Online ISSN: 2515-8260

Volume 7, Issue 8

Volume 7, Issue 8, Autumn 2020


An Efficient Denoising Architecture of MVD-RCA-SP-FIR filter for Real-time ECG signals

Yalamanchili Arpitha; Dr G. L. Madhumathi; Dr N. Balaji

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1-13

Electrocardiogram (ECG) is non-stationary, non-periodic real-time signal. It is provided to use full electrical information about heart functioning. It means by the analysis of ECG signal; we can identify any living person's hearts are working properly or not. In recent years there is a huge demand for the reduction of size and power of portable devices used for monitoring critical signals such as ECG. The technical advancements in VLSI have created a huge impact on biomedical signal processing. VLSI circuits working at high speed and these can be designed to consume less area and power. Especially for ECG signal denoising, digital filters such as FIR and IIR are used in most of the applications. Finite Impulse Filters (FIR) are used widely compared to IIR filters because of their good stability and high order. In this paper, FIR filter with modified Vedic multiplier-based architecture is introduced to carry out ECG signal denoising application. In this paper at first resource-efficient Vedic multiplier is introduced which is around 55% area-efficient for 8 bit, 15% efficient in terms of delay, and 45% efficient in terms of power in comparisons of the latest design proposed in 2020. Then with the help of a modified Vedic multiplier, FIR is developed which is also efficient in terms of resources. It has 40.5% better ADP and around 20% better APP. This latest design of the filter is much helpful for ECG signal denoising.

Molecular Study And Antibiotic Susceptibility Patterns Of Some Extended Spectrum Beta-Lactamase Genes (ESBL) Of Klebsiella Pneumpniae In Urinary Tract Infections

Ashwak B. AL-Hashimy; Weam K. Al-Musawy

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 14-22

The present study included the collection of 121 samples from MSU for investigating the presence of K.pneumoniae in UTIs, the samples have been collected from Al-Shaheed Mohammed Baqir AL-Hakeem hospital and private laboratories in Baghdad province. The study was carried out through March 2019 to the beginning of June 2019. The samples were identified based on the morphological and microscopically characteristics of the colonies when they were culturing on number of culture media as well as biochemical tests, molecular identification were also used as a final diagnostic test for isolates that were positive as they belong to K.pneumoniae bacteria during previous tests based on the blaTEM, blaSHV and blaCTX-M genes which has specific sequences for K.pneumoniae bacteria as a detection gene and also consider as virulence factor so it have a synonyms mechanism to antibiotic resistance. The results of the final diagnosis showed that 38 isolates belong to target bacteria, The examination of the sensitivity of all bacterial isolates was done for selected 38 isolation towards the 16 antibiotics by a Vitek2 compact ASTN system and the isolates were resistant for a number of antibiotics used such as; Amikacin (5.26%), Imepenem (5.26%), Ertapenem (7.89%), Meropenem (10.52%), Gentamicin (21.05%), Ciprofloxacin (26.32%), Cefoxitin (39.47%), Trimethoprim/Sulfamethoxazole (50%), Ceftriaxone (52.63%), Fosfomycin (55.26%), Piperacillin/Tazobactam (57.89%), Nitrofurantoin (57.89%), Ceftazidime (65.79%), Cefuroxime (71.05%), Cefixime (73.68%) and Ampicillin (100%). The presence of Extended Spectrum Beta-Lactamase genes in 38 K.pneumoniae isolates were 65.8 % of the ESBL genotypes expressed blaSHV genes followed by 52.6 % blaTEM and 42.1 % for blaCTX-M.

Assessment The Levels Of 25(OH) Vitamin D And Ferritin In Patients With Hypothyroid

Amera Kamal Mohammed; Thanaa Abdulmahdi; Zainab Nasser Nabat

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 23-28

Background: Thyroid hormones are essential and have various effects. For instance, they maintain normal growth and regulate metabolism. Hypothyroidism is a condition where the body doesn’t make enough thyroid hormones and people with hypothyroidism usually have a slower metabolism. The serum ferritin levels and vitamin D levels have been changed in patients with Hypothyroidism.
Objective: a study has been carried out to investigate the association among thyroid disorder and the levels of both vitamin D and ferritin.
Materials and Method: The BMI was calculated using the formula BMI= weight (kg)/ height2 (m)2. Vitamin D (25-hydroxyvitamin D), ferritin, T3, T4 and TSH levels were measured using the ELFA (Enzyme Linked Fluorescent Assay, Model: bioMérieux). the results were analysed using SPSS package (version 18).
Results: The results indicated that the age of participants played an ignorable role in this investigation, while significant increases (P<0.05) differences were noticed between the patients and controls in terms of BMI, 25(OH) vit D, ferritin, TSH, T3 and T4. There was also a significant difference(P<0.05) between male and female patients in terms of ferritin, TSH, T3 and T4 in comparison with the controls.
Conclusion: The low levels of Vitamin D and Ferritin concentration were associated with the Patients of hypothyroidism

Exploring Character Education Management-Islamic Based in Industrial Era 4.0 for Vocational Student at Jepara Regency

Ade Sopiali; Purwanto .; Giyoto .

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 29-38

This study aims to explain; (1) Definition of Character Education Strengthening (CES); (2) Character in Islamic perspective; and (3) Industrial Era 4.0. Methode application by descriptive Qualitative. This study aim was Student SMK Al Husain Jepara. Instrument Strengthening the data by observation, Q Islamic, interview, DocumenIndustriale results showed that in Islam, the best character was possessed by the role model of the ummah, namely the Prophet Muhammad SAW, with 4 commendable traits namely Amanah, Siddiq, Fatonah, and Tablig. In this study, Jepara Al Husain Keling Vocational School was chosen as the research sample. This is based on the achievement of CEM implementation of 74.44%. The average character score in CEM has reached 2.37. Data from the results of research on CEM implementation from Al Husain Keling Vocational School in Jepara shows that in terms of scores, 18 characters in CEM are considered quite good. However, some character values that still need to be improved include honesty with an average score of 1.36, creating characters with an average score of 2.01 and hard work characters with an average score of 2.04. These three characters can be the main evaluation materials in strengthening character education in Vocational School SMK Al Husain Jepara

The Determination Factors of the Education Quality of Madrassa Aliyah Pati Regency Indonesia

Priyo1 .; Purwanto .; Giyoto .

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 39-47

This study aims to find out and examine the factors that affect the Quality of Madrasah Education, focusing on the Leadership of Madrasa Aliyah Principals, Madrasa Aliyah Climate, Teachers’ Performance in Teaching, Learning Facilities, and Community Participation and how much influence of the factors towards the quality of education in Madrasah. The design of this study is quantitative descriptive by: (1) identifying factors that affect the quality of madrasas, (2) identifying the functions of involvement of each factor, and (3) understanding the predictions of results. This study uses a survey method according to the characteristics of the variables studied. The object of his research was the Madrasa Aliyah teachers at Pati regency. Data were collected through questionnaire and observation. The population is the Madrasa Aliyah teachers who are in the Pati Regency area. In determining the sample, four sampling stages were carried out (multistage sampling), namely cluster-proportionate random sampling, simple random sampling, sampling techniques, and simple random sampling techniques. The results of research in the field and data analysis shows that the leadership of the head of the Madrasa Aliyah, the Climate of Islamic Senior High School, Teachers' Performance, Learning Facilities, and Community Participation significantly influence the quality of Madrasah education

Educationally-Disadvantaged Students’ Motivation in Attending Learning Program at Non-Formal Education

Farida Iriani; Adinda Gladya Puspasari

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 48-57

The development of society and economic world has triggered the educational system to prepare their students with the twenty-first century skills and competencies. As students are expected to survive and compete globally, Indonesia is still making an effort to ensure all students in accesing education. Related to this issue, YayasanKejar Aurora has been conducting a complementary learning program categorized as non-formal education for the educationally-disadvantaged students around Cihanjuang, Cimahi City– West Java. This program was initiated in 2012 to support students whom experiencing gap issue in accessing educational opportunities. YayasanKejar Aurora developed a curriculum consisting innovator skills has been attended by hundreds students from the early years to junior high school students. Due to its sustainability, this study is aimed to investigate students’ motivation in joining the complementary learning program. An interview was conducted and result shows students’ interest and enjoyment in learning. Generally, the students agree that the learning activities are fun, make them feel creative, give opportunities to interact and socialize with friends, and feel supported by the teachers.

Exploring the Implementation of De-Radicalization Strategy on Religion Among the Islamic University Students (A Multisites Study at Islamic Higher Education in Indonesia)

Supriyanto .; Agus Sunaryo; Mawi Khusni Albar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 58-68

This research aims to describe the implementation of the deradicalization strategy of religion for right and ideal format among the students of Islamic Universities. This research is qualitative with a field research approach. The data collection method uses observation, interviews, and documentation. The data analysis method was conducted in four steps data collection, data reduction, data display, and conclusion or verification. The research was conducted at three Islamic Universities (PTKIN) in Indonesia, namely STAIN Bengkalis, IAIN Purwokerto, and UIN Sunan Kalijaga. Based on the research results, it was found that the ideal format for religious deradicalization in PTKIN was through; 1) Early detection of radicalism against new students of State Islamic Universities, 2) The recognition process of academic and students’ culture (PBAK), 3) Strengthening the religious academic institution and the student organizations, and 4) Making treasure of the veiled female students and giving for their groups. The four methods above can be used as the chancellors' policies in deradicalizing their respective campuses.

Implementation of School Based-Management to Improve the Quality of Education at Public Schools of Muhammadiyah in Klaten Indonesia

Uswatun Khasanah; Mudhofir Abdullah; Khuriyah .

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 69-75

The quality of education is a benchmark in education units to maintain the quality of institutions both process, inputs, and outputs. This research was conducted to determine the implementation and strategy of developing boarding school management to improve the quality of education in MA Muhammadiyah 1 Klaten. This research is field research, with the type of qualitative research. Data collection techniques include observation, interview, and documentation. The data validity was tested using source triangulation methods and techniques. The results of interviews, field notes, observations, and documentation were analyzed using Miles and Huberman's model consisting of data reduction, data presentation, and conclusion drawing. The results show that the implementation and the strategy of boarding school management development can improve the quality of education

Successful Pregnancy Following Hysteroscopic Adhesiolysis Of Severe Intrauterine Adhesions

Eddy Hartono; Witono Gunawan; Gina Magda Riana

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 76-79

Asherman’s syndrome is an intrauterine adhesions that frequently occurs as a result of trauma to the endometrial layer following intaruterine procedures. We report a case of 30 year old woman with previous history of curretage came with secondary amenorrhea and infertility. Hysterescopic adhesiolysis was performed and directly followed by IUD insertion and hormonal treatment for 3 months. Following three cycles of regular menstruation, the IUD was removed. The patient then underwent ovarian stimulation and got conceived. The antenatal period was uneventful and Cesarean section was performed due to low lying placenta at 39 weeks of gestational age. Delivery process was complicated by placenta accreta that was successfully managed with intrauterine Foley catheter balloon tamponade and bilateral uterine artery ligation. Asherman’s syndrome could result in successful pregnancy even in severe cases of adhesion. However, the pregnancy preceded by intrauterine adhesion may get complicated by abnormal placental implantation.

Influence Of Marketing Mix On Customer Satisfaction In Real Estate: Mediating Effect Of Technology & Moderating Effect Of Government & Building Process In Bangladesh.

Md. Naim Hossain; Prof. Dr. Abu Bakar Abdul Hamid; Prof. Dr. Huam Hon Tat

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 80-96

In Bangladesh the Housing and Real Estate Industry is one of the rapid growing and pioneer business sector. The rapid urbanization needs more accommodation and housing supply, which creates a huge market for the real estate industry in Bangladesh. Brick is one of the main building materials for the construction industry. Brick manufacturing in Bangladesh is done with traditional methods. The fixed chimney kiln (FCK) are used to produce the bricks which consumes coal & fertilized soil and releases pollutants into the atmosphere, leading to harmful effect on animals, human beings and agricultural yields. At present there are number of alternative products are available instead of burnt clay bricks, which are cost effective, environment friendly, and disaster resistant. The Objective of the study is to reviewing literature on the topics, develop a conceptual framework for this research field and investigate the impact of customer satisfaction of the using of these alternative building materials and the technology as a mediating effect within the marketing mix and the role of government & building process. The study would be conducted in Dhaka, Bangladesh where customers & stakeholders would be provided structured questionnaire. The questionnaire would adapt from literature and the study will be conducted with a deductive approach and would be follow quantitative method and positive paradigm. The survey population would be selected from the Dhaka city and among the selected respondent 380 would be the sample size. Convenience sampling method would be applied. The data analysis would be followed descriptive Statistics and regression analysis methods. The analysis would be done by using Smart PLS. The Study would adopt three underpinning theories to establish the relationship among variables. The theories are: Marketing mix theory, the Dissonance theory and the Technology acceptance Model (TAM) theory. The expected findings would be providing a comprehensive view of the customer satisfaction of using alternative building materials and would contribute to body of knowledge theoretically and the practical knowledge will help the policymakers, the government of Bangladesh, managers, and other stakeholders to formulate the next policy and practice. In future, comparative researches can be carried out by collecting samples from other cities of the country. Another research can be done including other social compliance variables which were not included in this study.

Impact Of Robotics On The Motivation And Socio-Affectivity Of Secondary School Students

María José Flores Tena; Hikmat Almadhkhori; Yolanda Deocano Ruiz

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 97-103

There is broad consideration that ICT is a resource that promotes more meaningful learning, allowing students to acquire a set of skills considered key. These competencies allow him to face new challenges and solve difficulties both associated with the educational process and the context in which this student is located, making him more able to adapt the knowledge, skills and values acquired to reality. This article raises this issue by emphasizing the potentials of ICT in the classroom, in particular robotics, for both teachers and students. This means accepting that ICT has made changes to classroom interaction but, above all, in the methodology that vertebrates the teaching-learning process.
The main objective of this study is to know whether the motivation and interest of students is increased when using robotics in the classroom as a technique integrated into active methodologies focused on digital use and management while knowing more positive socio-affective relationships are established between students.
The methodological process adopted in the study responds to the quantitative paradigm. A sample of 150 secondary school students was used, who were given a questionnaire to learn about their perception of the use of educational robotics. The results have shown how the use of robotics increases motivation in the teaching-learning process and how the relationships between students have acquired positive value.
The results of the study also allow for a broader reflection of the educational community on an issue of interest to adapt teaching-learning processes to current needs: does the implementation of robotics in the teaching-learning process facilitate student training in different areas of knowledge and promote mechanisms that increase motivation?

What Drive Auditor to Switch from Manual to Audit Software

Bambang Leo Handoko, Ang Swat Lin Lindawati; Mazlina Mustapha

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 104-112

Industry 4.0 changed every aspect of work environment, no exception is also a job in the auditing field. Audit work that previously used the manual method inevitably has to change to computerized using software. The rapid and dynamic development of technology requires auditor to keep up to date with the latest technological developments. The purpose of this research is to analyse how information technology intervene competence and effort to auditor performance. This research uses quantitative research methods. Sources of data are obtained from primary data and secondary data. The primary data is obtaining from questionnaire. The secondary data is obtaining from previous studies and become the reference in making this research. The results of this research indicates that performance expectancy, effort expectancy, social influence each has significant effect on behavioural intention, facilitating condition indeed has significant effect to use behaviour, but behavioural intention has no significant effect on use behaviour.

Handling Corona Virus Pandemic In The Indonesian Political Context: A Grounded Theory Study

Riza Primahendra; Tri Adi Sumbogo; Reney Aquino Lensun

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 113-129

Pandemic Covid-19 influence many aspects of life and the effort to handle is paramount. The handling requires political support since it will use massive amount of resources. The study is using grounded theory and data collection is made through in-depth interview and triangulation made by conducting meeting and webinar. The participants of the interview were nine people, the participants of the meeting were 15 people, and the webinar were participated by 74 people. Participants age range from 23-50 years old and having different backgrounds such as volunteers, professionals, company’s employees. The study found that there are five key factors, namely pandemic hit the people differently (theme a), crisis in political communication (theme b), tension between health versus economic approach (theme c), lack of data and weak institution (theme d), and development of volunteerism (theme e). The features have linkages and influences creating complexity of the issue in which theme d affect theme a, theme b, and theme e; theme a have influence on theme c and theme e; theme c give effects on theme b and theme e; theme b influence theme e. The theme that have more influence to other theme is theme d and the theme influenced by all other theme is theme e. The recommendation of the study is to use biopolitics and political valued resources to deal with lack of data and weak institution, and integrating volunteerism in dealing with Covid-19.

Qualitative Analysisof Online Higher Education Websites Using Support Vector Machine

Chandra Mauli Sharma; Dr. Suruchi Gautam

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 130-141

The Quality analysis of online higher education websites is very important now a day. As such most of the quality parameters are defined to measure the quality of these websites. The paper is an attempt to make proper analysis of higher education websites. The research involves the creation of a database that includes well-defined parameters. Details are provided as an input to a learning model based on a vector support machine for comparison and ultimately geographical location. Testing the efficiency and accuracy of the database prepared for this task. This data was developed for seven different training, testing and verification on websites using support systems (SVM) algorithm. Algorithms trained with this database have proven to work well in site testing and level. The parameters provided are included in the model that includes the key keywords obtained (KH), average rating (AS), global standard (GR), wrap rate (BR) and daily page views per visitor (DPVPV). Thereafter a quality matrix is produced based on the quality of the extracted material. Pair pairing analysis was performed to determine the interaction between websites using scores on a quality matrix. The University of Kent (KENT) has been found to have very high standards (13212.43) and in terms of quality content.

Effects Of Obesity On The Serum Levels Of Free And Total Prostate-Specific Antigen In A Sample Of Iraqi Men.

Dr Ziad Hammad Abd; Dr Ruya Abdulhadi M. Saeed; Omar Farhan Ammar (alrawi)

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 142-148

Objectives: the study aims to assess the relationship between obesity and prostatic markers (total prostatic specific antigen (tPSA), and free prostatic specific antigen (fPSA)). Methods: this study was conducted on 127 men aged ≥40 years at The Department of Urology at Al-Ramadi Teaching Hospital. Exclusion criteria were a history of previously diagnosed or treated prostate cancer, the use of prostacare or any drugs that affect the levels of PSA in the serum. Results: the age range of the participants of the study was between 40–80 year. The number of men with normal BMI was 26 (20.47%), 47 men were overweight (37%), 33 men were obese (25.98%), and finally, 21 men were severely obese (16.53%). The mean of parameters total and free prostate-specific antigen (tPSA, fPSA), in the study, were (mean ± SD) (1.683±0.563) ng/ml, (0.537±0.189) ng/ml, respectively. Conclusions: there are no significant relationships between BMI, tPSA, and fPSA, at P≤0.05 in a sample of Iraqi men.

Changes of Electrocardiography Based on Disease Severity in Dengue Hemorraghic Fever

Ivan Tanawal; Idar Mappangara; Sudirman Katu; Syakib Bakri; Haerani Rasyid; Pendrik Tandean; Risna Halim; Hasyim Kasim; Arifin Seweng

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 149-151

Dengue virus (DENV) infection is a global health threat affecting at least 3.6 billion people living in more than 125 countries in the tropics and subtropics.1 Dengue hemorrhagic fever(DHF) is one of the public health problems in Indonesia that increasingly widespread.2 In 2018, the total incidence of dengue fever in Indonesia were 65,602 cases, with 467 deaths. The DHF morbidity rate in 2018 decreased compared to 2017, from 26.10 to 24.75 per 100,000 population. The morbidity rate in South Sulawesi Province, Indonesia, was 24.1 per 100 000 population, and the case fatality rate was 0.9%.2 Dengue fever (DF) and DHF are infectious diseases caused by the dengue virus, which belongs to the flavivirus genus, the flaviviridae family. The disease can present as a mild self-limiting illness, DF, or as the more severe forms of the disease, DHF and dengue shock syndrome (DSS). All four dengue virus serotypes (DENV-1, DENV-2, DENV-3 and DENV-4) can cause dengue. Clinical manifestation of severe dengue includes severe bleeding, severe organ involvement and severe plasma leakage.1

The Dynamics of C-reactive Protein Associated with Nutritional Status Changes in Kidney Failure Patients at Initiation and After 3 Months of Dialysis

Trina Primalia Irawanti; Haerani Rasyid; Syakib Bakri; Hasyim Kasim; Andi Makbul Aman; Fabiola Maureen Shinta Adam; Nur Ahmad Tabri; Arifin Seweng

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 152-159

Among kidney failure patients, especially those on dialysis, malnutrition is associated with poor outcomes. Malnutrition is a multifactorial process, including inflammation, which can be measured by C-reactive protein (CRP). The objective is to evaluate the dynamics of CRP associated with nutritional status changes in kidney failure patients at initiation and after 3 months of dialysis. A prospective cohort study using a consecutive sampling method consisting of 40 kidney failure patients who received initial dialysis at Dr. Wahidin Sudirohusodo Hospital, Makassar, Indonesia from January-March 2020. Nutritional status was evaluated with Subjective Global Assessment (SGA), and CRP was measured at the initial dialysis and after 3 months. All subjects received nutritional education at the beginning. Nutritional status was defined as well-nourished (WN, SGA A) and malnourished (MN, SGA B and C), then classified into 4 groups denoting nutritional changes: Group 1 (WN to WN), Group 2 (MN to WN), Group 3 (WN to MN), and Group 4 (MN to MN). ANOVA, paired t-test, and chi-square test (significance p<0.05) were used for statistical analyses. Subject’s mean age was 50.5±14.8 years old; 52.5% were male. Diabetes and obstructive nephropathy were the most frequent underlying diseases, both had a prevalence of 35%. At initiation, the prevalence of malnutrition was 77.5%; after 3 months, it was 70%. The highest proportion of Group 4 were female (62.5%) and those with diabetes (45.9%). Among all subjects, mean CRP decreased (9.4±32.3 mg/dL) after 3 months. While mean CRP based on nutritional changes, Group 2 had the highest reduction (18.8±26.8 mg/dL), and Group 3, CRP increased (17.5±17.0 mg/dL). C-reactive protein is negatively associated with nutritional status changes in kidney failure patients after 3 months of dialysis. Malnutrition was higher in female subjects and those with diabetes.

Positive Deviance Approach; an Efforts to Reduce the Incidence of Dengue Hemorrhagic Fever (DHF) in Pangkep Regency

Arsunan, A. A.; Masyitha Muis; Jumriani Ansar; Ridwan Amiruddin; Wahiduddin .; Indra Dwinata; Muhammad Akbar Nurdin; Rezki Elisafitri; Andi Dirpan; Aisyah .; Ahmad Yani

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 160-167

This study aimed to determine the effect of positive deviance approach on reducing the incidence of Dengue Hemorrhagic Fever (DHF) in Pangkep Regency. This studi used mix-method design to identify positive deviance behavior in preventing DHF and intervene by applying the positive deviance to the community in Pangkep Regency. The number of samples for quantitative data was 126 respondents and qualitative data was 12 informants. Data collection was conducted through Focus Group Discussion (FGD) and interviews. The research data were analyzed using logistic regression test and McNemar tests. The results showed the most influential factor in DHF incidence was positive deviance. Positive deviance behavior to prevent DHF were used long-sleeved clothing, use oil, and planting medicinal plants in the yard. The results of the intervention showed there was a significant influence of intervention using a positive deviance approach to increasing the planting of medicinal plants in the yard to prevent DHF, and there was a decrease in the incidence rate of DHF in Pangkep Regency. Positive deviance approach could be used as an effort to prevent and control DHF.
This study aimed to determine the effect of positive deviance approach on reducing the incidence of Dengue Hemorrhagic Fever (DHF) in Pangkep Regency. This studi used mix-method design to identify positive deviance behavior in preventing DHF and intervene by applying the positive deviance to the community in Pangkep Regency. The number of samples for quantitative data was 126 respondents and qualitative data was 12 informants. Data collection was conducted through Focus Group Discussion (FGD) and interviews. The research data were analyzed using logistic regression test and McNemar tests. The results showed the most influential factor in DHF incidence was positive deviance. Positive deviance behavior to prevent DHF were used long-sleeved clothing, use oil, and planting medicinal plants in the yard. The results of the intervention showed there was a significant influence of intervention using a positive deviance approach to increasing the planting of medicinal plants in the yard to prevent DHF, and there was a decrease in the incidence rate of DHF in Pangkep Regency. Positive deviance approach could be used as an effort to prevent and control DHF.

Correlation of Body Mass Index with Regular Menstrual Cycle of Young Women

Haniarti .; Ayu Dwi Putri Rusman; Jumarna .

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 168-172

This study aims to analyze the correlation of body mass index with the regularity of the menstrual cycle of young women in The City of Parepare. A total of 60 young women age 17 to 19 years participated in this study. The body mass index and regularity of the subject's menstrual cycle were evaluated. In body mass index distribution, young women with normal nutritional status were more likely (48.3%), compared with thin nutritional status (33.3%) and nutritional status (18.3%). Regular menstrual cycle more normal young women (56.7%) compared to abnormal (43.3%). The results of this study indicate that there is a relationship between body mass and regularity of the menstrual cycle in young women.

The Effect Of Combination Syrup Of Date (Phoenix Dactilyfera) And Bee Pollen On Blood Glucose Levels And Weight Gain Of Normal And Non-Diabetic Pregnant Rats

Asni Annisa Siregar; Sartini .; Veni Hadju

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 173-181

Dates and bee pollen contain of bioactive compounds in the form of flavonoids, polyphenols, magnesium, carbohydrates, proteins, and fats which allow them to affect blood glucose levels and weight gain. This study aims to determine the effect of the combination syrup of date and bee pollen on blood glucose levels and weight gain of pregnant Wistar rats. The combination of date and bee pollen syrup is made of 20.6% w/v of dates and 1.035% w/v of bee pollen in 100 ml of syrup. Then the rats were divided into 4 groups, namely the CMC solution as a control group, date syrup with a dose of 413.2 mg/200 g of rats’ weight, bee pollen syrup at a dose of 20.7 mg/200 g of rats’ weight and combination syrup of dates and bee pollen at a dose of 413.2 mg dates and 20.7 mg bee pollen /200 g BW of rats as the intervention group which were given for 20 days. Furthermore, the examination was carried out 3 times, on day 0, day 13, and day 20. The average of blood glucose levels after the intervention was 87.29 g/dl in the control group, date syrup 78.14 g/dl, bee pollen syrup 84.14 g/dl and the combination syrup 83.29 g/dl, while the average of body weight was 240.57 in the control group, 256.86 date syrup, 244.14 bee pollen syrup, and 265.00 for combination syrup. The results of statistical analysis showed P>0.05, it means that there was no significant difference in the value of glucose levels among each group, but there was a significant difference in the body weight of rats in which P<0.05, so the combination syrup of date and bee pollen is safe to be consumed by pregnant women because it does not affect the blood glucose levels significantly and it can increase their weight.

The Effect Of Giving Dates Syrup Combination (Phoenix Dactylifera) And Bee Pollen On Hemoglobin Levels In Pregnant Wistar Rats (Rattus Novergicus)

Fahriani .; Sartini .; Veni Hadju

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 182-189

Background: Anemia often results from iron deficiency in a pregnant woman as a result of a double iron needs resulting from a rise in blood volume, to meet a mother’s (prevent blood loss at birth) and fetal growth. Dates and bee pollen have the potential to increase hemoglobin because of its complex properties and compositions.
Objective of the study :This study aims to identify the effect of combination of dates and bee pollen syrup towards the hemoglobin level on the pregnant white wistar strain
Reseach method:This research used an experimental research design with randomized post test control group. It used simple random sampling technique by paying attention to inclusion and exclusion criteria, and obtain 28 pregnant white wistar strain rats. The samples were divided into 4 groups. The control group was given cmc solution intervention group was given dates syrup,bee pollen, and the combination of dates syrup and bee pollen,at a dose of 2ml/day for 20 days. Measurement of hemoglobin levels using a hematology analyzer.
Result: The results of this study analyzed using paired T test, Anova test with two factorial design and post Hoc LSD. This study shows that from the statistical test of hemoglobin levels, it obtained an average value in control group before 13.700±0.883 and after treatment 13.314±0.979 with a value (p=0,096,p>0.05), which means there is no difference after treatment while in the intervention group date syrup before treatment 12,500 ± 0.416 and after treatment 13,014 ± 0.644 with value (p = 0.179, p> 0.05) which means there is no difference after treatment. The bee pollen syrup group before treatment was 13.814 ± 0.823 and after treatment 14.014 ± 0.795 with value (p = 0.099, p> 0.05) which means there is no difference after treatment. whereas in the combination of date syrup and bee pollen groups before treatment was 12.971 ± 0.616 and after treatment 15.557± 0.378 with value (p=0.000, p<0.05) which means there is a difference after treatment.
Conclusion: The conclusion of this study is that there is an effect of giving a combination of dates syrup and bee pollen. It is hoped that the next researcher can make a combination of dates syrup and bee pollen which is given to pregnant woman

The Comparison of AIRI values in Obese and Non Obese Acute Coronary Syndrome patients

Resy Rosalina; Husaini Umar; Pendrik Tandean; Hasyim Kasim; Andi Makbul Aman; Haerani Rasyid; Arifin Seweng

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 190-197

Introduction : Insulin resistance (IR) has an important role in pancreatic -cell dysfunction and incidence of type-2 Diabetes Mellitus (DM-2), and such resistance is also able to indicate the pathophysiological component of other endocrine metabolic disorders such as hypertension, obesity, dyslipidemia, and cardiovascular disease (CVD). Obesity is a major risk factor for endothelial dysfunction which develops as a result of abnormal regulation of vasoactive substances including nitric oxide, where endothelial dysfunction is the starting point in the pathogenesis of IR. This study’s objective is to compare Admission Insulin Resistance Index (AIRI) values in Obese and Non-Obese Acute Coronary Syndrome patients.
Methods: This was a cross sectional study with consecutive sampling method consisting of 60 subjects who were treated with Acute Coronary Syndrome at Dr. Wahidin Sudirohusodo Hospital Makassar, Indonesia from July-September 2020. Anthropometric examinations include measuring body weight and height to determine body mass index (BMI).
AIRI was measured insulin admission (IU / ml) x plasma glucose admission (mg / dl) / 405. Statistical analyses used were Chi Square test and Spearman’s Correlation test ( significance p <0,01 ).
Results: Average age of the subjects was 54.9 + 13.6 years old, with 76,7 % male. Based on the results of clinical, laboratory and ECG examination, the subjects had hypertension (48.3%), obesity (35%), decreased HDL (38.3%), increased triglycerides (28.3%), increased LDL (70%), increased RBG (76.7%), experienced IR (20%), diagnosed of STEMI (35%), NSTEMI (53.3%), and UAP (11.7%). There was a significant relationship between obesity and AIRI (p <0,001). Where in obese, it was found that the percentage of AIRI's tertile 3 (70%) was the highest compared to AIRI's tertile 2 (20%) and AIRI's tertile 1 (15%). Meanwhile, those who were not obese were found to have the highest level of 1 AIRI (85%) compared to 2 AIRI (80%) and 3 AIRI (30%).

Family Support as The Key Factor that Influence Quality of Life based on SF-36 among CKD on Hemodialysis Patients

Rusiawati .; Haerani Rasyid; Saidah Syamsuddin; Syakib Bakri; Hasyim Kasim; Arifin Seweng

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 198-205

Background: Chronic kidney disease (CKD) is an emerging public health problem that affects 5–10% of the world population. With the availability of recent treatment modalities including renal replacement therapy, the survival of CKD patients has increased considerably which has led to an increased focus on health-related quality of life (HRQoL). Health-related quality of life represents the impact of the disease or its treatment on the subjective feelings of patients about their physical, mental, spiritual, emotional, social, and functional wellbeing. Quality of life among dialysis patients has been shown to be lower as compared to pre-dialysis CKD patients and is an independent risk factor for mortality in dialysis patients. Family support is an important factor that serves as a support system for the patients to face health problems.
Purpose: To examine levels of family support and the correlation of family support and quality of life (QoL) among CKD on hemodialysis (HD) patients.
Methods: This cross-sectional observational study was conducted in August-November 2020 and recruited chronic HD patients from Wahidin Sudirohusodo Hospital in Makassar, Indonesia. The demographic data of HD patients were collected. Quality of life was assessed using the validated Indonesian version of the Short Form-36 (SF-36) questionnaire which consists of Physical Component Summary (PCS) and Mental Component Summary (MCS) and family support that was assessed using the validated “Dukungan Keluarga” questionnaire. The data were analyzed using SPSS version 22.0 statistical software.
Results: A total of 60 subjects (39 males and 21 females) were included. The mean age was 48.9±12.1 years old. About 55% of the subjects was graduated from college. About 86.7% subject was married. About 55% of the subject is not working. About 53.3% of subjects have a family income lower than the regional minimum wage. The mean duration of HD was 22.1±28.6 months. The mean score of family support was 53±8,2. Family support score has a significant positive correlation with each domain of PCS and MCS, the higher score of family support is in accordance with higher score of PCS and MCS.
Conclusion: CKD on HD patients’ quality of life was significantly affected by family support

Effectiveness of Dexamethasone for Acute Respiratory Distress Syndrome (ARDS) due to Coronavirus: A Systematic Review

Tri Setyawat; Ari Setiyawan Nugraha; Sarifuddin .

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 206-211

Estimates have suggested that up to 12% of patients hospitalized with COVID-19 have required invasive mechanical ventilation, with the majority developing acute respiratory distress syndrome(ARDS). Corticosteroids are the most potent anti-inflammatory drugs. The therapeutic mechanism of corticosteroids might base on attenuating the action of many cytokines that participated in the inflammatory reaction associating severe CAP However, the clinical and efficacy of dexamethasone in COVID-19 patients are currently unclear, so research is needed to know the effectiveness of dexamethasone therapy in patients with COVID-19. This research uses a structured analysis focused on preferred reporting items for systematic reviews and meta-analyzes (PRISMA) in order to classify all existing literature with appropriate keywords. The database using PRISMA (Preferred Reporting Items for Systematic Reviews & Meta Analyses) for instruments and used flowcharts based on the 2009 PRISMA checklist and based on inclusion and exclusion criteria, we found that dexamethasone resulted in a significant increase in the number of ventilator-free days (days alive and free of mechanical ventilation) over 28 days in patients with COVID-19 and moderate or severe ARDS.

Biogenic Nanoparticles From Allium Sativum And Its Bioactives Applications

Shwetha Subbanna; Gopenath TS; Kanthesh M Basalingappa

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 212-232

Recent development in the synthesis of nanoparticles relies on the use of green chemistry with safe, biocompatible materials to manufacture composites, structures, and formulations based on nano for specific applications. The basic goal of green nanoparticle synthesis is to make use of the element's specific physicochemical and biological properties by linking bioactive from prokaryotes and eukaryotes for applications in various basic and applied science fields. Biogenic methods have the potential to provide advanced strategies for surface/material modification in the increasing carbonaceous materials market.
Garlic is an extensively studied herb known for possessing a wide variety of bioactive. The major proportion of garlic bioactive is organosulfur or thiol based organic compounds that have numerous biological and therapeutic activities and thus target biogenic nanocomponents and formulations for synthesis. There is, however, very scant literature on its use in the agriculture sector. The present review focuses on the synthesis of garlic related nanoparticles and their applications across various scientific fields, and their potential environmental implications when used in agriculture.

Panjol Game With Java Ethics Character

Much Arsyad Fardani; Ika Ari Pratiwi; Tutik Khotimah; Zuhdan Kun Prasetyo; Samsuri .

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 233-240

The development of an increasingly rapid era brought a change in several aspects. The changes were seen in the advancement of technology that is around us. The smartphone's existence has begun to penetrate the world of children more bring a negative impact on the development of children's character. Fade friendly characters as an impact on excessive use of the smartphone. For this reason, researchers are trying to develop android-based learning media called Panjol. Panjol is an extension of (Java Online Game). The aim of this research to explore the ethics of Javanese culture in Panjol game. From the results of the discussion found several Javanese cultural ethics contained in Panjol game. Some of Javanese cultural ethics include guyub rukun and tulung tinulung.

Exploring Blended Learning Based-Model of English Learning to enhance Students‟ Communicative Competence

Haryanto .

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 241-250

This study aims to describe how blended learning is implemented and how English communicative competence is improved for university students. The research was conducted at Nahdlatul Ulama Islamic University, Jepara Indonesia. This is descriptive qualitative research with a case study approach. The subjects of research are English instructors and university students. The informants are 20 English language instructors and 10 students. The data were collected by the technique of interview, questionnaire, and observation. The data were analyzed through data collection, data reduction, data presentation, and concluding. Blended learning based-model at the University is implemented through conversation and dialogue in pairs or groups, teacher-student interaction, literature usage, classroom simulation, and role-play, computer-assisted classroom activities, reading English news and watching English TVs, and participating in social media through e-mail, WhatsApp and Facebook and so on. communicative competence attained along with the activities of blended learning implementation are grammatical competence, sociolinguistic competence, strategic competence, and discourse competence. This study recommends employing the activities of the communicative language teaching approach and supporting modern technologies to achieve better English communicative competence.

LEARNING MANAGEMENT OF TAHFIDZ AL-QUR'AN PROGRAM AT MODERN PESANTREN OF INDONESIA

Muhammad Santoso; Nasrudin Baidan; Zainul Muttaqin

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 251-261

Some pesantren (Islamic boarding schools) in Indonesia have programs focusing on Tahfidzul Al-Qur'an. The problem that arises in the program is the learning process, like the inadequacy of the methods used in the management of learning Tahfidz Al-Qur'an. This study aims to describe planning, organizing, implementing, monitoring, supporting and inhibiting factors, as well as the results achieved in the learning management of Tahfidz Al-Qur'an. This research method uses a descriptive-qualitative approach through interview techniques, observation and documentation or copying in collecting data. The results of this study show that the planning in Tahfidzul Qur'an program at the Boarding School is carried out with four stages of selection, organizing by determining tasks and mechanisms in the learning process, implementation is marked by the learning process of memorizing the Qur'an, by monitoring the progress of memorizing Al-Qur'an by the santri via the monitoring book and the presence list of santri. The supporting factor comes from the boarding school environment, while the inhibiting factor is the lack of consistency of the students in memorizing the Tahfidz al-Qur'an. The success achieved by the Tahfidz Al-Qur'an program in Islamic boarding schools can be seen from the results of the achievements of the competition Tahfidz Al-Qur'an at various levels and competitions.

The Development of VIKOMAFA as Android-Based Disaster Learning Media for PGSD Students of Universitas Peradaban Indonesia

Yuni Suprapto; Ferani Mulianingsih; Dewi Liesnoor Setyowati

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 262-277

This study aims to reveal the development of Android-based video and comic application (VIKOMAFA) as a disaster learning media to improve the understanding of natural disaster preparedness for the students of the Department of Primary School Teacher Training Education (PGSD) at Universitas Peradaban and to discover the effectiveness of VIKOMAFA as the Android-based video and comic application to improve the understanding of natural disaster preparedness for the PGSD students of Universitas Peradaban. This study offers some benefits, including 1) academics benefit: to contribute to knowledge development for public education; and 2) practical benefit: to deepen the comprehension of moral development in upholding the environmental ethics through the fundamental anticipation in dealing with disaster risk prevention. This research adopted a Research and Development (RnD) model by developing VIKOMAFA application as an Android-based video and comic learning media to improve the understanding of natural disaster preparedness for the sixth-term PGSD students of Universitas Peradaban that received Social Science lecture. The study was conducted at the even term in the academic period of 2018/19, precisely from February to August 2019. It featured a Research and Development method. The utilization of VIKOMAFA as the learning source of disaster education is confirmed effective to foster the understanding of disaster preparedness of PGSD students and the understanding of disaster preparedness for the PGSD students of Universitas Peradaban Indonesia.

National Resilience Strategy On Large-Scale Social Restrictions (Psbb) Through Collaborative Governance

Sunny Ummul Firdaus; Waluyo .; Maria Madalina

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 278-285

The Covid-19 pandemic has produced a perfect storm of negative social and economic impacts with inevitable geopolitical consequences. The policy adopted by President Joko Widodo in accelerating the management of Covid-19 at this time is the Large-Scale Social Restrictions (Large-Scale Social Restrictions). The Presidential Decree Number 7/2020 concerning the Establishment of Task Force for the Acceleration of Covid-19 Handling was then amended by the Presidential Decree Number 9/2020 to expand the scope and composition of the Task Force which involves the ministries/agencies involved in accelerating the management of Covid-19. In its implementation, the Task Force has not been able to function optimally due to the lack of community participation, specifically the lack of community arrangements to deal with a pandemic. Therefore, it needs to involve RT/RW in the unit of Task Force officers so that they can be directly involved in the community of the smaller unit. The participation of RT and RW in breaking the Covid-19 chain is very vital since RT and RW are community institutions which are directly linked to the village community. They are the mouth and ears of the government which have for conveying the policies of the government at local (village)/kelurahan, regional, and national level. As the first recipients of the community’s aspirations, they are the heart of community conflicts so that it is them who better understand the extent of the problems and conflicts that arise in the community. This study aimed to support the head of the RT and the head of the RW for optimally strengthening their role in the prevention of the Covid-19 epidemic by informing of the presence of a patient or suspect suffering from an epidemic, assisting in the proper execution of epidemic control efforts, and motivating the community to overcome the epidemic.

A Policy Design On Narcotics For The Prevention Of The Use Of Narcotics And Its Bad Impacts Reduction Due To Narcotics Abuse

Sunny Ummul Firdaus; Hartiwiningsih .

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 286-295

This research showed that Law of the Republic of Indonesia on Narcotics has not been able to actualize its legal objectives, particularly for narcotics users, considering that they are only ideally given rehabilitation sanctions, both medically and socially. On the other hand, they are not subject to criminal sanctions, in which it becomes the main legal sanctions. Besides, they get sentenced by the judges who use articles for narcotics traffickers in handling the crimes. Therefore, it is necessary to reformulate the right policies to manage the crimes in narcotics by providing legal certainty between the users and the traffickers, so they have a positive correlation with the way the judges decide cases based on legal certainty.

Reconstruction of Guarantee for Legal Protection of Communities Affected by Land Procurement For Railway Construction In Indonesia

Ismiyanto .; AL Sentot Sudarwanto; I Gusti Ayu Ketut Rachmi Handayani

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 296-30

This study aims to analyze the concept of regulation that guarantees adequate legal protection in the event of problems in fulfilling the rights of compensation for entitled parties. This research uses normative or doctrinal standard research methods. Primary data sources were obtained through field studies, while secondary data used literature studies data collection techniques using surveys, interviews, and literature study. The data analysis technique used a qualitative approach with an interactive model. The sampling method used was purposive and snowball sampling. In terms of its nature, this dissertation is explanatory research, and from the point of view of its form, it is a prescriptive study. In this legal research, the researcher uses 2 (two) approaches, the statute approach, and the conceptual approach. The results show, in terms of the validity theory of Gustav Radbruch's law, the guarantee of the legal protection of Law Number 2 of 2012 on the process and mechanism for providing compensation for entitled parties have valid validity from a juridical review but does not yet have valid validity from philosophical thought. And sociological. This study also concludes that it is necessary to reconstruct the land acquisition law, mainly concerning the provisions governing the process and mechanism for providing compensation or compensation to entitled parties. To guarantee legal protection in drafted regulations to fulfill the fundamental values of justice and benefits for the community, reconstruction is directed at a. There is the involvement of parties entitled as the subject of land acquisition rights with appraisal in the assessment of land acquisition objects, b. the presence of a dispute resolution institution with a non-litigation paradigm (PnLg) in the form of mediation, c. there is a change in the term "compensation" to "compensation," and d. there are additional rights for entitled parties, namely: "the right to get adequate compensation." Based on the above conclusions, it is recommended that the government revise Law Number 2 of 2012.

PREDICTION OF STEEL FIBRE REINFORCED CONCRETE (SFRC) STRENGTH USING ARTIFICIAL NEURAL NETWORK (ANN) MODELS, RESPONSE SURFACE METHODOLOGY (RSM) MODELS AND THEIR COMPARATIVE STUDY

A.M. Shende; K.P. Yadav; P.P. Bhad; A.M. Pande

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 306-314

There is various methodologies and mathematical models developed to predict the steel fiber reinforced concrete strength (SFRC) and these methods are prominently used in their time. Due to enhancement in the technology new mathematical models are developed and compared them with the old ones, as per their fit and comparative betterment, these methods become significant for the use by the scientists, researchers and mathematicians. In the research paper discussed here has an objective to develop a new mathematical approach to predict the SFRC strength using two newly introduced models namely Artificial Neural Network Simulation (ANN) and Response surface methodology (RSM) to analyse Aspect ratio, Aggregate-cement ratio, Water-cement ratio, Percentage of fibre and Control strength (referred to as five pi terms).
The comparison of these two methods with experimental strength shows the output for the best fit, the study further extended to compare between these two models with each other to find best fit out of these two models. The calculation of the influence of pi terms, mentioned above to predict the SFRC, make this study more fruitful.

English Language A Vogue In The Fashion Industry

Ms. Sharon Samson; Dr. S.V. Karthiga

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 315-319

This paper focuses on how English Language is used in the Fashion Industry. The study of fashion has been long neglected in academics than any other social or cultural trend, representing the more important political and historical zeitgeist of a time period. This paper takes up the study of fashion with a "theoretical facelift." English as an original theoretical framework delineates fashion's communicative frameworks as cloth, drape and belt, this work analyses the conceptual meaning of runway performances. English Language is involved in fashion advertising and plays the role of defining consumers for purchased or consumed goods the better their everyday lives. Ads depict the erroneous mirage that people are more successful, worthier, and physically beautiful based on their specific brand identity and consumption habits. Designers use the conceptual runway performance elements of time, advertisement, place, environment, music, model appearance and actions to explain and reinforce the message that their clothing communicates, while conceptual fashion shows are often characterized as spectacles intended to stimulate the popularity of a label and ultimately boost sales. This aims to provide a basis for the explanation of English as a language for fashion.

New Technological Innovation And Challenging Issues In Car

G.Sasikala .; V.Mahalakshmi .

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 320-328

Accidents happen very quickly in day to day life. Breaks in-front of you would slam your foot in a fraction of second, along with your body. To overcome this instance an ejector seat has been designed as an idea of improvement with current existing safety tools which protect people when a car crashes. Traditional airbag is limited in that it protects people after car is crashed and in many situations it would be too late, and also it cannot protect people when the car falls off a cliff. The ejector seat ejects people with different weights to the same height when danger is detected.
The prototype results show that it can detect relative distance and speed accurately with a small error of +/-2 cm, and the weight can be measured to an accuracy of +/- 2 grams. The seat is ejected and when relative distance and speed reach a threshold that we calculated to be reasonable for deadly situation, and the springs which are used to eject are compressed to desired position to make sure that different weights are ejected to the same height. This situation is immediately sent to the nearby server helpline through GSM module, and help is availed at once.

Jimeta Neighborhoods Residents‟ Contentment With The Sustainability Municipal Setting

David Martin @ Daud Juanil; Ahmed Yahaya Abdul; Mohamed Ahmed Said; Abbas Sa'id El- nafaty; Faizah Mohammed Bashir

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 329-344

The dispassionate indicators of happiness measurement consider the obvious conditions of municipal elements, such as housing, nutrition, and the setting. Autonomous indices were done, on the subject of the questions asked by the researchers through the questionnaire of people about contentment. In this regard, it attempts to measure the role of municipal elements in contentment and quality of life of the inhabitants in the Commissioners’ neighbourhoods of Jimeta. The research technique used in this article was descriptive-analytical and data collection was prepared using a questionnaire. The data were analyzed by SPSS software. The questionnaire contains 3 components of 8 indicators and 29 questions. Cronbach's alpha test was used to calculate the reliability of the questionnaire. Its reliability was 0.81 and was acceptable. The outcomes of the research show that the contentment of residents in the study area is in a judicious situation. According to the results, the level of citizenship contentment of the neighbourhoods is from the social, environmental, and economic components, with a score of 4.35, 3.92, and 2.47 from the Likert spectrum, correspondingly.

