bluuebunny/crossref_metadata_2025 huggingface dataset:
Villages de Vidourlenque (Gard, Hérault).
Authors: Raynaud Claude
Published: March 2023

Settlement studies in the Vidourle Valley have revealed substantial disparities in the origins and dynamics of medieval villages. From the Cévennes to the Mediterranean coast, the hierarchy of dwelling places has created a contrasting social landscape in which the different forms of village express a similar variety of tensions between demographics, resources and power. Castles, churches and villages either occupy a central point in territorial structures or find themselves pushed to the margins of the area. The network is in this case understood as an organic whole and not via “ selected pieces” in canonical forms : straggly villages, open villages, street villages, ecclesiastical villages or castle villages. From this moment, a diversity of situations emerged, often escaping categorisation and presenting hybrid forms, which were the consequence of stymied developments or re-composition over the long-term during the medieval millennium.
Créer son entreprise pour échapper au chômage et à la discrimination. Le cas des entrepreneurs issus de l’immigration maghrébine
Authors: Madoui Mohamed
Published: March 2023

Pour les jeunes issus de l’immigration maghrébine, la création d’entreprise représente bien souvent la dernière chance d’insertion. Alternative à la fois au chômage et à la précarité, elle offre à ces jeunes peu formés, de surcroît victimes de la discrimination, la possibilité d’inventer des pratiques et des stratégies de « contournement » des obstacles à leur insertion professionnelle et sociale.
Adultes en situations d’illettrisme et validation des acquis de l’expérience. Le point de vue des professionnels de la formation
Authors: Lenoir Hugues
Published: March 2023

La validation des acquis de l'expérience, notamment pour des adultes en situation d’illettrisme, est une pratique sociale innovante qui permet de tenir compte des compétences liées à des savoirs d’action. Elle favorise l’estime de soi et la réintégration dans une trajectoire de réussite. Sans effacer la nécessité d’une formation pour acquérir les savoirs de base et la maîtrise de l’écrit, elle questionne la place des connaissances non légitimes et de l’oral dans la culture professionnelle.
Un éclairage sur la politique étrangère de Charles VII : le rapport de Jaspar, chevaucheur de l’écurie royale (1455?)
Authors: Contamine Philippe
Published: March 2023

Dans les dernières années de son règne, même après ses brillantes victoires de 1449-1453, acquises grâce à la création d’une véritable armée nouvelle, Charles VII était loin d’être dépourvu de sujets d’inquiétude. À l’intérieur, la soumission des grands n’avait rien d’évident et surtout, à l’extérieur, la puissance bourguignonne ne cessait de se renforcer tandis que la royauté anglaise n’était pas résignée à sa défaite. Il fallait donc au roi de France renforcer ses alliances ou en créer de nouvelles. En 1455, il se tourna vers le roi de Danemark Christian Ier et, à cette fin, envoya en mission un chevaucheur de l’écurie pour préparer un futur traité d’entraide et d’amitié. À son retour, ce chevaucheur, nommé Jaspar, fit son rapport et en profita pour évoquer son séjour à Lubeck puis à Liège. Ce rapport, jusque là inédit, offre un panorama succinct mais perspicace de la situation de la chrétienté. En particulier, il évoque le projet d’union entre Madeleine, l’une des filles de Charles VII, et Ladislas le Posthume (Lancelot), roi de Bohême et de Hongrie : une éventualité qui ne pouvait que déplaire au duc de Bourgogne Philippe le Bon en raison de la querelle qui les opposait au sujet du duché de Luxembourg. Autre avantage pour le roi Lancelot : si le mariage se faisait, la lutte contre le Turc s’en trouverait renforcée. Au cours de son périple, le chevaucheur Jaspar avait été en mesure de saisir sur place les amitiés et les inimitiés, voire les systèmes d’alliances qui divisaient alors l’Europe.
Le commerce à Byzance (VIIIe-XIIe s.) : réglementation et pratique
Authors: Howard-Johnston James
Published: March 2023

La céramique conservée, tant les amphores, contenants des denrées que la vaisselle de table sigillée, diffusée dans tout l’empire, témoigne d’échanges commerciaux complexes, intenses et à grande échelle dans l’Antiquité. Les historiens de l’économie en ont inféré que l’État, comme organisateur d’un transport de masse des denrées vers les centres urbains, déterminait ainsi la structure des échanges des autres marchandises, évoquant à l’appui de leur thèse le corpus textuel limité centré sur les interventions publiques. Mais il est des textes qui indiquent plutôt le rôle déterminant des marchands et soulignent l’échelle et la variété de la production manufacturière. La lutte de Byzance pour sa survie (VIIe-VIIIe s.) conduisit à une organisation économique quasi-administrée mais ne mit pas fin à l’entreprise privée dans ses territoires centrés sur la mer Égée. Seuls quelques textes isolés traitent du commerce à l’époque suivante. Mais on en retire l’image d’un commerce dynamique dans lequel l’État se contentait de contrôler un marché libre en partenariat avec des guildes reconnues. Les mécanismes de régulation varièrent avec le temps mais visaient à séparer la production en phases distinctes supervisées par des guildes spécialisées, à organiser des cartels chargés de négocier le prix des importations et à instituer un système de bazar pour le commerce de détail. Cette production et ce commerce actifs peuvent être à nouveau suivis à l’époque où s’installe l’hégémonie italienne, et la céramique de table sert à nouveau de traceur archéologique.
Mechanical destruction character of sand-sodium-silicate mixtures structured in steam-microwave environment
Authors: L Solonenko , S Repiakh , K Uzlov , T Karpova
Published: March 2023

