bluuebunny/crossref_metadata_2025 huggingface dataset:
Burden of Placenta Previa as a Cause of Postpartum Hysterectomy at a Tertiary Care Hospital
Authors: Jawad Zobia , Iram Durriya , Butt Sadiya , Riaz Afshan , Khan Sadia , Humayun Pareesae
Published: May 2022

Objective: To find the frequency of placenta previa in females undergoing hysterectomy during cesarean delivery at term. Material and methods: This Cross sectional study was conducted at Department of Obstetrics & Gynecology, Lady Willingdon Hospital, Lahore for 6 months. Total 90 females who will fulfill selection criteria were enrolled in the study from operation theatre. Informed consent was obtained. Demographic features was obtained. Then females undergone cesarean section and planned hysterectomy. All surgeries were done by researcher herself. The location of placenta was noted ultrasound before cesarean and placenta previa was labeled if present. Location of placenta previa was also confirmed during cesarean section. Results: There were total 90 patients in our study among them the mean age was 36.61±4.31 years. There were 60(66.7%) women who underwent caesarean section previously. There were 12(13.3%) women with placenta previa. Frequency of placenta previa in different age groups was 41.7% in 30-34 years, 25% in 35-39 and 33.3% in women whose age was >40 years. (p- value=0.71). No statistically significant association was seen between gestational age of women and placenta previa. i.e. (p-value-0.106) Gestational age 37-38: 25% (3/12) & Gestational age 39-40: 75% (9/12). Statistically significant association was seen between parity status of women and placenta previa. i.e. (p-value-0.000) Parity-1: 0(0%), Parity-2: 0(0%), Parity-3:5(41.7%) and Parity-4:7(58.3%). No statistically significant association was seen between previous cesarean section of women and placenta previa. i.e. (p-value-0.366) No previous CS: 25% (3/12), One previous CS: 33.3% (4/12), Two previous CS: 16.7% (2/12) & Three previous CS: 25% (3/12). Conclusion: High frequency of placenta previa was noted in our study among females undergoing postpartum hysterectomy. Keeping in mind the results of this study it can be concluded that the placenta previa being a risk factor for emergency obstetrics hysterectomy should be identified and screened antenatally to improve disease prognosis to achieve desired clinical outcomes. Key words: Placenta previa, Hysterectomy, Cesarean delivery, Term delivery
Is there an association between thyroid dysfunction and breast cancer?
Authors: Bokhari Maira Mahmood , Khurshid Rukhshan , Jabbar Uzma , Aamir Faiza , Malik Aamenah , Sattar Huma , Malik Arif
Published: May 2022

Objective: The association between thyroid disease and breast cancer risk remains unclear. A cross-sectional study was carried out to find the association between hypothyroidism, hyperthyroidism, and breast cancer. Materials and Methods: The study included 71 diagnosed cases of breast cancer patients belonging to stage III of the disease. The mean age of controls and patients was 43-45 years. Their level of thyroid hormones was estimated. On the bases of high and low levels of thyroid hormone, women were divided into group one (hypothyroidism n= 56) and group two (hyperthyroidism n=15). Levels of neutrophils, lymphocytes, and hematocrit were estimated by the SWISS MAX analyzer. The level of thyroid hormones, TSH, 8OHG, Isoprostane, and 4-HNE was estimated by the technique of ELISA. The level of MDA was estimated spectrophotometrically. Results: It was observed that body weight was high in hypothyroid females (group 1) Levels of neutrophils, lymphocytes, and monocytes were significantly higher in group 1 of the breast cancer afflicted women, as compared to the controls and group 2. The level of thyroid hormones FT3, FT4, and TSH was also higher in group 1. The level of MDA, isoprostane, and 4-HNE was significantly high in both women with hypo and hyperthyroidism as compared to controls. Conclusions: We found an increased risk of breast cancer in women with hyporhyroidism and a slightly decreased risk in women with hyperthyroidism indicating an association between thyroid function level and breast cancer risk. Key Words: breast cancer, hypo, and hyperthyroidism, MDA, HNE, and Isoprostane
Detection of AAD at the level of T12 vertebrae by using three Dimensional (MDCT) Angiography in subset of Karachi Population
Authors: Khan Rosheena Nabeel , Mohiuddin Maria , Lakhani Mubina , Sadiq Madeeha , Hassan Nuzhat , Rehman Abdul
Published: May 2022

