saudi Arabia were leading contributors, which signifies the need of more efforts from other Arab countries. More collaboration among Arab researchers, increase in funding sources, efforts toward high impact research in the field of surgery, and support for less resourceful countries are warranted in future
Satisfaction of Nursing Students Toward Their Clinical Placement and Association with Their Academic Year at Private Nursing College Karachi Pakistan
Authors: Bibi Afsha , Sami Abdul , Kauser Mehreen
Published: April 2023

Clinical placement is the setting of the physical environment and personnel teaching for healthcare workers, including nurses and nursing students. A clinical placement offers hands-on learning opportunities that can enhance your understanding of healthcare practices and procedures. Moreover, clinical placement could also provide networking opportunities and connections with healthcare professionals, which could help build their professional network. Objective: To measure the satisfaction of nursing students toward their clinical placement and association with their academic year at private Nursing College Karachi Pakistan. Methods: A cross-sectional analytical study was conducted in the Horizon School of Nursing and Health Sciences Karachi, Pakistan, from June 2022-September 2022. A total of 62 participants were part of the study; 3rd year and 4th-year students were enrolled. Moreover, a Convenient sampling technique was used for the data collection. Data were collected through a valid and reliable tool that was self-administered. Results: The study results show that. 12.9% of participants had a low level of satisfaction regarding their clinical placement, 51.6.% had a moderate level, and 35.5% had a high level of satisfaction. There was no significant difference between the satisfaction of nursing students toward their clinical placement with their academic year p-value (.193). Conclusions: Most students were satisfied with their clinical environment. But some still have poor satisfaction; it is essential to listen to nursing students' feedback regarding their clinical placement and take steps to address their concerns
Lumpy Skin Disease in Pakistan
Authors: Asif Naveed Muhammad
Published: April 2023

The lumpy skin disease virus, also known as LSDV, belongs to the family of Poxviridae and is responsible for lumpy skin disease (LSD). It is a transboundary infection that mainly affects cattle and water buffaloes.  Due to its capacity for transboundary transmission, endemic and sporadic outbreaks occur all over the globe, but particularly in Africa and Asia. The virus is primarily mechanically transmitted to susceptible hosts by hematophagous arthropods.  The most efficient method to stop the spread of disease is through vaccination in conjunction with other preventative measures.  There has been many reports describing these cases in Pakistan in near past and there is a chance that it will spread again [1].

In 1929, Zambia recorded the first case of LSD, which later spread to nations in Sub-Saharan Africa, South-Eastern Europe, and Asia. LSD first became known in Asia in Bangladesh, then it expanded to other countries like India, Bhutan, Nepal, Hong Kong, Vietnam, Myanmar, and Thailand. In the Pakistani province of Sindh, district Jamshoro, there was one confirmed case of LSD in 2021 November. When 36,000 infected cattle and a 0.8% mortality rate had been recorded by the end of April 2022 in Sindh, the livestock department proclaimed an epidemic of LSD. A total of five million dairy producers and meat vendors were impacted by the introduction of LSD, which had serious negative economic effects. Additionally, the virus may spread to humans through the milk and meat of sick animals [2].

The domesticated animals’ ventures in industrialized countries, including Pakistan, are lingering behind as far as playing it safe against new infections with regards to epidemiological situations and financial requirements. Because of lacking indicative circumstances and viral recognizable proof inside a specific time span, the infection can spread irreversibly and increase the quantity of diseases. Pakistan has never encountered an LSD plague before, however because of endemic LSDV in its neighbors, it faces a high gamble of doing so presently. A combination of vector control, vaccination, stringent quarantine regulations, and livestock mobility restrictions may be successful in halting the spread of the illness.
Stuttering’s Effect on Job Efficacy in Five Participants
Authors: Rafique Sehar , Noreen Hafsa , Saba Yaqoob Saba Yaqoob , Ehsan Fazaila , Shabnum Noor Hafiza , Zahra Mariam
Published: April 2023