Review Of The Current Concepts, Dimensions, Elements And Indicators Of Social Sustainability And Social Development

Ogungbenro Matthew. Taiwo; Salfarina Samsudin; Dzulkanian@ Zulkarnain Daud; Obaje J. Ataguba; Fidelis Osagie Atamamen

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 345-354

The concept of social sustainability is typically described as the conservation or enhancement of the welfare of current and future generations. Social sustainability is accomplishing the present basic needs of human beings with assurances of its sustained benefits for future generations. However, it is considered a complex, three-pronged, and multidisciplinary concept that is challenging to critically comprehend and measure empirically, particularly in the context of sustainable development. Furthermore, the numerous definitions, theories, and approaches increase the complexity along with the adoption and implementation of its principal tenets.  Therefore, this paper presents a concise overview of the current concepts, dimensions, elements and indicators of social sustainability in the context of social development. According to the findings, social sustainability is typically involved with the continuous provision of social services (i.e. healthcare, education, housing, leisure and transport), reduce poverty and inequality (inter- and intra-generational) among residents of any community. As such, social sustainability is concerned with the current and future standard of living of people. Likewise, socially sustainable development is construed as the sustenance of social values, characteristics, and relations of people and place for the future. According to the authors, the interactions within social networks, contribution to cooperative groups and networks within the community are typical indicators of social sustainability. Furthermore, three distinct categories of social sustainability exist, namely; development, bridge, and maintenance sustainability. Furthermore, the elements of social sustainability identified were good health services, education, safe neighbourhoods, sanitation, and low-cost housing. Furthermore, the findings showed that indicators ensure that stakeholders are adequately informed about the complexity of social systems, engender comprehensive understanding and evaluation of sustainability and lastly effective communication of the empirical findings for enhanced decision making by stakeholders. In conclusion, the brief perspectives and future outlook on social sustainability indicate that the concept is crucial to sustainable development from the perspective of sustainable communities 

The Influence Of Dividend In Sustaining Corporate Governance And Corporate Social Responsibility On Shariah Compliance Companies Performance

A. Rahayati; S. Roshima; A. Syahiza; A.M.Farah Nadirah; A.H. Nurul Shahariza

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 355-370

This paper aims to examine the influence of dividend in sustaining Corporate Governance and Corporate Social Responsibility on Shariah Compliance Companies Performance. Times series cross-sectional data, also known as panel data were employed. Both the direct effect as well as the moderating effect of dividend with Corporate Governance and Corporate Social Responsibilities toward Shariah Compliant Companies performance were analysed by Ordinary Least Square (OLS) with Panel Corrected Standard Error (PCSES) model. The findings of this study will contribute to the knowledge to public, shareholders, stakeholders, standard rulers such as Securities Commission & Bursa Malaysia especially the shariah compliance companies on the effect of dividend payout as a motivational tool to improve the company performance especially when company sustained a good corporate governance and corporate social responsibility.

Visual Framing Of The By-Election Campaign In Malaysia: An Analysis Of Malay And English Dailies

Dr. Manimegalai Ambikapathy; Maizurah Khathu Abdul Hamid

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 371-381

This study examined the visual portrayal of the Semenyih by-election campaign in Malaysia on 2nd March 2019. With the assistance of Rodriguez & Dimitrova (2011) model, two printed mainstream newspapers were selected for this research: 1) Berita Harian; 2) The Star. Main objective of this research is to identify the visual framing of election campaign during the campaign period and it were measured through few variables such as slants of visuals, placement or location of visuals, theme and messages portrayed by visuals, caption focus and the stand of visuals. This study was conducted starting from the nomination day on the 16 February 2019 until the election day. Through content analysis method, each visual from n=88 census, was coded based on mentioned variables. Data was measured through descriptive statistics and inferential analysis. Major finding revealed that most of the visuals were slanted to party and government team in Berita Harian dailies compared to The Star; focused on election information. Findings also figure out few differences between selected two dailies. This study contributes to a several lack of visual framing research during election period.

Analysing The Process Of The Intensive – Extensive Reading Method In A Literature Classroom Setting And ESL Classroom Setting

Mariann Edwina; G.Nagamany Govindan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 382-390

This article focuses on the use of the intensive reading method in the literature classroom setting, and comparing the method used to the reading process that takes place in the ESL classroom setting. This article also investigates all possible reading processes or steps, and evaluate what steps in the intensive reading method is crucial for students to focus on the reading activity attentively while being able to develop their vocabulary to be better users of the English language. Subsequently, this article also justifies the idea of integrating the intensive reading to the extensive reading to conduct more effective reading lessons that have been observed in many literature classrooms. It is prominent that most literature subjects use the intensive reading method to conduct their reading activities, thus enabling their students to have a better approach towards using the language in other possible ways such as descriptive writing. Therefore, knowing what takes place in the literature classroom and how the process of reading activities are at work is essential for educators and learners in the ESL classroom to conduct and participate in the reading more effectively.

Determinant Factors For Destination Selection Of Halal Eco-Tourism Using Confirmatory Factor Analysis

Nashirah Abu Bakar; Sofian Rosbi; Kiyotaka Uzaki

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 391-412

This study aims to analyze determinant factors for destination selection of halal eco-tourism using confirmatory factor analysis. Destination of halal eco-tourism is place for tourism that educate visitors about environmental awareness and providing halal compliant entertainment. The research method implemented in this study using quantitative approach namely questionnaire analysis. The endogenous latent construct is customer intention to visit destination of halal eco-tourism. The four exogenous latent constructs are brand equity, culture, quality and social. This study developed the research framework with adoption of social distance theory. The sample size of corresponding respondents is 300 customers that have intention to visit tourism places that halal compliant. Next, this study analyzed measurement model using confirmatory factor analysis for pooled model approach. Then, the validity and reliability constructs of measurement model were validated using three main model fit indexes namely absolute fit, incremental fit and parsimonious fit. Next, structural model of path analysis was performed using structural equation modelling was performed. The multivariate regression analysis was performed with maximum likelihood approach. The result shows the absolute fit (RMSEA) is 0.029, incremental fit (CFI) is 0.997 and parsimonious fit (Chi-square/degree-of-freedom) is 1.247. All of three model fit indexes indicate the measurement and structural model is good fit with actual data. Multiple regression analysis shows all four exogenous latent constructs indicates significant relationship to endogenous latent construct namely customer intention to visit destination of halal eco-tourism. The contribution of this study is it adding new knowledge to literature of tourism management. In addition, this study provides clear understanding for policy makers in developing eco-tourism attraction that meet with customers preference in generating profits for tourism industries. The novelty of this research is it provides a clear procedure for performing confirmatory factor analysis for validating model fit with real data.

Strata Title Reforms In Malaysia: A Review And Challenges Of Regulatory And Governance Panacea

Nurul Sal Shabila Izanda; Salfarina Samsudin; Mazalan Zainuddin

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 413-426

Malaysia has some of the largest and most complex strata development in the prime area. A strata scheme is a property development which divides buildings or land into a number of parcels with strata titles. It is separate property deed for each unit in a subdivided under the strata law and necessary as a proof of the ownership of the parcels. The Strata Title Act (STA) 1985 was the first legislation to govern the subdivision buildings into parcels in Peninsular Malaysia. It has gone through a number of modifications and amendments to promote good governance in the property development industry. The latest strata law reforms have accelerated the issuance of strata title, increased protection and facilitated the management of strata for home purchasers and imposed stricter conditions on developers. Until recently, the development of strata schemes in Malaysia has been more notable for its issues and challenges than its successes. This paper is to reviews the legal aspects of the strata development as stipulated in the Strata Title Act 1985 and identifies areas of difficulty in Malaysia that may be the challenges to the interested parties. The research method used is the qualitative research in which it will rely on the analysis of the relevant statutes, rules, regulations, books, journals, articles, thesis, monograph, research grants reports, seminar papers, electronic materials and various newspaper reports. The paper will be of interest to those involved with property developments in international jurisdictions that have similar multi-unit ownership in jurisdictions considering the introduction of similar forms of multi-unit ownership.

Theory Of Planned Behaviour – Assessing The Factors That Influence The Intention To Perform An In-Games Purchase By The Tertiary Learners In Johor

Krishnaveni Sritharan; Mangair Karasi Manickam; Phua Cun Uei

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 427-434

Malaysia has been encouraging the rapid growth of virtual gaming; as it has been making a significant contribution to the economy. The gaming industry has changed its strategy to gain a competitive advantage by selling in-game purchase to their clients to give either an aesthetic appearance to the characters in the games or to enhance the playing experiences. This research intended to assess the factors that influence the intention of tertiary learners in Johor to perform an in-game purchase. A quantitative method of research was conducted on 384 purposive samples utilising a 5-point Likert scale questionnaire which measured both the independent and dependant variables. SmartPLS 2.0 and SPSS 22 was utilised to analyse the data. The results indicate that Attitude and Perceived Behavioural Control has a strong significant influence on the intention to perform the in-game purchase. Furthermore, coefficient values for Subjective Norms showed less significant influence than Attitude and Perceived Behavioural Control. This implies that the respondents were less influenced by any important person or group of people to do an in-game purchase.

The Test Of Humanity During The Covid-19 Situation In Indonesia

Elfindah Princes; Teddy Indira Budiwan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 435-445

The history has shown that during dangerous situation, people seek for their own safety. However, the example shown from the Covid-19 quick anticipation in Wuhan, China has shown the exact opposite. The researcher tries to identify human behaviors during the pandemic situation of Covid-19 in Indonesia. The researcher argues that compared to other countries, Indonesian people have different characteristics and responses. They are more self-centered and judgmental. Using the qualitative approach, the researcher classifies the people into 4 groups during a pandemic situation with two main groups as the research priority. First, the egocentric group as the group dominating the food and medical supplies. The panic buying in Indonesia causes this group of people to pile up stocks at home and cause the retail price to rocket. The second group is the profit-seeking group who takes advantage of this situation and sells the important food and medical supply in high price. The four groups represent the chaotic society culture in Indonesia and are the main reasons for questions if the humanity still exists. This research gives an understanding to the government to face the next pandemic if it happens someday. There are two limitations. First, at the time this research is made, the Covid-19 pandemic is still ongoing. There is a high possibility that a new group might appear near or at the end of the pandemic. Second, this paper does not separate the people into groups of different income levels, age groups and gender. Future research should address these limitations.

Hijab Fashion Consciousness Among Young Muslim Women In Malaysia

Siti Hasnah Hassan; Husna Ara

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 446-447

In recent years, Muslim women have espoused Hijab fashion as a part of Islamic faith by mixing the contemporary fashion trend to carry out their act of veiling. In turn, this situation has led to the rapid growth of global Islamic clothing market and opened numerous money-spinning opportunities for the fashion industry players. For them, it has become imperative to understand the perception of their Muslim consumers to offer the right product. Therefore, this research attempts to study what considerations articulate together in Muslim women’s hijab fashion consciousness. The purpose of this study is to analyze the impact of self-congruity, modesty, conformity and need for uniqueness to the fashion consciousness. To find the effect of these four aspects on Hijab fashion consciousness, a self-administered survey with a structured questionnaire was conducted in Malaysia. Data were collected from 200 Muslim women in Malaysia who wear Hijab fashion and then, SmartPLS 3.2.8 was used to analyze the hypothetical relationships. The findings of this study revealed that self-congruity and the need for uniqueness have a positive effect on the hijab fashion consciousness of Muslim women. It refers that Hijab fashion marketers must consider these two aspects while creating or designing a hijab fashion to satisfy consumer's expectations.

Factors Influencing Student Engagement In Higher Education Institutions: Central To Sustainability And Progression Of The Institution

J.K.S. Ting; V.M. Tan; M.L. Voon

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 468-473

Competitiveness and sustainability top the agenda in the midst of education communities in Malaysia’s education sector. Many higher education institutions (HEIs) are faced with the pressure to improve the quality of university education. The basis of these pressures might come from competition on the market of higher education services, national ingenuities for quality assurance and accreditation, and the ever-changing requisites of employers and businesses. The higher education (HE) sector in Malaysia is getting more competitive with 47 private universities, 37 private university colleges, 20 public universities, 10 foreign university branch campuses as well as numerous other private institutions of higher learning competing for the same pool of the local, regional as well as international students, along with Singapore, Philippines, Hong Kong and Indonesia. Sustainability is, therefore, critical to all the higher educational institutions (HEIs) at the present juncture as well as in the near future. In view of that, student engagement becomes a crucial indicator of the quality of student experience in these institutions. The centrality of student engagement is thus critical to the success of HEIs as issues relating to student retention remain high on the agendas of HEIs all over. The purpose of this paper is to assess and outline major factors influencing student engagement in the context of HEIs.

The Media Agenda Of Interpersonal Violence In Selected Malaysian Online Newspapers

Hasmah Zanuddin; Norizzati Saifuddin

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 474-489

Interpersonal violence cases in Malaysia has been inclined tremendously. Sadly, it is hard to make Malaysians aware of these dangers resulted by their behaviors. The attention to the issue reduce when writers and editors the issue from their reportage. Hence, there is a need to supply more knowledge to pull the attention on this social problem. The objectives of this research are to study the framing of issues, source and tone of news used in interpersonal violence coverage in selected Malaysian online newspaper. Quantitative content analysis analyzed 255 news articles from two selected Malaysian online newspapers using Krecjie and Morgan table. Simple random sampling selected the articles from Hmetro.com.my and Thestar.com.my. Pilot test and Holsti test tested the reliability. Non-parametric analysis tested the hypothesis and the objectives of this research. Chi-square statistical hypothesis found the association between the independent and dependent variable of this study, which is online newspaper and media agenda. From this research, media played as a vital role as the agenda setter in making Malaysian aware on the criticality of interpersonal violence issue among Malaysian society.

Malaysian Social Media Postings And Public Agenda Setting Review In The Portrayal Of Interpersonal Violence

Norizzati Saifuddin; Hasmah Zanuddin

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 490-506

In Malaysia, the cases of interpersonal violence were enormously increased. People are exposed to the online network and interlink to one another. Hence, agenda setting study can be broadened by including social media as another media platform. The objectives of this research are to study the issue, the salience level and the sentiment emotions of the issue in the social media. The selected social media platform are Facebook and Twitter. This research used quantitative content analysis. Holsti test tested the reliability of the instrument. 420 social media postings selected using Krecjie and Morgan table. Non-parametric test was used to test the variable of this study. Chi-square statistical hypothesis testing found there is significant association between the independent variable that is social media and dependent variable that is the public agenda. From this research, the result showed that social media provide an important role to the public agenda to make Malaysians aware of the importance of interpersonal violence awareness in Malaysian society.

Factors Contributing To The Implementation Of Work-Family Balance Practices In Malaysian Oil And Gas Companies: From An Individual Perspective

Noorhasyimah Ismail; Raffaella Valsecchi; Noor Hidayu Suhaimi

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 507-514

Recently, more attention is being paid to the impacts of Work-Family Balance Practices (WFBPs) at the organisational level. Factors underlying the preference for WFBPS are the flexible working hour, work support, job stress, and performance reward system. Most of past researches shared the attention of the organisational efforts on the work-related consequences such as job satisfaction, turnover intention and affective commitment amongst the employees. However, the current study aims to explore and later reveal the factors undertaking WFBPs at the individual level. The study is conducted using semi-structured qualitative interviews to collect data of the experience of 34 managers and executives from the two selected Malaysian Oil and Gas companies. The description and conceptualization of the work-family balance described by the respondents explain the acceptance and insight of the practice offered. The findings revealed four factors namely well-being improvement, traditional and moderate cultural values, Islamic work ethic, and equal opportunities that give direct and indirect impact on an individuals’ choice to undertake the WFBPs. Furthermore, this study is an effort to accumulate the factors of WFBPs at an individual level which are significant to the manager and executive role in the workplace. Therefore, the findings of this paper contribute as a profound path for future research on individual roles such as manager and executive.

Innovation, Digital Business And Frugal Innovation Type

David Tjahjana; Adler Haymans Manurung; Nugroho Juli Setiadi; Wibowo Kosasih

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 515-526

SME development is an important pillar of regional integration efforts. Micro, small and medium-sized enterprises represent around 97 to 99% of the enterprise population in most ASEAN countries. In Indonesia, small and medium-sized enterprises made up 99.99% of total businesses and employ 97% of the workforce. Based on data from small and medium-sized enterprises that are already using the internet in Indonesia, the use of e-commerce is still between 9 and 15%. One of the innovation types was frugal innovation, which can be defined as products, services, or solutions that arise regardless of financial, human, technological or other resource constraints, and where the end result is cheaper than competitive offers and meets the needs of customers who have not yet been served otherwise. The objective of this research is to investigate the impact of digital business adoption, frugal innovation, and organizational innovation on firm performance. The study was conducted using a descriptive quantitative method in Indonesia. A structured research questionnaire was developed using a Likert scale-four. Data from a total of 100 returned questionnaires was analysed with SEM-PLS. The results of this research show how the performance of small and medium-sized enterprises (SMEs) is affected by digital business adoption, frugal innovation and organisational innovation.

Numerical Solution Of Higher Order Functional Differential Equation By Collocation Method Via Hermite Polynomials

Muhammad Bilal; Norhayati Rosli; Norazaliza Mohd Jamil; Iftikhar Ahmad

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 546-558

This paper is devoted to propose the numerical solution pantograph differential equations via a new computational approach of Hermite collocation method. The convergence of the Hermite collocation method is investigated. The numerical solution of pantograph differential equations is obtained in terms of Hermite polynomial. Nonlinear pantograph differential equations are solved and compared with the exact solutions to show the validity, applicability, acceptability and accuracy of the Hermite collocation method. The approximated results show good agreement with the exact solutions, hence indicate good performance of the methods in solving the corresponding equations. 

Numerical Simulation Study On Load Deflection Of Reinforced Ultra High Performance Fiber Reinfoeced Concrete And Normal Concrete Beams Under Static Load

Anas Ammar Al- Kabasi; Ali Saif Al- Wardi; Qadir Bux alias Imran Latif; Nasrellah Hassan Ahmed

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 559-572

One of the biggest obstacles that prevents emerging concrete types to become widely adopted in construction is the deficiency of standardization background in practice codes for these materials, despite the fact it possess superior properties, such as Ultra-high Performance Fiber Reinforced Concrete (UHPFRC). In this study, Finite Element Analysis (FEA) is utilized to simulate the behavior of UHPFRC and Normal Concrete (NC) simply supported beams under static flexural loading. Abaqus software has been used in which a simplified version of the Concrete Damage Plasticity Model (CDPM) was chosen as a non-linear constitutive model. The model has been validated against conventional CDPM at global (load-deflection) and local (load-stain) levels. Reinforced UHPFRC beam models showed clearly matching response with the validity research paper (reference study) experimental findings. The response of UHPFRC beams has been compared to NC beams. This comparison has been explained in detail and checked with similar material comparisons in the literature. The proposed study has revealed and compared the distribution of cracks in the form of tension and compression damage for both materials. As a conclusion, modelling is an effective way to predict the behavior of concrete beams in which the relative local response was captured in reinforcement bars. 

Communication Skills Attributes For IR 4.0 For Engineering Graduates

Mohd Kamaruzaman, F.; Hamid, R .; Mutalib, A.A .; Rasul, M.S.

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 573-588

Communication skills have been highlighted as among the most important skills to be conquered by the engineering graduates. As new industrial revolution strikes in, engineering graduates are required to relearn and upgrade their generic skills to remain significant in the challenging working environment. Previous studies have identified the attributes of communication skills, but those attributes may not be relevant anymore; thus, there is a need to identify the current attributes of communication skills for IR 4.0 engineering graduates. Therefore, this study was done to derive the traits/attributes of communication skills using systematic review method considering previous studies from 2006-2019. A crosswalk of seven previous researchers was produced in this study. Emerging themes from the crosswalk are ability to effectively speak with audience; ability to convey a clear written communication; ability to communicate with people from different background; ability to deliver presentations; ability to express own idea; and ability to listen and give appropriate feedback. Findings of the study will provide a significant set of attributes in communication skills for IR 4.0 engineering graduates and embark the opportunities for further research by the authors

Students’ Perception On 3D Mock-Up Model Approached In Teaching And Learning Of Construction Technology Course

Atikah Razali; Mimi Azura Ngatmin; Noorhasyimah Ismail; Tg Ainul Farha Tg Abdul Rahman

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 589-597

This paper aims to propose 3D Mock-up Model approach in teaching and learning construction technology course for quantity surveying students. Objectives of the study are to focus on perception of the students in terms of improving their visualisation, identifying construction components, improving students understanding, attention, and interest towards the implementation of 3D Mock-up Model in teaching and learning. Methods adopted in this study are distribution of questionnaire survey and observation of 64 numbers of diploma students in quantity surveying programme. Based on the findings, 3D Mock-up Model approached improves understanding of the students, make easier for students to identify construction components, improves the visualisation of students, grabs attention of the students and sparks the students’ interests. One of added advantages of the 3D Mock-up Model approach is to make easier for the students to do sketches. Thus, 3D Mock-up Model can be proposed as one of the alternatives in teaching and learning construction technology course. 

Extra Length Manifestations Of Viral Hepatitis C: Analysis Of Detected Features Of Associated Arthritis And Their Diagnostic Aspects

Fazilat Narmamatovna Shukurova; Marif Shakirovich Karimov; Dinara Ayupovna Parpiboeva

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 604-622

Introduction. Chronic viral hepatitis (CVH) is often accompanied by a variety of extrahepatic (systemic) manifestations, often coming to the fore in the clinical picture and, in some cases, determining the prognosis of the disease.
Materials and methods. A cross-sectional study was conducted of 52 patients (mean age 38.54 ± 6.00 years) with a diagnosis of chronic viral hepatitis C (CVHS) who underwent initial consultation with a specialized course of outpatient treatment at the arthrology center (artSCAL) at the Tashkent Medical Academy (TMA) and received inpatient treatment in the departments of the clinic of the Research Institute of Epidemiology, Microbiology and Infectious Diseases of the Republic of Uzbekistan.
Results. Among patients with cryoglobulinemia (CGE), the incidence of articular manifestation was 74.3%. According to liver elastography, the examined patients with CGE had signs of liver fibrosis of the 2nd and 3rd degrees, relative to the indices of the group without CGE, where degrees 1 and 2 of fibrosis were more often observed. According to ultrasound of the joints, synovitis occurred in 46 (88.4%) patients.
Conclusion. In patients with chronic hepatitis C, the most common rheumatologic manifestation is arthralgia (92.3%). The relationship between the duration of hepatitis disease, its activity, the severity of liver fibrosis according to elastography and changes in the levels of the main biochemical and immunological parameters is established. Among patients with CGE, the incidence of articular manifestation was 74.3%, and the articular manifestations of HCV were mostly more severe.

Competencies Of Emotional Intelligence And Constructs Of Political Behaviour Among Youth Students

Siti Sarawati Johar; Fauziah Ani; Harliana Halim; Shahidah Hamzah; Nur Zainatul Nadra Zainol; Intan Farhana Saparudin; Raja Zirwatul Aida Raja Ibrahim; Siti Aisyah Panatik Abdul Rahman

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 623-631

This paper stress the importance of strengthening emotional intelligence (EI) among youths. Human capital resources targeting youths are one of the main thrusts of national development in Malaysia especially from the political, economic, social and educational aspects. The main target of this study was to test the presence of the significance impact of EI competence on the constructs determining youths’ political behaviour. A total of 313 students from four public universities in Malaysia were selected as the sample. The Emotional Intelligence Self-Description Inventory (EISDI), and Political Behaviour Questionnaire (PBQ) were used to obtain data which was analysed using regression analysis. The findings showed that the hypotheses were accepted, i.e. there is an impact of EI competence on the political behaviour which significantly influenced EI on the constructs of political behaviour namely conservativism and nationalism. Hence, EI can be construed to be a determining factor in behaviour and ideology that signifies political maturity among Malaysian youth.

The Influence of Social Media Facebook and Twitter on Student’s Rational Choices

Linayati Lestari; Sri Langgeng Ratnasari

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 632-643

The student rational choices is contributes to elections. Student’s rational choices is one of issues at the elections.. The purpose of this study was to determine the influence of social media facebook and twitter on student’s rational choices. This type of research is a quantitative descriptive study with data collection techniques using a questionnaire. The study population was 1978 people with a sample of 322 students. The sampling technique uses the table of Krejcie & Morgan formula. Hypothesis Testing Results for Social Media Facebook variables significantly influence Student’s Rational Choices. Hypothesis testing Social Media Twitter variables significantly influence Student’s Rational Choices. The results of hypothesis testing indicate that the Social Media Facebook and Twitter variables simultaneously have a significant influence on the Student’s Rational Choices. The study expected to serve as a reference to the electoral candidates in an effort to encourage the increasing number of electoral votes among universities

Modern trends for the development of the Deanship in the management of students’ affairs in Saudi universities in light of the booming global experiences: A comparative analytical study

Hasna Balaj Alotaibi; Hessah saad ALarifi

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 644-663

The study aims to identify the trends in the modern development of the administration of the Deanship of Student Affairs in some advanced universities, such as in „Harvard and Manchester Universities‟ and the reality of the administration of student‟s affairs at the King Saud University on the local level. And identify the benefits of these global experiences plan to apply in the development of the Deanship of Students Affairs in the Kingdom of Saudi Arabia. To achieve the objectives of the study, the researchers used the comparative analytical descriptive method of the available literature and references. In the light findings of the study, several recommendations and proposals were suggested. Such as the need to involve graduates with their experiences in helping with the academic and vocational affairs of currently enrolled students, as well as opening opportunities for students to participate in volunteer campaigns around the world, and forming of a specialized unit to provide trips, visits and family meetings; thus achieving the 2030 Vision of the participation of parents in university programmes and activities, and hence strengthening the link between the University and society.

DETERMINANTS OF CREDIT RISK IN CONVENTIONAL BANKS: AN EMPIRICAL STUDY IN MALAYSIA

Kek Swee Huan; Suganthi Ramasamy; Yuen Yee Yen and Shalini Devi Pillay

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 664-687

In every economy in the world, financial system plays an essential role in facilitating financial intermediation process that oversees the funds flow between savers and borrowers. Therefore it is essential to ensure financial intermediation process operate smoothly to promote financial stability in an economy. In Malaysia, basically there are two group of licensed financial institutions which promote financial stability in the country, they are; Licensed financial institutions and licensed insurance companies and Takaful operators. Licensed financial institutions consist of conventional banks, Islamic banks, International Islamic banks, Investment banks and other financial institutions while licensed insurance companies and Takaful operators consist of life business, life and general reinsurance business, life reinsurance business, general reinsurance business, Takaful operators and Retakaful operators. For the purpose of this study only one aspect of the licensed financial institutions which is conventional banks are focused on.

Antioxidant Activity Of Some Triazoles Synthesized By Click Chemistry

Jalal Hasan Mohammed; Saadon Abdulla Aowda

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 688-704

In this research, eight new compounds were created from the interaction of a number of aromatic and aliphatic compounds with propargyl bromide to prepare the alkynes after that; alkynes is reacted with the organic azide to form eight new compounds of 1,2,3-triazole by click reaction Using copper as a catalyst After that an antioxidant was done For prepared triazole , DPPH radical scavenging activity and It was the best result values 76.54+-1.9 for compound 9 Compared to the standard model ascorbic acid values 86.03+-4.02 at 200 mg/ml concentration

Examining Assessment Literacy: A Study Of Technical Teacher

Nurfirdawati Binti Muhammad; Normazita Binti Mat Ali; Surianorbaya Binti Zamani; Noor Azlin Binti Yamin; Nur Nadiah Binti Ismail

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 705-717

Teacher assessment literacy is essential to the success of teaching the quality of student learning and student performance. Therefore as teachers, they must acquire an understanding of assessment literacy for utilizing data to make sound data-driven decisions. The purpose of this descriptive study was to examining the levels of assessment literacy among technical teachers of Universiti Tun Hussein Onn Malaysia. Thus, the objectives of this study to identify differences in assessment literacy based on technical teachers’ gender and experience practicing competency-based assessment. The instrument used for this research study was the Classroom Assessment Literacy Inventory (CALI). The inventory consists of two sections. The first section of the survey consists of demographic questions regarding gender and experience of assessment training. The second section uses the CALI to examining the level of assessment literacy of technical teachers. A total of 55 technical teachers completed the survey and the data was analyzed using Statistical Package for the Social Sciences (SPSS) version 20.  The data from the survey showed that technical teachers averaged 22 out of 35 questions correct (63%). The findings reflected that UTHM technical teachers had an average level of assessment literacy. The study discusses the implications of research findings and offers suggestions for technical teacher preparation programs, teaching institutions, and future research.

Phytochemical Profile Of Cinnamon Extract (Cinnamomum Burmanii Blume) From Three Regions Of Sumatra Island Using Gcms

Liana Verdini; Budi Setiawan; Tiurma Sinaga; Ahmad Sulaeman; I Wayan Teguh Wibawan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 718-729

This study aims to determine the phytochemical components of different extracts of Cinnamomum burmanii B. from different regions in Indonesia by GC-MS using ethanol, distilled water and isopropyl alcohol as solvents. The analysis showed that the ethanol extract of cinnamon from the Aceh region, which contains five compounds with biological activity and the main compound was 59.77% coumarone. Meanwhile, the distilled water extract contains four compounds with biological activity, and the main chemical compound was 37.01% coumarin. For the extract of isopropyl alcohol, contains four compounds with biological activity and the main compound was coumarin at 41.55%. The ethanol extract of cinnamon from Jambi region contains three compounds with its biological activity and the main compound was coumarin at 28.31%, while the extract using distilled water contains four compounds with biological activity and the main compound was 1-phenyl-4- carboxy-4,5 at 33.50%. Furthermore, for the isopropyl alcohol extract, there are five compounds with biological activity, and the most important chemical compound was 2-propanol at 45.89%. Meanwhile, the ethanol extract of cinnamon from West Sumatra contains six compounds that were identified as biological activity and the main compound was 2-propanol at 14.97%, while the distilled water extract contains four compounds with biological activity and the main compound was 17.49% for 1-phenyl -4-carboxy-4,5. For the extract of isopropyl alcohol, four compounds with biological activity were obtained, and the main compound was 9.96% coumarin. This study confirms the existence of different bioactive compounds and biological activities in each original region of cinnamon in Indonesia.

Genotype Variants Of Dengue Virus On Dengue Hemorrhagic Fever (Dhf) Suspect: Cross Sectional Study In Health Facilities In Semarang City, Indonesia

Martini Martini; Syahilla Efriana; Rini Fajarini; Ari Udiyono; Retno Hestiningsih; Atik Mawarni; Indranila Kustarini

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 730-740

Semarang has been reported as an endemic area of dengue hemorrhagic fever (DHF), yet continuous data of molecular epidemiology related to dengue fever is not available. The aim of this study was to analyze the characteristics of virus strains, host suspected dengue, and the dynamics of dengue fever in Semarang City. The design of this study was observational description with cross-sectional design. Seventy three DHF suspected patients from two hospitals and seven health centers in Semarang City were sampled during 2017- 2018. Reverse Transcription Polymerase Chain Reaction (RT-PCR) method was used to examine serum suspected dengue and sequence serotypes and genotypes of dengue virus. The results showed that the highest frequency to be exposed by DHF was infant and children; while, the number of male and female with suspected dengue was relatively the same. The dominant serotype was DENV-3, DENV-1, and mix of DENV-2 and DENV-3; while, the circulation of DENV-1 genotype I and DENV-3 genotype I were identified as Indonesian local endemic strain causing epidemics in Indonesia.

Analysis Of Vildagliptin And Nateglinide For Simultaneous Estimation Using Spectro-Chromatographic Methods

Nusrat K. Shaikh; Rakeshkumar Jat; Jitendra O. Bhangale

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 741-755

Background: The combination therapy of Vildagliptin and Nateglinide was found to be an effective and safe in type 2 diabetes mellitus.Objectives:Study a new, simple, precise, accurate and specific stability indicating RP-HPLC and First-order derivative UV spectrophotometric method for the simultaneous estimation of Vildagliptin and Nateglinide in combination. Materials and Methods:The chromatographic separation was achieved isocratically. The mobile phase, Acetonitrile: Phosphate buffer (70:30; % v/v; pH 3.2) was selected as it was found to resolve the peaks with better intensity. For UV spectrophotometric method, methanol was used as a solvent, the spectrum was recorded between 200-400 nm wavelengths, and all the zero-order spectrum (D0) were converted to first-order derivative spectrum (D1) using delta lambda 2.0 and scaling factor 4. 253 nm (zero crossing point of Nateglinide) and 270 nm (zero crossing point of Vildagliptin) were used for determination of Vildagliptin and Nateglinide respectively. The methods were proved linearin the concentration range of 5-25 μg/ml for Vildagliptin and9-45 μg/ml for Nateglinide. Both drugs were subjected to stress conditions including acidic, alkaline, oxidation, photolysis and thermal degradation. Results: The proposed methods were validated in terms of Linearity, Range, Accuracy, Precision, LOD, LOQ, Specificity, Robustness, System suitability tests and stability studies and itsresults were proved within limits. The results showed that Vildagliptin and Nateglinide were more sensitive towards thermal and acidic degradation, respectively. Conclusion:Both methods were highly sensitive, precise, accurate and applicable for the reliable quantitation in their combination.

Micro Strategy And Character Educational Transformation In Elementary School During The Covid-19 Pandemic Of Sintang Distric, West Kalimantan Province

Daniel Dike; Lusila Parida; Ivan Stevanus

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 775-786

The covid-19 pandemic spawned new ways of learning, attitudes and skills in the dynamics and processes of education in rural areas. This research aims to map a realistic casuistic picture of learning during the pandemic period in Sintang. This research uses case studies in two schools namely Catholic Private Elementary School Panca Setya 2 Sintang and Sekolah DasarNegeri 23 Menyumbung, Sintang. In collecting the data, the writers use observation, and in-depth interviews of teachers, students and parents. Data analysis techniques use inductive analysis. The results showed that anxiety and unpreparedness of learning became the dominant colors of the learning process during the covid-19 pandemic. The micro learning strategy implemented by the school uses the assignment method, communication in WhatsApp group class. Student assignments are given at the beginning of the week and collected on weekends by each parent. Student test scores show improved graphs but the quality of learning outcomes still tends to be the same even there is a bias in the role of parents in answering student test questions. The principal's micro strategy for pandemic learning has been directed towards technology-based learning methods although it is very limited to some learning videos, zoom meetings and google classrooms. The biggest obstacle is the lack of technology infrastructure and the virtual literacy capabilities of teachers, parents and students. In supporting micro learning strategies, the principal needs to strengthen the non-instructional character education policy of the classroom and develop a risk-taker character to encourage the role of teachers as teacher educators.

Optimization Of Process Parameters For ER-4043 Aluminum Deposited By Wire Arc Additive Manufacturing

A. Sirisha Bhadrakali; K.L. Narayana; T. Ram Prabhu

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 787-795

Manufacturing of a part is done by addition of material which is an Additive Manufacturing (AM), now a days gaining its own importance in Manufacturing scenario because of its wide benefits. Wire-Arc Additive Manufacturing (WAAM) process is one of the assured options in manufacturing to traditional reductive manufacturing for fabricating large size metal components with complex geometry, which includes wastage of material, time and cost. This processes generally involve high residual stresses and distortions due to the excessive heat input and high deposition rate. The improvements of surface quality and mechanical properties are critical factors in Wire-Arc Additive Manufacturing. In the present work, the effect of process conditions, on various parameters for Wire-Arc Additive manufactured aluminum alloy components based on Taguchi design of experiments were studied.

A Novel Approach For Predicting Drug Response Similarity Using Machine Learning

M Supriya Menon; P Raja Rajeswari

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 796-808

Medical domain is revolutionized in terms of Diseases, Diagnosis, and Treatment Prediction thereby undergoing immense pressure due to the high dimensionality of numerable multivariate attributes, suppressing the quality of the analysis. Many techniques like Clustering and Classification have ruled over despite, rendering few hairline gaps towards attaining maximum efficiency. Our Machine Learning-based approach heads towards filling these gaps by adopting advanced K-Means in anticipating Drug likelihood in core attributes of Patients. The proposed Methodology focuses on determining Drug Response similarity by enhanced clustering technique concerning sensitive attributes of Patients. We successfully demonstrated its performance on the UCI Patient dataset reflecting enhanced results concerning Quality Parameters.

Conflict Management In Islamic Education

Siti Romlah

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 809-817

Conflict is a disagreement between opposing ideas (clash of interests, goals, opinions, principles, etc.), including battles, conflicts that occur in groups, and between individuals. In essence, conflict occurs when there are two or more sets of conflicting actions or responses to an event. This research aims to describe the management conflict in Islamic education, namely the side effects of a conflict and some principles to anticipate or overcome a conflict by the organization. This is library research. Data are collected from supporting books related to digitalization theory, human resource management, human capital resources, and merit systems. Data sources are journals, papers, theses, dissertations, and internet searches. The research reveals that the side effects of a conflict comprise of creating unpleasant feelings, hindering communication, leading to disintegration, disturbing the cooperation between individuals and sub-systems, and distracting the members from the goals of the organization. Besides, some principles to anticipate or overcome a conflict by the organization are: (1) the manager/leader must acknowledge that all employees are brothers who must be treated as such; 2) any information must be clarified (tabayun); 3) a strong relationship between a leader and his subordinates must be established among the subordinates.

Factors Affecting the Continuance in the Bachelor’s Degree Program of Diploma in Office Management Technology 3rd Year Students in PUP - NCR Branches and Campuses, School Year 2017 – 2018

Avegail Jean M. Avilado; Ribert R. Enierga; Catherine R. Llave

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 818-837

This study aimed to determine the factors that affect the continuance of the Diploma in Office Management Technology students to the Bachelor Degree in the Polytechnic University of the Philippines Branches and Campuses in the National Capital Region. A total of 360 students were divided from the different branches and campuses of PUP in the National Capital Region. Data were gathered through survey questionnaires. Obtained data were analyzed with help of Pearson r correlation and Spearman's rho Correlation. Research findings revealed that there was significant relationship between the nine factors and this study. The factors affecting the continuance of the DOMT Students to pursue Bachelor’s Degree have a significant relationship with the Educational Productivity of the respondents.

The Dimension Of Safety Climate And Performance Measurement At The Malaysian Public Universities

Abd Rahman Ahmad; Soh Hwee Ying; Hairul Rizad Md Sapry

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 838-846

Safety climate is the objective measurement of attitudes and perceptions toward Occupational Safety & Health (OSH) issues but it has been ignored for some time. In Malaysia, safety climate implementation on the legislation concerning workplace safety is already in place. This paper is focusing on the issues of safety climate measurement at the universities' work setting. The respondents are the staff from public universities in Malaysia that are randomly selected to support the study and staff’s opinion on developing a safety climate measurement at the workplace. This study uses a quantitative method by using the survey questionnaire. There was 9 dimension of safety climate measurement and the dominant dimension of safety climate measurement was personal priorities and need for safety. The objectives of this research were successfully obtained through the method of distribution of questionnaires. The findings of this research have shown that the dominant dimension of safety climate measurement is personal priorities and the need for safety which shows the highest mean score. This study provides more understanding about the safety climate measurement at the universities' work setting.

DEMANDING TOURISM IN NORTH KERALA

Dr. M. Marimuthu; Vinod Thomas

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 847-853

Tourism in Kerala a fastest growing industry, and a popular tourist destination
in the country. Kerala state blessed with western Ghats, wildlife sanctuaries, wide costrel
areas, beautiful landscape which attract domestic as well as foreign tourists. The state
tourism development corporation promote ecologically sustained tourism that strengthen
local culture, environment friendly development, generation of employment of local people,
preserving the natural beauty of rural areas. Kerala tourism occupies a significant role in
the state economy by contributing more than 10% of the GDP and providing employment
to 1.5 Million people in the state
The tourism industry is properly planned, developed and managed at all levels by the
government result in high economic growth, creation of new employment opportunities,
and better living standard of local people. Tourism department of Kerala frame policies
and plans to strengthen states cultural heritage, natural treasure and lead to positive
economic results especially in rural areas.

‘Facticity’ as Fate: An Existential insight into John Boyne’sThe Boy in the Striped Pyjamas

Dr. C. S. Arunprabu; Dr. K. Kaviarasu; Dr. S. Poornima; Mr. Khum Prasad Sharma

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 854-858

Martin Heidegger’s facticity otherwise known as Thrownness is incorporated
with the characters in the novel The Boy in the Striped Pyjamas. The individuals face
existential boredom, because they could not make choice of their own, which leads to their
self-deception and bad-faith. This paper highlights facticity in the life of a German boy
Bruno, meanwhile, it throws light on Shmuel, the Jewish boy in the concentration camp.
This article focuses on the existential crisis of both the innocents. It underscores the
facticity through historical anecdotes. It also represents thrownness through the
manifestation of misery in the minor characters. The research paper emphases on
despondency and its repercussions based on the destiny of an individual in the conflict
zone.

An Empirical Study on Family Bondage in the Pre and Post Lock Down of Covid-19 (with Special reference to Chennai City.)

Dr.K. Selvasundaram

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 859-868

The Covid-19 outbreak has struck the human which impacted lot in all spheres of
the life of everyone on the earth. This pandemic covid-19 threaded the mankind which also
continues still without any medical curing across the world. World claimed to be top on
doing research in medicine to disease to cure it but in controlling and stopping the of
Covid-19 became terrible day by day. This study depicts the family support during the
pandemic Covid-19 to come out who are affected by this pandemic disease. As measures to
contain the spread of COVID-19 are being implemented across the globe (movement
restrictions/curfews, closure of State borders, quarantine and confinement policies, etc.),
the ability of families to maintain contact is negatively impacted. Likewise, the ability of
those traditionally providing services aiming at restoring and maintaining family contact
(RFL), including the Red Cross and Red Crescent (RCRC) Movement, are sometimes
dramatically reduced.

IMPACT OF COVID-19 ON THE LIVELIHOODS OF FISHERMEN COMMUNITY IN YANAM, PUDUCHERRY: AN ANALYSIS

Kattungi Vijaya Sekhar; Dr. A. Irin , Sutha; Dr. R. Uma Devi

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 869-880

The Global pandemic, COVID-19 has unpredictable impacts on all the sectors of the
economy throughout the globe and no exception to the fishing sector. The fisheries sector
plays a vital role in the economy by providing food & employment to millions of people and
defining the cultural identity of many coastal communities and contributing to keep them
alive. The outbreak and the resultant lockdown in India have greatly affected the livelihoods
of fishing communities across India. Though the lockdown may help in arresting the spread of
corona virus; but has a chronic impact on the livelihoods of vulnerable population
particularly on food systems, storage and market chains, both locally and regionally. Yanam is
a coastal line in which most of the people depends on fishing for their bread and butter. As a
consequence of the current pandemic, thousands of fishermen lost their employment and
suffered increasing inequality and poverty. On this backdrop, the present study has been
undertaken to analyze the impact of COVID-19 on the Livelihoods of Fishermen community
in Yanam, Puducherry.

AN EMPRICAL STUDY ON IMPACT OF E-WASTE MANAGEMENT

Dr.A.IRIN SUTHA

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 881-889

Over the past two decades, the global market of Electrical and Electronic
Equipment (EEE) continues to grow exponentially, while the life span of those products
becomes shorter and shorter. Due to Rapid economic growth, urbanization and
industrialization, demand for consumer goods, has been increased for both the
consumption and the production of EEE. Any improperly disposed electronics can be
classified as E-waste. While the Government and the industry are unanimous on the view
that E-waste needs to be efficiently managed from a social and environmental standpoint,
there still is a need for them to mutually arrive at a consensus by understanding the
practical and cultural realities on ground.

Impact of Inducing Motivational Factors towards Entrepreneurial Intention among college students in Chennai

Dr.P. Sankar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 890-895

Entrepreneurs are contributing a lot for the economic and social development of
each country of world. The intention of students towards entrepreneurship has become an
interesting topic. Many studies have been conducted to find out major motivations for
gearing towards entrepreneurship and to examine how inclination for self employment can
be created. Today, universities are playing leading role for the development of
entrepreneurship culture, and nurture some necessary entrepreneurial skills and behavior
to take on business in upcoming life. The aim of this study is to examine the motivational
factors that contribute for adoption of entrepreneurial career.

An analysis of foreign direct investment inflows in Tamil Nadu

T. RAJESHWARAN

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 896-906

Several facts have proven that foreign direct investment has significant impact on
economic growth, in particular, foreign direct investment (FDI) impacts five variables—
domestic investment, technology, employment generation and labor skills, the environment,
and export competitiveness. This paper is divided into two sections. The first examines the
rationale for increasing FDI and briefly examines national trends in FDI. The second
looks at FDI trends in Tamil Nadu. There are two competing theories regarding the effect
of FDI on domestic investment. One is that FDI encourages domestic investment by
providing new markets, demand for inputs and new technology that spills over into the
economy. Labor is mobile and often moves from multinational firms to domestic firms;
more skilled labor may leave a multinational firm to form a start-up. Researchers also
believe that FDI can serve to increase competition thereby making markets (including
financial markets) more efficient. Finally, investment in new sectors can stimulate the
growth of new industry and new products.
The present study is based on secondary data and period of the study is from 2009 to 2020.
Total FDI inflows have been raised from US $ 27841 Millions in the year 2008-09 and the
share of direct foreign investment through approvals in equity etc. stood at 65.79% and
that of portfolio investment was 34.21%. Projections show that total FDI inflows will be US
$ 46,098 Millions in 2019-20. Singapore and Mauritius tops in FDI inflows and the FDI
inflows in Manufacturing and Computer service sectors were in highest position. They
have positive impact on the related economic indicators on Indian Economy

Using Multimedia Projector In English Language Teaching Classroom

GavharIslomovnaMusaeva .

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 907-912

Multimedia technologies in teaching English language is one of the best and innovative approaches in language instruction, especially to inculcate and strengthen the opportunities to achieve objectives of language pedagogy. In the present times, many academicians and professionals get to know the significance of using various technological devices in the activities of language teaching and learning equally. The new approaches have made language teaching more productive, effective, and communicative. Therefore, in this study, definitions of some important terms that related to innovation such as multimedia technologies and attitude are given. Further, some exploration of the possibilities to use multimedia technologies for effective teaching of English is to be attempted. Moreover, this study will interpret the teachers’ attitudes towards the use of multimedia technologies for teaching English. Finally, the conclusion is drawn as per the survey results indicated. English as a Second Language (ESL) learners at the upper elementary level have struggled to demonstrate the vocabulary required to read in English at grade-level.

The Usage Of Mitomycin-C With Photorefractive Keratectomy In Myopic Patients And Its Effect On Density Of Corneal Endothelium

Ahmed Mohammed Al- Samak; Sajid Yousef Shehab; Hashim AlAmeedee

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 928-934

To evaluate the application of mitomycin-C on the density ofcorneal endothelialiumafter photorefractive keratectomy (PRK) in myopia patients. We use case control study to evaluate 92 eyes of 46 patients (23 cases and 23 controls) with mean age of 27.6 years for cases group and 27.4 for control group (range: 20 - 40). All patients were myopic ranged from -3.00 to -6D underwent photorefractive keratectomy (PRK). The first group (cases) was treated with single usage ofmitomycin-c for 30 seconds and second group (control) group was treated without mitomycin-c. The assessment was done by specular microscope before the procedure and after 3 months postoperatively for each eye to evaluate the density in corneal endothelialium (ECD) in both each group. Forty-six eyes of 23 cases and forty-six eyes of 23 control patients with myopia were treated with photorefractive keratectomy. After three months of surgery the mean ECD was decreased significantly.Theuse ofmitomycin-c for 30 seconds in myopic patients treated by PRK would affectcorneal endothelial cell density after three months postoperatively.

Relationship Between Estimated Glomerular Filtration Rate With Plasma Lipid Levels In Non-Dialysis Diabetic Kidney Disease Patients

Cely Palebangan; Haerani Rasyid; Andi Makbul Aman; Syakib Bakri; Husaini Umar; Andi Fachruddin Benyamin; Hasyim Kasim; Arifin Seweng

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 935-943

Aims: To assess the relationship between estimated glomerular filtration rate (eGFR) and plasma lipid levels in non-dialysis diabetic kidney disease (ND-DKD) subjects.
Materials and methods : In this cross-sectional study, outpatients from June to September 2020 who had been diagnosed with ND-DKD at Wahidin Sudirohusodo Hospital and Universitas Hasanuddin Hospital were enrolled. Creatinine was examined to determine eGFR based on the chronic kidney disease epidemiology collaboration (CKD-EPI) formulation, lipid profile, and metabolic characteristics. For statistical analysis, Pearson correlation test and Chi-Square test were performed, significant if the p < 0.05.
Results : Of the 103 study participants analyzed with a mean age of 54,7 ± 9,1 years, it was found that the mean showed dyslipidemia, with plasma lipid levels in mg/dl were 254.1; 45.9; 156.2; 191.8 for total cholesterol (TC), high-density lipoprotein cholesterol (HDLc), low-density lipoprotein cholesterol (LDLc), triglyceride (TG), respectively, and the mean eGFR value was 61.6 min ml/1.73m2. From the analysis of the relationship between eGFR and plasma lipid levels, it was found that only the HDLc level was significantly associated with eGFR, and this relationship was only influenced by female gender.
Conclusions : There was a significant positive correlation between eGFR and HDLc level in ND-DKD subject where the lower the eGFR, the lower HDLc level.

