bluuebunny/crossref_metadata_2025_split huggingface dataset:
Optimal solutions for an automatic control system for medium capacity power supply facilities using renewable energy sources
Authors: Elistratov V. V. 
Published: June 2019

Introduction: extensive logistics costs (including long distance transportation and high fuel prices) and a high cost of electric energy, generated by diesel power plants, are the main problem of power supply to consumers by off-grid power systems. The author unlocks the potential of hybrid power systems using renewable energy sources and saving expensive fuel. The author offers the analysis of automatic control systems capable of improving the efficiency of subordinate power plant elements.Methods: the author provides a classification of wind-diesel power plants and describes their performance pro rata to the share of wind energy consumption. The author has also compiled a set of specifications applicable to the technological solutions of wind-driven power plants. He also formulates the principles underlying an intelligent automatic control system for off-grid power supply facilities. This system served as the basis for a software and hardware module designed and developed for an intelligent power conversion/control/distribution system. The author provides diagrams of (1) electrical circuits of a software and hardware module for an intelligent power conversion/control/distribution system, and (2) the operation of an off-grid power supply package using renewable energy sources and controlled by the power conversion/control/distribution system. The author analyzes the primary and secondary sources of power in an off-grid power supply facility and describes principles of their operation within a software and hardware module.Results and discussions: the author offers a methodology of intelligent control over off-grid power supply facilities within the framework of the project for development of a wind-diesel power plant in thevillage ofAmderma. The author describes the results of incorporation of a wind-diesel power plant into the power supply facility operating in the permafrost environment of the Arctic region.Conclusion: presently,Russia has pre-conditions in place capable of boosting the development of power supply technologies using hybrid facilities comprising renewable energy sources. The implementation of such off-grid power supply facilities, controlled by newly designed software and hardware modules designated for an intelligent power conversion/ control/distribution system optimizes electric power generation and consumption modes and substantially reduces fuel consumption by diesel power plants.
Prospects for the use of electro-technological heating systems in the arctic conditions
Authors: Konesev S. G. , Khlyupin P. A. 
Published: June 2019

Introduction.The co-authors analyze the sources and consumers of thermal power in the Far North and the Arctic region. The co-authors describe industrial, fire, and environmental hazards coming from existing heating systems that consume burned hydrocarbons. The co-authors propose an alternative system that uses electro-thermal technologies.Subject of research.Electro-thermal systems designated for the maintenance of the operation of industrial and social facilities in the Far North and the Arctic region.Objective.Substantiation of the need to have flame heating systems, which are currently in operation, replaced by highly efficient, safe and eco-friendly electro-thermal heating systems in the Far North and the Arctic region.Materials and methods.The co-authors analyze thermal power generation in the environment characterized by extremely low temperatures.Findings.The co-authors describe several heating sources that comprise electro-thermal technologies, applicable in the Far North and the Arctic region.Conclusions.Electro-thermal heating systems boost heat transmission and power efficiency of heating systems due to their high controllability. They can also reduce the environmental impact, caused by strong heat flows produced by flame furnaces onto the climate of the Far North and the Arctic region.
A STUDY ON HISTOPATHOLOGICAL CHANGES IN SALPINGITS, HYDROSALPINX AND TUBAL PREGNANCY
Authors: Spandana Dr. B. , Jyothi Dr. A.V. , Harish Dr. C.Venkata 
Published: June 2019

Fallopian tubes are complex structures, they represent more than conduit from ovary to endometrial cavity. They are the seats for a variety of interactions in a normally implanted pregnancy. The significance of pathogenic changes in fallopian tubes is related to infertility. Salpingitis is responsible for secondary occlusion or stenosis. The prospective study was done from June 2010 to June 2012. A total number of cases were analysed. The results obtained were subjected to analysis using Microsoft Excel spreadsheet and SPSS for statistical significance. The commonest tubal lesion is salpingitis (66). Tubal ectopic pregnancy was the second commonest condition noticed (55). The third common lesion was Hydrosalpinx
Keywords: Fallopian tubes, Infertility, Salpingitis, Kurnool
CLINICAL PROFILE OF OCULAR SURFACE SQUAMOUS NEOPLASIA (OSSN).
Authors: Gupta Dr. Rishi 
Published: June 2019

