bluuebunny/crossref_metadata_2025 huggingface dataset:
25 years of experience in designing a digital system for automatic control of technological processes in water and wastewater management
Authors: Похил Ю.Н. , Андриянец П.И. , Андриянец А.П.
Published: April 2024

Рассмотрены основные особенности применения цифровых технологий при создании автоматизированной системы управления технологическими процессами (АСУ ТП) с целью повышения технологической и экономической эффективности работы Муниципального унитарного предприятия г. Новосибирска «ГОРВОДОКАНАЛ». Основой эффективной работы АСУ ТП является интеллект – созданный в алгоритме и реализованный в программе набор знаний с предустановленными, установленными заранее на основе опыта ответами на типовые вопросы. Описаны особенности повышения интеллекта и эффективности АСУ ТП в структуре корпоративной системы диспетчерского управления водоканала (КСДУВ), объединяющей подразделения предприятия. Раскрыта на примерах технологическая и экономическая эффективность работы АСУ ТП с применением цифровизации.

The main features of using digital technologies in designing an automated process control system (APCS) in order to increase the technological and economic efficiency of Novosibirsk GORVODOKANAL MUE are considered. The basis for the effective operation of an automated process control system is intellect, i. e. a repertoire of knowledge designed in an algorithm and implemented in a program with predefined answers to standard questions established in advance based on experience. The features of improving the intellect and efficiency of the automated process control systems in the structure of the corporate supervisory control system of a water utility (CSCS), which unites the divisions of the enterprise, are described. The technological and economic efficiency of automated process control systems using digitalization are shown through examples.
Restoration of Bilateral Premolars Using Custom Made Cast Post and Core: A Case Report
Authors: Bibi Asma , Azam Saima , Waseem Rida Fatima
Published: April 2024

When grossly carious teeth need to be restored after endodontic treatment, long term success depends on the choice of the post and core systems. A custom-cast post and core is recommended when the remaining tooth structure is compromised and an insufficient ferrule is present. The following case report depicts the restoration of bilateral grossly carious premolar teeth by using custom-cast posts followed by PFM crowns. The patient presented with bilateral severely carious premolars with pulpal necrosis. The treatment plan included endodontic treatment followed by custom-cast posts and cores with PFM crowns. In this way, aesthetics and function for the patient can be achieved by using cast metal posts and metal ceramic crowns for the restoration of premolars.
ESG Performance on Investment-Cash Flow Sensitivity: Case Study of Non-Financial Companies Listed on the Indonesian Stock Exchange
Authors: Anri Novi , Utama Cynthia Afriani
Published: April 2024

This research aims to analyze the influence of ESG performance on Investment - Cash Flow Sensitivity of non-financial companies listed on the Indonesia Stock Exchange for the 2017-2022 period. ESG performance was measured using ESG ratings from Sustainalytics' ESG Research and Ratings, obtained from the Bloomberg Terminal database. Testing process was carried out on 50 registered non-financial companies in Indonesia for six years with a total of 300 observations obtained through purposive sampling techniques. The results of research employed panel balance data and the OLS method found that there are still phenomena Investment – Cash Flow Sensitivity occurred and good ESG performance could reduce Investment – Cash Flow Sensitivity. Thus, it can be indicated that companies implementing good ESG performance can more easily obtain funding sources.
Analysis of the Impact of Sustainable Growth Rate and ESG Risk Score on the Valuation of Listed Companies on Indonesia Stock Exchange
Authors: Ramadhan Bayu , Rosdini Dini , Yuliafitri Indri
Published: April 2024

The purpose of this study is to ascertain how the ESG Risk Score (ESG RS) and Sustainable Growth Rate (SGR) affect the value of companies that are listed on the Indonesia Stock Exchange. Through statistical analysis of secondary data of ESG RS and SGR processed from audited financial reports available on the Indonesia Stock Exchange, the study uses a descriptive and verificative methodology. 825 listed companies that are actively trading on the IDX between 2019 and 2022 make up the research's population. As for the sample size, it consists of 32 businesses that were chosen using the purposive sampling technique. This study uses SPSS 26 for data analysis in order to compute the outcomes of the autocorrelation, heteroskedasticity, fixed panel model, and random effect model tests. According to the research investigation, the impact of SGR and ESG RS on firm valuation is not statistically significant. The study's conclusion is that, over the 2019–2022 timeframe, companies listed on the Indonesia Stock Exchange continuously scored higher on the ESG Risk Score when SGR and ESG RS were present, despite a small but beneficial influence. The results show that a company's valuation is positively impacted by strong financial performance, as measured by SGR. However, even if the Sustainability Report discloses that ESG RC is a quality indicator of ESG Risk Management and is used to track the advancement of SDG and ESG programs in the Indonesian capital market, it has not yet significantly impacted the evaluation of corporate valuation. These findings provide insightful information that will help the Financial Services Authority, the Indonesia Stock Exchange, and businesses better understand and assess how these aspects can contribute to and support the development of SDG and ESG in Indonesia.
Service Quality and Customer Loyalty in the Online Food Delivery Service Industry
Authors: Elsiana Made , Maradona Agus Fredy
Published: April 2024