Objective: To determine the diameter of abdominal aorta at T12 vertebral level by the use of Multidetector Computer Tomography Angiography (MDCTA). Study Design: It is a Cross-sectional study. Place and Duration of Study: This study was executed in Ziauddin University (Hospital) Clifton campus Karachi, at Radiology Department, from March 2017 to August 2017. Materials and Methods: Total 160 individuals were enrolled, 75 (46.9%) were females and 85 (53.1%) were males who do not have any abdominal and arterial or venous problems, approach to Radiology Department, for Abdominal 3D Computed Tomography Angiography. Patients who were enrolled in current study were referred to department of Radiology for different indications like adrenal and renal pathologies altered bowel habits and abdominal aches. In current study abdominal aortic dimension (diameter) was analyzed at T12 vertebral levels in both sexes. The SPSS version used in current study was 20 for statistical analysis. Pearson correlation was applied to check the relationship between variables, Independent sample T test was applied. P-value is less than or equal to 0.05 was considered significant. Result: The results of current study revealed that the mean diameter of the abdominal aorta, measured at T12 vertebral level was 20.402±2.54 mm in total 160 individuals. It was observed that male having diameter with 21.47±2.25 and female have 19.18±2.31mm. It clearly showed that male having greater diameter with highly significant values P=0.001. it was also found that there was a high positive correlation was evident in between diameter of abdominal aorta & age with highly significant difference P=0.001 and r =0.713. This correlation showed that as the age increases the thickness of abdominal aorta also increases. Conclusion: It is the first study conducted in Pakistan on detection of abdominal aortic diameter at T12 vertebral level by Multidetector computed tomography angiography. The current study showed that male having greater aortic diameter than in females it also revealed that the age have a great impact on the diameter of abdominal aorta. Keywords: Multidetector computed tomography, aorta, abdominal, heart, tunica Intima.
The Frequency of Hypertension and Micro-Albuminuria in Diabetic Patients with Retinopathy
Authors: Zaman Fakhar uz , Khuwaja Imran , Sami Basharat , Ahmad Muhammad
Published: May 2022

The developed world is facing a lot of health problems; among them, one of the major ones is Diabetes Mellitus. In Pakistan, this problem has been increasing consistently due to a plethora of reasons. The current figures of people suffering from Diabetes in Pakistan stand at 7 million and this number has shown colossal growth by the day. Study Design: A cross-sectional study was performed on 131 patients from January 2017 to August 2017 on all diabetic patients diagnosed already for 5 years or more in the medicine wards of Ayub Teaching Hospital, Abbottabad. Their fasting blood sugar, random blood sugar, and 24-hour urine for protein analysis were measured in addition to recording their blood pressure for the purpose of identification of hypertensive patients. All patients were screened for diabetic retinopathy using a Welch Allyn Fundoscope. Results: Out of these 131 patients, Hypertension and microalbuminuria were present in 51.9% and 47.3% patients respectively. Diabetic retinopathy was found in 39.7% of study participants. It was evident that microalbuminuria and hypertension are directly related to diabetic retinopathy (p < 0.05), It greatly influences it on major levels. Microalbuminuria was associated with the age of the study participants (p = 0.05). Conclusion: This study showed that hypertension and microalbuminuria were significantly associated with the development of diabetic retinopathy. Keywords: Diabetes Mellitus, Diabetic Retinopathy, Microalbuminuria, Hypertension, GFR.
Comparison of flax seeds extract and fenugreek seed extract rinse against streptococcus mutans colonies
Authors: Zaidi Syeda Amber , Quraishi Faiza , Fatimee Sarwath , , Farooq Lubna , Masood Hina , , v Tajwar
Published: May 2022

Objective: To compare flax seeds extract and fenugreek seed extractrinse against streptococcus mutans colonies Study setting: The bench work of this preclinical experimental study was carried out at Baqai Medical and Dental College Karachi., from December 2021 to January 2022. Materials and Methods: It was a preclinical experimental study. Participants were divided into 4 groups randomization was performed in allocating the groups of participants. Film of plaque from labial surface of teeth of study participants was collected on sterile strips before and after the 2 hours of intervention. The extract preparation of both the plants and culture of S. mutantcolonies were performed as per standard protocol. The extract was diluted at 1:4 for rinsing and study participants were given the rinses according to their groups. Data was analyzed by SPSS v. 22 Results: The growth of colonies was calculated on growth media plates in samples prior to rinsing and samples that were taken after the rinsing. The pre and post samples showed significant (p-value <0.05) decrease in number of colonies in positive control group (conventional rinse), flax seed extract group and fenugreek seed extract group as shown in table 1. The intra group comparison of negative and positive control showed significant difference in number of colonies and same was observed with the both the extract rinses. However, the positive control and flax seed extract and fenugreek seed extract comparison was insignificant that highlighted the equal potential of herbal extracts in reducing the streptococcus mutans colonies. Conclusion: Flax seeds extract and fenugreek seed extract mouth rinses reduced the number of colonies equally as that of commercially available mouth rinse. Keywords: Flax seed extract, Fenugreek Seed Extract, Rinse, Antibacterial, streptococcus mutans
Frequency of Fungal Nasal Polyposis and its Associated Risk Factors
Authors: Bhutta Muhammad Farooq , Hussain Ashfaq , Baig Salman , Shahid Nadia , Iqbal Nasima , Zafar Urooj
Published: May 2022

Objective: To find out the exactfrequency of fungal nasal polyposis and its associated risk factors. Methods: A descriptive cross-sectional study was conducted atENT department of Jinnah Postgraduate medical center (JPMC) from August 2020 to March 2021. The demographic data, detailed history and clinical examination of all the participants were noted. Specimen was sent in formalin solution for histopathological examination while another was sent in normal saline for culture and sensitivity of fungal infection. Gomorri Methylamine Silver stain and Periodic Acid Schiff stain were used to confirm the fungal hyphae. Statistical Package for the Social Sciences (SPSS) version 20 was used to analyze the data. p-value of less than 0.05 was considered as significant. Results: The mean age of the study participants was 30.29 ± 11.42. On histopathological findings, the Fungal nasal polyposis was reported among 43% of the individual while remaining were having allergic type of polyps. Out of 84 positive fungal cases, about 65.7% were aspergillus while remaining 34.3% of mucormycosis. About 17.2% of the cases were having BMI less than 30 and have no significant association. It had been found that majority of patients (43%) were farmers while about 39.9% were immunocompromised. Very few of them (22.6%) were having personal history of allergy. Conclusion: There is a high frequency of fungal nasal polyposis that is 43% in current setup. The disease is multifactorial and is predominant in farmers and in immunocompromised individuals. Keywords: Nasal polyps, Fungal rhino-sinusitis, Chronic rhino-sinusitis, Fungal nasal polyposis
Effect of Change in Iris Color on Myopia
Authors: Rashid Faisal , Jabbar Maryam , Fatima Naseer , Siddique Muhammad , Hussain Asia , Waheed Khalid
Published: May 2022

