bluuebunny/crossref_metadata_2025 huggingface dataset:
The retailer brands personality: A scale development in a Tunisian context
Authors: Trabelsi Maryem , Saad Allah Hawaa. A.B. , Hussien Balsam.S.A.
Published: April 2023

Of recent interest in consumer behavior research and retailing branding is the consumer's use of retailer brands that increases over time. Starting from the set of unique characteristics that those brands do own, this study sheds light on an uncovered area relating to their perception and their mental positioning and presents hence a measure of their perceived personality in the Tunisian context. Despite the big number of scales that were developed to measure brand personality, yet no research has focused on the retailer brands personality. To fill in this gap, a set of interviews was administrated, and then evidence for the scale’s reliability was presented thanks to a series of statistical analyses.
Impact Of Fiscal Policy Shocks On Official Versus Parallel Exchange Rate Of Sudan: Under Long-Term Economic Sanction And South Sudan Reverondum (1997-2017)
Authors: Belal Ibrahim A Mohammed , Ahmed Sumaya Awad Khader
Published: April 2023

We analyze the impact of fiscal policy shocks on official and parallel exchange rates in Sudan under two extreme circumstances over the period1997-2017, using standard structural VAR framework, supported by Impulse Response Function IRFs to investigate the performance and transitory shocks on exchange rate systems, at first the stationary of the variables is obtained to avoid the specious of the model. The result of long run analysis shows that lag fiscal policy expressed by LGt; lag official exchange rate (Loexrt) and lag economic openness( Leopent) have significant positive impact on parallel exchange rate , on the other hand lag Gross Domestic Product(LGDPt) and LGt variables shows significant impact on official exchange rate, with respect to IRFs, the shock of fiscal policy on Loext only significant in the short run; while in the long run it deserve no effect, hence South Sudan referendum shows negative impact on LGt, which mean that Sudanese government fiscal policies did not achieved the targeted objectives, concerning US economic sanction results indicates that it is one of the main factors of parallel exchange rate volatility and encouragement of black market of foreign currencies. The study recommend the important of a comprehensive packages of fiscal and monetary policies; unification of multi-exchange rate system; rationalize taxes and duties to combat smuggling and the need to increase exports and encouraging inflow of remittances of Sudanese working abroad.
Environmental Radioactivity Monitoring and Assessment of Excess Lifetime Cancer Risk to People in Demra Thana, Dhaka, Bangladesh
Authors: Hossain Shahadat , Rahman Mohammad Sohelur , Yeasmin Selina
Published: April 2023

Objective: The quality of life is influenced by the environment quality and one of the major factors that require a continuous monitoring is the level of radiation. Radiation protection is required to minimize the health effects due to radiation. It is essential to know real-time gamma radiation dose rates and calculation of annual effective dose of a country in order to generate the baseline database.

Methods: The radiation monitoring was performed using real-time portable digital radiation monitoring device. This real-time digital portable radiation monitoring device meets all  European CE standards as well as the American “FCC 15 standard”. The portable radiation  monitoring device was placed at 1 meter above the ground on tripod and data acquisition time for each monitoring point (MP) was 1 hour. 35 MPs were selected for collection of radiation dose rates at different outdoor locations in Demra Thana, Dhaka from October-November 2019.

Results: The measured dose rates due to natural radionuclides were ranged from 0.133 ± 0.022 µSv.h-1 to 0.251 ± 0.016 µSv.h-1 with an average of 0.187 ± 0.032 µSv.h-1. The annual effective dose to the population from outdoor environmental gamma radiation was varied from 0.232 ± 0.038 mSv to 0.440 ± 0.029 mSv with an average of 0.328 ± 0.057 mSv. Excess Lifetime Cancer Risk (ELCR) are also calculated which is ranged from 0.9×10-3  to 1.7×10-3 with an average value of 1.3×10-3, which is 4.5 times greater than world average of 0.29×10-3.

Conclusion: This kind of study is required to detect the presence of natural radionuclides and artificial radionuclides (if any) releasing from nuclear and radiological facilities in the country or from neighboring countries for normal operations or in case of accident/incident. From this study, it can be concluded that there is no radiation burden to the environment due to man-made sources.
Introduction of 5G as a Next-generation Mobile Network
Authors: Amin Ruhul
Published: April 2023

5G aren't just about significantly improving network connectivity. It's a next-generation mobile network that promises to be a game changer in the way we live. The true breakthrough of 5G is the capacity of up to 1,000 5G connected devices per person. It covers all 7 billion people worldwide. One of the great expectations for the future is that not only will all humans be connected to the Internet, but most items of our lives will also be connected. With 5G, coverage will be improved, capacity will be increased, latency will be reduced, and data speed will significantly improve.   Future 5G solutions will outperform current 4G mobile networks in several ways. Significant   improvements in device density, transfer speeds and latencies, and a 90% reduction in power    consumption are just a few of the 5G goals.

