bluuebunny/crossref_metadata_2025 huggingface dataset:
THE INFLUENCE OF DIGITAL LITERACY AND DIGITAL TRANSFORMATION ON THE RESILIENCE OF THE SHADOW EMBROIDERY INDUSTRY IN COASTAL DISTRICTS SOUTH WITH TECHNOLOGY DOPTION AS MEDIATION
Authors: Meli Putri Yana  , Ma’ruf  , Eri Besra
Published: November 2024

The transition to digitalization in the handicraft industry such as Shadow Embroidery in Pesisir Selatan Regency requires a series of innovations and transformations to survive and increase competitiveness. Therefore, mastery of digital literacy and the ability to carry out digital transformation are very important. This study aims to examine the effect of digital literacy and digital transformation on the resilience of the Shadow Embroidery industry in Pesisir Selatan Regency with the adoption of technology as a mediating variable. This study uses a quantitative approach with a sampling method using a saturated sampling technique, involving 87 respondents, all of whom are Shadow Embroidery industry players in Pesisir Selatan Regency. The data obtained were analyzed using the SEM-PLS 4.0 method to see the relationship between the variables studied. The results of this study indicate that all hypotheses have a positive influence.
Strategy Implementation Practices and Performance of Commercial Banks in Nakuru County
Authors: Maritim Cynthia , Bett Shadrack
Published: November 2024

Organizational performance entails recurring duties like establishing organizational goals, monitoring progress towards those objectives, and making modifications to enhance their accomplishment in a more efficient manner. Strategy implementation represents a significant phase within an organization; however, existing literature consistently underscores a notable failure rate in the implementation process across numerous organizations. The prevalence of poor performance in banks is attributed to issues such as inadequate coordination, suboptimal structural frameworks, and insufficient personnel proficiency in executing rebranding strategies. As a result, the goal of this study was to look into how Nakuru's commercial banks implemented their strategies and how well they did so. General Systems Theory, Contingency Theory, and Resource-Based Theory served as the study's guiding theories. The study targeted 108 workers from 24 commercial banks in Nakuru County using a descriptive survey research approach. A sample of 54 respondents was chosen using a stratified random selection procedure to assure representation. Structured questionnaires were used to obtain data, and they were chosen for their propensity to do so with little bias and mistake. Pilot research was done in Narok County commercial banks prior to the main investigation. The data was analysed using both descriptive and inferential statistics. Percentages, frequencies, measurements of central tendency (mean), and measures of dispersion (standard deviation) were examples of descriptive statistics. Correlations were used for inferential analysis of qualitative data. To analyse quantitative data, Version 25 of the Statistical Package for the Social Sciences (SPSS) was utilized. The study found that resources, organizational change, structure, and leadership significantly influence the performance of commercial banks in Nakuru CBD. Effective resource allocation, strategic change management, well-defined organizational structures, and strong leadership positively impact operational efficiency and overall performance. The study recommends investing in employee training, optimizing IT services, and aligning organizational structures with strategic goals. Further research should examine how organizational capabilities and market dynamics shape performance outcomes.
Liquidity Management Practices and Financial Performance of Microfinance Banks in Nairobi City County, Kenya
Authors: Aluodo Francis , Musau Salome
Published: November 2024

Microfinance banks are financial institutions that provide loans, insurance, saving platforms and other financial products to various individuals. Thus, these institutions require sufficient liquid assets to enable them to meet their routine financial obligations. However, in Kenya, microfinance banks have been recording a declining trend regarding their financial performance over time, leading to grave concerns. Thus, this study aimed to assess cash management practices and their effect on Nairobi City County’s MFB's financial performance. The analysis and elucidation of the literature was facilitated by the examination of the Keynesian Liquidity theory. A descriptive research design with a regression analysis model was embraced in determining the predictor variable’s impact on the explained variable. Data review guide was then utilized to gather secondary data, which was obtained from the CBK and covered the years 2017 to 2022. According to the study, operational cash flow management and cash management significantly and favorably impacted the financial performance of Kenyan microfinance institutions. Nonetheless, the financial performance of Kenya's microfinance institutions was significantly impacted negatively by operational efficiency management. As per the study's findings, microfinance banks in Kenya carry out cash budget preparation, bank reconciliation, cash inflow and outflow recording, cash expense payment, and cash surplus investment. As a result, they manage their funds carefully. Furthermore, the stability and functioning of the financial system depend heavily on efficient cash flow management. It entails keeping an eye on money coming in from investments, sales, and outside funding sources as well as tracking money going out to pay for bills, obligations, and loan repayments. Microfinance banks are able to balance inflows and outflows, lower the risk of liquidity crises, and take advantage of growth possibilities by managing cash flow well. This allows microfinance institutions to make well-informed choices regarding debt management, expansion strategies, and investments—all of which are essential for overall financial success. To maximize the beneficial effects on financial performance, the study recommends adhering to the statutory minimum liquidity ratio. Since excessive liquidity and illiquidity reduce the institutions' profitability, microfinance banks should implement effective cash management procedures.
NEQUIM CONTACT SYSTEM (NCS): A TOOL FOR THE GENERATION AND ANALYSIS OF PROTEIN-LIGAND INTERACTION FINGERPRINTS
Authors: Martins-Jose Andrelly , de Almeida Vera Lucia , Dias Lopes Julio Cesar
Published: November 2024

