April 2018

  1. Dr. Nilam U. Sathe, Dr. Sheetal Shelke, Dr. Ratnapriya and Dr. Shampa Mishra
    Journal Area:
    ABSTRACT:

    Introduction:- The incidence of gunshot wounds to the face have been on a rise but still are rare compared to firearm injuries to other regions of the body. Such injuries can be devastating due to the presence of vital structures in the vicinity. We describe a rare case of retained bullet in the infratemporal fossa which presented with delayed onset facial palsy and was meticulously removed with the help of 0 degree endoscope. Case Report: - A male patient aged 36 years reported to the emergency department of KEM hospital for management of gunshot injury to left side of face. The trauma was as a result of homicidal gunshot injury. However, 6 days following the episode the patient developed left sided facial palsy. Computerised tomography of the face revealed presence of metallic foreign body impacted in the infratemporal fossa with associated fracture of the mandibular condyle and temporal bone fracture. The bullet was located in a critical position only within 5mm of carotid artery. . Upper part of the condylar process along with the condylar head was removed for better access. Hopkins O degree endoscope was used to further trace the entry wound down up to the infratemporal fossa. Conclusion: - The successful outcome depends on careful planning and multidisciplinary team approach. In our case, we would also like to highlight that the use of endoscope was extremely helpful and helped us to avoid the morbidity associated with external approach.

    Pub. Date: April 30, 2018
    Paper No:
    1921
  2. Bruce Johnston and Ronald S. Laura
    ABSTRACT:

    This paper addresses some myths and misconceptions surrounding what may have been the most feared disease of the last century—poliomyelitis. After lying dormant for thousands of years, polio suddenly assumed epidemic proportions early in the 20th century, consigning thousands to life in iron lungs—particularly in more well-to-do countries in Scandinavia, Europe and North America. Nor did Britain and Australia escape. In response to the threat, Salk (in 1955), and Sabin (in 1962) introduced their respective vaccines, and by the mid 1970s, polio, somewhat miraculously, and completely unexpectedly, disappeared from the developed world. Nathanson, writing in the American Journal of Epidemiology avers, “Beginning in 1955, the creation of poliovirus vaccines led to a stepwise reduction in poliomyelitis, culminating in the unpredicted elimination of wild polioviruses in the United States by 1972.” (Nathanson, 2010 ) (pp 1213 – 1229) (emphasis ours). Nathanson’s assertion was elaborated further by Mawdsley, in The Lancet in 2014 Just as anxiety surrounding polio provocation crested, a series of related scientific discoveries fuelled its rapid decline. The introduction of the Salk vaccine in 1955 and the Sabin vaccine in 1962 ushered in an era of polio prevention, which parents and health professionals greeted with a combination of relief and enthusiasm. (Mawdsley, 2013) (emphasis ours). Mawdsley goes on to say, “Once polio vaccination programmes established herd immunity among children and adults, . . . [o] rthodox public health and surgical practices were restored.” (Mawdsley., 2014) (emphasis ours). The essence of the official story, outlined above, is now offered as a classic example of modern “scientific” medicine’s contributions to population health and well being, and as prime justification for medicine’s position of dominance in modern society. (CDC., 2018) (297—310). However, in this paper, we suggest that the story is at best an oversimplification; at worst, a gross misrepresentation of the historical and scientific facts.

    Pub. Date: April 30, 2018
    Paper No:
    1935
  3. Ajeya, G. and Dr. Raghavandra, T S.
    ABSTRACT:

    MSMEs are the drivers of growth in developing countries. They are contributing to employment, GDP, and exports. Majority of the industries in India are small and medium enterprises. Karnataka state is one of the industrially developed state in India. Large number of MSMEs are operating in Karnataka. However, Shivamogga District is one the industrially developing district in the Karnataka state. Good number of micro and small industries are located in the district. Few large scale industries are also located in the district. The present paper mainly focus on growth and problems in MSMEs in Shivamogga district. Here major problems of MSMEs in the district are power failure, inefficient manpower, inadequate finance, marketing issues etc. The present paper is based on secondary sources of information collected from books, journals, News Paper’s, and related websites etc.

