bluuebunny/crossref_metadata_2025 huggingface dataset:
A Deep Comprehensive Research Architecture, Characteristics, Challenges, Issues, and Benefits of Routing Protocol for Vehicular Ad-Hoc Networks
Authors: Hussain Naziya , Rani Preeti , Kumar Nitin , Chaudhary Megha Gupta
Published: September 2022

VANETs or vehicular ad hoc networks are essential & promising research areas in the ad hoc networks field. The core objective to set up VANET can upgrade road safety & diminish accidents quantity. Routing has been a complex task in VANET as the nodes are highly mobile and consequently, topology alters very quickly. Hence, it is difficult to distribute packets within the minimum period. Contemporary routing protocols cannot meet all demands and issues in VANETs routing. To provide a suitable routing protocol, the crucial factor is to analyze the VANET's protocols for routing. Hence, the paper begins by presenting the fundamental structural design of VANETs to provide a thorough account of several available routing procedures that incorporate their benefits and drawbacks. The paper concludes by providing a summary of the available routing protocols that are used in VANETs.
Enterprise Management Optimization by Using Artificial Intelligence and Edge Computing
Authors: Wang Shanshan
Published: September 2022

In the internet era, huge data is generated every day. With the help of cloud computing, enterprises can store and analyze these data more conveniently. With the emergence of the internet of things, more hardware devices have accessed the network and produced massive data. The data heavily relies on cloud computing for centralized data processing and analysis. However, the rapid growth of data volume has exceeded the network throughput capacity of cloud computing. By deploying computing nodes at the edge of the local network, edge computing allows devices to complete data collection and preprocessing in the local network. Thus, it can overcome the problems of low efficiency and large transmission delay of cloud computing for massive native data. This paper designs a human trajectory training system for enterprise management. The simulation demonstrates that the system can support human trajectory tracing and prediction for enterprise management.
Playfixing Broken Games
Authors: Cortés Luis E. Pérez , Yuchan (Blanche) Gao  , Kessner Taylor M. , Bernier Jeremy , Gee Elisabeth R.
Published: September 2022

Designing games from the ground up is a popular activity for helping students think in designerly ways. Despite their benefits, such game design activities may place higher-than-anticipated demands on cognitive and institutional resources. In an effort to alleviate these demands, this study explored how playing and fixing partially completed games may elicit engagement with designerly thinking. This paper reports on the results of examining participants' talk during a playfixing activity in which, rather than designing wholesale, participants mended incomplete or “broken” tabletop games. Results suggest participants focused on problem identification, demonstrated quick and sustained engagement with thinking like designers, and drew from designerly modes non-linearly. These results illustrate that broken games may hold potential as accessible alternatives for helping learners think in designerly ways.
Knowledge-Infused Text Classification for the Biomedical Domain
Authors: Malik Sonika , Jain Sarika
Published: September 2022

Extracting knowledge from unstructured text and then classifying it is gaining importance after the data explosion on the web. The traditional text classification approaches are becoming ubiquitous, but the hybrid of semantic knowledge representation with statistical techniques can be more promising. The developed method attempts to fabricate neural networks to expedite and improve the simulation of ontology-based classification. This paper weighs upon the accurate results between the ontology-based text classification and traditional classification based on the artificial neural network (ANN) using distinguished parameters such as accuracy, precision, etc. The experimental analysis shows that the proposed findings are substantially better than the conventional text classification, taking the course of action into account. The authors also ran tests to compare the results of the proposed research model with one of the latest researches, resulting in a cut above accuracy and F1 score of the proposed model for various experiments performed at the different number of hidden layers and neurons.
Hurricane Damage Detection From Satellite Imagery Using Convolutional Neural Networks
Authors: Kaur Swapandeep , Gupta Sheifali , Singh Swati , Gupta Isha
Published: September 2022

Hurricanes are one of the most disastrous natural phenomena occurring on Earth that cause loss of human lives and immense damage to property as well. For assessment of this damage, windshield survey is commonly used, which is an error-prone and time-consuming method. For solving this problem, computer vision comes into the picture. In this paper, a convolutional neural network-based architecture has been proposed to classify the post-hurricane satellite imagery into damaged and undamaged building classes accurately. The model consists of five convolutional and five pooling layers followed by a flattening layer and two dense layers. For this, a dataset of Hurricane Harvey has been considered having 23000 satellite images each of size 128 X 128 pixels. With the proposed model, the author has achieved an accuracy of 92.91%, F1-score of 93%, sensitivity of 93.34%, specificity of 92.47%, and precision of 92.65% at a learning rate of 0.0001 and 30 epochs. Also, low false positive rate of 7.53% and false negative rate of 6.66% were obtained.
K-Means Cluster-Based Interference Alignment With Adam Optimizer in Convolutional Neural Networks
Authors: Kanaparthi Tirupathaiah , Ramesh S.  , Yarrabothu Ravi Sekhar
Published: September 2022