There has been a significant increase in revenue in the online food delivery sector, reaching 43.2%, as a result of the COVID-19 pandemic in Indonesia. Prior to the pandemic, consumers would occasionally order food for delivery, but now it has become a regular practice. Currently, GoFood, GrabFood, and ShopeeFood dominate the food delivery market in Indonesia. This trend presents both opportunities and challenges for businesses, as it creates a more competitive ecosystem. Therefore, it is crucial for online businesses to cultivate loyal customers in this environment. This study aims to investigate the extent of customer loyalty to online food delivery services and explore the possible mediating effects of customer satisfaction and corporate image. The research population is an unknown number of consumers of GoFood, GrabFood and ShopeeFood in Denpasar - Bali. The technique of determining the sample using purposive sampling, the number of respondents as many as 122 people. The research instrument used a questionnaire, which was analyzed by SmartPLS. This study found that service quality does affect customer loyalty, but the effect is not statistically significant. In contrast, research shows that customer satisfaction and corporate image are significant mediators in the relationship between service quality and customer loyalty. The implication for service providers is to focus on increasing customer satisfaction and maintaining a positive corporate image to increase customer loyalty. This can be achieved through regular evaluation and service innovation, which can lead to a successful business.
سياسة الصين تجاه كوريا الشمالية اثناء الثورة الثقافية 1966-1976
Authors: عباس شاكر زيدان  , أ.م.د. نادية كاظم محمد العبودي
Published: April 2024

أصبحت كوريا الشمالية في فترة الانقسام الصيني السوفيتي ، محورا للصراع والتنافس بين الصين والاتحاد السوفيتي، إذ حاول كلا الطرفين جرَّها إلى محوره عبر توقيع الإتفاقيات معها، وتقديم المساعدات التي كانت كوريا بأمس الحاجة إليها، إذ لطالما كانت علاقة كوريا الشمالية بالصين معقدة ومتناقضة وهي مرتبطة ظاهريًا بأيديولوجية مشتركة ، وعلى الرغم من ذلك أرادت الحفاظ على علاقاتها مع بكين وامتنعت عن معارضتها علنًا حتى قيام الثورة الثقافية، وكان للأخيرة وللإختلاف حول علاقة بيونغ يانغ مع موسكو أثر في تراجع العلاقة بين البلدين، أضافةً لتطهير ماو العديد من قيادات الحزب الشيوعي الصيني البارزين.
ABHYANGA, NASYA AND RASA AUSHADHIS : A SILVER LINING IN THE MANAGEMENT OF ARDITA (FACIAL PARALYSIS): A CASE REPORT
Authors: Dash Rashmisnata , Prasad Satapathy Aditya , Kumar Santosh , Kumar Sujeet
Published: April 2024

Ayurveda is the ancient system of medicine and the holistic blueprint for maintaining good health, contentment, peace,
and tranquility. In present scenario the prevalence of Vatavyadhi (neurological disorder) such as Pakshaghata
(hemiplegia), gridhrasi (sciatica), Ardita (facial palsy) has been increased due to stressfull lifestyle. There are 80 types of vataja nanatmaja vata
vyadhi in ayurveda, Ardita is considered as one of them. Ardita is characterized by Mukhardha bakrata in which there is deviation or crookedness
leading to deformity of one side of the face. Based on clinical symptomatology Ardita can be correlated with Bell's palsy. It is the neurological
condition that causes sudden onset of weakness of muscle to oneside of the face which includes facial nerve (7th cranial nerve). The present case
deals with 64yr old man diagnosed with Ardita which is already admitted in our IPD after complaint of knee joint pain. During the treatment,
presenting symptoms included with complaints of deviation of mouth, improper closure of eye, speech impairment and dribbling of saliva on
oneside. According to sign and symptoms he was diagnosed with Ardita and treated with sthanika snehana (massage therapy), sthanika swedana
(localised steam), and nasya karma and murdhni taila along with oral Ayurvedic samana ousadhis effectively alleviated the Ardita symptoms. A
signicant relief from all the symptoms was observed within a two week period, demonstrating the efcacy of the Ayurvedic approach in
managing neurological conditions.
NON RANDOMIZED ASSESSMENT IN CASES OF INGROWN TOENAILVANDENBOS PROCEDURE.
Authors: Sharma Anil Kumar , Verma Pradeep Kumar , Gupta Sheetanshu , Singh Amit
Published: April 2024

Background: - This condition usually occurs in patients who have experienced long-term trauma, poor foot hygiene, and
tight-tting shoes causing long-term compression in toes. The Vandenbos procedure involves excising the soft tissue
surrounding the nail without damaging the nail. This study consists of prospective observational asse Method: - ssment in patients with the above
condition using the Vandenbos procedure The analysis included 50 patients who completed 6 months of Result: - postoperative assessment. The
ages ranged from 8 to 35 years (mean 21.5 years). The average time to return to school or work was 10 days and the time to be able to wear enclosed
shoes was 31 days. Within the rst two months of surgery, 11 participants (22%) experienced one or more minor complications like bleeding,
infection, and hyper-granulation. There were no recurrences. The Vandenbos procedure was recommended by 90 % of participants. Conclusion: -
The Vandenbos procedure can produce no recurrence rates, high satisfaction, and overall good cosmetic results.
BURDEN OF SNAKE BITE IN SHEIKH BHIKHARI MEDICAL COLLEGE AND HOSPITAL, HAZARIBAG: A SECONDARY DATA ANALYSIS
Authors: Oraon Soma , Kumari Anju Prabha , Purty Manoj Kumar
Published: April 2024

