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March 2024

  1. Jinhua Xiao, Zexiang Xin and Ning Xiao

    Background:To explore the correlation between non-invasive sonography video urodynamic (SVUDS) parameters, including PV, PVR, Qmax, and BWT, and bladder detrusor contractility. Methods: Clinical data of 448 male patients, who underwent SVUDS from September 2021 to December 2023, were retrospectively collected. The associations between non-invasive SVUDS parameters and WFmax were assessed using Spearman correlation. All patients were divided into two groups according to WFmax, in which WFmax in group A including 99 patients were less than 7W/m2 and was considered DU and WFmax in group B including 349 patients ≥7W/m2 which was considered normal detrusor contractility. The difference of non-invasive SVUDS parameters between DU and normal detrusor contractility was analyzed using one-way ANOVA. Results:There was a negative correlation between WFmax and PVR (r=-0.352, P<0.01), and weak positive correlations between WFmax and Qmax (r=0.218, P<0.01), PV (r=0.123, P <0.01), and BWT (r=0.130, P <0.01) were found. The PVR of patients in group A was significantly higher than that of group B, and PV, Qmax and BWT in group A were significantly lower than those in group B (P<0.01). Conclusion: Higher PVR, lower Qmax, smaller PV, and thinner BWT were significantly associated with DU compared with normal detrusor contractility when the cut-off value of WFmax between DU and normal detrusor contractility was determined at 7W/m2.

  2. Sanjeev Kumar

    Interventional radiology (IR) has revolutionized medical practice by offering minimally invasive procedures guided by advanced imaging techniques. This paper introduces the utilization of 3D road maps in IR to enhance procedural guidance. Initially, it delineates the fundamental concepts of IR, emphasizing its minimally invasive nature, reliance on imaging guidance, and its multidisciplinary approach. The traditional method of angiography using 2D imaging is discussed, outlining its steps and applications. Subsequently, the paper transitions to the exploration of 3D imaging techniques, particularly 3D angiography, highlighting its benefits in providing comprehensive vascular visualization and aiding in diagnosis and treatment planning. The study design section outlines the methodology employed, including image acquisition and ethical considerations. Results are presented through a series of images, illustrating the application of 3D roadmap imaging in guiding complex procedures. The conclusion underscores the significant advantages of 3D roadmap imaging, including precise navigation, optimized treatment planning, improved procedural safety, efficient workflow, and enhanced patient comfort. Overall, this paper sheds light on the transformative potential of 3D road maps in interventional radiology, offering insights into their practical applications and benefits for both clinicians and patients.

  3. Dr. Asima Banu, Dr. Raasiya Farooq and Dr. Monisha, M.N.

    Background: Hospital acquired infections (HAI) are a major concern for health care systems around the world. Mobile phones can be a source of infection as they are used not only in Out- patient departments and wards but are also carried to critical areas like intensive care units. A prospective cross-sectional study of isolates from mobile phones of Health care workers (HCW) working in a tertiary care maternity hospital was undertaken to study the microbiological profile and biofilm formation and to formulate mobile phone disinfection protocol . Materials and methods: Two samples were taken from each mobile phone. One prior to disinfection and one post disinfection with 70% isopropyl alcohol .Sample swabs were processed by inoculation onto chocolate and MacConkey media. The positive cultures were subjected to standard microbiological procedures for identification and antibiotic sensitivity testing. Biofilm formation was detected using Congo Red Agar (CRA) method. Results: Among 100 health care workers (HCW)who were studied, 93% yielded positive cultures. The most common organism isolated was Coagulase-negative staphylococci (CoNS) 44% followed by Leuconostoc mesenteroids (24%). 44% of these isolates formed biofilms. None of the post disinfection swabs yielded growth. Conclusion: The two most common organisms isolated from the mobile phones of HCWs were Coagulase-negative staphylococci ( CoNS) and Leuconostoc mesenteroids and these organisms had biofilm forming potential. This study also highlights the importance of disinfection of mobile phones.

  4. Karimulla Polisetti, Venkata Sai Charan Gopalam, Amrutha G. and Rahul Babu G

    Over the past few years, there has been a notable increase in the integration of PV-based generation into the distribution system. Current developments in renewable energy technologies and modifications to the electric utility. Infrastructures have raised the interest of power utilities in using distributed generation (DG) resources to produce electricity. The latest developments in the utilization and development of distributed generation (DG) resources for power generation applications are contingent upon the deregulation of the electric power industry and the technological limitations of expanding distribution and transmission networks to specific regions. The integration of distributed generation units (DG) into distribution networks has yielded numerous benefits for planners, regulators, and policy makers involved in the electric power system. These advantages are contingent upon the features of distributed generation units (DG), including photovoltaic (PV) and network configuration. This paper provides a thorough analysis of numerous research studies on the technical, financial, and environmental advantages of integrating renewable energy sources, including line-loss reduction, increased reliability, financial gains, and environmental pollution prevention. Here a solar PV unit is optimally sized, placed, and structured to maximize the advantages. The effect of load growth on voltage profile and losses is also studied without and with the integration of PV. The effectiveness of the approach is demonstrated by a case study of the BAPATLA substation. It is discovered that when appropriate measures are made to curb the use of renewable energy, the penetration rate of renewable energy electricity may be effectively increased, in accordance with the principle of economic consumption. For simulation, we are utilizing the MATLAB 2018 version.

  5. Mamadou KAMAGATE1, Koffi KOMOE, Siaka BERTE and Youssouf BAMBA

    Water remains the most essential natural resource for life. In Côte d'Ivoire, the catchment areas of rivers are the environments most exploited by human populations. These practices have consequences for the watercourses, which also receive various types of waste through run-off water. This study was initiated between February 2020 and January 2021, with a view to assessing the diversity and dynamics of micro-algae in the Comoé River. The composition, diversity, occurrence and spatio-seasonal abundances of micro-algae were studied. Physico-chemical variables were measured in situ and in the laboratory. Microalgae were collected using a plankton net and observed under optical and electron microscopes for identification. A total of 190 taxa were inventoried, divided into 79 genera, 39 families, 23 orders, 10 classes and 5 phyla. The most diverse phyla were Euglenophyta with 59 taxa, Chlorophyta with 55 taxa and Heterokontophyta with 51 taxa. The study revealed a positive upstream-downstream gradient in specific richness and diversity. According to their frequency of occurrence, there were 32 constant taxa, 72 accessory taxa and 86 accidental taxa. We also noted an increase in micro-algal abundance from the upper to the lower reaches of the river. High algal abundances were obtained in the dry seasons at most stations. The lowest abundances were observed at the Kafolo station and the highest at Kokonou and Grand-Bassam.

  6. Dr. Hemant Mahur, Dr. Bhanu Prakash, Dr. Neha Jain and Dr. Dheeraj Mittal

    Background: Scrub typhus is endemic in the various parts of the world and especially in the Indian subcontinent. renal abscess are largely unknown in scrub typhus. These can be a source of persistent abdominal pain. Clinical Description: A 38-year-old male presented with a 4-day history of fever, loose stools, respiratory distress, and abdominal pain. On examination, he was febrile, had tachypnea, tachycardia, and facial puffiness. Acute febrile illness to differentials of tropical infections (dengue, scrub typhus, enteric fever, and malaria). Management: Dengue, enteric fever, and malaria were ruled out on investigations. Scrub IgM enzyme-linked immunosorbent assay was positive. Ultrasound of the abdomen showed renal anechoic lesions suggestive of abscess. Contrast-enhanced computed tomography (CT) confirmed the findings. Blood and urine culture was sterile The final diagnosis was scrub typhus with renal abscess. His symptoms resolved with doxycycline therapy. Conclusion: Involvement of the renal abscess is a rare complication in scrub typhus and can lead to persisting abdominal symptoms. Renal abscess is not a well-known complication in patients of scrub typhus; hence, it may lead to under diagnosis of the condition. An abdominal ultrasound or if required, CT scan of the abdomen might be needed in cases with persistent abdominal symptoms to rule out this rare complication.

  7. Owandjokuna Jovial Fundji

    Restricting financial services to a tiny percentage of individuals in sub-Saharan Africa hinders employment creation and economic growth. Encouraging financial inclusion is essential for economic growth because it enables marginalized people to create jobs via entrepreneurship. Ensuring affordable access to a variety of financial products and services helps mitigate the negative consequences of financial exclusion, which occurs when people struggle to find suitable financial solutions. Using panel data for the 13 West African nations between 2009 and 2021 and 10 variables, the empirical study focuses on the relationship between financial inclusion and employment in West Africa and the role of economic growth in it. It used econometric methodology to analyse the interactions between our variables. This methodology starts with analysing the existence of unit roots in our variables, then exploring the cointegration relationship between these variables, and, finally, estimating the model parameters using the fully modified ordinary least squares (FMOLS) method. The study found that financial inclusion has a positive and statistically significant impact on employment and financial inclusion has a positive and statistically significant impact on economic growth. In one-word, financial inclusion is a tactic used to boost employment and economic expansionin sub-Saharan Africa. The study suggests that commercial banks should increase ATM numbers per 1000 km2 and grant some economic benefits if used. Financial education should be integrated into national education policies to promote financial inclusion. Public actors should improve the business climate and establish the rule of law to encourage foreign direct investment (BoP, current USD) while increasing the use of mobile money for populations in rural areas to promote financial inclusion.

