bluuebunny/crossref_metadata_2025 huggingface dataset:
PENAMPILAN KARKAS AYAM PEDAGING DENGAN PEMBERIAN KULIT KOPI (Coffea sp) PENGOLAHAN SEDERHANA SUBSTITUSI SEBAGIAN JAGUNG DENGAN LEVEL YANG BERBEDA
Authors: Antarani Indriani , Laihad J.T. , Poli Z. , Montong P.R.R.I.
Published: May 2021

CARCASS PERFORMANCE OF BROILER FED RATION CONTAINING COFFEE (Coffea sp) HUSK WASTE PRODUCT TREATED BY SIMPLE PROCESSING AND SUBSTITUTING PARTS OF CORN WITH DIFFERENT LEVELS. Broilers had rapid growth rate and need high nutrient protein and energy balance in the diet. This study was conducted to evaluate the use of coffee husk waste product treated by simple processing substituted with part of corn in ration on carcass percentage of broiler. Study was applied at Faculty of Animal Science, Sam Ratulangi University during 35 days. Total of 144 day old chick unsexed broilers, strain of CP 707, involving 36 experimental units of battery pens were used in this study. Each unit of pen was filled 4 birds under completely randomized design on factorial patter of 3x4. Factor A was focused on three processing treatments including coffee husk heated under sun light (A1), coffee husk immersed in the water (A2), and coffee husk boiled under water (A3). Factor B was focused on four treatments of substitution levels including ration containing corn without coffee husk substitution (B0), ration containing corn substituted with 25% coffee husk (B1), ration containing corn substituted with 50% coffee husk (B2), ration containing corn substituted with 75% coffee husk (B3). Variables observed were including percentages of thigh, wing, breast and back part. Analysis of variance showed that interaction of processing treatments did not affect significantly on the percentages of thigh, wing, breast and back part. This study indicated that simple processing of coffee husk were not affected the carcass percentages of broiler. The substitution levels significantly affected carcass percentage of broiler. Percentages of thigh, wing, breast and back part were 28.92%-30.98%, 10.38%-12.68%, 35.10%-38.55% and 19,68%-22,71%, respectively. This study showed that utilization of coffee husk waste product by above simple processing could substitute part of corn in ration of 25% producing high carcass percentage of broiler.Keywords: Coffee husk by product, broiler part of carcass percentage
Penerapan Analisis Faktor Terhadap Kualitas dan Kepuasaan Pelayanan Pasien Rumah Sakit TK-II R.W Mongisidi
Authors: Lintong Rocky , Langi Yohanes A R , Mongi Charles E
Published: May 2021

Rumah sakit adalah salah satu institusi yang menyediakan berbagai layanan untuk dokter, perawat dan ahli untuk orang yang sakit. Layanan adalah salah satu faktor utama tidak hanya untuk rumah sakit tetapi juga untuk berbagai institusi lainnya. Dalam penelitian ini, analisis faktor digunakan untuk menentukan kepuasan dan kualitas layanan dari TK W II R. W Mongisidi Hospital menggunakan aplikasi perhitungan statistik. Tujuan dari penelitian ini adalah untuk mengetahui analisis faktor kualitas dan layanan Rumah Sakit TK-II R. W Mongisidi dan untuk mengetahui penerapan analisis faktor terhadap kualitas dan layanan dari TK-II R. W Mongisidi Hospital. . Dengan hasil penelitian yang diperoleh adalah bahwa pasien dari Rumah Sakit TK-II R. W Mongisidi cukup puas dengan layanan yang diberikan oleh Rumah Sakit dengan tingkat kepuasan 64.484%.
ESTIMASI BOBOT PARAMETER M PADA FUZZY C-MEANS MENGGUNAKAN ANALISIS ROBUST DENGAN SIMULASI DATA SPASIAL
Authors: Tambuwun Clinton Heskia , Langi Yohanes A R , Rindengan Altien J
Published: May 2021

Bobot parameter m yang biasa disebut fuzzifier dapat mempengaruhi performa dari fuzzy c-means (FCM). Pedoman-pedoman baru untuk memilih parameter m telah di sarankan dengan nilai dari m disarankan pada  serta . Sehingga akan diestimasi nilai m lainnya dengan data berbeda dan diaplikasikan pada data spasial. Hasil penelitian ini nilai parameter m pada data numerik  dan nilai parameter m pada data spasial .
Sports Video Annotation and Multi-Target Tracking using Extended Gaussian Mixture model
Authors:   Research Scholar, Department of Computer Science, Karnataka State Ak kamahadevi Women’s University, Bijapur (Karnataka), India., Mulimani Daneshwari , Makandar Aziz ,   Research Scholar, Department of Computer Science, Karnataka State Ak kamahadevi Women’s University, Bijapur (Karnataka), India.
Published: May 2021

Video offers solutions to many of the traditional problems with coach, trainer, commenter, umpires and other security issues of modern team games. This paper presents a novel framework to perform player identification and tracking technique for the sports (Kabaddi) with extending the implementation towards the event handling process which expands the game analysis of the third umpire assessment. In the proposed methodology, video preprocessing has done with Kalman Filtering (KF) technique. Extended Gaussian Mixture Model (EGMM) implemented to detect the object occlusions and player labeling. Morphological operations have given the more genuine results on player detection on the spatial domain by applying the silhouette spot model. Team localization and player tracking has done with Robust Color Table (RCT) model generation to classify each team members. Hough Grid Transformation (HGT) and Region of Interest (RoI) method has applied for background annotation process. Through which each court line tracing and labeling in the half of the court with respect to their state-of-art for foremost event handling process is performed. Extensive experiments have been conducted on real time video samples to meet out the all the challenging aspects. Proposed algorithm tested on both Self Developed Video (SDV) data and Real Time Video (RTV) with dynamic background for the greater tracking accuracy and performance measures in the different state of video samples.
Prediction, Cross Validation and Classification in the Presence COVID-19 of Indian States and Union Territories using Machine Learning Algorithms
Authors:   Professor, Department of Statistics, Manonmaniam Sundaranar University, Tirunelveli (Tamil Nadu), India., Arumugam P. , Kadhirveni V. ,   Research Scholar, Department of Statistics, Manonmaniam Sundaranar University, Tirunelveli (Tamil Nadu), India., Priya R. Lakshmi ,   Assistant Professor, Department of Statistics, Dr. Ambedkar Government Arts College, Vyasarpadi, Chennai (Tamil Nadu), India., G Manimannan ,   Assistant Professor. Department of Statistics, TMG College of Arts and Science, Chennai (Tamil Nadu), India.
Published: May 2021