In an interference channel, IA (interference alignment) yields exquisite channel state data and uncorrelated channel components and gains high DoF (degrees of freedom). This paper proposes the clustering predicated interference alignment with the neural network. Here Adam Optimizer utilized for signal optimization and K-means clustering in which it is utilized in clustering the minuscule cells with the base station and utilizer in the heterogeneous network based on MIMO mmWave. The neural network used here is a convolutional neural network (CNN) which is integrated with the Adam optimizer. The experimental results consider the parameters particularly DoF, spectral efficiency, energy efficiency, signal to interference noise ratio (SINR), and computational complexity. While considering energy efficiency, spectral efficiency, and maximum DoF, simulation results betoken proposed method procures better performance when compared to classical methodology.
COVID-19 Vaccine Ranking Using ANP Method
Authors: Bhol Seema G. , Mohanty Jnyana Ranjan , Pattnaik Prasant Kumar , Satapathy Suresh Chandra
Published: September 2022

Wuhan Province in China reported the first case of novel corona virus as pneumonia outbreak during December 2019. The novel coronavirus was soon declared a pandemic by the World Health Organization. On 16th of July 2021, the number of COVID-19 confirmed cases was 188,128,952 globally, out of which 4,059,339 individuals succumbed to this deadly virus. In a short span of time, eight vaccines were approval for emergency use in different nations. The selection of vaccine depends upon many criteria. Concepts from multi-criteria decision making (MCDM) are appropriate to compare and rank them. The paper proposes analytical network processing (ANP) method to rank the eight vaccines according to seven criteria. The study proposes a decision tool to select the best vaccine among the candidate vaccines. A mathematical model based on ANP approach with three clusters having interrelationships within and among the clusters is proposed.
The Influence of Hospital Online Healthcare Information Services on Information Adoption Intention
Authors: Liang Liu
Published: September 2022

Based on the findings of previous studies, a new theoretical model of the influence of hospital's online healthcare information services to its elderly patients' information adoption intention was formulated, analyzed, and developed in this present study. Using an online data collection method through a self-administered questionnaire, this study made use of structural equation modeling (SEM) to determine the information adoption intention of elderly patients in China. Results showed that the total effects of elderly patients' information adoption intention revolved around the quality of the online healthcare information channel and its service quality followed by the patients' cognition behaviors such as perceived ease of use and usefulness. Practical implications and recommendations for the improvement of online healthcare information services and information adoption intention in China are discussed further in this present paper.
Assessing the Early Stage of eHealth Adoption
Authors: Choosri Noppon , Jitmun Waritsara , Lumpoon Pathathai Na , Sitthithanasakul Supavas , Saralamba Sompob , Thongbunjob Krid , Chumsang Pongsatorn
Published: September 2022

In this paper, the authors implement and determine the success the eHealth adoption for queue management when it was first deployed for a community hospital setting in Thailand. The electronic queue system was first implemented to improve conventional operations; then extensive evaluations were conducted to measure the effectiveness for each stakeholder. The healthcare staff shared a common perception that the new system could reduce their workload and increase the efficacy of queue fairness. The overall patient satisfaction and actual waiting time patients spent at the nurse interview station improved significantly. The majority of the patients agreed that the notification for attention from the computerized system is more effective. The community healthcare has strong potential to adopt the eHealth system. Being more automated enabled a reduced burden of administration jobs and significantly reduced waiting times for patients. Patients responded that they had greater satisfaction after the introduction of the electronic queue system.
Detection of Sexually Harassing Tweets in Hindi Using Deep Learning Methods
Authors: Jain Tarun , Jain Rishabh , Chaudhuri Shivaji Ray , Upadhyay Shrey , Singh Arjun , Verma Vivek K. , Sinha Aditya
Published: September 2022

In the modern era, social networking platforms play a vital role in day-to-day life. It is used by personalities, bureaucrats, and common people alike. It provides a platform for everyone to express their opinions, share their experiences with their family, friends, and the world. The advent of such platforms has completely changed the outlook of the world. Sexual harassment has been a problem for a long time, but with the advancement in technology, some users have taken the harassment to the digital level. It is common these days to find users posting derogatory remarks, uploading sensual and private content of others in order to sexually harass them. This is not all. Some targeted audience might even take some wrong steps. This article presents a way to detect such derogatory and harassing remarks using Twitter as a database. The classification part is done with the help of two deep learning models, and at the end, the performance of both models is evaluated on various parameters.
Sooty Tern Optimization Algorithm for Solving the Multi-Objective Dynamic Economic Emission Dispatch Problem
Authors: Soni Jatin , Bhattacharjee Kuntal
Published: September 2022

The sooty tern optimization algorithm (STOA) has been used in this study to solve and optimize the dynamic economic emission dispatch (DEED) problem. The main aim of the DEED model is to minimize total fuel cost and emission of pollutant gases from thermal generators for 24 hours. The various operating constraints like valve point loading effect, ramp rate limit, transmission losses, operating conditions, and power balance constraints have been considered in this study to get a closer practical system. The swarm intelligence-based STOA method has been inspired by the migration and attacking behaviors of sea bird sooty tern. The exploration and exploitation approach of the proposed algorithm help to get an optimum solution in less convergence time. The algorithm has been tested in 5 and 10 thermal generating units to verify the algorithm's performance. The results obtained by the proposed algorithm have been compared with results obtained by other recently developed algorithms.
A Study on Metaverse Awareness, Cyber Risks, and Steps for Increased Adoption
Authors: Sebastian Glorin
Published: September 2022

