bluuebunny/crossref_metadata_2025 huggingface dataset:
Umbilical Endometriosis in a Surgically Naïve Multiparous Young Female
Authors: Singh Renu , Bharti Sushma , Kaur Harpreet , Yadav Saroj Kumar
Published: April 2024

The existence of functional endometrial tissue outside the uterus is known as endometriosis. It is a benign estrogen-dependent gynecological condition that affects 5%–10% of women who are of reproductive age. Endometriosis often affects the ovary and fallopian tubes, although it can also occur in nonpelvic areas. The most typical location for extra-pelvic endometriosis is the abdomen. Umbilical endometriosis is a rare condition accounting for 0.5%–1.0% of all cases of endometriosis. In 3% of cases, there is a chance of malignant change. This disorder’s precise etiology is uncertain. Recurrent discomfort and swelling around the umbilicus are the classic manifestations. In this instance, we describe a patient with primary umbilical endometriosis (PUE) who had cyclical bleeding and swelling over the umbilicus and was surgically naive. This case will demonstrate how, particularly in surgically naïve instances, diagnosis of PUE is frequently delayed due to ignorance of the entity.
Role of Social Support in Reducing the Severity of Menopausal Symptoms among Women Living in Rural Mysuru, Karnataka: An Analytical Cross-sectional Study
Authors: Divya K. L , Nimithamohan K. , Bilimale Anil S. , Muralidhar Kiranmayee , Krupp Karl , Madhivanan Purnima
Published: April 2024

Introduction:

Menopause is an unspoken and unaddressed aspect of a women’s life, surrounded by many myths and taboos within the Indian context. Although a majority of menopausal women experience moderate to severe symptoms that can affect their physical, emotional, mental, and social well-being, there is poor health literacy as well as health-seeking behavior among them. The importance of social support, especially at a difficult time like menopause, is bound to minimize the severity of menopausal symptoms.

Objectives:

The objective is to assess the severity of menopausal symptoms among women living in rural communities of Mysuru district, and to examine the relationship of perceived social support during menopausal transition to severity of the symptoms.

Materials and Methods:

Between May 2022 and December 2022, a cross-sectional study was conducted among 250 women living in rural communities of Mysuru district, Karnataka. An interviewer-administered survey in Kannada was used to record the severity of menopausal symptoms and associated determinants after completion of informed consent process.

Results:

The average age of study participants was 50.9 (standard deviation [SD] ±4.6) years. While 77.2% were married, 20.8% were widows. About half (53.6%) belonged to lower socioeconomic class and another 28% belonged to middle class. The mean age at menopause was 47.6 (SD ± 4.24) years; 56.8% reported experiencing moderate-to-severe symptoms; 75.6% reported high social support while 24.4% of women low-to-medium social support. The odds of experiencing moderate-to-severe menopause symptoms were 4.51 (95% confidence interval: 2.337–8.690) times higher among women who received low-to-medium social support as compared to those with high social support. The social support obtained was directly proportional to socioeconomic status and living with spouse.

Conclusion:

The health system should emphasize the role of social support while counseling postmenopausal women. There is a dire need for both community and physician education programs on the social and medical needs of postmenopausal women.
Exploring the Efficacy and Safety of Black Cohosh (Cimicifuga racemosa) in Menopausal Symptom Management
Authors: Hedaoo Kritiksha , Badge Ankit K. , Tiwade Yugeshwari R. , Bankar Nandkishor J. , Mishra Vaishnavi H.
Published: April 2024

Black cohosh (Cimicifuga racemosa) is a perennial plant used to treat menopause. This plant is known to have a serotonergic rather than estrogenic impact. It has been recommended to treat vasomotor symptoms associated with breast cancer patients. It also relieves symptoms such as night sweats and hot flashes, commonly called vasorelaxation. The variability in the study’s results, doses, and assessment methods requires more rigorous research to establish its efficacy and safety. Standardized trials are needed to provide more precise information on the benefits and limitations of menopause treatment, informing women seeking alternatives to hormone therapy. Black cohosh has shown the potential to reduce the frequency and intensity of vasomotor symptoms in breast cancer patients undergoing tamoxifen treatment. In addition to its effectiveness in alleviating night sweats and hot flashes, the vasorelaxation properties contribute to its overall positive impact on menopausal symptoms. Due to discrepancies, varying dosages, and assessment techniques, further comprehensive studies are essential to determine the optimal dosage, long-term safety, and overall efficacy. Only through standardized trials can women make informed decisions about black cohosh as a viable alternative to hormone therapy during menopause.
Ovarian Cystadenofibroma: An Innocent Tumor Causing Early Postoperative Small Bowel Obstruction and Perforation Peritonitis
Authors: Mangla Mishu , Ramavath Krishna , Kumar Naina , Roy Subhrajyoti , Srirambhatla Annapurna , Palo Seetu
Published: April 2024