The present study predicts, cross validate and classify the data of COVID-19 based on four machine learning algorithm with four major parameters namely confirmed cases, recoveries, deaths and active cases. The secondary sources of database were collected from Ministry of Health and Family Welfare Department (MHFWD), from Indian State and Union Territories up to March, 2021. Based on these background, the database classified and predicted various machine learning Algorithm, like SVM, k NN, Random Forest and Logistic Regression. Initially, the k-mean clustering analysis is used to perform and identified five meaningful clusters and is labeled as Very Low, Low, Moderate, High and Very High of four major parameters based on their average values. In addition the five clusters are cross validated using four machine learning algorithm and affected states were visualized with help of prediction and probabilities. The different machine learning models achieved cross validation accuracy of 88%, 97%, 91% and 91%. . Delhi, Uttar Pradesh and West Bengal were Moderately Affected States, Assam, Bihar, Chhattisgarh, Haryana, Gujarat, Madhya Pradesh, Odisha, Punjab, Rajasthan and Telangana are Low Affected States, wherein Tamil Nadu, Kerala, Andhra Pradesh and Karnataka are highly affected States. and Maharashtra the Very Highly Affected State. Rest of the States and Union Territories has Very Low affected Covid-19 Cases is clearly identified.
Comparative Study between Analytical and Theo-retical Retrofitting of RC Beam with Different Resins Bonded CFRP Laminates
Authors:   Professor, Department of Civil Engineering, CMR Col-lege of Engineering and, Medchal, Hyderabad (Telangana), India., Das K.Mohan , Baskar K ,   Professor, Department of Civil Engineering, CMR college of engineering and, Medchal, Hyderabad (Telangana), India., Kumar C.Selinravi ,   Associate Professor, Department of Civil Engineer-ing, Malla Reddy Engineering College, Medchal, Hyderabad (Telangana), India., Chary B.Karthik ,   Assistant Professor, Department of Civil Engineer-ing, CMR college of engineering and, Medchal, Hyderabad (Telangana), India.
Published: May 2021

This thesis details experimental work and fi-nite part simulation of concrete beams retrofitted with carbon fiber strengthened compound (CFRP).The objectives of this study were to analyze the behavior of retrofitted beams to develop fi-nite part model describing the beams, supportive the fi-nite part model against the experimental results and eventual-ly investigation the influence of chemical compound resins(GP, ISO, Epoxy) on the sweetening of strengthening of retrofitted beams. The experimental results square measure performed to analyze the behavior of beams designed in such approach that either flexural or shear are going to be expected. The beams rectangle measure loaded at exploitation 2 pur-pose bending till cracks square measure developed. The beams were then blank and retrofitted with CFRP. Finally the beams were loaded till failure. The ANSYS program is employed to de-velop finite part models for simulation of behavior of beams.
Pengaruh Kompetensi, Dan Kompensasi Terhadap Motivasi Serta Dampaknya Terhadap Kinerja Karyawan Pada STMIK Rosma Karawang
Authors: Rostiani Yeny
Published: May 2021

ABSTRAK

Tujuan penelitian ini adalah untuk memperoleh bukti-bukti empirik dan menemukan kejelasanfenomena serta kesimpulan tentang pengaruh kompetensi dan kompensasi terhadap motivasi sertadampaknya pada kinerja karyawan di STMIK Rosma Karawang.Penelitian dilakukan dengan menggunakan metode analisis deskriptif dan verifikatif, yaitu;mengumpulkan, menyajikan, menganalisis dan melakukan pengujian hipotesis, serta membuat kesimpulandan saran. Penelitian ini juga bermaksud memberikan rekomendasi bagaiman meningkatkan kinerjakaryawan di STMIK Rosma Karawang. Data dikumpulkan melalui penyebaran kuisioner terhadap 75orang, selain kuisioner data juga dikumpulkan melalui wawancara singkat. Pengukuran keandalan butirpertanyaan dengan sekali menyebarkan kuisioner pada responden, kemudian hasil skornya diukurkorelasinya antara skor jawaban pada butir pertanyaan yang sama dengan bantuan komputer StatisticalProduct and Service Solution (SPSS), dengan fasilitas cronbach alpa (a), suatu variabel dikatakann reliabeljika memberikan nilai cronbach alpa > 0,60. Hasil penelitian ini menunjukan bahwa secara simultanKompetensi dan kompensasi berpengaruh terhadap motivasi. pengaruh kompensasi lebih besar terhadapmotivasi daripada pengaruh kompetensi terhadap motivasi. Hal ini mengindikasikan bahwa pengaruhkompensasi lebih dominan daripada pengaruh kompetensi terhadap motivasi.
APLIKASI MULTIMEDIA INTERAKTIF PENGENALAN NEGARA ASEAN UNTUK SISWA KELAS VI SD
Authors: Sudrajat Budi
Published: May 2021

