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IJCRR - 13(4), February, 2021

Pages: 123-131

Date of Publication: 16-Feb-2021


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Epileptic Seizure: Classification Using Autoregression Features

Author: Rajendran T, Sridhar K P, Vidhupriya P, Gayathri N, Anitha T

Category: Healthcare

Abstract:Introduction: This research focuses on neural networks based biological signal processing to solve the complex classification problems. Many types of research of classification algorithms have been published, but none has effectively focused on implementing them in brain Epileptic Seizure Electroencephalography pattern analyses and lobe classification. Objective: To develop different autoregression feature extraction algorithms for identifying accurate features in the epileptic seizure EEG signals for the neural network-based classification. Methods: In this research, the Probabilistic Neural Network (PNN) is considered for classifying the brain tissue samples by mapping the input pattern to several classifications. The dataset is retrieved from the Karunya University Epileptic Seizure Database for verifying the experiment with 10-20 electrodes. Different mental tasks are considered here to verify the proposed Probabilistic Neural Network-based Epileptic Lobe Seizure classifier. Results: The experiments are carried out with several Auto Regression features. Further, the obtained result proves that the proposed PNN model has a maximum accuracy of 96.30%. Conclusion: This research work has aimed to design a PNN classifier for detecting Seizure by incorporating AR parametric features. The proposed system bears the potential of providing an exact identification of faults and noise with various age criteria. It will help process the data in a user-friendly manner.

Keywords: Classification, Discrete Wavelet Transform, Electroencephalography, Epileptic seizure, Probabilistic Neural Network, Feature extraction

Full Text:

Introduction

In the human body, the brain is the major source to manage all the organs, internal glands, body temperature, and breathing. The brain helps self-triggering based on the surroundings and makes a person active. It processes a constant stream of sensory data, which are the stored record of every moment of human activity. Many researchers state that brain waves are collected as electrical signals.1 It is believed that the electrical signals generated by the brain represent not only the brain function but also the status of the whole body throughout life. This assumption motivates to apply advanced digital signal processing methods to the electroencephalogram (EEG) signals measured from the brain of a human subject. As shown in figure 1, the frontal lobe is classified as superior, middle, inferior and medial frontal gyri.  The parietal lobe is used for sense and navigation purpose. The occipital lobe is considered as a visual processing centre and temporal lobe is for auditory processing. The common problem identified in each lobe is complex seizure detection.2

With recent advancement, diagnosing is an important factor that may decide the whole framework. In this research, classification is considered an important process that helps us to understand group seizures in various aspects. The major requirement of Epileptic Seizureclassification is to analyze patients by miscellaneous audiences (i.e., pharmacists, researchers, clinicians, etc.). The classification must be taken care of for long-term prognosis.

The classification helps us to characterize epilepsy disorders, anticipate seizures, and recognize potential seizure triggers. Figure 2 provides the initial stages of the classification process and its spectral analysis.

New classification strategy must have a deliberate and organized process to follow a patient’s data that determine epilepsy. An exact characterization of epilepsy may not only enhance the performance but also give a clear idea to improve collective research. The main objective of this research is to develop the optimum feature extraction algorithm to classify seizure disorder activities and develop optimum Probabilistic Neural Network based on Parametric Features and classify the seizure disorder activities in the brain. Finally, the results of developed classifiers are recognized with seizure disorder activities.3,4,5

This research concentrated on Parametric Features such as AR Burg (ARB), AR YuleWalker (ARYW), AR Covariance (ARC), AR Modified Covariance (ARMC), and Levinson Durbin Recursion (LDR), and Linear Prediction Coefficient (LPC) is analyzed with the EEG dataset considered from Karunya University and another open-access database. Further, this research is organized as follows: Section 2 provides a detailed review of the usefulness of EEG in assessing neurological disorders and analyzed different statistical techniques based on brain-maps and some ongoing research activities. Different causes of epilepsy and classification are analyzed. Section 3 discusses the outcome of the survey and mentioned some exact problems in classification. Then, the proposed detection module with a Probabilistic Neural Network (PNN) classifier is discussed in section 4. Section 5 provides test results and its validated discussion. Finally, the research is summarized in section 6.

Literature Survey

In some cases, the Second-Order Difference Plot (SODP) is the model used for detecting the congestive heart failure employing classification. Similarly, Pachori and Patidar1,6 focussed on seizure-free classification technique applied to the EEG signals by combining the SODP and Intrinsic Mode Functions (IMFs) as a hybrid model for achieving the decomposition module. Initially, it acquires dataset from the Andrzejak.7,8 The analysis is completely carried out by MATLAB based on varying different ellipse area and its structure to find the exact classification.