Aim: To Study the Clinical profile of Ocular Surface Squamous Neoplasia (OSSN).
Design: Retrospective study.
Materials and Methods: We analysed 28 cases of OSSN who presented to the out-patient department of tertiary eye care centre Hospital, over a period of 1 year from January 2017 to January 2018.
Results: In patients, who presented with OSSN age ranged from 24 to 70 years, mean age being 44.80 years. Males were predominantly affected accounting for 64.28%. A nodule at the libus is the commonest presentation. About 25% of the patients were positive for HIV with mean age of presentation 32 years. Among HIV positive patients 5 cases had SCC.
Conclusion: OSSN was observed more common in males. Nodular type of lesion is the commonest variety. HIV positive individuals have an increased incidence of OSSN with invasive characteristics. Hence, ophthalmologists need to be aware of this association and a thorough workup is warranted for all patients presenting with OSSN, especially in the younger age group.
Keywords: Ocular surface squamous neoplasia, Carcinoma in-situ(CIS), Squamous cell carcinoma (SCC)
A COMPARATVE STUDY ON DIAGNOSTIC YIELD BETWEEN CENTRIFUGED METHOD OF CYTOLOGY AND CELL BLOCK TECHNIQUE
Authors: Harish Dr. C.Venkata , Spandana Dr. B. , Bhanumathi Dr. B. 
Published: June 2019

Cytological examination of serous fluids is of paramount importance in disease diagnosis. Cell blocks are particularly useful when the cytological abnormalities are misleading, such as in reactive mesothelial cells or obscure as in occasional well differentiated adenocarcinoma. In the present study, these methods are applied to pleural and peritoneal fluids to conclude the diagnosis as inflammatory, benign or malignant lesion. A sample of 110 fluids obtained during August 2011 to August 2012 in the Department of Pathology, Narayana Medical College, Nellore. Out of 110, 76 (69%) are pleural and 34 (31%) were peritoneal samples. Men were 56.4% and women were 43.6% and the mean age of the study was 50.19 with a standard deviation of 14.81. Among 110 fluids 15 were clinically diagnosed as malignant effusions. Out of which 11 were reported as positive for malignant cells and 4 cases were negative. 3 cases were reported as positive for malignant cells in which they were clinically not diagnosed. Out of 110 cases, 12 were reported as positive for malignant cells by smear whereas 14 cases were reported as positive for malignant cells by cell block. The diagnostic yield is increased by cell block technique. The cell block technique not only increased the positive results, but also helped to demonstrate better architectural patterns which could be of great help in approaching the correct diagnosis of the primary site.
Keywords: Cell Block Technique, Cytospin smear, Diagnostic Yield, Adeno carcinoma
DIETARY DIVERSITY AMONG WOMEN IN THE REPRODUCTIVE AGE GROUP IN URBAN FIELD PRACTICE AREA, VIMSAR, BURLA
Authors: Panda Dr. Smita Kumari , Lakra Dr. Kulwant , Panda Dr. Sadhu Charan 
Published: June 2019

One of the problems among Women of Reproductive Age (WRA) group has been lack of effective programs whose benefits are not reaching WRA group. Another problem is the prevalence of monotonous diet based on starchy staple food, which lacks essential micronutrients and contribute to the burden of malnutrition and micronutrient deficiency. The objectives of the study was to assess household dietary diversity and nutritional status of non-pregnant non-lactating women of reproductive age in urban field practice area in Burla as a way of comparing food security situation. It was a cross sectional study. Data were collected from urban field practice area in Burla and were analysed to assess the dietary diversity among “women of reproductive age (WRA)” group. One third (about 29%) of them was malnourished. On application of logistic regression, those aged ≥25years had better odds of having Minimum Dietary Diversity (MDD) score of 5 and above (OR=1.777). Subjects with BMI range ≥21.5 Kg/mt2 also had better odds of having MDD score of 5 and above (OR=3.371). Women of reproductive age are nutritionally more vulnerable because of pregnancy, lactation and menstruation requiring nutrient dense quality food. Monotonous diet based on starchy staple lacks essential micronutrients and contribute to the burden of malnutrition and micronutrient deficiency. Intake of diverse diet is a cost effective strategy to overcome this problem. From our survey we conclude that more than half of WRA failed to achieve MDD. Based on findings, Information Education and Communication (IEC) activities are recommended with an emphasis on locally available, low-cost nutrition diet.
Keywords: Minimum Dietary Diversity, Women of Reproductive Age, Micronutrients
A STUDY OF CONCERNS, COPING SKILLS AND QUALITY OF LIFE IN BREAST CANCER PATIENTS
Authors: P Dr. Anil Kumar , Dudala Dr. Shankar Reddy 
Published: June 2019

