bluuebunny/crossref_metadata_2025 huggingface dataset:
Observational Study, on Trend of Hand-Hygiene Amongst Staff of Tertiary Care setting of Division Kashmir, JK
Authors: Beenish Mushtaq  , Masarat Nazeer  , Farah Deeba  , Yasmeen Jan  , Ashfaq A Bhat
Published: March 2023

Background: Hospital acquired infection is a major cause of morbidity & mortality in hospitalized patients. Handhygieneis an essential practice for infection prevention & control in hospitals(IPC). WHO has identified 5 essential‘moments’ for hand hygiene to be met during the sequence of healthcare service delivery. These include beforetouching a patient, before clean/aseptic procedure, after body fluid exposure risk, after touching a patient & aftertouching patients surroundings.Material and Methods: It was a cross-sectional study conducted from Jan 2020 to March 2020 using the WHOobservation form for Hand Hygiene. Convenience sampling was applied to the sample frame of all Health carePersonnel at SKIMS Medical College Hospital. The sample included all the available staffs present at the timeof study.The trained research team made a keen observation of the hand hygiene practices before/after the5 moments for hand hygiene.Result: 46.2% compliance to one or other hand-hygiene practice was observed. Majority showing compliance weredressers (33.3%) followed by doctors (including Intern students) (39.8%) &nurses (26.1%).The most commonlyused mode for hand-hygiene was use of gloves (45.8%) followed by hand-wash (34%).
Awareness, Preferences, and Consequences of Mask Usage among MBBS Students
Authors: Bushra Jabeen  , Santosh Biradar  , Srinivas Reddy  , Rana Sarvar
Published: March 2023

Background: Research studies have shown that the wearing mask for more than 4 hours could lead to Nasal, Skin,Pressure, and other miscellaneous symptoms.MBBS students tend to use masks for longer duration than any other set of people.There is limited evidence of adverse effects of prolonged mask usage among MBBS students.This study wasconducted with objectives to:To assess the knowledge, practice and preferences of mask usage, to estimate theprevalence and determine the adverse effects of prolonged mask wearing among MBBS students.Material and Methods: This is a Cross sectional study conducted among 313 MBBS Students of ESIC MedicalCollege and Hospital, Kalaburagi, through an online semi-structured Questionnaire. The collected information isanalyzed using MS Excel and SPSS software.Conclusion: In this study it was observed that the knowledge and practice among participants were positivelycorrelated and most of the consequences were negatively correlated with the practice. Thus, participants withgood knowledge and practice scores had few complaints while wearing mask for prolonged hours.
Study of Micro Organisms in Diabetic Foot and its Management
Authors: Deepak J. Vora  , Dhruvesh S. Sheth  , Rohit Zariwala  , Vidhitkumar D. Patel  , Dipali G. Thakker  , Sanket Katara
Published: March 2023

Background and Aim: Diabetic foot ulcers (DFUs) and diabetic foot infections (DFIs) are associated with reducedpatient quality of life, lower-extremity amputation, hospitalization, and high morbidity and mortality. Diversebacterial communities have been identified in DFUs, playing a significant role in infection prognosis. Hence thisreview done to evaluate the current state of play in etiology of DFUs by culture methods to Improve prognosis andreduce burden of diabetic foot in form of decreasing hospital stay and health cost.Materials and Methods: A retrospective analysis was done for the patients with diabetic foot ulcer. A total of 292samples were included in the study among which 160 male and 132 female, attending the surgery departmentoutpatient and indoor were included. Institutional ethical clearance was taken and informed consent was obtainedfrom the subjects in their own language.Results: 310 samples were collected from patients with diabetic foot ulcers. From these samples, 292 havingpositive cultures. Overall, 91 culture results (31.18 per cent) were gram-positive, 149 culture results (51.02 percent) were gram-negative and 52 culture results (17.80 percent) were poly-microbial.Conclusion: Proper tissue sampling, advanced culture and sensitivity methods for diagnosis, targeted antibiotics,surgical procedures, and sugar control with regular medications can prevent infection progression and moreimportantly, the risk of lower extremity amputation.
Study of Dermatological manifestations of Dengue fever in Andhra Population
Authors: Roshini Bhutapati  , S Manikyalatha
Published: March 2023

Background: Dengue fever is a major health problem in all age groups especially in tropical countries like India.Dengue fever (DF) may present with dermatological manifestations but enough data is not available for justificationhence this study was conducted to correlate DF with dermatological manifestation.Method: 80 (Eighty) patients aged between 16 to 60 years having DF positive by ELISA test were studied toevaluate dermatological manifestation.Results: 44 (55%) had only cutaneous involvement, 19 (23.7%) had muco-cutaneous involvement, 17 (21.7%) hadno dermatological involvement. Among those with skin involvement, 38 (47.5%) had generalized rash, 27 (33.7%)truncal, 15 (18.7%) had rash in the extremities. Out of 80, 55 (68.7%) had pruritus and 25 (31.7%) had no pruritus.Conclusion: Dermatological manifestations are common clinical feature in DF patients but not observed in all DFpatients. Identification of skin involvement help the clinician in early diagnosis and better management of patientsto avoid morbidity and mortality.
Comparative Study of Total Intravenous Anaesthesia Using Propofol with or without Sufentanil in Laparoscopic Cholecystectomies
Authors: Mallikharjuna Payyavula  , Gudipudi Ramesh  , Chennareddy Ajay Rakesh Varma
Published: March 2023