Joshi3 utilized the sample values for training the EEG signal with a Support Vector Machine (SVM). The process is completely admitted with two types of samples named as A and B. Finally, the SVM is considered for maximizing the boundary for those two samples to classify the ictal and seizure-free structure. The normal EEG signal contains spikes and some sharp waves. To identify such exact patterns and avoid the unwanted patterns, Srinivasan4 presented a concept with the ANN. Subasi5 presented a dynamic wavelet network for detecting the non-stationary signals in EEG recorded wave. Here, feed-forward error-back propagation artificial neural network detection module is outperformed by the proposed wavelet detection module. Tzallas6 concentrated on time-frequency (t-f) analysis to achieve good localization effect in EEG classification. Some extension of the Fourier transform was carried out to measure the Power Spectrum Density (PSD). Mormann2,7 critically discussed seizure prediction and suggested related concepts to utilize the overall technology. Ponten8 presented an intracerebrally recorded mesial temporal lobe seizure to characterize synchronization patterns in intracerebral EEG recordings.9

In recent days, the detection of Epileptic diseases has been automated. For example, an automated detection module framed by Dogali and Bozkurt10 detected the normal and epileptic structures by analyzing the two datasets from the University of Bonn, Germany. Then the data reduction process applied by non-parametric features is handled by interfacing the graphical user interface module in MATLAB and tested with various samples. The process is completely trained and classified by ANN. Patnaik and Manyam11 analyzed the ANN and genetic algorithm (GA) for classifying the EEG signal obtained from Albert-Ludwigs-University, Germany. They selected level 5 wavelet decomposition for initiating individual coefficient and windowing technique for decomposition. The process was completely trained and tested by the neural network and further, it proceeded to post-classification. If the samples were valid then the process terminated, else it further moved to genetic algorithm stage for computation to maximize the sensitivity. 

To identify the spectral differences in EEG signals, Sakkalis12 have examined mild epilepsy in children.12  It helps to test controlled epileptic conditions in both cases (i.e., nonparametric and parametric analysis). It is designed for maintaining the reliability in classification.  Similar to this concept, Raja and Priya13,14 presented recent research in the diagnosis of the autism spectrum disorder with 92.69 % classification accuracy as maximum with the utilization of FFNN. Later, they extended the same research with Elman neural network and traditional Cascade forward back propagation neural network to improve the classification accuracy of the detection.15,16 Finally, they pointed out the best combination as ENN with AR Burg extraction with the maximum accuracy rate of 95.63%. Some recent researchers have focused on error-free EEG signal empirical mode decomposition and approximate entropy (ApEn) is proposed by Ramakrishnan and Kanagaraj17, Novel Signal Modeling Approach by Gupta18 and a Levenberg-Marquardt algorithm by Narang for epileptic seizures.19,20

Problem Statement           

The existence of EEG signal processing, normalizing, classifying and detection process provides the motivation to apply more recent concepts to provide excellent EEG signal processing. Most of the brain signals are represented in electrical characteristics. Hence, to find the exact variation in EEG signal a representative must understand every activity, but it results in some wrong interpretations. Another major limitation is a misunderstanding of brain data and it may result in serious errors.18,19,20 The EEG signal is captured and recorded with the help of the electrode, but the electrode captures all the brain activities and its surrounding active electrical units. Hence, there is a need for a filtering process before the extraction process. In this research, an EEG analysis is carried out with the potential field on the scalp to classify the exact Epileptic seizure. From the previous research, the classification accuracy is reviewed and some improvement is suggested in the classifier stage. Hence, Probabilistic Neural Network-based classifier model is assumed here for training and classifying the EEG data.21-24

The Proposed detection module with a Probabilistic Neural Network (PNN) classifier

As shown in figure 3, the data acquisition process is carried out initially. The Karunya University data set is carried out throughout the research. It is donated with 175 epilepsy disorder patients’ record from the following link: (http://www.karunya.edu/research/EEGdatabase/public/view_all.php)21 and 71 non-epileptic seizure signal from Louis33 is used. The EEG data used in this work are acquired using 10-20 electrodes, stipulated by the standard international system. These data have been recorded from 18 channels (16 scalp electrodes and 2 periocular electrodes, concerning right and left mastoid) at a sampling rate of 256 Hz with an analogue passband of 0.01 to 100 Hz. The below figure 3 shows the flow chart for classifying the epileptic seizure signals using a probabilistic neural network. 25,26

 

Next process followed by data acquisition is data reduction. The EEG signal is processed with the help of the Discrete Wavelet Transform (DWT) to reduce the noise present in the EEG recorded signal. It is selected because it can separate the EEG samples into wavelets with different series and it can localize frequency and time. Hence, for biomedical applications and real-time applications, DWT is preferred because of its detection speed of operation and Multi-Resolution Analysis (MRA).27,28

The feature extraction process helps to find the average accuracy of the system. The following coefficients such as Autoregressive (AR) Burg, AR Yule-Walker method, AR Covariance, AR Modified Covariance, Levinson Durbin Recursion, and Linear Prediction Coefficient are selected for verification of the extraction process. It helps to minimize the EEG structures and modules based on the training process.29-32

  1. AR (Autoregression)

The autoregression model is used to reduce the least square model and prediction errors. The main advantage of selecting this module is that it remains stable while processing the signal. The input to this module is in the form of a column vector. Its parameters may be in terms of both several co-efficient and reflection coefficients. Wright15have reviewed some parameter estimate error and multiple regression analyses for EEG signal analysis. The AR module provides an alternative way of analyzing the EEG spectral properties estimation.33-36

Based on the discrete linear stochastic process, it is expressed as, yt = µ + et +  y1 et-1 + y2 et-2 + ···

The errors are expressed as, et = yt - µ -  y1 et-1 - y2 et-2 - ··· .