Purpose. There were nature investigation and description development of sand-sodium-silicate mixtures mechanical
destruction nature changing according to the time of their structuring in steam-microwave environment.
M ethodology. Structured mixtures tensile strength has been determined on LRu-2e model device in accordance with
GOST 23409.7. Sand-sodium-silicate mixtures fracture surfaces structure has been studied using scanning electron microscope SEM-106I model at accelerating voltage of 20 to 30kV and probe current of 4A to 30A in secondary electrons with probe diameter of 1000 to 200nm.
Sand-sodium-silicate mixtures destruction mechanism description development has been carried out based on analysis
results, comparison, exclusion and generalization of known and obtained by the authors of this work experimental results and theoretical data, published in open scientific sources devoted to present analysis subject.
Findings. Regardless of sodium silicate solute content in structured sand-sodium-silicate mixture, its destruction nature
depends on steam-microwave treatment time, which changes from adhesive to combined and cohesive with treatment
time increasing. According to fracture mechanism description developed, transition from adhesive to cohesive fracture
mechanism is caused by the time dependence character of both adhesive strength in quartz-sodium-silicate-solute system and cohesive strength in sodium silicate solute in mixture cuffs increasing. At the same time, sodium silicate solute
cohesive strength changing over time during microwave treatment is of an extreme nature and, obviously, caused by
sodium silicate from sodium silicate solute polymerization degree during its dehydration.
Originality. For the first time, description of sand-sodium-silicate mixtures mechanical destruction changing nature devoted to their structuring in steam-microwave environment time has been developed.
Practical value. Data obtained make it possible to expand the understanding about sand-sodium-silicate molds properties and their destruction mechanism under mechanical influence, to evaluate the method of structuring in steammicrowave environment possibilities, to purposefully choose research directions and practical actions in terms of structured sand-sodium-silicate mixtures properties level regulation
ANALYSIS OF ENTERPRISE’S INCOME IN THE CONTEXT OF THE POST COVID-19 RECOVERY OF ECONOMIC AND SOCIAL SYSTEMS (METHODS AND METHODOLOGY FOR ANALYSIS)
Authors: Ivanova Rositsa
Published: March 2023

Enterprises’ income is a key object of both accounting and financial and business analysis, and in particular, of the analysis of the financial statements. The issue of income is relevant at all stages and phases of the enterprises’ development and business. The importance and relevance of this issue is determined by the significance of the income and of changes that occur in its amount, with regard to the formation and dynamics of both the absolute indicators (financial performance) and the relative indicators (income effectiveness and return) that define the effectiveness of the enterprises’ business and their positioning on the competitive and dynamic market characterised by certain level of entropy.The object reviewed in this publication refers to the going concern in Bulgaria operating in the field of public services – organization and provision of cultural, scientific, educational, congress, conference, information, political and other various types of public services. The owner of the enterprise’s capital is the state represented by the Minister of culture of Bulgaria. The subject of this study covers the enterprise’s income and the methods for its analysis. Enterprise’s income for the period 2019 – 2021 is analysed. The interest to the question of enterprise’s income is due to the fact that at the beginning of 2020 a number of measures have been implemented in the country and state of emergency, and later on – epidemiologic emergency, were in place for some time, due to the spread of the coronavirus and the announced global Covid-19 pandemic. In 2020, the enterprise has almost fully discontinued its business with view of the restrictive measures undertaken by the Bulgarian government due to the spread of Covid-19. As a result, the main functional and administrative indicators that characterise the enterprise’s specific business – namely, the provision of services in public benefit, have been deteriorated. Covid-19 affected the enterprise’s income gained form the provision of cultural, conference, congress, and other entertainment public services most.The author’s objective here is to analyse the impact of the health, economic and social crises caused by the Covid-19 on the amount, structure, and dynamics of income for the analysed period. The author has the task to improve the methods for analysis of enterprise’s income. The resultative analytical information is useful for the enterprise’s management allowing it to make informed, timely, and appropriate operational and strategic decisions for overcoming the consequences of the Covid-19 crises and continuing the enterprise’s business.
Tarihi Dokuda Kentsel Aydınlatma Tasarımı: Adana-Kayalıbağ Mahallesi
Authors: ÇELİK Kasım
Published: March 2023

Kentsel aydınlatma, kişilerin veya mülklerin güvenliğini sağlarken, kentlerin mimari veya tarihî öneme sahip özelliklerini vurgulayabilir ya da işlevsel açıdan çeşitli tesislerin kullanıcılar tarafından sağlıklı bir şekilde kullanılmasını sağlayabilir. Bu açıdan doğru kurgulanmış bir kentsel aydınlatma, çeşitli işlevsel ihtiyaçlara cevap verebilirken, kentin farklı özelliklerini de ortaya çıkarmada etkin bir rol oynayabilir. Dolayısıyla dış aydınlatmaların sadece bulunduğu ortamı aydınlatmasının yanında sosyal, kültürel ve estetik anlamda da etkilerinin olduğu göz ardı edilmemelidir. Özellikle tarihî alanlar gibi kentlerin geçmişle olan bağını yansıtan, turizme katkısı olan, kent kimliğine olumlu anlamda etki eden ve tarihi değeri olan bölgelerin aydınlatma tasarımlarının özel olarak düşünülmesi ve kurgulanması gereklidir. Bu çalışmada, Adana kenti Kayalıbağ Mahallesi’nde yer alan tescilli ve geleneksel yapıların bulunduğu 26005 ve 26012 sokaklarının mevcut aydınlatma düzenleri incelenerek, aydınlatma açısından yetersiz koşullar yerinde ölçme ve gözlem yöntemiyle belirlenmiştir. Elde edilen veriler ışığında işlevsel aydınlatma tasarım alternatifleri önerilmiştir. Öneri tasarımlar bilgisayar ortamında modellenerek mevcut durumdaki aydınlatma koşullarıyla karşılaştırılmış ve analizler yapılmıştır. Öneri tasarımların, aydınlatma standartları çerçevesinde mevcut duruma göre görsel konfor koşullarını sağlamakta daha başarılı olduğu ve enerjiyi daha etkin kullandığı ortaya konulmuştur. Ayrıca, yapılan tasarımların alanın tarihi önemine uygun olarak yapı ve bölgeleri aydınlattığı görülmüştür. Yapılan tasarım ve analizlerle kentsel aydınlatmaların kent kimliğine ve estetik değeri ile enerji kullanımına olan etkisine dikkat çekilmek amaçlanmaktadır.
Stock assessment and international mackerel fishing in the North-East Atlantic: history and modernity
Authors: Kalashnikov Yu. N.
Published: March 2023