On the other hand, the harmful effects of frequency radiation have already been proven. Even   before 5G was proposed, dozens of petitions and appeals by international scientists, including the Flyberger appeal signed by more than 3,000 doctors, stopped the expansion of wireless technology and made new base stations. Requested a moratorium. Negative microbiological effects have also been recorded. Government regulators will consider deploying 5G, especially with the additional infrastructure needed to expand their networks. 5G deployments need to address both standard and advanced cybersecurity threats. It is the responsibility of the carrier and network consortium to provide customers with digital safety nets, except that customer complacency can be an issue as well.
Comparative, randomized-controlled trial on efficacy and safety of Lactobacillus rhamnosus GG and Saccharomyces boulardii in treatment of acute diarrhea in Indian children (COMPARE-GG trial)
Authors: Biswas Shekhar , Bal Benshik
Published: April 2023

Background: Probiotics are routinely prescribed to boost gut health and reduce severity of diarrhea. This study aimed to compare the efficacy and safety of Lactobacillus rhamnosus GG (LrGG) and Saccharomyces boulardii as an adjunct treatment for acute diarrhea in Indian children aged 6–36 months.
Methods: In this single-center, open label, comparative, randomized controlled study, children were randomized into three groups (n=35, each) and provided either low osmolarity oral rehydration solution (ORS) and zinc (20 mg/day) alone or ORS+Zinc supplemented with one of the two probiotic preparations, LrGG ATCC 53103 or S. boulardii CNCM 1-745. Children were monitored every 8 hours after admission and the duration of diarrhea and hospital stay, and stool frequency were evaluated.
Results: Of the total 105 children enrolled in the study, majority were aged between 13–24 months (40%). LrGG significantly reduced the mean duration of diarrhea by nearly 19 hours, when compared to the control group (p=0.003), while reduction by S. boulardii was not significant. The mean hospital stay duration for control group was about 6 days, which was significantly reduced (p=0.0001) by nearly 23 hours by LrGG, and non-significantly by S. boulardii. On day 2, LrGG significantly reduced stool frequency by 32.31%, as compared to 27.44% reduction in control group. S. boulardii reduced stool frequency by 31.76%, which was not statistically significant compared to that in control group.
Conclusions: LrGG showed statistically significant reduction in duration of diarrhea and hospital stay, when compared against the group receiving ORS+zinc either alone or with S. boulardii.
A multi-center, randomized, controlled, phase-2/3 study to evaluate the safety and immunogenicity of inactivated Japanese encephalitis vaccine in healthy ≥1 to <3 years old Indian children
Authors: Thuluva Subhash , Turaga Kishore , G. V. Subba Reddy , M. Rammohan Reddy , Yerroju Vijay , Suneetha Pothakamuri Venkata , Matur Ramesh V.
Published: April 2023

Background: Japanese encephalitis (JE) is endemic in various parts of India. Due to the limited treatment options available, a new treatment option that is safe and effective is highly expected for the existing medical needs.
Methods: In the present randomized Phase-2/3 study, safety, immunogenicity, and reactogenicity of JE-vaccine manufactured by Biological E (BE-JE), given in 2-dose schedule, 28-days apart was assessed in 456 healthy ≥1 to <3-year-old children compared to a licensed JE-vaccine with 3-dose schedule manufactured by Green-cross-corporation (GCC-JE).
Results: The BE-JE group demonstrated non‑inferiority compared to GCC-JE group at day-56 as the lower confidence limit of the group difference was not ≥‑10%. At day-56, the geometric mean titre values were significantly higher in BE-JE group compared with the GCC‑JE group (217.97 vs 125.85; p=0.0023). No apparent difference was seen in the safety-profile between both vaccine groups, with all events reported being either mild or moderate in intensity. Also, no significant difference (p=0.2198) was reported in the number of subjects experiencing at least one adverse-event (AE) between both groups.
Conclusions: The present study demonstrated BE‑JE’s Vero-cell‑based inactivated JE-vaccine, administered in 2-dose schedule to be immunogenic, well-tolerated, and non-inferior, compared to GCC‑JE-vaccine, administered in a 3‑dose schedule in the pediatric Indian-population.
This study was prospectively registered with clinical trial registry of India bearing no CTRI/2011/091/000108 on 14/02/2011.
Effect of massage made with aromatherapy oil after mastectomy on acute arm pain and anxiety: a randomized controlled study protocol
Authors: Ataseven Muzeyyen , Sahin Orak Nuray
Published: April 2023

Background: This article summarizes the study protocol currently used to evaluate the efficacy of aromatherapy massage for the relief of post-mastectomy anxiety and acute arm pain.
Methods: It is a prospective interventional type three-group, randomized controlled, drug-free clinical trial. Eligible patients will be randomly assigned to one of three groups. The population of the study will consist of 90 patients who have undergone simple mastectomy (SM) and modified radical mastectomy (MRM) in the general surgery ward of a training and research hospital in Turkey. After the operation, the arm on the operated side will be massaged with sesame oil in the first group (n=30), sesame-lavender oil in the second group (n=30), and paraffin oil in the third group (n=30).
Conclusions: The primary outcome is the level of acute arm pain and the level of state anxiety. The secondary outcome is vital signs and analgesic use status.
Trial registration: International standard randomized controlled trial number NCT05658367.
Concordance between urine and self-collected vaginal samples for high-risk HPV detection in cervical cancer screening
Authors: Bose Sreeya , Basu Partha , Sengupta Sankar , Mandal Ranajit
Published: April 2023

