bluuebunny/crossref_metadata_2025 huggingface dataset:
The Impact of European Integration Development on Media Transformation in the Republic of Bulgaria
Authors: Burdiak Vira
Published: July 2020

The article analyzes the current state of the mass media of the Republic of Bulgaria and the changes that have taken place in this area during the period of preparation and membership of the state in the European Union. The author emphasizes that in the process of European integration, the media played a key role, reflecting all social processes, the impact of European integration on the social and political life of the country in particular. The democratization of the society has contributed to a major transformation of the media system and methods of its management. The state was able to synchronize its media legislation with European norms and standards, which has created a positive dynamics of development in the media market, especially in the segment of TV and radio broadcasting. The process of Bulgaria’s preparation and accession to the EU has had a positive impact on the country’s media policy and media law.

Currently, the main priority of Bulgaria’s foreign policy is the process of European integration and the media play a direct role in it.
Joining the EU has allowed Bulgaria to achieve greater internal stability; use opportunities for the development of democratic institutions, including the media system. The Republic of Bulgaria has not yet reached the standards of the European information policy in the field of ethnic issues, but after joining the EU there are tangible positive changes in the improvement of this sphere.

Commercial media have appeared in Bulgaria, which dissociated themselves from the state, changed their profile, looking for their audience. Due to the concentration of media ownership and increased investment in the media market of Bulgaria, the competition between commercial media has grown and there is now a tendency to commercialize media content. This has led to the spreading of a hybrid model of the press and its tautological audiovisual production. “Classical” censorship gave way to property censorship, which significantly limited the variety of media content and formats. A significant drawback at the level of the media system is the weak regulatory support for the transition to digital distribution of information.
Educación continua y fortalecimiento del desempeño del rol comunitario de enfermeros serumistas
Authors: RUIZ AQUINO MELY MELENI
Published: July 2020

Objetivo. Demostrar la efectividad de la educación continua en el fortalecimiento del desempeño del rol comunitario de enfermeros serumistas del Consejo Regional XII de Huánuco.Metodología. Fue una investigación de tipo experimental-longitudinal, con dos grupos (experimental y control), conformados por 58 enfermeros en cada grupo, seleccionados por muestreo probabilístico aleatorio. Previo al programa de educación continua, se aplicó un cuestionario de desempeño del rol comunitario previamente validado. Se tuvo en cuenta las consideraciones éticas. En el análisis inferencial se aplicó la prueba t de Student.Resultados. Se observó que antes de la intervención, solo el 1,7 % (1) del grupo experimental tuvo desempeño del rol comunitario de nivel alto, 89, 7 % (52) de buen nivel y 8,6 % (5) de nivel deficiente; por otro lado, 98, 3 % (57) del grupo control tenían buen nivel y 1,7 % (1) de nivel deficiente. Después de la intervención, el 86,2 % (50) del grupo experimental evidenció un alto nivel y el 13,8 % (8) un buen nivel. Solo el 1,7 % (1) del grupo control alcanzó un alto nivel y el 98,3 % (57) un buen nivel. Se comprobó la existencia de diferencias significativas entre los promedios de los momentos y grupos de estudio [t= -19,301; p= 0,000], siendo mayor en el grupo experimental, por lo se admite que la educación continua fortalece el desempeño del rol comunitario de los enfermeros serumistas del grupo experimental.Conclusión. La educación continua fortalece el desempeño de rol comunitario de los enfermeros serumistas, habiéndose evidenciado diferencias significativas en los promedios entre grupos y durante el postest [t= 15,601; p= 0,000]. Palabras claves. Educación continua, rol comunitario, desempeño laboral enfermería, promoción de la salud, atención primaria de la salud
Efficacy of the lumbar stabilization and thoracic mobilization exercise program on pain intensity and functional disability reduction in chronic low back pain patients with lumbar radiculopathy: A randomized controlled trial
Authors: Kostadinović Stefan , Milovanović Nenad , Jovanović Jelena , Tomašević-Todorović Snežana
Published: July 2020

BACKGROUND: Exercise programs in the treatment of chronic lumbar pain are quite diverse, but it has been proven that stabilization exercises are the most effective. OBJECTIVE: We compared the lumbar stabilization exercise program in a closed and open kinetic chain (LSCO) and lumbar stabilization exercises and thoracic mobilization program in a closed kinetic chain (LSTMC), and evaluated the clinical effectiveness of each program. METHODS: Prospective, randomized, controlled trial in 80 chronic low back pain (CLBP) patients with lumbar radiculopathy of both sexes (35 male, 45 female), average age (48.45 ± 10.22 years), divided in two groups that performed different sets of exercises. Participants were given laser therapy, transcutaneous electro-nerve stimulation and an eight-week kinesiotherapy that included exercises to strengthen the deep lumbar spine stabilizers. Retesting was done after four and eight weeks. RESULTS: Statistically significant (p< 0.05) superior recovery of the LSTMC group subjects compared to the LSCO group was achieved at all measurement intervals in the pain intensity and functional disability parameters. CONCLUSION: Patients who performed the lumbar stabilization and thoracic mobilization exercise program in a closed kinetic chain had the most effective reduction of pain intensity and functional disability.
LRP4 promotes migration and invasion of gastric cancer under the regulation of microRNA-140-5p
Authors: Mao Zhijun , Wang Zhen , Zhang Shiping , Pu Yansong , Wang Jianhua , Zhang Tao , Long Yanbin , Liu Yi , Ma Yu , Zhu Jing
Published: July 2020