In the historical aspect, the estimates of the state of the North-East Atlantic mackerel stock made at ICES in 1980–2020 are considered. The dynamics of input data for setting up models and biological reference points used in assessments in different years is analyzed. Some aspects of the international mackerel fishery are briefly presented and trends in the management of the exploitation of its stock are studied. On the basis of long-term data, the consequences of the ICES recommendations for the historical development of the international Atlantic mackerel fishery are estimated. It is shown that the significant change in trends in the dynamics of spawning stock and commercial mortality of mackerel observed in the second decade of the XXI century reflects changes in the settings of the models used and indicates the instability of estimates of mackerel stock. It is noted that only compliance with the established rules of stock operation and target biological guidelines will prevent the decline of the spawning stock of mackerel to a level below the safe biological boundaries and minimize the risk of its collapse. The necessity of strict regulation of fishing within the framework of ICES and NEAFC with the application of the principles of the “precautionary” approach and scientific research data is shown.
DEMOGRAPHY OF CYSTIC FIBROSIS AT A KASHMIRI SPECIALTY HOSPITAL
Authors: Imran Malik Mohammad , Ahmad Wani Khurshid , Farooq Wamiq , Ahmad Kumar Irshad
Published: March 2023

INTRODUCTION Cystic brosis (CF) is a recessive genetic disorder caused by a mutation in the epithelial chloride channel—CFTR (CFTR).
Our study's primary objective was to examine the demographic prole of cystic brosis at our specialised hospital. MATERIAL AND
METHODS The current research was a hospital-based observational study of individuals suspected of having cystic brosis undertaken at the
G.B. Pant Children's Hospital in Srinagar between 2019 and 2022. In this research, 200 patients were chosen according to inclusion and exclusion
criteria. RESULTS Out of 25, thirteen of our patients were male and twelve were female, for a ratio of 58% males to 42% females. 40% of the
patients in our research were between 1 and 24 months of age. 60% were offspring of non-consanguineous marriage. Positive patients who were
married consanguineously were third-degree relatives. During the course of our investigation, we discovered that the majority of patients were
from Kupwara, totaling 25% of the study group. In our study, 72% of patients presented with recurrent respiratory tract infections.
CONCLUSION In our study we concluded that Cystic brosis in Kashmir is more prevalent in men with non-consanguineous marriages and in the
Kupwara district.
THE EFFECT OF SUCRALFATE DRESSING IN DIABETIC FOOT ULCER PATIENTS
Authors: Srividya Malluru , Khyalappa Rekha
Published: March 2023

Introduction-Diabetic foot ulcers are most commonly occurring complication in patients of diabetes mellitus who have poor glycaemic control.
It's also the common cause for osteomyelitis of foot, amputation of lower extremities. About 60% of patients develop neuropathy eventually leads
to formation of foot ulcers. Staphylococcus is common infective organism which cause ulcers over the foot. Objective-To study efcacy of topical
Sucralfate in healing of diabetic ulcer, in terms of number of days needed for healing, rate of reduction in mean ulcer surface area. Also, to assess the
bacterial load by culture & sensitivity of wound swabs before and after application of Sucralfate and conventional dressing. Methodology-The
present prospective study was conducted at Dr. D.Y. Patil Medical College Hospital Research Institute, Kolhapur. Atotal of 30 patients from OPD
& IPD with diabetic foot ulcers of Wagner grade- I&II having size less than 15x15cm were included in study. All patients were evaluated and
investigated by a standard protocol for the management of the ulcer. The dressings were changed everyday morning in both groups for 6-weeks and
appearance of the healthy granulation tissue is observed daily. The nal area is measured on 43rd day by planimetry using a transparent graph sheet
and subjected to statistical analysis. Result-Sucralfate on daily application to wounds increases thickness of granulation tissue and promotes rapid
epithelialization of second-degree burns. An ideal dressing that promotes chronic ulcer healing without any complications. Conclusions-The
results of the study showed signicant effect in area of reduction, negative culture rate and weeks for recovery are seen in study group, suggesting
that topical Sucralfate dressing can effectively increase the wound healing in diabetic foot ulcer compared to conventional dressing.
A STUDY OF RISK FACTORS FOR THE DEVELOPMENT OF RESPIRATORY DISTRESS IN NEWBORN IN A TERTIARY CARE MEDICAL COLLEGE HOSPITAL IN EASTERN INDIA
Authors: Sahoo Sushama , Dey Subhajit
Published: March 2023