Background: A system comprising of screening for pre-cancerous lesions succeeded by therapeutic interventions can greatly reduce the incidence of cervical cancer. High risk HPV detection in urine has proven itself as a potential primary screening tool. However, only a few studies have showed it’s concordance with matched self-collected vaginal samples while screening for high risk HPV infection in the community. Objective of the study was to determine the concordance between first void urine sample and self-collected vaginal sample for high risk HPV detection using Cobas 4800. The sensitivity and positive predictive value of screening by urine HPV testing for CIN 2+ detection would also be done along with its acceptability and cost analysis in community screening.
Methods: This study will include women between 30-60 years with intact cervix and no precancerous lesions. Self-sampling will be provided by participants in the form of urine and vaginal swab collection by the Collipee device and vaginal swab stick respectively. This will be followed by high risk HPV testing using Cobas 4800 technology. The participants will also be asked to fill up a questionnaire about the acceptability of urine sampling for cancer screening.
Conclusions: Screening tools can perhaps be diversified in order to suit the needs of low and middle income countries. Research and development of cervical cancer screening tools could hence bring to light feasible alternatives that could further improve compliance of non-attenders.
Trial registration: The trial is registered with clinical trials registry (CTRI/2023/01/049322).
Scrofula: a descriptive study on the clinical and diagnostic profile of patients with tuberculous lymphadenitis
Authors: Vinod Sushmita , R. P. Veena Charishma , Vadivelu Gangadharan , Vidyasagar Sachin
Published: April 2023

Background: Tuberculosis remains to be the major health burden primarily affecting the developing countries. The commonest is pulmonary tuberculosis. The aim of the study was to study about the clinical presentation of tuberculous cervical lymphadenopathy and to correlate clinical diagnosis with the histopathological findings, management, outcome, follow up and improvement.
Methods: A retrospective descriptive study involving 75 patients with cervical lymph node tuberculosis were followed up from the time of diagnosis till the completion of treatment.
Results: It is more common in young females (21-30 years). Constitutional symptoms absent in most of the patients. Mantoux and erythrocyte sedimentation rate (ESR) raised in most cases. Fine needle aspiration cytology (FNAC) showed granuloma in 90.6% cases. GeneXpert results showed Mycobacterium tuberculosis (MTB) detected rifampicin (Rif) resistance not detected in 65.3% and MTB detected Rif resistance detected in 6.1%. Most of the patients recovered daily chemotherapy regimen. Surgery was rarely needed.
Conclusions: TB is still the commonest cause of cervical lymph node enlargement in developing countries. FNAC is a rapid, cheap, simple, and effective method of diagnosis for cervical lymphadenopathy. Anti-tubercular drugs should be started in patients with FNAC/biopsy showing granuloma even if GeneXpert negative and all the patients must be followed up regularly.
Study of serum lipid profile in patients with chronic liver disease and its correlation with child Pugh class: a hospital based observational study in North Indian patients
Authors: Verma Ajit Kumar , Gautam Shri Krishna , Giri Richa , Kushwaha J. S. , Gupta Vishal , Singh Reena
Published: April 2023

Background: Liver disease impacts on hepatic synthesis of lipoproteins and lipogenesis but data on dyslipidemia during disease progression are limited. We want assess the patterns of dyslipidemia in with different etiology liver disease and its correlation with Child Pugh score from non-advanced (non-ACLD) advanced chronic liver disease (ACLD) as it is unclear how progression to ACLD impacts on dyslipidemia-associated cardiovascular risk. Aim and objectives of current study were to determine serum lipid profile in patients with chronic liver disease and its correlation with Child Pugh score.
Methods: It was Cross sectional, observational study conducted in 200 patients at KPS post graduate institute of medicine, GSVM medical college, Kanpur from December 2020 to October 2022.
Results: In this study mean value of Serum Cholesterol (mg/dl) was 135.25 (27.88), Serum Triglycerides (mg/dl) was 122.27 (36.29), HDL Cholesterol was 46.92 (10.36), LDL Cholesterol was 62.77 (22.59), VLDL Cholesterol was 25.62 (8.71). In this study maximum patients of chronic liver disease were due to chronic alcohol intake which account for 76% patients, 2nd most common aetiology of chronic liver disease were chronic viral hepatitis and rest were due to Wilson disease, Budd Chiari syndrome non cirrhotic portal fibrosis and cryptogenic. Patients of chronic liver disease have negative correlation on lipid profile with Child Pugh score.
Conclusions: From our study its was concluded that patients having higher CTP score having more derangement (low) in serum lipid profile (specially) serum cholesterol, serum HDL, serum VLDL) than the patients having low CTP score.
A study to assess utility of diabetes anxiety depression scale in diabetic patients and to correlate its scores with glycaemic control
Authors: R. Nishmita , Giri Gopika , Shankar V. , Kamath Dinesh
Published: April 2023