Metaverse, also known as the successor of mobile internet, has become immensely popular given the increased focus of technology companies on Web 3.0 and virtual reality. Though its popularity has grown at least within the tech industry, there has not been a survey conducted to measure the awareness and perception of metaverse among regular technology users. Further, there have been studies conducted to apply the technology acceptance model to metaverse users. However, such studies have not been conducted from a cybersecurity risk perspective. This study fills this gap by understanding the awareness, perception, and concerns about metaverse adoption. Further, based on the technology acceptance model, the authors propose techniques that could improve perception and reduce concerns about this technology, enabling faster acceptance and use.
The Relevance of Management 3.0 in the Development of Dynamic Capabilities in SMEs
Authors: Almeida Fernando , Oliveira Domingos , Neves Joana
Published: September 2022

This study aims to explore how Management 3.0 can assist and support the development of dynamic capabilities in SMEs. To this end, several dimensions of dynamic capabilities are considered, such as the process of identifying new market opportunities, idea generation, emergence of organizational changes, and support for innovation processes and the development of new markets. This research employs a qualitative methodology by conducting four case studies with software companies located in Portugal and Brazil. It identifies a set of key elements offered by Management 3.0 for the development of dynamic capabilities. Collaborative participation, teamwork, creativity, empowerment, agility, and entrepreneurial attitude stand out as fundamental and supported elements in the Management 3.0 paradigm for SMEs to develop their dynamic capabilities.
Molecular evidence of Legionella pneumophila associated lower respiratory tract infection in a COVID-19 suspected patient in Sri Lanka - A Case Report
Authors: Shiyamalee A. , Pattiyakumbura T. T. , Muthugala R. V. , Herath C. , Noordeen F.
Published: September 2022

Legionella pneumophila is commonly found in aquatic environments. L. pneumophila is a causative agent of severe community acquired pneumonia and the infection is acquired through inhalation of aerosols containing the bacteria. In Sri Lanka, serologically confirmed cases of L. pneumophila infection in patients have been reported. However, there are no published reports on legionellosis in humans with evidence of polymerase chain reaction (PCR) based molecular confirmation in Sri Lanka. We report a PCR confirmed case of L. pneumophila associated lower respiratory tract infection in a 16-year-old monk who presented to a District General Hospital in the Central Province of Sri Lanka during the COVID-19 pandemic.
Incidence, pattern and determinants of self-medication for fevers in children: A survey of caregivers in an emergency unit in Benin City, Nigeria
Authors: Abiodun Moses Temidayo , Ayinboumwan Stephen Airmuanwosa
Published: September 2022

Self-medication is common in medically underserved areas, with disastrous consequences. It is necessary to determine the frequency and risk factors in our area. The purpose of this study was to find out the frequency, pattern, and risk factors for self-medication for febrile childhood illnesses among caregivers seen in the emergency paediatric unit. A descriptive, cross-sectional design was used for this study. Participants included caregivers for children seen in the unit. A semi-structured questionnaire was used to collect data, which included sections on demography, determinants, pattern, and reasons for self-medication, as well as actual reports of self-medication in the previous three weeks. In order to identify risk factors for self-medication, inferential analyses were performed. P-values less than 0.05 were considered significant. The study included 153 caregivers, with an average (SD) age of 45.6 (13.8) years. Self-medication for fevers in children was 25.5%, with 20 (51.3%) of the children treated being under the age of five. Antipyretics (20.3%) and antimalarials (13.7%), particularly artemisinin-based combination therapy (ACT), were the most commonly used drugs. Place of residence (p= 0.011), living arrangement (p= 0.030), and awareness of an adverse drug event (p= 0.045) are factors that influence self-medication in the previous three weeks. Having health insurance, NHIS (OR = 2.734, 95% CI: 1.120-6.678; p=0.027), and using an insecticide-treated net (OR = 0.272, 95% CI: 0.117-0.634; p=0.003) are also independent predictors of self-medication. With multifactorial determinants in the setting, self-medication is common. There is a need for increased access to subsidized healthcare for children, as well as caregiver education on the potential harms of self-medication.
Comparing laryngeal view in neutral and sniff position during video laryngoscopy-guided intubation
Authors: Khordad Uranus , Rafiei Mohamad Reza , Namazi Mehrshad , Moayer Arian , Afsahi Mohammad
Published: September 2022

Appropriate positioning of the head is a crucial step for a successful intubation. Laryngoscopy is a commonly used method to facilitate the intubation process. This study evaluated the quality of intubation and its difficulty in sniff and neutral position. This was a clinical randomized trial, conducted in 2021 in Aja university of medical sciences. 40 patients, meeting the inclusion criteria were randomly assigned to sniff and neutral group and were intubated with standard procedure. The required time, number of attempts, laryngeal view, cord status, and the need for maneuver were evaluated between the two positions. Overall, 60 patients were intubated in sniff and 60 in neutral position. 51 of them were male and 69 were female. The mean intubation time was (17/15 ± 8/00) and (16/65 ± 8/66) seconds in neutral and sniff position, respectively (p-value = 0.181). There was no statistically significant difference in the required time. Additionally, 45 patients were intubated in first attempt and 15 were intubated after the second attempt in each group. There was no difference in any difficulty-related parameter of the two groups. No significant difference between the required time, attempt, or any other parameter was detected between the sniff and neutral groups. Evidence suggests that there is no superiority regarding these two positions and the decision should be made by the physician on a case-by-case basis.
Will there be large or small gifts to PDM3 attendees and EJTM authors in March and June 2023?
Authors: Carraro Ugo , Piccirillo Rosanna , Masiero Stefano , Papathanasiou Jannis , Coplin Marcus
Published: September 2022

