bluuebunny/crossref_metadata_2025 huggingface dataset:
Anterior pelvic exenteration and synchronous bilateral nephroureterectomy for BK polyoma virus induced urothelial carcinoma of the bladder: A case report
Authors: Oey Oliver , Viswambaram Pravin , Moe Andrew , Swarbick Nicole , Hayne Dickon
Published: June 2022

BK polyoma virus (BKV) is a known risk factor for the development of urothelial carcinoma. There is currently limited data on the management of BKV-induced urothelial carcinoma (BUC) of the bladder, with available data limited to case reports. It remains debatable whether radical cystectomy (RC) with removal of the native urinary tract or RC alone is the most optimal management for BUC of the bladder. BKV-induced urothelial carcinoma is rare, and its management is challenging in immunocompromised patients such as that of post-transplant patients. This case report provides additional insight into a rare disease, the management of which still lacks established guidelines and remains debatable.

We present a unique case of BKV-induced muscle-invasive urothelial carcinoma of the bladder in an immunosuppressed renal transplant patient who underwent open radical cystectomy, anterior pelvic exenteration, bilateral native nephroureterectomy and ileal conduit formation to transplant kidney. The patient remains recurrence-free with preserved graft function 2 years since surgery.

An aggressive management approach which involves anterior pelvic exenteration with removal of the native urinary tract may be favoured in young patients with BUC of the bladder with minimal comorbidities. However, treatment should be individualised for each individual patient.
Sawfly Fauna (Hymenoptera: Symphyta) in the Mordovia State Nature Reserve (Central Russia)
Authors: Ruchin Alexander B. , Vikberg Veli , Lengesova Natalya A. , Mironova Svetlana E.
Published: June 2022

Protected areas are biodiversity hotspots of the world. Knowledge of their overall biodiversity is essential for nature conservation. Sawflies are an integral part of terrestrial ecosystems; being phytophages, they play a significant role in the processing of primary production. The aim of the research was to study the biodiversity of sawflies in the Mordovian Reserve. The research was carried out in 2008, 2009 and 2012-2019 on the territory of the Mordovia State Nature Reserve (Republic of Mordovia, Central part of European Russia). The article provides information on records of 169 species of sawflies of 9 families in the Mordovia State Nature Reserve. The annotated list includes 103 new species for the reserve, of which 1 species (Dineura parcivalvis) is listed for the European part of Russia for the first time, and 3 species are specified for the first time for the Central part of European Russia (Arge beckeri, Rhogogaster genistae, Tenthredo amurica).
Trigonalyoidea (Hymenoptera: Apocrita) – a new superfamily of wasps recorded in Romania
Authors: Pintilioaie Alexandru-Mihai
Published: June 2022

The superfamily Trigonalyoidea, along with the species Pseudogonalos hahnii (Spinola, 1840), is recorded for the first time in Romania. An up-to-date distribution in Europe and a brief description of its biology is presented, together with a picture of the specimen collected in Romania.
Réconcilier une France fracturée
Authors: Djaïz David , Euvé François
Published: June 2022

La récente séquence électorale a révélé une France fracturée en blocs antagonistes. Comment élaborer un projet de société pour réconcilier ces groupes ? L’écologie comme sensibilité aux interdépendances remplit ce cahier des charges. Associée à la tradition solidariste, elle permet de penser un art de gouverner où chacun se sente impliqué. Cela passe par une meilleure prise en compte de la dimension locale.
De l’expérimentation à l’imagination : trouver sa voie
Authors: Bourguignon Séverine
Published: June 2022

Cet article interroge la place de l’expérimentation dans l’accompagnement thérapeutique, les écueils et les alternatives à ces mises en situation ancrées dans le passé historique de la Gestalt-thérapie. Sous la forme d’un témoignage, l’autrice aborde les questionnements qui ont jalonné son parcours en Gestalt-thérapie, débutant par son travail personnel jusqu’à devenir elle-même Gestalt-thérapeute. Elle nous fait part de la créativité et des ajustements qui lui ont été nécessaires pour intégrer les apprentissages et une nouvelle posture liée au dispositif de la PGRO, comme devoir renoncer à l’expérimentation au profit de l’imaginaire. Une vignette clinique vient illustrer son propos.
L’ingénierie des ateliers sociolinguistiques : une réflexion didactique située pour accompagner l’intégration d’adultes dits « migrants »
Authors: Forzy Blandine , Hanon Camille , Castelli Mathilde
Published: June 2022

L’article traite de la méthodologie des Ateliers sociolinguistiques (ASL) conçue par Mariela de Ferrari puis développée dans le cadre d’une formation-action interassociative. L’élaboration de la démarche est resituée dans le contexte de la formation linguistique, des politiques d’intégration et de l’évolution des approches didactiques. Les « rôles sociaux » de ces adultes en immersion sont didactisés pour renforcer leur autonomie sociale et communicative sans employer le terme d’intégration. L’approche andragogique est justifiée par les rôles et place du formateur, des « participants » et des partenaires extérieurs mais aussi par la pluralité des publics et de leurs parcours.
Familles immigrées : le niveau d’éducation progresse sur trois générations mais les inégalités sociales persistent
Authors: Beauchemin Cris , Ichou Mathieu , Simon Patrick , l’équipe de l’enquête TeO2
Published: June 2022