Background: According to the International Diabetes Federation “diabetes is one of the largest global health emergencies of the 21st century”. Depression and anxiety have been identified as frequent co-morbid condition in Type 2 diabetes, which is itself associated with worse outcomes including increased mortality. People with diabetes are 2 to 3 times more likely to have depression than people without diabetes. Only 25% to 50% of people with diabetes who have depression get diagnosed and treated. The diabetes anxiety depression scale (DADS) is a potentially useful instrument in screening for anxious depression in people with type 2 diabetes in clinical practice.
Methods: The study was a prospective observational study done on 100 Diabetic patients in a tertiary care hospital in Bangalore during the period of 2 months from November 2022 to December 2022.
Results: Among the subjects studied,57% were Male and 43% were female. The maximum number of subjects i.e., 31% were in the age group of 51-60 years. Then mean duration of Type 2 DM in the study subjects was 12.34 years. 53% were found to have poor glycaemic control which is a HbA1C value of more than equal to 8%. 31% of them scored 18-39. Score of 18-39 was suggestive of major anxious depression.
Conclusions: Anxious depression was prevalent across all categories of glycemic variability. There was no statistically significant difference among glycemic variability across the anxious depression spectrum. DADS score had a positive correlation with increasing age. Male diabetic patients had more anxious depression than female patients. Female diabetic patients had poorer diabetic control over prolonged periods of time. The present study findings have potential clinical implications but also have certain limitations in terms of sample size.
Paratracheal air cysts; a rare cause of recurrent hemoptysis
Authors: Rampradeep Rishab , G. Prasanth , V. Gangadharan
Published: April 2023

Paratracheal air cysts (PTACs) refer to small collections of air, present at the level of the thoracic inlet, adjacent to the trachea. PTACs encompass a variety of pathological entities and are usually encountered incidentally on computed tomography (CT) of the chest. Clinically, most patients remain asymptomatic; while a minority, may be associated with cough, dyspnea and hemoptysis probably as a result of pooled secretions and secondary infections. We report one such case of recurrent hemoptysis in a 30-year-old male, as a result of a right paratracheal air cyst.
Primary health care services for obesity and hypertension in sub-urban community: focus on nutrition
Authors: Peter Malachy B. , Peters Esegbue , Nwose Ezekiel , Ofili Charles
Published: April 2023

Medical nutrition therapy (MNT) is a major clinical care concept, especially for non-communicable diseases such as obesity and hypertension. Primary healthcare (PHC) centers are the first point of contact with health services and provide a point of entry for the entire health system. Research has revealed that access to primary healthcare services is associated with improved health outcomes, such as an improvement in self-rated health and a decline in all-cause mortality. However, the integration of MNT in hypertension and obesity management at PHC level is unclear. The aim of this study is to establish PHC services for obese and hypertensive individuals with a focus on nutrition, and the need for further research. Awareness of dietary approach to stop hypertension (DASH) among health workers, obese and hypertensive individuals and it utilization in practice was low in PHC centers this is due to lack of registered dietitians’ nutritionists who are trained in MNT which is complicated by lack of ministerial funding of PHC facilities.
Consensus statement on cardiovascular risk stratification and aggressive management of chronic coronary syndromes
Authors: Balaji P. , Jadhav Uday , Roy Devanu Ghosh , Zachariah Geevar , Shah M. K.
Published: April 2023

Cardiovascular diseases (CVDs) are responsible for 17.5 million deaths globally, and India is more susceptible to coronary artery disease (CAD) than its western counterparts because of certain challenges such as suboptimal management, increased healthcare costs, and physicians undermining the extent of limitation in angina patients. All of these could be resolved by employing strategies starting with accurate diagnosis to timely implementation of aggressive management techniques to contain morbidity and mortality. Pan India, experts from the field of cardiology came together in order to discuss risk stratification and aggressive management of chronic coronary syndromes (CCS). The expert consensus laid down a path of recommendations considering the prevailing healthcare service infrastructure, local evidence-based studies and key international guidelines. With the wide diversity in terms of geographical distribution in India and the risk factors presented across various divisions of the population, risk stratification is necessary for prompt identification and subsequent management of CCS. In this consensus, various risk stratification techniques such as risk stratification based on ventricular function, electrocardiogram (ECG), stress echocardiography (ECHO), the Duke treadmill score (DTS), and myocardial perfusion imaging (MPI) were discussed. After risk stratification, the consensus focused on aggressive management of CVDs with therapeutic optimization for various types of patient profiles such as revascularization for stable angina and angina with comorbidities (diabetes and renal failure), apart from emphasis on various medications and their roles in ameliorating disease symptoms.
Epidemiological survey of knowledge, attitudes and practices: a preventive intervention strategy against COVID-19 pandemic in Nigeria
Authors: Ihua Nnenna , Nwankwo Chidiebele E. I. , Orudukobipi Tamunonengiye-Ofori , Affia Aniekan , Aaron Umasonye U.
Published: April 2023

Background: This study assessed how intervention strategy influenced the attitudes of the Nigerian public and their practices to cause a behavioural change at the peak of the COVID-19 pandemic. An epidemiological survey designed as a cross-sectional descriptive study, was conducted at the height of COVID-19 pandemic in Nigeria to assess the knowledge, attitudes, and practices (KAP) of Nigerians as a preventive intervention strategy against the novel Coronavirus. A self-structured questionnaire was designed specifically for this study. The study objectives were assessed on a three point scale of “maybe, no and yes.”

Method: Online questionnaires were randomly administered to the general Nigerian public. The online survey used Google form and the study was limited to Nigerian residents with access to internet. The questionnaire was sectioned into two parts. The first part captured social demographics and the second part included five items each assessing public KAP towards the COVID-19 pandemic.

Results: Three hundred and forty-seven (347) persons responded to the questionnaires. All respondents (100%) demonstrated adequate knowledge of COVID-19. Reports on attitude towards COVID-19 showed that 287 (82.7%) of the respondents were critical about COVID-19 information while 323 (93.0%) adhered to guidelines about COVID-19 indicating good practice.

