bluuebunny/crossref_metadata_2025 huggingface dataset:
A ANALYSIS OF FUNCTIONAL AND CLINICAL OUTCOME OF PILON FRACTURE TREATED WITH AN ANTEROLATERAL PLATE FIXATION IN A TERTIARY CARE CENTER: PROSPECTIVE STUDY
Authors:   Post Graduate in Department of Orthopedics Narayana Medical College and Hospital ChInthareddy Palem Nellore -Pin Code 524003 Andhra Pradesh, India., Bhargavi Lakkam , Harikrishna Reddy Kondareddy ,   Professor in Department of Orthopedics Narayana Medical College and Hospital Chinthareddy Palem Nellore -Pin Code 524003 Andhra Pradesh, India., Sandeep Kumar Aithagani ,   Professor in Department of Orthopedics Narayana Medical College and Hospital Chinthareddy Palem Nellore -Pin Code 524003 Andhra Pradesh, India.
Published: April 2023

Introduction: This clinical study presents the short-term results of the Pilon fracture treated with open reduction and internal fixation through an anterolateral approach and further re-analyse the different complication rates and outcome percentages during surgical treatment through an anterolateral approach. Materials And Methods: The presentstudy is a prospective descriptive study involving 22 patients with Pilon fracture treated by ORIF through an anterolateral approach at the Department of Orthopaedics, Narayana Medical College and hospital, Nellore, Andhra Pradesh from June 2021 to May 2022. Results: In our study, among 22 cases, the majority of patients were male (77%). The mean age group of our patients has been 40 -60 years. Right-sided injury and left-sided injury are almost equal. Functional outcome was measured using Mazur criteria. According to these, we found that 12 patients (54.54%) had excellent functional outcome, 8 patients (36.36%) had good functional outcome and 2 patients had fair functional outcome following ORIF with anterolateral plate for tibial pilon fractures and are comparable with other studies in the literature review. Discussion: In our study functional outcome was measured using Mazur ankle score. According to these we found 12 patients (54.54%) had excellent functional outcome and 8 patients (36.36%) had good functional outcome and 2 patients (9.1%) had fair functional outcome following open reduction and internal fixation with anterolateral for tibial pilon fracture.
EVALUATION OF THE OUTCOMES OF CULTURE POSITIVE INFECTIONS FOLLOWING AN UNEVENTFUL ARTHROPLASTY- A SINGLE INSTITUTION EXPERIENCE
Authors: Ganesh D.J Niranthara
Published: April 2023

Total hip or knee replacement, especially, has been a resort for many individuals plagued with deforming joint pathologies, alleviating pain, and improving joint mobility, but is not without complications. Prosthetic joint infection is the most commonly occuring early and late complication of PJI. Any PJI which develops thereafter is considered to be late, irrespective of the stability of the components. It is important to realise that PJI does not only reflect an infection of the prosthetic interface, but also an infection of the surrounding bone and soft tissues. Hence we conducted this study to demonstrate the incidence of PJI following an uneventful arthroplasty.
A COMPARATIVE EVALUATION OF EFFICACY OF DEMINERALIZED FREEZE-DRIED BONE ALLOGRAFT WITH AND WITHOUT MELATONIN FOR SOCKET PRESERVATION OF SINGLE ROOTED TEETH: A 6 MONTHS RADIOGRAPHIC & HISTOLOGICAL STUDY
Authors: Boro Sunaina , Chopra Rahul , Malhotra Sumit , Ashraf Fariya , Rathore Akshay , Juneja Saurabh
Published: April 2023

Background: The aim of the present study was to evaluate the efficacy of demineralized freeze-dried bone allograft with and without Melatonin for socket preservation based on clinical, radiological and histological parameters. Methods: A total of 20 single-rooted teeth indicated for extraction were included in this randomized controlled clinical study of 6 months duration. The subjects were allocated into two groups for socket preservation viz. test group (DFDBA with Melatonin Powder) and control group (DFDBA only) randomly with the toss of coin.Clinical,radiological and histological parameters were recorded at baseline and 6 months. Results: Both the groups showed comparable results in clinical, radiographic and histological parameters with considerable promise of regeneration, thus can be used in maintaining the ridge width and height post extraction. Conclusion: It be concluded that DFDBA with or without melatonin can be used for socket preservation with predictable and comparable results. No significant advantage of mixing melatonin with DFDBA was observed in our study. However, further studies with larger sample size and use of melatonin with other bone grafts should be conducted to ascertain the findings of our study.
WHO CORE PRESCRIBING INDICATORS AND ITS EFFECTS ON QUALITY OF LIFE IN PATIENTS WITH SUPERFICIAL FUNGAL INFECTIONS
Authors:   Department of Clinical Pharmacy Practice, Vaageswari College of Pharmacy, Ramakrishna Colony, Thimmapur, Karimnagar, Telangana, India., Masood Hanna , Mehvish Anikha ,   Department of Clinical Pharmacy Practice, Vaageswari College of Pharmacy, Ramakrishna Colony, Thimmapur, Karimnagar, Telangana, India., Fathima Hafsa ,   Department of Clinical Pharmacy Practice, Vaageswari College of Pharmacy, Ramakrishna Colony, Thimmapur, Karimnagar, Telangana, India., Manisha Kodepelli ,   Department of Clinical Pharmacy Practice, Vaageswari College of Pharmacy, Ramakrishna Colony, Thimmapur, Karimnagar, Telangana, India.
Published: April 2023

