Editorial Board Members

Dr. Angela Gusiyska

Qualification: PhD (Dentistry), DMD

Affiliation: Associate Professor in the Department of Conservative Dentistry, Faculty of Dental Medicine, Medical University - Sofia, Bulgaria

Email ID: gusiyska[at]icloud.com

Dr. Rajesh Keshavrao Deshmukh

Qualification: PhD (Computer Science and Engineering)

Affiliation: Associate Professor, Department of CSE, Shri Shankaracharya Institute of Professional Management and Technology, Raipur, Chhattisgarh,

India

Email ID: r.deshmukh[at]ssipmt.com

Dr. Shashi Kant Tiwari

Qualification: PhD (Biochemistry Science)

Affiliation: Postdoctoral Fellow, University of California, San Diego, United

States

Email ID: sktiwari[at]ucsd.edu

Dr. Fuat Kara

Qualification: PhD (Manufacturing Engineering)

Affiliation: Assistant Professor, Department of Manufacturing Engineering,

Duzce University, Duzce, Turkey

Email ID: fuatkara[at]duzce.edu.tr

Dr. Victor Olu Matthews

Qualification: PhD (Telecommunication Engineering)

Affiliation: Senior Lecturer, Covenant University, Electrical & Information Engineering Department, Ota, Ogun State, Nigeria

Email ID: victor.matthews[at]covenantuniversity.edu.ng

Dr. Monal Deshmukh

Qualification: PhD (Management)

Affiliation: Associate Professor, Department of Management, Rungta College of Engineering and Technology, Bhilai, Chhattisgarh, India

Email ID: monal0808[at]gmail.com

Dr. Emre Yucel

Qualification: PhD (Mechanical Engineering)

Affiliation: Instructor, Department of Mech. and Manufac. Eng., Duzce University, Duzce, Turkey

Email ID: emreyucel[at]duzce.edu.tr.tr

Dr. Tamar Shiukasvili

Qualification: Doctor of Academic Philology

Affiliation: Assistant of professor, Department of Foreign Languages and Literature, Iakob Gogebashvili Telavi State University, Telavi, Georgia

Email ID: tamar.shiukashvili[at]tesau.edu.ge

Dr. Syarbaini Ahmad

Qualification: PhD (Software Engineering)

Affiliation: Officer of Student Affairs Development & Alumni, Deputy Rector

of Stud. Affairs Development & Alumni Office, Faculty of Science & Info. Technology, International Islamic University College Selangor, Malaysia

Email ID: syarbaini[at]kuis.edu.my

Dr. Elżbieta Macioszek

Qualification: Doctor of Science (DSc) (Traffic Engineering)

Affiliation: Assistant Professor, Faculty of Transport of the Silesian University of Technology, Gliwice, Poland

Email ID: elzbieta.macioszek[at]polsl.pl

Dr. Ivan Dimitrov Gerdzhikov

Qualification: PhD (Dentistry)

Affiliation: Chief Assistant Professor, Department of Prosthetic Dental Medicine, Faculty of Dental Medicine, Medical University of Sofia, Sofia,

Bulgaria

Email ID: ivan_ger1971[at]abv.bg

Dr. Lucia Tsantilis

Qualification: PhD (Structure and Infrastructure Engineering)

Affiliation: Assistant Professor, Department of Environment, Land and

Infrastructure Engineering, Politecnico di Torino, Torino, Italy

Email ID: lucia.tsantilis[at]polito.it

Dr. Vitalina Babenko

Qualification: D.Sc. (Economics), PhD (Technical Sciences)

Affiliation: Professor, Department of International Business and Economic

Theory of the School of International Economic Relations and Travel Business of V.N. Karazin Kharkiv National University, Kharkiv, Ukraine

Email ID: vitalinababenko[at]karazin.ua

Dr. Grygorieva Nataliia

Qualification: PhD (Medical Sciences)

Affiliation: Scientific Worker, Department of Clinical Physiology and Pathology of Musculoskeletal System, D. F. Chebotarev Institute of

Gerontology" NAMS Ukraine

Email ID: crystal_ng[at]ukr.net

Dr. Chung-Kuang Hou

Qualification: Ph.D. (Business Administration)

Affiliation: Assistant Professor, Department of Business Administration, Kun

Shan University, Taiwan

Email ID: ckhou[at]mail.ksu.edu.tw

Dr. Ishtiak Al Mamoon

Qualification: PhD.(Electronics and Communication Engineering)

Affiliation: Asst. Professor, Department of Electrical and Computer Engineering (ECE), Presidency University, Dhaka, Bangladesh

Email ID: ishtiakm[at]pu.edu.bd

Dr. Mahadeo B. Shinde

Qualification: PhD (Nursing), M.Sc. (Nursing)

Affiliation: Professor, Krishna Institute of Medical Sciences Deemed University, Krishna Institute Of Nursing Sciences, Karad, Satara,

Maharashtra, India

Email ID: mahadeoshinde28[at]gmail.com

Dr. Junaidi Junaidi

Qualification: PhD. (Economy and Business), M.Si, SE

Affiliation: Lecturer (teaching staff) in Faculty of Economy and Business,

University of Jambi, Jambi City, Indonesia

Email ID: junaidi[at]unja.ac.id

Dr. Amir Azizi

Qualification: PhD. (Manufacturing and Industrial Engineering)

Affiliation: Assistant professor, Department of Industrial Engineering, Science and Research Branch, Islamic Azad University, Tehran, Iran

Email ID: azizi[at]srbiau.ac.ir

Dr. Asha S. Ambhaikar

Qualification: PhD (Computer Science and Engineering)

Affiliation: Professor and Dean (R&D) at Rungta College of Engineering and Technology, Bhilai, Chhattisgarh, India

Email ID: dr.asha.ambhaikar[at]rungta.ac.in

Dr. Tarek Ali Mohamed Hassan

Qualification: Ph. D. (Laser Physics)

Affiliation: Professor, Laser Institute for Research and Applications (LIRA), Beni - Suef University, Beni - Suef, Egypt

Email ID: tarek.hassan[at]fysik.su.se

Dr. Ho Soon Min

Qualification: PhD (Materials Chemistry)

Affiliation: Associate Professor, INTI International University, Jln BBN 12/1, Bandar Baru Nilai, 71800 Negeri Sembilan, Malaysia

Email ID: soonmin.ho[at]newinti.edu.my

Dr. Berestetska Natalia

Qualification: PhD (Pedagogics)

Affiliation: Associate Professor of Translation Department, National Academy

of State Border Guard Service named after Bohdan Khmelnytskyi, Ukraine

Email ID: berestetskanat[at]rambler.ru

Reviewer Panel Members

Mr. Anand Nayyar, M.Tech (I.T.), M.Phil (CS), M.C.A, KCL IMT, Jalandhar, India

Mr. Gurpreet Singh, M.Tech. (C.S.E.), B.Tech. (C.S.E.), IET Bhaddal,

Punjab, India

Mr. Sreenivasa Rao Basavala, PhD (CS)*, M.Tech (I.T), Yodlee Infotech Pvt Ltd, Bangalore, India

Dr. Ashish Jolly, PhD (CSA), MCA, B.Sc (Electronics), Government P.G.

College, Ambala Cantt, India

Dr. Aws Zuheer Yonis, PhD (Tele Engg), M.E. (Tele Engg), University of Mosul, Iraq

Dr. N.S.Murthy Sarma, PhD (E.C.E.), M.E. (M.R.E.), Osmania University,

Hyderabad, India

Mr. Pradeep Kumar Jaisal, PhD (Elex)*, M.Tech (Elex), S.S.I.P.M.T.,

Raipur, India

Mr. Vikas Kumar Goel, M.Tech (Instrumentation), M.Sc., C-DAC, Mohali, India

Dr. Rohit Kapoor, PhD (PQM), M.E. (CAD/CAM), Indian Institute of

Management, Indore, India

Dr. Shrinivas R. Patil, Ph.D, M Phil, MBA (Finance), IEMS B-School, Hubli, India

Mr. Subba Rayudu Rayasam, MBA (Marketing & HR), M.Phil, VISIT

College, Tadepalligudem, India

Ms. Sudeepta Pradhan, MBL (Business Law), LLB, IBS, Hyderabad, India

Dr. Shivakumar Deene, (D.Litt.), Ph.D, M.Phil, M.Com, Central University

of Karnataka, Gulbarga, India

Dr. Shobha Sharma, Ph.D (Physics), MBA, M.Sc (Physics), St. John’s College, Agra, India

Mrs. Rachana Shalini, M.Tech (Agricultural Engg), B.Tech, National

Productivity Council, New Delhi, India

Dr. Bamidele Adewale SALAU, PhD (Biochem), M.Sc (Human Nutrition),

Redeemer's University, Nigeria

Dr. Mayada Faris Ghanim, PhD (EEE), M.Sc (CE), University of Mosul, Mosul, Iraq

Mr. Harsh Vazirani, M.Tech (CSE), Maulana Azad National Institute of

Technology, Bhopal, India

Mr. Rekh Ram Janghel, M.Tech (CSE), IIITM, Gwalior, India

Dr. Parnika Das, PhD (Physics), M. Tech (Applied Optics), Variable Energy Cyclotron Centre, Kolkata, India

Dr. Deepshikha Bhargava, PhD, M.Tech, Amity Institute of Information Technology, Jaipur, India

Mr. Neeraj Kumar Agrawal, M.Tech (I.T.), Gwalior Engineering College,

Gwalior, India

Dr. Rakesh Rai, Ph.D (Education), Ph.D (Phylosophy), SRM University, Ghaziabad, India

Mr. N. K. Mandavgade, PhD (Mech Engg)*, ME (Mech), Priyadarshni

College of Engineering, Nagpur, India

Mrs. Anita Rai, M.Ed.*, UGC-NET, M.Phil (English), SRM University,

Ghaziabad, India

Dr. Ajayi Johnson Olusegun, Ph.D Sociology (Criminology)*, M.Sc, B.Sc, Ekiti State University, Ado-Ekiti, Nigeria

Mr. Sushant Rath, M.Tech (Mechanical Engg), RDCIS, SAIL, Ranchi, India

Dr. Ramel D. Tomaquin, PhD (Public Administration), PhD (Society and Culture), Surigao Del Sur State University, Philippines

Dr. D S Kushwaha, PhD(LCD), PhD (IT& Syst. Engg.), M Tech (IT),

Institute of Engineering and Technology, Lucknow, India

Dr. Sanjeev Kumar, Ph.D.(Education), M.Phil.(Education), M.Ed, Government Middle School, Rugra, Solan, India

Mr. Simon Okwir, PhD (Industrial Economics & Management)*, MSc(Aero

Mechanics), Stockholm , Sweden

Dr. Sonali Yadav, PhD, MBA (Finance), M.A (Eco), Institute of Management

Studies, Dehradun, India

Mrs. Monal Deshmukh, PhD (Marketing)*, MBA (Marketing), RCET, Bhilai, India

Dr. Zuojun Guo, PhD (Computational Biochemistry), Center for Theoretical

Biological Physics in UCSD and Genomics Institute of Novartis Research Foundation, San Diego, United States

Shamim Ahmed, M.Sc. (CSE), Bangladesh University of Business &

Technology, Dhaka, Bangladesh

K. Kulathuraan, PhD (Physics), M.Sc. (Material Science), A.P.A College of Arts and Culture, Palani, Tamil nadu, India

Dr. Prabhpreet Kaur, PhD (Physics), M.Sc. (Physics), Bhai Gurdas

Institute of Engineering and Technology, Patiala, Punjab, India

Dr. Amit Sharma, PhD (Physics), M.Phil.(Physics), BVCOE, New Delhi,

India

Vishwajit K. Barbudhe, M.Tech (EC) , B.E (E&TC), Agnihotri College of Engineering, Amaravati, India

Nitin H. Ambhore, PhD (Mechanical)*, ME (Mechanical), Vishwakarma

Institute of Information Technology, Pune, India

Dr. M.N.M.Ansari, PhD (Polymer Engineering), Universiti Tenaga Nasional, Kajang, Selangor, Malaysia

Dr. Abu Ubaida Siddiqui, MD (Anatomy ), MBBS, All India Institute of

Medical Sciences (AIIMS), Raipur, India

Dr. Gee Marie S. Binag, Ph. D (Development Research Administration),

Agusan del Sur State College of Agriculture and Technology, Philippines

Dr. Mohammad Akram, PhD (Literature English), Jazan University, Ministry of Higher Education, Kingdom of Saudi Arabia

Govinda Bhandari, M.Sc, B.Sc , Govinda Bhandari, EPTRI, Kathmandu,

Nepal

Mohammad Alamgir Hossain, MSc (CSE), BSc (CSE), Islamic University, Kushtia-7003, Bangladesh

J. Rethna Virgil Jeny, PhD, M.E (CSE), B.E (CSE), Amrutvahini College of

Engineering, Sangamner, India

Rajkumar Bapurao Deshmukh, M.Sc. (Botany), SET, Shardabai Pawar

Mahila Mahavidyalaya, Pune, India

Sreehari Ravindranath, M.A (Life Skills Education) , B.A. (Psychology), Rajiv Gandhi National Institute of Youth Development, Chennai, India

Ravindra Kumar Sharma, A.M.I.E.*, M.Tech (DCS), B.E. (ECE), Rajdhani

Institute of Technology & Management, Jaipur, India

Dr. Ravindra Kumar, PhD (Genetics), MSc (Chemistry), Sri Aurobindo Institute of Medical Sciences, Indore, India

Dr. Ajay Singh Yadav, Ph.D (Maths) M.Sc. ( Maths), SRM University NCR

Campus, Ghaziabad, India

Olooruntoyin Sefiu Taiwo, M.Tech. (CSE), B.Tech (CSE), Emmanuel

Alayande College of Education, Oyo, Nigeria

Dr. Gerard G. Dumancas, PhD (Analytical Chemistry), B.Sc (Chemistry), Oklahoma Medical Research Foundation, Oklahoma, United States

Dr. Jaiprakash Jain, PhD, M.A (Economics), Government College, Jodhpur,

India

Charles Guandaru Kamau, PhD (Business Administration), Ministry of Finance, Kibwezi, Kenya

Dr. Sanjay Kumar Singh, Ph.D. (MNIT), M.Tech, B.E, Associate Professor,

Amity University Rajasthan, Jaipur, Rajasthan, India

Dr. Mohamed Shehadeh, PhD (Mechanical Engg), MSc, Arab Academy for

Science, Technology and Maritime Transport, Alexandria, Egypt

Dr. S. P. Anand Raj, PhD (CS), M.Tech (CS), SR Engineering College, Warangal, India

