bluuebunny/crossref_metadata_2025 huggingface dataset:
The role of high-density mapping in atrial fibrillation ablation
Authors: Dedukh E. V. , Artyukhina E. A.
Published: May 2021

Aims. To determine the role of the prevalence of low-voltage areas in the occurrence of arrhythmia recurrence after interventional treatment of atrial fibrillation (AF).

Methods. The study included 38 patients with paroxysmal (52.6%) and persistent (47.4%) forms of AF who underwent interventional treatment of AF using high-density electroanatomical mapping (at least 10,000 EGM points). Analysis of electroanatomical maps was performed after the completion of the ablation procedure. The area of the low-voltage zones was measured manually. Then, the areas of all regions of low-voltage activity were summed up; the resulting value was expressed as a percentage of the total surface area of the left atrium (LA).

Results. The observation period was 12.8±3.2 months. Based on the results of endocardial mapping, all patients were divided into 2 groups according to the prevalence of low-voltage areas in the LA. The first group included patients with an area of low-voltage zones less than 5% of the total surface of the left atrium, and the second with an area of low-voltage areas of more than 5% of the total surface of the left atrium. The patients of the first group had a lower LA volume compared to patients from the second group, with mean values of 119.87±16.35 ml and 154.57±33.23 ml, respectively (p=0.007). In the first group, AF recurrence was recorded in one patient after catheter treatment, in the second group in 5 patients.

Conclusion. Common areas of low-voltage activity in the left atrium, detected by high-density mapping before the procedure for catheter treatment of AF, are a predictor of arrhythmia recurrence after interventional treatment.
Autonomic nervous modulation after cryoballoon ablation for paroxysmal atrial fibrillation
Authors: Novikov I. A. , Novikov P. S. , Mironov N. U. , Shariya M. A. , Sokolov S. F. , Maykov E. B.
Published: May 2021

Aim. Aim of our study was the assessment of autonomic nervous system (ANS) modulation by assessment of heart rhythm variation (HRV) using Holter monitoring after single second generation cryoballoon ablation (CBA) for paroxysmal atrial fibrillation (AF).

Methods. Patients who underwent the CBA for paroxysmal AF were include in this study. At the baseline the Holter monitoring after withdrawal of antiarrhythmic therapy (AAT) with assessment of HRV: SDNN, RMSSD, ln LF, ln LH, LH/HF, mean, minimal and maximal beats per minute (BPM) was perform. Follow-up was based on outpatient clinic visits at 3, 6, and 12 months including Holter monitoring.

Results. Among 80 patients underwent CBA, HRV was assessed in 55 patients (65.5% male, age median 61 years, 97.7% of pulmonary vein have been successful isolated). One year after CBA all HRV parameters and the mean, minimal and maximal BPM was significantly different from baseline parameters (p<0.05). In the AF recurrence group ln LF was lower at 3-, 6and 12-month visits (p<0.05) and minimal HR was higher at 3 months (median 58 vs 55.5, p=0.033). Multivariate analysis demonstrated that early recurrence of AF was independent predictor of AF recurrence after CBA (HR 7,44, 95% CI 2,19-25,25, р=0,001).

Conclusion. Our study demonstrated that CBA leads to modulation of ANS which persists for at least 12 months. The early recurrence of AF was only predictor of AF recurrence after CBA.
Acute effects of laser myocardial ablation in ex vivo and in vivo
Authors: Condori Leandro Н. I. , Vakhrushev A. D. , Korobchenko L. E. , Koshevaya E. G. , Mitrofanova L. B. , Goncharova N. S. , Andreeva E. M. , Mikhaylov E. N. , Lebedev D. S.
Published: May 2021

Aim. To study and compare the lesions characteristics of laser energy in heart ex vivo and in experimental large animals.

Materials and methods. For the ex vivo experiment a pig heart was obtained from a local slaughterhouse. Laser applications were applied using power 15-30 W in the left and right ventricles 5-50 seconds in duration. Immediately after ablation, examination was performed to determine myocardial damage characteristics at each point. In the experimental study, 7 sheep were included, laser applications were performed under fluoroscopic control in the right atrium with power 10, 15 and 20 W, 10-25 s; in the right ventricle 20, 25 and 30 W for 10-40 s; and in the left ventricle 20, 25 and 30 W for 20-40 s. The animals were euthanized and macroscopic examination of laser lesions was performed.

Results. A total of 27 laser applications were performed on the heart ex vivo, all lesions were visualized as white spots on the endocardial surface. The maximum lesion depth was 9 mm achieved when using 20 W /50 s, the maximum lesion diameter was 6 mm, when using 25 W /40 s. The minimum lesion diameter and depth were observed when using 30 W /5 s, 2x1 mm. A total of 48 laser applications were performed in experimental animals, in one experimental animal was observed a transmural lesion in the right atrium when using 15 W /20 s. In 3 out of 7 experimental animals, transmural lesions were observed in the right ventricle when using 20 W /30 s; 20 W /40 s and 30 W /10 s. In the left ventricle, transmural lesions were observed in 2 animals, using 15 W /20 s and 20 W /40 s. In the ex vivo study, there was a strong positive correlation between ablation energy and lesion depth (R=0.91, P<0.05) and lesion volume (R=0.73, P<0.05); while there was no such statistical correlation in vivo.