  8. Dr. R.L. Meena, Dr. Nitesh Gurjar, Dr. Hemant Kuma Rajpurohit, Dr Keshav Sharda, Dr. Shailendra Kumar Gupta and Dr. Ashok Kumar Yadav

    Sjögren’s syndrome is an autoimmune lymphocytic infiltrative disease that leads to chronic inflammatory changes to exocrine glands and extra-glandular systemic organs. It rarely affects children and adolescents. In cases where adolescents are affected, symptoms include xerostomia, xerophthalmia often leads to a missed diagnosis. Consequently, the first presenting sign of Sjögren’s syndrome in adolescents may be heterogeneous, with varying clinical symptoms related to parotitis or systemic organ involvement. Renal involvement occurs in 18–67% of cases, with chronic tubulo-interstitial nephritis being the most frequent pathology which can lead to distal renal tubular acidosis characterized by normal anion gap acidosis with hypokalemia and alkaline urinary pH. Hypokalemic periodic paralysis can be primary or secondary to potassium deficiency which can arise from several causes In our case report, we discuss a 47-year-old female with distal renal tubular acidosis (RTA), who had experienced severe hypokalemic episodes since last 6 month; the patient was eventually diagnosed with Sjögren’s syndrome. She was managed and maintained on potassium and alkali repletion therapy.

  9. Dr.Asha Elizabeth Thomas

    This study was to investigate the impact of different financial constraints on the financial performance of family-owned listed companies in India. It also looked at how, in the chosen organisations, corporate governance practices moderate the relationship between financial limitations and company performance. The financial reports from 38 family-owned corporates listed in the BSE 200 index throughout a ten-year period (2013–2022) served as the secondary data source for this study. Regression analysis with moderation was used to analyse the data. The outcome showed that intrinsic financial restrictions substantially impair the chosen firms’ financial performance. An analysis of the moderating impacts of corporate governance (CG) practices revealed that financial constraints had a less detrimental influence on the financial performance of businesses with better CG practices. This was mostly due to the board’s growing involvement in financial decisions during times of restriction and also because of strict compliance in terms of audit function.

  10. Selin Mary and Dr. K. Sethupathy

    Digital financial services have significant potential to provide a range of affordable, convenient and secure banking services to poor people in developing countries. With the number of smartphone users in India expected to increase to 450 million by 2023, every financial institution is convinced that online delivery of services is the way forward Technology-led innovation in financial services is needed to enable rapid, large-scale, and positive change. The digital India initiative can easily connect the different groups of society and can help to achieve the objective of financial inclusion through digital banking. The impact of mobility goes much more than facilitating on-the-go online transactions. Mobility powered digital commerce has the potential to give a big boost to financial inclusion, throwing open banking facilities to people hitherto cut off from the same. At a macro level, it can propel growth, boosting the economy and the GDP of the country itself. This paper depicts that digital financial services are driving financial inclusion and improving financial health with digital technology. There is an urgent need to create awareness among the citizens, especially in rural and semi-urban areas regarding basics of digital finance services.

  11. Bonsu Fritz Ramseyer Karikari, Asenso Richard Adomako, Afrifa Prince, Donkoh Armstrong and Hamidu Jacob Alhassan

    The study assessed Guinea fowl (Numida meleagris) production in Ghana's middle belt and northern regions, aiming to identify challenges and propose strategies for sustainable production. Using a survey, 159 farmers were sampled through purposive snowball sampling technique and randomised methods. Results indicated male dominance (97 %) in the industry. Challenges included housing, low hatchability, accessibility, availability and affordability of quality feed, limited education on Guinea fowl production, animal health control gaps, and inadequate support. Operations were small-scale (average <1,000 fowls), adopting semi-intensive practices. Earlier research integration was lacking, highlighting the need for feed and hygiene programmes through extension services. Addressing these challenges could elevate the role of Guinea fowl farming in protein provision and job creation. Economic considerations drove production, mostly small-scale production with semi-intensive management. The study unveiled a range of a range of hurdles highlighting production constrains notably feed-related problems, while addressing possible causes of reproduction challenges, primarily keets mortality and less incidence of diseases cases. Appropriate platform for sharing research outcomes with Guinea fowl farmers, encouraging female participation for poverty alleviation and feed subsidies are recommended to boost production. Overall, the study underscores the potential to transform Guinea fowl farming for economic and nutritional gains while advocating strategic interventions to address present challenges.

  12. Marina P. Lumongsod

    Multiplication Mastery Workbook: Interactive Activities" is an engaging and comprehensive resource designed to support learners in mastering the fundamental skill of multiplication. With the ever-increasing emphasis on STEM education and the importance of numeracy skills in everyday life, this workbook provides a structured approach to developing proficiency in multiplication through a variety of interactive activities. This workbook is meticulously crafted to cater to learners of various ages and skill levels, offering a progressive learning experience that gradually builds upon foundational concepts to foster a deep understanding of multiplication. The activities included in the workbook are designed to be interactive and hands-on, promoting active engagement and enhancing retention of mathematical concepts. One of the key features of this workbook is its emphasis on interactivity. Rather than passively consuming information, learners are encouraged to actively participate in the learning process through a series of carefully curated activities. These activities encompass a diverse range of formats, including puzzles, games, real-world scenarios, and visual representations, ensuring that learners with different learning styles are catered to effectively. The workbook begins with an introduction to the basic principles of multiplication, providing learners with a solid foundation upon which to build their skills. Concepts such as the commutative property, distributive property, and the relationship between multiplication and division are explored in a clear and accessible manner. As learners progress through the workbook, they encounter increasingly complex multiplication problems, allowing them to gradually develop fluency and confidence in their mathematical abilities. Furthermore, the workbook is designed to promote critical thinking and problem-solving skills. Many of the activities require learners to apply their understanding of multiplication in real-world contexts, challenging them to think creatively and analytically. By encouraging learners to think beyond rote memorization and apply their knowledge in meaningful ways, this workbook fosters the development of essential skills that are applicable across a wide range of academic and professional domains. To conclude, "Multiplication Mastery Workbook: Interactive Activities" is a valuable resource for educators, parents, and learners alike. By combining interactive learning activities with a structured and progressive approach, this workbook equips learners with the skills and confidence they need to master multiplication and succeed in their mathematical journey. Whether used in the classroom, at home, or as part of a homeschooling curriculum, this workbook is sure to inspire and empower learners to unlock their full potential in mathematics.

  13. Dr. Sidiki GUELBEOGO; Dr. Suzanne KOALA; Tenee Angèle NABALOUM and Dr. Lucien OUEDRAOGO

    Les bassins versants du Burkina Faso, cruciaux pour l'approvisionnement en eau de surface, subissent une dégradation caractérisée par une diminution des superficies des plans d'eau. Cette tendance alarmante a motivé, la présente étude, dont l'objectif est d'analyser l'évolution temporelle et spatiale des plans d'eau du bassin versant du Lac Bam. La méthodologie adoptée repose sur une analyse diachronique des images Landsat des années 1986, 2000 et 2014. Les résultats obtenus révèlent une disparité morphologique de l'espace occupé par les plans d'eau au cours de la période étudiée. En effet, ces plans d'eau sont passés d'une superficie de 2885,67 hectares en 1986 à 1105,75 hectares en 2000, pour atteindre 618,37 hectares en 2014, soit un taux moyen de régression annuel de 2,80% en 28 ans. Quant au réservoir du lac, il a également subi une régression significative de sa superficie et de son périmètre au cours de la même période. Le périmètre du lac a diminué passant de 64,77 kilomètres en 1986 à 48,30 kilomètres en 2000, puis à 42,38 kilomètres en 2014. Parallèlement, sa superficie a également connu une diminution, passant de 853,67 hectares en 1986 à 585,11 hectares en 2000, pour finalement atteindre 349,63 hectares en 2014. Ces résultats mettent en évidence une évolution préoccupante de la dynamique des plans d'eau du bassin versant du Lac Bam, soulignant ainsi l'urgence d'identifier les facteurs sous-jacents à cette régression et de proposer des mesures appropriées pour une gestion durable de ces ressources en eau.

