bluuebunny/crossref_metadata_2025 huggingface dataset:
Thyroid pathologies in nuclear medicine
Authors: Barone Sebastiano , Pagliuso Luana , Pagliuso Serena
Published: August 2021

The presented work describes the thyroid pathologies and the nuclear-medical diagnostic approach, in order to obtain a differential diagnosis and the monitoring of various neoplasms; specifically, it describes the importance of radiometabolic treatment with iodine 131, after thyroidectomy surgery.
Through a study conducted in patients suffering from thyroid disease, undergoing metabolic radiotherapy, it is shown that, with equal distribution of radioiodine, uptake with at least 3700 MBq of therapeutic dose is obtained. All this can be seen through the whole body scintigraphic framework, obtained through the use of the double-headed gamma camera with collimators for high emission energies.
Radiometabolic treatment is effective in patients with a high risk of relapse, while radioiodine treatment is not recommended in low-risk patients.
Viscero-somatic integration: new therapeutic proposals through integrated thermal cures (CIT)
Authors: Barassi Giovanni , Irace Giuseppe , Di Iulio Antonella , Di Stefano Giuseppe , Di Simone Edoardo , Mariani Chiara , Supplizi Marco , Di Iorio Angelo
Published: August 2021

Traditional thermal medicine, gold standard for some pathologies, focuses its therapeutic target mainly on a sectorial level, focusing only on the pathological symptom and neglecting man as a whole.
The importance of the whole, of the phenomena of systemic, viscero-somatic and somato-visceral interrelation, has led to the creation of a new approach called "CTI" - Integrated Thermal Care, which uses all the thermal therapies, integrated and administered according to the individual needs to enhance their therapeutic effect.
235 subjects have received, on average, 40 treatments within about a year. They were treated with hydropinic treatment, inhalation treatments, hydrokinesitherapy, vascular pathways, mud therapy and manual neuromuscular therapy associated with the previous treatments.
The results obtained in all the FIM, VAS, TINETTI, EUROQOL scales are positive and statistically significant, which suggests that a modification of the treatment protocols, which provides for a unique and integrated stimulation, is the new objective of thermal medicine for serious disabilities.
Comparative study of different Gd-EOB-DTPA flows as a solution of the Gibbs Arterial Phase artifact in liver MRI
Authors: Curatolo Calogero , Santoro Vincenzo
Published: August 2021

The purpose of this study was to compare three different injection rates to improve the quality of the arterial phase images in the MRI imaging of the liver with Gadoxetico Acid (Gd-EOB-DTPA) and, in particular, how these affect and/or mitigate Gibbs artifact.
The use of support ultrasound as a working tool for the physiotherapist a review of the literature
Authors: Collebrusco Luca , Zualdi Luca
Published: August 2021

Study design: Narrative Review. Background: The use of ultrasound imaging to assess muscle and related soft tissue morphology and function has recently developed in physiotherapy practice. This approach has been called Rehabilitative Ultrasound Imaging (RUSI) and is supported by new legislative regulations: law n.24 of 8 March 2017 and law n.3 of 11 January 2018. Objective: Here, we provide (a) an overview of current literature regarding the reliability of the ultrasound imaging for rehabilitation use; (b) the possible use in the functional evaluation and treatment through ultrasound biofeedback; (c) training strategies for the use in the clinical practice, including benefits, limitations and skills. Methods: The findings in the following electronic databases Medline, PubMed and Pedro from the last 20 years, were used. Exclusion and inclusion criteria were described for eligibility. Results: Search provided 81 articles. Of these, 23 were excluded for the title, 14 for abstract, 16 because not relevant in the discussion of this work. 7 articles were included as related articles for a total of 35 reviewed articles. Conclusions: Clinical heterogeneity observed among the studies suggests analyzing and validating the RUSI protocols in more detail to create shared training standards, guidelines and good clinical practices.
The ‘wellbeing’ in spite of everything: small sharing spaces with families or peer educators during the COVID-19 pandemic
Authors: Diamare Sara , D'Anna Emilia , Furia Rita , Goretti Malvina , Maglio Rosaria , Salerno Marina , Di Trapani Giovanni
Published: August 2021

During the difficult period caused by the Covid-19 pandemic, a workshop was implemented online, leading a study about the effectiveness of the 'Salotti del BenEssere©' model among students and future educators. This course is the result of the collaboration between the Suor Orsola Benincasa University in Naples and ASL Napoli 1 Centro. It’s a model of salutogenesis that specifically proposes a multicentre space for the evaluation and spread of healthy lifestyles. Due to the pandemic and the consequent social isolation, the 'keys' to access the main topics for the healthy lifestyle promotion were explored online in order to overcome social isolation; at the beginning of each lesson on the Salotti del BenEssere©, audio files were provided to guide the students through the experience of each “key”: Breathing, Nutrition and Emotions.The lessons were carried out through distance teaching on the online platform called “Google Meet”. For evaluation purposes, questionnaires that were originally created in paper format were transferred to the online opensharing platform “Google Forms”. The general aim of the evaluation is to establish whether the educational process formulated by the “Salotti del BenEssere©” has an impact on self-perception in relationships. The specific aim of this study is to verify whether there were differences between the results achieved by the students who were able to experience the face-to-face lessons and those who were forced to attend the lessons online and, if so, to record which ones are significant.We believe that these innovative and digital techniques can become a tool for future educators, especially in emergency situations, to overcome social isolation.
RAISING THE MINIMUM WAGE OF THE US WORKFORCE
Authors: Mumbai Kshama
Published: August 2021