Assume the stationarity model that holds for et must hold true for et-1 , then et-1 = yt-1 - µ -  y1 et-2 - y2 et-3 - ··· .

Finally, substitute the model for et-1 into the model for yt

Where, y1, y2, ···, yn are the observations with a joint density Pr(y1, y2, ···, yn). et are the error concerning time.

  1. AR Covariance

The parameter gj is known as theauto covariance XE "autocovariance” at lag j.   Adding all results together, then it will be

 

Like all covariance matrices, V(y) is symmetric.  If E(yt) does not depend on t, which it should not with a stationary series, then we would ordinarily expect to find the series in the neighbourhood of µ. History tends to repeat itself, probabilistically.37,38

If gj > 0 we would expect that a higher than usual observation would be followed by another higher than usual observation.  We can standardize the covariance by defining the autocorrelation,

 

As usual, r0 = 1.  The structure of the autocorrelations will greatly help us in understating the behaviour of the series, y

  1. AR Yule-Walker

Alkan and Yilmaz16 estimated the AR Yule walker function. It computes the AR parameters by forming a biased estimate of the signal’s autocorrelation function and solving the least square minimization of the forward prediction error. Here, the process directly depends upon the amplitude of a signal at a given period. The amplitude is obtained by summing different amplitudes of the previous samples and estimation error. The order of the filter directly depends on the number of AR coefficients. The modelling degree (p) always uses the Akaike Information Criteria (AIC).39,40,41

In general, an AR model of order p can be expressed as

The autocorrelations and the fi are related to each other via what are known as the Yule-Walker Equations XE "Yule-Walker equations”:

which can be used to estimate values. 

The Yule-Walker AR methods are estimated by minimizing an estimate of the prediction error power.

d)    AR Modified Covariance
The autoregressive modified covariance is used to estimates the power spectral density (PSD) of an EEG input signal. The main motive of this research is to minimize the forward and backward prediction errors in the least-squares sense. Finally, the estimation order parameter must be less than, or equal to, two-thirds of the input vector length to finalize the result. This process is entirely described by a linear combination of previous outputs and driving noise. It estimates the P coefficients, where P is the model order, by minimizing the forward and backward prediction errors in the least-squares sense.42,43
   

Where for    the data length is N and  is the AR coefficient of the term?
e)    Levinson Durbin Recursion 
It is a simple algorithm that is easy to solve; here, the system fork =1 and k +1 coefficients sized problems.  The first step carried out in Levinson Durbin Recursion is to minimize the error. Then the input vector and error vector are computed. Compute the k values from o to m.
f)    Linear Prediction Coefficient
In the autocorrelation method of linear prediction, the linear prediction coefficients are computed from the Bartlett-window-biased autocorrelation function. 
g)    Probabilistic Neural Network algorithmic steps 
Step 1: Select the input layer and represent the training samples in the vector format.
Step 2: Initially, the training sample vector is transferred to neurons of the input layers.
     


 

Where d is the pattern vector of y and its neuron vector is  . 
Step 3: Frame the connection weights between the input and pattern layers. 
Step 4: Establish the relationship between the initial cell concerning the corresponding accumulate layer.

    


Where Ni denotes the total subcells in the EEG samples. 
Step 5: Repeat all the steps until the remaining EEG vector samples. 

 


Step 6: Compute the distances from the input vector samples to train the EEG input samples.
Step 7: Process the training input with the first layer and contribute the class of inputs based on the input probabilities. 
Step 8: Finally, an output transfer function is framed by second layer output with the maximum probabilities and make the process as 1 and 0 to state the difference.