Background: Total intravenous anaesthesia (TIVA) is a ideal substitute to inhalation anaesthesia because ofhemodynamic complications. TIVA with suitable combination of anaesthetic drugs will have good post-operativeresults.Method: 60 patients aged between 18 to 65 years undergoing laparoscopic cholecystectomies were studied. Sixtypatients classified in three groups, 20 patients in each group. GroupsS1 and S2 received propofol with sufentaniladded at 1μgml and 2 μg ml concentration respectively while group P received propofol without sufentanil.Additional sufentanil boluses (10 μg) were when there is an increase in the hemodynamic parameters, recoverytimes, and post-operation analgesia g were compared in all three groups of patients.Results: Hemodynamic parameters (HR, SBP, DBP) were not significantly different in all three groups. Fewer S2patients required additional sufentanil boluses to maintain proper hemodynamic status. S2 group had better postoperativeanalgesia (p<0.001) but prolonged recovery time as compared to other two groups.Conclusion: Sufentanil mixed with propofol provides better hemodynamic stability in laparoscopiccholecystectomies where more chances of pneumothoraxdue to fluctuations in hemodynamic parameters whichmay lead to morbidity and mortality.
A Comparative Study of Oxygen Saturation (Spo2) At Rest and after 6-Minutes Walking Test in Young Adults with Variable BMI
Authors: Masarat Nazeer  , Yasmeen Jan  , Nadeema Rafiq  , Shaugfta Aara
Published: March 2023

Background: Exercise affects every system of the body and cause several changes in them and respiratory changesare most important. Changes in blood levels of oxygen are very vital during exercise. The respiratory system ismost efficient in young adults and undergoes various anatomical, physiological and immunological changes withage and hence blood levels of oxygen during exercise is more affected in elderly as compared to young adults..But increased body mass index affects respiratory system of even young adults so there blood levels of oxygen aremore compromised as compared to normal BMI young adults during exercise.Objective: Under normal circumstances in the blood there is a reserve of oxygen. However, when doing exercise,the body requires oxygen in large quantities to meet the need for energy. If the level of oxygen in the blooddecreases beyond the normal limit, it will be very dangerous for the body. Health risks are associated with obesity,including its effects on respiratory function. Respiratory muscle weakness in obesity has been linked to muscleweakness as a result of decreased compliance of the chest wall or reduced lung volume or can occur both.Aim: Is to study the effect exercise on SpO2 in young adults with variable BMI.Method: A comparative cross-sectional analytical study was conducted on 106 young adults in Medical Collegein North India. Data was collected by using self-administered questionnaire followed by anthropometricmeasurement. Body Mass Index (BMI) was calculated by Quetelet’s index. Oxygen saturation at rest and after6-minutes walking test was recorded by using pulse oximeter. Data analyzed on SPSS version 20.0 and variousstatistical tests were applied to find the correlation and significance.Results: The students with high BMI show negative correlation with oxygen saturation (SpO2) at rest and after 6-minutes walking test. This correlation is statistically significant. Conclusion: There is more decrease in oxygen saturation (SpO2) in students with high BMI after 6-minuteswalking test as compared to students with normal BMI. Weight management is recommended to young adults inorder to prevent early impact of increased BMI on respiratory system.
Clinico-epidemiological profile of Mucormycosis patients admitted in VIMS hospital, Ballari: Case series
Authors: Pratibharani Reddy  , K. Ramesh  , Anju Mariam Jacob  , R. Keerthi  , T. Gangadhara Goud
Published: March 2023

Background: Mucormycosis is caused by the fungi belonging to the order Mucorales. Humans acquire the infectionpredominantly by inhalation of sporangiospores, occasionally by ingestion of contaminated food or traumaticinoculation. In the backdrop of COVID-19 expression, there has been notable increase in the incidence of invasivefungal infection (IFI), namely Mucormycosis and aspergillosis. In the present study we aim to know the Clinicoepidemiologicalprofile of Mucormycosis patients admitted in Vijayanagar institute of medical sciences (VIMS),Ballari, Karnataka.Methodology: A descriptive study was carried out at VIMS Hospital, Ballari, Karnataka after obtaining ethicalclearance. The data was collected using structured questionnaires through interview and case records on riskfactors, clinical profile and management of patients who were suspected of Mucormycosis. Frequencies andProportion were used to describe the variables. Study period was from April 2021-June 2021.Results: Out of 52 patients, 45(86.5%) were male and 7(13.5%) were female. Age group between 41-50 years(40.4%) were most commonly affected followed by 31-40 years (28.8%) and 50% were positive for COVID 19,26.9% were post COVID and 23.1% were NON COVID. Twenty two patients were on steroids, 21 (95.5%) ofthem due to COVID 19 and 1(4.5%) due to asthma. Comorbid conditions like diabetes mellitus 38(73.1%) andhypertension 12(23.1%) were most commonly present. 12(31.6%) out of 38 patients had uncontrolled diabetesmellitus. Mucormycosis was confirmed by KOH and histopathological results and were positive in 21(43.7%) and27(77.1%) patients respectively. Management of Mucormycosis included both medical and surgical intervention.Conclusion: Mucormycosis is a life threatening fungal infection. The present study emphasizes the need forfurther understanding of the disease and to take aggressive measures for early diagnosis and management.
Rapid Slide Culture Technique for Mycobacterium Tuberculosis and Predictors of Poor Outcomes among Pulmonary Tuberculosis Patients
Authors: Ranjitha Shankare Gowda  , Mohammed Asad PK  , Raghavendra Rao M  , Krishna Karthik.M
Published: March 2023