Purpose: The purpose of this study was to determine the distribution of iris colour and its relationship to myopia. Methods: A multi-centered, multi-disciplined, cross-sessional study was conducted From March 2021 to December 2021. 300 individuals ranging in age from 11 to 25 years were selected through non-probability purposive sampling technique. All the patients had a maximum of 6 hours of screen time. Mild, moderate and severe degree of myopia was included. All subjects were examined for refraction, and slit lamp examination was performed to compare slit lamp photos to an iris colour grading scheme. Results: Of the 300 subjects 188 (62.66 %) of the participants were female, with mild 70(23 %), moderate 51(17%), and severe 67 (22.33 %) myopia, while 112 (37.33 %) of the participants were male, with mild 45(15 %), moderate 40(13.33%), and severe 27(9 %) myopia. 90% of the participants in the study had Grade 3, 4 and 5 iris color.Subjects with darker iris colors had more myopic refractive error. Study results indicate patients with Grade 5 iris color had a higher likelihood of becoming myopic (p 0.001). Conclusion: Darker iris color was linked to higher myopia-related refractive errors, even when other known myopia-related risk variables were taken into account. Keywords: Refractive Errors, Myopia, Iris , Risk factor
Mercury Kushta Induced Histopathological Changes in Kidneys of Wister Rats
Authors: Jamil Sakina , Lail Raees Abbas , Qayyum Zunaira , Rana Hadia , Anjum Jahangir , Akram Sara
Published: May 2022

Objectives: To see the histological changes of Kushta which contains mercury, on kidneys of wister rats Material and Methods: A total of 42 Wistar rats were used in this animal experiment, which was separated into five exposure groups and one control group. The kidneys of rats were morphologically altered by the use of both indigenous and prescription mercury preparations. Results: Morphological changes in kidneys of exposed rats included multi-focal and diffuse glomerulonephritis, mesangial widening, increase in glomerular cellularity, thickening of capillary walls and glomerular basement membrane, tubular necrosis, tubular dilatation, tubular vacuolisation, proteineous casts in tubules and mononuclear interstitial inflammation were seen at the end of 8 weeks. Conclusions: In wister rats, an indigenous mercury herbo-mineral preparation (Kushta) causes harmful morphological changes in the liver. Keywords: Mercury Kushta, Kidneys, Histopathology
Understanding the importance of Nutrition Tagsbetween Health Related & Non-Health Related Professionals
Authors: Ajaz Madiha , , Sundus Sadia , Ajaz Misbah , Mehfooz Tooba , Ajaz Sanowber , Aijaz Asma
Published: May 2022

Objectives: To assess and compare understanding of nutritional tagsbetweenhealth related and non-health related professionals. Study design: cross sectional study Place of study: Rana LiaquatAli Khan College 1-10-2019 to 1-3-2020 Methodology: In this research questionnaire was used for data collection from 400 respondents by simple random sampling technique. Subjects involved in the study were health related and non-health related professionals, age ≥18, both male and female, middle and high income individuals, and healthy individuals and individuals with chronic disease. For assessing understanding of nutritional tags.Data was entered in SPSS version 20 and analyzed through using chi square test for independences. Results: Results (p value ˃0.05) shows that insignificant variance in understanding of nutritional tags among heath related and non-health related professionals. Conclusion: The research concluded that there is difference between understanding of nutritional labels in related and non-health related professionals. Further research is needed for better outcomes. Key: noncommunicable diseases (NCDs), atherosclerosis, ischemic heart disease (IHD), front-of-pack nutrition tagging (FOPL). Cerebrovascular disease (CVD).
Positive Predictive Value of Upper Lip Bite Test in Predicting Difficult Intubation
Authors: Qamar Kiran , Ali Sheikh Ziarat , Naveed Saba , Chaudary Mehtab Tipu , Aslam Fariha , Maqbool Nazia Rubab
Published: May 2022

