bluuebunny/crossref_metadata_2025 huggingface dataset:
Capabilities affecting business performance: validity and reliability of a measurement instrument
Authors: Baez-Portillo María Marysol , Vázquez-Zacarías Manuel Alexis , Hernández-Ponce Oscar Ernesto , Moncayo-Rodríguez Lizette Marcela
Published: December 2024

Ordinary capabilities allow for some degree of sufficiency in the performance of a welldelineated task (Teece, 2014). The objective of this study was to determine the validity and reliability of an instrument that measures the capabilities that affect business performance. This cross-sectional study was conducted on management-level workers in restaurant companies in southern Sonora. It was carried out in two stages: content validity and reliability of the instrument. The results showed that the instrument is valid and reliable to be applied on a larger scale, in addition to making a contribution to the state of the art of the literature cited and to future research. Finally, it was concluded that any instrument must meet the requirements of validity and reliability before proceeding with the collection of the sample, since the data collected have an impact on the decision making process of the companies.
Implementation of mixed reality technology for the control of physical systems
Authors: García-Cervantes Heraclio , Carrillo-Hernández Didia , Blanco-Miranda Alan David
Published: December 2024

The integration of mixed reality (MR) technology into physical systems represents a significant advancement in bridging the gap between educational environments and industrial applications. This study explores the development of a robotic arm prototype controlled through MR technology, aimed at enhancing educational experiences in the field of robotics. By utilizing augmented reality (AR), virtual reality (VR), and real-time physical interactions, students gain a comprehensive understanding of robotic systems. The project combines open-source platforms with MR to provide a hands-on, immersive learning environment. The primary objective is to foster high-impact learning and practical training, thus reducing the gap between educational settings and real-world industrial applications.
Measurement of work environment in a savings and loan cooperative
Authors: Merino-Viazcán Janet , Solano-Palapa Nathaly , Ramírez-Cortes Elva Patricia , Peña-Cruz Archundia Félix Martín
Published: December 2024

The objective of this research is to analyze the Organizational climate in a Savings and Loan Cooperative, located in the municipality of Izúcar de Matamoros, Puebla, an organization with more than 60 years serving the savings, investment and credit needs of our region. through nine branches. The type of research to be developed for the study of this case is descriptive in nature, since its purpose is to study the current state of the different factors that can influence the formation of the Climate. An instrument was applied to measure climate, which was provided to 25 employees of the company, without discrimination, type of contract, age, or seniority. This study showed favorable results for it, which makes it possible to reach a conclusive result, since the workers have been very clear, and their perceptions have coincided in many of the situations that have arisen.
The adoption of digital skills influences decision making in organizations, case of a footwear company
Authors: López-Barberena Adriana , Becerra Chiu Francisco Javier
Published: December 2024

This research is a case study for a company in the Leather Footwear sector in the city of León, Gto. The objective was to discover in workers the digital skills they possess and relate them to decision-making in the organization. The methodology used was a questionnaire applied to managers and personnel who work in the quality area. According to the results found, the majority, but not all workers, have developed their digital capabilities; However, the results showed that there is still a percentage of the worker population that does not manage, do not know and does not identify relevant information in the digital area. The most interesting contributions is that there is an area of opportunity in training workers to improve their digital skills. Decision making is affected by the proposed variables, and it is worth improving this indicator.
Implementation of mobile monitoring technology for industrial safety
Authors: Villaseñor-Ramírez Martín Alonso , Carrillo-Hernández Didia , Blanco-Miranda Alan David , García-Cervantes Heraclio
Published: December 2024

This paper presents the development of a mobile application for safety monitoring, integrated into the "Safety Guardian" project at Universidad Tecnológica de León. The application allows remote management of safety reports generated by a line-following robot. Through an Android platform, users can access real-time reports, configure patrol routes, and ensure compliance with safety standards. The implementation of a centralized database using MySQL, combined with RESTful web services, enables seamless data storage and retrieval. The aim of this project is to provide a practical solution for industrial safety management, improving the efficiency of report generation and data access in educational and industrial environments.
Correlational analysis of gender, professional training and financial performance in restaurant companies in Mexico
Authors: Vázquez-Jiménez Imelda Lorena , Landazuri-Aguilera Yara , Valdez-Pineda Dina Ivonne , Ruiz-Perez Roberto
Published: December 2024

This research was born with the intention of analyzing the importance of professional training, as well as the gender of people who run restaurant companies in two States of Mexico. To meet the objective of the study, a quantitative research, non-experimental, and transactional design was carried out. Likewise, the study is correlational, since it seeks to study the degree of association between the behavior of gender variables, professional training and their relationship with financial performance considering the internal accounting control system and the financial internal control system. With Cronbach's alpha values above 0.5, using the Kolmogorov-Smirnov Test correlation coefficient using the Lilliefors significance correction. With six hypotheses, finding four of them accepted and two rejected. With very interesting results because financial performance is indistinct whether the manager is a man or a woman.
Control over the training performance of quantum state tomography with reservoir computing networks
Authors: Borisenok Sergey
Published: December 2024