Tinea infections is a very common dermatological condition that is prominent in almost all age groups irrespective of gender. A prospective observational study was carried out in a sample of 210 patients in CAIMS, Karimnagar in the dermatology OPD for a time period of six months. The patients quality of life was evaluated using DLQI and prescription patterns were evaluated using WHO core prescribing indicators. The findings suggested that the condition was more commonly seen in age group of 31-60 years. The patients belonging to the low socio-economic status was found to be more prone to infections. As per DLQI, it was found that 66.6% of patients quality of life was largely affected by this condition. Furthermore, on studying the prescription pattern using the WHO core prescribing guidelines, the irrational use of drugs has been noticed.In this study using DLQI we came to the conclusion that tinea is a chronic infection and has a very large effect on the quality of life of individuals. WHO core prescribing indicators are used to study the irrational prescribing pattern and concluded that maximum prescriptions do not satisfy as per the ideal values.
DIFFERENT METHODS INVOLVED IN ASSESING THE IMPLANT STABILITY-A REVIEW
Authors:   Professor And Head, Department of Prosthodontics, Royal Dental College, Palakkad, Kerala., Raghavan Rohit , P.A Shajahan ,   Professor, Department of Prosthodontics, Royal Dental College, Palakkad, Kerala., a Praseera ,   Post Graduate Student, Department of Prosthodontics, Royal Dental College, Palakkad, Kerala., Kumar P. Ranjith ,   Associate Professor, Government Medical College, Palakkad, Kerala.
Published: April 2023

In order for osseointegration to be effective, implant stability is essential. Functional dental implants require successful osseointegration. Its crucial to conduct ongoing, objective, and high-quality monitoring to assess the stability of the implant. At the primary and secondary stages, implant stability is assessed. The primary source of stability is mechanical contact with the cortical bone. After implant placement, the bone and tissue around the implant regenerate and undergo remodelling, which is influenced by the main stability, bone production, and remodelling. The implants stability affects how long it takes to reach functional loading. Radiographs and microscopic or histologic analysis were historically the gold standard methods to assess stability. However, due to the invasiveness of these methods and associated ethical concerns, many other methods, such as cutting torque resistance, reverse torque analysis, model analysis, etc., have been proposed. In order to predict a long-term prognosis for effective therapy, it is crucial to be able to access implant stability at various time periods.
A STUDY TO ASSESS THE EFFECTIVENESS OF STRUCTURED TEACHING PROGRAMME ON PREVENTION OF NEONATAL INFECTION AMONG POST CESAREAN WOMEN IN DOON HOSPITAL, DEHRADUN
Authors: Chauhan Bhavana , a Harshita , b Hema , Sharma Kartik , c Nancy , Matwan Preeti , Rawat Priyanka , Shah Simran , Treesa Joseph Little
Published: April 2023

Introduction: Neonatal infection occurs when a pathogenic organism enters in the body and shows its signs and symptoms. As the newborn have immature immune system it is the leading cause of morbidity and mortality. In this study we aimed to found out the effectiveness of the structured teaching program on the prevention of neonatal infection among the post cesarean women. Methods: On 60 post cesarean women pre â€“experimental study was conducted at the post cesarean ward of Government Doon Medical College and Hospital, Dehradun Uttarakhand. Sample selection is done by purposive sampling technique. The procedure of data collection was completed by self-administration of designed questionnaire with the help of paper pencil test. The intervention was implemented through structured teaching program after pre test. The post test data was collected after five days of pre-test. One group pre-test and post-test design of pre-experimental research design is used. Result: After giving structured teaching program about 49(81.66%) post cesarean women had good knowledge and 11(18.34%) had average and none of the post cesarean women had poor knowledge. Improvements in knowledge on prevention of complications will enable the post cesarean women to provide proper neonatal care and there by bring down morbidity and mortality. The post test mean score is higher than pre test mean score , so hypothesis is accepted. Conclusion: The study concluded that by the help of structured teaching program there is increment in the post test scores of the post cesarean women.
AI-POWERED RECOMMENDATION SYSTEMS FOR TRIP PLANNING
Authors:   MCA, Department of Computer Science and Information Technology, Jain (Deemed-to-be-University) Bengaluru, India., C.J Tejas , Manju Bargavi S. K. ,   Professor, Department of Computer Science and Information Technology, Jain (Deemed-to-be-University) Bengaluru, India.
Published: April 2023

Trip planning can be difficult due to the overwhelming amount of information available and the time-consuming process of finding the best deals on flights, accommodation, and activities, making it hard for individuals to make informed decisions and plan an itinerary efficiently. This survey paper's goal is to explore how artificial intelligence is used in web applications for trip planning. The paper will conduct a comprehensive review of existing approaches and technologies for trip planning and will evaluate the use of natural language processing and the GPT-3 language model in generating personalized itineraries. The survey will also examine the integration of flight and accommodation booking APIs in trip planning web applications and the impact on user satisfaction and efficiency. The results of this survey will provide valuable insights into the current state of the field and will help to inform the development of future trip planning web applications that use artificial intelligence to provide a more efficient and enjoyable trip planning experience for users.
APECED SYNDROME (FAMILY OBSERVATION)
Authors:   Pediatrics Department of the CHU Hassan II of Fes., Rouimi Leila , Abourazzak Sana ,   Pediatrics Department of the CHU Hassan II of Fes., Chaouki Sanae ,   Pediatrics Department of the CHU Hassan II of Fes., Hida Moustapha ,   Pediatrics Department of the CHU Hassan II of Fes.
Published: April 2023