  14. Medha Vaibhav Joshi, Vaishali Raghuvir Hire and Poonam Sharad Kachave

    Based on a user's query, Content Based Image Retrieval (CBIR) returns photos of similar types from an image repository. It is necessary to extract colour, texture, or shape attributes from the photographs and store them in the feature database in order to find comparable images. The properties of the query image such as its colour, texture, or shape are compared to those of the photos stored in the database. CBIR is a image retrieval system that retrieves similar type of images from database of images. Generating a novel set of descriptors for feature matching is challenging task in IR Systems. Colour, texture, or shape distance measurements are used in this comparison. In order to increase the CBIR System's accuracy, we present a novel system that integrates colour and log Gabor wavelet-based feature detectors.

  15. Flores-Encarnación M., Hernández-Hernández F.C., Aguilar-Gutiérrez G.R., García-García S.C.

    As is known, antimicrobial resistance is a global public health problem. More and more bacteria are resistant to antibiotics. Likewise, pathogenic fungal infectious agents have developed resistance to antifungals. For this reason, alternative strategies are currently being studied to combat microbial infections, especially those caused by resistant infectious agents.The use of substances of plant origin (such as essential oils) with antibacterial and antifungal properties is novel. This work presents the effect of T. vulgaris essential oil on the growth and biofilm formation of S.cerevisiae, a yeast that in recent years has been considered an emerging opportunistic pathogen.

  16. Anak Agung Gede Bagus Rahardiputra and Anak Agung Istri Ari Atu Dewi

    This research aimed to analyze the concept of Foreclosed Collateral based on Law Number 4 of 1996 concerning Mortgage Rights over land and objects related to the land. This research used Normative legal research methods. The approach used was a conceptual approach and a statutory approach. This research showed that implementing Foreclosed Collateral is essential because it can help the Debtors and Creditors avoid losses. Furthermore, Foreclosed Collateral, as regulated in Article 12 A of Banking Law, is related to provisions of Article 12 of Mortgage rights law, as long as the foreclosure is carried out according to the procedures specified in Article 20 of Mortgage rights law. Therefore, aligning the norms by forming government regulations regarding Foreclosed Collateral by the provisions of Article 12 A Paragraph 2 of Banking Law is necessary.

  17. Sandeep Kumar and Dr. Devinder Sharma

    The agrarian society has been the root cause of evolution of the industrial society. This has emerged as one of the reasons for migration of people to work in the industries and the development opportunities in the agrarian sector became sparse. The pattern of landholding consists of three categories of the land holdings. These include; land owned by the households, land possessed by the households and land cultivated by the households. The official records depict total land holdings and the net sown area and the residual component of the land which is considered as the fallow land where land used for other purposes like homestead etc., are not segregated. This is an emerging issue in land uses and searching opportunities of development as well as employability in this sector which is pertinent in context to meet-out the consumption demand and the economy. The research paper highlights trend of land utilization in Himachal Pradesh including the trend of operational holdings.

  18. Malavika, C. and Jeyashanthi, N.

    Colon cancer remains a significant global health concern, and early detection is crucial for effective treatment and improved patient outcomes. Histopathological examination of tissue samples is a standard diagnostic procedure, but the manual analysis of large datasets is time-consuming and prone to human error. This study proposes a novel approach for colon cancer detection by Deep Convolutional Neural Networks (DCNN). This research focuses on developing an automated system that utilizes DCNN to analyze histopathological images of colon tissues. The DCNN model is trained on a comprehensive dataset (LC25000) comprising both adenocarcinoma and benign tissue samples. The model's ability to extract high-level representations from complex image data allows for accurate and efficient classification. The evaluation of the proposed system involves assessing its performance in terms of sensitivity, specificity, and overall accuracy. In this DCNN, the model get 98.7% accuracy, 99% precision, 99% recall, 99% F1 score. The results demonstrate the model's capability to accurately identify cancerous regions within histopathological images, providing a valuable tool for pathologists and clinicians.

  19. Nancy Katia Solís Castañeda, Juan Carlos Michel Rendón, Víctor Manuel Varela Rodríguez, Mireya Lizbeth Parra Rodríguez and Germán Rafael Rentería Castro

    The objective of this research is to evaluate the degree of University Social Responsibility from a student perspective. The methodology used was quantitative, with a quasi-experimental descriptive design carried out in students; men and women in the fifth year of the Dental Surgeon career. The instrument used was: characteristics related to university social responsibility present in university students. The results showed that dental students, in general, have a high degree of University Social Responsibility. Occasionally, in personal transformation, they are considered good citizens. As for the transformation of relationships, they are conceived as good agents of social change. In line with collective patterns of thought and action, students are able to generate concrete actions to achieve common goals. Finally, in structural transformation, the student population is able to discuss community issues. By way of conclusion; USR proved to be an effective policy, which promotes the structuring of good agents of social change, qualified to design, debate and achieve common goals.

  20. Shifan Khanday, Namra Fatma Jafri, Maryam Sayeed, Raabeah Fatma Jafri, Adiba Rakhange and Fathima Shabrina

    In recent years, the potential of precision medicine in cardiovascular medicine has emerged as a fascinating area of research due to its comprehensive approach to patient care. Precision medicine offers a personalized approach to the diagnosis, treatment, and management of cardiovascular diseases (CVDs) in patients by taking into context the myriad of genetic, environmental and lifestyle factors that impact CVD outcomes. This abstract aims to summarize and evaluate the newfound potential of precision medicine in cardiology by highlighting the key aspects, This includes the use of genomic sequencing, artificial intelligence (AI) integration, big data analytics, and the role of digital twins. By implementing the use of recent advancements in genomic sequencing technologies, precision medicine enables clinicians to personalise risk assessment and early interventions of cardiovascular patients based on individual genetic profiles. In addition, the integration of AI and machine learning algorithms fine-tunes risk prediction models and treatment regimens which can optimize patient care and outcomes. Big data analytics is another tool which can assist in optimising the benefits of precision medicine by providing comprehensive insights into the complex interactions of factors which affect CVDs, guiding targeted treatments and improving prognosis. Furthermore, the concept of digital twins offers a holistic approach by integrating various factors beyond genetics, including lifestyle and environmental influences, to determine the best treatment options. Overall, precision medicine holds tremendous promise in transforming the current clinical approach in cardiology by tailoring approaches for improved patient outcomes through comprehensive and personalized treatment strategies.

  21. Sakshi Katekhaye and Sanil Kumar

    Wetlands are vital ecosystems bridging land and water, host diverse habitats like marshes, bogs, and floodplains. Identifying and monitoring these habitats remains challenging due to resource-intensive field surveys, limited spatial coverage, and outdated data. To overcome these obstacles, remote sensing and Geographic Information Systems (GIS) techniques are pivotal. Through bibliometric analysis, optimal tools and methods for wetland identification emerge. This analysis addresses knowledge gaps, enhancing conservation practices. Integrating remote sensing and GIS enriches data quality, coverage, and decision-making support for sustainable wetland management. Examining research globally, including cases from China, the USA, Africa, and more, the study relies on research papers. By combining manual and bibliometric analysis tools, it highlights key methods like Random Forest, Object-based Classification, Convolutional Neural Networks, HOHC and Stacking Algorithm based on Google Earth Engine (GEE) as most widely used and most accurate methods. This innovative approach, amalgamating varied techniques, advances wetland conservation and management on a comprehensive scale, offering interdisciplinary support and wide-ranging applicability.

  22. SERY Madou Pélagie

    L’étude a pour objectif d’analyser (décrire et expliquer) les facteurs explicatifs de la faible appropriation des Hydrauliques Villageoises Améliorées (HVA) par les communautés bénéficiaires. L’hypothèse de travail soutient que des pesanteurs socioculturelles favorisent la faible participation des bénéficiaires dans la gestion des systèmes d’hydrauliques villageoises améliorées (HVA). Pour rendre compte de l’objet d’étude, nous avons eu recours à la théorie déterministe. L’étude documentaire, l’enquête-interrogation (questionnaires et guides d’entretien) et l’observation participante ont aidé à la collecte des données. Celles-ci ont subi l’épreuve des analyses qualitative et quantitative. Les résultats de l’étude montrent que les systèmes HVA sont confrontés à des difficultés dans leur gestion notamment les difficultés de planification des facteurs d’appropriation, l’insuffisante promotion des facteurs d’appropriation, et la faible intégration des facteurs d’appropriation des HVA. Ces difficultés s’expliquent par des pesanteurs socioculturelles telles que l’installation des systèmes HVA est considérée comme un obstacle à la perception traditionnelle de l’eau, l’emplacement des systèmes HVA sur les sites naturels sacres perçu comme une menace aux valeurs socioculturelles et croyances, les stéréotypes de genre accentuant les inégalités dans la gestion des systèmes HVA, la résistance aux systèmes HVA par l’attachement aux anciennes sources d’eau, les contestations sociales développées autour des systèmes HVA et les tensions liées aux différenciations entre les usagers des systèmes HVA.Ces pesanteurs socioculturelles représentent une forme de résistance au changement qui tire son origine de l’attachement aux croyances traditionnelles et coutumes des communautés villageoises. Elles favorisent des contradictions entre les représentations sociales et les objectifs du projet qui limitent l’exploitation des HVA et génèrent des pratiques de contestations sociales ou la résistance aux HVA.