Ovarian serous cystadenofibroma (CAF) is a relatively uncommon variant of benign epithelial tumors of the ovary. It is frequently misdiagnosed as malignant ovarian mass, on both ultrasound (USG) and computed tomography (CT). Although most cases are easily treatable by surgery, some cases can present with life-threatening complications increasing patient morbidity and mortality. The present case report briefs about a 69-year-old female, P4 L4, who presented to the gynecology outpatient department with a complaint of pain in the lower abdomen for 2–3 months. USG and CT were suggestive of a suspicious-looking ovarian mass favoring malignancy. A staging laparotomy with pelvic and para-aortic lymphadenectomy with omental biopsy was done. Although the tumor was benign, extensive surgery, due to the suspicion of malignancy led to the patient developing early postoperative small bowel obstruction, mandating a re-exploration. CAF is a specific type of ovarian tumor that exhibits a combination of benign characteristics. This tumor presents as a partly cystic (containing fluid-filled sacs) and partly solid (composed of fibrous tissue) growth within the ovary, displaying a diverse architectural pattern. Mostly the diagnosis is incidental, on USG done for some other indication. CAF of the ovary needs a very high index of suspicion for diagnosis as these are frequently misdiagnosed as malignant ovarian masses. Although an innocent tumor, extensive surgery done for CAF, under suspicion for malignancy, can sometimes lead to serious complications.
A cross-sectional study to estimate the prevalence of text neck syndrome among medical students in a tertiary care teaching hospital in Andhra Pradesh
Authors: Paleti Sravya Teja , Inuganti Rohit , Krishna S. V. Gopala , Islam Rojah
Published: April 2024

Background:

The overuse of handheld mobile technology is leading to detrimental effects on the human body, one of which is text neck syndrome (TNS). This refers to neck pain and disability due to repetitive stress injury. Text neck can cause symptoms such as neck pain, shoulder pain, upper back pain, and increased curvature of spine.

Objectives:

The objective of this study was to estimate the prevalence, awareness, frequency, severity, and radiation of pain experienced by medical students and to determine the association between the duration of gadget usage and the severity of pain.

Methodology:

In this cross-sectional study, 1000 medical students were surveyed regarding the awareness and prevalence of TNS. The questionnaire consisted of 16 questions which included, demographic details and education details, and questions related to frequency, duration, purpose and time of usage, and position during use.

Results:

Out of 1000 students, 500 of the respondents did not know of TNS, 10 knew the term in detail, 160 were familiar with the term, and 330 had only heard of the term. The usage of electronic gadgets increased with age and was found statistically significant with P < 0.05. A significant positive association (P < 0.05) was found between the duration of usage of gadgets and the severity of pain.

Conclusion:

TNS is a real problem, and the students are not aware of the problem. The study showed that the longer the duration of gadget usage, the more adverse the symptoms.
Causes of abnormal uterine bleeding in women of 20–60 years of age based on polyp, adenomyosis, leiomyoma, malignancy, coagulopathy, ovulatory dysfunction, endometrial, iatrogenic, and not-yet-classified at a tertiary care hospital: A cross-sectional study
Authors: Arikarevula Sarojini , Seedipally Swapna Rani , Ragoor Sujatha
Published: April 2024

Background:

Approximately 10%–25% of women are affected with abnormal uterine bleeding (AUB). It is essential to have a thorough understanding and knowledge about the disease, causative factors, pathophysiology, incidence and prevalence of various causative factors, clinical presentations, and diagnostic aids for an early prediction and diagnosis of disease to treat the condition at the earliest possible phase and with minimum morbidity and costs.

Objective:

The objective of this study was to study the causes of AUB women of 20–60 years of age based on polyp, adenomyosis, leiomyoma, malignancy, coagulopathy, ovulatory dysfunction, endometrial, iatrogenic, and not-yet-classified (PALM COEIN).

Materials and Methods:

It was a hospital-based prospective study among 136 patients with AUB aged 20–60 years. History, general and gynecological examination, and routine gynecological examination were done using speculum examination of the vagina and the cervix and a bimanual examination. Routine investigations and an ultrasonography were done. Some were subjected to PAP smear as a routine procedure.

Results:

Women aged 31–50 years and multiparous were most affected with AUB in 84.6% and 88.9% of cases, respectively. According to the International Federation of Gynecology and Obstetrics type classification, the most common type of presentation was heavy menstrual bleeding in 54% of cases. The most common presenting symptom was pain in the abdomen in 4.4%. The most common-related symptom was spasmodic dysmenorrhea in 36%. The most common clinical sign was pallor in 25%. The most common associated comorbidity was anemia in 49%. Leiomyoma was the most common ultrasound diagnosis of underlying pathology in 52.2%. The most common cause of AUB as per PALM COEIN was AUB leiomyoma in 52.2%.

Conclusion:

Our study shows that the causation of AUB was multifactorial (though in some cases, solitary lesions were found) involving the entire female reproductive system resulting in a single common presentation as AUB.
Incidence of neural tube defects and associated anomalies in a tertiary care hospital
Authors: Malikireddy Pruthvi , Mukku Srinivas Reddy , Karpur Santosh
Published: April 2024

Background:

Neural tube defects (NTDs) are the second most common congenital malformations after cardiac anomalies. The rate of associated malformation is reported to be 17%–80%. NTDs could also be a component of syndromic process.

Objective:

The objective of the study was to study the incidence of NTDs and associated anomalies.

Methods:

A hospital-based observational study was carried out among 6934 pregnant women referred for ultrasound. Pregnant women with NTDs were included. Detailed maternal history and clinical data were recorded. All ultrasound examinations were performed transabdominally by a radiologist using a 1–5 MHz convex array transducer (Voluson S8).

Results:

During this period of study, a total of 6934 pregnant women were screened and 47 cases of NTDs were detected and included, giving an incidence of 6.7 in 1000 conceptions (95% confidence interval = 5.02–8.92). NTDs were more common in mothers of age group 20–30 years. Spina bifida was the most common type of NTD in 53% of the cases. The most common type of spina bifida was meningomyelocele in 56%. The most common associated central nervous system (CNS) anomaly was Chiari II malformation.

