bluuebunny/crossref_metadata_2025 huggingface dataset:
Standardization of telemedicine in India
Authors: Sendilkumar B. , Priyamathi T. , Tamilchudar R.
Published: October 2022

Telemedicine is one of the most vital programs in the present scenario. Technology is advancing day by day with lots of new terminologies and methodologies. Telemedicine brought in to the focus on the development of the health care system. Through electronic mediums, the resources are transmitted to each and every family. Prescribed medicines via consulting telemedicine in the professionalism analysis of discretion can be initially entailed to the management system. So, some of the healthcare system in telemedicine can also be facilitated in manageable areas. It is been recognized as one of its earliest electronic information to disseminate the information of telemedicine. To regulate the process Telemedicine is required to mitigate the issues. This article covers some of the vital propaganda related to the standardization of the telemedicine in India. The supply chain is also one of the biggest models enrolled in this program.
The effect of atorvastatin therapy on skeletal muscle function in hyperlipidemia patients in khartoum
Authors: Abdalla Eltoum Ali  , Sitana Alkhwad Hassan Mohamed  , Salma Abdallah Ali  , Salih A Elmahdi
Published: October 2022

Background: Atorvastatin is a lipid-lowering medication that causes skeletal muscle side effects by altering serum levels of skeletal muscle biomarkers. The aim of this study is to assess the effect of atorvastatin on muscle function and biomarker serum levels of CK, LDH, AST, Myoglobin, and Troponin I in Sudanese patients. Method: The total study group of hindered participants, including 60 case group (under Atorvastatin treatment) and 40 healthy as a control group, was matched with age and sex for the case group. The serum CK, LDH, myoglobin, and lipid profiles in the study groups were estimated by automated chemistry analyzers in this study. Result: Muscle pain was reported in case studies (55 = 91%). There was a significant increase in CK, LDH, and myoglobin among case studies when compared to the control group. The dose of drug showed no significant difference among the studied parameters. No correlation was found between CK and LDH with the duration of drug administration. Conclusion: Atorvastatin medication causes skeletal muscle pain among case study and increase muscle biomarkers such as CK, LDH, and myoglobin levels.
Clinical presentation and management of penetrating chest trauma
Authors: Nripen Kumar Kundu  , Sathi Dastider
Published: October 2022

Thoracic injuries account for 20-25% of deaths due to trauma and contribute to 25-50% of the remaining deaths. Approximately 16,000 deaths per year in the United States alone are attributable to chest trauma. The present study was done in Dhaka Medical College Hospital from January 2004 to September 2005. This is one of the specialized Institutes of this country dealing with chest injury. In this series, 50 cases of penetrating chest injury were studied and 12 (Twelve) of them had also associated with blunt chest injury. The highest incidence occurred between the ages of 31 and 50 yrs. Male was predominantly affected by penetrating chest injury i.e. 84%. Homicidal injury was common in rural areas but accidental injury was common in urban area. Injuries by sharp weapon caused all of the homicidal injuries. In 28 cases (56%) showed penetrating chest injury with severe respiratory distress and rest 10 (20%) cases showed penetrating chest injury with hemorrhage from external wounds. Here, 70% cases are managed conservatively with or without I.C Tube drainage. Mean duration of Hospital stay for patient treated conservatively with or without 1C tube thoracostomy was 8 days but in patient with major surgery it was 15.5 days. Range of Hospital stay for conservatively treated patient was (3--8 days) and for patient with major surgery it was (10—16 days). Referred to other centers had due to extra--pulmonary Involvement, after initial resuscitation & I.C. tube thoracostomy. Mortality:-2% for penetrating chest injury.
Control strategies for energy management system in electric vehicle using high-level supervisory control
Authors: Abdulhadi Abdulsalam Abulifa  , Azura Che Soh  , Mohd Khair Hassan  , Raja Mohd Kamil Raja Ahmad  , Mohd Amran Mohd Radzi
Published: October 2022

Energy Management System (EMS) is a computer-supported device utilized by drivers of electrical frameworks to maintain management and to optimize the efficiency of transmission systems. In this paper, a control strategy for EMS using on the High-level Supervisory Control (HLSC) has been reviewed. This HLSC strategy with an intelligent management algorithm technique has been evolving rapidly particularly in EMS for Electrical Vehicles (EVs). Their revolutionary applications provide efficient control strategies for EMS that increase capabilities, efficiency and accuracy, as well as reducing energy consumption in EVs. Applying EMS with HLSC control strategy with an intelligent management algorithm that is able reallocate the electrical power flow inside the EVs system to boost power efficiency and obtain optimum effectiveness. Such innovative solutions can enhance the efficiency of smart EMS in EVs as the future sustainable transportation.
The Road to Nobel Prize and the Diaspora Classification of African Writers
Authors: Zhenwu ZHU , Lingya HUANG
Published: October 2022