Mr. Bryan Joseph E. Matillano, M.Ed (General Science), Leyte Normal

University, Tacloban, Philippines

Mr. Daniyan Ilesanmi Afolabi, M. Eng (Mechanical Eng.), B.Tech (Chemical Eng), Afe Babalola University, Ado Ekiti, Nigeria

Dr. MELLAL Mohamed Arezki, PhD, MSc, BSc, M'Hamed Bougara

University, Algeria

Dr. Rui Liu, PhD (Chemical & Material Science), California Institute of

Technology, Los Angeles, United States

Dr. Muhammad Nasrum, PhD, School of Management YAPIM, Maros, Indonesia

Dr. Manoranjan Pradhan, Ph.D(CS), M.Tech(CS), Gandhi Institute For

Technological Advancement, Bhubaneswar, India

Mr. Mohd Dilshad Ansari, Ph.D(CSE)*, M.Tech (CSE), Jaypee University of Information Technology, Solan, India

Mr. Showkat Ahmad Ganaie, M.Phil (Rehabilitation Psychology), National

Institute for the Mentally Handicapped , Secunderabad, India

Mr. Shubhendu S. Shukla, M.Phil, MBA, MA, SR Group of Institutes,

Lucknow, India

Dr. Magdy Shayboub Ali Mahmoud, PhD (CS), Suez Canal University, Ismaillia, Egypt

Mr. Abhishek Shukla, PhD (CS)*, MCA, R D Engineering College,

Ghaziabad, India

Dr. D Mallikarjuna Reddy, PhD (Mechanical), Reva Institute of Technology & Management, Bangalore, India

Mr. D Lei Guo, MS ( Biochemistry and Molecular Biology), Washington

University, St. Louis, United States

Dr. Rabinjyoti Khataniar, M.A., Ph.D (Economics), B.H.College, Barpeta,

Assam, India

Dr. Rezaoui Mohamed Mounir, Phd, Ecole National Polytechnique, Ain Oussera, Algeria

Dr. Pratibha Kumari, PhD (Chem), M.Phil, MSc, BSC, University of Delhi,

Delhi, India

Dr. B. P. Bhaskar, Ph.D (Soil Science and Agricultural Chemistry), National Bureau of Soil Survey and Land Use Planning (ICAR), Nagpur, India

Mr. Sivakumar V, M.Tech, M.Sc, Centre for Development of Advanced

Computing (C-DAC), Pune, India

Dr. Miao Cui, MD, Icahn School of Medicine at Mount Sinai (ISMMS), New

York, United States

Mr. Zairi Ismael Rizman, Master (Science) in Microelectronics, Universiti Teknologi MARA (UiTM) Terengganu, Dungun, Malaysia

Dr. Sri Ranjani Sivapalan, PhD, M.Phil, PGDHM, University of Jaffna,

Jaffna, Sri Lanka

Ms. Yah Awg Nik, M. Ed. TTELT, Universiti Malaysia Kelanatan, Kota Bharu, Malaysia

Mr. Sunil Jayant Kulkarni, M.E.(Chemical Engg.), Datta Meghe College of

Engg., Airoli, Navi Mumbai, India

Dr. Yonghua Yan, PhD (Mathematics), University of Texas at Arlington,

Texas, United States

Dr. Sunanda Sharma, PhD (Animal Reproduction, Veterinary Obstetrics & Gynecology), College of Veterinary & Animal Science, Rajasthan University

of Veterinary & Animal Sciences, Bikaner, Rajasthan, India

Dr. George Kolanchery, Ph.D., M.A., LL.B., TESOL (UK), CELTA

(Cambridge), Dhofar University, Dhofar, Oman

Dr. Halima Mustafa Elagib, PhD (Pharmacy), B. Pharm., M. Pharm., University of Hail, Saudi Arabia

Dr. Albert Alhatem, M.D., M.Sc., University of Tennessee, Memphis,

United States

Mr. Mohamed Moussaoui, M.S., PhD, School of Applied Sciences of

Tangier (ENSAT), Tangier, Morocco

Mr. K. M. Anwarul Islam, Assistant Professor, MBA (Banking), The Millennium University, Dhaka, Bangladesh

Dr. Garima Tiwari, PhD (Forestry) MSc (Forestry), Guru Ghasidas

Vishvavidhhyalya, Bilaspur, India

Mr. Jithin Krishnan, M Tech, B Tech, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India

Mr. Kalipindi Murali, M.Tech (ECE),M.Sc (Electronics), Vijaya Institute of

Technology for Women, Vijayawada, India

Mrs. Archana Tiwari, Masters (Microwave Engineering), Chhatrapati

Shivaji Institute Of Technology, Durg, India

Dr. Richard Remedios, Ph.D, M.Phil, MBA, S.V.E.T Commerce & Management College, Jamnagar, India

A. S. Syed Navaz, Prist University, Thanjavur, India

Jawad Ahmad Dar, M.Tech (CSE), Kurukshetra University, Kurukshetra,

Haryana, India

Mr. Vijaykumar Chalwa, M.Tech (Machine Design), SMSMITR, Akluj,

Maharashtra, India

Mr. Mahesh Bhupal Chendake, MSc Nursing Medical Surgical Nursing, Krishna Institute of Medical Sciences Deemed University, Krishna Institute

of Nursing Sciences, Karad, India

Mr. Roshan D Bhagat, M.E. Thermal Engineering, College of Engineering and Technology Akola, Maharashtra, India

Dr. Balaji Maroti Rajurkar, Ph.D.(Botany), M.Sc., M. Phil., B. Ed., R. S.

Bidkar Arts, Commerce and Science College, Hinganghat, Maharashtra State, India

Mr. Bambang Eka Purnama, M.Kom, University of Surakarta, Boyolali,

Jawa Tengah, Indonesia

Mrs. Geethani Kumarihami Bulankulama, Rajarata University of Sri Lanka, Colombo, Western Province, Sri Lanka

Mr. Ganesamoorthy Balakrishnan, M.E. Applied Electronics, Adhiparasakthi Engineering College, Memaruvathur, Tamilnadu, India

Mr. Gautam Rampalli, M.Tech (SE), B.Tech (CSE), Kakatiya Institute of

Technology & Science, Warangal, Telangana, India

Mr. Jeetendra Sainkhediya, Ph.D*, M.Phil, M.Sc., B.Sc., PMB Gujarati

Science College, Indore, M.P., India

Mr. Satish Rewatkar, MBA, BIT Ballarpur, Nagpur, Maharashtra, India

Mr. Shivaji Gunda Chavan, ME-Mechanical Engg, Finolex Academy of

Management and Technology, Ratnagiri, Maharashtra, India

Mr. Vinod Nayak, M Phil (CS), MCA, BSc, Nuclear Power Corporation of India Limited, Kaiga Generating Station, Karwar, Karnataka, India

Ms. Usha, M.Phil., M.Sc., Lady DOAK College, PG & Research Department

of Zoology, Madurai, Tamil Nadu, India

Mr. Amin Amirdabbaghian, M.A. In Translation Studies, Young Researchers and Elites Club, East Azarbaijan Science and Research Branch,

Islamic Azad University, Tabriz, Iran

Mr. Ali Abdulhamza Al-Fanharawi, MSc. (Environment), BSc.(Bio.), Al-Muthana University, Hilla, Babil, Iraq

Ms. Isha Sukhwal, PhD*, The IIS University, Jaipur, Rajasthan, India

Mr. Jasman Bin Esmon, Masters Degree of Technical & Vocational Education, Degree of Electrical Engineering, Malaysia Community College,

Bahau, Negeri Sembilan, Malaysia

Mr. Koteswara Rao M, M.Tech (Chemical Engineering), BKIT Bhalki, Karnataka, India

Dr. Sonali Rathi Somani, DNB (OBG), MBBS, Kamineni Institute of Medical

Sciences, Narketpally, Hyderabad, Telangana, India

International Journal of Science and Research(IJSR)

www.ijsr.net

Volume 8 Issue 4, April 2019

Table of Contents

Sr.No. Article Title Page No.

1 Unani Perspective of Sinusitis (Iltihab e Tajaweef e Anaf): A Literary Review 1 - 4

Authors: Dr Aliya Fareed Nowshahri, Country: India

2 Duplicate Infraorbital Nerve - An Uncommon Anatomical Variation of Branch of Maxillary Nerve 5 - 6

Authors: Dr. Gaurav Khemka, Dr. Sakshi Garg Khemka, Dr. Supriya Vijay Gupta, Country: India

3 Optical Characterisation of CdTe Thin Films 7 - 10

Authors: Desh Bandhu Sharma, Country: India

4 Formulation and Evaluation of Furosemide Tablets as Gastroretentive Dosage Forms Using Various Polymers 11 - 16

Authors: K. Kavitha, Dr. R. A. M. Jainaf Nachiya, Country: India

5 A Futuristic Approach towards Cloud Accounting 17 - 25

Authors: Pankaj Sharma, Country: India

6 Role of Nuclear Abnormalities as a Biomarker in Early Diagnosis of Cervical Carcinoma 26 - 30

Authors: Sohinder Kaur, M. L. Jain, Country: India

7 Indian Health Food Consumer: Characteristics and Preferences 31 - 35

Authors: Varuna Rao, Dr. Kasturi Sen Ray, Country: India

8 Design and Development of Drain Cleaner Machine 36 - 39

Authors: Manpreet Singh, Satgur Singh, Rohit, Country: India

9 Re-design of Dongfeng 350 Tractor by System Design Theory 40 - 44

Authors: Bista Rameshwor, Wu Qiong, Country: China

10 Inter-relation of Land Use and Transportation System Based on Lowry Model 45 - 50

Authors: Jinal Bhavsar, Rohan Kania, Country: India

11 A Survey Report on Groundwater Contamination of Doaba Belt of Punjab due to Heavy Metal Arsenic 51 - 56

Authors: Hardev Singh Virk, Country: India

12 A Study to Assess the Effectiveness of Structure Teaching Program on Knowledge Regarding First Aid Management of Cardiac

Arrest among the College Students in Selected College of Indore in 2017-2018

57 - 57

Authors: Nidhi Soni, Country: India

13 Study of the Effect on Seeds of Trigonella Foenum and Beta Vulgaris; Leafy Vegetables Germination: A Useful Guide for

Agricultural Practitioner

58 - 60

Authors: Dr. Urmila Sarkar, Sensei Surendra Sawardekar, Country: India

14 Reactive Power Control by Using Thyristor Switched Capacitor (TSC) and Thyristor Controlled Reactor (TCR) in FACTS 61 - 64

Authors: Krushna C. Taktode, Ganesh S. Rojatkar, Bhagwan T. Raut, Madhavi H. Nerkar, Country: India

15 Retrieval Techniques for Feature Extraction in CBIR System 65 - 68

Authors: Vanita M. Yadao, Ashish B. Kharate, Country: India

16 Incidence of Myopia in Young Adults in Various Location of Durgapur, West Bengal - A Demographic Analysis 69 - 71

Authors: Atanu Maulik, Dr. Kavita Bhatnagar, Country: India

17 Surigao del Sur State University: Awareness, Dissemination and Acceptability, and Congruency of the Vision, Mission, Goals

and Objectives

72 - 79

Authors: Romel C. Nemino, Country: Philippines

18 Effect of Self-Efficacy and Sense of Humor toward Coping with Stress on Third-Grade Students of Assalam Islamic Boarding

High School in Palembang

80 - 84

Authors: Shofiyah, Rosdiana, Ajeng Ayushi Widiyani, Country: Indonesia

19 Modeling Tax Revenues Using Kernel Approach Case Study: North Kivu Province (Democratic Republic of Congo) Tax

Revenues Time Series Forecasting

85 - 95

Authors: Byamungu Wanguwabo David, Country: Congo

20 Provision of Work-Space Facility and Performance of Jua-Kali Demonstration and Training Empowerment Programmes in

Nairobi County, Kenya

96 - 102

Authors: Njue Nicasio Gicovi, Dr. Mulwa Angeline Sabina, Dr. Kyalo Dorothy Ndunge, Dr. Mbugua John Mwaura, Country: Kenya

21 Morphometric Analysis of Infraorbital Foramen in South Indian Population 103 - 105

Authors: U. Sujatha, Prashanti T., K. Chitty Narasamma, Ch. Jayamma, Country: India

22 The Position of Women in the Constitution and Society in India 106 - 108

Authors: Kamaljit Singh, Country: India

23 Uses of Stem Cells 109 - 112

Authors: V. Kumar, Country: India

24 Exhaust Optimization for Formal Student Vehicle 113 - 115

Authors: Moses .G, Fernandes Harly .A, Country: India

25 Real Time Smart Waste Management for Developing City 116 - 118

Authors: Meghraj Aher, Baneshwar Bhagat, Pravin Nalawade, Ganesh Gawali, Country: India

26 Antimicrobial Activity of Skin Mucus of some Cultivable Fish Species 119 - 121

Authors: Singh A.S., Talpade M.B, Country: India

27 A Study to Assess the Knowledge and Practice of Food, Exercise and Insulin Therapy in Prevention of Complications of

Diabetes Mellitus among Diabetic Patients at Selected Hospital at Gulbarga - With a View to Develop Informational Booklet

122 - 126

Authors: Robin Abraham, Country: India

28 A Clinical Study of Complicated Cataract in Uveitis among the Patients Attending O.P.D. in a Tertiary Care Hospital in Assam 127 - 132

Authors: Dr. Rumi Das, Dr. J. J. Kuli, Country: India

29 A Study on the Prevalence of Infection with some Intestinal Parasites in Qena Governorate 133 - 136

Authors: Mohey El-Din Z. Abd El-Latif, Country: Saudi Arabia

30 Search Engine Based on Semantic Web 137 - 140

Authors: Harsh Vora, Zil Shah, Shruti Gada, Yash Bhatia, Moushmee Kuri, Country: India

31 Case Study Papers on Practical Guidelines for the Inspection and Repair of Hot Dip Galvanized Coatings 141 - 154

Authors: Harshal S Khode, Country: India

32 Prevalence of Overweight and Obesity in Adolescents of Urban & Rural Area of Surat, Gujarat 155 - 159

Authors: Divyesh Vadasmiya, Hitesh Patel, Country: India

33 Capital Markets and its Challenges with Special Reference to 'Reforms in the Capital Markets in India' 160 - 164

Authors: Akash Deep, Dr Vijay Srivastava, Country: India

34 Ayurvedic Approach in Diabetic Retinopathy 165 - 167

Authors: Upendra Nath, Priyanka, Yogita Jain, Mohd. Arif, Country: India

35 A Review on Computer Aided Detection System for Mammographic Images 168 - 170

Authors: Pooja Chaudhari, P. B. Bhalerao, Country: India

36 Study of Associated Factors to Low Birth Weight, Preterm Birth and Registration to Delivery Care System 171 - 174

Authors: Neelima A Singh, Pawan Kumar Dubey, R N Mishra, Country: India

37 The Paradox of Research: The Learning Engagement of Senior High Students in Magsaysay National High School, A Grounded