Le niveau d’éducation progresse beaucoup entre les parents immigrés et leurs enfants nés en France. Le niveau atteint reste cependant inférieur à celui des descendants de natifs. Dans les familles originaires d’Asie et d’Afrique subsaharienne, les parents sont plus souvent diplômés du supérieur que les parents natifs. Dans les familles originaires de Turquie et du Moyen-Orient, les parents sont en revanche peu diplômés et leurs enfants aussi malgré une progression, faisant de ce groupe celui le moins diplômé de tous les groupes issus de l’immigration. La plus grande réussite scolaire des filles, un fait général bien connu en France, se vérifie aussi chez les filles d’immigrés qui dépassent plus souvent que les fils le niveau de diplôme des parents.
La uilla de la « Marlière » à Proville (Nord). Résultats de prospections
Authors: Deru Xavier , Leroy Gilles , Delmaire (†) Roland , Doyen Jean-Marc
Published: June 2022

La uilla romaine de Proville se situe au bord de l’Escaut et occupe un site déjà fréquenté au Néolithique et au début de l’Âge du Fer. Des prospections aériennes et différentes campagnes de prospections pédestres permettent de caractériser le site. Il s’agit d’une uilla de taille moyenne, mais comprenant des pièces décorées de mosaïques et de placages de pierre. Elle est occupée du début du i er s. au iv e s.
Ensembles funéraires en Atrébatie : les sites de Houdain et Rebreuve-Ranchicourt (Pas-de-Calais)
Authors: Delobel Déborah , Afonso-Lopes Élisabeth
Published: June 2022

Les opérations de fouilles préventives menées sur les sites d’Houdain et Rebreuve-Ranchicourt ont mis au jour une occupation laténienne et du Haut-Empire comprenant des enclos fossoyés et quatre aires funéraires. Les aires funéraires sont utilisées de la fin de La Tène moyenne jusqu’au début du ii e s. de notre ère. L’étude anthropologique des dépôts cinéraires a identifié certains gestes funéraires accordés aux défunts lors du processus de crémation, de définir une population de type familial et de discerner trois modes de dépôts osseux : les dépôts en pleine terre, en urne cinéraire et en amas avec ou sans contenant. Quelques structures ont également été reconnues comme des fosses de rejets de bûcher.
Older Adult Engagement With Facebook
®
Interventions: A Challenge for Nursing Research
Authors: Oliver Debra Parker , Kruse Robin L. , Pitzer Kyle , Washington Karla T. , Starr Lauren T. , Liu Jingxia , Smith Jamie , Jorgenson Lucas , Demiris George
Published: June 2022

Facebook
®
is a popular platform for older adults, especially as they try to stay in contact with their family around the country. It is also a popular platform for hosting online support groups. The readily available, socially acceptable, and free platform holds many advantages not only for older adults but also for nurse researchers designing and implementing interventions for older adults. The literature is void of proven methods to measure individual engagement with the Facebook platform. The current article describes efforts to develop a measurement process and evaluate the impact that engagement with Facebook has on improved mental health outcomes for older adults. Scores were severely skewed and ranged from no engagement to very high engagement. Engagement differed based on sex, race, and living arrangements with patients. Further work in this area is needed if nurse researchers are to consider the role of engagement in social media interventions. [
Journal of Gerontological Nursing, 48
(7), 10–17.]
Impact of Urinary Incontinence Related to Overactive Bladder on Long-Term Care Residents and Facilities: A Perspective From Directors of Nursing
Authors: Stefanacci Richard G. , Yeaw Jason , Shah Drishti , Newman Diane K. , Kincaid Amy , Mudd Paul N.
Published: June 2022

The current study assessed the impact of urinary incontinence (UI) on residents, staff, care processes, and quality measures in long-term care (LTC) settings. A 70-question quantitative online survey was sent to directors of nursing (DONs) who had worked for ≥1 year in a ≥100-bed facility (≥80% LTC beds). Of the 62% of residents with UI, 40% were always incontinent, and 81% used incontinence products for UI. Overall, 59% of DONs reported that UI management contributes to certified nursing assistant turnover. Approximately 36% of resident falls occurred while trying to get to the bathroom. LTC quality measures reported as significantly impacted by UI included urinary tract infection and falls with major injury. Only 14% of residents with UI were treated with medication. Most (75%) DONs were unaware of any link between anticholinergic medications and risk of cognitive side effects. These results highlight the need for improved UI treatment, awareness, and management in this population. [
Journal of Gerontological Nursing, 48
(7), 38–46.]
Magnetohydrodynamics approximation of the compressible full magneto- micropolar system
Authors: Fan Jishan , Ozawa Tohru
Published: June 2022

In this paper, we will use the Banach fixed point theorem to prove the uniform-in-$ \epsilon $ existence of the compressible full magneto-micropolar system in a bounded smooth domain, where $ \epsilon $ is the dielectric constant. Consequently, the limit as $ \epsilon\rightarrow0 $ can be established. This approximation is usually referred to as the magnetohydrodynamics approximation and is equivalent to the neglect of the displacement current.
Lead-off of the SMRMarket, Light Water SMR
Authors: CHUN Jihan , LEE Taeho , KANG Hanok , KIM Jongwook
Published: June 2022