When the Tanzanian writer Abdulrazak Gurnah won the Nobel Prize for literature in 2021, many people thought it was another “surprise” of the Nobel Prize, but that is not the case. The Prize has a history of 120 years and has so far been awarded to 118 writers, seven of whom are African writers. The proportion is not high indeed, but it is undoubtedly higher than that in Asia, South America, Australia and some other regions. A careful study of the works of African writers will enable us to perceive the open and broad cultural vision and the inclusive and tolerant humanistic spirit, and to capture the unique aesthetic representation, cultural implication and regional elements in their works. And in comparison with the literature of other regions diaspora syndrome is particularly prominent. Local diaspora, foreign diaspora, and colonial diaspora, so to speak, constitute both the main features of African literature and the three types of Nobel Prize writers. Gurnah’s reception of the award once again proves that the richness, inclusiveness and foresight of African literature play a positive role in promoting the diversity of world literature and the real emergence of new forms of human civilization.
Ecological Crises in A House for Mr. Biswas from the Perspective of Postcolonial Ecocriticism
Authors: Qicai ZHANG
Published: October 2022

This paper analyzes Naipaul’s A House for Mr. Biswas from the perspective of postcolonial ecocriticism and points out the manifestations of and reasons for the destruction of the ecosystem in Trinidad. Both nature and humans in Trinidad are suffering which can be mainly attributed to the colonial presence of such colonist countries as America and Britain.
Disability and the Emergence of Digital Barriers to Health Screening
Authors: M. Bergstresser Sara
Published: October 2022

For the disability community, there are many barriers to inclusion in public health initiatives, including screening programs and illness prevention. Physical barriers and social biases have long been impediments to access, but with the rapid creation of new digital health technologies, digital barriers have now become an additional problem. This paper illustrates via example the ways in which new digital barriers to inclusion are emerging, and it outlines the ways in which existing forms of physical and social exclusion become encoded into digital health technologies. The conclusion outlines why disability inclusion in digital health is necessary for social justice and equality in public health.
KHANPUR CANOLA (KN-279); NEWLY APPROVED LONG SILIQUED, BOLD SEEDED, HIGH YIELDING WITH IMPROVED QUALITY, DOUBLE ZERO (00) VARITY OF RAPESEED (Brassica Napus L.)
Authors: AHMAD I , SALEEM S , GHAZALI HMZU , MASOOD SA , JAMIL M , FAHEEM U , HUSSAIN F
Published: October 2022

The promising variety “Khanpur Canola” (KN-279) is an outcome of hybridization (KN-120 × Shiralli) durong 2006-07 and chosen through Pedigree strategy for determination. Homozygous descendants were built in 2014-15 for yield assessment. Its exhibition was assessed in on station, micro yield preliminaries and national level Uniform Rapeseed Yield Preliminary trials. It has demonstrated its worth in all yield preliminaries and its exhibition is superior to every one of the current developed assortments. Its greatest yield of 3400 kg/ha was accomplished in NURYT 2018-19. It produced 22% higher yield in micro yield trials against standard variety during 2016-17. It surpassed the check (Faisal Canola) with 21% better return in National Uniform Rapeseed Yield trials in 2017-18. Similarly, in NURYT 2018-19 KN-279 gave 19% higher seed yield than the check hybrid Hyola 401.Khanpur canola is a striking cultivated new endorsed assortment having great qualities and reasonable for palatable oil creation. It has the erucic acid; 4.04 % and Glucosinolates; 17.20 µ mole/g oil and it gives 40-46 % eatable oil content on extraction. Agronomic examinations uncovered that this assortment needs no unique creation innovation bundle and fit in a superior manner with the current agronomic practices. The competitor assortment additionally showed most extreme aphid resistance when contrasted with the actually agronomic practices. It is reasonable for climatic states of both inundated and rain-fed region of the Punjab.
Mada ICT Accessibility and Inclusive Design ICT-AID Competency Framework
Authors: Khribi Mohamed Koutheair
Published: October 2022

The Information and Communication Technologies ICT -evolving into an integral part of everyday life, shapes profound changes in our societies. Consequently, everyone should access ICT in the same way as everyone else, which means that ICT should be accessible to everyone, regardless of his/her abilities, needs, or disabilities. This calls, among other effective measures, for developing skills in ICT accessibility, which includes a shared understanding of ICT accessibility and Inclusive Design ICT-AID, as well as acquiring necessary digital accessibility competencies for everyday life and work. Nevertheless, selecting appropriate accessible training and education materials aligned with specific ICT-AID competencies, especially in the Arabic language, remains a barrier to all, inhibiting aspirations and willingness to build capability and proficiency in ICT accessibility. This paper presents Mada ICT Accessibility and Inclusive Design ICT-AID Competency Framework, encompassing all core competencies r equired to effectively integrate ICT accessibility principles into training and educational curricula toward closing the training and knowledge gap in this field.
Usability Assessment of Delivery Applications for Visually Impaired People: A Case from Saudi Arabia
Authors: Al-Khalifa Hend S , Albatati Bayan
Published: October 2022

Technology has become an essential part of our lives, and many of our daily tasks have become entirely dependent on it. For example, routine chores such as shopping for household necessities, booking travel tickets, going to places using all different kinds of transportations etc., are quickly done through mobile phones. And because of how it is easy to use mobile phones, we may forget that others, such as the visually impaired, may face many difficulties when using them.
In this research two of the most widely used delivery applications in Saudi Arabia, namely, Hungerstation and Mrsool were studied and evaluated in order to assess their usability for people with visual impairments. Evaluation results show that both applications have usability problems. Nonetheless, the results of the standard ISO usability metrics (Effectiveness, Efficiency and satisfaction) showed that Hungerstation is more usable than Mrsool.
Relationship between socio-cultural writing strategy use and language proficiency among Chinese tertiary English majors
Authors: Li Chili , Wang Xiaoxue , Hu Xuyuan , Shang Zhenru , Qian Long
Published: October 2022