Conclusions. Laser ablation 15-20 W for 15-40 s seems to be optimal for achieving the deepest lesions in the atrium and ventricular myocardium. In our small pilot study with fiberoptic catheter ablation on a beating heart there was no correlation between energy delivered and the depth and volume of necrotic myocardium.
Experimental use of stereotactic radiosurgery for non-invasive interventions in arrhythmology
Authors: Vaskovskiy V. A. , Taymasova I. A. , Kalinin D. V. , Antipina N. A. , Nikolaeva A. A. , Smirnov G. Y. , Golanov A. V. , Potapov A. A. , Revishvili A. Sh.
Published: May 2021

Purpose. The aim of the experimental study was to study the effects of stereotaxic radioablation of various doses on the myocardium of the atria, ventricles and atrioventricular (AV) node in the long term (up to 6 months); as well as assessment of collateral damage during radioablation.

Material and methods. The research was carried out on 4 domestic pigs. The animals were 10-12 weeks old, the average weight was 30±2.7 kg. Linear accelerator «TrueBeam», Varian was used for the experiment. Animals were divided into groups according to the zones of planned radiation exposure: 1st animal AV node (dose 35 Gy), 2nd animal AV node and the apex of the left ventricle (LV) (dose 40/35 Gy, respectively), 3rd animal pulmonary veins (PV) and left atrium (dose 30 Gy), 4th AV node and free wall of the LV (dose 45/40 Gy). Under intravenous sedation with hemodynamic monitoring, contrast-based CT of the heart was performed to assess the degree of displacement of the heart chambers in one respiratory and cardiac cycle and to assess the anatomy of the chambers of the heart and adjacent organs. The allocation and the contouring of the target zones were carried out in 3 projections: axial, frontal and sagittal. For electrophysiological control, loop recorders were implanted in each animal. The average exposure time was 11±7 minutes. The long-term follow-up period was 6 months, followed by morphological examination of autopsy material.

Results. The average follow-up period after the experiment was 134.75±77.34 days. The electrophysiological effect of the ablation was achieved in cases of complete AV-block development. This effect was developed in 2 out of 3 animals, whose AV-node was exposed: 2nd animal 40 Gy on 108th day of observation and 4th animal 45 Gy on 21st day of observation. No cardiac arrhythmias were recorded in all cases. The results of macroand microscopic examination showed significant changes in the target zones. These areas had precise but uneven damage boundaries, which were within the planned ones (conformal exposure with a high degree of precision). The transmural nature of the changes was noted as well. Massive fields of fibrous tissue of various degrees of maturity (with a predominance of subepicardial localization) with focal hemorrhages of various ages and granulations were detected, which were surrounded by cardiomyocytes with coagulated and vacuolated cytoplasm.

Conclusion. The use of non-invasive stereotactic treatment of tachyarrhythmias has high prospects in modern arrhythmology as an alternative ablation method.
Methods for assessing the quality of life of patients with cardiac arrhythmias
Authors: Steklov V. I. , Kim E. A. , Kraynyukov P. E. , Demyanenko A. V. , Nugayeva N. R. , Rzayev F. G.
Published: May 2021

Assessment of the quality of life in patients with cardiac arrhythmias using questionnaires is increasingly becoming the subject of clinical studies. However, there are no uniform criteria and standard norms for assessing the quality of life. Each questionnaire has its own criteria and assessment scale. This review presents the main general questionnaires that have been used in world practice to assess the quality of life in cardiology and arrhythmology. Special questionnaires are considered, which are used to clarify the parameters of the quality of life of interest in cardiac arrhythmias. Particular attention is paid to the assessment of this indicator in patients with ventricular arrhythmias.
Reliability Estimation in Multicomponent Stress-Strength for Generalized Inverted Exponential Distribution Based on Ranked Set Sampling
Authors: NAGY Heba , HASSAN Amal
Published: May 2021

Stress-strength models are considered of great significance due to their applicability in varied fields. We address the estimation of the system reliability of a multicomponent stress-strength model, say Rs,k, of an s out of k system when the pair stress and strengths are drawn from a generalized inverted exponential distribution. The system is deemed as working if at least s out of k strengths be more than its stress. We obtain the reliability estimators when the data of strength and stress distributions are collected from three sampling schemes, specifically; simple random sampling, ranked set sampling, and median ranked set sampling. We obtain four estimators of Rs,k out from median ranked set sampling. The behavior of different estimates is examined via a simulation study based on mean squared errors and efficiencies. The simulation studies point out that the reliability estimates of Rs,k, from the ranked set sampling scheme are preferred than other estimates picked from the simple random sample and median ranked set sampling in a majority of the situations. The theoretical studies are explained with the aid of real data analysis.
A Symmetrical-Asymmetrical Fault Characteristics Analysis within Cogeneration Power Plant in Izmir, Turkey: An Experimental Assessment
Authors: OZTURA Hacer , POLAT Sezai
Published: May 2021

The analysis of the short circuit should be understood very well in order to make correct designs in the power systems such as the safety of the personnel and the equipment, the selection of the safety relays, the circuit breaker selection and the selection of the appropriate conductor section. In this study, the parameters about the short circuit and the techniques of calculating the faults in system and the necessary theoretical knowledge for the short circuit fault to be understood better have been given. The effect on the distributed generation and the grid which is caused by the possible short circuit faults have been simulated by being modeled in PSS/Sincal and by using the real grid parameters with cogeneration power plant in Izmir, Turkey. The real short circuit fault results measured from the power plant and the grid and the results obtained from the software program have been compared and it has been determined that there is not a significant difference between them. Thus, it has been emphasized that it is correct to simulate before investing in a power system in for the purpose of restrain the faults during the designing and working before the application. It allows the designer to design new power plant as good as plan expansion of existing power plants with higher degree of precision. Considering the prices of protection equipment, which has a large part in system design, this way would allow designer to reduce the cost of the protective equipment and remaining stability.
Foreign Aid, Debt, Tax Revenue and Government Spending in South Asia: A Panel Analysis
Authors: Akter Rozina , Nila Sakila Aziz
Published: May 2021

