bluuebunny/crossref_metadata_2025 huggingface dataset:
FACTEURS CLES DE SUCCES DE L ENTREPRENEURIAT FEMININ, LES COOPERATIVES FEMININES
Authors:   Professeur de lenseignement superieur Assistant a lEcole Superieure de, Technologie de Sale de lUniversite Mohammed V de Rabat- Maroc-Laboratoire dAnalyse desSystemes, de Traitement de lInformation et du Management Industriel., El Fadi Lekbira , Merimi Souad ,   Doctorante, Laboratoire de recherche Management des Organisations Droits des Affaires et Developpement Durable, Faculte des Sciences Juridiques Economiques et Sociales - Souissi-Rabat. Maroc.
Published: October 2020

Les femmes marocaines semblent simpliquer dans lactivite entrepreneuriale a un stade plus precoce de leur vie par rapport aux autres femmes entrepreneures (FE) de la region MENA.Les chiffres de la structure de lemploi des femmes actives occupees adultes en tant quindependantes et employeurs revelent que celles-ci representent respectivement 16,5 pour cent et 0,8 pour cent de la population active occupee feminine. Au niveau national, le nombre de femmes marocaines entrepreneures represente 10 a 12 pour cent du nombre total des entrepreneurs. Elles sont essentiellement concentrees sur Rabat et Casablanca. Leur chiffre daffaires reste generalement inferieur a 20 millions MAD, voire a 5 millions MAD pour une large proportion dentre elles, leurs âge pour la plupart dentre elles, ne depasse pas 40 ans. Leur niveau deducation varie entre le secondaire et le superieur en milieu urbain, alors quen milieu rural, elles ont un niveau dinstruction inferieur ou sont non scolarisees. La moitie dentre celles residentes en milieu urbain possedent une experience professionnelle en tant que salariees de tous domaines confondus, qui les a aidee a se lancer et a progresser dans lentrepreneuriat. Les secteurs dactivite dans lesquels elles investissent en milieu urbain sont notamment le commerce et les services, et lagriculture en milieu rural. Leurs entreprises sont majoritairement des tres petites entreprises (TPE) et peu de petites et moyennes entreprises (PME). Malgre les difficultes quelles connaissent, ces femmes entrepreneures ont cree en moyenne 4 a 5 emplois durant lannee, ce qui montre le potentiel important dopportunites demploi si elles sont soutenues. Les perceptions socialement construites et les craintes interiorisees des femmes constitueraient des facteurs majeurs entravant lentrepreneuriat feminin. En effet, par la presente communication nous allons presenter les resultats dune etude de terrain menee aupres de groupes de femmes entrepreneurs afin de determiner les facteurs cles de succes de la femme entrepreneur.
CASE STUDY- AUTISM SPECTRUM DISORDER
Authors:   ijar, Bindra Anahit
Published: October 2020

Autism Spectrum Disorder (ASD) is a life-long, pervasive neuro-development disorder that begins early in childhood and lasts throughout a persons life. It is characterised by deficits in three core areas - communication (both verbal and nonverbal), social interaction, and behaviour (which is restricted and repetitive). Case study refers to the in-depth study of a particular case. A case study employs multiple methods for collecting information such as interview, observation and psychological tests from a variety of respondents who in some way or the other might be associated with the case and can provide useful information. The information was collected by interviewing the case as well as the special educator (the teacher who assists the child at Vasant Valley school). In the case study, the details of the symptoms, causes, treatment, prevention, and management of the respondent were documented.
UMBILICUS TROPAEOLIFOLIUS BOISS (CRASSULACEAE) A NEW RECORD TO THE FLORA OF THE ARABIAN PENINSULA
Authors:   Department of Biology, Faculty of Science and Arts, Albaha University, Baljurashi, KSA., Wali A. Al-Khulaidi Abdul , Gushash Ahmed ,   Agricultural Research and Extension Authority, Taiz, Yemen., A. Algarni Awad ,   Department of Arabic Language, Faculty of Science and Arts, Albaha University, Baljurashi, KSA.
Published: October 2020

The plant diversity Sowth West of the Arabian Peninsula is considered to be very high due to its location, variation of climates, and geographical features. Generally, the Arabian Peninsula characterized by a very rich flora and is still not explored well. During the field survey of rare plant species, the authors collected a specimen of new taxa from the remote and inaccessible habitats in Jabal Ibrahim of the Asir region, Saudi Arabia. The plant was not reported so far in the flora of the Arabian Peninsula. The present paper deals with the record of one new plant species (Umbilicus tropaeolifolius Boiss) to the flora of Saudi Arabia and the Arabian Peninsula. The plant has a very small population range and very limited occupancy. The plant specimen was collected and later on identified and described with the available flora reference and with contact of a botanist.
PANCRAÂ©ATITE AIGUE ET VOMISSEMENTS SAÂ©VARES AU COURS DE LA GROSSESSE : A PROPOS DE 24 CAS
Authors:   ijar, Ed-Dafali Larbi , Dahiri Mustapha , El Kihel Hajar , El Hadloussi Aziz , Lahyani Hind , Tawab Reda , Oujilali Younes , Saoud Tazi Anas
Published: October 2020