The world is doing its best to cope with the climate crisis. At a time when it is difficult to drastically reduce electricity consumption, interest in renewable energy is increasing to reduce carbon dioxide. However, renewable energy is fundamentally intermittent and needs to be complemented with other maneuverable measures. As a result, SMR (Small Modular Reactor)’s role is being highlighted for the purpose of replacing coal-fired power plants, desalination of seawater, supplying process heat, and district heating as well as supplementing renewable energy. In particular, it is paying attention to ‘light water’ SMR as the lead-off of the SMR market. Therefore, the technology and advantages of light water reactors, the development status of SMR in Korea, and strategies to enter the SMR market with SMART and innovative SMR are discussed in this paper.
An Observation Protocol for Scaffolding Community of Inquiry and Its Exemplary Practices in Language MOOCs
Authors: Zhang Yining , Chieh YuanTzu
Published: June 2022

As a response to a call to investigate the fundamental aspects regarding educational theory, research, designing and teaching of language massive open online courses (MOOCs), this study first developed a Community of Inquiry (CoI) observation protocol, to observe the existing teaching, social, and cognitive presences in language MOOCs, and tested its reliability using g-theory analysis. The results showed that the developed observation protocol is reliable, as evidenced by the large proportion of variance attributed to variation across courses rather than across raters. A follow-up d-study suggested that five and 11 raters were enough to reach moderate and substantial reliability coefficients, respectively. The study also identified exemplary practices that reflected high-level CoI presences in language MOOCs. The result not only highlighted the need to conduct observational studies to disentangle the dynamic interchanges that occur in language MOOCs, but also provided practical guidelines to language educators interested in designing and teaching their own MOOCs.
AMAKA
Authors: Malik Monica , Gandhi Khushi , Narwal Bhawna
Published: June 2022

In this paper, a small initiative is taken to overcome the flaws, weaknesses, and vulnerabilities of the earlier schemes propounded by many researchers. For that, an Anonymous Mutually Authenticated Key Agreement Scheme for WSNs (AMAKA) have been developed. To demonstrate the practicality of the scheme, the protocol has been checked for security properties using AVISPA tool and BAN-logic which is a set of rules for defining and analyzing information exchange protocols, these two assists in achieving the results for detailed security evaluation and analysis. Further, performance analysis is presented based on communication, computation, and storage cost, which manifests that the proposed scheme AMAKA outperforms others.
A New Design of Occlusion Invariant Face Recognition Using Optimal Pattern Extraction and CNN with GRU-Based Architecture
Authors: Pankaj Pankaj , Bharti P.K  , Kumar Brajesh
Published: June 2022

Deep learning networks are considered as an important technique for face recognition and image recognition. Convolutional Neural Networks (CNN) is regarded as a problem solver in face recognition challenges. To solve the challenges of occlusion and noise in the image, more clarification is needed to acquire high accuracy. Hence, a deep learning model is developed in this paper. The proposed model covers four main steps: (a) Data acquisition, (b) Pre-processing, (c) pattern extraction, and (d) classification. The benchmark datasets with occluded faces is gathered from public source. Further, the pre-processing of the images is performed by contrast enhancement and Gabor filtering. With these pre-processed images, pattern extraction is done by the optimal local mesh ternary pattern. By inputting the pattern extracted image, a deep learning model “CNN with Gated Recurrent Unit (GRU)” network performs the recognition process. The experimental results are obtained and the proposed model gives better classification accuracy.
Wear and 3D Micro-Morphological Studies on CAD/CAM Milled Dental Zirconia for Post-Fabrication Dental Processes
Authors: Patil Ashwini , Davidson Jebaseelan D. , Jafferson J.M. , Gopal Vasanth , Manivasagam Geetha
Published: June 2022

The post-fabrication processes on CAD/CAM milled dental Zirconia result in surface roughening, micro-cracking, a decline in surface texture, and loss of strength. Also, the hydrothermal stresses formed due to water, blood, and synovial fluid infiltration into the crack space initiate crack propagation. The present work makes an effort to study the effect of surface morphology due to the post-processing of Yttrium-stabilized tetragonal Zirconia (Y-TZP) after CAD/CAM milling by studying the height, spatial, functional parameters (volume & Stratified surfaces), and 3-D surface roughness parameters in detail. Five groups based on post-processing combinations currently used in clinical conditions were selected for the study. Group 1(G1-S) involved the milling of pre-sintered blocks followed by sintering. Group 2(G2-S+P) consisted of sintering followed by the polishing process. Group 3(G3-S+P+S.B) consisted of sintering, polishing, and sandblasting with Aluminium Oxide (Al2O3) with a particle size of 110µm. Group4 (G4- S+S.B) involved sintering followed by sandblasting. Group5 (G5-S+S.B+P) consisted of sintering, sandblasting, and polishing. The surfaces were evaluated using a 3-D surface profilometer before and after wear. Before wear, the G4 process group responded with the highest surface roughness value, (Average roughness) Sa=1.378±0.409μm, and it was within the limit, which supported osseointegration. Valleys were predominant in almost all the groups, except G4. Also, the peak and core parameters for G3 &G4 were higher and will be of interest for further bone-implant contact (BIC) studies. The groups with sandblasting fabrication processes (G3, G4) exhibited relatively higher 3-D roughness parameters when compared to the groups with fabrication processes (G1, G2, G5). After wear, there was a considerable decline in the material peak. The research revealed that the methods with sandblasting could be suitable for osseointegration, BIC, and in-vivo performance for crown applications. Also, sandblasting followed by polishing (G5) was found to be optimal. Dentists will be able to determine the right clinical adjustments for their chairside CAD/CAM dentistry using 3-D surface roughness morphological analyses. It will also aid researchers in conducting in-depth studies on the issues related to oral cavity.
An Eco-Sustainable Production of Cement Mortar Containing Waste Glass as Partial Replacement of Cement
Authors: Aswed Khaldon K. , Harith Iman Kattoof
Published: June 2022