Background:Respiratory distress is one of the commonest disorder encountered leading to hospital admission in neonates.Clinical presentation of
respiratory distress in neonates include 2 or more of the following features- respiratory rate >=60/min, chest retractions, grunting, nasal aring,
cyanosis. Early recognition and appropriate specic therapy of neonatal respiratory distress has impressive results. Aims and objectives: This
study aimed to record risk factors for respiratory distress in neonates admitted in SNCU and NICU in a tertiary care medical college hospital.
Material and Methods: The observational descriptive study included one hundred (100) newborns admitted in NICU and SNCU with clinical
features of respiratory distress during 1 year study period in Malda Medical College and Hospital. Results: 68% neonates presented within 24 hrs
of age. The occurrence of respiratory distress was high in male babies, 64% compared with female 36%.Several risk factors were associated with
neonatal respiratory distress. Teenage pregnancy(44%), maternal anemia(73%), PIH (17%), antenatal fever(5%), APH (4%), GDM(8%), Thyroid
disorders(11%) are present in varying degrees in mothers.RDS was the most common etiology, 32% followed by MAS(17%), TTNB(15%),
CHD(15%), pneumonia(9%), birth asphyxia (7%), syndromic(2%).8 ELBWand 9 VLBWnewborns were all suffered from RDS.21 neonates born
to teenage pregnancy developed RDS. Among preterm babies, RDS was the most common etiology, among term babies, TTNB was the
commonest. Conclusion: Respiratory distress is one of the commonest cause of SNCU and NICU admission. RDS is common in preterm babies
whereas TTNB is more common in term babies.Male gender, teenage pregnancy, low birth weight, gestational age, antenatal illness like
PIH,GDM, thyroid disorders are the risk factors for neonatal respiratory distress.
CLINICOPATHOLOGICAL PROFILE OF RESPIRATORY DISEASES IN GERIATRIC POPULATION OF SMART CITY DAHOD GUJARAT
Authors: Damor Viral , G Desai Mohit , Kumar Brajendra
Published: March 2023

We have taken 1234 patients for study in which males were773 females were 461. 394 patients required inpatient respiratory critical
care with community acquired pneumonia, bronchogenic carcinoma, acute respiratory tract infections,acute exacerbation of COPD,
bronchial asthma exacerbations and other pleural diseases. 890 patients belong to the age group 65-74yrs and 344 in 75+ yrs age group.
studied demographic patient age, sex distribution above the age of 65yrs with more prevalence in males. Respiratory diagnosis in geriatric
population upper respiratory tract infections percentage diagnosis is higher. Respiratory diagnosis of inpatient respiratory diseases
highest is the acted exacerbation of the COPD. In pneumonia community acquired pneumonia high prevalence in age and sex
distribution and highest isolated micro organisms is staphylococcus. For pulmonary TB males are higher with isolated new sputum positive cases
ASSESSMENT OF THE POTENTIAL OF DOPPLER MEASUREMENTS OF FETAL AND UTEROPLACENTAL CIRCULATIONS IN THIRD TRIMESTER OF PREGNANCY.
Authors: Virendra Singh , Shikha Sahay , Dev Kumar Yadav
Published: March 2023

Background: Color Doppler measurements of fetal and uteroplacental circulation in intrauterine growth retardation (IUGR) and hypoxia have
revealed a redistribution of arterial blood ow with the increased ow to the cerebrum and myocardium and decreased ow to the periphery. This
study aimed to evaluate the signicance of changes in fetal Doppler parameters in IIIrd trimester and correlate it to the fetal outcome. Method &
Results: This cross-sectional study consisted of 50 pregnancies with clinical suspicion of IUGR. The mean birth weight at delivery was 2.43 Kg +/-
0.26kg (SD). 60% of neonates (n=30) had a birth weight of less than 2.5kg. 48% of fetuses (n=24) had adverse outcomes while the remaining 26
fetuses had a favorable outcome. There were 7 intrauterine deaths (IUDs) and 43 live births. Eight neonates out of 43 live births were admitted to the
neonatal intensive care unit (NICU). 7 neonates had a "5 minute Apgar score of less than 7" and 12 babies were borne by emergency caesarian
section. Our studies conrm that best results are obtained when we used M Conclusion: CA /UA PI Ratio, rather than PIs of MCA and UA
separately. The diagnostic accuracy of the MCA/UA PI ratio is 84% when compared to 80 for UAPI and 68.8% for MCA PI. There were 7 IUDs in
whom 4 cases had a reversal of diastolic ow in the umbilical artery and 3 had absent diastolic ow
A RARE HYBRID AOT OF MAXILLARY ANTRUM: A CASE REPORT WITH 10 YEARS FOLLOW-UP
Authors: Singh Rajdeep , Agrawal Palak , D.M. Shivamurthy , Elizabeth Thomas Amy , Kumar Jain Naveen
Published: March 2023

Introduction: Amongst all odontogenic tumors adenomatoid odontogenic tumor (AOT) accounts for only 3% of them. Being odontogenic in
1
origin, the tumor shows a plethora of histoarchitectural patterns. Sex predilection is towards females and likely occurs in second to third decades of
life. Anterior maxilla is the commonest region for AOT; maxillary antrum being rare; in conjugation with dentigerous cyst (DC) then being the
2
rarest. Here we describe a case of gigantic AOT in 17-year-old male t Observation: hat occupied the left maxillary antrum with an impacted tooth
which was clinically diagnosed as dentigerous cyst. In toto removal of the cystic tumor was accomplished with removal of retained impacted
canine as well. Histopathological examination inferred the presence of an AOT with dentigerous like cystic lining. With uneventful healing no local
recurrence was observed after 10 years of follow up. Implied take away lesson the Conclusion: prime importance of histopathological evaluation
in all enucleated cysts, simultaneous more research into fourth type of a “hybrid variant” of AOT
COMPARISON OF THE EFFECTS OF FENTANYL VERSUS DEXMEDETOMIDINE ON AIRWAY REFLEXES AND HEMODYNAMIC RESPONSE TO TRACHEAL EXTUBATION FOLLOWING GENERAL ANESTHESIA
Authors: Vaghela Archana , Patel Rinkal , Pandya Malti
Published: March 2023