The evaluation of unknown states for a given quantum system is one of the key problems in quantum information processing. The most efficient method of state characterization is quantum state tomography (QST), where the full-density matrices are reconstructed from the experimental measurements or numerical simulations performed on quantum states. The improvement of the computational performance in quantum state tomography and its related problems is a challenging task for modern theoretical physics. The general scheme of computing deals with the input information that goes into a quantum reservoir through a recurrent evolution. After the evolution, the final output is obtained as the linear combination of the readout elements. In our approach, the quantum reservoir is modeled with the Lindbladian equation. The control over performance is made by the coherent coupling parameter between the input quantum state and the reservoir. The control feedback algorithm is represented with the set of Kolesnikov’s target attractor algorithm to drive certain parameters of quantum state tomography, particularly, the outputs for the density matrix. Here we formulate the target attractor feedback in a discrete form to improve the training performance of QST and then develop a basic example of the state tomography for the quantum system of spin 1/2. We conclude by mentioning the basic features of our algorithm and its possible development.
New algorithms for restoring DNA matrix and their statistical study
Authors: Melnikov Boris
Published: December 2024

In the proposed paper, we continue to consider various heuristics for reconstructing distance matrices between DNA sequences; as before, we prefer to consider mitochondrial DNA. In the paper, we apply new heuristics. First, every time we receive a new matrix value, we return to the previously restored elements, select the one that gives the maximum value of badness, and try to improve it based on the newly obtained elements. Secondly, when choosing the final value of an element, we select for the first approximation several values close to the optimal one (in practice, there are up to 10 of them), after which we use correlation analysis to select the closest one. We conducted computational experiments on the mitochondrial DNA of all 32 genera of monkeys. At the same time, we restored not one matrix, but 40 matrices: 10 times obtained for each of 4 different sparsity variants. We average the obtained calculation results in several different ways, in particular, by discarding the two smallest and two largest values, as well as using variants of the risk function. The results obtained indicate that in order to obtain a matrix for all types of monkeys in the future, it is desirable to have about 10–12% of the data: simplifying the situation somewhat, we can say that 7–8% gives less adequate recovery results, and, vice versa, 15% and more do not improve the value of badness (compared to 10%). At the same time, obtaining exactly such a full matrix by the algorithm for calculating DNA distance should take about 20–25 days of computer operation.
Identification of neural mass network parameters using EEG evoked potential data
Authors: Plotnikov Sergei A.
Published: December 2024

This paper describes an adaptive observer designed to estimate the parameters of neural mass networks. Neural mass populations describe the dynamics of cortical networks and are specifically designed to generate spontaneous electroencephalogram and evoked potentials – the brain’s response to an external stimulus. The goal of this work is to adjust the parameters of neural mass models using electroencephalogram recordings from experiments on registering evoked potentials. Both a single neural mass population and the simplest network – two connected neural mass populations – are considered.
NIRsViT: a novel deep learning model for manure identification using near-infrared-spectroscopy and imbalanced data handling
Authors: Hieu Nguyen Van , Hien Ngo Le Huy , Toan Dinh Minh , Binh Phan , Nhat Phan Minh , Anh Phung Thi , Hung Le Viet , Tuong Nguyen Huy
Published: December 2024

The robust and accurate identification of different forms of manure stands as a pivotal imperative within the domain of agriculture. Near-infrared (NIR) Spectroscopy has emerged as an expeditious, efficient, non-destructive, and reliable approach to addressing this challenging task. NIR spectroscopy has the potential to serve as a valuable tool for the classification and identification of manure varieties. In order to enhance fertilizer identification performance, this study proposes a novel model called NIRsViT which classifies fertilizers by employing a combination of deep learning Vision Transformer model on NIR spectral data. The introduced model’s performance outperforms existing deep learning models, with an F1-Score of 86.42% and an accuracy rate of 95.19%. Additionally, the model’s classification performance has been significantly improved by proposed imbalanced data processing approaches, Focal Loss, and Upsample, with an F1-Score up to 93.91%, the improved F1-score proved that imbalanced data was considerably solved. The proposed method is a promising approach to handling imbalanced NIR spectral data and acts as a pioneering benchmark for subsequent models in manure identification through NIR spectroscopy. Future research gears toward improving the NIRsViT model’s temporal efficiency and computational load, while also testing the introduced imbalanced data handling approach for efficiency comparison across various models and larger datasets.
Nightmarish Traits in psychological film
Authors: Ali Mahmoud Asia , El Din Abdul Majeed Jassim Alaa
Published: December 2024

