bluuebunny/crossref_metadata_2025 huggingface dataset:
Reservoir Computing with Emergent Dynamics in a Magnetic Metamaterial
Authors: Vidamour Ian , Swindells Charles , Venkat Guru , Manneschi Luca , Fry Paul , Welbourne Alexander , Rowan-Robinson Richard , Backes Dirk , Maccherozzi Francesco , Dhesi Sarnjeet , Vasilaki Eleni , Allwood Dan , Hayward Thomas
Published: October 2022

In Materio reservoir computing (RC) leverages the response of physical systems to perform computation. Dynamic systems with emergent behaviours (where local interactions lead to complex global behaviours) are especially promising for RC, as computational capability is determined by the complexity of the transformation provided. However, it is often difficult to extract these complex behaviours via device tractable measurements that can be interfaced with standard electronics. In this paper, we measure the emergent response of interconnected magnetic nanoring arrays using simple electric transport measurements, observing distinct computationally promising dynamic behaviours in device response. Then, we employ three distinct reservoir architectures that exploit each of the behaviours to perform benchmark tasks with contrasting computational requirements on a single device with state-of-the-art accuracies for spintronic computing platforms.
A Prototype-Based Neural Network for Image Anomaly Detection and Localization
Authors: Huang Chao , Kang Zhao , Wu Hong
Published: October 2022

Image anomaly detection and localization perform not only imagelevel anomaly classification but also locate pixel-level anomaly regions. Recently, it has received much research attention due to its wide application in various fields. This paper proposes ProtoAD, a prototypebased neural network for image anomaly detection and localization. First, the patch features of normal images are extracted by a deep network pre-trained on nature images. Then, the prototypes of the normal patch features are learned by non-parametric clustering. Finally, we construct an image anomaly localization network (ProtoAD) by appending the feature extraction network with the L2 feature normalization, a 1 × 1 convolutional layer, a channel max-pooling, and a subtraction operation. We use the prototypes as the kernels of the 1 × 1 convolutional layer; therefore, our neural network does not need a training phase and can conduct anomaly detection and localization in an end-to-end manner. Extensive experiments on the MVTec AD dataset demonstrate that ProtoAD achieves competitive performance compared to the state-of-the-art methods with a higher inference speed. The source code will be released on GitHub.
Prognostic value of WT-1 gene combined with recurrent cytogenetic gene in acute myeloid leukemia
Authors: Zhang Qing , Liu Linlin , Yan Haotian , Ren Xiyang , Zhou Mei , Xiong Shudao , Wang Huiping , Tao Qianshan , Zhai Zhimin
Published: October 2022

Background: Wilms tumor gene 1 (WT-1 gene) is overexpressed in most patients with acute myeloid leukemia (AML) and provides the evidence for an indicator of minimal residual disease (MRD) monitoring, but further studies of the combined prognostic value of WT-1 gene are needed to be illustrated due to its relatively low specificity. The aim of the study is to explore the prognostic value of WT-1 gene combined with recurrent cytogenetic gene in AML.
Methods: We dynamically examined the transcript expression of WT-1 gene in the bone marrow samples of adult patients with AML, and then validated the prognostic value of WT-1 gene with or without recurrent cytogenetic gene.
Results: In AML, the transcript expression of WT-1 gene was closely related to leukemic tumor burden and could act as an accurate indicator of molecular MRD detection. Most patients with low level expression of WT-1 gene after induction and consolidation therapy were significantly associated with favorable relapse free survival (RFS) and overall survival (OS), but there were still 16.7% patients were relapsed and died of primary disease. However, when analyzing of WT-1 gene combined with recurrent cytogenetic gene, none of the patients with low level expression of WT-1 gene and negative of recurrent cytogenetic gene were relapsed and died in the median follow-up time of 19 months (range: 3-94months).
Conclusion: WT-1 gene combined with recurrent cytogenetic gene is a more accurate indicator of MRD monitoring and prognosis evaluation in AML.
Carbon and aeration modulate the flux of reductive pathways in nitrite metabolism by shaping the structure of the functional microbiota in agricultural upland soil
Authors: Wu Xiaogang , Yu Siyu , Sui Weikang , Zhang Xinyu , Li Ji , Wu Qiaoyu , Zhang Xiaojun
Published: October 2022

Background
Denitrification (DNF) and dissimilatory nitrate reduction to ammonium (DNRA) share the common intermediate nitrite during nitrogen anaerobic reduction metabolism. Compared with DNF, which incurs nitrogen loss through gas emission and leaching, DNRA is more economical and environmentally friendly due to the conservation of nitrogen in the form of ammonium. However, the competition mechanism between DNF and DNRA is currently unclear.
Results
Incubations with agricultural soil from the North China Plain (NCP) were conducted under different aeration conditions with the addition of nitrite and different doses of glucose. By measuring the activity of DNF and DNRA, we found that DNF exclusively dominated nitrate reduction when NCP soil was directly anaerobically incubated regardless of the carbon content. However, a significant increase in DNRA activity and attenuation of that of DNF was detected by 15N stable isotopic measurement when the soil samples were incubated aerobically with the addition of glucose prior to anaerobic incubation; specifically, as much as 24 ~ 56% DNF activity was attenuated, and most of that part of nitrite was reduced by DNRA activity under high carbon conditions. Quantitative assays of the nrfA gene and metagenomics data showed a significant increase in DNRA reaction-encoding genes after aerobic incubation. Furthermore, the nrfA sequence analysis showed a significant shift in the composition of DNRA members during aerobic preincubation with an increased relative abundance of specific phylotypes. Hence, environmental changes, especially oxygen and carbon availability, resulted in changes in nitrogen reduction metabolism.
Conclusions
Results from this study indicated that DNRA could be promoted by regulating abiotic factors, such as aeration and the carbon content, to modulate the competition of two metabolic pathways of nitrate/nitrite reduction in agricultural soil, which could be achieved by shifting the abundance of functional facultative anaerobes.
A Numerical Analysis on MHD Hybrid Nanofluid flow and Heat transfer over a Permeable Stretching Sheet under the Influence of Thermal Radiation
Authors: Rao Shiva , Deka P. N.
Published: October 2022