Laryngospasm, bronchospasm, cough and tachycardia are physiological responses during anesthesia emergence and endotracheal extubation.
Tracheal extubation should be performed while patient is deeply anesthetized to reduce airway reexes. Dexmedetomidine and fentanyl both have
sedative and analgesic effect. The purpose of this study is to compare the effectiveness of dexmedetomidine or fentanyl on airway reexes and
hemodynamic response to tracheal extubation following general anesthesia. 30 pati Method: ents of ASA I and II, aged between 18 to 55 year
undergoing general anesthesia on elective basis were randomly divided in two groups.15 patients received 0.5 µg/kg dexmedetomidine while other
patient received 1µg/kg fentanyl. Fifteen minutes before expected last surgical suture inhalational agent cut off and equal amount of solution of
drug was given. All patients were extubated and all were monitored after extubation. The airway reexes to extubation, level of sedation and
hemodynamic response were noticed. For nonparametric data Chi-square test and for para Statistical Analysis: Result: metric data t test was used.
Total 30 patients were involved in the study. Dexmedetomidine was associated with increase quality of extubation compared with fentanyl. After
extubation in fentanyl group heart rate was higher compared with dexmedetomidine group. In the dexmedetomidine group heart rate was not
signicantly increase after extubation. When compared to fentanyl, participants in the dexmedetomidine group demonstrated more drowsiness
during airway suctioning and extubation. Fentanyl group post-extubation patients were awake, whereas dexmedetomidine group patients were
arousable. The nding of current study show that Single-dosage dexmedetomidine 0.5 μg/kg Conclusion: given 15 min before extubation created
better response against airway reaction to laryngoscopy and effective in maintaining hemodynamic stability. This resulted in better tracheal
extubation without prolonging recovery in comparison to fentanyl 1 µg/kg iv
“COMPARATIVE STUDY OF PLATELET RICH PLASMA VERSUS AUTOLOGOUS TEMPORALIS FASCIA GRAFT IN TYPE 1 TYMPANOPLASTY.”
Authors: Arifa Raffee , Swarup Jyothi , Dev Swaroop , Kashifullah Shaik , K.M Moulya
Published: March 2023

Background: Chronic otitis media (COM) is most common disease seen by ENT surgeon. Tympanoplasty using temporalis fascia as graft is routine treatment procedure while Platelet Rich Plasma (PRP)is newer treatment procedure. Methods: Prospective Study conducted on participants admitted with Chronic otitis media in the Otorhinolaryngology department of Sri Siddhartha Medical College hospital and Research Centre, Tumkur from December 2020 to June 2022 which includes 60 participants and were divided into two groups PRP group (30 participants) where PRP used as graft material and T group (30 participants) where temporalis fascia was used as graft material and follow up done at 3rd month and 6th month for assessing closure of perforation and for hearing improvement using pure tone audiometry. Results: Among 30 cases of PRP group, there were 29 cases of closure of perforation (96.67 %) and 1 case had no closure of perforation (3.33 %). Among 30 cases of T group, there were 28 cases of closure of perforation (93.33%) and 2 cases had no closure of perforation (6.67%). The p-value calculated between the groups with pre operative mean air bone gap values was 0.2210 and that with post operative values was 0.1835; indicating no signicant difference between the groups during follow up at 6 months.Background: Chronic otitis media (COM) is most common disease seen by ENT surgeon. Tympanoplasty using temporalis fascia as graft is routine treatment procedure while Platelet Rich Plasma (PRP)is newer treatment procedure. Methods: Prospective Study conducted on participants admitted with Chronic otitis media in the Otorhinolaryngology department of Sri Siddhartha Medical College hospital and Research Centre, Tumkur from December 2020 to June 2022 which includes 60 participants and were divided into two groups PRP group (30 participants) where PRP used as graft material and T group (30 participants) where temporalis fascia was used as graft material and follow up done at 3rd month and 6th month for assessing closure of perforation and for hearing improvement using pure tone audiometry. Results: Among 30 cases of PRP group, there were 29 cases of closure of perforation (96.67 %) and 1 case had no closure of perforation (3.33 %). Among 30 cases of T group, there were 28 cases of closure of perforation (93.33%) and 2 cases had no closure of perforation (6.67%). The p-value calculated between the groups with pre operative mean air bone gap values was 0.2210 and that with post operative values was 0.1835; indicating no signicant difference between the groups during follow up at 6 months.
FETAL NASAL BONE LENGTH AS A PREDICTOR OF UNFAVOURABLE PERINATAL OUTCOMES BETWEEN 18 TO 22 WEEKS OF GESTATIONAL AGE.
Authors: Kurikala Nidhi , Manasa K , Kuppusamy Gayathri , Tushara P.
Published: March 2023

Background: The determination of the study is to anticipate the unfavorable perinatal outcomes which is essential to avoid morbidities in both the
mother and the fetus. To study the length of the fetal nasal bone as the predic Aim: tor of unfavorable perinatal outcomes between 18 to 22 weeks of
gestational age. Retrospective cohort study. The study accepted information from 200 Study Design: Methods: pregnant women between the
gestational age of 18 and 22 weeks, along with the length of the fetal nasal bone. Percentiles for fetal nasal bone length were calculated and assessed
to predict the unfavorable perinatal outcomes such preterm premature rupture of membrane, premature labour, preterm birth, and fetal discomfort.
Results: th Fetal nasal bone length greater than the 95 percentile was substantially related to unfavorable perinatal consequences like preterm
premature rupture of membranes, preterm labour, preterm delivery, and fetal discomfort. Conclusion: Higher percentiles of the length of a fetus
nasal bone between 18 and 22 weeks of gestational age may help with the forecast of unfavorable perinatal outcomes such as preterm delivery,
preterm labour, and preterm premature rupture of membranes
A STUDY ON THE OCULAR MANIFESTATIONS IN PATIENTS FOLLOWING COVID-19 INFECTION
Authors: Anil Kumar B. , Veladanda Raghu , Padmanabhula Tejaswini
Published: March 2023