BACKGROUND: Low-density lipoprotein receptor-related protein 4 (LRP4) has been reported to be implicated in multiple types of cancers. However, the significance of LRP4 in gastric cancer (GC) remains poorly elucidated. Therefore, it’s urgent to investigate the importance and underlying mechanisms of LRP4 in GC. OBJECTIVE: To investigate the clinical roles of LRP4 in GC. METHODS: The LRP4 mRNA and miR-140-5p was measured by qRT-PCR. The protein expression was determined Western blot. Kaplan-Meier survival curves and Cox proportional hazard regression models were performed to evaluate prognosis. RESULTS: We demonstrated that LRP4 mRNA and protein was up-regulated in GC tissues for the first time. Its high expression was significantly correlated with malignant clinical features including TNM stage and lymph-node metastasis and poor prognosis for GC patients. LRP4 promotes migration, invasion and epithelial-mesenchymal transition (EMT) progress of GC cells. Mechanically, LRP4 regulated PI3K/AKT in GC cells. AKT inhibitors reversed the effects of LRP4. Finally, LRP4 was regulated by miR-140-5p in GC. CONCLUSIONS: Our findings showed that LRP4 has an important function in GC progression and promotes GC migration, invasion and EMT by regulating PI3K/AKT under regulation of miR-140-5p, providing a potential therapeutic target for GC.
Research on 3D architectural scenes construction technology based on augmented reality
Authors: Zhang Xiang , Yao Jiangtao , Dong Lili , Ye Na
Published: July 2020

This paper presents a framework of architecture scene based on augmented reality, which can help designers to analyze and evaluate the design scheme at the early stage of architecture design. First, we used Revit to construct the 3D architectural model, and then we extracted the scene feature points with AKAZE algorithm, and applied the visual vocabulary tree to identify the architectural scene. Finally, the monocular SLAM technology was used to register the virtual 3D building model of the real outdoor scene, and the architecture scene construction system based on augmented reality was implemented. The experimental results show that the proposed framework has the characteristics of a real immersion and easy spread and can help designers to make a more reasonable evaluation of the architectural design scheme.
IWSN: A novel method for modeling the interaction of web services
Authors: Bao Li , Wan Jianxiong , Hao Le
Published: July 2020

As the most notable implementation of service-oriented architectures, web services has brought some challenging research issues, one of which is the composition. Correct interaction among web services is the prerequisite of their successful composition. In this paper, we propose a novel approach to model dynamic interactive behavior of web services, aiming to effectively take advantage of the flexibility of service composition technology and guarantee the behavior compatibility of web services and further to facilitate the application of web service composition in healthcare field. An interaction model of web services based on Kahn process network (KPN) is presented in this paper, which is a data-flow and channel-based model supporting parallel and cooperative computation. Formal behavioral semantics of this model is defined by Pi-calculus process algebra and formal properties of the proposed model are discussed. An application case is demonstrated to illustrate how the proposed model can be applied to describe services behavior and their interaction. The reachability analysis of the application case is performed based on modal -calculus. How the supporting tool, i.e. CWB-NC, can be utilized to verify the properties we anticipate is presented.
Application of Lorentz force local disturbance shielding on navigation vibration analysis
Authors: Liu Zong-Kai , Zhang Fei
Published: July 2020

In order to evaluate the actual proportion of navigation different region local noise in the total noise, the local region flow-induced vibration should be removed and subtracted. This study we have discussed the N= 1.5 Lorentz force action effects onto the three different navigation surface areas to partly suppress the vortices. Numerical simulation has been used to solve the electromagnetic field equations and the flow government equations combined with the Lorentz force source term. The results show that the striped vortex generated from the junction of the hemispherical head and cylinder body can be totally suppressed when the stream Lorentz force applied onto this area (CASE 1). And the local force applied onto the sail upside surface (CASE 2) can effectively suppress the vortex shedding from the sail’s edges, leading the drag force to decrease dramatically. Lorentz force applied on the side surface of the sail (CASE 3) will reduce the navigation moment greatly. The different areas will appear different control effects on the force changes, moment histories as well as the flow field evolutions before or after the Lorentz force applied. Lorentz force control on the sail’s upside surface can most efficaciously suppress the generation of horse-shoe or hairpin vortex, reducing flow noises and improve the navigation’s stealth capability and the maneuverability.
Development and application of trenchless magnetic detector for oil and gas pipeline defect
Authors: Peng He , Gong Jun-Min , Song Qiang , Xiang Xin-Sheng , Shuai Jian
Published: July 2020

Trenchless detection technology for oil and gas pipeline defect is of great significance to remedy the shortcomings of in-pipeline detection and pipeline direct assessment technology. Pipeline defect detection technology can be expanded and the long-term service of the pipeline can be achieved due to the trenchless detection technology. According to the fluctuation range of ground magnetic field caused by typical pipeline defect, fluxgate sensor was selected as the sensitive element to detect the magnetic fluctuation of the pipeline in this paper. Excitation circuit, detection circuit and data processing circuit of fluxgate sensor were designed. Long-distance pipeline defect detection experiments under indoor and field conditions were carried out by using a self-made fluxgate detector. The indoor experimental results showed that the sensitivity of the magnetic detector is higher than that of the international advanced magnetic detector, and it can detect artificial pipe defects with a depth greater than 20% of the wall thickness at a distance of 1.6 ∼ 2.2 m (7 ∼ 10 times the pipe diameter). The field experimental results showed that the magnetic detector could detect corrosion thinning of pipeline with buried depth of 2.5 m (3.5 times diameter) effectively.
Available transfer capacity model and algorithm of the power grid with STATCOM installation
Authors: Gong Chen , Cheng Renli , Ma Weizhe
Published: July 2020

The optimization of the available transmission capacity (ATC) was considered in the power systems integrated with static synchronous compensator (STATCOM). A calculation method of ATC second-order cone programming (SOCP) based on Benders decomposition was proposed, aiming at the non-convexity and non-linearity in the optimization of the ATC of the power grid. The proposed method was divided into three stages. Firstly, the mathematical model of ATC considering the integration of the STATCOM is established. Secondly, the non-convex tidal current model is approximately converted into a convex optimization model by SOCP. Finally, the solution obtained by transforming the ATC model into two-stage models with basic state power flow constraints and N-1 power flow constraints using Benders decomposition method. The simulation results obtained from the IEEE-118 node system show that the proposed method can guarantee the feasibility of effectively regulating the grid transmission capacity of the power grid. It is also demonstrated that the installation of STATCOM can improve the system transmission capacity.
Prediction of real contact area of fractal rough surface based on FEM contact model results and support vector machine algorithm
Authors: Jiang Jie , Zhang Wenbin , Guo Dewei , Yu Libin
Published: July 2020