NEQUIM Contact System (NCS) is a system that generates and analyzes interaction vectors of proteinligand complexes. Core features include multiple views of vectors, multiple selection options, cluster
analysis, and the generation of interaction vector models. The input could be from a PDB format or les generated by automatic
docking software AutoDock, Vina, or Surex. Availability: The NCS is available free of charge from the SourceForge website
https://sourceforge.net/projects/nequimcontacts
EFFECTIVENESS OF MUSCLE ENERGY TECHNIZUE AND K-TAPING IN CERVICAL MYOFASCIAL PAIN SYNDROME: A COMPARATIVE STUDY
Authors: Pandey Vishal , Ranganathan Arun Mozhi , Choudhary Avi
Published: November 2024

Neck pain is a complaint of general population and it often
causes remarkable personal suffering due to pain, disability,
impaired quality of life. Myofascial pain the common source of
neck pain which produce discomfort and disability for many
patients is myofascial pain which releases substances eg –
serotonin and histamine that further causes hyperirritability of
the nerve bers thus pain (Schneider ,1995) . Myofascial
syndrome is dened by presence of tightness and trigger
points. The commonest muscles Affected by trigger points are
those in neck, shoulder, low back and hip girdle (Janet Travell).
The literature suggests that the main long-term consequences
of neck pain are individual disability and job absenteeism,
which are recognized as signicant public health and
socioeconomic problems.
PREVALENCE OF GASTROESOPHAGEAL REFLUX SYMPTOMS AMONG STAFF NURSES INVOLVED IN NIGHT SHIFTS IN A TERTIARY CARE HOSPITAL IN PUDUCHERRY - A CROSS SECTIONAL STUDY
Authors: Aravindan T , Suresh K
Published: November 2024

Background Sleep deprivation may induce gastrointestinal disturbances and gastrointestinal
symptoms may also lead to sleep derangements. Staff nurses in night shifts have high stress and
burnouts. Objectives 1. To assess the prevalence of gastrointestinal Reux symptoms among staff nurses involved in night
shifts in a tertiary care centre in Puducherry. 2. To nd association between reux symptoms and sleep quality among the staff
nurses in night shift. Material and Methods The present study was cross sectional study carried out among staff nurses doing
night shifts in a tertiary care centre in Puducherry for a period of 3 months. Participants with preexisting acid peptic disease, GI
motility disorders, recent gastrointestinal surgeries, usage of analgesics at least once a month, pre-existing sleep disorders,
pregnancy were excluded. The data was collected in a semi structured questionnaire. Statistical analysis was done using
descriptive and analytical statistics. Results Around 60% of the participants were found to have poor sleep quality. Around 14%
had 89% chance of having GERD and 25% had 79% chance of GERD based on their symptoms. The regard to the association
between GERD and sleep quality, those with poor sleep quality were found to have increased chance of experiencing GERD
symptoms and the probability of GERD was also higher in them than those with good quality sleep according to PSQI.
Conclusion Both Gastroesophageal reex disease and Sleep quality were found to be positively associated with each other.
EFFECTIVENESS OF SELF-INSTRUCTIONAL MODULE REGARDING HAZARDS OF EARPHONE AMONG ADOLESCENTS IN SELECTED SCHOOLS: A QUASI EXPERIMENTAL STUDY
Authors: Patil Sanika Ravi , Ponnacan Bincy. K. , Kherkar Anagha
Published: November 2024

Introduction: Headphones Earphones and headsets have been around for a very long time and have
evolved signicantly since the early days of radio. There are multiple negative consequences of using
headphones which include hearing loss nearly all headphones expose ears to loud sound waves, which can seriously harm
ears and result in irreversible hearing loss, Clogged airway. Methodology: The study evaluated the effectiveness of selfinstructional module regarding hazards of earphone among adolescents using quasi experimental one group pretest post
design. Conducted at schools with 75 adolescents, the employed a quantitative approach. Participants included all the
adolescents between age group of 14 to 17 years. Data collection involved a semi structured questionnaire for demographics, a
self - structured knowledge questionnaire for knowledge assessment. Reliability of the tools was conrmed with Karl Pearson
correlation coefcient t for the questionnaire (0.9863) which exceeding the acceptable threshold of 0.8. Result: The study
assessed effectiveness of self-instructional module regarding hazards of earphone among adolescents in selected schools by
comparing pre -test and post -test knowledge score. The pretest means score 13.56 (SD 3.54) mean percentage of knowledge
score in pretest was 54.24 ± 14.29 and in posttest Mean knowledge score in posttest was 20.44 SD (1.53) and mean percentage
of knowledge score in posttest was 81.76 SD (6.14) the comparison of pretest and posttest knowledge scores of adolescents
regarding hazards of earphone in selected school. Mean standard deviation and mean difference values are compared and
student's paired 't' test is applied at 5% level of signicance. The tabulated value for n=75-1 i.e. 74 degrees of freedom was 1.98.
The calculated 't' value i.e. 15.48 are much higher than the tabulated value at 5% level of signicance for overall knowledge
score of adolescents in selected school which is statistically acceptable level of signicance. it is statistically interpreted that
the Self- Instructional Module on knowledge regarding hazards of earphone among adolescents in selected school was
effective. Conclusion: The intervention signicantly improved knowledge among adolescents regarding hazards of earphone
with the experiment showing marked gain in knowledge score statistical analysis conrmed the effectiveness of selfinstructional module.
FUNCTIONAL EVALUATION OF MINI PLATING IN METACARPAL FRACTURE
Authors: Kumar Arya Mukesh , Maravi L. S , Peepra Digember , Katakwar Utsav
Published: November 2024