Introduction: APECED (Autoimmune Polyendocrinopathy Candidiasis Ectodermal Dystrophy) is an autosomal recessive disease characterized by the association of autoimmune endocrine involvement, mucocutaneous candidiasis and ectodermal tissue involvement. Observation: We report the case of 2 brothers from a 2nd degree consanguineous marriage with a history of 2 deaths in the siblings for whom the diagnosis of APECED syndrome was retained on clinical and biological criteria (genetic study in progress).The eldest had candidous onychomycosis of the hands and feet, generalized mucocutaneous candidiasis, profound hypocalcemia with tetany crisis, autoimmune hepatitis, Biermers anemia and ADDISONs disease. Meanwhile the youngest had onychomycosis, vitiligo, atrophy of the tongue, alopecia and adrenalinsufficiency. Discussion:Autoimmune polyglandular syndrome type 1 (APS-1) is classically characterized by at least two of the three components of Whitakers triad: chronic mucocutaneous candidiasis (CMC), hypoparathyroidism, and chronic adrenal insufficiency. If a sibling is affected, only one component of the triad is necessary to make the diagnosis. Conclusion: This syndrome requires a multidisciplinary approach, without forgetting the importance of genetic counseling for this autosomal recessive disease.
COMPARATIVE EVALUATION OF MODIFIED TRIANGULAR CORONALLY ADVANCED FLAP IN COMBINATION WITH PLATELET RICH FIBRIN OR TYPE I COLLAGEN MEMBRANE FOR TREATMENT OF MILLERS CLASS I AND CLASS II GINGIVAL RECESSION
Authors:   PG Student, I.T.S-CDSR Muradnagar, Ghaziabad, India., Ashraf Fariya , Chopra Rahul ,   Professor, Department of Periodontology and Implantology, I.T.S-CDSR Muradnagar, Ghaziabad, India., Sekhar Vidya ,   Professor, Department of Periodontology and Implantology, I.T.S-CDSR Muradnagar, Ghaziabad, India., Malhotra Sumit ,   HOD, Department of Periodontology and Implantology, I.T.S-CDSR Muradnagar, Ghaziabad, India., Boro Sunaina ,   HOD, Department of Periodontology and Implantology, I.T.S-CDSR Muradnagar, Ghaziabad, India.
Published: April 2023

Background: The study aimed to clinically evaluate the outcome of modified triangular coronally advanced flap (mtCAF) alone or in combination with platelet rich fibrin or type I collagen membrane in the treatment of Millers Class I and Class II gingival recession. Methods: 45 sites with Millers Class I or II gingival recession were recruited and allocated into 3 groups with 15 sites each. Group 1: mtCAF alone, Group II: mtCAF with PRF and Group III: mtCAF with bioresorbable collagen membrane (Bio-GideÂ®). Standardized Clinical Parameters such as Plaque Index (PI), Gingival Index (GI), Pocket Probing Depth (PPD), Clinical attachment level (CAL), Gingival Recession Depth (GRD) and Keratinized Tissue Height (KTH) were measured at baseline and 6 months. Result: All the three groups showed improvement in clinical parameters but it was not statistically significant. However, a significant increase in keratinized tissue height was seen in Group III as compared to Group I and Group II. Conclusion Modified triangular coronally advanced flap (mtCAF) alone or in combination with PRF and collagen membrane showed good clinical outcomes but better results were obtained in terms of keratinized tissue when collagen membrane was used.
IMPRESSION TECHNIQUES FOR OCCULAR PROSTHESIS - REVIEW
Authors:   Post Graduate Student of Department of Prosthodontics & Crown and Bridge, Tagore Dental College and Hospital., B. Pavithra , Pandian M. Rathinavel ,   Readers of Department of Prosthodontics & Crown and Bridge, Tagore Dental College and Hospital., C.J Venkatakrishnan ,   Professor&Head of the Department of Prosthodontics & Crown and Bridge, Tagore Dental College and Hospital., M. Narasimman ,   Readers of Department of Prosthodontics & Crown and Bridge, Tagore Dental College and Hospital., N. Nithiyarajan ,   Senior lecturer of Department of Prosthodontics & Crown and Bridge, Tagore Dental College and Hospital., B. Tamizhesai ,   Senior lecturer of Department of Prosthodontics & Crown and Bridge, Tagore Dental College and Hospital.
Published: April 2023

Eye is a vital sensory organ have been playing its role from vision to expression. Construction of the ocular prosthesis was never been so easy numerous techniques was implicated for the fabrication of the ocular prosthesis. Depending upon the availability of materials and time the technique for the fabrication it differs from one author to the another based on its esthetic, comfort and longevity of the prosthesis. This article is a review about various methods implicated by the authors over the due course of time for the construction of a prosthesis.
ANAPLASTIC LARGE CELL LYMPHOMA ALK NEGATIVE OF THE MANDIBLE AS THE FIRST CLINICAL MANIFESTATION OF ACQUIRED IMMUNODEFICIENCY SYNDROME
Authors:   Clinical Hematology Department, Hopital Militaire dInstruction Mohammed V, Rabat, Morocco., Ait El Filali I. , El Maachi N. ,   Clinical Hematology Department, Hopital Militaire dInstruction Mohammed V, Rabat, Morocco., Hari O. ,   Clinical Hematology Department, Hopital Militaire dInstruction Mohammed V, Rabat, Morocco., Moussa Bouh H. ,   Clinical Hematology Department, Hopital Militaire dInstruction Mohammed V, Rabat, Morocco., Elmaaroufi H. ,   Clinical Hematology Department, Hopital Militaire dInstruction Mohammed V, Rabat, Morocco., Jennane S. ,   Clinical Hematology Department, Hopital Militaire dInstruction Mohammed V, Rabat, Morocco., Mahtat E. ,   Clinical Hematology Department, Hopital Militaire dInstruction Mohammed V, Rabat, Morocco., Doghmi K. ,   Clinical Hematology Department, Hopital Militaire dInstruction Mohammed V, Rabat, Morocco.
Published: April 2023