ABSTRAKAplikasi pengenalan Negara ASEAN ditujukan untuk siswa-siswi sekolah dasar dalam mempelajaridan mengenal Negara Anggota ASEAN, dimana siswa-siswi dapat lebih mudah mempelajarinyadibanding dengan hanya membacanya melalui buku saja yang kadang isinyapun kurang menarik danjuga untuk menambah pengetahuan mereka. Dengan membuat suatu aplikasi pembelajaran mengenaiNegara ASEAN dengan Adobe Flash, diharapkan dapat mengatasi masalah tersebut karenatampilannya menggunakan efek animasi yang membuat tampilanya tidak bersifat monoton dan dapatmenarik perhatian penggunanya. Negara Anggota ASEAN yang akan ditampilkan di Aplikasi iniadalah Negara Indonesia, Malaysia, Singapura, Brunei Darussalam, Filipina, Thailand, Kamboja,Laos, Myanmar, dan Vietnam. Informasi yang ada dalam aplikasi ini adalah hanya sejarah singkatdari masing-masing Negara, lambang Negara, informasi negara, sejarah, Bendera Negara, sejarahmengenai ASEAN, dan terdapat kuis yang berisi tentang ASEAN.
PERANCANGAN SISTEM INFORMASI REKAM MEDIS PADA PUSKESMAS JOMIN BERBASIS WEB
Authors: Prasetyo Agung , Azis Mohammad Syamsul
Published: May 2021

AbstrakSistem informasi rekam medis merupakan sistem untuk mengelola data pasien dan dokumenantara lain identitas pasien, hasil pemeriksaan, pembayaran dan pelayanan lain yang telahdiberikan kepada pasien. Adapun sistem rekam medis dan pembuatan laporan pada Puskesmastersebut pengolahannya masih manual dan masih menggunakan media pembukuan dan memakanbanyak tempat. Oleh karena itu pelayanan pasien di Puskesmas menjadi kurang efektif danefisien. Dengan menggunakan website sebagai alat bantu dalam pengolahan data dapatmempermudah pengolahan data rekam medis dan membuat laporan dengan cara yang lebihmudah dan efisien dan dapat menghemat tempat yang telah disediakan. Metode yang digunakandalam membangun aplikasi website ini menggunakan metode waterfall yang dimulai dari analisis,desain, kode, pengujian dan pemeliharaan. Sistem informasi rekam medis berperan penting untukmeningkatkan pelayanan pada Puskesmas Jomin, Sehingga memudahkan Puskesmas dalammengolah data pasien, data kunjungan, rekam medis pasien dan laporannya.
Analisis Kesiapan Penggunaan Sistem Otomatisasi Proses Skripsi (SOTOPROPSI) Dengan Menggunakan Metode TAM
Authors: Agreindra Helmiawan Muhammad , Supriadi Fidi , Mahardika Fathoni
Published: May 2021

Abstraksi

Pada saat ini perkembangan teknologi membuat pengguna semakin membutuhkan teknologikhususnya bagi organisasi, perusahaan, serta perorangan untuk mendapatkan kemudahan, kecepatandan ketetapan dalam mengolah dan memperoleh data atau informasi. Perubahan teknologi informasidapat memberikan kemudahan akses segala hal informasi secara online yang tentunya canggih danterkomputerisasi. STMIK sumedang merupakan salah satu instansi pendidikan yang mengutamakandalam bidang pendidikan teknologi informasi sebagai suatu keunggulannya dengan di terapkannyasuatu sistem informasi yaitu Sistem Otomatisasi Proses Skripsi (SOTOPROPSI). Metode yangdigunakan pada penelitian ini adalah Technology Acceptence Model (TAM) dikembangkan olehDavis pada tahun 1985 untuk menjelaskan dan memprediksi penggunaan dari suatu sistem. Tujuanmodel ini adalah untuk menjelaskan tentang persepsi pengguna terhadap manfaat dan kemudahandalam penggunaan teknologi informasi itu sendiri. Mengetahui seberapa manfaat Sistem OtomatisasiProses Skripsi (SOTOPROPSI) bagi mahasiswa STMIK Sumedang khususnya Mahasiswa tingkatakhir yang mengambil skripsi atau tugas akhir. Memberikan persentase dari persepsi kemudahan danmanfaat terhadap sistem bagi pengguna, serta memberikan rekomendasi agar sistem lebih bergunauntuk semua aktivitas dan pengguna khususnya untuk mahasiswa.
Elaboración de hipótesis en experimentos de lenguajes de programación
Authors:   San Buenaventura Cali, Cano Castillo Christian Felipe , Espinosa Galliady Luis Eduardo ,   San Buenaventura Cali, Tavera Romero Carlos Andrés ,   Universidad Santiago de Cali
Published: May 2021

Luego de haber determinado el tipo de investigación que se iba a desarrollar, es necesario construir las bases teóricas desde el punto de vista de la estadística, para poder contar con la validez que ofrecen los métodos científicos. En esta etapa se presentarán algunas teorías acerca de la prueba de hipótesis que se utilizará durante el trascurso del estudio.
SACRALIZAÇÃO DA NATUREZA E O USO RELIGIOSO DA AYAHUASCA: PERCEPÇÃO E ÉTICA AMBIENTAL DA FLORESTA AMAZÔNICA AOS CENTROS URBANOS
Authors: Thevenin Julien Marius Reis , Benaion Bezerra Thevenin Talita , Hugueney Irigaray Carlos Teodoro José
Published: May 2021