Tuberculosis (TB), a dreadful disease known to mankind continues to be a problem in a developing country likeIndia. The incidence of people getting infected with TB is on the rise due to compounding factors like coinfectionwith the human immunodefiency virus and multidrug-resistant strains. There is a definitive need for earlydiagnosis and treatment of TB to curb transmission of the infection. Direct smear microscopy, though cheap andrapid, lacks sensitivity. Isolation of Mycobacterium tuberculosis in culture requires a long time, because of whichthere is a need for a rapid method which has good sensitivity and specificity for the detection of M. tuberculosis.Hence the present study was undertaken to determine Performance of rapid slide culture method for confirmingpulmonary tuberculosis in clinically suspected and smear positive cases and also to assess the factors responsiblefor poor outcomes in the study population.
Placenta Previa: Maternal and Fetal Outcome a Two Year Study
Authors: Ritika Bist  , Sarbhjit Kaur
Published: March 2023

Introduction: Placenta previa is one of the major causes of antepartum hemorrhage and a life-threatening conditionfor both the mother and the fetus. The incidence of placenta previa is 0.3 to 1% in 300 to 400 deliveries.[1] Thepresent study was done retrospectively to observe the maternal and fetal outcome in pregnancies with placentaprevia.Method: The retrospective study was done from June 2019 to June 2021 to study the maternal and neonataloutcome in pregnancies with placenta previa who got admitted in Obstetrics and Gynecology department ofRajindra Hospital, Government Medical College Patiala. Detailed history, clinical examination and investigationswere evaluated and analysis was done at the end of the study.Result: Total number of deliveries during this period were 8193 out of which placenta previa was present in 210with an incidence of 2.5%.The major risk factor for placenta previa in the present study was previous LSCS in34.3% followed by previous dilatation and curettage (D&C) in 16.6%. The majority of the women 57.2% had majordegree placenta previa, out of which placenta accreta was present in 5.8%. The majority of the women 94.7% weredelivered by LSCS and 4.2% had obstetric hysterectomy, 16% had PPH intraoperatively and 1.4% needed ICU care.60% of the babies were born prematurely and 25.7% required NICU care.Conclusion: Placenta previa is a major contributor in increasing maternal and fetal morbidity and mortality. Thepresent study showed that increasing maternal age, multiparity, previous cesarean section, previous dilatationand curettage are the risk factors for placenta previa. Placenta previa is associated with increased intraoperativeinterventions, surgical complications and maternal morbidit
Community Health Nurses' Role in Genetic Sequencing: A Prospect for Health Team Preparedness Against Covid-19
Authors: Sakshi Chaturvedi  , Chakrapani Chaturvedi
Published: March 2023

Genetic sequencing is a scientific process of reading genetic material using advanced technology. Through geneticsequencing, we can better comprehend super-spreader events and outbreaks, and strengthen national public healthresponses. A better understanding of the transmission of viruses, the severity of patient illness, and mortalityrates can be gained by combining this information with that from the IDSP and patient reports. Connecting thedots between the data and the host’s genetics, immunology, clinical outcomes, and risk factors is also possible.Many roadblocks must be overcome before raw sequence data can be put to direct clinical application. Since DNAsequencing has so many potential applications in the field of nursing, it ought to be a required topic for studentsin the profession. Group wellness Preparing patients for procedures, identifying those most at risk, doing sentinelsurveillance, and conducting in-depth studies are all areas in which nurses can be of assistance. The goals of thispaper are twofold: (1) to present the notion of genetic sequencing and (2) to highlight the role of Communityhealth nurses. To reduce the impact of pandemics and endemics and improve nursing care, Western countriesare seeing an uptick in the participation of nurse scientists in genetic sequencing; the case of newborn screeningprovides a particularly apt example.
Assessment of Determinants of Sleep Deprivation amongst Post Graduate Students of Government Medical College, Amritsar
Authors: Sakshi Mashal  , Manohar Lal Sharma  , Jasleen Kaur  , Preeti Padda  , Tejbir Singh  , Nihal Gulati  , Sanjeev Mahajan
Published: March 2023

Background: Sleep is an active, repetitive and reversible state of perceptual disengagement from the environment.A chronic lack or poor quality sleep increases the risk ofvarious disorders.Post graduate students is at the top ofthe list of sleep deprived individuals.Material and methods: A cross sectional study was conducted amongst the post graduate students of GovernmentMedical College, Amritsar. All the post graduate students admitted to various pre, para and clinical departmentsduring the years 2018, 2019 and 2020 formulated the sample size for this study.Semi structured proformae weredeveloped for data collection. Chi-square test was applied, where p-value of <0.05 (on both sides) was consideredto be statistically significantResults: According to PSQI poor sleep quality was among 178(58%) post graduate students , excessive daytimesleepiness according to ESS was among 120(40%) post graduate students and sleep hours <7 hrs were among 182(66%) post graduate students. After compiling results of all three, 223(72%) post graduate students were foundto be sleep deprived. Association of sleep deprivation with sleep hygiene and night duties was found to bestatistically significant.Conclusion: Increased amount of workload on the residents and more number of night duties affect the sleep ofthe post graduate students and majority of them feel exhausted and fatigued after their night duties
Study of Prevalence of Anaemia and Haematological Parameters in Children of Maharashtra below 12 years
Authors: Shruti Saraf  , Parveen Kavathekar
Published: March 2023

Background: Anaemia is a widespread public health problem associated with increase risk of morbidity andmortality especially in children and women of reproductive age.Method: 120 children below 12 years of age suffering with anaemia were studied. The blood examination wasdone to rule out PCV, MCV, MCH, MCHC, RPW, Hb% PS study, reticulocytecount and serum Iron (Fe), serumB12 and folic acids.Results: 65 (54.1%) had Iron deficiency, 17 (14.1%) had Thalassemia, 13 (10.8%) had Megaloblast anaemia,12 (10%)anaemia of acute haemorrhage, 7 (5.83%) had sickle cell anaemia, 4 (3.33%) had Aplastic anaemic, 2 (1.66%) hadleukaemia. Clinical manifestation included mainly pallor 120 (100%),103 (85.8%) weakness and fatigability 42(35%) fever, 29 (24%) had IC term, 24 (20%) shortness of breathing, 21 (27.5%) hepatomegely, 15 (12.5%) history ofpica, 23 (19.1%) had mild, 59 (49.1%) had moderate, 38 (31.6%) had severe anaemic on the basis of haemoglobinlevel profile.Conclusion: Iron deficiently is the major cause of anaemia followed by thalassemia, megaloblastic, acutehaemorrigic sickle cell, aplastic anaemia. This pragmatic study in children certainly helps the nutrition expert andpaediatrician to treat such children efficiently to avoid morbidity and mortality.
Measles Related Complications: A Hospital-Based Study in Kumaon Region of Uttarakhand
Authors: Suresh Kumar  , Ashok Kumar  , Tanvi
Published: March 2023

Background: Measles is a contagious vaccine-preventable illness caused by the measles virus.1Aim: To study complications of measles in pediatric patients & to determine the course of measles based onvarious factors i.e. age, nutritional status, socio-economic status, immunization status, other host factors.Methods: It is a prospective descriptive study done in pediatric OPD & IPD over one yearResults: The average age of a child with confirmed measles is 21 months & 15.8 months in complicated measleswith a male predisposition. Patients in 2nd degree PEM had a risk of developing complicated measles. There existsa positive correlation between lack of vaccination and the development of complications due to measles.Conclusion: Universal implementation of two doses of MMR Vaccine and screening & management of malnutritioncan prevent the severity of complications associated with measles.
Thiamine responsive Pulmonary Hypertension among exclusively breastfed babies –A Hospital based prospective study from southern India
Authors: Usha Rani S  , Ashoka C  , Swetha R  , Rajesh S S
Published: March 2023

Pulmonary hypertension remains leading cause of mortality despite many advances in its management. Thiaminedeficiency is identified as a reversible cause of pulmonary hypertension in exclusively breastfed infants whosemothers are thiamine defecient. The present study is planned to find out the reversible pulmonary hypertensionin association with thiamine deficiency.Objectives: To study the pattern of pulmonary hypertension and its associated factors due to thiamine deficiency.Methodology: It is hospital based study in a tertiary care hospital of tumkur. Pretested and pre designedquestionnaire was used to collect patients socio demographic data, clinical data and the data regardinginvestigations and treatment and prognosis.Results: Total of 300 babies were included in the present study after taking into consideration of all inclusionand exclusion criteria. All the babies, 300 (100) belonged to Hindhu community. 234 (79.3%) belonged to class3 socio economic status according to modified kuppuswamy classification. Majority 212 (70.6%) had onlyprimary education and 32 (10.6%) were illiterates. 88(29.3%) had come with severe gasping. 287(95.6%) of babieshad hepatomegaly and oliguria was present in 144 (48%) of babies. The majority of the infants were presentedwith shock 256 (85.3%), which was managed. Repeat echo was done serially and the difference in reduction ofpulmonary pressure after administration of thiamine was statistically significant (p value <0.005) Conclusion:Thiamine responsive pulmonary hypertension presents as an acute condition with severe respiratory distress,vomiting in a previously well and exclusively breast fed baby. Hence clinical suspicion to recognise the symptomsearly and diagnose and mere thiamine administration is life saving and which reverses the fatal condition. Healtheducation to mothers and family members about food taboos related to use of polished rice to prevent deficiencyof thiamine is also important and supplementation of thiamine as prophylaxis can also be considered in theprogrammes related to antenatal and postnatal care.
Evaluation of Dexmedetomidine and Fentanyl as Additives to Ropivacaine for Epidural Anaesthesia and Post-Operative Analgesia in Lower Abdominal and Lower Limb Surgeries
Authors: Vijaya Rekha Koti  , Syeda Saniya Shireen  , Shaheera Rahman
Published: March 2023

Background: The regional anaesthesia has lot of benefits compared to general anaesthesia for lower abdominaland lower limb surgeries. Epidural anaesthesia is an ideal anesthetic technique for lower abdominal and lowerlimb surgeries. The additives are used with Anesthetics for Early onset of action, To prolong the duration ofaction, Analgesia and Improving the quality of block.Aims and Objectives: The aim of this study was to study the clinical efficacy of Dexmedetomidine versus Fentanylas an additive to Ropivacaine for lumbar epidural anaesthesia and post-operative analgesia.Materials and Methods: This study is a prospective randomised controlled study involving 90 patientsundergoing infraumbilical and lower limb surgeries who will be divided randomly into three groups Group R(n = 30): received 18 ml of 0.5% ropivacaine for epidural anaesthesia and 10 ml of 0.2% ropivacaine boluses forpostoperative analgesia; Group RF (n = 30): received 18 ml of 0.5% ropivacaine with 25μg fentanyl for epiduralanaesthesia and 10 ml of 0.2% ropivacaine with 10 μg fentanyl boluses for postoperative analgesia; and Group RD(n = 30): received 18 ml of 0.5% ropivacaine with 25 μg dexmedetomidine for epidural anaesthesia and 10 ml of0.2% ropivacaine with 5 μg dexmedetomidine boluses for postoperative analgesia.Results: Addition of additives have enhanced the onset of action, prolong duration of analgesia. Quality andduration of epidural anaesthesia provided by ropivacaine with dexmedetomidine is more effective than fentanyl.Better efficacy of analgesia evidenced with Dexmedetomidine than with Fentanyl.Conclusion: It can be concluded that RD (Ropivacaine and Dexmedetomidine) when given epidurally can be asafe and effective combination for epidural blockade in lower abdominal and lower limb surgeries.
Comparison of Chloroprocaine and Bupivacaine for Spinal Anaesthesia in Patients Undergoing Day Care Surgery: A Double Blind Randomized Controlled Study
Authors: Vijaya Rekha Koti  , Syeda Nehha  , Rooma  , Mohammed Asraruddin  , Syeda Hafsa Fatima
Published: March 2023

Background:In the last few years, the number of surgical procedures performed on day care basis has increasedworldwide, nearly between 20% - 30% surgeries are being performed as outpatient procedures. Ambulatorysurgery has become increasingly popular due to advantages for the individual patient and the positive economicimpact for the health care system. In the near future, ambulatory surgery is likely to expand further.Objectives: The objectives of this study were to compare chloroprocaine and bupivacaine for spinal anaesthesia inpatients undergoing day care surgery.Methods: Patients between 18-60 years’ age of either sex, belonging to ASA I and ASA II undergoing day caresurgeries lasting 45-60 min were included in this study after approval of Institutional Review Board and obtaininginformed consent. Preanaesthetic check-up was done one day before surgery patients were evaluated for anysystemic diseases and laboratory investigation recorded the procedure of spinal anaesthesia was explained tothe patients and written informed consents was obtained. Hundred patients were randomly divided into twogroups of fifty each. Fifty patients received 0.5% heavy 10mg (2cc) bupivacaine. Fifty patients received 40mg (4cc)preservative free 2-chloroprocaine. The primary outcome of this study, I. e., the time to eligibility for dischargefrom hospital, was measured from the time spinal anaesthesia was performed to the time the patient attained allof the discharge criteria.Results : Intrathecal 1% 2-chloroprocaine 40 mg provides spinal anaesthesia of adequate duration for day caresurgeries with the advantage of earlier onset and faster regression of spinal block resulting in earlier ambulationand earlier voiding with stable hemodynamic as compared to 0.5% hyperbaric bupivacaine 10 mg.

Conclusion: Thus we conclude that 2-chloroprocaine can provide spinal anaesthesia with a shorter recoveryprofile than bupivacaine, permitting earlier discharge from hospital after day care surgeries
Using the Agile Internal Audit Work Method and its Reflection on the Sustainable Development Report- By Application to a Sample of Economic Units Listed in the Iraq Stock Exchange
Authors: Mohamed Amin Hind Halim , Al- Shammari Dr. Suad Adnan Noma
Published: March 2023

The research aims to study the use of the agile internal audit work method and its reflection on the dimensions of sustainable development. To achieve the goal of the research, the two researchers prepared a questionnaire consisting of a set of questions to test the research hypothesis, which states (there is no statistically significant effect relationship between the method of agile internal audit work on the sustainable development report). 6) Private banks listed in the Iraq Stock Exchange, which number 69, after reviewing the periodic reports prepared by the Central Bank of Iraq. The two researchers reached a set of conclusions, the most important of which is the absence of an influence relationship between the agile internal audit work style and the sustainable development report of the research sample banks, and this proves the research hypothesis (there is no statistically significant effect relationship between the agile internal audit work style on the sustainable development report). The researchers presented a set of recommendations, the most important of which is the continuous attention to the periodic reports prepared by the agile internal audit team, as it is one of the important steps in determining the start of auditing the elements and activities of the highest importance and ending them, and then starting to audit the elements and activities of less importance and the need to streamline the procedures of the annual traditional internal audit plan. To get results faster and less time, as well as preparing internal auditor reports periodically within a short period of time.
The Influence of the Picaresque Novel in the Work of Camilo José Cela: Lazarillo de Tormes and the Family of Pascual Duarte as a Sample
Authors: Ahmed Abed Mithal
Published: March 2023

The following work consists of the relationships found between the novels El Lazarillo de Tormes, considered the first novel of the picaresque genre published in 1554, and the Family of Pascual Duarte, by the Spanish author Camilo José Cela, whose original publication was in 1942. Four centuries separate these two novels, but when reading the works under analysis we have been able to find many characteristics that they share with the picaresque novel. From the typical structure of this prose genre originated in Spain to the tremendism, a genre initiated by this work by José Cela. In this work we will focus on the comparison of how the protagonists of both stories evolve with the families in the center of attention.
Moving from Fear to Freedom: A Quest for Love, Respect, Freedom and Acceptance by LGBTQ Community Through Indian Cinema
Authors: Bhardwaj Pooja
Published: March 2023

The LGBT community is subject to gender-based violence and other violations of human rights since these laws are invisible to the public. Film has unquestionably been important to the LGBT movement in India. Like many contemporary movements, the queer movement in India seeks to change ingrained social mores, notably the pervasive notion that sexual orientation is merely a phase. Film is viewed as a social cycle in which audience members interpret signs or messages that are broadcast to them using their aural and visual senses. The movies have become much too popular a tourist attraction. Dramatic cinematography and sound film in an exhibition of copying not only shocks us but also holds our attention. Film has the power to captivate audiences, educate viewers, and shift the collective conscience. This huge growth of Bollywood in India and overseas is described by “Jaikumar (2006)” in his book ‘Film Towards the End of Empires’. Bollywood, an Indian film industry powerhouse, mimics and analyzes the public's credit, complexity, genuine elements, and deceptions via a variety of narrative perspectives. As a result, our worldview and general awareness are shaped by Bollywood This Research paper sets out to examine the mainstream treatment of homosexuality in Hindi films, with a focus on how the LGBT community is depicted. And how they fight for their rights for freedom, love, respect and acceptance in the society. The arrival of cinema in India's LGBT community was unquestionably a game-changer. Gay, lesbian, bisexual, and transgender persons are all part of the sexual minority. Among the numerous nations where homosexuality is still frowned upon one is India. In colonial India, the British enacted Section 377 of the Indian Criminal Code, which still exists today and criminalises homosexuality. In this paper, we have shown Hindi cinema’s representation of the LGBTQ community in films like Badhaai Do, Kapoor & Sons, Dear Dad, Ek Ladki ko Dekha to Aisa Laga, Shubh Mangal Zyada Saavdhan and their struggle and acceptance in the society in the 21st century.
Leveraging the Big Data Tools and Techniques to Attempt Scientific Analytics for Drawing an Optimum Business Intelligence
Authors: Ahuja Teesha
Published: March 2023

In healthcare, big data analytics is becoming a promising field for gaining insight from large data sets, enhancing outcomes, and decreasing costs simultaneously. The benefits of big data analytics in healthcare are outlined, an architectural framework and methodology are outlined, examples from the literature are discussed, the challenges are briefly addressed, and conclusions are provided in this paper.
Investigation of Altitudinal and Longitudinal Variations of Pollen Grains of the Oak Species (The Genus Quercus L.) in Duhok Province Iraq
Authors: Yasin Mooner Ramadan , Mahmood Mahmood Mohammed , Sulaivani Dler Jala Ramzan
Published: March 2023

Pollen grains of 3 Iraqian oak (Quercus) species belongmg to section Quercus and section cerris growing naturally in Duhok province Iraq. Three altitudinal zones (500-1000 m, 1000-1500 m, 1500-2000 m) were examined by light microscope (LM) and scanning electron microscope (SEM). The main issue focused on in this study is to determine whether oak pollens have changed dimensionally and structurally according to both different latitudes and longitudes. Based on the averages obtained from seven variables, it has been demonstrated comparative data. The mean value, range (min.-max.), and standard deviation (SD) were calculated for polar axis(P), equatorial diameter (E), polar/equatorial ratio (P/E), apocolpium (AP), mesocolpiuin (ME), colpus length (CL) and exine (wall) thickness (ET). Mean values were assessed by the stattsticnl tests to compare the mean values for each variable. Pollen grains of all species are in monad, isopolar, radially symmetrical, their apertures are mostly tricolpate. Rarely 4-colporate as in Q.brantii and Q.libant, Overall mean polar length of Q.brantii, Q.infectoria subsp. Veneri and Q.libani were 24.34, 24.29, and 27.92 µm respectively. Pollen shape classes range from probate-spheroidal to sub-prolate at varying proportions for the species; Quercus brantii (P/E; 1.07 µm), Quercus infectoria (P/E;1.06 µm) and Quercus libani (P/E; 1.14 µm) According to pollen size classes, pollen grains of Q. brantii and Q. infectoria were 67% minute and 33% mediate, while in Q.libani are 100% mediate. Exine sculpturing pattern is gemmate-verrucate for all taxa
Strategic Inhibition and its Role in Promoting Controversial Marketing
Authors: Mohammed Eman Abulamir , Hujeim Al-Taee Prof. Yousif
Published: March 2023

The purpose of this study is to examine the effect of strategic restraint on controversial marketing promotion . Research limitations/implications Research limitations/implications - Research reasoning is limited because the variables are newly studied and we cannot directly assess the causal relationship . Originality/Value - This study is one of the few studies that has examined the relationship between strategic inhibition and controversial marketing . Conclusion - The concept of strategic constraint correlates positively with contentious marketing
FOREST FIRES AND THE ARRANGEMENT OF TERRITORIES AROUND SETTLEMENTS
Authors: Хасанов Ирек Равильевич
Published: March 2023

В статье рассмотрены вопросы оценки возможной пожарной обстановки и устройство ландшафтных территорий вокруг населенных пунктов. На основе анализа произошедших крупных лесных пожаров выделены основные опасности воздействия лесных пожаров на населенные пункты. Отмечено, что необходима оценка возможной пожарной обстановки ландшафтных территорий вокруг населенных пунктов за пределами нормативных противопожарных расстояний. С учетом переноса горящих частиц при верховых лесных пожарах предлагается противопожарное устройство ландшафтных территорий вокруг населенных пунктов в пределах 400 м. Даются рекомендации по созданию заградительных полос с ретардантами при помощи авиационной техники.

The article considers the issues of assessing the possible fire situation and the arrangement of landscape territories around settlements. The main hazards of the impact of forest fires on settlements are identified based on the analysis of the large forest fires that have occurred. The necessity to assess the possible fire situation of landscape territories around settlements outside the normative fire safety distances is noted. Taking into account the transfer of burning particles during crown forest fires it is proposed fire-prevention arrangement of landscape territories around settlements within 400 m. There are given recommendations on the creation of barrier strips with retardants using aircraft equipment.
THE PROGRAM FOR SELECTION OF EQUIPMENT FOR RESCUE FROM HEIGHT TAKING INTO ACCOUNT THE INDIVIDUAL CHARACTERISTICS OF A PERSON
Authors: Вищекин Максим Вадимович , Дымов Сергей Михайлович , Русанов Дмитрий Юрьевич , Сурина Галина Петровна
Published: March 2023

В статье рассмотрена программа для ЭВМ, созданная в целях оказания помощи гражданам в самостоятельном выборе средства спасения с высоты при пожаре. Выбор спасательного средства проводится на основании индивидуальных особенностей человека. Программа также будет интересна сотрудникам МЧС, проектировщикам и другим лицам, ответственным за обеспечение пожарной безопасности различных объектов.

The article discusses the computer program designed to help citizens choose their own equipment for rescue from height in case of fire. The choice of rescue device is based on the individual characteristics of a person. The program will also be of interest to EMERCOM employees, designers and other persons responsible for ensuring the fire safety of various facilities.
Regulation in the field of fire safety of multi-storey buildings made of wooden structures
Authors: Гордиенко Д.М. , Абашкин А.А. , Хасанов И.Р. , Зуев С.А.
Published: March 2023

Рассмотрено использование деревянных конструкций в строительстве зданий и сооружений. Проведен анализ нормативной базы в области пожарной безопасности многоэтажных зданий и сооружений из деревянных конструкций в Российской Федерации и за рубежом. Установлено, что основные ограничения при строительстве деревянных зданий, связанные с этажностью, допустимой площадью, а также увеличение противопожарных расстояний до соседних объектов обусловлены высокой пожарной опасностью незащищенных деревянных конструкций. Для обеспечения пожарной безопасности деревянных зданий применяются системы противопожарной защиты, проводятся соответствующие профилактические мероприятия.

The analysis of regulatory requirements in the field of fire safety of multi-storey buildings and constructions made of wooden structures in the Russian Federation and abroad is carried out. The main restrictions in the construction of wooden buildings are due to the high fire danger of unprotected wooden structures, which entails regulatory restrictions on the number of floors, permissible area, as well as increased fire distances to neighboring objects. To ensure the necessary level of fire protection when increasing the number of floors of wooden buildings, it is necessary to ensure a corresponding increase in fire resistance limits and a reduction in fire danger of load-bearing and enclosing building structures, as well as to develop measures related to engineering fire protection systems. Foreign construction experience has shown a reasonable possibility of constructing multi-storey buildings using wooden structures. The number of floors in most projects in the area is from 8 to 10. In order to solve the fire safety problems of buildings with the use of modern wooden structures, it seems necessary to conduct comprehensive studies, including further study of the experience of housing construction using modern wood composite materials, conducting experimental studies related to issues of fire resistance, fire hazard, facades and power supply, penetrations through wooden structures, equipping buildings with fire protection systems etc.
La importancia de la Minería de Datos como una herramienta estratégica en las Empresas.
Authors: Ruiz Díaz de Salvioni Viviana Vanessa , Armoa Alcides
Published: March 2023

La importancia de la minería de datos como una herramienta estratégica en las empresas  la de mejorar la disponibilidad de la información es cada vez más importante, especialmente en el mundo empresarial actual, donde existe una gran necesidad de automatizar y reutilizar procesos basados ​​en recursos de información. El objetivo de la investigación fue “Determinar el nivel de  conocimiento que tiene los alumnos de la carrera de ingeniería informatica de la Universidad Privada del este, sobre la importancia de la minería de datos como una herramienta estratégica en las empresas , , en cuanto a la metodología, se tiene un enfoque cuantitativo, por lo cual fue realizada una encuesta a los alumnos  de la carrera de ingeniería informatica; en esta investigación se realizó un análisis de tipo descriptivo – explicativo, que permitió interpretar los hechos que se han suscitado, mediante una investigación de campo, se encuestó a varios alumnos  se constató que la mayoría de los alumnos tienen conocimiento sobre minería de datos  y que sería muy importante la utilización de la minería de datos como herramienta estratégicas para las empresas mencionado con un alto nivel de aceptación de parte de los mismos. Cada vez son más los usuarios, tanto públicos como privados, que utilizan y promueven el uso de la minería de datos en las empresas u otra área, como pieza clave de una sociedad moderna, deben apostar claramente por una forma de socialización del conocimiento a través de la tecnología de la información que ha generado una gran cantidad de áreas de investigación siendo la minería de datos una de ellas. En este trabajo, luego de analizar las características de la  importancia de la minería de datos como una herramienta estratégica en las empresas.
Pertinencia y demanda de la carrera de medicina en la universidad laica Eloy Alfaro de Manabí zona norte
Authors: Loor-Cevallos Guido-Xavier , Palacios Paredes Edesmin Wilfrido
Published: March 2023