Purpose: Over the years, tax revenue, foreign aid, and debt play a prominent role in finance the South Asian countries’ government spending. Thus, this paper aims to analyze the effects of foreign aid, debt, and tax revenue on government spending in South Asia.
Methodology: The study considers six south Asian countries over 25 years from 1990-2014. The panel data method is used to analyze the impact of explanatory variables on the dependent variable.
Findings: From the empirical analysis, it is found that foreign aid, tax revenue, and total debt have a positive impact on government spending. It indicates that when these variables increase, government spending also grows significantly. However, a higher interest rate ebbs the volume of receiving debt among the sampled countries.
Originality: Under this circumstance, this paper advocate that rational use of tax revenue may abate the aid dependency and debt burden in South Asian countries.
Analysis of the Structural Decomposition of the Textile-Clothing Industry in Bangladesh
Authors: Masum Md. , Ahamed Md. Mourtuza , Rahman Mohammad Sayedur
Published: May 2021

Purpose: This paper aims to introduce the technology’s role and the final demand in the textile clothing industry’s growth path (TCI) of Bangladesh.
Methodology: This study applies structural decomposition analysis in the input-output framework to measure Bangladesh’s textile–clothing industry structural changes. Structural decomposition analysis is also known as growth accounting in literature.
Findings: This paper finds that, from 1975 to 1995, the TCI has grown due to huge domestic demand, from 1995 to 2015, this industry has grown due to export expansion. The technology was never a key factor over low–cost labor for the development of TCI in Bangladesh.
Implications: For the sustainable development of the TCI in Bangladesh, domestic demand expansion is significant. Private and public policies should reflect this expansionary (domestic demand expansion) strategy.
Originality: Previous studies on the TCI were mainly descriptive; there was no decomposition analysis in the input-output framework. Moreover, this paper decomposes the growth of the TCI into technical effect and final demand effect, which are new in the ready-made garment industry
of Bangladesh.
EVIDENCE INFORMED POLICY PADA PROGRAM TIKET ONLINE TAMAN SATWA KEBUN BINATANG SURABAYA
Authors: Sari Inka Mustika , Kriswibowo Arimurti
Published: May 2021

Surabaya Zoo Animal Park is one of the tourist attractions in the city of Surabaya with increasing visitors every year. Currently, during the pandemic, the Surabaya Zoo's Animal Park has used a new innovation, namely a policy in the form of an online tourist admission ticket program. This has resulted in a decrease in the number of visitors at the Surabaya Zoo's Animal Park. This study aims to determine how evidende informed policy is in the online ticketing program at the Surabaya Zoo's Animal Park. The type of research used in this article is to use a qualitative approach. The results showed that the process of evidence informed policy has been implemented but there are still many people or visitors who do not understand this program. The conclusion of this research is that the process of evidence informed policy that occurs is not yet optimal, this can be seen from the indicators of evidence informed policy.
PENERAPAN COMMUNITY BASED TOURISM DALAM PENGELOLAAN WISATA BERKELANJUTAN DI KAMPUNG GENTENG CANDIREJO
Authors: Nawangsari Ertien Rining , Dharmawan Muhammad Zaky , Afifah Nur Sabrina Hana , Fajrin Nisrinada Zahirahaini
Published: May 2021

Kampung Genteng Candirejo is a village that is included in the category of tourist villages in Surabaya. Kampung Genteng Candirejo is characterized by its processing of herbal products and environmental-based village management to achieve sustainable tourism management. The development of Kampung Genteng Candirejo as an alternative for tourism involves community participation in the formation of tourism village institutions as well as the existence of herbal product business units that can improve the community's economy. The purpose of this research is to identify the management of Kampung Genteng Candirejo in the perspective of community based tourism as sustainable tourism. The method used in this research is descriptive qualitative using the theory of community based tourism. Data collection techniques are carried out through observation, interview and documentation techniques. The results showed that community based tourism has been applied to tourism management in Genteng Candirejo Village, the application of community based tourism is applied in the form of active community participation, the formation of tourism village management agencies, the existence of herbal product processing business activities that improve the community's economy, and village management through an environmentally friendly program.
MANAGEMENT OF CHYLE LEAK AFTER RETROPERITONEAL SURGERIES: CAN COLLAGEN SEALANT PATCH BE AN OPTION? - A CASE REPORT.
Authors: Pal Mahendra , Prakash Gagan , K Bakshi Ganesh
Published: May 2021

Background: Chyle leak (CL) after retroperitoneal surgeries (RPS) is an uncommon and unwelcomed
complication. Usually, it results due to the injury of major lymphatics during lymphadenectomy. CL is
associated with adverse physical and psychological consequences and its management strategy also should focused on the
patient's nutrition and psychological support. Conservative treatment (CT) is the initial treatment with good outcome, however
selected patients require surgical interventions when CL does not stop with CT. Case report: 23 years old female who underwent
radical nephrectomy with retroperitoneal lymph node dissection (RPLND) for local recurrence after initial partial nephrectomy,
developed CL, which was refractory to conservative management. After futile available conservative options, patient was
explored and CL nally stopped after suturing a collagen sealant patch (CSP) on the friable leak site. Conclusion: Collagen
sealant patch is an effective alternative in surgical armament to control CL in unfavorable circumstances.
INLAY OF THE TAJ MAHAL: AN INSPIRATION FOR SURFACE ORNAMENTATION ON HIGH FASHION GARMENTS
Authors: Patel Falguni , Thakkar Komal
Published: May 2021