A relação que os grupos sociais estabelecem com a natureza está permeada pelos sistemas de representações e ideias, principalmente, os religiosos e filosóficos. Contudo, a trajetória percorrida pela sociedade urbano-industrial, baseada no lucro, tem conduzido a sérios problemas ambientais, dentre eles o desflorestamento da Amazônia. É na busca por relações que atribuam valores não econômicos à natureza que se inicia este artigo, que analisa a relação entre a percepção do sagrado na natureza e uma ética ambiental associada a comportamentos pró-ecológicos. A pesquisa foi desenvolvida a partir de levantamento bibliográfico-documental, observações diretas, anotações e entrevistas semiestruturadas dirigida aos integrantes de três centros Daimistas, de um centro da Barquinha, e de vinte sete sedes locais da União do Vegetal, religiões que fazem o uso ritual do chá da Ayahuasca no Estado de Rondônia/Brasil. Os resultados mostraram que, na medida em que o indivíduo, de forma espontânea, reconhece o sagrado na natureza, amplia paralelamente e gradualmente a sua consciência ambiental e a sua postura ética perante o meio ambiente. Contudo, nas religiões analisadas, essas atitudes não dependem unicamente dos adeptos que chegam, já que alguns desses não demonstram ter um comportamento ecológico, mas, principalmente, de diversos arranjos institucionais estabelecidos que direcionam as práticas dos mesmos na gestão sustentável de seus territórios.
HOW “MILD” IS MILD TRAUMATIC BRAIN INJURY (MTBI)? A PROSPECTIVE STUDY WITH ONE-YEAR FOLLOW-UP ON SYMPTOMATOLOGY, COGNITION, DISABILITY AND LIFE SATISFACTION AFTER HEAD INJURY.
Authors: Chaturbedi Abhishek
Published: May 2021

Objective: To determine cognitive functions, symptoms, disabilities and life satisfaction of patients with
rst time concussed patients during acute injury and subsequent follow-up visits (3, 6 and 12 months).
Materials and Methods: One hundred patients with single mTBI answered questionnaires about symptoms, disabilities
(RHFUQ) and life satisfaction (LiSat-11) apart from neuropsychological evaluation at each subsequent follow-up (F/U) visits.
Fifty healthy control subjects also underwent same tests for comparison with study group (mTBI patients).
Results: At1year post-injury: 21% had persistent post-concussion symptoms (PCS), with statistically signicant difference
between the number of symptoms at 1 year F/U visit for study group (4.8 ± 1.8) and the healthy control group (1.3 ± 0.8), (p=
0.03). The total RHFUQ score (13.0 ± 8.8) was statistically signicant compared to the control group (3.2 ± 2.3), (p <0.001). The
number of disability items in the study group (5.4 ± 2.8) was also signicant compared with the healthy control group (1.1± 0.6)
with p <0.001. The study group exhibited statistically signicant (p=0.01) lower level of life satisfaction (40.8 ± 9.5) compared
with the control group (56.7 ± 11.5). In the study group, the number of cognitive tests with outcomes below cut-off limits (± 2SD)
was statistically signicant compared with control group.
Conclusion: The high frequency of persistent PCS, disabilities along with lower level of life satisfaction and decline in cognitive
function appears to characterize single mTBI patients in our study at 1 year post-injury. This highlights the need to carefully
evaluate a single mTBI for long-term implications.
PEACE EDUCATION
Authors: Mukherjee Madhurima
Published: May 2021

Education for peace is a holistic approach. It nurtures knowledge ,skill,attitude and values -so that the
learner can leave in harmony with self and others and handle conicts in a constructive way .peace
empowers individuals to accept, create and enjoy the path of peace rather than only to be a consumer of it. It is a key tool for
developing values , knowledge and life skills in a spirit of equality , empathy ,understanding and mutual respect among
individuals.
POSTERIOR SAGITTAL ANORECTOPEXY FOR PAEDIATRIC RECTAL PROLAPSE
Authors: Shetty Shravya , Naik Ajay
Published: May 2021

Introduction: Rectal prolapse is a very common and self limiting condition amongst the paediatric age
group in India. Majority of the cases respond to conservative management. The various modalities of
management of the same include surgical as well as medical modalities. Surgical namely Thierschs anal circlage,
laparoscopic suture rectopexy, and posterior sagittal rectopexy
Aim - To evaluate the safety and efcacy of posterior sagittal rectopexy in children with rectal prolapse.
Patients and Methods: Twenty patients aged between 1 and 7 years presented with rectal prolapse.
These patients underwent posterior sagittal anorectopexy after pre anaesthetic check up. These patients were followed up at
1week, 15days and 1month for 3 months.
Results: Constipation improved in 18 out of 20 patients, who had a history of constipation before surgery. Partial mucosal
prolapse recurrence occurred in two patients.
Conclusion: Posterior Sagittal Rectopexy is a good option in cases of rectal prolapse in
children once all the conservative methods have failed. The technique is safe and effective. It has satisfactory functional results.
RENAL LYMPHANGIECTASIA IN A PATIENT AFFECTED BY COVID-19
Authors: Martínez Hidalgo Stephany Soledad , Pazmiño Pazmiño Patricia Elena , Romero Hachig Daily Malinivska , Sánchez Pucha Paola Fernanda
Published: May 2021

SUMMARY: In December 2019, a new subspecies of coronavirus was identied in China, which they called SARS-CoV-2, responsible for the subsequent disease that the WHO called COVID-19. The disease has spread rapidly causing a global pandemic. Much is still unknown about SARS-CoV-2, but early research supports the hypothesis that the severity of Covid-19 is conditioned by the hyperinammatory response that occurs in our body when in contact with SARS-CoV-2. The severity of the condition is related to the respiratory failure it causes, however, there are studies that do not limit pulmonary involvement. Research indicates that the access mechanism of SARS-CoV-2 to the body is closely related to the ACE2 enzyme. An enzyme that, among other tissues, can be found in the epithelium of renal tubular cells. This is the reason why there are data from patients with Covid-19 that have a great effect on kidney function. It is for this reason that this clinical case of renal lymphagectasia is presented. Renal lymphagectasia is a rare entity of renal lymphatics that occurs in both children and adults, it can be unilateral or bilateral and has no sex predilection. It is characterized because there is dilation of the lymphatic ducts, generating cavities occupied by a liquid content corresponding to lymph. Its most frequent locations are the neck (70%) and the armpit (20%). Renal lymphangiectasia (RFL) is of very low frequency and can be confused with other cystic pathologies of the kidney. RFL has been described by various names such as: renal lymphangioma, peri-pelvic lymphangiectasia, polycystic renal sinus disease, renal hygroma, and multicystic perippelvic renal lymphangiectasia. It is believed to occur due to an alteration in the communication between the renal lymphatic ducts and the retroperitoneal lymphatics. We report the case of an elderly patient with Covid-19 infection, and LFR, in which this alteration was discovered incidentally in the study of abdominal pain associated with microscopic hematuria. OBJECTIVE: Describe bilateral renal lymphangiectasia associated with covid-19 infection. DESIGN: Prospective, observational in a single center. METHODOLOGY: This is a systematic review of bilateral renal lymphangiectasia in a patient affected by the new coronavirus (Covid-19); emphasizing its clinical characteristics and its short-term complications. The information and images obtained belong to the medical staff in charge of the case, whose reinforcements are provided by the Excel, Word and JPG statistical package.
THYROID PROFILE IN NEWLY DIAGNOSED HIV PATIENTS IN A TERTIARY CARE CENTRE OF NORTH BENGAL-A CROSS-SECTIONAL STUDY.
Authors: kumar Saha Arun , Narayan Ray Achintya , Chakrabarti Debasis , Bandyopadhyay Dipanjan
Published: May 2021