يعد عالم الصورة السينمائية عالماً متكاملاً فنيا ودراميا، اذ تنطلق منه رؤى فنية مبتكرة وفق افرازات الواقع الحاوي على قصص واقعية ذات ابعاد اجتماعية ونفسية التي تتطور بسرعة وتترك بصماتها على واقع الانسان، فتلك الوقائع لها معالجات وفق ثنائية اشتغال الصورة والصوت، وذلك عبر ادواتها الإيجازية والبلاغية مما تعطي بنائية الصورة نصا قابلا للتأويل، فالصورة بممكناتها البنائية والأدائية تتوق للتعبير عن الحكايات النفسية ذات تأثيرات حادة وصعبة، ومعاناة مثيرة ادت الى تمزيق البنى الباطنية الداخلية للشخصية وتترك بصمتها على الواقع فجسدت الصورة السينمائية تلك المثيرات التي قادت في الكشف عن دلالات مضمرة وظاهرة تحاكي الواقع برؤية فنية تعبيرية. ومن هنا تبلورت مشكلة البحث المقدمة في السؤال الاتي : ما هي اليات اشتغال السمات الكابوسية في الافلام النفسية ؟ لتحقيق أقصى فائدة ممكنة عبر استقراء الآراء لتوافق اهداف البحث، وعليه ضم البحث المحاور الاتية: المقدمة وتضمنت مشكلة البحث وأهميته واهدافه وحدوده ومن ثم التعريف بالمصطلحات. اذ تكمن اهمية البحث في كونه يمثل اضافة معرفية لطلبة قسم السينما والتلفزيون في كلية الفنون الجميلة، أما اهداف البحث فقد اقتصرت على الكشف عن اليات اشتغال السمات الكابوسية في الافلام النفسية.اما الاطار النظري فقد تضمن مبحثان، تناول الاول موضوعة الكابوسية في علم النفس. أما المبحث الثاني فقد تناول اشتغال السمات الكابوسية في بنية الفيلم. بعدها خرجت الباحثة بعدد من المؤشرات وهي ما اسفر عنه الإطار النظري.كما احتوى البحث على اجراءات البحث التي اشتملت على المنهج البحث، ومجتمع البحث، واداة البحث، ووحدة التحليل، لاستخدامها في تحليل العينة المتمثلة بفيلم (كتاب الدم)، ليخلص البحث الى مجموعة من النتائج والاستنتاجات كان اهمها قدرة هذا الفيلم على تقديم خطاب قائم على بنى سردية معقدة ترتكز الى احداث ملغزة تثير الخوف والقلق والرعب.اما الاستنتاجات فقد استطاع الفيلم وعبر اشتغال منظوماته الفنية ان يقدم سرد كابوسي ينم عن الخوف والقلق والرعب. بعدها اختتم البحث بقائمة المصادر، وملخص باللغة الانكليزية
Implantação de módulo hidropônico no Colégio Municipal Poeta Castro Alves em Cabaceiras do Paraguaçu, Bahia
Authors: Silva Mairton Gomes da , Gomes Estela Garcia dos Santos , Sacramento Luan Silva , Pereira Glaucia Silva de Jesus , Gheyi Hans Raj , Silva Toshik Iarley da
Published: December 2024

Hidroponia é o cultivo de plantas sem o uso do solo usando soluções nutritivas (água enriquecida com sais nutrientes), necessitando de um menor volume de água em comparação ao cultivo tradicional em solo. Além disso, a hidroponia pode ser implantada em pequenos espaços, como quintais de casa, terrenos improdutivos, escolas, etc. Nesse sentido, a tecnologia hidropônica tem sido abordada como prática pedagógica de ensino nas escolas. O presente trabalho motivou-se pela implantação de um módulo hidropônico como metodologia de ensino para alunos do Colégio Municipal Poeta Castro Alves (CMPCA) em Cabaceiras do Paraguaçu, Bahia. As etapas dessa atividade passam pela concepção, instalação e levantamento dos custos para a idealização do módulo hidropônico. O módulo hidropônico (portátil) foi concebido no Programa de Pós-Graduação em Engenharia Agrícola (PPGEA) da Universidade Federal do Recôncavo da Bahia (UFRB), Cruz das Almas, Bahia. No dia da instalação do módulo no CMPCA, primeiramente houve a apresentação de todos os materiais empregados na concepção do módulo hidropônico para os alunos. Na sequência, houve a montagem do sistema hidropônico. Após a montagem da estrutura hidropônica, preparou-se a solução nutritiva. Por fim, as plantas foram colocadas nos canais de cultivo. Como conclusão, com o sistema hidropônico implantado no CMPCA possibilitará aos alunos e professores uma abordagem sobre as questões ambientais. Adicionalmente, as hortaliças produzidas no sistema hidropônico poderão ser utilizadas na merenda escolar.
Суточные перемещения самцов евразийской рыси на Среднем Сихотэ-Алине
Authors: Серёдкин И.В. , Сутырина С.В. , Микелл Д.Дж.
Published: December 2024

На Среднем Сихотэ-Алине (Дальний Восток России) евразийская рысь (Lynx lynx) находится на востоке своего обширного ареала в Евразии. Методические ограничения в исследованиях обусловили недостаточную изученность пространственной экологии рыси в регионе, знания которой востребованы для управления популяцией. Впервые для Азии и России с использованием метода радиотелеметрии определены характеристики суточных перемещений пяти самцов евразийской рыси, обитавших в 2001–2018 гг. в Сихотэ-Алинском биосферном заповеднике и его окрестностях. Суточные смещения рысей без учета сезона составили в среднем 2.46 км (стандартное отклонение = 2.72 км) при максимальном значении 19.2 км. Отдельно для каждого из самцов средние суточные смещения оценены в 2.15; 1.96; 2.49; 3.66; и 1.94 км. Суточные смещения рысей были достоверно больше в снежный сезон по сравнению с бесснежным (в среднем 2.65 и 2.32 км соответственно). В брачный период (февраль–март) среднее суточное смещение самцов составило 2.95 км, что превосходило данный показатель, рассчитанный для всего остального времени года (2.28 км). Суточное смещение не учитывает извилистость пути животного, поэтому меньше истинного суточного хода. Исследование вносит вклад в изучение пространственной экологии евразийской рыси.