Theory

175 - 181

Authors: Leda M. dela Cruz, Country: Philippines

38 Integrated Agriculture System Using IoT 182 - 186

Authors: Utkarsha Patil, Vaibhav Patil, Shubham Tavate, Apurva Gat, Sanjeev Wagh, Country: India

39 Recent Management of Double Pterygium: A Hospital Based Study 187 - 189

Authors: Dr. Vinitkumar S Kamble, Country: India

40 Influence of Severity of Knee OA and Its Association with Physical Function in Community Dwelling Older Adults 190 - 192

Authors: Dr. Sanskruti Ravindra Tahakik, Dr. Shyam Ganvir, Country: India

41 Intravitreal Injection of Ozurdex as a Primary Mode of Treatment in Diabetic Macular Edema - One Year Follow Up 193 - 198

Authors: Dr. Achanti Swathi, Dr. M. Prabhushanker, Dr. G. Geetha, Country: India

42 Government Policy Compliance on the Relationship between Project Critical Success Factors and Completion of Construction

Projects in Public Secondary Schools in Bungoma County, Kenya

199 - 206

Authors: Dr Josephine N. Ojiambo, Charles M. Rambo, Stephen Wekesa Masinde, Country: Kenya

43 Anti-diabetic Activity of Viscum album (Guava Mistletoe) in Alloxan-induced Diabetic Rats 207 - 214

Authors: Bello, M. I, Wali, W. E, Country: Nigeria

44 To Assess the Relationship between the Neck Pain and Hand Grip Strength in Final Year and Internship under Graduate Dental

Students, due to the Impact of Poor Ergonomics

215 - 220

Authors: Dr. M. Gnanasekaran, Dr. Jay Vijay Sonavane, Country: India

45 Continuous Monitoring Permanent GPS Station at Imphal for Crustal Deformation and Earthquake Studies 221 - 224

Authors: Laishram. Sunil Singh, Arun Kumar, Country: India

46 Determining Critical Factors of E-Government Use 225 - 232

Authors: Mariati, Euphrasia Susy Suhendra, Country: Indonesia

47 Foreign Direct Investment in Retail Sector 233 - 237

Authors: Dr. Narendra Singh, Country: India

48 A Comparative Study to Assess the Knowledge regarding Behavioral Problems of Preschool Children among Parents in

Selected Urban and Rural Area

238 - 240

Authors: Swati Sangole, Country: India

49 Performance of Community Reading Park in Palembang 241 - 245

Authors: Azizah Husin, Country: Indonesia

50 Nutritional Quality Evaluation of Garri-Like Product from Sweet Potato 246 - 249

Authors: Kure O.A, Samuel M.S, Kure A, Country: Nigeria

51 The Effect of USD Exchange, Inflation and Export Levels on 1988-2017 Indonesian Device Reserves 250 - 253

Authors: A.A.A.N. Intan Sinthadevi, N. Djinar Setiawina, Country: India

52 Effect of Substituting Wheat Flour with Sweet Potato and Sprouted Soybeans Flour on Bread Quality 254 - 260

Authors: Donaldben N.S, Ibrahim S., Lindaqueen A., Country: Nigeria

53 Mathematical and Statistical Approach to Define Past Present Future Events 261 - 263

Authors: Chaitanya Arora, Bharat Kwatra, Country: India

54 Improving Students' Higher Order Thinking Skills Trough Implementing Open Inquiry-KWHL Chart 264 - 267

Authors: Fera Maulidya Sukarno, Country: Indonesia

55 A Review on Deep Learning Models for Wireless Sensor Networks 268 - 273

Authors: Sarthak Teotia, Vidushi Sharma, Country: India

56 MATLAB and Simulink Modelling of a Full State Observer Controller of Armature Controlled and Field Controlled DC Motor

using State Space Approach

274 - 281

Authors: Vedatroyee Ghosh, Akash Sharma, Viraj Bansal, Country: India

57 Fosfomycin Susceptibility among Uropathogenic E.Coli and K. Pneumoniae 282 - 284

Authors: Sruti Dalai, Meera Modak, Kunal Lahiri, Country: India

58 Oral Hygiene Level of Down Syndrome Children in Bandung City 285 - 289

Authors: Natasha Aulia Kesuma, Meirina Gartika, Eka Chemiawan, Williyanti Soewondo, Country: Indonesia

59 Left Orbital Metastasis as the First Clinical Manifestation of Lung Adenocarcinoma 290 - 293

Authors: Herman Saputra, Tjandra Kristiana, Made Gotra, Ni Made Mahastuti, Ni Putu Sriwidyani, Country: Indonesia

60 Development of Concrete Hollow Blocks from Pulverized Oyster Shell (Crassostrea iredalei) and Non-Biodegradable Materials 294 - 299

Authors: Hene L. Hapinat, Eva S. Montero, Country: Philippines

61 Gender Determination Using Linear Measurements of Mandible on Orthopantamographs: A Discriminative Functional Analysis 300 - 304

Authors: Poornima P, Pacha Venkat Baghirath, Sudheer B. Balla, Narendra Reddy Chittamuru, B. Hari Vinay, P. Parameswar Naishadham, Country:

India 62 Venous Leg Ulcer Due To High Pressure Femoral Splint in Closed Femoral Shaft Fracture: A Case Report 305 - 307

Authors: Andi Setiadi, Rollando Erric Manibuy, Country: Indonesia

63 Sigmoid Volvulus: A Case Report 308 - 310

Authors: Candra Chriscahya, Gunawan Pande, Country: Indonesia

64 The Clinical Profile of Patients Presenting with Seizure in Emergency Department 311 - 316

Authors: Abhirami B, Sreekrishnan T P, Danashekaran B S, Gireesh Kumar K P, Country: India

65 The Contribution of Foreign Direct Investment on Economic Growth in Rwanda 317 - 322

Authors: Philip Mwesiigye, Dr. Patrick Mulyungi, Country: Rwanda

66 Supporting and Inhibiting Factors of Socio-cultural Transformation to Improve the Living Standard of the DayakTahol Tribe,

Malinau Utara, North Kalimantan

323 - 327

Authors: Dumberbril, Abdul Hakim, Jati Batoro, Wike, Country: Indonesia

67 Effect of Internal and External Factors on Liquidity Resilience of Bank 328 - 347

Authors: Gigih Rizki Yuwantra1, Noer Azam Achsani, Andi Buchari, Country: Indonesia

68 Supporting and Inhibiting Factors in the Management of Coal Mining in the SDGs Perspective in South Malinau, North

Kalimantan

348 - 353

Authors: Tomy Labo, Eko Ganis S, Endah Setyowati, Tjahjanulin Domai, Country: Indonesia

69 Strategy for Coal Mining Governance in the Perspective of SDGs (Sustainable Development Goal) in South Malinau, North Kalimantan

354 - 358

Authors: Tomy Labo, Eko Ganis S, Endah Setyowati, Tjahjanulin Domai, Country: Indonesia

70 Economic Implication of Massification in India 359 - 365

Authors: Dr. Pearly Jacob, Country: India

71 Rights and Status of Police Organization in Modern India 366 - 368

Authors: Dr. P. Raja, Country: India

72 Macrodystropia Lipomatosa of the Foot: A Rare Case 369 - 372

Authors: Dr. Jyoti Tele, Dr. Nanda Patil, Dr. Shoaib Khoja, Country: India

73 Solar Energy and Duck Curve 373 - 379

Authors: Heena Aijaz Shah, Ameen Uddin Ahmad, Country: India

74 Flood Frequency Analysis in Gelana in Ethiopia 380 - 385

Authors: Rabin Selvaraj, Nebiyu Mohammed Bucha, Country: India

75 Socio-Cultural Transformation Model to Improve the Living Standard of the DayakTahol Tribe, North Malinau, North

Kalimantan

386 - 390

Authors: Dumberbril, Abdul Hakim, Jati Batoro, Wike, Country: Indonesia

76 Social Entrepreneurship and Poverty Mitigation in India 391 - 394

Authors: Divya Tomar, Sehajpreet Singh, Anand Prem Rajan, Country: India

77 Presenting a New Model for the Management and Selection of Experts in Big Data 395 - 402

Authors: Nasrin Hashempour, Parisa Safarzadeh, Hanieh Raoofifard, Country: Canada

78 Phytochemical Screening and Antimicrobial Activity of Leaf Extracts of Zanthoxylum armatum against some Bacteria and

Fungi DC: An Important Medicinal Plant

403 - 406

Authors: Himanki Dabral, Giriraj Singh, Ramesh Kumar Singh, Country: India

79 Geneva Convention: Protection of Victims of War 407 - 410

Authors: Pramjit Singh, Country: India

80 Analysis of Hedging Price Policy to Financial Performance for Crude Palm Oil (CPO) Producers in Indonesia 411 - 417

Authors: Wenny Putri Permata, Hermanto Siregar, Tubagus Nur Ahmad Maulana, Country: Indonesia

81 Effect of Lime Precipitation Technique on Strength Characteristics of Cohesive Soil 418 - 421

Authors: Pooja M. Vijay, Dr. Usha Thomas, Country: India

82 Epidemiology of Oral and Vaginal Candidiasis 422 - 424

Authors: Parveen Surain, Neeraj K Aggarwal, Country: India

83 The Legal Analysis of Cyber Crime an Unlawful Act with Special Reference to Legitimate Economy 425 - 427

Authors: Samarth Agrawal, Country: India

84 The Anthocyanins Content, Colour Changes and Thermal Stability of Roselle (Hibiscus sabdariffa L.) Petal Extract 428 - 435

Authors: Suharyani Amperawati, Pudji Hastuti, Yudi Pranoto, Umar Santoso, Country: Indonesia

85 Second Stage Cesarean Sections Dilemmas and Difficulties 436 - 438

Authors: Dr Rupali Sabale, Dr Reena Wani, Dr Sachin Paprikar, Country: India

86 Successful Delivery Outcome after Cervical Cerclage on Cervical Insufficiency with PPROM in Limited Resource Setting: A

Case Report

439 - 442

Authors: Syamsul Bahri Riva'i, Zulmaeta, Dalri Muhammad Suhartomo, Country: Indonesia

87 Type-2 Fuzzy System and Observer Based Controller for Non-Linear System 443 - 448

Authors: Tejal D. Apale, Country: India

88 An Application of Image Morphing Technique for Secure Data Transmission through Virtual Data Hiding 449 - 453

Authors: Sonali Lavangale, M. U. Karande, Country: India

89 The Influence of Work Environment on Vitamin D Levels A among Radiologists in Jeddah and Yanbu-Saudi Arabia: A

Comparative Study

454 - 456

Authors: Gihan Ahmed, Najd Alshaebi, Lujain Almaghrabi, Ghofran Ibrahim, Amani Alsaedi, Anan Balkhair, Country: Sudan

90 Kikuchi-Fujimoto Disease: A Rare Cause of Intestinal Obstruction 457 - 460

Authors: Dr. Basavaraja C, Dr. Aniruddha Desai, Dr. Anjana Kaza, Dr. Siddharth Kalke, Country: India

91 Quality Control and Safety Aspect of Rasaushadhies W.S.R. to Bhasma - A Review 461 - 464

Authors: Dr. Anil Kumar, Dr Ankesh Sharma, Dr Saroj Parhate, Dr K. S. Karbhal, Country: India

92 Bonus and Wealth - A Conceptual Review 465 - 467

Authors: P. Gandhi, Dr. B. V. Pathak, Country: India

93 Carpool Application for Elderly and Disabled People 468 - 469

Authors: Mayank Gupta, Shresth Niwahaal, Anand Prem Rajan, Country: India

94 Clickstream Data Analysis Using Data Mining in R 470 - 475

Authors: Anubhuti Singh, Sandhya Tarar, Country: India

95 The Effect of Inking Your Thinking Strategy on the Students? Reading Comprehension at Tenth Grade Students in SMKN 1

Pariaman

476 - 480

Authors: Eka Mona Susiarni, Mukhaiyar, Muhammad Zaim, Country: Indonesia

96 Efficacy of Single Dose Preoperative Intravenous Dexamethasone for Postoperative Pain Relief in Tonsillectomy Patients 481 - 484

Authors: Dr. Asif Mahajan, Dr. Arshid Ali, Dr Omar Ashraf, Country: India

97 Seasonal Predilection of Hospital Admissions for Myocardial Infarction- An Epidemiological Study 485 - 489

Authors: Kannan K, Ranganathan G, Manohar G, Arun R, Country: India

98 "I Am Here to Make You Inferior?" - A Case Report of Somatic Symptom Disorder 490 - 491

Authors: Dr. Tajgna Kadia, Dr. Kamlesh Patel, Country: India

99 Comparative Study of Effects of Selective Yogasanas and Abdominal Crunches on Abdominal Girth 492 - 495

Authors: Ankita P. Bhanushali, Basavaraj Chandu, Country: India

100 Effective Resource Utilization for Successful Completion of a Project in Nepal 496 - 499

Authors: Sudesh K.C., S. Priscil Nidhu, Country: India

101 Neural Network and Multiple Regression Models for PM2.5 Prediction in Rabigh, Saudi Arabia: A Comparative Assessment 500 - 508

Authors: Issam Mohammed Aquil Alghanmi, Ibrahim Abdelaziz, Al-Darrab, Osman Imam Taylan, Omar Seraj Aburizaiza, Country: Saudi Arabia

102 Marketing Hub for Local Sellers and Buyers 509 - 510

Authors: Swaraj Sanjay, Rahul Gupta, Anand Prem Rajan, Country: India

103 JIM Dixon; An Isolated Character in Search of a True Identity 511 - 515

Authors: Huseyin KESENEK, Dr. Timucin Bugra Edman, Country: Turkey

104 Application of SWAT to Estimate Water Balance in the Aghien Lagoon Basin, South-East of Cote D'ivoire 516 - 525

Authors: Wa Kouakou Charles N'Dri, Severin Pistre, Jean Patrice Jourda, Kan Jean Kouame, Country: Ivory Coast