Background: HIV infection can lead to thyroid gland endocrinopathy. There is limited data regarding
prevalence, pattern and correlates associated with thyroid dysfunction in India. The study will help to
assess whether universal screening of thyroid function should be enforced in HIV infected patients.
Objectives: To determine the prevalence and pattern of thyroid dysfunction and also to nd out association between thyroid
dysfunction with other factors like age, gender, and CD4 count in newly diagnosed HIV infected patients attending North
Bengal Medical College.
Methods: A cross-sectional observational study was conducted among 95 HIV infected patients attending indoor and outdoor
of North Bengal Medical College and Hospital after fullment of inclusion and exclusion criteria. Data were collected using
predesigned pre tested schedule after having informed consent and subjected to clinical and laboratory examination.
Collected data were analysed using SPSS statistical software and presented using principles of descriptive statistics.
Results: Overall 34.7% of study subjects had thyroid dysfunction. Mostly found dysfunction was subclinical hypothyroidism
(23.2%). Direct correlation was observed between T3, T4, CD4 Count whereas TSH was inversely correlated with all others
parameters.
Conclusion: Biochemical abnormalities in thyroid function is commoner among patients with HIV. The severity of
hypothyroidism is inversely correlated with CD4 counts. The screening of thyroid function in HIV patients thus indicated to
improve the quality of life.
UNUSUAL CT IMAGING FINDING IN PERFORATED APPENDIX.
Authors: reddy sushuma , shaikh Sarfaraz , Manek Tulsi
Published: May 2021

Perforation of the appendix is one of the complications of appendicitis that is associated with increased morbidity and
mortality and regarded as a surgical emergency. The identification of perforated appendix at imaging is not always
straightforward, and atypical imaging appearances can add to the interpretive challenge.The diagnosis of perforated
appendix on the basis of imaging findings can be challenging when those findings do not conform to classic
appearances.This presentation allows readers to become more familiar with the varied spectrum of CT appearances of
perforated appendix.The pearls and pitfalls presented also may help improve diagnostic accuracy and guide clinical
management of atypical cases.
A CLINICAL STUDY OF PATIENT WITH FEBRILE ILLNESS HOSPITALIZED IN HAMIDIA HOSPITAL BHOPAL
Authors: Modi Manish , Jagat R.S. , Barde R.R. , Alawe Sudha , Kawre K.K.
Published: May 2021

Background: A better understanding of the prevalence and causes of undifferentiated febrile illness in
the concerned geographic area would help in limiting the vast diagnostic workup to nd aetiological
agent and guide to an optimal treatment to avoid unwanted usage of antibiotics and antimalarials. The present study was thus
conducted to study etiological, hematological, clinical prole of patients presenting with undifferentiated febrile illness.
Methodology: This was a cross sectional study on adults with acute febrile illness admitted in tertiary care Hospital Bhopal for
a period of 2 years on acute illinfected patient belonging to age group of 18-70 years. Detailed history regarding presenting
complaints along with ndings of general and systemic examination were documented in questionnaire. Blood samples were
subjected to investigations to identify underlying etiology. Results: Mean age of 200 patients presenting with undifferentiated
febrile illness was 39.67±17.4 years. Acute febrile illness without localizing sign was documented in 30% cases followed by
LRTI (16.5%), CKD (6.5%), pneumonia (6%) and TBM (5.5%). WBC counts were raised (>11000) in 30% patients indicative of
bacterial etiology whereas it was WBC counts were reduced in 2% patients suggestive of viral etiology. Platelet counts were
decreased in around 43.5% patients in present study. Malarial parasite was observed in 1 (0.5%) patient whereas Widal test
was positive in 3.5% patients. Conclusions: Knowledge regarding cause and clinical prole of AFIs in particular geographical
area is helpful in early diagnosis and management such cases. In present study, the febrile illness presented without localizing
sign whereas malaria and enteric fever were conrmed in only few cases. However non-specic test such as CBC and RFT, LFT
were helpful in identifying underlying etiology as bacterial or viral.
EVALUATION OF DIASTOLIC DYSFUNCTION IN CHILDREN WITH ASYMPTOMATIC BETA- THALASSEMIA MAJOR AN
Authors: Pal Radhabinod , Devendra Dhore Akshay , Sarkar Biswarup
Published: May 2021