The metal-metal contact nonlinearity can degrade the performance of communication system, which has become a hot issue in the electrical contact field. The key problem is to establish the relationship between the parameters of rough surface and the real contact area under the preload. The surface roughness parameters are dependent on the metal material and processing technology etc. The real contact area is generally calculated by the finite element method (FEM). However, there exist some difficulties for FEM such as exact model of rough surface and tedious calculation in the engineering. Aimed at this problem, we propose a new method to predict the real contact area of fractal rough surface, and establish the least-square support vector machines (SVM) regression model and optimize the hyper-parameters by the combination of the coupled simulated annealing and grid searching algorithms. The model can predict the real contact area of metal-metal contact for different working conditions, and address the problem to establish the relationship between the parameters of rough surfaces and the real contact area under the preload. The work lays good foundation for analysis of metal-metal contact nonlinearity.
Study of image features between carved Thangka and embroidered Thangka
Authors: Li Zhenjiang , Wang Weilan
Published: July 2020

Thangka is a representative of Tibetan religion and culture, and it is a typical kind of intangible cultural heritage also. The paper studies the similarities and differences between carved Thangka and embroidered Thangka images based on highlight, shadow and edge information. Three novel features are proposed, Consistency of Illumination Direction (CID), Distribution of Highlight and Shadow near Edge (DHSE) and Edge Similarity under Different Channels (ESDC), and the distribution of Tangka image samples in these feature spaces is analyzed. Experiments and analysis show that compared with the color and texture features, the features proposed in this paper have strong expression ability in distinguishing two kinds of Thangka images.
A non-supervised automatic method of aircraft maneuver partition
Authors: Zhang Lijie
Published: July 2020

Aircraft maneuver partition, which dividing flight data into meaningful maneuvers, is an essential preprocess method for health monitoring, flight simulation and flying quality evaluating. Maneuver partition usually needs flight testing and manual interpretation, which is time-consuming, higher cost, and lower versatility. In this paper, a non-supervised automatic method of aircraft maneuver partition (NSAM) is proposed by using data mining without any priori knowledge: Select 6 parameters, height, speed, angle of pitch, angle of bank, angle of yaw, and normal overload; Extract action parts according to the trends of the normal overload, the main parameters; Use the iterative self-organized data analysis algorithm (ISODATA) and divide action parts by numeric features of parameters into classes that represent maneuvers. Applying the NSAM into the small-scale and large-scale data respectively has the results that at least 89% of the maneuvers can be recognized and classified correctly. It indicates that the NSAM is effective and meets the requirements of engineering accuracy.
Dominancia colectiva: Análisis de la sentencia del pasado 25 de junio de 2018, en que la Corte suprema acogió la reclamación deducida por la Corporación Nacional de Consumidores y Usuarios de Chile, Asociación de Consumidores en contra de la Sentencia Nº 154/2016 del Tribunal de Defensa de la Libre Competencia
Authors: Budnik Gabriel
Published: July 2020

El presente comentario analizará la sentencia del pasado 25 de junio de 2018, en que la Corte Suprema acogió la reclamación deducida por la Corporación Nacional de Consumidores y Usuarios de Chile, Asociación de Consumidores (indistintamente “Conadecus” o la “Demandante”) en contra de la Sentencia Nº 154/2016 del Tribunal de Defensa de la Libre Competencia (“TDLC”), pronunciada con fecha 15 de septiembre de 2016, en la que se rechazó, con expresa condena en costas, la demanda de Conadecus en contra de Telefónica Móviles Chile S.A. (“Telefónica”), Claro Chile S.A. (“Claro”) y Entel PCS Telecomunicaciones S.A. (“Entel” y conjuntamente con Telefónica y Claro, las “Demandadas”).

Más allá del análisis específico del ilícito infraccional del artículo 3º letra b) del Decreto Ley Nº 211, en los siguientes párrafos se analizará uno de los presupuestos para la configuración de un abuso de posición dominante, a saber, la existencia de una posición de dominio y, en lo que importa al fallo, la dominancia colectiva.
DETERMINE THE INCIDENCE AND CLINIC-DEMOGRAPHIC PROFILE OF PATIENTS UNDERGOING MICROLARYNGEAL SURGERY FOR VARIOUS PATHOLOGIES OF THE LARYNX AT TERTIARY CARE HOSPITAL.
Authors: Kumar Amit , Sharma Satyendra
Published: July 2020

Aim: to determine the incidence and clinic-demographic profile of patients undergoing microlaryngeal surgery.

Materials and Methods: this is a prospective study of 100 patients attending an outpatient department with laryngeal lesions evaluated irrespective of their age, sex, and occupation. Biopsy-confirmed malignant cases were excluded.

Result: of the 100 patients, 84 of them exhibited benign lesions and rest 16 patients showed malignant pathology. Most commonly seen benign vocal lesion is vocal nodule (37.0%) followed by vocal polyp (28.0%). Along with hoarseness of voice, other symptoms reported were cough and throat pain, Dysphagia and fever. Improvement in symptoms was seen after the treatment.