India has a rich cultural heritage of costume, art and crafts. Since decades highly developed civilizations
continue to produce remarkable, eminent and ornate textiles with its distinct patterns, designs and motifs
having different placements and layouts. However, escalating demands of consumers requires modication in the fashion
industry with respect to design, motifs, colours, style and technique. Fashion designers used to take their inspiration from
architectural buildings normally to create new clothing silhouettes. The researcher attempts to connect between 'fashion' and
'architecture', which can serve as fashion element for designers.
The research attempts to document and digitize of the motifs of this architectural wonders. The purpose of the study was an
attempt to interpret the technique of the beautiful inlay work of the Taj Mahal and its application to the textiles for high fashion
garments. In process of designing various pictures of inlay work were documented which were classied into three categories,
namely cut-away lattice, inlay and embossed carving.
ANTIMICROBIAL RESISTANCE PATTERNS IN ARTHRITIS GOUT PATIENTS WITH INFECTION
Authors: Siregar J , Marpaung B , Lubis SN
Published: May 2021

Background: Gout arthritis is a metabolic disease characterized by the accumulation of monosodium
urate (MSU) in the joints and soft tissues that cause inammation. If this inammatory process continues
it will cause severe pain that can decrease the quality of life. The incidence of gout arthritis disease increases from year to year
and often coincides with infectious arthritis so analysis of infected joint uid aspiration is essential to establish an accurate
diagnosis and initiate appropriate antimicrobial therapy. The limited data on antimicrobial resistance patterns in gout arthritis
patients in Indonesia is the basis for this study. Objective: To investigate the pattern of antimicrobial resistance in gout arthritis
patients with infection. Methods: Descriptive research was conducted at Haji Adam Malik General Hospital Medan and Boloni
Hospital from April to July 2018 with 20 samples of gout arthritis patients with infection. Results: 20 patients with gout arthritis
who had infection, with the most sex was male (60%) with mean age 52,1 ± 9,25 years old and mean of uric acid level 10,01 ±
1,73 mg/ dL. The most common microorganisms identied were Acinetobacter baumanii and Escherichia coli. Cefazolin,
Ciprooxacin and Ampicillin are antimicrobials with high resistance rates ≥ 80% in this study. Conclusion: Acinetobacter
baumanii and Escherichia coli are the most common microorganisms in gout arthritis patients with infections at RSUP H. Adam
Malik Medan and RS Boloni Medan whereas high-resistance antimicrobials are Cefazolin, Ciprooxacin and Ampicillin
ASSESSMENT OF IMMUNIZATION OF UNDER FIVE CHILDREN OF RURAL AND URBAN AREAS OF UDAIPUR DISTRICT, RAJASTHAN
Authors: Salvi Ganesh , Hathi Maitri
Published: May 2021

Background: The impact of immunization is not uniform in different social groups till today despite of EPI
since long. Current study was held to assess the level of knowledge and actual practice of immunization
by mothers of under ve children in a rural and urban belt of Udaipur district. A cross sect Methods: ional study was conducted
in blocks Binder, Badgav, Ladiya , Kotra, Girva and Salumber of Udaipur district. Randomly 400 families (200 urban, 200 rural)
were selected. Ample health education should be given to parents residing in rural areas to rai Result and conclusion: se their
knowledge regarding immunization. In rural areas anganwadi workers, ASHA etc should play a signicant role in bringing
awareness about immunization and their benets. The group based approach, frequent camps would be more rewarding
compared to area approach due to poor socio-economic development of marginalized group likes rural area for programmes
like immunization of children.
SOCIODEMOGRAPHIC FACTORS AND CLINICAL FACTORS OF SUICIDAL ATTEMPTS IN TERTIARY CARE CENTER
Authors: Pallavi Puja , Chandra Kamlesh , Saurav Navneet
Published: May 2021

Background: The objective was to study the sociodemographic data, psychiatric disorder and mode of
attempt in suicide attempted patients referred to department of psychiatry,tertiary care center,Ranchi.
Materials and Methods: During the 3-month period 140 referrals were screened for the presence of suicide attempters in the
department of psychiatry. Results: Adult age, male, urban background, employed were more represented in this study. More
than 66.4% of all attempters had psychiatric disorder. The most common method of attempt was by use of insecticide.
Conclusions: Majority of suicide attempter patients had mental illness. Early identication and treatment of these disorders
would have prevented morbidity and mortality associated with this.
A RARE CASE OF ACUTE MESENTEROAXIAL GASTRIC VOLVULUS WITH SPLENIC INFARCT
Authors: Santhi B. , Uma M. , Saradha R.
Published: May 2021

Gastric volvulus is an uncommon clinical entity seen in both adults and pediatric patients. It occurs when
the stomach is rotated atleast 180 degrees along its longitudinal or transverse axes. Gastric volvulus may
present acutely or may present with intermittent, recurrent and chronic symptoms. In acute presentation, there is risk of
strangulation of stomach leading to necrosis , perforation and shock. Hence, prompt diagnosis and treatment of acute gastric
volvulus helps to decrease morbidity and mortality. We encountered a case of a 20 year old male patient who presented to the
emergency department with acute onset of abdominal pain and distension. Following Contrast Enhanced Computed
Tomography and upper GI endoscopy a diagnosis of acute strangulated gastric volvulus with eventeration of left
hemidiaphragm was made and patient was posted for emergency laparotomy. Intraoperative ndings included
mesenteroaxial volvulus of the stomach with transmural necrosis of the fundus and proximal part of body of stomach along the
greater curvature with eventeration of left hemidiaphragm and superior displacement of spleen with infarct of lower part of
spleen
RARE PRESENTATION OF HUGE CERVICAL FIBROID –CASE REPORT
Authors: fuke Rujuta , singh Monika
Published: May 2021

Most of the leiomyomas are situated in the body of uterus. Fibroids arising from cervix are rare tumours
accounting for 2% of all broids. Cervical leiomyomata are mostly single and are subserous or interstitial
in origin. Generally these tumors present with retention of urine, constipation, sensation of something coming out of vagina and
rarely at times present with abdominal mass which may mimic ovarian cancer. We report a case of 55 yr. married patient with
complaints of something coming out of vagina and postmenopausal bleeding of short duration. Provisional diagnosis was a
huge cervical broid protruding through the introitus on examination. Vaginal hysterectomy was done for patient along with
removal of cervical broid which was conrmed on histopathology as leiomyoma. Conclusion: Huge cervical broids are rare
entity and treatment is surgical removal.
HEMOPHAGOCYTOSIS: AN UNUSUAL COMPLICATION OF CLASSICAL DENGUE FEVER WITH ACUTE LIVER FAILURE.
Authors: Sharnagat Deepa , Sawant Vishal , Kondekar Alpana
Published: May 2021

Dengue is a vector-borne disease caused by dengue virus. It has a diverse presentation and usually
presents as an asymptomatic, self-limiting disease. Among the unusual presentations, hepatic
dysfunction is well reported. Complications of dengue fever can be protean and life-threatening. Dengue may cause bone
marrow suppression leading to thrombocytopenia, leukopenia and anemia in acute phase of illness; and increased hematocrit
due to capillary leakage, but these changes are self-limiting and require no further investigations and specic treatment.
Dengue associated Hemophagocytic lymphohistiocytosis (HLH) is a rare complication of Dengue haemorrhagic fever or
Dengue shock syndrome. Diagnosis of secondary HLH (sHLH) due to dengue is usually challenging and delayed as initial
clinical symptoms mimic sepsis and systemic inammatory response syndrome (SIRS). Delayed or no treatment of sHLH has a
poor outcome. We present an unusual case of classical dengue fever presented as Acute liver failure (ALF) with encephalopathy,
later complicated by sHLH.
DIAGNOSTIC ACCURACY OF TRANSABDOMINAL ULTRASONOGRAPHY IN DETECTING MALIGNANT NATURE OF URINARY BLADDER MASS TAKING HISTO-PATHOLOGY AS GOLD STANDARD FOR CORRELATION- A PROSPECTIVE STUDY IN A TERTIARY CARE HOSPITAL OF EASTERN INDIA
Authors: Das Prasun , Sunder Hembram Shyam , Priya Basu Swadha , Parveen Sarwala Sohini
Published: May 2021

Background: Bladder cancer is a highly lethal malignancy and its increasing trend is alarming in India,
and thus, there is a strong need to identify and implement effective prevention and treatment strategies.
Objective: To measure parameters of diagnostic accuracy of transabdominal ultrasound in detecting malignant features of
urinary bladder masses in respect to histopathology taking it as gold standard.
Methodology: We took 30 patients for transabdominal sonography(TAS) and recorded the ndings with corroborating them
with histopathological ndings prospectively
Results: Mostly affected were male with complaint of haematuria(90%) .After corroboration, we found the sensitivity was
96.43% but the specicity was 50% .The association of ndings of ultrasound with HPE were statistically signicant(p-0.011)
Conclusions: We found transabdominal ultrasonography has an excellent diagnostic accuracy in detecting neoplastic nature
of urinary bladder masses.
OBESITY IN SARS-COV-2 INFECTION: LITERATURE REVIEW
Authors: Da Silva Donizete Tavares , Barros Lima Priscila De Sousa , Mello Neto Renato Sampaio , Magalhães Valente Gustavo , Dias Cabral Débora , Santos Marques Nayra Danielly Dos , Vasconcelos Runo César Ernani , Quaresma De Sousa Thaís Sthéfane , Holanda Miranda Wallace Rodrigues De , Da Silva André Gonçalves
Published: May 2021

In March 2020, the World Health Organization (1) declared
COVID-19 as a pandemic and a threat to global public health
(2). The virus mainly affects the lungs and can cause acute
respiratory distress syndrome (ARDS). In addition,
coronavirus 2 severe acute respiratory syndrome (SARSCOV2) also has devastating effects on other important
organs, including the circulatory system, brain,
gastrointestinal tract, kidneys and liver
AWARENESS AND EFFECTS OF TEXT NECK SYNDROME IN PHYSIOTHERAPY STUDENTS IN DEHRADUN
Authors: Laxme Yashwant
Published: May 2021