Objective: To determine the positive predictive value of upper lip bite test in predicting difficult intubation by taking Cormack and Lehane classification as gold standard. Design of the Study: Cross sectional study. Study Settings: This cross-sectional study was conducted at Department of Anesthesiology, Sir Ganga Ram Hospital, Lahore from 04/06/2021 to 03/12/2021. Materials and Methods: This study involved 313 patients of both genders, aged between 18-70 years undergoing general anesthesia on elective lists having positive upper lip bite test (Grade-III). On the basis of Cormack and Lehane Classification, the diagnosis was verified. Results of the ULBT were compared to the Cormack and Lehane grade-III and grade-IV diagnoses. Every patient's written informed permission was obtained. Results: In The mean age of the patients was 43.78±12.32 years. Majority (n=150, 47.9%) of the patients were aged between 36-52 years. There were 198 (63.3%) male and 115 (36.7%) female patients in the study group. Among the procedures, herniorrhaphy (32.9%) and cholecystectomy (26.8%) were the more frequent procedures followed by thyroidectomy (17.6%), tonsillectomy (13.1%) and mastectomy (9.6%). Majority (42.8%) of the patients belonged to ASA Class-I followed by ASA Class-II (29.7%) and ASA Class-III (27.5%). Difficult intubation was confirmed in 232 (74.1%) patients on Cormack and Lehane Classification (as per operational definition). Thus there were 232 true positive patients with 81 false positive patients. With the gold standard Cormack and Lehane Classification, the upper lip bite test yielded a positive predictive value of 74.1 percent in the prediction of difficult intubation. Conclusion: According to the gold standard of Cormack and Lehane Classification, an upper lip bite test (Grade-III) has a 74.1 percent positive predictive value for difficult intubation in patients undergoing general anaesthesia with endotracheal intubation on the elective list. Keywords: Difficult Intubation, Cormack and Lehane Classification, Upper Lip Bite Test
Assessment of Awareness About COVID-19 Infection among Medical Personnel and General Public of Rahim Yar Khan
Authors: Tahir Hafiz Muhammad Hashaam , Saleem Muhammad Maaz , Komal Aansa , Khokhar Adan Javaid , Yaseen Muhammad Imran , Butt Mariya
Published: May 2022

Objective: Assessment of awareness about COVID-19 among medical personnel and general public. Study Description: It is a Cross-Sectional study carried out in R.Y.Khan from June 2020 to September 2020. Methodology: About 430 subjects (medical personnel and general public) were asked to fill a pre-designed questionnaire by using convenient sampling technique. The questionnaire included information regarding their bio-data and study questions. Then SPSS Version 21 was used for data analysis. Results: Our study shows that 90.5% study subjects think that they are well aware about COVID-19 while 9.5% subjects think that they aren’t. In response to question “Is it lethal?” 25.3% subjects replied Always, 67% said Sometimes and 7.7% said Never. 68.6% subjects said that it is Always transmissible, 15.8% said Sometimes and 15.6% said Never. Regarding modes of its spread, 76.5% subjects agreed to Cough, 67.9% to Handshake, 27.9% to Food-sharing, 35.6% to Room-sharing, 28.6% to Utensils-sharing, 21.2% to Fomites-sharing. 6.7% subjects said that its vaccine is Available, 72.1% replied as Not-Available and 21.2% said that they don’t know. 24.9% subjects said that its specific treatment is Available, 53.3% replied as Not-Available and 21.9% said that they don’t know. 71.9% subjects said that it is preventable by adopting specific preventive measures, 8.8% said it isn’t and 19.3% said that they don’t know. Regarding effectiveness of PPEs as preventive measures, 85.8% subjects agreed to Mask, 57.2% to Gown, 52.3% to Goggles, 45.6% to Head-cover, 35.1% to Shoe-cover, 55.8% to Gloves, 70.7% to Social-distancing, 58.4% to use of Hand-wash/Hand-Sanitizer. Conclusion: There is observed some lack of knowledge in different areas regarding COVID-19, almost equally, among medical personnel as well as among general public that results in spread of infection at exponential rates due to negligence of people including poor understanding and poor compliance to the preventive measures advised by health authorities worldwide. Keywords: COVID-19, Awareness, Transmission, Vaccination, Treatment, Prevention, PPEs
Izazovi stimuliranja autorefleksivnosti u nastavi kolegija fokusiranih na obitelj na studiju pedagogije
Authors: Kušević Barbara
Published: May 2022

U nastavu kolegija koji se bave proučavanjem obiteljske dinamike, roditeljevanja i suradnje s obiteljima gotovo svi studenti ulaze s osobnim iskustvom bivanja dijelom obitelji. Nastavnik tomu može pristupiti zanemarivanjem te činjenice, njezinim uvažavanjem, ali nečinjenjem tih iskustava eksplicitnim dijelom nastave ili pak stvaranjem konteksta u kojemu se potiče interpretiranje nastavnih sadržaja uvažavanjem (i) osobnih iskustava kao referentnoga okvira. Takvo stimuliranje autorefleksivnosti ima međutim potencijal generiranja različitih pedagoških dilema, koje obuhvaćaju pitanje nastavnikova legitimiteta za stimuliranje autorefleksivnosti u obrazovanju, opasnost generiranja studentove emocionalne nelagode uslijed kontrastiranja znanstvenih spoznaja s vlastitim obiteljskim iskustvima i opasnost narušavanja povjerljivosti osobnih podataka studenata tijekom nastavnoga procesa. Analizirajući svaku od tih triju dilema, cilj je ovoga rada odgovoriti na pitanje je li, da bi se njihove potencijalne negativne implikacije minimalizirale, nastavu iz ovoga područja moguće/poželjno organizirati izuzimajući studentova osobna iskustva i emocije. Zaključak je provedene analize da apersonalno pristupanje znanstvenim spoznajama u nastavi kolegija fokusiranih na obitelj na studiju pedagogije, čak i ako jest moguće, iz teorijske perspektive kritičke i feminističke pedagogije nije poželjno, zbog čega se konstruktivnijim drži promišljanje o nastavnikovu odgovornome pozicioniranju prema (učincima) autorefleksivnosti u nastavi.
Sleep characteristics in patients with tramadol dependence
Authors: Abdullah Eman Ahmad , Moussa Fatma Abd Ellatif , Amin Mohamed Ezzat , Basheer Mye Ali , Saleh Alia Adel
Published: May 2022