This paper aims to report on the results of a study on the use of socio-cultural writing strategies as well as its correlation with second language proficiency of a group of Chinese tertiary English majors. To this end, 306 English major students were randomly invited for participating in a questionnaire survey, and 12 of them were purposively sampled for a semi-structured interview. The collected quantitative data were subjected to descriptive analysis as well as Pearson Correlation test. The quantitative results show that the respondents orchestrated a wide range of utilizing socio-cultural writing strategies, of which they had a high level of using role-mediated strategies, followed by a medium-to-high level in deploying sign-mediated strategies, rule-mediated strategies, tool-mediated strategies, and community-mediated strategies respectively. Pearson Correlation test reveals a significantly negative correlation between a dimension of community-mediated strategies (peer interaction) and the surveyed population’s NMET (National Matriculation English Test) scores, and a significantly positive correlation between a dimensional (task requirement) and overall rule-mediated strategies and the participant’s TEM-4 (Test for English Major Band 4) results. These results were further reflected in the qualitative data. The findings of this study shall shed light on teaching English writing to English majors in the Chinese English as a foreign language (EFL) context and others.
Red cell distribution width (RDW) and Alberta stroke programme early computed tomography score (ASPECTS) are correlated in predicting mortality in geriatric ischemic stroke patients
Authors: PATMANO G , BOZKURT F , TANRIVERD TU , TERCAN MEHMET , I MEHMET
Published: October 2022

Objective: Ischemic stroke is one of the leading causes of disability and death in elderly people worldwide. The aims of this study were to investigate the relationship of hematologic parameters and Alberta Stroke Programme Early Computed Tomography Score (ASPECTS) with mortality in geriatric patients suffering an ischemic stroke.
Materials and Methods: Geriatric ischemic stroke patients referring to Mehmet Akif Inan Training and Research Hospital between May 2016-May 2019 were retrospectively analyzed. ROC curve analysis was performed to determine the predictive value of hematologic parameters with respect to in-hospital mortality. Multivariate logistic regression analysis was performed to determine the independent predictors of in-hospital mortality.
Results: The neutrophil count, monocyte count, red cell distribution width, neutrophil-lymphocyte ratio and monocyte-lymphocyte ratio were significantly higher, whereas the lymphocyte count was significantly lower in patients who died in the hospital than in those who did not. The areas under the curve for the red cell distribution width, neutrophil-lymphocyte ratio, and monocyte-lymphocyte ratio were 0.720, 0.643, and 0.660, respectively. In the logistic regression analysis, age, female sex, ASPECTS, monocyte-lymphocyte ratio and red cell distribution width were identified as independent predictors of in-hospital mortality. In the correlation analysis, a weak negative correlation was found between the ASPECTS and the red cell distribution width (r = 0.303, p < 0.001).
Conclusion: The red cell distribution width, monocyte-lymphocyte ratio, and ASPECTS are independent predictors of in-hospital mortality in geriatric ischemic stroke patients. There is a correlation between the ASPECTS and the red cell distribution width.
Early Cholecystectomy May Be Performed in Patients With Tokyo Guideline 2018 Grade III Acute Cholecystitis Who Have Risk Factors.
Authors: Aktas Aydin , Celik Ismet , Koc Ekrem , Aydin Coskun , Inci Irfan , Tasdelen Halil , Bulut Eser , Kucuktulu Uzer
Published: October 2022

Objective: The preferred treatment for acute cholecystitis (AC) is early cholecystectomy (EC). There are several risk factors increasing the risk of mortality for EC in Tokyo Guideline 2018 (TG18) grade III AC; and therefore, percutaneous cholecystostomy (PC) is recommended in these patients. However, the effect of these risk factors on mortality in patients having undergone EC have not been sufficiently investigated to date.

Materials and Methods: In our clinic, 206 patients with AC were treated between 2015 and 2020. Thirty-one adult patients with TG18 grade III AC were included into the study. The patients were divided into two groups as EC group (n=11) and PC group (n=20). Comparisons were made between EC and PC, and the effects of risk factors on mortality were examined.

Results: All patients had a score of ≥III according to American Anesthesiologists Association (ASA). The Charlson comorbidity index (CCI) was ≥4 in 72.4% of the patients, and 32.4% of patients had negative predictive factors (NPF: neurological and respiratory dysfunction, and a total bilirubin value of ≥2 mg/dL on admission). Mortality was seen in 12 patients. Compared to patients with PC, higher definitive treatment (p˂0.001), less re-admission (p˂0.001) and less mortality (p=0.01) were seen in patients with EC. Major complications (Clavien-Dindo classification >II) and length of hospital stay were similar in both groups (p=0.60, p=0.39; respectively).