Introduction: Women with breast cancer experience problems in multiple aspects of their lives, but applying effective strategies can result in enhancing their quality of life and their psychosocial adaptation to the disease. However, there is little information about the strategies that women use to cope with complications associated with their experiences following a breast cancer diagnosis.
Material and Methods: The study was done in department of Medical oncology at Shirdi Saibaba cancer hospital and research centre, Kasturba hospital, Manipal. The study period is from November 2009 to February 2010. Results: 30 study subjects were selected for the study. Majority of the study subjects were in 41-50 age group.
Keywords: Breast cancer, Coping mechanisms, Concerns, Anxiety, Depression
SLEEP ASSESSMENT AND PERCEIVED STRESS AMONGST MEDICAL POSTGRADUATE RESIDENTS
Authors: Ajgaonkar Jay Rajesh , Bidikar Mukta Pritam 
Published: June 2019

Background: Medical graduates who enter into residency programmes form the backbone of the healthcare delivery system of the country. They are often expected to work for long hours which leads to sleep deprivation and increase in the perceived stress levels. Chronic sleep deprivation leads to destruction of sleep architecture. It may also compromise patient care. We examine the relationship between these two variables through this study.
Material and methods: 50 resident doctors from different specialties of medicine were administered three validated questionnaires: the Epworth sleepiness scale (ESS), Pittsburgh sleep quality index (PSQI) and Cohen’s perceived stress scale (PSS-10) to assess the daytime sleepiness, sleep quality and perceived stress levels respectively.
Result: A total of 56% residents reported greater than average scores on the ESS (Mean score=11.02 + 5.5161, Range= 1-24). On the PSQI, 78% residents reported poor sleep quality (Mean score=6.98 + 3.146, range= 0-15) whereas on the PSS-10, 84% of the residents reported moderate to high levels of perceived stress (Mean score=19.16+7.138, range=3-37). Significant correlation was found between ESS and CPSS (Pearson coefficient=0.4738, p<0.01) as well as PSQI and CPSS (Pearson coefficient=0.3024, p<0.05). It is hypothesised that there is a causal relationship between daytime sleepiness perceived stress levels as well as sleep quality and perceived stress levels.
KEYWORDS: Sleep deprivation, Perceived stress, Stress levels, Epworth Sleepiness scale, sleep quality.
The THE ENHANCED LIVER CIRRHOSIS TEST (ELF) ACCURATELY IDENTIFIES CIRRHOSIS IN PATIENTS WITH CHRONIC LIVER DISEASE
Authors: Amer Abdulrahman Hefdhallah , Shah Dr.  Hitesh N 
Published: June 2019

Chronic liver disease (CLD) is the leading cause of death worldwide. That caused by Viral Hepatitis B and C (HBV, HCV), Alcoholic Liver Disease (ALD) and Non-Alcoholic Fatty Liver Disease (NAFLD). The present article provides an overview of the literature reporting some relevant biomarkers (ELF test) that have been found to be associated with liver fibrosis and that potentially may be used to predict the onset and/or monitor the progression of liver cirrhosis alternative the liver biopsy. This article provides an overview of the current published evidence on the clinical utility of the ELF test. This review collects the main evidence on the emerging role of Enhanced Liver Fibrosis (ELF) score as a prognostic marker of hepatitis, cirrhosis, and other liver diseases as the marker in cases of intoxication with organ phosphorus compounds and myocardial infarction or acute infections, and evidence that proves to use the Enhanced Liver Fibrosis as clinical practice presents an attractive alternative to both biopsy and imaging modalities that require significant high costs, also trained clinician.The most recent study proves that enhanced liver fibrosis score can be used instead of liver biopsy test and Transient Elastography for diagnosing liver fibrosis.
Keywords: Enhanced Liver Fibrosis Score, Transient Elastography, Liver, Liver Biopsy, Liver Diseases Alcoholic Liver Disease (ALD) and Non-Alcoholic Fatty Liver Disease (NAFLD).
WOULD MANDATORY TEACHING OF BLS, ACLS AND PALS IMPROVE THE KNOWLEDGE, ATTITUDE AND PRACTICE OF MEDICAL STUDENTS IN EMERGENCY CARE?
Authors: James Treasa , K.N. Dr. Mohammad Fabin , Mutalik Dr. Anirudh V , P Dr. Ubaid N. , Cherian Dr. N C , V Mrs. Reshma 
Published: June 2019