Conclusion:

The most common NTD was spina bifida. CNS anomalies are more commonly associated with NTDs, followed by extremity defects.
Forensic and clinical implications of scapula length: A radiological study in Delta State, Nigeria
Authors: Ominde Beryl Shitandi , Unuesiri Amber Ejiroghene , Ikubor Joyce Ekeme , Omoro Orovwoghene Faithful , Igbigbi Patrick Sunday
Published: April 2024

Background:

The morphometry of the scapula exhibits sexual dimorphism, which makes it crucial for sex determination in forensic contexts and guides orthopedic surgeons in the management of shoulder girdle fractures.

Objective:

This study aimed to establish population-specific discriminant formulas for sex determination using the scapula length from radiographs.

Materials and Methods:

This observational cross-sectional study retrospectively analyzed 200 postero-anterior chest radiographs (113 males and 87 females) from a referral hospital in Delta State, Nigeria. Inclusion criteria comprised fully ossified scapulae in patients aged 25–60 years. Scapula length was measured using digital calipers, and statistical analyses, including discriminant function analysis, were performed to create population-specific equations for sex prediction.

Results:

Males exhibited significantly longer scapulae than females. The right scapula length was longer and demonstrated higher overall accuracy (78.5%) in sex determination than the left scapula (75.0%). Combining right and left scapula lengths increased the accuracy to 83.0%.

Conclusion:

The study provides population-specific normative values for scapula length and highlights the sexual dimorphism of the scapula length. The length of the right scapula was more accurate in predicting sex (78.5%) and when combined with that of the left scapula, the accuracy increased (83.0%).
Plasma Levels of Interferon Gamma associated with Hearing Loss and Hearing Loss Sensation through the Handicap Questionnaire Inventory for the Elderly Screening Version
Authors: Cordeiro Fernanda Prates , Marchiori Luciana Lozza Moraes , Teixeira Denilson Castro , Andraus Rodrigo Antonio Carvalho , Poli Regina Célia
Published: April 2024

Objective:The aim of this study was to verify the association between the auditory handicap found in the Hearing Handicap Inventory for the Elderly-Screening Version (HHIE-S) questionnaire and hearing loss and the plasma levels of inflammatory biomarkers.Materials and Methods:Cross-sectional study with 76 participants, 67 (88%) females and 9 (12%) males, with a mean age of 70 years. Tonal threshold audiometry and self-assessment with HHIE-S questionnaire were performed to measure the plasma levels of interleukin-2 (IL-2), IL-4, IL-6, and IL-10; tumor necrosis factor alpha; and interferon gamma (IFN-γ) flow cytometry method. For all data analyzed, the significance level adopted wasP< 0.05 and 95% confidence interval.Results:An inverse correlation was observed between the increase in plasma levels of IFN-γ and normal auditory handicap (P = 0.015; rs = −0.280). The severe handicap group showed an increase in the averages I (P = 0.005; rs = 0.350) and II (P = 0.016; rs = 0.368) in the right ear and the light/moderate handicap group increased the means I (P = 0.027; rs = 0.350) and II (P = 0.046; rs = 0.310) of the left ear. A statistically significant association was found between the speech recognition threshold (SRT) test results of the right ear and the severe handicap group (P = 0.002; rs = 0.271).Conclusions:There was an association between the increase in plasma levels of IFN-γ and normal auditory handicap. Additionally, statistically significant associations were observed between the mild/moderate and severe handicap groups with the increase in hearing means and an increase in SRT associated with the severe handicap group.
Effects of Music Therapy on Negative Emotions and Physiological Parameters in Patients Undergoing Colonoscopic Polypectomy: A Retrospective Study
Authors: Liu Yuanyuan , Zhang Limin , Zhao Mei
Published: April 2024

Objective: This study aimed to determine the postoperative effects of music therapy on negative emotions, pain, and inflammatory and physiological parameters in patients undergoing colonoscopic polypectomy. Methods: Patients who underwent colonoscopic polypectomy in Funan County People’s Hospital between March 2020 and June 2023 were selected as the research subjects. Patients were divided into exposure (underwent music therapy) and control (did not undergo music therapy) groups. Baseline characteristics, Self-rating Anxiety Scale (SAS) and Visual Analog Scale (VAS) scores, physiological parameters [systolic blood pressure (SBP), diastolic blood pressure (DBP), and heart rate (HR)], and inflammatory marker levels [neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR), and erythrocyte sedimentation rate (ESR)] of patients before and after exposure to music were determined. The propensity score matching (PSM) method (1:1) was used to balance the baseline characteristics of the two groups. Results: After PSM, the exposure group comprised 50 cases and the control group comprised 50 cases. The baseline characteristics were not significantly different between the two groups (P > 0.05). The postoperative SAS score of the exposure group was significantly lower than that of the control group (P < 0.05). Meanwhile, the postoperative VAS score of the exposure group was nonsignificantly lower than that of the control group (P > 0.05). Furthermore, the postoperative SBP, DBP, and HR levels of the exposure group were significantly lower than that of the control group (P < 0.05). The postoperative levels of NLR, PLR, and ESR were not significantly different between the exposure and control groups (P > 0.05). Conclusion: Music therapy exerts beneficial effects on the postoperative psychological and physiological parameters of patients undergoing colonoscopic polypectomy.
Personalized Music Therapy for Elderly Patients with Chronic Renal Failure to Improve their Quality of Life and Mental Health: A Retrospective Study
Authors: Wang Ling , Liu Panpan , He Xin
Published: April 2024