1.1 BackgroundGlass, with its variety of forms, is a typical amorphous material that whenrecycled for numerous times, it may maintain similar chemical properties. Preliminary examination and pozzalanic activity index testing exhibited compliance with specifications and a potential for use as a supplementary cementitious material. The effects of replacement percentages that ranged from 0-20% by the total binder weight on various fresh, hardened, durability and microstructure properties were investigated. The percent of replacement 20% of glass powder (GP) by the total binder weight revealed the highest results for strength mortar. Expansion due to alkali silica reaction (ASR) reduced considerably with the increased GP content, and a level of 20% GP has exhibited the best ASR resistance. Rate of water absorption was found to reduce with replacements in the range up to 15%, indicating more impedance to capillary water permeability and expected improved durability. XRD results suggest that GP has a positive effect on the consumption of portlandite, especially in the higher percent. An average glass content of 15-20% was found optimal to produce an eco-sustainable mortar where cement is partially replaced with as much waste material as possible, and that achieves high levels of mechanical characteristics.
Energy Absorption Characteristics and Elastoplastic Damage Response of Hybrid Epoxy/Coir Fibre-Reinforced Aluminum 6063 Tubes in Axial Deformation
Authors: Malomo Babafemi , Ajayi Oluwaseun , Ogunbodede Oladapo , Olabinjo Omotunde , Fadodun Odunayo , Z. Adewole Bamiji , Nasirudeen Ismail , Obembe David
Published: June 2022

Occupant safety is one of the critical performance criteria established in the aerospace industry. Several composite materials have been developed but the energy absorption properties are not yet satisfactory. This study investigates the energy absorption characteristics of aluminum tubes reinforced with coir-fiber/epoxy system at varying proportions (10-90%) according to the specifications of hybrid tube thickness compositions (10T, 15T, 20T) towards evolving a criterion for optimal performance. Finite element analysis was conducted in ABAQUS to determine the load–displacement response and the crashworthiness properties of the tubes while a representative volume element (RVE) model was formulated to obtain the elastic properties of the reinforcement phase. The results indicated that the incidence of high peak forces Pmax is related to tube thickness variations where the 20T tubes were found to give the best performance, while the 15T tubes showed a superior performance under progressive crushing and presented the best responses for specific energy absorption (SEA). A multi-objective optimization plan was implemented and through the Pareto fronts, tube configurations (C20T60F), (C15T70F) and (C20T40F) were found to be most consistent with the design criteria. Results from experimental validation were found to be in close agreement with numerical predictions and satisfied the overall objective of achieving a good balance in lightweight design for crashworthiness applications.
Suitable Ultra-Thin Asphalt Binder Achieved the Energy Equilibrium
Authors: Abed Yasameen Hadi , Al-Haddad Abdulhaq Hadi Abedali
Published: June 2022

The tensile behaviour of asphalt binder films confined between aggregate particles as an adhesive was investigated to evaluate the direct adhesion bond between asphalt binder and surface of aggregate utilizing several laboratory experiments. The results were interrogated in terms of the mechanical, chemical and surface free energy theories. The preformed tests include dynamic shear rheometer (DSR), sessile drop and direct tension tests. The experimental results demonstrated a strong relationship between the internal work represented by bond energy and the external work represented by the practical work required to fracture from the direct tension test that can be used to estimate asphalt binder-aggregate combinations performance. A simulation for the adhesion behaviour using a static model in terms of external work and internal work to predict the suitable asphalt binder thickness required to prevent fatigue and rutting failures was proposed as a new design criterion for asphalt pavement. Keywords: Internal and external bonding work, asphalt binder, SFE, fracture work, direct tension test, DSR.
The Influence of Material Position towards the Bending Strength of the 4 Pass AA1050/AA6082 and AA6082/AA1050 FSPed Joints
Authors: Muribwathoho Oritonda , Msomi Velaphi , Mabuwa Sipokazi
Published: June 2022

This paper reports on the influence of material position towards the bending strength of the 4 pass AA1050/AA6082 and AA6082/AA1050 FSPed joints. FSW approach was utilized to create dissimilar joints using two dissimilar plates. After that, the created dissimilar joints were put through a multi-pass friction stir processing. The microstructural analysis results revealed that the 4P 6082/1050 joint had substantially finer grains than the 4P 1050/6082 joint. The 4P 1050/6082 joint yielded the highest ultimate tensile strength when compared to that of the 4P 6082/1050 joint. The Vickers microhardness of 1050/6082 FSPed joints was found to be increased towards the AA6082, while 6082/1050 FSPed joints decreased towards AA1050. The bending strength analysis showed that there was no obvious trend in flexural strength.
Numerical Modelling and Simulation to Investigate the Effect of Flow Field Pattern on the Performance of PEM Fuel Cells
Authors: Prasad Devendra , Srinivasulu G. Naga , Bharti Ajaya , Kumar Naveen , Velisala Venkateswarlu , Chauhan Akhilesh Kumar
Published: June 2022