Conclusion: This study showed that EC could be performed in patients with TG18 grade III AC who have risk factors. TG18 guidelines should be re-evaluated for risk factors for EC.
The Flexural Strength of Acrylic Resin Repairs Reinforced with Different Nanoparticles
Authors: ATA Secil , AKAY Canan , MUMCU Emre
Published: October 2022

Objective: The purpose of this study is to assess the flexural strength of heat-cure acrylic resins repaired with auto-polymerized acrylic resins modified with 1%, 3% TiO2, Fe2O3, CuO nanoparticles.
Materials and Methods: Fifty-six samples (65x10x2.5 mm) were prepared with heat-cure acrylic resins and divided into 7 groups (8 samples each) to make repair procedure: Specimens were repaired with unmodified (control group) and 1%, 3% TiO2, Fe2O3, CuO added auto-polymerized acrylic resins. For 3-point flexural test, the force was loaded at 5 mm/min crosshead speed directly to the middle part of the repaired acrylic resin with a Universal Testing Machine. Data were analyzed statistically by ANOVA followed by Tukey test (p < 0.05).
Results: Control group showed lower strength values than the other groups. 1% TiO2 nanoparticle added group showed significantly higher flexural strength values than 3% added groups and control group (p < 0.05). The highest strength value was measured in 1% TiO2 group.
Conclusion: Acrylic resins reinforced with 1% TiO2 developed higher strength than resins reinforced with 3 % TiO2, Fe2O3, CuO nanoparticles. Adding 1% nanoparticles to resins could improve the fracture strength of materials.
What is responsible for cochlear damage in patients with obstructive sleep apnea? Hypoxia or snoring noise?
Authors: ndan ay , Erkan Sanem , lu Birg , Erkan Zeynel
Published: October 2022

Abstract
Aim: Our aim in this study was to determine early cochlear changes caused by hypoxia and snoring noise in patients with Obstructive sleep apnea Syndrome and to examine the relationship of these changes with polysomnography parameters.
Materials and Methods: A total of 149 patients with symptoms of snoring and sleep apnea who underwent polysomnography were included in this study. We formed a patient and control group based on the apnea-hypopnea index. We compared the audiometric parameters and the Distortion Product Otoacoustic Emission amplitudes of the groups. We evaluated Polysomnography parameters such as snoring number, snoring index, oxygen desaturation index, minimum pO2, mean pO2, pO2 ≤88%, which affect these results, by correlation.
Results: High frequency audiometry and high frequency Distortion Product Otoacoustic Emission amplitudes showed statistically significant differences in the Obstructive Sleep Apnea Syndrome group compared to the control group (p<0.001). PO2 ≤88% affected high frequency audiometry and mean pO2 affected high frequency Distortion Product Otoacoustic Emission amplitudes more than snoring number and snoring index. (p<0.001).
Conclusion: İn patients with OSAS, the inner ear is affected by hypoxia and snoring. However, the effect of hypoxia on cochlear dysfunction is greater than snoring noise. High-frequency audiometry and Distortion Product Otoacoustic Emission can guide in the early period to determine cochlear damage.
Cognitive functions in individuals with spinal cord injury: Do symptoms of autonomic dysreflexia or orthostatic hypotension have an effect?
Authors: Korkmaz Nurdan , Ma Gizem , mc G , rkmen Ayten , lu zlem , lmaz Bilge
Published: October 2022

Aims: This study aimed to compare the cognitive functions of individuals with spinal cord injury (SCI) and age- and education level-matched healthy controls, and to compare the cognitive functions between individuals with T6 or rostral and T6 caudal injuries.
Materials and Methods: This prospective and cross sectional study included 50 individuals with SCI and 47 age- and education level-matched healthy controls. The SCI individuals were divided into two groups as those with T6 or rostral (n = 20) and T6 caudal (n = 30) injuries. All participants underwent the Addenbrook Cognitive Examination-Revised (ACE-R) test to assess memory, attention and orientation, language, and verbal fluency.
Results: The memory, verbal fluency, and language subgroups of the ACE-R were significantly higher in the control group than in the SCI group. Compared with the control group, memory, verbal fluency, and language subscores were significantly reduced in individuals with T6 or rostral injury, and memory and verbal fluency were in individuals with T6 caudal injury. However, there was no significant difference in any of the ACE-R subscores between individuals with T6 or rostral and T6 caudal injuries.
Conclusion: Significant differences in certain parts of cognitive functioning were found in individuals with SCI compared with age- and education level-matched controls. However, no significant differences were noted in any parts of cognitive functioning between individuals with T6 or rostral and T6 caudal injuries. Although cognitive impairment is an important sequelae following SCI, autonomic dysfunctions appear to have no effect on cognitive impairments in this population.
The relation of Anti-Mullerian Hormone with final Menstrual period and menopausal symptoms in the menopausal transition
Authors: Erturk Nergis , Tasgoz Fatma
Published: October 2022