Conclusion: Microlaryngeal surgery is a good therapeutic tool in both benign and malignant lesions. The differentiation of benign from malignant lesions is vital. Microlaryngoscopic examination has proved to be the best modality for visualizing these lesions and arriving at a clinical diagnosis

Keywords: Benign, Larynx, Voice change, Vocal nodule
COMBINED TEMPOROPARIETAL FASCIA AND THIN SILICON SHEET AS INTERPOSTIONAL ARTHROPLASTY FOR THE MANAGEMENT OF TMJ ANKYLOSIS- AN EXPERIENCE BASED ON SINGLE INSTITUTIONAL STUDY
Authors: Jain Rakesh Kumar , Gupta Gopalji , Sharma Shubhra
Published: July 2020

Introduction: Temporomandibular joint ankylosis is a debilitating condition leading to problems in mastication, speech, digestion, oral hygiene and even facial appearance. The basic techniques for surgical correction of ankylosis include the gap arthroplasty, joint reconstruction or interpositional arthroplasty. The treatment of TMJ ankylosis poses a significant challenge because of technical difficulties and a high incidence of recurrence.

Material and Methods: 21 patients of temporomandibular joint ankylosis admitted from 2015 to 2018 in the Department of Plastic Surgery, SMS Hospital, Jaipur. . Diagnosis was based on history and clinical assessment supplemented with orthopantomogram (OPG) and computer tomographic scans. Mouth opening is measured as interincisoral distance using a scale. Intraoperatively, silicon sheet is sutured with the distal part of flap using non absorbable suture in half overlapped fashion with an overlapped portion across the joint space. Preoperative photograph is taken in all patients and serial post operative photograph were taken during their regular follow up

Results: 21 patients were part of the study (14 males and 7 females). 16 of our patients were post traumatic. Their age ranged from 7 to 55 years. The disease was unilateral in 19 cases and bilateral in 2 cases. The pre-op interincisal mouth opening ranged from 0 to 9 mm. The intra-operative interincisal mouth opening ranged from 28 to 46 mm. There was no immediate complication and no incidence of facial nerve injury. One patient with bilateral congenital TMJ ankylosis had recurrence. Five patients were lost after the initial 1-year follow-up. 

Conclusion: Use of combined temporoparietal fascia with thin silicon sheet as interpositional arthroplasty provides extra protection in cases of TMJ ankylosis and thereby decreasing the incidence of its recurrence  

Keyword: Ankylosis, TMJ, Interpositional arthroplasty
COMPARATIVE STUDY OF EPISIOTOMY REPAIR: CHROMIC CATGUT AND VICRYL RAPIDE
Authors: Meena B S , Sharma Prerna , . Parveen
Published: July 2020

Background: Prevalence of the episiotomy varies around the world depending on whether it is used as a routine or a restricted procedure. The rates are still higher in developing countries, like ours, since the use of restricted episiotomy is not being practiced widely in primigravidas.

Methods: In our randomized comparative study of 222 women who were admitted to the Department of Obstetrics and Gynaecology, SMS Medical College Jaipur, the enrolled women were divided into 2 groups. In Group-A: Vicrylrapide (polygalactin-910) suture material was used in 111 patients and in Group-B chromic catgut suture material was used in another 111 patients, for repair of episiotomies.

Results: In our present study in vicryl rapide group at 24-48 hrs pain was present in 49.55% of patients, redness was found in 8.10% of patients, swelling was found in 3.60% patients and analgesic used by 72.97% of patients. In chromic group at 24-48 hrs pain was present in 69.36% of patients, redness was found in 21.62%, swelling was found in 7.20% and analgesic was used by 89.18% of patients.

Conclusion: Our study recommends use of vicryl rapide for episiotomy repair in the care of parturient women.

Keywords: Complication, Chromic Catgut, Vicryl Rapide, Episiotomy
A CASE OF RECURRENT BARTHOLIN GLAND ABSCESS IN PREGNANCY
Authors: Berry Sapna , Kumar Naveen , Thakur Bipin
Published: July 2020

ABSTRACT: Bartholin’s gland cysts and abscesses are the most common cystic swelling of the vulva in women of reproductive age. These are usually small in size but the discomfort associated with it necessitates early consultations. Huge Bartholin’s abscesses are uncommon. Fewer cases have been reported among non-pregnant women. This case involved a 29-year old second gravida, who presented at a gestational age of 34 weeks with a vulval swelling measuring 8 x 8 cm, following failure of its resolution from self-medicated antibiotics. She had experienced similar but smaller vulvar enlargement in her previous pregnancy that had resolved following similar medical treatment. She was treated successfully with marsupialization, without any adverse effect on the pregnancy. This case shows the likelihood of huge Bartholin’s abscess complicating pregnancy and that there should be no hesitation to apply marsupialization in its treatment. The recurrence of the abscess in successive pregnancy in this woman, who kept using self-prescribed antibiotics, is a worrying trend and it requires educating women at various reproductive health care clinics about vulvar swellings and warns against antibiotics abuse. Key words: Bartholin’s abscess; marsupialization; pregnancy.
INCIDENCE OF ENTEROBIUS VERMICULARIS INFESTATION IN APPENDICECTOMY SPECIMENS WITH CLINICAL DIAGNOSIS OF ACUTE APPENDICITIS.
Authors: Tabassum Hena , Ray Manoj Kumar
Published: July 2020

Objectives: This present study was to evaluate the incidence and clinical infestation of Enterobius vermicularis in acute appendicitis patients.

Methods: A total of 62 appendectomy specimen with a clinical diagnosis of acute appendicitis of patients with age group 1year to greater than 50 years with irrespective of sexes were enrolled in this study.

Results: Data was analysed by using simple statistical methods with the help of MS-office software. Majority of patients 34(54.84%) were belonged in age group of 21-30 years. Second common age 20(32.26%) group was 11-20 years. Most of the patients were females 49(79%). Histological findings of specimen shown that specimen had 28(45.16%) acute with periappendicitis, 10(16.13%) acute appendicitis. 8(12.90%) Vermiform, 7(11.29%) receeding appendicitis, 5(8.06%) gangrenous appendicitis and 4(6.45%) oxuyriasis.