“The Lawrence Textile Strike, also known as the Bread and Roses Strike”, prompted the first minimum wage law in the
United States in 1912. Various states followed suit over the next two decades, and in 1938, at the height of the Great
Depression, Congress passed the Fair Labor Standards Act, which created a federal minimum wage (FLSA).The basic
incentive behind the introduction of the Act was to reduce income inequality.A rise in minimum wage acts as a form of
relocation of wealth from higher-income people to lower-income people.
In principle, Congress amends the FLSA on a regular basis to raise the federal minimum wage to levels necessary for
even the lowest-paying workforces in the economy.It also aims to help low-wage workers benefit from overall economywide advances in living standards. However, this has historically not always been the case. In 1968, The Poor People’s
1 Campaign started because of not raising the minimum wage to sufficient levels .
The explicit purpose of the federal minimum wage is to help increase consumer purchasing power which stimulates the
economy and to keep America's workforces out of poverty.However,the law failed to include the automatic cost of living
adjustments and led to inflation eroding the real value of the minimum wage over time.
There is a dire need for legislative action to raise the nation’s wage floor, more so than ever during the COVID-19
pandemic.Unless consumer's purchasing power is increased,it will be difficult to come out of this recession.Further,the
minimum wage is a direct concern for poverty levels and gender / racial inequality.This paper aims to analyze previous
work on the issue and provide further recommendations for the same.
STUDY OF VITAMIN D LEVELS IN MEN WITH PREMATURE ANDROGENETIC ALOPECIA
Authors: Danane Ashish , Mundhada Ganesh R. , Agrawal Sujata
Published: August 2021

Androgenetic alopecia is common dermatological problem among the young to middle aged population.Androgenetic
alopecia is labeled as 'premature' or 'Early' androgenetic alopecia when the onset of disease is before 30 years of age.
There is very little data available regarding the role of vitamin D in the Premature androgenetic alopecia.
Vitamin D deficiency is diagnosed when the levels of vitamin D in the serum is <30 ng/ml.
This study focuses on establishing association between serum vitamin D levels and severity of premature androgenetic
alopecia.
Conclusion:Vitamin D plays a major role in premature onset of androgenetic alopecia.
ACUTE APPENDICITIS REVIEW
Authors: Pablo David Erazo Hoyos , María Fernanda Andrade Villalva , Tannia Elizabeth Leon Guamanquispe , Fátima Gissela Fiallos Santamaría , Gloria Estefanía Aguiar Flores
Published: August 2021

Acute Appendicitis (AA) is an inflammatory process of the cecal (or vermiform) appendix, frequently due to the obstruction of the lumen of the appendix.It is also associated with a high risk of developing ileus,peritonitis,abdominal abscess if it does not have a fast and timely treatment.Technological tools such as CT,ultrasound and MRI are currently the ideal complement for the diagnosis of AA,which is initially based on the clinic with the Alvarado Scale.
MORBIDITY PROFILE OF PATIENTS REPORTING AT A RURAL HEALTH TRAINING CENTRE IN A TRIBAL AREA
Authors: Gokhale Chinmay N , Chavhan Smita S , B Adsul Balkrishna , Kinge Kirti V
Published: August 2021

Introduction:Primary health care was defined at Alma Ata international Conference with 8 essential elements.Most of
our country's population lives in rural area and it has always been a challenge to provide all these elements of Primary
Health care to them especially in tribal areas.
Aims & Objectives: This study was carried out to observe the morbidity profile of patients reporting in routine OPD at
Rural Health Training Centre situated in a tribal area.
Methods: This study was conducted at a Rural Health Training Centre (RHTC) in Palghar, Maharashtra. Data of all
patients was collected for a period of one year between Jan 2019 and Dec 2019. Data was entered and analyzed using
Microsoft Excel Spreadsheet software.
Results and Observations:A total of 25503 patients reported to OPD of Rural Health Training Centre in the study year of
2019. Out of these 72% were adults. The monthly trend of diseases showed two peaks in seasons of monsoon
(predominantly AFI) and winters (mostly URTI).
Conclusion: This study showed that various illnesses have seasonal variations and also there is scope for better
reporting of definitive diagnoses. Such studies at regular intervals may provide a better picture in terms of health care
needs of patients of tribal areas and may help upgrading services.
INVESTIGATIVE THERAPY OF COVID-19 CASES WITH CONVALESCENT PLASMA
Authors: Talukdar Anjan Jyoti , Das Raj Pratim , Hazarika Basanta , Saikia Priyam , Chaliha Tirtha , Dutta, Sangit , Baishya Achyut Chandra
Published: August 2021

BACKGROUD:Covid-19hasemergedhasanalarmingpublichealthcrisis,puttingthehealthcarefacilitiesacross theglobeat
strain.Even after almost ten months of its identification,there exists only a few specific approved therapeutic agents for novel
coronavirus disease.In this observational study,we have looked for any clinical benefits of convalescent plasma therapy in
moderately severe cases of Covid-19,when added to a regimen consisting of Remdesivir,Dexamethasone and Heparin.
METHODOLOGY: 528 moderately severe patients confirmed by RT-PCR test were enrolled. One dose of 200 mL of
convalescent plasma (CP) derived from recently recovered donors with the neutralizing antibody titers above 1:640 was
transfused to 268 patients as an addition to maximal supportive care and Remdesivir with steroid and heparin while 260
receivedRemdesivir with steroid and heparin.
RESULTS:Theprimaryendpointwasmortalitybenefit.Thesecondendpointswerethereductionindaysofhospitalization,viral
clearanceandimprovementofclinical symptoms.Themediantimefromonsetofillness toplasmatransfusionwas9.55d(range
6-24d).Nosevereadverseeffectswereobserved.
CONCLUSION:Our studyshowedthatCPTcouldimprovesurvivalinpatientswhenaddedtothestandardtherapyinpatients
with moderate Covid-19 infection. The add on therapy also significantly reduced the need for supplemental oxygen in the
survivorsItcouldpotentiallyimprovetheclinicaloutcomesbesidesbeingawell-toleratedmodalityoftreatment.
THE RELATIONSHIP BETWEEN COPING RESPONSES AND QUALITY OF LIFE AMONG INDIAN ELDERLY POPULATION
Authors: Rosaly Pristina , Parashar Neha
Published: August 2021