Background: Chronic renal failure (CRF) poses significant clinical risks. Therefore, attention should be paid to the daily nursing of such patients, and better clinical nursing programs should be provided. Methods: The data of 120 patients with CRF at Yantai Yuhuangding Hospital from March 2020 to March 2022 were retrospectively analyzed. After 8 patients were excluded, 112 patients were finally included in this study. The included patients were divided into group A (58 patients receiving clinical routine nursing) and group B (54 patients receiving clinical routine nursing and personalized music) according to different nursing schemes. The anxiety level, depression level, quality of life (QOL), and clinical satisfaction of the patients in both groups were compared before and after nursing. Results: Before the implementation of nursing, no significant difference existed in the levels of anxiety, depression, and QOL between the two groups (P > 0.05). After nursing, group B had significantly lower levels of anxiety and depression and significantly higher QOL than group A (P < 0.001). No significant difference in clinical nursing satisfaction was found between the two groups (P > 0.05). Conclusion: The implementation of personalized music can improve the QOL and psychological states of patients, with clinical application value.
Effect of Akson Therapy on Acoustic Parameters in Patients with Functional Dysphonia
Authors: Xu Honglei , Ye Ben
Published: April 2024

Objective: Functional dysphonia can impair the language expression ability and adversely affect the career development of some patients. Therefore, an active exploration of effective treatment options is imperative. This study investigated the effect of Akson therapy on acoustic parameters in patients with functional dysphonia. Materials and Methods: In this retrospective analysis, 79 patients with functional dysphonia who received conventional voice correction training from June 2020 to June 2021 were included in the reference group (RG). Our hospital has implemented Akson therapy since July 2021. Correspondingly, 72 patients with functional dysphonia who underwent Akson therapy from July 2021 to July 2022 were enrolled in the observation group (OG). The acoustic parameters such as fundamental frequency (F0), jitter, shimmer, and normalized noise energy (NNE); the aerodynamic parameters including maximum phonation time (MPT), mean airflow rate (MFR), and Voice Handicap Index-10 (VHI-10) score; and the Grade, Roughness, Breathiness, Asthenia, and Strain scale (GRBAS) score were measured before and after treatment and compared between the two groups. Results: The F0, jitter, shimmer, NNE, MPT, and MFR values as well as the VHI-10 score and the grade (G), roughness (R), and breathiness (B) scores on the GRBAS did not significantly differ between the two groups before treatment (P > 0.05). However, significantly lower F0, jitter, shimmer, NNE, and MFR values and higher MPT levels were found in the OG compared to the RG after treatment (P < 0.001). Furthermore, the VHI-10 score and the G, R, and B scores were significantly lower in the OG than in the RG after treatment (P < 0.001), whereas the asthenia (A) and strain (S) scores remained at 0 before and after treatment. Conclusion: Akson therapy can improve the acoustic parameters of patients with functional dysphonia to a certain extent, indicating its potential application value.
Decidualized endometriotic cyst: A report of two cases
Authors: Rivera Kamille Angeli Asanias , Laforteza Grace Cruz
Published: April 2024

Detection of an adnexal mass during pregnancy has increased during the last decade due to liberal use of sonographic examination during the first trimester. While most are benign or physiologic, the probability of a malignant tumor should always be considered. Deciduosis, a phenomenon related to pregnancy, refers to the presence of decidua outside the uterine cavity, most commonly seen within the pelvis. It is a benign condition, which usually regresses during the postpartum period. However, during pregnancy, this ectopic decidua may enlarge and mimic malignancy.
Effect of cytoreductive surgery and hyperthermic intraperitoneal chemotherapy on epithelial ovarian, fallopian tube, and peritoneal cancer: An institutional review of outcomes and its clinical implications
Authors: Imperio-Onglao Romelyn April P. , Luna Jericho Thaddeus P.
Published: April 2024

BACKGROUND:

Ovarian, fallopian tube, and peritoneal cancer patients with advanced-stage diagnosis or recurrences spread to the peritoneal surface of the abdomen. Hyperthermic intraperitoneal chemotherapy (HIPEC) can penetrate and eradicate tumors that are microscopic up to those with a diameter of 2.5 cm from the peritoneal surface following cytoreductive surgery (CRS).

OBJECTIVES:

The study aimed to determine the efficacy and safety of CRS with HIPEC versus CRS alone for patients with epithelial ovarian, fallopian tube, and peritoneal cancer.

MATERIALS AND METHODS:

This retrospective cohort study included 50 patients (20 patients underwent CRS + HIPEC, while 30 patients underwent CRS alone). Records of these patients from January 2014 to June 2020 were reviewed, tabulated, and analyzed.

RESULTS:

The difference in recurrence rate between CRS with HIPEC and CRS alone was not statistically significant (50% vs. 43%, P = 0.774). The median time to recurrence was 10 and 9 months, respectively (P = 0.636). Five percent in the HIPEC group succumbed to the disease, while 13% died in the CRS alone group (P = 0.636). More post-operative complications were noted in the HIPEC group (45% vs. 10%, P = 0.007), but among these, only 2 cases had grade 3 to 4 complications (10%). The addition of HIPEC in the management of these patients resulted in a longer operative time (360 vs. 240 min, P < 0.001) and postoperative hospital stay (8 vs. 6 days, P = 0.026). There were no intra- or peri-operative mortalities in both groups.