Introduction: The acute pancreatitis (PA) during pregnancy is rare conditions, the clinical signs of which are not specific and may be related to the pregnancy itself and cause a delayed diagnosis. Material And Method: Our study is a 6-month comparative study of 24 patients, 18 with severe vomiting during pregnancy without pancreatitis (VS) and 6 with severe vomiting during pregnancy associated with (PA). The aim of our work was to determine the percentage of acute pancreatitis among patients with severe vomiting during pregnancy and to identify the signs pointing more towards this pathology. Results: Twenty five percent of patients with severe vomiting had PA. In the 66.67% PA group were nulliparous. Abdominal pain was present in 83% of PA cases and in 55.46% cases of VS. Metabolic alkalosis was present in 60% of cases in the PA group and 31% in the VS group. Ultrasonography showed biliary origin in 66.67% of PA and in 16.67 of VS cases. There were no deaths in the 2 groups. Conclusion: Given the high percentage of pancreatic origin in our study (25%), we should always mention PA in pregnant women with severe vomiting.
TRACHEOBRONCHOMEGALIE OU SYNDROME DE MOUNIER-KUHN
Authors:   ijar, El Farouki Ayman , Bellamlih Habib , Jerguigue Hounayda , Latib Rachida , Omor Youssef
Published: October 2020

Mounier-kuhn Syndrome or The Tracheobronchomegaly is a rare condition characterized by marked dilatation of the trachea and the main bronchi. It is more common in males and diagnosed in the third and the fourth decades of life. Symptoms in MKS are nonspecific. Usually the patient present recurrent lower respiratory tract infection, chronic cough, and rarely with spontaneous pneumothorax. Patients are often diagnosed on CT scan, which shows large airways with sometimes the formation of diverticula in the major airways. We report the case of a patient who presented with aMounier-Kuhn Syndrome revealed by respiratory recurrent symptoms.
GROSSESSE ET ACCOUCHEMENT CHEZ LA FEMME OBESE
Authors:   Service de Maternite,Hopital Abderrahim El Harrouchi, CHU Ibn Rochd, Casablanca, Maroc., Benkhaira S. , Elazery A. ,   Service de Maternite,Hopital Abderrahim El Harrouchi, CHU Ibn Rochd, Casablanca, Maroc., Fajri S. ,   Service de Maternite,Hopital Abderrahim El Harrouchi, CHU Ibn Rochd, Casablanca, Maroc., Lamrissi A. ,   Service de Maternite,Hopital Abderrahim El Harrouchi, CHU Ibn Rochd, Casablanca, Maroc., Fichtali K. ,   Service de Maternite,Hopital Abderrahim El Harrouchi, CHU Ibn Rochd, Casablanca, Maroc., Bouhya S. ,   Service de Maternite,Hopital Abderrahim El Harrouchi, CHU Ibn Rochd, Casablanca, Maroc.
Published: October 2020

The obesity, factor of the morbimortalite, is considered as a real health public problem. In gynecology, its consequences on the fertility and the contraception are sever. Obesity during pregnancy increases the risk of complications for both the mother (gestational hypertension, diabetes mellitus) and the newborn (malformations and macrosomia). Deliveries are also more difficult with more c-section and failure in peridural analgesia. Our practices have to take into account these complications by assuring an adapted and premature care to improve the maternal and neonatal outcomes.
IMPACT OF SUSTAINED DEFFICIT IRRIGATION AND FOLIAR SPRAY OF ASCORBIC ACID ON PRODUCTIVITY AND PEEL DISORDERS OF WONDERFUL POMEGRANATE TREES
Authors:   Plant Production Department, Desert Research Center, Cairo, Egypt., S.M. Salama Amro , H.M. El Gammal Osama ,   Plant Production Department, Desert Research Center, Cairo, Egypt., M. G. E. Shaddad Amin ,   Plant Production Department, Desert Research Center, Cairo, Egypt.
Published: October 2020

The investigation was carried out during 2017and 2018 seasons on Wonderful pomegranate trees grown at private orchard located on Cairo-Alexandria Desert road about 50 Km from Cairo, Egypt. Trees planted at 3x5 meters apart in sandy soil and watered from wells using drip irrigation system. The trial was a factorial experiment, hence sustained deficit irrigation100%, 80% and 60% from crop evapotranspiration (ETc) throughout season, the occupied main plot, whereas foliar sprays of ascorbic acid treatments at 0, 500, 750 and 1000 ppm /tree located in the subplots were carried out two times, the first foliar spray was done at full bloom and the second one was performed four weeks later. The results showed that leaf characteristics (leaf area and total chlorophyll), number of fruits per tree, yield and fruit quality traits (weigh, length, diameter, weight of fruit grains, flesh percentage, weight of 100 grains and juice volume) recorded the highest values with higher both irrigation level and sprays of ascorbic acid treatments. On the contrary fruits cracked percentage and fruits sunburned percentage, peel thickness, total sugar, TSS, TSS/acidity, ascorbic acid and water used efficiency showed an adverse correlation with irrigation level. Also, spraying by ascorbic acid is reducing number of fruit cracked, number of sunburned fruits and acidity. On other hand, peel thickness, total sugar, TSS, TSS/acidity and ascorbic acid concentration were increasing. Therefore, sustained deficit irrigation is considered to be an effective strategy for arid and semi-arid regions, moreover ascorbic acid may be used to prevent or mitigate oxidative damage caused by sustained deficit irrigation.
EFFECT OF SALICYLIC AND ASCORBIC ACIDS ON YIELD AND FRUIT QUALITY OF WONDERFUL POMEGRANATE TREES
Authors:   Plant Production Department, Desert Research Center, Cairo, Egypt., S.M. Salama Amro , H.M. El Gammal Osama ,   Plant Production Department, Desert Research Center, Cairo, Egypt., M. G. E. Shaddad Amin ,   Plant Production Department, Desert Research Center, Cairo, Egypt.
Published: October 2020