Background: Snake bite is one of the medical emergencies, most commonly reported from the developing countries of
the Tropical region. Of this study is to estimate the burden of snake bite in Sheikh Bhikhari Medica Aim: l College and
Hospital (SBMCH), Hazaribag and to assess the outcome of the admitted snakebite victims. This cross- Methodology: sectional study was
conducted by collecting data from July 2022 to December 2022, from the records of Male medicine ward. A total of 342 male patients Results:
recorded as snake bite victims. Mean (SD) age and duration of Hospital stay was 34.90(15.203) and 2.29(1.034) respectively. In majority (84.5%)
of the Patients the outcome was good and were discharged after treatment. The study revealed maximum Conclusion: number of snake bite
victims during Monsoon. The outcome of the admitted patients is good. Awareness campaign prior to monsoon focusing the preventive measures
is needed to reduce the case load.
A STUDY ON CLINICODEMOGRAPHIC PROFILE AND PREVALENCE OF ANEMIA IN CHILDREN OF AGE 6 – 1O YEARS ATTENDING GOVERNMENT PRIMARY SCHOOLS IN URBAN SLUMS OF KAKINADA
Authors: Suresh Kumar Kodali Venkata , Madhavi N. , Manikyamba D. , Lakshmi V. Vijaya
Published: April 2024

Background: Anemia is a global public health problem associated with increased mortality and morbidity. It is the most
common hematological disease of pediatric population. Anemia in school going children is multi factorial and if not
identied and treated in time can affect irreversibly their psycho motor development and scholastic performance. The aim of this study was to
determine the prevalence, severity and risk factors for anemia among school children of 6 to 10 years of age. A school based cross- Methods:
sectional study was conducted. A total of 400 school-age children of 6 to 10 years were included in this study. Socio-demographic, anthropometric
data and dietary habits were noted down. Hemoglobin value was estimated from venous sample of these children. Data was analyzed using SPSS
version 20.0. The overall prevalence of anemia among school-age children was ...... Underweight, st Results: unting, low BMI, vegetarian diet,
intake diet with low iron rich foods like jaggery, ground nuts, GLV were identied as risk factors for anemia Prevalence of anemia is Conclusion:
a signicant health problem among school-age children. School health strategies and interventions targeting nutritional deciencies and parasitic
infections and counseling to modify the food habits are very important to address this hematological problem in school children.
IMPACT OF PANDEMIC ON SLEEP DISTURBANCE AMONG ADOLESCENTS AND YOUNG ADULTS
Authors: Devi V Sowmiya , Begum S Ameerunnisa , Rani A Sudha , Latha G Madhavi
Published: April 2024

The COVID19 pandemic has led to signicant changes in daily routines and lifestyle worldwide and mental health issues
have emerged consequently. The aim to assess the presence of sleep disturbances before and after the pandemic in the
adolescents and young adults age groups in the general population. Methods: Survey data were collected by using snowball sampling method in
the general populations. Participants included 234 in total, in those 100 subjects were adolescents(13-24years) and 130 subjects were belonging
to age group of 25-44years. Cross sectional study was proceeded and the prevalence rate of various components of sleep pattern was assessed
using the Pittsburgh sleeping quality index questionaries. Interpretation: Although, the quality of sleep doesn't show variation among
adolescent, but the other domains of sleep pattern are changed aggressively. The % sleep latency was increased which indicates poor sleep
pattern. Sleeping duration are also greatly decreased, which leads to fall in the efciency of the sleep. Moderate sleep disturbances were greatly
affected. Overall good sleeper prevalence rate was drastically falls among adolescents after the pandemic period. The sleep quality and sleep
latency among young adults of bad sleepers was improved after the pandemic. while the other components of the PSQI of sleep was drastically
affected. The duration of sleep was greatly affected. The efciency among good sleepers was highly affected. The prevalence rate was doubled
on severe sleep disturbance in young adults. Mild daytime dysfunction persistently high in both periods. Overall moderate severely sleep
disturbers rate was increased. Lifestyle changes and sleep disturbances have been occurring in hand Conclusion: and hand, it's needed to
evaluate the psychological aetiology of sleep disorders because sleeping is the most important indicator of mental wellbeing and treat the patients
accordingly to prevent the mental illness among adolescents and young adults.
BOEY'S SCORING SYSTEM IN PATIENTS WITH PEPTIC ULCER PERFORATION: AN OLD SWORD IN SCABBARD.
Authors: Sharma Nitesh Kumar , Gupta Aaina , Bhasin Sanjay Kumar
Published: April 2024

Background: Peptic ulcer is the disruption of the normal mucosal integrity of stomach/duodenum leading to a local
defect. Perforation is the natural termination of an ulcer. Mortality as complication approaches up to 15%. Preoperative
identication of high-risk patients is mandatory for providing appropriate care. Boey's score was the rst score directly aimed at mortality
prediction for perforated peptic ulcer. The study outlined was prospective study conducted in the D Methods: ept. of General Surgery, Govt.
Medical College and Hospital, Jammu over a period of 1 year. We included 55 patients with an intra-operatively conrmed diagnosis of peptic
ulcer perforation. Patients were stratied as per Boey's score and post-operatively, followed up for morbidity and mortality. 55 patients Results:
with peptic ulcer perforation were stratied into Group 1, Group 2, Group 3 and Group 4. We showed that there was a progressive increase in
morbidity and mortality with increasing Boey's score. The study demonstrated a high accuracy of 74.5% & 89.1% of Boey score in predicting
postoperative morbidity & mortality in patients with peptic ulcer perforation. The morbidity and mo Interpretation & Conclusions: rtality in
patients with peptic ulcer perforation undergoing surgery remains high. Patients must be stratied in order to decrease post-operative morbidity
and mortality. The high accuracy of Boey score in identifying patients with increased risk of morbidity and mortality in this study has validated its
role as reliable predictor of morbidity and mortality peptic ulcer perforation.
PREVALENCE OF HIV AND HEPATITIS VIRUS IN BLOOD DONORS INACHARYA SHRI CHANDRA COLLEGE OF MEDICAL SCIENCES AND HOSPITAL.
Authors: Parvez Sheeba , Shamin Gazala , Parvez Sana , Khajuria Arvind
Published: April 2024