As shown in figure 4. It also stated that PNN was two lakh times faster than the back-propagation process. The important aspects of selecting this PNN were its simple training strategy and the ability to provide instantaneous results. 44,45
 
Figure 4: Structure of PNN
After completing feature selection and extraction, the PPN was utilized for both training and classification. Specht9 presented the PNN by replacing the sigmoid functions. It helped to the analysis of nonlinear boundaries and elucidates some complex optimization process. The term neuron helped to map several classifications. Most of the real-time applications and modules preferred this algorithm to represent individual subcategories. Hence, it would be helpful to solve more complex optimization problems. Traditionally, many applications and researches proved that PNN is active and more accurate than the multilayer perceptron networks. PNN is relatively insensitive to outliers and results on the predicted target.32,33

RESULTS AND DISCUSSION
As shown in figure 5, the individual patient data are stored in the Karunya University website with a unique ID. Based on the tests, we have to select the region/lobe of focus in the brain. The corresponding data are collected and fed into the proposed algorithm to verify them. The detail of the dataset is considered here to display the exactness of research. It is acquired with 10-20 electrodes, as determined by the international standard system. The metrics are collected from the 16 scalp channels and two periocular electrodes. Some important metrics of the EEG dataset are shown in Table 1.21

Table 1: EEG dataset parameters21


 

The patient information is mentioned in different definitions like a patient ID in 5 digit character alphanumeric term, age is mentioned in text integer, Sex is indicated through (M/F) and disorder/Seizure types are mentioned in the text format as shown in figure 5. 

 


 

 


As shown in figure 6, the waves are stored with each seizure. For evaluation, the right region with sharp waves is considered. This research focused, particularly on Epileptic Seizure Classification. 

 


 
Table 2 shows the dataset representation of 11 patients which includes patient ID, age, sex, condition on the provisional diagnosis, disorder type, seizure types, and the region or lobe region of the brain

 


 
Figure 7 shows the Comparative analysis of two patient’s (A0019 and A0049) data classification using Probabilistic Neural Network for six different Autoregression features.  

 


The performance of the PNN is shown in Figure 8, for the six parametric feature sets. It is observed that AR Burg outdid the other feature sets with the highest mean accuracy of 96.3% for the patient (IDA0023) aged 9. It has the lowest mean accuracy of 93.74% for subject 20.
 

 


The next best performance is observed for the AR Yule feature sets at 94.21% and the lowest mean accuracy for the same feature sets is 94.1% for the same patient. The Probabilistic Neural Network provides simple implementation and easy design with maximum classification accuracy.41-44
Another process is to analyze the classification based on the separation of age. It is attempted to check overall variations in the PNN algorithms with respect to the subjects. Here, the samples are collected from different age groups represented by their patient's ID. The age group is selected from the database: (Patients ID) 9 (A0023), 16 (A0019), 13 (A0023) and 82 (A0014).

 

 

It is observed from the results that the younger age classification prediction is improved when compared with the other age groups. The parametric analysis of each sample is shown in figure 8. Its experimental outcome is listed in table 2. 
 

 


From the above results, the maximum performance will be achieved throughout in all types of age group, which is observed for the AR Burg feature sets for PNN classification. Further, the sensitivity, specificity, and accuracy are calculated and compared with the traditional methodologies that are listed in table 3. 

 

 

For two different training samples, the Back Propagation Neural Network has the same sensitivity as 74% and specificity as 60% for a constant threshold value. Its graphical representation is shown in figure 10.
 

 

 

From the results, it is concluded that the proposed methodology named as PNN has the maximum accuracy of 96.30% when compared with the traditional methodologies.41-45

CONCLUSION
This research work has aimed to design a PNN classifier for detecting Seizure by incorporating AR parametric features. The proposed system bears the potential of providing an exact identification of faults and noise with various age criteria. It will help process the data in a user-friendly manner.  One of the benefits is high accuracy when comparing it with a complex data set. Here, various complex datasets are collected from Karunya University. Based on the age group, the evaluation has been made, which is proved in the experimental section. For an exact verification, different parametric features are considered such as Autoregressive (AR) Burg, AR Yule-Walker method, AR Covariance, AR Modified Covariance, Levinson Durbin Recursion, and Linear Prediction Coefficient. It is observed that AR Burg outdid the other feature sets with the highest mean accuracy of 96.30% for the patient (IDA0023) aged 9. It has the lowest mean accuracy of 93.74% for subject 20. The proposed classification performs well when compared with the backpropagation, Multilayer perceptron neural network, and combined neural network concepts. In future, the classification accuracy is to be estimated with a huge difference among these comparisons and it must help to improve the diagnosis. 

Ethics Approval and Consent to Participate: Not applicable.

Human and Animal Rights: No animals/humans were used for studies that are the basis of this research.

Consent for Publication: Not applicable.

Availability of Data and Materials: Available data and materials have been included in the article contents.

Funding: None.

Conflict of Interest
The authors declare that there is no conflict of interest, financial or otherwise. Still, the authors would like to mention the earlier version of the article titled “Epileptic Seizure-Classification Using Autoregression Features”, which is communicated to the International Journal of Current Research and Review (Radiance Research Academy Publisher) is published under the title “Epileptic Seizure-Classification Using Probabilistic Neural Network Based on Parametric Features” (older version) in a predatory journal site (https://ijprjournals.com), which has been withdrawn to prove the authors' academic credibility. After the publication of this article titled “Epileptic Seizure-Classification Using Autoregression Features” (Present Version), and the same becomes the sole property of the concerned authors and the Radiance Research Academy Publisher and the “Epileptic Seizure-Classification Using Probabilistic Neural Network Based on Parametric Features” (older version) published in the https://ijprjournals.com becomes invalid.