AN experiment trial was carried out during 2017 and 2018 seasons on Wonderful pomegranate trees about 7 years old grown in sandy soil under drip irrigation system from well at private orchard located on Cairo-Alexandria desert road (about 50 km from Cairo), Egypt. Treatments of salicylic acid (50,100 and 150 ppm), ascorbic acid (500, 750 and 1000 ppm) and tap water control were foliar sprayed twice a year i.e. at full bloom and four weeks later. Abstractly, salicylic and ascorbic acid treatments enhanced leaf characteristics, yield and fruit quality traits as well as minimized sunburned and cracked fruit percentages. Ascorbic acid treatment at 1000 ppm proved to be most efficient treatment in this respect.
POTTERY: A UNIQUE TRADITIONAL CRAFT IN INNER SIRAJ VALLEY OF NORTHWESTERN HIMALAYAN DISTRICT OF KULLU, HIMACHAL PRADESH
Authors:   G. B. Pant National Institute of Himalayan Environment,Himachal Regional Centre, Mohal-Kullu, 175 126, Himachal Pradesh., Rathore Sumati , Thakur Usha ,   G. B. Pant National Institute of Himalayan Environment,Himachal Regional Centre, Mohal-Kullu, 175 126, Himachal Pradesh., Shashni Sarla ,   G. B. Pant National Institute of Himalayan Environment,Himachal Regional Centre, Mohal-Kullu, 175 126, Himachal Pradesh.
Published: October 2020

Pottery is a century old craft used by human and is one of the most tangible and iconic elements of Indian art. This craft system shows the lifestyle of native communities, their belief, faith, customs and tradition through their craft. This paper documents the traditional pottery art of the Sirajicommunity living in the inner Siraj Valley of Kullu district in Himachal Pradesh. The uniqueness of the art is wheels are not used for making different pots as in other parts of the country. Paper also documents the procedures involved in making the pots and its current status. Study revealed that this traditional craft system will not survive if some urgent measures are not be taken in near future.
EXPORT PERFORMANCE OF THREE MAJOR SECTORS AND A VIEW ON EXPORT CONCENTRATION: A STUDY ON BANGLADESH
Authors:   MA Economics (Final), Economics Department, Aligarh Muslim University., Showgat Jahan Shourave MD
Published: October 2020

Bangladeshs export earning has significantly increased over a period of time. Readymade garments (RMG), jute, and leather are the top three export earning sectors. This paper uses a multiple linear regression model to explain the relationship between total exports, and the top three export earning sectors. This paper finds Bangladeshs export performance is highly dependent on the RMG sector while Bangladesh has a comparative advantage for many other sectors in the global market. On the other hand, Bangladeshs export market is also concentrated with few countries. Less diversification in products and markets is a great concern for the export economy of Bangladesh because competition in the global export market is always rising. In such a situation there is no other way to emphasize product diversification and explore new markets to reduce high dependency on a few big markets.
A CASE STUDY ANALYSIS OF THE STUDENT SUCCESS CENTER
Authors:   Acandidate in Education Doctorate Degree (EdD) at Eastern Kentucky University., Kim , PhD Juhee
Published: October 2020

This study was conducted to describe the main issues that the Student Success Center faces when they provide students’ support services, examine alternative solutions, and propose the solution from theoretical and practical perspectives. To critically analyze organizational problems regarding managing the Student Success Center for students, a literature review and evidence from interviewing workers and observation were utilized as a qualitative instrumental case study. Findings indicate that the key problems were reaching high-risk students and combining services with academic departments for effective tutoring. This case study can provide some insight and solutions into the educator, who needs best practices and services for college students as well as the impact that university leaders have on promoting students\\\' success on campus.
IMPACT DES EFFLUENTS DES FOSSES SEPTIQUES SUR LA QUALITE DES EAUX SOUTERRAINES DES NAPPES SUPERFICIELLES DANS LA VILLE DE THIES, SENEGAL
Authors:   Laboratoire des Sciences et Techniques de lEau et de lEnvironnement (LaSTEE), Ecole Polytechnique de de Thies BP A10 Thies, Senegal., Masseck Fall Mouhamadou , Dieng Khadime ,   Laboratoire des Sciences et Techniques de lEau et de lEnvironnement (LaSTEE), Ecole Polytechnique de de Thies BP A10 Thies, Senegal., Lamine Lo Mamadou ,   Laboratoire des Sciences et Techniques de lEau et de lEnvironnement (LaSTEE), Ecole Polytechnique de de Thies BP A10 Thies, Senegal., Falilou Sarr Capitaine ,   Hygieniste/Environnementaliste, chef Service Regional de lHygiene de Diourbel, Senegal, Hadji Bamba Diaw El. ,   Laboratoire des Sciences et Techniques de lEau et de lEnvironnement (LaSTEE), Ecole Polytechnique de de Thies BP A10 Thies, Senegal.
Published: October 2020