105 Biodentine-A Novel Dentin Substitute: A Review 526 - 530

Authors: Amith Adyanthaya, Prathyusha P, Rasna K, Afroza K K, Country: India

106 To Study the Impact of Work Life Balance on Wellbeing of Employees and their Performance 531 - 533

Authors: Nidhi Nitinbhai Patel, Country: India

107 Applications of Double Laplace Transform Method to Coupled Systems of Fractional Telegraph Equations 534 - 537

Authors: Yahya T. Abdallah, Country: Sudan

108 An Overview of Polycystic Ovarian Syndrome 538 - 546

Authors: Ashwati Nair, Dr. Swati Balakrishnan, Country: India

109 Implant Failures - A Review 547 - 552

Authors: Rathika Rai, Ayesha Tabassum, Prema A.G, Country: India

110 Secondary Teachers' Attitude towards the Use of Techno-Pedagogical Tool-K-Yan in Classroom Instruction - A Study in

Purbabardhaman District, West Bengal

553 - 557

Authors: Pratanu Rakshit, Ashoke Kumar Sarkar, Country: India

111 LGBT - A Taboo in Today?s World 558 - 562

Authors: Manjinder Singh, Dr. Renu, Country: India

112 Soil and Soil Pollution 563 - 566

Authors: Dr. Gangadhar. M. Sajjanar, Country: India

113 Influence of School Leadership Factors on Students' Unrests in Secondary Schools in Mwingi East Sub County, Kitui County, Kenya

567 - 578

Authors: Rebecca Muvai Mutinda, Dr. Michael Munyao Ivita, Dr. Jonathan Mwania, Country: Kenya

114 Diagnostic Evaluation of Anterior Urethral Strictures in Males using Sonourethrography - A Comparative Analysis with

Conventional Retrograde Urethrography

579 - 581

Authors: Dr. Abhilash Peddu, Dr.Armel Arputha Sivarajan, Country: India

115 A Comparative Evaluation of Megadose Methylprednisolone with Dexamethasone for Treatment of Primary Typical Optic

Neuritis

582 - 588

Authors: Dr. Sikha Deori, Dr. J. J. Kuli, Country: India

116 Arduino Based Speed Control of BLDC Motor Using Bluetooth 589 - 591

Authors: Satyanarayan Kadam, Rohan Nikam, Rushikesh Nikam, Country: India

117 The Status and Implementation of the Help for Catubig Agricultural Advancement Project (HCAAP) 592 - 599

Authors: Eduardo Liuz Ocana Jr., Country: Philippines

118 A Study to Evaluate the Effectiveness of Information Booklet on Knowledge Regarding Food Hygiene among Women in

Selected Rural Area at Bijapur District

600 - 601

Authors: Ramesh Bandagar, Country: India

119 Manifest Effects of Behavioral Therapy Applied to a Typical Pipes of Children out of Force or Armed Groups - Study Carried

out in a Transit and Orientation Center in Lubumbashi / DR Congo

602 - 610

Authors: Ngoy Vundula Ignace, Country: Congo

120 A Study to Evaluate the Effectiveness of Structured Teaching Programme on Knowledge Regarding Cardiopulmonary Resuscitation in Adult among Student Nurses (GNM 3rd Year) in a Selected School of Nursing, Dehradun, Uttrakhand

611 - 614

Authors: Meena, Country: India

121 Case Study on Plummer-Vinson Syndrome 615 - 616

Authors: E. Selmar Mellisha, Country: India

122 Effect of Teaching Style , Eye Coordination Hand and Feet on the Results of Learning Groundstrokes in Students Faculty of

Sport Science

617 - 620

Authors: Afri Tantri, Moch. Asmawi, Johansyah Lubis, Country: Indonesia

123 Estimation of Macronutrients in Hygrophilla Auriculata and it's Comparison with the Conventional Green Leafy Vegetables 621 - 625

Authors: Chitralekha Mukherjee, Santa Dutta (De), Country: India

124 Evaluation of Effectiveness of Preoperative Inspiratory Muscle Training to Prevent Post-Operative Pulmonary Complication in

Patients Undergoing on Pump CABG Surgery

626 - 629

Authors: Satish Kumar Mishra, Veena M N, Country: India

125 The Capability of Tenure Audit as a Moderation in the Effect of Profitability, Financial Distress and Firm Size in Audits Delay 630 - 635

Authors: Ni Putu Eva Ferdayani, Ketut Budiartha, Herkulanus Bambang Suprasto, Gayatri, Country: Indonesia

126 Apple High Density Orcharding - Performance Reckoning Studies in Respect of the Agro-ecological Challenges of Kinnaur 636 - 643

Authors: Shashi K. Sharma, Country: India

127 Predicting Corporate Failures Using Multi Discriminant Analysis and Current Ratio: An Empirical Application to Philippines

Stock Exchange

644 - 648

Authors: Cerenio Adriatico, Country: Philippines

128 Landslide Risk Assessment in Kunduz Province-Afghanistan 649 - 657

Authors: Samiullah Sofizada, Country: Afghanistan

129 A Study to Assess the Knowledge on Biomedical Waste Management and Recommendations among the Health Care Personnel

in Yashwant Hospital, Kodoli

658 - 661

Authors: Grace Chetan Gaikwad, Country: India

130 Trans-Esterification with Homogeneous Acid Catalyst - Linear Alkyl Benzene Sulfonic Acid for Biodiesel Production 662 - 668

Authors: Uday M. Ratnaparkhi, Krishnakant T. Waghmode, Country: India

131 Bluetooth Mobile Phone Remote Control for PC 669 - 671

Authors: Akshata Ajit Nirvane, Sharmila Shankar Patil, Country: India

132 Assistive Device for Blind based on IoT 672 - 674

Authors: Aparna Annaso Patil, Shubhangi Premchand Phadtare, Country: India

133 Stress Distribution of Stiffened Slabs Subjected to Localized Friedlander Load 675 - 684

Authors: Alvian Prada, Sofia W. Alisjahbana, Country: Indonesia

134 Health Safety in Cosmetics Industries: A Case Study of Evaluation on Physical Environmental Safety 685 - 689

Authors: Pradanty Anaperta Gulies Sentana, Hanifa M. Denny, Henry S. Susanto, Country: Indonesia

135 Studies on the Efficacy of Different Methods of Vermiform Nematode Extraction from Roots 690 - 692

Authors: Maya Patil, Subramanian. S, Country: India

136 Review on Smart Stick 693 - 695

Authors: Arvind Lal, Roshan Acharya, Bal Badhur Sewakoti, Durga Badhur Kami, Binod Niroula, Tseten Namgyal Bhutia, Country: India

137 The Effect of Firm Innovativeness, Government Support, and Market Orientation on Sustainability: The Case of Equi-Parco

Construction Company

696 - 702

Authors: Moraga Melvin Vitug, Aguado Mary Adriane, Amat Ian Paolo, San Juan Ma. Donna, Yap Alexandra, Country: Philippines

138 Two-Wheeler Accident Detection and Alert System with Anti-Theft Control 703 - 707

Authors: Akash Singh, Rajkumar R, Country: India

139 Collaboration of Design and Manufacturing Using Web Service 708 - 712

Authors: Sanjeev Mishra, Rajat Upadhyay, Country: India

140 Handling Human Smuggling, Refugee, and Asylum Seeker in Indonesia 713 - 718

Authors: Dr. Bambang Suparno, Country: Indonesia

141 Designing Eco-Friendly, Home-Made, Air Purifier Face Mask using Power of Activated Carbon: A Case Study from Delhi 719 - 722

Authors: Kaartik Issar, Country: India

142 Review on New Plant Breeding Techniques 723 - 730

Authors: Gyanesh Bharti, Murali Krishna Chimata, Country: India

143 Accessing Health Care and Quality of Health Care in Hill Rural Areas of Burundi 731 - 739

Authors: Buregeya Etienne, Dr. Mahinder Singh, Country: India

144 Semi - Autobiographical Elements in "The God of Small Things" 740 - 742

Authors: R. Krishnaveni, Country: India

145 Dexamethasone Single Dose and Risk of Postoperative Nausea and Vomiting in Tonsillectomy Patients 743 - 745

Authors: Dr. Asif Mahajan, Dr. Arshid Ali, Dr Aneesa Afzal, Country: India

146 Child Pornography: A Comparative Analysis 746 - 749

Authors: Parnita Agal, Country: India

147 Perception of Opportunities and Benefits of Employee Training and Development in Organisations 750 - 753

Authors: A.P. Jaspal Kaur, Country: India

148 Variable Holding Cost & Time Dependent Quadratic Demand Model Optimization by Preservation Technology Investment 754 - 759

Authors: Bani Mukherjee, Rohit Munda, Ajaypal Singh Attal, Country: Ireland

149 The Relation between Adversity Quotient and Learning Achievement among Psychology Students Participating in

Organizations of Universities in West Sumatera Barat

760 - 764

Authors: Afifah Hana Wahyuni, Irfiana Tiwi, Devi Prihastuti, Country: Indonesia

150 Importance of Pacakagni and Theoretical Use for Rasonaghrit 765 - 767

Authors: Dr. Anil Kumar, Country: India

151 Epidermoid Cyst at Plantar Aspect of Foot-Report of a Case with Brief Review of Literature 768 - 769

Authors: Dr. Seema Rahar, Dr Prajwala Gupta, Dr. Minakshi Bhardwaj, Country: India

152 A Comparative Study of Perturbation and Proprioceptive Circuit Exercises in Knee Osteoarthritis Patients 770 - 774

Authors: Rutuja Deshpande, Dr. Saqib Syed, Dr. Gaurav Bhatnagar, Dr. Rafi Mohammed, Country: India

153 Real Time Control of Robotic Arm Using Bluetooth Low Energy & Wi-Fi with the Module Board ESP32 and Android

Application

775 - 780

Authors: Ing. Jose Eduardo Tzompantzi Netzahual, M.D.S. Higinio Nava Bautista, M.C.C. Mar?a Janai Sanchez Hernandez, Country: Mexico

154 A Rare Case of Ancient Schwannoma Mimicking Malignancy 781 - 784

Authors: Apoorva Pratap Singh, Rakesh Rawat, Country: India

155 QR Code for Billing System and Location based Service 785 - 788

Authors: J. Aruna Jasmine, M. Suganya, S. S. Vasantha Raja, Country: India

156 Wind Turbine Damage Detection through Convolutional Neuronal Network 79 - 796

Authors: Jose Eduardo Castillo Morales, Perfecto Malaqu?as Quintero Flores, Jose Crisp?n Hernandez Hernandez, Alberto Reyes Ballesteros, Edmundo

Bonilla Huerta, Country: Mexico 157 Role of Obturator Nerve Block in Turbt 797 - 799

Authors: Dr Prashant Lavania, Dr Bhupesh Gogia, Dr Shashank Sharma, Dr Sushmita Gupta, Country: India

158 A Survey on Video Steganography 800 - 805

Authors: Angitha John, Anjana Baby, Country: India

159 Power Enhancement for Piezoelectric Energy Harvester 806 - 811

Authors: Rajkumar Gupta, Dinesh Kumar Tyagi, Country: India

160 Survey of Facial Recognition Security System 812 - 816

Authors: Amrutha Ajayakumar, Purnima Mathew, Country: India

161 Review on Machining of Difficult to Cut Materials 817 - 819

Authors: Suvarna Patil, Country: India

162 Adoption Level of Sustainable Sugarcane Initiative (SSI) in Tamil Nadu 820 - 822

Authors: D. Periyar Ramasamy, B. Thiagarajan, K. Geetha, Country: India

163 Comparison of DFDBA with L-PRF Vs FDBA with L-PRF for Degree II Furcation Defects 823 - 826

Authors: Dr. Janak Kapadia, Dr. Ravikumar Jirali, Dr. Pallavi Kamble, Dr. Akanksha Sawant, Dr. Chetana Jamdade, Country: India

164 Evaluation of Computed Tomography Doses in Patients in Selected Facilities in South-South and South-East Regions Nigeria 827 - 830

Authors: Udoka Mathias Ukewuihe, Isaiah Eze Igwe, Samuel Okon Inyang, Country: Nigeria

165 Secularity of the Sec 125 CRPC 831 - 834

Authors: Harshit Pandey, Dr. Vijay Srivastava, Country: India

166 Vasantha Mandapa of Tirugokarnam Temple and its Sculptures 835 - 837

Authors: A. Marikkannu, Country: India

167 A Case Report of Warfarin Induced Upper Gastrointestinal Bleeding 838 - 839

Authors: M. Shivakrishna, Country: India

168 A Study on Personalization Education Model of Intelligent Planning Learning Path 840 - 842

Authors: Yan Liu, Country: China

169 Analysis of User's Behavioral Pattern Using Sentiment Analysis: A Survey 843 - 847

Authors: Farah Jamal, Kavita Agrawal, Country: India

170 Solar Powered Forest Fire Detection by Using Arduino and Zigbee Wireless Sensor Network 848 - 850

Authors: Bolli Shraddha, Kapse Pratiksha, Borude Prajakta, G.B. Murade, Country: India

171 Oral Teratoma in a Neonate - Anesthetic Challenge 851 - 853

Authors: Trishi Sharma, Neelam Dogra, Country: India

172 Law of Sedition in Contrary to Freedom of Speech and Expression 854 - 856

Authors: Devesh Kumar, Country: India

173 Efficiency & Effectiveness of UN Guiding Principles on Business and Human Rights 857 - 863

Authors: Dr. Renu, Gurushikha Kundu, Country: India

174 Police System in India 864 - 867

Authors: Dr. Akhilesh Ranaut, Devpreet Sidhu, Country: India

175 Determinants of Micro and Small Business Enterprises Growth: The Case of Three Selected Woreda, Gurage Zone, Ethiopia 868 - 880

Authors: Berhanu Tereda Mengesha, Country: Ethiopia

176 Studies on Growth and Chracterization of Undoped and L-Alanine Doped Sodium Sulfate Semi Organic Crystal 881 - 885

Authors: C. Marie Quintine Sherly, V. Yoheswari, Country: India

177 Changes in Some Reproductive Hormones Levels of Stress Induced Albino Rats Treated with Aqueous Extracts of Syzygium

Aromaticum

886 - 889

Authors: Kebbi John Perewarebo, Brown Holyand Ebirien, Agana Samuel Bartimaeus, Country: Nigeria

178 Cognitive Chatbot 890 - 892

Authors: Aditya .G. Tadadikar, Ruchita .P. Tamore, Diksha .G. Tiwari, Ajay Sirsat, Country: India