Systematic Review And Meta-Analysis: Risk Factors Of Acute Kidney Injury In Major Abdominal Surgery

Emminarty .; Hasyim Kasim; Haerani Rasyid; Syakib Bakri; Andi Makbul Aman; Husaini Umar; Muh. Ilyas; Arifin Seweng; Gita vita soraya

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 944-952

Background and objective: Acute kidney injury (AKI) is a common complication in patients undergoing major abdominal surgery. Various recent studies reported an incidence of AKI after surgery ranging from 6.7 to 32%. Risk factors for AKI in this setting may be procedure-related factors, post-operative complications and several patient-related include age, gender, comorbid disease Diabetes Melitus (DM), Hypertension (HT), Cardiovascular disease (CVD), and physical status. This study aimed to explore the risk factors of AKI in major abdominal surgery
Methods: We conducted a systematic literature search from PubMed and Cochrane Library. We included articles describing AKI in the setting of major abdominal surgery, published from 2015 until now, and cohort study design. This review was registered with PROSPERO (CRD42020216405)
Results: From 478 articles, 4 articles met our inclusion criteria describing AKI outcomes in varied population 683-3751. Prevalence of AKI 8,8 %. Age patient risk AKI in major abdominal surgery with Mean difference was 3.04 (95% CI = 1.83-4.25; P <0.00001). Meta-analysis of the four studies showed that Male had a pooled Odds ratio (OR) of 1.79 (95% CI = 1.04-3.08; P = 0.04) , DM OR 1.64 (95% CI 1.36-2.03; P <0.00001), HT pooled OR 1.90 (95% CI = 1.30-2.78; P = 0.0009), CVD has an OR of 1.58 (95% CI = 0.91-2.75; P = 0.10), physical status ASA≥ 3 (The American Society of Anesthesiologists) score has pooled OR 1.70 (95% CI = 1.16-2.49; P = 0.007)
945
Conclusion: Risk factors of AKI in major abdominal surgery setting are higher significantly in male, and patient with comorbid disease DM and HT had a significantly high risk of AKI, as well as physical status score ASA > 3.

The Effect Of Highly Active Antiretroviral Therapyon Lipid Profileof Hiv Patients

Vera Bahar; Andi Makbul Aman; Sudirman Katu; Syakib Bakri; Haerani Rasyid; Husaini Umar; Risna Halim; Arifin Seweng

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 953-960

Background:The widespread use of highly active retroviral therapy (HAART) has indicated a dramatic reduction in impairment due to immunodeficiency. Several studies have shown that an adverse event of HAART on dyslipidemia and insulin resistance. This study aimed to assess changes in lipid profiles after HAART.
Methods:A prospective cohort study with a consecutive sampling method consists of 59 HIV-infected patientsreceiving HAART at Dr. Wahidin Sudirohusodo Hospital, Makassar, Indonesia, from March-September 2020. Lipid profiles were measured at the initial time and after three months of HAART. The drug regimen was divided into two groups: Regimen 
group 1 (tenofovir, lamivudine, efavirenz), and another regimen group (consist of 4 regimen group combination: zidovudine, lamivudine, efavirenz; tenofovir, emtricitabine, lopinavir/ritonavir; tenofovir, lamivudine, nevirapine, and tenofovir, lamivudine, rilpivirine). ANOVA paired t-test and chi-square test were used for statistical analysis(it is significant if p is<0.05).
Results:The mean age of the subjects was 32.1 ± 6.6 years old. About 76.3% of subjects were male. Regimen 1 was used by 88.1% of the subjects and another regimen only 11.9% of the subjects. There were 27 subjects (45.8%) were underweight. The proportion of subjects with lipid abnormalities after 3 months of HAART significantly higher in LDL-c and TG level (P= 0.002 and 0.021). Regimen group1 showed increased levels of total cholesterol (TC), LDL-c, and TG (P = 0.037, 0.041, and 0.001) after HAART.
Conclusion:Highly active retroviral therapy is associated with lipid profile changes in HIV patients after 3 months of therapy.

Case Report: Covid-19 And Severe Malaria Co-Infection

MuhammadJunaedi .; Sudirman Katu; Muh Ilyas; Numan Daud; SahyuddinSaleh .; HaeraniRasyid .; NurjannahLihawa .

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 961-968

Background:A mysterious pneumonia case was first reported in Wuhan, China in December 2019. The World Health Organization (WHO) later named this pneumonia Coronavirus Disease (Covid-19) caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) virus. The massive spread of Covid-19 increases the risk of co-infection with other pre-existing pathogens including malaria
Case Report: A 32 years old woman was admitted to the hospital due to complaints of jaundice, fever, dyspneu and andominal pain. On further examination of the malaria smear, plasmodium falciparum was found in the form of trophozoites and gametocytes, the parasite count was 119,902 U/L and a nasopharyngeal PCR swab was positive for SARS CoV-2. The patient conditionimprove after administering artesunate and oseltamivir.
Discussion: Several clinical manifestations are overlapping between Covid-19 and malaria, especially extrapulmonary manifestations of Covid-19 infection, including thrombocytopenia, elevated transaminase enzymes, increased bilirubin, and impaired kidney function. Management was carried out to deal with malaria and Covid-19 simultaneously and continuously.

Compatibility of Endocan Levels with SOFA Scorein Sepsis Patients at Dr.Wahidin Sudirohusodo Hospital Makassar

RizqahAulyna Rachmat; Sudirman Katu; Risna Halim; Syakib Bakri; Haerani Rasyid; Hasyim Kasim; Muhammad Ilyas; Tutik Harjianti; Arifin Seweng

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 969-977

Background:Sepsis is a life-threatening organ dysfunction and the leading cause of death in critically ill patients. The use of biomarkers and scoring systems is an attempt to assist in the diagnosis and assessing the severity of multi-organ dysfunction. C-reactive protein (CRP), procalcitonin (PCT), and the currently reported marker are endocan. Endocan is a biomarker for multiorgan dysfunction in sepsis. Endocan synthesis and release are triggered by proinflammatory cytokineswhich can increase endocan levels in sepsis while the Sequential (Sepsis-related) Organ Failure Assessment (SOFA) is a scoring method for identifying organ dysfunction in sepsis. A SOFA score ≥2 indicates organ dysfunction. Endocan and SOFA scores are both aimed at assessing multiorgan dysfunction and can determine the prognosis in sepsis. This study aims to determine the suitability of endocan levels with SOFA values in septic patients at Dr.WahidinSudirohusodoHospital Makassar.
Purpose: To determine the suitability of SOFA values with endocan levels in septic patients at the Dr.WahidinSudirohusodoHospital and its network hospital.
Methods: This cross-sectional observational study was conducted from December 2019-August 2020. The population of this study was all sepsis patients in the hospital. 
WahidinSudirohusodo. Data were analyzed descriptively. The compatibility of endocan levels with SOFA values in septic patients used the Spearman correlation test.
Results: From a total of 150 subjects, it was found that patients <60 years were 45 subjects (80.04%), men were 34 subjects (60.7%), patients with 2 comorbid were 21 subjects (37.5%), the mean Endocan levels were 361.9 ± 472.4 with tertileendocan 1 (<110.0) as many as 19 subjects (33.9%) and tertile 3 (> 232.0) as many as 19 subjects (33.9%) while SOFA scores Mean 5.6 ± 3.7 with SOFA scores 0-6 as many as 36 subjects (64.3%). The endocan level in sepsis was significantly lower than the control, namely 361.9 (p <0.01). Based on the Spearman correlation test, it was found that there was a significant negative correlation between endocan levels and the SOFA score (p <0.05). In women, there was a significant negative correlation between endocan levels and SOFA scores (p <0.05), at age <60 years, there was a significant negative correlation between endocan levels and SOFA scores (p <0.05). with the number of comorbid 1, there was a significant negative correlation between endocan levels and the SOFA score (p <0.05).
Conclusion: There is a significant negative correlation between endocan levels and SOFA score in septic patients at Dr.WahidinSudirohusodo Makassar.

Neutrophil Lymphocyte Ratio And Platelet Lymphocyte Ratioassociated With Disease Activity In Patients With Systemic Lupus Erythematosus

Ismunandar .; Femi Syahriani; Faridin HP; Syakib Bakri; Hasyim Kasim; Tutik Harjianti; Sudirman Kat; Haerani Rasyid; Arifin Seweng

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 978-984

Background: Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease with no well-known cause. The search for simple laboratory indicators is essential to assess the disease activity of the SLE. Currently, the Neutrophil Lymphocyte Ratio (NLR) and Platelet Lymphocyte Ratio (PLR) are widely used as markers of the inflammation.
Methods: A cross-sectional analytic study involving 35 patients who met the criteria by Systemic Lupus International Collaborating Clinics (SLICC) 2012 was conducted during August 2019 until June 2020. The samples were obtained from outpatients and inpatients of the Rheumatology Clinic at WahidinSudirohusodo hospital and its collaborating hospitals. The data of the value of neutrophils, lymphocytes, platelets and disease activity were collected using the Mexican Systemic Lupus Erythematosus Disease Activity Index (MEX-SLEDAI).
Results: Of 35 patients with SLE, all were women aged 18-51 years. The result shows that there is a significant relationship between NLR and MEX-SLEDAI scores (p <0.000). Also, PLR is significantly associated with MEX-SLEDAI scores (p <0.000).

Correlation of CD4 Count andNeutrophil-Lymphocyte Ratio in Human Immunodeficiency Virus-Acquired Immunodeficiency Syndrome (HIV-AIDS)Patients

Kartika Handayani; Sudirman Katu; Syakib Bakri; Risna Halim; Andi Makbul Aman; Haerani Rasyid; Hasyim Kasim; Arifin Seweng

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 985-993

Background: Human Immunodeficiency Virus (HIV) is an RNA virus that causes a decrease in the immune system and destroys specific white blood cells called T-helper lymphocytes or Cluster of Differentiation 4 (CD4); CD4 is a parameter in HIV-AIDS patients while NLR is a simple parameters that were used to assess inflammatory status.
Purpose: This study aims to determine the relationship between CD4 and NLR levels in HIV-AIDS patients.
Methods: This is an observational study with a cross-sectional design conducted in September 2019-September 2020. The study populations were all HIV patients that hospitalized and outpatient at Dr. Wahidin Sudirohusodo Hospital and his network hospital. Data were analyzed descriptively to found out the association between CD4 and NLR levels in HIV-AIDS patients using the Spearman trial.  Results: A total of 150 subjects, consist of 62 (41.3%) subjects at age 30-39 years, 122 (81.3%) male subjects, 108 (72%) subjects who had PEM nutritional status, and 102 subjects (68%) subject with CD4 count <50. Based on the Spearman test, there is negative correlation of CD4 and NLR in HIV-AIDS patient.
Conclusion: There are significant negative correlation between CD4 and NLR in HIV-AIDS patients at Dr. Wahidin Sudirohusodo Makassar, which higher NLR correlates with the lower value of CD4..

A Convenient Synthesis and Reactions ofsome Substituted 1,2,4-Triazine, and Their Derivatives with Carbazole, Sulfonamide and Trityl Chloride Moiety of Biological Interest

Aarfah Majid; Mohammad Ashid; Nasir Hussain; AjitJoshi .

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 994-1002

A series of 1,2,4-triazine derivatives [1-9] were synthesized by various analogous methods. In this investigation 5,6-diphenyl-1,2,4-triazine-3-thiol compound [1] was prepared by cyclization of benzil with thiosemicarbazide. Further 5-(prop-2-en-1-yl)-5H-[1,2,4] triazino [5,6-b]indole-3-thiol compound [3] was prepared by treating 1-(prop-2-en-1-yl)-1h-indole-2,3-dione compound [2] with thiosemicarbazide. Further a variety of compounds were prepared by hydrogen replacement of compound [1] and compound [3] by differently active halogen containing scaffolds. Compound [1] was reacted with 9-(2-bromoethyl)-9H-carbazole to produce 9-(2-(5,6-diphenyl-1,2,4-triazin-3-yl)thio)ethyl)9-H-carbazole compound [4].After that, the compound [1] was allowed to react with 2-chloro-N-(4-methylbenzene-1-sulfonyl)-N-(pyridine-2-yl) acetamide to synthesize 2-((5,6-diphenyl-1,2,4-triazin-3-yl)-N-(Pyridin-2-yl)-N-tosylacetamide compound [5].In addition to this ,5,6-diphenyl-3-(tritylthio)-1,2,4-triazine compound [6] was also prepared by condensation reaction between trityl chloride and compound [1]. Further, Compound [3] was reacted with 9-(2-bromoethyl)-9H-carbazole to produce 3-((2-(9H-Carbazol-9-yl)ethylthio)-5-allyl-5H-[1,2,4]triazino[5,6-b]triazino[5,6-b]indole compound [7].After that, the compound [3] was allowed to react with 2-chloro-N-(4-methylbenzene-1-sulfonyl)-N-(pyridine-2-yl) acetamide to synthesize 2-((5-allyl-5H-[1,2,4]triazino[5,6-b]infol-3-yl)thio)-N-(pyridine-2-yl)-N-tosylacetamide compound [8].In addition to this ,5-allyl-3-(tritylthio)-5H-[1,2,4]triazino compound [9] was also prepared by condensation reaction between trityl chloride and compound [3]. All the synthesized compounds were confirmed by spectral data (Table 1) and analytical data (Table 2).

Modern Approaches To Vitiligo Treatment

Mukhabbatkhon Yokubova

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1005-1007

This article discusses modern approaches to treating vitiligo and lists the methods of treating vitiligo.It was used to treat vitiligo in 28 patients. Most of them enjoyed of clinical condition. The preparation was well tolerated and produced no adverse effects.

Comparative Analysis Of The Frequency Of Occurrence Of The Ccr5del32 Functional Allele

Kadirov Jonibek Fayzullaevich; Rizaev Jasur Alimdjanovic; Khudaykulova Gulnara Karimovna; Rakhmatullaeva Shakhnoza Bakhadyrovn; Muminova Makhbuba Teshaevna

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1008-1016

A promising area of modern medicine dealing with the problem of the human immunodeficiency virus (HIV) is the study of the role of chemokine receptors in the pathogenesis of HIV, such as CXCR-4 and CCR-5. A different role of the CCR5del32 polymorphism of the CCR5 gene in representatives of different ethnic groups has been established, which may cause different susceptibility to HIV.Purpose of the study is to carry out a comparative assessment of the frequency of occurrence of the functional allele "CCR5del32" of the CCR5 gene among different ethnic groups.To identify the delta32 deletion of the CCR5 gene, we used the RFLP approach of polymerase chain reaction followed by detection of the results by electrophoresis in 2% agarose gel.The obtained results of molecular genetic studies on the CCR5-Delta32 marker of the CCR5 gene are representative. The allelic variant "CCR5-Delta32" of the CCR5 gene within the studied populations is distributed unevenly and is most represented in the sample of Europeans. Comparative meta-analyzes show that the frequency of its occurrence among Europeans is significantly higher than in other populations of the world, including in comparison with our population.The relatively low concentration of the protective CCR5Δ32 allele in our population may lead to increased susceptibility to HIV-1 infection.

Ruptured posteriorcerebralarteryaneurysmtreated with clipping in concomitantarteriovenousmalformation – case report

Zygmunt Siedlecki; Sebastian Grzyb; Karol Nowak; Maciej Śniegocki

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1017-1020

Cerebralaneurysmscoexist with arteriovenousmalformations. In tandem arteriovenousmalformation and aneurysm, in the case of haemorrhage, itisoftendifficult to indicatewhichis the source ofbleeding.Thiscancausediagnosticdifficulties.We present a case of a 40-year-old patient with subarachnoid hemorrhage, occipital malformation and concomitantaneurysm of the ipsilateral posterior cerebral artery. After clinical and neuroimaging analysis, anddiagnostic deliberations, the source of bleeding turned out to be an aneurysm. This case is significant because the aneurysm was treated by surgical clipping, which is rare today. Intravascularcoilingis the treatment of choice for vertebrobasilaraneurysms. Due to the development of endovasculartechniques, clipping of suchaneurysmshasbecomehistoricmethod.We present a procedure of clippingthroughanextendedpterionalcraniotomy. We detail the nuanses, limitations, and potentialcomplications.We also pay attention to maintaining the diagnostic vigilance of indicating the source of bleeding in the event of coexisting aneurysm and malformation.

Ossification of the transverse atlantal ligament forming prominent osteophytes

Zygmunt Siedlecki; Maciej Śniegocki; Mariusz Baumgart; Michał Szpinda

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1021-1026

The ossifications of the transverse atlantal ligament taking the form of prominent osteophytes within atlas occur rarely.A computed tomographyexamination of the head in a 57-year-old man revealedthesignificantossifications ofthe transverse atlantal ligamentattachments. In the present study, the Osirix 3.9 MD system was employed to perform the bilateral evaluation of linear dimensions, projection surface area and volume of the theseossifications-osteophytes. The sagittal and transverse diameters of examined ossifications were: on the right side 4.02 and 3.97 mm, respectively, and on the left side 3.62 and 3.14 mm, respectively. Furthermore, on the right side the projection surface area and volume were: 12.03 mm2 and 27.66 mm3, respectively, and on the left side – 9.78 mm2 and 23.57 mm3, respectively.Ossified attachments of the transverse ligament forming osteophytesseem to be casuistic.

Evaluation of Anticancer effect of Ethanolic extract of Lepidagathis pungens Nees., Whole Plant By MTT Assay- An In Vitro Study

Manoharan Dhanalakshmi; Subramaniam AnandaThangadurai

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1027-1038

Extracts from natural products, especially plants, have served as a valuable source of diverse molecules in many drug discovery efforts and led to the discovery of several important drugs. Lepidagathis pungens Nees., (L.pungens) is a herb of tropical Asia belonging to the family Acanthaceae. The present study deals with the in vitro anticancer activity of ethanolic extract of L.pungens against L6, Ehrlich Ascites Carcinoma (EAC), human breast cancer cells ( MCF 7), human cervical cells (He La) and human hepatocellular carcinoma cell lines (Hep G2). MTT assay was used to assess the in vitro anticancer activity. The extract at various doses were treated against all the cell lines. The parameters analyzed were percentage of cytotoxicity, percentage of cell viability and IC50 values. In results the ethanolic extract of L.pungens showed more potent activity against MCF 7 and EAC cell lines but moderate activity against He La and Hep G2 cell lines. The anticancer nature of the ethanolic extract is due to the presence of phytoconstituents like flavanoids, alkaloids, phenolic compounds, terpenoids, etc. However, further indepth studies are required before final conclusion on the mechanisms involved could be drawn to explain the observed activity. In conclusion, the ethanolic extract of L.pungens possess anticancer activity against various types of cancer cells, correlated to their total phenolic content.

Culture And Religion As The Media Political Commodification

Erwin Kartinawati; Pawito .; Warto .; Mahendra Wijaya; AndrikPurwasito .

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1039-1054

The involvement of mass media owners in political parties has led to the issue of neutrality. Media neutrality becomes more challenged when media owners are also members of political parties competing in the political constellation as supporters of specific figures running for election. In the end, media content becomes a means to win the supported candidates. The phenomenon could be viewed onMetro TVandTV Onestations during the Indonesian presidential election in 2014. The media was active in broadcasting programs to win public support through the creation of discourse that supported their candidates as the decent and ideal figures to be elected as the leader. Culture and religion became the main sources of discourse construction by attaching certain images, mainly based on Javanese and Islamic philosophy. The use of Javanese and Islam as the source of image construction made sense considering that both aspects have the largest mass base in Indonesia. The utilization of religion and culture by the media to win the candidates were analyzed using critical discourse model by Roger Fowlerand his colleagues. As a result,Metro TVportrayed Jokowi-JK andTV Oneportrayed Prabowo-Hatta as the ideal leader, referring to the characteristics of Islamic Prophets and Javanese kings.Although using culture and religion as a reference, poorly, the behavior of the media in constructing political image towards candidates did not match with the values of Javanese culture and Islam religion.It can lead to a misperception about culture and religion especially Java and Islam.

The Effect Of Financial Performance On The Company's Share Price: A Case Study Indonesian

Mochamad Syafii; Bustanul Ulum; Rusdiyanto .; Petrus Suparman; Dwi Inggarwati Rahayu; Niswan Bayu Syasindy

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1055-1071

The objectives: This paper aims to examine the effect of the proxy financial performance used by ROA, ROE, NIM on share prices of banking sector companies on the Indonesian Stock Exchange.
 
Design / methodology / approach: This paper uses a quantitative approach by using numbered data to prove the hypothesis. Data on financial performance variables use proxies of ROA, ROE, NIM from company financial reports and the Indonesia Stock Exchange website at www.idx.co.id, www.ojk.go.id, www.bi.go.id, www.yahoofinance.com and Google search.
 
Finding:The findings prove that NIM has a positive and significant effect on share prices. It is hoped that the findings can be used by investors to conduct financial performance analysis to have relevant information. For the ROA variable, ROE has no effect on share prices, meaning ROA, ROE does not have a value relevance to banking stock prices on the Indonesia Stock Exchange.
 
Practical Implications: The findings are recommended for banking management to improve the effectiveness and efficiency of banking financial performance.
 
Originality: Previous research was conducted to test financial performance on share prices, the findings concluded that financial performance has an influence on stock prices. The novelty in this study the researcher entered control variables as variables to strengthen the findings.

An Analysis On The Principle Of Fair Dealing With Special Reference To Delhi University Photocopy Case

Archana. K

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1072-1080

Doctrine of fair dealing is an important part of Indian Copyright law. It permits reproduction of the copyrighted work or use in a manner, which, but for the exception carved out would have amount to infringement of copyrights. Sec 52 (1) (a) of the Copyright Act, 1957 provides for the legal provision as to fair dealing. Even though, it is a well established and well recognized principle, the doctrine of fair dealing is said to have got a new life through a landmark judgement in Delhi University Photocopy Case1. To summarily state the decision, the Delhi high court held that the making of ‘course packs’ for the purpose of education was well within the bounds of the law and did not amount to copyright infringement. While many hail this judgment for promoting ‘access to education’, respectful disagreements exist with its legal reasoning, methods of interpretation and the resultant legal outcomes. The role photocopiers play in the lives of students in inevitable. Nevertheless, excess of anything is catastrophic at least to the exclusive copyright owners whose copyrighted work is subjected to extreme overuse and misuse by Photostatting. The idea behind granting copyrights to author of books is to promote literary work and secure the ideas which author wished to preserve and share only by legal publication which is being affected through this decision. Through this paper, the concept of fair dealing under Indian law is explained and it analyses the judgement of the case, explore the legality of photocopying of copyrighted work and extent to which copyrighted work is permitted to be photocopied.

Factors Influencing School Failure In Primary Education

Mª José Flores Tena.; HikmatAbdulkarimAlmadhkhori .; África Chacón Blanco; Lourdes Rodríguez Soto Licenciada

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1097-1110

Schoolfailureis a hottopictoday; thatattractsinterestthisindirectlyaffectsprimaryschoolstudents. Theeffectivenessoftheeducationsystemmeansthatit has anequalopportunity. Leavingschoolispresent in academiclife, affectsthesocioeconomicleveloffamilies, thegoalistoidentifywhatelementshinderthedevelopmentofactionstoimprovetheapproved.
Thestudy has a methodologyusing a questionnairewithfour variables, thesamplewascomposedof 130 primaryquarterstudents, thegoalistoknow and identifythedeterminants
ofschoolfailure, analyzingtheacademic performance appliedtostudents. Theresultsindicate: variables havebeenconsideredrelatedtotruancylinkedto individual and familycharacteristics. Conclusionshavebeenreachedthatwe are at a time ofcomplex causes thatshouldnot be exclusivelyfromanacademicperspectiveonly.

DIFFERENCES IN KNOWLEDGE, ATTITUDE AND PERCEPTION OF EUTHANASIA IN JUNIOR HIGH SCHOOL STUDENTS IN MARTAPURA RIVERBANKS(Overview Based On School Origin, Parents Education, And Parents' Occupation)

Aminuddin Prahatama Putra; Edyson .; Ika Kusuma Wardani; Huldani .; Fauziah .; Julia Kasab

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1118-1125

Background: Terminal disease causes pain that is unbearable by the patient. Euthanasia is an act of someone ending his life in order to relieve the pain he is suffering. Euthanasia is still prohibited in Indonesia. Education on ethical and basic knowledge between junior high schools located on the banks of the Martapura river may have differences due to local traditions regarding euthanasia, therefore research is needed to see differences in knowledge, attitudes and perceptions about euthanasia among SMPN 1 Astambul and SMPN 1 Karang Intan students. Methods: The research design used analytic observational with cross sectional method. The sample consisted of 100 students, the data were analyzed using the chi-square test with a 95% degree of confidence. Result: The results showed that the level of students' knowledge about euthanasia was still lacking, the majority of attitudes and perceptions about euthanasia were negative. Conclusion: There were no significant differences in knowledge, attitudes, perception regarding euthanasia based on their origin school. There were a significant differences in knowledge and attitudes based on parental education and occupation.

VO2 MAX IN RIVER BEACH COMMUNITIES IN HST DISTRICT BY AGE, GENDER, AND MOBILE IMMUNITY(NEUTROFIL AND LIMFOSITE)

Huldani .; Siti Kaidah; Julia Kasab; Fauziah .; Muhammad Hasan Ridhoni

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1126-1132

Background: Maximum oxygen consumption (VO2 max) is an indicator of the basic concept of physical fitness (physical fitness). The factors that determine VO2 max include heart lung function, age, aerobic muscle metabolism, body obesity, exercise state, genetics, gender, multivitamins. The age of 20-30 years is the peak age of heart and lung endurance, then it will decrease due to increasing age, the person will reduce various sports activities. Methods: This study was conducted to determine differences in VO2 Max in riverbank communities in HST Regency based on age, sex, and cellular immunity (neutrophils and lymphocytes). The samples used were 30 samples each based on adult and elderly age, sex, and neutrophil and lymphocyte examination results. Sampling using simple random sampling on samples that meet the inclusion criteria. VO2 Max is measured by the Rockport method. Data analysis used unpaired t test if the data were normally distributed and Mann Whitney if the data were not normally distributed with a confidence level of 95%. Results: VO2 max values for the less fit and fit men group were 35.7% and 64.3%, respectively. Meanwhile, the VO2 max value for the less fit and fit women group was 62.5% and 37.5%, respectively. The p value of both groups is 0.03. The neutrophil mean of the less fit and fitter groups were 63.5 and 59.1, respectively. The neutrophil mean for the less fit and fitter groups were 27.6 and 31.1, respectively.Conclusion: There are significant differences in VO2 max in groups of women and men, adults and elderly residents of Hulu Sungai Tengah Regency, South Kalimantan. In addition, there was also a significant difference in the percentage of neutrophils and lymphocytes between the VO2 max fitter and less fitter groups.

Vazorelaxant Effect Of The PC-3 And PC-2 Polifenol Compounds Depending On Their Chemical Structure

Ahmedov F.Yu .; Zaynаbiddinov A.E .; Usmanov P.B .; Gayibov U.G .; Rakhimov R.N .; Kadirova Sh.O .; Yunusov L.S .; Mutalipova A .; Karimjonov H.M .

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1145-1155

In the present study, on the isometric conditions of the rat aortic smooth muscle the vasorelaxant effect of the two polyphenol compounds 1-O-galloyl-6-O-bisgalloyl-2,4-valoneil-β-D-glucose (PC-3) and 1-O-galloyl-2,3-gexahydroxydiphenoil-4,6-valoneil-β-D-glucose (PC-2), isolated from Euphorbia plant speacies (encrypted as PC-3 and PC-2) depending on their chemical structure was investigated. It was obtained that the vasorelaxant effects of PC-3 (1-O-galliol-6-O-bisgalliol-2,4-valoneil-β-D-glucose) and PC-2 (1-O-galloil-2,3-hexagydroxidiphenoil-4,6-valoneil-β-D-glucose) in experiments depend on their concentration and chemical structure, as well as blockade the Ca2+L – channel in the plasmolema of smooth muscle cells.

Assessment Of Dental Implant Thread Design On Marginal Bone Loss Running Title: Dental Implant Thread Design

Dr.Chetan Sugandhi; Dr. Imran Khalid; Dr. Leena; Dr.Anupa Shetty; Dr.Sagar Sewane

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1156-1161

Background:Dental implant design determines the implant success. The present study was conducted to assess dental implant thread design on marginal bone loss.
Materials & Methods:This study was conducted on 104 dental implants. They were divided into 2 groups. Group I patients received spiral implants and group II patients received dual fit implants. Each group had 52 dental implants. Patients were recalled after 6 months to see marginal bone loss.
RESULTS: The mean marginal bone loss in group I was 2.04 mm and in group II was 2.26 mm. The difference was significant (P< 0.05). The mean survival rate in group I was 96.2% and in group II was 95.1%.
CONCLUSION:Spiral implants had less bone loss and higher survival rate as compared to dual fit implants.

IMPACT OF BRISK WALKING ON BMI AND WAIST HIP RATIO AMONGST ADULT INDIAN POPULATION

Dr. Vijay B S Gaur; Dr. Bindu Singh Gaur; Dr. Nazeem I. Siddiqui

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1162-1169

Body Mass Index (BMI) has been viewed as a highest quality level for characterizing overweight and weight. BMI is a pointer of as a rule adiposity while Waist Circumference (WC) and Waist-to-Hip Ratio (WHR) are markers for stomach adiposity. The members were age-, sex and weight-facilitated preceding being discretionarily consigned into 3 social occasions, with 18 members for each get-together. The lively strolling pack was expected to energetic walk multiple times every week at a force of 60-70% of their specific age-foreseen most outrageous heartbeat for around two months. 50 subjects mean (FSD) age 45.7 F 9.4 years were randomly apportioned to it is conceivable that one lively walk. Results showed that there was more essential improvement in cardio-respiratory preparation for lively strolling and opposition planning get-togethers (p<0.01) at present mediation took a gander at on pre-intercession regard. There were also critical enhancements in level of muscle versus fat, weight record (BMI), abdomen hip proportion (WHR), and free fat mass in the energetic strolling gathering. Moreover, members in the obstruction getting ready pack had critical improvement in BMI, WHR. Hence, it is assumed that both energetic strolling and opposition getting ready for around two months were proper exercise modalities to decrease a part of the cardiovascular danger factors among overweight and stout people.

IMMNUNOHISTOCHEMICAL EVALUATION OF THE ROLE OF MYOFIBROBLASTS IN KERATOCYSTIC ODONTOGENIC TUMOR

Andleeb Manhas; Amani Mahajan; Sadaf Antoo; Monika Negi; Muzaffar Parray; Swati Parhar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1171-1183

Introduction: Odontogenic lesions are relatively common lesions and account for a substantial part of total oral biopsies by an oral pathologist. Some lesions like the keratocysticodontogenic tumor (KCOT) exhibit a locally aggressive behavior.Myofibroblasts (MFs) are specialized fibroblasts. These cells play a role in physiological processes like wound healing and pathologic conditions like reactive lesions, benign tumors, locally aggressive tumors and malignancies affecting oral cavity. Earlier, it was believed that the presence of Myofibroblasts (MFs) at the invasive front of the tumor was a part of the host defence mechanism against the tumor, but recent studies suggest that the presence of these cells at the tumor front promotes the growth and invasion of the tumor. The presence of Myofibroblasts has been reported in the stroma of many odontogenic lesions, including both cysts and tumors. Studies conducted both on odontogenic cysts and tumors revealed that the cells were particularly more in lesions with locally aggressive behavior like odontogenic keratocyst (OKC).
The aim of the study was to evaluate the role of Myofibroblasts in KeratocysticOdontogenic Tumor and its objectives were to compare the expression and distribution pattern of Myofibroblasts in KeratocysticOdontogenic Tumor (KCOT) as compared to their expression in Oral Squamous Cell Carcinoma and to derive a co-relation between the stromal Myofibroblasts and the known biologic behavior of KeratocysticOdontogenic Tumor (KCOT).

Comparison Of The Antibacterial Efficacy Of Calcium Hydroxide When Mixed With Zamzam Water, Normal Saline And 2% Chlorhexidine - An In Vitro Study

Dr. Mubashir Baig Mirza; Dr. Faisal Suliman Alhedyan; Ayidh Muflih Al Qahtani

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1184-1193

Aim: To investigate the antimicrobial properties of calcium hydroxide when mixed with three vehicles namely Zamzam water, Normal saline and 2% Chlorhexidine.
Materials & Method: 6 plates of nutrient broth and S. aureus culture were prepared. 2 (5*3 mm) wells were prepared in one plate and is used as control. 3 wells each were prepared in the remaining 5 plates and filled with freshly prepared mix of calcium hydroxide with the three vehicles (5 wells were filled with each mix). The same process was repeated using 6 plates containing nutrient broth and B. subtilis culture. The plates were then incubated for 24 hours and the Zone of inhibition (ZOI) was measured. The pH of each mixture was also measured by using a pH meter. The data was analyzed by ANNOVA test and compared by using Tukey HSD test.
Result: The mean value of ZOI for Ca(OH2) and Zamzam was statistically significant when tested against both the bacteria. The pH of 12.26, 11.90 and 12.10 was achieved for Ca(OH2) and Zamzam, Ca(OH2) and Normal saline and 2% Chlorhexidine and Ca(OH2).
Conclusion: Calcium hydroxide powder mixed with Zamzam water exhibited the highest pH of 12.26 and showed statistical significant antimicrobial difference when compared to other medicaments. However further in depth scientific investigations regarding the properties and safety of Zamzam water and World health organization (WHO) approval would be required before considering its clinical use.

CORRELATION OF TOOTH HEIGHT WITH BODY HEIGHT: A COMPARATIVE STUDY

Dr. Yesha Jani; Dr. Shilpa Parikh; Dr. Purv Patel; Dr. Twinkal Patel; Dr. Rutu Jani; Dr. Surina Sinha

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1194-1205

INTRODUCTION
United Nations states that every freeborn has the right to be identified even after death.
Stature is defined as the height of an individual in the upright posture. Stature is taken
under consideration to be one of the “big four” of forensic anthropology. Stature is shown
to possess a specific and proportional relationship with many parts of the human body just
like the cranial and facial bones, long bones, trunk and foot bones.
OBJECTIVE
The study was undertaken to foresee the likelihood of predicting the peak of an individual
using selected odontometric parameters as a forensic tool.
MATERIALS AND METHODS
The study sample consisted of 100 randomly selected subjects. The length of clinical crown
of maxillary central, lateral and canine teeth of both right and left quadrants were made
directly on the participant by means of a digital vernier caliper. Height (H) of patients was
measured with anthropometer.
RESULTS
Significant correlation was observed between height and crown length of maxillary
anterior teeth (p ˃ 0.01), but not a strong correlation (p ˃ 0.05).
CONCLUSION
The crown length of maxillary anterior teeth shows a correlation with the stature of an
individual but not a robust one.

Assessment Of The Association Between Oral Health And Hygiene Practices And Oral Cancer- A Hospital–Based Case–Control Study

Dr.ArunParkashSharma .; Dr. Akbar Naqvi; Dr.Nilima Sharma; Dr.Khushtar Haider

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1206-1211

Background:Oral lesions and pathologies are increasingly affecting significant patient population due to inadequate dietary habits and adaptation of western culture (changing lifestyle conditions). Hence; the present study was undertake for assessing the association between oral health and hygiene practices and oral cancer.
Materials & methods:A total of 200 patients with confirmed histopathologic diagnosis of oral squamous cell carcinoma and 200 healthy controls were enrolled. Complete demographic details of all the patients were recorded separately. A questionnaire was made and detailed data in relation to subject’s oral hygiene practices was recorded. Mouth mirror and probe was used for assessing the oral health status. Periodontal index and plaque index were used for evaluating the periodontal status.
Results:Presence of gum bleeding and periodontal pathologies weresignificant risk factor for occurrence of OSCC. Seventy six patients of the OSCC group and 134 patients of the control group did mouth wash daily. Thirty four patients of the OSCC group and 147 patients of the control group had complete dental check up every six months.
Conclusion:A strong association exists between oral health and oral hygiene practices and occurrence of oral cancer.

Democracy Among The Millennials (A Phenomenology Study On Democracy Dialectics In The Millennium Age Among University Students In West Java)

Kokom Komariah; Suwandi Sumartias; Ari Agung Prastowo

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1212-1222

Political system in Indonesia is never change eventhough Indonesia has through reformation era. Indonesia has Pancasila as a perspective or ideology that it can be used by politician to creating program. Politic is not only how to got a position, but it is talked about how to make relationship between country and the publics, or between country and other countries. In the digital era, politician has alternative media to share their vision, idea and program with their constituents especially millennials. The millennials are potensial voters and they are using digital media to reach information including political message. This research are using phenomenology approach because this research are exploring perspective millennials about democracy, how millennials understanding the political situation and the millennials experiences in politicial communication and how millennials are giving a definition about politic and democracy. The millennial informants of this study were not fully satisfied with the implementation of democracy. It was evident in the fact that there were many cases of fraud and cheat in general election process and that people’s aspiration had not been fully facilitated in policy making processes. In spite of the practice of democracy that was not fully implemented, there was a benefit of democracy in political landscape, i.e. the freedom of speech, especially through digital media. In selecting media as sources of political information, informants considered several criteria, including the way the media delivered the messages, characteristics, and reputation of the media

Assessment Of The Impact Of CO Gas Emissions By Improving The Environmental Health Risk Analysis On The Basement Workers Of The Graha Pena Building And Makassar Town Square

Rahmi Amir; Anwar Daud; Indar .; Furqan Naeim; Mukono .; Darmawanyah .; Naajib .; Suriah .

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1223-1234

Background :Air quality is degraded due to an increase in air pollutant sources from human activities, an increase in the economic and technology sector followed by a high consumption of motorized vehicles and an impact on an increase in the volume of transportation, where the transportation sector is a source of human activity as a contributor to 77% of total emissions. it was also found that the use of private cars as emitters is about 80% of total traffic vehicles. Material and method.The research method uses quantitative analysis with environmental health risk analysis, population determination is taken purposively, and population objects Carbon monoxide gas concentration in the basement parking area of the basement, Graha pen and, Makassar Town square.
Finding and discussionQuantitative results determine the concentration of carbon monoxide (CO) at the basement parking lot M tos shows the highest concentration measurement is at point 1 (Entrance in the morning is 16613.34μg / Nm3 and Dan for the basement parking lot Graha Pena shows the highest concentration measurement is in the middle in the morning, namely 15897.74 μg / Nm3 quantitative data analyzed by calculating the EWI, THQ and RQ values obtained for the saphiro-Wilk significance value obtained 0.016 for real-time RQ and 0.116 for 30-year RQ life time. For EWI values are weekly carbon monoxide (CO) exposure obtained an average value of 10.130 mg / kg / week and the THQ value is carbon monoxide (CO) based on real time an average of 0.3771 is obtained where carbon monoxide (CO) based on real time obtained an average of 0.3771.
ConclusionTarget Hazard Quotient(THQ) real time is not adventurous because of the THQ value  1 but for a life time of 30 years carbon monoxide (CO) exposure is risky because of the values obtained from THQ 1.

Influence Of A Genetically Modified Organism On The Rat’s Hepatobiliary System

Avozmetov Jasurbek Egamberganovich

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1235-1241

Introduction:  In the experimental group of laboratory animals, visible changes in the spleen are noted, characterized by an increase in size, average weight, and changes in the structure and color of the organ under study. High synchronicity in quantitative changes in the cytoarchitectonics of the subcapsular, cortical and medullary substance of the thymus and the central and peripheral part of the lymphoid nodule and the red pulp of the spleen was revealed under the conditions of GMO use. It is characterized by inter-organ linear correlation relationships between cell types of the same name and different names, and in some cases even corresponds to the values within the organs. This means that a genetically modified product-soy flour - negatively affects the condition of the spleen and thymus.

Socio-Psychological Peculiarities Of Students' Religious Outlook

DJumaniyazova Mukhayya

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1243-1249

The analysis of the scientific literature on the problem under study shows that today religion is actively returning to various spheres of society and emerging as a more powerful factor of consciousness, and it has a strong position in the cultural, ideological and political spheres. The religious worldview emerges as one of the basic concepts in the psychological study of religion, and it is seen as the basic foundation of human individual consciousness as a form of spiritual assimilation of being. The religious worldview permeates the individual at the level of life, at the level of self-awareness and thinking. At the same time, it was noted that the religious worldview, while having a significant practical significance, a significant socio-psychological contribution, has not been sufficiently studied.
According to the results of the article, the essence of the content of the religious worldview was reinterpreted, the theoretical features of the psychological features of the student period, the occurrence and manifestation of the phenomenon under study were highlighted. Empirical researcheshave revealed the current state of development of students' religious beliefs, as well as aspects of its manifestation in communication.

Socio-Psychological Features Of Girls' Adaptation To The Family Life

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1251-1257

In the article of socio-psychological features of the adaptation of girls to family life, the analysis of research that served as a scientific and experimental study and the development of the field of family psychology as a separate direction provided, according to the opinions. These cases require special attention and research to be intensified, especially in the first years of marriage, by the modern family institute. Strengthening the family, of course, often depends on its socio-economic, legal protection. At the same time, an important and in many cases the main reason for the problems that arise is the unsuitable individual-psychological characteristics of girls for family life, their low level of readiness for the necessary relationships, their insufficient adaptive potential. In this regard, the prevention of stable marriage, one of the most important directions in ensuring its proper functioning and ensuring the mental health of girls will be the development of effective features of their adaptation to family life.

Marketing Communication in the Digital Era: Does it Need Ethics?

Meithiana Indrasari, Nazarudin, Winci Firdaus, Saipul Al Sukri, Wiwiek Kusumaning Asmoro

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1258-1265

This paper discussed various aspects ofmarketing communication in the digital era. It began with an explanation of the perceptual model of marketing communication activities, followed by an explanation of the actors of marketing communication, both communicators and communicants. The next section discussed some of the Internet technology-based media used to communicate, the uniqueness of themarketing communication in it, and its effects on behavior. Various uniqueness of Internet-based marketing communication media that affectmarketing communication factors, the final part contains several things that need to be considered in communicating with the Internet.Marketing communication is carried out by one party to convey messages to the other party. Marketing communication is the transfer of one's understanding of another or the transfer of data from one source to another by using natural or artificial media. Explicitly, The data transferred in marketing communication is in the form of information so that an understanding can be reached between one person and another.

Assessing the Observance of Adult Learning Principles in the Implementation of in-Service Training Programs and the Effectiveness of these Programs from the Perspective of pre-Hospital Emergency Staff in Bam and Jiroft Universities of Medical Sciences in 2018

Hadi Khoshab , Hadi Ranjbar , Ali Omidi , Aboutaleb Haghshenas

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1266-1274

Introduction: In-service training is one of the types of training that organizations provide for the development of themselves and their employees. Since adults are trained in these programs, it is necessary to consider the principles of adult education in planning the educational process; Therefore, this study was conducted to evaluate the principles of adult learning in the implementation of in-service training programs and the effectiveness of these programs from the perspective of pre-hospital emergency staff in Bam and Jiroft Universities of Medical Sciences in 2018.
Methods: This research is a descriptive-analytical cross-sectional study that was performed on 167 employees of the Center for Management and Medical Accidents and Emergencies of Bam and Jiroft in 2018. The data collection tool was a three-part questionnaire including the first part of demographic information, the second part of the questionnaire on the observance of adult learning principles in in-service training and the third part of the questionnaire on the effectiveness of in-service training from a personnel perspective. The validity and reliability of the questionnaire have been reviewed and confirmed in several studies. Data were analyzed using SPSS software version 20.
 Results: Of the 167 participants in this study, 16 (9.6%) were female and 151 (90.4%) were male. In terms of degree, bachelor's degree with 86 people (51.5%) is the most and diploma degree with 7 people (4.2%) is the least. There was no significant difference between the observance of adult learning principles in terms of demographic variables and also between the effectiveness of education and demographic variables, but there was a statistically significant relationship between the observance of adult learning principles and the effectiveness of in-service education.
Conclusion: Considering the significant relationship between adherence to the principles of adult learning and the effectiveness of in-service training, it is suggested that in order to increase the effectiveness of in-service training in the planning, implementation and evaluation stages, be reviewed in terms of compliance with adult learning principles.

Content Analysis Of Antiallergic Drugs In The Republic Of Uzbekistan

U.M. Tillaeva1*, Sh.Kh. Abduganiev

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1275-1283

Research objective: to study the general and individual properties of antihistamines and to conduct a content analysis of the AGs nomenclature presented in the pharmaceutical market of the Republic of Uzbekistan.
Materials and methods. The research included antihistamines nomenclature presented in the State Register of Medicinal Remedies of the Republic of Uzbekistan. The analysis involved the data on the registered medicinal remedies based on the materials of the State Register of Medicinal Remedies and Medical Devices for the period of 2018-2019. We also used data from the Vidal Reference “Medicinal remedies in Uzbekistan” and “List of Essential Medicinal Remedies”.
Results.The content analysis showed that according to the ratio of positions nomenclature of the 1st generation AGs (sedatives) by countries,both the CIS and domestic manufacturers had equal indicator values(40.5%) of registered and used AGs on the territory of the republic, whereas the foreign manufacturers proportion was about 20%. According to the data for 2019, the proportion of AGs was also equal, although we noted the increasing tendency forintroduction of the 2nd generation AGs with non-sedative effect. If 2018 was characterized by 82 names of medicinal remedies, then in 2019 this number increased to 144. Besides, we noted a total increase and use of AGs compared to 2018 for account of foreign manufacturers, which actively introduced the 2nd generation AGs. The CIS countries and domestic manufacturers lagged significantly behind, accounting for 11.3% and 22%, respectively.
Conclusion. We consider itvery promising to introduce into domestic pharmaceutical practice the 2nd generation AGs in the transdermal and soft form due to the advantages of their application.In addition, at present time, an active work is being carried out to develop and introduce gels and suppositories, combinations ofantiallergic drugs with non-steroidal anti-inflammatory drugs, synthesized by domestic scientists, for the purpose of introducing them into domestic pharmaceutical production and thus reducing the import dependency of drugs in the Republic of Uzbekistan.

Unification And Validation Of Hplc Method For The Quantitative Determination Of Fensulkal In A Substance And Combined Medicinal Mixtures

U.M. Tillaeva

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1284-1295

Research objective: to carry out studies on the optimization of the analysis conditions of HPLC and to create highly effective and theoretically substantiated methods for the qualitative and quantitative determination of dosage forms of complex compositions containing fensulkal.
Material and methods. During the research,HPLC method was applied, with determination of the main chromatographic parameters of fensulkal: retention time, retention factor, spectral ratios, concentration of the organic component in the mobile phase. For the studies we used standard and test sample solutions of fensulkal and cetirizine (in combined model mixtures).
Findings.HPLC methods for the analysis of fensulkal in the substance and model mixturecombined with cetirizine were developed and unified as end-to-end methods.Besides,the optimal conditions for the analysis were selected.The methods were certified and validated according to the criteria: "Linearity", "Convergence", "Trueness" and can be included in the normative document for fensulkal and cetirizine substances,as well as other combined medicinal remedies for quality control according to indicators "Identification" and "Quantitative determination".
Conclusion.On the basis of the conducted studies, the unified HPLC method was developed as end-to-end method for the analysis and standardization of drugs containing fensulkal in the model mixtures and dosage forms. The developed unified method is validated according to the indicators "Linearity", "Trueness", and "Convergence", and can be included in the ND for standardization and quality control of drugs containing fensulkal according to the above indicators.

Surgical Treatment Of Acute Calculous Cholecystitis In Patients With Type 2 Diabetes Mellitus

O.R.Teshaev1, R.M.Madaminov2, B.T.Gafurov3, N.Sh.Khudoyberganova4, M.U.Ismoilov

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1296-1309

Research objective: To conduct a comparative analysis of surgical intervention methods in patients with acute calculouscholecystitis associated with type 2 diabetes mellitus and determine the operation of choice.
Materials and methods. The researchinvolved 423 patients with acute calculouscholecystitis aged from 18 to 95 who underwent surgical treatment in the Surgical Department of the City Clinical Hospital No.1 in Tashkent in the period from 2015 to 2019. 195 (46.1%) patients had type 2 diabetes mellitus (25.5%). There were 142 (33.8%) men and 281 (66.2%) women. Laboratory diagnostics included clinical blood analysis, biochemical blood test, determination of glucose, bilirubin, creatinine, blood amylase, ALT, AST, ALP, coagulogram, as well as determination of the blood group and Rh factor.Instrumental diagnostics included ultrasound examination in combination with Doppler. When distributing patients according to the disease severity, the classification of the Tokyo Agreement on acute cholecystitis was applied (Tokyo guidelines (2007, 2013).
Results and discussion. Surgical intervention for acute calculouscholecystitis in patients with type 2 diabetes mellitus in 195 patientsincludedLCE for 104 (53.3%) patients, oblique muscle-splitting mini approach in the right hypochondrium for 91 (46.7%) patients, and open conversion for 4 (3,8 %) patients. The use of the laparoscopic method in the treatment of acute calculouscholecystitis in patients with type 2 diabetes mellitus provided a statistically significant reduction in surgery timing and the degree of intraoperative blood loss. In addition, it also reduced the number of postoperative complications almost two times compared with the open method.
Conclusion. The comparative analysis of the treatment outcomes showed that the application of LCE in diabetic patients has a number of advantages over the open method. Laparoscopic cholecystectomy in patients with acute calculouscholecystitis associated with type 2 diabetes mellitus is the operation of choice.

Pharmacoeconomic Efficacy Of Ferrous And Ferriciron Supplements In The Territory Of The Republic Of Uzbekistan.