La forte tendance des populations citadines du Senegal en general, et de la ville de Thies en particulier, a recourir au fonçage de puits domestiques pour leur approvisionnement en eau potable les expose a des dangers dinfections dues a des risques de pollution des eaux souterraines dorigines chimiques, accidentelles, domestiques et bacteriologiques. Ces polluants qui ont pour origine la surface du sol du fait de la proximite des puits avec les ouvrages dassainissement autonomes comme les fosses septiques, peuvent atteindre la nappe phreatique suivant un mecanisme de transfert et devolution a travers les couches sus-jacentes de la nappe phreatique. Dans cette etude nous avons procede par le prelevement dechantillons deaux au niveau treize (13) puits qui captent la nappe peu profonde et dissemines dans les trois (03) communes darrondissement de la ville de Thies. Les analyses physico-chimiques et microbiologiques effectuees sur les ces echantillons, montrent une pollution sous forme de phosphates, de nitrates, dune mineralisation tres elevee et de par les coliformes fecaux, attestant ainsi leur contamination par les dechets humains et animaux issus des fosses septiques.
BETA GLUCURONIDASE ACTIVITY IN DIABETES ASSOCIATED PERIODONTITIS
Authors:   Assistant Professor, Department of Biochemistry, MGM Medical College and Hospital, Navi Mumbai., S Gawali , A Padhye ,   Prof & Head, Department of Periodontology, MGM Dental College Navi Mumbai., P Chavan ,   Ex-Professor, Department of Biochemistry, MGM Medical College and Hospital, Navi Mumbai.
Published: October 2020

Diabetes mellitus is a risk factor for development of periodontal disease with progressive periodontal destruction seen in diabetic patients. Advances in oral and periodontal disease diagnostic research are moving towards methods whereby periodontal risk can be identified and quantified by objective measures such as biomarkers. The aim of this study was to identify the presence of beta glucuronidase activity as an enzymatic biomarker of periodontal tissue destruction in patients of Diabetes mellitus associated with Periodontitis. β Glucuronidase activitywas estimated in saliva, GCF (Gingival Crevicular Fluid) and serum in healthy subjects and patients with Diabetes mellitus, Periodontitis and Diabetes associated periodontitis. Enzyme activity was compared with clinical parameters like Probing pocket depth, Plaque Index and Gingival Index. It was maximally raised in diabetic cases with periodontitis. Enzyme activity was found to be highest in crevicular fluid compared to saliva and serum. However, serum Glucuronidase correlated significantly with clinical indices. β-glucuronidase may be employed on routine basis as a chair side test for screening and diagnosis of patients with periodontitis in diabetics.
REJUVENATING EDENTULISM USING CAD-CAM TECHNOLOGY: A COMPREHENSIVE REVIEW
Authors:   ijar, Kamble Suresh , Jankar Ajit , Somwanshi Pratiksha , Pawar Shirish , Vaybase Vidya
Published: October 2020

Edentulism has been a severe public health problem in industrialized countries due to aging and poor oral care. Design and fabrication of the complete dentures are mainly using conventional methods involving an enormous series of clinical and laboratory procedures. Edentulous patients have to make several visits to the clinic for the traditional fabrication of denture. Now the unceasing developments occur over several years. Present-day technological innovations allow the use of various systems with computer‑aided design/computer‑aided manufacture (CAD/CAM) technology to produce complete dentures has seen exponential growth. There are different manufacturing techniques of CAD-CAM complete denture like AvaDent, Wieland digital denture, Baltic denture, DENTC system. CAD-CAM technology requires only two appointments for the patient to get their complete removable denture. A reduction in clinical chair time also shortens the cost of care. The improved fit of the denture was because of fewer processing errors. It simplifies the re-manufacturing of lost/broken prostheses due to the digital storage of denture data. The pre-polymerized acrylic resin used by manufacturers for the fabrication of a denture base delivers excellent fit and strength when compared to conventionally processed bases. It doesnt show any polymerization shrinkage as there is a less residual monomer. Hence, it reduces the potential infections as fewer candida albicans attach to the denture bases. The motive of this article is to highlights the benefits of CAD-CAM technology over conventional denture fabrication.
DIGITAL DENTISTRY: AN OVERVIEW ON RECENT ADVANCEMENTS IN INTRAORAL SCANNER
Authors:   ijar, S. Kamble Suresh , S. Jankar Ajit , A. Vaybase Vidya , Sonawane Suraj , Somwanshi Pratiksha , Wagh Shital
Published: October 2020

New devices are continuously introduced in the clinic and the dental laboratory. The first phase of the digital workflow is to obtain an image with the help of intra-oral scanner. These devices are replacing conventional impressions techniques with the digital scanners. Impressions which are recorded using scanners are more accurate as compared to conventional technique. Intra-oral scanners are time efficient, decrease the patient\'s discomfort and make clinical procedures easier. Over the last few years, there has been new advances in dental scanners for comprehension of computerized work process. Presently in market there are several brands of the scanners with better features to obtain digital impressions, to record the accurate Data in comfortable working time for the dentist and patient. Therefore, it is convenient to analyze the most used IOS systems based on the available scientific data.
CONCEPT PAPER: INTELLIGENT TRANSPORTATION SYSTEM FROM CRASH VICTIMS (ITS-CV)
Authors:   Addl. Director General of Police (Traffic), Punjab., S. Chauhan , IPS Sharad
Published: October 2020

Quick transportation of crash victims to the hospital is a critical parameter. The existing methodology of dispatch of ambulances by verbal reporting, dialing emergency helpline or computer aided dispatches can be further refined. The ITS-CV aims at bringing all ambulances on a common platform through a Artificial Intelligence operator which connects the crash site, the ambulances and the response hospitals or trauma centres and provides them with the shortest clear route or even creates a green corridor. The system can also cater to other natural or manmade calamities, or health emergencies.
COVID-19 IN INDIA: EDUCATION DISRUPTED AND LESSONS LEARNED
Authors:   Assistant Professor, Department of Commerce, Jalna Education Societys, R.G. Bagdia Arts, S.B. Lakhotia Commerce & R. Bezonji Science College, Jalna-431203 (M.S.)., Ratan Chaugule Suryakant
Published: October 2020