Stuttering also known as stammering is a speech disorder, in which the flow of speech is disrupted by involuntary repetitions and prolongations. Adults who stutter suffers with many problems at workplace due to speech disfluencies. To evaluate the effect of stuttering on job efficacy. A population both male and female between the age of 30 to 40 years were selected. Data for the stuttering patients were collected from different job places of Lahore. All these stutters were given the consent form. It confirmed their willingness to participate in interview. Interview guide was designed as per the criteria of research questions. Interview guide was evaluated and reviewed by two external members. Interviews were conducted on WhatsApp audio or video call, zoom meetings and face to face, according to the availability and willingness of participants. Interviews were recorded for further analysis. Recorded interviews were transcribed which were further coded, and subthemes were extracted. On the basis of subthemes, themes of the research were decided. Results shows that only those individuals who stutter doing their own business or running their own NGO’s (Non-Governmental organizations) are satisfied with their jobs/works. Individuals doing any kind of job in a private company are not satisfied with their jobs because of stuttering. Case Summary: Stuttering has a negative impact on their job performance and employment. Stuttering made them lose their confidence in front of any stranger, senior or boss. People usually mock them because of stuttering. These issues lead them towards anxiety, complexity and frustration.
Activating Radical Innovation in Small and Medium Enterprises
Authors: Hage Roger
Published: April 2023

The COVID-19 pandemic made organizations around the globe aware of the urgent need for Digitalization and Digital Transformation. Small and medium enterprises (SMEs) are no exception. Business Model Innovation (BMI) might be a solution to successfully adapt to the new circumstances and cope with the effects of the pandemic, and radical innovation can give organizations a long-term competitive advantage with the potential of making them resilient to future market disruptions. This study describes the design and execution of an intervention program - part of a government funded innovation support program in Austria - to activate SMEs so they can pursue radical innovations by experimenting with reinventing their business models. The purpose of the paper is to evaluate the acceptance and effectiveness of the program. As a research strategy we followed action research to plan interventions and reflect on the observations gained from each of 3 cases in order to optimize the actions for practice. The findings show that the SMEs have difficulties thinking far away from their core business areas. With the help of external stakeholders for idea generation, prototyping and experiment design and execution, SMEs can be activated to pursue radical business model innovations and adopt an open mindset embracing risk, uncertainty and ambidexterity. This study offers important practical insights and contributes to SME strategy development.
Identification of Asymmetric Information in Agriculture Supplier-Buyer Relationships
Authors: Abdulaziz Mardenli , Dirk Sackmann , Julius Brinken
Published: April 2023

The purpose of this paper is to develop an influence-effect model as a construct for determining information asymmetry influencing factors between suppliers and customers. In order to understand the cause-effect principle of the influencing factors, the principal-agent theory is used to characterize the supplier purchaser relationship. The analysis of supplier evaluations enables the indirect derivation of information asymmetry influencing variables. Social, legal, or the internal influencing issues of companies (e.g., integrated management systems, cooperating systems, etc.) are determined as information asymmetry influencing factors. An explanatory model is designed to determine the information asymmetry influencing variables. The paper provides a structured overview of the main information asymmetry variables that can be assigned in general, but in particular to food supply chains.
Circular Supply Chain: Situation and Implementation Solutions For Agricultural Products in Vietnam
Authors: Pham Van Kiem , Tran Thi Thu Huong
Published: April 2023

Circular supply chains are suitable for many economic sectors from agricultural to industrial products. Currently, some localities in Vietnam have initially applied the circular supply chain to agricultural products, thereby creating many value-added products. This paper uses qualitative approach and the desk research to review systematically theories and publications related to circular supply chain. In addition, interviews were conducted with farmers, firms and local authorities in agricultural farming areas in Vietnam such as Son La, Phu Tho, Ha Noi, Ha Nam, Can Tho, Tien Giang, Gia Lai for collecting information about current situation of agricultural supply chain according to fundamental components of a circular supply chain. Two case studies of Musa Pacta and Minh Tien were analyzed as representatives of current agricultural circular supply chain in Vietnam. Based on collected data and the two examples, the paper proposed recommendations to enhance circular supply chain management in various agricultural segments.
Predicting Risks for Supply Chain Management Networks with Machine Learning Algorithm
Authors: Nguyen Thi Thu Thuy , Nghiem Thi Lich
Published: April 2023