Introduction: Despite the fact that tramadol is commonly assumed as a therapeutic medication, it has the potential to create addiction, especially when taken for extended durations and in high dosages. In Egypt, tramadol misuse has recently get to be a severe health issue. Tramadol and other opioids, have a clinically known influence on sleep. However, just a few studies have evaluated the influence of tramadol addiction on sleep. Objectives: 1). Tcomparing the sleep architecture of Tramadol-dependent patients to that of normal controls; 2).To find out what variables are connected with Tramadol misuse and alterations in sleep architecture. Methodology: The research was a case-control, comparison study that was conducted on a convenient sample of male Egyptian Tramadol addicts. The study includes 40 patients who met the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) criteria for tramadol addiction and were recruited from the inpatient addiction department at Cairo University's Psychiatry and Addiction Medicine Hospital, that were evaluated by comparing to a control group of 20 matched controls. The Addiction Severity Index (ASI), the Sleep Disorder Questionnaire (SDQ), and an overnight attended polysomnographic study (PSG) were administered to the participants.
Total phenolic content, flavonoid content and antioxidant potential of Ceiba Speciosa and Leucas cephalotes
Authors: Das Rajaram , Suthakaran R
Published: May 2022

Antioxidants are important to fight cellular stress-a primary cause of the majority of the chronic illness. Natural antioxidants are always preferable over synthetic due to the advantages such as safety. In the current investigation, two plants Ceiba speciosa and Leucas Cephalotes were selected, extracted using various solvents and also subjected to preliminary phytochemical analysis. The extracts were also screened for total phenolic content, total flavonoid content, total condensed tannin content by using standard models. These extracts were then investigated for the Invitro antioxidant activity evaluation using DPPH assay, nitric oxide free radical assay, reducing power assay and total antioxidant assay. The results suggest that the percentage yield is high for methanol extracts and also has better secondary metabolites. The Invitro antioxidant activity results for the extracts reveal that the methanol extract is considerably potent to neutralize the free radicals and produced better results when compared to the standard values. This declares the protective effect of the plants towards the diseases that are associated with cellular stress.
Inducible clindamycin resistance in coagulase negative staphylococci
Authors: Suneel Kumar A , Nagasrilatha B , Smiline Girija A. S
Published: May 2022

Induced clindamycin resistance poses a major problem for the use of this drug to treat staphylococcal infections. An infectious etiology is often implicated in the presence of CoNS in clinical specimens. A total of 183 isolates of Staphylococci spp. recovered from different clinical specimens were studied. A coagulase test was done to select coagulase negative Staphylococci, and they were confirmed by conventional microbiological techniques. Using the double disc approximation test, induced clindamycin resistance was detected (D-test). The D test was used to detect the inducible clindamycin resistance phenotype in erythromycin resistant and clindamycin sensitive isolates. A micro titer plate test was used to determine biofilm development in these isolates. One hundred and twenty eight isolates from various clinical specimens were identified as proven CoNS, which were distributed across six different species’. haemolyticus, the most common species of CoNS isolated, was isolated from all types of specimens. The present study revealed the strong association of biofilm with inducible clindamycin resistance among the CoNs isolates.
case report of ASMD Niemann pick disease
Authors: Hamsa V S , Shriram Arun , Jagadeeswari S , Sundari S
Published: May 2022

Niemann Pick Disease  is a rare  disorder of lysosomal storage of the lipid sphingomyelin and foam cell infiltration of tissues presenting with varying degrees of severity.  metabolic abnormalities of two types responsible for causing  NPD.  acid sphingomyelinase deficiency is  the first metabolic abnormality  causing NPD type A and B and and second is defect in cholesterol transport causing NPD type C disease. Herewith reporting a case of Acid Sphingomyelinase Deficient (ASMD) NPD Type A.
Driving pattern recognition using mobile telematics
Authors: Priya S. , Shyam Pranav
Published: May 2022

Mobile Telematics is an application that enables it’s users to detect driving behavior through sensors that already exist on a common smart phone device. Sensors such as Gyroscopes, GPS, Radio-Positioning, Existing Cameras, Location APIs, etc will help detect and identify valuable pieces of information, this can then be used to create unsupervised learning models on the driver’s driving behavior and display feedback for the driver to identify and correct in order to minimize the risk of a potential accident. Current telematics models are not efficient and accurate enough to reduce the chances of road accidents, the sensors required to allow for users to access the needed data may also be expensive. Thus, we have found that our system is not only improved but also relatively inexpensive since we are using devices most of our user base already have -- Smartphones. Our framework consists of three main components -- Self Organizing Maps, Nine-Layers Deep Auto-Encoder,  Partitive Clustering Algorithm. The self organizing maps simplifies complex pieces of data into consumable information, the deep auto encoder takes into consideration anomalies of said data and extracts its features, and the  partitive clustering algorithms groups the data based on a set of driving behavior classifications.
Energy efficient workflow scheduling for fog-enhanced IOT based healthcare application
Authors: Malathy N , Kartheeswari M , Yogalakshmi M
Published: May 2022