The current investigation considers the two-dimensional time independent MHD flow and heat transfer of a water-based hybrid nanofluid induced by a stretching sheet of porous medium with first order boundary slip conditions. The Effects of thermal radiation, viscous dissipation, and Joule heating are taken into consideration. For investigation hybrid nanoparticles of silver (𝐴𝑔) and alumina (𝐴𝑙2𝑂3) are considered along with water (𝐻2𝑂) as base fluid. Following a suitable similarity transformation, the governing equations are reconstructed as a set of non-linear ordinary differential equations. We have employed the Keller-box numerical technique to solve the equations. The influence of different parameters on the velocity profile and temperature profile are illustrated graphically, whereas its impact on skin-friction coefficient and local Nusselt number are tabulated. From this study, we have concluded that the increase in radiation and magnetic parameter increases the thermal boundary layer thickness. Further it is observed that the speed of the hybrid nanofluid can be controlled by applying magnetic field, porous media and enhancing the volume fraction of the nanoparticles. It is found that the use of hybrid nanofluid (𝐴𝑔−𝐴𝑙2𝑂3/𝑤𝑎𝑡𝑒𝑟) shows better results than the nanofluids with single nanoparticles (𝐴𝑔/𝑤𝑎𝑡𝑒𝑟). The current article shows an excellent comparison with previously published works.
Corneal endothelial cell loss after EX-PRESS surgery depends on site of insertion, cornea or trabecular meshwork
Authors: Otsuka Mitusya , Tojo Naoki , Hayashi Atsushi
Published: October 2022

Purpose
Previously, we reported that the Ex-press® shunt (EXP) was associated with more rapid reduction of corneal endothelial cells when inserted into the cornea rather than the trabecular meshwork (TM). We compared the reduction rate of corneal endothelial cells between the corneal insertion group and TM insertion group.
Methods
This was a retrospective study. We included patients who had undergone EXP surgery and were followed for > 5 years. We analyzed the corneal endothelial cell density (ECD) before and after EXP implantation.
Results
We included 25 patients in the corneal insertion group and 53 patients in the TM insertion group. One patient in the corneal insertion group developed bullous keratopathy. The ECD decreased significantly more rapidly in the corneal insertion group (p < 0.0001), in whom the mean ECD decreased from 2227 ± 443 to 1415 ± 573 cells/mm2 at 5 years with a mean 5-year survival rate of 64.9 ± 21.9%. By contrast, in the TM insertion group, the mean ECD decreased from 2356 ± 364 to 2124 ± 579 cells/mm2 at 5 years, and the mean 5-year survival rate was 89.3 ± 18.0%. The decrease rate of ECD was calculated as 8.3%/year in the corneal insertion group and 2.2%/year in the TM insertion group.
Conclusions
Insertion into cornea is a risk factor for rapid ECD loss. The EXP should be inserted into the TM to preserve the corneal endothelial cells.
Sunspot Extraction and Hemispheric Statistics of YNAO Sunspot Drawings Using Deep Learning
Authors: Yang Zhaoshuai , Yang Yunfei , Feng Song , Dai Wei , Liang Bo , Xiong Jianping
Published: October 2022

The sunspot drawings around the globe provide long historical records for understanding the long-term trends in solar activity cycle. Yunnan Astronomical Observatory (YNAO) in China contributes the relatively continuous sunspot drawings from 1957 to 2015. This paper proposes a new deep learning method named as SPR-Mask to extract pores, spots, umbrae and penumbrae in the YNAO sunspot drawings. SPRMask consists of three parts: backbone, shared head and mask branch. Especially, it adopts a scale-aware attention network (SAAN) and a PointRend module in the mask branch to improve the accuracy of target edge segmentation. Besides that, each sunspot belonging to northern or southern (N-S) hemisphere is determined by transforming its cartesian coordinates to spherical coordinates after extracting P, B0 and L0 handwritten in sunspot drawings using a revised Lenet-5 deep learning method. The precision, recall and AP of SPR-Mask are 0.92, 0.93, and 0.92, respectively. The test results show the SPR-Mask method has a good performance. The numbers and areas of pores, spots, umbrae and penumbrae for N-S hemisphere are presented and analyzed separately. The YNAO data are also compared with Royal Greenwich Observatory (RGO), Kanzelh¨ohe Observatory (KSO) and Purple Mountain Astronomical Observatory (PMO) data. The results show they have similar trends, high correlations and similar N-S asymmetries. All data of YNAO are public shared at https://github.com/yzs64/YNAO sd/, which are abundant complementary to the other sunspot catalogues in the world.
The Impact of Agricultural Credit on the Cattle Inventory and Deforestation in Colombia: A Spatial Analysis
Authors: Mejía Daniela , Díaz Manuel , Enciso Karen , Bravo Aura , Florez Fernando , Burkart Stefan
Published: October 2022