Conclusions: Enterobius vermicularis infection was commonly seen in second to third decades of life. Females were more preponderance than males. Acute with periappendicitis was the commonest histological findings of specimen. And hence, E. vermicularis infection can be controlled by anthelminthic treatment, yet very unfortunately patients undergo an appendicectomy. An awareness and a high index of suspicion is required since these patients generally have multiple previous visits to the hospital with abdominal discomfort before an acute abdomen that requires surgery. Careful examination and symptomatology awareness, blood examination especially in younger age group should aware surgeon of possible cause of abdominal colic.

Keywords: Enterobius vermicularis, Acute appendicitis, Appendicectomy, Age group, Gender
ROLE OF COMPUTED TOMOGRAPHY IN PATIENT WITH MINOR HEAD INJURY IN TERTIARY CARE HOSPITAL
Authors: Gosavi Sanjay Narayangiri , Lodha Sambhav , Poonia Apoorva
Published: July 2020

Aim: Approximately 2 million people sustain traumatic brain injury (TBI) annually in India. A CT scan of the head is the initial choice of radiological investigation to evaluate patients with suspected head injury. The need for neurosurgical intervention is based on the clinical status of the patient and the radiological finding on head CT.

Material and Methods: This was a prospective observational study done over a period of 6 months. A total of 201 patients were included in the study. Patients of traumatic brain injury above 15 years of age who were subjected to two or more CT scans of the brain. Patients were followed for a maximum of up to 5 scans. The decision of repeat scan was taken by the treating neurosurgeon. Patients who were taken up for surgery based upon the findings of the first CT scan. Patients who were discharged or who expired after the first CT scan.

Results: A total of 201 consequent head injury patients with 2 or more CT scans were studied. 192 were male. The mean age was 38.6 years (Range: 16e80). Road traffic accidents was the most common cause of trauma (134, 67%) followed by fall from height (47, 24%) and assault (17, 10%). Progression of lesion was seen more frequently in mixed lesions (21.8%), followed by SDH (12.5%) and EDH (6.2%).

Conclusions: Repeat CT scans were found to be of value in detecting new lesions or enlargement of existing lesions resulting in change of management in a significant proportion of patients.

Keywords: Computed Tomography, Minor Head Injury, Tertiary Care Hospital, Traumatic Brain Injury (TBI), Lesions.
DETERMINATION OF THE GENDER FROM THE LENGTH OF SKULL SUTURES
Authors: Tiwari Gaurav , Thakur Avinash , Lalwani Murali
Published: July 2020

Background: Determination of the identity of an unknown dead body is one of the most important medico-legal roles of forensic medicine. The present study aimed to determine the gender of the deceased body using the length of the skull sutures.

Material and Methods: A cross-sectional study was conducted in the department of forensic medicine, Gandhi Medical College, Bhopal between the periods of January 2016-June 2017. A total of 500 dead bodies were examined for this study. We utilized the discriminant function analysis to predict a relationship between the gender and the independent variables viz. skull sutures.

Results: Maximum numbers of the case belonged to 20‐29 years age group and the least were in >70 age group.  The minimum age of any case was 20 years and the maximum age was 89 years, mean of age was 38.07(standard deviation 13.61) and the median age was 35. There was a total of 307 males and 193 females. In the present study, the length of the Coronal suture is the most predictive parameter out of three in determining the gender of the deceased person with a value of 0.946. A total of 66.6% of original grouped cases [263 among 307 males (85.7%) and 70 females from 193 (36.3%)] were correctly classified using discriminant function analysis score. 

Conclusion:  The correct gender from the skull of the body was identified in about two-third of the cases.
TO DETERMINE THE ROLE OF CA125 IN THE DIAGNOSIS OF ACUTE APPENDICITIS
Authors: Kumar Vinod , Songra Bhupen , Jain Richa , Mehta Deeksha
Published: July 2020

Background: the present study was under taken to determine the role of CA-125 in the diagnosis of acute appendicitis (AA), to prevent its complications and also in preventing negative appendicectomies in tertiary care hospital.

Methods: The study was conducted at a tertiary care and research center between 01/03/2018 to 30/06/2019. Patients admitted to the surgery department with diagnosis of AA were considered for the study. After informed consent, a, standardized history was obtained as a case Performa. Serum samples from all the cases with clinical diagnosis of AA were obtained and stored. Only the cases with histopathologically approved AA were included in the study. Cases operated for clinical diagnosis of AA, but not histopathologically proven AA was not included in the study. CA125 levels in cases with definitive diagnosis of AA were measured.

Results: In present study, ROC curve analysis revealed the sensitivity of 87.27 % and specificity of 90.91 % when the CA 125 cut-off value of > 16.8 was taken to diagnose acute appendicitis. AUC was 0.911 with a standard error of 0.0292.

Conclusion: In this study we have observed that CA125 showed a positive correlation with acute appendicitis, that was statistically not significant (P>0.05). We didn’t evaluate the correlation with the disease severity. We consider that CA125 can be used as a marker in acute appendicitis cases although further research is still needed.

Keywords: CA125, Acute Appendicitis, Surgery.
TO CORRELATE PLACENTAL THICKNESS WITH OTHER FETAL PARAMETER ON USG IN SECOND AND THIRD TRIMESTER OF PREGNANCY
Authors: Meena B S , Chauhan Ravindra Singh
Published: July 2020

Background: Gestational age is estimated by last menstrual period. Many women are unaware of their last menstrual period due to irregular menses, conception in lactation amenorrhea and due to illiteracy. The best possible ante partum care and successful labor outcome always revolve around the accurate knowledge of gestational age determination, and is an important component of antenatal care

Methods: This was a prospective observational study conducted in department of obstetrics and gynecology on 200 pregnant women in second and third trimester with singleton live fetus at Mahila chikitsalay, S.M.S. medical college, Jaipur, from June 2018 to December 2019. All women were subjected to USG for estimation of gestational age by placental thickness (measured at the level of umbilical cord insertion).