Roughly 10% of all fractures reported to the emergency room
and outpatient department involve the hands, with
metacarpal fractures accounting for 36% of all hand
(1) fractures. The hand is so vital to a person's daily activities, it
is crucial to work on reducing complications and improving
bone union so that the patient can resume his full range of preinjury activities as soon as possible. Accurate reduction and
stable xation are ensured via open reduction and internal
xation with a mini plate, which also guarantees early
(6) mobilization. As a result, this approach minimizes joint
stiffness and rotational stability along with early healing.
Since surgery aids in the appropriate preservation of hand
function, there has been a shift from conservative care to
surgical therapies. Our Aim is to functionally evaluate the
effectiveness of mini plating in metacarpal fracture.
ENDOPHYTIC FUNGUS, ACREMONIUM BORODINENSE, FROM TROPICAL TREE SPECIES, TECTONA GRANDIS LINN.F. MORPHOLOGICAL AND MOLECULAR CHARACTERIZATION
Authors: Senthilkumar N. , Sumathi R. , Chandramohan B.
Published: November 2024

Forest trees have symbiotic relationships with endophytic fungi, a prospective microbial resource with the ability to
manufacture biologically active substances as secondary metabolites from the host plant, which could provide a number
of benefits. In Tamil Nadu, India, a species of Acremonium was discovered during the isolation of endophytic fungi from
healthy teak leaf samples. The endophytic fungal isolate's morphological characteristics matched those of Acremonium
borodinense, which was validated by genetic analysis. For molecular phylogenetic analysis, the primary amplicon
produced by Polymerase Chain Reaction of the Internal Transcribed Spacer (ITS) region was sequenced. According to
the current phylogenetic analysis of this ITS sequence, the species of fungus was identified as Acremonium borodinense.
In India, the fungus Acremonium borodinense (GenBank Accession number MW882246) is a new record as a teak
endophyte.
STUDY SHOWING CO-RELATION BETWEEN MICROALBUMINURIA AND HYPERTENSION AMONG TYPE 2 DIABETES PATIENTS.
Authors: Kumar Gupta Praveen , Arun Abhishek , Jindal Vb , Chawla Prahlad
Published: November 2024

Background: Microalbuminuria and hypertension are both critical markers of vascular damage in Type 2 diabetes
mellitus (T2DM). Their interrelationship is not fully understood, necessitating further investigation into how
microalbuminuria correlates with hypertension in T2DM patients. Objective: To explore the correlation between
microalbuminuria and hypertension among individuals with Type 2 diabetes and to assess the potential implications for
clinical management. Methods: A cross-sectional study was conducted at BR Diabetes and Gynae Clinic, Ghaziabad
involving 200 adults with T2DM.Participants underwent clinical assessments,including blood pressure measurements,
and provided spot urine samples for urinary albumin-to-creatinine ratio (UACR) analysis. Hypertension was classified
based on the 2017 ACC/AHA guidelines.Descriptive statistics,correlation analysis,and logistic regression were used to
evaluate the relationships between microalbuminuria and hypertension. Results: The study population comprised
52.5% males and 47.5% females,with a mean age of 58.2 ± 7.3 years.Microalbuminuria was present in 40.0% of patients,
while 65.0% had hypertension.A significant positive correlation was found between microalbuminuria and both systolic
(r = 0.45,p < 0.001) and diastolic blood pressure (r = 0.38,p < 0.01).Logistic regression analysis indicated that patients
with microalbuminuria had 2.2 times higher odds of having hypertension (OR = 2.2, 95% CI: 1.5 - 3.2, p < 0.001), after
adjusting for age,BMI,and smoking status. Conclusion:Microalbuminuria is significantly associated with higher blood
pressure levels and an increased likelihood of hypertension in T2DM patients.These findings highlight the importance
of incorporating routine microalbuminuria screening and blood pressure management into diabetes care protocols to
mitigate cardiovascular and renal complications. Future longitudinal studies are needed to further explore these
associations and develop targeted interventions.
BUILDING ATLANTIS IN AIR: PHILOSOPHICAL CRITIQUE OF THE CONCEPT OF “ENTREPRENEURIAL ECOSYSTEMS
Authors: A N Manjunath
Published: November 2024

Both academic and practitioner-oriented literature has embraced the metaphor of Entrepreneurial Ecosystems (EEs) to
describe spatial concentrations of economic activity and advocates prescriptions to build them.While building EEs has
in the recent years been the holy grail of public policy across the globe,the effort has seldom met with intended success.
However, the philosophical underpinnings and possible consequences of the choice of such metaphor remain
unexplored.This conceptual paper adopts a philosophical gaze to review the philosophical origins of the metaphor,to
critique the ontological, epistemological and teleological assumptions that are made to facilitate the choice of this
metaphor and investigates how the metaphor has impacted research around the concept.
A TECHNOLOGICAL OVERVIEW OF AUTONOMOUS VEHICLES IN LANE CHANGING AND EMERGENCY COMMUNICATION
Authors: Sri Prakash Narayanam , Naganjaneyulu P. V.
Published: November 2024