AIM: The present study was undertaken with an aim to investigate the sero prevalence of HIV and hepatitis in blood
donors. Introduction: Blood transfusion constitutes of an important part of patient care, as up to 10% of hospitalized
patients are transfused. But unsafe blood transfusion have the potential to transmit a diversity of infections to blood recipients. These infections
could be due to viruses, bacteria, protozoans , and/or prions . Viral agents include human immunodeciency virus (HIV) , Hepatitis B virus (HBV)
and Hepatitis C virus (HCV). Material And Methods: The present study was undertaken with an aim to investigate the sero-prevalence of HIV
and hepatitis in blood donors. This is a cross sectional study of 200 blood donors in of Acharya shree Chandra college of medical sciences and
hospital with age ranging from 18 to 49 years from time period October 2023 to March 2024. Result: Out of 200 donors, only 18 were positive
for hepatitis.( 13 male and 5 female). Also 8 out of 200 were positive for HIV ,out of which 8 were male and 1 was female. It is Conclusion:
necessary to estimate the prevalence of infections in the donor community using more sensitive and specic tests than the early tests used.
PERSISTENT HEPATITIS C VIRUS-ASSOCIATED CRYOGLOBULINEMIC VASCULITIS IN A PATIENT SUCCESSFULLY TREATED WITH DIRECTACTING ANTIVIRAL THERAPY
Authors: Kumar Abhishek , Ahmad Md Fahim , Gupta Priyanka , Nahid Eram
Published: April 2024

The development of hepatitis C virus associated cryoglobulinemic vasculitis (HCV-CryoVas) is driven by expansion of
memory B-cell clones induced by HCV, leading to the production of pathogenic monoclonal IgM with rheumatoid factor
(RF) activity. However, patients who attain sustained virologic response (SVR) through direct-acting antiviral (DAA) therapy experience a
decrease in the proportions of these autoreactive memory B-cell clones. In a subset of patients, HCV-CryoVas may persist despite achieving SVR.
This persistence is likely attributed to residual RF-producing B-cell clones. Clinical evidence of ongoing immunological activity, marked by
persistent circulating cryoglobulins, RF seropositivity, and/or low levels of C4, can aid in identifying patients at risk for persistent CryoVas
despite achieving SVR. In these cases where antiviral therapies alone fail to induce clinical remission, B-cell depletion with rituximab may offer
additional benets for patients with HCV-CryoVas. Herein we described 55 year female with persistent Cryo-Vas despite achieving SVR with
DAA therapy
AN ATYPICAL PRESENTATION OF MUCOCELE OF APPENDIX
Authors: Raghuram Puvvada Sai , Noor Mohiddin MD.M.M.
Published: April 2024

Introduction: Mucocele of the appendix is an obstructive dilatation of the appendix caused by intraluminal accumulation
of mucoid material. It represents only 0.3%-0.7% of appendiceal pathology and 8% of appendiceal tumors. A patient's
clinical symptoms include pain in the right lower quadrant of the abdomen, palpable abdominal mass, nausea, vomiting, weight loss,
gastrointestinal bleeding, and signs of intussusceptions of the intestines.
If treated improperly, the mucocele may progress, epithelial cells may escape into the peritoneal cavity, and Pseudomyxoma Peritonei may
develop, which has a high mortality. This condition can have benign as well as malignant processes. According to modern classication, there are 4
histologic types: Retention cyst, mucosal hyperplasia, Mucinous cystadenoma, and Mucinous Cystadenocarcinoma.
UNCOMMON OCCURRENCE – ODONTOGENIC KERATOCYST: A CASE REPORT
Authors: Gopal. K. Saraswathi , B. K Harini.
Published: April 2024

Keratocystic odontogenic tumors (KCOT), often referred to as odontogenic keratocysts, are distinguished by their
unusual behavior, diverse origin, contentious development, distinct propensity to recur, and contested treatment
approaches.This article emphasizes the varied clinical presentation of Odontogenic keratocyst of a 52 year old female patient with history of
trauma in relation to anterior mandible. In Orthopantomogram the lesion shows multilocularity mimicking botryoid cyst and CT reveals
multilocular hypodense areas with buccal cortex perforations involving the inferior alveolar nerve canal. Histopathological ndings of incisional
biopsy conrms the diagnosis, after which patient was subjected to surgical enucleation.
RAPIDLY PROGRESSING PELVIC LUMP: WORKUP OR RESECTION TO PREVENT IMMINENT ABDOMINAL COMPARTMENT SYNDROME.
Authors: Goswami Dipanjan , Upreti Sheetal , Saxena Gaurav , Neogi Sujoy , K Ratan Simmi
Published: April 2024