Gavkhar J.Jarylkasinova1*, Iskandar R.Mavlyanov2, Rano U.Yuldashova3

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1310-1315

Research objective: to conduct a clinical and economic analysis on the efficacy of ferrous and ferric iron supplements in the treatment of iron deficiency anemia in the outpatient settings of the Republic of Uzbekistan.
            Material and research methods. The analysis was carried out in 3 outpatient settings of the Bukhara region of the Republic of Uzbekistan in the period from 2018 to 2020. The study included 220 patients with moderate iron deficiency anemia (Hb 70-90 g/l). Pregnant women were excluded from the study.As aninvestigational sample the most common ferrous and ferric iron supplements in the form of tablets and capsules were selected.For assessment of the clinical efficacy, westudiedthe dynamics of decrease of general anemia syndrome manifestations, the dynamics of decrease of sideropenic syndrome manifestations, Hb level increase and the severity of adverse reactions. For determination of the economic expediency of supplements administration, the cost-effectiveness ratio was calculated.
Results and discussion. The analysis of the dynamics of clinical and laboratory parameters showed that the ferrous IS administration resulted in more pronounced Hb level increase in blood compared to ferric IS. The study of the dynamics of general anemia syndrome manifestations using the VAS showed that the ferric IS administration contributed to a significantly more pronounced dynamics of symptoms. It was revealedthat the ferric IS provides both sufficiently high Hb level increase and high tolerability for patients.
Conclusion. The analysis of the ferrous and ferric IS on the territory of the Republic of Uzbekistan showed that both supplements have approximately same degree of clinical and laboratory efficacy. Along with this, ferrous iron supplement demonstrated a higher Hb level increase in a month of therapy due to the high iron bioavailability.The market analysis established that ferrous iron supplement was less expensive compared to ferric one. However, ferric iron supplements had a significant advantage defining its efficacy, expressed by severity of side effects. This fact clears expenses and proves their relevance in the market of iron supplements.

Oral Health And Prevention Of Dental Caries In Preschool Children Living In Conditions Of Biogeochemical Fluorine Deficiency

S.S. Murtazaev1, N.Sh. Akhrorkhujaev2, L. P. Kiselnikova3, J.A. Dinikulov4, M. M. Astanakulova5

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1316-1332

Research objective: to study the oral health and to work out preventive measures for preschool children living in conditionsof biogeochemical fluoride deficiency.
Material and methods. The research included 280 children aged 4 to 6 years attending preschool educational institutions in the Kashkadarya and Surkhandarya regions. During the examination, the generally accepted sequence was followed: external examination, assessment of the teeth location, dentition, assessment of oral hygiene, study of the dental tissues. Besides, we determined and analyzed the quality of OHI, the PMA index, as well as applied methods for detection of concentration of fluoride in the oral cavity and the method of the detection of calcium and phosphorus in the oral fluid.
Results and discussion. During the research the studies on the fluoride content in drinking water sources were carried out. It was established that the intensity index in the core group was 2 times higher than in the control group (P <0.001). Besides, the study showed that before the beginning of preventive measures, the concentration of hydrogen ions in the oral fluid of infants was 6.21 + 0.045, i.e. pH of the oral fluid had a shift towards the acidic side. A year after taking tablets with sodium fluoride, the concentration of hydrogen ions changed and made 7.07 + 0.029, and pH became neutral (p <0.001). Initial indicators of calcium in the oral fluid of children born and living in conditions of biogeochemical fluoride deficiency concluded 1.21±0.063 mmol/L, phosphorus - 1.86±0.043 mmol/L. The inclusion of “Fluorine balance” tablets in the menu of schoolchildren in a month led to a significant increase in the calcium content in the oral fluid to 1.47±0.056 mmol/L (p <0.01). After 2 months after the study initiation in the group to schoolchildren consuming sodium fluoride, we noted a significant increase of phosphorus content 2.14±0.052 mmol/L (p <0,001).
Conclusion. The intensity of dental caries in children of the core group was 2 times (p <0.001) higher than that in the control group. 6 months after the inclusion of fluoride tablets in the menu of children, the fluoride content in the mixed saliva was 0.113±0.0046 mmol/L, i.e. the level of fluoride in the oral fluid of preschoolers of the core group was significantly (p<0.001) higher than the same indicator (0.019±0.0001 mmol/L) in the initial data of the core group before thepreventive measures. Besides, inclusion of fluorinated iodized salt in the menu of preschool children in 6 months contributed to a significant increase in calcium content from 1.21±0.063 to 1.46±0.057 mmol/L (p<0.01) and phosphorus in the oral fluid from 1.86±0.043 to 2.14±0.052 mmol/L (p<0.001).

Short And Long Term Effects Of Tourism Gdp Performance In Malaysia

INTAN MAIZURA ABD RASHID1, WAN AHMAD FAUZI WAN HUSAIN2, SUZANA AB RAHMAN3, HAMIDAH NORMAN4, IRZA HANIE ABU SAMAH5

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1333-1341
DOI: 10.31838/ejmcm.07.08.120

This study applies observational investigation and concentrates on two primary variables which foreign direct investment and tourism. Information from 1991 to 2019 was gathered from World Bank to focus the relationship among the variables.  The tests used to decipher this result are Stationary Test, Co-integration Test, Vector Error Correction Model and Granger Causality test. First, the Stationary Test focused on the Augmented Dickey Fuller (ADF) test was measuring about the time series data’s stationary property. Next, the method used to assess the existence of the relationship between two foreign direct investment variables and tourism is the Co-integrated Test. The Vector Error Correction Model (VECM) includes a bug fix model that should focus on the core behavior of that model. VECM specifies a simulated model that changes simultaneously towards its long-term estimates. It shows that disequilibrium disease will join in to make it work longer. VECM similarly observed the relationship between the variables over time. Finally, the Granger Causality Test was performed to look at the causal relationship between the two variables which is the relationship between foreign direct investment and tourism.

Investigating Cybercrimes In Malaysia: The Importance Of E-Commerce Security To Eliminate Fraud And Security

INTAN MAIZURA ABD RASHID1, WAN SALLHA YUSOFF2, SURAIYA IBRAHIM3, SAYANG NURSHAHRIZLEEN RAMLAN4, IRZA HANIE ABU SAMAH5

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1342-1346
DOI: 10.31838/ejmcm.07.08.121

The e-commerce marketplace in Malaysia is showing an advantageous trend, with gross value added contributed 6. 3% to gross domestic product (GDP) in 2017.Online purchasing has attained a lot of important factors in the current marketing. But, because of the number of growth of trouble makers or scams had increased, such activities will create a fear in the mind of customers and as well can influence the attitude or mind set of consumers toward online purchase. Therefore, the issue in this area of this survey is customer’s dissatisfaction and attitudes towards online purchasing.Apart from that, customers also concern about the security level whenever they order products online. The security refers to online transaction safety. The previous researchers suggest that the lack of security on the website will make the customers to have doubt or serious concern about their credit card transactions and privacy of personal information to avoid cybercrimes.In spite of comfort and advantages of online shopping, e-commerce poses a few demanding situations and concerns amongst consumers on security and privateness problems. Thus, this phase intends to identify degree of situation in regards to these issues. In widespread, slightly extra than half of on-line buyers claimed that they are problem on safety and privacy at the same time as buying online. The regression analysis indicates fraud and security was found to have significant at 5% significant level (sig, t = 0.004). This could explained that customers are more likely to take serious on fraud and security of the products they purchased.

REVIEW ON AUTOMATIC PROCESSING OF BRAIN IMAGES FOR SEGMENTATION AND ABNORMALITY DETECTION

R. Aishwarya1 and Dr. Sumathi Ganesan2

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1348-1352

Brain tumour detection is very popular in the area of medical image processing. This is due to the sensitivity of brain functionality and inter structure. Any kind of ignorance towards the problems related with brain may cause serious impact on human life/life style. Therefore, early detection or diagnosis of abnormalities or tumours helps the doctors and patients to rectify the brain related health problems. The images are obtained through scanning techniques which are very common. Images obtained from the scanning needs to be segmented carefully for the future analysis and damage control procedures. In this paper, a detailed review on different types of segmentation techniques proposed by various authors is studied and compared for a clear understanding of existing segmentation techniques. They are tabulated to summarize different methodologies, segmentation techniques, and existing processes for further studies on Brain image segmentation. Finally, a brief understanding towards deep learning techniques is studied in this paper to understand their role in modern era for automated segmentation process

Recent Performance In Singapore's Tourism Industry Usingnormality Test, Correlation&Regression Analysis: The Effect Of Medical Tourism, Service Sector & Exchange Rate

INTAN MAIZURA ABD RASHID1, SURAIYA IBRAHIM2, WAN SALLHA YUSOFF3

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1354-1362
DOI: 10.31838/ejmcm.07.08.123

The shocking worldwide transmission of COVID-19 has encouraged many governments to interfere to avoid the spread of the infection. Medical tourism is a growing phenomenon with policy implications for health systems, particularly of destination countries. Medical tourism, a rapidly growing market, has been recognized by many countries as a potential sector for economic diversification. Although Singapore stands out as one of the top destinations of medical tourism, investigation regarding its competitiveness has been limited and narrow in scope. This case study takes a quantitative approach to identify and analyze the factors that position Singapore as a competitive medical tourism destination. Based on a holistic approach, this study has shown that integrating diverse strategies for medical tourismdevelopment with sound government policies and proactive management practices have led to significant positive outcomes towards mutual success of tourism and healthcare sectors of Singapore. Additionally, the study provides strategic insights to drive lasting improvements in medical tourism, exchange rare and service sectors through efficient management and intelligent utilization of resources in tourism sector.

A Noval Deep Learning Approach For Semantic Information Extraction From Medicinal Crops

Sunil Kumar1, Hanumat Sastry G2, Venkatadri Marriboyina3,Dinesh Goyal4, Madhushi Verma5

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1363-1378

To extract significant information from large amount of data is an essential task of natural language processing. Every Information Extraction technique design different rules for tuning the domain based raw data to extract semantic information. Huge amount of unstructured data in agricultural domain increases the complexity of information extraction techniques. The paper presented an algorithm of semantic information extraction from a text article on health benefits from medicinal plants. The proposed algorithm apply deep leaning techniques to extract semantic (relational) information from medicinal crops corpus. The proposed algorithm tuned and tested on agricultural and weather data collected from DACFW, Government of India. The experimental results stated that the proposed deep learning based method achieved nearly 95% prediction accuracy. Proposed method also compared with existing techniques like Self-Organizing Map (SOM) and Ensemble Neural Network (ENN).

Economic Empowerment Of Women: A Brief Overview In Context Of Rural Assam

Kritanjali Saikia

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1379-1382

Women are an intrinsic part of every society and the status of women in the society is directly related with social and cultural traditions, stages of economic development achieved, educational levels and political attainments for women in society (Chakbarty, 2012) Moreover either matriarchal or patriarchal society women play a decisive role. In countries like India where society and life of the people are carried by traditional and spiritual foundations in family a mother sacrifice her life for the future of the children.
Gender sensitivity is one of the most undeniable features of the decade. As Women comprise half the world’s population. They consider equal partner in the development process and their role in development cannot therefore be unattended. They are two perspectives that emerged in the contemporary discourse of gender equality: women’s development and women’s empowerment. With Easter Boserup’s (1970) pioneering work, “Women’s Role in Economic Development” the women’s development perspective have rise (Mandal, 2006). But the development strategies are not only unsuccessful but also it is working against the interest of womankind. Consequently, the decade of 90s has witnessed the rise of women’s empowerment perspective which got prominence at Beijing Conference (Curatolo, 2020).

Bacterial And Algal Components Of Sediments Close To Sources Of Sewage Drainage In The Euphrates River, Anbar Governorate

AASIM JASIM HUSSEIN1* , JIHAD Diab Mahal2

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1383-1392

Samples were collected from river mud close to the sediments of sewage estuaries that flow directly to the main river for most areas of Anbar Governorate, which starts from Al-Qaim district and is considered the beginning of the mouth of the Euphrates River from western Iraq to Fallujah in the east, with 9 regions (36 samples), which are (Al-Qaim - Al-Obaidi - Rawah - Anah - Haditha - Al-Baghdadi - Hit - Ramadi - Fallujah) over a range of about 400 km2, where samples were taken from October 2019 until June 2020 in four seasons (Fall - Winter - Spring – Summer).for site study of the phytoplankton community and its impact on the river water quality, comparing the characteristics in one season and then the four seasons.

Study Of Hormonal Parameters In Obese And Non‑Obese Polycystic Ovarian Syndrome Patients

Mohammed Mustafa Abdulkadhm1*, Mokhalad Waheeb Abdallah2

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1393-1402

The physiologic, biochemical, hormonal and differential PCOS (policy ovarian disorder) response to clomiphene should be investigated. Structure: Potential observational research.Governmental financial unit, OPD infertility. Sample size: Around 164 people with infertility consistent with PCOS. Fat PCOS array (BMI < 23 kg / m2) and non-stop PCOS set (BMI < 23 kg / m2). 124 of the overall 164 PCOS women in the BMI [223 kg / m2, 24.39%] were fat group and 40 (24.39%) were non-fat group of PCOS. PCOS patients were 82.34 percent, 3.66 percent, 59.76%, 24.39 percent, 7.93%, and 53.7%, each independently. Women are also an abnormality, asthma, insulin resistence, (IR), metabolic syndrome, endometrial hyperplasia, and clomiphen resistance. In addition the symptoms of Ferriman-Gallwey are menstrual instability, IR, metabalic disorder, distorted lipid05). Endometrial hyperplasia were more frequent in the obese PCOS group due to hypertraining, unexplained glucose level, testosterone and androstenedion, but not statistically significant. No major differences have been found between the two groups between the luteinizing hormone (LH), follicle stimulating hormone (FSH), LH – FSH proportion and 17-hydroxyprogesterone (17-OHP). Conclusion: Obese PCOS may be more likely to cause antagonistic results such as high blood pressure, metabolic disorder, IR and endometrial hyperplasia. This is not just to help prevent unpleasant results, but also to boost the responsivity to clomiphene citrate by relying on weight of PCOS women.

The effect of the time period among washes, the quality of the wash water, and the percentage of addition on the efficiency of washing salts in soil affected by salinity

Muhsen Nasih Hoshan, Dakhil Radhi Nedawi, Muhammad Malik Yassin

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1403-1413

Irrigated soils suffer in arid and semi-arid regions of the world, the problem of the accumulation of salts, not using sufficient washing water to remove the added salts with irrigation water. Also, the wrong irrigation practices and the poor quality and quantity of irrigation water, as well as the lack of an effective drainage system, contributes to increasing soil salinity. This field experiment was conducted, to study the effect of the time period among washes, the quality of wash water, and the percentage of addition on the efficiency of washing salts and reducing the electrical conductivity of soil affected by salinity. 3 breaks were specified between washes (5, 10 and 15 days), and two types of washing water (4 and 8 dS m-1), and two percentages for addition (25 and 50%). Soil field operations were carried out, to perform the washing process with the washing system installed, the electrical conductivity of the soil filtrate was estimated by standard methods known, for depths 0-25, 25-50, 50-75 and 75-100 cm, during eight stages of washing. The results showed a decrease in the electrical conductivity values ​​of the soil filtrate, according to the sequence of soil washing phases until the eighth washing limits, and the largest decrease in electrical conductivity values ​​was during the first washing, compared with the subsequent washing stages, especially in the surface depths of the soil, as evidenced by the results, the high electrical conductivity values were at the depths of 50-75 cm and 75-100 cm, especially for the initial washing treatments, with the time period exceeding 5 days, the water quality is 4 dS m-1 and the addition rate is 50%, which gave the best washing efficiency at 0-25 cm depth, with a decrease of 77.69% after the first wash, and (16.51, 24.50, 9.16, 15.64, 10.54, 4.91 and 3.20%) after the second, third, fourth, fifth, sixth, seventh and eighth washings, compared to the first phase of washing, respectively.

ENSURING THE SUPREMACY OF LAW IN THE DEVELOPMENT OF AGRICULTURE IN UZBEKISTAN

Davurkhon Nodirov

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1414-1418

The article examines the legal foundations of agricultural modernization, ensuring the rule of law and strengthening the rule of law in the implementation of market mechanisms in agriculture, methods of effective prosecutorial control over the precise and uniform implementation of agricultural legislation, forms of control, types of control documents, agricultural legislation. issues of improving, strengthening legal mechanisms in agriculture.

THE ROLE OF INNOVATIVE EDUCATIONAL ENVIRONMENT AND PEDAGOGICAL-PSYCHOLOGICAL COLLABORATION IN INCREASING THE INFORMATION CREATIVITY OF PROFESSIONAL EDUCATION TEACHERS

Bekbayeva G.Y., Delov T.E., Aliyeva N.M., Murtazayeva U.I.

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1419-1426

The article discusses the problems of developing the information creativity of a teacher of professional education on the basis of an innovative educational environment and ppedagogical-psychological collaboration. In addition, the content of concepts such as pedagogical-psychological collaboration and innovative educational environment in professional education was analyzed and explained.

MATHEMATICAL METHOD OF CALCULATING THE VOLUME OF THE CAVITIES OF THE HEART VENTRICLES ACCORDING TO ECHOCARDIOGRAPHY

Fakhriddin Abdikarimov, Kuralbay Navruzov

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1427-1431

Calculating of cavities of ventricles of the heart according to echocardiography, having big values in cardiology is considered in the article. Here the main attention is concentrated on the left ventricle of heart, as having the most correct form and the best available visualization. In article the area and length of cavities are defined, installing the ultrasonic sensor in a parasternal position on a short axis, at the level of the end of shutters of the mitral valve. Further, the ultrasonic sensor is installed in the apical four-chambered with access. The image is fixed, studied the long axis of the cavity is divided evenly   pieces. Each of its points of division, held parallel to a line perpendicular to inter ventricular septum. Each short-axis corresponds to certain areas of the cavities of the ventricles, which are also perpendicular to inter ventricular septum. Corresponding to each piece of the volume of the cavities of the ventricles of the heart is determined by calculating the approximate volume of a truncated cone. Then summing all of the volumes, we finally obtain the formula to calculate the volume of the cavities of the ventricles of the heart. It is shown that this method is accurate and reliable over the other method.

Effect of Ambulation on Labour Outcome during the first stage of Labour Among Primi Mothers

Debajani Nayak, Pravati Tripathy, Bijayalaxmi Digal

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1432-1437

Background: Labor is one of the most important events in every women’s life. A healthy mother and a healthy baby without complication is everyone’s demand. Women experience many discomforts during labor and childbirth. Pregnant women commonly worry about pain, duration and process of labor.
Objective: To assess and compare the effect of ambulation on labor outcomes during the first stage of labor.
Methods: A quantitative research approach with only a posttest control group design was taken to conduct the study. A total of 60 Prime mothers having 37-42 weeks of gestation with single vertex presentation and spontaneous onset of labor in 1-2 centimeters of cervical dilatation (latent phase) were taken by purposive sampling technique. The test group was assigned to walk for two hours during the first stage of labor. The post-test was followed by assessing the progress of labour with the help of a Structured Observational checklist.
Results: The result of the study shows that mean & SD 17.16+ 2.8 on labor outcome in the experiment group and the mean + SD (13.5 + 4.3) in the control group was statistically significant as evident from t = 3.91 at df 58 and p-value was 0.0001. It shows that ambulation has positive effects on labour outcomes.
Conclusion: Hence it was evident that ambulation during the first stage was effective in improving labor outcome, helps in early descent of the fetus, increases coordination of uterine contraction intensity and frequency among prime mothers. Based on the study findings, the recommendations were made for a study on a large sample and different settings.

MATHEMATIC MODELING OF PULSATION MOVEMENT OF BLOOD IN LARGE ARTERIES

Fakhriddin Abdikarimov, Kuralbay Navruzov

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1438-1444

Pulsation motion of Newton liquid in flat channels has begun to be investigated as a result of the development of the liquid mechanics. The function of the pressure gradient due to time is given on mathematic modeling of pulsation motion of liquid and as a result, the rest of dimension mill be defined in relating to time. While investigating the process of Navier-Stokes, it is made lazier incessant equation according to the usage of their replacement of the tasks. For this, the terms, which are given in the systems of the equations are transformed into new dimensions and the value of the terms, which are contrasted with each other is defined in the system of equation. The terms, which have acquired boundless small quantity is omitted without counting. This article discusses the pulsating fluid flows in the flat tube. Here it is determined the dependency of the speed of the pulsating movement of fluid on the vibration parameter.

AWARENESS AND EXPERIENCE OF NOVICE NURSING STUDENTS TOWARDS VARIOUS TYPES OF VIOLENCE

Sasmita Das, Bidisha Mishra , Arunima Samantaray, Puspalata Behera

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1445-1449

Background: Women violence is an important problem worldwide and India having more women violence and which affects women’s health as well as their psychological status. By improving services for the victims, one can reduce the prevalence of violence in our community. Nurses who had worked in the particular department of hospitals like critical care units, emergency departments, and trauma centers experienced anger and aggressive behavior from the patients. Thus, to manage and prevent violence is an important role of all nursing personnel. Objectives: To determine the awareness and experience of nursing students regarding types of violence. Methods: Descriptive Research Design was used in this study. A self-structured questionnaire on the Socio-demographic tool, awareness of violence and for experience of novice nursing students on violence was used for data collection. Data collection was performed with GNM 1st year and BSc 1st year students studied in selected schools and colleges of Bhubaneswar. Result: Sixty percent of students know about violence. It involves like mental, physical destruction to someone or to kill somebody, 39 % of students experience the physical violence, 40% of subjects have the awareness that when the boss is the male person violence may occur, 42% of subjects have the awareness that the effects of violence are psychological trauma. The present study revealed age, gender and education levels of the patients had no significant influence of violence. The result depicted that 36% of students considered sexual violence as worst type and 42% of the students have knowledge that the effect of violence is psychological trauma. From the study it was found that there is a significant association between the awareness regarding the violence and marital status (P<0.05*). Conclusion: In this study majority of the participant reported that they have awareness of various types of violence and physical violence they experienced more than other types of violence. Holistic interventions against various violence should be supported and promoted.

Effectiveness of Selected Yoga Practices on the level of stress among student nurses in selected Nursing Educational Institution, Dehradun

B. Gomathi

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1450-1456

Background: In alternative and complementary therapies yoga is the top treatment modality, especially to maintain and promote the psychological wellbeing of human beings.  studyThe study was planned to measure the effectiveness of systematically planned yoga programs on the psychological wellbeing of nursing students. Methodology: Quantitative approach with Randomized controlled trial was used to test systematically planned yoga programs on the psychological wellbeing of nursing students. Eighty-eight first-year diploma and undergraduate nursing students were selected by Simple Random (Lottery Method) technique but the study was completed with seventy-one nursing students. Physically and mentally healthy students, initial learners of Yoga, willing to give consent for the study and students who can read and understand Hindi language were included in the study. Subjects were randomly assigned to the experimental and control group. Data were collected from the participants by using standardized tools PANAS & PSS. The intervention selected for the present study was selected yoga practices. Systematically planned fifteen hours yoga training program was implemented to the experimental group. The level of practice increases progressively over the four and a half weeks. Assessment made with the tools in three times i.e Baseline, one month and two months.  Besides, optional Yoga practices were facilitated and monitored in 6 days in a week within the hostel premises for the entire data collection period. This was motivated students to enhance their yoga practices. Results: In the experimental group, positive affect/ perceive mean score shows the significant improvement (p =0.0001) in three levels and negative affect/ perceive mean score show the significant reduction (p =0.0001) in three levels. The inferential statistics of the control group depicts that not statistically significant found in a decrease of negative affect/perceive mean score as well as in increasing positive affect/perceive mean score in the three levels of the control group. Conclusion: Student nurses practiced regular yoga practices shown remarkably improved positive emotions and reduced negative emotions and improve the general sense of wellbeing among student nurses. So, yoga can be included as a part of the curriculum to enhance the wellbeing of the students.

Effect of Buteyko breathing technique on respiratory parameters of 5 to 12 years old children with bronchial asthma admitted in paediatric ward at selected hospital Bhubaneswar, Odisha

Ranjita Jena Tutor , Rashmimala Pradhan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1457-1462

Background: Buteyko breathing technique is a type of complementary and alternative therapy which indicated chronic breathing retraining as a treatment method for asthma along with other associated conditions. It is a set of simple breathing exercises to reduce asthma and other breathing disorders. In this study, the Buteyko breathing technique improved the respiratory parameters and reduced the respiratory signs. Objectives: The objectives of the study were to assess the respiratory parameters of 5-12 year children with bronchial asthma before and after the Buteyko breathing technique and secondly to determine the effect of the Buteyko breathing technique. Material & method: Design of present study was quasi-experimental research design to find the effect of the Buteyko breathing technique on respiratory parameters of 5 to 12 years of children with bronchial asthma admitted in the pediatric ward at capital hospital, Bhubaneswar. The non-probability purposive sampling technique was used to select 120 (60 samples for the Experimental group and 60 samples for the control group). This procedure was demonstrated by the investigator to the experimental group for 10 - 15 minutes. This was followed for five days and was given twice a day. There was no intervention for the control group. The study was conducted for one month. Patients of both sexes of age group 5-12 year selected and critically ill patients were excluded.  Result and conclusion: In comparing the respiratory parameters of bronchial asthma, the mean score was obtained for posttest in both experimental and control group were respiration rate(t118=13.4,p<0.0001), breath sound (t118=3.19,p<0.001), oxygen saturation(t118=8.79,p<0001) and respiratory distress (t118=2.73,p<0.007) respectively which was statistically significant in the respiratory parameters. The  pretest and posttest  mean score for control group of respiration rate(t59=1.91,p>0.060),breath sound(t59= 0.52 ,p>0.60), oxygen saturation(t59=4.35,p<0.0001)and respiratory distress (t59= 0.90, p>0.20 )respectively  which showed that there were  no  significant  difference was noted except oxygen saturation  while  the experimental group showed a significant difference after Buteyko breathing technique  as respiratory rate( t59 =3.76,p<0.0004),breath sounds(t59= 4.73,p<0.0001), oxygen saturation (t59=12.9,p< 0.0001), & respiratory distress(t59=3.14p<0.0026) respectively. Hence the study revealed that the Buteyko breathing technique helped improve the respiratory parameters of 5 to 12 years of children with bronchial asthma. 

Electronic media, its impact on traditional play and mental health among school-going children in selected schools of Bhubaneswar, Odisha

Soumya Ranjan Parida, Pratibha Khosla, Suchismita Pahantasingh

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1463-1469

Objectives:  1. To determine the level of usage of electronic media among school-going children. 2. To assess the extent of traditional play among school-going children.3. To find out the correlation between electronic media and mental health 4. To find a correlation between the impact of electronic media on traditional play 5. To determine the association between demographic variables and the impact of electronic media on traditional play. Methods: A total of 400 samples were included in the study. Samples were selected through random sampling and settings were selected through cluster sampling. Data were collected by using a self-structured tool for socio-demographic variables, usage of electronic media, traditional play, and standardized tool SCARED, KADS-6 for anxiety and depression respectively. Result: It was found that 28% of children are mild users and 17% are addicted to electronic media. Adolescents who were using electronic media among them 36% have anxiety disorder. A strong positive correlation was found between the usage of electronic media and anxiety (r=0.751) p≤0.05 *. The correlation was also found between electronic media and depression (r=0.641) p≤0.05 *. Socio-demographic variables like age, occupation of head of the family, earning member of family and income family associated with usage of electronic media. Conclusion: Electronic media have an impact on the mental health of young children.

Retained placenta delivery using Windmill technique: A novel step towards solution with self-developed conceptual model

Madhusmita Nayak

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1470-1476

Placental retention is seen in 2% of women post-delivery which accounts for around 10% of the maternal deaths worldwide. This is mostly seen in developing countries with inadequate access to medical services & lack of facility for management of emergency obstetrical cases.The conventional treatment method for retained placenta was always to be the manual removal of retained placenta (MROP) till the present. Out of many complications of MROP, the major complications were severe postpartum hemorrhage, puerperal sepsis, perforations of uterus and uterine inversion.Placenta is said to be retained if it is not able to deliver spontaneously even after 30 min of the birth of the baby. There are so many traditional methods like the use of syntocinon, umbilical injection of oxytocin, use of relaxants like nitroglycerine, controlled cord traction (CCT), massaging of uterus and acupuncture are there but have no substantial evidence of hundred percent effectiveness.  There is a lack of consensus on the optimal strategy to manage MROP and reduce maternal mortality and morbidity. Additionally MROP is also not complication-free which can be solely trusted as a single management strategy. Henceforth in a Hospital at Berlin, a new technique has developed by using an existing concept of operation of the windmill for the delivery of retained placenta, which was found out to be effective for now. This technique follows the theory of vector principle for application. For this paper, the researcher has also developed a conceptual model by using the concept of 3 number of theories named Engel’s biopsychosocial model, Jane Watson's theory of human caring& Pender's health promotion model

Deep Breathing Exercise and Quality of sleep: An Experimental study among Geriatrics

Rubi Pradhan, Suchismita Pahantasingh, Debashree Dey

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1477-1483

Background: Sleep is a necessary and vital biological function. It is required for a person’s physical and emotional wellbeing. Barring adequate rest, the brain's ability to function can quickly deteriorate. Aging is a lifelong process, which begins before we are born and continues throughout life. The main purpose of this study is to promote sleep among geriatrics as the sleep disturbance is more common and prevailing among the older age group.  Promotion of sleep aids in a better and healthier lifestyle by which most of the serious health consequences and imbalance can be avoided. Objectives:-the primary objective is to assess the level of sleep and finding the effect of deep breathing exercises on the quality of sleep. the secondary objective is to find out the association between quality of sleep with selected socio-demographic variables Methods:-This was a true experimental study, conducted among 60 geriatrics residing in Nirmal  Hriday, Under Missionaries of charity, Satya Nagar,  Bhubaneswar. Odisha. The samples were selected through simple random sampling and interviewed through a self-structured demographic Performa and Pittsburgh sleep quality index to assess the quality of sleep. Result:-the result shows that the geriatrics who received the intervention show the level of sleep quality is enhanced compared to routine care without exercise. It shows that deep breathing exercises were very much effect on the quality of sleep for geriatrics.

Progressive muscle relaxation therapy on anxiety among hospitalized cancer patients

Jhunilata Pradhan, Rubi Pradhan, Krishna kumari Samantaray, Suchismita Pahantasingh

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1485-1488

Objective- To evaluate the effect of “progressive muscle relaxation therapy” on the level of anxiety among hospitalized cancer patients. Methods- An quantitative true experimental study was conducted among the cancer patient admitted in the hospital.  Non-probability purposive sampling was used to select 50 samples in two groups as a control and treatment group with 25 samples in each group. Pre-test of anxiety was assessed in each group by using a standardized Generalised Anxiety Disorder Questionnaire. The treatment group received progressive muscle relaxation therapy for 15 days where the control group was given the conservative treatment. Again post-test of anxiety was done from each group by using the same tool. The result-  It was observed that there was an extremely statistical significance in the level of anxiety in the treatment group and no statistical significance in the level of anxiety in the control group. It also revealed that the level of anxiety showed a significant association with education and occupation. Conclusion- This study concluded that progressive muscle relaxation therapy can be used as an alternative tool to reduce the anxiety level among cancer patients.

Animated cartoon video on the behavioral response to pain perception: children undergoing surgical dressing

Suchismita Pahantasingh, Jhunilata Pradhan, Madhusmita Swain, Tapaswini Das

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1489-1493

Objectives: To find out the effect of “animated cartoon” on behavioral response to pain perception among children undergoing surgery. Methods: A quantitative research approach with a quasi-experimental design was used to conduct the current study. 60 numbers of samples were selected by purposive sampling technique (30 in each interventional and control group) ages 3-6 years of children undergoing surgical dressing, admitted in the surgical unit of IMS and SUM Hospital, Bhubaneswar. During the surgical dressing “Animated cartoon” video was played and shown to the experimental group. The behavioral response to pain perception was measured by the “FLACC” behavioral pain assessment tool. Result: As per the statistical analysis in the experimental group 46.6% of the samples were having a moderate level of pain whereas in the control group 53.3% of samples were having moderate pain.  The mean and standard deviation of the score of behavioral response to pain perception in the interventional and control group were 2.83 ±1.36 and 1.7 ± 1.9 at p>0.0001 respectively. The inferential statistics t-test analysis showed that animated video cartoons can be an effective diversion method for reducing pain. Conclusion: Animated cartoon video is an effective method of pain reduction among children undergoing surgery.

Assessment of Knowledge And Attitude on Temporary Contraceptive Methods Among Reproductive Age Group Women

Krishna Kumari Samantaray, Ronali Purohit, Somashree Das, Shrabani Pradhan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1494-1499

Objectives: To find out the knowledge, attitude and relationship towards temporary contraceptive methods among reproductive age group women. Methods: A co--relational research design with a quantitative research approach was used to conduct the current study. The study was conducted at Khurda, Odisha. For this study 100 samples were selected by randomization. After getting approval from the ethical committee, written formal consent was taken from each participant. The purposes and objectives were explained and the data were collected. The tool used for data collection was socio-demographic Performa, a self-structured knowledge assessment questionnaire and a self-structured 3point Likert’s attitude scale. Result: As per the statistical analysis, most of the reproductive age group women were having average knowledge (53%), (24%) good Knowledge and (23%) poor knowledge and result on attitude shows that most of the women (72%) were having a positive attitude and (28%) were having a negative attitude. From the co-relational statistical analysis between knowledge and attitude it was found a positive co-relationship as R-value was 0.55 which revealed as the knowledge increases attitude will be more positive. Conclusion: There is a positive relationship between knowledge and attitude among reproductive age group women towards temporary contraceptive methods.

EVALUATING THE EFFECTIVENESS OF ANTIPLATELET THERAPY OF THE PATIENTS WITH KIDNEY DISEASE

Nodir N. Sultonov, Maksud O. Sabirov, Mahsuma H. Tashpulatova, Lola I. Maksudova

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1500-1505

The study has evaluated the effectiveness of antiplatelet therapy of the patients with chronic kidney disease. The patients were divided into two groups when treating the disease, the first group was given allthrombosepin as antiplatelet therapy, and the second group was given dipyridamole. The research work was monitored for 10 days, during which the amount of urea in the blood was 9.6% compared to healthy people and a decrease in the amount of creatinine to 7.52%. Aggregation of thrombocytes was observed in the first group by 10.23% and 9.6% was in the second group. As can be seen from the results obtained, it has been proved that dipyridamole did not lag behind in effectiveness, which was taken from the factory as an antiplatelet therapy and was used with the locally developed allthrombosepin, as a traditional treatment, while treating chronic kidney disease (CKD).

Serum Osteoinductive Factor as potential Marker of Nephropathy in Type 1 Diabetes Mellitus

Mohamed Fouad A. Ayoub, Mohamed Abdelaziz Gendia, Ahmed Anwar Shahin, Tamer Abdel Tawab Hasan, Ahmed Abdallah Mohamed Kadoos, Nevin Sherif Ali

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1506-1514

Background: The association among serum osteoinductive factor (OIF) and diabetic nephropathy (DN) and its possible usage as a diagnostic marker for DN should be investigated. Subjects and methods: This study included a total of 60 type 1 diabetic patients divided to normoalbuminuria, microalbuminuria and macroalbuminuria groups , each group contained 20 patients in addition to 20 healthy control subjects. ELISA has examined serum OIF levels and checked other clinical biochemical parameters on the basis of standard methods. Results: The concentration of OIF in microalbuminuric and macroalbuminuric patients was substantially higher than in normoalbuminuric patients and control groups. The study showed significant positive correlation between serum OIF, DM duration, Creatinine and UACR but significantly negative correlated with eGFR and onset of diabetes. Conclusion: Our results indicated that OIF was demonstrated in early stages of DN in T1DM even before appearance of     microalbuminuria and increased with progression   of diabetic nephropathy. So OIF can be used as a biomarker for detection of DN in T1DM in microalbuminuric patients.

SPECIALIZED TRAINING ACCORDING to BASKETBALL PLAYERS' POSITIONS and its EFFECT on COMPETITIVE BEHAVIOR and TACTICAL PERFORMANCE

Taghread Ahmed Elsayed Ahmed, Ghada Mohamed Youssef Elsayed, Nour Taha Ebrahem Housen, Heba Abdelazim Hassan Ismail, Naglaa Ahmed Radwan Ahmed

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1515-1523

The aim of this research was to determine the impact of Specialized Training program according to Basketball players' positions on Tactical performance and competitive behavior in junior basketball Players. To achieve the purpose of these study 60 junior female basketball players were selected from Sports Academy for Basketball in Zagazig-Egypt under 16 years of age (age: 14.65 ± 0.48 years; body height: 161.40 ± 3.09 cm; body mass: 57.38 ± 3.68 kg; training age: 1.43 ± 0.55 years). They were divided into two equal groups, namely Specialized training group according to playing positions (guard, forward, center), (STP) group and Control group (CON).  Competitive behavior and Tactical Skills Scales were administered for collecting the data from the subjects, the total duration of specialized training program was 8 weeks. After 8 weeks of training period, data was collected on tactical performance and competitive behavior for both groups. The collected data was statistically analyzed by using “t” test to find out the difference between the two groups (STP) and (CON). Based on the results it was concluded that the STP group was significantly improved in tactical performance and competitive behavior more than (CON) group. The findings from this study supported the use of specialized training according to Basketball players' positions on training junior basketball players to improve thier tactical performance and competitive behavior.

CHEMICAL PLEURODESISFOR RECURRENT SYMPTOMATIC MALIGNANT PLEURAL EFFUSION VIA PIGTAIL CATHETER VERSUS CHEST TUBE

Waleed Adel, Tarek Mohsen, Ahmed M. Elwakeel, Mina Wahba, Mohamed H. Abdallah, Nagwan Ibrahim, Omar Dawoud

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1533-1538

Objectives: -Compare between pigtail catheter (12 Fr) and chest tube (28 Fr) in management of recurrent symptomatic malignant pleural effusion in patients who underwent chemical pleurodesis regarding 30-days effusion control rate, pain during insertion and pleurodesis and complication rate. Methods: -172 patients with recurrent symptomatic malignant pleural effusion included in this study were randomly distributed between two groups then underwent chemical pleurodesis by bleomycin then followed up after 30 days. Age, sex distribution and primary pathology were incomparable between the two groups. Results: -Group (1) experienced pain score measured by Visual Analogue Scale for Pain (VAS) during insertion 1.67 ± 0.72 while Group (2) had mean 3.82 ± 1.69 with (p value < 0.001), while pain during pleurodesis in Group (1) was 3.69 ± 0.78 while in Group (2) was 3.91 ± 1.16 with p value = 0.13,Recurrence during 30 days were 30.09 % in Group (1) and 37.68% in Group (2). Conclusions: -Chemical pleurodesis for recurrent symptomatic malignant pleural effusion by bleomycin via pigtail catheter in comparison to chest tube showed superior 30-day effusion control rate with less pain during insertion and pleurodesis with less complications apart from blockage

EFFECT of TRANSCUTANEOUS VERSUS PERCUTANEOUS TIBI AL NERVE STIMULATION on OVERACTIVE BLADDER in POSTMENOPAUSAL WOMEN

Khaled Sayed Ahmed, Salwa Mostafa El Badry, Abeer Mohamed ElDeeb, Mohamed Ramadan Rehan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1539-1548

Background and Purpose: Comparing transcutaneous effects versus percutaneous tibial nerve stimulation on overactive bladder in postmenopausal women. Subjects and Methods: It was a randomized controlled trial. 60 postmenopausal women with overactive bladder, age were55-65years, divided to3 groups. Control received medical drugs in the form of selective anti Muscarinic drugs (10mg) once daily for 12 weeks. Transcutaneous tibial nerve stimulation (TTNS) group received the same medical treatment and TTNS, 3 sessions/week for 12 weeks. Percutaneous tibial nerve stimulation (PTNS) group received the same medical treatment and PTNS, 3 sessions/week for 12 weeks. Urodynamic investigation system was used to assess volumes in first desire for void and maximum bladder capacities (MBC) and overactive bladder questionnaire short form use for assessment the bladder severity symptoms and health related quality of life (HRQoL). Results Statistical analysis showed that the volume at first desire to void, MBC, and HRQoL significantly increased (P=0.0001) in all groups post treatment, while bladder severity symptoms significantly reduced (p=0.0001) in all groups after treatment. Also, Significantly differences among the control and TTNS in favor of TTNS (p= 0.0001), as well as between the control group and PTNS group in favor of PTNS (p= 0.0001) in all variables. However, no significantly differ (P>0.05) among TTNS group and PTNS group after treatment in all variables. Conclusions: TTNS is as effective as PTNS in decreasing bladder severity symptoms and improving HRQoL in postmenopausal women with overactive bladder.
 

A Systematic Review of Factors Influencing the Adoption of Conventional and Islamic Syndicated Bank Financing

Aida Noraini Manap, Rusni Hassan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1549-1568

Syndicated loan adoption has become a significant research area since its evolution in the 1960s. The objective of this paper is to review the factors influencing the adoption of syndicated bank financing between 1984 and 2019. Library research is applied since this paper relies on secondary data by thoroughly reviewing the most relevant literature. The research began with the progressive collection and retrieval of approximately 700 papers published within a thirty-four-year period from 1984 until 2019. The collection and selection process took place within the time span of over two and a half years, from November 2016 until May 2019. The findings of the systematic review revealed that SL adoption was driven by 4 primary intertwined factors which were thematically classified as bank liquidity supply, firm information disclosure, relationship banking and loan characteristics. All these variables were used to predict ISF usage. The study also employed the phenomenology method, as there was much that remained unexplained by the limited availability of the secondary data about ISF. The majority of the recent research on syndicated loans have revealed that bank liquidity supply, firm information disclosure, relationship banking and loan features, influence the banks’ participation in a syndicated loan, which in turn ensures a successful issuance. It can, therefore, be concluded that the understanding of factors influencing the banks’ participation in ISF remains an unexplored phenomenon, either globally or in Malaysia, which serves as a fertile area for academic research. Thus, there is a critical need to undertake research on this topic so the knowledge gaps can be addressed, and a contribution to the industry through practical recommendations of approaches and strategies can be made.

A study on the effectiveness of Semester System at Undergraduate Degree level with special reference to the colleges of Sonitpur District under Gauhati University

ABINASH NEOG

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1569-1575

Semester system is an arrangement of education, in which each academic year is divided into two parts of about six months for each semester. Literally the term ‘Semester’ implies six month of period. At present almost all the Universities of India have adopted the semester system as a progressive measure in undergraduate and post-graduate level of education in place of annual system of education. In Assam also the undergraduate colleges have also introduced this semester system of education, which has been welcomed in a positive manner by most of the experts, educationists, academicians, teachers and students. However, many questions may arise regarding the effectiveness of semester system in comparison to annual system of education. It becomes very important to examine whether the semester system at undergraduate degree level is the best alternative of annual system. It is therefore through this paper an attempt has been taken to study the effectiveness of Semester System at Undergraduate Degree level of education. The methodology used in the study was descriptive survey method. Data were collected through a questionnaire and through interview, administered to a sample of 150 undergraduate college students of Sonitpur district. The study reveals that to ensuring the effectiveness of semester system is still a big challenge for the universities.

Effectiveness of Tea Tree Oil and Chlorhexidine as Mouth Rinse in the Control of Dental Plaque and Chronic Gingivitis – A Comparative Study.

Dr. Veera Reddy, Dr. Darshana Bennadi, Dr. Satish G, Dr. Divya, Dr. Guruprasad, Dr. C.V.K. Reddy

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1576-1582

Objective: Increasing prevalence of periodontitis makes it one of the most important problems in public health. Microbial plaque is one the causative factor for gingival and periodontal diseases. The problem associated with side effects of chemical aids, stimulated the search for alternative antiplaque, antigingivitis agents. Hence study done with aim to compare the efficacy of mouth rinses containing Tea Tree Oil (TTO) and Chlorhexidine (CHX) in reduction of existing plaque and gingivitis. Method: A triple blind randomized control study was conducted among 12-15yr old participants having moderate –severe type of gingivitis. Participants were randomly divided in to three groups i.e., Chlorhexidine, Tea Tree Oil and Placebo groups with 30 participants in each making total sample of 90. Baseline data of gingival status of each participant was collected using plaque and gingival index. Later participants were given 10ml of TTO, CHX and placebo mouth-rinse daily for 15 days. Effect of mouth rinses were assessed on 7th day and 15th day of study period respectively.  Results:  In both, the TTO and Chlorhexidine group, there was significant reduction in plaque and gingival scores from baseline to 15th day, but there was no statistical significant difference between these groups. Conclusion: Our study suggests that, mouth rinse with the TTO has similar effect as Chlorhexidine in reduction of plaque and gingival scores. Hence, the TTO being a natural product and cost effective can be recommended as mouthrinse.

Effect of Maternal Hypothyroidism During Gestation and Lactation in Female Rats on Thyroidal and Testicular Functions of Their Male Offspring at Puberty

Sarah J. S. , Jassim M. A. Alkalby

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1583-1592

Maternal hypothyroidism, is a deficiency of the transfer of thyroid hormones from the mother to the fetus. This study was designed to investigate the effect of induced hypothyroidism in female rats during gestation (G), lactation (L) and gestation and lactation (G+L) on thyroid and testicular functions of their male offspring at puberty. The hypothyroidism state was induced by administration of propylthiouracil (PTU) (0.2) mg/kg b.w/day orally to three pregnant female rats’ groups during different physiological state as follows:  gestational group (treated from day 6 till parturition), lactational group ( treated from parturition till weaning) and gestational and lactational (treated from day 6 of parturition till weaning), in addition, to pregnant  control group which received distilled water (D.W) only. All offspring were weaned at 30 days age and six male offspring of each group were chosen randomly and left without treatment until puberty (60 days) postnatal. Blood samples were collected to the measurement of serum level of some hormones including thyroid stimulating hormone (TSH), thyroxin (T4), triidothyronine (T3), testosterone (T), luteinizing hormone (LH), and follicle-stimulating hormone (FSH). Thyroid glands and testes were removed for histopathology study. The results of hormonal analysis revealed a significant (P≤0.05) increase of TSH concentration in G and L groups and a significant (P≤0.05) decrease of T4 in all treatment groups while a significant decrease in T3 was recorded in the G group compared with the control group. Histopathological results showed histological changes in both thyroid glands and testes in G, L, and G+L groups. The present study concluded that the different maternal hypothyroidism periods have a nearly different impacts on offspring male rat, where the G group was the most affected than others. 

THICKENING THE POLYMER COMPOSITIONS FOR FILLING COTTON FABRIC

Ibragimova Feruza, Amonov Mukhtar, Eshonkulova Dildora, Niyozov Alisher

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1593-1598

This article discusses the development of new and improved traditional methods for obtaining thickening components for packing. It was found that the introduction of polymers such as Na – CMC and sericin into the thickener of printing inks-modified starch leads to the formation of a film with increased elasticity and fluidity. It was determined that the results obtained by the recommended composition are almost close to alginate thickeners in terms of the stability of colours to wet treatments, their intensity, strength to friction and stiffness of the printed fabric, but in almost all indicators they are superior to thickeners based on modified starch. The expediency of using printing inks based on such thickeners is due to the exclusion of interaction of chromophore anions of the dye with functional groups of polymers, the presence of an alkaline agent in the composition that serves as a thickening activator and creates a medium for the formation of a covalent bond between the dye and the fibre. It was found that printed cotton fabric with active dyes based on starch thickener does not sufficiently provide resistance to dry friction (2 points) and gives the printed fabric increased stiffness (6.7 times). To eliminate these shortcomings, in addition to modified starch and CMC, a sericin solution was introduced into the composition of the recommended printing composition, while the hardness index (2.7-6.7 times) is almost reduced to the level of the alginate thickener (1.8 times), (changes in the range of 0.2-1.1). If the quantitative ratio of the components that make up the composition is observed, the fabric stiffness is reduced, bright and durable colours are obtained, and the degree of fixation of active dyes is up to 95-96%. It was determined that the value of the amount of desorbed active dye in the process of intensive washing of printed fabric mainly depends on the number of components of Na-CMC and sericin that are part of the composition. Due to the use of the developed composition as a thickener of printing inks, it is possible to reduce the consumption and cost of chemical materials and increase environmental safety when working with textile and finishing enterprises.

IMPROVEMENT OF WASTEWATER TREATMENT SORPTION-COAGULATION-FLOCCULATION METHOD

Umurov F. F., Hayrullayev Ch. K., Amonova M. M., Sultanova D.B.

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1599-1604

We studied the treatment of wastewater from silk-winding production using traditional (activated carbon grades AU-e) and alternative sorbents (kaolin and bentonite in a combined method with the simultaneous involvement of coagulants FeCl3×6H2O, Al2(SO4)3×18H2O).
It was found that the best option among the reagents considered is to use FeCl3 × 6H2O and Al2(SO4)3 × 18H2O as a coagulant, and kaolin and bentonite as a sorbent in concentrations of 0.75 mg/l, 0.5 mg/l, 2.0 g/l and 2.0 g/l, respectively.