In today's fast-paced world, when time is valuable, individuals want faster and safer technical solutions to help them save
time. Technological enhancement in transportation for various types of vehicles such as unmanned vehicles,
autonomous vehicles are gaining importance. The use of these technologies are geographical dependent where the
traffic rules varies. Technical breakthroughs such as vehicular adhoc networks (VANET) have enabled the development
of autonomous cars, which can drive themselves without human intervention. With the fast increase in vehicle utilization,
technology has upgraded to Advanced Driver Assistance System (ADAS) capabilities that assist people in various areas
of driving, perhaps reducing human stress while driving. This Paper reviews technological aspects of autonomous
vehicular technology. Various algorithms proposed for autonomous vehicles till date are critically reviewed.
AN OBSERVATIONAL STUDY OF VAC THERAPY (NEGATIVE PRESSURE) --A NEW ERA FOR THE FAST HEALING OF ULCERS IN NEUROPATHIC PATIENTS.
Authors: Chaitanya Chundi Venkata Krishna , Bhukya Sneha shri , Naidu Karri Nalinikanth , Chakravarthy G Raghuveer
Published: November 2024

Introduction: VAC (VACUUM ASSISTED CLOSURE) is a potential treatment option for skin wounds that requires ideal
negative pressure of 50-125mm/Hg which hastens the production of granulation tissue and encourage angiogenesis.
Aim: To assess the efficacy of vacuum-assisted dressings in the management of nonhealing ulcers among neuropathic
patients attending Dr.Pinnamaneni Siddhartha Institute of Medical Sciences & Research foundation ,Gannavaram,
Krishna District, Andhra Pradesh. To Study That Negat Objectives: ive Pressure Wound Therapy (npwt) 1.
Accelerates granulation tissue formation. 2. Rate of wound healing and mean duration of therapy. 3. Decreases the time
of wound healing and bacterial burden of the wound bed. : Retrospective Cross-sectional study for Methodology a
period of 24 months conducted in the Department of General Surgery, Dr. PSIMS & RF, Gannavaram, Krishna District
A total of 44 Patients with nonhealing ulcers during the time period between Nov 2019 to Oct 2021. Inclusion Criteria:
1.Neuropathic Patients with non-healing ulcers 2.Pressure ulcers 1.Non-healing venous leg ulcers Exclusion Criteria:
2.Malignant Ulcers 3.Necrotic ulcer with eschar or slough before debridement 4.Actively bleeding wounds / wounds
with visible blood vessels. 5.Wounds with untreated osteomyelitis 6.Arterial ulcers V.A.C dressing Conclusion:
decreases Hospital stay, improves pus culture sensitivity and improves outcome and more Split skin graft uptake.
CLINICAL PROFILE OF INTRACRANIAL BLEED PATIENTS UNDER 50 YEARS IN A TERTIARY CARE CENTER
Authors: Agarwal Nikhil , Nithish Reddy Kalikiri , Moulick N. D. , Patil Smita
Published: November 2024

Introduction: Intracranial hemorrhage results from bleeding in or around the brain, often caused by hypertension,
coagulopathy,drug use,or cerebral amyloid angiopathy.Objective:To examine the clinical profile of intracranial bleed
patients under 50 years in a tertiary care center.Methodology: Conducted over 3 months at DY Patil Hospital,patients
with radiologically diagnosed intracranial bleed were included, and a detailed history and examination taken.
Observation: Of 25 admissions,9 patients were aged 16-50,including 5 with known hypertension,2 newly diagnosed,1
with coagulation issues,1 pregnant with eclampsia risk,and 1 thalassemia major case.Discussion: Intracranial bleeds
in young patients often involve vascular malformations, with low acute phase mortality/morbidity, primarily linked to
hypertension.Result:36% of intracranial bleed cases were aged 16-50,with 5 males and 4 females;7 had elevated blood
pressure on presentation.3 had altered coagulation profile at presentation.3 out of 9 patients were mortalities.
PHENOTYPIC CHARACTERIZATION OF VIRULENCE FACTORS IN ENTEROCOCCI ISOLATED FROM URINE SAMPLES
Authors: Nigam Soumya , Bachhiwal Rekha , Sinha Parul , Bairwa Pushpendra , Sharma Rajni
Published: November 2024

Enterococcus expresses a high degree of resistance to a wide range of antibiotics. It has evolved a well-adapted
mechanism by producing various virulence factors which makes eradication of bacteria difficult from the urinary tract.
Drug susceptibility of 250 uropathogenic Enterococci was done. The present study determines expression of virulence
factors - Caseinase, Lipase, Gelatinase, Hemolysin, DNase and Slime layer formation in Vancomycin-Resistant
Enterococci (VRE) and Vancomycin Sensitive Enterococci (VSE) strains. Out of 250 uropathogenic isolates of Enterococci
37 (14.8%) were Vancomycin-Resistant Enterococci (VRE) and 213(85.2%) of isolates were from Vancomycin Sensitive
Enterococci (VSE). Males were from 134(53.6%) and females were from 116 (46.04%) isolates. Expression of virulence
factors in VRE srains for Hemolysin, Gelatinase, Caseinase, DNase, Lipase, Slime Layer was 8 (21.6%), 4 (10.08%), 7
(18.9%), 2 (5.4%), 1 (2.7%), 10 (27.02%) whereas in VSE isolates expression was 32(15.02%),30(14.08%),
63(29.5%),12(5.6%), 11(5.16%), 63(29.5%) respectively. Out of total species isolated, the most common was E.faecium
i.e., 121 (48.4%).The predominant virulence factors found were Caseinase, Hemolysin and Slime layer.
A UNIQUE PRESENTATION OF HYPOPLASTIC LEFT HEART SYNDROME – A SERIES OF 2 CASE REPORTS
Authors: Badtiya Vinita , Rajpal Arjit Singh , Khanam Bushra
Published: November 2024