The Proton Exchange Membrane Fuel Cells (PEMFCs) performance is improved by flow field channel design. The flow field reactant distribution geometry on PEMFCs is primarily influenced by the perceived effect of pressure and transmission characteristics of reactant flow fields on the efficiency of fuel cells. Nutrients distributed in the biological branching structures systems found their optimum arrangement have more efficiently in each part. The flow fields design channels in polymer electrolyte membrane (PEM) fuel cells serve the same roles as nutrient transport systems in plants and animals, so bio-inspired flow fields design with a similar could maximize reactant transport efficiency and improve fuel cell performance. In this analysis, the lung channel design of a humane lung and a tree leaf bio-inspired flow field design is used for the flow fields of the anode and cathode bipolar plates. SOLIDWORKS produces a 3-D numerical CFD design for four new flow field pattern designs: leaf design, lung design, single-serpentine, and triple-serpentine. The model is simulated using ANSYS FLUENT-15.0 software to obtain pressure distributions in the flow field, concentration profiles of hydrogen on anode and oxygen on cathode channel, current flux density on the membrane, water concentration on the membrane, water generating in a cathode channel, the polarization curve and the power curve. It is observed that bio-inspired leaf and lung design performs better than serpentine flow field channels. So, leaf and lung design can be used in mopeds and automobiles to enhance electrical efficiency and at the same time reduce fuel consumption.
Experimental Analysis on Flow Field Pattern of PEM Fuel Cells
Authors: Prasad Devendra , Srinivasulu G. Naga , Bharti Ajaya , Kumar Naveen , Mohd Azam Syed
Published: June 2022

The polymer electrolyte membrane (PEM) fuel cells flow fields channels serve the same roles as nutrient and reactant circulation systems in plants and animals, so bio-inspired flow field channels with a similar could improve reactant uniform transport efficiency and boost fuel cell performance. In this analysis, the lung channel configuration of a humane lung and a tree leaf bio-inspired flow field channels are used as an anode and cathode bipolar plate. A channel model is developed for three new flow field patterns designs: leaf design, lung design and triple-serpentine. It has been observed that the performance improvement in terms of power in the bio-inspired flow field is 13.32% more than the triple serpentine. This indicates the bio-inspired design has good performance than other flow field design. Further a parametric steady is carried out experimentally to study the effect of cell operating temperature, anode and cathode humidity, hydrogen and oxygen flow rate on the cell performance.
Study the Optical and Morphological Properties of Prepared PANI/TiO2 Nanocomposites
Authors: Talib Rawnaq A. , Thbayh Dalal K. , Mohammed Kahtan A.
Published: June 2022

Inorganic-organic hybrid materials are of the materials of interest to researchers for the purpose of developing them in this work. A hybrid material consisting of conductive polymer polyaniline (PANI) doped with dodecyl benzene sulfonic acid (DBSA) C18H30O3S with titanium oxide nanoparticles (TiO2 NPs ) was prepared by the direct chemical polymerization method, and then the optical and surface properties of the prepared materials were studied by UV-VIS spectroscopy, Scanning electron microscopy SEM , and Energy Dispersive X-Ray EDX. The EDX results confirm the presence of TiO2 in the composite material .The results clearly demonstrate that the composite films have good optical properties. As the content of TiO2 was increased in the polymer matrix, the shift of the optical absorption was observed.
Determinants of Tax Non-compliance Behaviour of Small and Medium Scale Enterprises in Nigeria
Authors: Sulaimon O. , Amole Bilqis B. , Oyenuga Olamilekan G.
Published: June 2022

The unpredictable nature of crude oil prices in the market requires the government of any economy to develop solid tax bases by generating income from sources especially small and medium enterprises (SMEs) to guarantee revenue that can engender sustainable fiscal policy. This study, therefore, focuses on evaluating and prioritizing the motive toward tax compliance and avoidance among registered SMEs, with at least five years of operational experience, in Lagos, Nigeria. A cross-sectional survey design was adopted with primary data gathered from 382 SME owners/managers derived from the multi-stage sampling technique. Utilizing the Analytical Hierarchy Process (AHP), data gathered were analysed. The results revealed that, out of the six tested, economic criteria and their factors are the most important criteria influencing both tax avoidance and compliance decision. Moreover, to strategically enhance SMEs’ tax compliance, government spending, economy, and fiscal policy need to be logically positioned in favour of SME operators.
Effect of Psychological Ownership on Employee Defensive Voice in IT Services Organisations: The Moderating Role of Power Distance Orientation
Authors: Pavitra K. H. , Sarikwal Lovy
Published: June 2022

The relationship between psychological ownership (PO) and defensive voice to supervisor, and the moderation of this relationship by power distance orientation (PDO) are not examined in current research. To reduce harmful defensive voice to supervisor in organisations, it was examined if PO (job or organisation) is negatively related to defensive voice to supervisor. As research reports that PDO affects different predictor–employee voice relationships, the moderating effect of PDO on PO (job or organisation)–defensive voice to supervisor relationship was examined. Survey method and judgement sampling were employed for data collection from 349 information technology (IT) services employees in India.  Confirmatory factor analysis and moderated hierarchical regression were used for analysis. PO (job or organisation) was found to be negatively related to defensive voice to supervisor, and PDO moderated this relationship such that high PDO employees express lower defensive voice to supervisor than low PDO employees.
Financial Inclusion and Bank Efficiency: Evidence from Data Envelopment Analysis
Authors: Yadav Manjari , Sahu Tarak Nath , Maity Sudarshan
Published: June 2022