The relationship between agricultural credit and agricultural production as well as the impacts on sustainable development (i.e., poverty alleviation, reduction of inequalities, food and nutrition security, and stimulation of economic growth) have been widely documented. The objective of this study is to analyze the impact of credit on cattle production and deforestation in Colombia through spatial panel data models. For this purpose, a departmental data panel for the period 2011 to 2020 was built, based on available information from public entities. The results suggest that in Colombia, the relationship between access to credit and cattle production is significant and can be either negative or positive. In addition, there is evidence of spatial dependence, meaning that cattle production in one department is being affected by cattle production in a neighboring department or by all the departments that make up the national territory. Regarding deforestation, results show that, although the number of cattle present in a department does affect its annual deforestation rate due to a poor coverage of sustainably intensified cattle ranching systems, there is no relationship between deforestation and the access to credit nor any spatial correlations.
Hepatic reticular hemangioendothelioma in an infant: a rare case and literature review
Authors: Yu Xiao-hui , Jia Gang-gang , Li Bin , Qin Jian-wei , Li Yue-sheng
Published: October 2022

Reticular hemangioendothelioma is a rare vascular malignant tumor that mostly occurs in women. Usually located in the trunk and limbs, rarely involving the mouth, perineum, pleura, kidneys, and so on. Because of its atypical pathological manifestations, it should be differentiated from intravascular papillary hemangioendothelioma, angiosarcoma, spindle cell hemangioma, etc. Here, we report a case of liver RH in a 7-month-old infant and review related literature to improve understanding of the disease.
Analysis of Pulmonary Artery Variation Based on 3D Reconstruction of CT Angiography
Authors: Ma Xiaochao , Lu Tianyu , Qin Da , Cai Hongfei , Tang Ze , Yang Yue , Cui Youbin , Wang Rui
Published: October 2022

Objective: The purpose of this study is to obtain the pulmonary CT angiographic data for three-dimensional reconstruction, and to analyze the characteristics and variation of the branches of bilateral pulmonary lobes, so as to provide a more intuitive and stereoscopic reference for clinicians in preoperative evaluation and surgical planning. To provide more comprehensive data for clinical anatomy and anatomy teaching.
Method: From August 2016 to December 2018, 420 patients in the thoracic surgery department of the first hospital of Jilin University were selected for 64 channel contrast enhanced CT (Philip ICT 256) examination. Slice thickness is 1.5mm. The obtained DCM documents were analyzed by Mimics 22.0 Software for 3D reconstruction（For example the Figure1 and Figure2）. After reconstruction, the three-dimensional pulmonary artery models were reviewed by chest surgeons and radiologists who were more than attending doctors. At the same time, the two-dimensional image plane, coronary and sagittal plane were used to evaluate the arteries. The characteristics and variations of branches and courses of pulmonary arteries in each lobe of both lungs were analyzed. The subsegmental arterial system was not evaluated.After reconstruction, the three-dimensional model of pulmonary artery was evaluated jointly by chest surgeons and radiologists, and the characteristics and variations of branches and courses of pulmonary artery in each lobe of both lungs were analyzed.
Results: There was a large degree of variation in the left superior pulmonary artery in 420 subjects. The blood supply of 4 arteries in the left upper lobe was 50.5% (n = 212), while that of 2 arteries in the left lower lobe was the most, accounting for 79.5% (n = 334). In the variation of right pulmonary artery, the greater variation of right upper lobe pulmonary artery is the branch supply of right upper lobe mediastinal artery, the majority of which are two arteries, accounting for 77.9% of the subjects. Two arteries were the most common, accounting for 64% (n = 269). There may be 2-4 arteries in the right inferior lobe of the lung, mainly 2 arteries, accounting for 79% (n = 332).
Conclusion: Three dimensional reconstruction of CT angiography of pulmonary artery can clearly observe the branches and distribution of pulmonary artery, and clarify the variation. It has important clinical value for the preoperative assessment of lesions and blood vessels, the formulation of operation plan and the operation of blood vessels during operation.
Socio-demographic factors and medical service utilization of intermittent explosive disorder in Korea: Nationwide health insurance claims database study, 2002-2017
Authors: Hyun Yoorim Bona , You Myoungsoon
Published: October 2022

Purpose
To determine socio-demographic characteristics, comorbid disorders of intermittent explosive disorder (IED) patients and their medical service use via National Health Insurance Service claim data in South Korea.
Methods
Data from the Korean Health Insurance data, a national medical record covering over 99% of the national population, were analyzed. Chi-square analysis was used to determine the distribution of IED patients across socio-demographic factors, such as gender, age, economic status, and others. A correlation test was done to avoid multicollinearity. Finally, a hierarchical multiple regression analysis was done to examine the linear relationship between IED patients' socio-demographic factors and medical service utilization.
Results
First, IED diagnoses have steadily increased over the last 17 years. Second, IED patients are most likely to be men, young adults in their 20s, and polarized in terms of their economic status, either with the highest economic status or the lowest. Finally, the socio-demographic characteristics of patients actively seeking medical treatment were inconsistent with those diagnosed with IED.
Conclusions
Considering that IED patients are steadily increasing, and the discrepancy is found between the most vulnerable population and the medical service-utilizing population, more public awareness and appropriate intervention should be provided.
Association between Sleep Quality and its Effect on General Health among First Year University Students in Saudi Arabia
Authors: Alotaibi Reem , Alshammari Manar , Alotaibi Danah , Al-ansary Naof , Acharya Sadananda , Albagmi Faisal Mashel
Published: October 2022

