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The body of research examining the welfare systems of the Global South has expanded, yet there remains a lack of knowledge regarding the implications of modernising the welfare system in rural agrarian societies. A research gap in this area led us to conduct a live-in observation and 17 interviews with peasants in Merjosuro village—a rural area in Central Java, Indonesia—to examine how farmers’ rationality affects the perception of social risks and the decision-making process regarding health risks management. The study has two key findings. The first finding reveals that differences in the rationality of risk between policymakers and the Merjosuro community are the reason why the community does not participate in the National Health Insurance (JKN). The second finding indicates that the monthly contributory system promoted by JKN is incompatible with the livelihoods in an agrarian society characterised by unstable and irregular income depending on harvest time. Overall, the case in Merjosuro highlights the understudied phenomena of expanding modern-formal social policies within more traditional community-based informal welfare arrangements, which were found to have limited the pace of transformation of the welfare state expansion in the examined case. Additionally, the study has practical implications for rethinking contextualised designs of welfare state policies and practices for the Global South.

ObjectiveCoronary artery bypass grafting (CABG) is an established revascularisation strategy for multivessel and left main coronary artery disease. Although aspirin is routinely recommended for patients with CABG, the optimal antiplatelet regimen after CABG remains unclear. We evaluated the efficacies and risks of different antiplatelet regimens (dual (DAPT) versus single (SAPT), and dual with clopidogrel (DAPT-C) versus dual with ticagrelor or prasugrel (DAPT-T/P)) after CABG.MethodsWe followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and performed a comprehensive literature search using PubMed, Ovid Medline, Ovid Embase and Cochrane Central Register of Controlled Trials. Data were extracted and pooled using random-effects models and Review Manager (V.5.4).ResultsAmong the 2970 article abstracts screened, 215 full-text articles were reviewed and 38 studies totaling 77 447 CABG patients were included for analyses. DAPT compared with SAPT was associated with significantly lower all-cause mortality (OR 0.65 with 95% CI 0.50 to 0.86; p=0.002), cardiovascular mortality (OR 0.53, 95% CI 0.33 to 0.84; p=0.008), and major adverse cardiac and cerebrovascular events (MACCE) (OR 0.68, 95% CI 0.51 to 0.91; p=0.01), but higher rates of major (OR 1.30, 95% CI 1.08 to 1.56; p=0.007) and minor bleeding (OR 1.87, 95% CI 1.28 to 2.74; p=0.001) after CABG. DAPT-T/P compared with DAPT-C was associated with significantly lower all-cause (OR 0.43, 95% CI 0.29 to 0.65; p≤0.0001) and cardiovascular mortality (OR 0.44, 95% CI 0.24 to 0.80; p=0.008), and no differences on other cardiovascular or bleeding outcomes after CABG.ConclusionIn patients with CABG, DAPT compared with SAPT and DAPT-T/P compared with DAPT-C were associated with reduction in all-cause and cardiovascular mortality, especially in patients with acute coronary syndrome. Additionally, DAPT was associated with reduction in MACCE, but higher rates of major and minor bleeding. An individualised approach to choosing antiplatelet regimen is necessary for patients with CABG based on ischaemic and bleeding risks.

In this paper, we present a trait anxiety detection framework using resting-state electroencephalography (EEG) data. Our proposed framework consists of EEG data acquisition, pre-processing, feature extraction and selection, and classification stages. EEG data of 65 participants is recorded in an eye-open state for the duration of two minutes. The trait anxiety scores are gathered using the state-trait anxiety inventory questionnaire, which is used to label the participant’s EEG data into two (non-anxious and anxious) and three (non-anxious, low anxious, and highly anxious) classes. Pre-processing of the recorded EEG data is performed using the onboard noise cancellation scheme of the MUSE EEG headband. Channel selection is performed by applying a t-test and analysis of variance on the power spectral densities for two and three classes of anxiety respectively. Five time-domain features are extracted from the selected EEG channels. The wrapper method for feature selection is applied for selecting an optimum subset of features, which are used to classify the trait anxiety. The highest classification accuracy of 87.69%and 83.07%using random forest classifier is achieved for two and three class anxiety classification respectively. Our proposed trait anxiety detection scheme outperforms existing schemes in terms of higher classification accuracy and reduced feature vector length.

Purpose: The purpose of this paper is to evaluate the influence of perceived organizational support on employees’ performance in information technology (IT) firms in Pakistan and Saudi Arabia. