bluuebunny/crossref_metadata_2025 huggingface dataset:
Surgical management of carpal tunnel syndrome
Authors: nattouf Farouk , Barakat Ahmad , Abdin Jihad
Published: December 2023

Background and Aim:
To determine the prevalence and risk factors of carpal tunnel syndrome among patients who visited Damascus Hospital between the years 1/1/2015 and 1/1/2023 and their relationship with age, gender, and clinical symptoms.
Methods and material:
Information was collected according to the research form to adjust the inclusion and exclusion criteria, and the clinical history information was recorded in detail, which included: age, sex, habits, Tinel's sign, Phalen's maneuver, whether diabetes was present, and other symptoms and signs. The study included 80 male and female patients.
Results:
Most of the patients are in the age group of 25–45 years (57.5%), and the percentage of infected females constituted about two-thirds of the patients (62.5%), and a third of the patients were smokers (30%), and a quarter of the patients had diabetes, and the percentage of pregnant women was (11.3). A statistically significant relationship between gender and signs and symptoms (positive Tinel's sign, positive Phalen's maneuver, presence of numbness, presence of tingling, loss of sensation, presence of pain, presence of weakness and muscle atrophy, presence of complex regional pain, presence of tenderness of scars) (statistical significance less than 0.05), There is a statistically significant relationship between all symptoms and signs except complex regional pain syndrome and scar tenderness, and there is a statistically significant relationship between both diabetes and (positivity of Tinel's sign, positivity of Phalen's maneuver, presence of numbness, presence of tingling, loss of sensation, presence of pain), absence of a relationship. There is a statistically significant relationship between smoking and the occurrence of signs and symptoms, and there is a statistically significant relationship between pregnancy and (positivity of Tinel's sign, positivity of Phalen's maneuver, presence of numbness, presence of tingling).
conclusion:
A health care professional can diagnose patients with mild symptoms of carpal tunnel syndrome without the need for additional testing, and patients with unusual or severe symptoms should undergo electrodiagnostic tests.
RG flows on two-dimensional spherical defects
Authors: Shachar Tom , Sinha Ritam , Smolkin Michael
Published: December 2023

We study two-dimensional spherical defects in d-dimensional Conformal Field Theories. We argue that the Renormalization Group (RG) flows on such defects admit the existence of a decreasing entropy function. At the fixed points of the flow, the entropy function equals the anomaly coefficient which multiplies the Euler density in the defect’s Weyl anomaly. Our construction demonstrates an alternative derivation of the irreversibility of RG flows on two-dimensional defects. Moreover, in the case of perturbative RG flows induced by weakly relevant deformations, the entropy function decreases monotonically and plays the role of a C-function. We provide a simple example to explicitly work out the RG flow details in the proposed construction.
Non-parametric learning critical behavior in Ising partition functions: PCA entropy and intrinsic dimension
Authors: Panda Rajat K. , Verdel Roberto , Rodriguez Alex , Sun Hanlin , Bianconi Ginestra , Dalmonte Marcello
Published: December 2023

We provide and critically analyze a framework to learn critical behavior in classical partition functions through the application of non-parametric methods to data sets of thermal configurations. We illustrate our approach in phase transitions in 2D and 3D Ising models. First, we extend previous studies on the intrinsic dimension of 2D partition function data sets, by exploring the effect of volume in 3D Ising data. We find that as opposed to 2D systems for which this quantity has been successfully used in unsupervised characterizations of critical phenomena, in the 3D case its estimation is far more challenging. To circumvent this limitation, we then use the principal component analysis (PCA) entropy, a “Shannon entropy” of the normalized spectrum of the covariance matrix. We find a striking qualitative similarity to the thermodynamic entropy, which the PCA entropy approaches asymptotically. The latter allows us to extract-through a conventional finite-size scaling analysis with modest lattice sizes-the critical temperature with less than 1% error for both 2D and 3D models while being computationally efficient. The PCA entropy can readily be applied to characterize correlations and critical phenomena in a huge variety of many-body problems and suggests a (direct) link between easy-to-compute quantities and entropies.
A Licenciatura em Pedagogia em Regime Especial da Universidade Estadual Vale do Acaraú: Narrativas das professoras egressas
Authors: Stascxak Francinalda Machado , Santana Juliana Silva , Fialho Lia Machado Fiuza
Published: December 2023

Objetivou-se compreender como o Programa de Formação de Professores pedagogos em Regime Especial da Universidade Estadual Vale do Acaraú (UVA) reverberou profissionalmente a vida dos professores leigos na cidade de Fortaleza-CE. A delimitação temporal foi de 1997 a 2004, período que compreendeu a idealização, a elaboração e a execução do programa, motivado tanto pela exigência da LDB nº 9394/96 de que todo professor deveria formar-se em nível superior para atuar na Educação Básica, quanto pela contingência de professores leigos em atividade no Estado do Ceará. Tratou-se de uma pesquisa qualitativa, amparada metodologicamente pela pesquisa narrativa, delineada a partir das oralidades coletadas por intermédio de entrevistas, que considerou para análise as memórias de três professoras egressas do programa em estudo. Os resultados apontaram que a formação em Regime Especial significou, para as docentes, oportunidade ímpar de realizar um curso superior, além do reconhecimento e da valorização profissional, ainda que tenha apresentado fragilidades na qualidade da formação.
Paradigmas do planejamento territorial e as novas faces do rural: Óticas urbanocêntricas em tempos de complementaridade
Authors: Bariviera Cássio Alexandre , Oliveira Daniela
Published: December 2023