Background And Objective: The objective of this study was to evaluate ocular manifestations in Post COVID-19 patients. Materials And
Methods: This study was conducted at the Department of Ophthalmology, Chalmeda Ananda Rao Institute of Medical Sciences from October
2020 to April 2021. 200 patients with the history of COVID-19 infection were included in the study. Detailed history was taken, slit lamp
examination and fundoscopy was done for all patients, relevant investigations like Optical coherence Tomography, Fundus Fluorescein
Angiography were done. Results: 23 out of 200 (122 male and 78 female) patients had ocular manifestations, 15 patients had viral conjunctivitis, 3
patients had episcleritis, 2 patients had central serous chorioretinopathy (CSCR), 1 patient had Central retinal artery occlusion (CRAO), 2 patients
were Rhino-Orbito-Cerebral Mucormycosis (ROCM) suspects. Conclusion: Study emphasises on ocular manifestations associated with COVID
19 infection and its sequelae. As these patients presented with an association with COVID 19 infection (either during or recovery)
ophthalmologists should be watchful and screen for such entities
EFFECTIVENESS OF MULTI INTERVENTIONAL PROGRAMME ON MOBILE PHONE DEPENDENT PRACTICES AMONG HIGH SCHOOL STUDENTS
Authors: Yoosuf Neethu , Joseph Mary , Devakumar Divya
Published: March 2023

The present study investigated the effectiveness of multi interventional programme on mobile phone dependent practice among high school
students of selected schools at Kottayam district. Aquantitative research approach was used for the study. The study was theoretically supported by
Betty Newman's System model. Screening was done to the entire 8th and 9th class students of selected schools and 45 students were selected from
among them according to the inclusion criteria using multistage random sampling technique. Pretest was done on the rst day using socio personal
data sheet and Problematic Use of Mobile Phones (PUMP) scale. Multi-interventional programme was given on the second day which included
introduction to digital detox challenge and demonstration of mindfulness based exercises. Students were instructed to take digital detox challenge
and complete each week's task. Study subjects also practiced mindfulness exercises twice daily for 4 weeks. Post test was done on 29th day after
multi-interventional programme using same tools. The results of the study revealed that multi-interventional programme reduced the mobile phone
dependency level (p<0.01) among the study samples which indicated that the multi interventional programme was effective in reducing mobile
phone dependent practices.
REMINISCENCE THERAPY FOR DEPRESSION, SELF-ESTEEM AND LONELINESS
Authors: Ganesan E. , Sivagamy B.
Published: March 2023

Ageing is universal, inevitable, and irreversible, impairment of physical and mental functions becomes increasingly compared to previous period
of life. Ameta-analysis was done between 2012 – 2020 in which Baseline data were collected by using geriatric depression scale, Rosenberg selfesteem scale and loneliness scale. In most of the studies, the results showed that Reminiscence therapy was good noninvasive treatment for elderly
person in prevention and treatment of mental illness.
A PROSPECTIVE OBSERVATIONAL STUDY TO EVALUATE THE ROLE OF RED CELL DISTRIBUTION WIDTH AS A MARKER TO PREDICT TUMOR BURDEN IN GALLBLADDER CANCER.
Authors: Vyas Shashwat , Goyal Amit , Dadhich Aayushi
Published: March 2023

Approximately 80-90% of the biliary tract cancers are Gall Bladder cancers, making it one the most common malignancy of the biliary tract. It is a rare malignancy that has silent course, initially asymptomatic and when later detected usually is fatal. An early 1 diagnosis is the key to curative treatment. The prognosis of gallbladder malignancy is grave and mainly depends on the histological subtype, grade and stage of the tumor at the time of presentation. The overall survival is usually 6 months with 5- year survival rate being less than 2 5%.
DIAGNOSTIC UTILITY OF EBUS TBNA IN TERTIARY CARE CENTER IN NORTH INDIA
Authors: Sarin Kriti , Singh Lalit , Mehta Yatin
Published: March 2023

https://www.worldwidejournals.com/international-journal-of-scientific-research-(IJSR)/fileview/diagnostic-utility-of-ebus-tbna-in-tertiary-care-center-in-north-india_February_2023_1565078025_9106817.pdf
A CASE REPORT OF DISCORDANCY IN MRKH SYNDROME IN MONOZYGOTIC TWINS
Authors: K Preethi , Sornam Sornam
Published: March 2023

A case report of a 15 year old monozygotic twin with primary amenorrhea with the other twin attaining menarche 6 months back. The patient had
developed good secondary sexual charectaristics but on examination the child had blind vaginal pouch with a infantile nodule of uterus in per
rectal examination . diagnosis of MRKH was made The unique part of this case is that the other monozygotic twin is absolutely normal with no
urogynecological , skeletal , cardiac abnormalities. This is a rare presentation in monozygotic twins with MRKH syndrome. Case reports like these
aim to throw a new light in the research of etiopathogenesis of MRKH syndrome
PENGARUH KUALITAS INFORMASI AKUNTANSI, AKUNTABILITAS, TRANSPARANSI PELAPORAN KEUANGAN DAN AKSESIBILITAS TERHADAP TINGKAT PENERIMAAN DANA ZAKAT, INFAK DAN SEDEKAH (ZIS) DI LEMBAGA AMIL ZAKAT NURUL HAYAT BALIKPAPAN
Authors: Indri Hariani Ade , Junaedi Wahyu
Published: March 2023