Anaplastic large cell lymphoma (ALCL) is a distinct subtype of peripheral T-cell lymphoma (PTCL) characterized by CD30 expression and accounts for less than 5% of all non-Hodgkins lymphomas. People infected with the human immunodeficiency virus have an increased risk of developing high-grade non-Hodgkins lymphoma. But the appearance of ALCL in HIV-positive people remains a rare manifestation. Extranodal involvement is common in the skin, bones, soft tissues, lungs and liver. Extranodal ALCL rarely occurs in the oral cavity as a first manifestation. Histological and IHC analysis are necessary to exclude other malignancies associated with acquired immunodeficiency syndrome.
A STUDY TO ASSESS THE KNOWLEDGE ON PREVENTION OF DOMESTIC VIOLENCE AMONG WOMEN AT SELECTED AREA, PUDUCHERRY
Authors:   Department of Mental Health Nursing., Vishnu M. , Tamil Pulavendran V. ,   Sri Manakulavinayagar Nursing College, Puducherry, India.
Published: April 2023

Domestic violence(also named domestic abuse or family violence)is violence or other abuse in a domestic setting, such as in marriage or cohabitation. The research approach used for this study was quantitative research approach. A descriptive research design was used to assess the knowledge on prevention among women with domestic violence at Kalitheerthalkuppam, Puducherry. By using purposive sampling technique 30 samples was selected. In level of knowledge on prevention of domestic violence among womens. The major findings of the study were, Majority of the womens 25 (83.3%) had inadequate level of knowledge, and 5(16.7%) had adequate level of knowledge and the mean and standard deviation level of knowledge on prevention of domestic violence among womens is (3.60+1.958) respectively.
SEPTICEMIA DUE TOGLOBICATELLA SANGUINIS IN AN IMMUNOCOMPETENT ADULT: A CASE REPORT ANDLITERATURE REVIEW
Authors:   Anesthesia and Intensive care unit, University Hospital Mohammed VI of Marrakech, Morocco., Rhezali Manal ,   Faculty of Medicine and Pharmacy of Marrakech, Cadi Ayyad University, Morocco., Kherchttou Yassine ,   Anesthesia and Intensive care unit, University Hospital Mohammed VI of Marrakech, Morocco.,   Faculty of Medicine and Pharmacy of Marrakech, Cadi Ayyad University, Morocco., Rahmani Chadi ,   Anesthesia and Intensive care unit, University Hospital Mohammed VI of Marrakech, Morocco.,   Faculty of Medicine and Pharmacy of Marrakech, Cadi Ayyad University, Morocco., Abou Elhassan Taoufik ,   Anesthesia and Intensive care unit, University Hospital Mohammed VI of Marrakech, Morocco.,   Faculty of Medicine and Pharmacy of Marrakech, Cadi Ayyad University, Morocco., Nejmi Hicham ,   Anesthesia and Intensive care unit, University Hospital Mohammed VI of Marrakech, Morocco.,   Faculty of Medicine and Pharmacy of Marrakech, Cadi Ayyad University, Morocco., Soraa Nabila ,   Laboratory of Microbiology, University Hospital Mohammed VI of Marrakech, Morocco.,   Faculty of Medicine and Pharmacy of Marrakech, Cadi Ayyad University, Morocco.
Published: April 2023

Background:Globicatella Sanguinis is a germ that is rarely isolated in practice however, in view of identification errors due to its resemblance to viridans streptococci and the difficulties presented by many commercial systems of phenotypic identification, this pathogen remains underappreciated. Several works have highlighted the isolation of this bacteria, but the clinical characteristics and modes of infestation are still unknown. Case presentation:A 82-year-old Moroccan woman with high blood pressure and type 2 diabetes was discovered unconscious and transferred to our unit for medical care. He was immunocompetent with no history of malignancies, recurrent infections or immunosuppression medications. The investigation of the febrile consciousness disorder presented by the patient reveled Globicatella sanguinis in blood cultures. All other septic simples were negative. The evolution was marked by apyrexia, and an improvement in her state of awareness after rehydration, antimicrobial medication, glycemic and blood pressure rebalancing. Conclusions:This is the first case of Globicatella sanguinis isolation in our department. Literature review shows a high MIC level against third generation cephalosporins. In light of the increasing emergence of drug-resistant bacteria, the establishment of appropriate antibiotics has become an imperative necessity. However, more researches are required to look into the pathophysiology and risk factors of G. sanguinis infections among humans. Its low occurrence may be attributable in part to difficulties in laboratory identification, and it is probable that recognition of this organism will improve when modern technologies such as MALDI-TOF MS and next-generation sequencing become more widely used.
THE GOVERNABILITY OF ROAD RISK IN MOROCCO
Authors:   PhD Student, from Risk Management and Territorial Development (RMTD), Department of National Institute for Planning and Urban Planning (NIPUP), Rabat, Morocco., Youssef Farid , Moujjane Samir ,   PhD in Economics and Business Department of Economics and management from University Mohammed V (UM5) of Rabat, Morocco)., Eddine Chegri Badre ,   Professor and PhD in Economics and Business Department of Economics and management from University Mohammed V (UM5) of Rabat, Morocco).
Published: April 2023

The problem of road safety today concerns all countries on the planet. The consequences for public health and economies are enormous. Despite the technical improvements of the car, favored by the socio-economic organization, an integral part of society. It is always a factor that increases road risks and threatens the safety of people and property on the roads. The governability of road safety is a key issue to reduce road risk. In this context, the State must have a control capacity that proves a level of competence. More than that, it will need to have a mechanism for disengaging and reverting to alternative approaches or triggering automated retraining when skill level is not reached. The control and police services have an obligation to adapt and adapt their actions to meet these challenges related to road insecurity for territorial development in Morocco.
REFERENCES TO THE BODO MOVEMENT IN ETHNIC SELF-ESTABLISHMENT IN ASSAM
Authors:   Assistant Professor, Department of Assamese, Assam Womens University, Assam., Sensua Durlabh , Dutta Gyanshree ,   Research Scholar, Department of Assamese, Dibrugarh University, Assam.
Published: April 2023