179 Rwanda Goat Production: A Key Element for Economic Growth and Sustainable Development 893 - 896

Authors: Jean Rubangutsangabo, Dr. Patrick Mulyungi, Country: Rwanda

180 White Collar Crimes Vis-A-Vis Other Crimes 897 - 901

Authors: Dr. Renu Mahajan, Sagar Sharma, Country: India

181 Efficacy of Single Application of Doxycycline Hyclate in Treatment of Recurrent Aphthousstomatitis 902 - 906

Authors: Dr. Asif Mahajan, Dr. Waseem Ahmad Shah, Dr. Abdul Qayoom, Country: India

182 A Study of Religious Ethic and Values in Vietnam 907 - 908

Authors: Le Hong Linh, Country: India

183 Salbutamol Induced Tachycardia in COPD 909 - 910

Authors: Sanjana Yadav Manuka, Country: India

184 Increasing Threat of ESBL in Raw Vegetables 911 - 914

Authors: Sonali Sheth, Dr. Pratibha Desai , Country: India

185 A Descriptive Survey to Assess the Knowledge and Utilization of Janani Shishu Suraksha Karyakaram (JSSK) among Postnatal

Mothers in a selected Government Hospital of Delhi

915 - 919

Authors: Nath Sheeba P, Babu C, Devi Jibanlata M., Country: India

186 Source Material for Breeding of Cow Pea (Vigna unguiculata L.) in Azerbaijan 920 - 924

Authors: Asadova A.I., Country: Azerbaijan

187 Total Quality Management is Very Essential Tool for Improving Quality in Higher Educational Institutions 925 - 928

Authors: Rallabandi Srinivasu, G. V. S. R. Anjaneyulu, Country: India

188 Green Urine Discolouration Due to a Traditional Medicine: A Case Report 929 - 931

Authors: Robert, Dewi Catur Wulandari, Country: Indonesia

189 Spiritual Healing through Brahma Kumaris Raja Yoga 932 - 934

Authors: Siddappa Naragatti, Country: India

190 Law Relating to Corporate Trade Secrets in India: A Critical Study 935 - 938

Authors: Bhaskar Gupta, Dr. Jai Shankar Ojha, Country: India

191 A Study on Value and Benefits in Lotus Sutra 939 - 947

Authors: Le Hong Linh, Nguyen Ngoc Tho, Nguyen Thanh Muu, Tran Thi Kim Hoa, Country: India

192 A Review on Web-Based Attendance Management System 948 - 950

Authors: Arvind Lal, Chumphila Bhutia, Bidhan Pradhan, Retika Sharma, Monisha Limboo, Country: India

193 An Analysis of Cognitive Types and Levels of Questions Posed by the English Teachers by Using Hess' Cognitive Rigor Matrix 951 - 956

Authors: Adilla Muthia Resty, Jufrizal, Yenni Rozimela, Country: Indonesia

194 Correlation between Neutrophil-Lymphocyte-Ratio (NLR) and Clinical Severity in Acute Odontogenic Infection Patients 957 - 961

Authors: Sabella Trinolaurig, Leni Lismayanti, Agus Nurwiadh, Harmas Yazid Yusuf, Country: Indonesia

195 The Impact of Enterprise EnterpriseAsset-Backed Securitization on the Profit Level of Enterprises 962 - 968

Authors: Xianghong Bai, Country: China

196 The Quasi Federal Nature of the Indian Political System 969 - 973

Authors: Shri Tosanbha Marwein, Country: India

197 Child Neglect and Impact on Child Mental Health: A Systematic Review and Implications for Child Psychologists 974 - 978

Authors: Eyisi I. Meek, Country: Nigeria

198 Psycho-Demographic Predictors of Work-Family Conflict: A Case Study of Nigeria Maritime Staff 979 - 983

Authors: Eyisi I. Meek, Country: Nigeria

199 Portable Attendance System 984 - 986

Authors: Jay Suthar, Aarya Brahmane, Country: India

200 Factors Affecting Growth of Savings and Credit Cooperative Societies (SACCOS): A Case Study of Singida District Council in

Tanzania

987 - 997

Authors: Muhsin Danga, Joel Chongela, Ismail Juma Kaudunde, Country: Tanzania

201 Teaching Mathematics with Technology: A Survey on Teachers' Knowledge and Technology Integration 998 - 1004

Authors: Ernest Larbi, Country: Ghana

202 Studies on Growth and Characterization of Undoped and L-Alanine Doped Ammonium Sulfate Semi Organic Crystals 1005 - 1009

Authors: C. Marie Quintine Sherly, G. Iswarya, Country: India

203 Police System in Chandigarh 1010 - 1013

Authors: Devpreet Sidhu, Country: India

204 Review Project Based Learning 1014 - 1018

Authors: Eko Indrawan, Nizwardi Jalinus, Syahril, Country: Indonesia

205 Contributing Factors of Peripheral Intravenous Catheter Related Phlebitis among Patients at a Teaching Hospital, Chitwan 1019 - 1024

Authors: Basanta Thapa, Laxmi Rajbanshi, Govinda Prasad Dhungana, Babita Devi Dahal, Country: Nepal

206 Physico-Chemical Characteristics of Awara Produced from Soybeans Using different Coagulant 1025 - 1030

Authors: Ikya J.K, Ukeyima M, Ibrahim A.K, Country: Nigeria

207 Effect of Some Selected Coagulants on the Proximate and Microbiological Quality of Cheese Produced from Soy Milk 1031 - 1037

Authors: Ibrahim A.K, Ukeyima M, Ikya J.K, Country: Nigeria

208 From Drawing to Figure and Theories of Didactic Situations and Instrumentation 1038 - 1048

Authors: Luiz Marcio Santos Farias, Jose Vieira Nascimento Junior, Anderson Souza Neves, Country: Brazil

209 Fish Consumption Pattern and Marketing Efforts in Arba Minch Town, Gamo Gofa Zone, Ethiopia 1049 - 1054

Authors: Daniel Tekle Gemeda, Country: Ethiopia

210 Effect of Yoga on Positive and Negatve Affect and Emotional Intelligence in Orphan Adolescent Females 1055 - 1057

Authors: K. Gomathi, Vijayakumar P S, Sahana A U, Country: India

211 High Volume Fly Ash-Based Glass Fibre Reinforced Concrete 1058 - 1075

Authors: Somsubhra De, Dr. Sudhir Kumar Das, Country: India

212 Judicial Approach towards White Collar Crimes in India 1076 - 1079

Authors: Sagar Sharma, Country: India

213 Recommendation System Based on Behavioral Variability of User 1080 - 1084

Authors: Neethu Raj, Country: India

214 Ant Colony Optimization for City Public Transport Route Design in Tanzania 1085 - 1089

Authors: Isaack Adidas Kamanga, Country: China

215 Pancytopenia: A Prospective Clinico-Pathologiacl Study in a Tertiary Care Centre Jammu 1090 - 1092

Authors: Roopali J, Mehnaz C, Singh K, Country: India

216 Comparative Study of Cardio Vascular Respiratory Fitness of Player of Varied Sports 1093 - 1094

Authors: Deep Mala Gautmi, Shiv Krishna Singh, Country: India

217 Diet Composition in Juveniles of Four Commercially Important Fin-Fishes of Daroji Lake, Ballari 1095 - 1096

Authors: Nagabhushan C.M, Country: India

218 A Review of the Role of Interpersonal Interactions in Team Building 1097 - 1099

Authors: M. M. Uma Maheswari, N. Arivazhagan, Country: India

219 Right of Minorities to Form Educational Institutions 1100 - 1103

Authors: Devpreet Sidhu, Country: India

220 Analysis of Social Networking Websites and Its Effect on VSK University Students 1104 - 1106

Authors: Rakesh V Talikoti, Country: India

221 A Study on the Risk Factors of Obesity among School Going Children (9-12 Years) of Chandigarh 1107 - 1110

Authors: Ritu Pradhan, Manpreet Paul, Country: India

222 Nutritional Status of Pregnant Women Visiting Government Hospital, Chandigarh 1111 - 1114

Authors: Ritu Pradhan, Saloni Joshi, Country: India

223 Effect of Mind Sound Resonance Technique on Autonomic Variables in People with Visual Impairment-A Pilot Study 1115 - 1119

Authors: Harini C S, Vijayakumar PS, Sahana AU, Country: India

224 Value Creation Measurements: An Industry Based Study in India 1120 - 1123

Authors: K. Kiran Kumar, VineethaVijayan, Country: India

225 Management System in Nursing Educational Institutes 1124 - 1126

Authors: Bhuwan Kumari Dangol, Country: Nepal

226 Frequency and Temperature Dependence of AC Electrical Conductivity of Cadmium Iodide Doped Polyaniline 1127 - 1129

Authors: Shende S G, Dhote DS, Country: India

227 Smart Dustbins and Smart Compost BINS (Aiding Hon?ble PM Modi?s Smart City Mission and Swachh Bharat Mission) 1130 - 1134

Authors: Tanmaay Saxena, Aditya Vyas, Anisha M Lal, Country: India

228 Sjogren Syndrome: Description of 4 Cases Guinean 1135 - 1137

Authors: Conde Kaba, Garba Mahaman Salissou, Niasse Moustapha, Country: Guinea

229 Anticoagulants Induced Ecchymosis 1138 - 1139

Authors: Rabia Arshi, Country: India

230 Preventive Detention and Personal Liberty 1140 - 1144

Authors: Aaqib Mushtaq Bhat, Dr Akhilesh Ranaut, Country: India

231 Emerging Issues in Arbitration, Mediation and Conciliation 1145 - 1148

Authors: Bhawna Bhelly, Dr Sunil, Country: India

232 Studies on the ?-Amylase and Total Amylase Activity during Malting Period of Some Nigerian Local Grains 1149 - 1152

Authors: Sunday Zeal Bala, Blessing Ashulie Peter, Country: Nigeria

233 Dyslipidemia in Patients with Type2 Diabetes Mellitus 1153 - 1155

Authors: Omer Mohamed Shoaib, Country: Saudi Arabia

234 Blasphemy Laws: Comparative Analysis in Context of India and Pakistan 1156 - 1161

Authors: Shagun Sharma, Country: India

235 Feature Extraction from an ECG Signal of Various Cardiac Patients Using Daubechies Decomposition Technique 1162 - 1166

Authors: Subhojit Paul, Anannya Sinha, Shramana Roy, Shankhadip Kundu, Country: India

236 Role of Apoptosis in Cadmium Induced Dopaminergic Alterations in Rat Brain 1167 - 1174

Authors: Shraddha Prakash, Chitranshu Pandey, Country: India

237 An Experimental Study on Effectiveness of Shaker?s Swallowing Exercises on Improving Swallowing Ability among

Dysphagic Patients with Cerebrovascular Accident

1175 - 1179

Authors: Amol V. Bhandare, B. S. Awale, Country: India

238 Effects of Individual Technique on Standard Seven Learners? Achievement in English Composition Writing in Public Primary Schools in Kisumu County, Kenya

1180 - 1187

Authors: Hellen W. Kamau, Odundo Paul, Hellen Inyenga, Country: Kenya

239 Modeling and Analysis of a Small Wind Turbine Blade 1188 - 1191

Authors: Dr. Challa Jayaramulu, Country: India

240 Regulation of Cotton Bollworm Quantity by Pheromone Traps 1192 - 1193

Authors: Aminova Dildor Kholmurodovna, Country: Uzbekistan

241 Determination of Laboratory Feeding Dose of Gipsy-Moth (Lymantria dispar L.) 1194 - 1195

Authors: Mukhsimov Nurullo Pulatovich, Country: Uzbekistan

242 Speech Compression Using LPC-10 and VELPC Based on DCT Technique Compression 1196 - 1198

Authors: Aditi Kar, Rasmi Ranjan Samantray, Country: India

243 Spectrum of Fungal Isolates of Clinical Specimens from a Tertiary Care Hospital of North India 1199 - 1201

Authors: Madhu Chauhan, Savita Mahajan, Ram Kishan Abrol, Aradhya Abrol, Country: India

244 Predictive Modelling Using Random Forest Classifier and Decision Tree Algorithm 1202 - 1203

Authors: Subhojit Paul, Ankan Paul, Sahil Sakar, Tuhin Sarkar, Debdoot Ganguly, Siddhartha Sen, Soumik Dutta, Country: India

245 A Descriptive Study on Intellectual Property Rights in India Challenges for MSMEs & Institutional Support 1204 - 1206

Authors: Chiruvoori Ravivarma, Dama Bhuvankumar, Country: India

246 Survey on Static and Dynamic Hand Gesture Recognition Techniques 1207 - 1211

Authors: Ophelia M, Keerthijith P, Country: India

247 Nurse Teachers' Lived Experiences with Students' Impoliteness: A Qualitative Study 1212 - 1216

Authors: Pramilaa R, Country: India

248 Characterization of the Lactobacillus Isolated from Different Curd Samples 1217 - 1220

Authors: Gousia Qadir, Country: India

249 Research on Internet Financial Risk Management under the Background of Big Data 1221 - 1225

Authors: Li Gaojian, Country: China

250 The Effects of the Program Including Differentiated STEM Applications Based on the Parallel Curriculum Model on the

Critical Thinking Skills, Creativity and Attitudes of Gifted and Talented Students

1226 - 1230

Authors: Aydin Tiryaki, Omer Cakiroglu, Yavuz Yaman, Country: Turkey

251 Simulation of Digital Current Sensorless Control for Dual-Boost Half-Bridge PFC Converter 1231 - 1237

Authors: Ragupathi .S, Country: India

252 Security in Digital Images: Steganography and Watermarking 1238 - 1241

Authors: Avinash Kumar, Dr. Hari Om Sharan, Country: India

253 Need for Incorporation of Human Resource Management Training in Undergraduate Medical Study Curriculum 1242 - 1243

Authors: Dr Gouri Kumari Padhy, Dr Justin KJ, Nanditha Venkatesh, Country: India

254 Impact of Leadership Style and its Implications on Work Satisfaction and Performance of Country Civil Apparatus in West

Sulawesi Province Indonesia

1244 - 1251

Authors: Nursyam Anwar, Siti Haerani, Nurdjannah Hamid, Ria Mardiana Yusuf, Country: Indonesia