Usage of Social Media among Undergraduate University Students

Siddhartha S, Abdul Habeeb Adil, Mushir Mulla, Munaz Mulla, Fazlur Rahman Sayed, Kunwar Suhrab singh, Suchismita Tripathi, Sowmya R, Sumaiya Zabin Eusufzai

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1605-1617

Social media is being used in various forms by many different platforms for numerous reasons. Many people define social media as applications on their smartphones, tablets or computers. It is a tool that is becoming quite popular these days because of its user-friendly features. It has become an integral part of the lives of people of all ages around the world as it enables people to communicate easily and across distances. In today's world, it is undeniable that social media plays an important role in impacting our culture, our economy and our overall view of the world. Social media has removed communication barriers and created decentralized communication channel and open the door for all to have a voice and participate in a democratic fashion including people in repressive countries.The adverse effects of these social networking sites outweigh the positive ones. Thus, these sites have caused potential harm to society. Students become victims of social networks more often than anyone else. This may be because social media is an attractive way for students to avoid boredom while they are studying or searching their course material online, diverting their attention from their work. Social media platforms have also been criticized for revealing and feeling negativity which has a net-negative effect on students. The study reveals that majority of university students use different types of social media platforms. And greater number of students agree that there are equal pros and cons of using social media networks and felt that it has effect in their studies. Based on the proverb “Too Much Anything is Good for Nothing”, social media usage must be utilized in proper and rightful manner when needed. This study concludes that during this modern era it’s not possible to restrict an individual on using social media networks, as it helps to develop them in all aspects to flourish in their life.

Exploring Passengers’ Attitudes and Loyalty in Jabodetabek Paratransit During Covid-19 Pandemic

Nasrullah Nasrullah, Suliyanto, Nur Choirul Afif, M. Elfan Kaukab

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1618-1627

Paratransit is public transportation without a fixed route and schedule. Taxi bikes, taxis, and pedicabs are kinds of paratransit. Online paratransit reflects public’s lenience and choice of non-mass transportations. The covid-19 pandemic has limited the paratransit choices that increase contact with other people. This paper aims to explore the factors influencing the paratransit passengers’ loyalty in Jabodetabek. Four factors are proposed, namely affection, cognition, frequency, and subjective norm. This research employs a linear regression in 107 paratransit users. The results reveal that the affective factor influences loyalty. On the other hand, cognition is weakly significant. Subjective norm and frequency do not significantly influence the paratransit passengers’ loyalty.

Clinical Significance Of Hyoid BoneReview Article

Chandrakala B,Govindarajan Sumathy , Bhaskaran Sathyapriya*KouserTaj. A , Simrita Sri K Jagthap

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1628-1632

The hyoid bone is a horseshoe-shaped bone situated in the anterior midline of the neck between the chin and the thyroid cartilage. At rest, it lies at the level of the base of the mandible in the front and the third cervical vertebra (C3) behind. The hyoid bone is a unique structure in the human body for many reasons. The hyoid bone is the only bone in humans that does not articulate with any other bone, but only has muscular, ligamentous, and cartilaginous attachments. Together with its attached muscles, the hyoid bone has number of physiological functions, including breathing, swallowing and speech and other two important functions: it holds up the tongue, which sits above it, and it holds up the larynx, which hangs below it by bracing these structures alongside each other in order to produce variation. In general consideration of cervicofacial skeleton, the hyoid bone tends to be disparaged or is given scant attention. The hyoid bone provides protection to these organs, it can be fractured if exposed to excessive forces. Typically, a broken hyoid result from forced strangulation (i.e. choking). The position of the hyoid bones one of the important considerations for obstructive sleep apnoea because it anchors the musculature of the tongue in keeping the airway patent.

Comparison Of Oral Health-Related Awareness Among Dental Students And Students Of Other Disciplines – Survey Article

Bhaskaran Sathyapriya , Chandrakala B , Govindarajan Sumathy* Naga Nandhini I.R.B , Aishvarya.L

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1633-1642

Oral health is a key indicator of overall health, well-being and quality of life. Awareness related to dental health is important to maintain optimum oral hygiene. The aim of the present study was to compare the oral health-related awareness among dental students and students of other disciplines. The survey comprised 20 questions which were asked using a web-based anonymous questionnaire. A total of 370 students (218 dental students and 152 students of other disciplines) were estimated for research. Dental students constitute a higher awareness of self-reliant oral hygiene than the students of other disciplines.

Congenital Anomalies Associated With Syndromic And Non-Syndromic Cleft Lip And Palate – Review Article

Govindarajan Sumathy , Bhaskaran Sathyapriya , Chandrakala B* , DeepikaS ,Charumathi R

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1643-1648

Cleft lip and palate are congenital abnormalities that affect the upper lip and roof of the mouth in the craniofacial region . It is the most common genetic disorder affecting children with variable phenotype. Some babies have only a cleft lip and many have cleft palate as well. The aim of this review is to make the point in literature knowledge about cleft lip and palate their anomalies and treatment. There are a lot of phenotypes and environmental factors causing this malformation, which differ according to the anatomical structures involved. Cleft Lip and Palate can be classified as syndromic and non-syndromic, respectively. Both forms of Cleft Lip and Palate are characterized by a strong genetic component , which can be treated surgically. Both forms of cleft lip and palate are characterized by a strong genetic component.

Dentistry Meets Artistry - Facial Aesthetics

Bhaskaran Sathyapriya, Chandrakala B , Govindarajan Sumathy* A. Kouser Taj , Simrita Sri K Jagthap , Khushboo R., Archana Jose

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1649-1652

Cosmetic facial treatments are a rapidly developing area of clinical practice with increasing numbers of GDPs providing facial aesthetic treatments. As their popularity grows, more patients are now undertaking such procedures. Aesthetic dentistry has an absolute boom over the last 30 years when it comes to such innovative techniques as teeth whitening and minimally invasive veneers. Treatment planning according to facial structure and dental configuration helps to improve aesthetics’ function and its harmony. The main concept of aesthetics in dentistry is to make any damaged dentition look naturally beautiful. This article reviews that it is necessary for dentists to have professional knowledge about facial aesthetics.

A Study On Hypophysis Cerebri In Slender Loris

S.Nirmala, E. Prithiviraj , G. Sumathy* , R. Muthusamy

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1653-1658

Introuction: The slender Loris is a unique tiny arboreal, nocturnal primate. Steady declining of the species they are enlisted under endangered species. Many the histological studies are available pertaining to Hypophysis Cerebri of slender Loris, but histomorphometry have been poorly studied. Hence this study is carry out the histo-mophometic analysis and the anatomical aspects of Hypophysis Cerebri in slender Loris. Materials and Methods: The ten perfused brain of slender loris were embedded incelloidin and serial sections were prepared in sagittal planes at 50 micron thickness. They were stained incresyl fast violet and observed to study the histology. The surface area of pars distalis, pars intermedia, pars tuberalis, pars nervosa were calculated using histo-morphometric technique. Results and discussion: The average weights of pars distalis, pars intermedia pars tubularis and pars nervosa in slender Loris are 71 per cent, 2 per cent, 8 per cent, and 19 per cent respectively. Interestingly this data could be concomitant with data of cat those are in similar nocturnal behavior. Nocturnal behavior of this animal may have affected melanocyte production that might have resulted in pars intermedia be 3 % of the gland. As evidenced by histo-morphoetry and weight the manifestation of pars tubertalis could be depends upon photoperiodicity and animal behavior. Conclusion, In conclusion, the nature of pars intermedia and pars tuberalis could be depends upon photoperiodicity and adaptive behavior of the animal. This work recapitulates the research on neruo-anatomical aspects in this rare and forgotten species. Moreover this preliminary work might provide the opportunity to comprehend the comparative anatomy.

Oral Hygiene Affects A Persons Overall Health

Chandrakala B, Govindarajan Sumathy, Bhaskaran Sathyapriya* Nimiisha V.,Niranjani.S

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1659-1663

What is oral hygiene? Oral hygiene is a basic necessity of a person to take good care of the oral cavity by practicing healthy habits such as brushing, flossing and etc. Lack of these practices might lead to complications, studies say, avoiding flossing results in 40 percentage of oral cavity being unclean and even worse conditions. Neglecting oral hygiene not only cause oral complications but might also affect the overall health directly and indirectly, for example, Studies recommend that oral bacteria and the redness connected with a rigorous type of gum disease might play a role in some diseases and certain diseases, such as diabetes and HIV/AIDS, can worse the body's fight to infection, making oral health problems more rigorous. This article will summarize the importance of the need to take good care of the oral cavity and will also highlight the overall health issues the oral problems might cause.
 

Comparative Study on Second Year Syndrome among Medical, Dental and Paramedical Students

Govindarajan Sumathy, Bhaskaran Sathyapriya, Chandrakala B* M S Shruthi , Vasundara C

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1664-1673

Second year syndrome otherwise called as Medical students' disease is a condition often reported in medical students who often perceive themselves to be experiencing the symptoms of the disease that they are studying. A study is done through a survey to assess the presence and awareness of the disease in students studying in dental, medical and paramedical courses. The main aim of the study is to create awareness among students about Second year syndrome(11).

An Anatomical Study Of Situs Inversus Totalis

S.Nirmala, E. Prithiviraj , G. Sumathy* , B.Chezhian

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1674-1677

Situs inversus is a short form of Latin phrase “situsinversusviscerum” which means transposition of internal organs from its normal anatomical position. Usually the anomaly results from mechanical disturbance during the rotation of the gut during its development and when it is associated with dextrocardia, it is termed as Situs InversusTotalis.
The routine dissection revealed heart in the right side (dextrocardia), stomach was on right side, the liver in the left side .left lobe of liver was bigger than the right. The gall bladder was present on the visceral surface of the left lobe of liver, duodenum on left side, pancreas and spleen were on the right side. We hereby report a rare case of situsinversustotalis as clinicians may be aware and give due importance of any case of right sided chest pain and conduct proper investigations to diagnose such rare anomalies.
 

Dyslipidemia In Chronic Periodontitis With And Without Type 2 Diabetes– A Cross Sectional Study.

Mathangi Ramalingam, Anil kumar, Yaongamphi Vashum, Thiagarajan Krishnamoorthy Jayamathi Govindarajan, Dhivya Darshani. , Shila Samuel

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1678-1687

Objective: The present study was conducted to assess the dyslipidemic status in periodontitis with or without type 2 diabetes.
Materials and Methods: This study is designed as hospital  based cross sectional study.100 chronic periodontitis participants were included in this study. 50 were systemically healthy and 50 participants were type 2 diabetics. Demographic variables, clinical parameters of periodontal health, glycemic control and serum lipid profile were assessed. Statistical expressions were made using Students T test and Chi square test.
Results: Dyslipidemia is evident in chronic periodontitis with Type2 diabetes and subjects with  chronic  periodontitis also showed aberrant serum lipid profile.
Conclusion: Dyslipidemia is the key risk factor for cardiovascular diseases .It is apparent that both chronic periodontitis and type2 diabetes predispose 

Review On Lysosomal Enzymes

Jayamathi Govindaraj, Keerthidaa Govindaraj , Kesavaram Padmavathy, Raghavendra Jayesh, Mathangi, Vidyarekha U

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1688-1692

Cells maintain their homeostasis through continuous synthesis and degradation of their components. Impairment in the balance within such cycles can be responsible for the pathogenesis of various human diseases. One major site for intracellular degradation is the lysosome.  Lysosomes are spherical, membrane bound organelles that are generated by the golgi apparatus. They contain hydrolytic enzymes, and so function as part of the recycling system of the cell. This review focuses on our present knowledge on, formation, functions, and list of hydrolases of lysosomes.

Proanthocyanidins (PC) - A Novel Approach

Jayamathi Govindaraj*, Keerthidaa Govindaraj, , Kesavaram Padmavathy Raghavendra Jayesh, Vidyarekha U

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1693-1697

An ever increasing number of pharmacological effects have become known through the discovery of new plant flavonoid with variations in chemical structure and related derivatives. A new group of phytochemicals that has been attracting much attention from both the general public and health professionals is a novel drug proanthocyanidins. This review emphasize  various properties of proanthocyanidin , pertaining to various diseases of proanthocyanidins.

Knowledge On Oral Hygiene Practices And Assessment Of Oral Health Status Among Transgender Community Residing In Chennai Metropoliton City – A Descriptive Cross-Sectional Study

B.Krishna Prasanth, Krishnan Mahalakshmi, R.Umadevi , S.Kalpana, V.M.Anantha Eashwar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1698-1704

Background:  Increasing the knowledge and demystifying sexual minority issues can enhance the confidence and attitudes of health care workers when treating transgender population. Impartial service delivery, health promotion and “doing good” are essential attributes of care for all populations. It is widely accepted that oral health plays an important role in overall health. The aim of this study was to assess the oral health knowledge, community periodontal index of treatment needs (CPITN) and to find out the association between OHI-S index and age of the study participants.
 
Methods:
This was a descriptive cross-sectional study done among 75 transgenders residing in an urban area of Kancheepuram district. Purposive sampling method and snowball sampling was followed to recruit the study participants.  The knowledge of oral hygiene practices was assessed by a pretested semi-structured questionnaire. Community periodontal index of treatment needs CPITN Index was used to assess the periodontal status of the study participants and OHI-S index was used to assess the Chennaioral hygiene status. The data was entered in MS Excel and analyzed using SPSS version 21.
 
Results
In this study, 57% of them cleaned their teeth once in a day, 83% used toothpaste with brush and more than 40% of them were ignorant of bleeding gums and preventive measures. Around 
22% of them had calculus and 32% of them had less than 5 pockets. There was a statistically significant association between age and oral hygiene status of the individuals.
 
Conclusions
Oral health status was very poor, and oral health knowledge, among transgender population was inadequate. These findings may help us to promote the oral health education and establish a model for dentists to work for improving oral health.

Porphyromonasgingivalis And Oral Squamous Cell Carcinoma- A Mini Review

Prasada Rao Namburi, Krishnan Mahalakshmi Prasada Rao Namburi

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1705-1708

Oral squamous cell carcinoma (OSCC) is the common malignant tumor in the oral cavity causing morbidity & mortality. Many types of tumors are found to develop due to chronic inflammation. Periodontitis and the bacteria colonizing the periodontal tissue may be associated with progression of tumors. Studies have reported the increase of anaerobic bacteria on the lesions of OSCC. Among various anaerobes, Porphyromonas gingivalis is one of the most important types of microorganism in the oral cavity present in both healthy and non-healthy individuals and it is involved in causing periodontitis. Chronic periodontitis may thus lead to the development of oral squamous cell carcinoma. This article reviews the literature on the association between P.gingivalis and Oral squamous cell carcinoma and the pathogenesis mechanism.

Effects Of Covid 19 On Dentistry - A Review

Ajith Bose.S, Dr. T. Manigandan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1709-1714

People affected by coronavirus disease 2019 (COVID-19) out of proportion are also at high risk for oral diseases and experience oral health and oral health care inconsistencies at high rates. COVID-19 has led to reduced hours of dental practices or even closure except for emergency services. Dental care includes aerosol releasing procedures that may increase the transmission of virus. This pandemic offers a chance for the dental professionals to change towards procedures without much aerosol, preventive approaches to care and away from surgical interventions. Regular barrier changes to oral health care access during the pandemic could have a valid impact if maintained in the future.
 

Anemia And It’s Oral Manifestation

Dr. N. Anitha, P. Appadurai

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1715-1719

Oral cavity is the mirror of systemic health. Anemia is one such condition, which manifests itself in oral cavity. Anemic disorders such as Iron deficiency anemia, Plummer vinson syndrome, Sickle cell anemia, Thalassemia and Aplastic anemia affects oral cavity significantly. The common manifestation of anemia include pale mucosa, angular chelitis, glossitis, dysphagia, stomatitis etc. Mostly the manifestations are non-specific.

Covids Precautions In Dentistry – Review Article

Dr. Muthulingam Vivek, Dr. T. Lokeshwari

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1720-1722

The outbreak of COVID-19 has become a severe global acute respiratory pandemic around the world within a few months with an increasing number of infections and deaths. Covid-19 is a highly contagious and fatal disease. Almost everyone in this population are prone, and the incubation is 1-14 days. The clinical symptoms of COVID-19 are fever, dry cough and fatigue. It is the responsibility of the dental practitioner to fully understand the characteristics feature of COVID-19 and strictly implement the protective measures to reduce and control the risk of infection in dental procedures.
 

Sinus Lift

Dr. Shanmugam ., Dr. Shajitha Barvin

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1723-1731

For more than 30 years the maxillary sinus augmentation graft has been a mainstay of implant-directed maxillary reconstruction. The purpose of this article is to review the fundamentals of maxillary sinus reconstruction including anatomy and physiology of the sinus, indications for surgery, preoperative evaluation, surgical techniques, and management of complications. While there are some relative contraindications for the procedure, there are almost no absolute contraindications. With preparation, education, and experience, the maxillary sinus augmentation/elevation graft is a procedure that greatly benefits the patient, with a predictable outcome.  Sinus lift procedures are a commonly accepted method of bone augmentation in the lateral maxilla with clinically good results. Nevertheless the role of the Schneiderian membrane in the bone-reformation process is discussed controversially. Aim of this study was to prove the key role of the sinus membrane in bone reformation in vivo. 
 

Space Infection – Review Article

Dr. Wasim Ahamed, Dr. E.Sivaroobini

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1732-1735

Infections that are originating from dental pulp, jaw, bones, periodontium or surrounding tissues  close to it, can also spread commonly or regionally and involve potential spaces of head and neck. Tobacco usage, poor oral hygiene, sugar prosperous eating regimen leads to odontogenic space infection. Management includes surgical and antibiotic management.
 

Management Of Mandibular Fractures – Review Article

Dr. Vigildev Asir, Dr. Sri Rama Krishnan.J

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1736-1740

Mandible fractures account for a significant portion of maxillofacial injuries and the evaluation, diagnosis, and management of these fractures remain challenging despite improved imaging technology and fixation techniques. Understanding appropriate surgical management can prevent complications such as malocclusion, pain, and revision procedures. Depending on the type and location of the fractures, various open and closed surgical reduction techniques can be utilized.

Management Of Cyst – Review Article

Dr. Bala krishnan, Dr. Sudar vizhi.V

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1741-1743

Cystic lesions of the jaws are common pathologies of chronic swelling of the jaw in oral and maxillofacial region . Depending on the size of the cyst , its location and the patients age , several treatment options are available . 
                   

3D Printed Aligners, The Next Revolution.

Diana Ashok, Thulasi Ram, M S Kannan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1744-1746

Clear aligner therapy (CAT) has been gaining increased popularity in the recent years. With the advent of technology and with the help of Digital Orthodontic offices, the ease of managing and treating a patient’s malocclusion with CAT has led Orthodontist’s worldwide to accustom CAT in their practise. This paper will review the recent trends in CAT – 3D printed aligners.
 

A Review On Inter Proximal Enamel Reduction - An Adjunct In Orthodontics

Dr.Kalai Selvi. A, Dr. Amudha , Dr. M.S. Kannan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1747-1752

In orthodontics interproximal reduction is carried out in certain cases to create space for ideal tooth alignment during the course of  treatment and to give teeth a suitable shape whenever problems of shape or size require attention. This article reviews the indications and need for performing IPR in orthodontics.

A Review On Permanent Sixes Extractions In Orthodontics

Dr.Kalai Selvi. A, Dr.K. Gnana Shanmugham Dr. M.S. Kannan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1753-1759

Orthodontic cases involving the extraction of first permanent molars are usually technique sensitive and difficult to treat. Molars are seldom teeth of choice for extraction for orthodontic purpose because even when they are removed at the optimal time the contact relationship between second premolar and the 2nd molar is rarely ideal that even a good result is in some way a compromise. So in many cases that would benefit from sixes extraction, because of the doubtful long-term prognosis s are treated with the extraction of healthy premolars. Sothe aim of this article is to discuss a rationale for extraction of first molars and to highlight some of the problems which are faced by orthodontists in such cases and some of the solutions to overcome this problem.

An Overview On The Effect Of Occlusal Splint Therapy On Muscle Function

Dr. Niha Naveed, Dr. Kannan Sabapathy

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1760-1762

For many years, occlusal splint therapy has been used for the diagnosis and treatment of various masticatory system and temporomandibular joint disorders. Oral parafunction, unstable occlusion, symptoms of stress-related pain, occlusal interferences and extensive restorative treatment are the most common conditions requiring occlusal splint therapy. The aim of this article is to introduce the basic physiology of occlusal splint therapy for the treatment of temporomandibular disorder (TMD), bruxism, and certain forms of headache.

Anchorage Control In Lingual Orthodontics – A Review

Dr. Sowmya Mohan Kumar, Dr. Saravanan, Dr. M S Kannan,

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1763-1766

This review article discusses about anchorage in lingual orthodontics, the techniques for preserving anchorage with their corresponding biomechanical aspect. When compared to labial orthodontics, molar elongation ( which is the most common adverse effect noted in cases of labial orthodontics) is minimized. Though maintaining anchorage in both labial and lingual orthodontics is difficult, there are several ways by which the undesired movements can be minimized.

Deep Bite- An Overview

Dr. G.NidhyaVarshini, Dr. padmavathy, Dr. M.S. Kannan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1767-1771

Deepbite is one of the commonly encountered vertical discrepancy.  When there is an excessive overbite, the patient is said to have andeepbite. As with many of the orthodontic problems, deepbite can also be skeletal or dental. It is important for us to diagnose a deep bite case properly and plan treatment accordingly.

Botox To Treat Gummy Smile

Diana Ashok, GnanaShanmugam, M.S.Kannan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1772-1775

Excessive display of gums on smiling, is not aesthetically appealing. Gummy smile may be due to various reasons ranging from vertical maxillary excess (skeletal) to hyperactive upper lip (soft tissue) Surgical interventions of soft tissues or the hard tissues can be done to correct the gummy smile, but the stability of such interventions are questionable. An alternative treatment strategy with Botox injections is discussed in this paper.

Infrazygomatic Crest Screws In Orthodontics

Dr. G.Nidhya Varshini, Dr. MANOJ, Dr. M.S Kannan,

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1776-1779

Usage of TADs have revolutionized orthodontic treatment modalities. Borderline surgical cases have been converted to non- surgical treatment. Infra zygomatic crest implants have overcome the disadvantages of inter radicular implants and have extended the boundaries of non- surgical orthodontic treatment. In this article, we have reviewed the IZC implants, their applications and complications.

Magnets In Orthodontics- A Review

Dr. Subhiksha K C, Dr. B Saravanan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1780-1787

Magnets have generated great interest in dentistry. They were used as retention devices in dentures and now have been extended in the use of orthodontic treatment. Though the size of the magnet was a drawback previously the introduction of rare earth magnets have made their use in orthodontics easier and simpler. This review discusses the uses of magnets in orthodontics.

Methods Of Surgical Exposure Of Impacted Canine – A Review

Dr. Sowmya Mohan Kumar, Dr. Gnanashanmugam , Dr. M S Kannan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1788-1790

Impacted tooth is the one which fails to erupt and will not attain its anatomical position beyond the chronological eruption date even after its root completion. Canines play an important role in functional occlusion and for the foundation of an esthetic smile. As such, any factors that interfere with the normal development of canines and their eruption can have serious complications. This review article discusses about the techniques that can be used in guiding the direction or altering the direction of impacted canines to bring them into occlusion.

Mini Implants In Orthodontics- A Review

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1791-1795

In this article we will discuss about the advancement of implants in orthodontic treatment and feature their utilization in multidisciplinary cases. The utilization of dental implants has significantly expanded in the course of the most recent thirty years, generally as an outcome of their effective long termosseo-integration. This has prompted expanded orthodontic use, with suitable adjustments in the plan when required. It is entrenched that implants can offer a choice when supplanting missing teeth, following orthodontic treatment. This article, nonetheless, will focus on the utilization of implants during orthodontics, to upgrade the orthodontic treatment.

Oral Hygiene In Orthodontic Patients – A Review

Dr. Sanjana A, Dr. Manoj, Dr. Kannan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1796-1799

Teeth are being held in position by investing soft and hard tissues. A successful orthodontic therapy goes in hand with a healthy periodontium. Immaculate maintenance of oral hygiene during orthodontic therapy is a skill that is difficult to achieve with mechanical toothbrushing alone. Therefore, using auxiliaries for oral hygiene maintenance is a very important part of the routine for most patients undergoing therapy. This literature review ahead focuses on various microbial andbiological markers that are found in GCF during inflammation with in-home and in-office therapies that have been proved effective in preserving good oral health during and after orthodontic treatment.

Orthodontic Arch Wires

Dr. Saikrupa ganeshan, Dr.Padmavati, Dr. M. S. Kannan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1800-1803

The materials used by orthodontists have changed rapidly in the last 8 decades and will continue to do so in the future. As esthetic wires are introduced, metallic wires will likely be replaced for most orthodontic applications. Wires are assessed by their properties like strength, stiffness, range, formability and weldability. As an ideal archwire has not yet been found, archwires should be selected within the context of their intended use during treatment. This article throws light on the different types of archwires available for orthodontic use.
 

Orthodontic Arch Wires-A Review

Dr. Harini R, Dr. M.S Kannan, Dr. Harini R

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1804-1810

Arch wires are the primary means of generating forces for orthodontic treatment.They are one of the active components of fixed appliances. They bring about various tooth movements through the medium of brackets and buccal tubes.Arch wires are fabricated from a myriad of alloys. Understanding the basic material characteristics is essential in selecting wires for use in treatment. The bottom line is that the wire act as springs in clinical orthodontics.Mechanical properties of a material are determined by several factorssuch as variation of intrinsic properties alters the nature of the alloy itself,extrinsic properties are macroscopic features (diameter, length) and can be determined by the clinician.Three major properties of archwires are critical in defining their clinical usefulness:strength,stiffness and range.1
 

Psychosocial Effects Of Malocclusion

Dr. Prema Sivakumar, Dr. Amudha Dr. M.S. Kannan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1811-1815

Malocclusion is extremely commonplace in the current day individual. And the need or want, to get it corrected has definitely increased over the years owing to an increase in awareness about appearance of self and the others, an increase in inter-personal interactions, far and wide, not only restricted to one’s community and also the social media revolution. Malocclusion definitely leaves some sort of an impact on the psyche of the individual and the effect can range from mild reservations about teeth appearance to debilitating anxiety and self-image issues. It could lead to a deterioration of one’s self esteem. There is also the added factor of considering not only the perception of the self, but also the perception of the community, friends, family and one’s social circle. Orthodontic treatment is said to greatly improve one’s perception of the self, and among their peers. The effects of malocclusion can be determined both quantitatively and qualitatively.

Speech And Malocclusion-A Review

Dr. Harini R, Dr. V. Thailavathy, Dr. M.S Kannan,

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1815-1818

Speech is the process to address and interact with one another to deliver ones point of view.It is an important part of human development anda effective way to let people know what we think. As orthodontist our role is not only to bring about esthetic corrections in patients but also to bring form and function to the stomatognathic system.Lack of proper alignment, is a possible cause for speech disorders. However, there are various known causesofspeech impediments, such as " hearing loss, neurological disorders, brain injury, intellectual disability, drug abuse, physical impairments such as cleft lip and palate, and drug abuse or misuse.This article throws light upon speech distortion related to malocclusion.

Growth Mandible Ans Temporomandibular Joint

Dr. P. Sweta, Dr. Thailavathy , Dr. Kannan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1819-1823

Introduction
Mandible is the only movable bone of the face.It plays important role in mastificationby forming a joint with squamous part on the temporal bone .This joint is called is called temporomandibular joint. The other names ofthis joint are pivot joint,diarthrodialjoint,ginglymoidjoint. The movement produced by this joint are opening, closing, and minimal lateral movements. Abnormalities in growth of mandible can cause skeletal malocclusion and disturbance in the normal function of temporomandibular joint and the essential functions. Therefore it is important to know the normal growth pattern of the mandible and the changes that happen during the course of life. This article review about normal growth pattern of mandible and the changes taking place in mandible Prenatal development Migration of neural crest cells
Neural crest cells migrate from dorsal region of the neural folds between the surface ectoderm and the neural plate. Simultaneously there is epithelial-to-mesenchymal transformation. Neural crest cell begins migrating. After migration of neural crest cells, it is subdivided into cranial, cardiac, vagal, and trunk neural crest cells.
 

Treatment Of White Spot Lesions Post Fixed Orthodontic Therapy

Dr. Niha Naveed, Dr. Thulasiram, Dr. Kannan Sabapathy

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1824-1829

White spot lesions are one of the most common iatrogenic consequences of fixed orthodontic therapy, which undermines the ultimate aesthetic outcome of the treatment. bonded or banded fixtures aid in plaque retention thereby enhancing white spot lesions/demineralisation of the tooth surface. accurate and reliable detection of white spot lesions in its earliest stages of enamel demineralisation is very important. the recent developments in the diagnostic aids, would enable the orthodontist to detect and diagnose these lesions and use appropriate preventive measures to promote remineralization and conservation of the tooth structure. Several suggestions have been made in the literature to prevent or minimize the risk of this condition but, to date, no definitive conclusion regarding its management protocol has been made.Therefore, this article reviews the current techniques available to manage white spot lesions after orthodontic therapy.

Evaluation Of Factors And Pattern Of Dental Extraction In Chengalpattu Medical College- A Retrospective Study

Dr. Anselm Justhius Fabi B , Dr. Pravin Kumar A, Dr. Sivachandiran, Dr. VinodhKumar P, Dr.Sankar Narayanan , Dr. Niraimathi, Dr. Vennila M.

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1830-1836

Aim: To evaluate the factors leading to dental extraction and its pattern, in the population attending the department of Dental Surgery, Chengalpattu Medical college and hospital.Method: Data of patients who underwent dental extraction was collected and analyzed retrospectively from the department extraction register from 2016 to 2019. All Statistical analyses were done using SPSS v. 25.Result:The maximum number of extracted teeth (23.3%) was in the 45-54 age group. Dental caries with 43.0% was the most common factor for dental extraction followed with very little marginal difference by Periodontal problems. Teeth extracted due to Dental caries were higher in the younger population below 45 years of age and teeth extracted due to periodontal problems were higher in the older population above 45 years of age. The maximum number of extracted teeth was in the mandibular posterior teeth (32.3%) followed by maxillary posterior teeth (26%). Conclusion: Dental caries were the most common factor leading to dental extraction and with aging periodontal disease becomes the main cause of tooth extraction. In the pattern of extraction, posterior teeth are extracted in higher numbers than the anterior

Silver Nanoparticles With Antimicrobial Activities Against Streptococcus Mutans And Their Cytotoxic Effect- Review Article

Dr. Vijay sir, Karthiga.N

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1837-1847

Microbial resistance represents a challenge for the scientific community to develop new bioactive compounds. The goal of this research was to evaluate the antimicrobial activity of silver nanoparticles (AgNPs) against a clinical isolate of Streptococcus mutans, antibiofilm activity against mature S. mutans biofilms and the compatibility with human fibroblasts. The antimicrobial activity of AgNPs against the planktonic clinical isolate was size and concentration dependent, with smaller AgNPs having a lower minimum inhibitory concentration. A reduction of 2.3 log in the number of colony-forming units of S. mutans was observed when biofilms grown in a CDC reactor were exposed to 100 ppm of AgNPs of 9.5 ± 1.1 nm. However, AgNPs at high concentrations (N10 ppm) showed a cytotoxic effect upon human dermal fibroblasts. AgNPs effectively inhibited the growth of a planktonic S. mutans clinical isolate and killed established S. mutans biofilms, which suggests that AgNPs could be used for prevention and treatment of dental caries. Further research and development are necessary to translate this technology into therapeutic and preventive strategies.

Drill-Less Dentistry(Air Abrasion)

Amudha S,Ponnudurai Arangannal, Mahalakshmi Basker K.

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1848-1852

Air abrasion dentistry has evolved over a period of some time from a replacement concept of an alternate means of cavity preparation to a crucial means of providing truly conservative preparation for preservation of maximal sound tooth structure.The development of bonded restorations along side air Abrasion dentistry provides truly minimal intervention dentistry.This article reviews the event of air abrasion,its clinical uses and thus the essential accessories required for its use.
 

Frenectomy – A Case Review

Dr. Sajid. T. Hussain, Dr. Surendranath.P

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1853-1855

Introduction:
Frena are mucosal folds that attach the lips or the cheeks to the alveolar mucosa, gingiva, or underlying periosteum. Ectopic frena can cause complications such as gingival recession, decreased vestibular depth, decreased range of lip movement, and involvement of interdental papilla; they also may interfere with oral hygiene. A frenal attachment can be diagnosed by pulling on the patient’s upper lip. If the attachment is abnormal, pulling on the lip will result in movement of the tip of the papilla or blanching of tissue due to ischemia at the site. Frenectomy is indicated in the following situations: when an ectopic frenum results in a midline diastema, when the close vicinity of the frenum to the gingival margin results in gingival recession and impairs oral hygiene, or when an ectopic frenum is associated with inadequate attached gingiva and a shallow vestibule.

Pro-Inflammatory Mediators In Periodontal Disease- Review Article

Dr. Dhivya Dharshini, Dr. Pavithra.E

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1856-1864

Periodontal disease such as periodontitis is a chronic inflammatory condition of the periodontium that involves interaction between bacterial products, inflammatory mediators and cell population. The inflammatory and immune response due to the long-term presence of subgingival biofilm are protective by intent but results in tissue damage. Substances such as antigen, lipopolysaccharides and other virulence factors are released from the subgingival biofilm which enters into the gingival tissue and an inflammatory response is initiated and leads to the activation of host defense cells. The main reason of the tissue damage is mostly because of the host response which leads to clinical signs and symptoms of periodontal disease, due towhichit is at times referred to as bystander damage.Inflammatory mediators released as a result of cellular activation leads to tissue destruction and bone resorption.

Furcation And Its Management - Review Article

Dr. Sajid. T. Hussain , Dr. Pavithra. P

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1865-1873

Chronic bacterial infection that affects the gums and bone supporting the teeth. Periodontal disease ranges from simple inflammation to serious disease that can lead to major damage to the soft tissue and bone the teeth. Our mouth is filled with bacteria, these bacteria along with mucus and other particles, constantly form a sticky, colourless “plaque” on teeth. This plaque formation slowly leads to bone loss and furcation involvement.

Local Drug Delivery In Periodontics - A Review

DR. Deepa Subramaniam, Pavithra. D

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1874-1881

Periodontitis is an inflammatory disease of the supportive tissues surrounding the teeth which is seen world wide in all groups of people. Various methods of treatments were used in the management of periodontal infection(1).Various effective methods including mechanical debridement of plaque , topical and systemic administration of  antibacterial agents in the treatment of such conditions. There are various options of antimicrobials which can be locally delivered such as metronidazole, chlorhexidine, doxycycline and tetracycline(2).
 

Department Of Periodontology Article Topic: Probiotics In Periodontal Health And Disease.

Dr. Bhaskar, Dr. Pranila. M

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1882-1885

Probiotics technology represents a breakthrough approach in maintaining oral health by using natural beneficial bacteria that are commonly found in the healthy oral cavity, to provide a natural defense against those bacteria which are thought to be harmful for the teeth and gingiva. The article endeavors to introduce the concept of probiotics in periodontal health.

Drug-Induced Gingival Overgrowth – An Overview Andcurrent Concepts

Dr. V Ramya, Dr. Ramya Shree. R

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1886-1891

Drug-induced gingival over growth is a condition caused by undesired effects due to the intake of certain drugs. The most commonly involved drugs are anti-convulsants, calcium channel blockers and immunosuppressants. Understanding the patho-physiological changes and reaction of gingival fibroblasts is more important however an exact pathological explanation is still not completely understood in many cases. Genetic predisposition and oral hygiene plays a major role in DIGO. The management of DIGO includes ruling out the causative agent and proper assesment of the gingival tissue, and an effective treatment which differs to each individual is established.

Comparison Between The Effects Of Two Recaldent® Products And Artificial Saliva On The Hardness Of Enamel – An In Vitro Study

Dr. Anita .M , Dr. Joseph John , Dr. Meignana Arumugam, Dr. Pradeep Kumar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1892-1897

This in vitro experimental study on 24 extracted sound human maxillary central incisors was conducted to evaluate the effects of two Recaldent® products and artificial saliva on the hardness of enamel. All hardness measurements were taken with Vickers hardness tester.
A two stage blinding procedure was performed.  Data was entered into MS Excel spreadsheet and processed using SPSS software version 15.0. One way analysis of variance (ANOVA), Student t test and Bonferroni test were performed.
The difference in enamel microhardness between baseline and demineralization in the groups A1, A2, A3 were 1.1, 0.4, 1.1 respectively. The mean difference in enamel microhardness measured afterremineralisationin the groups A1, A2, A3 were 3.8, 2.9, 0respectively.
CPP-ACP and CPP-ACFP increase the microhardness of enamel. Artificial saliva increases the hardness of enamel, but to a lesser extent than CPP-ACP and CPP-ACFP. There is no difference between the remineralising capacity of CPP-ACP and CPP-ACFP.

Comparison Between The Effects Of Two Recaldent® Products And Artificial Saliva On The Hardness Of Enamel Exposed And Not Exposed To A Carbonated Beverage – An In Vitro Study

Dr. Anita .M , Dr. Joseph John , Dr. Meignana Arumugam, Dr. Pradeep Kumar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1898-1907

This in vitro experimental study on 48 extracted sound human maxillary central incisors was conducted to evaluate the effects of two Recaldent® products and artificial saliva on the hardness of enamel not exposed to and exposed to a carbonated beverage. Coca-cola was the test beverage. All hardness measurements were taken with Vickers hardness tester.
Three groups of samples (groups B1,B2 and B3) were subjected to the erosion process with the carbonated beverage. Groups A1, A2 and A3 were not subjected to the erosion process. For the remineralisation process, a thin layer of test material I (CPP-ACFP) was applied on the enamel surfaces of the samples in groups A1 and B1 for three minutes and then stored in artificial saliva for 6 hours.
A two stage blinding procedure was performed.  Data was entered into MS Excel spreadsheet and processed using SPSS software version 15.0. One way analysis of variance (ANOVA), Student t test, Post Hoc ( Tukey ) test and Bonferroni test were performed.
Results showed that differences between the sub groups at baseline was statistically not significant. The difference in enamel microhardness between baseline and demineralization in the groups A1, A2, A3, B1, B2, B3 were 1.1, 0.4, 1.1, ―44.4, ―44.5 and ―46.3  respectively. The mean difference in enamel microhardness measured after demineralisation and after remineralisationin the groups A1, A2, A3, B1, B2, B3 were 3.8, 2.9, 0, 14.3, 13.2, 2.7 respectively. Post Hoc (Tukey test) test performed between the groups B1 and B2 after remineralisation did not show statistically significant difference between the groups (p = 0.888).
Through this in vitro study, it can be concluded that carbonated beverages decrease the microhardness of tooth enamel. CPP-ACP and CPP-ACFP increase the microhardness of enamel. Artificial saliva increases the hardness of enamel, but to a lesser extent than CPP-ACP and CPP-ACFP. There is no difference between the remineralising capacity of CPP-ACP and CPP-ACFP.
 

CONSCIOUS SEDATION IN DENTAL PRACTICE – A REVIEW

Dr J Bhuvaneswarri , Dr Pheba Elizabeth

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1908-1912

 Sedation in dentistry has been a controversial topic because of its safety. During sedation, the reduction of physiological and psychological responses of the patient to surgery is obtained, without loss of consciousness, collaboration and reflexes. It is treated for moderately anxious patients and allows for a calm and relaxed patient during therapy with amnesia. Sedation required level should be individually adjusted to attain a correct balance between the wants of the patient, the operator and therefore the safety of the procedure. Surgical time is a vital factor for post-operative phases and this might be greatly increased by whether the patient interrupts the surgeon or not. Frequently, the emotional and anxious component makes the treatment difficult. The use of conscious sedation is proved to be winning in the dental practice as it controls these aversions for the dentist. This method, furthermore as being effective has the nice advantage of being safe and of routine use in an ambulatory environment.13

Secured Human Health Monitoring Using Wireless Medical Sensor Networks Review

Shanthi Kumaraguru,Research Scholar, Dr.M.R. Ebenezar Jebarani,

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1913-1924

Wireless Sensor Networks (WSN) is that the recent technology with the possibility to change the system of human life. The medical sensor plays a major role in health care applications for the field related to the Wireless Medical Sensor Network. The medical sensor helps in patient’s health monitoring system. The data of a patient’s very important body parameter collected through the wearable bio sensors in healthcare applications lead to the key technology enables the Wireless Medical Sensor Networks (WMSNs). Mainly, the sensors are two types namely Wearable and Implanted sensor. In human, sensors used on the body surface may be nearness regards the user action. The implantable medical devices related with the inserted sensors inside the human body, which helps in measuring process. This activity reduces the doctor periodical monitoring of patient’s activities. The implanted medical devices in existing technologies reduce the overhead problems to smart work. A combination of hundreds or thousands of sensing nodes forms a basic design for Wireless Sensor technology. The sensing nodes able to capture or activity related to data sensing, which may pass through a number of nodes. The passing of patient physiological details or other needful information’s through sensor nodes. The information related to the patient’s sensitive data with a few privacy and security methods. The proposed system involves the transferring of the medical data through the Remote Human health care Model. The data transmission model designed with a low-energy adaptive clustering

Performance And Anaylsis Of Covid-19 In India For Spreadeading -A Mathematical Approach

Anil Kumar, Deepti Seth Hriday Kumar Gupta,

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1925-1930

A mathematical model is divided into four compartments as classes of helpless, infected, recovered, and dead humans and used to consider COVID-19 security in India. The study shows the development of the COVID -19 on data obtained. The steadiness state will also not hold well through the contamination period of time if the number of patients rises with respect to time.

Blood Circulation Of Mathematical Model In Flexible-Gluey Fluid With The Influence Of Electromagnetic Force

Vikas Kumar, Deepti Seth, Anil Kumar,

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1931-1936

We are dealing with the theoretical and mathematical analysis in this paper and the complex study of a human body is regularly exposed to an exceptionally productive gluey liquid with electromagnetic forces. Equations are solved by using the technique of finite Hankel transformation; reliable schemes of consistent blood progression as investigated by couple stress fluids. The variations of these amounts of blood fluid with various variables connected with the examined fluid flow. With the assistance of graphs, the effects of body acceleration on blood flow within the magnetic impacts are explored and discussed. The results of magnetic effects used to determine flow, which in certain cases of respiratory failure, etc, can be useful.

Methemetical Modeeling And Validation Of Thermosymphon With Permofrost Used On Solar Radiation With Moisture

Ravish Kumar Srivastava, Anil Kumar, Bikas Prasad

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1937-1951

The scope of the investigation is to validate the combined functioning of double phase thermosyphon –soil-atmosphere in arctic area. In this area permafrost phases the considerable amount of problem on account of geometrical consideration with moisture. Defrosting process helps to reduce volume and irregular foundation. In order to overcome this two phase vertical type thermosyphons are introduced. It transfer low temperature with moisture from atmosphere to the ground surface without consumption of power. Here an attempt is made to develop a mathematical model for average film thickness of refrigerant available on all inner portion of the thermosyphon such as over and underground heat insulated pipe , evaporator etc. Mathematical analysis and study predicts that the resistance of refrigerants have been two times lesser then the condenser. Thus the experimental calculations of soil temperature at different regime made possible without consideration of refrigerant film thickness. The relation for solar radiation components for condenser and over ground pipe is developed. A comparative analysis of two models of system double phase thermosyphon – soil – atmosphere predicts that the introduced model lowers the freezing radius the maximal distance in between thermosyphons is about 18.6 %.

Rationally Expressed Inequalities And Invariant Point Theorems In Multiplicative Semi-Metric Spaces

Poonam Rani, Arti Saxena, Pragati Gautam

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1952-1962

The primary aspect of this manuscript is to describe a invariant point conclusion of functions that satisfy the theory of rationally expressive inequalities in multiplicative semi metric spaces for multiple functions. Common invariant point theorems based on weakly compatible functions with E.A and common limiting value range properties are also discussed. The major objective of the study is to establish the invariant point which is common and unique as well theorems and using the principle of weak compatibility in the Multiplicative semi metric space. Our analysis generalizes the existing results of Multiplicative semi metric space.

Mode Selection For Conventional Cavity Based High Frequency, High Power Gyrotron

Pradeep Kumar, Chandra Mohan Negi, Raj Kumar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1963-1971

This manuscript presents the mode selection for 240 GHz, 1 MW gyrotron for futuristic plasma fusion machines. To minimize the Ohmic wall loading and space charge effect, several very high order TE modes (m>40, p>12) are analyzed in detail. The voltage depression, Ohmic wall loading, frequency separation from the nearest neighboring modes, etc., are calculated. An in-house developed computer code GCOMS is used for the mode selection process. Simple cylindrical cavity is considered in place of coaxial cavity for 240 GHz gyrotron due to easy fabrication.

Simulation Modelling Process In The Analysis Of (M/M/2) Queueing Modelling

Nidhi Sharma, Pradeep K Joshi, Pragya Shukla

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1972-1980

This study helps to identify the effect on the waiting line and delay the time of passengers when the service rate increases or decreases. In this paper, we present an introduction of simulation and it's processed with the help of flowcharts of arrival and departure event for understanding and analysing various system performance measures of multiple server queueing modelling (M/M/s) which give service to passengers. Also, through the statistical approach, the significance of data (of particular bus route), which was collected from the AICTSL office, Indore (M.P.), India, is verified by the t-test. In this paper, we also determine and compare the system performance measure of the queueing model (M/M/2) and also calculate the delay time of the system and Erlang value. Simulation calculation of various performance measures is performed by the WinQSB software for (M/M/2) queueing model when the service rate is varying. Using MATLAB software, various system performance measures of the M/M/2 queueing model are graphically represented for optimizing the servers.

Correlates Of HRM Practices, Employee Performance And Organizational Commitment In Public And Private Sector Banks In India

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1981-1986

The idea of the study is to discover the association among HRM practices, employee performance and organizational commitment in public and private sector banks in India. The data was collected from 400 respondents (200 managerial and 200 non-managerial) working in selected public and private sector banks through modified standard scale adopted by various authors. Pearson correlation method was used to investigate the relationship between the independent variables and dependent variables used in the present study. The results of the study show that the dimensions under HRM practices (CP, TD, RC, PA, EP, and WLB), employee performance and organizational commitment are positively and significantly correlated.

An Integrated Implementation Iot: Biometric Data Blockchain

Raveendra Kumar Bharati, D. K. Kaushik, Anil Kumar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1987-1992

In this paper consider the biometric is a very safe and common device, with the help of which, one can easily identify the attacker and the authorized person. The online examinations conducted by government or private agency, any field of industry and data, document file can also be shielded from any attacker by using this device. The use of the Internet of Think (IoT) as a biometric device is to ensure its identity. In the present paper, the authors have implemented various types of protocols to overcome this difficulty. However, the use of RFID can also be manipulated by any person so that the biometric devices be proved the best option.

Firmware Malicious Attack Detection Using Deep Poison Regression

Dr. E. Arul, A. Punidha

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 1993-2000

A data breach is an intrusion conducted on a specific or numerous network device by malicious hackers utilizing any or more devices. A cyber assault will malicious intent deactivate machines, steal data, or use a compromised machine for many other threats. Malicious hackers offer a range of cyber-attack techniques, which include malware , phishing, spyware, denial - of - service, etc. GLM is a good beginning to learn quite rigorous analytics modeling. Poisson downward trend is used to forecast a predictor variables consisting of "count data on firmware malicious file," given yet another or more categorical variable from the cyber-attacks. The variable that we would like to predict is termed malicious API calls the divergent (the answerphishing, result spyware, goalcyber-attack or error nonpredictable term sometimes). These changes are known autonomous for variouscyberattacks(or perhaps the determinant, referential or reverser) variables to anticipate the value of a malicious files variable based. The result produced a strong real meaning of 96.25% and a low malware attack of 0.03%, thus it was trained outfitted locate a potentially malicious pattern in unknown firmware of FAI Deep PR.

Resource Availability, Professional Relationships And Physician Job Satisfaction

Prashant Mehta

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2001-2013

Healthcare professionals are bearing the direct impact of COVID-19 pandemic. A profession which is already regarded as one of the most stressful professions, has become extremely stressful on account of COVID-19 situation. The aim of the present study is to investigate the relationship between co-worker and leadership support and role of availability of resources in predicting the physician job satisfaction. Since the objectives of the study have been predefined, the study follows descriptive approach to research. SEM is used for data analysis. The results from the study indicate that all the independent constructs (co-worker support, leadership support and role of resources) have a significant impact upon the dependent construct (job satisfaction).

Automated Lung Nodule Candidate Detection Using An Iteratively Optimized Multi-Resolution 3D Depthwise Separable Cnns With Effective Training Initialization

V. Sumathi , Dr. V. Anuradha

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2014-2025

An earlier detection and diagnosis of lung cancer requires a major task known as lung nodule candidate classification. To detect the lung nodule candidate, a Multi-Resolution 3- Dimensional Convolutional Neural Network and Knowledge Transfer (MR3DCNN-KT) model has been designed that can extract the contextual information between multiple samples of lung nodule image for increasing the detection accuracy. But, this model was not able to classify few types of nodules that may cause the false detection. Also, the training data preparation was high difficult due to the manual labeling that consumes more time and the label mistakes were introduced while using large scale datasets since 3D-CNN requires more number of samples. Hence this article proposes an Iteratively Optimized MR3DCNN-KT (IO-MR3DCNN-KT) model that establishes automated weak label initialization to classify the large scale lung nodule image datasets. This model is trained on dynamically updated training datasets in an iterative manner. A Fast and Automatic Weak Labeling(FAWL) scheme is applied to generate the initial training dataset. Nonetheless, the computational complexity of 3D-CNN structure is extremely high since it requires the significant number of computational resources. As a result, an IO-MR3D Depthwise Separable CNN and KT (IO-MR3D-DSCNN-KT) model is proposed that introduces the bottleneck-based 3D-DSCNN structure to reduce the computational complexity. This model can extract both spatial and temporal features using basic depthwise convolution (𝐜𝐨𝐧𝐯)and pointwise 𝐜𝐨𝐧𝐯, accordingly. Based on this model, the number of parameters used in the 3D-CNN structure is significantly reduced to automatically classify the lung nodule candidates. Finally, the experimental outcomes show that the IO-MR3D-DSCNNKT model promises increased accuracy and robustness compared to the IO-MR3DCNNKT and MR3DCNN-KT models.