In India, 320 million students have been affected by COVID-19 school closures, and though the government quickly recommended shifting to online teaching, this ignores Indias immense digital divide-with embedded gender and class divides. The 2017-18 National Sample Survey reported only 23.8 percent of Indian households had internet access. In rural households (66 percent of the population), only 14.9 percent had access, and in urban households only 42 percent had access. And males are the primary users: 16 percent of women had access to mobile internet, compared to 36 percent of men. Young peoples access is even less: A recent news report stated only 12.5 percent of students had access to smartphones. Furthermore, most teachers are ill-equipped for online teaching.
A CASE REPORT ON TAKAYASU ARTERITIS
Authors:   ijar, Punukula Harichandana , Kavya Sree Bospali , Pratyusha Vaka , Bospaly Swetha
Published: October 2020

Takayasus arteritis primarily affects young women. Takayasu arteritis (TA) is a type of primary systemic vasculitis mainly affecting the medium and large arteries. The signs and symptoms are due to systemic inflammation or ischemia of an organ or limb and include angiodynia, claudication, peripheral pulselessness, murmurs, ischemic stroke, myocardial infarction and severe systemic arterial hypertension. The disease tends to affect more women than men.The current case of Takayasu arteritis type V focuses on a 21 year female who complained of cold, cough, fever, facial puffiness since 2 months, along with bilateral renal artery stenosis, and resistant hypertension.
STUDY OF VARIOUS TYPES OF TREATMENT MODALITIES IN CHILDREN WITH INTUSSUSCEPTION
Authors:   Department of Pediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India., Joshi Vikas , Lal Prameshwar ,   Department of Pediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India., Mathur Praveen ,   Department of Pediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India., Raipuria Gurudutta ,   Department of Pediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India., Kumar Ajay ,   Department of Pediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India., Singh Bal Ravitej ,   Department of Pediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India.
Published: October 2020

Background:Intussusception is a condition in which one part of gut enters into another part of gut known as telescoping. Ultrasonography of abdomen is highly specific and sensitive for diagnosis. Most of the ileo-ileal and fewer ileo-colic intussusceptions may reduce spontaneously. Ultrasound guided reduction is an alternative to surgery. If intussusception is not treated timely it may cause intestinal ischemia, gangrene, perforation peritonitis, shock and death. Method:This is a hospital based prospective study including 96 patients over a period of 18 months. Detailed proforma was used, including name, age, sex, weight, presenting complaints, duration of complaints, abdominal sign & symptoms, signs of the sepsis & shock, peritonitis, perforation, USG finding, and type of surgery performed. The presence of the complications also noted. Results:Maximum patients (63.5%) of intussusception diagnosed were between 6 months to two years. Out of total 96 patients, 21 were treated by pneumatic reduction successfully. In 46 patient exploratory laparotomy and intra-operative reduction done, while in 29 children required resection anastomosis. Most common complaint was abdominal pain (100%) followed by Excessive cry (92.7%). Most common type of intussusception was Ileo-colic(88.5%). Respiratory distress (23.9%) followed by septicemia (20.8%) was the most common complications. Conclusions:Intussusception is a common surgical problem in childhood. Children of age 6 month to 2 years of age are affected most commonly. Ileo-colic is the most common type. Ultrasonography is diagnostic as well as therapeutic tool for intussusception. USG guided pneumatic reduction is a simple and good technique, if patient comes to hospital earlier. Early diagnosis of signs and symptoms may help clinician to take early interventions to save the gut as well life of the patient.
FORMULATION AND EVALUATION OF ANTIFUNGAL TOPICAL GEL OF C. TORA SEED EXTRACT
Authors:   Kailash Institute of Pharmacy and Management GIDA, Gorakhpur., Krishna Pandey Sanjay , Narayan Mishra Jai ,   Kailash Institute of Pharmacy and Management GIDA, Gorakhpur., K. Vishwakarma Dhaneshwar ,   Kailash Institute of Pharmacy and Management GIDA, Gorakhpur.
Published: October 2020

Purpose: To formulate novel topical antifungal gel containing seed extract of c.tora. and to evaluate their antifungal potential. Method: the gel was formulated by a cold mechanical method. Prepared gel was subjected to various evaluation parameters like ph, viscosity, spread ability, homogeneity and antifungal activity. Results: Prepared topical gel of extract was pH range of 6.25±0.05 to 6.45±0.15, viscosity range 386±27.90 to 680±45.50cp, spread ability 40±2.5 to 38±2 mm and homogenous. Prepared topical gel was shown zone of inhibition ranges from 13.5±0.5 to 23.5±0.5 mm for candida albicans. Conclusion: Formulation F6 was shown better antifungal activity as compared to its other formulations. The prepared gel formulation was found useful for topical application due to its neutral pH, good spread ability, low viscosity and no irritation on human skin.
EFFECT OF LEVOSIMENDAN ON SHORT TERM AND LONG TERM CLINICAL COURSE OF PATIENTS WITH ACUTELY DECOMPENSATED HEART FAILURE IN INDIAN POPULATION
Authors:   Kurnool Medical College., Vardhan Janjirala Seshi
Published: October 2020