Results: Mean placental thickness show linear positive correlation with head circumference (HC). (r=0.960, p<0.0001).Mean placental thickness show linear positive correlation with abdominal circumference (AC). (r=0.948,p<0.0001). Mean placental thickness show positive correlation with FL both have linear correlation(r=0.946,<0.0001). Mean placental thickness show linear positive correlation with estimated fetal weight (EFW). (r=0.926,p<0.0001)

Conclusion: All fetal parameter FL, HC, EFW, BPD, AC and gestational age showing positive correlation with placental thickness. All parameter have linear relationship with placental thickness. Correlation may be different with different type of parameter.

Keywords: Ultrasonography (USG), Placental thickness, Gestation age.
TO STUDY AND COMPARE THE EFFECT OF DEXMEDETOMIDINE AND FENTANY AS AN ADJUVANT TO LEVOBUPIVACAINE IN INTERSCALENE BRACHIAL PLEXUS BLOCK FOR HUMERUS SURGERY: A PROSPECTIVE RANDOMIZED DOUBLE-BLIND CONTROLLED STUDY
Authors: Jethani Kushal , . Khushboo , Bansal Anjali
Published: July 2020

Introduction: Interscalene brachial plexus block provides complete and reliable anaesthesia for surgery of humerus as well as analgesia for postoperative period. Many studies are being done for the search for an adjuvant which when added to a local anaesthetic, prolong the duration of postoperative analgesia. Therefore we compared the effect of fentanyl and dexmedetomidine on postoperative analgesia when added to levobupivacaine for Interscalene brachial plexus block. Material and Methods: In this prospective study, 90 patients were randomly allocated to 3 groups:  Group C (n=30) recieved 30 ml of 0.5% levobupivacaine, Group D (n=30) recieved 30 ml of 0.5% levobupivacaine + dexmedetomidine 1 μg/kg, Group F (n=30) recieved 30 ml of 0.5% levobupivacaine + fentanyl 1 μg/kg. The duration of blockade and analgesia were assessed for all the three groups.

Observations: Demographic profile was comparable in all the groups. The onset of sensory and motor block and duration of analgesia and motor block were enhanced in Group D and Group F as compared to Group C. The mean pulse rate and mean arterial pressure were slightly lower in dexmedetomidine group than in other two groups.

Results: Compared to the use of levobupivacaine alone for interscalene brachial plexus block, addition of 1 mcg/kg dexmedetomidine or 1 mcg/kg fentanyl to levobupivacaine enhanced the onset of blockade as well as increased the duration of blockade and post-operative analgesia. Also, the blockade characteristics were better improved with addition of dexmedetomidine to levobupivacaine than addition of fentanyl to levobupivacaine without increasing incidence of any unwanted side-effects.

Keywords: Interscalene brachial plexus block, Levobupivacaine, Fentanyl, Dexmedetomidine.
TO STUDY THE FUNCTIONAL AND THE RADIOLOGICAL OUTCOME OF TUBERCULOSIS OF SPINE OPERATED BY POSTERIOR APPROACH.
Authors: Kumar Anil , Thakur Manoj Kumar , Singh Rahul Kumar
Published: July 2020

Background: Tuberculosis is ubiquitous in distribution. Globally, nearly 30 million people suffer from tuberculosis. 3 million deaths occur due to tuberculosis per year. India has burden of 6 million cases. Of these 1-3% constitutes skeletal system involvement.

Methods: The present study included prospective cases of tuberculosis of dorsal and lumbar spine admitted and operated at Indira Gandhi Medical College, Shimla between May 2017 to May 2018 and retrospective patients who have been operated before May 2017.

Results: There was improvement from preoperative kyphotic angle to postoperative kyphotic angle and improvement in kyphotic angle as a significant difference less than 0.05 (p value is 0.01).

Conclusion: At the end of our study, we concluded that good sagittal balance along with good fusion of the vertebrae leads to better functional outcome in patients.

Keywords: Spine, TB, Kyphotic angle.
TO STUDY THE COMPLICATIONS IN DENGUE LIKE ILLNESSES
Authors: Sharma Girdhari lal , Bilwal Rakesh
Published: July 2020

Background: Dengue has a wide spectrum of clinical presentations, often with unpredictable clinical evolution and outcome. While most patients recover following a self-limiting nonsevere clinical course, small proportion progress to severe disease

Methods: The hospital based study was conducted on patients presenting to tertiary care teaching hospital, who fulfilled inclusion and exclusion criteria were enrolled for the study. A comprehensive history taking, physical examination, and lab investigations were carried out and data were collected in pre-designed proforma.

Results: According to complications, in dengue positive cases, bleeding was the most common complication seen in 48.00% cases while shock, myocarditis, and convulsion were present in 31.00%, 2.00% and 1.00% of cases respectively. Among the dengue negative cases, 60.00% had no complication while shock and bleeding were present in 28% and 12.00% cases respectively.

Conclusion: It concluded that shock was most common complication.

Keywords: Hematocrit, Dengue, Dengue Like Illness
ULTRASOUND EVALUATION OF NON-PERFORATED AND PERFORATED APPENDICITIS
Authors: Sivarajan Armel Arputha , MVS Raju , Padhmini B. , Jenish R.S.
Published: July 2020

Background: Ultrasonography (USG) of abdomen remains one of the commonly asked investigations by the surgeon in patients with suspected acute abdomen. The advantage of USG over other radiological investigation is that it is easily available, cost effective, portable, no known side effects, non-invasive and requires minimal patient preparation for carrying out the examination. The present study aimed at evaluating ultrasonography findings of appendicitis and to correlate with operative and histo-pathological findings.

Material and Methods: In our study, USG evaluation was done by the investigators for 61 clinically diagnosed patients, so as to achieve 50 radiologically confirmed appendicitis cases which was the required sample. The study was carried out from December 2013 to September 2015. Data was analysed using the statistical software SPSS version 21.0. Chi Square test was applied to test statistically significant difference in proportion.