    Pub. Date: April 30, 2018
    Paper No:
    1995
  4. Dr. Nilam U. Sathe, Dr. Anup Srinivas, Dr. Dhanashree Rankhambe and Dr. Pravin Misal
    Journal Area:
    ABSTRACT:

    Introduction: Thornwaldt's cyst is defined as “an inconstant blind sac located above the pharyngeal tonsil in the midline of the posterior wall of the nasopharynx .It is usually a developmental abnormality where communication between pharyngeal endoderm and notochordal remnants persist. Case Report: 32 yr old male, presented with bilateral decreased hearing since 2 and half years, with no other ear symptoms. Audiogram showed bilateral Conductive Hearing loss, with Impedence audiogram showing bilateral type B curve. X ray soft tissue neck lateral view showed soft tissue mass occupying nasopharynx with no crescent sign. CT scan of Paranasal sinuses and nasopharynx was suggestive of midline cystic mass arising from roof of nasopharynx. Patient was taken up for nasal endoscopic surgery. Cyst content was sent for Histopathology reporting which showed respiratory epithelium suggesting Thornwaldt’s cyst. Conclusion: Thornwaldt’s cyst is a rare entity. Patients may present with only Bilateral decreased hearing. And if Tympanometry is suggestive of type B curve then the patient should be further evaluated and posted for CT scan of nasophartnx to rule out the diagnosis of Nasal mass. The possibility of Thornwald cyst should be kept in mind even though it is a rare entity. The final diagnosis can be confirmed with histopathology report.

    Pub. Date: April 30, 2018
    Paper No:
    2012
  5. Mark Hinchey and Ron Laura
    Journal Area:
    ABSTRACT:

    The dominant paradigm within which we conceptualise our relationship to food has largely been based on the reductio-mechanist mode of inquiry. We relate to food commercially by deconstructing it into identifiably fundamental components which can be replicated by reconstructing them chemically into synthesised products for commodification which imitate the living things in nature they once were. What we all too often fail to recognise is that the reductionism which characterises food processing serves on the one hand to detach us, as it were, from the subject matter of our investigations, 'real food. On the other hand the paradigmatic epistemology it presupposes covertly drives us to develop technologies of power designed for the most part to transform and reconstruct the living world of nature into a world of increasingly chemicalised, inert and deadened things. Being detached from our food is a facet of an epistemology of power which in an important sense alienates us from the world. We tend to take this alienation for granted and thus mindlessly live out our lives in environments which are highly artificial, impressively synthesised. Motivated by our obsession with power and dominance to control everything around us, we use our technology to transform the living world, namely, our mammoth cities in particular, into lifeless jungles of concrete, metal, and plastics. It is by virtue of the lifeless concoctions we manufacture that we gain a greater measure of control of the way in which inert things can be used in utilitarian ways. Indeed, the epistemology of power is designed to serve the gods of vested interest. This epistemology of power represents a new hierarchy of value that perpetuates itself by reproducing and recasting the world technologically. Within the commercial context of food technologisation, the mechanist processes which encourage our emotional detachment from the things of nature is the same modality of insensitivity that allows us to process our food by systematically destroying the living elements which define its natural configuration. Without a contrite heart we thus mindlessly and shamelessly transform the once living world of food into marketable but artificial and chemicalised nutritional packages of synthesised inertness. In what follows we endeavour to show that there is evidence to believe that how we feel about the food we eat makes a significant difference as to the capacity of the human body to digest, metabolise, and assimilate the nutritional value of what we eat.

    Pub. Date: April 30, 2018
    Paper No:
    2014
  6. Siddhartha Gupta, Neha Sinha and Balaji, S.
    ABSTRACT:

    Power is the most important component of infrastructure and it is extremely essential for the economic development and social well-being of countries. The existence and development of self-sufficient infrastructure is important for the continual rise of the Indian economy. India’s power sector is very much diversified. Sources of power generation vary from conventional sources such as natural gas, hydro, coal, oil and nuclear power to non-conventional sources such as solar, biomass, and wind. Due to population growth, the electricity demand in the country has risen dramatically and is believed to grow more in the future. In order to meet the increasing demand for electricity in India, huge addition to the installed generating capacity is needed. In the few past years, India's energy utilization has been rising at a moderately faster rate due to economic development. In this paper, the present trend of Renewable energy sources (RES) in India has been discussed. In the present scenario, use of renewable sources for energy generation has become the need of the hour. The Installed and Generating Capacity of each source in India has been discussed. The negative environmental impacts has been presented too. In addition, the paper also focuses on upcoming renewable sources of energy which are still developing and how one day they can be useful because of their vast undiscovered potential.