The fall of 2022 approaches with the need to finalize our plans for next year. This is urgent for the 2023 Meeting of the Padua Days of Muscle and Mobility Medicine, (PDM3) to be held March 29 to April 1, 2023 at the Hotel Petrarca in the Thermae of Euganean Hills (Padua), Italy, but there are also news related to the inclusion of the European Journal of Translational Myology (EJTM) in the Web of Science: Emerging Sources Citation Index – Clarivate (ESCI) database. A preliminary PDM3 flyer is almost ready with session program, organzers and keynote speakers. Some are the traditional organizers of the PDM3 sessions dedicated to molecular and cellular myology, but there will also be interesting new entries, including those of Rehabilitation Sessions. No doubt that PDM3 2023 will be a great gift for all Participants, as is the tradition of PDM3. The other big news scheduled for June 2023 is the Impact Factor 2022 that Clarivate will release next year. It could be a big or small gift. As Authors who publish in other Magazines, but even more as Referees we could contribute in the next months of 2022 to make a small gift from Clarivate bigger. In any case, it will be a great gift that has been awaited for many years for one of us, who is approaching 80 years of age next February 2023.
Psychosocial Stressors in Psychosomatic Cardiology: A Narrative Review
Authors: Theorell Töres
Published: September 2022

The definition of a psychosocial stressor and reactions to it is discussed in relation to individual and environmental factors. The relation of this model to psychophysiological stress reactions and regeneration, as well as its significance for cardiovascular diseases, is described. Three classes of psychosocial stressors (life changes, work conditions, and family conflicts) are then described in relation to cardiovascular illness and risk factors. Particular emphasis is on longitudinal studies of patients. Heart contractility and urinary adrenaline excretion are discussed in detail. Epidemiological data on psychosocial stressors and cardiovascular disease outcomes (mainly myocardial infarction) are also discussed.
Effect of different mechanical ventilation modes on cerebral blood flow during thoracoscopic surgery in neonates: A randomised controlled trial
Authors: Abdallah Nasr M. , Elela Amel H. Abo , Maghawry Hossam H. , Alkonaiesy Ramy M.
Published: September 2022

Background and Aims:

Infants exposed to major surgery are at risk of injuries to the immature brain because of reduced arterial oxygen saturation. This study compared the effect of volume-controlled ventilation (VCV) versus pressure-controlled ventilation (PCV) on cerebral oxygenation in neonates subjected to repair of tracheoesophageal fistula (TEF) under video-assisted thoracoscopic surgery (VATS).

Methods:

This randomised controlled study included 30 full-term neonates scheduled for VATS for managing TEF under general anaesthesia. They were randomised to either VC group (n = 15), who received VCV, or PC group (n = 15), who received PCV. Cerebral oxygenation (rScO2) was monitored throughout the surgery with documentation of episodes of cerebral desaturation. Peripheral oxygen saturation, partial pressure of carbon dioxide (PaCO2), and end-tidal carbon dioxide were recorded at baseline, after induction of anaesthesia, and every 30 min till the end of the surgery.

Results:

rScO2 was significantly higher in the PC group than the VC group at baseline and was significantly higher in the VC group after 15 min (P = 0.041). Later, it was comparable in both the groups up to 60 min after starting the surgery. Cerebral desaturation was significantly more common in the PC group (80%) compared to VC group (33.3%) (P = 0.010). PC group required higher fraction of inspired oxygen and positive end-expiratory pressure to prevent cerebral desaturation. PaCO2 was significantly higher in the PC group than the VC group at 30 and 60 min (P = 0.005 and 0.029).

Conclusion:

VCV is safer than PCV for cerebral oxygenation during VATS in neonates.
Risk of self-contamination because of improper doffing of personal protective equipment: A randomised cross-over study
Authors: Sahay Nishant , Naaz Shagufta , Singh Prabhat K , Kumar Rajesh , Ranjan Alok , Vivekanand
Published: September 2022

Background and Aims:

Many health care staff have been pressed into coronavirus disease-19 patient care with little experience of working in bio-hazard zones because of the overwhelming requirements of manpower. They wear personal protective equipment (PPE) and follow all rules for their safety. However, despite precautions, during doffing, they carry a risk of self-contamination. This randomised cross-over study assessed the risk of self- contamination because of improper doffing of PPEs.

Methods:

A colourless lotion that glows with a bright-green fluorescent hue under ultraviolet light was applied to simulate germ contamination in various health care workers (HCWs) who volunteered for the study. The primary objective of this study was to know the percentage of HCWs getting self-contaminated. The secondary objectives were to assess which portions of the body get maximally contaminated and infestation of germs on which portions of the PPE carry more risk of self-contaminating after doffing.