Results: In the present study the mean age the study participants was 26.42 years. Majority of the study participants were males 29 (58%) while females represented 42%.The average size of the appendix among the study participants was observed to be 7.08 mm with a standard deviation of ± 1.07 mm. Among all the study participants with acute appendicitis in our study 22% of the patients had perforation of appendix. In our study, we proved that all USG diagnosed appendicitis cases (100%) were histo-pathologically correct but the variations found in diagnosing the perforation status. We found that the USG had 73.33% and 100% sensitivity and specificity in finding the perforation status.
TO STUDY THE PREVALENCE OF NEUROPATHY COMPLICATION IN NEWLY DIAGNOSED TYPE 2 DIABETES MELLITUS
Authors: Sinha Kaushal Kumar , Bhadani Abhishek , Dev Anand , Kumar Abhay , Kishore Nistha
Published: July 2020

Background: Diabetes is one of the commonest chronic non communicable disease affecting the society at large both in developing and developed countries. In our country, as diabetes is diagnosed late, many patients comes with complication of diabetes.  Present study aimed to study the prevalence of neuropathy complications in newly diagnosed type 2 diabetes mellitus.

Subjects and Methods: In this study, 100 newly diagnosed cases of type 2 diabetes mellitus patients were evaluated. A cross section of both male and female diabetes patients diagnosed within the last 3 months (new onset) was taken into study. A detailed history, clinical examination and relevant investigations were performed. Collected data were analysed by using appropriate software.

Results: In our study 60% were male and 40% were female. Highest neuropathy complication was seen in 56-65 age group. It was present in 35% of female and 16.66% of male in our study.

Conclusion: Endeavour should be made to control hyperglycemia and dyslipidemia tightly by appropriate therapeutic measures so that the occurrence and worsening of complications could be mitigated.

Aims and Objectives: To study the Prevalence of neuropathy complication in newly diagnosed type 2 diabetes mellitus
First record of the blue crab Callinectes sapidus (Crustacea, Decapoda, Portunidae), a non-indigenous species in the central/southern Tyrrhenian Sea
Authors: Pipitone Carlo , Zenone Arturo , Badalamenti Fabio , D'Anna Giovanni
Published: July 2020

Four individuals of the non-indigenous blue crab, Callinectes sapidus Rathbun, 1896 (Crustacea, Decapoda, Portunidae) were collected during commercial trammel net operations in fall 2019 and winter 2020 along the coast of NW Sicily. The crabs were collected in very shallow waters on a sandy bottom close to the coast. Although blue crabs are now widespread along most eastern, western and northern Mediterranean coasts, this is the first record of this species from the central and southern Tyrrhenian Sea
On the occurrence of the wreckfish Polyprion americanus in the Gulf of Trieste (northern Adriatic Sea)
Authors: Bettoso Nicola , Faresi Lisa , Felluga Alessandro , Lipej Lovrenc
Published: July 2020

On 3rd June 2018 three juvenile specimens of Polyprion americanus were captured in the Gulf of Trieste. The wreckfish is a long-lived deep water demersal species characterized by an extended pelagic juvenile phase. The juvenile forms are recurrently recorded in the northern Adriatic and due to data deficiency for this species, original morphometric data are shown. The occurrence of P. americanus in the Gulf of Trieste is not a typical case of thermophilic species moving northward due to Mediterranean tropicalization, rather its recurrent appearance could be investigated for specific hydrological conditions coupled to its peculiar life span.
Faktor-faktor yang Berhubungan dengan Perilaku Orang Tua Terhadap Penggunaan Antibiotik pada Anak
Authors: Nur Putwi Marinesia , Erawati Meira
Published: July 2020

Latar belakang: Penggunaan antibiotik pada anak memiliki perbedaan dengan orang dewasa. Oleh karena itu, perlu adanya pemahaman orang tua tentang penggunaan antibiotik pada anak.Tujuan: Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan perilaku orang tua terhadap penggunaan antibiotik pada anak.Metode: Penelitian ini dilakukan dengan pendekatan cross sectional. Dengan menggunakan teknik Stratified sampling, sebanyak 270 orang tua yang dijadikan responden penelitian dan mengisi kuesioner penelitian.Hasil: Analisis data didasarkan pada analisis univariat dan analisis bivariat yang dilengkapi dengan spearman. Uji statistik telah dilakukan oleh "Spearman’s rho" itu menunjukkan bahwa ada korelasi yang signifikan antara faktor-faktor yang berhubungan dengan orang tua terhadap penggunaan antibiotik pada anak-anak (p <0,05).Kesimpulan: Penelitian ini menunjukkan tidak ada hubungan antara usia, jenis kelamin, pendidikan, pengetahuan orang tua, dan sikap orang tua dengan perilaku orang tua terhadap penggunaan antibiotik pada anak. Ada hubungan tindakan orang tua dengan perilaku orang tua terhadap penggunaan antibiotik pada anak. Background: The use of antibiotics in children is different from adults. Therefore, parents was need understands use antibiotics in children.Aim: This study aims to assess the factors related to parents towards antibiotic use in children.Methods: This study was conducted by studying cross sectional analytic study method. Using the Stratified sampling technique, 270 parents were used as research respondents and filled out the research questionnaire.Results: The data analysis was based on univariate analysis and bivariate analysis equipped with spearman. Statistical test has been conducted by “Spearman’s rho” it shows that there is a significant correlation between factors related to parents towards antibiotic use in children (p<0,05).Conclusion: This research does not show the relation between parents age, education, knowledge, and attitude with parents behavior on giving antibiotics to their child. There is some significant relation between parents action and parents behavior on giving antibiotics to their child.
无人机遥感测绘技术在工程测绘中的应用分析
Authors: 王 光盈
Published: July 2020