Objective: To determine the role of anti- mullerian hormone (AMH), menstrual hormones and symptoms in predicting final menstrual period (FMP) in menopausal transition (MT).
Material and Methods: Eighty-two women aged 37-50 years in MT with any degree of menopausal symptoms were included in this prospective study. At the beginning and at the end of two years; serum AMH and menstrual hormone (Follicle stimulating hormone (FSH), luteinizing hormone (LH), estradiol) levels were measured, Menopause Rating Scale (MRS) scores were recorded, then compared. The cut-off of initial AMH level to detect FMP was calculated.
Results: Of the 82 patients that were followed for two years, thirty six were in early MT, forty-six were in late MT at the initial. At the end of two years, 15.8 % (13/82) of patients were found to have reached menopause. The rate of AMH decline in two years did not differ significantly between patients who had and did not go through menopause. According to ROC analysis, in patients with menopause the optimal threshold value of baseline AMH to predict FMP over the next 12 months was 0.085 ng/ml (area under curve :0.873, 95% CI: 0.726-0.948, p<.001). There was a significant positive correlation between AMH change rate and MRS score change in two years (r=0.462, p<0.001). A significant negative correlation was observed between baseline AMH levels and second year MRS scores (r=- 0.56, p<0.001). Multivariate regression analysis showed no significant independent effect of age, BMI, baseline AMH level, FSH, estradiol, baseline MRS score on AMH change.
Conclusion: In MT, serum AMH level and menopausal symptom scores can help predict FMP and assist in the appropriate management of the MT period to provide women with a long-term healthy life.
The Estimating of Hypothyroidism with the Bagged CART model based on clinical dataset and Identify of Risk Factors
Authors: Evren Bahri , ar eyma
Published: October 2022

Aim: The purpose of this study is to use machine learning techniques, Bagged CART, to classify hypothyroidism, which typically results from insufficient thyroid hormone synthesis in the body or seldom affects target tissues, and to identify potential risk factors.
Material and Methods: In this study, the open source data set obtained from the UCI database was used. The 10-fold cross-validation technique was used in the creation of the Bagged CART model from the Decision Tree Ensembles class to classify hypothyroid, and the performance criteria of this model were accuracy, balanced accuracy, sensitivity, specificity, positive predictive value, negative predictive value, F1-Score, G-mean and Matthews Correlation Coefficient ( MCC) was given. Then, the significance of the variable was calculated through the model created and possible risk factors for hypothyroidism were determined.
Results: The accuracy, balanced accuracy, sensitivity, specificity, positive predictive value, negative predictive value, F1-Score, G-mean and Matthews Correlation Coefficient (MCC) performance criteria for the model created for the classification of hypothyroidism were 99.9%, 99.2%, 98.3%, 100.0%, 100.0%, 99.9%, 99.2%, 99.9%, and 99.1%, respectively. According to the created XGBoost model, the three most important factors that could be associated with hypothyroidism were determined as TBG, TSH, T4U, TT4, age, FTI, Query hypothroid, on thyroxine, on antithyroid medication, thyroid surgery, sex, TBG measured, sick, T3 mesured, Query hyperthyroid, goitre.
Conclusion: In conclusion, considering the results of the machine learning model created in this study, the hypothyroidism classification performance was quite high and the significance of the variables and possible risk factors for hypothyroidism were determined. In the light of the findings, it is predicted that these risk factors may be useful in the clinic.
Antioxidants From Sri Lankan Flora: Chemical Diversity and Assessment of Antioxidant Potential
Authors: Silva Walimuni , Kalansuriya Pabasara , Attanayake Anoja , Arawwawala Liyanage
Published: October 2022

Aim: Medicinal flora is rich with bioactive compounds that exhibit promising antioxidant activities thereby protecting against free radical pathologies leading to health-promoting effects. The use of potent antioxidants is considered a substantial approach to prevent or diminish the risk of many dative stress-related diseases. The present review includes details of the reported antioxidant activities of medicinal plant extracts used in Sri Lankan traditional medicine for the treatment of diabetes mellitus, cancer, and kidney disease in the last ten years.
Method: Online databases, Pub Med, Google Scholar, and Science Direct were used for the literature search within the last ten years. The keywords, ‘antioxidant activity, ‘Sri Lankan flora’, ‘in vitro assays’, ‘in vivo studies’, ‘cell-based studies’, ‘plant extracts’, ‘fractions’, ‘isolated compounds’, ‘diabetes mellitus’, ‘cancers’ and ‘kidney diseases’ were used in collecting information for the present review.
Results: Of 125 articles, 25 met the inclusion criteria. Among them, 61 medicinal plants were reported in chemical in vitro studies, 31 plants were in cell-based in vitro studies and five medicinal plants were in vivo studies. The results of the present systematic review revealed that most of the reports focused on the chemical in vitro studies to determine antioxidant activity, particularly the 2,2-diphenyl-1-picrylhydrazyl (DPPH) assay.
Conclusion: Available chemical and cell-based studies suggest that Sri Lankan flora exerts potent antioxidant activities that could contribute as promising sources of antioxidant supplements in therapeutic applications.
Does periodontitis have synergistic effect in elevating serum creatinine level in type 2 diabetes mellitus?
Authors: P Kalyani , S Vineetha , Rajendra Bhavsar , A Saravanan , K Thamarai , K Prabhavathi
Published: October 2022

Background: Periodontitis and type 2 diabetes (T2D) are common public health problems affecting people worldwide, and both are involved in renal dysfunction. Serum creatinine (SCr) is an important marker for renal diseases. The recent study found that diabetes is associated with lower SCr value. In contrast, periodontitis was associated with both low and high SCr concentration and renal impairment.

Aims and Objectives: The objective of our study is to explore the interconnection and correlation among periodontitis and renal disease in T2D mellitus patients.