  23. Amit Agarwal, Varun Shukla and Tarun Kumar

    Introduction: Plastic and reconstructive surgery is instrumental in salvaging and saving limbs from getting amputated in many deeper plane infections and crush injuries, one such infective disease is Mycetoma foot. Mycetoma foot is a chronic granulomatousdisease caused either by fungi or bacteria. The disease is endemic in many states of India and is a slowly progressive but destructive nature which is managed late because of the dilemma of diagnosis and it needs both surgical and pharmacotherapy management to beat the disease. If not diagnosed at all, leads to amputation of the involved part. Case Report: Here we are presenting a case report of Mycetoma foot in a 40year old male, North India. Patient had the skin lesion over dorsum of right foot,which progressed over plantar with in18months and was continuously progressing in deeper planes and was diagnosed incorrectly. Patient was diagnosed with Mycetoma right foot because of strict clinical suspicion and proven with biopsy. Radical debridement was done followed by reconstruction with free Latissimus Dorsi muscle flap cover and targeted pharmacotherapy started. Conclusion: Mycetoma foot is a reconstructive challenge because of late diagnosis and involvement of deeper tissue like foot bones. Most of the patients are suggested amputation under such circumstances. Salvaging limb in this condition needs microvascular free tissue transfer with simultaneous long pharmacotherapy. Regular follow up is the rule for long post-operative period.

  24. Hema J. Shobhane, Pulak Yadav, Rajni Gautam, Manu Shukla and Surbhi Suman

    Background: Müllerian anomalies, encompassing congenital malformations of the female reproductive tract, pose diagnostic and therapeutic challenges in gynecology. Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome, characterized by uterovaginal agenesis, is a prominent subtype. This study aims to dissect the surgical outcomes, demographic characteristics, and psychosocial dimensions of MRKH syndrome and transverse vaginal septum cases. Methods: A retrospective analysis of 36 gynecological cases was conducted at Maharani Laxmi Bai Medical College, Jhansi, from September 2006 to 2023. The cohort included 3 cases of transverse vaginal septum and 33 cases of MRKH syndrome. Data encompassed demographic profiles, surgical interventions (primarily vaginoplasty), and postoperative outcomes. Results: The transverse vaginal septum subgroup demonstrated a 100% success rate in vaginoplasty with no neovaginal complications, while MRKH syndrome group exhibits a 90% success rate, with 9.1% neovaginal complications. Postoperative infections were more prevalent in transverse vaginal septum cases (33.3%) compared to MRKH cases (8%). The average diagnostic delay was 20.5 months, emphasizing the need for early recognition. Conclusion: This study provides comprehensive insights into the surgical outcomes of vaginoplasty in MRKH syndrome and transverse vaginal septum. Individualized surgical approaches, diagnostic challenges, and psychosocial support emerge as critical components in the holistic care of individuals with Müllerian anomalies. Future research should focus on multicenter studies and long-term follow-ups to refine clinical guidelines and optimize patient care.

  25. Dr. Gujjeti Thirupathi

    India boasts a diverse range of climate conditions across its vast geographical expanse, offering something for every type of traveller. From the tropical climate of the southern coastlines to the alpine conditions of the Himalayas in the north, and the arid deserts of Rajasthan in the west, India's climate varies significantly from region to region. Generally, India experiences three primary seasons: summer, monsoon, and winter. Summertime temperatures can climb above 40°C (104°F), with high humidity and heat waves, especially in the central and northern regions. Heavy rainfall during the monsoon season, which usually lasts from June to September, revitalises the environment and makes it the perfect time to see vivid festivities and verdant scenery all around the nation. Winter, which spans from November to February, is the ideal season for visitors to experience India's breathtaking architecture and rich cultural legacy without the oppressive heat.

  26. Dr. Vijayalakshmi, N. and Mrs. Karthika, A.V, MSc.(N)

    "Children are the precious pearls” who need protection from all harm and problems which includes health issues Now a day’s children are prone to get some life threatening conditions such as diarrhea, anemia, and some respiratory diseases. Acute respiratory infections are not only limited to the respiratory tract but also affect other systems of the body as there is a probability of spread of infection and microbial toxins. Respiratory tract infections in children are often reported by physicians in developed countries. Breathing exercises are essential part and plays an important role in clearing the airway and making parenchyma to expand. They help in improving the efficiency of respiratory muscles. Breathing exercises need to be modified for children as they might not cooperate like adults. So the researcher is planned to implement Strelnikova breathing exercise to the children with lower respiratory tract infection. Therefore the present study is aimed to assess the effectiveness of strelnicova breathing exercise on pulmonary function among children with lower respiratory tract infection in a selected hospital. Quasi experimental research design was adopted for this study.Based on the inclusion and exclusion criteria by using purposive sampling technique, 60 samples were selected and assigned in both experimental group and control group. The demographic variables and clinical variables were collected by structured interview schedule. The Clinical respiratory score with 8 parameters were assessed by history collection, physical examination, stethoscope and pulseoxymeter. Pulmonary function was assessed by using a spirometer. The result of the study revealed that there is a significant difference between pretest and post test scores of clinical respiratory scores and pulmonary function parameters like FEV1,FVC,PEFR among children with lower respiratory tract infection. at 5% level of significance in experimental group and there is an significant association between the pulmonary function parameter and residential area, frequent history of respiratory infection. Therefore the study concluded that strelnikova breathing exercise is an effective intervention to improve pulmonary function among children who were admitted with lower respiratory tract infection.

  27. RASOLOFOTSIALONINA Nambinina Hajamanantena, RAZAFILISY Jockman Ludger, ANDRIAMANJATO Hasina Menja, RAOBELLE Evah Norotiana Andriamiakatsoa and RAJAONARISON Bertille Hortense

    Background: The availability of games of chance and gambling continues to increase throughout the world which increase the risk of developing addictive behavior towards gambling. The objectives of this study are to describe the prevalence of addiction to gambling and the prevalence of an anxiety and depressive disorder; to describe the sociodemographic profile of bettors. Methods: This is an observational, cross-sectional, descriptive study conducted from 07 June 2021 to 08 March 2022 among gamblers in gaming rooms in the city of Antananarivo I and Toamasina I. The measurement tools are : Canadian Problem Gambling Index (CPGI) in its French version and the HAD (Hospital Anxiety and Depression ) scale. Results: A total of 140 participants were included in this study, with a predominance of men (88.57%). The prevalence of gambling addiction was 67.86%, with a significant association with established depression (p=0.0085). Gambling addiction was significantly associated with a high level of education and living with a partner (p<0.05). Among these gamblers, anxiety and definite depression were significantly associated with age 20 to 30 and male gender respectively. Conclusion: A relationship between risk of anxiety, depression and gambling addiction was found.

  28. Jayashree Jejurkar, Kiran Dhamak and Rahul Khaire

    This work describes a new, fully validated, simple, rapid, selective, and sensitive HPLC method with UV detection for the direct determination of Lisinopril and Hydrochlorothiazide tablet dosage form The mobile phase consisted of Phosphate buffer: Methanol (85:15) adjust pH 4.5 with orthophosphoric acid. The linearity range of Lisinopril was found to be 4-20 μg/ml and Hydrochlorothiazide 5-25 μg/ml. Detection was done at 291 nm and the retention time of Lisinopril was found to be 3.1 min and Hydrochlorothiazide 4.6 min with the flow rate of 0.8 ml/min. The method was found to be simple, linear, rapid, accurate, precise, reproducible and robust.

  29. Arunavati and Dr. Usha M Thomas

    Background of the study: Hypertension has become a significant problem in many developing countries experiencing epidemiological transition from communicable to non-communicable chronic diseases. Literature has documented that strenuous working environment, tight work schedules with round-the-clock service, job demands and insufficient time with the family, that the policemen face in their day-to-day job activities have contributed to an increased incidence of cardiovascular disorders including hypertension among them. Knowledge about the risk factors is an important prerequisite for an individual to implement behavioral changes towards the prevention of chronic diseases. Aim and objective: The aim of the study was to assess the effectiveness of a pedagogical program regarding prevention and management of Hypertension among police personnel of Mysuru. Methods: Research design adopted for the study was pre-experimental, one group pre-test, post-test design .Non probability purposive sampling was used to select 100 police personnel for the study. Knowledge of police personnel regarding prevention and management of hypertension was assessed using Structured Knowledge Questionnaire. Pedagogical program on prevention and management of hypertension was conducted for police personnel. Results: The results of the study revealed that pedagogical program was effective in increasing the knowledge of police personnel regarding prevention and management of Hypertension as evidenced by computed paired 't' test which was significant at 0.05 level of significance ('t'99 = 30.88; p Conclusion: The pedagogical program was effective in enhancing the knowledge of police personnel regarding the prevention and management of Hypertension. The study findings stress the increasing responsibility of health professionals in planning and implementing various educational strategies to improve the knowledge of the public regarding prevention and management of Hypertension which in turn help to reduce their risk for Hypertension in their later life.