We evaluated the efficacy of levosimendan, a positive inodilator, given intravenously to patients with acutely decompensated heart failure (ADHF). Methods: Patients admitted with ADHF received placebo or IV levosimendan for 24 hr in addition to standard treatment. The primary endpoint was a composite that evaluated changes in clinical and laboratory status at 30th day and at 180th day.secondary end point is all cause mortality. Results: In the 125-patient trial, more levosimendan than placebo patients were improved at discharge, whereas fewer levosimendan patients experienced clinical worsening at 6 months. The functional class, cardiac contractility ( FS,EF) were better in simenda group at 3rd month both neumerically and statistically.All-cause mortality at 180 days occurred in 5% patients in the levosimendan group and 28%patients in the placebo group. The levosimendan group had greater decreases in Brain Natriuretric peptide level at 24 hours. There were no statistical differences between treatment groups for the other secondary end points (all-cause mortality at 31 days, number of days alive and out of the hospital, patient global assessment, patient assessment of dyspnea at 24 hours, and cardiovascular mortality at 180 days). There was a higher incidence of cardiac failure in the placebo group. There were higher incidences of atrial fibrillation, hypokalemia, and headache in the levosimendan group Conclusions: In patients with ADHF, intravenous levosimendan provided rapid and durable symptomatic relief and levosimendan improved haemodynamic performance more effectively than placebo. 6MHWD, quality of life, worsening of heart failure, cardiac structure and function were statistically and numerically improved in simenda group for first 3monthsHowever the results were not consistent for 180 days.This benefit was accompanied by lower mortality in the levosimendan group than in the placebo group for up to 180 days.
DIAGNOSTIC ET TRAITEMENT DE LENDOMETRIOSE CHEZ LADOLESCENTE A PROPOS DE 160 CAS
Authors:   Universite Sidi Mohammed Ben Abdellah Faculte de, Medecine et de Pharmacie. Fes Maroc., Laghzaoui Omar
Published: October 2020

Endometriosis is a chronic gynecological pathology related to the presence of hormonally-dependent endometrial tissue outside the uterus. Its frequency in the adolescent is not negligible with a symptomatology dominated by pelvic pain twisted on the account of dysmenorrhea. Pelvic ultrasound is a basic examination for diagnostic guidance magnetic resonance imaging is more sensitive to visualizing deep endometriosis. Surgical and medical treatments are complementary. The evolution is marked by frequent recurrences in the teenager which can hinder the social life as well as the obstetric prognosis.
CHITINASE PRODUCTION BY ASPERGILLUS TERREUS FROM MARINE WASTES AND ITS EFFICACY IN ANTIFUNGAL ACTIVITY
Authors:   Department of Botany, Avinashilingam Institute for Home Science and Higher Education for Women, Coimbatore-49, Tamilnadu, India., E.K. Shereena , Nisha M.K. ,   Department of Botany, Avinashilingam Institute for Home Science and Higher Education for Women, Coimbatore-49, Tamilnadu, India., Gaayathiri Devi E. ,   Department of Botany, Avinashilingam Institute for Home Science and Higher Education for Women, Coimbatore-49, Tamilnadu, India.
Published: October 2020

The present investigation aims to isolate and identify chitinase producing mycoflora and the chitinase production by efficient Aspergillus terreus on different shell powder wastes substrates such as prawn, crab and molluscs at an extracellular and intracellular level and its efficacy in assessing the antifungal activity. Shell fish wastes disposed soil samples were collected and screened for chitinolytic fungi (hydrolyzing zone). The chitinase production on different substrates was assessed and the enzyme extracts were screened for antifungal activity by agar well and disc diffusion methods. Among the number of mycoflora isolated only 4 fungal strains Aspergillus terreus, A. fumigatus, A. flavus, and A. clavatus showed maximum hydrolyzing zones. A significantly highest hydrolyzing zone (clearance zone) of 20 mm (out of colony diameter of 65 mm) was obtained by Aspergillus terreus. Among the different substrates (prawn, crab and molluscs shell powders at 1% concentration), highest chitinase activity was recorded by Aspergillus terreus on prawn shell powder waste followed by crab shell powder waste at an intra and extra cellular level. The chitinase produced from prawn shell powder waste as substrates by A. terreus showed maximum zone of inhibition in both agar well (28.0 mm) and disc diffusion (24.0 mm) methods against the pathogenic fungi, A. flavus compared to positive control (Fluconazole). The chitinase produced from A. terreus might have synthesized some antifungal compounds which may be responsible for killing pathogenic fungi.
THE IMPACT OF INCREASING NUMBER OFEDUCATED BUT UNEMPLOYED WOMEN ON THE INDIANECONOMY
Authors:   ijar, Aggarwal Ritwik
Published: October 2020

Since 2010, the Indian economy has seen its fair share of ups and downs. As the world takes notice of the countrys rise to global prominence, a matter of note has been its relatively young demographic. The hike in human resources as a new generation joins the workforce has been a notable factor, highlighted frequently in international media and backed by economic research. However, contention arises in the form of a somewhat restricted point of view when it comes to the role of women in the society. As we enter a transitional phase in development, this paper aims to understand how traditional roles for women are clashing with the demands of a growing industrial sector. The education sector has seen growing participation from women who have also performed statistically better than men. The research query, therefore deals with how this transfers on to their visibility or lack thereof in the workforce. Using methods of comparison, analysis and survey, the paper draws conclusions to make a tentative summarization of what the future holds for educated but unemployed women in India.
SELF, GOD AND WORLD : A POSTMODERN PERSPECTIVE
Authors:   Researcher University of Delhi, Delhi., Parveen Saba
Published: October 2020