Acknowledgements
The authors would like to thank Prof. Thomas George, Ph.D, and his team, Department of Biomedical Engineering, Karunya Institute of Technology & Sciences (Deemed to be University), Coimbatore, for their efforts in creating an open-access Epileptic Seizure database for the global research community and also Authors would like to thanks Dr. Louis Korczowski, Ph.D., and his team, GIPSA-lab, University of Grenoble-Alpes, France, for their P300 BCI (bi2014a) EEG open-access dataset which is used for normal brain activity classification in this research, without these two open-access databases my research work would not be possible.

 

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‘Emerging Researcher Award’ is instituted to encourage student researchers to publish their work in IJCRR. Student researchers, who intend to publish their research or review work in IJCRR as the first author are eligible to apply for this award. Editorial Board members decide on the selection of student researchers for the said award based on originality, novelty, and social applicability of the research work. Under this award selected student researcher is eligible for publication incentives. Drop a mail to editor@ijcrr.com for more details.


Best Article Award

A study by Dorothy Ebere Adimora et al. entitled \"Remediation for Effects of Domestic Violence on Psychological well-being, Depression and Suicide among Women During COVID-19 Pandemic: A Cross-cultural Study of Nigeria and Spain\" is awarded Best Article of Vol 14 issue 23
A study by Muhas C. et al. entitled \"Study on Knowledge & Awareness About Pharmacovigilance Among Pharmacists in South India\" is awarded Best article for Vol 14 issue 22
A study by Saurabh Suvidha entitled \"A Case of Mucoid Degeneration of Uterine Fibroid with Hydrosalphinx and Ovarian Cyst\" is awarded Best article of Vol 14 issue 21
A study by Alice Alice entitled \"Strengthening of Human Milk Banking across South Asian Countries: A Next Step Forward\" is awarded Best article of Vol 14 issue 20
A study by Sathyanarayanan AR et al. entitled \"The on-task Attention of Individuals with Autism Spectrum Disorder-An Eye Tracker Study Using Auticare\" is awarded Best article of Vol 14 issue 19
A study by Gupta P. et al. entitled \"A Short Review on \"A Novel Approach in Fast Dissolving Film & their Evaluation Studies\" is awarded Best Article of Vol 14 issue 18.
A study by Shafaque M. et al. entitled \"A Case-Control Study Performed in Karachi on Inflammatory Markers by Ciprofloxacin and CoAmoxicillin in Patients with Chronic Suppurative Otitis Media\" is awarded Best Article of Vol 14 issue 17
A study by Ali Nawaz et al. entitled \"A Comparative Study of Tubeless versus Standard Percutaneous Nephrolithotomy (PCNL) \? A Randomized Controlled Study\" is awarded Best Article for Vol 14 issue 16.
A study by Singh R. et al. entitled \"A Prospective Study to Find the Association of Astigmatism in Patients of Vernal Keratoconjunctivitis (VKC) in a Tertiary Health Care Centre in India (Vindhya Region MP)\" is awarded Best Article for Vol 14 issue 15
A Study by Humaira Tahir et al. entitled "Comparison of First Analgesic Demand after Major Surgeries of Obstetrics and Gynecology between Pre-Emptive Versus Intra-Operative Groups by Using Intravenous Paracetamol: A Cross-Sectional Study" is awarded Best Article for Vol 14 issue 14
A Study by Monica K. entitled "Risk Predictors for Lymphoma Development in Sjogren Syndrome - A Systematic Review" is awarded Best Article for Vol 14 issue 13
A Study by Mokhtar M Sh et al. entitled "Prevalence of Hospital Mortality of Critically Ill Elderly Patients" is awarded Best Article for Vol 14 issue 12
A Study by Vidya S. Bhat et al. entitled "Effect of an Indigenous Cleanser on the Microbial Biofilm on Acrylic Denture Base - A Pilot Study" is awarded Best Article for Vol 14 issue 11
A Study by Pandya S. et al. entitled "Acute and 28-Day Repeated Dose Subacute Toxicological Evaluation of Coroprotect Tablet in Rodents" is awarded Best Article for Vol 14 issue 10
A Study by Muhammad Zaki et al. entitled "Effect of Hemoglobin Level on the Severity of Acute Bronchiolitis in Children: A Case-Control Study" is awarded Best Article for Vol 14 issue 09
A Study by Vinita S & Ayushi S entitled "Role of Colour Doppler and Transvaginal Sonography for diagnosis of endometrial pathology in women presenting with Abnormal Uterine Bleeding" is awarded Best Article for Vol 14 issue 08