A New Security Mechanism For VCC Based On The Newly Modified Structure Of DES-3L Algorithm Using FC System

S. Jerald Nirmal Kumar, N.Suresh Kumar, A.Suresh Kumar, N.V.Kousik, G.Kavithaa

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2026-2034

Newly, vehicular cloud computing (VCC) has developed a striking explanation for vehicular computing and storage analysis requests. This calculation method can ensure low energy and traffic congestion. Counting, technology changed, making sure to obtain one on an imaginary platform when dealing with server data, such as power supply infrastructure or distributed data used by vehicles. The calculation does not guarantee security after the traditional contract was put in place, and its keys were leaked for purchase ensure that safe driving platform, Calculations are based on the use of a predictive cloud server configuration utility that introduces a newly modified method of the DES-3L algorithm, such as alternative data protection, privacy. The solution is used by way of an alternate to stunning data safety, reliability, and an automotive cloud server by an improved distributed clustering algorithm. In the case of user behavior and project analysis of mechanism, it can be advantageous to render bait files so that it is different from the records.

A Real Time Water Quality Monitoring Using Machine Learning Algorithm

S. Angel Vergina, Dr. S. Kayalvizhi, Dr. R.M. Bhavadharini, Kalpana Devi. S

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2035-2041

Water quality parameter is of much importance in our day to day lives. Prediction of water quality will help to reduce water pollution and guard our human health. An intelligent process of monitoring the quality of water automatically detects the condition of water through IoT by processing sensors data and instantly provides notification to water analyst, when the quality of water is abnormal. With the initiation of Machine to Machine Communication analyzing and communicating the data becomes simple and efficient. This work has advanced an “Intelligent IoT based water quality monitoring system” pertaining to lakes is being used in rural areas. The structure uses pH, Turbidity and Conductivity sensors for determining the water quality parameters about hydrogen ion and total dissolved solvents in the water. Likewise, K Means calculation has been utilized for anticipating the nature of water, with the assistance of prepared informational collection from various water tests. Swotting and comparing the water quality parameters with time-stamped prediction results in the cloud server has been communicated to the water analyst through the personal computers for better knowledge and understanding of water quality. This proposed model safeguards standard quality water to the rural people using low prices embedded devices like Arduino Uno and Raspberry Pi.

Hospital Admissions Using Data Mining

G. Abhiram , T. P. Anithaashri

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2042-2045

The quality of health care is affected due to crowding of Emergency Department(ED). To avoid the adverse effects of inconvenience and improve patient care, there is a need to explore ideas and innovative technology methods for predictions of admissions in ED. The analysis of data gathered from hospitals like the patient age, previous history, month of the year, day of the week and time of the day in which the patient was admitted in the ED for health care work as the key for predictions of future admissions using data mining techniques with the help of some machine learning algorithms. The usage of data mining techniques combined with the following three techniques logistic regression, decision trees, and (GBM) Gradient Boosted Machines give the final method for predictions of patient admission in ED. The advantages of using data mining.

An Underground Pipeline Water Quality Monitoring Using Iot Devices

S. Angel vergina, Dr. R.M. Bhavadharini, Dr. S. Kayalvizhi

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2046-2054

The water distribution network carries drinking water across rivers, lakes and water towers to industries, residential users with the help of a complex underground pipelined network system. Checking water defilement or impurities in the water is a significant worry in the field of water circulation systems. The proposed work relies upon the improvement of machine learning and fuzzy system dynamic information with the Internet of Things gadgets to screen the water quality checking structure which uses to screen the boundaries of water, for example, pH, Turbidity and flow rate. Random forest uses a bagging model which is a machine learning supervised learning algorithm which builds and merges multiple decision trees to produce an accurate result in the screening of water quality. To make the framework progressively productive we utilize fuzzy since fuzzy system can give moderate chance outcomes among yes and no, it remains as a decent thinking and dynamic technique like human thinking. In accordance of the water tainting level in the conveyance pipeline, the drinking water quality is named satisfactory/worse/attractive. The framework will caution the client by methods for an email framework to when there is a variation in the water quality boundary from the given predefined edge esteem. This proposed model safeguards standard quality water to the residential people using low prices embedded devices like Launch Pad microprocessor and sensors unit.

Enhancing Intrusion Detection System In Computer Networks Using AI Techniques

Shaik Azaruddin, T. P. Anithaashri

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2055-2058

Machine learning techniques are being widely used to develop an intrusion detection system (IDS) for detecting and classifying cyberattacks at the network-level and the host-level in a timely and automatic manner. However, many challenges arise since malicious attacks are continually changing and are occurring in very large volumes requiring a scalable solution. There are different malware datasets available publicly for further research by cyber security community. Due to the dynamic nature of malware with continuously changing attacking methods in the computer network, the malware datasets available publicly are to be updated systematically and benchmarked with the proper security. The enhancement needs to rule in identifying the intrusions in the system so as to provide the secure data accessibility through computer network using various intelligence techniques with the help of multiple sensors in the communication link.

Bond Agent Based Resource Discovery & Allocation In Cloud Computing

Vijindra. R, Dr. S. Prabakaran

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2059-2074

Cloud computing is a model that provides everything as a service. There are challenges in adopting cloud computing; one of the main issues is the resource allocation and scheduling. Finding a suitable resource for every client request in any distributed environment is a challenging task. Resource discovery is more complicated in cloud computing due to its characteristics like elasticity, scalability. In such a distributed environment, discovery and allocation of suitable resources for client requests place a vital role. In this paper, we present an Agent-based resource discovery and allocation algorithm considering response time, energy efficiency factor, load balancing, and proper resource utilization. This is the extension of our previous works and We compare the results of the framework with the previous job scheduling algorithm implemented in the cloud environment. Simulation results show that the proposed framework performs better than the existing algorithm and achieves the objectives.

Demand Based Crop Prediction Using Machine Learning Algorithm

S. Kavya, K. M. Anandkumar, S. Sobitha Ahila, G. Dinesh

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2075-2090

Agriculture sector is backbone of our country and it contributes about 18% of Gross Domestic Product (GDP) as per annual report 2018-2019 from Department of Agriculture, Co-operation and Farmer Welfare. Agriculture is the most important sector of the Indian economy that provides employment to almost half the population of the country’s workforce. But still farmers are not getting profitable margin for their products in the market. Even though India is being a second-largest producer of fruits and vegetables in the world as per annual report 2018-2019 from Department of Agriculture, Co-operation and Farmer Welfare, farmers are financially distressed due to crop loss. The most important cause for this is due to the fact of inappropriate crops selection or additionally sometimes they didn't get precise price for his or her crop due to surplus production of the crop. By analysing the soil and environmental factor at particular region the best crop is predicted in order to have more crop yield. This prediction will help the farmers to choose appropriate crops for their land according to the soil type, temperature, humidity, water level, soil fertility. The objective of the project is to provide a system that helps farmers to select a suitable crop based on soil nature and environmental factors such as temperature, soil moisture, humidity and market demand using the technological advancement such as Data analysis, Cloud storage and Internet of Things.

Review On Recent Pandemics, Causes And Research Perspectives

Ramar Kaladevi, Appovoo Revathi

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2091-2097

For a moment, the globe has shut down for novel Corona virus (COVID 19) outbreak and made the human stuck with their regular life. Human has evolved with various epidemics and diseases since ages. These kinds of novel diseases/ virus are being spread from animals/birds to human. Spread is vital due to the technological and transportation advancements. The cause of virus not only infects living beings but also produce major decline in economic growth of entire world. This article focuses on the discussion of viruses which causes major impact during last century in terms of origin, symptoms, causes and medications. Impacts on social and economic aspects are also analyzed and suggested future needs and research perspectives to prevent, control and tackle these kinds of pandemic spreads.

Adaptive Video Streaming With Multidimensional Quality Of Service (AVMQ)

Revathi A, Kaladevi R, Nageswaran A

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2098-2105

Web is the base for majority of the E-learning environments but the main aspect is the lack of arrangements to join up the technology, for service providers and different kinds of users as a whole. This lack of integration is seen widely on the content providers end where there is no emphasize on the quality of service factors (eg .EoE Delay, bandwidth, scalability, complexity) for the video contents with meta-file aspects in the hosted server. The focus of the proposed Adaptive Video Streaming with Multidimensional Quality of Service(AVMQ) model is on the QoS (Quality of service) of the each multimedia content services with the constraints (unacceptable, poor, Satisfactory, Excellent) same on the user's end where the user can access with ease of all the contents was uploaded. A QoS adjustment system allow the reservation of transmission capacity without a downtime administrations.

Drowsiness Detection Using Ir Sensor

P.M. Lavanya, K. Kumaran, M. Sowmiya M. Abinaya, K. Adithya, B. Kalaivani

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2106-2114

Drowsiness is one of the major factors for road accidents. According to the recent survey it accounts for nearly 40% of Road Accidents due to drivers dozing off. For preventing these kind of accident from occurring and to alert the drivers there are many exiting systems which are designed using several methodologies. Most of these Systems have camera as their input parameters. This Paper is an example for IOT based Drowsiness Detection system using IR sensor. Here IR based eye sensor is used to detect the eye blink of the drivers. Arduino nano is used for drowsy devices detection and other eye blink related detections.

COVID-19 Pandemic And Violation Of Child Rights

Bonti Hazarika Devaraj Dutta

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2115-2118

In today's world, COVID-19 pandemic has triggered unprecedented global health, humanitarian, socio-economic, and human rights crises. Across the globe, the pandemic has adversely affected a large number of people including children. It has multifaceted impacts on children including the psychological, mental, physical, social, and cultural. It has posed a serious threat to children's rights to survival and development and the highest attainable standard of health. The pandemic has also exposed children to an increased risk of experiencing physical and psychological violence, including maltreatment and sexual violence. The shutting down of schools and the decision of shifting traditional classroom to a digital platform is not only increasing learning inequality among children but also pushing a large number of children out of schools due to the digital divide. All these factors together have contributed towards the violation of the rights of children. The present paper, therefore, is an attempt to examine the extent of violation of child rights during the COVID19 pandemic.For the present study, all relevant information is collected from the secondary sources of data.

Eye Blink Controlled Virtual Interface Using Opencv And Dlib

B. Chandra, Sharon Hajhan L U, Vignesh C P, Sriram R

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2119-2126

The basic non verbal interaction that is now evolving in the upcoming generation is Eye gaze. This eye blink system builds a bridge for communication of people affected with disabilities. The operation is so simple that with the eyes blinking at the control keys that are built in the screen . This type of system can synthesize speech, control his environment, and give a major development of confidence in the individual . Our paper mainly enforces the virtual keyboard that not only has the built in phrases but also can provide the voice notification/ Speech assistance for the people who are speech disabled . To achieve this we have used our Pc/laptop camera which is built in and it recognizes the face and parts of the face . This makes the process of detecting the face much easier than anything. The eye blink serves as the alternative for a mouse click on the virtual interface . As already mentioned, our ultimate achievement is to provide a nonverbal communication and hence the physically disabled people should get a mode of communication along with a voice assistant . This type of innovation is a golden fortune for the people who lost their voice and affected to paralytic disorders . We have further explained with the respective flowcharts and with each juncture .

Iot Based Hybrid Plant Disease Detection For Yields Enhancement

sharif Mahmad, r. Jebakumar, s. Iniyan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2134-2153

Agriculture is the establishment of economy of Indian government. There Is need of a lot of making of harvests to fulfil the need of Indian masses. Considering sicknesses,gigantic proportion of yield age is decreased. There are various sorts of contaminations on the plant leaf that causes issue being created of yields. Natural eyes are less more grounded to see the leaf diseases so individuals don't watch assortment in the polluted bit of leaf. These sicknesses a portion of the time may not be unquestionable to natural eyes and they honestly impacting to the collect. The customized illness distinguishing proof system is used to modified area and perceive the tainted part on the leaf pictures and it describe plant leaf infection using picture getting ready methods. Some huge advances are used for acknowledgment like component extraction, division and gathering leaf pictures for powerful contamination revelation by using IOT and for portrayal of pictures we are using the innate computation. This paper talked about the methods which are used in detecting the plant disease using its leaves image. This paper likewise incorporates some segmentation and feature extraction algorithm for the recognition of plant infection.Hybrid Plant Disease Detection for Yields Enhancement (HPDDYE) is a Proposed model helps to reduce the efforts or hard work of farmers in the field and recognise the disease and send the disease name with its required medicine through SMS.

Study On The Effect Of Stress Management And Life Satisfaction On Marital Adjustment Among Couples In Kerala

K.P Sheeeja, Dr. A. Arunmozhi, Dr. Nice Mary Francis

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2154-2161

The purpose of this study was to find out the impact of stress management and marital adjustment on Life Satisfaction among couples in Kerala. The existing literature regarding stress management, marital adjustment and life satisfaction is to recognize the need to consider contextual factors. The simple random sampling technique was used to select samples from different areas of Thrissur District in Kerala. A sample of the study comprised of 400 couples (n=800) including 400 male and 400 female participants of age group 20 to 60 years. The sample selected for this study from various parts of Thrissur District. Demographic data sheet, stress management Scale, marital adjustment scale and Life Satisfaction Scale were used for data collection. The result of this study indicates that the hypothesis stress management is positively correlated with Life Satisfaction among couples in Kerala. It is also significant at 1% level of significance. As per the hypothesis marital adjustment is positively correlated with life satisfaction among couples in Kerala. It is also significant at 1% level of significance. There is statistically significant difference between gender and the level of life satisfaction. The level of life satisfaction is heterogeneous among couples. The predictors like, stress management and life satisfaction significantly influence the marital adjustment among couples. It implies that the couples whoever has high level of stress management and life satisfaction; they have high level of marital adjustment. Although the predictor variable like life satisfaction is more useful to predict the marital adjustment among couples in this model than the stress management. The analysis proves that the life satisfaction variable had been quite good to predict the marital adjustment among couples.

Enhancing Data Security In Cloud Computing

U. Raviteja, T. P. Anithaashri

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2162-2166

With the quick advancement of cloud administrations, Brobdingnagian volume of information is shared by means of cloud computing.Although science methods are used to supply information classification in distributed computing, current instruments can't implement security contemplations over ciphertext identified with numerous mortgage holders, that makes co-proprietors unfit to befittingly the executives whether information disseminators will genuinely go around their insight. Tend to propose a safe information bunch sharing and contingent dispersal topic with multi-proprietor in distributed computing, during which information proprietor will impart individual information to a gathering of clients by means of the cloud during a protected methodology, and information communicator will go around the data to a substitution group of clients if the properties fulfill the entrance approaches in the ciphertext and any blessing a multiparty get to the executives system over the scattered ciphertext, during which the information co-proprietors will affix new access strategies to the ciphertext on account of their security inclinations. Additionally, three approach conglomeration strategy.With the quick improvement of cloud administrations, Brobdingnagian volume of information is shared through cloud computing.Although science strategies are used to supply information secrecy in distributed computing, current components can't implement protection contemplations over ciphertext identified with numerous property holders, that makes co-proprietors unfit to befittingly the executives whether information disseminators will genuinely go around their insight. Tend to propose a safe information bunch sharing and restrictive spread topic with multiproprietor in distributed computing, during which information proprietor will impart individual information to a gathering of clients by means of the cloud during a safe methodology, and information communicator will go around the data to a substitution group of clients if the properties fulfill the entrance approaches in the ciphertext and any blessing a multiparty get to the executives system over the dispersed ciphertext, during which the information co-proprietors will add new access strategies to the ciphertext on account of their security inclinations. In addition, three arrangement total system.

Enhancement Of Cloud Data Search Using Symmetric-Key Based Verification

R. Sai Venkata Siva Kumar , T. P. Anithaashri

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2167-2170

The proven Searchable Symmetric Encryption, as an significant cloud security method, enables clients to recover the encoded information from the cloud through catchphrases and check the legitimacy of the returned outcomes. Dynamic update for cloud information is one of the most well-known and principal prerequisites for information proprietors in such plans. Benefitting by the accumulation property of organized searching technique, the approval tag can be supportively revived when dynamic assignments on cloud data occur. To achieve gainful data update, the system plans another protected record made by a status table dependent on the balanced with learning attributes through key based verification. Attributable to the availability and the adaptability of state, update the authentic accessibility of the system for the cloud data.

Data Protection Security Model In Cloud Computing Using Glowworm SwarmBased Whale Optimized Framework

Yogita Deepak Sinkar, C. Rajabhushanam

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2171-2178

Preservation of security is urgently needed to minimize the disclosure of confidential patient data. Numerous methods of privacy protection are implemented in the cloud system, but in the cloud world, preserving personal data of the user is still a challenging problem. An important privacy protection policy must therefore be built to protect the user's medical data. The input medical data is initially obtained and introduced to the filter system to conduct the process of privacy protection. The filtering process is advanced using the 2D Infinite Impulse Response (IIR) filter which uses the filter factoring model to generate a filter matrix. The filtering matrix generated is used to create the data preserved for the security wherein the filter vector is focused on the planned Glowworm Swarm Whale Optimization Algorithm (GWOA), the Glowworm Swarm Optimization (GSO) and Whale Optimization Algorithm (WOA) integration. The data stored resulting in privacy is subjected to the data storage system, where the stored data is registered. Instead, the retained data is stored in the information environment's information management system to allow user access with greater privacy and utility. With higher privacy, the proposed algorithm achieved better quality and utility values of 0.2698 and 0.8786, accordingly when the key size is 256 when using Switzerland database.

Spatial Analysis Of Road Accident Analysis And Precaution Alert System

Archana R. , Dr. K. Pradeep Mohan Kumar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2179-2200

In an emerging nation like India, with advances in transport technology and also a growth in the count of automobiles altogether, road accidents are increasing. Such technological advancement has made traffic risks even greater. Vehicle growth and high population density are among the major causes of traffic hazards. Minimizing traffic possibilities is among the major problems, as the majority of deaths are caused by road accidents globally. There have been plenty of approaches introduced to avoid these road deaths, such as creating specific laws and regulations. Yet most of them did not manage to avoid injuries. This paper offers a clever method for preventing the road accidents for the health of human life. A few of the solutions proposed in this paper is the use of Geo fencing technique as well as spatial road accident analysis using ArcGIS. There are two phases to the process - Accident prone zone precaution that could alert the driver before entering to the prone zone by sending alert notification using Geo-fencing module is to send the warning audible alert to the driver about the accident prone zone when entering before 500 m of the hotspot. Second phase - Accident location is carried out using GPS for spatial analysis by showing hotspots on the map using ArcGIS. On this basis, with the intention of minimising the accident rate, this study provides recommendations for raising awareness amongst people about road and traffic safety

A Hybrid Filter Based Outlier Detection Machine Learning Models On Medical Databases

V. Devi Satya Sri, Srikanth Vemuru

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2201-2219

Feature selection techniques play a vital role in the real-time medical databases. Since, most of the medical databases contain high dimensionality and large data size, it is difficult to find an essential key feature using traditional feature sub-set selection approaches. Also, conventional medical data filtering techniques fail to find the essential outliers due to large data size and feature space. In this work, a hybrid outlier detection and data transformation approaches are implemented to remove the noise in the medical databases. Proposed data filtering module is applicable to high dimensional data size and feature space for classification problem. Experimental results are simulated on different medical datasets such as tonsil and trauma databases with different feature space size and data size. Simulation results proved that the proposed outlier detection approach has better noise detection rate than the conventional approaches.

The Participation Of Indian Firms During Covid-19 Pandemic-A Corporate Social Responsibilty Perspective

Sameer Kumar Kolli , Dr. Akondi Srikanth

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2220-2225

Indaia witnesses te unexpected health condition with options unknown in the time of pandemic COVID-19. Frims in various markets such as health care, financial services, software, consumer goods, etc. spend a significant amount of money on corporate social responsibility (CSR) activities. The literature suggests that consumer stake into consideration firms’ CSR activities when making business decisions, noting that and doing so either increases their business making intention or willing to pay higher prices for the frims products and services. Organizations worldwide took active part in fighting the pandemic. This paper is intended to bring out the CSR activities intiated by various companies in India during COVID-19 pandemic. Our data reveals the conditions under which companies involved in CSR and of what type. Then, in out future studies we extend to investigate how the increase in consumers’ appreciation of CSR and increase in consumers’ sensitivity to evaluative context affetfrims’ optimal CSR strategies.

Acomparative Analysys Of Payment Banks And Small Finanace Banks

D. Umarani Afreen sulthana, Dr. N. Subrahmanyam

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2226-2233

This exploration paper predominantly centeron the extent of installment banks in india, a most recent activity in use by the reserve bank and government of india. Avoidance of financial part within rustic india is solitary of the significant difficulties looked through the indian economy, in the present dayinstallment banks are likewise being arrangement to zero in on soaringcapacity yet low down worth exchanges by low down pay family units &private companies. At the point of this examination paper is toward contemplate the feasibility of installment banks and the chances and difficulties of this innovative activity. In this paper, we will attempt in the direction of assess the impression of the individuals as respects to installment banks and reach a few determinations for a similar utilizing subjective just as quantitative investigation. To which licenses have been given by the rbi, are a stage toward banking budgetary incorporation they are not just prone to contact unbanked individuals and rustic territories yet will likewise guarantee more cash coming into the financial framework and will present more rivalry among banks. With the allowing of licenses to 11 installments banks and 10 little banks in september, 2015 the indian financial part has seen a significant development in contacting an alternate customers and model of conveyance which was not recently secured by the planned business banks. The goal of the change is to improve budgetary consideration in the nation. This paper talks about the requirement for money related consideration of an enormous need part in india that is left unbanked or casually banked. The paper endeavors to examine the rules through which the rbi has authorized these banks, the setting of this new examination and the issues and concerns shared by a wide assortment of partners. The paper might likewise want to refer to the case of ujjivan, a main nbfc-mfi, which has the little bank permit and dependent on the cooperation’s with the key chiefs and different partners of the firm the paper might want to clarify the sort of future situation the new participants in the financial field would prone to experience.

Impact Of Digital India On Economic Empowerment Of Urban And Rural Women

Dr. Venkateswararao. Podile, Dr.K.Sudha Rani, Dr. Subramanian Shanmugam, Dr. Ch. Hema Venkata Siva Sree

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2234-2246

Digital india is a crown jewel programme introduced by indian government. Digital india programme consists of three vision areas. First vision area is providing digital infrastructure as utility for every individual, second vision area is providing services and governance for each individual of the nation on demand and third vision area deals with empowering citizens digitally. In terms of population, andhra pradesh state stood in tenth place in india. As per 2011 census, andhra pradesh female population is 2, 47, 46, 590. Andhra pradesh state’s rural women are 1, 74, 28,445 and the urban women are 73, 18, 145. Andhra pradesh state government in parallel with the central government put many efforts in empowering women in andhra pradesh through digital india programme. In this paper, an attempt is made to identify the impact of digital india on economic empowerment of urban and andhra pradesh state’s rural women, to make comparative investigation of the impact of digital india on economic empowerment of urban and rural women of the selected state and to pick out the challenges and affairs encountered while executing digital india for economic empowerment of women in the state.

Classification Of Caesarian Data Using Machine Learning Models

Dr K Butchi Raju, Prasanna Kumar Lakineni, K sarada, M. Kiran Kumar, k saikumar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2247-2254

There is a substantial rise in population but there are still a large number of villages where health facilities are not still they depend on the conventional methods during times of pregnancy which resulting in some times of deaths and at the same time due to the miscalculations of the doctors the unnecessary women are being Caesarian which eventually leading to many side effects for them. So, in this paper we are using different classifiers to predict Caesarian is required or not so the doctors can consult to have normal delivery or move to another high facilities hospitals.

Collaborative Learning Increases Classroom Interaction And Integrating Skills

Rukhiya Begum Dr R. Naga Dhana Lakshmi

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2255-2268

Teaching English as foreign language in India has its unique challenges owing to the linguistic, regional and cultural diversity. It is even more challenging in case of adults as they already have ego, shy are fluent in often more than one language. So they don’t realize the need of learning English. This paper deals with how ESL teachers improve student’s ability to use English Language skills, to increase classroom interaction among students and provide opportunities for them and it gives scope for practice to learn English language in authentic way due to collaborative learning. This article discuss about what does collaboration mean, how important collaborative activities for students like types of collaborative activities, issues related to setup, grouping, modeling and closure. It also talks about identifying an online source for Collaborative activities, mentoring, planning, challenges faced by teachers and students. The main objective of the research is to improve these learners’ willingness to communicate in English. This paper talks about various activities using Collaborative Learning Approach. By implementing Collaborative learning, students feel motivated, comforted and supported by the peers, which removes the speakers’ hesitation and fear of being mocked at by their classmates. This peer learning builds confidence and gives multiple opportunities to students to practice and to learn English language and thereafter enhance student fluency in English.

Speech Forgery Detectionof Framed Sentences In Audio Recordings Using DTW

Kasiprasad Mannepalli, V. SubbaRamaiah, K. Raghu

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2269-2274

Our main objective is to detect the speech forgery that is formed by framing sentences. These sentences can act as a crucial evidence in courts and in audio forensics and in NLP. In this these sentences are formed with the help of Telugu alphabets which are audio recorded. The alphabets act as a source and basics to form these sentences. The procedure of forming these sentences is as follows from alphabets to words and words to sentences by concatenation. After forming these sentences with help of MFCC which is feature extraction technique used in audio and speech data extraction. After the extraction we are using dynamic time warping technique to estimate the forgery in the audio which is formed from framing sentences. This forgery detection of framed sentences can be further be used in many ways such as in NLP and speech to text conversion applications in audio forensics and some of the new generation applications. The proposed method is able to differentiate the forgery by comparison from original and forged frame sentences. This is done and implemented with help of MatLab tool.

A Study On Fostering Undergraduate Learners’ Oral Skills In ELT Through ELearning

Dr. Mutyala Suresh, Ms. Vadapalli Lakshmi

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2275-2280

English Language has currently occupied an unassailable position in the modern world. A recent report by the British Council suggests that the number of people learning English is likely to continue to increase over next five-year, peaking at around two billion. On the other hand it is a prevalent concept that technology is infused into many areas of Education. Number of novel pedagogic methods and changes related to technology has got their prominence in the field of English Language Teaching too. The phrase ‘e-learning’ has become the common word in most of the educational institutions. Today’s e-classroom environment is entirely different from the previous year’s traditional classroom. This paper focuses on the development of an online course in improving oral skills in English Language. Fifteen hour independent study online course was developed and delivered to forty-two students and four teachers from one of the higher education institutions in Visakhapattanam. The materials used are clearly discussed in this paper. Mixed (qualitative and quantitative) methodology has been used to find the facts. However most of the learners gave positive responses to the course content and course delivery through e-learning

Ms. Vadapalli Lakshmi

Dr. V. SHEELA MARY

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2281-2285

Work from home is a way by which employee works from his home or place of residence instead of doing work in a traditional way. Many organizations have adopted work from home or remote work policy. This will facilitate the employees to work from home conveniently for full time or whenever time suits for them. According to dawn fay who is a senior district president of recruitment and staffing company, working from home is considered to be very important because of the compact marketplace. Companies require top talent employees and it can be achieved by attracting potential employees and try to hold on existing employees by providing them with convenient amenities. According to loscoco (1989), work commitment is considered to be very important as it explains the connectivity between work and one’s self. For organizations commitment towards work is considered as a very important topic to be understood. In any organization, job involvement, organisational commitment, work ethic and commitment to career have a great effect. According to the american psychological association, when implemented correctly, remote work can increase employee satisfaction. Both the employees and the company get benefited when the employees work from home or working remotely. In work from home policy, tapping the potential candidates is a challenging aspect and it contributes to the benefits of the employer. Work from home concept aids both employers and employees. So the study about impact of remote work model on work environment becomes important.

Performance Evaluation Of Mutual Funds Before And During The Outbreak Of Covid-19 Pandemic In India. (A Case Study Of Selected Companies)

Mr. Sangisetti Manoj, Mr. Bondu Avinash

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2286-2305

Mutual Fund companies are financial intermediaries providing financial services to small investors through mobilization of funds, when the investors invest in a mutual fund; they are buying shares or units of the mutual fund and become a shareholder of the fund. Mutual funds are one of the best investments ever created because they are very cost efficient and very easy to invest in. Thus, the Rupee is generated in the form of big returns to promote financial excellence. In this research paper an attempt is made on a comparative performance analysis of the growth-oriented equity diversified schemes for 5 months prior to outbreak of Covid-19 and 5 months during Covid-19 on the basis of return and risk evaluation. The analysis was achieved by assessing various financial tests like Average Return, Sharpe Ratio, Treynor Ratio, Standard Deviation and Beta. The used data is opening and closing NAVs for five months before Covid-19 effect and five months during Covid-19 pandemic. The source of data is the website of Association of Mutual Funds in India (AMFI) and Money Control and 12 schemes were used for analysis. The study of this paper improves the necessity required before investing in any mutual fund. With the inclination of investment in mutual fund gaining vogue every day. It is also important to study the risk involved and the substantial value of returns incurred through it.

In Search Of Right Global Leadership Competences

Prof. Dr. Satya Subrahmanyam

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2306-2318

This research explores competences that are essential for global leaders, i.e. expertise, skills, abilities and personalities. The aim is to discover a general set of competences that are very common in both literature and practice but exceedingly vital to be efficient global leaders. Another objective is to identify the most successful methods of development for the competences identified. The theoretical aspect of this research provides an outline of the literature on the topic and directions to an outstanding framework of competences relevant to global leaders from different researchers' perspectives. The most successful approaches for improving these competences are also identified. The experimental section, which is the standard study of the research, is based on a review of the literature. The research findings are compared with the findings of the literature review to create a set of competences for global leaders by semi-structured interviews with global business leaders. The key findings of this research indicate that personality traits are the most important attribute among global leaders and they are deep into the core of an individual. The most important competences for global leaders are therefore also those that are most difficult to change. Increased lifechanging development experience is required to affect such competences.

Early Detection Of Cardio Vascular Disease From The Fundus Images Of The Retina Using Convolutional Neural Network

P. Glaret Subin , P. Rathina kumar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2319-2324

The Retina is exclusive in your body in permitting simple perception of veins with nonintrusive instruments. It is additionally the main available site for considering the focal sensory system. Changes to the retina may appear in a few chronic disease’s prior years different signs evident. Therefore, considering the retina may give an extra way to delineate hazard and help distinguish individuals who reap the benefits of early lifestyle changes and preventive therapies. This paper attempts to use image processing ways to study the human retina for early detection of cardio vascular disease using convolution neural network with a prediction accuracy of 0.94.

Left Ventricle Of Cardiovascular Image Segmentation Using T-Segnet Hybrid And Extended Buffalo Optimization

Mikkili Dileep Kumar, Dr. K V Ramana

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2325-2334

Today, cardiac disease is one of the most promising cause of mortality. The segmentation of the cardiac image is an essential process to generate personalized models of the heart and to quantify the parameters of cardiac performance. One of the important step is to perform segmentation in Left Ventricle (LR) of cardiac using magnetic resonance images (MRI).However, which can used to find important parameters to be mentioned stroke volume, dischargesection, the structure of the left ventricle myocardium. In addition, the segmentation of the left ventricle helps to build personalized cardiac computer models in order to perform digital simulations. Right now, it is observed that no automated segmentation methods related to cardiac images derived accurate performance. In this article, a new hybrid architectures is proposed where T-Net architecture can combined withSeg-Netto reduced network parameters and used for classification of cardiac MRI images .Then, in order to retrieve an approving performance, we use the EBO (Extended Buffalo Optimization) algorithm to solve the cardiac segmentation. Experimental results show that the proposed method successfully segments LR and achieves 90% accuracy in the cardiac images.

Personal Turmoil And Psychological Disarray In Anita Desai’s “Fire On The Mountain”

Dr. Gomatam Mohana Charyulu , Dr. PMattaiah Yadav , K Asha Latha , Dr. M Latha , k saikumar , Mr venkata Phanidhar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2335-2339

Personal Turmoil and Psychological disarrays are two different issues. The exact reasons of personality disorder are hardly unknown but it occurs with the effect of society and social experiences. Due to advancements in all the areas there has been increase in the treatments of personality disorders which is possible with medications and psychotherapies. Economic empowerment and prosperity of society is possible when women are physically and mentally sound. Anita Desai’s novels stand for a kind study on psychological realism and concerned with psychic life. The concept of stream of consciousness is shown in her novels as her characters thoughts, feelings and reactions are depicted in a continuous flow.The present paper focuseson “Fire on the mountain” andtells about the personality chaos of women.This paper also studies a little girl Rakaand two old women Nanda Kaul and IlaDas and expresses insecurity and lack of self-identity in them.

Impact Of Product Attributes On Retail Customer Satisfaction

Dr. K. Soujanya, Mr. P. Daniel

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2340-2346

India today consists of dynamic consumers who are demanding and knowledgeable, increased levels of consumption and increasing population base. Retailing today is transforming a lot from the conventional ways of satisfying the customers. It is continuously searching for new ways to succeed and survive. While deciding the strategy and the distribution systems, the retailer has to consider the ‘bottom-up’ pressure exerted by the consumer. Whether the retailer is good or not will be decided by the customer based on what the ‘new’ the retailer can offer him both in terms of the large variety of products and the bundled services. The retailer has to therefore, constantly innovate new products and services to satisfy the changing needs of the customers. The present paper is an attempt to understand the influence of attributes of product on customer satisfaction.

An Investigational Study on Assessing Speaking Skills by Contextual Intelligence (CI)

Dr. S. Lavanya, M. Raju, Dr. P. Veerraghava, Mr. B. Sridhar Kumar,

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2347-2356

Since ages, theorists have been hypothesising that skill in speaking can be measured positively corelated with the Contextual Intellectual (CI). As Aristotle said, Man is a civic animal (1), and he uses intelligence based on the context or event or any other situation, not on the Intellectual Quotient (IQ) levels. Contextual Intelligence (CI) is, although, considered the tacit ability or knowledge and can be measured over language abilities and skills. This research article targets to assess speaking skills by using CI at undergraduate level.

Increasing Demand In Usage Of Smartphones Among Undergraduatesto Enhance The English Language Skills: An Analysis

Dr. Mutyala Suresh, T. Sreevani

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2357-2361

The invention of smartphones influenced every area of people's life. According to the needs of the people, companies are producing the latest versions of Smartphones with modern technologies. Demand in the market shows with much evidence that the usage of smartphones is increasing day by day in the world. Smartphones are not only used for communication purposes but also other purposes like web surfing, entertainment, education, camera, and so on. Educational institutions have introduced Smart-education using Smartphones in all the fields of education. Coming to language learning, Mobile language learning was first started in the year 1980 by Twarog and Pereszlenyi Pinter to take feedback and assistance for distant language learners and gradually increased its usage due to the advantages it offers. This study focuses on analyzing the increasing demand for smartphone users to learn the English language among Undergraduate students and identify the language skills that are enhanced after using a smartphone. As a part of the research, a questionnaire is administered among the undergraduates of urban and rural areas of Telangana state in India. After collecting and analyzing the data, it is considered that the usage of smartphones enhanced English language skills, such as listening, reading, writing, grammar, vocabulary, pronunciation, communication, etc. And for the past 5 years, the usage of smartphones among undergraduates has helped in improving their English language skills tremendously and its influence would be more in the coming years

Dynamic Modelling And Control Of Microgrid Renewable Energy Sources

G. Balakrishna, B. Suresh kumar, D. Prasad, G. V. K Murthy, T. Sai kiran

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2362-2378

Here in this paper approaches the control of a miniature lattice at a detached area took care of from wind and sun based half breed vitality sources. In this machine utilized for wind vitality transformation is doubly taken care of acceptance generator (DFIG) and a battery bank is associated with a typical DC bus. A sun based photovoltaic (PV) exhibit is utilized to change over sun oriented force, which is emptied at the regular DC transport of DFIG utilizing a DCDC help converter in a financially savvy way. The voltage and recurrence are controlled through an aberrant vector control of the line side converter, which is fused with hang qualities. It modifies the recurrence set point dependent on the vitality level of the battery, which eases back down over charging or releasing of the battery. The framework is likewise ready to work when wind power source is inaccessible. Both breeze and sun based vitality blocks, have greatest force point following (MPPT) in their control calculation. The framework is intended for complete programmed activity taking thought of the apparent multitude of viable conditions. The framework is likewise given an arrangement of outside force upheld for the battery charging with no extra prerequisite. A reproduction model of framework is created in Matlab condition and recreation results are introduced for different conditions for example unavailability of wind or sunlight based energies, uneven and nonlinear burdens, low condition of charge of the battery. At last a model of the framework is executed utilizing a 5 kW sunlight based PV cluster test system and a 3.7 kW wound rotor acceptance machine and trial results are delivered to reaffirm the hypothetical model and plan.

An Advanced Power Control Method Of A Hybrid AC/DC Micro Grids

Nerella Vijay kumar, T Sai Kiran, Abdi D Prasad, G V K Murthy, V V Raghavulu

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2379-2389

A multi-terminals AC/DC hybrid microgrid within one AC terminal along with two DC terminals is constructed. Then approached framework repose about cascade H-bridge (CHB ) converter system established as two duel active bridges (DAB) along with AC grid interfaced converter established DC sub grid interfacing the connect double isolates DC terminal. So as to diminish the quantity of intensity transformation stages and force gadgets, the DAB converter system was legitimately associated with cascade h-bridge DC rails as per the framework activity necessity. Then conquer the imbalance network flows and DC rail voltage issues brought about to changed framework design with just two power transformation arranges, an improve technique is approached throughout the zero-grouping voltage infusion into cascade h-bridge converter system. What's more, to keep away from the contentions between zero-arrangement voltage infusion and the voltage/current guideline of the framework, then effects about to controlled parameters into the framework steadiness and dynamic reaction are explored.Assessment simulations ahead of three terminals and five terminals DC/AC microgrids seen their summed up viability of the approached three-stage AC current along with DC bus voltage adjusting strategy.

On Mysterious Number 6174 ; Akaprekar Constant

B. Mahaboob, B. V. Appa Rao, G. Balaji Prakash, J.P. Praveen, V. B. V. N. Prasad, C. Narayana

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2390-2397

The primary objective of this article is to chase the mysterybehind the fourth order Kaprekar constant 6174 using the principles of Linear Algebra and to hunt the other ordered Kaprekar constants. Kaprekarconstant 6174 has been an interesting one with its own mystery for decades in the research field of Analytical Number theory. Many recreational and experimental Mathematicians have been studying this number for years. In this research paper an attempt has been made to trace the mystery behindthatKaprekar constant 6174 and other Kaprekar constants of other orders. The method discussed here ensures a way to hunt Kaprekar constants of any order. Furthermore the proof of the existence and uniqueness of third order Kaprekar constant has been proposed and this proof can be implemented to find the Kaprekar constants of any order if they exist.

On Sum Of Positive Integral Powers Of Natural Numbers

B. Mahaboob, V.B.V.N. Prasad, G. Balaji Prakash, B. V. Appa Rao, M. Rajaiah, C. Narayana

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2398-2405

The main objective of this paper is to show the sum of positive integral powers say kth powers of first n-natural numbers coincides with a polynomial function of degree k+1 in n over natural numbers for any positive integer k. This has been an interesting problem to the mathematicians for decades. In this research article, the existence and uniqueness of the polynomial has been depicted with principles of Linear Algebra. Some astonishing results among the polynomial coefficients have been traced. Moreover the methods depicted here open a way to write a formula for sum of any positive integral powers of first n-natural numbers.

Some Special Properties Of Ideals And Congruences In Lattice Ordered Commutative Loops

V.B.V.N.Prasad ,Mudda Ramesh , Rama Devi Burri , B. Mahaboob , T. Rama Rao, G. Balaji Prakash

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2406-2410

This manuscript illustrates the significance of a normal subloop, l-morphism, l-ideal of an lloop also we have succeeded in determining a corresponding congruence relation on the l-loop and establishing a one-to-one correspondence between the l-ideals and congruence relations of an l-loop A.

A Standardised Review On Ankle-Foot Exoskeleton

G. Gowrishankar, A Arockia Selvakumar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2411-2427

Objective: The objective of this article is to review the gait analysis of various ankle-foot exoskeletons by different techniques. Overview: Gait exploration, the methodical learning of striding, is a domain that has been deliberated over 90 years. With automation and research-based improvements over the previous decade, there has been significant enhancement in our perception of the mechanics of strolling of human. Especially salient features have been the development in discrimination of the dissimilarity among standard and morbid gait. Conclusion: This may assist Ankle –foot Exoskeleton also Orthopedics physician in superior perception, the procedures and synonym of gait perceptive the proclamations that generally materialize in the Ankle –foot Exoskeleton also ankle operation compositions. Summary: An intention of this paper is to appraise the postulates of gait investigation, with a certain focal point on the fundamental techniques and field science. A systematic appraise of ankle-foot striding experience have been gathered and furnished a summary for future works.

Utility Of C-Arm CT In Detection Of Hepatocellular Carcinoma Duringtransarterial Chemoembolization

Mohamed Hosni K. Abdelmaksoud, Medhat Madbouly, Mohamed F.H., Abdallah, Norhan M. Morsy, Ayman Abdelaziz, Ahmed A. Mahmoud

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2428-2439

Background:The development of flat panel detectors has made cone-beam CT feasible for practical use in a clinical setting, the aim of this study isto assess the usefulness of C-arm Cone beam Computed Tomography (CBCT) in conjunction with conventional digital subtraction angiography (DSA) in detection of the tumors and identifying the feeding vessels during transarterial chemoembolization of hepatocellular carcinoma (HCC). Material and Methods: Between January 2016 and January 2018, cone beam CT was retrospectively used in 19 consecutive patients with HCC tumors, 12 patients (63.2%) done CT as a pre imaging modality and 7 patients (36.8%) done MRI. Detectability of tumors and tumor-feeding subsegmental arteries was compared versus that ofpreimaging CT or MRI and the nonselective digital subtraction angiography (DSA). Results:DSA depicted additional 14 (38.8 %) lesions were not apparent in the pre imaging (CT/MRI) and CBCT depicted additional 21(58.3%) lesions were not apparent in the pre imaging (CT/MRI). Tumor detectability on DSA was no statistically significant difference from pre imaging (CT/MRI) (P = 0.075), The sensitivity and specificity of DSA in detection of tumors taking the imaging (CT/MRI) as a gold standard was (88.9%), (84.5%) respectively with accuracy (85.53%). Tumor detectability on cone-beam CT was high significantly greater than on preimaging (CT/MRI) modality(p=0.000) .The sensitivity and specificity of CBCT in detection of tumors taking the imaging (CT/MRI) as a gold standard was (94.4%), (71.6%) respectively with accuracy (76.97%). DSA could detect 54 feeding vessels for all tumors detected by DSA. CBCT could detect 101 feeding vessels for all tumors detected by CBCT. The detectability of tumor-feeding branches with CBCT was highly significantly than that with DSA (P= 0.004) Conclusion:C-arm CT is a useful collaborative tool in patients undergoing transhepatic arterial chemoembolization thereby improving the detection of tumor as well as their feeding vessels, We believe the technical success rates of ultraselectivetranscatheter arterial chemoembolization may be improved by chemoembolization guidance software that uses conebeam CT technology.

Adventure Tourism: A Study Of Tunku Abdul Rahman Park, Sabah

Nik Alif Amri Nik Hashim , Boyd Sun Fatt , Tinimaizura Mohtar , Zaimatul Awang , Raja Norliana Raja Omar , Eni Noreni Mohamad Zain, Munirah Mahshar, Muhammad Jaffrimohd Nasir

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2440-2446

Adventure tourism is one of the main travel activities in the world. For instance, adventure tourism is among the primary contributors to the economy in Sabah, which is undertaken by most travellers who visit the state. This study was conducted to identify the perceptions of the local Sabahan visitors regarding adventure tourism activities at Tunku Abdul Rahman Park. Other than identifying the services and activities offered at Tunku Abdul Rahman Park, this study also seeks to examine how adventure tourism activities impact the environment of the islands. A 300 set of self-administrated questionnaires were distributed to the local visitors of Tunku Abdul Rahman Park islands (Manukan, Mamutik, Sapi, and Gaya). It was found that the majority of the local visitors indeed know about adventure tourism activities and they were satisfied with the services and activities offered at Tunku Abdul Rahman Park. While adventure tourism activities are deemed unharmful to the environment as they are believed to benefit the economy, it remains imperative that the infrastructure on the islands be improved. This study will benefit policymakers and tourism operators in Malaysia, especially in Sabah with insightful findings for the Sabah Parks management and Sabah Tourism Board in undertaking promotional ideas that pique the interests of potential tourists to visit the islands whilst sustaining the long-term environment of the islands.

A Survey On Privacy Preserving Data Mining Its Related Applications In Health Care Domain

S. Joseph Gabriel, Dr. P. Sengottuvelan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2447-2456

Data Mining is a technical process which involves the conversion of a raw data into a useful data. There is generally certain sequence of steps involved in obtaining a useful information. One of the important usages of the data mining technique is to identify certain useful patterns that can be utilized to solve certain real-world problems. Utility mining is a domain of data mining which is mainly used to identify the high utility based item sets which are considered based on certain parameters like quantity, cost, profit, affordability and certain preferences of the users. Utility mining impacts various domains like online commerce industry, medical domains, biomedical applications, finance, marketing and its allied domains. In this survey we discuss about the general structure in the pattern mining and various algorithms being applied to the privacy preservation like the randomization, k-anonymity and certain other hybrid techniques that is applied to the health care domain for preserving the privacy even though when the data is stored in the cloud and we consider various real-world problems and discuss about the open challenges in this research domain.

Technology Factors Of Online Shopping And Its Impact On Attitude With Special Reference To Student Community

R. Rajendra Kumar, Dr. P. Thangaraj, Dr. M. SivaSangari, Ms. M. Salomi Samsudeen

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2457-2464

Even though various security mechanism got adopted ,hackers always penetrate and overseeing the transaction.Various strategies or technological intervention are being adopted to enhance the safety of the transactions. The factors of internet security,website speed and context of the products are playing vital role on the successful online promotion.These issues are complex and very difficult to solve this through existing mechanism.Through this analysis,all the technological aspects as mentioned above have been analysed and suitable measures were adopted to overcome this problem. This study aimed to analyse various technical factors such as Awareness, Download time, Representativeness, Technical experience, Duration of Internet usage and components such as frequency of shopping, product purchased, Time spent, Money spent and Mode of Payment its impact on attitude through ANOVA. This study shows that almost all factors have positive impact in the attitude related to the Technological factors considered for the study

Isolation Of Kaempferol 3-O-Rutinoside From Kurdish Plant Anchusa Italica Retz. And Bioactivity Of Some Extracts

Peshawa Sh. Osw , Faiq H.S. Hussain

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2465-2480

Anchusa italica Retz. is naturally grown in Iraqi Kurdistan Region, and it belongs to the Boraginaceae family. From a phytochemical point of view, the species A. italica has been almost neglected so far and it was thus considered worthy of study. In this study, the flavonoids were extracted from aerial parts of the plant using ethyl acetate, amyl alcohol, and n-butanol after defatting the plant by n-hexane and removing the pigments by chloroform. The residue obtained from evaporation of ethyl acetate extract was separated by reversed phase Medium Performance Liquid Chromatography (MPLC) to give a polar flavonoid. Standard UV experiments allowed for the identification of the aglycone moiety substituted pattern, while the sugar components and the interglycoside linkage was identified by different NMR spectra. The compound was eventually identified as kaempferol 3-O-rutinoside. The other aim of this investigation is to study the antimicrobial activity for some extracts of the plant. It consists of two parts; the first part was antibacterial activity using four different bacteria (E. coli, Staph. aureus, Bacillus sp. and Pseudo. aeruginosa) via agar diffusion disc method, while the second part includes antifungal activity using two different fungi (Pencillium puberulum and Aspergillus flavus). This study showed that Anchusa italica is a good antibacterial plant especially aqueous and ethanolic extracts, at which the inhibition zone reaches (13 mm), while the aqueous extract was more effective compared with the ethanol extract for antifungal.

Experimentation On Powers Over The Operating Factors On Surface Quality In WEDM Of 12X18H10T - Stainless Steel

V. N. Aneesh, K. Karuna karan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2481-2489

The demand for high surface finish in hard to cut materials with complex profiles are recently increasing by increase of design modifications, new product geometries, etc. Wire cut Electrical Discharge Machining is kind of unconventional machining process generally employed for meeting such requirements. The materials which withstand its mechanical properties even it exposed to extremely high temperature are preferred for aerospace. An austenitic alloy 12X18H10T - Stainless Steel is such kind of material which utilized in aerospace at elevated temperature. This study aims to examine maximize surface quality of WEDM of 12X18H10T - Stainless Steel and establish a mathematical model to predict the response in by means of input parameters. This investigation utilized the Taguchi L9 experiential Design with factors of Pulse off Time, Wire Tension, Pulse on Time, and Wire Feed Rate. A constant machining time the effects of above four parameters on surface quality was investigated and optimized parameters for best surface quality.