Predicting risk in supply chain management networks has been interested by many researchers because supply chain management can be seen as a core factor of businesses activities. Using machine learning algorithm, especially with Bayesian networks, to predict risk in supply chain management network can help to control and monitor the supply chain process in particular in the second step of identification. If the supply chain risk is effectively evaluated, it can support supply chain partners to assess, identify, monitor, and mitigate risks in order to increase robustness and resilience, reduce supply chain vulnerabilities, ensuring continuity and profitability. The Bayesian network have advantage of optimization in explosion dataset based on treating the weights and outputs which find their marginal distributions that best fit the data. The contribution of the paper focuses on summarize the applying of machine learning algorithms in predicting in supply chain management field, proposing supply chain management risk framework in which machine learning algorithms are applied, and demonstrate the case study to show the advantage of using machine learning algorithm in particular of Bayesian networks in risk prediction. The experimental case study shows the good results with the risk model. This implicates the performance of using machine learning in predicting risk in support supply chain management networks.
Impacts of Psychological Capital and Social Support on Work Engagement: The Case at SME in Ho Chi Minh City
Authors: Nguyen Huynh Thu , Bui Thi Nhi , Nguyen Thi Kim Ba , Tran The Nam , Vo Ngoc Thu
Published: April 2023

In a globally competitive market after the pandemic Covid-19, human resources are considered as indispensable elements determining the success or failure of the business. Successful employee engagement plays a key role on productivity, profitability, customer satisfaction, and revenue. The heightened sense of employee engagement can be supported by several factors. This study targets to analyze and figure out the effects of psychological capital (PsyCap) and social support on work engagement. The population in this study are employees from different sectors of small and medium businesses in Ho Chi Minh City. The quantitative approach is applied to evaluate the relevance of three crucial variables in the research model. This study uses primary data in the form of participants' responses to variables using an online survey. The results depict that psychological capital has a significant positive effect on work engagement. In addition, it is worth noting that social support has a significantly positive effect on work engagement. It can be concluded from the results of the study that an appropriate level of psychological capital and positive social support results in a strong sense of involvement to work. These effects help us better understand previous findings in the literature in terms of the influence of PysCap and social support on the attachment of work. Furthermore, the findings of this study throw new lights on human resources practices based on different sub-dimensions of PsyCap and social support. Launching a flexible psychological capital training, and strengthening social support are suggested to improve job performance and work engagement in the small and medium businesses.
University 4.0: Digital Transformation of Higher Education Evolution and Stakes in Morocco
Authors: Tamer Hind , Knidiri Zakaria
Published: April 2023

Facing the challenges of the new industrial revolution, the deep coupling between universities and industry 4.0, the integration of information and communication technologies in education, and the enhancement of the ability to serve society on the basis of internal and external synergy should become the common choice of different types of universities. The university plays an important role in the n development in any advanced economy. In the age of knowledge and globalization rapid technological changes involve new disruptive processes. In this permanent challenge, it is necessary to adapt to the digital transformation, in order to better respond to the needs and challenges of a constantly changing environment. It is necessary to pay attention to technological advances, to a total transformation in the new university, University 4.0, In order to face the challenges of the technological development and the efficiency of universities in Morocco, it is necessary to introduce modern technologies, blockchain technology, artificial intelligence, chatbots..... into the sphere of Moroccan universities.
UTERINE SKIN PENSTOCK – SINGULAR ENTITY
Authors: K Prof , Baskaran Dr , Anandakannan Indrajit , Retnam Ashwin
Published: April 2023

Fistula is an abnormal communication between two epithelial surfaces; uterocutaneous fistula is extremely rare. 26year female with seropurulent discharge from post Lower segment caesarean section (LSCS) scar for 45 day postpartum. In view of sinus, x-ray sinogram was done which revealed a fistulous tract of length 7 cm anteroposteriorly with the subcutaneous collection extending into the endometrial cavity with multiple arborization. Intra-operatively, communication with the endometrial cavity ascertained. An elective laparotomy with exploration and removal of fistulous tract was proceeded. On exploration, the wall of the uterus was found to be irreparable proceeded with subtotal hysterectomy with bilateral salpingectomy, peritoneal lavage and closure. Infection must be treated with appropriate antibiotics and drainage of any abscess. Surgical management is the mainstay in the treatment of fistula. Medical treatment using GnRH agonist for six months has been described in literature. Conservative treatment, including resection of the fistula tract and closure of the uterus, should be considered with the risk of recurrence.
Perforated Appendicitis Mimicking Intussusception in a 50-year-old male patient
Authors: Adawi Yasmeen , Radi Noor , Alasa Enam , Hilal Lila , Alshami Yasmeen , Alqurneh Abdullah
Published: April 2023