Dadas as mudanças paradigmáticas ocorridas na trajetória do planejamento no Brasil, principalmente no período pós Constituição Federal de 1988 e Estatuto da Cidade, Lei Federal 10.257 de 2001, assim como a emergência de estudos do desenvolvimento rural que versam sobre novos fenômenos e arranjos neste meio, o objetivo desta pesquisa é investigar como o rural tem sido tratado pelos instrumentos de planejamento territorial dos 32 municípios do Corede Norte do estado do Rio Grande do Sul. Para isto, fez-se uso de uma revisão bibliográfica, seguida de uma pesquisa documental direcionada aos instrumentos de planejamento dos 32 municípios. Como resultado, observou-se a predominância de instrumentos básicos da política urbana enquanto principais instrumentos de planejamento territorial existentes, instrumentos esses que ainda perpetuam noções exclusivamente urbanas para o planejamento e exclusivamente agrícolas para o rural. Nos casos onde o rural foi incluído pelos instrumentos analisados, estes seguem atrelando-o a ótica de oposição à cidade e atribuindo-lhe a destinação agro-silvo-pastoril. Em suma, observou-se uma região marcada por ricas relações entre áreas rurais e urbanas, todavia, ainda carente de instrumentos de planejamento territorial que façam jus à complementaridade entre áreas urbanas e rurais.
The Kurdish Problem in the Modern Politics of Iraq, Syria and Turkey: a Comprehensive Analysis
Authors: Vedeneev Il'ya
Published: December 2023

Currently, the Middle East is undergoing significant changes, often due to a mixture of global and regional factors. The study is devoted to the current policies in the Middle East, in the ethnogeographic area of Kurdistan. The study researches numerous parties (political entities) of the Kurds of Iraq, Syria and Turkey, considers the events that took place in Kurdistan in 2022 and 2023. The central government of Iraq receives new levers of pressure on the leadership of the Kurdish Autonomy. At the same time, the Turkish leadership refuses to resume oil exports. Although the government of Recep Tayyip Erdoğan pursues its own goals, in this case the actions of Ankara and Baghdad coincide. Relations between the Kurdish Democratic Party and the Patriotic Union of Kurdistan remain tense on a number of issues. During the adoption of the budget law, the latter actually opposed the idea of Kurdish autonomy in Iraq. In Syria, the autonomy of the Kurds (Rojava) will exist as long as the United States maintains its presence. The Syrian government is promoting the withdrawal of Turkish troops from Syria as a precondition for restoring relations with Ankara. Turkey refuses, because the Syrian Democratic Forces are not controlled by the Damascus. Thus, the Syrian Kurds are the stumbling block of the post-war settlement in Syria. In Turkey, there is a split between the opposition and pro-government Kurds. The opposition is divided into legal and illegal. Because the government of R. T. Erdoğan won a landslide victory in the presidential elections, there is no reason to believe that a softer course will be adopted against the Turkish Kurds.
Development and Performance of Welfare State in Spain
Authors: Podol'skiy Vadim
Published: December 2023

The article presents the history of the Spanish social support system development from the Middle Ages to the beginning of the XXI century. The purpose of the article is to analyze the background and features of the Spanish social policy. To study the development of the Spanish welfare state, the article uses the comparative historical approach and the analysis of institutions, legal documents and statistical data. The experience of Spain and other countries is compared, approaches to the typology of social policy are considered, economic factors and transformations of support measures and principles of redistribution are analyzed. Despite the fact that some trends manifested in Spain earlier than in other countries, the Spanish welfare state formed relatively late. The country has developed a unique configuration of social support, combining the German logic of a corporatist approach with a British universalist one. The Spanish experience of organizational decisions in the field of social policy is of interest, since Spain is facing the problem of an aging population against a background of persistently high unemployment creating serious pressure on the social system, which retains its functionality due to a periodic revision of priorities.
Features of Labour Productivity Measurement in Medical Organizations of the Kemerovo Region – Kuzbass
Authors: Popsuyko Artem , Artamonova Galina
Published: December 2023

The article is devoted to the problem of measuring labor productivity in healthcare. In the absence of a generally accepted standard for evaluating this indicator, the study uses a quantitative approach based on the analysis of the visits and doctors numbers dynamics in medical organizations of the Kemerovo Region. The purpose of the study is to analyze the dynamics and make a forecast of the medical personnel productivity. The authors use general scientific methods of analysis and synthesis, logical analysis; for data analysis standard methods of descriptive statistics were used. The forecast model is compiled by time series analysis using a cross-platform software package for econometric analysis Gretl. Materials for analysis included domestic and foreign literature, regulatory documentation for 2011–2021, as well as data of the Federal State Statistics Service. The authors present the experience of evaluating the medical personnel productivity of the Kemerovo Region – Kuzbass, reveal negative dynamics of the indicator, and make a forecast of its development. The article demonstrates various views of scientists and researchers on the problem of quantitative analysis of social workers performance and actualizes the problem of further analysis of the medical personnel labor productivity based on the methodology of multivariate analysis.
Industrial Policy and Innovation Process in the Modern Russian Economy
Authors: Nizamutdinov Irek
Published: December 2023