Purpose: To investigates if there is an association between demographic characteristics with sleep quality and general health. Also, to measure the association between lack of sleep and mental health, and to determine the relationship between sleep problems and social health.
Methods: A quantitative cross-sectional analytical study was conducted among 270 students at Imam Abdulrahman bin Faisal University in Dammam. Data was collected by using primary data collection method through an online questionnaire. The questionnaire included demographic characteristics, Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality and General Health Questionnaire – 28 (GHQ-28) to assess general health. Chi-square was used to find the relationship between sleep quality, general health, and demographic characteristics, then logistic regression was used to observe the association between sleep quality and general health.
Results: About 51.5% of students had poor sleep quality, 47.8% had poor general health, and a total of 48.82% of students had both poor sleep quality and general health. Demographic factors among males showed a significant association with sleep quality and general health. Female participants had a higher percentage of poor sleep quality and poor general health compared to male counterparts. Also, sleep quality showed a significant association with mental and social health. Finally, poor sleep increases the chance of having poor health by 2.7 times (95% CI: 1.672 - 4.486).
Conclusion: This study has demonstrated that the quality of sleep significantly affects the quality of health among college students. Also, sleep quality was observed to have a stronger effect on mental health than social health.
Study of Demographics and Etiological Trends in Hiccup Hospitalizations in the United States During 2005-2018, A Cross-Sectional Study.
Authors: Seifi Ali , Krishnakumar Hari , Lacci John , Fox Mark
Published: October 2022

INTRODUCTION
Currently, there is a lack of information regarding the frequency of hospital admissions for hiccups and exploring the underlying causes. This study reports hospital admissions for hiccups in the United States (U.S.).
METHODS
A cross-sectional study was performed, utilizing information from the U.S. National Inpatient Sample (NIS) from 2005 to 2018. Demographic information was extracted. The odds of hiccups occurring within different diagnostic categories were calculated regarding the overall frequency of each diagnosis.
RESULTS
NIS recorded 66,124 patients diagnosed with hiccups during hospital admission, with a mean of 4,723 (SD ±937) hospitalizations per year and an incidence of 632 cases per million hospital discharges. Patients had a mean (SD) age of 60.1 (±16.2) years and were mostly male (93%) and white (61%). Within this cohort, 895 cases (1.4%) were admitted with a principal diagnosis of hiccups. A secondary diagnosis of hiccups was most often recorded in patients with digestive diseases (n=13,728, 21.2% of all admissions with hiccups). This was higher than the number expected by chance, based on the overall number of admissions (OR 3.1 [2.9-3.3].
CONCLUSIONS
This epidemiological study confirms the often repeated “expert opinion” that hiccups are common in patients admitted with digestive diseases. Understanding the principal diagnoses and demographics of hiccup admissions allows clinicians to develop pertinent differential diagnoses for a patient presenting with unremitting hiccups.
Fuzzy Set-based Hybrid Neural Networks Driven with the Aid of Polynomial Neuron/Fuzzy Polynomial Neuron Constructed through Feature Selection
Authors: Wang Zhen , Oh Sung-Kwun , Fu Zunwei , Pedrycz Witold
Published: October 2022

In this study, we propose an advanced category of fuzzy perceptron architecture—fuzzy set-based hybrid neural networks(FS_HNN) based on feature selection. There is no doubt that there is a great amount of information with different degrees of importance in the raw data. Therefore, in the process of designing regression model, one of the most important missions is to avoid the loss of these significant features. However, regarding the structure of conventional fuzzy polynomial neural network(FPNN), the complexity of each node increases as the number of layers increases in each layer because of the participation of polynomial function. Hence overfitting phenomenon and high-complexity neuron nodes are common in the structure of conventional FPNN. Due to the composition and structure of the conventional FPNN nodes, the original data cannot be retained in the neural network simulation process. Based on these points, we involve the use of the F-test into this study and two types of structure (type I: combined with fuzzy polynomial neurons (FPN) and F-test fuzzy polynomial neurons(F-FPN); type II: combined with fuzzy polynomial neurons and F-test polynomial neurons(F-PN)) were adopted in experiments. Construction of neuron by F-test is focused on saving the essential information coming from the original data, and providing more efficient performance results for follow-up experimental analysis. Furthermore, the proposed model can alleviate the problems of conventional FPNN so that they are effectively optimized with the aid of the F-test feature selection. It is the first successful attempt to draw F-test feature selection technique to fuzzy neural system. The proposed FS_HNN is applied to various datasets and the performance of the proposed model is compared with those obtained by other referred models.
DOPANT, IMMERSION TIME EFFECT, AND HYDROLYSIS ONTO POLYANILINE/BACTERIAL- COMPOSITES: CONDUCTIVITY STUDIES
Authors:   Departement of Chemistry, Faculty of Mathematics and Natural Sciences,Jember University, Jl. Kalimantan 37, Jember 681752., a Busoni , Jonny Putra Moch. ,   Departement of Chemistry, Faculty of Mathematics and Natural Sciences,Jember University, Jl. Kalimantan 37, Jember 681752., Ashar Hanafi Salim ,   Departement of Chemistry, Faculty of Mathematics and Natural Sciences,Jember University, Jl. Kalimantan 37, Jember 681752., Ummami Riza ,   Departement of Chemistry, Faculty of Mathematics and Natural Sciences,Jember University, Jl. Kalimantan 37, Jember 681752., Piluharto Bambang ,   Departement of Chemistry, Faculty of Mathematics and Natural Sciences,Jember University, Jl. Kalimantan 37, Jember 681752., Sjaifullah Achmad ,   Departement of Chemistry, Faculty of Mathematics and Natural Sciences,Jember University, Jl. Kalimantan 37, Jember 681752.
Published: October 2022