Results:

A total of 152 doffings by 76 participants were analysed, and the volunteers self-contaminated in 43 doffings (28.28%). In 18 of these 43 doffings, self-contamination was noted at more than one location. The most commonly contaminated areas were the arms (33%), clothes on the abdomen (24%), and areas in the lower limb (23%). Germ infestation on the upper parts of a PPE is 2.39 times more likely to cause self-contamination after improper doffing.

Conclusion:

Faulty doffing resulted in self-contamination in 28.28% of all doffings. Risk is 2.39 times more when germs are nested in the upper body portions of the PPE suit.
Evaluation of the electronic stethoscope (FONODOC) as a cardiac screening tool during the preoperative evaluation of children
Authors: Ahuja Vasudha , Kini Priyanka , Nileshwar Anitha
Published: September 2022

Background and Aims:

An electronic stethoscope with an inbuilt phonocardiogram is a potentially useful tool for paediatric cardiac evaluation in a resource-limited setting. We aimed to compare the acoustic and electronic stethoscopes with respect to the detection of murmurs as compared to the transthoracic echocardiogram (TTE).

Methods:

This was an observational study. Fifty children aged 0–12 years with congenital heart diseases (CHDs) and 50 without CHD scheduled for echocardiography were examined using both stethoscopes. The findings were corroborated with clinical findings and compared with the echocardiography report.

Results:

Among the 50 cases without CHD, no murmur was detected using either of the stethoscopes. This was in agreement with TTE findings. The calculated specificity of both stethoscopes was 100%. Amongst the 50 cases with CHD, the electronic stethoscope picked up murmurs in 32 cases and missed 18 cases. The acoustic stethoscope picked up murmurs in 29 cases and missed 21 cases. Thus, the sensitivity of electronic and acoustic stethoscopes as compared to TTE was calculated to be 64% and 58%, respectively. The positive predictive value of the electronic stethoscope as compared to TTE was 100% while the negative predictive value was 73%. The kappa statistic was 0.93 suggesting agreement in 93%. Mc-Nemar’s test value was 0.24 suggesting that the electronic stethoscope did not offer any advantage over the acoustic stethoscope for the detection of CHD in children.

Conclusion:

A comparison of the electronic stethoscope with an acoustic stethoscope suggests that the rate of detection of CHD with both stethoscopes is similar and echocardiography remains the gold standard.
Sudden onset of chest pain in SARS-CoV-2 patients
Authors: Dhanger Sangeeta , Natrajan Pratheeba , Vaidhiyanathan Bhavani , Joseph Idhuyya Rajesh
Published: September 2022

The most common symptoms of severe acute respiratory syndrome–COVID-19 (SARS-CoV-2) infection are fever and cough, followed by headache, fatigue, or shortness of breath. The most severe presentations include pneumonia (91.1%) and acute respiratory distress syndrome (67%). In this case series, we report the evidence of cardiac tissue inflammation as a possible sequela of the respiratory infection. In May 2021, 16 patients (median age: 43 years, 10 males and 6 females) out of 95 patients, between the 6th and 10th days following admission in the intensive care unit, complained of sudden onset of excruciating chest pain. Changes in electrocardiography rhythm with evidence for diffuse ischemia were supported by positive Trop-T and echo findings in most of the patients. In this case series, we report the evidence of cardiac tissue inflammation as a possible sequel of the respiratory infection.
Can clinical parameters of patients, sans serum prolactin measurement, identify amenorrhea associated with risperidone use? Results from a cross-sectional analytical study
Authors: Chandrasekaran Vigneshvar , Muthuramalingam Avin , Subramanian Karthick
Published: September 2022

Background:

Risperidone is a second-generation antipsychotic, which exerts its action by antagonizing dopamine (D2) and serotonin (5-HT2A) receptors. Amenorrhea is a common adverse effect observed in risperidone. Risperidone blocks the dopamine receptor of lactotroph cells of the pituitary gland, resulting in loss of the inhibitory effect of dopamine on prolactin. The resultant hyperprolactinemia decreases estrogen through its impact on the pulsatile secretion of gonadotropins and ovarian follicular growth leading to amenorrhea. Identifying the associated clinical parameters will aid in predicting the occurrence of amenorrhea in patients on treatment with risperidone, especially in a setting devoid of prolactin estimation. The objective of this study was to compare the clinical profile of patients with and without risperidone-induced amenorrhea.

Methodology:

A cross-sectional comparative study was done in a tertiary care hospital. A total of 30 female patients on risperidone who developed amenorrhea were recruited, and age-matched patients on risperidone without amenorrhea were taken as controls. The clinical parameters of the groups were compared using the Mann–WhitneyU-test. Binary logistic regression was used to predict the clinical predictors associated with risperidone-induced amenorrhea.

Results:

The amenorrhea group had a significantly longer duration of untreated psychosis (DUP) (P= 0.011), duration of total treatment (P= 0.003), and duration of treatment exclusively with risperidone (P= 0.002). No significant differences were noted in the dose of risperidone (P= 0.570) and the diagnosis (P= 0.455) between the groups. However, the regression test did not confer any risk due to any clinical parameters.