Conclusions: This study reveals a good knowledge of COVID-19, right attitudes and appropriate safe practices towards COVID-19 in Nigeria, consequently, good adherence and compliance to the guidelines. However, the few respondents with poor understanding and attitudes presents a cause for concern.
Knowledge, attitude, experience and management on premenstrual syndrome among secondary level adolescence girl students of Kirtipur Municipality, Kathmandu, Nepal
Authors: Poudel Elina , Bist Amrit , K. C. Amita
Published: April 2023

Background: Premenstrual syndrome (PMS) is a common menstrual disorder that affects the quality of life of women. The objective of this study is to identify the knowledge, attitude, experience and management on pre-menstrual syndrome among higher secondary level adolescence girls’ students of Kirtipur Municipality of Kathmandu district.

Methods: A descriptive cross-sectional study was conducted among 322 adolescence girl students of higher secondary school of Kritipur Municipality using pre-tested self-administered questionnaire.

Results: The mean age of the respondents was 17 years. It was found that 90.2% of the respondent had very poor knowledge on premenstrual syndrome and 9.2% of the respondent had fair /below average knowledge regarding PMS. The level of knowledge among the study participants was found statistically significant with education status of mother (p=0.002) and that of father (p=0.013). The prevalence of PMS among the female students of higher secondary level was found to be high (77%). Considerably high proportion of the participants reported having at least one somatic and one affective symptoms of premenstrual syndrome. The most frequent affective symptoms experienced by the respondents were mood swings, headache, irritability and somatic symptom was acnes in this study.

Conclusions: Majority of the respondents had poor knowledge and extremely negative attitude towards PMS. High proportion of the participants reported having at least one somatic and one affective symptom of PMS. Comprehensive education on menstrual health and PMS can be suggested for the adolescence girl in school level.
Angioleiomyoma of parotid gland: a rare case report
Authors: Maingi Sahil , Sharma Ankita , Gupta Ankur , Maingi Sajal , Paruthi Pallavi
Published: April 2023

Angioleiomyoma or vascular leiomyoma first described by Virchow is a very uncommon benign soft tissue tumor. Angioleiomyoma has been defined as frequently painful, benign subcutaneous or deep dermal tumor composed of mature smooth muscle bundles which are surrounded and interlaced by vascular channels. Only 8.5% cases arise in the head and neck. A 39 years old male presented with swelling right side face and upper neck past five years. The swelling was non tender, immobile and non-compressible. There was lateral pharyngeal wall bulge which was pushing the tonsil medially. The patient underwent total conservative parotidectomy and histopathology (HPE) came out to be angioleiomyoma. Angioleiomyoma is difficult to diagnose correctly from clinical manifestations and imaging alone, and a biopsy is mandatory to make the diagnosis.
Magnitude and factors associated with sensorineural hearing loss in patients with HIV/AIDS attending tertiary hospital in northern zone Tanzania
Authors: E. Kipiki Peter , J. Mlay Keneth , P. Mtenga Philbert , C. Chussi Desiderius , S. Shija Peter , Zhong Shixun
Published: April 2023

Background: It is estimated that 20% to 50% of patients with HIV have hearing loss. 70% of people living with HIV worldwide are reported to be in Sub-Saharan Africa, making this region have a probable greater disease burden. However, hearing assessment is missing as a routinely conducted investigation in some treatment guidelines. The study aimed to determine the magnitude and factors associated with sensorineural hearing loss in patients with HIV/AIDS attending a tertiary hospital in Northern Tanzania.
Methods: This observational hospital-based cross-sectional study was conducted at the HIV outpatient clinics. The study population comprised children and adults with HIV/AIDS aged between 7 and 60 years old. A structured questionnaire and medical files were used to obtain hearing history and relevant medical information. Tympanometry and pure-tone audiometry was done.  
Results: This study included 152 study participants. The median age was 46 (36.0 – 53.0) years. 109 (71.7%) were females, and 43 (28.3%) were males. The prevalence of sensorineural hearing loss (SNHL) was 34.9% (53 cases). Conductive hearing loss was 7.2% (11 cases,) and mixed hearing loss was 9.2% (14 cases). There was a statistically significant association between SNHL with nadir CD4 count, current viral load, and ART use duration of more than 10 years.
Conclusions: The magnitude of SNHL in patients with HIV/AIDS is alarmingly high. Hearing status should be assessed at baseline and follow-up course of HIV/AIDS management. This will also help analyse the probable impact of ART changes in the treatment guidelines.
Correlation between chronic suppurative otitis media and deviated nasal septum of the ipsilateral side
Authors: S. Shankar Swetha , Shettigar Nithin P.
Published: April 2023