Intussusception and acute appendicitis are two different causes of acute abdomen that potentially require surgery. The clinical presentation can be similar in both diagnoses with symptoms including abdominal pain, vomiting, and diarrhea. In addition to history and clinical examination, the similarity between them extended to include diagnostic imaging such as Computed Tomography (CT) scan as we report in our case. Unfortunately, a delay in diagnosing appendicitis or a misdiagnosis can lead to severe, life-threatening complications that include a burst appendix (perforation), abscess formation, peritonitis, sepsis, intra-abdominal adhesions, and bowel obstruction. In some tragic cases, delayed diagnosis of appendicitis can be fatal.
Herein, we report a case of a 50-year- old male who presented to our hospital with suspected intussusception, but it was later discovered that he had a perforated appendix and caecum, a rare complication of acute appendicitis.
LATERAL INTERNAL SPHINCTEROTOMY VS ANAL DILATATION IN CHRONIC ANAL FISSURE; A COMPARATIVE STUDY
Authors: Garg Amit , Khoja Hanuman , Bhat Akshita , Bugalia Rajendra
Published: April 2023

Introduction: Anal fissure is a common problem with widespread presence in young adults and middle age group people. After the failure of conservative method there is a need of a good surgical procedure. Aim of this study is to determine the better surgical outcome between LIS and AD.

Material and methods: This is a prospective observational hospital based study which included 65 patients of CAF in each LIS and AD group. They were followed for 3 months post-op for recurrence, pain relief and ulcer healing. Study was conducted after approval from ethics committee.

Result: By the end of 2nd week, 99% patients of LIS group show pain relief with median VAS score of 1 and IQR of 0-1 while 93.84% patients in AD group with median VAS score was 1 with IQR of 0-2. (p-value=0.013). At one-month post-op 100% patients in LIS group shows healing of ulcer while in 92.3% in AD group. (p-value=0.068). At 3rd month LIS group show 4.6% recurrence while it is 27.7% in AD group, which is significantly higher with p-value>0.001.

Conclusion: Both the surgical procedures are good with ulcer healing and pain relief but, LIS shows significantly higher pain relief than AD. In terms of recurrence LIS is a significantly far better procedure than AD. Overall LIS is a superior procedure for CAF than AD.
eTEP technique for inguinal and ventral hernias: approach being simplified
Authors: Alur Dr , siva Dr , C Dr , Ram Dr
Published: April 2023

Background: Enhanced view totally extra peritoneal (eTEP) approach for inguinal and ventral hernias repair is becoming the preferred technique. Initially the technique was described by Jorge Daes for inguinal hernia repair and later Igor Belyansky applied this technique for ventral and incisional hernia repair. Since it does not penetrate the peritoneal cavity, the major advantage of this approach is in reducing the risk of intestinal and vascular injuries as well as herniation at the trocar sites. This eTEP approach provides scope for flexible port placement and wide coverage by the prosthetic mesh in the retromuscular space with hardly any transfascial fixation. Here we bring forward the technical benefits and avoidable hurdles encountered which might render this as most sought approach.
Patients and Methods: 72 patients with mean age of 44 yrs underwent eTEP repair between July 2018 and June 2022. The data was analysed for standardising the surgical steps of eTEP approach, operative time taken, technical advantages in this approach and hurdles encountered
Results: All 72 patients underwent laparoscopic repair successfully. There were six conversions to alternate laparoscopic hernia repair techniques. The operative time improved with the subsequent surgeries though initially it was prolonged.
Conclusion: Our clinical experience with eTEP approach has been convincing. With improved technical steps, adjunct hybrid manoeuvres & hurdles overcome; eTEP is becoming a favourable approach for laparoscopic inguinal and ventral hernias repair in our practice. We believe this technique makes a striking presence among all the types of surgical approaches for laparoscopic hernia repair.
STUDY ON DIAGNOSTIC EFFICACY OF COMBINED USE OF ALVARADO SCORE AND ULTRASOUND FOR PREOPERATIVE DIAGNOSIS OF ACUTE APPENDICITIS
Authors: Shakya Prateek , Singh Rajeev , Ahamad Jafeer , Kala Sriranjan
Published: April 2023