  30. Tülay DİKEN ALLAHVERDİ, Ertuğrul ALLAHVERDİ and Pınar AKSU KILIÇLE

    Les bassins versants du Burkina Faso, cruciaux pour l'approvisionnement en eau de surface, subissent une dégradation caractérisée par une diminution des superficies des plans d'eau. Cette tendance alarmante a motivé, la présente étude, dont l'objectif est d'analyser l'évolution temporelle et spatiale des plans d'eau du bassin versant du Lac Bam. La méthodologie adoptée repose sur une analyse diachronique des images Landsat des années 1986, 2000 et 2014. Les résultats obtenus révèlent une disparité morphologique de l'espace occupé par les plans d'eau au cours de la période étudiée. En effet, ces plans d'eau sont passés d'une superficie de 2885,67 hectares en 1986 à 1105,75 hectares en 2000, pour atteindre 618,37 hectares en 2014, soit un taux moyen de régression annuel de 2,80% en 28 ans. Quant au réservoir du lac, il a également subi une régression significative de sa superficie et de son périmètre au cours de la même période. Le périmètre du lac a diminué passant de 64,77 kilomètres en 1986 à 48,30 kilomètres en 2000, puis à 42,38 kilomètres en 2014. Parallèlement, sa superficie a également connu une diminution, passant de 853,67 hectares en 1986 à 585,11 hectares en 2000, pour finalement atteindre 349,63 hectares en 2014. Ces résultats mettent en évidence une évolution préoccupante de la dynamique des plans d'eau du bassin versant du Lac Bam, soulignant ainsi l'urgence d'identifier les facteurs sous-jacents à cette régression et de proposer des mesures appropriées pour une gestion durable de ces ressources en eau.

  31. Shifan Khanday, Jana Manhal Alaraj, Insha Nazeer, Mariyam Thahira and Maria Hasani

    Depression, a pervasive mental health disorder, presents a multifaceted etiology prompting extensive investigation. Recent studies implicate the gut microbiota in mood regulation, emphasizing the gut-brain axis as a potential mediator of depressive symptoms. This review aims to comprehensively explore the role of the microbiota in depression, focusing on neural function, neurotransmitter synthesis, and immune modulation. Through a meticulous literature review, we synthesized current research findings to elucidate the bidirectional communication pathways of the gut-brain axis and the microbiota's contribution to depression development and manifestation. Dysbiosis, characterized by alterations in microbial composition, consistently correlates with depressive symptoms, with environmental factors such as diet, stress, and medications influencing gut microbiota and mental health outcomes. Key observations regarding the relationship between gut microbiota and depression are highlighted, including its impact on depressive symptoms, alterations in gut microbiota composition in patients with major depressive disorder, and the role of the vagus nerve in the gut-brain axis. Specific bacteria, particularly Lactobacillus, demonstrate significant roles in mental health, exerting anti-inflammatory effects and resilience to stress. Therapeutic interventions such as fecal microbiota transplantation (FMT) and probiotics show promise in alleviating depressive symptoms by restoring gut microbiota equilibrium. Additionally, dietary interventions rich in prebiotic fiber and fermented foods exhibit beneficial effects on gut microbiota and mental health. The review also discusses markers of depression and neuroimaging assessments, along with epigenetic mechanisms modulated by probiotic bacteria. Future research directions should focus on elucidating the complex interactions within the gut-brain axis and exploring novel microbiota-based interventions to improve mental health outcomes. In conclusion, this review underscores the significant role of the gut microbiota in depression and highlights the potential for microbiota-targeted interventions in mental health care. Understanding microbial influences on mood regulation is crucial for developing personalized therapeutic strategies for individuals with depression.

  32. Dr. Pooja wade, Dr. Leena Jaiswal , Dr. Mayuri Pazare and Dr. Gayatri Madhamshettiwar

    Background: Musculoskeletal disorders or MSK disorders is more commonly seen in Dental professionals as an occupational hazard as compared to others. It was attributed numerous risk factors including prolonged static posture, repetitive movements, suboptimal lighting, poor and awkward posture adaptation, mental stress, age etc. Dentists are at high risk of musculoskeletal pain and disorders as they are vulnerable to mal-posture. As a result, several researchers found that occupational related MSD is widespread among Dental professionals and resulting in altering their work productivity. The purpose of this study is to assess the prevalence of cervical pain among the Dental community and report its impact on activities of daily living. Objectives: To assess the prevalence of cervical pain in Dental professionals and its impact on activities of daily living by using neck disability index (NDI). Materials and Methods: A survey study was conducted on 47 dentists working in government and private hospitals and clinics in Nagpur, Maharashtra. Participants with history of major trauma, major surgery, and other comorbidities were excluded. Data was collected by using the neck disability index. The collected data was entered and analysed by using graph pad prism 5. Statistical Analysis Used: A frequency and percentage table was used to analyse prevalence of cervical pain among the dentist community. Results: The response rate was 100% out of 47 dentists 32 were males and 15 were females with age group range 30 to 50 years with 5 years of experience. The neck disability index was used to analyse the severity. Our study reveals that 0(0.00%) male found to be having no disability, while 6(40%) females found to be with no disability. In case of mild disability male 20(62.5%) male were recorded while 9(60%) females were recorded in this. In moderate male 12(37.5%) found to be positive in females no such evidence recorded. Conclusions: Dentists are prone to develop cervical pain due to their awkward and poor posture. The male candidates are more vulnerable to develop cervical pain as compared to females. Prolonged static posture, repetitive movements and long working hours without rest periods are major contributing factors in cervical discomfort among dentists.

  33. Dr. Soumik Halder, Dr. Debojyoti Ganguly and Sakshi Thareja

    It is observed that around 1.8 billion people across the globe menstruate every month (https://www.unicef.org/ wash/menstrual-hygiene 29.05.2023). In India, especially in rural and peri-urban areas or in slums while menstruating, women face problems such as cultural taboos, lack of basic services like toilets and menstruating health hygiene and many more. The paper highlights the problems faced by women in low- and middle-income societies. The assessment includes interviewing women across 7 states (spread across east, west, north, south and central part of India) including the states of Madhya Pradesh, Orissa, Bihar, Andhra Pradesh, Maharashtra, Rajsthan and Uttar Pradesh focussing on (a) products or material used by them (b) problems faced by them related to health (c) ways of disposing (d) other problems related to their performance. Studying about Super-absorbent Polymer, oxo-biodegradable plastic with the objective of proposing economical sanitary napkins for the women with reduced prices to about 70% to 85%. The paper also discusses, redefining the social system in rural and peri-urban India towards a healthy lifestyle which is affordable.

  34. Prof. Kaur, S., Ass. Prof Kaur, A., Aanchal, Kaushik, A., Sharma, A., Kaur, A.D., Kaur, A.D., Kaur A.P., Kapila, A., Sharma, A., Sharma, A. and Hans, A.

    Introduction: At present, there has been exponential rise in the use of smart devices by the population. Children, especially older than 10 years of age are engaged in excessive use of Internet. Screen activities can be beneficial for young people in many ways. For instance, youth’s use of social media sites has been found increase new friendships, Interpersonal capabilities and social interaction. It is important to study the various behavioral and emotional problems associated with smart devices usage as studies reports various academic, social, family, emotional issues are being reported due to smart devices usage. Aim: To assess the behavioral and emotional problems related to usage of smart devices among children as perceived by their mothers. Methodology: A descriptive research design was used to assess the behavioral and emotional problems related to usage of smart devices as perceived by their mothers. The study was conducted in Guru Gobind Singh Nagar, Guru Hargobind singh Nagar of Shimlapuri, Ludhiana. A total sample of 300 mothers was selected by purposive sampling technique. The data was collected by using Strengths and difficulties Questionnaire, baseline parent version (by Dr. Robert Goodman 1997) and analyzed as per objectives of study. Result: As per the result of study (55%) children had no behavioral and emotional problems, followed by (31%) had abnormal behavior and emotions and only (14%) children were at the verge to develop the behavioral and emotional problems due to usage of smart devices as perceived by their mothers. The significant relationship of behavioral and emotional problems was found with gender of children at p>0.0. Conclusion: The present study concluded that more than half of children had no behavior and emotional problems. Whereas, (31%) children had behavioral and emotional problems due to use of smart devices.