In the Middle Sikhote-Alin (Russian Far East), the Eurasian lynx (Lynx lynx) is found in the east of its extensive area in Eurasia. Methodological limitations in research have led to insufficient knowledge of the spatial ecology of lynx in the region, knowledge of which is in demand in population management. For the first time in Asia and Russia, using the radiotelemetry method, the characteristics of the daily movements of five male Eurasian lynx that lived in the Sikhote-Alin Biosphere Reserve and its environs from 2001 to 2018 were determined. Daily displacements of lynxes without taking into account the season averaged 2.46 km (SD = 2.72 km) with a maximum value of 19.25 km. Separately for each of the males, the average daily displacements were estimated at 2.15, 1.96, 2.49, 3.66 and 1.94 km. The daily displacements of lynxes were significantly greater in the snowy season compared to the snowless season (on average 2.65 and 2.32 km, respectively). During the mating season (February-March), the average daily displacement of males was 2.95 km and exceeded this figure calculated for the rest of the year (2.28 km). The daily displacement does not take into account the tortuosity of the animal’s path, and is therefore less than the true daily movement. The study contributes to the understanding of the spatial ecology of the Eurasian lynx.
Reka Cipta Brand UI/UX Program Studi Desain Komunikasi Visual menggunakan Metode Design Thinking
Authors: Hasbullah Hasbullah , Anas Andi Sofyan , Rahman Deni
Published: December 2024

The Visual Communication Design Study Program at Universitas Bumigora currently utilizes various digital platforms such as the website, Instagram, YouTube, and Facebook. However, branding across these platforms shows inconsistencies and insufficient interactivity between users and the system. This research aims to design a cohesive UI/UX solution for the Visual Communication Design Study Program by applying a design thinking approach, which includes stages of empathy, definition, ideation, prototyping, and testing. The study is grounded in interaction aesthetics theory, used to identify user needs and develop innovative, responsive design solutions. The results indicate that the new UI/UX design significantly improves user satisfaction and visual communication effectiveness. The resulting interface concept is more intuitive, with additional interactive features that support a more integrated user experience and more accurately reflect the institution's identity. This study makes a significant contribution to user-centered design approaches in academic environments and offers a model that can be applied to branding development in other educational institutions. The novelty of this research lies in the deep integration of UI/UX design principles within a specific academic context, providing more effective and representative solutions for institutional branding needs.
Comprehensive Study on Thermal Variability of 50/70 Bitumen: An Examination of Fatigue Testing Outcomes
Authors:   Department of Technology / University of N’Djamena, Chad., Mahamat Dr. ANNOUAR DJIDDA , Hamid OUMAR IDRISS ,   Department of Technology / University of N’Djamena, Chad., Bienvenu KENMEUGNE ,   Department of Industrial and Mechanical Engineering University of Yaoundé I, Yaoundé, Cameroon.
Published: December 2024

The primary methodology for this research involves conducting a series of fatigue tests on 50/70 bitumen to assess its behaviour under varying thermal conditions. The tests will be carried out using a Dynamic Shear Rheometer (DSR), a widely used apparatus in bitumen testing. The DSR allows for measuring bitumen's rheological properties, such as viscosity and elasticity, under controlled temperature and stress conditions. The 50/70 bitumen samples will be carefully prepared according to standard testing procedures to ensure uniformity. The bitumen will be heated to a specified temperature for testing, and samples will be taken at different thermal conditions to simulate varying environmental scenarios. The bitumen samples will be placed in the DSR and subjected to cyclic loading to simulate the stresses experienced in real-world road conditions. The tests will be conducted at a range of temperatures, typically from low temperatures (to simulate cold weather) to high temperatures (to simulate hot weather). This will allow for the study of the temperature-dependent behaviour of bitumen. The DSR will measure the *complex shear modulus (G)**, which provides information on the stiffness of the material, and the phase angle (δ), which reflects the material’s ability to recover after deformation. These parameters are crucial for assessing the fatigue resistance of bitumen. The fatigue behaviour of the bitumen will be evaluated under repeated loading conditions. The dynamic shear rheometer will apply cyclical stress to the bitumen samples and measure the resulting strain. The number of cycles to failure, defined by a significant decrease in stiffness or an increase in phase angle, will be recorded. The focus will be on understanding how the fatigue resistance of the bitumen is affected by temperature fluctuations. By subjecting the bitumen to these varying conditions, it will be possible to determine at which. Temperatures the material exhibits optimal durability or fails prematurely.
Robust Image Forgery Detection and Localization Framework using Vision Transformers (ViTs)
Authors:   Department of ECE, Bhagwant University, Ajmer (Rajasthan), India., Enumula Mahesh , Dr. M. Giri  ,   Department of CSE, Siddharth Institute of Engineering and Technology, Puttur (Karnataka), India., Dr. V. K. Sharma  ,   Department of ECE, Bhagwant University, Ajmer (Rajasthan), India.
Published: December 2024

Image forgery detection has become increasingly critical with the proliferation of image editing tools capable of generating realistic forgeries. Traditional deep learning approaches, such as convolutional neural networks (CNNs), often struggle with capturing global dependencies and subtle inconsistencies across larger image contexts. To address these challenges, this paper proposes a novel Vision Transformer(ViT)- based framework for robust image forgery detection and localization. Leveraging the self-attention mechanism of transformers, our approach effectively models long-range dependencies and detects even subtle tampered regions with high precision. The proposed framework processes images as patch embeddings, extracting both local and global features, and outputs a detailed forgery map for accurate localization. We evaluate our method on multiple benchmark datasets containing diverse forgery types, including splicing, cloning, and inpainting. Experimental results demonstrate that the Vit based model outperforms state-of-the-art CNN and GAN-based methods, achieving superior accuracy, precision, and recall. Additionally, qualitative analyses highlight its capability to localize forgeries in complex scenarios. The results underscore the potential of Vision Transformers as a powerful tool for advancing the field of image forgery detection.
Financial management skills as enabling factor in project performance of small business in the construction industry in Gauteng Province: theoretical and practical implications
Authors: Mahohoma Tinaye
Published: December 2024