Rhabdomyoscarcoma of bladder in paediatric population is a rare tumour with guarded prognosis. Upfront surgery is
indicated only in cases of possibility of complete resection followed by chemotherapy and radiotherapy. We present a case
of rapidly progressing lump with imminent abdominal compartment syndrome, for which upfront resection was done to alleviate patient
symptoms followed by chemotherapy and radiotherapy.
FLAP CAPILLARY BLOOD GLUCOSE MONITORING AS A PREDICTOR OF FLAP SURVIVAL IN LIMBERG FLAP FOR PILONIDAL SINUS SURGERY.
Authors: Muralidharan M. , Muthulakshmi S. , Sumitra P. , Arunshreenivas Arunshreenivas
Published: April 2024

Background: Pilonidal sinus is treated with wide local excision and primary closure, which carries high recurrence,
post-operative morbidity and cosmetic implications. In order to overcome that limberg transposition ap is done. Postoperative ap survival is crucial for proper healing. Hence there is a need for a tool to predict ap survival as earliest. Flap capillary blood glucose
monitoring is such a tool which is, done as a clinical basic procedure, with no harm to patient or the ap. To prospectively validate ap Methods:
capillary blood glucose monitoring serially, as an indicator to predict ap survival in limberg ap in pilonidal sinus surgery patients at
Government medical college & ESI hospital-general surgery department. Conducted as a prospective cohort study among 30 patients who
underwent wide local excision and limberg ap for pilonidal sinus in the Department of General Surgery, Government Medical College & ESI
Hospital between June- 2021 to November- 2021. Estimated capillary blood glucose at the edge of ap 3mm away from incision site, using
glucometer at 0, 6, 24- hours following surgery. Of the 30 patients who underwent limberg ap surge Results: ry, 1 patient developed
postoperative ap necrosis due to venous thrombosis. 1 patient developed ap infection which was treated with appropriate antibiotics after
culture and sensitivity and the ap survived. Rest of the 28 patients had healthy aps and uneventful postoperative period. Of the 30 patients who
underwent limberg ap for pilonidal sinus 29 patients in whom the ap survived had ap glucose level more than 62mg/dl, in the rst 24 hours.
Conclusion: Monitoring ap capillary blood glucose serially in postoperative period in order to identify the aps in risk, to start early goal
directed therapy to improve ap survival and the patients can benet. This simple and cheap technique can be used for routine monitoring of
Limberg aps along with the routine clinical evaluation.
CORRELATION OF PROPHYLACTIC AND THERAPEUTIC DOSE OF LMW HEPARIN WITH RESPECT TO OUTCOME IN CRITICALLY ILL PATIENTS OF COVID-19.
Authors: Alane Rameshwar , Khadke Venkatesh , Tamboli Saleem , Jadhav Pranav , Parsode Rahul
Published: April 2024

Introduction- Recently, a novel coronavirus (2019-nCoV), ofcially known as severe acute respiratory syndrome
coronavirus 2 (SARS-CoV-2), caused a severe pandemic infection worldwide with considerable morbidity and
mortality. A relatively high mortality of severe coronavirus disease 2019 (COVID-19) is worrying, and the application of heparin in COVID-19
has been recommended by some expert consensus because of the risk of disseminated intravascular coagulation and venous thromboembolism.
However, its efcacy remains to be validated.We aim to Correlate the association between prophylactic and therapeutic dosages of low
molecular weight heparin (LMWH) on mortality and other morbidity outcomes in critically ill patients of COVID-19 . Consecutive Methodspatients admitted to Dr. S. C.GMC Medical college and hospital Nanded with laboratory-conrmed COVID-19 were included in this
retrospective observational study. The diagnosis of COVID-19 was established according to World Health Organization interim guidance and
conrmed by RNA detection of the SARS-CoV-2 in the microbiology laboratory of the hospital. Outcomes between COVID-19 patients treated
with standard prophylactic LMWH enoxaparin dosage (subcutaneous enoxaparin 40–60 mg daily) or Therapeutic LMWH enoxaparin dosage
(subcutaneous enoxaparin 40–60 mg twice daily) for 7 days were correlated. Out of 100 patients 50 re Results - ccived P-LMWH & 50 reccived
T-LMWH among that 12 % patients expired in prophylactic group & 22% in therapeutic group. It was observed that the levels of D-dimer
before & after of P-LMWH group were (D-dimer: 2.63±1.77, 0.63±1.19) and those of T-LMWH group were(D-dimer: 3.14 ± 2.15, 1.07 ±1.56 ).
the length of hospital stay was (11 ± 2.21) days in the P-LMWH group and (11 ± 3.99 ) Days in the T-LMWH group. Simillarly the saturation
level of oxygen ware (SPO2 98% ) in P-LMWH group & (SPO2 97%) in T-LMWH group. 26% patients shows adverse effects to P-LMWH
group & 32% patients to T-LMWH group. Study demonstrates that if you start earlier prophylactic LMW Conclusion- heparin to critically ill
patients of covid 19 with raised D-dimer level the level of d-dimer will not further increased and comes down to normal value. Simillarly patients
recover earlier and reduces hospital stay of patients with improvement in oxygen saturation.
ANAESTHETIC MANAGEMENT OF A PATIENT WITH RHEUMATIC VALVULAR HEART DISEASE POSTED FOR FIXATION OF ACETABULUM FRACTURE
Authors: Vijaysingh Patil Surhud , Sasturkar (Kelkar) Vasanti
Published: April 2024