A Study by Prabhu A et al. entitled "Awareness of Common Eye Conditions among the ASHA (Accredited Social Health Activist) Workers in the Rural Communities of Udupi District- A Pilot Study" is awarded Best Article for Vol 14 issue 07
A Study by Divya MP et al. entitled "Non-Echoplanar Diffusion-Weighted Imaging and 3D Fiesta Magnetic Resonance Imaging Sequences with High Resolution Computed Tomography Temporal Bone in Assessment and Predicting the Outcome of Chronic Suppurative Otitis Media with Cholesteatoma" is awarded Best Article for Vol 14 issue 06
A Study by Zahoor Illahi Soomro et al. entitled "Functional Outcomes of Fracture Distal Radius after Fixation with Two Different Plates: A Retrospective Comparative Study" is awarded Best Article for Vol 14 issue 05
A Study by Ajai KG & Athira KN entitled "Patients’ Gratification Towards Service Delivery Among Government Hospitals with Particular Orientation Towards Primary Health Centres" is awarded Best Article for Vol 14 issue 04
A Study by Mbungu Mulaila AP et al. entitled "Ovarian Pregnancy in Kindu City, D.R. Congo - A Case Report" is awarded Best Article for Vol 14 issue 03
A Study by Maryam MJ et al. entitled "Evaluation Serum Chemerin and Visfatin Levels with Rheumatoid Arthritis: Possible Diagnostic Biomarkers" is awarded Best Article for Vol 14 issue 02
A Study by Shanthan KR et al. entitled "Comparison of Ultrasound Guided Versus Nerve Stimulator Guided Technique of Supraclavicular Brachial Plexus Block in Patients Undergoing Upper Limb Surgeries" is awarded Best Article for Vol 14 issue 01
A Study by Amol Sanap et al. entitled "The Outcome of Coxofemoral Bypass Using Cemented Bipolar Hemiarthroplasty in the Treatment of Unstable Intertrochanteric Fracture of Femur in a Rural Setup" is awarded Best Article Award of Vol 13 issue 24
A Study by Manoj KP et al. entitled "A Randomized Comparative Clinical Trial to Know the Efficacy of Ultrasound-Guided Transversus Abdominis Plane Block Against Multimodal Analgesia for Postoperative Analgesia Following Caesarean Section" is awarded Best Article Award of Vol 13 issue 23
A Study by Karimova II et al. entitled "Changes in the Activity of Intestinal Carbohydrases in Alloxan-Induced Diabetic Rats and Their Correction with Prenalon" is awarded Best Article of Vol 13 issue 22
A Study by Ashish B Roge et al. entitled "Development, Validation of RP-HPLC Method and GC MS Analysis of Desloratadine HCL and It’s Degradation Products" is awarded Best Article of Vol 13 issue 21
A Study by Isha Gaurav et al. entitled "Association of ABO Blood Group with Oral Cancer and Precancer – A Case-control Study" is awarded Best Article for Vol 13 issue 20
A Study by Amr Y. Zakaria et al. entitled "Single Nucleotide Polymorphisms of ATP-Binding Cassette Gene(ABCC3 rs4793665) affect High Dose Methotrexate-Induced Nephrotoxicity in Children with Osteosarcoma" is awarded Best Article for Vol 13 issue 19
A Study by Kholis Ernawati et al. entitled "The Utilization of Mobile-Based Information Technology in the Management of Dengue Fever in the Community Year 2019-2020: Systematic Review" is awarded Best Article for Vol 13 issue 18
A Study by Bhat Asifa et al. entitled "Efficacy of Modified Carbapenem Inactivation Method for Carbapenemase Detection and Comparative Evaluation with Polymerase Chain Reaction for the Identification of Carbapenemase Producing Klebsiella pneumonia Isolates" is awarded Best Article for Vol 13 issue 17
A Study by Gupta R. et al. entitled "A Clinical Study of Paediatric Tracheostomy: Our Experience in a Tertiary Care Hospital in North India" is awarded Best Article for Vol 13 issue 16
A Study by Chandran Anand et al. entitled "A Prospective Study on Assessment of Quality of Life of Patients Receiving Sorafenib for Hepatocellular Carcinoma" is awarded Best article for Vol 13 issue 15
A Study by Rosa PS et al. entitled "Emotional State Due to the Covid – 19 Pandemic in People Residing in a Vulnerable Area in North Lima" is awarded Best Article for Vol 13 issue 14
A Study by Suvarna Sunder J et al. entitled "Endodontic Revascularization of Necrotic Permanent Anterior Tooth with Platelet Rich Fibrin, Platelet Rich Plasma, and Blood Clot - A Comparative Study" is awarded Best Article for Vol 13 issue 13
A Study by Mona Isam Eldin Osman et al. entitled "Psychological Impact and Risk Factors of Sexual Abuse on Sudanese Children in Khartoum State" is awarded Best Article for Vol 13 issue 12
A Study by Khaw Ming Sheng & Sathiapriya Ramiah entitled "Web Based Suicide Prevention Application for Patients Suffering from Depression" is awarded Best Article for Vol 13 issue 11