The article is devoted to the analysis of the relationship between effective industrial policy and the innovation process in the modern economic system. The industrial policy determines the specifics of the industries development, the competitiveness of individual industrial enterprises and is based on a set of economic policies implemented by the state; however, it also has its own features. Innovation and investment processes are the basis of effective industrial policy. The purpose of the study is to consider various approaches to determining the interdependence of effective industrial policy and the innovation process of foreign and Russian scientists, as well as to analyze the factors and conditions that ensure the effectiveness of the state industrial policy implementation. As part of the analysis of factors and conditions that ensure the effectiveness of the state’s industrial policy, the article assesses the advantages and disadvantages of the industrial policy implementation and its impact on the state’s to form and regulate the innovation process. The author uses methods of scientific analysis and synthesis. The positive and negative features of the industrial policy implementation in modern Russian economy in the context of globalization are identified, the underestimation of the business sector’s role in the innovation process implementation is revealed. The factors that reduce the effectiveness of the industrial policy innovative model implementation due to the inconsistency of the tools and methods are identified. The conditions for ensuring the long-term economic development effectiveness are revealed. Modern industrial policy requires consideration of the factors influencing its efficiency, as well as the specifics of the investment and innovation process implementation in the national economy’s industrial development in the context of globalization. The improvement of the existing scientific research and education systems will ensure the long-term advanced development of domestic industry, provide an opportunity to develop import substitution and occupy new niches in the global economic system. Industrial policy is determined by the peculiarities of the innovation process implementation in the economic system. An innovative model of industrial policy implementation can ensure the long-term development of the national economic system and increase its competitiveness.
Permeable pavement hydraulic optimization by using an analytical-probabilistic model
Authors: Marchioni Mariana , Raimondi Anita , Di Chiano Maria Gloria , Becciu Gianfranco
Published: December 2023

On-source storage controls are a sustainable solution for stormwater management in a scenario of continuous urban area growth. Structures that manage storage volumes through infiltration include extra environmental benefits, such as groundwater recharge, evapotranspiration, and pollutant load removal. Permeable pavement systems are among these controls and can easily integrate into dense urban areas, resulting in paved surfaces contributing to stormwater management. The shift toward on-source strategies is encouraged through regulations, policies, incentives, and awareness campaigns, which are substantially increasing their dissemination. Optimizing the design of on-source storage controls with infiltration, such as permeable pavement systems, through robust methodologies can reduce reservoir depth, reducing environmental impact and costs without impact on reliability. The analytical-probabilistic (AP) method using derived probability distribution theory from rainfall event characteristics and the mathematical description of hydrologic processes within the permeable pavement systems provides an analytical equation that can be used as a design tool, proving robustness analogous with continuous simulations. Results obtained with the AP method were compared with traditional event-based methodologies and continuous simulation, assessing the reliability of the proposed method in optimizing permeable pavement systems' reservoir depth.
Impacts of climate change on streamflow of Qinglong River, China
Authors: Liu Xingpo , Tang Zixuan
Published: December 2023

Climate change significantly influences water resources and flood hazards in global watersheds. This study focuses on predicting the impact of climate change on the streamflow of the Qinglong River situated in northern China. The streamflow of the Qinglong River (2021-2100) under two climate change scenarios (RCP 4.5 and RCP 8.5) was mainly synthesized over multiple timescales. Meteorological data from 31 Global Climate Models (GCMs) in the Coupled Model Intercomparison Project Phase 5 (CMIP5) served as inputs for the Hydrological Simulation Program-Fortran (HSPF) to conduct hydrological simulations. Results show that: (1) The peak flood flow and average daily streamflow for the RCP4.5 scenario are at least 101.15% and 110.14% of the historical phase, and at least 108.89% and 121.88% of the historical phase for the RCP8.5 scenario. (2) Under both scenarios, the proportion of summer streamflow to the annual total is expected to increase from 61.46% (historical phase) to over 85%, while the proportion of winter streamflow to the annual total is expected to decrease from 8.84% (historical phase) to below 0.5%. (3) Compared to the historical period, the maximum increase in future multi-year average annual streamflow for the RCP4.5 and RCP8.5 scenarios is 30.34%, 31.48%, respectively.
Review on different shapes of spurs and their effects on channel morphology
Authors: Chakravarty Supran , Patel Harish Kumar , Mohanty Bijayananda , Kumar Bimlesh
Published: December 2023