Background: Text neck is a repeated stress injury and pain sustained from excessive watching or texting
on handheld devices for long periods of time. This study was designed to guide us through occurrence,
awareness and consequences of text neck syndrome in physiotherapy students.
Method: The study design was an observational study with a sample size of 258 healthy physiotherapy students of the age
group 18-24 years. Students were asked to ll the questionnaires of Awareness of text neck syndrome (ATNS), NDI, SPADI and
Headache. The questionnaire collected the awareness of Text Neck Syndrome and its affects in the selected sample. CVA was
obtained and recorded photographically and was measured using Coral Draw X7 software.
Conclusion: The study demonstrated a low level of awareness of text neck syndrome amongst young physiotherapy students in
Dehradun. The study also depicted that daily mobile phone use for more than 2 hours resulted in mild pain and disability in the
neck and shoulder along with forward head posture. In addition the result depicted that subjects using phone more than 6 hours
were at higher risk of Text neck Syndrome
BIDIRECTIONAL SCREENING FOR TUBERCULOSIS AND DIABETES MELLITUS IN A TERTIARY CARE HOSPITAL IN SOUTH INDIA
Authors: Babu.V Arun , Kanna.K Deepak
Published: May 2021

Screening for Tuberculosis in people with Diabetes and screening for Diabetes in people with
Tuberculosis will allow earlier detection of co-morbidities, leading to better health outcomes. This study
carried out in a tertiary care hospital in South India consisted of 500 Diabetic patients and 250 patients of Tuberculosis. In 250
Tuberculosis patients screened for DM, the overall prevalence of DM in TB patients was 24.8%,out of which 17.2 % already had
Diabetes and 7.6% was the additional yield during screening. About 500 Diabetes cases screened for tuberculosis, 7.6% had
symptoms suggestive of tuberculosis. On further evaluation of these subjects none of them revealed evidence for tuberculosis.
There exists a bidirectional relationship between TB and diabetes, and they both impact the presentation of each other. This
study highlights the need of routine screening for dysglycemia for all TB patients, especially at the time of diagnosis, similar to
HIV screening.
ENDODONTIC MANAGEMENT OF SIX CANALS IN MANDIBULAR FIRST MOLAR : A CASE REPORT.
Authors: Rawat Monika , K Roy Kamlendra , Mittal Anika , Dhaundiyal Aditi , Parvez Beenish , Pranshu Pranshu
Published: May 2021

This case report presented here shows the endodontic treatment of an uncommon case of mandibular rst
molar with six canals . Even though such a nding is clinically uncommon but numerous case studies have
been reported. Therefore, a thorough knowledge of the anatomy of root canal systems, the variations, correct assessment of the
pulp chamber oor, use of operating microscope, taking proper radiographs plays a major role in management of such cases.
AUTISTIC CHILDREN AND THEIR SIBLINGS
Authors: WarpudkarRajenimbalkar Deepa , Chaudhary Prasoon , Riya Riya
Published: May 2021

Having an autistic brother or sister can pose challenges, but it can also make children patient, empathetic
and resilient.
Being the sibling of an autistic child can be both enriching and challenging.
Siblings of Children with autism tend to struggle with anxiety, depression and social difculties
MANAGEMENT OF INTRA-ARTICULAR CALCANEAL FRACTURES WIILIZAROV RING FIXATIO
Authors: Singh Nirottam , Jagdish Jagdish , Jain Hemant , Raichandani Kishore
Published: May 2021

Objective: Calcaneal fractures are caused by a high velocity force to the heel, mostly in road trafc
accidents or fall from height. Debate continues regarding the best management of calcaneal fractures.
We aim at evaluating the radiological and functional outcomes of displaced intra-articular calcaneal fractures treated with
Ilizarov ring xation.
Methods: intra-articular calcaneal Eighteen consecutive patients with fractures [Sanders type II (10), Sanders type III(6), and
Sanders type IV (2)] were treated with the Ilizarov ring xator from Sep 2017 to June 2020. Patients were evaluated in terms of
associated injuries and x-rays of anteroposterior, lateral and axial views of the calcaneus. CT scan was done to assess the
amount of comminution and articular depression. Patients were followed up clinically and radiologically at least for 1 year.
Functional outcome was assessed using the American Orthopaedics Foot and Ankle Society (AOFAS) scale. Radiological
assessment was done by Bohler's angle and Gissane's angle along with measurement of calcaneal height and width.
Results: At average follow-up of 18.5 months, average AOFAS score was 80.5 (range 71 to 90), with 6.25% having excellent, 75%
having good, 12.5% having fair and 6.25%having poor results. All patients had stable ankle joint with all having dorsiexion
and plantar exion more than 30°. All patients are able to wear their previous size shoes. The mean Bohler's angle, mean
Gissane's angle, calcaneal height and width were 21.5°, 126.3°, 4.36 cm and 3.80cm respectively at nal follow-up. Four patients
had supercial pin tract infection. One patient had collapse of posterior facet after removal of xator with peroneal tendinitis.
All fractures united and none needed secondary bone grafting. Patients returned to work on an average of 5.5 months.
Conclusion: Ilizarov external ring xation gives good functional outcomes, manifested by restoring near normal anatomic
reconstruction of morphology and alignment of the calcaneus. The added advantages of these procedures are the
considerably shortened operating time and hospital stay, no need of highly equipped operation theatres and the reduced risk
of complications related to surgical exposure.
HEALTH, HYGIENE, SANITATION, ENVIRONMENT IN PANDEMIC ERA
Authors: Pradeep Kumar Radhakrishnan
Published: May 2021