CONCLUSION:

CRS with HIPEC and CRS alone showed similar time to recurrence and recurrence rate. CRS with HIPEC had low risk of grade 3-4 complications and may still be considered as a treatment option for advanced, progressive, and recurrent epithelial ovarian, fallopian tube, and peritoneal cancer.
Sentiment Analysis of Covid Vaccine Myths using Various Data Visualization Tools
Authors: Bhatia Tarandeep Kaur , Rathi Samagya , Singh Thipendra P , Naha Biswayan
Published: April 2024

INTRODUCTION: Anti-vaccination agitation is on the rise, both in-person and online, notably on social media. The Internet has become the principal source of health-related information and vaccines for an increasing number of individuals. This is worrisome since, on social media, any comment, whether from a medical practitioner or a layperson, has the same weight. As a result, low-quality data may have a growing influence on vaccination decisions for children.
OBJECTIVES: This paper will evaluate the scale and type of vaccine-related disinformation, the main purpose was to discover what caused vaccine fear and anti-vaccination attitudes among social media users.
METHODS: The vaccination-related data used in this paper was gathered from Reddit, an information-sharing social media network with about 430 million members, to examine popular attitudes toward the vaccine. The materials were then pre-processed. External links, punctuation, and bracketed information were the first things to go.  All text was also converted to lowercase. This was followed by a check for missing data. This paper is novel and different as Matplotlib, pandas, and word cloud was used to create word clouds and every result has a visual representation. The Sentiment analysis was conducted using the NLTK library as well as polarity and subjectivity graphs were generated.
RESULTS: It was discovered that the majority population had neutral sentiments regarding vaccination. Data visualization methods such as bar charts showed that neutral sentiment outnumbers both positive and negative sentiment.
CONCLUSION: Prevalent Sentiment has a big influence on how people react to the media and what they say, especially as people utilize social media platforms more and more. Slight disinformation and/or indoctrination can quickly turn a neutral opinion into a negative one.
Smart Painting Exhibitions: Utilizing Internet of Things Technology Creating Interactive Art Spaces
Authors: Peng Xiaoyan , Chen Chuang
Published: April 2024

INTRODUCTION: With the rapid development of science and technology, intelligent painting exhibitions have gradually attracted people's attention with their unique forms. This study aims to create an interactive art space using Internet of Things (IoT) technology to provide audiences with a more prosperous and deeper art experience. OBJECTIVES: The primary purpose of this study is to explore how to use IoT technology to transform a painting exhibition into a digital space that can interact with the audience. By fusing art and technology, the researchers aim to promote innovation in traditional art presentations and stimulate the audience's freshness and interest in art.METHODS: In the Smart Painting exhibition, the researchers used advanced Internet of Things (IoT) technology to incorporate the audience's movements, emotions, and feedback into the artworks through sensors, wearable devices, and cloud computing. The digital devices in the exhibition space could sense the audience's presence and generate and adjust the art content in real-time according to their movements or emotional state, creating a unique display that interacted with the audience. RESULTS: After implementing the Smart Painting exhibition, the audience's sense of participation and immersion in the art display was significantly increased. Through IoT technology, viewers can interact with the artwork in real-time and feel a more personalized art experience. The digitized exhibition space provided the audience a new level of perception, deepening their understanding and appreciation of the artworks. CONCLUSION: This study demonstrates the feasibility of using IoT technology to create interactive art spaces and shows that this innovation can inject new vitality into traditional painting exhibitions. Through digitalization, the interactivity of the art space is enhanced, providing the audience with a more profound art experience. This approach provides artists with new possibilities for creativity and opens up a fresh vision of participatory art for the audience. The Smart Painting Exhibition is expected to become a new model for integrating art and technology, pushing the art world towards a more innovative and open future.
Application of Sports Equipment Image Intelligent Recognition Response APP in Sports Training and Teaching
Authors: Ju Yang
Published: April 2024

INTRODUCTION: The paper addresses the integration of intelligent technology in university physical education, highlighting the need for improved analysis methods for sports equipment image recognition apps to enhance teaching quality.OBJECTIVES: The study aims to develop a more accurate and efficient APP use analysis method for sports equipment image recognition, utilizing intelligent optimization algorithms and kernel limit learning machines.METHODS: The proposed method involves constructing an APP usage effect analysis index system, improving kernel limit learning machines through talent mining algorithms, and validating the model using user behavior data. The method integrates a talent mining algorithm to enhance the kernel limit learning machine (KELM). This integration aims to refine the learning machine’s ability to accurately analyze the large datasets generated by the APP's use, optimizing the parameters to improve prediction accuracy and processing speed.RESULTS: Preliminary tests on the sports equipment image intelligent recognition response APP demonstrate improved accuracy and efficiency in analyzing the APP's usage effects in physical education settings. The study compares the performance of the TDA-KELM algorithm with other algorithms like ELM, KELM, GWO-KELM, SOA-KELM, and AOA-KELM. The TDA-KELM algorithm showed the smallest relative error of 0.025 and a minimal time of 0.0025, indicating higher accuracy and efficiency. The analysis highlighted that the TDA-KELM algorithm outperformed others in analyzing the usage effects of sports equipment image recognition apps, with lower errors and faster processing times.CONCLUSION: The study successfully develops an enhanced APP use analysis method, showcasing potential for more accurate and real-time analysis in the application of sports equipment image recognition in physical education.
Smart Contracts for Ensuring Data Integrity in Cloud Storage with Blockchain
Authors: Bhurani Kashish , Dogra Aashna , Agarwal Prerna , Shrivastava Pranav , Singh Thipendra P , Bhandwal Mohit
Published: April 2024