The study significantly enhances the current literature by highlighting the importance of financial management skills in the success of MSMEs, especially in the context of small construction firms functioning under unstable and uncertain economic conditions. It offers insights on how effective financial management can alleviate the negative impacts of economic uncertainty, including variable interest rates and regulatory modifications, which were intensified by the COVID-19 pandemic. This study concentrates on BCO Construction in Johannesburg, examining the distinct financial issues encountered by small construction firms and the potential solutions through improved financial management strategies. The research delineates numerous vital financial management competencies needed for project accomplishment. This encompasses the capacity to manage liquidity efficiently, sustain profitability, and utilize financial instruments such as Net Present Value (NPV) and Earned Value (EV) management. It emphasizes the significance of abilities in managing financial leverage, which can facilitate the attainment of project objectives within budgetary and temporal limitations. The findings indicate that the absence of trained financial personnel, ineffective payment systems, and liquidity issues are substantial obstacles for BCO Construction. Consequently, it is advisable to tackle these difficulties through specialized financial literacy and management training to enhance overall project performance. The study employs a quantitative methodology, including standardized questionnaires administered to eighty (80) participants to gather data regarding the problems and competencies required for financial management in building projects. The analysis conducted with SPSS version 29 indicates that enhancing communication channels, integrating strategic financial planning, and implementing thorough training programs are essential for aligning financial objectives with overarching corporate goals. This alignment is essential for optimizing resource allocation, guaranteeing financial stability, and improving competitiveness in the construction sector.
PREVALENCE OF ORAL DISEASES AND ASSOCIATED FACTORS AMONG PLHIV AVAILING ANTI-RETROVIRAL THERAPY FROM A TERTIARY CARE HOSPITAL, MEERUT, UTTAR PRADESH: A CROSS-SECTIONALANALYTICAL STUDY.
Authors: Jaiswal Richa , Kumar Sanjeev , Bano Tanveer , Jain Seema , Singh Ganesh , Gautam Sandhya
Published: December 2024

Background And Objectives: Oral diseases are among the earliest and most important indicators of infection with human immunodeficiency
virus (HIV). The presence of oral diseases has a significant impact on the physical and mental health of the PLHIV. Hence, a novel attempt is made
to assess the prevalence of various types of oral diseases and its associated factors among adult people living with human immunodeficiency virus
(PLHIV) undergoing antiretroviral therapy. Methodology:In this facility-based cross-sectional study, a total of 300 eligible PLHIV were assessed
between January to December 2023. All consecutive eligible patients encountered during the data collection period were included. Oral
examination was carried out using disposable mouth mirrors, a sterile piece of cotton, and a bright illuminated torch. Results: The prevalence of
oral disease was found to be 22.3% and Significant associated factors was the age, mode of transmission, Education, socio-economic status,CD4
count and treatment adherence. Conclusion And Recommendations: The study revealed approximately one-fourth of the study participants had
oral lesions. Strategies for early detection and prompt treatment of oral lesions need to be planned and incorporated in the program to reduce the
morbidity due to oral lesions.
FUNCTIONAL OUTCOME OF OPEN REDUCTION AND INTERNAL FIXATION OF POSTEROMEDIAL TIBIAL PLATEAU VIA POSTERIOR APPROACHES IN A TERTIARY CARE CENTRE.
Authors: Singh Jasjeet , Gopalakrishna Sandesh Manohar , Pilar Anoop , Francis Joseph , Monish N , Carol Inbarasan Vivian
Published: December 2024

Introduction: Tibia plateau fractures are complex knee injuries and have been classified by Schatzker's. The objective of treatment remains
anatomical reduction, and limb alignment with stable fixation.This article is used in posteromedial tibial plateau fractures to evaluate the functional
and radiological outcome using posteromedial approach in prone position. Methodology: A quasi-prospective review of 22 patients with posteromedial proximal tibia condyle fractures from June 2021 to December 2022 and were followed up for 1 year. Variables assessed included patient
age, type of fracture according to Schatzker's classification, functional and radiological outcome according to Rassmussen's scoring system.
Results: 6 patients out of 22 patients with type IV fracture had a mean radiological score of 18 points while 9 patients with type V fracture had 14
points. 11(91.47%) of them had excellent score and 1 of them (8.3%) had good score, out of 12 patients with Schatzker type IV fracture. 3 of them
(50.0%) had excellent score while the other 3(55.6%) had good scores, Out of 6 patients with Schatzker fracture type V. Of the 4 patients with type
VI fracture, 1(25%) had excellent score and 3(75%) had a good score. The posteromedial approach in p Conclusion: rone position (Lobenhoffer
approach and Burks and Schaffer approach) is considered a safe and efficient approach. The approach allows anatomical reduction of the
posteromedial fragment using the posterior buttressing plate while protecting the neurovascular bundle.
EXTRASKELETAL EWING'S SARCOMA OF AXILLA : A CLINICAL CASE REPORT
Authors: Nageshwari. S Lalitha , D Ashalatha. , G. V Ajay
Published: December 2024

External beam radiotherapy (EBRT) has shown remarkable efficacy in management of Ewing's sarcoma, particularly in recurrent cases, paving the
way for a new horizon in management. Advances in radiotherapy have introduced several novel techniques, making complete remission an
achievable goal. Extraskeletal Ewing sarcoma is a rare and aggressive tumor with a very poor prognosis and high mortality rate, especially when
metastatic. It is non-specific in terms of anatomical origin and lacks classical signs and symptoms, which leads to delayed diagnosis and often
results in an advanced stage of the disease at the time of detection. A multidisciplinary oncological team consensus is essential for effective
management. We report a case of a 36-year-old female patient with recurrent extra skeletal Ewing's sarcoma of the right axilla. To date, fewer than
ten cases of recurrent axillary extra skeletal Ewing's sarcoma have been reported in the literature.
COMPLEX DISTAL FEMUR FRACTURE FIXED WITH NAIL/PLATE COMBINATION – A SERIES OF 20 CASES
Authors: Chandak Vivek , Agrawal Amit
Published: December 2024