Background: Chronic suppurative otitis media (CSOM) is a long standing infection of middle ear with permanent defect in tympanic membrane with or without ear discharge, frequently have an underlying nasal pathology, which can worsen the middle ear disease secondary to Eustachian tube dysfunction, leading to negative middle ear pressure, tympanic membrane retraction, chronic otitis media with effusion and/or cholesteatoma. Present study was conducted to study the correlation of a etiopathogenesis, bacteriology of CSOM with the deviation of the nasal septum (DNS) of the ipsilateral side.
Methods: Study was conducted in ENT department, AJ institute of medical science, Mangalore, Karnataka. Study group included 120 patients having CSOM, selected randomly from outpatient department (Time bound cross-sectional study). Predesigned proforma was used. Detailed history taken, followed by a thorough ENT examination. Relevant investigations were performed.
Results: In this study, the prevalence of nasal disease (DNS) in patients with CSOM was 73.33%. Out of 120 CSOM patients, 88 patients had co-existent nasal disease (DNS). Among the 88 cases; 71 (59.2%) patients showed direct correlation with CSOM. Culture swabs showed similar bacterial isolates in aural and nasal swabs indicating, there may be retrograde spread of pathogens from nasopharynx to middle ear via Eustachian tube.
Conclusions: A significant correlation was established between CSOM and DNS of the ipsilateral side. DNS played a key role in persistence of CSOM. A conscientious evaluation of nose and paranasal sinuses diseases is essential and we thus endorse management of nasal disease prior to the surgical treatment of ear disease, for meritful postoperative results.
Cancer of tongue-our fixed entity
Authors: Srinivas C. V. , P. R. Julie
Published: April 2023

Background: Oral cancer ranks the top three of all cancers in India. This study aimed to determine etiologic factors for squamous cell carcinoma (SCC) of the tongue and its management.
Methods: This longitudinal retrospective study was conducted with 30 patients of biopsy- proven SCC of tongue diagnosed in our hospital between the years of 2010-2022. Medical records, including history of abuse of alcohol, betel nuts, tobacco products and human papillomavirus (HPV) infection were recorded. The patients details including tumour size, location, node metastasis, grade, disease recurrence, other primary cancers, delay time until diagnosis, therapy course were noted. Patients were analyzed based on etiology and management undertaken.
Results: Among 30 patients with SCC tongue, 25 (83.33%) were males, 5 (16.66%) were females. Smoking was significantly higher in males (20 patients), in those 5 alcoholics. Chronic mechanical trauma was observed in 5 patients. HPV infection was observed in 2 males, 3 females had betel nut chewing habit and use of smokeless tobacco. Among 30 cases alcohol abuse, smoking, chronic mechanical traumas, HPV infection and betel nut chewing appeared as significant etiologic factors of which smoking was the most common etiology (50%). Surgical excision with neck dissection followed by radiotherapy was treatment undertaken in our study patients based on SCC tongue stage.
Conclusions: our study concluded that smoking is the most common etiology of SCC tongue, the definitive treatment is surgery combined with radiotherapy based on TNM staging.
A comparative study of the vocal parameters between hypofunctional and hyperfunctional dysphonia using perceptual and cepstral spectral index of dysphonia measures
Authors: Goswami Debaruna , Chatterjee Indranil , Samaddar Pamela , Narayanan Shalini S. , Saha Arup , Basu Tulika
Published: April 2023

Background: The main goal of the present study was to obtain the cepstral spectral index of dysphonia (CSID) scores for normophonic, hypo-functional dysphonic and hyper-functional dysphonic Indian population along with correlation of CSID and GRBAS scores for normophonic, hypo-functional dysphonic and hyper-functional dysphonic population using sustained production of vowel and oral passage of Bengali language.
Methods: A total of 60 participants between 20-50 years were selected for the study. The participants were divided into three groups viz., 30 normal subjects, 15 subjects with hypofunctional dysphonia and 15 subjects with hyperfunctional dysphonia. The subjects were screened for speech and hearing defects. Recordings of sustained vowels and passage were done and then fed to measure CSID through PRAAT and software developed by C-DAC. Statistical analyses were done for the analyzed data using SPSS.
Results: Significant differences (p<0.05) were found in CSID scores across hypofunctional dysphonia group and hyperfunctional dysphonia group when compared to normophonia group. There were no significant differences (p>0.05) between hypofunctional and hyperfunctional dysphonia group in CSID score. A significantly strong correlation of CSID scores with the ‘G’ rating of GRBAS scores (p<0.01) were found for both hypofunctional dysphonia and hyperfunctional dysphonia groups. ROC analysis showed high sensitivity and specificity of CSID scores in two dysphonia groups with respect to normophonia group.
Conclusions: The current study revealed significant differences obtained in CSID scores across normophonia, hypofunctional dysphonia and hyperfunctional dysphonia groups suggesting it as assessment tool to determine the presence of dysphonia.
Rhinolith in a 37-year-old lady: a case report of an unusual presentation
Authors: Anuar Khairullah Bin
Published: April 2023

Rhinoliths are uncommon nasal masses. They are mineralized masses found within the nasal cavity. Their clinical presentation can be varied. We presented a 37-year-old lady with previous history of lymphoma presented with 6 months history of left sided nasal blockage associated with purulent nasal discharge and cacosmia. Rigid nasoendoscopy showed irregular hard mass along the floor of nasal cavity. Computed tomography (CT) scan was performed and showed left intranasal mass with calcification. Subsequently the rhinolith was removed endoscopically under general anesthesia. Unusual foreign body was found within the rhinolith. Following the removal, she had uneventful recovery. This case has to be treated carefully as with previous history of lymphoma it might suggest recurrence. However, it also illustrates the importance of rigid nasoendoscopy and the radiological assessment in establishing the diagnosis and management of rhinolith.
The diagnosis of rare skin lesions in ear, nose, and throat: the clues lie in clinical examination
Authors: Das Prithvi , De Kumar Shankar , Biswas Arpan
Published: April 2023