Background and objective: The medical students should be trained in BLS/ACLS/PALS in order to attain the skills for emergency patient management. The objective of the study is to compare the knowledge, attitude and practice about BLS/ACLS/PALS among the interventional and non-interventional groups both before intervention and after intervention.
Methods: This interventional study was done among final year medical students and house surgeons in six Medical colleges of Northern Kerala.The study subjects were categorized into two groups,Category 1 received an orientation class on BLS/ACLS/PALS and students belonging to category 2 did not receive the orientation class. A pre-validated pretested questionnaire to assess the Knowledge, Attitude and Practice of medical students regarding BLS/ACLS/PALS was distributed after the orientation class.The control group (category 2) who did not receive the orientation class also were given the questionnaire same as that of other group.
Results: Total of 608 students participated in this study.Out of which 325 received an orientation class. Unpaired t-test done in pretest among interventional and non-interventional group showed p value>0.01 which implied that both groups were comparable. The mean scores of Knowledge, attitude and practice in the post test increased to 8.111±1.507, 2.328±.743, 2.065±.297 among house surgeons and an increment to 6.260±1.087, 2.277±.474, 1.659±.659 among final years in the interventional group as when compared with the scores of the non-interventional group. Paired t test also showed significant difference among interventional group while there was no change in the non-interventional group.(p>0.05).
Conclusion: BLS/ACLS/PALS training among undergraduates can improve the Knowledge, Attitude and Practice of medical students thereby increasing the resuscitation as well as the survival of patients in emergency care.
Keywords: BLS, ACLS , PALS, Resuscitation
EVALUATION OF ONE STAGE MODIFIED MATHIEU’S URETHROPLASTY FOR DISTAL PENILE HYPOSPADIAS IN BIHAR POPULATION
Authors: Satyapal Dr. Shyam Kumar 
Published: June 2019

With an incidence of 1:300, hypospadias is one of the most common genital anomalies in male newborns. Hence the present study was planned to evaluate the one stage Flip- flap procedure to repair Distal Penile Hypospadias. Mathieu’s technique (peri-meatal based flap) makes use of the urethral plate in the repair of anterior hypospadias, thereby creating an almost natural neo-urethra. In a circumcised baby or after previous unsuccessful repair, Mathieu’s flap may be one of the few options left to repair anterior hypospadias.
A total of fourteen patients were included in this study. Their age ranged from 1-13 years, mean age was 4.9 years. Construction of neourethra is generally recommended to be completed before the school going age. The 14 cases of hypospadias are primary repaired by modified Mathieu’s Flap technique to achieve both cosmetic and functional normality. An overall success rate of 87.5% was achieved and In the remaining 14% of the cases, success was achieved with only one additional procedure.
The protocol followed the recommended guidelines of surgery. The present study was planned in the Department of Plastic Surgery, Pulse Emergency Hospital, Patna, Bihar. Total surgeries done from Oct 2016 to Nov 2017 were included in the present study.
The present study concludes that in a developing country like India with rural patients having poor access to good healthcare facilities. One stage Repair is beneficial in many ways. The follow-up compliance of poor rural patients is extremely poor because they need to come to the urban cities for treatment. The authors have seen multiple cases where the patients have gone for the Chordee Correction (first stage of a two-stage repair) in childhood and then reported after a decade.
Keywords: Hypospadias, MAGPI, Mathieu flap, Single-stage repair, etc.
SUBSTANCE ABUSE AMONG IMMIGRANT CONSTRUCTION WORKERS
Authors: Meena Dr. Rattiram , Acharya Dr. Rekha , Acharya Dr. Aarti 
Published: June 2019