The Internet of Things has generated a tremendous amount of data. These files must be handled quickly and are typically kept in a cloud data center. Cloud computing can provide abundant resources to process such information IoT devices relating to data security, energy consumption, and data processing are driving the growth and interplay of fog computing and cloud computing. The problem of resource scheduling in a system designed to reduce task execution time and overall energy consumption. To partition the graph and determine task processing permutations and processor assignment, the tri EDA and division operator are employed. The comparison findings of a single application simulation reveal that the Pareto set produced by the proposed methodology can dominate a considerable number of those solutions produced by the heuristic technique and straightforward EDA. When it comes to multi-objective simulation, IoT devices can last much longer and perform similarly to other algorithms in terms of nodes' energy consumption and job completion time.
Application of Confirmatory Factor Analysis and Structural Modelling to Measure Experience Economy of Tourists
Authors:   Associate Professor, Institute of Management & Information Sciences, Bhubaneswar, Odisha, Mohanty Ashish , Mishra Sitikantha ,   Advisor cum Dean, Faculty of Hospitaltiy & Tourism Management, Siksha O Anusandhan Deemed to be University, Bhubaneswar, Odisha
Published: May 2022

Objective –The present study looked at the connections between dance festival travelers’ experiences, satisfaction, and behavioural intention on the basing of the model on experience economy by Pine and Gilmore and the existing literature. The research is on how escape tourist experience and tourist satisfaction mediated other aspects of experience on behavioral intention. Methodology/Approach/Scope – The data was collected with the help of a structured questionnaire administered to 221 respondents in Konark Temple, Odisha, the venue of Konark Dance Festival 2022 held between 19th February to 23rd February 2022. The study employed confirmatory factor analysis and structural modelling techniques to evaluate the dimensions and test the hypotheses. Findings – The findings backed up the anticipated theoretical linkages between the dimensions, as well as the application of the scales of experience economy to dance festival. The findings further support the idea that the escapist experience plays a role in influencing the tourist’s evaluations of dance festival performance and behavioural desire to attend the same in the future. Implications & Conclusion – This study attempts to provide an initial path to view the escape experience of tourists as a sense of tourism sector accomplishments and the destination’s performance as a dimension. The model proposed in the study seems to be beneficial to festival management. Hence, the organisers of the dance festival are invigorated to improve upon and authenticate the model proposed by the researchers transversely to other festival settings.
Causality between Service Quality and Customers’ Satisfaction Across Star Hotels
Authors:   Associate Professor at Faculty of Hosptialtiy & Tourism Management, Siksha O Anusandhan Deemed to be Unviersity, Bhubaneswar, Odisha, Samal Ansuman , Mishra Sitikantha ,   Advisor cum Dean,at Faculty of Hosptialtiy & Tourism Management, Siksha O Anusandhan Deemed to be Unviersity, Bhubaneswar, Odisha
Published: May 2022

Background: To win the race of hares, one has to become a leopard performing in faster and pro-active manners than others to win the competition. But to come first and remain ahead of others for longer durations, demands quality initiatives in business processes and therefore the topic on quality in service operations beards paramount importance. Objectives: On this note, we have tried to assess the prevailing service quality of various star category hotels in the state of Odisha in India where the renowned SERVQUAL scale is employed to map the difference of opinions between the guests visiting the hotels. Materials & Methods: A total of 395 numbers of interviews were conducted through convenient sampling process and the data was captured through the use of a structured questionnaire. The collected data were assessed through the use of descriptive statistics that includes percentage calculations, cross tabulations, t-test, analysis of variance, correlation coefficient, and multiple regression analysis, etc. Results: The results revealed sorry state of affairs at the selected hotels where positive gap scores were obtained between the expectations and perceptions of the customers. Based upon the findings, curtain corrective measures are proposed in the study for enhancing the qualitative parameters of the hotels. Epilogue: Survival of the fittest is the word that describes the market scenario. The entities that remain fit, agile, anticipatory, proactive, caring, and most importantly quality conscious can only win the race with flying colours. Originality: This study analyzes the quality of various services initiatives prevailing at the star hotels in the state of Odisha in India for which our study can certainly help in generating different guidelines to ensure the optimal levels of quality as desired by the guests at the hotels which will help in development of a long term and sustainable quality initiative in the sector compared to international standards.
How Psychological and Contextual Factors Influence Green Hotel Stay? An Empirical Evidence from Young Indians
Authors:   Retired Professor from MONIRBA, University of Allahabad, India, Ansari Sarfraj , Adil Mohd ,   Department of Management Studies, NIT Hamirpur, India, Dogra Nikhil ,   Department of Management Studies, NIT Hamirpur, India, Sadiq Mohd ,   Department of Marketing, University of Otago, New Zealand
Published: May 2022