Assam one of the North-Eastern state of India, is inhabited by people of different ethnic groups. Most of the ethnic groups of Assam have in its own language, literature and cultural elements. They have been taking various steps to preserve national existence at different times. In this case, as different ethnic groups descend into the struggle for existence, there have been situation like ethnic conflict in Assam at different times. Different ethnic groups in Assam have also developed a movement demanding separate states at different times in the interest of self-establishment and as a result Assam has also seen terror at different times. The discussion References to the Bodo Movement in Ethic Self-Establishment in Assam discusses the historical context of the Bodo movement built by the Bodo people of Assam in the interest of existence, the relevance of the movement, its impact on the national life of Assam.
COLOURDOPPLER AND ULTRASONOGRAPHIC EVALUATION OF PORTAL HYPERTENSION
Authors:   Assistant Professor, Department of Radiology, Narayana Medical College, Nellore, Andhra Pradesh., Reddy Sankeerthy , Durga Prasad P. ,   Post Graduate, Department of Radiology, Narayana Medical College, Nellore, Andhra Pradesh., Krishna Rao Baru Rama ,   Professor and HOD, Department of Radiology, Narayana Medical College, Nellore, Andhra Pradesh., Reddy Gummalla Bhargav ,   Post Graduate, Department of Radiology, Narayana Medical College, Nellore, Andhra Pradesh.
Published: April 2023

Introduction:An accurate non-invasive method of determining the cause, degree, and problems of portal hypertension is ultrasound doppler. Using ultrasonic Doppler, the varied spectrum of results, flow metric variations, and portosystemic collaterals may be precisely investigated. Aims And Objectives: To study various hemodynamic changes (using colour Doppler) in portal hypertension,to evaluate spectrum of sonographic findings in portal hypertension and to detect the various complications of portal hypertension and identify various collaterals. MaterialsandMethods:Atotalof40patientsreferredtotheDepartmentofRadiodiagnosis,Narayana MedicalCollege and Hospital with clinically diagnosed portal hypertension, in a period from January2022 toSeptember 2022 weresubjectedforthestudy.ThepatientswerestudiedusingcolorDopplercoupled ultrasoundmachine.Collecteddatawasanalysedfordescriptivestatistics. Results: The mean age of patients was 43 years. Therewere 29 males and 11females in this study..Splenomegalywasnotedin90%casesandascites in 85%. Portal vein was dilated in 53% cases.Hepatopetalflowwasnotedinmajority(65%)ofthecases.Lossofrespiratoryphasicityofportalveinwasnoted in 80 % cases. Collateralswerenotedin75.5%ofthe cases, most common being the splenorenal collateralswhichwereseenin92.5 %ofcases. Conclusion: The aetiology, severity, and consequences of portal hypertension can all be accurately determined with ultrasound doppler, which is a non-invasive modality Using ultrasonic Doppler, it is possible to precisely study the various spectrum of discoveries, flow metric variations, and portosystemic collaterals.
RADIOLOGICAL EVALUATION AND CORRELATION OF CT CHEST WITH PROGRESS OF DISEASE IN COVID 19 PATIENTS
Authors:   Professor and HOD, Department of Radiology, Narayana Medical College, Nellore, Andhra Pradesh., Krishna Rao Baru Rama , Reddy Gummalla Bhargav ,   Post Graduate, Department of Radiology, Narayana Medical College, Nellore, Andhra Pradesh.
Published: April 2023

Introduction: 1. Corona virus disease 2019(COVID 19) is an infectious disease caused by corona virus strain known as severe acute respiratory syndrome coronavirus 2(SARS-CoV-2). Before spreading world wide, the first case was discovered in Wuhan, China in December 2019. 2. Throughout the pandemic, the role of imaging has evolved with HRCT serving as different and conceivably superior testing tool to RTPCR testing. As RTPCR will give false negative results in initial days of infection. 3. HRCT Chest aids in diagnosis, complications,detection and prognostication of COVID 19 patients. Aims And Objectives: Aim:To characterize HRCT features in patients with COVID 19 infection Objectives: 1)To investigate and quantify the severity of COVID 19 infection on HRCT. 2)To explore changes in HRCT on spectrum of duration of disease in COVID 19 patients. MaterialsandMethods:Atotalof RTPCR positive COVID 19 50patientsreferredtotheDepartmentofRadiodiagnosis,Narayana MedicalCollege and Hospital in a period from September2020 toSeptember 2021weresubjectedforthestudy.ThepatientswerestudiedusingHigh resolution CT (HRCT) sections of lung from lung apices to lung bases.Collecteddatawasanalysedfordescriptivestatistics. Results: The mean age of patients was 50 years. Therewere 31 males and 19 females in this study.Diabetes mellitus is predominant comorbidity among the patients.Moderate illness(30% 15 patients) is seen in most of the patients as per CT severity index in COVID 19 patients.On follow up CT most of the patients are moderately ill(40%) and 36% are severely ill.80% of the patients have typical CT characteristics.GGOs are the predominant CT finding in initial stage of disease while GGOs and consolidation are the predominant CT finding in later stage of disease.Most of the patients presented in early(32%) and progressive stages(38%) of disease.Most of the early stage patients progressed to progressive stage(62.5%) while few progressed to peak stage(37,5%) patients.Most of the progressive stage patients progressed to peak stage(52.6%) while few progressed to late stage(31.5%). Conclusion: The diverse COVID-19 spectrum included symptoms such as fever, coughing, shortness of breath, sore throat, etc.Positive CT findings were more noticeable in symptomatic patients and patients with co-morbid conditions, giving HRCT chest in COVID-19 patients diagnostic and prognostic significance. The CT severity index and the patients clinical symptoms have a direct correlation. CT imaging is important for monitoring patients clinical progress. The findings of this study supported the importance of chest CT in the identification and treatment of COVID-19 infection.
CONFORMITY ASSESSMENT IN INFRARED EAR THERMOMETER CALIBRATION
Authors:   Istanbul, Turkiye., Arpacik Hakan
Published: April 2023