Patients with rheumatic heart disease (RHD) undergoing non-cardiac surgeries present a challenge for anesthesiologists.
This case report discusses the anesthetic management of a 56-year-old female with severe mitral stenosis, posted for
acetabulum fracture xation. The patient's history revealed RHD with severe mitral stenosis, mild mitral regurgitation, and severe pulmonary
hypertension.
Considering the risks associated with neuraxial anesthesia in mitral stenosis, general anesthesia (GA) with a Pericapsular Nerve Group (PENG)
block was chosen. The patient was carefully premedicated, induced with appropriate drugs, and monitored intraoperatively. The PENG block,
performed under ultrasound guidance, aimed to reduce hip pain without causing motor blockade.
The patient remained hemodynamically stable throughout the surgery, and postoperatively, the combination of GA with PENG block provided
effective pain control, reducing the need for opioids. This approach contributed to an early recovery, emphasizing the importance of tailored
anesthesia strategies for valvular heart disease patients undergoing non-cardiac surgeries.
A PROSPECTIVE STUDY ON PREVALENCE AND ANTIBIOTIC SUSCEPTIBILITY PATTERN OF MRSA ISOLATED FROM ALL CLINICAL SAMPLES IN A TERTIARY CARE HOSPITAL IN NORTHERN KERALA.
Authors: Sara John Jeslin
Published: April 2024

Introduction: Methicillin resistant Staphylococcus aureus (MRSA) has become one of the challenging factors in health
care settings and community settings. Resistance to non-beta lactam antibiotics also made the situation worsen.
Aim:
Ÿ To study the prevalence of MRSA in all clinical samples taken for culture.
Ÿ To evaluate the antibiotic susceptibility pattern of MRSA.
Results: A total of 67 MRSA were isolated from 2609 clinical samples. Maximum isolates were from pus 44 (70%). The highest (100%)
sensitivity was observed with Vancomycin, linezolid and teicoplanin and lowest (28.4%) with Erthromycin was observed. Conclusion:
Educating primary health physicians about MRSA is essential to implement effective control measures like Strict adherence to infection control
practices, including hand hygiene, preventing the overuse of antibiotics and continues surveillance program for MRSA
POTT'S SPINE MANIFESTING AS PARAPLEGIA IN PREGNANCY AND ITS MANAGEMENT: A CASE REPORT
Authors: Ridham Ridham , Jassal Yamini , Satodiya Mohit
Published: April 2024

Tuberculosis is a major health concern in India with extra- pulmonary presentation being 66.6% in pregnancy . Spinal TB
or Pott's Spine in pregnancy is a rare entity which can lead to paraplegia and adverse feto-maternal outcomes. Our patient
presented at 34+4 weeks POG with bilateral lower limb weakness and backache since 28weeks period of gestation. Paraparesis being an
uncommon complaint in pregnancy, has varied etiology which involves spinal cord. Common causes include traumatic fracture injury, spinal cord
compression due to tumor, metastasis, spinal TB, Pyogenic abscess and Transverse myelitis, Polio, Guillain-Barré syndrome (GBS), amyotrophic
lateral sclerosis and Syringomyelia being the less common. The history, neurological examination and imaging helps in narrowing the diagnosis.
In Pott's Spine, lower thoracic and upper lumbar region are affected the most. WHO recommends 6 months of therapy with intensive phase of 2
months and continuation phase of 4 months which can be prolonged to 12 – 18 months based on symptoms and imaging. Pott's Spine with
neurological decits or those who show progressive decit even on ATT needs surgery. MRI is ideal in such a condition and prognosis is good with
early decompression surgery with ATT.
EVERY WHITE ON CT IS NOT BLEED: CASE REPORT OF A RARE, ATYPICAL WHITE EPIDERMOID TUMOR.
Authors: Kumar Harish , Sharma Divanshu , Narula Aarti , Singh Navjot , Kaur Nagra Preetnoor , Kaur Jasleen , Singh Sandeep
Published: April 2024

Epidermoid tumors are benign congenital tumors within the neurosurgical domain, with white epidermoids constituting a
rarer subset characterized by distinct radiological features. Here, we report the case of a 50-year-old female presenting
with recurrent headaches, initially misdiagnosed as an intracranial aneurysm but later revealed to be a sellar-originating white epidermoid tumor.
Despite its size, conservative management was chosen due to the lesion's benign nature and lack of symptomatic contribution. White epidermoid
tumors pose diagnostic challenges as they share radiological features with other intracranial lesions, including dermoid tumors, neuroenteric
cysts, craniopharyngiomas, and clival tumors. Surgical resection carries a risk of chemical meningitis from tumor content leakage. Therefore,
accurate preoperative diagnosis is imperative for appropriate management. In conclusion, white epidermoid tumors represent a rare variant
requiring meticulous radiological evaluation to ensure accurate diagnosis and optimal patient care.
TO STUDY COMMON MUSCULOSKELETAL PROBLEMS IN WORKERS OF THE MAT INDUSTRY
Authors: Patil Tanvi Mahesh , Mahesh Patil Rohan
Published: April 2024