  35. Vivian Musonda and Wisdom Kaleya

    The high price of commercial feeds in the poultry production industry causes production costs to increase in the broiler production business. Research was conducted at the Zambia College of Agriculture Field Station, Department of Animal Science, Muchinga Province, Zambia. The research aimed to evaluate the use of cowpea (Vigna unguiculata) as a complete substitute for soybean meal in a two-phase feeding system on the performance of Cobb 500 broiler chicks. The diets had broiler requirements of 20% crude protein (starter feed) and 19% (finisher feed) formulated according to standards. A total of 90-day-old chicks were allocated to three treatment groups: the first treatment, VU0%, had soybeans (no cowpea) included in the starter and finisher diet; the second treatment, VU75%, had cowpea meal included at 75% in the starter and finisher feed; and the third treatment, VU100%, had cowpea meal included at 100% in the starter and finisher feed. Each treatment had 3 replications, with 10 chickens per replication. The results showed no significant difference (p> 0.05) in feed intake, weight gain, or feed conversion ratio in UV0%, UV75%, and UV100%. The conclusion is that cowpea (Vigna unguiculata) can be a complete substitute for soybean meal in broiler starter and finisher feed diets when included at 100% in starter and finisher diets.

  36. Hou Mei Mei

    Childhood nutrition and eating behaviors have become increasingly significant topics of concern due to their profound impact on long-term health and well-being. In the context of this concern, this study delved into the influence of parental feeding style on the eating behaviors of children residing in the rural areas of Changzhi City, situated in the Shanxi Province of China, exploring the dynamic interplay between parental practices and children's dietary habits to shed light on a crucial aspect of childhood nutrition. This correlation research study investigated the relationship between parental feeding style and children's eating behaviors using a correlational research design and involving a sample of 200 parents. The study specifically sought to explore potential associations between various parental feeding styles and specific eating behaviors exhibited by children.Data was collected through structured surveys administered to parents of children aged 3–12 years. The survey assessed parental feeding styles and their correlation with children's eating behaviors, including lack of appetite, picky eating, poor eating habits, parents' inappropriate expectations, fear of eating, and potential illness. The results of the analysis indicate that there is no significant correlation between parental feeding style and children's eating behaviors for all categories studied. The Pearson's χ² values for lack of appetite (0.50, p = 0.92), picky eating (0.72, p = 0.88), poor eating habits (2.08, p = 0.57), parents' inappropriate expectations (0.76, p = 0.86), fear of eating (0.95, p = 0.81), and potential illness (1.91, p = 0.65) all yielded p-values that are not statistically significant. These findings suggest that in this sample of 200 parents, there is no strong evidence to support a significant relationship between parental feeding style and the identified eating behaviors in children. The results emphasize the need for further research to explore additional factors that may contribute to children's eating behaviors, beyond the scope of parental feeding style.

  37. Miss Srishti Chelwani and Asst. Prof. Samir Khan

    The objective of the present study is to understand how relationship satisfaction varies across perceived parenting styles and attachment styles among married couples; to understand if any relationship exists between family environment, family satisfaction, adjustment styles, and relationship satisfaction. To achieve this objective a correlational study was opted and a sample of 37 female and 10 male participants, who were selected using a purposive sampling technique, were studied. Relationship assessment Scale, Family Environment Scale, Satisfaction with Family Life Scale (SWFL), Relationship Questionnaire (RO), Parental Authority Questionnaire, and Dyadic Adjustment Scale were used in the present study to measure the variables. The data is analyzed using SPSS as the statistical measure to test the probability of the hypotheses. The results indicate that relationship satisfaction has a negative correlation with family conflict and a significant positive correlation with family satisfaction among married individuals.

  38. Dr. Siddiqui Mahaiboob Fatima Mohd Sirajuddin Ahmed Siddiqui

    Background: The widely reported associations between body mass index (BMI) and various chronic diseases, such as hypertension and coronary heart diseases have garnered significant attention. Nonetheless, there remains a dearth of research dedicated to understanding the health impacts of medical college on the students, who experience considerable academic pressure. In that context, this study was driven by the goal of investigating the intricate interplay between BMI, blood pressure (BP) among medical students. Blood pressure (BP) has been found to rise among populations due to the high body mass index (BMI). Overweight and persons who have high BP are prone to develop heart diseases. The objective of this study was to evaluate the correlation between BMI and BP among medical students in both males and females aged 18 years and above. Methods: 120 medical students were enrolled in the study. BMI (Kg/m2) and blood pressure (mmHg) were measured. The data was analysed using appropriate statistical tests. Results: The mean value of systolic blood pressure in normal weight participants was 111.70±3.34, the mean value in overweight was 114.10±3.78 and in obese volunteers the mean value was 126.90 ±5.04. It was observed that as the weight goes on increasing the BP also increases and was statistically significant. The mean value of diastolic blood pressure in normal weight was 70.10 ± 1.75, the mean value in over weight was 75.60 ±1.51 and in obese the mean value was 85.60 ±5.67 which was found to be increased in obese. The p value was <0.001 hence statistically significant. In our study significant increase in pulse rate, systolic blood pressure and diastolic blood pressure was observed in overweight and obese as compared to normal weight. Conclusions: BMI demonstrated a notably strong positive correlation with both diastolic BP and systolic BP. Therefore, for medical students as well as the daily health care of patients, weight control is recommended to better combat obesity-related diseases, for example, cardiovascular diseases, hypertension and dyslipideamia.

  39. Dr. Raghubanshi, Amir, Mohd Tauseef Alam, Mohammad Idris, Bushra Sabir and Mohd Nafees Khan

    Asfanj (Spongia officinalis) is one of the important sea animals which are used as a commoningredient in various Allopathic, Homeopathic, and Unanisystem of medicines. This review article mainly contains the information’s onGeographic distribution, History of sponge’s, Zoological description, chemical constituents of Spongia officinalis and the therapeutic uses of this animal likeAnti-inflammatory activity, Anti-proliferative activity, Anticancer activity, Anti-microbial activity, Anticonvulsant activity, Antiviral activity.

  40. Sanjeev Kumar

    Interventional radiology (IR) utilizes minimally invasive techniques guided by imaging technologies to diagnose and treat various conditions within the body. This study explores the benefits of pre-planned hardware strategies in IR procedures, aiming to optimize procedural efficiency while minimizing radiation exposure. Methods include stratified sampling, imaging modalities, statistical analysis, computational modeling, and clinical observations to study arterial anatomy variations. A prospective study design involved comprehensive patient evaluation and collaboration among interventional radiologists to formulate detailed plans for intervention hardware tailored to each patient's vascular anatomy. Implementation of pre-planned hardware strategies resulted in improved procedural efficiency, reduced radiation exposure, and enhanced patient outcomes. Future research should focus on long-term implications and broader implementation of this approach.

  41. OUATTARA Sitapha, THES Pehie Marie epse Soumahoro, KRA Adou Koffi Mathieu, YAO Konan Leonard, YAPO Adou Francis, YAPI Ahoua and DJAMAN Allico Joseph

    With the aim of complementing the efforts of modern medicine against viral, bacterial, parasitic and fungal diseases, the plant extract of hydroalcoholic grapefruit seed extract (Citrus paradisi) was tested on the in vitro growth of Candida albicans. Antifungal tests were carried out on Sabouraud medium, to which the plant extracts were incorporated using the double dilution method in inclined tubes. Results showed that Candida albicans was sensitive to the 70% hydroethanolic extract of Citrus paradisi in a dose-dependent manner. The hydroethanolic extract may be a source for the development of Traditional Improved Medicines (TIMs) against skin mycosis.

  42. Dr. Soleman Khan and Prof. Nuruzzaman Kasemi

    This paper tries to examine the nexus between the level of women empowerment and the fertility behaviour of Muslims in rural West Bengal. The study is conducted in six selected CD blocks of Murshidabad district of West Bengal. The present study has been done based on primary data supplemented by data from secondary sources. The target group of the sample population is Muslim married women in the reproductive age group 15-49 years. Data has been analysed using statistical software (SPSS). Similarly, GIS software (ArcGIS 10.3) is used for mapping. The result of the study shows a negative association between women empowerment and fertility behaviour for Muslims in the study area. The empowerment status of Muslim Women is found to be quite poor in the study area; it has a positive relation with the fertility behaviour of the Muslims in West Bengal.

  43. Sadhvi G Naik, Kennedy Mascarenhas, Omkar Shetye, Meena Ajay Aras and Vidya Chitre

    When it comes to the rehabilitation of a single anterior missing tooth, nature's design is mostly dictated by surgical limitations that make it difficult to construct both functional and aesthetically pleasing implant-supported restorations. Soft and hard tissue augmentations are required for long-term survival and an aesthetic outcome in the anterior region due to volumetric changes of the alveolar ridge and related soft tissue abnormalities that may be detrimental to endosseous implant placement and implant aesthetics. In the following case report, rehabilitation of maxillary anterior edentulous region with Seibert class III bone defect is done using a modified veneer technique.