In this paper, the significance of the shape of spurs on flow and bed morphology is understood, accompanied by an appeal to investigate alternative shapes like L-head, T-head spurs, and hockey-shaped spurs, which could offer considerable benefits for river management. The spurs with T-head shape are found to be more efficient in reducing the bed scouring of the channel relatively, although it depends on the orientation of the spur, location of installation, and shape of the channel. Furthermore, development of horseshoe vortex is found insignificant near the base of the T-head spur dike. T-head spurs could more effectively redirect flow and prevent erosion while L-head spurs may enhance riverbank stability. This highlights the need for more investigation into how different spur shapes collectively affect river morphology, flow velocity, and sediment transport patterns. Temporal variations in bed morphology, especially the scour depth and sediment transport dynamics near spur dikes, should also be investigated to understand their changing impact better. Finally, this study provides a complete summary of existing knowledge gaps and future research initiatives relevant to various shapes of spur dikes and their role in riverbank erosion management.
STATUS OF VAGINAL AND CERVICAL CHANNEL MICROBIOTA IN FEMALE PARTICIPANTS OF ISOLATION STUDIES OF VARYING DURATION
Authors:   Institute of Biomedical Problems of the Russian Academy of Sciences, Moscow, Komissarova D.V. , Ilyin V.K. ,   Institute of Biomedical Problems of the Russian Academy of Sciences, Moscow, Usanova N.A. ,   Institute of Biomedical Problems of the Russian Academy of Sciences, Moscow, Morozova Yu.A. ,   Institute of Biomedical Problems of the Russian Academy of Sciences, Moscow, Priputnevich T.V. ,   National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov of Ministry of Healthcare of Russian Federation, Moscow, Muravieva V.V. ,   National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov of Ministry of Healthcare of Russian Federation, Moscow, Bairamova G.R. ,   National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov of Ministry of Healthcare of Russian Federation, Moscow, Mikhanoshina N.V. ,   National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov of Ministry of Healthcare of Russian Federation, Moscow
Published: December 2023

Isolation studies model such spaceflight factors as a prolonged stay in a closed environment, psycho-emotional strain, continuous microbial exchange, unusual diet and hygiene. We analyzed the data about vaginal and cervical microflora from female participants in two isolation studies without means of dysbiosis prevention. According to results of the investigation, isolation conditions affect the microbial status of the vagina and cervical channel, as the number of opportunistic species, both facultative and strict anaerobes, increases and the number of protective species decreases. These shifts in microbiota of the lower genital tract imply high risks of dysbiotic disorders and the need to develop preventive means, including probiotic substances based on autologic strains of vaginal lactic acid bacilli.
INCREASING PLANT PRODUCTIVITY BY IMPROVEMENT OF SOIL-LIKE SUBSTRATE AIR EXCHANGE AS APPLIED TO THE BIOLOGICAL LIFE SUPPORT SYSTEM
Authors:   Institute of Biophysics SB RAS, Federal Research Center «Krasnoyarsk Science Center SB RAS», Velichko V.V. , Tikhomirov А.А. ,   Institute of Biophysics SB RAS, Federal Research Center «Krasnoyarsk Science Center SB RAS», Ushakova S.A. ,   Institute of Biophysics SB RAS, Federal Research Center «Krasnoyarsk Science Center SB RAS», Barsukova O.V. ,   Institute of Biophysics SB RAS, Federal Research Center «Krasnoyarsk Science Center SB RAS», Khizhniak S.V. ,   Krasnoyarsk State Agrarian University
Published: December 2023

A possibility to increase productivity of radishes Raphanus sativus L. (cultivar Mokhovsky) growing on soil-like substrate (SLS) with the use of an inert desintegrator and forced aeration was investigated. Aeration quality was assessed using the fouling glasses. The main aeration quality criterion was presence or absence of mycelial fungi that cannot grow in anaerobic conditions. It was found that the desintegrator and SLS in the ratio of 1:3 increase substrate air permeability; besides, combination of the desintegrator and forced ventilation improves nitrogen nutrition of plants growing on SLS containing vegetable organics with an increased C/N ratio.
ABSORBED DOSE RATE MEASUREMENTS IN DIFFERENT MODULES OF THE INTERNATIONAL SPACE STATION USING DOSIMETERS PILLE
Authors:   Institute of Biomedical Problems of the Russian Academy of Sciences, Moscow, Bondarenko V.A. , Drobyshev S.G. ,   Institute of Biomedical Problems of the Russian Academy of Sciences, Moscow, Lishnevskii A.E. ,   Institute of Biomedical Problems of the Russian Academy of Sciences, Moscow, Mitrikas V.G. ,   Institute of Biomedical Problems of the Russian Academy of Sciences, Moscow, Khorosheva E.G. ,   Institute of Biomedical Problems of the Russian Academy of Sciences, Moscow
Published: December 2023

Results of measuring the average daily absorbed dose in the ISS modules with the Pille dosimeters since November of 2003 to this day were analyzed. Absorbed dose dynamics was compared to dynamics of main space-physics indices and mean orbit altitude. The decreasing effect of additional protection of the right-board crew-quarters was shown. Comparison of absorbed dose rates in the RSA and NASA crew quarters point to the necessity to enhance protection of the Russian quarters.
Potential Therapeutic Role of Cannabinoid System in Alzheimer’s Disease: A Review
Authors: Zargar Abrar Ahmad , Kumar Ranjeet , Kumar Arvind , Gangwar Ruby , Sharma Amit
Published: December 2023