Old age is regarded as a time period when individuals experience change in many aspects of their lives.While being
presented with various challenges over time, their resources like social support, physical and mental health, financial
income, etc also tend to decline, thus leaving them at a loss of resources that are actually necessary to help them cope
with these challenges.Most studies on elderly population have suggested these factors have an impact on their Quality
of Life. The onset of the COVID pandemic (which was deemed health-threatening, especially for older people in
comparison to adults of other age groups) and lockdown implied further complications for their health, mental well
being and their daily functioning too. However, despite the absence of external sources of support, the presence of
internal sources like coping could act as a protective factor in face of adversity, and have a positive influence on their
Quality of Life.The aim of this research is to study the coping responses of elderly Indian population during the lockdown
period of COVID pandemic,and its effect on their Quality of Life.
INCIDENCE OF GALL BLADDER CARCINOMA: A RETROSPECTIVE CASE STUDY AT RIMS RANCHI
Authors: Parwin Nasrin , Maity Jayashree , Pathak Sona
Published: August 2021

BACKGROUND: Gall bladder carcinoma is most common malignancy of the biliary tract and seventh most common
gastrointestinal malignancy. Histologically most gall bladder carcinoma are pancreaticobiliary type adenocarcinoma,
showing variable degrees of differentiation.The determination of the histology type of tumour and differential diagnosis
from gall bladder adenocarcinoma are often difficult. It has unique significant and striking gender, geographic and
ethnic variation in the incidence worldwide. MATERIAL AND METHOD: It is retrospective record based study,
performed in department of Pathology RIMS, Ranchi. Study population included all cases who were operated for
different pathology of gall bladder,with some common clinical presentations of upper right quadrant abdominal pain,
jaundice, nausea and vomiting, from January 2018-December 2019. RESULT: Among the spectrum of gall bladder
diseases most common finding was chronic cholecystitis, incidence of gall bladder carcinoma is a rare entity. In our
present study female preponderance has been noted and mostly incidence is among the age group above 30 years.
ROLE OF PROPHYLACTIC ANTI COAGULANTS AND ANTI PLATELETS TO REDUCE THE INCIDENCE OF THROMBOSIS, STROKE, MYOCARDIAL INFARCTION IN ASYMPTOMATIC PATIENTS OF COVID19
Authors: Brunomascarenhas J Mariano Anto
Published: August 2021

BACKGROUND: As we are in the middle of the second year of the COVID19 Pandemic,we are observing an increased
incidence of conditions like Cerebrovascular Accidents, Ischemic Heart Disease, Myocardial Infarction, Deep Vein
Thrombosis,Pulmonary Embolism,and Thrombosis of Other Vessels.
MATERIALS AND METHODS: Literature Review and Analysis of Coagulation Profiles of Patients in the past 1 year
treated by the author was done.
RESULTS AND CONCLUSIONS:
1. COVID19 is not just an infectious disease, but also an Immune Disease. The Immune Part can also happen in
Asymptomatic Patients and those who got the vaccine.
2. Most of the disease processes in the body start after the virus has been cleared from the throat. The vigil against
complications must not stop when the Throat Swab becomes negative or even when the patient is discharged but
must continue for months till all the disease processes stop.
3.It is recommended that:
a.Initial Evaluation with PT, aPTT, INR is done for:
I.Those suffering from COVID 19 who have not undergone D Dimer evaluation
ii.Those recovering from COVID 19.
iii.Those likely to have had COVID 19 (based on the symptoms),but the infection was not documented.
iv.Those likely to have had asymptomatic COVID 19 (contacts of COVID19 infected patients)
v.Those planning to take Vaccines for COVID19.
b.An Abnormal Value in PT,aPTT,INR may be managed with appropriate Drugs like Aspirin,Clopidogrel,Dipyridamole,
Ticlopidine, Rivaroxaban, Dabigatran, Apixaban, Edoxaban, Heparin, Low Molecular Weight Heparin, Warfarin, and
other drugs.
c. Serial Evaluation of PT, aPTT, INR be done after 1 month, 3 months, 6 months (and even at more frequent intervals if
indicated) and the drugs are added or removed,the dosage of the drugs is increased or reduced based on the results.
d.Standard Indication of IVC Filter may be followed.
4.It is the knowledge of the pathogenesis of Thrombosis that is crucial in the prevention and management of Stroke,
Heart Attack, Deep Vein Thrombosis, and Pulmonary Embolism rather than fancy gadgets, expensive tests, and
exotic drugs.
FORMULATION AND EVALUATION OF NANOPARTICLES WITH NEURO PROTECTIVE CHEMICALS OF NATURAL AND SYNTHETIC ORIGIN.
Authors: Deshpande Pallav Kaushik , Gothalwal Ragini
Published: August 2021

Most of the active phytoconstituents under development are poorly water soluble or have poor bioavailability .
Nanotechnology is an approach to overcome the challenges of conventional drug delivery systems and limitations of
phytochemicals. Solid Lipid nanoparticles show interesting features concerning therapeutic purposes. The main
advantage is that they are prepared with physiologically well-tolerated lipids.Solid Lipid Nanoparticles (SLNs) as novel
lipid based nanocarriers with size range between 10 to 1000nm. SLNs were introduced to overcome problems of
polymeric nanoparticles.In present research formulation and evaluation of nanoparticles with ethanolic extract of two
plants Celastrus paniculatus and Bacopa monnieri along with Donepezil as a standard drug was undertaken here for the
production methods for preparation of SLNs, and pharmaceutical approach of SLNs in drug delivery . The focus of
nanoparticle design over the years has evolved toward more complex nanoscopic core–shell architecture using a single
delivery system to combine multiple functionalities within nanoparticles which combine the mechanical advantages of
biodegradable polymeric nanoparticles and biomimetic advantages of liposomes, have emerged as a robust and
promising delivery platform.
Solid liquid nanoparticles having plant extracts were successfully formulated and characterized for their stability.A
biodegradable polymeric core is surrounded by a shell composed of layer(s) of phospholipids. This architecture can
provide advantages such as controllable particle size, surface functionality, high drug loading, entrapment of multiple
therapeutic agents, drug release profile,and good serum stability of phytochemicals
A STUDY OF CORROSION CONTROL IN PIPELINES
Authors: K Shree Meenakshi.
Published: August 2021