  44. Dr. Sarmita Guha Ray and Souvik Mukherjee

    All UN Member States acceded to the 2030 Program for Sustainable Development in 2015, and it prepares an extensive framework for peace and well-being for people and the planet both now and in the coming time. The 17 Sustainable Development Goals (SDGs), a high-priority call to action for all developed and developing nations, are central to this initiative. An array of indicators is used to surveil progress in the direction of each SDG as a part of the National Indicator Framework for the SDGs in India. These indicators align with international hands created by the United Nations and include various social, economic, and environmental characteristics. National surveys, administrative records, censuses, and other data sources are used to assemble information for the SDGs in India. The National Sample Survey (NSS), the Annual Survey of Industries (ASI), the Census of India, the National Data and Analytics Platform (NDAP), NITI Aayog, and several sector-specific surveys performed by various ministries and departments are some of the primary data sources. International organizations, including the World Bank, the United Nations Development Programme (UNDP), and other research institutions, also produce data and scrutinize the SDGs in India in addition to the government. As per their own data gathering and analysis, these organizations offer penetrative assessments of India's progress in reaching the SDGs. A spatial analysis and regression model has been developed on the collected dataset to assess spatiotemporal progress toward achieving the SDGs in the Indian context. This study exhibits the use of geographically referenced information analysis in mapping the SDGs as presented in the SDG India Index: Composite score, reported by the National Data and Analytics Platform. In Spatial Analysis, we have checked the spatial autocorrelation of the SDG India Index Composite score and its supporting indices across 36 states. In Spatial Regression, an OLS model has been developed by taking the SDG India Index: Reduced Inequality as the dependent variable and other SDG Goals as independent variables. However, only 8 SDG Goals have been finalized as independent variables to make the model significant. Spatial dependence in the developed linear model has been checked based on Lagrange multiplier diagnostics. The statistics in Lagrange multiplier diagnostics are the simple LM test for error dependence, the simple LM test for the sake of a missing spatially lagged dependent variable, variants robust to the presence of the other, and a portmanteau test. Lagrange Multiplier Test is the procedure suggested in (Anselin, 2005) to choose the appropriate model form. After estimating the proper model, the hypotheses are tested. After the analysis, we have opted for the OLS model, as suggested by Lagrange multiplier diagnostics. A Spatial Durbin linear model has been constructed on the developed OLS model to probe the impact of neighboring regions' independent variable values on the dependent variable, SDG India Index: Reduced Inequality.

  45. Kishor Pujar, Archana B.R. and Priyanka

    Same-sex sexual (SSS) behaviour represents an evolutionary paradox and documented in over 1500 species of animals and birds worldwide (Ex: male big horn sheep, giraffes, bottlenose dolphins, killer whales, grey whales, and West Indian manatees, Japanese macaques, mallards, penguins, bats etc.). SSS behaviour has been reported ~100 species of insects and SSS refer here to all evidence of courting, mounting, genital contact, guarding, and pair bonding as SSS behaviour. There are several hypotheses viz., mistaken identity, by-product of heterosexual behaviour, mating interruption, dumping of old sperm, predator avoidance, prison effect, biased sex ratio, indirect sperm translocation, satellite male strategy, practice for heterosexual encounters etc. which provide a base explanation for occurrence of SSS behaviour in insects.

  46. Gde Gunasaumyadiva Andarawata Mpuhaji, I Gusti Ngurah Dharma Laksana and I Gusti Agung Mas Rwa Jayantiari

    This study aims to oversee the challenges for Notary, who in their legal standing shall abide towards tabellionis officium fideliterexcercebo, but on the other hand faces digital revolution among various aspects that led them to require the methods of cyber notary. This study uses normative approach, historical and legal research methods, including primary, secondary and tertiary sources of legal materials, and uses the snowball samplings that also involves participants, all of whom are Notary. The results of the study show that Notary has always been conventional since the dawn of their time, Roman Republic. Throughout historical records, it is safe to say that both Notary and conventional works are inseparable. Therefore, further regulations, mainly one which stands as sole legal protection for cyber notary, shall be made. Given that, then it is possible for Notary to do cyber notary. Because theoretically speaking, it is very unsafe to consider both Notary and cyber notary to be the same body. This is almost specifically spoken by many notaries, including Notary I Gusti Ngurah Maha Buana and Notary Wirawan. Despite skeptical respond from both, even they would agree that cyber notary is inevitable with the flow of time in the digital revolution era is inevitable.

  47. Afolayan Jide Michael and Adeojo Pius

    Background of the study: Foetal distress is a serious complication of pregnancy which can lead to early neonatal morbidity and mortality. In the past, general anaesthesia was the choice of anaesthesia in the face of foetal distress but presently, spinal anaesthesia has been found to be a better choice. There is a major lack of a prospective study evaluating the effects of hydrocortisone pretreatment on neonatal outcomes in emergency cesarean section for feotal distress. Therefore, we evaluated the effects of hydrocortisone pretreatment on neonatal outcome in mothers with foetal distress scheduled for cesarean deliveries under spinal anaesthesia. Aim and objective: The study was conducted to compare neonatal outcomes in pregnant women complicated with foetal distress undergoing caesarean section under subarachnoid block with or without hydrocortisone pre-treatment. Methods: Sixty pregnant women with foetal distress scheduled for cesarean section under spinal anaesthesia were randomized into two groups and received either hydrocortisone or placebo pre-treatment using a non-probability purposive sampling technique. Thirty parturients in HP group had spinal anaesthesia and intravenous administration of 10 ml of 100 mg hydrocortisone solution, while 30 parturients in PP group had spinal anaesthesia and intravenous administration of 10 ml of normal saline. Maternal and neonatal outcomes were recorded. Results: The result of the study revealed that incidence of intraoperative hypotension in the mothers (16 vs 8) was significantly higher in the parturients in placebo group than in parturients in hydrocortisone group (P=0.020). The number of neonates with less than 7 Apgar Score in one minute was insignificantly higher in parturients who had placebo pretreatment (16 vs 13) than in parturients who had hydrocortisone pretreatment (P=0.772). However, the recovery 5 minute Apgar scores in neonates in parturients with hydrocortisone pretreatment (2 neonates with Apgar score ˂ 7) was significantly better than that of the neonates in parturients with placebo pretreatment (9 neonates with Apgar score ˂ 7)), (P=0.013). Conclusion: The study concluded that a single bolus hydrocortisone before induction of spinal anaesthesia is effective in reducing incidence of poor neonatal outcome during cesarean section in pregnant women complicated with foetal distress.

  48. Dr. Suparna Sanyal Mukherjee and Nirbhik Dey

    This quantitative research investigates the proficiency levels and attitudes of secondary school students towards Bengali language as their mother tongue in the South 24 Parganas District of West Bengal, India. The study fills a critical gap in the literature by focusing on the Bengali-speaking community within a predominantly monolingual context, shedding light on the intricate dynamics influencing language learning outcomes. Through rigorous methodologies, nuanced insights into the complex interplay between language proficiency, attitudes, socio-economic factors, and educational resources were revealed. Analysis of proficiency levels highlighted variations across reading, writing, listening, and speaking domains, emphasizing the need for comprehensive language instruction tailored to address specific skill deficiencies. While reading and writing skills generally scored higher, challenges were observed in listening and speaking proficiency, indicating areas for targeted intervention and support. Furthermore, the exploration of students' attitudes towards Bengali language uncovered a generally positive disposition towards the mother tongue, with notable variations in perceptions, motivations, and engagement with the language curriculum. The significant relationship between attitudes and overall engagement suggests the pivotal role of fostering positive attitudes in enhancing students' motivation and participation in language learning activities. Moreover, the study revealed a moderate positive correlation between proficiency levels and attitudes towards Bengali language, highlighting the reciprocal relationship between language proficiency and attitudes. Additionally, the influence of socio-economic status and educational resources on language proficiency and attitudes emerged as significant factors warranting attention. While initial analysis indicated potential disparities based on socio-economic factors, further investigation is required to understand the full extent of these differences and their implications for language learning outcomes. Overall, the findings contribute valuable insights to the existing literature on language education, emphasizing the importance of considering socio-cultural context and individual learner characteristics in designing effective language education policies and practices. Further research using advanced statistical techniques and longitudinal studies is warranted to validate these findings and inform evidence-based language education policies and practices, aiming to enhance language proficiency, promote linguistic inclusivity, and facilitate academic success among students in Bengali-speaking communities.