The purpose of the study was to investigate the role of the endocannabinoid system and the therapeutic potential benefits of cannabinoids in Alzheimer’s disease. The most frequent form of dementia in older individuals is Alzheimer's disease (AD), a progressive neurological ailment that gradually deprives people of their memory, cognitive abilities, and, ultimately, their ability to perform daily tasks. Alzheimer's disease is distinguished by a progressive deterioration in cognitive function, which includes a decline in memory, learning capacity, and thinking power. The human body's endocannabinoid system functions as a channel for cell communication. It is a neurotransmission system that is present in various regions of the body and tissues as well as assists in the control of a number of metabolic processes. Endocannabinoids, enzymes, and cannabinoid receptors all play a role in managing a variety of biological functions. In this review, we aimed to summarize the endocannabinoid system, the effect of beta-amyloid, tau-protein accumulation and neuroinflammation, potential therapeutic benefits of cannabinoids, current pre-clinical and clinical evidence for the potential therapeutic benefits, limitations, and challenges, and potential future research in the field. Emerging scientific data suggests that the ECS (Endocannabinoid system) is linked to neurodegenerative illnesses and that altering its tone may be a useful therapeutic strategy for the treatment of AD (Alzheimer’s disease).
Cultivating Bone Health: Exploring Medicinal Plants and Bioactive Compounds for Osteoporosis Treatment
Authors: Dhiman Simran , Chopra Bhawna , Dhingra Ashwani K , Grewal Ajmer Singh , Kriplani Priyanka , Deswal Geeta , Dass Rameshwar , Guarve Kumar
Published: December 2023

Background:

Osteoporosis is a severe bone condition characterized by a bone mineral density (BMD) 2.5 standard deviations below peak bone mass. Osteoporosis will become a serious issue as the population ages. Traditional anti-osteoporotic medications are effective in both the prevention and treatment of Osteoporosis. However, they are linked to several adverse effects, enabling many women to seek alternative treatment with medicinal herbs. Chinese herbs, which are all-natural products, are thought to treat Osteoporosis primarily by improving bone quality.

Methods:

A literature survey has been carried out to determine the real potential of medicinal plants and their bioactive constituents in treating Osteoporosis.

Results:

Many medicinal plants can modulate bone metabolism and thus reduce bone loss. TCM formulations and their constituent plant remedies have a wealth of phytochemicals with significant promise for discovering novel antiosteoporotic medications. The active substances in TCM formulae can be established as potency medications in combination with antiosteoporotic benefits that may be superior to those of the individual compounds.

Conclusion:

The primary goal of the review is to describe the potential of antiosteoporosis medicinal plants and some of their phytoconstituents, along with an overview of osteoporosis pathogenesis, clinical studies, and their patent studies.
The Amalgamation of Federated Learning and Explainable Artificial
Intelligence for the Internet of Medical Things: A Review
Authors: Govardanan Chemmalar Selvi , Murugan Ramalingam , Yenduri Gokul , Gurrammagari Deepti Raj , Bhulakshmi Dasari , Kandati Dasaradharami Reddy , Supriya Yarradoddi , Gadekallu Thippa Reddy , Rathore Rajkumar Singh , Jhaveri Rutvij H
Published: December 2023

The Internet of Medical Things (IoMT) has emerged as a paradigm shift in healthcare,
integrating the Internet of Things (IoT) with medical devices, sensors, and healthcare systems.
From peripheral devices that monitor vital signs to remote patient monitoring systems and smart
hospitals, IoMT provides a vast array of applications that empower healthcare professionals. However, the integration of IoMT presents numerous obstacles, such as data security, privacy concerns,
interoperability, scalability, and ethical considerations. For the successful integration and deployment of IoMT, addressing these obstacles is essential. Federated Learning (FL) permits collaborative model training while maintaining data privacy in distributed environments like IoMT. By incorporating Explainable Artificial Intelligence (XAI) techniques, the resulting models become
more interpretable and transparent, enabling healthcare professionals to comprehend the underlying
decision-making processes. This integration not only improves the credibility of Artificial Intelligence models but also facilitates the detection of biases, errors, and peculiar patterns in the data.
The combination of FL and XAI contributes to the development of more privacy-preserving, trustworthy, and explainable AI systems, which are essential for the development of dependable and
ethically sound IoMT applications. Hence, the aim of this paper is to conduct a literature review on
the amalgamation of FL and XAI for IoMT.
Parametric Evaluation in Context to the Functional Role of Eco-Friendly Water Vapour Cutting Fluid Through Chip Deformation Analysis in HSM Of Inconel 718
Authors: Kadam Ganesh S. , Shrihari Pawade Raju
Published: December 2023