Body temperature is a basic physiological measurement used primarily for observation and diagnosis during surgery, pandemic diseases, intensive care, recovery or treatment. Various thermometers are clinically used for these measurements and can be divided into two categories, contact or non-contact. To have maximum confidence in the clinical performance of the temperature measuring instrument, it is important to calibrate the instrument traceable to the 1990 International Temperature Scale (ITS-90). The absence of traceable calibrations accredited to ISO/IEC 17025 can lead to insecurity in temperature measurement and in some cases can have a detrimental effect on patient care.Infrared or radiation thermometers are preferred in many different sectors from health to food, from automotive to agriculture, from iron and steel industry to chemistry due to their fast measuring capabilities, reasonable prices, wide measuring ranges and ease of use. In this study, ear thermometer calibration and measurement uncertainty calculations are investigated by using the traceability method via contact thermometer. Considering the maximum permissible error value of the device, conformity assessment is made according to the measurement result.
OMICRON AS A CARDIOVASCULAR MANIFESTATION: A RARE PRESENTATION AND MANAGEMENT AT TERTIARY CANCER CARE CENTER WITH LIMITED RESOURCES
Authors: Goyal Atin , Gouri Mitra Lalita , Sharma Jagdeep , Singh Walia Harsimran , Jaswal Sofia
Published: April 2023

Severe Acute Respiratory Distress Syndrome Coronavirus 2 (SARS CoV-2) and its new variant Omicron was propelling the surge in Coronavirus Disease (COVID-19) in India and the world over. COVID-19 is associated with various extrapulmonary manifestations leading to acute coronary syndrome (ACS) in many patients. In our case report, a 55-year-old male with carcinoma soft palate on neo-adjuvant chemotherapy and radiotherapy came to our hospital emergency in an unconscious state. Cardiopulmonary resuscitation was initiated in the emergency suite, he was revived and shifted to the critical care unit for post cardiac arrest management. Patient was hemodynamically unstable and started on vasopressor support, electrocardiogram showed ischemic changes in anterolateral leads with cardiac enzyme troponin-T was positive. A diagnosis of ACS was made and managed appropriately. The patient got stabilized over a few hours, reverse transcriptase-polymerase chain reaction (RT-PCR) test was positive for novel COVID-19. Since our institute is a L2 setting hospital with limited resources, he was shifted to a higher centre for effective COVID-19 management. ACS is a deadly manifestation in COVID-19 patients. Cancer patients are immuno-compromised with a propensity for the hypercoagulable state due to the disease itself. We suggest that Omicron a new variant of concern leading to COVID-19 with cancer burden can aggravate extrapulmonary manifestation in a vulnerable population. We should be extra careful in the management of these patients.
PULMONARYEMBOLISMREVEALED BY ABDOMINAL PAIN: A CASE REPORT
Authors:   Service daccueilDes Urgences Vitales, CHU Mohammed VI Marrakech ( Morocco )., Ange Thomas Sandriel Dandou , Manel Rhezali ,   Service daccueilDes Urgences Vitales, CHU Mohammed VI Marrakech ( Morocco )., ElHassan Taoufik Abou ,   Service daccueilDes Urgences Vitales, CHU Mohammed VI Marrakech ( Morocco )., Hicham Nejmi ,   Service daccueilDes Urgences Vitales, CHU Mohammed VI Marrakech ( Morocco ).
Published: April 2023

Introduction:Pulmonaryembolism (PE), one of the leading causes of morbidity in the world, isassociatedwithsignificantmortality, The diversity and lowspecificity of clinical manifestations of PE often lead to misdiagnosis . Correct earlydiagnosis and prompt treatment are therefore key factors in reducing the mortality rate of PE.We report the case of a 58-year-old man treated in the out-patientdepartment of the Mohammed VI ArraziUniversity Hospital in Marrakech (Morocco) for pulmonaryembolism as the reason for revelation of abdominal pain Observation:A 58-year-old man with a history of hypertension, a twelve pack/year smokerwhopresentedwith abdominal pain in the right hypochondrium of suddenonset for twodays, radiating to the right flank, and evolvingperiodically, aggravated by inspiration and feeding. On abdominal ultrasound no gallstones, no distension of the gallbladder and a negativeMurphyssign. Abdominal CT scan showed a small right pleural effusion withatelectasis at the right base on slices through the chest, with no evidence of acute intra-abdominal process.Thoracicangioscanrevealed acute pulmonaryembolism in the segmental branch of the right lower lobe extendingdistallyinto the subsegmental branches the infiltrate in the base of the right lung base mostlikelyrepresents an infarctedlung. It wasdecided to performthrombolysisduringresuscitation, sohewasthrombolyzedwithtwo doses of retaplasehalf an hourapartwithtolerance of the treatmentwithoutsigns of bleeding. Shortlyafterthrombolysiswithretaplase, hiscyanosis and PJV improveddramatically . Discussion:Abdominal presentation of PE isdescribedwith high frequencyit, can manifest as an acute abdominal picturewith right upper abdominal pain with or withoutdefensiveness. The abdominal pain isthought to resultfrom irritation of the pleura on contact with the diaphragm or fromliver congestion secondary to IVD. Conclusion:PE can take on the appearance of variousotherentities and physiciansshouldbeaware of the differentsigns, abdominal pain shouldalert the clinician to the possibility of an extra-abdominal aetiology, including PE, especially in the presence of dyspnoea or polypnoeaincludingsymptoms and radiographicfindingsthatmay lead to this life-savingdiagnosis.
A COMPARATIVE STUDY OF DEXMEDETOMIDINE AND MAGNESIUM SULPHATE AS AN ADJUVANT TO BUPIVACAINE FOR POSTOPERATIVE EPIDURAL ANALGESIA IN LOWER LIMB SURGERIES
Authors:   Junior resident, Department of Anaesthesiology, MRMC Kalaburagi., Lubna Sadiya , R. Sontakke@Nanda S. Nandyal Mahananda ,   Associate Professor.Department of Anaesthesiology, MRMC Kalaburagi., A. Patil Gurulingappa ,   Head of the Department of Anaesthesiology, MRMC Kalaburagi., Golappa Danashetti Abhinetri ,   Junior Resident, Department of Anaesthesiology, MRMC Kalaburagi.
Published: April 2023