The issue of low financial inclusion in developing countries is an existing reality which needs to be improved. The present study focuses on evaluating the bank efficiency of India’s major drivers of financial inclusion, i.e., public and private sector banks, in fulfilling their task of financial inclusion. The time period considered is 2009/2010 to 2019/2020. A comparative evaluation of the role played by public and private sector banks in financial inclusion initiatives is measured on technical grounds using Data Envelopment Analysis. The Technical Efficiency scores conclude that the private banks are technically more efficient than the public sector in fulfilling this task. The public sector lags behind due to inefficient input utilization and they can improve their efficiency by switching to tech-based services like kiosk banking, and internet banking, and jointly promoting financial inclusion with private banks in order to improve their efficiency and save on their input resources.
Thornton, P. H., Ocasio, W., & Lounsbury, M., The Institutional Logics Perspective: A New Approach to Culture, Structure and Process
Authors: Damayanthi Sujeewa
Published: June 2022

No abstract available
Distal symmetrical polyneuropathy detected by vibration perception threshold among adults with and without diabetes attending a general outpatient clinic in Ilorin, Nigeria
Authors: Obalowu Ismaila , Mohammed Abdulkadir , Ademola Christy , Yusuf Ramat , Alabi Kola , Alaofin Wemimo
Published: June 2022

The aim of this study is to compare the prevalence, severity, and symptoms of Distal Symmetrical Polyneuropathy (DSP) among adult patients with diabetes and those without diabetes in a primary care clinic. It was a cross-sectional comparative study involving 72 adults of between 40-60 years of age living with diabetes and 72 age-matched adults without diabetes. DSP was assessed with a biothesiometer device, and data analysis was performed using the SPSS Version 21 statistical software. The overall prevalence of neuropathy among the participants was 68.1% for those living with diabetes and 38.9% for the other group. Furthermore, 22.3% of the diabetes group had severe neuropathy compared with 8.3% of the other group. These differences were found to be statistically significant with p=0.001 (df = 2, X2 = 14.07). We reported higher prevalence and severity of DSP in those living with diabetes. We also found significant association between high VPT (≥25V) and presence of neuropathic symptoms thereby enhancing the use of the biothesiometer device in the diagnosis of adults with DSP in the primary care setting.
Erectile dysfunction following hydrogel injection and hypofractionated radiotherapy for prostate cancer: Our experience in 56 cases
Authors: Pepe Pietro , Tamburo Maria , Panella Paolo , Pepe Ludovica , Marletta Giulia , Pennisi Michele , Marletta Francesco
Published: June 2022

Introduction: The incidence of erectile dysfunction (ED) in men with organ-confined prostate cancer (PCa) submitted to hypofractionated radiotherapy (HRT) has been prospectively evaluated. Materials and methods: From April 2018 to September 2020, 56 patients (median age 70 years) with cT1c PCa were treated by HRT directed to the prostate and seminal vesicle. Median PSA was 8.3 ng/ml; 20 patients (35.7%) vs. 28 (50%) vs. 8 (22.3%) had a PCa Grade Group 1 vs. 2 vs. 3, respectively. All patients underwent hydrogel injection of Space OAR and intraprostatic fiducials before HRT. The prescription dose was 60 Gy in 20 fractions 5 days/week over 4 weeks. During the follow up, PSA, genitourinary (GU) and gastrointestinal (GI) toxicities were evaluated. The sexual function was evaluated by International Index of Erectile Function - 5 (IIEF-5) before, 6 and 18 months from HRT; 32/56 (57.1%) men referred a normal sexual activity before HRT (median IIEF-5 score: 22). Results: Median PSA level at median follow up of 18 months was 0.92 ng/ml and none used adjuvant therapy. One man (1.8%) referred a tardive grade 1 GU complication. At a median follow up of 6 and 18 months, 20/32 (62.5%) kept pretreatment sexual potency (median IIEF-5 score: 21). The 12/32 men who worsened the sexual function following HRT had a median age higher than patients without ED (78 vs. 67 years). Conclusions: The use of hydrogel injection and intraprostatic fiducials followed by HRT allowed to kept pretreatment sexual potency in 62.5% of the cases.
Pediatrics ear syringing in a tertiary health institution of a developing country: Our experience
Authors: Adegbiji Waheed Atilade , Aluko AbdulAkeem Adebayo , Aremu Shuaib Kayode
Published: June 2022

Ear syringing is a common otologic procedure in otorhinolaryngologic practice worldwide. This study aimed at determining the prevalence, indications, contraindications, complications and sources of referral that are associated with ear syringing among children in a tertiary health institution of a developing country. This was a retrospective study of all patients that had ear syringing in the Ear, Nose and Throat department of our center over two years. Data was analyzed using SPSS version 18.0. Statistical significance was set at pvalue ≤0.05. There were 176 (59.9%) male participants with a male to female ratio of 1.5:1. The prevalence of ear syringing in children less than 18 years was 9.1%. Main indications for ear syringing were impacted earwax 173 (58.8%), impacted foreign body in the ear 62 (21.1%), fungal debris 41 (13.9%) and dried pus debris (post otitis externa) 15 (5.1%). Unilateral ear syringing 227 (77.2%) was more common than bilateral ear syringing 67 (22.8%), with the right ear syringing done in138 (46.9%). The majority 201 (68.4%) of the earsyringing was done by specialist ENT nurses and 86 (29.3%) by resident doctors. Two hundred and nineteen (74.5%) were performed in outpatient clinics while 67 (22.8%) were in the emergency ward. Relative contra-indications to ear syringing occurred in 184 (62.9%). Some of the contraindications were hard impacted earwax and acute otitis externa in 132 (44.9%) and 42 (14.3%) respectively. Complications occurred in 63 (21.4%) and these were failed procedures in 26 (8.8%), otalgia in 9 (3.1%), and irritating cough 9 (3.1%). The main sources of referral were Family physicians in 82 (27.9%) and Paediatricians in 76 (25.9%). Prevalence of pediatric ear syringing was 9.1%. Common indications are preventable diseases. The procedure appears very simple, but it is associated with some complications.
Splenic pseudocyst with splenocutaneous fistula: Case report and review of literature
Authors: Bello Usman Mohammed , Nwachukwu Callistus , Abdullahi  Ismail Nasiru , Mukhtar Umar Mohammed
Published: June 2022