Penelitian ini bertujuan untuk mengetahui pengaruh kualitas informasi akuntansi, akuntabilitas, transparansi pelaporan keuangan, dan aksesibilitas terhadap tingkat penerimaan dana zakat, infak dan sedekah di Lembaga Amil Zakat Nurul Hayat Balikapapan. Data yang digunakan adalah data primer berupa kuesioner yang disebarkan ke 189 muzakki dengan teknik sampling menggunakan sampling insidental. Metode analisis menggunakan SPSS dengan analisis regresi linear berganda. Hasil penelitian ini menyatakan kualitas informasi akuntansi dan Akuntabilitas tidak berpengaruh secara signifikan terhadap tingkat penerimaan dana zakat, infak dan sedekah, sedangkan transparansi pelaporan keuangan dan Aksesibilitas berpengaruh secara signifikan terhadap tingkat penerimaan dana zakat, infak dan sedekah di Lembaga Amil Zakat Nurul Hayat Balikpapan. Hasil ini mengkonfirmasi bahwa muzakki tidak terlalu menilai kualitas informasi akuntansi dan akuntabilitas lembaganya, namun lebih melihat bagaimana Lembaga Amil Zakat Nurul Hayat Balikpapan memberikan informasi penghimpunan dan penyaluran dana yang transparant, serta pelayanan yang dapat mempermudah akses muzakki menyalurkan zakat, infaq, dan sedekahnya di Lembaga Amil Zakat Nurul Hayat Balikpapan.
PENGARUH STRES KERJA DAN PUNISHMENT TERHADAP KINERJA KARYAWAN DEPARTEMEN MERCHANDISING INDOMARET CABANG BANJARMASIN
Authors: Mailiana Mailiana , Hayati Diana , Moorcy Nadi Hernadi , Maulana Ahmad
Published: March 2023

The purpose of this study was to find out how work stress partially influences the performance of employees of the Banjarmasin Branch of Indomaret Merchandising Department, to find out how partial punishment affects the performance of employees of the Indomaret Merchandising Department Banjarmasin Branch, and to find out how work stress and punishment simultaneously influence performance of employees of the Merchandising Department of Indomaret Banjarmasin Branch

The method used is a quantitative descriptive method. Data collection is in the form of distributing questionnaires. Data processing in this study used the SPSS program and the analysis tests carried out were the Research Instrument Test, the Classical Assumption Test, and the Hypothesis Test.

The conclusions of this study indicate that work stress and punishment simultaneously have a significant effect on the performance of employees of the Banjarmasin Branch of Indomaret Merchandising Department. Partially, Job Stress has a negative and significant effect on Employee Performance at the Indomaret Merchandising Department, Banjarmasin Branch, meaning that the higher the Job Stress, the Employee Performance will decrease significantly, and vice versa. And partially, punishment has a positive and significant effect on employee performance, meaning that the fairer the punishment system applied to the Indomaret Merchandising Department, Banjarmasin Branch, the employee performance will increase.

Suggestions from this study are that superiors from the branch level to the central level in the Indomaret Merchandising Department are expected not to overload employees with excessive tasks, this can increase high stress pressure. And to impose punishment on employees so that it can be carried out with a good warning and delivery, for example conveying it personally to the employee concerned, so that the employee does not feel pressured and there is no suggestion of excessive worry in doing work that can result in punishment.
Clinical profile of Non Alcoholic Fatty Liver Disease in Type 2 Diabetes Mellitus
Authors: Thorat Sanjay , Patil Nikhil , Pawar Pankaj , Doshi Niket , Jain Akriti
Published: March 2023

NAFLD is also potentially contributing to an important burden of extra-hepatic chronic complications. For reasons that are not completely clear, NAFLD is more common in men than women and although precise estimates of incidence rates for NAFLD are uncertain (because of difficulties with establishing a precise diagnosis during sequential follow up), current incidence rates are approximately 20/10,000 person years, peaking in the sixth decade of life. Aim: To study the clinical profile of non alcoholic fatty liver disease in type 2 Diabetes Mellitus. Material and methods: A cross sectional study was carried out among 50 cases having type 2 DM were further evaluated for non alcoholic fatty liver disease under Medicine Department of tertiary health care center. Detailed clinical profile of the participants were studied. All data was collected and complied in Microsoft excel. All statistical analyses were performed by using IBM SPSS statistics Version 21.0 (SPSS Inc., Chicago, IL, USA) and openepi version 2.3.1. Results: Majority 79% were in age group >40 years. Mean age in years was 65.8 +11.26, male preponderance was seen. Mean HbA1C was 7.5+0.73, ranging from 5.1 to 12.5. majority 70% had HbA1C >6, 20% had between 5.7- 6 and 10% had <5.7. Mean SGOT was 66.3+ 76.6, mean SGPT was 44.6+46.8, mean ALP was 98.1+40.3.On USG finding majority 60% had grade 1, 30% had grade 2 and 10% had grade 3. Conclusion: Physician treating the type II DM cases having raised lipid and LFT should have a high suspicion of NAFLD. Early diagnosis and treatment of NAFLD will help in minimizing further complications and will have a good prognosis for the disease.
A Study of the Efficacy of Doxycycline plus Trifarotene in the Treatment of Moderate to Severe Acne Vulgaris
Authors: Islam Md. Rezaul , Baker Md. Abu , Mondal Nelson Taposh , Khan Md. Momenuzzaman , Hossain Md. Mahbub
Published: March 2023