The composite of conductive polyaniline was synthesized using the in situ chemical polymerization methods on cellulose to form PANI-cellulose composites. Polyaniline can be composited with a cellulose matrix (nata de coco) due to its abundance, low price, and environmental friendliness. Ammoniumperoxodisulfate (APS) was used as an initiator forthe oxidative polymerization of aniline. Characterization of PANI-Cellulose Bacterial composite was drawn using FT-IR and SEM, while the conductivity and electric quantities both using LCR-meter, FT-IR spectra, and SEM The PANI-cellulose bacterial composite with the various concentration dopant of H2SO4 methods has the highest conductivity than PANI-cellulose bacterial composite with the dopant of HCl methods.
HELLP SYNDROME REVELANT UNE NECROSE Å’SOPHAGIENNE :A PROPOS DUN CAS
Authors:   Service dhepato-Gastro-Enterologie, CHU TTA, Hopital Mohamed VI, Universite Abdelmalek Saadi., Grihe L. , Ajana R. ,   Service dhepato-Gastro-Enterologie, CHU TTA, Hopital Mohamed VI, Universite Abdelmalek Saadi., Ataqi K. ,   Service dhepato-Gastro-Enterologie, CHU TTA, Hopital Mohamed VI, Universite Abdelmalek Saadi., Eljaadi I. ,   Service dhepato-Gastro-Enterologie, CHU TTA, Hopital Mohamed VI, Universite Abdelmalek Saadi., Salhani S. ,   Service dhepato-Gastro-Enterologie, CHU TTA, Hopital Mohamed VI, Universite Abdelmalek Saadi., Meyiz H. ,   Service dhepato-Gastro-Enterologie, CHU TTA, Hopital Mohamed VI, Universite Abdelmalek Saadi., Mellouki I. ,   Service dhepato-Gastro-Enterologie, CHU TTA, Hopital Mohamed VI, Universite Abdelmalek Saadi.
Published: October 2022

La necrose aigue de lÃ…Â“sophage, egalement appelee Ã…Â“sophage noir est une forme grave et rare de lesion Ã…Â“sophagienne qui se developpe chez les patients ages presentant plusieurs comorbidites. Elle presenteun aspect macroscopique et endoscopique caracteristique avec une decoloration noire diffuse et circonferentielle de la muqueuse Ã…Â“sophagienne. La plupart des patients presentent des saignements gastro-intestinaux. Parmi les autres symptÃƒÂ´mes, citons la dysphagie, les douleurs epigastriques ou ceux lies aux troubles sous-jacents. Letiologie a ete liee a plusieurs possibilites, telles quun reflux gastro-Ã…Â“sophagien, une hypoperfusion et une ischemie. Les facteurs de risque comprennent essentiellement lage avance, le sexe (masculin), les maladies cardiaques, lacidocetose diabetique, la malnutrition, les maladies renales et les traumatismes, qui ont egalement tendance a compliquer levolution de la maladie. Une biopsie de lÃ…Â“sophage nest pas justifiee. Son traitement comprend une hydratation suffisante, les inhibiteurs de la pompe a protons (IPP), du sucralfate, une nutrition parenterale. Lintervention chirurgicale est reservee aux patients presentant un tableau grave avec ulceration Ã…Â“sophagienne etendue, necrose et, dans certains cas, perforation Ã…Â“sophagienne. La prise en charge des comorbidites preexistantes associees est cruciale pour prevenir lexacerbation de levolution de la maladie qui pourrait se traduire par un mauvais pronostic et un taux de mortalite accru. Elle est associee a un taux de mortalite eleve necessitant un diagnostic rapide surtout chez certains patients a risque, en vue dune prise en charge precoce.
DYNAMIC RISK ASSESSMENT FOR CRITICAL INFRASTRUCTURES UNDER ATTACK
Authors:   Ph.D. in Cyber Security Administration., Seumo Ntsiepdjap Blondel
Published: October 2022

Concerns in regards to enterprises are cyber security threats and their associated problems. Kostayeva and Chemyakov (2020) stated that digitalization and breathtaking techniques had escalated these cyber-related risks. As time progresses, commercial enterprises become cognizant and take action against cyber risk. For this reason, they are finding strategies to cope with management and data safeguards. A fundament challenge in business being encountered is appropriate and adequate data from online crooks.
THE IMPACT OF TRADEOPENNESS ONFDI INFLOWS TO SOUTHERN AND EASTERN MEDITERRANEAN COUNTRIES
Authors: Nasri Leila
Published: October 2022

This article aims to assesseconometrically the impact of trade openness on the attractiveness of Southern and Eastern Mediterranean Countries (SEMCs) to FDI by using a Granger causality analysis for the period 1985-2016. The results showed a disparity, depending on the country being analyzed. Overall, they have proved insignificant to the extent that trade openness, despite its importance, seems insufficient, without being accompanied by other measures, to attract FDI to these countries.
A RARE CASE OF SECONDARY AMENORROHEA WITH SWEYERS SYNDROME: A CASE REPORT
Authors:   Professor, Department of Obstetrics and Gynaecology, Amala Institute of Medical Sciences, Thrissur , Kerala, India., Menon Prameela , Viswaraj Pooja ,   Postgraduate Resident, Department of Obstetrics and Gynaecology, Amala Institute of Medical Sciences Thrissur, Kerala, India.
Published: October 2022