Swa means one's own, belonging to oneself, innate, inherent,
natural, inborn is also a reference to the soul, and asthi means
present, existing or being. Therefore, swasthi means selfexistence, the fact that one is alive and awake. This essentially
starts with purity of thought, which spreads as purity of
ambience. Swasti acknowledges well being universally with
an afrmative wish that the sound wellbeing of ambience and
the self continues by the grace of the omnipresent component
of all constituents of the Universe. Pure ambience attracts
peace and prosperity.Isopanishad exhorts “This universe is
the creation of the supreme, meant for the benet of all His
creations. Individual species must, therefore learn to enjoy its
benets by forming a part of the system in close harmony with
other species. Let not any one species encroach upon the
others right”. Charaka and Susruta observed not only that
bodily health as a personal problem, but also its relations to
heredity, geographical environment, climate, water supply,
quality of air, time and seasonal variation.
PALM PRINTS 'LINES DO TELL'- AN INNOVATING PARAPHERNALIA AS BIOMETRIC AUTHENTICATION
Authors: Shamim Khan Sameera , Naik Smitha , Khan Arshad
Published: May 2021

Authentication in personal identication using palm print method provides valuable evidence in one's
identication. It has been investigated over years by different methods employed by both high resolution
images which are further processed by different computerized techniques and software systems and low resolution images
which have attracted many researchers attention. This paper proposes a brief introduction about palm prints its different
methods employed and the current classication system which is less time consuming followed for research to be carried out for
biometric authentication and scientic evidences which is useful for civil and commercial applications.
IMMEDIATE NEONATAL OUTCOME OF LATE PRETERMS AND EARLY TERMS COMPARED TO TERMS
Authors: Sur Kausik , Ray Brajagopal
Published: May 2021

Introduction: Increasing number of Late Preterm (LPT) babies are being born in recent years, and they
suffer from increased neonatal morbidities and moralities.
Objective: +0 +6 To assess the immediate neonatal morbidities and mortalities of Late Pretrem - LPT - (34 -36 weeks) compared to
+0 +6 +0 +6 those babies born at Early Term -ET- (37 - 38 weeks) and Term - T- (39 - 40 weeks) gestation.
Methodology: A retrospective review of delivery, admission, discharge and death registers and necessary case notes of all live
in-born babies excluding those with congenital anomalies were done in RKM Seva Pratisthan Hospital, a teriray level
University Hospital in the City of Kolkata, between 1st January 2018 till 31st December 2019. Data collected in a predesigned pro
forma were analysed with SPSS vs 23 software, after obtaining necessary permission. All the major neonatal morbidities and
morality were compared between the three groups.
Results: +0 +6 Total 6511 babies born between gestation 34 and 40 weeks were analysed of which 1021 were in LPT group
(31.9%requiring NICU admission), 3408 in ET group (8.3% requiring NICU admission) and 2068 in T group (9.2% requiring
NICU admission). There was no signicant difference in mortality (LPT vs ET vsT : 0.5% vs 0.3% vs 0.1%). All the major
morbidities ( Respiratory, CNS, Infectious, Metabolic and Any morbidity) were signicantly higher in LPT group. No signicant
difference were observed between ET and Term group in terms of any neonatal morbidity or mortality.
Conclusion: Late Pretrem newborns suffer from increased neonatal morbidity compared to their Early Term or Term
counterpart in immediate neonatal period. No difference of morbidity or mortality were noted between Early Term and Term
groups.
CHOICE BASED CREDIT SYSTEM
Authors: Dash Neena
Published: May 2021

There is general agreement that there is an urgent need for the transformation of education so as to make
it socially relevant and purposeful. University Grants Commission (UGC) has already initiated several
steps to bring equity, efciency and academic excellence in National Higher Education System. The important ones include
innovation and improvement in course- curricula, introduction of paradigm shift in learning and teaching pedagogy,
examination and education system. University Grant Commission (UGC) has made it mandatory to be implemented choice
based credit system(CBCS) in all the undergraduate (UG) and postgraduate (PG) courses under the XI plan of Higher
Education. Gangadhar Meher University has also implemented CBCS in all UG and PG courses. GM University has conrmed
compulsory that CBCS to be implemented across all departments. Undoubtedly, it would cast positive effect on the higher
education system.
IMPACT OF IN-SERVICE TRAINING IN CLASSROOM TEACHING IN PREPRIMARY SCHOOL
Authors: Bharati Vijay
Published: May 2021

In- service training is important in classroom teaching in pre-primary school as a tool for professional
development and to enhance their knowledge and quality of teaching and learning. If the teacher is welltrained then only, he/she will be able to handle the students properly as students at pre-primary level require extra attention,
skills, knowledge and patience of teachers.
In- service training programmes are refresher courses, workshops, conferences, study groups, experimental schools. In- service
training increase the staff motivation, self-condence, attitude, knowledge and communication. The effectiveness of the inservice training is inuenced by the role of administrator, teacher’s attitude, need of analysis and strategies used in the training
program.
INCIDENCE OF TROPHOBLASTIC TUMORS: A RETROSPECTIVE CASE STUDY AT RIMS RANCHI
Authors: Pathak Sona , Sinha Suraj , Md Raihan Md Raihan , Ansari M. A.
Published: May 2021

Background: The gestational trophoblastic diseases encompass a wide range of conditions that vary in
their clinical presentation, their propensity for spontaneous resolution, local invasion and metastasis and
their overall prognosis. Advanced or adolescent maternal age has consistently correlated with higher rates of complete
Hydatidiform mole. Material and Methods: It is a retrospective record based study, performed in Department of pathology
RIMS, Ranchi. Study population included all cases which were clinically suspected of gestational trophoblastic disease, with
common clinical presentation of abnormal vaginal bleeding, amenorrhea, pain abdomen, from January 2017- December 2020.
Results: Hydatidiform mole was found to be the most common form of gestational trophoblastic diseases. Our study shows
maximum cases of GTD falls in the age group of 20-29 years followed by 30-39 years.
SOCIODEMOGRAPHIC AND ANTHROPOMETRIC PROFILE OF DIABETIC PATIENTS ATTENDING IN A DIABETIC CLINIC IN A TERTIARY MEDICAL COLLEGE AND HOSPITAL, WEST BENGAL
Authors: Banik Smarajit , Saha Sandip , Mitra Sudipan , Pattanayak Ujjwal , Sikder Rajib , Pattanayak Alankar
Published: May 2021