255 Study on Mindset, Locus of Control and Self Esteem of Children with Specific Learning Disabilities 1252 - 1259

Authors: Pallavi Sahu, Dr. G. Shri Krishna, Surya Prakasham, Country: India

256 A Comparative Study on Contribution towards Education between Baba Mastnath University and Maharshi Dayanand

University

1260 - 1264

Authors: Sonika, Dr. Ramphool Sharma, Country: India

257 Indian Economy: Comparative Study of Inflation and Monetary Policy 1265 - 1270

Authors: Ishfaq Ahmad Bhat, Country: India

258 Evaluating Coagulation Efficiency of Natural Coagulant for Dairy Wastewater Treatment 1271 - 1275

Authors: Himanshu Patel, Anjali Khambete, Country: India

259 Experimental Study Comparing the Efficiency of Heat Pump Hot Water Using Refrigerant R32 and Refrigerant R410A 1276 - 1280

Authors: Tran Quang Danh, Country: Vietnam

260 Antagonistic Effect of Trichoderma viride against Pathogenic Fungi Fusarium oxysporum f sp lycopersici (FOL) and on Alternaria alternata

1281 - 1284

Authors: M. Vindyashree, Country: India

261 Effectiveness of Jacobson's Progressive Muscles Relaxation Techniques (JPMRT) on Anxiety among Detoxified Inmates of De-

Addiction Centers

1285 - 1288

Authors: Dr. Yogeshwar Puri Goswami, Country: India

262 Smart College Using Android App 1289 - 1290

Authors: Amruta Ashok Patil, Poonam Prakash Patil, Ujjwala Limbraj Kokate, Country: India

263 Low-Cost Glove Device for Malaysian Sign Language Recognition 1291 - 1293

Authors: Muhammed Akthem, Country:

264 Innovation Experiences in ICT and Changes in Services Industry: A Theoretical Review 1294 - 1297

Authors: Ogola Gyaviira G.K.O, Country: Kenya

265 Strategic Management Practices and Organizational Performance Case Study: Sopico in Mogadishu Somalia 1298 - 1301

Authors: Adan Mohamed Muse, Country: Somalia

266 Healing Effect of Intercession Prayer in Stroke Patients 1302 - 1305

Authors: Sunitha .M, Dr. J. K. Mukkadan, Country: India

267 Video Description and Collision Detection for Visually Impaired 1306 - 1308

Authors: Vinay Kumar Saini, Hitesh Kwatra, Himanshu Narang, Country: India

268 A Fast Calculation Method of QFP Packaging PIN Conductor Inductance 1309 - 1311

Authors: Li Suo, Lu Jianmin, Country: China

269 Comparison between Caudal Tramadol and Nalbuphine as Adjuvants to 0.2% Ropivacaine in Children Undergoing

Hypospadias Surgery: A Randomised Clinical Trial

1312 - 1314

Authors: Trishi Sharma, Neelam Dogra, Country: India

270 Wi-Fi 802.11 ax vs 802.11 ay: Comparison 1315 - 1318

Authors: Sonam Soni, Country: India

272 Allergic Contact Dermatitis (ACD) Presenting as Cellulitis an Unusual Presentation Secondary to Marking Nut (Semecarpus

anacardium) Application: A Case Report

1321 - 1323

Authors: Dr. Vanarase Mithila, Dr. Gadekar Jayant, Country: India

273 Compassion Fatigu e- Be there for Others, But Never Leave Yourself Behind?. 1324 - 1325

Authors: Soubhagya K M, Country: India

274 Phytomedicines for Lung Cancer 1326 - 1329

Authors: Indrani Bhattacharya, Prachi Patel, Manju Kumari, Country: India

275 Cancer Spit Test 1330 - 1333

Authors: Indrani Bhattacharya, Gaurav Nagar, Country: India

276 Evaluation of Causes Leading to Oligomenorrhoea and Secondary Amenorrhoea among Women in Reproductive Age Group 1334 - 1338

Authors: Sangeeta Popli, Sapna Sharma, Mamta Gupta, Vandana Saini, Sanjay Jain, Country: India

277 Impact of Adaptive Image Guided Radiotherapy on Parotid Sparing in Head and Neck Cancer 1339 - 1342

Authors: Hirak Vyas, Ramesh Purohit, Kiran Chigurupalli, Deepanjali Patel, Menal Bhandari, AR Gupta, Country: India

278 Intraoperative Dexamethasone Single Dose and Risk of Postoperative Haemorrhage in Tonsillectomy Patients 1343 - 1347

Authors: Dr. Asif Mahajan, Dr. Shahnaz Sheikh, Dr Abdul Qayoom, Country: India

279 The Study on Validity of Legislative Stand on Doctrine of Pious Obligation over Married Daughters in Indian Hindu Families 1348 - 1354

Authors: B. Leelesh Sundaram, Priyanka, Country: India

280 The Effect of Leadership Style and Organizational Commitment towards Readiness to Change (The Study of Mataram

Government Employee)

1355 - 1362

Authors: Dedet Zelthauzallam, Thatok Asmony, Hermanto, Country: Indonesia

281 Research on Shared Travel Development Model Based on Blockchain Technology 1363 - 1366

Authors: Du Buyuan, Country: China

282 Pattern of Haematological Disorders on Bone Marrow Aspiration in Atertiary Care Centre in North India 1367 - 1369

Authors: Mehnaz Choudhary, Bhavneet Kour, Kuldeep Singh, Country: India

283 Techno Stress - An Ebullition or Not 1370 - 1375

Authors: Pooja Sareen, Country: India

284 Proposal for SMEs Development in Afghanistan Based on Turkey Experiences (New Zabulian Doctrine) 1376 - 1387

Authors: Dr. Sultan Ahmad Taraki, Country: Afghanistan

285 Sustainable Development of Aviation Industry - A Case Study of Cochin International Airport Limited 1388 - 1390

Authors: Dr. Preemy P. Thachil, Country: India

286 Digi Doc 1391 - 1395

Authors: Ashwini Ghatol, Country: India

287 Morphological Variation in Azygos Vein 1396 - 1399

Authors: Dr. Aparna Vedapriya .K, Dr. Dasarapu Priyanka, Country: India

288 Effects of Administrative Structure on Policy Performance 1400 - 1407

Authors: Buregeya Etienne, Country: India

289 A Study on Customer Insight Towards UPI (Unified Payment Interface) - An Advancement of Mobile Payment System 1408 - 1412

Authors: Dr. Virshree Tungare, Country: India

290 Local Wisdom of the Dayak Kenyah Customary Community in the Management of Tana Ulen in Kayan National Park,

Mentarang, North Kalimantan

1413 - 1418

Authors: Njau Anau, Abdul Hakim, Amin Setyo Leksono, Endah Setyowati, Country: Indonesia

291 Hydro-Geo-Bio-Chemical Investigation of Geothermal Springs for Baleneotherapy and Thermophile Studies: Odisha, India 1419 - 1435

Authors: Shubhransu Pattanaik, Dr. Siba Prasad Mishra, Dr. Sitaram Swain, Sanjeeb Pattnaik, Country: India

292 An Unsuspected Palatal Mass with an Unusual CBCT Finding 1436 - 1438

Authors: Dr Parvathy S Nair, Dr Sreela L S, Dr Twinkle S Prasad, Dr Philips Mathew, Dr Admaja K Nair, Country: India

293 Planning & Scheduling of Residential Building Using MS Project 1439 - 1445

Authors: S. T. Gavde, Kanase Swapnali, Mulani Apreen, Jadhav Varsha, Mane Mayuri, Country: India

294 A Clinical Study on Second Branchial Cleft Anomalies 1446 - 1448

Authors: Ashim Sarkar, Monoj Mukherjee, Country: India

295 The Effect of Talent Management, Competence, and Training and Development on Employee's Transfer Pattern at Directorate

General of State Assets Management of Ministry of Finance of Republic of Indonesia

1449 - 1458

Authors: Suwadi Tristiyawan, Charles Bohlen Purba, Country: Indonesia

296 Analysis of Occupational Injuries in a Large Construction Project in Saudi Arabia 1459 - 1462

Authors: Ayman A. Khojah, Mohamed A. Zytoon, Abdulrahman M. Basahel, Country: Saudi Arabia

297 Coordinated Supply of Solar and Wind Energy Using MPPT to Power Micro-Grids along with Battery 1463 - 1468

Authors: Harris B. Mathews, Soumya Saraswati, Country: India

298 Study of Vibration of Dual-Buoy on the Linear Electrical Generator for Wave Energy Converter 1469 - 1474

Authors: Nguyen Hoang Quan, Tran Thanh Tung, Country: Vietnam

299 Administrative Competence of Public Elementary School Principals in the Department of Education Division of Northern

Samar

1475 - 1479

Authors: Gina De Asis-Galvez, Country: Philippines

300 Students' Performance in Critical Thinking Activities in English 1480 - 1486

Authors: Maria Cora E. Cabacang, Country: Philippines

301 A Comparative Study of Existing Crimes and Dashavidha Paapakarma (Ten Sins) Described in Ayurveda 1487 - 1489

Authors: Dr. Manisha G. Dunghav, Dr. Sarita Ohol, Country: Vadodara

302 Free Euler Lagrange Equation 1490 - 1493

Authors: Amna Hasan, Country: Sudan

303 Reactivation of RASSF1A Protein and Induction Apoptosis in Breast Cancer Cells by Curcumin 1494 - 1499

Authors: Nunung Ainur Rahmah, Fransiscus D. Suyatna, Mpu kanoko, Primariadewi Rustamadji, Joedo Prihartono, Harliansyah, Samuel Johny Haryono,

Bethy Suryawati Hernowo, Arleni Bustami, Country: Indonesia 304 An Evaluative Analysis of a Medical Terminology Course Taught in Saudi Arabia 1500 - 1506

Authors: Adil Alafif Mukhtar, Country: Saudi Arabia

305 Status of General English and Specific English in Arab Countries 1507 - 1511

Authors: Adil Alafif Mukhtar, Country: Saudi Arabia

306 Randomised Comparative Study of Efficacy of Proseal Laryngeal Mask Airway, Laryngeal Tube and Endotracheal Tube in

Mechanically Ventilated Gynaecological Laproscopic Surgeries

1512 - 1514

Authors: Dr. Apoorva Mittal, Dr. Sushil Kumar Bhati, Country: India

307 Role of Election Commission in India 1515 - 1519

Authors: Aaqib Mushtaq Bhat, Dr Akhilesh Ranaut, Country: India

308 Important Microorganisms Responsible for Dental Infections - Actinomycetes (?ctinomyces spp.) 1520 - 1522

Authors: D. Karayasheva, E. Radeva, Country: Bulgaria

309 The Prevalence of Parasitic Infection of Entamoebahistolytica, Giardia lambilia and Enterobiusvermicularis in Kilowa

Governorate, Saudia Arbia

1523 - 1527

Authors: Mohey El-Din Z. Abd El-Latif, Country: Egypt

310 A Study on Corporate Social Responsibility in India 1528 - 1531

Authors: N. Surya Sai Kumar, Country: India

311 Design of MBBR Based Sewage Treatment Plant for an Educational Campus 1532 - 1536

Authors: Ruksana T P, Priyanka T, Haneesh K R, Country: India

312 Exploring Curriculum Implementation in Response to Labour Markets 1537 - 1541

Authors: Mamosa Thaanyane, Joseph Thabana, Country: Lesotho

313 Factors Influencing Adoption of Solar Technology in Tanzania: A Case Study of Arumeru District 1542 - 1546

Authors: Kessy Stellah Stephahn, Country: Tanzania

314 Social-Media Habit of Rural India 1547 - 1551

Authors: Madhurendra Kumar, Country: India

315 Increasing Index of Paddy Plantation on Lebak Swamp with Polder System 1552 - 1555

Authors: Dian Yulistarini, Edward Saleh, Riswani, Country: Indonesia

316 Review of Advance Rocket Engine 1556 - 1559

Authors: Sanjana Sharma, Country: India

317 Positioning Analysis Breakfast Menu in Fast Food Franchise based on Customer Perception in Bandung City 2014 (Case Study:

Kentucky Fried Chicken, Mcdonald's, Pizza Hut and Dunkin' Donuts)

1560 - 1566

Authors: Refi Rifaldi Windy Giri, Raisa Altivira, Shelvy Taurusiana Aziz, Country: Indonesia

318 An Insight into Mechanized Tunneling with Tunnel Boring Machines 1567 - 1571

Authors: Shabana Manzoor, Jasmin S P, Country: India

319 Damage Detection in Single Tapered Rectangular Cross Section Cantilever Beam using Neural Networks based on Vibration

Characteristics

1572 - 1575

Authors: Dr. Challa Jayaramulu, Country: India

320 Damage Detection in Cantilever Beam 1576 - 1579

Authors: Dr Challa Jayaramulu, Country: India

321 Scope of Utilization of Recycled Aggregates in Construction Sector 1580 - 1581

Authors: N. K. Dhapekar, Dr. P. S. Charpe, Country: India

322 Quality of Annual Reporting: The Empirical Evidence from Banks in Cambodia 1582 - 1590

Authors: Soth Sreymoch, Kong Yusheng, Country: China

323 Certificate Verification on Blockchain 1591 - 1593

Authors: Mukul Taneja, Yashi Bindal, Vinay Kumar Saini, Country: India

324 Online Dispute Resolution: Methods and Effects 1594 - 1597

Authors: Poonam Kumari, Dr. Geetika Sood, Country: India

325 PPI in Laryngopharyngeal Reflex as an Emerging Treatment Modality 1598 - 1601

Authors: Dr Shahnaz Sheikh, Dr Asif Mahajan, Dr. Anushree Bajaj, Dr. Balchandra Paikay, Dr Devidas Sarode, Country: India

326 Exploring Academic Difficulties Facing First-Year Undergraduate Students at the Institute of Adult Education, Tanzania 1602 - 1608

Authors: Kija Steven Magembe, Country: Tanzania

327 To Study the Genetic Variability for Different Morphological and Quality Characters 1609 - 1612

Authors: Sujeet Singh Kanwar, Dr. A. K. Sarawagi, Yogesh Kumar Nag, Country: India

328 Judicial Response to Right to Education in India 1613 - 1617

Authors: Manpreet Kaur, Country: India

329 A Critical Estimate on Structural Violence in India 1618 - 1619

Authors: Dr. Umakanta Hazarika, Country: India

330 Engine Performance Analysis with Respect to the Change in the Compression Ratio of Single Cylinder Four Stroke Diesel

Engine

1620 - 1621

Authors: Dhruv Patel, Rajkumar Patel, Alpesh Barot, Krupesh Patel, Country: India

331 An Empirical Study of the Impact of Internet Finance on Chinese Residents' Consumption - Taking the Cosmetics Industry as

an Example

1622 - 1625

Authors: Jiang Xiaobing, Zhao Yuman, Country: China

332 Prevalence and Factors Associated with Primary Dysmenorrhea among Indian Adolescent Girls - An Observational Study 1626 - 1633