当前各国都比较重视无人机的研制工作,我国也在无人机研发的竞争行列里,并在创新的基础上取得了可观的进步,很多国家都引进了我国研制的无人机产品,并应用了我国研发的技术。按照目前的发展方向,我国可能会在未来的无人机市场上占有重要地位。无人机遥感技术也是我国无人机领域研发的一项重要成果,应用无人机遥感技术的工作优势主要是可以快速收集和整理地理信息,精准度高,速度快,效率高。可以看出,无人机技术在未来会有更大的发展空间。文章通过对无人机遥感技术优点进行分析,全面提出新技术在工程测绘工作实际应用展望。
工民建工程防渗漏施工技术要点
Authors: 王 宗余
Published: July 2020

在目前阶段中,工民建发展迅速,随着社会的发展,对于建筑工程的要求在不断提高,对建筑的美观性要求甚至超过了实用性的要求,忽略了很多建筑结构的防水防渗能力,另外在建筑施工过程中也存在诸多问题,这导致在后期使用中建筑出现了渗漏问题,对人们造成了很恶劣的影响,防水防渗技术可以使建筑结构的防水性能增强,提高建筑的质量等,有效减少人们的财产损失。
基坑永久支护施工关键技术
Authors: 肖 勤武
Published: July 2020

在目前建筑行业稳定发展背景下,科学技术对深基坑技术的帮助作用越发显著,因此深基坑支护技术也成为了当前工程建设中最常见的施工手段。在基坑支护技术的发展和完善背景下,已经逐渐形成了完整性更显著的技术体系。为此,本文本文以汉口小镇地下空间基坑支护工程为研究对象将对基坑永久支护施工关键技术问题展开详细研究。
基于绿色交通视角下共享单车对交通出行的影响研究——以成都市为例
Authors: 倪 霞 , 卢 荟锦
Published: July 2020

近年来,以改善行人交通,自行车交通,公共交通为核心目标的绿色交通体系在国内外得到了广泛的关注。成都市为缓解环境问题和交通压力也积极倡导绿色交通,鼓励大家使用共享单车。随着共享单车的普及,我们基于绿色交通视角下调查了它对城市交通出行方式的影响。以成都市为例,分析共享单车的出现对城市交通的影响,共享单车的出现是否有效减少了私家车的使用,增加了使用绿色交通出行的次数,最后分析出使用共享单车出现的问题以并提出改善措施,为绿色交通的发展提供借鉴。
建筑施工企业工程造价预结算与工程成本管理
Authors: 胡 欣
Published: July 2020

目前建筑行业竞争激烈,建筑施工企业如何在激烈竞争中生存发展,是每个企业都需要面对的课题,而项目工程造价预结算与项目施工成本管理又是其中的核心内容,两者密切相关,采取有效管理方法,提高二者的工作效率与质量,是维护施工企业切身利益的关键。本文将就分析预结算工作的关注重点,提高预结算与施工成本管理的措施,两方面加以论述,以供参考。
安装工程造价的作用因素
Authors: 周 立玲
Published: July 2020

分析了工程造价控制在建筑工程中的功能,探讨了影响工程造价水平的主要因素,提供了工程方案设计、工程施工过程、提升施工与技术人员的专业素质水平等降低工程造价的措施,为更好地调控各类影响工程造价的因素,有效降低工程造价,作出了过程性、重点性的思考。
浅谈建筑工程模板工程施工技术控制
Authors: 王 怀成
Published: July 2020

建筑工程模板是主体结构工程的一项重要分项工程,它的整个质量、安全影响着混凝土结构的验收标准及观感质量。因此在建筑工程施工中要把握好模板施工的技术要点。
框架结构建筑施工技术与要点分析
Authors: 闫 文雅
Published: July 2020

随着我国经济的快速发展,通过开展工程项目建设施工有效的提高当地的基础设施建设,本文就框架结构建筑施工中的钢筋工程、模板工程及混凝土浇筑工程中的施工技术与施工要点进行分析介绍,确保框架结构建筑的施工质量。
建筑防腐技术研究
Authors: 尹 晨辉
Published: July 2020

当前在建筑工程项目中,建筑防腐的作用越来越重要。建筑工程中防腐技术的应用能够大幅度地降低腐蚀物对建筑物带来的伤害,从而增加了建筑的使用寿命,保障了人们的生命财产安全,给社会带来经济利益。本文依据当前我国建筑行业防腐现状对建筑防腐技术进行了分析和探究。
工程造价咨询企业发展现状及对策
Authors: 蔡 新明
Published: July 2020

在项目工程建设过程中,工程造价咨询工作是一步关键的工作,做好这项工作能够有效地促进建筑行业的发展。工程造价是面对社会进行服务,受相关人员委托使项目工程在建设过程中控制项目成本,并有效地保障工程质量。所以,我们要清楚现阶段工程造价咨询企业发展状况,在此基础上对其进行完善,进而增强企业的实力以及服务水平。
房屋建筑工程施工管理优化策略浅析
Authors: 王 伟松 , 盛 小飞
Published: July 2020

现在,之所以可以看出我国经济正在处于高速发展阶段的原因是建筑行业的快速发展,以及不断的进步。建筑行业可以不断的进步很大程度上,是依赖于建筑工程中的施工管理工作,施工管理严格按照标准执行,可以给整个建筑工程带来最大的经濟效益以及社会效益。在建筑工程施工中必须要进行加强的就是施工管理工作,最大程度保障建筑工程的质量安全,以及施工进度可以按照规定的时间完成。与之相反,房屋建筑施工的现场管理没有达到标准要求,就会严重的影响到建筑工程的施工进度。加强施工现场的管理工作,保证建筑工程项目可以有序的进行。
建设工程监理与工程项目管理接轨探讨
Authors: 李 喜忠
Published: July 2020

工程监理与项目管理间的衔接工作可有效提高工程建设质量,减少建筑工程的成本投入,控制工程工期。现阶段,我国建设工程监理及工程项目管理的衔接水平显著提高,但是依然需要采取有效措施控制市场,加强政府扶持。本文就将主要分析建设工程监理与工程项目管理接轨,以供参考。