Conclusion:

Individuals who developed amenorrhea had a longer DUP and a longer duration of treatment exclusively with risperidone.
Thulium laser ablation for ureteritis cystica
Authors: Kolte Sanjay P. , Kolte Meenal S. , Bhargava Vivek P. , Bhuyar Sonal A.
Published: September 2022

Patients with ureteral obstruction often present a diagnostic dilemma on imaging techniques. Ureteritis cystica (UC) is one benign condition which can occasionally be a cause of ureteric obstruction and almost always eludes diagnosis unless ureteroscopic examination is performed. Although no definitive operative technique has been defined for its cure in the literature, ureteroscopic laser ablation is an effective minimally invasive option. We hereby present a short case report of thulium laser ablation in an elderly female with UC in the left upper ureter.
Anxiety Perception Among Children Following Two Different Restorative Modalities – A Noninferiority Randomized Clinical Trial
Authors: Hemalatha R. , Nirmala S. , Viswaja K.
Published: September 2022

Background:

Anxiety perception among children plays a significant part in providing oral health care since both are interlinked. Perception refers to the ways or means by which anything is perceived or interpreted. Perception is awareness of the elements of the environment through physical sensation. As part of oral health-care initiation, the present study aimed to compare the anxiety perception among children following two different restorative modalities of atraumatic restorative treatment versus chemomechanical caries removal (CMCR).

Methodology:

A nonrandomized clinical trial was conducted over 2 months between February 20, 2021 and April 22, 2021, to compare the anxiety perception among children. Children below 14 years were selected for the study purpose.

Results:

Poisson regression analysis was used to evaluate the association between outcome and the variables. The results showed that the majority of children had dental anxiety issues, who were willing to improve their cooperative levels during dental treatment appointments. No statistically significant association was seen between the two different restorative modalities. Lower heart rate was observed when CMCR was used (P = 0.013).

Conclusion:

Anxiety perception among children plays a significant part in providing oral health care. The effectiveness of implementation was appropriate with regard to choosing the right treatment modalities among clinicians. Both the techniques showed minimal or lesser anxiety levels, but on a comparative note, CMCR was better, both in terms of patient acceptance and ease of performance.
Eccrine poroma
Authors: Bhasin Gurman Singh , Khatu Swapna S. , Chaudhari Nitin
Published: September 2022

Poromas designate a group of benign adnexal neoplasms with poroid (terminal duct) differentiation. The great majority of these lesions are found on the palms and soles and present as moist exophytic lesions. Herein we report a patient who presented with a slow growing nodular lesion over the left palm which was later histopathologically confirmed to be case of Eccrine Poroma.
Factors and techniques associated with endoscopic retrograde cholangiopancreatography outcomes in patients with periampullary diverticulum
Authors: Xia Chuanchao , Sun Liqi , Peng Lisi , Cui Fang , Jin Zhendong , Huang Haojie
Published: September 2022

Background:

Endoscopic retrograde cholangiopancreatography (ERCP) for patients with periampullary diverticulum (PAD) remains a challenge. This study aims to investigate the factors and techniques related to successful and safe ERCP in patients with PAD.

Methods:

We enrolled patients who underwent ERCP in a large tertiary center. The difficult cannulation rate, technical success rate, clinical success rate, and adverse events (AEs) rate were compared between patients with or without PAD. Three independent logistic regression models were established to identify factors and techniques associated with difficult cannulation, clinical success, and AEs.

Results:

Five thousand five hundred and ninety patients were included, of which 705 (12.6%) were diagnosed with PAD. Patients with PAD had a significantly higher difficult cannulation rate compared with patients without PAD (10.6% vs 8.0%, P < 0.0001), but the rates of technical success (clinical success (95.2% vs 95.2%, P = 0.951), and AEs (16.5% vs 14.4%, P = 0.156) were similar. Type I PAD (odds ratio [OR] = 2.114, 95% confidence interval [CI]:1.05-5.25) and ERCP indication for pancreatic diseases (OR = 1.196, 95%CI: 1.053-1.261) were independently associated with difficult cannulation. Small endoscopic sphincterotomy (EST) with balloon dilatation (OR = 1.581, 95%CI: 1.044-2.393) was independently associated with clinical success. Somatostatin injection showed no preventive effect on post-ERCP pancreatitis (OR = 1.144, 95%CI: 1.044-1.254). Moreover, the auxiliary cannulation techniques were safe for PAD patients.

Conclusions:

PAD did not affect ERCP outcomes. However, the choice of techniques and AE prophylactic measures should be more specific, especially for patients with type I PAD.
The NAFLD–MAFLD debate through the lens of the Arab world
Authors: Tharwat Mina , Medhat Mohammed A. , El-Kassas Mohamed
Published: September 2022