Materials and Methods: The study included 90 subjects aged 30–65. We assessed PD status through a standardized community periodontal index (CPI). We conducted hematological investigations to assess SCr, fasting blood glucose, postprandial blood glucose, and glycated hemoglobin. The study population was organized into four groups: Group 1 (healthy), Group 2 (PD only), Group 3 (T2D only), and Group 4 (PD and T2D). We used Pearson’s correlation, and P ˂ 0.05 was considered statistically significant.

Results: SCr was positively correlated with T2D parameters and inversely correlated with PD. A significant correlation was found with higher SCr values in Group 4 than in other study groups.

Conclusion: PD has a plausible association and synergistic effect of causing renal diseases in patients with T2D.
Leech infestation: Our experience at Government Medical College, Rajouri
Authors: Khan Mukhtar , Gadgotra Pooja , Gupta Vijay , Gupta Arindam
Published: October 2022

Leech invasion into a bodily cavity or orifice is known as hirudiniasis. This article’s objective is to explain an uncommon cause of epistaxis brought on by a leech infestation in the nasal cavity, nasopharynx, or oropharynx in the hilly Rajouri district of Jammu and Kashmir, as well as how to manage it. This retrospective case series consisted of seven cases. All the cases present with unilateral epistaxis. Anterior rhinoscopy with or without endoscope reveal smooth, grayish-black mobile leech inside nasal cavity, nasopharynx, or oropharynx which was removed by suction or forcep.
A cross-sectional, questionnaire study to assess the feedback from second year medical students regarding competency based medical education prescribed formative assessment in pharmacology
Authors: B Chethan , S Priyanka
Published: October 2022

Background: Formative assessment (FA) is part of the assessment process according to the new competency based medical education curriculum and is believed to improve learning. Feedback from students is an integral part of FA which, if incorporated, may help in optimizing content and application of future FAs. Hence, the current study was conducted to assess feedback from 2nd year medical students regarding FAs in Pharmacology.

Aim and Objectives: The objectives of the study were to assess the emotional impact of FA on students and to analyze their suggestions regarding FA.

Materials and Methods: A well-designed, structured, and pre-validated questionnaire was filled by consenting students who had written the FA. The responses were compiled in an excel sheet and statistically analyzed.

Results: Out of 121 students, 115 took FA and of them 100 students filled the questionnaire (Response rate 86.95%). When it comes to emotional impact, 64% students did not find these assessments burdensome and 81% were motivated to study better. When it comes to future suggestions, 100% wanted to be pre-informed. About 88% wanted a written assessment. About 75% wanted only multiple choices questions (MCQs) and 70% wanted MCQs + Essay type questions. About 65% students wanted FAs in practicals but only 36% wanted it in the same paper as theory FA.

Conclusion: FA is a good tool to enhance learning which is not a burden on students but a good motivator for better reading. Students prefer a pre-informed, written assessment with MCQs over essay type questions and want these FAs to be conducted in practical’s also but not in the same paper.
Correlation of glycemic control and BMI with pulmonary function test in Type-2 diabetes mellitus – A cross-sectional case–control study
Authors: Damerla Usha , Killi Anuradha
Published: October 2022

Background: Type-2 diabetes mellitus is related to decreased lung function. Prolonged inadequate control of glucose levels may alter regulation of inflammatory pathways that are implicated in pulmonary function complications.

Aim and Objectives: The objjectives of the study were to assess the relationship of pulmonary function test (PFT) with factors influencing glycemic status in type 2 diabetes mellitus.

Materials and Methods: A total of 110 diabetic cases with uncontrolled blood sugar levels and similar number age- and gender-matched control subjects above 30 years of age were recruited. Sociodemographic details were collected and participants underwent laboratory ad radiological investigations. PFTs including Forced vital capacity (FVC), peak expiratory flow rate (PEFR), forced expired volume in 1 s (FEV1), forced expiratory flow (FEF 25–75%), and FEV1/FVC ratio were assessed.

Results: The comparison of PFTs with levels of HbA1c (<7 and >7) showed that the levels of FVC, PEFR, FEV1, and FEF 25–75% were higher in diabetics with HbA1c <7 and FEV1/FVC ratio was high in diabetic cases with HbA1c >7. The mean difference of PFT with HbA1c and body mass index (BMI) was statistically not significant in diabetics (P > 0.05). The person’s correlation analysis showed a negative correlation between FVC, FEV1 with HbA1c, and BMI in diabetics.

Conclusion: Uncontrolled glycemic status and increased BMI were associated with functional impairment of lungs. Organized glycemic control and duly checking the PFTs may reduce the risk of onset of respiratory complications and lung function.
Acute severe pericarditis secondary to rodenticide intoxication in a dog
Authors: Bagardi Mara , Drago Giulia , Ferrari Paolo , Riva Jacopo , Moioli Melania
Published: October 2022