A Study by Purushottam S. G. et al. entitled "Development of Fenofibrate Solid Dispersions for the Plausible Aqueous Solubility Augmentation of this BCS Class-II Drug" is awarded Best article for Vol 13 issue 10
A Study by Kumar S. et al. entitled "A Study on Clinical Spectrum, Laboratory Profile, Complications and Outcome of Pediatric Scrub Typhus Patients Admitted to an Intensive Care Unit from a Tertiary Care Hospital from Eastern India" is awarded Best Article for Vol 13 issue 09
A Study by Mardhiah Kamaruddin et al. entitled "The Pattern of Creatinine Clearance in Gestational and Chronic Hypertension Women from the Third Trimester to 12 Weeks Postpartum" is awarded Best Article for Vol 13 issue 08
A Study by Sarmila G. B. et al. entitled "Study to Compare the Efficacy of Orally Administered Melatonin and Clonidine for Attenuation of Hemodynamic Response During Laryngoscopy and Endotracheal Intubation in Gastrointestinal Surgeries" is awarded Best Article for Vol 13 issue 07
A Study by M. Muthu Uma Maheswari et al. entitled "A Study on C-reactive Protein and Liver Function Tests in Laboratory RT-PCR Positive Covid-19 Patients in a Tertiary Care Centre – A Retrospective Study" is awarded Best Article of Vol 13 issue 06 Special issue Modern approaches for diagnosis of COVID-19 and current status of awareness
A Study by Gainneos PD et al. entitled "A Comparative Evaluation of the Levels of Salivary IgA in HIV Affected Children and the Children of the General Population within the Age Group of 9 – 12 Years – A Cross-Sectional Study" is awarded Best Article of Vol 13 issue 05 Special issue on Recent Advances in Dentistry for better Oral Health
A Study by Alkhansa Mahmoud et al. entitled "mRNA Expression of Somatostatin Receptors (1-5) in MCF7 and MDA-MB231 Breast Cancer Cells" is awarded Best Article of Vol 13 issue 06
A Study by Chen YY and Ghazali SRB entitled "Lifetime Trauma, posttraumatic stress disorder Symptoms and Early Adolescence Risk Factors for Poor Physical Health Outcome Among Malaysian Adolescents" is awarded Best Article of Vol 13 issue 04 Special issue on Current Updates in Plant Biology to Medicine to Healthcare Awareness in Malaysia
A Study by Kumari PM et al. entitled "Study to Evaluate the Adverse Drug Reactions in a Tertiary Care Teaching Hospital in Tamilnadu - A Cross-Sectional Study" is awarded Best Article for Vol 13 issue 05
A Study by Anu et al. entitled "Effectiveness of Cytological Scoring Systems for Evaluation of Breast Lesion Cytology with its Histopathological Correlation" is awarded Best Article of Vol 13 issue 04
A Study by Sharipov R. Kh. et al. entitled "Interaction of Correction of Lipid Peroxidation Disorders with Oxibral" is awarded Best Article of Vol 13 issue 03
A Study by Tarek Elwakil et al. entitled "Led Light Photobiomodulation Effect on Wound Healing Combined with Phenytoin in Mice Model" is awarded Best Article of Vol 13 issue 02
A Study by Mohita Ray et al. entitled "Accuracy of Intra-Operative Frozen Section Consultation of Gastrointestinal Biopsy Samples in Correlation with the Final Histopathological Diagnosis" is awarded Best Article for Vol 13 issue 01
A Study by Badritdinova MN et al. entitled "Peculiarities of a Pain in Patients with Ischemic Heart Disease in the Presence of Individual Combines of the Metabolic Syndrome" is awarded Best Article for Vol 12 issue 24
A Study by Sindhu Priya E S et al. entitled "Neuroprotective activity of Pyrazolone Derivatives Against Paraquat-induced Oxidative Stress and Locomotor Impairment in Drosophila melanogaster" is awarded Best Article for Vol 12 issue 23
A Study by Habiba Suhail et al. entitled "Effect of Majoon Murmakki in Dysmenorrhoea (Usre Tams): A Standard Controlled Clinical Study" is awarded Best Article for Vol 12 issue 22
A Study by Ghaffar UB et al. entitled "Correlation between Height and Foot Length in Saudi Population in Majmaah, Saudi Arabia" is awarded Best Article for Vol 12 issue 21
A Study by Siti Sarah Binti Maidin entitled "Sleep Well: Mobile Application to Address Sleeping Problems" is awarded Best Article for Vol 12 issue 20
A Study by Avijit Singh"Comparison of Post Operative Clinical Outcomes Between “Made in India” TTK Chitra Mechanical Heart Valve Versus St Jude Mechanical Heart Valve in Valve Replacement Surgery" is awarded Best Article for Vol 12 issue 19
A Study by Sonali Banerjee and Mary Mathews N. entitled "Exploring Quality of Life and Perceived Experiences Among Couples Undergoing Fertility Treatment in Western India: A Mixed Methodology" is awarded Best Article for Vol 12 issue 18