Background and Aim: This study set out to determine whether or not the use of Alvarado scoring and Ultrasonography together improved the accuracy of diagnosing acute appendicitis and whether or not it decreased the number of false-positive appendicectomy outcomes without increasing their associated morbidity and mortality. Study design: Cross-sectional study, conducted in the Department of Surgery at Government Medical College Haldwani Nainital. Patients and Methods: The participants were recruited from an emergency department or surgical ward and presented with symptoms suggestive of acute appendicitis, including abdominal pain, rebound tenderness, nausea, vomiting, or elevated temperature. Results: The study found that those between the ages of 21 and 40 had the highest rate of developing acute appendicitis. Evidently, the incidence is highest in the second, third, and fourth decades of life, Males outweigh females by a factor of two to one in this series, on correlating the Alvarado score to appendix histopathology data, and discovered that it had a sensitivity of 96.39 percent. On the correlation between ultrasonography and histopathological examination showed a sensitivity of 100% and a PPV of 86.46 percent. Conclusion: Combined use of the Alvarado score and USG in appendectomy decision-making has high sensitivity and accuracy, allowing patients to be diagnosed in the early acute appendicitis stage, and reducing morbidity and postoperative complications.
Bruksizm Hakkında Bilgi Kaynağı Olarak YouTube™: Kesitsel İçerik Analizi
Authors: ALKAN AYGÖR Fehime , EKRİKAYA Semiha
Published: April 2023

Amaç: Bruksizm ile ilgili bilgi kaynağı olarak YouTube™ videolarının içeriğinin ve kalitelerinin değerlendirilmesidir.
Gereç ve Yöntem: YouTube™ videolarında “diş sıkma, bruksizm” kelimeleri ile Türkçe videolarda arama yapıldı ve ilk sırada yer alan videoların URL’leri kaydedilerek iki araştırmacı tarafından tüm videolar incelendi. Videolara ait tanımlayıcı istatistikler kaydedildi ve verilerin minimum, maksimum, ortalama, standart sapması hesaplandı. Elde edilen değerler, istatistiksel olarak incelendi ve sürekli değişkenler Kruskal-Wallis testi ile analiz edildi (p<0.05).
Bulgular: Toplam 250 video değerlendirmeye alındı. Bu videolardan değerlendirme kriterlerine uyan 68 video çalışmaya dahil edildi. Değerlendirmeyi yapan iki gözlemci arasında
istatistiksel olarak anlamlı seviyede yeterli uyum vardı (Kappa=0.754, p<0.001). Videolar içerdikleri bilgi kalitesine göre değerlendirildiğinde, %10’u mükemmel, %56’sı iyi, %29’u zayıf ve %5’i kötü olarak skorlandı. Kruskal-Wallis testine göre video süresi ve yüklenme tarihinden itibaren geçen zamana göre istatistiksel fark tespit edildi. Ayrıca video kaynağı türü ile
video tanımlayıcı istatistiklerinin kıyaslanması sonucu video süresi ve yüklenme tarihinden itibaren geçen zamana göre bazı parametrelerde istatistiksel fark tespit edildi. Ancak Bonferroni-Dunn testi kullanılarak yapılan çoklu karşılaştırma sonuçlarına göre istatistiksel olarak anlamlı farklılık yoktu (p>0.05).
Sonuç: Bruksizm ile ilgili YouTube™’da yer alan videoların çoğu az yararlıdır. Alanında uzman hekimler ve akademisyenler, YouTube™’a daha yararlı ve bilgilendirici videolar ile katkı
sağlayabilirler, bireylerin doğru bilgiye ulaşmasına ve toplum sağlığına faydalı olabilirler.
Üniversite Öğrencilerinde Temporomandibular Eklem Bozukluğunun (TMB) Prevelansı ve TMB'nin Stres ve Oral Alışkanlıklar Arasındaki İlişkinin Değerlendirilmesi
Authors: ÖZTÜRK Kübra
Published: April 2023