Aim: - Methodology:- To study common musculoskeletal problems in Workers of the Mat Industry. A cross sectional
survey was conducted on 100 plastic industry workers by administering the Cornell Musculoskeletal Discomfort
Questionnaire (CMDQ) to quantify the musculoskeletal pain. Additionally, a self-designed questionnaire was given out to gather data on the
different musculoskeletal issues that the employees experienced, risk factors associated with their jobs, different postures they maintained, and
daily activities they engaged in. A total of 100 participants were analysed in this study. Individua Results:- ls aged 20 to 30 appear to experience
discomfort primarily in the knee (18.5%) and foot (19.2) areas, while those aged 31 to 40 report notable discomfort in the knee (24.5%) and foot
(20.1%). In the 41 to 50 age group, lower back (19.3%) and knee (22.9%) discomfort are particularly prominent and awkward postures were
highly associated with musculoskeletal disorders. The most often affected body part was the knee, w Conclusion: - hich was followed by the
lower back, foot, and shoulder. The majority of the workforce was expected to perform duties that frequently required bending and prolonged
sitting, which has led to a high frequency of musculoskeletal problems associated with the workplace in this population. The research ndings
indicate that the adoption of ergonomic intervention strategies in the workplace has the potential to eradicate ergonomic risks and reduce the
likelihood of musculoskeletal illnesses associated with labour.
The Levels of Marital Stability among Married Couples in Selected Parishes in the Catholic Archdiocese of Nairobi, Kenya
Authors: Gabriel Kinoti Archangel , Mutisya Sabina , Egunjobi Joyzy Pius
Published: April 2024

The level of marital stability among members of a given community is important in determining the future generations of that community. This study investigated the levels of marital stability among couples in selected parishes in the Catholic Archdiocese of Nairobi (CAN), Kenya. The study was guided by the Emotion Focused Theory and employed concurrent convergent mixed methods research design. The study targeted a population of 19,828 Catholic faithful in the research area, who have exchanged their marital vows therein within the last 5 to 25 years. From these, sample of 784 married men and women were selected by multistage sampling thus census, proportionate quota and simple random sampling techniques. Data was collected using the marital Stability Questionnaire, whose resultant data was analyzed descriptively using frequency counts and percentages. Findings indicated that the marital stability of respondents in the research area was in three levels thus low, moderate and high. The study recommends that the office of the attorney general should formulate policy to ensure all newly married couples are sensitized on various aspects of marital stability before issuing them with marriage certificates.
ENHANCING UNDERWATER IMAGE QUALITY THROUGH ADAPTIVE COLOR CORRECTION AND MULTI-SCALE HISTOGRAM EQUALIZATION
Authors: Mr.T.Sreedhar  , B.Ajay Jeevith Kumar  , P.Venkateswarlu  , G.Bhargav Vamsi  , U.Venkata Manikanta
Published: April 2024

Due to the selective attenuation of light in water, underwater images are poorly visible and pose significant challenges in visual activities. The structural and statistical properties of different areas of degraded underwater images are damaged to different levels, resulting in an overall uneven drift of object representation and further degrading the image quality. In order to solve these problems, we introduce a method for enhancing underwater images through multi-bin histogram perspective equalization under to solve the problems caused by underwater images. We estimate the degree of feature variation in each image region by extracting the statistical features of the image and using this information to control feature enhancement to achieve adaptive feature enhancement, thereby improving the visual effect of degraded images. We first design a vibration model that exploits the difference between data elements and regular elements to improve the color correction performance of the linear transformation-based sub-interval method. In addition, a multiple threshold selection method was developed that adaptively selects a set of thresholds for interval division. Finally, a multi-bin sub-histogram equalization method is presented, which performs histogram equalization in each sub-histogram to improve image contrast. Underwater imaging experiments in various scenarios show that our method significantly outperforms many state-of-the-art methods in terms of quality and quantity.
INDEX TERMS: Multiple intervals, multi-scale fusion (MF), sub histogram equalization (SHE), underwater image.
ACCOUNTS OF ELEMENTARY TEACHERS ON THE USE OF PEDAGOGIES IN ADDRESSING LEARNING LOSS DURING THE IN-PERSON CLASSES: A PHENOMENOLOGY
Authors: Mariz G. Porras  , Joju Amor D. Villajos
Published: April 2024

The purpose of this phenomenological study is to describe the experiences of Elementary School Teachers in using pedagogies to address learning loss during in-person classes. The concept and idea for the study were gleaned from Shulmans (1986) Pedagogical Content Knowledge Theory, which proposes that effective teachers possess a specific knowledge set alongside certain personality qualities, abilities, and dispositions. This theory emphasizes that teaching well requires both artistry and scientific understanding. There are numerous practices, techniques, and abilities that contribute to effective instruction, and these cannot be fully captured in a limited list. The study is further supported by Vygotskys (1978) Cultural-Historical Activity Theory, which views the learning environment from a social constructivist perspective. This theory fundamentally explains how students acquire knowledge in a social context, interacting with peers and mentors. Additionally, Banduras (1977) Social Learning Theory is used as a supporting framework, which suggests that increased social interaction leads to higher levels of learning. Finally, the study is grounded in van Dijks (2020) Theory of the Digital Divide. There were five (5) public elementary school teachers participated in the in-depth interview. They were selected using purposive sampling method. The results revealed in the experiences, coping up mechanisms, and insights in using pedagogies and strategizing to address the learning loss of the students. More so, collaboration with parents, ineffectively usage of modular learning, problems in reading skills of the learners, structuring of rewards and punishment, and flexibility and consistency in teaching. The results are believed to be significant to teachers and Department of Education regarding on the experiences of public elementary school heads returning to being classroom teacher.
KEYWORDS: experiences, public elementary school teachers, learning loss, phenomenology, Davao de Oro
Epidemiology, Etiology, and Prevention of Lung Cancer
Authors: - Chahira Mazzouzi , - Radia. Benyahia , - Malha Laoussati , - Yasmina Cherdouh
Published: April 2024