This was an observational cross-sectional study of 96 Patients at R.G Kar Medical College and Hospital,
st Kolkata. with diagnosis of β Thalassemia major children aged between 2-12 years between 1 March,
th 2016 to 28 February, 2017. A control group of 100 normal subjects matched according to age and sex, with the cases were also
studied. Patients who full the inclusion and exclusion criteria were enrolled for the study after getting written informed consent.
Echocardiography study was done of all the patients for assesment of diastolic function and determined whether it has any
correlation with serum ferritin level in asymptomatic β Thalassemia major. It showed 66.67% of children were suffering from
diastolic dysfunction, most of them were in grade 1 diastolic dysfunction followed by grade 3 diastolic dysfunction. The grade of
diastolic function was correlated to the serum level of ferritin
A STUDY ON HUMAN CADAVERIC PANCREAS: VARIATIONS IN DIAMETERS OF ISLETS OF
LANGERHANS IN DIFFERENT AGE GROUP
Authors: Baneswar Baro , Gunamani Rabha , Usha Sarma , KL Talukdar , BC Dutta , Tapan Sarma
Published: May 2021

INTRODUCTION: The islets of Langerhans may contain a few cells or many hundreds of polygonal cells arranged in
short irregular cords that are abundantly invested with a network of fenestrated capillaries to produce a hormone with
glucose-lowering effect. MATERIALS AND METHODS: The descriptive and cross-sectional study was done in the
Department of Anatomy, Forensic Medicine& Pathology of Gauhati Medical College, Guwahati based on collection of
103 human pancreas aging from 13 to 78 years of both sexes.The collected samples were divided into group A (10-19
years),B (20-29 years),C (30-39 years),D (40-49 years),E (50-59 years),F (60-69 years) and G (≥70 years).Measurement
of five slides selected from head, body and tail region were examined under 400 magnification. RESULTS AND
OBSERVATION:The differences between the diameter of pancreatic islets for head part were statistically significant in
A vs B,A vs D,A vs E,A vs F,A vs G,B vs D,B vs E,B vs F,B vs G, C vs E,C vs F,C vs G,F vs G in body part A vs B,A vs C,A vs F,
A vs G,B vs C,B vs D,B vs E,B vs F,B vs G,C vs G,D vs G,E vs G and F vs G.and in tail part between A vs B,A vs C,A vs D,A vs
E, A vs F, A vs G, B vs C, B vs D, B vs E, B vs G, C vs E, C vs F, C vs G, D vs F, D vs G, E vs F , E vs G and F vs G region.
CONCLUSIONS:In the 3 region it was found that in the both extremities of life the diameter of islets of Langerhans was
gradually decreased as age increases. Larger samples and advanced procedures in case of normal and abnormal
population like people with diabetes disease for further studies may recommended.
A COMPARATIVE STUDY OF POSTOPERATIVE ANALGESIA FROM INTRAPERITONEAL INSTILLATION OF ROPIVACAINE V/S ROPIVACAINE + FENTANYL IN LAPAROSCOPIC CHOLECYSTECTOMY SURGERIES
Authors: Hajariwala Vaibhavi j. , Baxi Disha , Khara Birva , Pathak Bhumika
Published: May 2021

Background and Aim: This study is designed and conducted to compare the efcacy of intra-peritoneal
instillation of ropivacaine to that of a combination of ropivacaine and fentanyl in reducing post-operative
pain and the side effects of the same.
Aim: To compare the effects of intra-peritoneal instillation of ropivacaine to a combination of ropivacaine and fentanyl on postoperative morbidity in terms of:
1. Post-operative pain
2. Post-operative adverse effects
Methods and Material: After approval of the Institutional Ethics Committee (IEC) [IEC/HMPCMCE/105/Faculty/12/107/19] and
the Clinical Trials Registry of India [CTRI/2020/04/024616], consenting patients were randomized into two groups of 26
participants each. One group was given intraperitoneal instillation with 15ml of ropivacaine 0.75% diluted in normal saline to
make a solution of 45ml and other group was given 15ml of 0.75% ropivacaine with fentanyl 50mcg(1ml) diluted in normal
saline to make a solution of 45ml, intra-operatively, and post-operative pain perception and occurrence of adverse effects was
recorded.
Statistical Analysis: Two sample t-test with equal variances, chi-square test and Fisher's exact test. P value<0.05 was
considered signicant
Results: Group receiving intraperitoneal instillation of plain ropivacaine was found to have signicantly higher VAS scores
and VRS scores (p<0.001) and lesser mean time to requirement of rst-dose of analgesic post-operatively (p<0.001), and
lesser incidence of bradycardia (p=0.01)
Conclusion: Intraperitoneal instillation of combination of ropivacaine and fentanyl is superior to ropivacaine alone for
reducing post-operative pain in patients undergoing laparoscopic cholecystectomy surgery.
THE ROLE OF TRIGLYCERIDE GLUCOSE INDEX AS PREDICTOR OF GLYCEMIC CONTROL IN PATIENTS WITH TYPE 2 DIABETES MELLITUS
Authors: Mehta Charchit , C R Vidyasagar , A Raveesha
Published: May 2021

Objectives- To explore the association of Triglyceride Glucose index with HbA c and To evaluate their 1
potential role as predictors of glycemic control in patients with type 2 diabetes mellitus. Design:
observational study Setting: Conducted in the Department of General Medicine at Sri Devaraj Urs medical college, Kolar,
Karnataka. Subjects: 98 diabetic subjects were studied and were evaluated for predicting glycemic control using triglyceride
glucose index. Results: Among subjects with good glycaemic control (HbA1c <7%) mean Triglyceride was 136 + 21.78 mg/dl
and Among subjects with poor glycaemic control (HbA1c >7%) mean Triglyceride was 190.35 + 62.94 mg/dl. there was a
statistically signicant difference found between Triglyceride and HbA1c. Among subjects with good glycaemic control (HbA1c
<7%) mean Triglyceride glucose index was 9275.06 + 2154.22 mg/dl and Among subjects with poor glycaemic control (HbA1c
>7%) mean Triglyceride glucose index was 24223.63+ 15794.73mg/dl. there was a statistically signicant difference found
between Triglyceride glucose index and HbA1c Conclusion: We can use Triglyceride glucose index in predicting glycaemic
control in type 2 DM which is inexpensive and cost effective.
FUNDUS CHANGES IN PATIENTS WITH PREGNANCY INDUCED HYPERTENSION AND ITS ASSOCIATION WITH FETAL OUTCOME IN WESTERN INDIA
Authors: Devendra A Saxena , Sneha C Makhija
Published: May 2021