Pipeline corrosion is the deterioration of pipe material and the related system due to its interaction with the working
environment. It affects pipeline and accessories made of both metals and non-metals. Pipeline corrosion—and the
related catastrophic failures that it can cause—cost billions of dollars to the economy. The total annual cost of corrosion in
2016, including direct and indirect costs, was estimated at over USD $1.1 trillion in the United States. In other words,
corrosion is a big problem. It predominantly affects pipelines made of metals such as copper, aluminum, cast iron,
carbon steel, stainless steel and alloy steel pipes used for buried, underground, submerged or other pipelines. That
makes designing and selecting the best available systems and materials for pipelines and their corrosion protection
systems an extremely important issue for the oil and gas industry. In this research paper we will investigate and take a
look at the key types of corrosion that affect pipelines, and some of the methods that are used to protect this
infrastructure.
CURRENT SCENARIOS IN MANAGEMENT OF BUERGER'S DISEASE AT TERTIARY HOSPITAL UTTARAKHAND
Authors: Prakash Sanjeev , Amit Keshri , Chauhan Nitin , Singh Khem Pal
Published: August 2021

Introduction / Background: Buerger's disease is a systemic vasculitis of unknown etiology, strongly associated with
tobacco abuse worldwide. Buerger described Thromboangiitis obliterans (TAO) in 1908. High prevalence is found in
Asian / Middle East countries. The survival rate of TAO is almost 90%. Presently, total abstinence from tobacco is the
mainstay of treatment.
Aim: To determine the incidence, progression, etiology, impact of seasonal variations on admission, as well as,
presentations, and treatment outcomes at our tertiary health care hospital in Uttarakhand region.
Materials: Patients of Buerger's disease admitted to our Institute during January 2015 to December 2019, were included
in this study.
Methods: Retrospective analysis and study of 142 patients of Buerger's disease admitted at our institute.
Results: Most patients were males (97%), with mean age 38.6 years. The incidence & total TAO admission were overall
decreasing during these years. Trends showed that eighty two (58%) patients were admitted between months of
November to February (cold weather), while least in summers (15%). More than 50% were severe smokers (>30 bidi /
cigarette per day). Pain in limbs was present in 77.4% cases. Major amputations were done in (12) 8% cases, while digital
/ finger / forefoot amputations in 31.69% / 3.52% / 10.58.% cases respectively. Lumbar sympathectomy was done in
twelve cases. The median requirement of analgesic (opioids) by intravenous & oral route was 10 & 12 doses initially, &
mean VAS score on day-1, 5 & 10 was 6.4, 4.1 & 2.9 respectively.
Conclusion: We conclude that incidence of TAO overall shows a decreasing trend, with better health practices.
Admissions peak in the cold season, along with complaints related to painful / ulcerated limbs, with a strong association
with tobacco abuse. Complete stopping of tobacco can halt further progression of TAO.
HISTOPATHOLOGICAL ANALYSIS OF GASTROINTESTINAL LYMPHOMAS AT A TERTIARY CARE CENTRE WITH REVIEW OF LITERATURE
Authors: Raju Sreeja , Surendran Divya , Augustine Joy
Published: August 2021

BACKGROUND: Primary gastrointestinal lymphoma is the most common extranodal non-Hodgkin lymphoma representing a wide spectrum of disease . It constitutes 10–15% of all non-Hodgkin's lymphoma and about 30–40% of extra-nodal lymphomas. The incidence of GI lymphomas varies across the globe . It can involve any site from the esophagus to the anal canal. AIM: This study aims to analyse the clinical features , anatomic distribution, histological subtypes and sites of all GIT lymphomas presenting to a tertiary care centre . STUDY DESIGN : MATERIALS AND METHODS: Descriptive study. The histological material in 21 patients over a period of 8 years (2011–2019), with a histopathological diagnosis of lymphoma involving the GIT was analyzed retrospectively. All lymphomas were reclassified according to the World Health Organization 2019 classification. RESULTS: There were 21 cases of GI lymphomas. 11 males and 10 females with a male to female ratio of 1.1:1. Predominantly middle aged and elderly range from 41-79years is involved. The commonest clinical presentation was abdominal discomfort and abdominal pain. The commonest site involved is ileum and Diffuse large B cell lymphoma is the commonest subtype (71.42%). Only one case of T cell lymphoma was recognized.
CORRELATION BETWEEN OBSESSIVE COMPULSIVE SYMPTOMS & MINDFULNESS AMONG UNDERGRADUATE OCCUPATIONAL THERAPY STUDENTS (UG OT ).
Authors: B. Shitole Rakesh. , Thakkar Hiral
Published: August 2021