Objective: Recent reports on green hotel market highlight that the acceptance rate of green hotel is rising. Therefore, the current study aims at investigating the influence of psychological (perceived consumer effectiveness — PCE) and contextual factors (environmental knowledge — EK, environmental consciousness — EC, and willingness to pay more — WtP) on green hotel stay (GHS). Recent studies suggested that PCE, EK and WtP have a positive and significant influence on green consumer behaviour. Methodology: The data was collected from 238 respondents through MTurk. The proposed model was statistically tested using CB-SEM and the Process Macro. The study found PCE, WtP, and EK to be positively and significantly influencing GHS. Findings: The key findings of current study demonstrate: I. Consumers in emerging nations are also WtP for green hotels; II. Results of moderation analysis reveal that EC has a positive moderating effect on all the three proposed associations, such as high level of EC increases the predictive power of PCE, WtP, and EK; and III. Among all, EK appeared as a major predictor of GHS indicating that EK among consumers is high and the hospitality marketers can utilize this opportunity to increase the GHS. Originality: The novelty of the current study is to investigate the moderating role of EC on the relationship of GHS with EK, PCE, and WtP. Six hypotheses were formulated.
Brincar heurístico: exploração e aprendizagem por meio dos grandes tesouros
Authors: De Freitas Valquíria Amaral , de França Juliana da Silva , Martins Talita Polli Curcino da Silva
Published: May 2022

c

O projeto a seguir discorre sobre as contribuições do brincar heurístico na aprendizagem de crianças pequenas, na socialização, no conhecimento de mundo e no desenvolvimento da identidade. Por meio da exploração livre, do oferecimento de materiais selecionados, da observação, da escuta ativa e dos registros (fotográficos, vídeos e anotações), acompanhamos o processo do brincar. As propostas promoveram a constante pesquisa e investigação, grandes descobertas e interação com o espaço, entre os bebês e os educadores.
Research on The Combined Operation Mode of Express-local Train in Urban Railways
Authors: Pan Yujun , Yang Lihong
Published: May 2022

The applicability of the combined operation mode of express-local train trains is analyzed. The express-local train without overrun scheme and the express train overrun scheme are studied. The influence of different express-local train schemes on the line capacity is analyzed. The setting method of express train non-stop and express train overrun station is determined. Finally, taking the Wenzhou Rail Transit Line S1 as an example, combined with the actual passenger flow data and travel plan data, the express-local train operation plans under different express and local train ratios are determined. It provides a reference for enterprises to operate express-local train trains.
Study on the Problems and Countermeasures of Tourism Economic Development in Anhui Province
Authors: Wan Fusheng , Li Deyu
Published: May 2022

Taking Anhui as an example, this paper analyzes the tourism development data of Anhui and the main economic indicators of domestic tourism since 2005, studies the development status of Anhui's tourism economy, and discusses the existing problems and their impact on Anhui's macroeconomic growth. Finally, it puts forward measures to promote the rapid and stable development of tourism economy in Anhui Province, so as to promote the growth of national income and economic development.
Carbon sequestration potential of selected plantation interventions in Nainital district of Uttarakhand
Authors: Gera Neelu , Gera Mohit , Bisht N.
Published: May 2022

Selected afforestation and reforestation interventions have been studied in the Nainital district of Uttarakhand with the objectives to assess their carbon sequestration potential, and cost-effectiveness exclusive and inclusive of carbon benefits. The excel spreadsheet model “Project Based Comprehensive Mitigation Assessment Process” was employed to workout the annual incremental carbon sequestration, cost effectiveness indicators and likely benefits under different carbon price scenarios for each selected afforestation and reforestation intervention. The results have shown a wide range of sequestration potential, which varied from 0.19 tC/ha/yr in case of Plum block plantation to 4.81 tC/ha/yr for Pine block plantation, calculated for the assessment period 2008-38. The plantation interventions involving horticulture species demonstrated much lower carbon sequestration potential as compared to long rotation tree species, such as Oak and Pine. Among the selected plantation interventions Pine block, Mixed species block and Oak-Pine-mixed species block were observed to be associated with maximum carbon benefits, viz., Rs. 4060/ha/yr, Rs. 3370/ha/yr and Rs. 3112/ha/yr respectively. The study has demonstrated that plantation interventions involving long rotation tree species associated with recurring non-carbon benefits are more likely to succeed as afforestation and reforestation CDM project interventions compared to the horticulture species, associated with slower woody growth and limited carbon benefits.
McEwan’s Enduring Love: A Psychoanalytical Investigation
Authors: Reesi Sistani Roohollah , Suliza Hashim Ruzy , Farivar Marziyeh
Published: May 2022

This essay is a psychoanalytic examination of Ivan McEwan's novel ‘Enduring Love’. The Object Relation Theory, which asserts the existence of a fundamental human instinct known as mother-child relationship, provides a unique viewpoint on how an individual interacts with his or her environment. It is about studying the characters' behaviours and attempting to understand them from a psychoanalytic perspective. The anxieties and tensions that permeate McEwan's characters' psyches in Enduring Love will be shown via the use of synthesising key phrases and concepts from Klein, Fairbairn, and Winnicott's object-relations theory. Klein, Fairbairn, and Winnicott argue that during an infant's early years, there are both good and toxic things from the outside world. These things, which include activities, people, and relationships, are referred to as objects, and are internalised as positive or negative experiences, indicating that what we live through, contributes to the development of our self and personality. Mother is an object, and the infant's relationship with his or her mother is critical to the child's maturation, growth, development, and later stages of life. According to this, identifying the source of McEwan's characters' failures in their interactions and relationships with one another results in their early childhood's unsatisfactory emotional experiences, resulting in an imperfect development in later stages of life in establishing healthy relationships.
Isolation of Antimicrobial Producing Actinomycetes from Indigenous Microhabitats.
Authors: Aku Nnaemeka , Alisigwe Chinedu S. , Ezenwosu Ifeyinwa L. , Okengwu Chinelo , Nwanokwu Ogechi M.
Published: May 2022