Investigation of powers over the Operating Factors on Surface Quality measure of Maximum Height of the Profile, in WEDM of 12X18H10T - Stainless Steel

V. N. Aneesh, K. Karunakaran

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2490-2499

The stipulate for high regularity in complex profiled hard to cut materials are recently augmenting by personalizing design modifications in the high competitive market, new product geometries, etc. Wire cut Electrical Discharge Machining is kind of unconventional machining process generally employed for meeting such requirements. The materials which withstand its mechanical properties even it exposed to extremely high temperature are preferred for aerospace. An austenitic alloy 12X18H10T - Stainless Steel is such kind of material which utilized in aerospace at elevated temperature. This study aims to examine minimize the Maximum Height of the Profile on WEDM of 12X18H10T - Stainless Steel and establish a mathematical model to predict the response in by means of input parameters. This investigation utilized the Taguchi L9 experiential Design with factors of Pulse off Time, Wire Tension, Pulse on Time, and Wire Feed Rate. A constant machining time the effects of above four parameters on minimizing Maximum Height of the Profile, was investigated and optimized parameters for best minimum of Maximum Height of the Profile.

Mitigation and Prediction of Radiation Effects in Solar power Plants using Neuro Fuzzy and Neural Network

N.Shanmugasundaram , S. Sridharan, Swapna S

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2500-2509

In the growing energy demand, the renewable energy power generation plays an important role. The most important factor in solar PV system is the estimation of maximum power point calculation. This paper presents Neural and Neuro-fuzzy system-based temperature and solar radiation forecast. In this system the feature values are predicted without the knowledge of the characteristics of the input time-series. Using standard meteorological parameters, the input data used to train the proposed systems with different architectures. After having simulated, many different structures of neural networks are trained using measurements as training data. The best structures are selected in order to evaluate their performance. ANFIS neuro fuzzy system is considered here because it combines fuzzy logic and neural network techniques to get more gain and efficiency which gives best accuracy in performance. Several Error Metrics are considered here to evaluate and compare both the systems according to the resultant predictions.

Performance of BLDC motor with PI, PID and Fuzzy controller and its Comparative Analysis

K. Sushita, Dr. N, Shanmugasundaram

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2510-2524

— This paper compares the speed control of brushless DC motor (BLDC) using Proportional Integral controller (PI), Proportional Derivative controller (PID), and Fuzzy controller. Conventional PI controllers are mostly used controllers in industries till now. The conventional PID controllers are also used in industries because of their simplicity and ease of retuning on-line. . But both PI and PID gives a poor performance in various operating condition. Hence it is compared with the fuzzy logic controller which gives an effective speed response. BLDC motor is widely used in industries because of their high reliability, high efficiency, and high starting torque and low electrical noise. When compared with conventional controllers, the fuzzy controller gives a better speed response. The fuzzy controller improves the performance of the motor and other operating conditions such as rise time, settling time, overshoot percentage. The overall methodology is simulated using Matlab/Simulink.

Modeling And Estimation Of Maximum Power Point For Solar Pv Standalone Power System

Devanand. P, Dr. N. SHANMUGASUNDARAM

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2525-2534

The growing energy demand of power generation in the solar PV system, the knowledge of estimating the maximum power point is the most important key factor. The PV conversion model accomplishes the estimation of different variables such as incident irradiance on the tilted plane, temperature variants and load resistance so as to observe the maximum power produced by a PV plant. The proposed forecasting process exploits the correlations between P-V, I-V characteristics and incident global – efficiency for various environments using PV syst software.

Employees Motivation Towards Automobile Industry In Sipcot Chennai Region, Tamil Nadu – A Successfull Remote Key

Dr. ANNAMALAI SOLAYAPPAN, Dr. S. SANKAR, Mr. S. SENTHILKUMAR

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2535-2539

Every organisation is motivating some goals. The objective is to find out the level of employee motivation and the relationship between the employee motivations on performance of the Automobile industry at Chennai. The study was conducted by taking 400 employees who are belonging to the Chennai. The random sampling method was used in this study and also the surveying method used to collect the data. The programmes of employee motivation as evolved by job design, performance evaluations, rewards, job evaluations, compensation benefit, discipline. The success of employee motivation programmes evolved and analyzed. The study has implemented for more effective motivation among the employee in automobile industry. More employees should be encouraged to work together and increase the performance of organizations leads to successful motivation of employee.

A Comparitive Study on Differentiation and Automorphisms of Algebras

Munajat Mubaraq; B. Mahaboob, M. Rajaiah , C. Narayana , V.B.V.N. Prasad , K. Prasad , Y. Hari Krishna

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2540-2545

This research article explores on metric, normal and division algebras and one of the objectives of this talk is to establish a fact that R, C and H are normal algebras .In this paper an innovative proof of a proposition namely “the metric algebra H2 is a normed algebra”, has been proposed. Besides a specific formula is evaluated for every differentiation of algebra. Furthermore an attempt has been made to present some fundamental characteristic properties of Cayley Algebra.The concepts namely doubling of algebras, metric algebras are discussed in an innovative way so that it shows a path to young researchers. They can have a glance on their future research by thinking over the phenomena namely structural constants of a Lie Algebra and the representation of the Lie Algebra by generators and relations.

An Analysis Of Optimum Process Parameters Using Fuzzy Logic And Regression Analysis

Charankumar G , K. Rajyalakshmi , V.B.V.N.Prasad, Abhishek Dasore , Y Hari Krishna

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2546-2551

Complex systems can be effectively solved by Fuzzy models. Taguchi design of experiments will trace the optimum parameters for process with a smaller number of experimentations. Regression analysis will be useful in modelling and analyzing the various influenced variables having the relationship between a dependent variable. In the present paper, we mainly focused on traditional Taguchi approach, Fuzzy logic and Regression analysis methods to obtain the optimum process parameters. We also compare the results of these three methods. From the results we observed that the Fuzzy rule-based models are closer values to experimental data than the other traditional approaches.

A Statistical Analysis Of Perception Of The People Towards Suicidal Tendency

Srilekha N, Rajyalakshmi K, Parveen M Syed, Charankumar G , Pushpalatha K

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2552-2556

Suicidal tendency is a major cause of injury and death. Knowing the information about this epidemiology of such behavior is important for policy-making and prevention. Generally, this tendency is more prevalent among men whereas women, young, married and psychological disorder people exhibits more nonfatal suicidal behaviors. So many researchers proved that suicidal behavior has focused on patterns and correlates of prevalence. The researchers should focus on synergistic effects of modifiable risk and protective factors. The researchers must use the results in ongoing efforts to decrease the significant loss of life caused by suicidal behavior.

Vulnerability Of Health Among Indian Tribes

Abdul Shareef, Dr. KM. Ashifa

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2557-2561

In India, over 104 million people belong to the tribal community. They are over 705 different communities with divergent socio-cultural and way of life having distinctive features in Indian society. There are various constitutional measures for the protection and development of the tribal communities as ages, even though their conditions are still in jeopardy. Poverty and deprived health conditions have been making their life more fragile. There are many studies traced out revealing health conditions among the tribal people in India. In this article, the author focuses on certain interrelating factors like gender, education, poverty, the status of health, nutrition, food consumption, knowledge about diseases, alcoholism and tobacco usage, unemployment and health schemes as major determining factors of the health of tribes in India. The study has primarily aimed to describe the health condition of tribes in India and to check the major factors that determine the health of tribes in India. The study is descriptive in nature and data has taken from available secondary sources.

My Privacy My Decision Control Of Photo Sharing In Online Media

Diwakaran M , Dr. D Surendran Dr. V Anandkumar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2562-2569

In today’s world, most of the people utilize Online Social Networks (OSN) to mingle with people of their interest. Various new and innovative photo sharing features attract many users and kindle them to post several photos. The user has the privilege of posting any photo on his/her profile and share it with a range of people. Unfortunately, it may leak user’s privacy if others are allowed to post, comment, and tag a photo freely. To address this issue we have proposed a system that would notify OSN users, if any of their friends post a content that involves them. The Face Recognition (FR) system extracts facial features of the user’s friends and gets trained. If the user’s friend posts a photo that includes people other than himself/herself, then that photo is fed into FR system. The system detects all faces in the photo, locates facial details and compares with the faces of the other friends in the list.

Factors Affecting S-Commerce Adoption Among Micro And Small- And Medium Sized Enterprises In A Sub-Urban And Rural Economic Area

Siti Afiqah Zainuddin , Siti Rohana Mohamad , Tahirah Abdullah , Nur Farahiah Azmi , Siti Salwani Abdullah, Siti Nurul Shuhada Deraman , Nur Izzati Mohamad Anuar , Wan Farha Wan Zulkiffli , Nik Alif Amri Nik Hashim , Ahmad Ridhuwan Abdullah , Aikal Liyani Mohd Rasdi, Hazriah Hasan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2570-2576

Social Commerce (S-Commerce) is the new wave of e-commerce in which it is mediated by social media and social networking services in order to promote online business and shopping-related information exchange. The aim of this study is to investigate the factors affecting S-commerce adoption among micro and Smalland Medium Sized Enterprises (SMEs) in suburban and rural areas in Kelantan. This study adopts Ahmad et al. (2015) S-Commerce Adoption Model (SCAM) to examine the relationship between technology, organizational and environmental elements toward S-Commerce adoption among micro and SMEs in Kelantan. Although there are many studies on factors affecting e-commerce adoption, there is little attention given on S-Commerce adoption. Insights on factors affecting S-Commerce is crucial for Micro and SMEs’ strategic planning in widening the target market and eliminating excessive cost and wasted time. In achieving the objectives of study, a quantitative approach is used. A random sampling technique is employed and a set of quantitative analyses has been used to analyse the data. A total of 381 micro businesses and SMEs have been selected for the sampling. From the findings, the study concludes that three factors (i.e. technology context, organization context and environment context) have correlations on the inclination of S-Commerce adoption among enterprises in sub-urban and rural areas in Kelantan.

Systemic method for Abrasive Water jet Machining Process Parameters Evaluation using Error Pruning Tree Classification Technique

J. Vijayaraj , Vanga Mohan Aditya Reddy , G. Kalusuraman, M. Chithambarathanu , K. Parthiban , Latha Parthiban

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2577-2588

At various parametric conditions such as Jet Pressure (JP), Cutting Distance (CD), and Cutting Speed (CS) with distinct levels using Reduced Error Pruning Tree (REPTree) in Decision Tree (DT) classification, an attempt was made to estimate the abrasive water-jet system process properties on AlSi7/SiC composite. In DT learning, the REPTree classification algorithm is used as a representative strategy. Machining input parameters such as JP, SOD, CS of the DT are independent of the simple algorithmic properties of the process. Subtree structures that can be replaced by a leaf node with class mark and attribute values that are independent of each other with the help of DT under consideration. The idea of a uniform tree analysis that leads to the pruning of the number of subtrees is extended to the tree. The proposed strategies minimize computing costs, improve the speed and precision of the performance of the device.

Impact Of Social Media Influencer On Instagram User Purchase Intention Towards The Fashion Products: The Perspectives Of Students

Tahirah Abdullah , Siti Nurul Shuhada Deraman , Siti Afiqah Zainuddin , Nur Farahiah Azmi , Siti Salwani Abdullah , Nur Izzati Mohamad Anuar , Siti Rohana Mohamad , Wan Farha Wan Zulkiffli , Nik Alif Amri Nik Hashim , Ahmad Ridhuwan Abdullah , Aikal Liyani Mohd Rasdi, Hazriah Hasan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2589-2598

Social media has completely revamped the way people communicate, interact and engage with each other. The most important is this platform plays a main role in facilitating greater influence. This study seeks to identify the features of social media influencers that contribute to purchase intention in the fashion industry. It adopts the Ohanian model of sources of credibility as to examine the association between trustworthiness, expertise, likability, similarity and familiarity towards Instagram users’ purchase intention of fashion products. A total of 148 sample students of Universiti Malaysia Kelantan are responding to the questionnaire. Findings indicate that likability, trustworthiness and familiarity are key factors that influence Instagram users purchase intention towards fashion products. The study has implications for marketing strategy as social media influencer like Instagram has a powerful impact on effective marketing strategies

Honey Encryption Technique For Access Control In Public Cloud Environment

Mr. Nagendran.K , Mr. Aravindha Hariharan.M , Gowtham. G , Kabilan. S

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2599-2606

In the present scenario, the difficult task is to handling the data and control the access of data. Attribute Based Encryption (ABE) is an encryption method which will be mainly applicable for access outsourced data. By using ABE-based schemes not supports access with collaboration. This paper proposed attributebased control technique in this the users can collaborate by getting the access permission from data owner for all its attribute sets. We propose a technique which will improve data security and confidentiality

Evaluation of Knowledge, Attitude and Practice of Pharmacovigilance among Retail Pharmacist in Thiruvallur District, Tamilnadu, India

Vivekanandan. K, E. Bhavya , Ramya. A

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2607-2610

Objective: The study was aimed to assess knowledge, attitude and practices of retail pharmacists towards Pharmacovigilance (PV) and ADR reporting in Thiruvallur district, Tamilnadu towards adverse drug reactions (ADR). Methods: In this study we had selected community pharmacists as the study population. Registered Pharmacists working at retail Pharmacies were asked to complete a paper-based questionnaire which included 10 questions related to knowledge and 8 questions related to attitude and practice towards adverse drug reaction (ADR). Results: The total of 69 participants provided their response. The demographic details are tabulated in table.1. The knowledge of the participants regarding the Pharmacovigilance was assessed by asking 10 questions. A score of 1 was given for correct answer and 0 score for wrong answer. The highest score obtained was 9 and the lowest score was 0.The percentage of knowledge of the participants (Retail Pharmacists) about the Pharmacovigilance was only 26%. Conclusion: The result showed the retail Pharmacist had a poor knowledge and practice towards PV at the same time they showed a good attitude towards adverse drug reactions. Our study also suggests that more awareness is needed to improve reporting.

On Metric and Ultrametric Trees

Dr. R. Sivaraman

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2611-2615

In this paper, I will introduce the concept of phylogenetic trees and study their properties. In particular, the main focus of the paper is to study the concept of metric and ultra – metric trees that exist from phylogenetic trees. Finally I will prove a theorem which will provide a way for determining the root of a ultrametric tree. These concepts have interesting applications in study of genetics and various other related branches of science.

Patterns Of Published Scientific Literature On Nuclear Engineering Based On Web Of Science: A Study

Mamatha V , Keshava, Neetu G S, Shanthakumari K

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2616-2626

The study presents a patterns of 216423 papers published on the topic of ‘Nuclear Engineering’ during the period of 2009-2018. Web of Science database used to collect data and further refine with limit and exclude provisions. Maximum 32507 papers recognized in the year of 2018 that is 15.020% of the total papers published during the considered year of study i.e. 2009-2018. ‘Industrial and Engineering Chemistry’ got the top position in the list with 3982 papers publication that is 1.840% of the total publication. Wang Y is the top in the list of authors who contribute 1003 papers that is 0.463% of the total papers. United States of America (USA) contributed maximum among all other counties i.e. 27.122% of the total papers. ‘Chinese Academy of Sciences’ got the top position in the list with 6820 papers publication that is 3.151% of the total publications. The maximum 52 papers were contributed by Prausnitz, J.M., ‘National Natural Science Foundation of China’ got the top position in the list with 25376 papers publication that is 11.725%. ‘Engineering’ recognized as one of the top research area with maximum 77116 publications i.e. 35.632% of the total papers. Maximum 212236 papers published in the English language that is 98.065% of the total published papers during 2009-2018.

A Survey On Prediction Of Survival Time On Pancreatic Cancer Using Machine Learning Paradigms Towards Big Data

Santosh Reddy P,

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2627-2633

Resistance to impending disease can be created using paradigms built through previous procedures of different types, included measurable multi-variate relapses and AI. In any case, such a strategy does not offer the most predictive displays for every cases. To represent mechanized meta-training approaches that define how to predict the best performed system for all patients. The extremely selected procedure is used to maintain patient resistance. We evaluated the proposed approaches in a database of review records of careful resections of pancreatic disease.

Impact Ofantioxidant And Degasification Ona New Liquid Dielectric Suitable For Transformer Applications

D M Srinivasa, Dr. Usha Surendra

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2634-2641

The transformer oil which is petroleum based has been used for the transformer as the dielectric media. It acts as a coolant in transformer. Soil will be contaminated when a mineral oil spill takes place. In future there will be scarcity of mineral oil as it is extracted from petroleum products. Now a day’s Synthetic oil and natural esters are the alternativesfor transformer oil because of they are biodegradable. Oxidation stability of ester oil must be improved as they are very poor in oxidation stability.In this paper, Investigation is carried out to study the performance of Indigenous oil. The different properties wereInvestigated i.e. Viscosity, breakdown voltage, Flash point. The comparison of properties has been made among mineral oil, Indigenous oil and vegetable oil without additives and degassing and BDV of Indigenous oil is investigated by adding additive like DBPC and by degassing. The Indigenous oil is code named as DM and Indigenous oil with DBPC is codenamed as DM1. The result shows that Indigenous oil is better compared to mineral oil and BDV values are improved by adding antioxidant and also by degasification.

Wrapper Based Feature Selection Techniques On EDHS-HIV/AIDS Dataset

Daniel Mesafint Belete , Dr. Manjaiah D.H

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2642-2657

Selection of features is the mechanism that recognizes the most appropriate attributes and elimination of the redundant and insignificant attributes. These research focuses on a feature selection approach conducted using wrapper methods to predict the individual status/test outcome of the Ethiopian Demographic and Health Survey (EDHS-HIV/AIDS) data set for HIV / AIDS. The study uses three widely employed wrapper-based methods of feature selection to validate the efficacy of the proposed methods namely: Forward Feature Selection (FFS), Backward Feature selection (BFS) and Recursive Feature selection (RFS). We used seven classification algorithms for the purpose of testing selected feature performance, and each classifier output is evaluated using accuracy, precision, recall, f1-score, and ROC. Among the algorithms, the classifiers namely Random Forest, K-Nearest neighbors and Gradient Boosting classifiers achieve higher accuracy levels on the EDHS-HIV/AIDS dataset than others after wrapper method applied. In our research, we have proved that the importance of specified feature selection methods is improving the learning algorithm performance.

Financial Performance Of Cooperative Banks: Correlation And ANOVA Approach

Dr. Vishal Madhukarrao Tidake, Dr. Ashish Rajendrapal Jaswal

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2658-2673

Financial Performance of Cooperative Banks: Correlation and ANOVA Approach’ is an attempt of mapping the financial performance based on- Credibility, Liquidity, Solvency & Profitability. The paper is based on the correlation and variance analysis of certain selected ratios. The various ratios identified for the study are- • Quick Ratio (QR) • Current Ratio (CR) • Credit Deposit Ratio(CDR) • Fixed Asset to Current Asset Ratio (FATCAR) • Capitalization Ratio (CAPTR) • Debt Equity Ratio (DER) • Interest Coverage Ratio (ICR) • Long Term (LT) Debt to Asset Ratio • Total Income (TI) to Asset Utilization Ratio(AUR) • Total Income (TI) to Capital Employed Ratio (CER) • Dividend Per Share (DPS) • Dividend Payout Ratio(DPR) • Return on Fixed Asset (ROFA) • Return on Equity (ROE) • Earnings per Share (EPS)

On Some Coefficient Inequalities For Certain Classes Of Regular And Multivalent Functions With Differential Operator

Elumalai Muthaiyan, Radhika Subramani

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2674-2678

In this paper the author establishes the new result corresponds to the generalized differential operator , , ( ), m s z  E  related to multivalent regular functions. Also compute the Fekete szegö coefficient estimates are obtained for 2 s s 2 1 a a + + −  when  1, with sharpness for the operator, and also point out, as particular cases, the results obtained earlier by various authors.

Design And Development Of Solar Powered Tricycle For Differently Able Person

Irfan Kasim Sayyad , Atharv Ganesh Raut

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2679-2682

Solar Technology plays a vital role in our day to day life. We have Designed And developed the Solar Tricycle for Differently Able Person. The aim of the experiment is to use electricity generated by solar panel, The Energy which is available in plenty in the nature free of cost. The Power produced by the available green energy is used to run a vehicle with high load caring capacity and sufficient speed. Hence in that case no human efforts are required, with zero fuel cost & low maintenance cost and our aim to provide in-dependency to differently able person is fulfilled here.

Impact Of Microfinance On Social Status Of Jodhpur Rural Women

Dr. Amita Vijay, Dr. Nandani Sharma

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2683-2692

The focus of this paper is on social empowerment of women in Jodhpur. Microfinance through SHG has emerged as a social empowerment tool. Though empowerment is not just talking about finance it is complete growth of an individual that is physical, mental and social. To make the social empowerment happen there was the need of interaction of women with the society and involvement in some socio-economic activity. Microfinance through SHG is enabling women folk to raise their socio- economic levels and improve living. In the study it was found that the social condition of the respondents became stronger after they joined the SHG and got microfinance. The Association of attributes and Yule’s Q value used in this study showed the stronger social condition of the respondents after they joined SHG.

Paired Comparison Analysis Of Financial Performance Of Certain Private Sector Banks In India For The FY 2018-19

D. Sandhya, Chaithra N

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2693-2705

Currently India’s Private sector banks are competing intensely with the other scheduled banks. There business practices and technology a adaption has changed the way banking sector functions in India. Among the 22 banks there are very few banks that are contributing to more than 90% for the development of banking sector. Among them are HDFC Bank, ICICI Bank, and Federal Bank, Axis Bank and Yes Bank to name a few. This study is an effort to understand the financial performances of these banks and rank them according to their performances. The study considers five financial performance ratios namely “Net Profit Margin Ratio”, “Operating Profit Margin”, “Return on Asset”, “Return on Equity”, “Net Interest margin” and “Cost to income ratio” for the FY2018-19. The researcher is used the paired comparison method for analyzing the relative performance of the above mentioned banks. The required data on the performance ratios are collected from RBI website, Moneycontrol.com and the financial statements of the respective bank from their websites. Using the paired comparison method, where the banks are relatively compared with each other, we can say that HDFC bank is best performing; following to it is Federal bank, Axis Bank, Yes bank and ICICI bank in the descending order of the ranks. The same kind of study can be done comparing different to her Private and PSBs (PSBs) with the two foreign banks and do the categories of banks. The study may also extend to comparison of performances of previous financial years also.

Live Migration Of Virtual Machines With Software Defined Storage

V.A.Prabha, Dr. P. Varalakshmi

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2706-2719

Cloud providers takes the upper hand of server virtualization technology for efficient resource utilization, scalable architecture, on-demand provisioning and reduced energy consumption, etc. The key feature of server virtualization is the live migration of virtual machines (VMs).Data Centre Administrators highly depend on the most powerful technique to migrate or evacuate VMs across physical hosts. Our research work provides an insight into the intricacies of the optimized method of live migration using Software Defined Storage solution using Ceph,KVM hypervisor and the Openstack platform. The Openstack deployment of Ceph based storage solution based on Filestore storage backend has many issues related to overhead of journaling traffic and metadata. In this paper we perform a heuristic approach in choosing the VMs for migration using dynamic threshold algorithm. We also perform a detailed analysis with benchmarks and heavy workload to compare the impact of Filestore and Bluestore software defined storage during live migration of virtual machines. We include the results of the total migration time by each VM flavors and the total downtime. The results indicate which storage backend of the SDS helps in the long run to a cloud provider

Lake As A Public Place: A Case Of Vivekananda Sarovar, Raipur

Ar. Amrita Shukla , Dr. Pankaj Chhabra

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2720-2727

Proliferation in the Urban population due to migration from the village for a better lifestyle or job opportunity may result in the problem of space and Land scarcity. Thereby quantity and quality for public open space remain far from satisfactory, and share-of open-space in the Indian cities has reduced to an alarming rate [1]. According to the World Health Organization, at-least-15% of a city’s- total area-should-be open space and most of the Indian cities fall-below-the-mark. The scarcity of Public Open Space has a drastic adverse effect on the health of all age groups of society. On the other side, the contamination and depletion of water bodies had risen to an alarming rate[2]. From ancient times, water bodies constructed to ensure steady water supply throughout the year and ignored in the contemporary context. Urban waterfronts are in deteriorating conditions, round around the globe due to various environmental, social, and economic factors[3]. In this respect, the research intends to showcase the potential of the waterfront as a public open space in a dense urban district of Raipur city, concerning socio, climatic, and cultural aspects[4].

Predicting The Strength Enhancement Of Subgrade Soil Reinforced With Geotextile Using Artificial Neural Network And M5P Model Tree

Tanvi Singh, Yash Goyal, Suresh Kumar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2728-2737

Geosynthetics layers are being implemented as reinforcement to enhance the strength of subgrade soil (which is calculated in terms of CBR). Present research work, aims at investigating the strength enhancement in terms of CBR through experimental study. Experiments were conducted on subgrade soil reinforcing it with single and double layer woven and non-woven geotextile layer were placed at depth M/3, M/2 and 2/3M from the top of CBR specimen, where Mis height of CBR specimen. Result indicate that woven geotextile offers more strength to subgrade soil than non-woven geotextile, further as depth of placement of reinforcement increases from top lesser is increase in strength for both the geotextile. Strength also increases when double layer was placed in comparison to single layer for both the geotextile. ANN and M5P was used to predict the CBR value, result suggest improved performance of ANN over M5P for present data.

Demographical Determinants Associated With Undernutrition And Anaemia Among Tribal Women Of Malkangiri District Of Odisha: A Cross Sectional Survey

Kumud Kushwaha, Priyanka Kushwaha

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2738-2749

The pervasiveness of undernutrition and anaemia in tribal women is still very high. It make women weak to bear the labour pain and survive in child delivery and they becomemore prone to infection and chronic diseases. The objective of this study to determine the demographical factor responsible for undernutrition and anaemia and its consequences among rural tribal area of Malkangiri district of Odisha using WHO standards of Anthropometric measurements. Materials and Methods: The study has been done on 240 random sample of tribal women of Santals, Koyas, Poraja and Bhumia tribes falling into category of 15-49 year age which have child bearing potential. The socio-demographical data on nutritional status, habits etc. has been obtained through structured questionnaire which is further followed by anthropometric assessment using standards methods. The haemoglobin level measured by Mission Hb haemoglobin testing meter. Statistical Analysis: Chi-square test used to find the association between demographical factor responsible for malnutrition and anaemia at p-0.05 level was used along with descriptive statistics like simple proportion, mean, standard deviation calculated using SPSS 16.0 version. Results: In this study, it was found that 74.16% womenare underweight and 87.08% women are anaemic. Among sociodemographic factors early marriage, education, occupation and, family size, drinking water facility and age of birth of first child shows strong association with undernutrition while family size, age at birth of first child and education have negative association with anaemia. Conclusions: Despite the high prevalence rates of underweight among reproductive aged women, relatively few risk factors were identified for these conditions, suggesting that focused and target based strategy, community- based intervention that have effective implementation is needed to address this issue effectively

Industry 5.0 And Smart Cities: A Futuristic Approach

Itisha Sharma, Illa Garg , Dr. Deepti Kiran

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2750-2756

Smart cities aim at a sustainable lifestyle with greener and safer urban environment. The futurists have already started discussing about Industry 5.0 with the theme of adding a human touch or personalization based on collaboration and co-working of a human and robot. We discuss how the concept of Industry 5.0 can impact smart cities and what kind of changes are expected – how it will create a diverse set of opportunities. This is a short article which discusses about the technological developments, shortcomings of industry 4.0, underlining structure of smart cities and what modifications can be expected under Industry 5.0.

Influence Of Metakaolin And Basalt Fibers On Strength And Durability Of Concrete - An Experimental Approach

Kavyashree K N , Shashi Kumar A , Dr. G Narayana , Dr. B K Narendra

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2757-2767

This examination reports an examination of mechanical and toughness properties of cement fused with metakaolin and basalt strands. Concrete is the most broadly utilized material of development as a result of its mechanical and sturdiness properties along with its lower cost and appropriate usefulness. Yet, it has hardly any detriments, for example, low elasticity and strain limit. During the creation of concrete, it radiates the biggest measure of CO2. In 2016, world solid creation delivered around 2.2 billion tons of CO2 - equivalent to 8% of the outright sullying. To diminish the utilization of concrete, halfway supplanting of concrete with some beneficial cementitious materials like Metakaolin, fly-debris, GGBS and silica seethe and so for., can be utilized in solid blend. It is comprehended from the writing audit that the metakaolin can be supplanted up to 20% to get more attractive properties than traditional cement. Additionally, Basalt strands were utilized in substitution of concrete to check the split safe conduct and diversion. The examination is completed for 2% of basalt strands with metakaolin substitutions of 0%, 12.5% ,25% and 37.5% for M30 evaluation of cement to gauge the properties of cement.

Neuro-Wheelchair

Prof. Manjula K, Dr. M B Anandaraju, Karunya S, Chandana S, Sharath VN, Gokul SK.

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2768-2778

Medical electronics has always been a very popular field for innovations, regardless of the medical advances that have happened. This paper presents the prospect of developing a neuro-processing wheelchair, an incredibly useful accessory for the quadriplegic, the deaf and dumb, who have lost the use of their limbs. To develop this prototype, we a technology knows as Brain-Computer Interface (BCI) [15][16], a medium through which a direct communication pathway between a human/animal brain and the outside world is established. The prototype consists of a wheelchair, which is controlled using EEG signals obtained from the human brain. The Neuro sky product i.e. mind wave device headset is used to measure the human brainwave signals. The signals are then mapped and compared with the reference values of attention and meditation levels along with blinking eye signals. The wheelchair moves in different directions and can be controlled effectively using the precise thoughts of the individual. So, a human’s ability to concentrate is used effectively to control the given wheelchair. An IMU is used to control the wheelchair in slope positions and GPS, GSM to identify the particular location and movement of a person.

Wavelet Based Classification And Analysis Of Seizures In EEG Signal

N Shweta , Nagendra H

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2779-2786

Epilepsy is a spontaneous or provoked synchronized cortical activity in cerebral neurons that leads to epileptic seizures which affect the person in motorized dispositions and sensory or psychological sensations. The Detection of epilepsy is achieved using the electroencephalogram (EEG). The EEG is a continuous, irregular signal in which any section is never repeated exactly at any other time. The EEG can therefore not be exactly described by certain parameters (such as amplitude or frequency) It is only available for statistical estimation. With the properties mentioned, the EEG virtually challenges signal analysis. Frequency analysis (spectral analysis) is an essential component of electronic signal processing in many devices in EEG diagnostics. In general, the digital representation and processing of the EEG is becoming increasingly important. This paper presents a procedure to detect seizures in EEG signal using EEG wave component frequency analysis. Depending on the level of alertness, a distinction is made between different patterns in the electroencephalogram, namely Alpha, Beta, Theta and Delta waves. The statistical parameters are extracted after wavelet transform is applied on the EEG signal. These parameters are trained with SVM classifier to detect the seizure. The proposed method performs better than the existing algorithms.

Compact Air Conditioner

Prof. Manjunatha Y R, Madhu Varun Reddy K A, Samyak S, Sriramprasad S

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2787-2785

Refrigeration and Air conditioning results in global warming and ozone depletion, caused by the release of chlorofluorocarbons. It is also one of the major consumers of electrical energy which causes the energy shortage and also the people in most of the places feel uneasy due to temperature variations, people need their thermal comfort but it cannot be compensated by the conventional Air conditioners because they are not mobile. The sudden change in environmental conditions may also leads to major health issues. The proposed system is the best alternate of conventional cooling techniques with temperature monitoring Bluetooth based device which includes thermal energy that uses the peltier effect which has the ability of cooling the specific area .This system enables us to sense both body temperature, environmental conditions and controls the temperature either manually or automatically. The overall operation is to measure the temperature of the body and environmental conditions that displays on LCD module and mobile screen through Bluetooth module. The cooler and heater will provide either cooling or warming effects to the users.

Electroencephalogram Based Emotion Detection Using Hybrid LongShort Term Memory

Thejaswini S, Dr. K M Ravikumar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2786-2792

Emotion detection using physiological signals is an upcoming research extending applications in various domains. One important challenge in detection of inner emotion states is a good predictive rate in order to build any application. In our present work, a hybrid Long Short Term Memory (LSTM) algorithm is proposed based on channel fusion approach. Data is acquired by eliciting emotions using eight 3-D Virtual Reality (VR) videos for eight discrete emotion states. On preprocessed data, 8-level decomposition using Discrete Wavelet Transforms(DWT) is performed, wavelet features and time-domain features are extracted and fed to Hybrid LSTM. The hybrid algorithm is performing well for eight discrete emotion states (happy excited, calm, bored, fear, tensed, sad and relax), with an accuracy rate of 80.05% and 93.24 % for 4 states in categorical form (Valence- Arousal scale). Frequency domain features on various bands exhibited a good predictive rate than time domain features.

Inverse Domination In Circular-Arc Graphs

Purushotham P, Dr Rama Latha V , Dr Manjunath G

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2793-2799

The intersection graph of a set of arcs on the circle is called a circular-arc graph. Circular-arc has one vertex for each arc in the set and an edge between every pair of vertices corresponding to arcs that intersect. Let 1 2 { , ,....., } C c c c = n be family of arcs on a circle. In this paper we are taking circular arcs such that if we remove 1 c then there will be a disconnection between left end side intersecting arc of 1 c and right end side intersecting arcs of 1 c .We are writing an algorithm to find an inverse of dominating set with respect to a minimum dominating set of a circular-arc family.

A Study On “Effectiveness Of Preventive Measures Of Sexual Harassment Policies At It And Ites Sectors”, Bengaluru

SUMA S , Dr. N. Sandhya

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2800-2810

In India sexual harassment at workplace is one of the most common crimes against women and is also seen as unconstitutional invading on the fundamental rights of women. Occasionally women raise their voices against such discrimination, but more often than not it is buried with time. The necessity for preventing such injustice and suitably dealing with such cases, The Sexual Harassment Act, 2013 was brought into effect. Sexual harassment is a recurring problem around the globe. Different nations have taken measures to deal with the consequences of such a problem. Continuous development of policies is observed. Nations or companies are dealing with the topic by either reacting or pro-acting to the salient situations. The main objective of this chapter is to highlight the methodology used in order to state the hypotheses generated from the objectives of the study. The research design including the measurement of research variables, the questionnaire design, the sampling procedure, data collection and techniques of analysis used for the purpose of testing the research hypotheses is elaborately considered in this chapter 1.Introduction Piotrowski (1998) before 1970 there was no term like ‘sexual harassment’ used in the literature or in any published or unpublished media. It was only in late 1970s that first time the term ‘sexual harassment’ was used and got its place as one of rising issue in the world. This concept came into existence in the late 1970s, earlier it was a part of work life but never get noticed and no one has ever raised the voice against it. Cornell University first time took step to raise the issue of sexual harassment by conducting a session on ‘Women and Work’. The purpose of this session was to make people aware about their safety at work place. Farley (1978) harassment of women was prevailing in the society from very beginning; women employees have to leave their job or were fired from the job due to the uncomfortable behavior of the male employees. Women were facing harassment almost at every walk of life but our society is male ruled and consequently nobody has observed or raised the problem of sexual harassment at workplace. Nemy (1975) the trouble of sexual harassment turned into now no longer publicly mentioned however the idea of sexual harassment turned into first time publicized during the testimony of (Farley, 1978) associated with ‘Women and work’. The difficulty of sexual harassment turned into raised with The amative to make girls conscious that they have to protest and withstand any act that comes below this class and they have to have rights to take steps in opposition to such issues via a few felony manner which can bind both the organization and the harasser. In India the regulation concerning sexual harassment turned into enacted in 2013, through a brand new act namely; Sexual Harassment of Women at Workplace (Prevention, Prohibition and Redressal) Act. Before this Act, there has been a regulation in this difficulty and

An in Depth Analysis of Machine Learning Classifiers for Prediction of Student’s Performance

Thingbaijam Lenin, N. Chandrasekaran

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2811-2825

Machine learning algorithms are sensitive to the nature and the dimension of the data that are fed into the model for analysis. These algorithms tend to perform significantly different depending upon the dataset used for analysis and training. It then becomes difficult to discover the best algorithm to handle a particular dataset. In the current work, we have made an attempt to verify 24 different state of the art supervised machine learning algorithms in an effort to find the most suitable classifier for predicting the performance of students in our University. Out of the 24 algorithms that we have identified, we found Naïve Bayes (NB) and Stabilized Nearest Neighbor Classifier (SNN) to be the most suitable for deployment followed by K-Nearest Neighbors (KNN) and Cost Sensitive C5.0 (C5.0Cost). We have also determined that handling missing values using KNN improves the classification of minority classes. The classifiers have been evaluated with the sensitivity, specificity, precision, kappa and F-score metrics. It has further been established that the performance metric “Accuracy” is misleading when dealing with imbalanced dataset and balanced accuracy provides far better and reliable information for the model being developed.

Prediction, Analysis And Relief Measure Reports For Disaster Crisis Management Using Regression, Artificial Neural Network And RFC

Ramya Prakash, S Mathangi, Utkarshini Acharya, Zainab Noorain, Kavita Horadi

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2826-2841

The Disaster Crisis Management System aims to provide and facilitate model tha treads, interprets and entirely comprehends the parameters and factors involved in a natural disaster like Floods and Earthquake, and the subsequent outputs and relief measures that need to be deployed within hours for faster and improved public relief. The parameters being considered for the disaster management and relief include data from various intensity units, Relief funds, Extent of Disaster, casualties, mode of Rescue operations, etc. The system makes use of Regression and Perceptron Model for the prediction of disaster and the Random Forest Classifier algorithm for Post Disaster analysis.

Computational Analysis Of Fiber Bragg Grating Based Hand Grip Measuring Device For Assesment Of Post Surgical Rehabilitation

Dr. Chethana K , Dr. Rajini V Honnungar , Ibrar Jahan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2842-2848

Present work describes computational analysis of Fiber Bragg Grating (FBG) based hand grip device, which has potential to act as an enabler in assessment of post-surgical wrist hand grip rehabilitation. Understanding behavior of FBG sensor becomes very critical for best use and optimum position of the sensor and hence a thorough computational study becomes the key. In this regard we have used RSoft advanced optical software which can bring properties of FBG sensor and allows to emulate the real time scenario in terms of load to bring accurate results which will assist in planning for a thorough experimental study. From this work it is evident that the results of the computational study clearly demonstrate the possibility of using this data and coming up with prototype which can help to build a comprehensive medical diagnostic tool for assessment of post-surgical wrist hand grip rehabilitation.

Trace File Analysis To Obtain Congestion Window, Throughput And PDR

Sowmyashree M S, Saritha I G , Archana Arun, Manasa M , Samhitha C S , Spoorthi H Shetty

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2849-2860

The use of wireless networks have led to a recognizable evolution in the area of wireless Body Area Networks (WBANs).With the help of WBAN a patient's state of health can be repeatedly monitored without affecting his day to day activities. A wide range of technologies have played a significant role in supporting WBAN applications which includes telemedicine, remote monitoring and ambient assisted living by focusing on particular quality of service requirements. In this project, the QOS parameters like delay and throughput will be improved compared to existing protocols with the help of a simulator(NS2).We will collect values from the present database and transmit it via the internet such that it will have minimum delay and throughput, so that the packet without any loss of data can be collected at the hospitals.

Stock Market Sensitiveness: Impact Of Epidemic Or Pandemic

Dr. Hardeep Kaur, Mr. Sunil Saxena

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2861-2870

“Pandemic” is a disease that can get spread over an entire country or may be across the world impacting not only the people but also the economy. Epidemic is a disease that affects large number of persons within a community, region or country. This study looks upon the impact of the pandemic on the stock market and on the economy as a whole. It takes into consideration various wide spread disease such as Ebola, Swine flu, Severe Acute Respiratory Syndrome (SARS) and Coronavirus, and how their impact is been there on stock market as well as on the economy. In order to do study the impact on stock market the change on the levels are done. Further, the study will look upon the recovery period of each of these stock markets after the epidemic or pandemic. Descriptive analysis is been conducted to see the recovery period after COVID-19 in Indian markets.

Experimental Study On Nano Silica Modified Concrete

Praful .B. S , Gunasheela .R , Dr. Narayana .G , Naveena .M. P

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2871-2875

The Property of regular cement can be improved by expansion of Nano silica. In this venture nano silica and were utilized with concrete composites to build the properties of cement. The goal of the current examination is to research the conduct of nano silica Modified concrete cement in both new and solidified state. The solid of M25 grade traditional cement is utilized and the nano silica from 0% to 2.5% were utilized. The outcomes acquired are the halfway expansion of nano silica with regular concrete cement up to 1.75% which upgrades the quality of Concrete

Enhancing Data Security In Cloud Using Cryptographic Technique

Shrihari M R , Noorain Fathima , Pooja P , Revathi G , Veenalahari M

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2876-2885

In these days, storing data over the cloud has become popular. Many organizations and companies have moved to the cloud and they are continuously benefiting from its rising usefulness and convenience. Before the cloud, saving documents or information was simple. All we had to do is save them on our computer or an external hard drive but the information could not be accessible from anywhere which was resolved by cloud storage. Every process has its own pros and cons. Similarly, storing data in the cloud has many pros but is not without cons. Data could still be accessed by cybercriminals using complicated approaches, even though storing data on cloud is safe. That is the reason why every person should be cautious of their own data or information; else their information could be in the hands of data stealers who might disclose the data, if best practices are not applied. In organizations, if employees are not taught or well-informed, data can accessed by attacker. Therefore, this paper discusses about making use of symmetric block cipher technique i.e., AES algorithm in the fog node for the data to be stored oncloud.

A Cognitive Approach Towards Measuring Effectiveness Of Meditation Using Enobio8 EEG Device

Manjunatha Siddappa, Dr. K M RaviKumar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2886-2897

In recent times, Mind-Body awareness training (MBAT) through yoga and meditation has harvested interest because of raise in the attentiveness of the potential health benefits and enhancement in concentration level this training can offer to practitioners [1]. In our work using Brain to Computer Interface(BCI), cognitive analysis of yoga with meditation on health of individual being based on Electro Encephalo Graphy (EEG) is achieved by using Enobio-8 by acquiring EEG data at four defined stages. In the first stage, subjects were informed to relax and then data is recorded for 3-minute duration called as “Before Meditation”. In the second stage, subjects were intimated to perform meditation for 10-minutes and later data is recorded for 3-minute duration called as “After Meditation”. In the third stage, subject’s EEG data is recorded before pranayama for 3-minute duration called as “Before Pranayama and meditation”. In the fourth stage, subjects perform prescribed Pranayama and meditation for 10-minute, later EEG data is recorded called as “After Pranayama and meditation”. Acquired EEG data is preprocessed and features are extracted using MATLAB for comparative analysis. In time domain, mean, standard deviation, variance, minimum, maximum, skewness and median is calculated for all the four stages. Similarly, in frequency domain power, energy and entropy is calculated for delta, theta, alpha, beta, gamma bands.

Experimental Studies On Fresh And Hardened Properties Of Acrylic Modified Blendedconcrete

Srinivas S.P, H. Sudarsana Rao, Vaishali. G. Ghorpade

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2898-2903

The Property of conventional concrete can be0improved by0adding0Polymers. In this project Acrylic polymers and0GGBS were used with cement composites to increase the properties of concrete. The present study is focused on the properties of Acrylic modified cement concrete in both fresh and hardened state. The concrete of M20 grade conventional concrete is used and the Acrylic is mixed from 0% to 20% and GGBS are mixed with 50% were used. The results0obtained0are the limited0addition of Acrylic and GGBS with conventional cement concrete0up to050% which enhances the strength of concrete

An Expert System Based Sensor Fault Accommodation For Lateral Dynamics Of Aircraft Models

Seema Singh, T V Rama Murthy

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2904-2916

This Sensor faults have been a major area of research for fault tolerant system. Fault accommodation system mainly deals with two specific challenges. First, being an efficient detection of fault and second, a robust model whose estimated sensor signal may be used to reconfigure the system in case of fault. Research shows advancement in model based techniques for fault accommodation. An expert system is presented in this paper with integration oftwo neural network based approaches to provide a robust fault accommodation system. A dedicated knowledge based neural network is used for fault detection only. This detection system is integrated with another model based neural network which provides sensor estimate. Hard sensor stuck fault and intermittent fault for F-8C aircraft and jet transport aircraft is simulated to show the proposed fault accommodation system. The proposed method is tested on closed loop model of the aircraft and validated with ARM target, i.e. SAM3X8E. The ADC and DAC ports of the board were used for interfacing purpose. The input command of pilot and the cockpit display was interfaced with ARM Cortex-M3 CPU.

Modular Farming With The Utilization Of Induced EMF For A Feasible And Miniaturized Single Device

Manjula K , Akhila P G , Gururaj V Desai , Harshitha R , Shashank D R

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2917-2924

India is developing technologically in every aspect and agriculture is no exception. Though there is a large scale mechanization of agriculture, there are only a few parts of country that have actually implemented them and are benefitted. Little to no use of mechanism is made and small and marginal farmers still rely on simple and conventional tools like wooden plough, sickle etc. for tilling, sowing the seeds and so on. This results in huge wastage of human labour, consumes more amount of time and low yields. This paper is an approach at developing a modular farming device to assist the farmer in agricultural processes like tilling, sowing the seeds and pesticide spraying. The paper aims at building the device whose operations can be controlled easily by the user with least manual labour. The system is built using Arduino microcontroller, motor driver, IR proximity sensor and servo motor, while the user controlling the device via bluetooth.

Behavior Of Vertical Irregular Building In Different Seismic Zones

Asra Fathima , Shashi Kumar N V

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2925-2939

When rocks are deformed, enormous amount of energy is released, the resulting vibrations spread out in all directions. An earthquake is the passage of such vibrations resulting vibrations spread out in all directions. An earthquake is the passage of such vibrations. The seismic force canabe resolved into 3 perpendicularmdirections that is 2 in horizontalmdirections (x and y) and the remaining 1 in verticalmdirection (z) The main objectivesaof this work are to know the behaviouraof a multi-storey vertical irregular residential building under lateral loads. The project is carried out by FEM software E-Tabs. The building model used in this work has 15 stories each storey has a height of 3m. Five different models are used in 4 different zones and their effects are tabulated in Results.

Face Recognition Using CNN Trained With Histogram Equalization Based Image Enhancement Scheme

Seshaiah Merikapudi ,Dr. Shrishail Math , Dr. C.Nandini, Dr.Mahammed Rafi

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2940-2950

Face recognition is considered as a promising solution for video surveillance systems. Currently, the still image-based face recognition techniques have obtained promising accuracy but detection and recognition of faces in real-time videos has becomes a challenging task. Moreover, the demand of CCTV (Closed-Circuit Television) based surveillance has increased rapidly where the quality of videos is very low. Thus, the poor-quality video, occlusion, and other conditions creates various complexities in face recognition. Currently, CNN (Convolutional Neural Network) based techniques have gained attraction from research community because these techniques have good learning capability and provide better accuracy. In this work, we have introduced CNN (Convolutional Neural Network) based scheme which uses feature extraction and feature embedding modules along with Google Net architecture to improve the learning of CNN (Convolutional Neural Network). We have incorporated histogram equalization-based image enhancement approach to improvise the quality of video frames. The proposed approach is implemented using Python 3.7. The experimental analysis shows that proposed approach achieves the accuracy as 98.55% and AUC(Area under the Curve) as 99.10% for open source datasets whereas for real-time scenarios without occlusion it achieves accuracy as 99.12%, for occlusion scenario it achieves 98.87% classification accuracy.

P3 Search For Intellectual Processing Of Encrypted Data In Cloud

Chaithra T S , Prof Ajay N

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2951-2971

The exact expression can be recovered from the numerous documents using phrase search, which plays a significant part in numerous applications in cloud-based IoT for example intellectual health information analytics. The searchable encryption structures existing are incapable of determining the location connection of numerous keywords in an enquired phrase over encoded data and flop to achieve expression examination on server-side cloud. Generally, data owners encrypt documents previously outsourcing on to cloud beneficial to guard delicate data from being leaked by facility providers which makes the search process an enormously stimulating task. In the proposed project Privacy Preserving Phrase(P3) search for intellectual processing of encrypted data in cloud-based IoT. Security assurances accomplished by P3 validates security analysis authentications. To discover the location connection of numerous inquired keywords over encoded data the structure makes use of the AES, XOR and Fernet algorithms. P3 can significantly advance the search accuracy with sensible expenses compared with the estimation outcomes display current multi-keyword search structure. To conduct wide-ranging researches on real-world datasets a model has been employed.