Demand for increased production rates, better quality, and incorporation of
green manufacturing practices has been continually challenging the manufacturers.
This could be feasible by adopting high-speed machining (HSM) using eco-friendly
cutting fluids but with careful process control. On these lines, the current paper
explores process characteristics of the exotic superalloy Inconel 718 being turned at
high speeds with tooling as coated carbide inserts and eco-friendly cutting fluid as
water vapour. The experiments were carried out by varying three process parameters,
viz. cutting speed, feedrate as well as water vapour pressure, following central
composite design based on response surface methodology. A special tool holder with
an in-built fluid supply channel was used to facilitate precise delivery of water vapour
cutting fluid onto the machining zone. The process mechanics has been analyzed with
the aid of the chip deformation coefficient as the same is a crucial indicator revealing
the cutting fluid performance in machining as a result impacting the surface integrity,
tool wear, machinability, etc. Analysis revealed that the response surface quadratic
model for the chip deformation coefficient was statistically significant. The feedrate,
vapour pressure, and the interaction between feedrate and vapour pressure were highly
dominating factors influencing the chip deformation coefficient, with contributions of
around 23.41%, 25.33% and 21.49%, respectively. An increase in vapour pressure was
highly beneficial in lowering the chip deformation coefficient on account of water
vapour’s better penetrability and performance into the machining zone. Overall usage
of cutting fluid as water vapour within feasible HSM parametric ranges can be notably
beneficial.
Evolution of Fault Tolerant SEN MIN
Authors: Gupta Shilpa
Published: December 2023

The shuffle exchange network is known to be the simplest MIN with a
modest size of switching element in use. It is a unique path MIN with no fault
tolerance. Researchers have explored this network to take advantage of its modest size
and low cost and tried to improve its reliability by providing redundancy in its basic
structure. While improving the fault tolerance of this network, many techniques have
been proposed in the literature which are comprised of increasing the hardware
complexity of the network. Recently, a new method has been proposed to improve fault
tolerance which consists of using multiplexers and demultiplexers at the input and
output stages of the network. It has been claimed that it improves the reliability on one
hand and reduces the overall cost of the network on the other hand. In this chapter, this
technique has been explored and reliability analysis of the network has been presented
thoroughly to provide deep insight into the performance of the network.
Design, Reliability Modeling and Evaluation of FTSM
Authors: Gupta Shilpa
Published: December 2023

It has been proved that the use of multiplexers and demultiplexers of the
smallest size has improved reliability to an extent but the effect of using bigger-sized
MUX and DEMUX on reliability and fault tolerance must also be evaluated. In the
recent past, the consequences of using higher-sized MUXs and DEMUXs have been
explored and presented in this chapter. The full analysis of the size of MUXs and
DEMUXs to be used so as to increase the reliability of the network to the optimum
level has been presented. The analysis done on SEN MIN shows that the best size of
MUXs and DEMUXs to be used is 4×1 and 1×4 respectively and hence the SEN MIN
with 4×1 MUX and 1×4 DEMUX is named Fault Tolerance SEN MIN (FTSM).
Unlocking the clinical utility of Daivavyapashraya Chikitsa a mystical therapy in the present era - A Bird View
Authors: Sahana Krishna  , C.V Rajashekhar
Published: December 2023

Daivavyapashraya Chikitsa is one of the Mystical therapies mentioned under Trivida Chikitsa according to Ayurveda. Even though this is mentioned in the first-place utmost importance is not given nowadays as a treatment is concerned. Knowingly or unknowingly these Chikitsa principles are being carried out in different parts of the world as a part of religious belief. The concept of Pindanda and Brahmanda throws the light that all that outside us resides within us which indicates that we are the miniature of this universe, which can also be taken spiritually to mean that their consciousness or inner life is indistinguishable from that outside of them, which is ultimately leads the way to Brahma the superior. Every Karma has its own Phala which gets served accordingly, Karmaroga Shanti can be achieved only when Karmakshaya occurs, through Yuktivyapashraya Chikitsa it’s not possible this can be done only when one experiences Phala Upayoga. As Adarma increases day by day, the incidence of occurrence of new diseases also increases hence Daivavyapashraya Chikitsa are useful to reduce the sufferings and increase the quality of life. Due to its Achintya Prabhava and immediate effect, it has the capacity to bring the Dhatusamyata in the Purusha without contact with Jataragni hence it is considered Shreshta. Understanding this mystical therapy becomes difficult as it is something spiritual and beyond it, hence many more studies are needed to decode the importance and action which helps the Vaidyas to practice confidently along with Yuktivyapashraya and Satwaavajaya Chikitsa which will surely help to achieve a great result. In this article, an attempt has been made to understand the components of Daivavyapashraya Chikitsa with its utility and clinical application in the present era.
A comprehensive study on Mrita Sharir Samshodhana in Ancient Ayurveda and Modern Science
Authors: Rahul Nath  , Kuldeep Kumar  , Namrata Tiwari
Published: December 2023

According to Ayurveda, Maharshi Sushruta invented surgery. First Indian surgeon was Maharshi Sushruta. According to Sushruta, learning how to dissect a dead body is fundamental to become a good doctor and surgeon. Sushruta Samhita, provides a brief explanation of dissection and preservation. For preservation, understanding of acceptable preservation techniques is necessary. A dead body is more likely to be destroyed when the incorrect preservation method is used to preserve it. Acharya Charaka says that understanding Shukshama and Sthula Sharir in its whole is necessary for understanding the Sharir Rachana. It is being done to compile all available data on Ayurvedic science, including how the body is collected, where it will be kept, and how it will be conserved. The modern preservation technique differs from the Ayurveda approach.
An empirical review of fundamental principles of Ayurveda for women’s reproductive health and diseases
Authors: Mahima Patel  , Santosh Vishnoi  , A. Neelima
Published: December 2023