Background: Pericardial effusions are well described in dogs, however their association with rodenticide intoxication in the canine population is not widely described.
Case Description: An adult mixed breed dog was presented for one-day history of anorexia and cough. Thoracic radiographs revealed moderate generalized cardiomegaly with globoid shaped cardiac silhouette and mild bilateral pleural effusion. Echocardiography showed mild tamponating pericardial effusion and diffuse severe thickened pericardium. Compete blood count (CBC) and blood chemistry at presentation were not specific. A coagulation profile was completed and showed severe prolongation of prothrombin time and partial thromboplastin time. Intravenous therapy with vitamin K was started at 5 mg/Kg BID and on follow-up echocardiography performed 12 hours later there was evidence of complete regression of the pericardial thickening and pericardial effusion.
Conclusion: To the authors’ knowledge, this is the first case report describing severe pericardial thickening, constrictive pericarditis, and cardiac tamponade secondary to spontaneous anticoagulant-induced hemopericardium in dogs.
Kadın Dostu Kent Planlama Yaklaşımı Kapsamında Güvenlik Kriterinin Değerlendirilmesi: Çiğli Örneği
Authors: EFE GÜNEY Mercan , AKBUDAK Hacer , AY Filiz , TUNCAY Beste , TANRIVERDİ Sıdal , ŞANLI Nurseli
Published: October 2022

Ataerkil bir toplum olan Türkiye’ de toplumsal cinsiyet eşitsizliği, toplumsal her alanı olduğu gibi kentin kurgulanmasını ve kentsel yaşam pratiklerini de etkilemektedir. Çünkü kentler, tüm yaşayanların gereksinim ve taleplerini gözeterek oluşturulmamaktadır. Oysaki ‘kentli hakkı’ gereğince, toplumun her kesimi tüm kentsel hizmetlerden eşit yararlanmalıdır. Ancak şehir planlama meslek alanının mevzuatına ve tüm ölçeklerdeki analiz ve uygulama alanlarına kadınların ve erkeklerin kenti deneyimleme farklılıkları yansıtılmadığından kadınlar kentleri erkekler kadar kullanamamakta ve sonuçta kent kadınlar için toplumsal cinsiyet rollerini yerine getirdikleri hizmet alanları haline gelmektedir. Bu yüzden şehir planlama bir bilim ve meslek alanı olarak kadınların kentsel yoksunluk yaşamamaları, kenti sınırlılıkları olmadan deneyimlemeleri ve kentteki güvensizlik problemlerinin giderilmesine yönelik yaklaşımlar geliştirmelidir. Bu tanımlamaya en uygun yaklaşım, kadınların kentsel yaşamın tüm alanlarında erkekler ile eşit bir biçimde yer almasını destekleyen, kentsel hizmetlere güvenli bir şekilde erişimini sağlayan Kadın Dostu Kent yaklaşımıdır. Bu metin kadın dostu kentin planlama dilinin oluşturulmasına katkı sağlamak üzere güvenli kent kapsamında bir model önerisi getirmeye çalışmaktadır. Bu doğrultuda metin, İzmir İli’ nin Çiğli İlçesi’ nde pilot alan olarak seçilen Köyiçi Mahallesi örneğinde böyle bir çalışma için hangi verilerin toplanması gerektiği ve bu verilerin nasıl analiz edileceği ve değerlendirileceği konularında bir taraftan başlangıç olma bir taraftan da geliştirilerek model olma amacındadır.
Student Loans in America
Authors: Jawahrani Luv
Published: October 2022

As a prospective university student, student loans will probably account for a significant portion of one's financial obligations throughout higher education. Its primary objective is to enable students to focus exclusively on their studies without having to work part-time to cover living costs, tuition, books, or other needs necessary to sustain a modest lifestyle. Tuition (annual fees), particularly for universities, has been increasing globally, most notably in developed countries, with a statistical estimate of a 1.6-times increase in actual monetary value (Digest of education, 2006), owing to the fact that university personnel salaries and benefits typically increase faster than inflation ('Baumol's cost disease'). As a result, education plays a critical part in society's functioning. It allows individuals with the ability to nurture new members of the labor force to tolerate higher prices with the aim of financing a solid education investment. With postsecondary education playing such an essential role in many people's lives, it's unsurprising that many students take out loans without giving it much thought. Student loans impact nearly 44.7 million debtors in the United States alone, with a total outstanding debt of over USD 1.71 trillion.
An Invigorating Perspective of a Practical Aspect of NoSQL Database
Authors: Begum Shaida
Published: October 2022

The main problem has been managing databases because they are continuously expanding quickly and getting more complicated in terms of volume, variety, and velocity. Currently, Relational Database Management Systems (RDMS), also known as SQL, or traditional search engines are primarily used to manage and utilize data collection. Due to their highly semantic properties and applications, relational databases have emerged as powerful and superior during the previous two decades. The handling of a high volume of data and the variability in data type and structure has become a laborious task since Big Data entered the IT industry. Relational databases are inadequate to handle such big data due to their rigid data limitations, structure, relations, and other factors. As a result, data aggregation is rendered impossible. NoSQL databases offer a practical and understandable foundation for combining massive amounts of data, structures, and interactions. Data modeling and migration are now needed in order to define the issue. There isn't yet a tool for switching from relational to no-SQL databases. For this migration, relational (SQL) database queries must be converted to NoSQL database queries. Since relational databases (RDBMS) have found it difficult to keep up with modernization, NoSQL has emerged as the most practical database. This essay aims to highlight and assess the applications of NoSQL, the notion of NoSQL data modeling, and the NoSQL database migration procedure. NoSQL, NoSQL Roadmap, Data Modeling, ETL Approach for Data Migration, Data Loading, and Data Extraction.
Good and Bad Cops – How Do American and Swedish Police Officers Perceive Policing?
Authors: Eliasson Michelle N.
Published: October 2022

Good and Bad Cops – How Do American and Swedish Police Officers Perceive Policing?