Sweyers syndrome or pure gonadal dysgenesis is characterised by primary amenorrhea , presence of female phenotype, female external genitalia and female internal genitalia with hypoplastic uterus and streak gonads. A 16 year old girl presented with secondary amenorrhoea, she attained menarche at 11 years and was followed by 4 months of regular cycles thereafter developed two years of amenorrhea. On examination she is phenotypically female with no secondary sexual characteristics, external genitalia is female. Laboratory investigations showed a high level of serum follicle stimulating hormone, Luteinising hormone which were consistent with hyper gonadotropic hypogonadism, pelvic ultrasound showed a hypo plastic uterus and hypo plastic ovaries, chromosomal analysis revealed XY Karyotype. Further she underwent alaparoscopic prophylactic gonadectomy and the histopathology confirmed hypo plastic ovaries. In conclusion we emphasise that Sweyers syndrome can present with secondary amenorrhoea with a functioning uterus with lining endometrium. The importance of timely diagnosis and gonadectomy forseeing a gonadoblastoma cannot be over emphasised.
COMPLICATED FACIAL WOUNDS
Authors:   Stomatology and Maxillofacial Surgery Department, Mohammed V Military Training Hospital Rabat., Ribag Yassamina , Koualla Sara ,   Plastic Surgery Department. Centre Hospitalier Universitaire Mohamed VI. Oujda., Hafidi Nawfal El ,   Stomatology and Maxillofacial Surgery Department, Mohammed V Military Training Hospital Rabat., Keith Mfa Sandy ,   Stomatology and Maxillofacial Surgery Department, Mohammed V Military Training Hospital Rabat., Ayoub Bakhil ,   Stomatology and Maxillofacial Surgery Department, Mohammed V Military Training Hospital Rabat., Hamama Jalal ,   Stomatology and Maxillofacial Surgery Department, Mohammed V Military Training Hospital Rabat., Karim El Khatib M. ,   Stomatology and Maxillofacial Surgery Department, Mohammed V Military Training Hospital Rabat.
Published: October 2022

The management of facial wounds poses unique challenges to the surgeon, given the specialized nature of facial tissue and the aesthetic importance of the face. The wide range of wounds varies from simple superficial skin lacerations to extensive, complex facial injury. The management of the complicated injuries is discussed in relation to the location and the mechanism of injury. Therefore, such cases are most appropriately managed by Surgeons who have a thorough knowledge of applied anatomy, an aesthetic sense and meticulous atraumatic tissue handling expertise, coupled with surgical skill to repair all the composite structures simultaneously. We report a series of cases of complex facial wounds we put forward the difficulties associated and provide a helpful systematic approach to evaluating and treating them.
MANAGEMENT AND LEARNING STRATEGIES TO IMPROVE THE QUALITY OF GRADUATES READY TO CONTINUE STATE HIGHER EDUCATION (PTN)
Authors:   Universitas Islam Nusantara, Bandung Indonesia., Warti Erlis , Trisnamansyah S. ,   Universitas Islam Nusantara, Bandung Indonesia., Muchtar HS. ,   Universitas Islam Nusantara, Bandung Indonesia., Tejawiani I. ,   Universitas Islam Nusantara, Bandung Indonesia.
Published: October 2022

The management of learning strategies to improve the quality of high school graduates has not run optimally, so the learning process has not been realized as it should. This study aims to determine the planning, implementation, assessment of barriers and learning solutions. The philosophical basis of this research is the philosophy of reconstructivism, the theoretical basis used is management theory, learning strategy theory and graduate quality theory. The research approach used is a qualitative approach. Data was collected through: Documentation studies, observations and interviews. The results showed that: (a) Management planning and learning strategies were made together with the schools vision and mission. (b) Implementation of management and learning strategies as well as policies that have been formulated in an effort to achieve the goals of the vision and mission (c). Assessment of management and learning strategies to realize the vision and mission through the objectives that are implemented (d). Barriers to management problems and school management learning strategies that are less proportional and professional, especially the management function is very dysfunctional (e) The solution to management problems and learning strategies to improve the quality of graduates is by steps taken by the principal in collaboration with supervisors and high school committees it is appropriate, namely through coaching, training, supervision, guidance and counseling, providing learning infrastructure, and schools preparing students to have superior, creative, innovative competencies, understand the digital world (science and technology). There are similarities in management objectives and learning strategies to improve the quality of graduates, namely quality improvement in accordance with the needs of state universities, synchronizing curriculum and synergizing school programs, increasing absorption and placement of school graduates to state universities. Management and learning strategies to improve the quality of graduates, have an impact on improving the quality of high school graduates, both in terms of input, process, output and outcome. Recommendations: (1) For high school can be used as a basis, to collaborate with universities (2) For school principals, teachers can be used as a basis for making changes, innovations for school progress (3) For students, it can be used as a basis for improving their competence so that they can accepted in universities (4) For researchers, it can be used as a basis for further research on management and learning strategies to improve the quality of graduates who enter state universities at SMAN 67 and SMAN 48 in East Jakarta.
APPREHENSIONS WITH CRYPTOCURRENCY IN INDIA
Authors: Tomer Samaira
Published: October 2022

The growth in information and communication technology has led to phenomenons in the financial sector as well. This primarily alludes to the introduction of cryptocurrencies, a decentralised medium of exchange, which provides an alternative to the centuries-old idea of physical money. There is a visible relationship between the principles of behavioural finance and the value/returns that these cryptocurrencies have. These currencies are not dependent on the behaviour of the financial markets and economy but instead on the supply and demand of the currency along with its popularity which is dependent purely on the individuals.
STUDY OF PREDICTORS OF INGUINAL LYMPH NODE METASTASIS IN CARCINOMA PENIS
Authors: Burugupalli Sriram , Ayyappa Morla N.S , Arumulla Jahnavi
Published: October 2022