Background- Increased responsibility and high demands of studying at medical school can also be associate with
Obsessive Compulsive symptoms in general so they need to be mindful all the time to grasp knowledge and handle
responsibility so that this study was to correlate and analyse mindfulness among OT UG along with their OCD symptoms.
Aim-To study the correlation between obsessive compulsive symptoms & mindfulness among OT UG.
Objectives - Measure the Obsessive-Compulsive symptoms & Mindfulness attention awareness among OT UG.
Study Design-A cross sectional study design.
Methods- Written consent from participants was taken. Paper-based version of the Obsessive Compulsive Inventory
(OCI) scale and Mindful Attention Awareness Scale(MAAS) were used to assess Obsessive-Compulsive symptoms &
Mindfulness among OT UG Occupational therapy students (I to IV year) from School of occupational therapy.
Result – Occupational therapy UG students
Conclusion– Decrease in Obsessive Compulsive symptoms is leading to increase in mindfulness.
TRAVERSING TO A POSITIVE LEADERSHIP: A FRAMEWORK
Authors: Rosali Lalitha
Published: August 2021

To the leaders out there and the leaders of tomorrow, this paper unlocks a new leadership framework, which sets
practical standards expected of an individual regardless of discipline. This framework depicts eight key attributes for
positive leadership which favors what the leader believes, what to expect from him/her, what the leader expects from the
world, and in ways the universe can help the leader become a better positive leader.
COMPARATIVE ASSESSMENT OF TATTOO REMOVAL WITH SINGLE SESSION OF R20 TECHNIQUE AND CONVENTIONAL TECHNIQUE
Authors: Bhagwat Mohini S. , Agrawal Sharmila J. , V. Saoji Virendra
Published: August 2021

Background: Most suitable devices for tattoo removal at present are Q-switched ruby, Nd:YAG and Alexandrite lasers.
1
These are the current gold standard for laser tattoo removal . But there are few limitations, such as long duration of
treatment, large interval between sessions; side effects such as blistering, scarring and dyschromia. The current
methods attempted to reduce the total number of sessions and total duration to achieve clearing of tattoos. R20 method of
tattoo removal is based on principle of repeated exposure of laser light in a single session.
Aim: 1) to compare lightning of tattoos with a single pass Q-switched laser treatment with 4 treatment passes separated
by 20 minutes
2) To compare the Adverse effects between two methods
Methods and Material: It included 50 patients and were divided in half and randomized. Half of them received single
pass treatment with Q-switched Nd:YAG laser 1064 nm used at energy of 360 mJ. Other half received multipass treatment
(each pass at 20 minutes interval with maximum of 4 pass). Tattoo lightening and adverse effects compared 1month later
i.e. after single session.
Results: 1 month later, treatment with the R20 method was much more effective than conventional single-pass laser
treatment. With R20 method, 100% patients experienced immediate erythema and edema, 16% patient experienced
blistering, crusting. No obvious Scarring/permanent pigmentary changes in any patient. >75% fading experienced by
18 patients after single session, 50-75% fading in 4 patients, 40% experienced transient hypopigmentation. With single
pass technique, all patients experienced <50% fading.
Conclusion: With R20 method the number of sessions required for tattoo removal is greatly reduced thus decreasing the
number of visits. It is more effective but also safe in most of the patients. The disadvantages are one single session can
take 3½ to 4 hours.
SPECTRUM OF MAGNETIC RESONANCE IMAGING FINDINGS IN RHINO-ORBITO-CEREBRAL MUCORMYCOSIS PATIENTS DURING SECOND WAVE OF COVID-19 INFECTION IN A TERTIARY CARE HOSPITAL – A PROSPECTIVE STUDY.
Authors: Swaika Sweta , Gupta Akshara
Published: August 2021

Introduction- Mucormycosis is a lethal intrusive opportunistic fungal infection with increased morbidity and mortality.
Its most common form is Rhino-Orbital-Cerebral Mucormycosis (ROCM). It has been described more in
immunosuppressed people and currently in patients with recent history of/ concomitant Covid-19 infection. Magnetic
Resonance Imaging (MRI) has been used to delineate extent of infection and spread and preoperative planning. MRI
shows varied T1 and T2 signal intensity lesions with nonenhancement in necrosed tissues and extension of infection into
adjacent structures. This prospective study aimed at delineating the spectrum of MRI findings in ROCM patients.
Methods and results- A prospective study of 31 patients with ROCM was done in Department of Radiology,
Superspeciality hospital, Gajra Raja Medical College, Gwalior in May and June 2021 during second wave of COVID-19
pandemic. We found that 64.5% patients in study group had previously / recently diagnosed diabetes mellitus and
77.4% cases had recently treated or concomitant COVID-19 infection. All the patients had sinonasal involvement at the
time of imaging. The other areas of involvement were orbit and its contents, some of adjacent soft tissues, cavernous sinus
and cerebral parenchyma, hard palate and cavernous ICA in order of frequency.
Conclusion- ROCM is a grave infection which readily causes perivascular, perineural and soft tissue infiltration within a
short span of time, hence most of the patients in this study had extension beyond the sinuses at the time of imaging. MRI is
an essential tool for early identification of extrasinus extension of disease, detection of intracranial and vascular
complications and presurgical planning.
PERFORMANCE EVALUATION OF SBI - A COMPARATIVE STUDY OF PRE AND POSTMERGER
Authors: V Mahesha, , H Manu,
Published: August 2021

A merger precisely means joining of two entities or two companies into one.Changing global scenario and sustainability
of banks impedes the amalgamation in the banking industry as a corporate strategy. It boosts their economic and
operational power, lift up their worldwide contact, accomplish synergy by unite business activities, increased
performance and lessen costs. This paper discusses the six way horizontal merger between SBI with its six associate
banks including Bharatiya Mahila Bank. The primary purpose of the paper is to analyse the pre and post-merger
financial performance of State Bank of India with the help of different financial parameters such as debt coverage ratios,
leverage ratios, investment ratios, management efficiency ratios, profitability ratios and profit and loss account ratios.
The study is based on secondary data covering six years annual data of pre and post-merger period. The study
evidenced that, the state bank of India is not having significant improvement in the financial performance in the postmerger period.There are several financial constraint have revealed major development during the post-merger period
but most of the constraint haven't shown significant improvement during the post-merger period.
Características de personal expuesto ocupacionalmente a radiación ionizante en Guatemala
Authors: Morales José , Fernández Juan , González Kevin , Godínez Allan , Chocón Luis , Gálvez Eduardo , Rodríguez Edi , Terrón Lucía , Vásquez María
Published: August 2021