Background: Hypoplastic left heart syndrome (HLHS) is a critical congenital heart defect marked by
underdevelopment of left-sided heart structures.With an incidence of about 1 in 10,000 live births,prenatal detection is
challenging but crucial.This report presents two distinct cases of HLHS diagnosed via prenatal ultrasound during the
second trimester,highlighting the unique variations in presentation and the challenges associated with early detection.
Case Reports: This article details two cases of hypoplastic left heart syndrome (HLHS) identified through prenatal
ultrasound in the second trimester.In Case 1, a 31-year-old woman at 21 weeks and 5 days gestation had an ultrasound
showing a hypoplastic left atrium and ventricle,thick echogenic left ventricle walls,no mitral valve flow,and a very thin
ascending aorta.Despite recommendations for a dedicated fetal echocardiogram,intrauterine fetal death occurred.In
Case 2, a 26-year-old at 22 weeks gestation was found to have a small echogenic left ventricle, a reduced mitral valve
orifice, and a capacious right ventricle and atria, along with a small interventricular septum defect. There was no
significant reduction in aortic size, but HLHS was suggested. Follow-up also resulted in intrauterine fetal death.
Conclusion:Ultrasound plays a crucial role in diagnosing and assessing hypoplastic left ventricle (HLHS) by detecting
abnormalities at the 4-chamber view (4CV) level.Prenatal echocardiography,particularly between 18 and 22 weeks of
gestation, is vital for planning postnatal care and interventions. Despite advances in diagnosis and treatment, HLHS
remains a significant cause of neonatal cardiac mortality.Early detection through ultrasound is essential for improving
treatment outcomes and survival rates.
IN-VITRO EVALUATION OF PUSH-OUT BOND STRENGTH OF FIBRE POST AFTER USING FOUR DIFFERENT TYPES OF ROOT CANAL SEALERS
Authors: Maity Asim Bikash , Datta Soham , Guria Abhisek , Chaudhury Trishagni , Das Debanjan , Mazumdar Rudra
Published: November 2024

Objectives: To evaluate the push out bond strength of the fibre post luted with the help of dual cure adhesive cement
after using Four different root canal sealers. 60 human mandibular premolars were selected for Materials & Methods:
the study which were decoronated at the level of CEJ. The roots were ground to standardize the length of each sample (16
mm). Biomechanical preparations were done in every sample till 30,6%. Then These samples are randomly divided into
Four groups (n=15) according to the sealers i.e., Group A- AH plus (Dentsply), Group B- Bio C (Angelous), Group C -
Gutta Flow 2 (Coltene), & Group D- MTA Fillapex (Angelous). The sealers were mixed with master cone as per
manufacturing instructions in each group. After 7 days then post spaces were made and posts (Tenax 1.3) & cemented
using Paracore (Coltene). Then each sample were sectioned at Apical, Middle & Coronal third and push out bond
strength were measured under Universal Testing machine. The push-out bond strength among the groups Results: were
in the following order of decrease i.e., Group A > Group B > Group C > Group D .The push-out bond strength among
Apical , Middle & Coronal third sections were in the following order of decrease: Coronal third > Middle third > Apical
third among all the individual groups & also in comparison with each group. It can be concluded tha Conclusion: t the
bond strength of AH Plus Sealer is highest as compared to Angelus BioC, Guttaflow & MTA Fillapex.
DAPSONE INDUCED METHEMOGLOBINEMIA : AN UNCOMMON CAUSE OF HYPOXEMIA ( A CASE REPORT)
Authors: Patwardhan Bhalachandra S , Mehta Yatin , Nanda Saurabh
Published: November 2024

Dapsone is a drug commonly used as a second line therapy for various chronic inflammatory disorders. Out of various
side effects associated,methemoglobinemia is a less commonly known adverse effect of dapsone.A patient diagnosed
to have immune thombocytoepnia, received dapsone as a steroid sparing drug , who later got admitted in outside
hospital for symptoms of breathlessness, fever.The patient was empirically treated with antibiotics , and later referred
here for further management. Owing to the clinical and radiological disparity,patient was initially suspected and later
diagnosed to have methemoglobinemia. Methemoglobinemia was confirmed by an arterial and venous blood gas
sample. Patient was then treated with methylene blue,which led to a drastic improvement in her clinical condition.In a
couple of days patient was discharged, and was followed by the hematology team for immune thrombocytopenia.The
case highlights the importance for keeping a high suspicion for methemoglobinema in cases of hypoxemia and using
ABG (arterial blood gas) as a tool for the diagnosis.
ANORECTAL GASTROINTESTINAL STROMAL TUMORS (GISTs) - CASE REPORT & SYSTEMATIC REVIEW
Authors: Francis Joseph , David Linta Maria , U Anees
Published: November 2024

Anorectal gastro intestinal stromal tumors constitute about 5 % of all GISTs. Of these only 2-8% are from anal canal, hence
anal canal GIST constitutes an extremely rare group of tumors. Here we are reporting a rare case of anorectal
gastrointestinal tumor. A 54-year-old male presented with mild pain and bleeding per rectum of recent onset. The patient
was evaluated and found to be having a small sized anorectal GIST for which local excision was done, histopathological
examination showed low grade GIST. We are presenting the case with relevant illustrations of the radiological and
histopathological images. Also, we are presenting a systematic review of anorectal gastrointestinal tumors conducted by
us.
VASCULAR RARITY: AN UNUSUAL CASE OF HEMANGIOMA OF THE GLANS PENIS
Authors: Patil Yoganand , Kalaivanan V. , Ganesan Vaishnavi , Kakade Bhavana
Published: November 2024