This paper tries to evaluates the Postmodern thought with special focus on the key concepts like self, God and World and values by the key postmodernist thinkers of this novel Philosophy. It tries to reflect on the system of philosophies in West that aspired to foreground the existence of man in some fixed universal and objective truths. The truth has always been founded upon some metaphysical rational ideal and the quest of human struggle has been to attain such a truth. Such human aspiration has seriously been questioned by postmodernist thinkers to bring forth a paradigm shift. This paper gives a glimpse into the remarkable shift of thought.
CHARACTERIZATION OF PHYSICOCHEMICAL PROPERTIES AND BIOACTIVE COMPOUNDS OF OIL FROM NASCENT SEEDS OF AZADIRACHTA INDICA
Authors:   Department of Biochemistry, University of Agriculture, Makurdi, Benue State, Nigeria., Atabo Samuel , Muhammad Zara ,   Department of Applied Science, College of Science and Technology, Kaduna Polytechnic, Kaduna, Nigeria., Ann Pyeng Kurmi ,   Department of Nutrition and Dietetics, College of Science and Technology, Kaduna Polytechnic, Kaduna, Nigeria.
Published: October 2020

Depending on composition, fatty acids of plant sources are explicitly useful in food, chemical and pharmaceutical industries. The present study characterizes Soxhlet extracted neem seed oil by determination of physicochemical properties and bioactive compounds. Extraction involved the use of solvent semi-continuous extraction method for 6 hours with N-hexane. Percentage Oil yield was at 39. Saponification value (50.490mgKOH/g), Iodine value (50.28g/100g), Acid value (5.610mgKOH/g), Free fatty acid (2.805w/w), Peroxide value (62.75meq/kg) and Specific gravity (0.948) were determined. Density at 250C, Flash point, boiling point, melting point, colour and Odour provided supportive information to the major physicochemical properties analyzed. Gas Chromatography - Mass Spectrometry (GC-MS) of the Soxhlet extracted Neem Seed oil showed different peak values of industrially essential compounds such as 7-Pentadecyne, Glycidyl palmitate, Oleic Acid, 9,12-Octadecadienoic acid and methyl ester (Omega-6 acid). Saponification value was found to be high, suggesting the presence of FFA with low molecular weight, which brands the oil as essential in cosmetic and food industries. Low Iodine value and low total acidity seems to consolidate the usefulness of neem seed oil in cosmetic industries. Conversely, the high peroxide level makes it unsuitable for cooking. It may therefore be inferred that Soxhlet extracted Azadirachta indica seed may be industrially viable but less suitable for consumption.
AN ANALYSIS AND SIGNIFICANCE OF IMMUNOHISTOCHEMISTRY ER, PR AND HER2 TESTING FOR BREAST MALIGNANCY IN A TERTIARY CARE CENTER
Authors:   Associate Professor, Department Of Pathology, Madurai Medical College., Jeyanthi G. , Malliga S. ,   Associate Professor, Department Of Pathology, Madurai Medical College., Rani K. ,   Professor, Department Of Pathology, Madurai Medical College.
Published: October 2020

Background: A significant development in the Breast malignancy, the expression of Hormone receptors in the tumor cells for the management and prognosis. Aim of Study : This study was conducted to correlate Immunohistochemical expression of markers such as estrogen receptor( ER) , progesterone receptor (PR ),and Her-2/neu with clinical mainly age, sex and Histopathological parameters . Materials and Methods: This prospective study was done at the tertiary care hospital from January 2019 to January 2020. 296 cases of Breast malignancy were studied. Immunohistochemistry (IHC) for ER, PR, and Her-2/neu was performed. The laboratory reporting was done according to the standard scoring system from CAP protocol 2019. Results: According to the molecular basis of Breast tumor, the ER positive and Her-2 Negative was observed in 24.6% ( 73/296) cases , ER Positive and Her-2/neu Positive in 22.9 % ( 68/296) cases, whereas ER negative and Her-2 /neu positive in 21.6 % ( 64/296) cases. Triple marker (ER , PR and Her-2) negative cases were seen in 23.9 % ( 71/296). Triple marker positive cases were 6.75 % ( 20/296). Conclusion: IHC markers studies in Breast malignancy is still gold standard for treating the patients and prognostic aspect.
Avaliação da aceitação e uso do sistema de acompanhamento da gestão (SAG) para o controle interno no Exército Brasileiro
Authors: Alves Daryk Barbosa , Cavalcanti Albery Santos , Nascimento Junior Haroldo Sabino do , Ceolin Alessandra Carla
Published: October 2020

O objetivo do artigo é avaliar a aceitação e uso por servidores do Comando do Exército Brasileiro (EB) sobre a utilização do Sistema de Acompanhamento da Gestão (SAG) nas atividades de controle interno das Unidades Gestoras (UG), vinculadas à 7ª Inspetoria de contabilidade e Finanças do Exército (7ª ICFEx), sediada em Recife. A pesquisa é justificada pela escassez de estudos sobre o sistema, que é de uso exclusivo do EB, e pela necessidade da boa gestão dos recursos públicos. A metodologia utilizada para desenvolvimento do estudo é exploratória e descritiva, com abordagem quantitativa. Os dados foram coletados por meio de questionário estruturado, enviado a 54 servidores do EB de 27 UG, sendo obtidas 36 respostas (66,66%), que foram analisadas através da Teoria Unificada de Aceitação e Uso da Tecnologia (UTAUT), abordando seus quatro construtos principais: a) expectativa de desempenho; b) expectativa de esforço; c) influência social; e, d) condições facilitadoras. No construto expectativa de desempenho, os servidores perceberam uma significativa melhora no rendimento com o sistema. No construto expectativa de esforço, a maioria dos servidores concordam que o sistema é de fácil interação. No construto influência social e condições facilitadoras, foi verificado que a instituição tem incentivado o uso do sistema para a realização de atividades cotidianas, quanto na disponibilização de infraestrutura adequada à utilização, embora exista espaço para melhoramentos principalmente quanto ao suporte técnico e treinamentos. Por último, a pesquisa revelou que a maioria dos usuários reconhecem a utilidade do sistema para agilizar as atividades atinentes ao controle interno.
Gestão de risco operacional: um estudo de caso da capacidade de resposta a incidentes operacionais em empresas financeiras
Authors: Neubarth Rolf Henrique , Rosini Alessandro Marco , Grotta Renata Carolina , Guedes Eduardo Ribeiro
Published: October 2020