    Pub. Date: April 30, 2018
    Paper No:
    2028
  7. Nelson Johnny, Onduka Keneke, Yebimodei Esther George and Angonimi
    ABSTRACT:

    The study examined impact of global financial crisis on the Nigerian stock market performance from 2008 to 2016. The study used three independent variables (foreign exchange rate, foreign direct investment on the Nigerian stock market and foreign reserves) and one dependent variable (stock market capitalization). Test carried out include unit root test and ordinary least square. The study revealed that: foreign exchange rate has no significant impact on the Nigerian stock market performance; foreign direct investments on stocks have positive but insignificant impact on the Nigerian stock market performance and foreign reserves have negative but insignificant impact on the Nigerian stock market performance. Based on the findings, the study recommends that, government and regulatory authorities should implement policies to improve the declining market capitalization by encouraging more foreign investors to participate and invest in the market. This is because capital inflow and market capitalization are positively related.

    Pub. Date: April 30, 2018
    Paper No:
    2029
  8. Yakubu Aliyu Gobir and Abu-Ubaida Sani
    ABSTRACT:

    The history of Africa is full of magic and supernatural activities. However, in all the sections of Hausa performing arts, oral songs are the most exalted arts that dominate many folkloric activities and control very great significant aspects of religious, political and socio-cultural consciousness in the Hausa community. The singers employ different methods and techniques of injecting poetic ideas into the minds of audience. The songs are sung with either melancholic, charming, or tranquil expressions so that their content messages are of deep impact to listeners. Therefore, the songs are entertaining, charming, educating or touching. In the struggle to create an attractive method or style, the use of supernatural is traced, which this paper intends to demonstrate. It is discovered that most of popular oral singers, MammanShata inclusive, employ supernatural activities in demonstrating hyperbolism, heroism, medical or fetishism, and so on. Malam Baba Na QofarGabas, SarkinBoriSule and Hassan SarkinDogarai to mention but few of the masterpieces of the prominent Hausa oral singer (Shata) comprised of supernatural powers in thematic and stylistic structures. By employing any one of these adornments in any oral songs, the zenith of stylistics is being reached, as per as Hausa culture is concerned. This paper therefore traces instances of use of supernatural in Shata’ssongs.

    Pub. Date: April 30, 2018
    Paper No:
    2030
  9. Dr. Mohammed Hussin Elgendy, Dr.Yasser Ramzylashin and Islam Tarek Salem AbuEmira
    ABSTRACT:

    Background: Obesity is recognized as a major health problem in the world, obesity is accompanied with reduce postural control and stability and could be one cause of risk of fall and also is increase various musculoskeletal disorders including impairment of the spine. Objective: was conducted to investigate the effect of body mass index (BMI) on lumber flexibility and on risk of falls. Subjects: 87 adult subjects of both genders with their ages ranged from 20 to 40 years participated in this study. Subjects were classified into 3 groups according to BMI. Group A: was consisted of twenty eight subjects of normal weight (BMI: 20 - 24.9). Group B: was consisted of thirty subjects who had overweight (BMI: 25 - 29.9). Group C: was consisted of twenty nine subjects who had mild obesity (BMI: 30 - 34.9), with their mean ages were (27.64 ± 4.71), (28.33 ± 7.41) and (30.31 ± 6.78) years respectively. Methods: Lumbar flexibility were measured for groups using back range of motion (BROM) device and risk of fall were evaluated with functional reach test. Results: the study revealed that there was no significant difference in lumbar flexibility between 3 groups of flexion with (p= 0.757) and extension with (p= 0.131). and there was significant difference in risk of fall among (group A versus C ) and (group B versus C ) with (p=0.007) and (p=0.015). while there was no significant difference between (group A versus B ) with (p=0.805). Conclusion: Our study revealed that there was risk of fall in obese subjects in comparison to normal and overweight subjects. These alterations in the balance would be associated with decreased postural control capacity and may be the cause of balance deficiency in obese subjects.