Hemangiomas are benign vascular tumors frequently observed in the skin and mucous membranes, but their presence
in the glans penis is extremely uncommon. We report a case of a 38-year-old male who presented to the Urology OPD
with a three-month history of swelling and discoloration of the glans penis. Histopathological examination revealed a
capillary hemangioma, distinguished by a lobular proliferation of small capillaries. Given its rare location, this condition
can easily be misdiagnosed as Peyronie's disease or penile cancer, both of which have significant psychological and
treatment-related consequences. Although hemangiomas are benign, their occurrence in this region introduces unique
diagnostic and therapeutic challenges. This case highlights the need to consider vascular tumors in the differential
diagnosis of penile lesions and adds to the scarce literature on hemangiomas of the glans penis, with a focus on the
clinical and histopathological features of this unusual presentation.
AN EMPIRICAL ANALYSIS OF EMPLOYEE ENGAGEMENT AND ORGANIZATIONAL CITIZENSHIP BEHAVIOUR: A CASE STUDY OF THE ASSAM STATE TRANSPORT CORPORATION
Authors: Hazarika Barnali
Published: November 2024

Employee engagement has emerged as a pivotal factor influencing the performance and sustainability of organizations,
especially in the public sector, where resources and motivation often present unique challenges. This study investigates
the intricate relationship between employee engagement and Organizational Citizenship Behavior (OCB) within the
Assam State Transport Corporation (ASTC), a key public service provider in India's northeastern region. The research
explores how varying levels of engagement among employees can significantly impact their willingness to go beyond
their formal job requirements, thereby contributing to the organization's overall effectiveness and service delivery. By
conducting a thorough analysis that incorporates both quantitative and qualitative data, the study aims to identify the key
drivers of employee engagement within ASTC and how these factors correlate with the exhibition of OCB.From an
economic perspective, this research holds significant value. By enhancing employee engagement, ASTC can potentially
reduce operational inefficiencies, lower turnover rates, and decrease the costs associated with recruitment and training.
Furthermore, higher levels of OCB among employees can lead to improved service delivery and customer satisfaction,
which are likely to enhance the corporation's reputation and, in turn, increase ridership and revenue. The study also
suggests that a more engaged workforce can encourage innovation and continuous improvement, contributing to the
long-term economic sustainability of ASTC. The findings of this research are expected to shed light on the critical role of
employee engagement in encouraging a culture of proactive, voluntary behavior that extends beyond the call of duty.
This, in turn, is anticipated to result in improved organizational outcomes, including higher efficiency, better customer
service, and enhanced job satisfaction among employees. Ultimately, the study aims to provide ASTC's management
with actionable insights that can be used to develop targeted strategies for boosting employee engagement and
promoting OCB, thereby contributing to the long-term success and economic sustainability of the organization.
POSITIVE HEALTH CONDITION OF MASSES INFLUENCE THE ECONOMIC EMERGENCE OF A NATION: A STUDY WITH SPECIAL REFERENCE TO THE EFFECTS OF ABUSE OF DRUGS ON HUMAN HEALTH
Authors: Ghosh Sreemoyee
Published: November 2024

Health improvement is indeed a significant social priority because good human capital condition improves the abilities,
efficiency, and quality of life of a workforce. Thus, it is important to understand the factors pertaining to the Economic
output of an individual in a group context. Illness, whether it is physical or mental, can have a negative impact on the
economic output of an individual in an organizational context. Positive mental and physical health makes a person
productive,whereas negative mental health makes a person unproductive even if the person is physically healthy. The
Micro and Macro environment of the workplace also play a pivotal role in the productive output of an individual.Hence,
we need to get a delighted mind in a favorable workplace with a healthy and composed physical entity in order to
contribute to the domain of work towards the accomplishment of the objective of the work. The effects of illness and
disease burden lead to loss of productivity, social isolation or exclusion and a negative socio-economic spiral for the
individual as well as for the collective.Medicines play a crucial role in the healthcare industry as they are the compounds
which are having direct or indirect impact on human health.However,wrong use or abuse of medicines in any way proves
detrimental to the mental and physical health of the person. So, it is also essential to understand the relation of use of
medicine for disease control and productivity.This will lead to right and rational use of medicine which in turn will help
the domain of economy on a positive scale. On the other hand, for getting a delighted mind at the workplace, an
individual must be freed from the lower order emotions and egoistic identities which lead to disvalues.Rather,a person,
who can maintain a life with higher consciousness through a sustained effort of union with the supreme,can be elevated
to a state of mind which is desireless and that desireless action can lead to optimum productivity.
A STUDY ON PLACENTAL AND UMBILICAL CORD MORPHOLOGY IN MOTHERS WITH PREECLAMPSIA AND ITS CORRELATION WITH FOETAL OUTCOME AT BIRTH IN A TERTIARY CARE HOSPITAL
Authors: Sinha Sweta , Kumar Pravin , Chattopadhyay Nibedita , Sengupta Mini
Published: November 2024