Background: Substance abuse can simply be defined as a pattern of harmful use of any substance for mood-altering purposes. "Substances" can include alcohol and other drugs (illegal or not) as well as some substances that are not drugs at all.
Methods: This cross sectional study was conducted among the migrant workers working in Bikaner Rajasthan, over the time duration of 3 months. All migrant laborers above the age group of 18 years were included in the study. Data was collected from ante-natal register using Predesigned, pretested, validated and structured proforma.
Result: In our study prevalence of substance abuse was found to be among 84.00% of participants. 44.8% of the study participants were consuming alcohol, 50.2% of the study participants were chewing tobacco.
Conclusion: The result of the present study suggests that substance abuse among migrant workers was very high. Policy makers must pay extra attention to the health of migrants by implementing safety measures and organizing intense behaviour change communication.
Keywords: Alcohol, Smoking, immigrant construction workers
EPIDEMIOLOGY AND OUTCOMES OF ELECTRIC BURN INJURY AT TERTIARY CARE CENTER IN JODHPUR, RAJASTHAN
Authors: Saraswat Bharti , Yadav Ashok , Maheshwari Krishna Kumar 
Published: June 2019

Background- Electric burns and injuries are the result of electric current passing through the body. Temporary or permanent damage can occur to the skin, tissues, and major organs.
Methods- This prospective study was carried out on patients admitted in burn unit of department of surgery M.G. Hospital associated with Dr. S.N. Medical College Jodhpur. Records of the patients admitted from January 2018 to December 2018 were studied. Bed head tickets of the patients evaluated in detail.
Results- In our study out of 113 patients maximum no. of patients were in age group of 21-30 years 44 (38.94%) followed by age group <11 years in 21 (18.58%) patients and age group of > 60 years in only 3 (2.65%).39 (34.51%) patients were farmer and 15 (13.27%) were electrician in out of 113 total patients, while 37 (32.74%) were without any occupation. 65 (57.52%) cases of high voltage (HV) electrical injury and 48 (42.48%) cases were of low voltage (LV) electrical injury.
Conclusion- Morbidity leading to permanent disabilities make the person physically dependent on others. It can be prevented by educating the people about the proper handling to electric circuits & devices. Proper communication among the electricians may help in lowering such accidents. Proper rehabilitation of the handicapped person & employment to the member of the affected family may reduce the social burden caused by such electricity concerned accidents.
KNOWLEDGE, ATTITUDE AND PRACTICES RELATED TO CERVICAL CANCER
Authors: Saxena Ruchi , Saxena Gajendra 
Published: June 2019

Background: Cervical cancer is the second most common cancer among women worldwide. Eighty-six percent of all cervical cancer diagnosed and 88% of death due to cervical cancer occur in developing regions of the world
Material and methods: A facility based cross sectional study was done 500 women of reproductive age group (15-45 years).
Results: A total of 500 women are approached for interview, in which 420(84.00%) had not heard about cervical cancer, only 16.00% women had knowledge about cervical cancer. About 80.00% women had positive attitude about cervical cancer screening & it’s vaccine.
Conclusions: Women need more information about cervical cancer risk factors, symptoms and screening program.
EFFECTS OF THYROID DYSFUNCTION ON LIPID PROFILE
Authors: Kumar Dr. Vinod , Mathur Dr. S.L. , Tuteja Dr. Rajat Kumar 
Published: June 2019

Background: Thyroid function regulates a wide array of metabolic parameters. Thyroid function significantly affects lipoprotein metabolism as well as some cardiovascular disease (CVD) risk factors, thus influencing overall CDV risk.
Methods: A cross sectional study has been conducted to assess the association of subclinical hypothyroidism and overt hypothyroidism with lipid abnormalities.
Results: Serum HDL cholesterol in group A was 37.97±7.97 mg/dl, that in group B was 37.62±6.67 mg/dl, while in group C it was 36.27±5.79 mg/dl. Serum LDL cholesterol in group A was 150.9±29.70 mg/dl, that in group B was 115.2±22.02 mg/dl, while in group C it was 93.07±19.88 mg/dl. Serum total cholesterol in group A was 223±32.69 mg/dl, that in group B was 179.67±27.50 mg/dl, while in group C it was 152.4±21.47 mg/dl. Serum VLDL cholesterol in group A was 34.12±11.06 mg/dl, that in group B was 26.85±4.01 mg/dl, while in group C it was 23.05±3.09 mg/dl. Serum VLDL cholesterol in group A was 167.42±47.83 mg/dl, that in group B was 134.37±20.22 mg/dl, while in group C it was 115.17±15.66 mg/dl.
Conclusion: Thyroid dysfunction can have an important effect on lipid profile. Biochemical screening for thyroid dysfunction is critical in all dyslipidemic patients, as well as in all patients with unexpected improvement or worsening of their lipid profile.
Keywords: LDL,HDL,Cholesterol.