A gestão de risco tem papel importante como parte da governança corporativa das empresas da indústria financeira. Assim, este artigo tem como objetivo analisar a capacidade que as empresas da indústria financeira possuem em responder a um evento de crise total de interrupção em seus sites principais de operação. Para isso, foi realizado um estudo qualitativo com análise de múltiplos casos, em quatro instituições financeiras nacionais e estrangeiras, que operam no sistema financeiro brasileiro. Os resultados obtidos demonstram que as instituições financeiras de grande porte, que em geral são os bancos múltiplos de varejo, investem fortemente em governança corporativa e segurança da informação, como também em implementar políticas de gestão de risco operacional, infraestrutura redundante e testes que validem se este investimento trará, de fato, uma resposta a qualquer evento de crise.
Effects of Smartphone-Based Stress Management on Improving Work Engagement Among Nurses in Vietnam: Secondary Analysis of a Three-Arm Randomized Controlled Trial
Authors: Sasaki Natsu , Imamura Kotaro , Tran Thuy Thi Thu , Nguyen Huong Thanh , Kuribayashi Kazuto , Sakuraya Asuka , Bui Thu Minh , Nguyen Quynh Thuy , Nguyen Nga Thi , Nguyen Giang Thi Huong , Zhang Melvyn Weibin , Minas Harry , Sekiya Yuki , Watanabe Kazuhiro , Tsutsumi Akizumi , Shimazu Akihito , Kawakami Norito
Published: October 2020

Background

Work engagement is important for employee well-being and work performance. However, no intervention study has investigated the effect of an eMental Health intervention on work engagement among workers in low- and middle-income countries (LMICs).

Objective

The aim of the study was to examine the effects of a newly developed smartphone-based stress management program (ABC Stress Management) on improving work engagement among hospital nurses in Vietnam, an LMIC.

Methods

Full-time registered nurses (n=949) were randomly assigned to one of 2 intervention groups or a control group. The intervention groups were a 6-week, 6-lesson program offering basic cognitive behavioral therapy (CBT-based stress management skills), provided in either free-choice (program A) or fixed order (program B). Work engagement was assessed at baseline and 3-month and 7-month follow-ups in each of the 3 groups.

Results

The scores of work engagement in both intervention groups improved from baseline to 3-month follow-up, and then decreased at the 7-month follow-up, while the score steadily increased from baseline to 7-month follow-up in the control group. Program B showed a significant intervention effect on improving work engagement at the 3-month follow-up (P=.049) with a small effect size (Cohen d= 0.16; 95% CI 0.001 to 0.43]). Program A showed nonsignificant trend (d=0.13; 95% CI –0.014 to 0.41; P=.07) toward improved engagement at 3 months. Neither program achieved effectiveness at the 7-month follow-up.

Conclusions

The study demonstrated that a fixed order (program B) delivery of a smartphone-based stress management program was effective in improving work engagement in nurses in Vietnam. However, the effect was small and only temporary. Further improvement of this program is required to achieve a greater effect size and more sustained, longer lasting impact on work engagement.

Trial Registration

University Hospital Medical Information Network Clinical Trials Registry UMIN000033139; tinyurl.com/55gxo253

International Registered Report Identifier (IRRID)

RR2-10.1136/bmjopen-2018-025138
Implementation of Digital Monitoring Services During the COVID-19 Pandemic for Patients With Chronic Diseases: Design Science Approach (Preprint)
Authors: Lapão Luís Velez , Peyroteo Mariana , Maia Melanie , Seixas Jorge , Gregório João , Mira da Silva Miguel , Heleno Bruno , Correia Jorge César
Published: October 2020

BACKGROUND

The COVID-19 pandemic is straining health systems and disrupting the delivery of health care services, in particular, for older adults and people with chronic conditions, who are particularly vulnerable to COVID-19 infection.

OBJECTIVE

The aim of this project was to support primary health care provision with a digital health platform that will allow primary care physicians and nurses to remotely manage the care of patients with chronic diseases or COVID-19 infections.

METHODS

For the rapid design and implementation of a digital platform to support primary health care services, we followed the Design Science implementation framework: (1) problem identification and motivation, (2) definition of the objectives aligned with goal-oriented care, (3) artefact design and development based on Scrum, (4) solution demonstration, (5) evaluation, and (6) communication.

RESULTS

The digital platform was developed for the specific objectives of the project and successfully piloted in 3 primary health care centers in the Lisbon Health Region. Health professionals (n=53) were able to remotely manage their first patients safely and thoroughly, with high degrees of satisfaction.

CONCLUSIONS

Although still in the first steps of implementation, its positive uptake, by both health care providers and patients, is a promising result. There were several limitations including the low number of participating health care units. Further research is planned to deploy the platform to many more primary health care centers and evaluate the impact on patient’s health related outcomes.