Introduction: The placenta is a distinctive characteristic of higher mammals which is attached to the uterus and is
connected to the foetus through the umbilical cord.The placenta is an organ of vital importance for the continuation of a
pregnancy and foetal nutrition.In humans, after the birth of the infant,placenta is often disposed soon after parturition
without adequate examination. It has been seen that many disorders of the pregnancy are associated with gross
anatomical,physiological,and pathological changes in the placenta.Hypertension is one of the common complications
met with in pregnancy and contributes significantly to maternal and perinatal morbidity and mortality.Of the few studies
that have explored the subject, it has been seen that morphologically, the placentae of hypertensive disorders of
pregnancy are smaller, with lesser weight, diameter, and thickness as compared to placentae of normal women. Even
fewer studies have been done which have correlated these altered placental findings with foetal and neonatal outcomes.
Objective: Here we did a study on placental and umbilical cord morphology in mothers with pre-eclampsia and its
correlation with foetal outcome at birth in a tertiary care hospital. Material And Methods: The study population
consisted of women of gestational age >34 weeks with diagnosed pregnancy induced hypertension or pre-eclampsia
who were admitted to the labour room of the study institution for delivery. Conclusion: Mothers with hypertensive
disorders of pregnancy tend to have a high incidence of abnormal placental and umbilical cord morphology at delivery
such as lower placental weight,diameter,thickness,lower umbilical cord weight,diameter,and length.
REFRACTORY IMMUNE THROMBOCYTOPENIA WITH ANTIPHOSPHOLIPID ANTIBODIES
Authors: Gorantla Praneeth , S Vaishnavi , Singh R B Sudagar
Published: November 2024

This case report details a 28-year-old female with refractory immune thrombocytopenia (ITP) and antiphospholipid
antibodies (aPL). Initial management with corticosteroids, IVIG(intravenous immunoglobulin), and thrombopoietin
receptor agonists (TPO-RAs) failed to sustain adequate platelet counts. The patient later suffered a subarachnoid
haemorrhage and suspected adrenal thrombosis, complicating her condition.This report highlights the challenges of
managing refractory ITP with aPL, emphasizing the need for individualized therapeutic strategies and vigilant
monitoring to balance thrombosis and bleeding risks. Long-term immunosuppression with azathioprine stabilized her
platelet count,providing a viable management approach for similar complex cases.
POST PARTUM COMPLICATIONS: PRES A CASE SERIES
Authors: Sumple Kshtij , Patel Shivamkumar , Katara Kiran , Sharda Harshita
Published: November 2024

Posterior reversible encephalopathy syndrome (PRES) may present with diverse clinical symptoms including visual
disturbance, headache, seizures and impaired consciousness. MRI shows edema, usually involving the posterior
subcortical regions. Triggering factors include hypertension, pre-eclampsia/eclampsia, renal failure, cytotoxic agents
and autoimmune conditions. The mechanism underlying PRES is not certain, but endothelial dysfunction is implicated.
Treatment is supportive and involves correcting the underlying cause and managing associated complications, such as
seizures. Although most patients recover, PRES is not always reversible and may be associated with considerable
(1) morbidity and even mortality.
COMPARATIVE ANALYSIS OF DIETARY PATTERN AND NUTRIENT CONSUMPTION AMONG WOMEN WITH GESTATIONAL DIABETES MELLITUS (GDM) AND NON-GDM: A CROSS-SECTIONAL STUDY IN RURAL TERTIARY CARE SETTING, VADODARA, GUJARAT
Authors: B. Patel Meghana , Sheth Mini
Published: November 2024

Understanding the dietary behaviours and nutrient intake of Gestational Diabetes Mellitus (GDM) women is crucial for
improving the maternal and foetal health outcomes particularly in rural regions. This study aimed to identify the
potential differences that could contribute to reducing the incidence of GDM. Around 80 pregnant women (GDM and
non GDM) aged 18 to 40 years were enrolled in 2nd trimester from tertiary care hospital using purposive sampling
technique.A pre tested questionnaire was used to evaluate dietary intake pattern using 3 days 24-hour dietary recall and
food frequency questionnaire. Anthropometric indices were measured and body mass index was calculated. High
prevalence of overweight and obese (47%) was found in GDM subjects. A significant negative association was found
between intake of fruits and risk of GDM.The cravings for sweet foods including high calorie sweet dairy products were
higher in GDM group (30%). A higher percentage of non-GDM women (34%) had a daily intake of pulses and dals
compared to GDM women (8%).A positive corelation was found between BMI and fast-food intake in GDM group.GDM
women showed higher saturated fat intake and lower protein intake.These findings may provide evidence for making
dietary guidelines among pregnant women to prevent GDM.
DIGITAL COMPETENCY ESTIMATION OF TEACHER EDUCATORS: ALIGNING WITH NATIONAL EDUCATION POLICY 2020
Authors: Kumari Anupam , Shelat Prerana
Published: November 2024

This article reflects on the importance of digital competency of teacher educators that is mentioned in National
Education Policy 2020 and National Professional standards for Teachers (Draft). It also reflects on how artificial
intelligence approach is useful to analysing the teacher educators digital competency related data and data
representation in a meaningful way.The teacher educators competency may prediction after data analysis.It will help in
design the required steps for enhancing the competency of the teacher educators.
MISADVENTURES OF INTRAVITREAL TRIAMCINOLONE ACETONIDE – A CASE SERIES
Authors: Chandravanshi Swati , Verma Amrita , Pandey Nidhi
Published: November 2024