Police officers in various countries utilize a wide range of policing strategies, for example, some countries practice de-escalation strategies when encountering conflicts, while others use militarized approaches. This article aims to understand how police officers describe good and bad policing and how these descriptions can be linked to policing approaches and strategies. The data consists of 52 qualitative interviews with American and Swedish police officers. Findings indicate that officers describe good and bad policing in relation to the following three aspects of their occupation: how they manage their first encounter with civilians, how well they manage their and others’ emotions, and their professionalism. Overall, American and Swedish officers describe similar characteristics of good and bad policing, both reflecting attributes which can be associated with de-escalating strategies.
Pengaruh Reward dan Punishment terhadap Prestasi Kerja Karyawan PT.Senteral Inti Gas Medan
Authors: Rahmat Hidayat Harahap
Published: October 2022

PT.Senteral Inti Gas is a company engaged in the field of gas distributors. Problem that occur in the company is: a decrease in employee work performance which is characterized by frequent errors in work, employee attendance rates began to decline and the emergence of procrastination work. The population in this study were all employees in the company of 67 people. The sample is taken by a saturated sampling technique in which all members of the population are used as samples. Thus the sample in this study amounted to 67 people. The simultaneous hypothesis test results show that reward and punishment have an influence on the work performance of employees of PT.Senteral Inti Gas Medan. The results of the partial hypothesis test show that the reward variable has a more dominant influence on the work performance of PT .enteral Inti Gas Medan employees compared to the punishment variable.
Pengaruh Promosi Jabatan dan Punishment terhadap Disiplin Kerja Karyawan PT Fajar Indah Anindya Medan
Authors: Wie Shi Sudjud
Published: October 2022

This research was conducted at PT Fajar Indah Anindya Medan. The level of work discipline that can be seen from the delay and absence of employees. Job promotion systems that are still based on seniority are not based on work performance and employee discipline. Punishment that has not been resolute to employees. The population and sample in this study were 42 employees. The sampling technique used is saturated samples Data collection techniques are pembainigain kueisoner, interviews and documentation studies. Data analysis uses validity and reliability test, classic assumption test, multiple linear regression analysis, determinant coefficient and hypothesis testing.Conclusions in the study that simultaneous job promotion and punishment affect the work discipline of employees of PT Fajar Indah Anindya Medan. Partially, job promotion influences the work discipline of PT Fajar Indah Anindya Medan employees. Partially punishment affects the work discipline of PT Fajar Indah Anindya Medan employees. The magnitude of the determination coefficient that the adjusted R Square value is 0.502 means that promotion and punishment can explain employee discipline at 50.2% and the remaining 49.8% (100-50.2) influenced by other variables outside of this study such as: compensation, leadership and supervision of work and so on
Pengaruh Economic Value Added (EVA) dan Market Value Added (MVA) terhadap Harga Saham
Authors: Dian Ratnasari Yahya
Published: October 2022

Penelitian ini bertujuan untuk menguji dan menganalisis pengaruh EVA dan MVA terhadap harga saham. Penelitian menggunakan kuantitatif dengan menggunakan data sekunder berupa laporan keuangan. populasi yang digunakan adalah perusahaan sektor keuangan yang masuk dalam indeks LQ45 tahun 2018 sampai dengan 2020 dengan sampel perusahaan yang masuk dalam LQ45 adalah 5 perusahaan. Pengelolaan data menggunakan SPSS versi 22.0. Hasil penelitian menunjukkan EVA dan MVA berpengaruh positif terhadap harga saham.
Pengaruh Keselamatan Kerja dan Kesehatan kerja Terhadap Kinerja Karyawan Unit Finishing PT. Primatexco Indonesia
Authors: Farikhul Muafiq  , Aghus Jamaluddin Kharis  , Aria Mulyapraadana
Published: October 2022

The occupational safety and occupational health program created by the company in an effort to reduce the number of work accidents that occur when employees work and have an impact on employee performance so that company goals cannot be achieved optimally. Therefore, researchers are interested in studying more deeply and aim to find out how much influence occupational safety and occupational health have on the performance of employees. PT. Primatexco Indonesia. The population of this study was 216 employees and a sample of 68 employees. This research uses a quantitative approach and its analytical techniques, namely double liniear regression analysis. The results of the research obtained occupational safety (X1) has an effect and is significant on employee performance and occupational health (X2) has an effect and is significant on employee performance.
PENGARUH BIAYA OPERASIONAL DAN BIAYA PROMOSI TERHADAP VOLUME PENJUALAN
Authors: Ade Elza Surachman
Published: October 2022

The purpose of this study is to analyze the effect of operational costs and operational costs on sales volume. The research method used is quantitative research. The data used is in the form of secondary data, namely the financial statements of PT. XYZ on type C motorcycle products in 2016-2020. Based on multiple linear regression analysis tests, the results of (1) operational costs did not have a significant effect on sales volume, (2) promotional costs did not have a significant effect on sales volume, and (3) operational costs and promotional costs did not have a significant effect on sales volume.