Bronchopulmonary cancers are common cancers with a poor prognosis. It is the leading cause of death by cancer in Algeria and in the world. Behind this unfavorable prognosis hides numerous disparities according to age, sex, and exposure to risk factors, ranking 4th among incident cancers and developing countries including Algeria, all sexes combined. It ranks 2nd cancers in men and 3rd among women. Whatever the age observed, the incidence of this cancer is higher in men than in women, however the gap is narrowing to the detriment of the latter. The results of scientific research agree to relate trends in incidence and mortality rates to tobacco consumption, including passive smoking. Furthermore, other risk factors are mentioned such as exposure to asbestos in the workplace or to radon for the general population, or even genetic predisposition. However, the weight of these etiological and/or predisposing factors is in no way comparable to that of tobacco in the genesis of lung cancer and the resulting mortality.
We provide a literature review in our article on the descriptive and analytical epidemiology of lung cancer.
Clinical Therapeutic and Prognostic Aspects of Ovarian Adenocarcinomas Followed by the Medical Oncology Department of Bejaia University Hospital
Authors: - Chahira Mazouzi , - Boualem Bellouse , - Radia Benyahia , - Rachida Aftis
Published: April 2024

Ovarian cancer is relatively common but serious and has a poor prognosis. The aim of this study is to highlight the epidemiological, diagnostic, therapeutic and evolutionary aspects of this malignant pathology managed at the Bejaia university hospital center. This is a retrospective and descriptive study over a period of 3 years (2019 - 2022) carried out on 20 patients who developed ovarian cancer. The average age of the patients was 50 years old, 53.23% of whom were over 45 years old. The CA-125 blood test was positive in 18 out of 20 patients. The tumors were discovered on ultrasound in 87.10% of cases and at laparotomy in 12.90%. Total hysterectomy with bilateral adnexectomy was the most performed procedure (64.52%). The early postoperative course was simple. 15 patients underwent second look surgery (16.13%) for locoregional recurrences. Epithelial tumors were the most frequent histological type (93.55%), including 79% in the advanced stage ( IIIc -IV) and 21% in the early stage (Ia- Ib ). Adjuvant chemotherapy was administered in 80% of patients. With a median follow-up of 36 months, 2 patients were lost to follow-up. The evolution was favorable in 27.42% and in 25.81% deaths occurred late postoperatively. Ovarian cancer is not common but serious given the advanced stages and the high rate of late postoperative deaths which were largely observed in patients deprived of adequate neoadjuvant or adjuvant chemotherapy.
Advancements in Semiconductor Packaging: Exploring the Potential of 3D Multi-Die Stacking Technology
Authors: - Monish Katari , - Muthukrishnan Muthusubramanian , - Anish Tadimarri , - Jesu Narkarunai Arasu Malaiyappan
Published: April 2024

The rapid evolution of semiconductor packaging technologies has led to the emergence of 3D multi-die stacking as a promising approach for achieving higher levels of integration and performance in electronic devices. This research paper comprehensively examines the advancements, applications, challenges, economic implications, regulatory considerations, and future prospects of 3D stacking technology. Through an in-depth analysis of current research, industry trends, and market dynamics, the paper elucidates the technical, economic, and regulatory aspects shaping the adoption and development of 3D stacking. Key findings highlight the potential benefits of 3D stacking in enhancing device functionality, optimizing manufacturing processes, and addressing environmental sustainability. The paper also identifies critical challenges such as thermal management, signal integrity, and regulatory compliance that semiconductor manufacturers must overcome to realize the full potential of 3D stacking. Furthermore, the paper outlines future directions, including integration with emerging technologies, advancements in materials and processes, and sustainability initiatives, to drive continued innovation in semiconductor packaging.
A Case Study on Effective Secondary School Head
Authors: - Sudhansu Bhusan Sandha , - Soubhagya Padhan
Published: April 2024

The purpose of the study was to examine the effectiveness of a secondary school head teacher. This study was a case study and delimited to one successful secondary school which was selected purposefully for which fulfill the three basic criteria fixed by the researcher; The highest score opted in Managerial Effectiveness Scale (MES), Results in the tenth board examination and tenure of service in the particular school of the head teacher, during the survey conducted by the researcher in his previous study on forty (40) secondary school head teachers. In this case study unstructured observation and semi-structured interview schedule were used for data collection and the data were analysed through content analaysis. The finding of the study were the head teacher shows positive attitude towards his profession, enthusiastic, innovative, knowledgeable. techno-savvy, honest and sincere to his duties.
Overcoming the Challenges of Teacher Education Programmes in India
Authors: - Ishu Mahananda
Published: April 2024

Teacher education programs in India face numerous challenges that hinder their effectiveness in preparing teachers for the dynamic educational landscape. This abstract provides a comprehensive overview of the key challenges and proposes innovative strategies to overcome them. The challenges include inadequate infrastructure and resources, outdated curriculum and pedagogical approaches, lack of practical training opportunities, low motivation and professionalism among teachers, and limited integration of technology in education. To address these challenges, this article explores a multifaceted approach. It emphasizes the importance of modernizing infrastructure, updating curricula to align with global standards, enhancing practical training through experiential learning, fostering a culture of continuous professional development and accountability, and leveraging technology for effective teaching and learning. By adopting these strategies, teacher education programs in India can evolve into vibrant ecosystems that produce highly skilled and motivated educators capable of meeting the diverse needs of students in the 21st century.