Comminuted distal femur fractures are complex and challenging injuries to treat. Various treatment modality have been used for treating such
fractures. Largely a single implant constructs are faced with various complications including Varus collapse, Knee stiffness, delayed weight
bearing and non-union. Lately, double implant construct Nail/plate, dual plate construct has shown advantage with respect to above mentioned
complications. Moreover, Combined nail with plate fixation has advantages over single lateral plate as patients were allowed full weight bearing
post operatively with early union rate and early discharge from hospital. In this review, we present our findings for double fixation construct of
distal femur fractures using retrograde intramedullary nail and locking lateral distal femur plate.
TO ESTIMATE THE INCIDENCE OF SMALL INTESTINAL BACTERIAL OVERGROWTH IN PATIENTS WITH LONG TERM PROTON PUMP INHIBITOR USE IN TERTIARY CARE HOSPITAL IN SOUTH INDIA USING HYDROGEN BREATH TEST
Authors: Agera Stefan , Kini P. Ratnakar , Premkumar K. , Muthukumaran R. , Murali R. , Shanthiselvi A. , Patel Jimmykumar
Published: December 2024

AIM: To estimate the incidence of small intestinal bacterial overgrowth in patients with long term proton pump inhibitor use in tertiary care
hospital in south India using Hydrogen Breath test. Materials And Methods:Aprospective observational study with 302 patients with a history of
PPI intake for long term was conducted for 1 year. The relation between clinical history and complaints, laboratory reports and endoscopy with the
incidence of SIBO were evaluated. Results: 34 of 304 patients on long term PPI were positive for SIBO (11.25%). Patients with complaints of
heartburn, dysphagia and diarrhoea as well as patients with Diabetes mellitus and impaired sugars had a statistically significantly higher risk for
SIBO. Conclusion: There is a significant risk of SIBO on long term use of PPI. Patients with Diabetes and higher blood sugar levels are especially
susceptible to SIBO. Patients should be educated and sensitized to the side effects of PPI and encouraged to use them judiciously
TO DETERMINE THE INCIDENCE OF POST-OPERATIVE SUPERFICIAL SURGICAL SITE INFECTIONS,THEIR BACTERIOLOGICAL PROFILE AND ANTIBIOTIC SENSITIVITY IN A TERTIARY CARE CENTRE.
Authors: Sharma Poornima , Bijalwan Anurag , Kaur Ramneet
Published: December 2024

Surgical site infection (SSI) are important cause of morbidity in surgical patients. Therefore, early identification and appropriate antibiotic use are
beneficial and helps reduce emergence of multidrug resistance organisms in hospital. After surgery, the patients were monitored for any signs of
SSI till discharge and were followed for 30 days after surgery. Any discharge from the surgical site was collected and immediately transported to the
Microbiology laboratory for culture & sensitivity profiling. In our study, out of 405 cases who underwent abdominal surgeries, 80 patients
developed SSI. Escherichia Coli was most commonly isolated bacteria (32) followed by Staphylococcus Aureus (14). Most of the gram negative
bacteria were sensitive to Amikacin and Gentamycin and most of the gram positive bacteria were sensitive to Linezolid and Clindamycin.
Precipitating factors for SSIs included various factors like drains, history of alcohol intake, smoking and steroid intake. Other assosiated factors
were Diabetes, Hypertension, CKD, COPD, Malignancy and asthma. Incidence of surgical site infections highlights the need of consideration of
three main factors (host , surgical and microbiological) before any surgery. Modifiable host factors needs to be tackled preoperatively and early
identification of SSI and judicious use of antibiotics can lead to decreased incidence and less morbidity to patients.
PROGRAMMED DEATH LIGAND-1 AND MUT L HOMOLOG-1 EXPRESSION IN COLORECTAL CANCER AND ITS CORRELATION WITH CLINICOPATHOLOGICAL PARAMETERS
Authors: Mary A Queen , Suresh T. N. , P N Sreeramulu
Published: December 2024