Ayurveda is known for its promotive, curative and therapeutic concepts. The main objective of Ayurvedic treatments is to promote healthy lifestyle through proper nutrition, prevention of disease and specialized treatments based on the diagnosis. The fundamental principles hold a firm ground in Ayurveda. From creation of living beings to issues of health, disease and its diagnosis & treatment, these fundamental principles are the roots. Woman’s Reproductive life is associated with drastic physiological, anatomical and psychological changes during menarche, reproductive period, pregnancy, menopause and post menopause. Aim & Objectives: To promote and maintain the overall well-being of Women throughout their lives using the principles of Ayurveda. Methodology: All the material and data are collected from ancient’s treaties, Ayurvedic books, Research paper under google scholar, PubMed, research gate etc. search engines. Result: Ayurveda considers menstrual health, fertility, pregnancy, and postpartum care as essential aspects of a Woman's life. It focuses on natural and personalized methods to address Women's reproductive issues and promote overall wellness. Discussion: Although any individual, regardless of constitutional type, can be provoked in any and it is the Vikriti, the imbalanced ratio of Doshas which we treat in Ayurveda, still these cyclical imbalances operate within a specific individual constitutional background which must be taken in account in formulating individual treatment plans. Conclusion: Ayurveda dose provide principles and guidelines for diagnosis and treating the various Women’s health conditions & diseases.
Ayurvedic management in Male Infertility w.s.r. to Oligoasthenospermia : A Retrospective Case Series
Authors: Yash Patel  , Nilofar Shaikh
Published: December 2023

Male infertility refers to a male's inability to result pregnancy in a fertile female and it has a strong impact on psychology of couple. Almost 30-40% of Infertility cases found to be of due to male factor. Oligoasthenospermia (low sperm count and low sperm motility) is one of the main noted causes of male infertility. Author present a case series of three male patients visited the Outpatient department of Prasutitantra evam Streeroga, P D Patel Ayurvedic Hospital, Nadiad, Gujarat with complains of unable to conceive her partner even after having regular unprotected coitus more than one year of married life. Semen analysis of these patients revealed low sperm count (<15 million/ml) and low sperm motility (<40%). Patients were treated with oral medicaments of Shukrajananavati, a combination of Ashwagandha Churna 2g and Gokshura Churna 1g for 3 months. Along with oral medicaments one sitting of 6 days intra urethral Uttarbasti of Narayana Taila was given to all the patients. The effect of therapy was assessed on the bases of improvement in sperm motility and count. After 3 months, semen analysis report of all three patients showed an increase sperm count and marked improvement in sperm motility. The present findings and the effective management of Oligoasthenospermia with Ayurveda formulations highlight the promising scope of traditional medicine in male infertility.
Waarom is de Liturgische Beweging nooit een zelfstandige “modaliteit” geworden in het Nederlandse protestantisme? Historische en systematisch-theologische beschouwingen
Authors: Ploeger Mattijs
Published: December 2023

Like many other churches, Protestantism in the Netherlands had its own Liturgical Movement during the twentieth century. Unlike some churches, for example the Anglican Communion, the liturgical identity of parts of Dutch Protestantism never led to the formation of a “modaliteit” – a distinctive, organized party within the church. This article first argues that the Protestant Liturgical Movement initially possessed enough distinctive neo-patristic theological and spiritual potential to form such a party. Subsequently, the article explores why the formation of such a “modaliteit” did not take place. The reason is found in an implosion and restart of the Liturgical Movement in Dutch Protestantism, which took place during the 1950s and which changed the theological and spiritual profile of the Movement. By losing its neo-patristic theology, the Movement lost both the opportunity and the necessity of forming a distinctive party within the church.
Identifying Existing Evidence to Potentially Develop a Machine Learning Diagnostic Algorithm for Cough in Primary Care Settings: Scoping Review (Preprint)
Authors: Cummerow Julia , Wienecke Christin , Engler Nicola , Marahrens Philip , Gruening Philipp , Steinhäuser Jost
Published: December 2023

BACKGROUND

Primary care is known to be one of the most complex health care settings because of the high number of theoretically possible diagnoses. Therefore, the process of clinical decision-making in primary care includes complex analytical and nonanalytical factors such as gut feelings and dealing with uncertainties. Artificial intelligence is also mandated to offer support in finding valid diagnoses. Nevertheless, to translate some aspects of what occurs during a consultation into a machine-based diagnostic algorithm, the probabilities for the underlying diagnoses (odds ratios) need to be determined.

OBJECTIVE

Cough is one of the most common reasons for a consultation in general practice, the core discipline in primary care. The aim of this scoping review was to identify the available data on cough as a predictor of various diagnoses encountered in general practice. In the context of an ongoing project, we reflect on this database as a possible basis for a machine-based diagnostic algorithm. Furthermore, we discuss the applicability of such an algorithm against the background of the specifics of general practice.

METHODS

The PubMed, Scopus, Web of Science, and Cochrane Library databases were searched with defined search terms, supplemented by the search for gray literature via the German Journal of Family Medicine until April 20, 2023. The inclusion criterion was the explicit analysis of cough as a predictor of any conceivable disease. Exclusion criteria were articles that did not provide original study results, articles in languages other than English or German, and articles that did not mention cough as a diagnostic predictor.