Objetivo: caracterizar al  personal ocupacionalmente expuesto a radiación ionizante en los principales departamentos de radiología de hospitales públicos y del Instituto Guatemalteco de Seguridad Social. Material y métodos: encuesta realizada a 104 personas. Se aplicó análisis estadístico univariado. Resultados: la edad media fue 37.65 años; el 60.5 % fue de sexo masculino, el 54.81 %  laboró en rayos X; el 81.73 % era técnicos y 90.58 % poseía licencia operativa vigente. El 97.12 % (101) utilizó medidas físicas de protección. Conclusiones: de 10 trabajadores ocupacionalmente expuestos, 6 son hombres, 7 usan el dosímetro, 8 son técnicos y 9 tienen licencia operativa vigente. La mayoría recibe un nivel de radiación ionizante permitido.
Molecular determinants of antibiotic resistance in Salmonella enterica antibiotic resistance
Authors: Pavlova A. S. , Bocharova Yu. A. , Kuleshov K. V. , Podkolzin A. T. , Chebotar I. V.
Published: August 2021

Nontyphoid strains of Salmonella enterica pose a great threat to human health. The problem of salmonellosis is aggravated compounded by the progressive spread of antibiotic resistance among clinical and agricultural strains of S. enterica. This literature review summarizes the current knowledge of the mechanisms of antibiotic resistance in S. enterica and illustrates the diversity and complexity of molecular systems providing antibiotic resistance. The spectrum of natural resistance is described and the adaptive (acquired) mechanisms of resistance to representatives of the main classes of antibiotics, including fluoroquinolones, aminoglycosides, tetracyclines, nitrofurans, sulfonamides, fosfomycin and chloramphenicol, are thoroughly characterized. Particular emphasis is placed on the analysis of the molecular genetic mechanisms of S. enterica resistance to representatives of the most important classes of antibiotics — β-lactams, and to reserve antibiotics — polymyxins (colistin). Genetic determinants of resistance, transmitted by a horizontal path route are also described. The review analyzes only those variants of the molecular mechanisms of antibiotic resistance where the clinical significance has been proven by a set of correct genetic (sequencing) and biochemical (confirmation of the spectrum of hydrolyzed β-lactams) studies. The main ways of regulating the expression of antibiotic resistance are also described. Many S. enterica strains exhibit a combination of different mechanisms of antibiotic resistance and have a multiple resistance. The question was raised about the heterogeneity of the distribution of resistance among different groups/serotypes within the S. enterica species. In particular, some clonal complexes with signs of resistance are more successful pathogens in humans and animals. Salmonella, like most other bacteria, exhibit a non-canonical type of antibiotic resistance — biofilm resistance, which is realized through several mechanisms, the main of which are the filtering/sorption capacity of the biofilm matrix and the transformation of biofilm cells into dormant and persistent forms.Despite the fact that the functional significance of the molecular assemblies that determine antibiotic resistance is the same for all enterobacteria, the specification of the mechanisms of resistance in Salmonella is a necessary link for the development of molecular diagnostic systems for assessing the sensitivity to antimicrobial drugs.
Diagnostic problems of right-sided heart failure patient with cardiomyopathy cirrhosis
Authors: Nugraha Ida Bagus Aditya
Published: August 2021

Heart failure may cause liver damage, known as cardiomyopathy cirrhosis. Conversely, liver disease could also lead to heart failure and cardiovascular abnormalities. Cirrhotic cardiomyopathy is a relatively rare disease. Diagnosis should be found out as early as possible to prevent complications. Unfortunately, epidemiology data of cirrhotic cardiomyopathy is still limited, and the prevalence is still not precisely known. Hence, we reported a case of a young man with the main problem of right-sided heart failure and suspected cardiac cirrhosis with unclear manifestation. This case has a good outcome so that we hope this report could give a great reference on treating cardiomyopathy cirrhosis.
Lumbar drain for CSF leakage
Authors: Bawa Chashamjot , Raina Jyoti , Singh Amandeep , Rani Khushbu
Published: August 2021

Continuous lumbar drain is a frequently practiced procedure to prevent cerebrospinal fluid (CSF) infection in post-operative neurosurgical cases. However, the level of CSF drained must correspond to the intracranial pressures, where any accidental increase in lumboventricular gradient by slipping of the drainage bag below the level of the iliac crest can lead to over drainage and catastrophe. The learning point is to use automated or manual measures to monitor Intra- Cranial Pressure (ICP) and sound alarm in such an event to prevent sagging of the brain.
ANN-based diagnosis method for skin cancers using dermoscopic images
Authors: Khezri Hamidreza , Farzaneh Mojtaba , Ghasemishahrestani Zeinab , Moghadam Ali
Published: August 2021

Melanoma is one of the most dangerous skin cancers in the world. It accounts for 55% of all deaths associated with skin cancer. Researchers believe that skin cancer increases the risk of other cancers if not diagnosed early. Therefore, prompt and timely diagnosis of this disease is very important for the successful treatment of the patient. This system can detect melanoma lethal carcinoma from other skin lesions without the need for surgery, with a low cost, accuracy of about 98.88% and specificity 99%. In this article, a new, intelligent and accurate software (Delphi) system has been used to diagnose melanoma skin cancer. To detect malignant melanoma, the ABCDT rule, asymmetry (A), boundary (B), color (C), diameter (D) and textural variation (T) of the lesion are calculated and finally, an artificial neural network (ANN) is used to obtain an accurate result. The ANN with Multi-Layer Perceptron (MLP) contains the five extraction Characteristics (ABCDT) of lesions is used as inputs, two hidden layers, and two outputs. Very good results were obtained using this method. It was observed that for a dataset of 180 dermoscopic lesion images including 80 malignant melanomas, 20 benign melanomas and 80 nevus lesions. Due to its automatic recognition and ability to be installed on a computer, this system can be very useful for dermatologists as well as the general public.
Effective Leadership in the Engineering, Technology, and Construction Industry
Authors:   Tiffin University, Tiffin, OH, 44883, USA, W. Farler David , Haan Perry ,   Tiffin University, Tiffin, OH, 44883, USA
Published: August 2021