Here we present 2 case reports of 2 relatively rare skin lesion that can be encountered in ENT practice, and touch upon the basic clinical evaluation that is mostly overlooked in favour of investigations to reach a diagnosis, since in many cases, investigations fail to give a clear result. The first case is a pilomatricoma, which can be tricky differential diagnosis to reach in the preoperative phase, with the lesion not having any clear differentiating characteristics on imaging. But the answer to a preoperative diagnosis might lie in the “Tent Sign”, bluish discoloration of the skin, or calcium extrusion from the lesion. The second case is a keratoacanthoma, which, waiting long enough should regress on its own. But as watchful waiting is not a feasible line of management, the distinct crateriform pattern should be looked for in lesions on sun exposed areas, and if present, instead of just an incisional biopsy or wedge biopsy, complete surgical excision with clear margins and intact architecture should be planned.
Audiovestibular manifestations in patients with rheumatologic diseases: a review
Authors: Palacio Valentina , Madrigal Jorge , Garcia Alejandro , Castillo-Bustamante Melissa
Published: April 2023

Rheumatologic disorders are chronic and systemic disorders with an estimated global prevalence of 3,200 per 100,000 inhabitants. Several clinical manifestations are known and may lead to physical disability and altered quality of life. The most common audio vestibular manifestations commonly reported are hearing loss, tinnitus, vertigo, and fullness, however, there are some more still unregistered. The aim of this review is to describe the most common audio vestibular features in three of the most common rheumatologic conditions such as rheumatoid arthritis (RA), systemic erythematous lupus and systemic sclerosis (SSc). A literature search was performed with articles published between 2000 to 2021. In this literature review an increased prevalence of hearing loss for RA of 40% and 70% for systemic erythematous lupus was observed. In SSc, due to its early onset and progression, there is no estimated prevalence, however, a notorious hearing impairment in early stages of the disease was described. Vertigo was also described in these disorders, affecting more than 60% of patients. Further studies are in need to describe the affection on early stages of all disorders as well as its progression.
Quality of life in patients with vestibular disorders: a narrative review
Authors: Franco Isabela , Uricel Yara , Valencia Santiago , Castillo-Bustamante Melissa , Madrigal Jorge
Published: April 2023

Vestibular disorders may lead to physical disability and altered quality-of life. Even though, some specific diseases are associated with sleep, work, leisure, and emotional impairment, little is known about which vestibular disorders may lead to disturbances in daily life activities. We aim to extend the understanding of this issue and provide a comprehensive overview about how vestibular disorders are linked to altered quality of life (QoL). Currently available literature was analysed for understanding the affection of QoL in several focused daily-life activities. Vestibular disorders and QoL articles were reviewed; 431 articles were found on different databases and 50 were included in this review. We provide the latest evidence about how QoL is affected by vestibular disorders, their relationship, and upcoming challenges in this review. The deepest understanding of how QoL may be affected by vestibular disorders would provide better comprehension of this process for primary care physicians, otolaryngologists, neurologists, and neuro-otologists.
Reliability Analysis for Multistate Consecutive k-out-of-n: F System Using Bayesian Network
Authors: Sakthivel Ranganathan , Vijayalakshmi Gundala
Published: April 2023

This paper aims to determine the reliability of a complex system using a Bayesian network. A Bayesian network (BN) is a probabilistic graphical model that represents knowledge about an uncertain domain where each component corresponds to a random variable and each edge represents the corresponding conditional probability. Bayesian network is used to estimate the multistate consecutive k-out-of-n: F system reliability. This paper presents the Bayesian network construction and the reliability of the proposed system. The reliability of linear and circular multistate consecutive k-out-of-n: F systems based on the Bayesian network are compared. Furthermore, the reliability of proposed system is shown to be significantly greater than the exact reliability obtained by Amirian, Khodadadi, and Chatrabgoun.
Experimental and Simulation Study to Reduce Required Bending Force in Air Bending Die by Using Annealing and Rectangular Hole
Authors: Hussein Maher Ali , Abbas Abbas Allawi , Mohammad Mohand Mosa
Published: April 2023

Sheet metal is widely used in industry and in different production processes. The present work aims to reduce the bending force in the air-die bending process. Different mild steel sheet thicknesses (0.5, 0.75, 1, and 1.25 mm) were considered, and two techniques were proposed. The first technique involves an annealing process, while the second one considers cutting a rectangular hole along the bending line. The bending stress was calculated using Autodesk inventor software. The results revealed that the annealing process can provide significant ductility improvement and hence bending force reduction, and that annealing time is an important factor that influences ductility development. Moreover, cutting a hole along the bending line could reduce the bending stress and consequently the bending force. The study also reported that increasing the thickness beyond a specific value could result in a reduction in bending force instead of an increase, which is attributed to a temperature increase in the sheet and bending tool.
Traffic Classification of IoT Devices by Utilizing Spike Neural Network Learning Approach
Authors: Zarzoor Ahmed R. , Al-Jamali Nadia Adnan Shiltagh , Al-Saedi Ibtesam R.K.
Published: April 2023