RESULTS

In total, 1458 records were identified for screening, of which 35 articles met our inclusion criteria. Most of the results (11/35, 31%) were found for chronic obstructive pulmonary disease. The others were distributed among the diagnoses of asthma or unspecified obstructive airway disease, various infectious diseases, bronchogenic carcinoma, dyspepsia or gastroesophageal reflux disease, and adverse effects of angiotensin-converting enzyme inhibitors. Positive odds ratios were found for cough as a predictor of chronic obstructive pulmonary disease, influenza, COVID-19 infections, and bronchial carcinoma, whereas the results for cough as a predictor of asthma and other nonspecified obstructive airway diseases were inconsistent.

CONCLUSIONS

Reliable data on cough as a predictor of various diagnoses encountered in general practice are scarce. The example of cough does not provide a sufficient database to contribute odds to a machine learning–based diagnostic algorithm in a meaningful way.
Efficacy of a Smartphone App in Enhancing Medication Adherence and Accuracy in Individuals With Schizophrenia During the COVID-19 Pandemic: Randomized Controlled Trial (Preprint)
Authors: Chen Huan Hwa , Hsu Hsin Tien , Lin Pei Chao , Chen Chin-Yin , Hsieh Hsiu Fen , Ko Chih Hung
Published: December 2023

BACKGROUND

Poor medication adherence or inaccuracy in taking prescribed medications plays an important role in the recurrence or worsening of psychiatric symptoms in patients with schizophrenia, and the COVID-19 pandemic impacted their medication adherence with exacerbated symptoms or relapse. The use of mobile health services increased during the COVID-19 pandemic, and their role in improving mental health is becoming clearer.

OBJECTIVE

This study aimed to explore the effectiveness of a smartphone app (MedAdhere) on medication adherence and accuracy among patients with schizophrenia and to measure their psychiatric symptoms and cognitive functions.

METHODS

In this 12-week experimental study, participants were provided interventions with the MedAdhere app, and data were collected between June 2021 and September 2022. A total of 105 participants were randomly assigned to either the experimental or control groups. We used the Positive and Negative Syndrome Scale and Mini-Mental State Examination to measure the participants’ psychiatric symptoms and cognitive functions. Generalized estimating equations were used for data analysis.

RESULTS

A total of 94 participants met the inclusion criteria and completed the protocol, and the medication adherence rate of the experimental group was 94.72% (2785/2940) during the intervention. Psychotic symptoms (positive, negative, and general psychopathology symptoms) and cognitive functions (memory, language, and executive function) were significantly improved in the experimental group compared to the control group after the intervention.

CONCLUSIONS

The MedAdhere app effectively and significantly improved medication adherence and, thereby, the psychiatric symptoms of patients with schizophrenia. This artificial intelligence assisted app could be extended to all patients who need to be reminded to take medication on schedule.

CLINICALTRIAL

ClinicalTrials.gov NCT05892120; https://clinicaltrials.gov/study/NCT05892120
Assessment of Heart Rate Monitoring During Exercise With Smart Wristbands and a Heart Rhythm Patch: Validation and Comparison Study (Preprint)
Authors: Wang Tse-Lun , Wu Hao-Yi , Wang Wei-Yun , Chen Chao-Wen , Chien Wu-Chien , Chu Chi-Ming , Wu Yi-Syuan
Published: December 2023

BACKGROUND

The integration of wearable devices into fitness routines, particularly in military settings, necessitates a rigorous assessment of their accuracy. This study evaluates the precision of heart rate measurements by locally manufactured wristbands, increasingly used in military academies, to inform future device selection for military training activities.

OBJECTIVE

This research aims to assess the reliability of heart rate monitoring in chest straps versus wearable wristbands.

METHODS

Data on heart rate and acceleration were collected using the Q-Band Q-69 smart wristband (Mobile Action Technology Inc) and compared against the Zephyr Bioharness standard measuring device. The Lin concordance correlation coefficient, Pearson product moment correlation coefficient, and intraclass correlation coefficient were used for reliability analysis.

RESULTS

Participants from a Northern Taiwanese medical school were enrolled (January 1-June 31, 2021). The Q-Band Q-69 demonstrated that the mean absolute percentage error (MAPE) of women was observed to be 13.35 (SD 13.47). Comparatively, men exhibited a lower MAPE of 8.54 (SD 10.49). The walking state MAPE was 7.79 for women and 10.65 for men. The wristband’s accuracy generally remained below 10% MAPE in other activities. Pearson product moment correlation coefficient analysis indicated gender-based performance differences, with overall coefficients of 0.625 for women and 0.808 for men, varying across walking, running, and cooldown phases.

CONCLUSIONS

This study highlights significant gender and activity-dependent variations in the accuracy of the MobileAction Q-Band Q-69 smart wristband. Reduced accuracy was notably observed during running. Occasional extreme errors point to the necessity of caution in relying on such devices for exercise monitoring. The findings emphasize the limitations and potential inaccuracies of wearable technology, especially in high-intensity physical activities.