INTRODUCTION: Data integrity protection has become a significant priority for both consumers and organizations as cloud storage alternatives have multiplied since they provide scalable solutions for individuals and organizations alike. Traditional cloud storage systems need to find new ways to increase security because they are prone to data modification and unauthorized access thus causing data breaches.
OBJECTIVES: The main objective of this study is to review usage of smart contracts and blockchain technology to ensure data integrity in cloud storage.
METHODS: . Case studies, performance evaluations, and a thorough literature review are all used to demonstrate the effectiveness of the suggested system.
RESULTS: This research has unveiled a revolutionary approach that capitalizes on the fusion of smart contracts and cloud storage, fortified by blockchain technology.
CONCLUSION: This theoretical analysis demonstrate that smart contracts offer a dependable and scalable mechanism for maintaining data integrity in cloud storage, opening up a promising area for further research and practical application.
Range inclusion and diagonalization of complex symmetric operators
Authors: Wang Cun , Zhao Jiayi , Zhu Sen
Published: April 2024

We consider the range inclusion and the diagonalization in the Jordan algebra

$\mathcal {S}_C$

of C-symmetric operators, that are, bounded linear operators T satisfying

$CTC =T^{*}$

, where C is a conjugation on a separable complex Hilbert space

$\mathcal H$

. For

$T\in \mathcal {S}_C$

, we aim to describe the set

$C_{\mathcal {R}(T)}$

of those operators

$A\in \mathcal {S}_C$

satisfying the range inclusion

$\mathcal {R}(A)\subset \mathcal {R}(T)$

. It is proved that (i)

$C_{\mathcal {R}(T)}=T\mathcal {S}_C T$

if and only if

$\mathcal {R}(T)$

is closed, (ii)

$\overline {C_{\mathcal {R}(T)}}=\overline {T\mathcal {S}_C T}$

, and (iii)

$C_{\overline {\mathcal {R}(T)}}$

is the closure of

$C_{\mathcal {R}(T)}$

in the strong operator topology. Also, we extend the classical Weyl–von Neumann Theorem to

$\mathcal {S}_C$

, showing that every self-adjoint operator in

$\mathcal {S}_C$

is the sum of a diagonal operator in

$\mathcal {S}_C$

and a compact operator with arbitrarily small Schatten p-norm for

$p\in (1,\infty )$

.
On the evolution of the hierarchy of shock waves in a two-dimensional isobaric medium
Authors: Rykov Yuri Germanovich
Published: April 2024

In the proposed paper, the process of propagation of shock waves in
two-dimensional media without its own pressure drop is studied. The
model of such media is a system of equations of gas dynamics, where
formally the pressure is assumed to be zero. From the point of view
of the theory of systems of conservation laws, the system of
equations under consideration is in some sense degenerate, and,
consequently, the corresponding generalized solutions have strong
singularities (evolving shock waves with density in the form of
delta functions on manifolds of different dimensions). We will
denote this property as the evolution of the hierarchy of strong
singularities or the evolution of the hierarchy of shock waves. In
the paper, in the two-dimensional case, the existence of such an interaction of strong singularities with density delta function
along curves in the space $\mathbb{R}^2$ is proved, at which a density concentration occurs at a point, that is, a hierarchy of
shock waves arises. The properties of such dynamics of strong
singularities are described. The results obtained provide a starting
point for moving on to a much more interesting multidimensional
case in the future.
Virulence Evaluation of Aeromonas spp. KS-1 Isolated from Kitchen Sponge using Omphisa fuscidentalis Larvae
Authors: Ilsan Noor Andryan , Inggrain Maulin , Nurfajriah Siti , Yunita Melda , Priyanto Jepri Agung , Ramanda Viqih
Published: April 2024

Aeromonas spp. causes the human diseases including diarrhea, gastroenteritis, and bacteremia. Aeromonas spp. can be found in kitchen sponge, one of the reservoirs for food-borne bacterial pathogens. Virulence study of Aeromonas spp. in vivo in animal model is important since the animal model can mimic manifestasions in human infections. Omphisa fuscidentalis was chosen for alternative virulence model, since they are in the same taxonomical order with the well-known infections model, Galleria mellonella. Bacterial isolation and selection of kitchen sponge used Brain Heart Infusion agar and Endo Agar, respectively. Bacterial virulence of KS-1 was injected into Omphisa fuscidentalis larvae. Survival percentage and melanization score of infected larvae were evaluated. Hemolymph of larvae with melanization score of 1 and 4 were stained with Giemsa method to observe the hemocyte changes. Bacterial identification of isolate KS-1 based on 16S rRNA sequence resulted in 96.9% identity to Aeromonas spp. strain VS7. Isolate KS-1 injection to O. fuscidentalis revealed higher bacterial dosage resulting more severe symptoms to the larvae according to survival percentage and melanization score. However, statistical analysis showed evaluation of melanization score could distinguish larvae with 106 and 107 CFU/larva dosage injection, while evaluation of survival percentage could not. Hemocyte of larvae with melanization score 1 had larger and more cytoplasmic vacuolization than the score 4 (healthy larvae). Omphisa fuscidentalis is an alternative of insect model for bacterial infections with survival percentage and melanization score as the evaluation. Cytoplasmic vacuolization of hemocyte can be used as larvae’s health indicator in a cellular level.
Identification of Garlic Viruses Associated with Seed Bulbs and Consumption Bulbs from Several Locations in Indonesia
Authors: Nurulita Sari , Mawarni Sofi , Hidayat Sri Hendrastuti
Published: April 2024