  49. Kaur Amninder, Khera Gurwinder, Harshita, Harsimran, Kaur Husanpreet, Kaur Jaismin, Kaur Jashandeep, Kaur Jashanpreet, Kaur Jasjeet, Sidhu Singh Jaskaran and Kaur Jasleen

    Background: Osteoporosis is one of the emerging health issues worldwide. It is a silent disease and can cause fractures of bones. Due to an increase in longevity of life in India, osteoporotic fracture is becoming a major cause of morbidity and mortality, which is similar to the western part of the world. Every year, millions of people are affected by osteoporosis, the majority of them are women. Objectives: 1. To assess the level of awareness regarding osteoporosis among postmenopausal women. 2. To find out association of awareness regarding osteoporosis among postmenopausal women with their selected socio-demographic variables. 3. To plan and disseminate IEC material on prevention of osteoporosis among postmenopausal women. Methodology: A descriptive study was conducted on 300 postmenopausal women residing in Guru Gobind Singh Nagar, Shimlapuri, Ludhiana, Punjab. The sample was selected using purposive sampling technique. The structured questionnaire was used to assess the awareness regarding osteoporosis among postmenopausal women. The data was obtained by using interview technique. Analysis & interpretation of data was done by using descriptive and inferential statistics as per the objectives of the study. Results: The study revealed that out of 300 postmenopausal women, more than half i.e., 173 (57.7%) had average level of awareness whereas 123 (41%) women had poor level of awareness and only 4 (1.3%) women had good level of awareness regarding osteoporosis. Conclusion: The present study concluded that more than half of the postmenopausal women had average level of awareness regarding osteoporosis. So, it is important to provide awareness regarding osteoporosis and its contributing factors among postmenopausal women.

  50. Dr. Sanjivani Kamble, Anuja Kanade, Hitesh Kad and Dr. Tushar Palekar, Ph.D.

    Objective- To determine the effects of body weight supported treadmill training on bone mineral density in stroke patients. Method- A scoping review of observational, experimental, randomized control trail, cross sectional studies were performed. SCOPUS, Google Scholar, EBSCO and PubMed were searched using the terms bone mineral density and stroke. Preferred reporting items for scoping review, PRISMA-Scoping review checklist was used to examine the section of each report. Result- A Total of 47 studies were identified of which 8 were published between 2001-2023 and were included in the study. Two studies were included in our study showed positive effect of body weight supported treadmill training on bone mineral density. Furthermore, few studies which were included showed us BMD of the affected side was not different from normal side. Affected and unaffected side BMD were not significantly different. Conclusion- This study demonstrates that there is significant effect of body weight supported treadmill training on bone mineral density.

  51. B. P. Agrawal, D.K., C. Chauhan, Sangeeta Agrawal, Abhay P. Pandey K. P. Singh, Virendra Singh , Anees F. Rizvi and Niraj Kumar

    The rapid change in dietary patterns, physical inactivity, and increased body weight (especially the accumulation of abdominal fat), are some of the primary reasons for increased prevalence of diabetes among the Indian populace, especially in the adults above 40 yrs. There are several studies on different patterns of yoga, but with restrictions on diet, daily routine etc. The present study tried to find out the solution and evolve a fixed pattern of yoga beneficial for diabetic patients, with ease in adaptation. After trial, the set pattern of yoga was introduced and all clinical/haematological/anthropometric and ultrasonic tests were done. The findings supported that a set pattern of yoga, as evolved in this study is beneficial to the type-II diabetic patients to live almost normal and healthy life without much restrictions on diet and daily routine.

  52. Dr. Bishnupriya Mohanty and Dr Vivek Rajendra More

    In Ayurvedic science, diagnosis of disease is done with help of Nidan Panchaka. In five-fold examination, Poorvaroopa is one of the component/parts of Nidan Panchak. Poorvaroopa means prodromal features. Nodisease appears all of a sudden. Time taken between etiological factors intake to appearance of specific disease is of Poorvaroopa. They are premonitory features that manifest before the actual emergence of disease. These symptoms could be Doshik or Adoshik. Proovaroopa are of two types, general and specific. Careful understanding of Poorvaroopa helps in differential diagnosis of diseases. Poorvaroopa also helps determine prognosis of any disease. Appearance of all Poorvaroopa of any disease isconsidered bad prognosis because it means disease is incurable. At Proovaroopa stage, treatment modalities for any disease are simpler or easier.

  53. Issoufou Abdoul-Kader, Soumana Boubacar and Idrissa Saidou Mahamadou

    Le Niger est un pays fortement agricole. L’agriculture est le secteur le plus important de l’économie du pays. Elle représente plus de 40% du produit intérieur brut national et constitue la principale source de revenus pour plus de 80% de la population (Zakari et al, 2016). Au Niger, bien que ce secteur soit la principale source de richesse du pays, sa croissance s’avère insuffisante pour faire face à la forte croissance démographique et assurer la sécurité alimentaire de la population. C’est dans ce contexte que l’agrobusiness a commencé à émerger dans une agriculture largement familiale. L’objectif principal de cette étude est de caractériser les exploitations agricoles du département de Gaya. La méthodologie adoptéeest basée sur : (i) une Analyse Factorielle des Données Mixtes (AFDM); puis (ii) une Classification Ascendante Hiérarchique (CAH) Dans cette étude, la caractérisation des exploitations agricoles du département de Gaya a été faite sur la base des enquêtes socioéconomiques auprès d’un échantillon de 455 exploitants de repartie entre Bengou, Bana et Gaya, (3) communes du département de Gaya. L’étude a permis de distinguer quatre (4) classes d’exploitations agricoles : les exploitants du groupe 1 (desentreprises agricoles), du groupe 2 (exploitations moyenne orientée vers la vente), du groupe 3 (pratiquant l’agriculture de subsistance faiblement orientée vers le marché) et le groupe 4 (pratiquant l’agriculture familiale). L’intérêt de cette étude est de connaitre les différents types d’exploitations agricoles pour éclairer les actions à leur endroit dans des perspectives d’accompagnement de l’État ou des partenaires.

  54. Ankit Dhirajlal Ladani and Prof. (Dr.). Ajay Kumar Gupta

    Bhagandara is a common ano-rectal disorder which is also described as a Mahagada in Ayurved. It can be correlated with Fistula-in-ano in modern science. Different surgical treatments are available in modern science but they all have some complications and recurrence. Kshara-sutra is a unique minimal invasive para-surgical procedure of Ayurvedic science which cures Bhagandara without complications and recurrence. In the present research work, Guggulu Apamarga Kshara-sutra and Guggulu Bibhitaki Kshara-sutra were prepared for the management of Bhagandara. 34 diagnosed cases of Bhagandara in two equal groups of 17 patients each (on the basis of computer generated randomization number) were selected from OPD and IPD of P.G. Department of Shalya Tantra, Rishikul campus hospital, Haridwar (Uttarakhand, India). First group (group A) was treated with Guggulu Apamarga Kshara-sutra ligation and second group (group B) was treated with Guggulu Bibhitaki Kshara-sutra ligation. All 34 patients completed the study and got cured. No complications were observed in this clinical study during treatment as well as in follow up period. Whole research work was statistically analysed and conclusion was drawn out.

  55. Ibrahim Abdou Gado, Saïdou Madougou, Ibro Chekaraou

    In summary, this case study conducted in the Dosso municipality has highlighted the importance of engaging teaching of physical sciences through research and development. The objective was to assess how this innovative approach can generate students' interest and enhance their learning in this field. The results have shown that the integration of pedagogical methods based on research and development has a positive impact on students' engagement and their understanding of scientific concepts. The study emphasized the significance of implementing stimulating pedagogical approaches to promote learning in physical sciences. These findings provide valuable insights for improving teaching practices in this crucial domain.

  56. GUO Zhibin

    Digital self-efficacy among music education teachers is a critical aspect of adapting to the evolving landscape of educational technology. This study addresses the existing research gap by delving into the nuances of digital self-efficacy within the unique context of Chinese music education. Recognizing the significance of this exploration, the study aims to contribute valuable insights to the growing body of knowledge in technology integration in music education. The primary objectives of the study are to assess the digital self-efficacy of Chinese music education teachers and to examine potential variations based on demographic and professional factors. Employing a descriptive quantitative approach, the research involves 209 music teachers from 5 private schools in China, with a focus on those with 5 or more years of experience in teaching music. Results indicate a generally positive digital self-efficacy among participants, with specific strengths in skills confidence, lesson preparation, and classroom management. Gender emerged as a significant factor influencing self-efficacy, highlighting the need for gender-specific professional development strategies. This study contributes novel insights into the digital self-efficacy landscape of Chinese music education teachers, shedding light on specific areas of strength and potential improvement. The findings underscore the importance of tailored professional development initiatives, emphasizing gender-specific considerations. A key recommendation is the implementation of targeted training programs to enhance digital self-efficacy, fostering a more confident and adaptable music education community.

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