The most common liver disease in the world is fatty liver disease related to metabolic dysfunction, yet neither patients nor medical professionals are fully aware of this. The disease, formerly known for decades as non-alcoholic fatty liver disease (NAFLD), has been renamed metabolic (dysfunction)-associated fatty liver disease (MAFLD), with many international consensus groups making recommendations on how the condition should be diagnosed and treated. This point of view explores the nomenclature change from the standpoint of Arab medical professionals and patients. The call for a name change brought up serious issues with the current nomenclature, which refers to the condition as NAFLD, and its diagnostic criteria, including the necessity for excluding alcohol consumption. The Arab world has its unique situation as regards both old and new nomenclatures. This is because of the low alcohol consumption rates in most Arab Muslim countries besides the reported high prevalence rates of obesity and its related comorbidities in the region. In our opinion, such unclarities acted as a significant roadblock to several crucial aspects of disease management in the Arab countries, including patient–doctor communication, patient awareness, partnership working, patient motivation to make lifestyle changes, and promotion of multiple health behavior changes. Many Arab world hepatologists thus wholeheartedly endorse this call to redefine the disease as they believe it will eventually positively impact the understanding and awareness of fatty liver disease, enhance patient treatment and quality of life, and reduce the load on the healthcare system.
Rigidity of closed CSL submanifolds in the unit sphere
Authors: Sun Linlin , Luo Yong
Published: September 2022

We are concerned with the rigidity of contact stationary Legendrian (CSL) submanifolds, critical points of the volume functional of Legendrian submanifolds in a Sasakian manifold, whose Euler–Lagrange equation is a third-order elliptic PDE. We obtain several optimal rigidity theorems for closed CSL submanifolds in the unit sphere by utilizing the maximum principle together with Simons’ identity. In particular, we proved that a closed CSL submanifold

M^{n}\subset\mathbb{S}^{2n+1}

is a totally geodesic sphere or a Calabi

2

-torus if

|{\mathbf{B}}|^2\leq\frac{4(n-1)}{n}+\frac{3n-2}{n^2}|{\mathbf{H}}|^2

, where

\mathbf{B}

and

\mathbf{H}

are the second fundamental form and the mean curvature vector, respectively. Moreover, an example shows that this assumption is optimal.
Convergence rate for the incompressible limit of nonlinear diffusion–advection equations
Authors: Perthame Benoît , Dębiec Tomasz , David Noemi
Published: September 2022

The incompressible limit of nonlinear diffusion equations of porous medium type has
attracted a lot of attention in recent years, due to its ability to link the weak formulation of cellpopulation models to free boundary problems of Hele–Shaw type. Although a vast literature is
available on this singular limit, little is known on the convergence rate of the solutions. In this
work, we compute the convergence rate in a negative Sobolev norm and, upon interpolating with
BV-uniform bounds, we deduce a convergence rate in appropriate Lebesgue spaces.
Restraint asphyxia. An analysis of the circumstances and mechanism of death in agitated, physically restrained individuals
Authors: Konopka Tomasz , Woźniak Krzysztof , Moskała Artur , Kopacz Paweł , Strona Marcin , Rzepecka-Woźniak Ewa , Kluza Piotr , Juźwik-Kopacz Ewa , Bolechała Filip
Published: September 2022

W ostatnich latach media coraz częściej poruszane są przypadkami śmierci młodych zazwyczaj osób, w trakcie zatrzymywania przez policję. Śmierć w tych przypadkach dotyka zazwyczaj osoby pobudzone psychoruchowo, obezwładniane z użyciem siły, a badania pośmiertne nie wykazują jednoznacznej urazowej przyczyny zgonu. Celem pracy jest próba ustalenia mechanizmu i okoliczności zgonów w trakcie obezwładniania osób pobudzonych psychoruchowo. Analizie poddano przypadki opiniowane od 2010 roku, zarówno jako sekcje zwłok, jak i oceniane na podstawie materiału aktowego. W analizowanym okresie ZMS w Krakowie wydał opinie w 10 tego typu przypadkach, w dziewięciu na podstawie własnych sekcji zwłok, w jednym na podstawie materiału aktowego. We wszystkich nastąpiło nagłe zatrzymanie krążenia lub utrata przytomności, a resuscytacja okazywała się nieskuteczna. W sześciu przyczyną pobudzenia była ostra psychoza, w czterech działanie narkotyków, zazwyczaj w wysokim stężeniu. Tylko w pięciu przypadkach stwierdzono obecność wybroczyn w spojówkach. Najbardziej prawdopodobną przyczyną śmierci było współistnienie nasilonego wysiłku fizycznego spowodowanego patologicznym pobudzeniem psychoruchowym, z przymusowym unieruchomieniem pogarszającym funkcjonowanie układu oddechowego. Mechanizm ten jest określany jako asfiksja restrykcyjna.

Restraint asphyxia. An analysis of the circumstances and mechanism of death in agitated, physically restrained individuals

Recent years saw frequent media reports of young people who die while they are being arrested by the police. Death in these circumstances affects people who are agitated and restrained with the use of force, with their autopsies indicating no unequivocally traumatic cause of death. The goal of this study was to identify the mechanism and circumstances of sudden deaths in agitated individuals who are being restrained. Ten cases evaluated at our center since 2010 were included in this study: nine involved forensic postmortem examination and one involved casefile analysis. In each case there was sudden cardiac arrest or at least a loss of consciousness, and the cardiopulmonary resuscitation proved ineffective. In six cases the cause of agitation was acute psychosis, in four it was an effect of narcotics, usually in high concentration. Conjunctival petechiae were detected in only five cases. The most probable cause of death in the evaluated cases was the combination of physical exertion caused by pathological psychomotor agitation and forcible restraint, hindering the function of the respiratory system. This mechanism is known as restraint asphyxia.
Opieka skoncentrowana na pacjencie – analiza modelu i rezultatów wdrożenia do systemu opieki zdrowotnej
Authors: Ścisło Lucyna , Bodys-Cupak Iwona , Kózka Maria
Published: September 2022