This paper explores what effective leadership is being employed in the engineering, technology, and construction (ETC) industry. Organizations need to understand what character traits are being used and what leadership styles work to promote sustainability and improve the triple bottom line. This paper looks at multiple publications on leadership and character traits effective for managers and leaders in the ETC industry. The ETC industry is a trillion-dollar industry, and understanding ways to improve leadership is vital for organizations' successful outcomes. With improvements to the managerial and leadership, there could be ways for organizations to profit more and cut down on cost costs. Finding ways to improve motivation can help organizations improve safety, improve culture, and increase employee motivation. From the research, this paper has found that situational leadership, transformational, and transactional are the most effective leadership styles that individuals can use in the ETC industry for leadership. Character traits that are the most effective have been identified in this research paper. This research has contributed to the ways individuals who start in the engineering and technology industry can improve upon their leadership skills as they are promoted into managerial and leadership roles. The need for managerial positions in the ETC industry, such as project and construction managers, to improve is vital for successful outcomes and creating a high-level performance. The study helps provide a gap in the limited research available to improve ETC leadership for all organizations' present and future.
PENINGKATAN KEMAMPUAN BERPIKIR KRITIS DAN HASIL BELAJAR MELALUI PEMANFAATAN MEDIA PEMBELAJARAN BERBASIS VIDEO PROSHOW GOLD PADA SISWA SEKOLAH DASAR
Authors: Bramantha Heldie
Published: August 2021

Penelitian ini bertujuan untuk mengetahui peningkatan kemampuan berfikir kritis dan hasil belajar melalui penggunaan media pembelajaran berbasis video Proshow Gold pada siswa kelas 4 di SD Negeri 3 Mangaran kabupaten Situbondo. Subyek penelitian adalah kelas 4 SDN 3 Mangaran yang berjumlah 19 orang. Jenis penelitian yang yang digunakan adalah penelitian tindakan kelas (PTK) model Kemmis dan Mc Taggart, satu siklus terdiri dari 4 tahapan, yaitu perencanaan, pelaksanaan, observasi, dan refleksi. Teknik pengumpulan data yaitu berupa observasi, wawancara, tes, dan dokumentasi. Sedangkan proses analisi data penilitian ini menggunakan analisis deskriptif persentase aktivitas guru, berpikir kritis dan hasil belajar siswa. Hasil yang diperoleh dalam penelitian ini menunjukkan adanya peningkatan berpikir kritis dan hasil belajar siswa. Pada kemampuan kritis di siklus 1 sebesar 63% siswa yang mengalami ketuntasan dalam mengerjakan kuis. Pada tahap siklus 2 sebesar 84% siswa yang mengalami ketuntasan dalam mengerjakan kuis sehingga penelitian dihentikan. Sedangkan hasil belajar pada kegiatan sebelumnya sebesar 44% siswa yang mengalami ketuntasan. Pada siklus 1, hasil belajar siswa mengalami peningkatan menjadi 68% siswa yang mengalami ketuntasan belajar dalam ulangan harian. Dari tahap pra siklus ke siklus terdapat peningkatan. Pada siklus 2, hasil belajar siswa mengalami peningkatan menjadi 89% siswa yang mengalami ketuntasan hasil belajar sehingga penelitian di hentikan. Berdasarkan data tersebut dapat disimpulkan bahwa media pembelajaran berbasis video Proshow Gold dapat meningkatkan kemampuan berpikir kritis dan hasil belajar pada siswa kelas 4 SD Negeri 3 Mangaran Kabupaten Situbondo.
HEYDƏR ƏLİYEVİN MİLLİ İQTİSADİ İNKİŞAF MODELİ ÖLKƏNİN İQTİSADİ MÜSTƏQİLLİYİNİN ƏSASIDIR
Authors:   Azərbaycan Memarlıq və İnşaat Universiteti, M.A.Məmmədov M.A.Məmmədov , N.E.Hacızadə N.E.Hacızadə
Published: August 2021

Müstəqil ölkəmizdə iqtisadiyyatın bütün sektorlarında qazanılmış nailiyyətlər, yaradılmış iqtisadi, sosial, elmi-texniki maliyyə potensialı, insan kapitalı, infrastruktur, əhalinin sosial-məişət şəraitinin yaxşılaşdırılması Azərbaycan xalqının müasir tarixinin yaradıcısı, müstəqil dövlətimizin qurucusu Ulu öndər Heydər Əliyevin həyata keçirdiyi çox şaxəli inkişaf strategiyasının nəticəsidir. Ulu öndər tərəfindən müəyyənləşdirilən və bu gün ölkə Prezidenti İlham Əliyev tərəfindən yaradıcılıqla və uğurla inkişaf etdirilən Azərbaycanın iqtisadi inkişaf strategiyasının formalaşması mərhələlərinin, onun sürətli inkişafını təmin edən başlıca amil, vasitələrin tədqiqi və dəyərləndirilməsi Ulu öndərin iqtisadi irsinin öyrənilməsində və ölkəmizin perspektiv inkişafinın prioritetlərinin, məqsəd və hədəflərin müəyyən edilməsində, reallaşmasında müstəsna əhəmiyyətə malikdir.
The Resilience of Populism in Iranian Politics: A Closer Look at the Nexus between Internal and External Factors
Authors: Monshipouri Mahmood , Dorraj Manochehr
Published: August 2021