A través de ese tiempo se han venido creando muchas universidades públicas y privadas, que mediante la Ley de Educación Superior (LOES) aprobada en 2008, se establecieron características que deben reunir las universidades para ofertar carreras y ser acreditadas. Entre esas características tenemos la pertinencia y la demanda. En este contexto, esta investigación tuvo como problemática conocer la falta de estudios de pertinencia y demanda en la zona Norte de Manabí para la creación de la carrera de medicina, con el propósito de identificar estas dos características en esta parte de la Provincia. Se empleó la metodología correlacional para comparar y proyectar los datos, la bibliográfica, analítica y cuantitativa que analizó las fuentes, referencias y resultados; con los procedimientos estadísticos como la regresión lineal, el cuestionario fundamentó la búsqueda de saber cuántos médicos se requiere por grupo de ciudadanos adecuadamente. La técnica de la encuesta ayudó al análisis regresivo lineal de los datos obtenidos para pronosticar la demanda existente de la carrera de medicina, pues la proporción entre pobladores y bachilleres interesados es muy alta. Los resultados estadísticos y caracterización cualitativa que se obtuvieron ayudaron a conocer la proyección a corto plazo para crear la carrera. Se concluyó de forma temporal la pertinacia y demanda existente en que la Universidad Laica Eloy Alfaro crea la carrera de medicina en la Zona Norte de la Provincia de Manabí.
Influencia de inteligencia emocional y habilidades sociales en contextos escolarizados. Revisión sistemática
Authors: Castro Cabrera Diego Mauricio , Cortés Polania Roberto
Published: March 2023

La inteligencia emocional se considera como factor importante para el desarrollo de las habilidades sociales, ya que su enseñanza promueve el fortalecimiento en los canales de bienestar y relaciones interpersonales, facilitando conductas que permiten al individuo adaptarse y desarrollarse en un contexto individual y colectivo; por lo anterior, este estudio tiene como objetivo analizar las características de la inteligencia emocional y su influencia en la construcción y desarrollo de las habilidades sociales de niños y niñas en entornos escolares, evaluando elementos que favorecen el mejoramiento del rendimiento académico, además de promover la salud mental, así pues, la presente investigación presenta de manera sistemática distintos estudios de carácter científico que puedan dar lugar al desarrollo de la temática en cuestión, para lo cual se han usado importantes bases de datos para la búsqueda de artículos publicados en revistas indexadas en un periodo de tiempo entre el año 2018 y 2022 que permitieran dar un análisis riguroso y completo frente al tema, de lo cual se ha tenido como resultado que la inteligencia emocional es capaz de afectar la conducta, la adaptación y la cognición de los individuos, influyendo de manera positiva en los resultados escolares, en la ejecución de las habilidades sociales y con ello, mejorando el bienestar, la salud mental y calidad de vida en los niños y niñas.
Experimental Study on Entropy Features in Machining Vibrations of A Thin-walled Tubular Workpiece
Authors: Lv Kaibo , Wang Xin , Chen Xun , Pang Xinyu , Gu Fengshou
Published: March 2023

In machining processes, chatter vibrations are always regarded as one of the major limitations for production quality and efficiency. Accurate and timely monitoring of chatter is helpful to maintain stable machining operations. At present, most chatter monitoring methods are based on the energy level at specified chatter frequencies or frequency bands. However, the spectral features of chatter could change during machining operations due to complexity and time-varying dynamics of the physical machining process. The purpose of this paper is to investigate the time-varying chatter features in turning of thin-walled tubular workpieces from the perspective of entropy. The airborne acoustics was selected as the source of information for machining condition monitoring. First, corresponding to the distinguishing surface topographies relevant to machining conditions, the features of the sound signal emitted during turning of the thin-walled cylindrical workpieces were extracted using the spectral analysis and wavelet packet transform, respectively. It was shown that the dominant vibration frequency as well as the energy distribution could shift with the transition of the machining status. After that, two relative entropy indicators based on the spectrum and the wavelet packet energy were constructed to identify chattering events in turning of the thin-walled tubes. The experimental results demonstrate that the proposed indicators could accurately reflect the transition of machining conditions with high sensitivity and robustness in comparison with the traditional FFT-based methods. The achievement of this study lays the foundations of the online chatter monitoring and control technique for turning of the thin-walled tubular workpieces.
The effectiveness of obstetric gel application in shortening labor duration and preserving vaginal perineal integrity: prospective observational study
Authors: BURKANKULU Derya , MORALOĞLU TEKİN Özlem , KOÇ Sevgi , BULUT Ayça Nazlı
Published: March 2023

Aim: The aim of this study to determine the effects of obstetric gel application on labor outcomes.

Materials and Method: This nonrandomized controlled study was carried out between January 2019 and June 2019 in a tertiary-care hospital. Nulliparous pregnant women with low risk, vertex position, between the ages of 16-40 years, with an estimated fetal weight of 2500-4000 grams and a gestational week between 37-41 weeks were included in the study. Using an applicator, 3-5 ml of a hydroxyethyl cellulose gel was applied to the vaginal canal of the study group (n=142) at the first stage of labor (before 5 cm cervical opening). The procedure was repeated every two hours until the birth of the baby. The control group (n=191) received standard antenatal care.

Results: The need for episiotomy was significantly lower in the study group compared to the control group (n=72 (50.7%) vs. n=175 (91.6%)) (Z=18.902, p