Introduction: Acne is a common cutaneous disease affecting the pilosebaceous apparatus, in which there is hyperkeratinization, excessive sebum production, follicular colonization with Propionibacteriun acnes & inflammation. It manifests as comedones, papules, pustules, nodules & cysts on the face, neck, and trunk. Epidemiologic studies indicate acne affects approximately 9.4% of the global population, ranking it as the eighth most prevalent disease worldwide. It is a common skin condition of the face and trunk that negatively impacts the quality of life. Objectives: We evaluated the efficacy of oral doxycycline in combination with topical trifarotene in the treatment of moderate to severe acne vulgaris. Methods: This was an interventional study for 12-week duration to see the treatment outcome in moderate & severe acne patients. This study was carried out at the Dept. of Dermatology & Venereology, Enam medical college Hospital, Savar, Dhaka, Bangladesh from January 2022 to September 2022. We evaluated a new therapeutic regimen: Doxycycline 100 mg (Oral) once daily during dinner with food and enough water,21 days / month, for three consecutive months along with topical Trifarotene 0.005%w/w once daily at night after proper cleansing for the same duration. Acne severity was graded using Investigator Global Acne Assessment Scale (IGAS). Results: A total of 96 patients with moderate to severe acne were treated & among them 85 completed this study. Out of these 85, 15 are males & 70 are females. There was a marked improvement in IGAS with marked reduction in the number of inflammatory and non-inflammatory lesions between the beginning of the study and through follow up visits. Clinical response to Doxycycline Plus Trifarotene was excellent in 15%, good in 68%, moderate in 14% and mild in 3% and satisfaction to treatment was 22% very satisfied, 60% satisfied and 17% somewhat satisfied. Side effects were low and only 2.1% of cases had mild irritation. ........
The Infectious Complications of Biliary Decompression Prior to Pancreaticoduodenectomy in a Patient with Obstructive Jaundice
Authors: Rahman Md. Zilanur , Chowdhury Mohsen , Das Bidhan C , Elahi Nur e , Ansary Abu Aiyub , Haque Nazmul , Arifuzzaman Arifuzzaman , Simon Akramul Alam , Tanjim Syeda Masrura
Published: March 2023

Background: The standard of therapy for benign diseases, periampullary and ampullary cancers is pancreaticoduodenectomy (PD). These patient subgroups frequently present with obstructive jaundice, which is associated with increased morbidity due to impaired immunity and nutrition. It is controversial whether PBD should be applied routinely prior to pancreaticoduodenectomy. Objective: The purpose of this study is to investigate infectious complications of biliary decompression prior to pancreaticoduodenectomy in a patient with obstructive jaundice. Methods: This single-center, cross-sectional study was done at BSMMU from April 2021 to March 2022. The study comprised 48 pancreaticoduodenectomy patients who met the criteria. Two groups formed. Group I had preoperative biliary drainage (n=24) while Group II did not (n=24). After written consent, all patient data was collected in a standardized form. SPSS version 23.0 ran statistical analysis. Unpaired t-test was used to evaluate mean SD quantitative variables. Chi-square test was conducted to see any association between qualitative observations and frequencies and percentages. P 0.05 was considered statistically significant in 95% confidence interval tests. Results: Overall infectious complications were not significant between two group (75%vs 41.7%; p=0.097). But SSI was higher in stent group (p=0.040). This stent group also observed higher positive bile culture 83.3% with significant polymicrobial growth (p=0.012). Commonly used antibiotics showed higher resistance to those biliary organisms; Cephalosporin (50 75%), Carbapenem (41.7%). There was also significant association between positive bile culture with SSI (p=0.048). Per- operative adhesion (p=0.001) and blood loss (p= 0.006) observed more in stent group. Although significant improvement of liver function observed following stenting. Conclusions: Increased risk of resistant polymicrobial bactibilia with strong association with SSI; preoperative biliary .......
Impacts on Family Medicine in the Obesity Management
Authors: Armanyous Wael Beshir H. , Moursi Mohamed Salah A.
Published: March 2023

Obesity is a major public health concern requiring a comprehensive, effective management approach. Family medicine plays a critical role in the management of obesity, but the extent of its impact is not well-established. This literature review of the impact of family medicine on obesity management identifies the most effective strategies for the management of obesity in primary care. Patient education on weight, exercises, food, and body mass index (BMI) recording. Find studies focusing on family medicine's effects on managing children and adolescents' obesity. Family medicine interventions significantly reduced weight and BMI and improved obesity-related comorbidities, including hypertension, diabetes, and dyslipidemia. Although height and weight were measured for most children and adolescents, their BMI-for-age was not calculated, and they were unlikely to receive weight-related education. The most effective interventions included comprehensive lifestyle modifications, multidisciplinary team-based care, and continuous follow- up and support. Family medicine plays a critical role in the management of obesity, and its impact is significant in reducing weight and BMI and improving obesity-related comorbidities. The findings of this study focus on the importance of using family medicine to treat obesity. Overall, this study supports the ongoing efforts to address the obesity epidemic and promote public health through effective obesity management strategies.
Evaluation of Some Sorghum Cultivars for Drought Tolerance under Gezira Irrigated Conditions
Authors: Beshir Mayada Mamoun , Mohamed Mohamed Salah , Sarsu Fatma , Hassan Omer Bakhiet , Abdallah Abubaker Eltahir , Omer Rasha Adam , Suliman Sofian , Ahmed Nafisa Elmahi , Ghanim Abdelbagi M. Ali
Published: March 2023

This study aimed at to improve drought resilience of sorghum germplasm through development of screening techniques for sustainable food security. Also this study aimed at creating knowledge on the response of farmers’ preferred sorghum varieties to water deficit tolerance under Gezira irrigated conditions. Results from this study proved that Tabat showed susceptibility to drought at the four water treatments while Yarwahsa showed resistance to drought at all water treatments especially at 65 days after sowing. Also YR-2 had the best head weight and number of green leaves across all treatments. Future evaluation of the studied cultivars showld be carried on to confirm their tolerance and stability under water deficit conditions would be useful.