Blockchain Based Iot Framework For Secure And Trustworthy Data Communication

Vikas ReddyS , Chandrashekara S N

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2979-2982

Internet of Things (IoT) is now an integral part of our daily life. Smart devices are common in place which makes our life easy. It has revolutionized the way human interacts with devices. No doubt the IoT enabled devices have significantly changed our life. However there are various obstacles which need to be addressed to fully exploit the benefits of IoT devices and IoT enabled networks. IoT devices are generally not meant for complex processing and large storage capacity. It has limited power, processing and storage capacity. IoT devices are used in critical infrastructure and to communicate sensitive data. Security and privacy of IoT devices and data communication are important issues. But, because of the resource constraints existing security approaches are unsuitable for IoT devices. Recent development in blockchain technology offers promising solutions to overcome the IoT security and privacy challenges. However, integration of IoT with blockchain technology is not an easy task. Blockchain itself demands high storage and processing capacity. This paper presents blockchain based IoT framework balancing the resource constraints of IoT devices and resource demand of blockchain technology.

Intrusion Detection And Prevention System For Iot

Vikas ReddyS , ChandrashekaraS N , Manish Kumar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2983-2991

Today world is more connected than ever before. Smart city, smart health, smart home, smart agriculture has significantly changed our life. Once upon a time we had emphasis on human connectivity and communication, which we could achieve successfully. Now the emphasis is more on device connectivity and communications. IoT has significantly changed the way devices are interconnected. However, IoT devices and sensors do not have adequate security measures. Because of resource constraints, IoT device lack strong authentication and encrypted communication. Lack of strong security measures make the IoT system vulnerable. Man in the Middle attack, DoS, DDoS are some of the common attacks on IoT network. This paper proposes an IDPS for IoT which can protect it from external and internal attack.

Secure Door Automation System Using Iot

Ajay N ,Mamatha M ,Prathibha S , Sahana C N ,Yerraguntla Jayanthi

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 2992-3002

Nowadays technology is being found in each and every part of our life. By using these emerging technologies we can overcome the problems with conventional lock systems. So we are proposing a keyless system, in which the password is being sent from Bluetooth to microcontroller to access the door. For the security of password AES(Advanced Encryption Standard)algorithm is being implemented. In this system multilevel protection is also being provided through password reconfiguration option. In case of emergency the door can be accessed through fingerprint module. This form of locks will provide an inexpensive solution for the security of door locks by integrating Android and Microcontroller module.

Designing On-Board Vehicle Diagnosis Fault Monitoring System Using IOT

Varamahalakshmi. O, Madhukar N S , Kumar S , Naveen M , Girish L

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3003-3009

Architecture of the IOT Software Framework and IOT-based technology on-board diagnostics system (OBD).The driver also has a user interface to pick from the chart, so that users can interpret some sensor values. Included in the device settings are the identification of function faults, warning of abrupt driver modifications and description of the cause for the malfunction. The device setup involves the detection of faults in parameters, warning of abrupt driver shifts and the cause of the crash.

Effect Of Dolomite Powder & Glass Fibre On Mechanical Strength Properties Of Concrete

Naveen G , Shashi Kumar A

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3010-3016

Concrete is a blender of cement, fine agg, coarse agg and water. Propelled solid innovation increasingly improved to the solid properties like quality, strength, functionality, stream capacity. This paper is on new and solidifying property of cements made with m sand. The test concentrates on Mechanical Strength properties. In this investigation fractional supplanting of Cement with dolomite at 0%, 15%,30%,45% and supplanting characteristic sand with Manufactured sand. The mechanical properties of cement for example compressive quality, split Tensile quality are concentrated of cement made with substitution of dolomite and M sand and results are contrasted and traditional cement. In this work M40 grade solid blend and normal of three examples were tried for 7 days and 28days.

Student Risk Identification Model Using Random Forest Algorithm

Susheelamma K H, Dr. K M Ravikumar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3017-3024

The main aim of this work is address the issues and predict students who fail or not complete their online graduation course within stipulated time. Training of the existing machine learning (ML) model is done from existence of data from previous course. This manuscript finds the solution for efficient learning when we don’t have learning data from previous years for a particular course (i.e., for the new course introduced which has no history). To address the problem mentioned the proposed work builds a machine learning model which uses data from newly introduced course. For this the proposed model uses newly introduced course data of already submitted task, Hence the model induces imbalanced data issues. For addressing this issue, this work presents a Random Forest (RF) classification algorithm. By the results obtained by experiments conducted we see that a significant outcome is attained by proposed model compared to existing ML models.

Mitigating Losses In Landslide Detection For An Early Warning System With Wireless Sensor Networks

Sumathi M. S, Shruthi J, Gagana Jadhav, Kritika Sharma, Nischitha GV, Samruddhi Patil

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3025-3033

Landslide is a catastrophic movement of the soil and rock in a downward slope. It is usually an after-effect of earthquakes, heavy rains, volcanic eruptions, or soil erosion. It might lead to injury, death, or damage of property ultimately resulting in financial loss. In order to reduce colossal destruction, it is important to detect landslides before they occur. Typically, a wireless sensor network comprises sensor nodes that are spatially dispersed over an area. The nodes can transmit data with each other wirelessly and also gather data about the variations in physical parameters such as temperature, pressure, etc. Since nodes have restricted or limited resources such as power and sense, they need to be used in an efficient manner in order to improve a network’s lifetime. In this paper, we use the LEACH protocol for clustering and the AODV protocol for routing. NS-2 is a software that predicts the behaviour of computer networks to provide accurate analysis of system performance. The paper aims to evaluate performance through a network simulator for the existing system. The enhanced system shows an improvement in energy efficiency, throughput, packet delivery ratio, overhead and delay through simulation results. Additionally, features like fault tolerance, faster data processing rate, and higher transmission range have been incorporated in the system. In this paper, the enhanced WSN is designed using NS-2 tool for landslide detection.

Iot Based Air Quality Monitoring System

Chaitra N, Bhavana S, Vilas Reddy D N, Nikhil AS

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3034-3036

Air contamination is one of0the largest ecological0as well0as community health trouble in the world. It effects person health climate and0ecology Due to the release of0toxic gases by industries, increased0concentration of0harmful gases and0particulate0matter in the atmosphereand0vehicular emissions air0is getting polluted0Particulate matter0is one of0the most important0parameters having the s ignificant0contribution to the increasing air pollution Due to which measurement and analysisof0real-time0is quality parameters becomes important so that proper conclusions may be0taken inside a sensible base. Here it gives the0survey of0various methods used0so far to detect air quality along with overview of the project which results into real-time and alone air quality calculator parameters like temperature, pressure, relative moisture, PM 2.5, PM10,Co2.

Efforts To Overcome The Existing Impairments In Implementing Helicopter Satellite Communication System (HSCS)

Rashmi N, Hamsavahini R , Abhinandini H R , Sanjana B A

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3037-3043

Communication can be broadly classified as analog and digital. These two types only deal with terrestrial networks. But, when we want communication to be achieved with very high efficiency it is very much essential to deal with satellites. Satellite Communication is becoming more advantageous day by day. Almost in all the areas, the importance of satellite communication is being recognized. The role of satellite communication in the disaster management has played an important role these days. This has gained very high popularity because of the failure or delay of the organization to detect the disaster at the right time. Satellite communication is generally useful for information gathering during the disaster [1]. Helicopters are used in the satellite communication technology and this technique is called as Helicopter Satellite Communication System (HSCS). There are few technical issues existing in this system too. Thus to overcome these issues and make it more efficient many schemes have been implemented. One such scheme is hybrid modulation with Automatic Frequency Control (AFC).

Brain MRI Image Denoising Using Spectral Total Variation Denoising

Snehalatha, Siddarama R Patil Siddarama R Patil

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3044-3052

To diagnose the brain cancer, Magnetic Resonance Image is considered as one of the efficient technologies. For disease diagnosing, the information received from MRI images is used by the radiographer to provide the concern treatment for the patient further. However, noise is always contained in MRI images. From images, elimination of noise is very critical and important task. In prior to the proceeding to next task, it’s required to be implement the preprocessing steps if in case the images are accumulated with the noise. For removing of noise, filtering algorithms are used. A major drawback in the existing denoising algorithms is that the resultant image suffers from blurring as the edges are affected in the process of filtering. This paper proposes an image denoising technique with the spectral total variation which reduces the noise in the image without blurring the edges. The existing algorithms have been implemented to compare the performance of the proposed system.

Forecasting & Detection Of Flood Using Random Forest Learning Method

Shruthi J ,Sumathi M S, Srivatsa Raju S , Vidya R Pai

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3053-3057

Flood is one of the most destructive natural phenomena which occurs in the nature. The ability to predict this occurrence well play a huge impact on the well-being of the human kind and other natural beings, from the brief history of the study of weather the ancient Mayan’s where able to predict floods by the planetary motions which were not that accurate. With the development of technology and human dependency on computers, humans are able to collect large volume of various kinds of data such as planetary positions using mathematical models, Weather data using rain gauge and wind turbines. It is very complex to analyse these data and produce an outcome but with the help of machine learning algorithm once can obtain higher accuracy to forecast flood and alert the region beforehand and avoid losses of the precious

Investigation On Strength & Flexural Study Of RC Beams With Foundry Sand Used As An Alternative Material To Fine Aggregate

Shashi Kumar A , Dr. G Narayana , Dr. B K Narendra , Kavyashree K N

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3058-3068

The exhibition of cement by somewhat exchanging the normal sand with WFS, which is a waste item from machine businesses, on fortified solid shafts and considering the flexural conduct of cement. In the current investigation the sand is supplanted by WFS with various substitution level of 12.5%, 25%, 37.5%, half for M20 and M30 evaluation of cement and contrasting outcomes and ordinary cement. At first the fundamental tests and mechanical properties are performed, later accounting the essential tests on crude material the blend structure for different evaluations of cement is shown up. RC light emission 2000X250X150mm is thought of and by regarding segment as adjusted segment the fortified territory is determined for various swap levels and for hypothetical pressure strain bends are watched and organized and appropriate conversations are made.

Analysis Of Electricity Generation Using Plate Based Microbial Reactor

Sushma R. , K. B. Raghavendra , Raghav R. Kotabagi, Dr M. C. Sampath Kumar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3069-3077

Due to increasing population every year, there is a surge in the energy demand globally and exhaustion of non-renewable energy sources to meet the never-ending demands. It has become important to identify and utilise renewable yet cost-efficient energy sources. With respect to the above context, wastewater containing extreme amounts of degradable organic material can be used as the source for generating electric current through a microbial reactor. Electricity is produced due to the anaerobic fermentation of organic/inorganic matter by converting metabolised biomass to complex wastewater using microbes as catalysts, in this process. This project work deals with the operation of reactor using STP wastewater, graphite and carbon plate electrodes under varying conditions of aeration and biofilm. The electricity generation potential of the electrode was tested for different conditions and a maximum of 0.33 V was generated. The maximum Biological Oxygen Demand and removal efficiency of CODof 80% and 70.5% were obtained, respectively.

Closure , Interior , Neighborhood , Limit Point Of Generalized Maximal Closed Sets In A Topological Space

Mandakini A.Desurkar , Suwarnlatha N. Banasode , Balachandra B.Diggewadi , Niranjan R.Muchandi

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3078-3084

In this paper we presented closure , interior & neighbourhood of a generalized maximal closed in a topological space. g-ma -closure (clg-ma(M)) of M ,where M  Y in a topological space(Y,) is the intersection of all g-ma closed containing M , Simarily g-ma -interior (intgmi(M))of M is the union of all g-mi open contained in M. Let N  Y in a topological space (Y,) is g-ma- neighborhood of a point y  Y if ∃ a g-mi open set E  y  E  N. Let Ng-ma be collection of all g-ma neighborhoods. A point y  Y is g-ma limit point of a subset L of (Y,)if and only if [E-{y}] ∩ L≠  for each g-mi open E containing y.

Classification Of Mental Tasks By Using Statistical Process Control And Artificial Neural Networks

Mohd Rizwan Jafar, DS Nagesh

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3085-3093

EEG can be used to generate control signals for Brain Computer Interface (BCI) applications. In this paper Artificial Neural Networks (ANN) were used to classify mental tasks. Primary data was decomposed by the help of discrete wavelet transformation to extract features. Out of control events were identifiedusing statistical process control. These out of control events were removed from the original dataset. Two data sets were created, one containing all the events and other without the out of control events. Each dataset was divided into training dataset (80%) and testing dataset (20%). The classification efficiency of statistically controlled dataset was found to be 85.71%, as compared to 67.74% from the dataset without statistical process control.

A Study On “Relationship Between Microfinance And Women Empowerment With Respect To Chickballapur District”.

Nandini L , N Sandhya, Suma S

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3094-3112

The expression "Smaller scale" truly signifies "little". However, the group has not described any whole. Anyway, as indicated by Micro Credit Special Cell of the Reserve Bank of India. The term smaller scale fund is of late inception and is generally utilized in attention to matters recognized among destitution lightening, economic help to miniaturized level commerce visionaries, erotic direction enhancement, etc. Microfinance is such a banking administration that is certain toward jobless or else moderate-salary individuals or gatherings who may by one way or another have the same methods for expanding budgetary organizations. Less significant level fund during Self Help Group (SHG) have be apparent globally as the bleeding edge gadget to fight neediness and intended for provincial turn of events. This paper expresses about how microfinance makes the rustic ladies by bringing her out of the four dividers of the house and begin to win her exuberant hood. To comprehend the connection among Microfinance and ladies strengthening, to make mindfulness about the microfinance plans, to improve the measures for ladies strengthening. An organized poll was framed to gather the information for an example of 30 respondents, the information was gathered to a progression of e-diaries, accommodation testing method is followed, All the ladies have a mindfulness about the microfinance plans and saying that there is connection among microfinance and ladies strengthening.

SASI: Smart Agriculture System Based On Iot

Venkata Reddy P S, Nandini Prasad K S, Puttamadappa C

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3113-3120

Many farmers adopt unconventional methods in farming. They water the crops manually without measuring the soil moisture or temperature conditions in the field. This method is unscientific, leads to wastage of water, manpower and will result in low yield and finally in less income for the farmer. The smart agriculture system that we have developed verifies water level and fertility quotient of the soil through various sensors (Temperature sensors, humidity sensors and soil moisture sensors) to measure the water level, humidity and temperature of the field. The MANETS based Wi-fi module in the system we have devised will transfer all the data that is collected by the sensor to the cloud via the raspberry pi component. The data that is generated by these sensors is later used to analyse the crop / field condition basis which the farmer can act on increase the water level etc., Alerts about variation in these parameters can be directly shared with the farmers through their mobile phones. The system that we have devised can check these factors and enable the farmer to take right decision in real-time

Forensics Of Offline Signature Verification Using Machine Learning

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3121-3128

Forensic Signature Authentication is so diverse with the character cognizance, since signature is frequently mixed up, and it appears as only a picture with some specific bends and curves that entitled to the handwritten style of the individual. Signature is the only extraordinary instance of authorship what's more frequently is only an image. So it is astuteness as well as important to simply manage a signature. Signature can be a perfect image through an extraordinary circulation of pixels and entitled to a specific composition pattern and not as an accumulation of letters and words

Optimization Of Delamination Factor In Drilling Of Glass And Jute Fibers Reinforced Polymer Composite

Vinay Kumar R ,Veeresh Chandra M S , Suresh Gowda M V , N Chikkanna

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3129-3138

The competitiveness in producing and using eco friendly materials is increasing with the increase in research in the particular field. Among the materials hybrid composites are becoming more familiar and famous as they can be tailored to required extensive properties and hence concentration is towards developing eco friendly composite material which is possible only through using the natural fibers along with the man made resin. Here in the study the natural fibers jute and glass are used along with the epoxy polymer to develop the eco friendly composite. As the fastening process gain much importance in all kinds of industries drillability of the concerned material is of major importance. Hence in this study drillability of the produced hybrid composite in terms of delamination factor which is the major issue in drilling of composite is concentrated. The experiments are designed through Taguchi and analysis of the effects of parameters is done through ANOVA and the optimization of process parameters is done using response surface methodology.

Corticosteroid Usage Trend And Their Focus Effects In Patients of Dermatology Using Machine Learning

Konda Srinivas, M. Varaprasad Rao , B. Kavitha Rani, G. Madhukar, K. Srujan Raju

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3139-3144

Corticosteroids are hormone surrogates formed within the cortex of adrenal glands. They serve an important part in the treatment of numerous pathological states. Many of the clinical roles of steroids are associated with their potent anti-inflammatory and immune-modulating properties. The study conducted for a period of 6 months and encompasses 151 subjects using corticosteroids for their respective disease states. Standardized scales were used to assess the preponderance of adverse effects. The study aims to evaluate corticosteroid use pattern and proportion of adverse effects occurring using a machine learning algorithm. The results were found effectively after analyzing the patterns of patients.

The Effect Of Extreme Physical Effort Training On Developing Rapid Strength And Some Biomechanical Indicators And The Accuracy Of Shooting By Jumping High With The Hand Ball

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3145-3154

Reaching high levels of sports requires an integrated preparation in terms of physical, technical and biomechanical. Many developed countries have achieved sporting achievements and winning championships depending on scientific development in the sports field, and as a result of the close and great connection and the link between physical and skill numbers in handball It became necessary to pay attention to the physical abilities, especially (the rapid strength of the arms and legs)Which is one of the special physical abilities affecting the success of performing basic skills in handball, and among these sciences that helped in the scientific progress of motor performance is the science of biomechanics, which is concerned with studying the movement of the athlete by analyzing, clarifying, improving and developing a lot of sports skills based on the latest tools and devices represented With imaging devices that achieved accurate objective results in motor performance Hence the importance of research on the impact of extreme physical exertion exercises in terms of developing physical ability (rapid strength of arms and legs) that illustrates the importance and effectiveness of biomechanical properties and the extent to which they are applied effectively in order to obtain positive results that give their effective effect in a way that contributes to the implementation of the offensive requirements for the performance of physical duty And the technical for the accuracy of the correction is high for the handball competition.

Association Of Stress, Peer Pressure And Performance Pressure On Oral Hygiene: An Original Research

Dr.Mathew J Maliyil; Dr. Rohinjeev Ghotra; Dr. Aseem Bhatia; Dr. Preeti Lath; Dr. Nikhitha Raigir; Dr. Kommuri Baji Babu; Dr. Rahul VC Tiwari

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3155-3160

Aim: Aim of our research was to evaluate the amount of stress as well as performance pressure on the oral hygiene in our study participants.
Methodology: Survey was conducted in 200 patients who had reported to various private clinics over a period of 6 months. Questionnaire was given having 12 questions, which helped us assess their stress levels related to their oral hygiene status. Descriptive analysis was carried out with the data received from the study participants.
Results: Maximum participants had moderate stress levels (47%), whereas around 34 % experienced oral health problems. 67% were conscious about their appearance, and their smile. Only 14 % went for regular dental check-ups, which further shows less awareness for preventive care.
Conclusion: Our findings suggest that individuals with greater perceived stress also report poorer oral health. These findings may warrant greater attention be paid to the role of psychological stress in the development of oral disease.

Medical Emergencies In Dentistry-An Update

Siddharth Rawat; Vanshika Agarwal; Nitin Bhagat; Pallav Prakash; Shashank Agarwal; Aprajita Dhawan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3161-3172

Medical emergencies at dental office are a rare situation. When the dentist encounters such occasional incidences, they should initiate emergency procedures to save the life of the patient. In case of an emergency, the roles and activities of the dentist and the team members should be planned, documented, and displayed. The staff members should be trained and updated in first aid, cardiopulmonary resuscitation, and other emergency procedures. The knowledge of management of medical emergencies will increase the confidence of the dental surgeons in their clinical practice. The objective of this review article is to provide a vision to the commonly occurring medical and dental emergencies and complications in dental practice and their management.

Psychological Impact On Maxillofacial Trauma Patients: A Retrospective Study

Dr. Prabhakar gupta; Dr. Nitin Bhagat; Dr. Fiza Nehvi; Dr. Anmol Bagaria; Dr Vaibhav Malhotra; Dr. Mayank Sharma

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3173-3191

A retrospective study to investigate the psychological morbidity and the health related quality of life in patients who had suffered maxillofacial trauma was carried on those patients who presented themselves at the oral and maxillofacial department, School of Dental Sciences, Sharda University, Greater Noida. They were investigated for the evaluation of stress and anxiety disorders mainly after trauma. Three different scales were used to check the level of anxiety and depression related symptoms along with Post-traumatic stress disorder (PTSD).Sampled subjects were dominated by males with major portion as students. Road traffic accidents were observed to be major cause of Maxillofacial Trauma. On 0-21 HADS scale 28% patients suffered from severe anxiety, whereas 29% respondents revealed severe depression. On Event Scale Revised 15.78% of patients recorded Quite A Bit level of distress with an event score of 3.The CAPS-5 criteria confirmed that 52.62% patients showed moderate symptoms of PTSD examined 6 months after trauma and also met DSM-IV criteria for the diagnosis of PTSD. Study confirms that it is very important to provide psychiatric support for all the patients with maxillofacial traumas as 52.62% of patients confirmed moderate symptoms even after a period of 24 weeks of trauma. Clinicians should emphasize this important consideration and explain it to the patients’ relatives in emergency departments and care units.

Comparative Evaluation Of Glycemic Status, Levels Of Superoxide Dismutase, Catalase, Lipid Peroxidase And Osteocalcin In Gcf In Type-Ii Diabetes Patients With Chronic Periodontitis Under Ayurvedic Treatment.

Dr. Nubesh Khan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3192-3199

Background: Nishamalaki or Nisha Amalaki representing various combination formulations of Turmeric and Indian gooseberry is recommended in Ayurveda, proven efficacious and widely practiced in the management and prevention of complications of Madhumeha (Diabetes).
Aims: To assess the effectiveness of scaling and root planing on the glycemic status and gingival crevicular fluid (GCF) levels of Malondialdehyde, Superoxide Dismutase, Catalase and Osteocalcin in Type II diabetes patients with chronic periodontitis under systemic administration of Nishamalaki, an ayurvedic hypoglycemic formulation.
Material and methods: The study included 90 newly diagnosed Type II diabetic patients in the age group between 30 to 50 years with mild to moderate chronic periodontitis and was randomly divided into 45 patients of two groups each. Group A were Type II diabetic patients with mild to moderate chronic periodontitis taking supplements of Nishamalaki 1 gram twice daily for 3 months and Group B were Type II diabetic patients with mild to moderate chronic periodontitis undergoing scaling and root planing and receiving supplements of Nishamalaki 1 gram twice daily for 3 months.
Results: Independent t-test has been applied to compare the two groups. It has been observed there is no significant difference exists between the two groups. However administration of Nishamalaki and scaling has been all effective in group B parameters.
Conclusion: Nishamalaki showed protective effect and appeared to be useful in reducing the glycemic status, levels of superoxide dismutase, catalase, lipid peroxidase and osteocalcin in GCF in type-2 diabetes patients with chronic periodontitis.

Comparative Evaluation Of Treatment Effect Between Two Fixed Functional Appliances For Correction Of Class II Malocclusion

Dr. Anju Jha; Dr. Richashree; Dr. Sovendu Jha; Dr. Shalini Singh; Dr. Anuradha Pandey; Dr. Priyanka Mukul

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3200-3204

Background: The present study was conducted to compare Power Scope and Forsus fatigue resistant device in management of class II malocclusion patients.
Materials & Methods: Group I patients were treated with Power Scope device and group II with Forsus fatigue resistant device.
Results: Group I had 8 males and 16 females and group II had 10 males and 14 females. The mean SNA was 81.2 in group I and 80.3 in group II, SNB was 74.5 in group I and 73.1 in group group II, ANB was 5.1 in group I and 6.0 in group II, GoGN- SN was 29.0 in group I and 31.8 in group II, IMPA was 103.2 in group I and 102.8 in group II, J ratio % was 67.2 in group I and 64.5 in group II and U1-SN was 105.4 in group I and 103.6 in group II. The mean time taken for appliance insertion in group I was 624.1 seconds and in group II was 1019.3 seconds.
Conclusion: Both Power Scope and Forsus were effective in management of class II malocclusion patients.

Evaluation Of Serum Antioxidant Enzymes In Oral Submucous Fibrosis And Oral Squamous Cell Carcinoma- A Clinical And Biochemical Study

Dr. Rakesh G Oswal; Dr. Nandan Rao K.; Dr. Prashant Mall; Dr. Ishita Grover

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3205-3209

Background: The present study evaluated serum antioxidant enzymes in oral submucous fibrosis and oral squamous cell carcinoma. Materials & Methods: 30 cases of OSMF and 25 cases of OSCC of both genders. 30 healthy subjects were also enrolled. 6 ml of blood samples were collected with a tourniquet applied 1½-2 inch above the antecubital fossa. The collected blood was centrifuged and the plasma separated was analyzed for vitamin E, beta carotene, MDA. Results: The mean vitamin E level was 7.19 in group I, 6.52 in group II and 9.12 in group III. Beta carotene level was 70.3 in group I, 62.3 in group II and 114.5 in group III. MDA level was 9.16 in group I, 13.4 in group II and 2.91 in group III. The difference was significant (P< 0.05). Conclusion: There was increased level of MDA and decreased level of vitamin E and beta carotene.in OSMF and OSCC patients.

Evaluation Of Relapse In Orthognathic Surgery: An Original Research

Dr. Bharti; Dr. Kunal Mohindru; Dr Vikranth Shetty; Dr Shilpa Sunil Khanna; Dr. Inderjit Murugendrappa Gowdar; Dr. Rahul VC Tiwari; Dr. Heena Tiwari

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3210-3215

Aim: The present study was conducted to analyse the stability of outcomes achieved by surgical treatment of skeletal class III patients in terms of the rate and extent of relapses with the help of cephalogram. Methodology: A total of 11 patients who had undergone orthodontic treatment combined with orthognathic surgery were included. The primary inclusion criterion was a skeletal class III treated by SSO surgery combined with maxillary advancement (Le Fort I) surgery. Analysis was based on three postoperative cephalograms per patient. Results: We observed relapse (defined, in accordance with Proffit, as changes >2 mm or 2°) at a rate of 24% after SSO surgery. We noted a maxillary relapse in 6 of the 11 patients who had undergone Le Fort I surgery, with SNA values initially increasing by +3° from T0 and T1 in keeping with the advancement procedure and subsequently decreasing by −1° toward baseline yielding a relapse rate of 30%. Conclusion: The majority of patients exhibited stable treatment outcomes. As with all surgical procedures, success demands of the surgeon an intimate knowledge and understanding of physiology and anatomy.

Evaluation Of Verical Height Changes In Anteroposterior Movement In Orthognathic Surgery: An Orignal Research

Dr Suhael Ahmed; Dr. Annesha Koinyaki Konwar; Dr Shilpa Sunil Khanna; Dr. Rahul VC Tiwari; Dr. Nafeesa Tabassum; Dr. Kommuri Baji Babu; Dr. Heena Tiwari

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3216-3221

Aim: The purpose of our research was to assess the vertical height changes after orthognathic surgery during anterio-posterior movement using cephalometric analysis. Methodology: Immediate Postsurgical and one-year postsurgical lateral cephalograms of 10 adult patients (age group - 17 to 40 years, with a mean age of 22.2 years) who had been treated successfully by maxillary Le-Fort I osteotomy were obtained. Comparisons were made between T1-T2 to assess the changes following surgery and to evaluate the stability, one year following the surgery using 5 horizontal, 5 vertical linear and 2 angular measurement. A paired t‑test was used to analyse the paired observations. Results: The incisors extrusion was limited to an average of 1.2 mm and the molars showed a 0.2 mm movement. The upper incisor showed a significant posterior movement. The upper molar also showed a posterior movement but to a lesser extent when compared to the incisors. Conclusion: There was a significant reduction in the facial height and significant anterior movement of maxilla after surgery. Even after one year of surgery, negligible amount of relapse was recorded except at the incisors.

A Model: Lung Nodule Detection and Classification by SVM Network

Nuthanakanti Bhaskar, Dr. Ganashree T S

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3228-3238

In this work, we suggest a unique system for pulmonary Nodule Awareness, Segmentation, and Identification of Nodules in CT images. This process consists of 4 phases: Phase-1: Segmentation of lung location by ACM (Active Contour Modeling). Phase-2: Apply of mask strategies. Phase-3: Shift from non-separated nodules to separated nodules. Phase-4: SVM (Support Vector Machine) classifier identifies nodules with the help of 2D hypothetical and 3D anatomical characteristics. Shape of nodules extracted by ACM. Therefore, all cavity and solid nodule segmentation accuracy is high. Moreover, lung tissues divided into 4 groups: a. Lung Wall, b. Parenchyma, c. Bronchioles, d. Nodule. Accordingly, this system implemented in MATLAB Software and accuracy checked with different efficient methods with publicly available data sets (LIDC, LUNA16).

Psychological Impact Of E-Learning Among Students: A Survey

Dr. Sonia Sharma; Piyali Sarkar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3239-3248

Aim: This study is conducted to know the psychological impact of e – learning among the students.
Background: From the time of very first beginning of civilization to modern days before corona pandemic situation, most of the students of India are very much used to with the offline mode of learning. But now the situation is changed totally. They are getting themselves adapted to the online mode of learning as per need of time. In this changed scenario they are totally disconnected from their usual life with frames schools teachers and society. This situation wreaks havoc to their psychology.
Methodology: This study is conducted with primary data in form of online survey. It was conducted with a pre formed questionnaire. 428 responses were collected for the present study. With advanced Excel software statistical analysis done.
Outcomes: Results show that students have shown negative impression on online learning and still they are not ready totally psychologically. Still positive answers show neck to neck result, which signifies increasing interest towards e learning. More practices and awareness required before further implementation.

Opportunities And Threats In Digital Education

Vishal Singh; Dr. Satish Kumar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3249-3258

COVID-19 pandemic has caused havoc worldwide. India is also facing challenging circumstances as the figure of infected/positive cases is rising day by day. This study deals with the development of education: Post COVID-19. This paper will help to understand “Digital Education: Opportunities and Threats”. The Corona virus has exposed emerging vulnerabilities in learning systems all over the world. A lot of relevant literature was explored to confine the essence of continued learning during these exceptional times. Educational organizations all over the world are moving towards online/Digital learning. This paper also proposes digital education as an urgent need in this lock downs times and social distancing due to COVID-19 pandemic. It also provides a powerful stage for further research. The use of digital technology in education is experiencing a tremendous boom in education sector with cost effectiveness. Although it is unclear whether technology will plug all of the holes in the Indian Education system but it seems that technology is playing a major role in education interventions. Due to advancements in technology, accessibility of low-priced laptops/mobiles, wireless equipments, and related communications setups signs both opportunities and challenges for learning organizations and their faculty and students. Digital Education has potential that can produce knowledge workers. The government has analyzed that ICT sector has important role in education due to that many programmes such as NEOR, NMEICT, NKN, Eklavya, NPTEL, and NROER has been launched. Digital Education has bring success in the field of education but still there area number of challenges in most of Indian institutes like shortage of quality teachers, deprived quality of research, and deprived quality of training etc. Digital Education is overall very beneficial for the students of country like India.

Pulmonary Embolism In A Young Healthy Male With Hyper Homocysteinemia

Mohd Shahid; Rameshwar R; Meenakshi Kadiyala; J Vinoth Kumar; Damodaran J

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3352-3358

Pulmonary thromboembolism can be a cardiovascular killer particularly during prolonged hospitalisations for surgical or medical illnesses. It is usually consequent to deep venous thrombo embolism but can also be due to hypercoaguable states. We report a rare case of acute Pulmonary Thromboembolism, diagnosed clinically and proven by CT pulmonary angiography in a 27 year old male with hyperhomocysteinemia, who was treated successfully with anticoagulants, folic acid and pyridoxine.

Perception Of Emergency Contraceptive Pills Among Married Women In Rural Tamil Nadu

D. Keerthana; B. Charumathi; A.Fathimathu Afrah; V.M. Anantha Eashwar; Ruma Dutta; Timsi Jain

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3359-3365

Background: Unsafe abortion is a major public health problem in developing countries where women make several attempts to terminate unintended pregnancy before turning to health services and that constitute important cause of maternal mortality and morbidity. To prevent it, effective fertility control drugs like emergency contraceptive pills (ECP) are used. Objective: To study the perception of emergency contraceptive pills among married women in Mappedu, TamilNadu. Methodology:A cross sectional study was conducted among 62 married women in reproductive age of Mappedu for study duration of 3 months.The study population was selected by simple random sampling technique. Data was collected using pretested structured questionnaire and interviewing about the perception of Emergency contraceptive pillsResults:The average age of women in the study population was 30.5 years. 84% were literate with education status of Primary education and more.Majority of study population were homemakers. About 8% have heard about ECP and source of information was mainly through education. However, where an ECP can be bought, how it acts to prevent fertilisation,how long after unprotected sex it can be used is not known by any.No one among study population used ECP. Conclusion: The awareness of ECP among study population is poor and there is a need to popularize ECP to avoid unwanted pregnancy and abortion with help of media, education, health care providers.

Neonatal Danger Signs: Knowledge Inmothers Of Children Aged Less Than 1 Year In Uae.

Raagapriya Madhan Kumar; Dr. Koushik. M; Dr.B. Charumathi; Dr.Timsi Jain

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3451-3459

Introduction:The neonatal period comprising the first 4 weeks (28 days) of a child's life after birth is critical and dangerous events might occur. Structural, functional changes occur rapidly in this period. It is very important for mothers to be aware of the danger signs in neonates during this period. This study was done to find the prevalence of knowledge and awareness of danger signs among mothers of children aged less than 1 year.
Methods: A Community based cross-sectional study was carried out in United Arab Emirates from June 2020 to August 2020. Simple random sampling method was used and the sample size was calculated as 150. Mothers of children aged below 1 year were included in the study. A semi-structured pre-tested questionnaire was used in this study for interview purposes. Informed oral consent in common languages- English, Hindi, Tamil, Telugu, and Malayalam was obtained.
Results: The prevalence of good knowledge of danger signs among mothers of children aged less than 1 year in this study was found out to be 28.6%. 91.2% of the mothers have reported having sought medical care when any of the mentioned Danger signs occurred whereas 8.7% of them had opted to treat at home.
Conclusion:In spite of extensive coverage of maternal and child health services, the knowledge and awareness of the danger signs in neonates are fairly low in the mothers. Therefore more awareness and health education campaigns need to be implemented.

Addition Of Eccentric Elbow Exercises To Local Corticosteroid Injection For Tennis Elbow – A Prospective Randomized Study

Niranjanan Raghavn Muralidharagopalan; Raghav Gopal; Sugumar Natarajan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3528-3537

Lateral epicondylitis or Tennis elbow is a painful condition of the elbow that is characterized by pain and weakness of grip strength. It is usually due to a tendinopathy involving the origin of the ECRB and EDC tendons. Wide variety of treatment options exists. Injection corticosteroids are considered to be a good choice for short term improvement of the problem but has doubtful effects in the medium to long term.
This study is a randomized study that compares the short to medium term effect of addition of eccentric elbow strengthening exercises to local corticosteroid injections
This is a prospective randomized study with 1 year follow up. 24 subjects received corticosteroid injections alone while 26 underwent eccentric elbow strengthening additionally.
The patients were administered VAS , DASH score and tenderness on resisted dorsiflexion of wrist and middle finger initially. This was followed up after 2 weeks, 6 weeks, 3 months , 6 months and 1 year.
The groups were also well matched for age, sex, time since diagnosis.
The VAS, DASH and the tenderness scores were also similar in the two groups.
In the injection only group there was reduction of VAS from 7.08 to 2.83 in 2 weeks which showed a decreasing trend till 6months follow up. Similarly, the DASH scores decreased from 33.40 to 13.63 in 2 weeks and the same trend was seen till 6 months. However, at 1 year follow up both scores showed a slight increase.
In the injection plus exercises group the reduction of VAS and DASH scores continues till one year. Also comparing the two groups the injection plus exercise group shows significant improvement at 2weeks, 6 weeks and 1 year follow up
Addition of eccentric elbow strengthening exercises significantly improves the benefit of having a local corticosteroid injection for tennis elbow

Prevalence Of ABO Blood Groups And Its Susceptibility To Covid 19 Patients In A Tertiary Care Centre Located In A Tropical Region – A Retrospective Study: A Subject To Ponder!

Dr. A. Hariharan; Dr. I. Sureshkumar; Dr. N.V. Hemamalini; Dr. Vinod Kumar Panicker

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3553-3557

The extensive spread of novel coronavirus19 (COVID19) had put a tremendous burden on health care facilities in investigation and prioritizing the treatment of COVID19 patients. Globally, as of 21 October 2020, there have been 40,455,651 confirmed cases of COVID-19, including 1,119,431 deaths, reported to WHO.Due to rapid increase in its alarmist state it is of prime importance to assess the factors influencing the COVID19 susceptibility. In our study we assessed one of the independent factors like blood group in COVID19 patients. We conducted a retrospective analysis to assess the prevalence and distribution of blood group among COVID19 patients in order to determine its susceptibility. In our study we assessed1000 COVID19 patients and their blood group was traced in order to find their distribution. In our study majority of COVID19 patients belong to A group and the least belongs to O and AB group. Although a detailed analysis is required for determining the association between blood group and COVID19 susceptibility, these data can throw light and form the basement for a future extensive study.

Comparison of Cross Match and Transfusion Ratio with Utilization of Blood Components

S. Muthuragavan; Dr.A. Hariharan; Dr.S. Chitra

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3558-3560

Aim: To compare cross match and transfusion ratio with utilization of blood components Objectives: To find the cross match and transfusion ratio and compare them with utilization of blood components. Methodology: It is a retrospective study done in Saveetha Medical Hospital Blood Bank for a period of 1 year, Crossmatch to transfusion ratio calculated using the formula, C/T ratio= Number of units cross-matched / number of units transfused. Result: total number of crossmatched units of blood components was 3913and components issued was 2043 Overall C/T ratio was 1.91 which indicates efficient blood usage by all the departments of our hospital. Conclusion: Change of blood ordering patterns with use of restrictive transfusion strategy and MSBOS can avoid the over ordering of blood

Laparoscopic Repair Of Arare Symptomaticgiant Hernia Of Bochdalek In An Adult – A Case Report

Sudarshan.P. B; Agil Selvam; Kumaran. K; ShruthiKamal. V; Sundaravadhanan.B. S

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3631-3637

The incidence of Congenital Diaphragmatic hernias 1:2000 to 1:12500 amongst all live births. (1,2) It is rare adults with a incidence of 0.17%. (3) Presentation in adults is usually asymptomatic and are detected incidentally during imaging studies.Somepatients present when complications occur. Otherwise when symptoms are present, it is usually more of GI symptoms or rarely with respiratory symptoms. Here we report a case of a 39yr old female patient who presented with respiratory symptoms and had a Left side Bochdalek hernia which was treated successfully by laparoscopic mesh repair. Patient is fine after 1 year of follow-up.

Knowledge , Attitude And Practice Of Infant Feeding Practices Among Medical Students

Dr. Harish Sudarsanan; Dr. Sanchana Arumugam; Dr Sri VipanchiKamepalli; Dr. J. Kumutha

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3644-3654

Introduction and background: World Health Organization (WHO) recommends exclusive breast feeding for at least 6 months and thereafter until the child is 2 years of age. The success of introduction and sustenance of any health initiative depends upon the knowledge and attitudes towards those health practices. This study was undertaken to assess the baseline knowledge, attitudes and anticipated practices of MBBS students and help in framing policies towards inclusion of breast-feeding training in regular curriculum.
Methodology: A cross sectional survey was carried on at a private medical college on 137 medicos comprising of Final year MBBS and Interns. Using Google Forms, a survey questionnaire was prepared, comprising of 37 items assessing the knowledge, attitude and anticipatory practices towards breastfeeding and infant nutrition.
Results: The mean overall score of Final MBBS participants was 64.5% and that of Interns were 71.2% (P value = 0.002). In all 3 domains the Interns scored higher than Final MBBS participants and the differences were statistically significant. There were positive correlations between knowledge and attitude (r= 0.36, P value < 0.001), knowledge and practices (r= 0.53, P value < 0.001) and attitude and practices (r = 0.44, P value < 0.001).
Conclusion: This study highlights the knowledge, attitude and practice level of students among Final MBBS and Interns at our institute. The overall knowledge level was average. As tomorrows practitioners and policy makers it is mandatory to shape this group of young doctors in order to ensure that future of our nation that is current generation of childrenare in safe hands.

Clinicopathological Evaluation Of Eyelid Lesions - A Clinical Study

Ishani Gupta; Rohan Sood; Jyotsna Suri; Subhash Bhardwaj

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3655-3660

Background: The present study was conducted to evaluate clinicopathological characteristics of eyelid lesions.
Materials & Methods: 104 patients with eyelid lesions of both genders were recruited. Clinical features, indication for biopsy, surgical findings, and pre-excision clinical diagnosis (PECD) were recorded. Histopathological assessment was performed.
Results: Common eye lid lesions were chalazion in 30, sweat gland hidrocystoma in 25, skin tag and wart in 15, epidermal and epidermal inclusion cyst in 9, eyelid nevus in 5, seborrheic keratosis in 3, xanthelasma in 2, molluscum contagiosum in 1, capillary hemangioma in 1, foreign body granuloma in 1 case, malignant melanoma in 3, squamous cell carcinoma in 6, sebaceous carcinoma in 2 and basal cell carcinoma in 1 case.. In 9 cases histopathological diagnosis was different from clinical diagnosis. It was found to be pilomatrixoma in 2 cases, steatocystoma in 2, hemangioendothelioma in 1, seborrheic keratosis in 3 and juvenile xanthogranuloma in 1 case. The difference was significant (P< 0.05).
Conclusion: Common lid lesions were chalazion, sweat gland hidrocystoma, skin tag and wart and epidermal and epidermal inclusion cyst. Most common malignant lesion was squamous cell carcinoma.

Isobaric Levobupivacaine 0.5% Versus Isobaric Levobupivacaine 0.5% With 3mcg Dexmeditomidine In Spinal Anaesthesia- A Comparative Study

Dr. Gopi Kumhar; Dr. Annu Mayank

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3661-3665

Background: Levobupivacaine is a long acting, amide-type local anaesthetic
that is the S(−) \3- isomer of the racemate bupivacaine. In general, in vitro, in vivo and
human volunteer studies of nerve block indicate that levobupivacaine is as potent as
bupivacaine and produces similar sensory and motor block. Dexmedetomidine is used as
an adjuvant in spinal anesthesia and is associated with prolonged motor and sensory block,
hemodynamic stability, and less requirement of rescue analgesia in 24 h as a result it
facilitates reduction in dose of local anesthetic. Aim of the study: To compare isobaric
levobupivacaine 0.5% versus isobaric levobupivacaine 0.5% with 3 mcg Dexmeditomidine
in spinal anaesthesia. Materials and methods: The present study was conducted in the
Department of Anesthesiology of the medical institution. For the study, we selected a total
of 50 patients in the age group of 20-65 years of physical status American Society of
Anesthesiologists (ASA) Classes I and II admitted for surgeries requiring spinal
anesthesia. An informed written consent was obtained from all the participants after
explaining them the protocol of the study. The patients were randomly grouped into two
groups, Group 1 and Group 2. Group 1 patients received 3 ml (15 mg) of 0.5% isobaric
levobupivacaine + 0.3 ml normal saline, whereas Group 2 patients received 3 ml (15 mg) of
0.5% isobaric levobupivacaine + 0.3 ml (3 μg) dexmedetomidine. Results: It was observed
that the number of male patients in group 1 and 2 was 12 and 14, respectively. The number
of female patients in group 1 and 2 was 13 and 11, respectively. The mean age of patients
in group 1 was 46.28 years and in group 2 was 47.12 years. It was observed that the mean
duration of sensory block in Group 2 was significantly higher than Group 1. The mean
duration of motor block in both the groups was similar and was statistically nonsignificant.
Conclusion: Within the limitations of the present study, it can be concluded
that the duration of sensory block increases with addition of 3 mcg of dexmedetomidine
with Levobupivacaine as compared to plain Levobupivacaine. The results were found to be
statistically significant.

Comparative Study Of Intraperitoneal Instillation Of Levobupivacaine (0.25%) Plus Dexmedetomidine Versus Ropivacaine (0.25%) Plus Dexmedetomidine For Postoperative Analgesia In Patients Undergoing Laparoscopic Cholecystectomy

Dr. Gopi Kumhar; Dr. Annu Mayank

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3666-3672

Background: Instillation of intraperitoneal lignocaine, bupivacaine, levobupivacaine
and ropivacaine has been used following laparoscopic gynaecological and
general surgical procedures to reduce postoperative pain through randomized trials for
many years. Hence; the present study was undertaken for assessing and comparing the
efficacy of Intraperitoneal Instillation of Levobupivacaine (0.25%) plus Dexmedetomidine
and Ropivacaine (0.25%) plus Dexmedetomidine for postoperative analgesia in patients
undergoing laparoscopic cholecystectomy.
Materials & methods: 90 patients were enrolled and were randomly divided into three
groups of 30 each using sealed envelopes. Group L: Patients who were given 20 ml of 0.5%
levobupivacaine plus dexmedetomidine @ dose of 1 μgm per kg body weight and the
remaining volume by adding normal saline to make total volume 40ml, intraperitoneally
after gall bladder removal. Group R: Patients who were given 20 ml of 0.5% ropivacaine
plus dexmedetomidine @ dose of 1 μgm per kg body weight and the remaining volume by
adding normal saline to make total volume 40ml, intraperitoneally after gall bladder
removal. Group C: Patient who were given 40 ml of normal saline. Postoperatively the
patients were assessed for pain utilizing visual analogue scale (VAS). The result were
analyzed and compared to previous studies.
Results: The mean VAS scores readings were recorded postoperatively in all the three
groups at 0, 0.5, 1, 2, 4, 6, 8, 12 and 24 hours. 0 time was the time of end of surgery. The
mean VAS score reading was lower in Group L and Group R in comparison to group C at
all the time intervals. The number of patients requiring rescue analgesia was significantly
higher in the control group in comparison to other study groups. Among the L group and
R group, the number of patients requiring rescue analgesia was lower in group L in
comparison to group R.
Conclusion: Intraperitoneal instillation of local anaesthetic solution in laparoscopic
cholecystectomy provides effective postoperative analgesia, and analgesia provided by
Levobupivacaine plus Dexmedetomidine is significantly better than Ropivacaine plus
Dexmedetomidine.
Materials & methods: 90 patients were enrolled and were randomly divided into three groups of 30 each using sealed envelopes. Group L: Patients who were given 20 ml of 0.5% levobupivacaine plus dexmedetomidine @ dose of 1 μgm per kg body weight and the remaining volume by adding normal saline to make total volume 40ml, intraperitoneally after gall bladder removal. Group R: Patients who were given 20 ml of 0.5% ropivacaine plus dexmedetomidine @ dose of 1 μgm per kg body weight and the remaining volume by adding normal saline to make total volume 40ml, intraperitoneally after gall bladder removal. Group C: Patient who were given 40 ml of normal saline. Postoperatively the patients were assessed for pain utilizing visual analogue scale (VAS). The result were analyzed and compared to previous studies.
Results: The mean VAS scores readings were recorded postoperatively in all the three groups at 0, 0.5, 1, 2, 4, 6, 8, 12 and 24 hours. 0 time was the time of end of surgery. The mean VAS score reading was lower in Group L and Group R in comparison to group C at all the time intervals. The number of patients requiring rescue analgesia was significantly higher in the control group in comparison to other study groups. Among the L group and R group, the number of patients requiring rescue analgesia was lower in group L in comparison to group R. Conclusion: Intraperitoneal instillation of local anaesthetic solution in laparoscopic cholecystectomy provides effective postoperative analgesia, and analgesia provided byLevobupivacaine plus Dexmedetomidine is significantly better than Ropivacaine plus Dexmedetomidine.

Assessment Of Outcome Profile Of Patients With Peri-Apical Surgery- An Observational Study

Dr. Tejveer Singh; Dr. Naresh Kumar; Dr. Rupinder Bansal; Dr. Gursandeep; Dr. Mehak Goyal; Dr. Himanshu Sood

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3673-3677

Background: The present study was conducted to assess profile of patients undergoing apical surgery.Materials & Methods: 56 patients were selected for peri- apical surgery of both genders. Follow-up was done at 1, 3, 6, and 12 months and every 6 months thereafter. Clinical and radiographic examinations were performed at each recall.
Results: Teeth involved was maxillary incisor in 12, maxillary cuspids in 20, mandibular incisors in 10 and mandibular cuspids in 14 cases. Prostheses were present in 25 and absent in 31 cases. Bony destruction pattern was apical in 45 and apico-marginal in 13 cases. Post was present in 14 and absent in 42 cases. The maximum healing was seen in maxillary incisor in 67% followed by maxillary cuspids in 52%, mandibular incisors in 65% and mandibular cuspids in 54%, 56% in teeth with prostheses, 82% in apical bone destruction and 76% in teeth with post. The difference was significant (P< 0.05).
Conclusion: There was better healing in maxillary incisors, teeth with prostheses present, teeth with apical bone destruction and teeth with post.

Comparison Of Dimensional Accuracy Of One Step And Two Step Impression Techniques Using Three Different Addition Silicone Impression Materials - An In Vitro Study

Dr.Sumit chopra; Dr.Ravudai Singh; Dr.Reeta Jain; Dr Shaveta kaushal; Dr. Gagandeep Singh; Dr. Tejinder Kaur

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3678-3691

Background: The study was conducted to compare the accuracy of one step putty wash impression technique with two step impression technique with three different addition silicone impressi