Unusual microhabitats in different locations present opportunities for the bio-prospecting of actinomycetes with high antimicrobial producing potentials. A total of 113 actinomycetes from specific indigenous microhabitats were isolated and screened for their antimicrobial activity against selected test organisms. The earthworm castings, forest litter, and domestic dumpsite sites, respectively, accounted for approximately 24.78%, 19.47%, and 18.5% of the total number of isolates recovered. The preliminary antagonism assay using the perpendicular streak method yielded four isolates that showed high antimicrobial activity and broad spectrum activity against test bacteria or fungi. These isolates showed excellent growth and sporulation on milk agar and starch casein agar, and the micro-morphological characterization of the isolates revealed the presence of spore-bearing aerial hyphae. Bioactive extracts from DS15 and EC5, at 125 mg/mL, had respective zones of inhibition measuring 20.7 ± 0.6 and 33.0 ± 1.0 against multidrug resistant Escherichia coli (clinical isolate) and Salmonella typhi (ATCC 2923) respectively. Bioactive extracts from EC1 and EC9, at 125 mg/mL, show respective zones of inhibition measuring 18.7 ± 1.2 and 16.7 ± 1.2 against Candida albicans (ATCC 10231) and C. glabrata (ATCC 22018) respectively. This study reinforces the evidence that unique and unusual microhabitats, in different geographical locations, present an excellent opportunity for the bio prospecting of actinomycetes with high antimicrobial producing potentials. Furthermore, it shows that the indigenous antagonistic actinomycete isolates exhibited potent antimicrobial activity against test bacteria and fungi employed in the in-vitro antimicrobial assays.
Major clinical findings of endodontic retreatment: a concise systematic review
Authors: Luccas Mariana Amâncio , Silva Isabella Varolo , Castro Fábio Pereira Linhares de
Published: May 2022

Introduction: In the endodontic treatment and retreatment scenario, the primary objective is to eliminate necrotic tissue and infectious bacteria, especially cleaning and shaping. Endodontic retraction is a procedure performed on a tooth that has received a previous attempt at a definitive treatment that has resulted in a condition that requires further endodontic treatment to achieve a successful outcome. The main cause of treatment failure is insufficient cleaning and inadequate filling. Objective: The present study carried out a concise systematic review to evaluate the main findings of clinical studies on endodontic retreatments, showing the main techniques, efficacy, and safety. Methods: The rules of the Systematic Review-PRISMA Platform. The research was carried out from December 2021 to March 2022 and developed based on Scopus, PubMed, Science Direct, Scielo, and Google Scholar. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results: A total of 124 articles were found. A total of 74 articles were evaluated in full and 17 were included and evaluated in the present study. Studies have demonstrated the effectiveness of rotational systems in endodontic retreatment but never producing completely obturator-free root canals. Reciproc instruments were associated with significantly higher cyclic fatigue strength than WaveOne instruments. The persistent infection microbiota is polymicrobial with a predominance of E. faecalis and P. gingivalis in all stages of endodontic retreatment, regardless of the method used for microbial identification. A higher bacterial load and lower lipoteichoic acid level were found in the 2-visit group after the retreatment protocol. Postoperative pain was significantly reduced at 48 and 72 hours after the application of nano-silver and nano-calcium hydroxide alone. Conclusion: The results of clinical trials showed that the root canal instrumentation system with rotary files maintains the quality of the root preparation and reduces the number of files needed to obtain a canal, which would consequently reduce the operative time and also considerably reduce the risk of torsion fracture within the root canal, allowing successful endodontic retreatment. Also, a condition for successful endodontic retreatment is the adequate cleaning of the root canals, therefore, special attention must be given to the technique used to remove the filling material.
The Relationship between Parental Involvement and Academic Motivation of Grade 11 and 12 Senior High School Students
Authors:   St. Mary’s College of Tagum, Inc. Tagum City, Davao del Norte, Philippines, Amante Ellen Louise Guinaling , Libuangan Rey Almer , Varquez Arwin Ancla , Maureal Angelo Fementera , Torres Danrey James Dumayo , Masepequiña James Niel Caupit , Arig Ruth Enanoria , Galang Grant Dominie Maglao , Pableo Chan-Chai Porol , Pogpog Jenmmy Bansi , Granada Cherylyn Olaco , Magnanao Jaymans Mañacap
Published: May 2022

The goal of this research is to know the correlation between parental involvement and academic motivation among Grades 11 and 12 senior high school students. The descriptive-correlational approach was used in this research. Furthermore, a universal sampling technique was used, resulting in 206 respondents out of the 796 total population. The parental involvement rating scale and academic motivation scale were applied to quantify parental involvement and academic motivation, respectively. The mean was utilized to determine the extent of parental involvement and level of academic motivation. Moreover, Pearson R was employed to test the significance of both parental involvement and academic motivation. The study concluded that parental involvement was sometimes evident among parents of students. In the same way, the academic motivation of senior high school students in Grades 11 and 12 was moderate. Lastly, parental involvement and academic motivation have proven to have a significant but low-to-negative relationship. This means, that when parents show high involvement in students' academic learning, this results in students having less motivation academically; this also happens vice versa. It is recommended that parents and students talk about their preferences regarding how parental involvement is enforced to have better academic motivation. Teachers should also communicate with their student’s parents to inform them of their child's preferences regarding their participation in learning.