A Study by Jabbar Desai et al. entitled "Prevalence of Obstructive Airway Disease in Patients with Ischemic Heart Disease and Hypertension" is awarded Best Article for Vol 12 issue 17
A Study by Juna Byun et al. entitled "Study on Difference in Coronavirus-19 Related Anxiety between Face-to-face and Non-face-to-face Classes among University Students in South Korea" is awarded Best Article for Vol 12 issue 16
A Study by Sudha Ramachandra & Vinay Chavan entitled "Enhanced-Hybrid-Age Layered Population Structure (E-Hybrid-ALPS): A Genetic Algorithm with Adaptive Crossover for Molecular Docking Studies of Drug Discovery Process" is awarded Best article for Vol 12 issue 15
A Study by Varsha M. Shindhe et al. entitled "A Study on Effect of Smokeless Tobacco on Pulmonary Function Tests in Class IV Workers of USM-KLE (Universiti Sains Malaysia-Karnataka Lingayat Education Society) International Medical Programme, Belagavi" is awarded Best article of Vol 12 issue 14, July 2020
A study by Amruta Choudhary et al. entitled "Family Planning Knowledge, Attitude and Practice Among Women of Reproductive Age from Rural Area of Central India" is awarded Best Article for special issue "Modern Therapeutics Applications"
A study by Raunak Das entitled "Study of Cardiovascular Dysfunctions in Interstitial Lung Diseas epatients by Correlating the Levels of Serum NT PRO BNP and Microalbuminuria (Biomarkers of Cardiovascular Dysfunction) with Echocardiographic, Bronchoscopic and HighResolution Computed Tomography Findings of These ILD Patients" is awarded Best Article of Vol 12 issue 13 
A Study by Kannamani Ramasamy et al. entitled "COVID-19 Situation at Chennai City – Forecasting for the Better Pandemic Management" is awarded best article for  Vol 12 issue 12
A Study by Muhammet Lutfi SELCUK and Fatma entitled "Distinction of Gray and White Matter for Some Histological Staining Methods in New Zealand Rabbit's Brain" is awarded best article for  Vol 12 issue 11
A Study by Anamul Haq et al. entitled "Etiology of Abnormal Uterine Bleeding in Adolescents – Emphasis Upon Polycystic Ovarian Syndrome" is awarded best article for  Vol 12 issue 10
A Study by entitled "Estimation of Reference Interval of Serum Progesterone During Three Trimesters of Normal Pregnancy in a Tertiary Care Hospital of Kolkata" is awarded best article for  Vol 12 issue 09
A Study by Ilona Gracie De Souza & Pavan Kumar G. entitled "Effect of Releasing Myofascial Chain in Patients with Patellofemoral Pain Syndrome - A Randomized Clinical Trial" is awarded best article for  Vol 12 issue 08
A Study by Virendra Atam et. al. entitled "Clinical Profile and Short - Term Mortality Predictors in Acute Stroke with Emphasis on Stress Hyperglycemia and THRIVE Score : An Observational Study" is awarded best article for  Vol 12 issue 07
A Study by K. Krupashree et. al. entitled "Protective Effects of Picrorhizakurroa Against Fumonisin B1 Induced Hepatotoxicity in Mice" is awarded best article for issue Vol 10 issue 20
A study by Mithun K.P. et al "Larvicidal Activity of Crude Solanum Nigrum Leaf and Berries Extract Against Dengue Vector-Aedesaegypti" is awarded Best Article for Vol 10 issue 14 of IJCRR
A study by Asha Menon "Women in Child Care and Early Education: Truly Nontraditional Work" is awarded Best Article for Vol 10 issue 13
A study by Deep J. M. "Prevalence of Molar-Incisor Hypomineralization in 7-13 Years Old Children of Biratnagar, Nepal: A Cross Sectional Study" is awarded Best Article for Vol 10 issue 11 of IJCRR
A review by Chitra et al to analyse relation between Obesity and Type 2 diabetes is awarded 'Best Article' for Vol 10 issue 10 by IJCRR. 
A study by Karanpreet et al "Pregnancy Induced Hypertension: A Study on Its Multisystem Involvement" is given Best Paper Award for Vol 10 issue 09

List of Awardees

A Study by Ese Anibor et al. "Evaluation of Temporomandibular Joint Disorders Among Delta State University Students in Abraka, Nigeria" from Vol 13 issue 16 received Emerging Researcher Award


A Study by Alkhansa Mahmoud et al. entitled "mRNA Expression of Somatostatin Receptors (1-5) in MCF7 and MDA-MB231 Breast Cancer Cells" from Vol 13 issue 06 received Emerging Researcher Award


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International Journal of Current Research and Review (IJCRR) provides platform for researchers to publish and discuss their original research and review work. IJCRR can not be held responsible for views, opinions and written statements of researchers published in this journal

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