Aim: To study the association between fundus changes in patients with pregnancy induced hypertension and the fetal outcome. A prospective cohort study was conducted on 50 patients with PIH at Methods: a tertiary care hospital in Gujarat, India. Retinal status was evaluated under mydriasis in the antepartum and postpartum period. Fetal outcome was recorded in the form of gestational age at birth, birth weight, live/stillborn, mode of delivery, need for induction of delivery and need for admission to neonatal care unit. In this study, PIH induced Results: fundus changes were seen in 48% of the patients. 17(34%) of the fetus were stillborn and 12 of the live born required hospital admission. Mothers of 13(44.82%) of these 29 fetuses with adverse outcome had PIH retinopathy. 14(50%) of the 28 mothers with fetus with low birth weight had abnormal fundi. Serous detachment occurred in 10% of the patients all of which had severe PIH or eclampsia, were primigravida and delivered preterm. Serous detachment resolved over 7-10 days postpartum. Presence of PIH Conclusion: retinopathy may be used as an indicator for predicting the fetal outcome in patients of PIH. It is a particularly reliable marker for preterm delivery when serous detachment occurs in primigravida women with severe PIH or eclampsia.
EFFICACY OF SOFOSBUVIR AND DACLATASVIR IN COMPENSATED CHRONIC HEPATITIS C INFECTION: A SINGLE CENTER, OPEN-LABEL AND PROOF OF CONCEPT STUDY
Authors: Thakur Manisha , Chauhan Anurag , Jambunathan Prashant , Awasthi Shikha , K Thilagavathi , VR Mujeeb
Published: May 2021

AIMS AND OBJECTIVES: The advent of directly acting agents for the treatment of Hepatitis C infection
has forever transformed our understanding and management of viral infections. With over 95 % patients
achieving a sustained viral response at 12 weeks with some of these newly inducted agents, the prospect of eradicating the
Hepatitis C virus seems like an achievable target, which makes this one of the most important discoveries in modern medicine.
We studied the combination of Sofosbuvir and Daclatasvir in patients with chronic hepatitis C infection (Genotype 3) to assess
the rates of sustained virological response at 12 weeks. We studied 67 treatment naive METHODS: patients with compensated
chronic hepatitis C infection (genotype 3). They were all started on Tab Sofosbuvir 400 mg daily and Tab Daclatasvir 60 mg
once daily for 12 weeks and followed up for a total of 24 weeks, which includes a treatment duration and observation period of
12 weeks each. The patients were monitored with HCV RNA levels at one, three and six months, with as many evaluations of liver
function and routine hemogram. Our results show that 70.5% (p<0.05) achieved a rapid vi RESULTS: rological response, 88.5%
(p<0.05) achieved an end of treatment response and, similarly, an impressive 88.05% (p<0.05) showed a sustained virological
response at the end of 12 weeks. One patient who developed a psoriasiform rash discontinued the medication and was
excluded from the analysis, as duration of treatment had not been completed. No major dose related adverse events were
reported. Sofosbuvir and Daclatasvir is an acceptable, well tolerated regimen for treatment naive, CONCLUSIONS:
compensated patients with genotype 3 infection. Based on our observations and data, we recommend this as the rst line DAA
for patient with compensated genotype 3 infection until medications with higher SVR 12 are available in the Indian market.
ETIOLOGY OF CONTACT DERMATITIS ON FACE IN INDIAN PATIENTS
Authors: Bhandari Molisha , Kathuria Sushruta , Khunger Niti
Published: May 2021

Introduction: Facial contact dermatitis has exponentially increased in the past decade because of the
freely available over the counter topical medications and the innumerable cosmetics. Patch testing is still
the gold standard for diagnosis. Aims and Objectives: To elicit the patterns and specic allergens causing facial dermatitis on
face in Indian patients. 50 patients of predominantly facial dermatitis with Materials and methods: suspected contact
dermatitis (CD) were taken up for patch testing. The patients were tested with the Indian standard series (ISS) and Indian
cosmetic series and the results were read at 48 and 96 hours. Repeated open application test (ROAT) was performed with the
suspected allergens in 33 patients, and the results were read on Days 2, 4, and 7 using the Johansen's Modied scale. Results:
The mean age of the patients was 48.3 years with M: F ratio of 3:7. The mean duration of the complaints was 20 months, while the
mean duration of exposure to the implicated allergen was 10.6 years. Patch test with ISS and cosmetic series were positive in
34% of people with 4-Phenylenediamine base PPD (1%) being the most common allergen in 14 patients. ROAT was positive in 18
patients, out of which 78% were patch test negative. Patch test has stood the test of Discussion: time as an invaluable
diagnostic aid in patients with dermatitis. Sindoor dermatitis is a commonly encountered ACD in our clinics but the implicated
allergens are not a part of ISS or cosmetic series. In our study, ROAT was positive in 8 patients of sindoor dermatitis who were
patch test negative. Thus, ROAT should also be ideally be performed in these patients.
CAUSES OF ALZHEIMER'S DISEASE (Alz) AND POTENTIAL REMEDIES
Authors: D. Reid Larry
Published: May 2021