Background:Penile cancer although a rare cancer, its not uncommon in India. Indian incidence ranges from 0.7-3/100000 males.Clinical guidelines available for decision making, still it remains a complex issue as far as predicting the outcome. The presence of metastatic disease produces considerable morbidity in patients with penile cancer. By doing this study we want to study which factors both clinically and histologically were predictive of lymph node involvement, pattern of lymph node involvement and extent of disease in nodal regions. Patients and Methods:A total of 38 cases between January 2018 to February 2020 were included in study. Metastatic carcinoma penis were excluded. The study was conducted in the Department of surgical oncology MNJIO&RCC OSMANIA MEDICAL COLLEGE.All cases of biopsy proven carcinoma penis were evaluated. Time period of study was from January 2018 to January 2020.Lymph node status was predicted preoperatively by clinical examination and imaging using ultra sound and CT scan. All cases irrespective of lymph node status were managed by surgery of primary and bilateral inguinal node dissection .Both clinical and histological factors were assessed. A total of 43 patients presented with penile cancer in the specified duration to our institute , of which, 1 patient had lung mets and was excluded, 2 patients were not willing for lymph nodal addressing surgery and were omitted from the study. Results: In our study post surgery 14 patients {35%} had positive lymph nodal disease of which 10 patients had unilateral inguinal lymph node involvement and 4 had bilateral inguinal lymph node involvement . 2 patients had pelvic lymph node involvement.Of the 40 cases in our study 23 patients had clinically involved nodes , 17 had no clinical involvement of lymph nodes . Of the 23 cases of clinically involved nodes 11 patients had histopathological conformation of nodal involvement {47.8%}. The relative risk of histopathological node positivity in clinical involved nodes is 2.71. odds ratio was 4.27 .The p value is 0.0479, so clinical node involvement is a significant criteria for pathological node involvement in our study. Conclusion:In clinically positive nodes only 50% of patients have actual histopathological involvement of disease. And 15 to 20% of patients with clinically negative nodes had post op histopathological confirmation of nodal involvement. Most significant predictive factors for lymphnode involvement in our study though with small sample size were tumor grade 3{poorly differentiated,tumor} ,depth of invasion greater than 1cm ,Clinical node involvement ,lymphovascular invasion. Other factors which had high relative risk and odds ratio were grade 2 tumor,size of greater than 4cms , perineural invasion, depth between 0.5 to 1cm.
STUDY OF ANAEMIA IN TYPE 2 DIABETES MELLITUS, RISK FACTOR FOR THE PRESENCE AND SEVERITY OF MICRO VASCULAR COMPLICATION, DIABETIC RETINOPATHY
Authors:   Senior Resident Dept. of Medicine, Govt. Netaji Subhash Chandra Bose Medical College Jabalpur (M.P.)., S. Srimaan , Yadav Ritesh ,   Assit. Professor Dept. of Medicine, Govt. SRVSMC, Shivpuri (M.P.)., Jain Ankit ,   Senior Resident, Dept. of Medicine, Govt. SRVSMC, Shivpuri (M.P.)., Gupta Ashish ,   Asso. Professor Dept. of Medicine,Govt. Netaji Subhash Chandra Bose Medical College Jabalpur (M.P.).
Published: October 2022

Objectives: To estimate the prevalence of anemia in persons with type 2 diabetes mellitus and its role as a risk factor for the presence and the severity of diabetic retinopathy, in a population based study. Although chronic kidney disease-induced anemia is more prevalent in patients with diabetes mellitus (DM), anemia is a common finding prior to manifestation of kidney disease. In presence of some risk factors at the time of diagnosing DM, microvascular complications must be considered. The effect of anemia as a risk factor on progression of DM complications is still unclear. The aim of the study was to determine the prevalence of anemia and its association with microvascular complications in patients with type 2 DM. This cross-sectional study was performed in the present study is carrying out from Department of Medicine, Netaji Subhash Chandra Bose Medical College & Hospital, Jabalpur (M.P.) Results: The prevalence of anemia (Hb<12g/dl in women and <13g/dl in men) was 12.3%. Between 41 and 50 years of age, prevalence of anemia was higher in women than in men (78.6 % vs 56.3.3%). Men with anemia, and not women, had 2 times the risk of developing diabetic retinopathy. Multivariate analysis revealed independent predictors for anemia: age group more than 70 years (66.7% vs 100%) duration of diabetes of more than 5 years or 1.56 (1.09-2.69) and the presence of diabetic retinopathy or 1.82 (95% CI 1.22-2.69). Conclusion: Diabetes mellitus is one of the serious diseases affecting the largest population worldwide. Diabetic retinopathy is a sight threatening preventable complication. Anemia is more common in diabetic population both men and women. Identifying and treating anemia would make a great impact in managing diabetic retinopathy. Anemia is a common complication of DM and is associated with duration of disease and microvascular complications.
UNUSUAL METASTASIS IN THE CERVIX: ABOUT A CASE
Authors:   Department of Pathological Anatomy, National institute of oncology Sidi Mohamed Ben Abdellah, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco., Raissouni K. , Khmou M. ,   Department of Pathological Anatomy, National institute of oncology Sidi Mohamed Ben Abdellah, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco., Mahdi Y. ,   Department of Pathological Anatomy, National institute of oncology Sidi Mohamed Ben Abdellah, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco., Ech-Chrif S. ,   Department of Pathological Anatomy, National institute of oncology Sidi Mohamed Ben Abdellah, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco., Boujida I. ,   Department of Pathological Anatomy, National institute of oncology Sidi Mohamed Ben Abdellah, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco., Laraqui Y. ,   Department of Pathological Anatomy, National institute of oncology Sidi Mohamed Ben Abdellah, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco., Khanoussi B. El ,   Department of Pathological Anatomy, National institute of oncology Sidi Mohamed Ben Abdellah, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco.
Published: October 2022