Amaç: Temporomandibular bozukluk bireyin günlük yaşam aktivitesini, bedensel ve ruhsal sağlığını, iş yaşantısını olumsuz yönde etkileyen bir rahatsızlıktır. Bu çalışmada üniversite
öğrencilerinde temporomandibular bozukluk prevalansı ve şiddetinin değerlendirilmesi ve bu verilerin algılanan stres düzeyi ve parafonksiyonel alışkanlıklar arasındaki ilişkinin
değerlendirilmesi amaçlanmaktadır.
Gereç ve Yöntem: Çalışma Nuh Naci Yazgan Üniversite öğrencilerinde gerçekleştirilmiştir. 45 sorudan oluşan 3 bölümlük anket uygulanmıştır. Temporomandibular bozukluğu ölçmek için Fonseca Anamnestik İndeks (FAI), parafonksiyonel alışkanlıklar için Oral Alışkanlıklar Kontrol Listesi (OBC) ve stres düzeyini belirlemek için Algılanan Stres Ölçeği (ASÖ) kullanılmıştır.
Bulgular: Çalışmaya 88 erkek, 132 kadın toplam 220 öğrenci katılmıştır. TMB şiddeti (p<0.001) ve OBC skoru (p=0.004) kadınlarda istatistiksel olarak yüksek bulunmuştur. ASÖ skoru ile TMB şiddeti arasında istatistiksel anlamlı bir fark bulunmuştur (p=0.005). OBC skoru ile TMB şiddeti arasında istatistiksel olarak anlamlı bir fark bulunmuştur (p<0.001). TMB şiddeti arttıkça OBC skorunun arttığı bulunmuştur.
Sonuç: Stres ve parafonksiyonel alışkanlıklar temporomandibular bozukluğun şiddetini artırmaktadır. Farklı bölümlerde okuyan öğrencilerin karşılaştırmasını yapabilmek için farklı üniversitelerle birlikte değerlendirme yapılmalı ve daha kapsamlı saha çalışmaları planlanmalıdır.
Açılı Konumlandırılmış İmplantın Açılı Multi-unit Dayanak ile Rehabilitasyonu: Olgu Sunumu
Authors: YALÇIN ÇETİN Gözde , TOKAR Emre , NALBANT Dilek
Published: April 2023

Bu olgu sunumunun amacı çeşitli nedenlerle eğimli yerleştirilmiş implantların tedavi seçeneklerini gözden geçirmektir. İmplant tedavisi güncel ve başarılı bir tedavi seçeneği olmasına karşın anatomik engellemeler nedeniyle her zaman implantların okluzal düzleme dik yerleştirilmesi mümkün olmayabilir. Sistemik rahatsızlıklar, ekonomik veya sosyal nedenlerden dolayı ileri cerrahi tekniklerin kullanılamadığı durumlarda implantların açılı yerleştirilmesi gerekebilir. Açılı yerleştirilmiş implantların varlığında protetik tedavi için açılı, kişisel (custom), hibrit (ti-base) ya da multi-unit dayanak sistemleri tercih edilebilmektedir. Bu olgu sunumunda mandibula posterior bölgede eğimli yerleştirilmiş implantın restorasyonu için kliniğimize başvuran hastanın klinik ve radyografik muayenesi yapılmış ve tanı modeli elde edilmiştir. İmplantın arktaki konumu ve okluzyon değerlendirilerek, iyi bir diş eti uyumu ve temizlenebilir bir restorasyon üretebilmek için 17° açılı multi-unit dayanak ile restorasyon tamamlanmıştır.
Vibrational Spectroscopic Studies of Amino acid p-toluenesulfonic acid NLO Crystals
Authors:   Department of Physics, Er. Perumal Manimekalai College of Engineering, Hosur, Tamil Nadu -635 117, India., Suresh M
Published: April 2023

In the present work, a comparative study on the vibrational spectrums recorded on some newly synthesized amino acid p- toluenesulfonic acid NLO crystals are discussed. Infrared spectral measurements of all the grown crystals were made in the range of 4000–400 cm-1 using Jasco Spectrometer FT-Raman spectra of the grown crystals were recorded in the BRUKER RFS 27, Stand alone FT-Raman Spectrometer in the range of 4000 – 400 cm-1 The Nd: YAG laser source was operated at 1064 nm. FT-IR and FT-Raman spectral analyses shows the different functional groups present in the studied compounds. Its intensities and positions are analyzed. The high intensity vibrational bands observed around 2950 cm-1 which is assigned to N- H...O vibrations shows the influence of hydrogen bonds in the analyzed compounds. Keywords: NLO crystal, Organic single crystal, FTIR, FTRAMAN.
A Best Approach to Load Balancing in Cloud Computing Security Using SSL in Iaas Infrastructure
Authors:   1Computer Engineering KES RIT Polytechnic Lohegaon Pune, Jadhav Mr.Vinod B , Zade Dr.Shrikant
Published: April 2023