Late onset Alzheimer's disease (Alz) affects 40 to 50% of older populations of prosperous nations. Advancing Alz eventually renders the aficted
helpless and without memory. Other elders have some reduction in cognition but sustain sufcient capabilities to not be helpless and retain
sufcient cognition to live well until their fatal diseases. Despite decades of sound research and as many as 200 clinical trials of putative treatments
to halt advancing Alz, all attempts failed to yield an effective medication. Epidemiological research has identied many correlates (risk-factors) of
developing Alz. It is posited that an accumulation of the consequences of the various risk-factors is sufcient to induce Alz. Possibly, different
combinations of risks can cause sufcient chaos of the brain's physiology to be the conditions starting and advancing Alz. For example, insufcient
circulating B-vitamins, manifest as hyperhomocysteinemia, and regularly taking of drugs with severe anticholinergic burdens could cause such
wide-spread effects to be a setting condition for developing Alz. Both potential setting conditions can be rectied hence could prevent the
development of Alz. Other combinations of risks might be causal and might be treatable, hence preventing Alz.
CASE REPORT: ISOLATED SEVERE THROMBOCYTOPENIA IN A PATIENT WITH SUSPECTED SARS COV 2 INFECTION
Authors: S B Rohit , S Lokesh
Published: May 2021

COVID 19 is an ongoing pandemic which can cause severe respiratory symptoms, with the involvement of
renal, liver, haematopoietic, neurological and immune system. This case report describes a case of
COVID 19 patient who presented with anosmia, loss of taste, without any other respiratory symptoms. Radiological examination
of chest through High Resolution Computed Tomography (HRCT) revealed CORADS 5 with a CT severity score of 4/25, but blood
investigations revealed thrombocytopenia with leukopenia. RT PCR nasopharyngeal swab was negative. Complete blood count
revealed severe thrombocytopenia after other causes of fever with thrombocytopenia were ruled out. It is important to monitor
and evaluate all atypical and rare presentations of COVID 19, such as isolated thrombocytopenia.
THE ROLE OF ULTRASOUND AND MRI IN THE DIAGNOSIS OF OVARIAN TUMOURS
Authors: Nair Nidhi , Muthumanickam Aruna , K Soorya
Published: May 2021

Background: Ovarian cancer is the fth leading cause of cancer related death in the USA, and has the
highest mortality rate due to late diagnosis. The most common modalities used in diagnoses are B-Mode
USG, Conventional MRI and DW-MRI. This study aims to statistically analyze and compare the sensitivity, specicity and
measurement of agreement for these modalities. From March 2019 to September 2020, 103 pat Method: ients with ovarian
masses underwent radiodiagnostic testing with USG and MRI, and subsequently 85 patients underwent surgery and the gold
standard histopathological examination. The radiologic diagnosis was correlated with the histopathologic diagnosis for these
patients and the sensitivities, specicities and area under the ROC curve were calculated. The Results: area under ROC curve
increased in the following order: B- Mode USG < B-Mode USG & Doppler combined < conventional MRI < DW-MRI. The
measurement of agreement Kappa increased in the following order: B- Mode USG < B-Mode USG & Doppler combined <
conventional MRI < DW-MRI. The study showed that addition of Doppler to B-Mode USG reduced its sensitivity and NPV. Both
USG and conventional MRI were found to have comparable sensitivities. While DW-MRI is superior t Conclusion: o other
modalities in its high specicity in diagnosing ovarian tumors, USG has equal sensitivity and can be used for initial
presumptive diagnosis in patients with suspected ovarian malignancies.
Development and validation of comprehensive closed formulas for atmospheric delay and altimetry correction in ground-based GNSS-R
Authors: Nikolaidou Thalia , Santos Marcelo , Williams Simon , Geremia-Nievinski Felipe
Published: May 2021

Radio waves used in Global Navigation Satellite System Reflectometry (GNSS-R) are subject to atmospheric refraction, even for ground-based tracking stations in applications such as coastal sea-level altimetry. Although atmospheric delays are best investigated via ray-tracing, its modification for reflections is not trivial. We have developed closed-form expressions for atmospheric refraction in ground-based GNSS-R and validated them against raytracing. We provide specific expressions for the linear and angular components of the atmospheric interferometric delay and corresponding altimetry correction, parameterized in terms of refractivity and bending angle. Assessment results showed excellent agreement for the angular component and good for the linear one. About half of the delay was found to originate above the receiving antenna at low satellite elevation angles. We define the interferometric slant factor used to map interferometric zenithal delays to individual satellites. We also provide an equivalent correction for the effective satellite elevation angle such that the refraction effect is nullified. Lastly, we present the limiting conditions for negligible atmospheric altimetry correction (sub-cm), over domain of satellite elevation angle and reflector height. For example, for 5-meter reflector height, observations below 20° elevation angle have more than 1-centimeter atmospheric altimetry error.
Enabling Grant-Free URLLC: An Overview of Principle and Enhancements by Massive MIMO
Authors: Ding Jie , Nemati Mahyar , Pokhrel Shiva , Park Ok-Sun , Choi Jinho , Adachi Fumiyuki
Published: May 2021

Enabling ultra-reliable low-latency communication (URLLC) with stringent requirements for transmitting data packets (e.g., 99.999% reliability and 1 millisecond latency) presents considerable challenges in uplink transmissions. For each packet transmission over dynamically allocated network radio resources, the conventional random access protocols are based on a request-grant scheme. This induces excessive latency and necessitates reliable control signalling, resulting overhead. To address these problems, grant-free (GF) solutions are proposed in the fifth-generation (5G) new radio (NR). In this paper, an overview and vision of the state-of-the-art in enabling GF URLLC are presented. In particular, we first provide a comprehensive review of NR specifications and techniques for URLLC, discuss underlying principles, and highlight impeding issues of enabling GF URLLC. Furthermore, we briefly explain two key phenomena of massive multiple-input multiple-output (mMIMO) (i.e., channel hardening and favorable propagation) and build several deep insights into how celebrated mMIMO features can be exploited to enhance the performance of GF URLLC. Moving further ahead, we examine the potential of cell-free (CF) mMIMO and analyze its distinctive features and benefits over mMIMO to resolve GF URLLC issues. Finally, we identify future research directions and challenges in enabling GF URLLC with CF mMIMO.

A new version of the paper has been updated on 21/08/2021