    Pub. Date: April 30, 2018
    Paper No:
    2039
  10. Adem Onat
    ABSTRACT:

    Aluminium alloys are now widely preferred in industrial applications due to their low density and high strength values. The properties of these alloys can be further improved by precipitation hardening heat treatment. For this purpose, the temperature and time used in the precipitation hardening process plays a very effective role on the performance of the material. Therefore, in this study, the effects of artificial aging heat treatment on mechanical properties and corrosion behaviour of AAXXX alloy were investigated. The effects of artificial aging time on microstructure and mechanical properties of alloy were analysed and at the same time corrosion behaviour was tried to be determined by corrosion tests. For experimental investigations, the alloy samples prepared in appropriate sizes were heated to 540°C (± 0.5°C) with heating rate 10°C/min. by electrical resistance ceramic furnace. For the solution heat treatment, samples were kept in the furnace at this temperature for 4 hours. The samples taken from the furnace were firstly poured into iced water at 10°C and then subjected to artificial aging at 190°C for 2, 4, 6, 10, 12 and 24 hours. Finally, the samples taken from the furnace were left to cool down in stagnant air. The results show that the mechanical properties and the corrosion resistance of the alloy increase with the increase of artificial aging time. The hardness of commercial alloy of 43 BHN is increased to 98 BHN and the corrosion resistance of the commercial alloy increased from 0.1753 mm/year to 0,0123 mm/year at a temperature of 190°C at 10-hour aging period.

    Pub. Date: April 30, 2018
    Paper No:
    2048
  11. Lawal Kayode Olatunji, Oche Mansur Oche, Habibullah Adamu, Adamu Muhammad, Latifatu Bolanle Abdulsalam and Yusuf Tahir
    Journal Area:
    ABSTRACT:

    Introduction: Vision plays a very important role in child learning and development, thus, any problem with child’s vision could adversely affect his/her academic performance. This study therefore aims at determining the relationship between visual impairment and academic performance among primary school children within Sokoto metropolis. Materials and Method: A descriptive cross sectional survey of primary school children in four randomly selected primary schools within Sokoto metropolis was carried out between July 2016 and August 2016. Relevant history and basic ocular examinations were carried out on the primary school children that were selected using a multi-stage sampling technique. Data were analysed using the Statistical Package for Social Sciences (IBM SPSS) version 20. Results: A total of 184 pupils were surveyed; 84 (45.7%) were males and 100 (54.3%) were females. The age range was between 5 and 15 years and the mean age was10.84years ± 2.19. The prevalence of visual impairment was found to be 12.0% and uncorrected refractive error was the commonest cause of visual impairment seen in this study with a prevalence of 10.3% followed by posterior segment affectation which with a prevalence of 1.6%. The average academic performance was found to be significantly higher in the normal sighted pupil compared to those with visual impairment (p=0.04). Conclusion: The negative implications of visual impairment on education and its effects on subsequent socio-economic life, calls for the need to increase effort on visual screening and other related interventional measures.

    Pub. Date: April 30, 2018
    Paper No:
    2055
  12. Udechukwu Jonathan and Samuel, G.K.
    ABSTRACT:

    This study examined the predictors of tramadol abuse among undergraduatesin Ignatius Ajuru University of Education, Port Harcourt. Two objectives and two research questions were guided this study. Multi-stage sampling procedure was adopted for the study population for the study consisted5117 students from selected faculties in the university. The sample size was determined using Yaro Yamane’s method for a finite population (n = 400). The instrument for data collection was the structured questionnaire which comprised of section A and B, A demographic characteristics and B research questions based items. The reliability of the instrument was determined using test-retest method and the Pearson Product moment Correlation Coefficient (PPMCC) with a reliability coefficient of 0.86. Data was analyzed using statistical package for social science (SPSS) were descriptive statistics comprising of mean, percentage, frequency and standard deviation were used for demographic and answering of research questions. The result showed that the mean age of the respondents was 24.5+ 4.5 years, 57.6% were male, 42.4% were female from the selected faculties, 35.3% were in year 1, 30.2% were in year 2, 19.3 were in year 3, and 15.2% were in year 4. The result also indicated that the grand mean value 2.98 was greater than the criterion referenced mean 2.50 depicting that tramadol abuse had serious consequences on the respondents. The predictors of tramadol abuse included; peer group influence, improve mood and mental alertness, to relief pains, depression and anxiety, parental factor and academic activities which reported that the grand mean (2.78) is significantly greater than the criterion reference mean (2.50) indicated that the factors listed were predictors of tramadol abuse among undergraduate students. The study concluded that tramadol abuse is more injurious to academic activities of students in tertiary institutions. This research recommends that the benefit of healthy lifestyle choices and developments of skills needed in making informed and responsible decision to resist tramadol abuse among undergraduates should be emphasized by health personnels in the facilities at the point of their admission into the institution.