Periocular and orbital corticosteroid injections are still used as first choice for selective inflammatory conditions. In
macular oedema secondary to diabetes (DME), vein occlusions, etc. intravitreal triamcinolone acetonide (IVTA) is an
easily available, low cost and safe treatment option. This case series stresses upon the occurrence of unexpected
sterile/infective endophthalmitis (SE/IE) following IVTA,its course and treatment.We encountered three eyes with SE/IE
post IVTA.Treatment included vitreous tap,intravitreal injections and/or vitrectomy. SE resolved within 3-4 weeks with
persistent floaters. One eye with IE was lost. Acute presumed sterile endophthalmitis following IVTA presents early.
Visual outcomes are generally good.1
NAVIGATING MENTAL HEALTH: HELICOPTER PARENTING'S IMPACT ON MEDICAL STUDENTS
Authors: Pabla Harjot Kaur
Published: November 2024

Background: Helicopter parenting,a parental behavior marked by excessive supervision and involvement in children's
activities,has generated significant concern,particularly within the realm of higher education.Its influence on medical
students who are subject to substantial academic stress,remains insufficiently investigated.This research endeavor aims
to elucidate the prevalence of such parenting styles among these students and its implications for their mental wellbeing,with a focus on anxiety and depression.Objective:The primary objective of this study is to evaluate the incidence
of helicopter parenting among medical students and to establish its correlation with the presence of anxiety and
depressive symptomatology. Methodology: A cross-sectional study was undertaken, encompassing a sample of 300
medical students. The assessment tools employed included the Helicopter Parenting Scale for the quantification of
parental involvement, the Hamilton Anxiety Rating Scale (HAM-A) for the measurement of anxiety levels, and the
Hamilton Depression Rating Scale (HAM-D) for the assessment of depressive symptoms. Additionally,
sociodemographic data were collected to contextualize the findings.Statistical analysis was performed to ascertain the
prevalence and interrelations between helicopter parenting, anxiety and depression.Results: The study revealed that
45% of the medical student cohort experienced helicopter parenting. Furthermore, a substantial association was
observed between this parental behavior and elevated scores on both the HAM-A and HAM-D,indicative of heightened
anxiety and depression. Conclusion: The prevalence of helicopter parenting among medical students is noteworthy,
and it appears to be significantly linked with increased levels of anxiety and depression.These findings underscore the
necessity for targeted interventions aimed at bolstering mental health support within this at-risk population,
considering the unique pressures inherent in medical education and the potential long-term implications of such mental
health challenges.
AWARENESS LEVEL AMONG STUDENTS TOWARDS RIGHT TO INFORMATION ACT
Authors: Sangeetha V. , Veeraselvam M. , Vethirajan C.
Published: November 2024

This study explores the awareness and engagement levels of college students in Ramanathapuram District,Tamil Nadu,
regarding the Right to Information Act (RTI). Despite the RTI's role in promoting transparency, findings show high
awareness among students but low usage of the RTI for accessing information.The gap between theoretical knowledge
and practical application highlights the need for improved educational strategies. Data from 100 students were
collected using a structured questionnaire assessing familiarity with RTI procedures, information sought, and
perceptions of its impact.Key barriers identified include the complexities of the filing process and a lack of perceived
need.The study suggests integrating RTI into curricula, simplifying the process through workshops, leveraging digital
media,and encouraging community engagement to foster informed,active citizens,thereby enhancing civic education
and democratic participation
MATHEMATICAL KINETIC AND THERMODYNAMIC STUDY OF ADSORPTION OF COMPETITOR ION AS CHLORIDE I, FLUORIDE I AND NITRATE I ON ALKALINE SOIL USING BATCH METHOD
Authors: Chaudhary Neelam
Published: November 2024

The CCA Rajasthan is career out to constraint their solute sources and subsurface weathering process sodium, chloride,
fluoride, calcium ions dominate major ion chemistry. This type of chemistry have been pointed to a significant solute
supply from the salt affected soils and bedrock dissolution. Annual changes model calculations involving elemental
ratios of major ions show that the solutes are mainly supplied through salt affected soils with climatic or manual inputs.
These estimates are consistent with abundant ions like chloride, fluoride and nitrate ions regards leaching kinetics and
thermodynamics parameters comparateively. The faster or slower kinetics or thermodynamics were observed clearly
during annual research. The out comes of this study underscore distinctly different leaching rate profiles following first
order reaction mainly with entropy and enthalpy variabilities in the reference of the particulars ions in alkaline soils
using batch process method. These entire study when is modified or made graphically represented by statistical
parameters through mathematical modelling make the way to sustain the profitable changes for escaping soil salinity or
ground water or surface water and soil qualities protections, so in this way main purpose of this work is to comparatively
study the adsorption of calcium, magnesium and sodium as , , ions on to the soil sample (SS) suffer –Cl –F –3NO ed from
salinity around the Chambal Command Area (CCA) to get the equilibrium constant, enthalpy changes, Gibbs free
energy changes, entropy changes respectively ], ], ], ]. The series of experiments were done with [keq [DHº [DGº [DSº
different amount and concentrations of adsorbate or effluents as , , in the
_
– – – 2 ([Cl]eff)CaCl CaF 2 ([F]eff) ([NO 3]eff)CaNO 3
temperature range of 293K to 313K by using batch process method. Although rates of adsorption [AdR] or rates of
unadsorption [UadR] were found almost 1st order during entire experiment but to get the clear prediction, distributions,
classifications, assumptions and make ease to understand mathematical modeling was done with the help of statistical
parameters in order to find the ways to escape soil salinity drawbacks scientifically.