Virus infection is one of the major constraints in garlic production since the viruses are readily accumulated on vegetative propagation material (bulbs). This research aimed to detect garlic common latent virus (GCLV), shallot latent virus (SLV), onion yellow dwarf virus (OYDV), and leek yellow stripe virus (LYSV) infecting local garlic as seed bulb and imported garlic as consumption bulb. Seed bulb samples were obtained from seed breeders in several garlic growing centers in Indonesia. In contrast, consumption bulb samples were obtained from plant quarantine warehouses and three local markets in Bogor. Some bulb samples were used for morphological observations, and some were germinated in the laboratory until the leaves emerged. Leaves were collected for virus detection by RT-PCR using specific primers for GCLV, SLV, OYDV, and LYSV. Seed and consumption bulbs have differences in their morphological characteristics, especially in the type of neck hardness and the size of the bulb diameter. OYDV and LYSV infections were successfully detected in seed and consumption bulbs, while SLV was only found in consumption bulbs. Nucleotide sequence analysis showed that SLV from consumption bulbs formed one group, GCLV from seed bulbs formed one group, while OYDV and LYSV from seed and consumption bulbs were in different groups, indicating that the viruses came from different strains. Further research through high-throughput detection methods and providing virus-free planting material are needed to anticipate the spread of new strains of garlic viruses in Indonesia.
Healthcare professionals’ perceived stigmatization about direct care of COVID-19 Patients: development and validation of the discrimination about COVID-19 (DisCOV-19) instrument
Authors: Abdulmuminu Isah , Chinelo Nneka Aguiyi-Ikeanyi , Chibueze Anosike Azubuike Ekwuofu , Deborah Oyine Aluh , Blessing Onyinye Ukoha-kalu , Maxwell Ogochukwu Adibe , Chinwe Victoria Ukwe , Abubakar Sadiq Abdullahi
Published: April 2024

Background: The novel coronavirus disease 2019 (COVID-19) is a public health concern worldwide. Healthcare professionals are among the most vulnerable groups in the fight against COVID-19 because they are directly involved in the care of at-risk persons and patients with Covid-19.Objectives: This study aimed to measure the level to which healthcare workers feel that they can be discriminated due to their involvement in the direct care of COVID-19 patients.Methods: A cross-sectional online survey was conducted among healthcare professionals in Nigeria. A nineteen-item discriminationagainst COVID-19 (DisCOV-19) questionnaire was developed and validated for the study. Descriptive statistics and One- Way Analysis of Variance were used for data analysis. P<0.05 was considered statistically significant.Results: Out of the 286 healthcare practitioners that participated in the study, 58.4% and 30.1% were pharmacists and physicians,respectively. The majority of the participants were at least "moderately concerned" about disability (60.9%), death (71.7%), unknown complications (65.1%), and risk of infecting family members and friends (83.2%) if asked to provide care for COVID-19 patients. The physicians had a significantly higher mean discrimination score compared to the pharmacists (p=0.041). Pharmacists had a significantly lower mean discrimination score than the nurses (p=0.011).Conclusions: Many of the healthcare professionals reported a certain level of concern and perceived that they could face some forms of discrimination for providing care to COVID-19 patients.
Burden and factors for the early resumption of sexual intercourse in the puerperium among new mothers at Kawempe national referral hospital and Mengo hospital, Uganda
Authors: Edith Namulema , Sarah Nakubulwa , Lubega Muhamadi
Published: April 2024

Background: Early resumption of sexual intercourse in the puerperium is a concern for couples because it is often not discussedduring pre-natal or postpartum care.Objective: This cross-sectional survey aimed to establish the current burden and factors associated with the early resumption of sexual intercourse within the puerperium at the National Referral Hospital and Mengo Hospital.Methods: We conducted a descriptive cross-sectional study among 445 parous women attending the six-week postpartum reviewand the young child clinic at Kawempe National Referral and Mengo Hospitals between March and May 2021.Results: The prevalence of ERSP within the puerperium was 39%. This study's earliest time to resume sexual intercourse was one week; the majority had resumed by week four (9.2%). Factors associated with the early resumption of sexual relations were the person’s tribe, going to the husband’s home after birth, and parity. The prevalence of sexual morbidities was 13%. Seventy-five (75%) of mothers did not receive information from the health care workers on when they can resume sex following childbirth.Conclusion: Puerperal sexual intercourse is still prevalent in Uganda. Interventions to reduce the resumption of sexual intercoursein the puerperium should focus on these determinants to delay puerperal sexual intercourse.
Maternal inherited thrombophilia and recurrent pregnancy loss: a Tunisian study and review of the literature
Authors: Rim Frikha , Fatma Turki , Nouha Abdelmoula , Tarek Rebai
Published: April 2024