Metastases to the cervix from a non-gynecological neoplasm are extremely rare. Only four cases of primary carcinoma of gallbladder with metastasis to the cervix have been reported [1]. We reported a case of a 52-year-old woman operated on 2 years earlier for a primary gallbladder adenocarcinoma, the evolution was marked by the appearance of left lumbar pain radiating towards the left flank with vaginal bleeding. A biopsy with immunohistochemical complement confirmed the diagnosis of secondary location of gallbladder adenocarcinoma. Pelvic MRI shows a lesion in the cervix and a left ureteral compression with left hydronephrosis. A placement of a double J probe, with radiotherapy and radiological control was decided for this patient at first.
LIVED EXPERIENCES AND CHALLENGES OF SENIOR HIGH SCHOOL LEARNERS IN THE IMPLEMENTATION OF LIMITED FACE-TO-FACE CLASSES
Authors:   Manaybanay National High School, Pastrana District, Leyte Philippines., D. Beringuel Jr. Alfredo , Syril P. Duag Ma. ,   Manaybanay National High School, Pastrana District, Leyte Philippines., R. Lumacang Eloisa ,   Manaybanay National High School, Pastrana District, Leyte Philippines.
Published: October 2022

The Education sector has taken a huge toll during the onslaught of the COVID-19 Pandemic. Herewith, this study aimed to determine the lived experiences and challengesencountered by Senior High School learners of Manaybanay National High School during the implementation of the limited face-to-face classes. Eighteen (18) learners were selected as participants of the study using a purposive sampling technique. The study employed descriptive phenomenological design in qualitative research.Participants responses were extracted through an in-depth interview to explore their lived experiences and challenges encounteredduring the schools implementation of limited face-to-face classes. Thematic analysis of the data gathered revealed that learners during the limited face-to-face classes felt a sense of satisfaction they felt happy that someone is explaining them the difficult lessons they view the limited face-to-face classes as good for their social and mental healthon the other hand, learners were continually challenged as they find it hard to concentrate during class discussion with the existing health and safety protocols that need to be strictly observed inside the classroom and school campus such as wearing of facemask and social distancing lastly, learners in the limited face-to-face classes are greatly challenged in expressing their ideas effectively due to excessive reliance on ready-made answers from the internet during modular learning.In general, findings of this paper revealed that learners perceive the limited face-to-face classes a progressively helpful step towards the recovery of the educational system after the onslaught of the COVID-19 pandemic.
PREVALENCE AND SEVERITY OF RHINOSINUSITIS AMONG PEOPLE LIVING IN TAIF, SAUDI ARABIA
Authors:   Medical Intern, Taif University, Taif, Saudi Arabia., Sameer Alam Badr , Aljuiad Eidha ,   Consultant ORL-HN Surgery, Alhada Military Hospital, Taif, Saudi Arabia., Saleh Almutairi Bader ,   Medical Intern, Taif University, Taif, Saudi Arabia., Abdullah Saati Faisal ,   ORL-HN Surgery Resident, Alhada Military Hospital, Taif, Saudi Arabia., Abdulmohsen Alobaylan Hamoud ,   Medical Intern, Taif University, Taif, Saudi Arabia., Yahya Alzahrani Adnan ,   Medical Intern, Taif University, Taif, Saudi Arabia., Ibrahim Faraj Khalid ,   Medical Intern, Taif University, Taif, Saudi Arabia., Abduallh Althbaiti Muhanad ,   Medical Intern, Taif University, Taif, Saudi Arabia.
Published: October 2022

Background: Chronic rhinosinusitis (CRS) has become a huge burden on healthcare systems of Saudi Arabia. It has been estimated that itsprevalence rate across the world is more than 20%. There are many challenges in the treatment when a patient has rhinosinusitis (RS) with more severe and refractory forms. Aim: To assess the prevalence and severity of rhinosinusitis among people living in Taif, Saudi Arabia and to explore the relationship between prevalence, severity and different socio-demographic factors. Methodology: This wasa cross-sectional studyconducted among people living in Taif, Saudi Arabia from May - July 2022. Data were taken from Al Hada Armed Forces Hospital, and Prince Mansour Military Hospital, using a self-administered questionnaire from the patients. Results: A total of 364 participants were included in this study. More than 58% participants were females. Most of the participants werein age group 18-30 years. Furthermore, the prevalence of rhinosinusitis was 57.4%. In order to assess severity of rhinosinusitis sino nasal test (SNOT-22) was done, the average score was found to be 33.5 Â± 26.3 out of 110 in a range of 0-103. It was found that the prevalence of RS was significantly associated with several socio demographic variables such as: gender, age, marital status, occupational status, educational level and monthly income of participants. Conclusion: The results revealed a high prevalence and severity scores of rhinosinusitis among people living in Taif, Saudi Arabia. It is recommended to conduct future research with the significantly associated factors.