    Pub. Date: April 30, 2018
    Paper No:
    2056
  13. Dr. Gehan Hassan ELmaniawy, Dr. Mona Nabil Mohamed Ayad and Asmaa Salah Ali Ahmed
    ABSTRACT:

    Background: The current study was conducted to establish registry for physical therapy database of cerebral palsy patients in Mina city and its surrounding cities including (Maghagha, Matty, Mallawi, Samallott, Abu-Qurqase and Deirmawas). Children with CP were recruited from hospitals of health ministry (general hospitals), insurance hospitals, pt centers, private hospitals and units of family medicine in Minia governorate. Children were of both genders and their age ranged from birth to 18 years old. Materials: The outcome measures were Gross Motor Function Classification System (GMFCS), Gross motor function measure (GMFM) from birth to 18 years, Manual Ability Classification System (MACS) and Viking Speech Scale. Results: The results revealed that the children with CP who received physical therapy services were 221 and children who did not receive physical therapy services were32, children49% were from relative parents, 63.2% were living in rural and 76.3% Presented by obstruction. classification of CP based on GMFCS were 4.7% for level I, 31.6% for level ll, 37.2% for level lll, 25.7% for level IV and 8% for level V. Viking Speech scale declared 32.8% for level I, 33.6% for level II, 19.8 % for level III and 13.8 % for level IV. Our results revealed that there were significant relation between GMFM, MACS, GMFCS, VIKING scales and CP. Conclusion: The current study revealed that prevalence of CP in Minia governorate was 253 children representing 0.088 per 1000 live births. The spastic type 57.3% was the most common while dystonic type was the least 7.9%. Demography revealed that 60.5% of children were males and 38.5% were females, 36.8% of the cases were from urban and 63.2% were rural High incidences of children with CP were level III using GMFCS, MACS and level II using Viking speech scale.

    Pub. Date: April 30, 2018
    Paper No:
    2061
  14. Dr. Brijesh Byrappa, Dr. Narahari Ranganatha, Dr. Mohammed Yunus, Dr. Ragesh Raman, Dr. Mamatha, N.S., Dr. Arun, K.P.
    Journal Area:
    ABSTRACT:

    Radicular cysts are most common asymptomatic lesions of the jaw, it comprises up to 68% of cysts in the region. Large cyst of the jaw necessitate surgical management to obtain bone regeneration and healing of periapical tissues. Use of patients own blood components such as platelet rich fibrin (PRF) to enhance healing is unique concept in oral surgery. Through this case report we would like to illustrate the effectiveness of PRF mixed with synthetic bone substitute for guided bone regeneration in bone defect resulting from a periapical cyst enucleation. The treatment outcome of this case report shows that a combination of synthetic bone graft and PRF is successful in accelerating the physiological healing.

    Pub. Date: April 30, 2018
    Paper No:
    2069
  15. Dr. Ashok Naikar, Dr. Ganapathi rao, Dr. Leena Nayak
    Journal Area:
    ABSTRACT:

    There are a group of diseases that shore similar risk factors, which may be due to exposure over many years, unhealthy diets, smoking, lack of exercise and stress generally complex to cure and modern medical system with its approach is still struggling to keep the disease condition leads to one another. There is a definite need of an alternative approach to understand the psycho-somatic effect on the human body produces life style diseases. Definitely an answer to life style disease brightens with the Ayurvedic approach. The Ayurvedic system of medicine proves the functioning of human body as a whole and any disease is understand due to imbalance of Tridoshas, Saptadhatus, malas and Agni respectively. Ayurvedic therapies validates the physical, psychological and spiritual wellness of an individual. This system has same importance to the preventive as well as to the curative aspects. Ayurveda provides various types to manage life style disorders by – Dinacharya, Ritucharya, Ratricharya, Panchakarma, Trayopasthambha palana, Sadvrritha, Acharya rasayana, Dharma palana, Yogapalana etc. all these procedures are followed to achieve a swasthya laxana, which gives an answer to life style diseases.

    Pub. Date: April 30, 2018
    Paper No:
    2074