Background: Inherited thrombophilia, mainly the Factor V Leiden (FVL) and Prothrombin mutation (PTM) are the most risk factors for venous thrombosis especially during pregnancy and was strongly associated with recurrent pregnancy loss (RPL), a devastating reproductive problem that affects more than 1% of couples who are trying to conceive. The frequencies also the correlation among these polymorphisms and RPL have been reported controversially in various populations.Objectives: In this study we evaluated the presence inherited thrombophilia amongst 35 Tunisian women with more than 2 miscarriages, referred to our genetic counseling.Methods: DNA was extracted from peripheral blood samples and PCR-RFLP was performed for the molecular diagnosis ofmutation.Results: FVL and PTM were detected in 5.7 % and 2.9% respectively; in women with a particular history of early fetal loss andthrombotic events.Conclusion: This study emphasizes the importance of testing for FVL and FIIM in women with RPL; mainly in the context of thrombotic events. Multi-center collaboration is necessary to clarify the real impact of thrombotic molecular defects on the pregnancy outcome, to ascertain the effect of inherited thrombophilia on recurrent pregnancy loss and then to evaluate the appropriate therapeutic approach.
Nutrient, non-nutrient, antioxidant activity, and Fourier Transform Infrared analysis of Kenyan indigenous edible leafy vegetables from Launaea cornuta (Hochst Ex Oliv and Hiern)
Authors: Jared Misonge Onyancha , Gervason Apiri Moriasi , Elias Nelson Mandela
Published: April 2024

Background: Launaea cornuta is a vegetable with therapeutic advantage for human diseases.Objective: Evaluate nutritive and non-nutritive components, antioxidant activity, and Fourier transform infrared spectroscopyprofile of L. cornuta leaves.Methods: Proximate, nutri, non-nutrient, percentage phenolic, flavonoid, alkaloid, and saponin contents were investigated usingstandard procedures. Total phenolic and flavonoids of the extracts were determined spectroscopically. Antioxidant activity andfunctional groups in the extracts were characterised by 2.2- diphenyl-2-picryl-hydrazyl radical and FTIR spectroscopy, respectively.Results: Carbohydrates were the most abundant (57.61±0.61 %), and crude lipids were the least abundant (4.26±0.20 %) in L.cornuta. Essential amino acids were present in varying concentrations, and histidine was the most abundant (251.20±2.00 mg/100g dw). Calcium was the most abundant mineral element (820.49±1.05 μg/g dw). High concentrations of phenols (13.07±0.60%) and low amounts of saponins (2.19±0.10 %) were recorded. Methanolic and aqueous leaf extracts revealed total phenols of 83.10±4.32 and 57.77 ±1.65 mgGAE/g dw, respectively, while total flavonoids were 8.00±0.01 and 7.99±0.03 mgCE/g of dryweight, respectively. Aqueous extract had significant DPPH radical scavenging efficacy (IC50 =72.96± 0.32 μg/ml) compared to681.57± 2.21 μg/ml for methanol extract.Conclusions: L. cornuta contain phytochemicals with health benefits for averting oxidative stress related diseases.
A retrospective study of Crimean-Congo hemorrhagic fever in Iraq
Authors: Adnan Shaker Doaa , Tawfeeq Abd Muna , Jassim Alsalih Nawar , Ghazi Mahdi Sinan , Alsaadawi Mohenned , Raqeeb Aakef Ihab , Jafaar Aljandeel Tareq
Published: April 2024

Background: CCHF is transmitted via ticks biting and directly by contact with tissue or blood of infected patients or viremicanimals. This study intends to determine the occurrence of CCHF in Iraq between 2015 and 2019.

Methods: This study was designed as a retrospective and descriptive cross-sectional study. It was approved the occurrence ofCCHF in Iraq with relation to some epidemiological and demographic data reported in the Iraqi Communicable Diseases ControlCenter (CDC)/zoonotic diseases section between 2015-2019.

Results: Out of 206 suspected cases, only 17 were diagnosed as CCHF with a total fatality ratio of 52%, 25%, and 80% in 2015and 2018 respectively. However, no mortality was reported during 2016, 2017, and 2019. The mean age of the patients was 33years± 18 SD, in males mainly (76%). Moreover, the risk groups were 29 %, 23 %, 18 % 12 %, and 6 % for butchers, animaldealers, gainers, both housewives and students and children respectively.

Conclusion: Strict precautions and precise surveillance should be implemented to control the disease and protect the communityby improving the diagnosis and treatment of CCHF. The authors recommend another future study to detect the genotypingand sequencing of CCHFV in Iraq.

Keywords: Crimean–Congo hemorrhagic fever; Iraq; tick.
The dilemma of being Ènìyàn (human), towards emergency victims in the age of cell phones: a study of Lagos, Nigeria
Authors: Akinmayowa Akin-otiko
Published: April 2024

This study examined the developing attitude of Nigerians towards victims with health challenges using a Yoruba ethical principles, which is Hu ìwà sí i bí ènìyàn eléran ara (act towards him or her as a human being with flesh and feeling). Mobile phones with cameras have increased online reporting in Nigeria, however it also challenges the disposition to being ènìyàn (being human) towards others during emergency situations. Rather than assisting emergency victims, many first- responders video or take pictures of victims. This change in attitude raises a fundamental question of humanness of first responders to emergency situations in Nigeria. This principle guides human relationships among the Yoruba, however, when applied to ethical issues, it creates a framework, which makes human feelings count. The study showed that if the principle is adapted during emergencies, it will give strength to the humane relationships in Nigeria. The study focused on selected cases to evaluate the attitude of first responders (FR) in emergency situations; it also showed how antithetical the attitude of FR is to the general sense of African good neighbourliness, that is being human. There is a departure from the attitude of common support of the other as ènìyàn.