Now a days there is low performance of cloud computing service provider cloud computing service provider allow users to hire a service on rent basis to use high cost software and hardware resources so now a days this feature are usable without suffering discontinue services and performance of the system the secure socket layer and associated security algorithm come with internet age and first introduce by Netscape but some problem found with it which is found by some researcher. Now a days cloud computing facility are face problem of performance degradation but we have to avoid such problem.in this paper we have to avoid such problem so we propose a solution on that so in existing system the commercial offering from the F5 Inc a new network equipment manufacturer introduced a product BIG-IP With in simultaneous approach high availability load balancing and secure data channel Key Words: Key words: Secure Socket Layer (SSL), Local TrafficManager (LTM), Access Policy Manager (APM), Infrastructure – as – a - Service (IaaS), Throughput
Electrical Vehicle Wireless Charging System
Authors:   Samarth Polytechnic, Pune, India, Shivang Walunj , Adwait Khokrale , Sujit Auti , Kunal Tambe , Ashish Zadokar
Published: April 2023

As electric vehicles become increasingly popular, the need for convenient and efficient charging solutions is becoming more urgent. One promising technology that addresses this need is wireless car charging. This technology allows vehicles to charge without the need for physical connections or cables, making it a more seamless and user-friendly solution for drivers. However, there are still challenges to be overcome, such as optimizing charging efficiency and ensuring compatibility with different vehicle models. In this paper, we present a comprehensive review of the current state of wireless car charging technology, including its benefits and limitations, and propose new approaches to address these challenges. Our research will help pave the way for a more sustainable and convenient future for electric vehicles. Key Words: Efficient Charging, Charging Efficiency, Charging Technology, Electrical Vehicles.
TRAFFIC SIGN DETECTION AND RECOGNITION USING DEEP LEARNING
Authors:   Dept. of Electronics & Communication Engineering, R.V.R & J.C College of Engineering, Guntur,  Andhra Pradesh, India, Venkatesh K.Uma , Sri K.Geetha , Krishna K.Hari , Kanta M.Gowri Mani
Published: April 2023

Traffic sign detection and recognition is an important task for autonomous vehicles and intelligent transportation systems. This task involves detecting and recognizing traffic signs from camera images in real-time. Convolutional Neural Networks (CNN) have shown to be effective in achieving high accuracy in various computer vision tasks. In this paper, we propose a CNN-based approach for traffic sign detection and recognition. Our approach involves using a deep CNN architecture that can detect and classify traffic signs simultaneously. We train the CNN model on a large dataset of traffic sign images and evaluate its performance on a real-world dataset. Our experimental results demonstrate that the proposed approach achieves high accuracy and can detect and recognize traffic signs in real-time with low computational cost. This approach can be utilized in various applications such as advanced driver assistance systems, traffic management, and autonomous driving. Key Words: Traffic sign detection, Traffic sign recognition, Deep Learning, Convolutional Neural Network (CNN), Graphical User Interface (GUI)
SIGN LANGUAGE INTERPRETER
Authors:   Hyderabad Institute of Technology and Management, Keerthi K , Gnapika K , Reddy P. Mythili , Reddy B. Ishitha , Veena K
Published: April 2023