Authors: Prerna Yogesh Khosla, Dr. Suvarna Ganvir, Country: India

333 Waste Heat Recovery using Heat Pipe Heat Exchanger 1634 - 1638

Authors: Prajapati Vinay, Country: India

334 Development of Freestyle Swimming Learning Model Based on Static Swimming Tools 1639 - 1644

Authors: Andarias Ginting, Moch. Asmawi, James Tangkudung, Country: Indonesia

335 The Face of Digital Frauds in Digital Banking Scenario - A Literature Based Study 1645 - 1647

Authors: M. Kannan, Country: India

336 Factors Affecting the Performance of Teachers in Physical Education 1648 - 1652

Authors: Nimfa F. Buedron, Country: Philippines

337 Optimal Placement of Compensating Devices in Distribution System by Using PSO Algorithm 1653 - 1658

Authors: E. V. Vinay, Country: India

338 Role of Serum Carcinoembryonic Antigen (CEA) as a Predictive and Prognostic Marker of Response to Treatment in Patients

with Advanced Non Small Cell Lung Cancer (NSCLC)

1659 - 1664

Authors: Sreekanth Boga, Bhargavi D, Kannan T, Country: India

339 Modelling Time Default in University Fee Payment Using Cox Proportional Hazard Model 1665 - 1668

Authors: Winnie Jeptoo Rotich, Joel Cheruiyot Chelule, Ayubu Anapapa, Herbert Imboga, Country: Kenya

340 A Comparative Study of Traditional and Modern Techniques on Student Learning 1669 - 1674

Authors: Sarabjeet Kaur, Dr. Jyotsna Pahuja, Country: India

341 Leadership Style: A Driving Force for Entrepreneurial Orientation in Contemporary Business Management 1675 - 1681

Authors: WOBODO Chinonye Chris, Country: Nigeria

342 Applying Cognitive Behavior Play Therapy on Child with separation Anxiety Disorder 1682 - 1686

Authors: Wazar Pulungan, Karina Safitri, Khalida Yurahmi, Country: Indonesia

343 Need for A Bicycle Corridor - A Case Study of Khazuri Khas - Gandhi Nagar Route, New Delhi, India 1687 - 1691

Authors: Ranju Mohan, Country: India

344 MongoDB with Encryption Techniques 1692 - 1696

Authors: Ch. Srilatha, P. Asha, Country: India

345 Patients' Satisfaction of Service Insurance Healthcare Quality in Commune Health Centres of 2 Vietnamese Extremely Poor

Districts

1697 - 1700

Authors: Thuong Van Ta, Duong Thuy Thi Nguyen, Hong Thuy Thi Do, Huong Mai Thi Dao, Dzung Van Dao, Country: Vietnam

346 Insects Diversity of Kundapura Taluk, Udupi, Karnataka, India 1701 - 1706

Authors: Vijaya Kumar K.M, Manasa Shetty, Country: India

347 Preliminary Phytochemical Analysis of Calotropis gigantean and Thevetia peruviana 1707 - 1709

Authors: Uthirasamy .S, Chitra .T, Country: India

348 Sustainability of Community-Based Armyworm Forecasting in Moshi District, Kilimanjaro Region, Tanzania 1710 - 1715

Authors: Juma Hamisi Mwinyimkuu, Samuel Obino Mokaya, Raphael Mwiti Gikunda, Country: Tanzania

349 Promotion of Technology Options to Enhance Backyard Goat Farm Performance in Northern Mindanao, Philippines 1716 - 1720

Authors: Reynaldo Intong, Country: Philippines

350 Laminated Veneer Lumber (LVL) from Fast Growing Plantation Timber Species Meliadubia 1721 - 1723

Authors: Prakash V, Uday. D.N., Sujatha. D., Kiran. M. C., Narasimhamurthy, Country: India

351 Web Mining Techniques 1724 - 1727

Authors: Neha Doomra, Rashmi Verma, Country: India

352 Local Wisdom of Sultanate of Buton Governance to Create Democratic Governance of Baubau 1728 - 1731

Authors: Rizki Mustika Suhartono, Country: Indonesia

353 Human Activity Patterns Prediction (HAPP) System for Smart Healthcare Applications 1732 - 1736

Authors: G. Sivagami, Dr. E. V. R. M. Kalaimani, Country: India

354 A Study on the Effect of Unhealthy Dietary Pattern with Sedentary Lifestyle as a Risk Factor for the Formation of Gallstones 1737 - 1746

Authors: B. Deepika, Naziya Sultana, Meena Kumari, Urooja Birjis Fatima, Country: India

355 Time Series Analysis of Road Accidents Using Autoregressive Integrated Moving Average (ARIMA) Model 1747 - 1755

Authors: Joel Cheruiyot Chelule, Meshack Kipchumba Ngetich, Ayubu Anapapa, Herbert Imboga, Country: Kenya

356 Igbo Traditional Communal Life and Mission Crisis: Lessons for Contemporary Missions 1756 - 1764

Authors: Rev. Dr. Egbule, Emmanuel Metu, Country: Nigeria

357 Non-Fluoride Agents for Enamel Remineralization 1765 - 1768

Authors: Alexander Bonchev, Marin Simeonov, Radosveta Vassileva, Country: Bulgaria

358 Awareness, Knowledge and Perception of the Cooperative Health Insurance among the College of Health Sciences Students, Qassim University, Saudi Arabia

1769 - 1772

Authors: Fahd M. Albejaidi, Syed Arif Pasha, Muneeb Jehan, Country: Saudi Arabia

359 Role of Alternative Dispute Resolution as a Mechanism for Administration of Justice 1773 - 1777

Authors: Dr Renu, Shailja Chauhan, Country: India

360 An Overlapping Case of Miller Fisher Syndrome and Acute Motor Axonal Neuropathy in Children 1778 - 1781

Authors: Kristopher May Pamudji, Dewi Sutriani Mahalini, IGN Made Suwarba, Country: Indonesia

361 Media Trial in Indian Constitution 1782 - 1785

Authors: Aditya Virmani, Country: India

362 A Study of Rural Participation in MANREGA: Special Reference to Surguja District of Chhattisgarh 1786 - 1787

Authors: Dr. R. N. Sharma, Country: India

363 Environmental Laws in India 1788 - 1790

Authors: Jayant Bhatt, Country: India

364 The Study of Impact of Demonetization on Automotive Industry 1791 - 1793

Authors: Chirag Rana, Country: India

365 Effect of Adapting Scripts on Learner Achievement in Reading Skills in Secondary Schools in Kisumu County, Kenya 1794 - 1800

Authors: Selina Alonya Kulo, Prof Paul Odundo, Prof Agnes Kibui, Country: Kenya

366 A Study on the Effect of Dialysis in Maintaining the Fluid and Electrolyte Balance in CKD Patients 1801 - 1811

Authors: Mehjabeen Khatoon, Ruksana Sultana, Tejeswini Lokula, Meena Kumari, Urooja Birjis Fatima, Country: India

367 The Relation between Self Confidence and Social Support among Gay who Have Coming out in Suara Kita Community, East

Jakarta

1812 - 1814

Authors: Husnul Hasanah N. Saleh S.Psi, Indah Sevti Wardani S.Psi, Yulian Nanda Noviyanti S.Psi, Country: Indonesia

368 Monitoring Claim Processing Duration Using Statistical Quality Control 1815 - 1821

Authors: Daisy Chelimo Boroon, Joel Cheruiyot Chelule, Ayubu Anapapa, Herbert Imboga, Country: Kenya

369 Influence of Seasons on the Process of Colonization by Insects of Pig Corpses Exposed to the Open Air in Sub-Sudanese Zone

of Cote d'Ivoire

1822 - 1828

Authors: Dao Hassane, Aboua L. R Nondenot, Koffi Alexandre F, Country: Ivory Coast

370 Design and Fabrication of Water Purification System using Solar Energy 1829 - 1830

Authors: Parita Sheth, Meet Panchal, Aksh Bosmia, Neeraj Sudani, Darshil Patel, Country: India

371 Magnetic Nanoparticles: Biomedical Applications and Challenges 1831 - 1838

Authors: Shraddha Sawant, Country: India

372 The Study of Impact of Demonetization and GST on Indian Economy 1839 - 1842

Authors: Chirag Rana, Country: India

373 Public Knowledge of Concussion in Youth Sports - A Local Study 1843 - 1853

Authors: Arya Dean Faghri, Country: United States of America

374 Intelligent System for Understanding and Monitoring of Health Diseases on Social Media 1854 - 1858

Authors: S. Kiruthika, K. Suganthi, Country: India

375 Phenytoin Induced Transient Chorea in a 9-Month-Old Baby Boy with Japanese Encephalitis 1859 - 1862

Authors: Elizabeth Joan Salim, IGN Made Suwarba, Dewi Sutriani Mahalini, Romy Windiyanto, Country: Indonesia

376 Fabrication of Wear Testing Machine 1863 - 1866

Authors: M. N Kaarthik, B. Rohit, Nayan N Baheti, Rohan M, A.Bhaskar, Country: India

377 The Study of Financial Performance of HDFC Bank in India 1867 - 1868

Authors: Chirag Rana, Country: India

378 Isolation of Autologous Stromal Vascular Fraction (SVF) from Adipose Tissue (Human Lipoaspirates): A Clinical Protocol 1869 - 1875

Authors: Miguel Garber, Maria Gabriela Villalba, Jose Joaquin Merino, Country: Spain

379 Environmental Laws and Governance: Issues & Challenges 1876 - 1880

Authors: Rohini Singh, Dr Geetika Sood, Country: India

380 Growth Parameters, Biomass Production and Nutrient Uptake by Greengram as Influenced by Potash and Zinc Levels 1881 - 1882

Authors: Patil S. V., B. J. Shete, Country: India

381 Ecocarp Hatchery for Mass Seed Production of Cyprinus Carpio 1883 - 1888

Authors: Mitali Sahoo, Country: India

382 Assessment of Nutritional Status, Junk Food Consumption among Intellectually Disabled Adolescents (14-19 Years) 1889 - 1894

Authors: Tanveer Hussain, Shruti Kabra, Country: India

383 Unmet Needs of the Cancer Patients at Tertiary Care Hospital 1895 - 1900

Authors: J. M. Jagatap, Mahadeo B Shinde, Country: India

384 The Effect of Quality Dimensions on Effectiveness Use of Accounting Applications: Empirical Study on MSMES User of Zahir

and Accurate

1901 - 1908

Authors: Feny Marseini, Dr. Imam Subaweh, Country: Indonesia

385 A Study on Impact of GST on Indian Economy 1909 - 1912

Authors: Chirag Rana, Country: India

386 The Quantity of Free Amino Acids in the Agricultural Crops Cultivated in the Northern Areas of Surkhandarya Region and Impact of Fluorides on them

1913 - 1916

Authors: S. G. Sherimbetov, I. M. Samatov, Country: Uzbekistan

387 Developping the Education Administrators in Universities of Vietnam in the Context of the Industry 4.0 1917 - 1920

Authors: Huynh Ngoc Thanh, Nguyen Thi Mai Thanh, Country: Vietnam

388 DBore Reduction 1921 - 1925

Authors: Dronadula Borraiah, Country: India

389 Incidence of Thyroid Malignancy in Thyroidectomies Done for Clinically Benign Thyroid Conditions 1926 - 1932

Authors: Amrita Anna Mary, C S Sakunthala Bhai, Deepthy Vijayaraghavan, Jeena V Chimmen, Country: India

390 Study on Epidemiology, Etiology, Pathology, Pathogenesis, Mode of Presentation and Clinical Features of Osteoarthritis of

Various Joints from Cases Who are Attending Tertiary Care Hospital

1933 - 1957

Authors: Samikrishnan Perumal, Senthakrishna Thangaraj, Country: India

391 Study on Osteoarthritis at Tertiary Care Centre and How to Diagnose and to Differentiate Primary from Secondary

Osteoarthritis and Methods of Managements and Prevention and Rationale of NSAIDs Prescriptions in Osteoarthritis

1958 - 1983

Authors: Samikrishnan Perumal, Senthakrishna Thangaraj, Country: India

392 A Novel Approach to Predict Kidney Detection Using Support Vector Machine 1984 - 1991

Authors: Natasha Sharma, Sahil Dalwal, Country: India

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An Overlapping Case of Miller Fisher Syndrome

and Acute Motor Axonal Neuropathy in Children

Kristopher May Pamudji 1, Dewi Sutriani Mahalini

2, IGN Made Suwarba

3

1, 2, 3 Department of Child Health Medical School, Udayana University/ Sanglah Hospital, Denpasar, Indonesia

Abstract: Background: Miller Fisher syndrome (MFS) is a rare variant of Guillain-Barre syndrome (GBS), classically characterized

by a triad consist of ophtalmoplegia, ataxia, and areflexia. It is an immune-mediated polyneuropathy which may be preceded by mild

respiratory or gastrointestinal infection. The diagnosis is based on clinical patterns, cerebrospinal fluid (CFS) analysis, and nerve

conduction studies. Some severe variant forms like limb weakness (overlapping GBS), lower cranial nerves involvement (bulbar palsy),

or central nervous system involvement (Bickerstaff encephalitis) have been reported, which might need proper diagnosis and treatment.

Case Presentation: A 6 years old boy presented with drooping of the upper eyelid, imbalance and tendency to fall on either side while

walking. The past medical history showed upper respiratory tract infection 1 week earlier. Physical examination showed complete

ophthalmoplegia, ataxia, and lost of deep tendon reflex. The patient later developed mild lower limb weakness, difficulty in swallowing

and bilateral facial nerve palsy. Cerebrospinal fluid analysis showed albuminocytologic dissociation and nerve conduction studies

showed mix type lesion (axonal and demyelination), predominantly motor axonal lesion which support AMAN variant of GBS.

Intravenous immunoglobulin (IVIG) was given and the symptoms gradually improved. The patient was discharged from hospital after 3

weeks with mild ophthalmoplegia and completely recovered after 6 weeks. Conclusion: We have reported an overlapping case of Miller

Fisher syndrome and AMAN in 6 years old boy. Intravenous immunoglobulin therapy gave a good outcome in this case.

Keywords: miller fisher syndrome, guillain barre syndrome, acute motor axonal neuropathy, ophtalmoplegia, ataxia.