This article seeks to demonstrate that the resiliency of populism in Iran cannot be fully explained by internal variables alone. In contrast to many existing approaches, we argue that a combination of internal and external factors have contributed to the longevity and the resilience
of Islamic populism in the country. The United States' hostile policies toward Iran — especially under Presidents George W. Bush and Donald Trump — have contributed to the rise of a nationalist- populist backlash intended to safeguard the survival of the Islamic Republic.
Iranian Reconstruction, Development, and Aid in Syria
Authors: Lob Eric
Published: August 2021

This article examines the activities of the Iranian parastatal development organization Construction Jihad in the Syrian Civil War since 2015. Construction Jihad has implemented reconstruction and development projects and delivered social services and humanitarian aid in order to appease
segments of the Syrian population and help pro-government forces consolidate territory. This case study sheds light on the complexities and tensions surrounding the Syrian regime's alliance with Iran and Russia and its efforts to preserve national sovereignty and avoid becoming dependent on
its allies.
FAKTOR-FAKTOR YANG MEMPENGARUHI SIKAP BELANJA ONLINE KONSUMEN PADA SITUS LAZADA
Authors: Havizatun, S.E., M.M Melvi , Amelia Kiki Putri
Published: August 2021

Penelitian ini bertujuan untuk mengetahui pengaruh dari Keunggulan Relatif, dan eWOM, Terhadap Sikap Belanja Online dengan Kepercayaan sebagai variabel mediasi. Metode penelitian ini menggunakan kuesioner sebagai instrumen penelitian. Purposive Sampling digunakan sebagai teknik pengambilan sampel. Teknik ini menempatkan kriteria khusus dalam pengambilan sampel. Metode Hierarchical Linear Modeling (HLM) digunakan sebagai metode analisis untuk mengetahui pengaruh mediasi yang terlibat. SPSS 22 digunakan untuk menganalisis data. Hasil penelitian ini menunjukkan bahwa Keunggulan Relatif, eWOM dan kepercayaan berpengaruh signifikan terhadap Sikap Belanja Online.
Description of the female of Brypoctia punctifer (Hampson, 1898) (Lepidoptera: Cossidae: Zeuzerinae)
Authors: Naydenov Artem E. , Yakovlev Roman V. , Delvalée Jean-Paul , Deknuydt Francis , Penco Fernando C.
Published: August 2021

The article describes for the first time the external characters and genitals of the female Brypoctia punctifer (Hampson, 1898). The description is accompanied by a detailed diagnosis and illustrations.
Solusi Akses ENC S-63 Pushidrosal untuk Kapal Angkatan Laut, Pangkalan dan Marinir
Authors: Armansyah Dodik , Pranowo Widodo S. , Madawanto Yanu , Dirgantara Octav B.
Published: August 2021

PLI (Peta Laut Indonesia) dan ENC (Electronic Nautical Chart) adalah produk utama Pushidrosal sebagai lembaga hidrogafi yang dipergunakan untuk keselamatan navigasi. Konvensi SOLAS (Safety of Life at Sea) mengatur bahwa peta navigasi laut yang legal adalah produk dari lembaga hidrografi yang menjadi perwakilan negara di IHO (International Hydrographic Organization). IMO (International Maritime Organization) telah mewajibkan program ECDIS (Electronic Chart Display Information System) mandatory terutama bagi kapal – kapal yang digunakan untuk pelayaran internasional. Hal tersebut mendorong semakin berkembangnya ENC (Electronic Nautical Chart) sebagai produk utama lembaga hidrografi. Pushidrosal mendistribusikan ENC dengan standar S-63. Standar ENC S-63 menjamin keamanan data melalui metode enkripsi. KAL (Kapal Angkatan Laut), Pangkalan Angkatan Laut dan Marinir memerlukan peta laut yang di-update secara periodik sebagai data referensi wilayahnya. Idealnya unit – unit tersebut mempunyai ECDIS agar dapat mengakses ENC S-63 sebagai produk yang update setiap Bulan  , namun terkendala oleh biaya yang mahal. Hambatan tersebut kini dapat diatasi dengan adanya software ECS (Electronic Charting System) OpenCPN yang dilengkapi dengan S-63 plugin. Dengan kemampuan tersebut, OpenCPN memberikan solusi bagi KAL, Pangkalan dan Marinir untuk dapat mengakses dan memanfaatkan produk ENC S-63, sehingga peta laut yang menjadi referensi adalah peta digital yang selalu dapat di-update secara periodik dengan mudah.
Quasi Three-Dimensional Design for a Novel Turbo-Vapor Compressor and the Last Stage of a Low-Pressure Steam Turbine
Authors: Amin Mobarak  , Mostafa Shawky Abdel Moez  , Shady Ali
Published: August 2021

Turbo-vapor compressors (TVCs) are used to create a vacuum pressure in the evaporator of a novel combined cycle for electricity and freshwater production invented by Amin Mobarak. A novel design conceived of a TVC is introduced to increase the efficiency, allowable mass flow rate and reduce costs and losses. The system consists of a single axial compressor rotor followed by a single axial turbine rotor, which drives the upstream compressor, allowing high flow rates. A quasi-3D design is carried out for the TVC to calculate the flow velocity components and angles and ensure that the turbo-vapor turbine work is equal to the turbo-vapor compressor work. A preliminary design of the low-pressure power turbine (LPT) is done to examine the size and number of stages. The (LPT) size is twice the size of TVC at typical cycle operating conditions. A three-stage design is the most appropriate choice for the number of stages. It satisfies the accelerating relative flow condition at the last stage over a range of flow coefficients. A quasi-3D design is carried out for the LPT's last stage to ensure a multi-stage power turbine's safe design.