Introduction: Colorectal cancer is a leading cause of death globally. Identifying PD-L1 expression in skin and colon tumors and developing
targeted drugs have significantly improved patient outcomes. PD-L1 is crucial in immune checkpoint pathways, impacting therapy responses,
while MLH-1 deficiency results in microsatellite instability, influencing tumor behaviour. Correlating these markers with clinicopathological
parameters can guide targeted treatments and enhance patient outcomes We aimed to investigate the im Aim Of The Study: munohistochemical
expression of PD-L1 and MLH-1 in colorectal carcinomas as well as to correlate with the clinicopathological parameters of colorectal carcinoma in
our tertiary care hospital. Materials And Methods: This study, conducted from July 2022 to May 2024, included 76 CRC patients' surgical
specimens. Patients' demographic and clinical details were gathered. Specimens underwent detailed HPE, and TILs were graded into three groups
using ITWG Methodology. PD-L1 expression on tumor cells was evaluated with a three-tiered membrane stain system. For MLH1 scoring, at least
five high-power fields were evaluated, and the tumor cell staining rate was calculated, categorized, and graded. Scores of 1 and 2 indicated positive
PDL1 and MLH1 expression. Statistical analyses revealed a p-value of less than 0.05 as significant. A Results: mong 76 patients, 38.2% were aged
60-69. Left-side laterality was observed in 75%. Moderate differentiated adenocarcinoma appeared in 51.3%, with 53% at T3 stage. Stage II was
most common (28%) in TNM staging. Low TILs were found in 52.6%. TSR showed ≤50% involvement in 61.8%. PDL1 expression was seen in
20.3%, and MLH1 in 44.8%. Both PDL1, MLH1 positivity and TSR were significantly associated with TILs. MLH1 was also significantly linked
with TNM staging, mainly stage I & II. PDL1 and MLH1 expression are significantly associated with TIL Conclusion: s. Studying these along with
routine HPE aids colorectal carcinoma management and influences patient prognosis, mainly reducing mortality
EFFECTIVENESS OF PROLOTHERAPY IN THE MANAGEMENT OF CHRONIC LATERAL EPICONDYLITIS: A CLINICAL STUDY
Authors: Jolly Angad , Arora Gaurav , Sheoran Mohit , Patel Joy Hasmukhbhai , Sanduja Kashish , Parvir Kuru , Kantroo Anshu Anand
Published: December 2024

Prolotherapy, short for proliferation therapy, is a treatment based on injecting hypertonic solution (commonly dextrose) into regions of chronic
inflammation. Multiple studies have proven it to be useful in the treatment of various orthopaedic conditions including osteoarthritis of knee joint,
lateral epicondylitis and medial epicondylitis of elbow and plantar fasciitis. This study was conducted to assess the outcome of this therapy in the
management of chronic lateral epicondylitis. 30 patients who were diagnosed with chronic lateral epicondylitis were included into the study and
were given weekly injections of 25% dextrose for 6 weeks. They were followed up monthly and the results were assessed at 30 weeks using Likert
pain scale and grip strength. The results showed a significant improvement in the Likert pain scale as well as grip strength in the patients. Likert
score reduced on an average by 5.1 points, grip strength improved by an average of 6.4 kg. We concluded that prolotherapy is an effective treatment
option with minimal adverse effects for the management of chronic lateral epicondylitis.
EFFECT OF CONSISTENT VERSUS VARIED SYMBOL LOCATIONS ON THE IDENTIFICATION SKILLS IN CHILDREN WITH CEREBRAL PALSY
Authors: Thahani KV Irfana , Varghese Reuben Thomas
Published: December 2024

Children with Cerebral Palsy have trouble dividing attention and ignoring distractions, thus making visual search more challenging for them.
Hence, changing the spatial configuration of AAC devices improves their ability to search for symbols and reduces distractions. However, it was
noticed the effect of consistent and symbol locations were studied mainly in normal populations and were not explored in populations with
communication disorders. Twenty children with CP in the age range of 5-12 were selected as participants. The participants were divided into two
groups, which 10 participants in each group. Group I was trained on consistent symbol location and Group II on varied symbol location. There were
five sessions given to each group, with five trials given in each session. The outcome measures used were response time and accuracy for correctly
identifying target picture symbols. The results indicated a statistically significant difference in response time and accuracy between both groups.
Further consistent symbol location group had better accuracy and faster response time in comparison with varied symbol location. The findings of
the study revealed that consistent symbol location aids in the motor learning process and thus it will be much easier for the participant to identify the
symbols with lesser cognitive and attentional demands. The study can be replicated with more number of samples and with different clinical
populations.
EXPLORING PROBIOTIC POTENTIAL, ANTI-OXIDANT AND ANTIDIABETIC PROPERTIES OF LACTIPLANTIBACILLUS PLANTARUM IN VITRO.
Authors: Sreelakshmi Kunjikulangara , Ramasubramanian Venkatachalam
Published: December 2024

Diabetes is a chronic metabolic condition marked by sustained hyperglycemia resulting from impaired insulin action. This study sought to assess
the hypoglycemic and antioxidant characteristics of lactic acid bacteria (LAB) strain and investigate their probiotic potential, antioxidant efficacy,
and antidiabetic effects. The hypoglycemic activity of the isolate was evaluated by examining their inhibitory effects on four particular enzymes: αglucosidase, α-amylase, lipase, and urease. The antioxidant activity was evaluated using four assays: DPPH, ABTS, superoxide dismutase (SOD),
and reducing power assays. Lactiplantibacillus plantarum exhibited significant suppression of α-glucosidase (>75%) and α-amylase (>85%). Its
antioxidant and radical scavenging properties were analogous to those of ascorbic acid at a concentration of 50 μg/mL. The capacity of the
Lactiplantibacillus plantarum strain to their resistance to bile salts and acidic environments were used to evaluate the probiotic potential. Research
indicates that the strain, possessing hypoglycemic, antioxidant, and probiotic properties, may benefit diabetes prevention
COMPARATIVE STUDY OF QUALITY OF LIFE AND FAMILY BURDEN IN SPOUSES OF PATIENTS WITH ALCOHOLAND OPIOID DEPENDENCE
Authors: Bhatia Pooja , Kumar Prashant
Published: December 2024