1. Introduction

Miller Fisher syndrome (MFS) is a rare variant of Guillain-

Barre syndrome (GBS) which is characterized by a triad of

ophthalmoplegia, ataxia and areflexia. It is observed in about

1%-5% of all GBS cases in Western countries and higher in

Asia (19% in Taiwan and 25% in Japan) [1]-[4]. The annual

incidence is about one patient per one million population [5].

This syndrome can be found in all ages, including infants,

although it is less common in children than in adults. Male

are more often affected than female in about 60%-68% [6].

The clinical triad of MFS mostly can be found together, but

a purely ophthalmoplegic form and ophthalmoplegic with

weakness or ataxia also exists. Ophthalmoplegia, whether

occurring alone or with other parts, is almost associated with

a specific antineural antibody, anti-GQ1b [6]-[8]. Glycans on

lipooligosaccharides of preceding infectious organisms can

induce anti-GQ1b antibodies that can bind to structurally

identical glycan present on nerve gangliosides. This process

can cause acute motor axonal neuropathy by antibody-

mediated attack on the nerve axolemma driven by molecular

mimicry between microbial and axolemmal surface

molecules [9]. The titres of this anti-ganglioside antibody

reach their peak at clinical presentation and decay rapidly in

most cases concomitant with clinical recovery [10].

Diagnosis of MFS based on clinical features, but additional

investigations can be helpful or even needed for

confirmation [9], [11]. The presentation of clinical triad

(ophthalmoplegia, ataxia and areflexia) in combination with

absent or reduced sensory responses on clinical

electrophysiology testing and elevated protein with a normal

white blood cell in cerebrospinal fluid analysis could lead to

the diagnosis of MFS [3].

We present an overlapping case of MFS and acute motor

axonal neuropathy (AMAN) variant of GBS in children,

which treated with intravenous immunoglobulin (IVIG).

2. Case

A 6 years old boys whom previously healthy child, admitted

to Sanglah Hospital Emergency Department with drooping

of the upper eyelid since 2 days. The drooping did not

deteriorate after being awake longer. The patient cannot

move his eyes to every direction, but there is no blurred or

double vision. The patient also had imbalance and tendency

to fall on either side while walking. There is no headache nor

decrease of consciousness. Bladder and bowel function were

normal. The past medical history showed upper respiratory

tract infection 1 week earlier. There was no recent history of

trauma, drug abuse, alcohol addiction and vaccination.

General physical examination was normal with stable vital

signs. Cranial nerve examination revealed bilateral complete

external ophthalmoplegia with ptosis that not improved with

rest or ice pack test. The pupillary light reflex was sluggish

in both eyes. Nystagmus was absent. Other cranial nerve

examination showed normal result. Motor system

examination showed normal muscle tone and power in both

upper and lower limbs. There was no muscular wasting and

involuntary movements. Deep tendon reflexes were absent in

all four limbs with negative Babinski reflex. Sensations like

thermal, pain and touch were normal. Rhomberg’s test was

positive. He had ataxic gait with grossly impaired Tandem

walking and tendency to fall on either side. Finger nose test

and other cerebellar signs were normal.

Laboratory examination revealed normal complete blood

count. Initial cerebrospinal fluid (CSF) analysis at the fourth

day of admission showed normal limit with white cell count

Paper ID: ART20197391 10.21275/ART20197391 1778

International Journal of Science and Research (IJSR) ISSN: 2319-7064

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Volume 8 Issue 1, January 2019

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8 cell/uL, predominantly mononuclear 100%, and protein 99

mg/dL. Cerebrospinal fluid analysis at the second week

revealed albuminocytologic dissociation with white cell

count 39 cell/uL, predominantly mononuclear 90%, and

protein 295 mg/dL. He was clinically diagnosed with MFS

after having the MFS triad, and was managed conservatively.

After seven days of admission, he developed mild lower limb

weakness with difficulty in swallowing and bilateral facial

nerve palsy. Motor system examination showed mild

decreased in muscle tone and power (4/5) on both lower

limbs. Nerve conduction studies showed mix type lesion

(axonal and demyelination), predominantly motor axonal

lesion which support AMAN variant of GBS. He was later

diagnosed with MFS overlap AMAN and admitted to

pediatric intensive care unit (PICU) for monitoring of the

risk of respiratory failure that may occured. Enteral feeding

with nasogastric tube was started since the patient cannot

swallow. The patient began to be given intravenous

immunoglobulin (IVIG) with dose 0.4 gram/kg/day for five

days.

This patient showed slow response to IVIG therapy.

Difficulty in swallowing was improved after 4 days of IVIG

administration and limb weakness was gradually improved

after 7 days. Ophthalmoplegia and ptosis did not showed

significant improvement with IVIG therapy. Patient was

consulted to rehabilitation specialist to get physiotherapy.

The patient was discharged from hospital after 3 weeks of

hospitalization with mild ophthalmoplegia. Outpatient

follow-up three weeks after hospitalization revealed that he

was well recovered without any residual deficit. His ocular

symptoms, which were the first symptoms to come on, had

been the slowest to resolve.

3. Discussion

Miller Fisher syndrome is characterized clinically as a triad

of ophthalmoplegia, ataxia, and areflexia. The initial

symptom in MFS is typically diplopia (65%), followed by

gait disturbance (32%). Most patient with MFS exhibit

bilateral, relatively symmetrical ophthalmoplegia and up to

one third of patients have complete external

ophthalmoplegia. Internal ophthalmoplegia is quite common

in MFS with slow to absent pupillary constriction to light.

Ataxia in MFS occured because mismatch between

propioceptive input from muscle spindles and kinesthetic

information for joint receptors [2], [3]. Areflexia is not

always found in MFS. Ito et al found that 12% patient with

MFS and Bickerstaff brainstem encephalitis (BBE) had

normal deep tendon reflexes [6].

Microorganisms that have been identified became preceding

infections are campylobacter jejuni, haemophilus influenza,

Epstein-Barr virus, influenza A virus, cytomegalovirus

(CMV), and mycoplasma pneumonia [1], [9].

Campylobacter jejuni and haemophilus influenza have been

identified as the most commonly implicated pathogens and

upper respiratory infection is the most commonly described

prodromic entity, followed by gastrointestinal illness [1], [6].

Miller Fisher syndrome has an acute onset and neurologic

symptomps usually appear in 8-10 days after antecedent

illness. This disease will continue to progress until reaching

a clinical nadir in 6 days (range 2-21 days) after the initial

neurologic symptoms [1]. In this case, patient had upper

respiratory infection 1 week before ophthalmoplegia, which

was the first symptom that appear.

Facial nerve involvement has been found in about 30-46% of

patients, which can result in orbicularis oculi weakness and

lead to dry eye syndrome [8]. Bulbar palsy also can be found

in 26% patient in a large study [6]. Although limb weakness

is not part of the clinical spectrum of this syndrome, it may

be present in 20-25% of the patients [5]. Some patients have

combined features of MFS and GBS, in which the

oculomotor disturbance and limb weakness occur within a

few days of one another an is called as MFS with GBS

overlap variant (ophthalmoplegia, ataxia, areflexia, and

weakness) [12], [13]. In this case, patient had MFS triad

(ophthalmoplegia, ataxia, and areflexia) with facial and

bulbar nerve involvement and limb weakness. Patient was

diagnosed as MFS overlap GBS. The first symptom that

appeared was ophthalmoplegia with ataxia, while lower limb

weakness, difficulty in swallowing, and bilateral facial nerve

palsy appeared 9 nine days after the onset of

ophthalmoplegia.

The high protein content and low cell counts in the CSF are

named albuminocytologic dissociation. Miller Fischer

syndrome has been considered as a GBS variant because

albuminocytologic dissociation was found in the CSF of

MFS patients. This is a typical feature in several

neuroimunological disorders such as acute demyelinating

encephalomyelitis and BBE. Although albuminocytologic

dissociation is common in these disorders, further CSF

analysis did not distinguish between these entities [5].

Albuminocytologic dissociation may be absent at the time of

initial symptomps, and becoming prominent over the next

weeks. It seems to occur more frequently in the overlap

syndrome of BBE/GBS than in MFS [6]. In this case, CSF

analysis at the first week did not show albuminocytologic

dissociation, but CSF analysis at the second week revealed

albuminocytologic dissociation.

The diagnosis of MFS is still descriptive depending on the

presentation of the triad ophthalmoplegia, ataxia, and

areflexia. The combination of absent or reduced sensory

responses on clinical electrophysiology testing and elevated

protein with a normal white blood cell in CSF could lead to

the diagnosis of MFS [3]. Electrophysiological study

indicate that MFS is an axonal form of neuropathy which is

associated with anti-ganglioside antibodies. Patients might

show promptly reversible nerve conduction failure or axonal

degeneration. This feature suggests a common pathogenetic

mechanism of autoantibody-mediated dysfunction or

disruption at the nodes of Ranvier, resulting in a continuum

of nerve pathologies from transitory conduction failure to

axonal degeneration [11]. Serial motor conduction velocities

showed a marked reduction in the amplitudes of distal

compound muscle action potential (CMAP), reaching low at

2nd to 3rd week, followed by a dramatic improvement in 5th

week [14]. In this case, nerve conduction studies showed mix

type lesion (axonal and demyelination), predominantly motor

axonal lesion which support AMAN variant of GBS.

Paper ID: ART20197391 10.21275/ART20197391 1779

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The diagnosis of MFS could be confirmed by positive anti-

GQ1b antibody testing with a high level of sensitivity and

specificity [3]. The GQ1b ganglioside is a cell surface

component that is concentrated in the paranodal regions of

the human third, fourth and sixth cranial nerves. It contains

polysaccharides that identical to the lipopolysaccharides

(LPS) contained in the outer membranes of certain bacteria

and may thus be the target of an immune response initiated

against epitopes shared by these nerve fibers and various

agents. Yuki et al found that monoclonal antibodies to the

GQ1b ganglioside reacted to LPS fractions from

campylobacter jejuni isolated from patients with MFS.

These result proposed that through the mechanism of

molecular mimicry, they were not only a marker for the

disease, but actually played a role in its pathophysiology.

Anti GQ1b antibodies also bind to LPS from MFS-related

haemophilus influenza strains, suggesting a common

pathogenesis. Anti GQ1b antibodies affect the

neuromuscular junction, including axon and Schwan cell

degeneration through complement mediated pathways [6],

[16]. The process will activates complement, culminating in

the formation of lytic membrane attack complex, causing

structural dearrangement of the muscle spindles in the

neuromuscular junction and therefore blocking nerve

conduction. This causes paralysis that sequentially induces

the characteristic triad seen in MFS [8].

Several disease processes can cause ophthalmoplegia, ataxia

and areflexia that can be MFS differential diagnosis.

Ophthalmoplegia caused by MFS is often rapid in onset

compared to a more gradual course in chronic diseases such

as myotonic dystrophy, thyroid eye disease, and myasthenia

gravis. More than 50% of patients with myasthenia gravis

present with ptosis and/ or diplopia. The weakness of the

ocular muscles may switch from one eye to another and

improve or worsen over the course of a day, unlike MFS

which progressively worsens until the nadir of symptoms has

been reached before any recovery is seen. Ataxia

presentation in MFS can be confused with an ischemic event.

Ataxic patients with MFS typically lack lateralization which

helps to differentiate MFS from majority of cerebellar

lesions. Alcohol consumption can cause ataxia, but mostly

affects the lower extremities and is also associated with poor

fine motor control of the hands, slurred speech, and impaired

vision. Areflexia is indicative of a lower motor neuron

deficit. Spinal shock is an acute condition like MFS, while

amyotrophic lateral sclerosis (ALS) typically has a gradual

onset. Temporary paralysis and areflexia similiar to MFS

and GBS can also caused by polio virus infection, with

functional recovery occuring 4-6 weeks after paralysis [1].

Miller Fisher syndrome may be mistaken for a brainstem

stroke at initial presentation. However, the gradual onset of

MFS in particular distinguishes this syndrome clinically from

an acute stroke. The differential diagnosis of MFS includes

Wernicke’s encephalopathy and brainstem encephalitis, but

these diseases are associated with altered mental status.

Patient with Wernicke’s encephalopathy usually have

nystagmus that cannot be found in MFS [3].

Miller Fisher syndrome is a self-limiting disease and there is

no randomized controlled studies to find any benefits of the

standard treatments used as therapy. Despite that finding,

MFS patients with overlapping diseases like GBS and BBE

will most likely benefit from IVIG [8]. Overell et al found

that although MFS follows a self-limiting course,

immunomodulaotry therapies including IVIG and

plasmapharesis have been used to hasten time to disease

recovery and perhaps decreased a likelihood of progression

to more severe condition [15]. In this case, patient was

diagnosed as MFS overlap GBS and given IVIG for 5 days.

This patient showed slow response to IVIG therapy.

Difficulty in swallowing was improved after 4 days of IVIG

administration and limb weakness was gradually improved

after 7 days. Ophthalmoplegia and ptosis did not showed

significant improvement with IVIG therapy.

Recovery in MFS patients usually occurs in 10-20 weeks,

residual symptoms were reported in 33,2% cases and

recurrence in 7% cases [2]. Most patients with MFS recover

spontaneously and completely within 2-3 months of the

onset. The median time from onset of neurologic symptoms

to beginning of recovery in 28 untreated patients was 12

days for ataxia and 15 days for ophthalmoplegia in one

study. The median time to achieved full recovery was 1

months for ataxia and 3 months for ophthalmoplegia. The

recovery rate was not related to age, sex, evidence of prior

infection, disability at illness peak, or latency to peak [6].

However, cases progressing to respiratory failure and

requiring mechanical ventilation have also been described,

particularly in children [2]-[4]. In this case, patient was

discharged from hospital after 3 weeks of hospitalization

with mild ophthalmoplegia. Outpatient follow-up three

weeks after hospitalization revealed that he was well

recovered without any residual deficit. His ocular symptoms,

which were the first symptoms to come on, had been the

slowest to resolve. This patient did not progress to

respiratory failure.

4. Summary

We have reported an overlapping case of Miller Fisher

syndrome and AMAN in 6 years old boy. The diagnosis of

MFS is based on clinical triad that consists of

ophtalmoplegia, ataxia, and areflexia. Although uncommon,

MFS is an important diagnosis to make since the presenting

symptomps of ophthalmoplegia and ataxia may confuse the

clinician and suggest an upper motor neuron sign or central

cause. Miller Fischer syndrome is a benign condition which

is self-limiting, however MFS patients with overlapping

diseases like GBS and BBE will most likely benefit from

IVIG. In this case, IVIG therapy was given to the patient and

showed a good outcome.

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Index Copernicus Value (2016): 79.57 | Impact Factor (2018): 7.426

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