Model opieki skoncentrowanej na pacjencie – PCC (Patient-Centered Care) w wielu krajach został uznany za standardowe podejście w opiece zdrowotnej w celu poprawy jej jakości. Istotą PCC jest respektowanie wartości, doświadczeń, potrzeb i preferencji pacjenta w planowaniu, koordynowaniu i świadczeniu opieki. Centralnym elementem tego modelu jest relacja terapeutyczna między pacjentem a osobami świadczącymi opiekę zdrowotną. Liczne badania wykazały, że wdrożenie PCC do praktyki przyczynia się do poprawy wyników opieki, lepszego wykorzystania zasobów, obniżenia kosztów i zwiększenia zadowolenia pacjentów z opieki. Celem tego artykułu jest zaprezentowanie założeń modelu opieki skoncentrowanej na pacjencie, korzyści i barier we wdrażaniu do systemu opieki zdrowotnej.

The Patient-Centered Care (PCC) model has been recognised in many countries as a standard approach in healthcare to improve its quality. The essence of PCC is to respect the values, experiences, needs and preferences of the patient in planning, coordinating and providing care. Therapeutic relationship between the patient and the healthcare providers is at the core of this model. Numerous studies have shown that implementing PCC into the practice contributes to improved care results, better use of resources, lower costs and increased satisfaction of patients with healthcare. The aim of this article is to present the assumptions of the patient-centered care model as well as the benefits and barriers in implementing this model into the health care system.
Methods of communication in medical care respecting the dignity of an intellectually disabled person
Authors: Zurzycka Patrycja , Wojtas Katarzyna , Puto Grażyna
Published: September 2022

People with intellectual disabilities experience stigma and discrimination. In caring for people with intellectual disabilities, special attention should be paid to respecting their dignity and subjectivity. The aim of this study is to emphasize the importance of respecting the dignity and subjectivity of adults with intellectual disabilities and the importance of communicating with them. The paper is based on a literature analysis of intellectual disability issues. The literature analysis indicates that the subject of intellectual disability concerns the subjectivity and the dignity of the people as well as the barriers to communication with the environment and medical personnel. It is fundamental to conduct research into care of people with intellectual disabilities. In addition, there is a need to organize training for all members of the therapeutic team, especially in the area of communication issues with people with intellectual disabilities.
Corruption in the health care sector: A persistent threat to European health systems
Authors: Gonzalez-Aquines Alejandro , Mohamed Bassam Y. , Kowalska-Bobko Iwona
Published: September 2022

Corruption is commonly defined as the abuse of entrusted power for private gain. It is estimated that over 500 USD billion are lost every year due to corruption and that a 1-point change in the control of corruption indicator measured by the World Bank increases life expectancy by 0.44 years and reduces under-five mortality by 4.6 per 1,000 infants. Despite its global prevalence and critical impact on public and private services, corruption in the healthcare sector remains understudied. The present report aims to expand the knowledge on the paramount need to tackle corruption in healthcare by identifying the actors in the health system at risk to involving in corrupt practices, followed by defining health corruption from the governmental, non-governmental organisations, and societal perspectives, together with describing relevant corruption indicators from countries from the WHO European region. To conclude, this report presents a set of proposals and recommendations to address corruption in the healthcare sector.
Ustawowe programy zdrowotne – uwarunkowania prawne i systemowe
Authors: Lipowski Paweł
Published: September 2022

The health programs in the perspective of the conditions of the health care system in Poland

This article presents the characteristics of health programs implemented from public funds in Poland which are based on generally applicable laws. The key element of the considerations is the presentation of the tasks of the public payer (National Health Fund) in the implementation of health programs. This issue is presented in the perspective of the conditions of the health care system in Poland.
Finansowanie terroryzmu – zarys problematyki
Authors: Karolczak Krzysztof
Published: September 2022

W artykule omówiono podstawowe źródła finansowania terroryzmu XX-wiecznego i XXI-wiecznego: napady na banki, uprowadzenia dla okupu, przemyt i handel narkotykami. Jako specyficzne metody zostały wymienione również te, które stosowało Państwo Islamskie, m.in. handel ropą naftową wydobywaną na zajętych terenach, handel zabytkami i inne. Oddzielnie ujęto kwestie terroryzmu sponsorowanego przez państwa.

The article discusses the basic sources of financing of 20th-century and 21st century terrorism: seizures for banks, abductions for ransom, smuggling and drug trafficking. As specific methods, those that used Islamic State were also listed, including Crude oil trading in occupied areas, trade in monuments and others. The issue of terrorism sponsored by the state was included separately.
Financing of terrorism - an overview
Authors: Karolczak Krzysztof
Published: September 2022

The article discusses the basic sources of financing of 20th-century and 21st century terrorism: seizures for banks, abductions for ransom, smuggling and drug trafficking. As specific methods, those that used Islamic State were also listed, including Crude oil trading in occupied areas, trade in monuments and others. The issue of terrorism sponsored by the state was included separately.