Every average person has the ability to see, hear, and respond to their surroundings. Some unfortunate people are without this significant blessing. These people primarily include the deaf and dumb, who interact with others by using sign language. Yet, since not all common people can understand their sign language, communicating with regular people is a significant limitation for them. Also, this will make it difficult for members of the deaf and dumb communities to engage with others, especially when they want to participate in educational, social, and professional settings. The goals of this research are to create a sign language translation system for hearing or speech challenged individuals utilising deep learning and neural networks to help those who are deaf or have trouble speaking or hearing communicate with others. The model utilised in this classification assignment is a pretty simple Convolutional Neural Network implementation for the methodology (CNN). This exploits the convolutional property, which was primarily developed for the analysis of visual imagery. Three layered CNNs were trained and tested in real time using segmented RGB hand motions. With the help of a personal device, such as a laptop webcam, simple photos of the hand were used to construct the image dataset for each gesture. I was able to get training accuracy of roughly 89% and testing accuracy of 98.5% with this CNN model. Keywords : Artificial Neural Networks (ANN), Convolutional Neural Networks (CNN), Gesture Recognition, Open CV, TensorFlow
A study on analyses of financial performance of city union bank
Authors:   SASTRA Deemed University, Thanjavur, J S Dr SIVAPRAKASH , AISWARYA M S
Published: April 2023

The paper's main goal is to use ratio analysis to examine the bank's overall financial situation. It demonstrates if the company is getting better or worse over time. The last five years worth of yearly reports from cub serve as the study’s primary source of secondary data. Ratio analysis offers a foundation for both intra and inter firm comparisons. For great ease of understanding ,visual representations are employed. For a variety of stakeholders, including management, financiers, stakeholders, and creditors among other tools are helpful tools. In this study several ratio types are examined. This report provides information on the firm financial status as well as identifies issues and makes recommendations for how to fix them. Keywords: profitability, ratio analysis
CLOUDMOAP: Multilayer Security by Online Encryption and Auditing Process in Cloud
Authors:   Computer Science and Engineering, RGIT, Raj Dr. Anthony , Khanum Fathima , R S Dixitha , N Kousalya , Chaithra Sarala
Published: April 2023

Each image is divided into squares by this module, from which the user selects one to serve as the pass-square. A 7 x 11 grid is used to split a picture. The password space increases as the discretized image size decreases. Yet, an excessively focused division might make it harder to operate the user interface on palm-sized mobile devices and cause problems with object detection. As 60 pixels is the optimal size for precisely selecting certain items on touch displays, a division was set at 60-pixel intervals in both the horizontal and vertical axes in our solution. Index Terms— Online Encryption, Hash Code, Shoulder Surfing, Randomized Image Selection, Cipher Key, Data Security.
A Review Conversation of Waste Plastics into Fuel
Authors:   Heat Power Engineering, Department of Mechanical Engineering, Arvind Gavali College of Engineering,  Maharashtra, India, Pharande Dr. Vilas A , Bagwan Sarfaraj Shakil
Published: April 2023

Due to the current continued use of fossil fuels such as crude oil, natural gas and coal, the current economic growth rate is unstable. Therefore, renewable energy sources are being exploited, but some resources, such as plastic waste, need to be developed into a full- fledged economic activity. Pyrolysis is a process which involves thermochemical decomposition of organic matter at high temperature (>370◦C) in the absence of oxygen. Products of this process are Pyrolysis Oil, Carbon Black, and Hydrocarbons. This review paper is focusing the most efficient and widely used method of converting plastics to fuels: ‘Pyrolysis’ and its effectiveness on resolving the both issues of waste plastic management and the requirement of a good alternative fuel for use. Key Words: Plastic wastes, Decomposition, pyrolysis, fuel
Stress Detection Based on social media Blogs
Authors:   Computer Science and Engineering, Sri Chandrasekharendra Saraswathi Viswa Mahavidyalaya Enathur, Kanchipuram,  India, Gayathri DR. M , Priya Y.Reddy , Hemalatha S
Published: April 2023

Major psychological health issues like stress, anxiety, etc. are a direct outcome of technology development and a huge increase in social media usage. It is possible to examine these problems and develop prevention plans. As a result of people's great desire to support SMEs, social media monitoring of blogs is essential to resolving these serious issues (Social Media Environments). Psychologists used conventional techniques like surveys and interviews, but these procedures are time-consuming and hysterical. In this paper, we reviewed a variety of stress detection techniques and discovered that they were unsuccessful for identifying stress in social media. In this study, we presented a method for effectively detecting stress in people by utilising the ontology. Using the ontology for stress detection among people and recommending the essential safety measures to stop users from committing suicide is what we presented as an effective stress detection approach in this study. The term matching search method known as ontology is utilised in social media to more accurately detect communications shared by users that are connected to stress.