Whenever, the Internet of Things (IoT) applications and devices increased, the capability of the its access frequently stressed. That can lead a significant bottleneck problem for network performance in different layers of an end point to end point (P2P) communication route. So, an appropriate characteristic (i.e., classification) of the time changing traffic prediction has been used to solve this issue. Nevertheless, stills remain at great an open defy. Due to of the most of the presenting solutions depend on machine learning (ML) methods, that though give high calculation cost, where they are not taking into account the fine-accurately flow classification of the IoT devices is needed. Therefore, this paper presents a new model based on the Spike Neural Network (SNN) called IoT-Traffic Classification (IoT-TCSNN) to classify IoT devices traffic. The model consists of four phases: data preprocessing, feature extraction, classier and evaluation. The proposed model performance is evaluated according to evaluation metrics: accuracy, precision, recall and F1-score and energy usage in comparison with two models: ML based Support Vector Machine IoT-TCSVM and ML based Deep Neural Network (IoT-TCDNN). The evaluations result has been shown that IoT-TCSNN consumes less energy in contrast to IoT-TCDNN and IoT-TCSVM. Also, it gives high accuracy in comparison with IoT-TCSVM.
Работа с виртуальными таблицами при построении запросов средствами 1С
Authors: Агарков И.Р.
Published: April 2023

В данной статье рассмотрена работа с виртуальными таблицами при запросах, реализованная в программе «1С:Предприятие». В частности, проанализированы их виды и описан процесс создания. Кроме того, изучен синтаксис запроса.
Overlap-синдром аутоиммунных заболеваний печени и воспалительных заболеваний кишечника: трудности диагностики. Описание клинического случая
Authors: Егизгельдинова Ж.Е. , Жоломанова Г.К. , Ларюшина Е.М. , Лозинская И.А. , Самойлова Н.М. , Сейсенбекова А.К.
Published: April 2023

Аутоиммунные заболевания печени, характеризуются атакой иммунных клеток и антител организма человека на гепатоциты и клетки желчевыводящих путей. В структуре заболеваний печени, аутоиммунные заболевания занимают одно из ведущих мест. На сегодняшний день достигнуты большие успехи в сфере диагностики данной группы заболеваний, но все же остается большое количество нерешенных вопросов. Целью данной статьи является демонстрация клинического случая Overlap – синдрома аутоиммунного гепатита и первичного билиарного холангита, а также сочетание его с ассоциированными аутоиммунными патологиями других органов, в частности с болезнью Крона и аутоиммунным тиреодитом. Представленный анализ клинического случая свидетельствует о том, что отсутствие сывороточных аутоиммунных антител и клинической картины, не исключает аутоиммунное заболевание и требует проведения морфологической диагностики. Правильно поставленный дифференциально-диагностический алгоритм способствует своевременной верификации аутоиммунных заболеваний, с назначением рациональной терапии и предотвращением нежелательных последствий и осложнений.
Инвестиции в недвижимость: проблемы «долгостроев»
Authors: Газимагомаева А.А.
Published: April 2023

Покупка недвижимости – известный способ инвестиций в России. Инвесторы покупают квартиры на этапе стройки, и продают, когда они почти готовы к сдаче или уже сданы. Но не все так просто. Одной из самых крупных проблем в строительстве являются долгострои. Как не прогадать и выбрать подходящий вариант для покупки? И как понять, что скоро долгострой «оживет», и на нем можно хорошо заработать? Ответы на эти вопросы вы найдете в данной статье.
Особенности развития сферы туризма на современном этапе
Authors: Долгих Е.А. , Опанасенко П.И.
Published: April 2023

В статье рассматриваются основные проблемы международного туризма России на современном этапе развития экономики, международных отношений и геополитической ситуации. Выдвигаются предположения о дальнейших перспективах развития данной отрасли.
Контроль расчетов по налогам и сборам в системе экономической безопасности предприятия
Authors: Лосева А.С. , Нечаев Е.В.
Published: April 2023

В статье рассматриваются особенности контроля расчетов по налогам и сборам в системе экономической безопасности предприятия. Сформулированы основные задачи контроля расчетов по налогам и сборам, представлены источники информации, необходимые для использования в ходе проверки. Обоснована целесообразность использования налогового мониторинга в процессе контрольных мероприятий.
Понятие бюджета как экономической категории
Authors: Маркосян О.Р. , Пидяшова А.А.
Published: April 2023

Актуальность избранной темы обусловлена тем, что для существования и осуществления своей деятельности, выполнения обязательств и функций государству и регионам необходимы денежные средства. Для этого планируются и создаются бюджеты различных уровней.
Менеджмент эпохи цифровизации
Authors: Мизаев М.М. , Магомаев Т.Р.
Published: April 2023

Все больше и больше людей в области управления проектами и других сферах бизнеса используют Интернет и смартфоны. Руководители проектов стремятся перевести свои команды и процессы в онлайн-режим, чтобы быстрее и эффективнее предоставлять продукты и услуги и не отставать от конкурентов. Все это тесно связано с концепцией цифровизации. В данной статья мы определили, что цифровизация произвела революцию в старомодных методах ведения бизнеса и изменила восприятие людьми продуктов и услуг.
Заимствования как способ пополнения научно-технической лексики
Authors: Хабриева Х.М.
Published: April 2023

В данной статье рассматривается основной способ пополнения научно-технической лексики русского языка – заимствование. Автором описаны причины появления заимствований. В рамках исследования рассмотрены некоторые основные виды существующих в научно-технической лексике терминов, а также базовые переводческие трансформации.