Background:Pain is pathologic entity,noxious stimulus and a most common problems challenging the anaesthetist.Regional anaesthesia is a safe,inexpensive technique that inhibits the nerve transmission to relieve pain and also provide postoperative analgesia.Magnesium is N-methyl D-aspartate receptor and physiological calcium antagonist.Dexmedetomedine is Î±2 receptor antagonist with analgesic and sedative properties. Objectives: To compare the duration of postoperative analgesia,time of administration of first rescue analgesia,systemic side effects of epidural bupivacaine with Magnesium sulphate and dexmedetomidine. Methods: After approval of ethical committee and informed written consent A prospective randomised study was conducted with Sixty ASA grade I and II patients aged between 18-60 years undergoing lower limb surgeries were divided into two groups of 30 each .Group BM and Group BD received 10ml of 0.125% bupivacaine with 100mg of 20%MgSo4 and 12.5mcg of dexmedetomidine respectively.Heart rate,mean arterial pressure,VAS score,time for first rescue analgesia were recorded postoperatively.Epidural analgesia was given when VAS score was more than 4. Results:VAS was significantly less in group BM,time for first rescue analgesia was more in group BM compared to group BD without any systemic side effects . Conclusion:Administration of Magnesium sulphate with bupivacaine provides prolonged postoperative analgesia compared with Dexmedetomidine without any systemic side effects.
LENDOMETRIOSE PARIETALE A PROPOS DUN CAS ET UNE REVUE DE LA LITTERATURE
Authors: Ibtissam Bellajdel , Harcha Kamal El , Hafsa Taheri , Hanane Saadi , Ahmed Mimouni
Published: April 2023

LEndometriose est definie par la presence de tissu endometrial en situation heterotopique, particuliÃ¨rement pelviennes. Les localisations parietales sont rares peuvent sobserver soit spontanement, soit le plus souvent sur le trajet de cicatrices de chirurgie abdominale ou pelvienne nous rapportons le cas dune patiente avec antecedent dun Uterus cicatriciel qui se plaignait des douleurs pelviennes chroniques devolution cyclique dont les investigations cliniques et paracliniques etaient en faveur dune endometriose parietale au site de lancienne cesarienne , la patiente avait beneficie dun traitement chirurgicale , nous discuterons a travers ce cas les differents aspect diagnostiques et therapeutiques de cette pathologie.
A STUDY TO DETERMINE THE QUALITY OF LIFE IN PATIENT WITH CHRONIC KIDNEY DISEASE ON DIALYSIS FOR MORE THAN THREE MONTHS AT APOLLO MULTISPECIALTY HOSPITAL, KOLKATA
Authors: Chatterjee Mangala , Mahapatra Sarita
Published: April 2023

Chronic kidney disease and the methods of its treatment play animportant part in shaping the Quality of Life of patients receiving dialysis. Quality of life is a multidimensional construct that are affected by ones disease and/or treatment. Itfocuses on the impact of health on a persons ability to live a fulfilling life. A descriptive survey was conducted to determine the quality of life in patient with chronic kidney disease on dialysis for more than three months at Apollo Multispecialty Hospital, Kolkata. 60 participants were selected by nonprobability convenient sampling techniqueand Modified Kidney Disease and Quality of life toolwas used for collecting data. The result showed that 53% paticipantshad average quality of life, 27% participants had poor quality of life and 20 % participants had good quality of life. It also revealed that 97% participantswere married and 70% participants were male. Among all participants 42% belonged to age group between 47-62 years. It showed that there was significant association between quality of life and age, marital status, qualification, income and number of medications consumed daily and there was no significant association between quality of life and sex of the participants. There was positive correlation among domains of quality of life (r(59) = 0.250 , p<0.05).
Academic solidarity and digitization: Management of a displaced university
Authors: Spivakovsky Oleksandr , Omelchuk Serhii , Malchykova Daria , Tsapiv Alla , Lemeshchuk Oleksandr
Published: April 2023