Background: Diabetes mellitus is one of the important causes of morbidity and mortality. With a rise in non communicable diseases in India, diabetes has become a modern epidemic showing a rising trend in West Bengal also. A large number of diabetes patients come to the diabetes clinic of our tertiary care hospital in North Bengal Medical College and Hospital, Darjeeling, West Bengal. The large proportion of patients presenting with this condition prompted us to study the Sociodemographic and Anthropometric Prole of such patients. Methods: This was a descriptive hospital based cross sectional study involving a total of 344 diabetic patients enrolled in the diabetes clinic of a tertiary care teaching hospital from December 2019 to February 2020. A self-administered questionnaire was used to collect data and was analyzed in Microsoft excel sheet and using SPSS 20.0 software. Results: Among the 344 study participants, we found that 220 (63.95%) were males and 124 (36.05%) were females. Diabetes was more common among those aged 51-60 years 108 (31.40%). Family history was present among 188 (54.65%) of the diabetic patients. Almost 160 (46.51%) patients have diabetes 1.1 – 5 years. Hypertension was present among 216 (62.79%) patients. Almost 218 (63.37%) of the patients were overweight and 84 (24.42%) were obese. Conclusions: The diabetic patients presenting to this tertiary care hospital belong lower socioeconomic strata and having limited education in their age group. There is high proportion of obesity and hypertension among them.
Enabling Grant-Free URLLC: An Overview of Principle and Enhancements by Massive MIMO
Authors: Ding Jie , Nemati Mahyar , Pokhrel Shiva , Park Ok-Sun , Choi Jinho , Adachi Fumiyuki
Published: May 2021

Enabling ultra-reliable low-latency communication (URLLC) with stringent requirements for transmitting data packets (e.g., 99.999% reliability and 1 millisecond latency) presents considerable challenges in uplink transmissions. For each packet transmission over dynamically allocated network radio resources, the conventional random access protocols are based on a request- rant scheme. This induces excessive latency and necessitates reliable control signalling, resulting overhead. To address these problems, grant-free (GF) solutions are proposed in the fifth-generation (5G) new radio (NR). In this paper, an overview and vision of the state-of-the-art in enabling GF URLLC are presented. In particular, we first provide a comprehensive review of NR specifications and techniques for URLLC, discuss underlying principles, and highlight impeding issues of enabling GF URLLC. Furthermore, we explain two key phenomena of massive multiple-input multiple-output (mMIMO) (i.e., channel hardening and favorable propagation) and build several deep insights into how celebrated mMIMO features can be exploited to enhance the performance of GF URLLC. Moving further ahead, we examine the potential of cell-free (CF) mMIMO and analyze its distinctive features and benefits over mMIMO to resolve GF URLLC issues. Finally, we identify future research directions and challenges in enabling GF URLLC with CF mMIMO.
DRSIR: A Deep Reinforcement Learning Approach for Routing in Software-Defined Networking
Authors: Casas Velasco Daniela , Caicedo Rendon Oscar Mauricio , da Fonseca Nelson Luis Saldanha
Published: May 2021

Traditional routing protocols employ limited information to make routing decisions which leads to slow adaptation to trafﬁc variability and restricted support to the quality of service requirements of the applications. To address these shortcomings, in previous work, we proposed RSIR, a routing solution based on Reinforcement Learning (RL) in SoftwareDeﬁned Networking (SDN). However, RL-based solutions usually suffer an increase in the learning process when dealing with large action and state spaces. This paper introduces a different routing approach called Deep Reinforcement Learning and SoftwareDeﬁned Networking Intelligent Routing (DRSIR). DRSIR deﬁnes a routing algorithm based on Deep RL (DRL) in SDN that overcomes the limitations of RL-based solutions. DRSIR considers path-state metrics to produce proactive, efﬁcient, and intelligent routing that adapts to dynamic trafﬁc changes. DRSIR was evaluated by emulation using real and synthetic trafﬁc matrices. The results show that this solution outperforms the routing algorithms based on the Dijkstra’s algorithm and RSIR, in relation to stretching (stretch), packet loss, and delay. Moreover, the results obtained demonstrate that DRSIR provides a practical and viable solution for routing in SDN.
TruckTrix® Path-Planning in the helyOS Operating System for Yard Automation
Authors: Belov Nikolay , Viol Barbosa Carlos Eduardo , Keppler Felix , Kolb Julius , Nitzsche Gunter , Wagner Sebastian
Published: May 2021

In this paper we briefly introduce the helyOS operating system for remote operation of autonomous mobile machines and more precisely the TruckTrix-Path Service, which is used for path planning for yard automation solutions, introduced by Fraunhofer Institute for Transportation and Infrastructure Systems. TruckTrix-Path provides the path planning for complex vehicle structures through critical narrows. Its extensions, developed specially for yard automation problems, adopt calculated trajectories for to be driven by a real automated truck. Alongside with other products of the TruckTrix-Family: TruckTrix-Coop, TruckTrix-Control and TruckTrix-Field it provides a fast and simple solution to control several automated vehicles on closed yards or fields.