Splenic cyst with splenocutaneous fistula is extremely rare. It is mainly caused by trauma or parasitic infestation. Splenic cyst mainly present with right upper quadrant abdominal pain and swelling. It can be complicated by rupture however presentation as splenecutaneous fistula is extremely rare as only one case was reported in the literature. Management of splenic cyst can be partial or total splenectomy and can be done open or laparoscopic. In this case we present a case of splenic cyst with splenocutaneous fistula that was managed surgically with resection.
To study the role of magnesium and Gamma- glutamyl transferases in alcoholic liver disease
Authors: Gaikwad Kapila , Selkar Sohan , Agrawal Sanjay
Published: June 2022

Aim:

To study the role of magnesium and gamma- glutamyl transferases in alcoholic liver disease.

Objectives:

(1) To estimate serum magnesium and serum glutamyl-transferases (GGT) in alcoholic liver disease. (2) To estimate liver enzymes Alanine Transaminases (ALT), Aspartate Transaminases (AST), Alkaline Phosphatase (ALP), and Total protein and Albumin in alcoholic liver disease. (3) To correlate serum magnesium with all liver enzymes. (4) To correlate serum GGT with all liver enzymes.

Materials and Methods:

All liver enzymes, serum magnesium, serum GGT, total protein and albumin were estimated in 50 alcoholic liver disease patients and 50 normal subjects on Trivitron Dirui autoanalyzer.

Results:

Significant difference was found between mean values of cases and controls in Mg, GGT, AST, ALT, Alkaline phosphatase, and Albumin (P<0.05). Positive correlation was found between Mg with GGT, ALT, Total proteins and Albumin. This indicates that the higher(lower) values of Mg are associated with higher(lower) values of GGT, ALT, Total proteins, and Albumin. But the result were not statistically significant.(P >0.05).

Conclusion:

Chronic alcoholic liver disease significantly elevates Gamma-glutamyl transferase. Hypomagnesemia is also seen in alcoholic liver disease. Gamma-glutamyltransferase has a significant relation with magnesium levels in alcoholic liver disease.
Gender of the baby and its impact on the health-related quality of life of postpartum women
Authors: Singh Pallika , Rasania S. K.
Published: June 2022

Introduction:

Health-related quality of life (HRQoL) is a multidimensional concept and is relatively neglected in both research and practice. Gender equality is a crucial measure of human rights for millions of women and girls around the world. Most postpartum researches have focused on physical complications. This study was conducted to analyze the impact of gender of the baby on the HRQoL of postpartum women at 6 weeks.

Material and Methods:

The study was conducted in a resettlement colony, Kalyanpuri, located in Delhi, India, with a sample size of 330 postpartum women. The data were collected in the 6th week of postpartum period using the Medical Outcomes Study Short Form 36 Health Survey for HRQoL.

Results:

The findings showed that the birth of a male baby led to a significantly (P < 0.05) better mean HRQoL score than the birth of a female baby. The mean scores of general health, vitality, social functioning, and mental health domains were significantly less in the case of a female newborn child.

Conclusion:

The male dominance in the Indian society which leads to financial supremacy and coercion for continuation of family lineage was an important predictor of lower HRQoL of the women in the postpartum period. This demonstrates the need for risk factor for gender equity to and achieve universal health coverage.
A Single-Center Prospective Observational Study Evaluating Telemedicine for Kidney Transplant Patients in the Coronavirus Disease-19 Pandemic
Authors: Mazumder Mastakim Ahmed , Gulati Sanjeev , Shehwar Durre , Sengar Amrita
Published: June 2022

Introduction:

The coronavirus pandemic has restricted access to health-care services for kidney transplant patients because of concerns of COVID-19 infection. This single-center prospective study was done to assess the feasibility, acceptability, and effectiveness of telemedicine services for regular follow-up of kidney transplant patients as well as for triaging patients for admission.

Methods:

The study was undertaken during the lockdown period in India from March 23, 2020 to June 30, 2020. A formatted message seeking all relevant information was sent before teleconsultation. WhatsApp/email using smartphones and Electronic Medical Records system were used to provide telemedicine services. At the end of the e-consult, the patient was asked to rate his experience on a scale of 0–10.

Results:

A total of 296 consults for 122 patients were given. Of these, 239 (80.7%) consults (96 patients) were for domestic patients and 57 (19.3%) consults (26 patients) were for international patients. The mean age of the patients was 43 ± 15 years. The mean patient satisfaction score for e-consults was 9.5 ± 0.7. Four (3.3%) patients were seen for the first time after transplant via teleconsultation. Nine (7.4%) patients were advised admission and the rest were advised follow-up teleconsultation. Among those admitted, 6 (4.9%) were COVID positive and 1 (0.8%) patient died of COVID-19 pneumonia.