This study aims to generalize and systematize the experience of Kherson State University (Ukraine) in times of war under temporary russian occupation of Kherson city and the university displacement. All these factors have designed new practices of management and strategic development. The key issues of stability and resistance to the challenges of war of the university’s community are rethinking the university strategy and the solidarity of national and international academic institutions, local city and state government, civil society, and businesses. The study shows that the primary mechanism of university functioning in occupation and displacement is total digitization of all processes and enhanced social communication of the university community (e.g., transition from partial to total digital document turnover and active use of social media and internet communications in the strategy of crisis communication and university’s community support). Speed-up of digital transformations and distance educational technologies of teaching in synchronous and asynchronous formats (in conditions of unstable internet connection and energy supply) ensured the high quality of the educational process.The personal values of university students and staff (resistance to the invaders (occupants), rejection of collaboration, and volunteer activities) and results of the enrolment campaign in 2022 (1037 entrants) demonstrate the benefits of perennial university activities in the context of national identity development. These also highlight perspectives of the university to form the human capital of Kherson region in general and intellectual elite in particular.
AcknowledgmentWe wish to express our gratitude to the European Federation of Academies of Sciences and Humanities (ALLEA), the Vasyl Stefanyk Precarpathian National University, and the University of Kent for the opportunity to successfully implement the strategy of the university.
JetIQ electronic ecosystem at the service of the university in the country that has undergone armed aggression
Authors: Kvyetnyy Roman , Bisikalo Oleh , Palamarchuk Yevhen , Storchak Volodymyr
Published: April 2023

The development of modern technologies and innovations provides opportunities for higher education institutions (HEIs) and directly for teachers and students to voluntarily use tools for distance and mixed learning. However, remote access in a pandemic or a state of war is necessity and has no alternatives.The purpose of this study is to determine the role of the JetIQ electronic ecosystem for Vinnytsia National Technical University (VNTU) in wartime conditions. As in all HEI of Ukraine, the educational process at VNTU changed significantly during the year of military aggression. The need for students and teachers to hide in bomb shelters during air raids, frequent and, most importantly, unexpected interruptions of the educational process, and significant complications of access to laboratory equipment negatively affect the psychological state of all participants in educational activities. In these conditions, the JetIQ electronic ecosystem brought substantial benefits and became the primary tool for the management of the educational activities at VNTU. Reliable technological support also improved the psychological confidence of students and teachers. A comparison of the interim indicators of the 2022/2023 academic year with the trends of the three previous academic years in terms of quantitative indicators of educational resources and actions of all groups of JetIQ users showed positive trends. This testifies to its stability in the conditions of martial law.
Agricultural education in times of war: Strategic visions, leadership practices and post-war reconstruction
Authors: Nifatova Olena , Ladyka Volodymyr , Hryshyna Yuliia , Danko Yuriy
Published: April 2023

In the post-war reconstruction of Ukraine, agricultural universities will provide the state with specialists capable of implementing the seamless integration of “green” benchmarks. The full-scale war has not only threatened the sustainable operation of all spheres of higher education institutions but also forced them to look for new ways of adaptation and development. This study aims to assess the readiness of higher education institutions in the agrarian sector to meet the personnel needs of the state in the medium-term of post-war reconstruction. The paper used a group of parameters with specific indicators: education (change in the number of graduates at the Bachelor’s and Master’s educational levels, the ratio of publicly-funded and fee-based education seekers, changes in the average entrance score), science (change in the number of articles published in Scopus and the corresponding h-index, the number of Erasmus grants received, the amount of budget funding for science), recognition (academic ranking of higher education institutions by the Webometrics and Top-200 Ratings), and financing (estimated amounts of funding from the general and special fund, and their ratio). The study offers a unique approach to calculating the Integrated Sustainability Index of higher education institutions. This index clearly illustrates how efficiently 15 agricultural higher education institutions have adapted to wartime transformations. For example, Sumy National Agrarian University and Lviv National Natural Resource Management University have this index exceeding 30%. The study draws attention to the problematic areas of university activity during the war and suggests extending the valuable experience of Sumy National Agrarian University.
AcknowledgmentThe authors are grateful to the Armed Forces of Ukraine, who are liberating the territory of Ukraine at the cost of their own lives, as well as to Ukrainian farmers, who, despite the war, are doing everything possible to prevent a food crisis in the world.This study is co-funded by the European Union through the European Education and Culture Executive Agency (EACEA) within the project “Europeanisation of Doctoral Studies in Line with the Innovative Doctoral Training Principles in Europe: Towards a Common Future” 101083493 - EDOCS - ERASMUS-JMO-2022-HEI-TCH-RSCH https://edocs.snau.edu.ua/en/
Twice displaced, but unconquered: The experience of reviving a Ukrainian university during the war
Authors: Porkuian Olga , Tselishchev Oleksii , Halhash Ruslan , Ivchenko Yevhen , Khandii Olena
Published: April 2023

A new wave of relocation of universities from the war zone has resulted from the negative consequences of the hostilities and the temporary occupation of the territories of Ukraine by the russian federation. The challenges of today have a multidirectional impact, especially on universities that have been displaced twice. The relocation of each university is a unique experience, and academic management is the object of modern scientific research. Therefore, the paper aims to highlight the experience of gaining resilience and developing the sustainability of Volodymyr Dahl East Ukrainian National University (hereinafter V. Dahl EUNU) during the evacuation in 2014 from the city of Luhansk to the town of Severodonetsk, and in 2022 along the entire movement path to the city of Kyiv. It is determined that the main resources are human and social capital, which allow not only counteractong the challenges of martial law, but also ensuring the restoration of the system and its further development. The introduction of digitalization of the educational process, and work on the development of values and reputation are identified as the main tools for survival in dangerous war conditions. According to the results of the study, it was proved that in the conditions of martial law, the university acquired new qualities and developed the capacity for resilience. The ability of V. Dahl EUNU to use its strengths to overcome dangers and obstacles and to choose strong strategies focused on recovery and development was considered.