Background: Substance dependence significantly harms individuals and their families, with spouses often bearing the brunt of this burden
through increased stress and health risks. This study aims to evaluate and compare the quality of life and family burden experienced by spouses of
individuals with alcohol and opioid dependence. Methods: This cross-sectional study compared the quality of life and family burden among
spouses of 50 male patients with alcohol use disorder (aged ≥ 21 years) and 50 with opioid use disorder (aged ≥ 21 years), using WHO QOL-BREF
and Burden Assessment Schedule. Results: The quality of life differences between spouses of patients with alcohol and opioid dependence were
not statistically significant, with a moderate burden found in 8% and 12%, and severe burden in 92% and 88%, respectively Conclusion:
Addressing the challenges faced by spouses of individuals with substance dependence can reduce burden, improve coping, enhance marital
dynamics, and improve overall quality of life.
A CROSS-SECTIONAL STUDY OF EAR, NOSE AND THROAT MANIFESTATIONS IN POST-COVID – 19 PATIENTS IN A TERTIARY CARE HOSPITAL.
Authors: S. Chavan Shrinivas , Gund Tapasaya , H. Kedari Ajinkya , Dilip Birhade Devendra , Kumar Singh Naveen
Published: December 2024

Introduction: COVID-19, caused by SARS-CoV-2, has emerged as a global health crisis with diverse clinical presentations, including significant
Ear, Nose, and Throat (ENT) manifestations. Understanding these post-infection symptoms is crucial for comprehensive patient care and
management. Methodology: This study enrolled 250 post-COVID-19 patients from a tertiary care hospital to investigate ENT symptoms
following recovery from COVID-19. Data collection included patient histories, symptom onset timelines, and detailed ENT examinations.
Statistical analysis was performed to determine symptom prevalence and associations with demographic factors. Results: Of the patients studied,
71% reported ENT symptoms within 10 days of COVID-19 diagnosis, highlighting rapid onset post-infection complications. Nose-related
predominant symptoms were hyposmia/anosmia (47%), and nasal blockage (44%). Other prevalent symptoms were headache (32%) and loss of
taste sensation (38%). Dental manifestations such as dental pain or loosening of teeth were noted in 53% of cases. Facial symptoms, including pain
(59%), swelling (51%) and proptosis (38%), were also significant. Ear-related complaints were less common, reported in 5% of patients.
Conclusion: This research underscores the diverse and often severe ENT sequelae that follow COVID-19 infection, underscoring the need for
continued monitoring and tailored management strategies. The findings suggest a complex interplay of viral pathophysiology affecting multiple
ENT systems post-recovery. Further studies are warranted to elucidate underlying mechanisms and optimize treatment protocols for long-term
ENTcomplications in post-COVID-19 patients, ensuring comprehensive and effective healthcare delivery.
ENDOSCOPIC ESOPHAGEAL STENT A NON – SURGICAL TREATMENT OPTION FOR ACUTE ESOPHAGEAL PERFORATION
Authors: Babu V Kiran , Mathew Praveen , Y Kanni Prashant , Naidu D Chandra Babu , Naidu B Sidhartha
Published: December 2024

Esophageal perforation is potentially life-threatening condition which carries high morbidity and mortality if it is not treated aggressively. Early
identification of clinical symptoms and imaging plays an important role in the management of the perforations. There are three approaches for the
treatment of esophageal perforation that are: conservative, endotherapy, and surgery. With the advent of the fully covered metallic stents there is
paradigm shift from surgery to conservative treatment with the esophageal stents. With conservative or endotherapy, simultaneous drainage of any
mediastinal or pleural collection of fluid or pus should be carried out and patients are put on intravenous antibiotics. Here we are presenting 4 cases
of benign esophageal perforations and how they are successfully managed conservatively
TRANSPERITONEAL LAPAROSCOPIC CORRECTION OF RETROCAVAL URETER / PRE URETERAL VENA CAVA: OUR EXPERIENCE
Authors: Gupta Akash Kumar , Sharma Pramod Kumar , Mandal Soumendranath , Bhunia Anirban , Santra Subhasish , Maity Sagnik
Published: December 2024

Background: Retrocaval ureter is a rare congenital abnormality. Laparoscopic procedures have been employed as the minimally invasive
therapeutic option for retrocaval ureter. Laparoscopic techniques for retrocaval ureter might be technically challenging but preferred by some
surgeons. The aim of this article was to present our experience and surgical techniques of transperitoneal laparoscopic pyelopyelostomy and
ureteroureterostomy in seven patients with retrocaval ureter. A total of seven patients of retroca Methods: val ureter underwent laparoscopic
pyelopyelostomy or ureteroureterostomy. The operation was performed with the patients placed in the left lateral decubitus position via a three port
transperitoneal approach with two 10-mm and one 5-mm ports. The distal part of the dilated renal pelvis was transected at the ureteropelvic
junction, and the ureter was relocated anterior to the inferior vena cava. The tension-free pyeloureteral or ureteroureteral anastomosis was
completed with the intracorporal knot-tying techniques in continuous fashion. A double J ureteral stent was inserted in an antegrade manner during
laparoscopy. ultrasonography was performed after 3 months postoperatively. All operations were compl Results: eted laparoscopically except for
one case where open conversion was required due to intra op bleeding. The mean operative time was 125 minutes (range, 70–250 minutes), with
minimal blood loss (less than 60 ml). No intra-operative complications or significant bleeding occurred. Every patient had a speedy recovery from
surgery and minor postoperative pain. Following surgery, the symptoms resolved and the hydronephrosis significantly diminished. Conclusions:
For retrocaval ureter repair, transperitoneal laparoscopic surgery was linked to a short hospital stay, minimum invasiveness, and excellent results.
For the treatment of retrocaval ureters, it is both technically possible and trustworthy. The standard treatment for retrocaval ureters may involve
robotic surgery but in resource poor country laparoscopic surgery should be considered standard treatment.