Conclusions:

Telemedicine offers a viable modality for health-care delivery when access to health care is restricted for transplant patients. Our model of telemedicine can be replicated easily without the burden of high cost for infrastructure.
Pattern and Distribution of Pediatric Dermatoses and their Association with Parental Socioeconomic Status
Authors: Podder Indrashis , Agarwall Komal , Anurag Anubhav
Published: June 2022

Background:

In developing countries, pediatric dermatoses cause significant morbidity and are a major public health problem. Parental socioeconomic status (SES) is an important underlying factor.

Aim:

The aim of the study is to estimate the prevalence and disease characteristics of pediatric dermatoses at a tertiary care center in Eastern India.

Materials and Methods:

Patients aged 19 years and below, presenting with at least one skin disorder were included in this cross-sectional study. All patients were subjected to detailed history including parental SES and clinical examination.

Results:

We evaluated 525 subjects (mean age 9.9 ± 6.2 years; M:F 1:1.1), majority being adolescents (>12–19 years) (40.6%) and belonging to upper-lower socioeconomic class (69.3%). Infections and infestations were most frequent (56.6%), followed by skin appendageal disorders (22.7%), eczema and dermatitis (8.8%), miscellaneous disorders (6.9%), pigmentary and nevoid disorders (3.4%), and papulo-squamous disorders (1.7%). Among infections, dermatophytosis was most common, followed by scabies and impetigo; while acne vulgaris was the most frequent noninfectious disorder followed by seborrhoeic dermatitis. Skin disorders were significantly associated with parental SES (P = 0.04). Infections showed a significant inverse association with parental SES (P = 0.003) while eczematous disorders demonstrated a positive dose-response association (P = 0.005). Higher parental SES increased the risk of acne vulgaris but reduced the risk of impetigo.

Conclusion:

Infectious diseases occurred most frequently, followed by pilosebaceous disorders. Parental SES is a significant determinant of pediatric dermatoses. Increased awareness is needed to prevent and treat these disorders.
Postmessenger Ribonucleic Acid COVID-19 Vaccine Delayed Inflammatory Reaction to Dermal Fillers
Authors: Alharithy Ruaa , Alsaedi Asim , Alsaedi Marwan
Published: June 2022

We report two cases of inflammatory reaction to postvaccination to Pfizer COVID-19 vaccine from Saudi Arabia: A case of delayed inflammatory reactions (DIRs) to hyaluronic acid (HA) dermal filler in the upper lip following the first dose of messenger ribonucleic acid Pfizer-BioNTech COVID-19 vaccine; the second case of DIR to HA filler underneath of eye following the second dose of Pfizer COVID-19 vaccine. The mechanism of this late reaction to HA fillers may be dependent on numerous factors and is not well understood.
P300, a tool for cognitive assessment in women with iron deficiency anemia: A systematic review
Authors: Sheema Umme Kulsoom , Rawekar Alka
Published: June 2022

ABSTRACT

Iron-deficiency anemia (IDA) is a common nutritional disorder and an important risk factor for the development of mild cognitive impairment that may progress to dementia, if untreated. The anemic status due to iron deficiency (ID) alters the electrogenesis in the central nervous system. P300 is a cognitive evoked potential (CEP) used as an objective tool to assess cognitive function. Mild cognitive impairment is indicated by prolonged P300 wave latency and reduced amplitude. IDA is highly prevalent among women particularly in the reproductive phase and data on cognitive assessment using P300 in them are sparse. This review aims to analyze the evidence from recent literature regarding the effect of IDA on evoked potentials like P300 in women. A systematic literature review was conducted and databases, like PubMed, Medline, Scopus, and Google Scholar, were searched for studies from the last 20 years. We selected research papers that compared P300 between anemic women and controls of the same age, and evaluated the effects of iron supplementation on P300 in anemic women. Based on the inclusion criteria, three studies were found. The studies demonstrated impaired P300 potentials in anemic women that improved following iron supplementation. Promoting screening of anemic women with P300 aids in the early detection of subclinical cognitive decline. Ensuring adequate iron treatment can prevent mild cognitive impairment from progressing to severe forms like dementia and other neuropsychological disorders. Further studies utilizing P300 as a cognitive tool need to be encouraged to establish definite conclusions regarding its efficacy in detecting cognitive dysfunctions in anemia.
Pattern of pediatric emergency visits during lockdown -Impact of COVID-19 pandemic in Jodhpur City, India
Authors: Choudhary Bharat , Sharma Devansh , Gupta Manoj Kumar , Singh Kuldeep , Choudhary Yachana
Published: June 2022

ABSTRACT

Objectives:

To study the impact of lockdown during novel coronavirus disease-19 (COVID-19) pandemic on Pediatric Emergency visits.

Methods:

In this retrospective study, we compared the data regarding demographic details, triage category, underlying primary organ system involvement and outcomes among pediatric emergency visits of April-May 2019 and 2020. Results are expressed in means and proportions. Chi-square test was applied to compare the proportion in two groups.

Results:

We observed decrease in number of patients during lockdown period as compared to previous year (792 vs 506, decrease by 36%). There was significant increase in respiratory (P = 0.001, CI 2.66-11.6), and hematological emergencies (P < 0.001, CI 2.96-9.23) Road traffic accident (RTA) were decreased significantly (P = 0.005, CI 0.6-3.06). Unintentional injuries were comparable to previous year (P = 0.14, CI -0.86-6.19), though children being at home.

Conclusion:

During lockdown, number of pediatric emergency visits was reduced and also lead to delayed presentation. Parents should be informed about utilizing telemedicine services available during this period and avoid delaying in going to hospitals in emergency conditions.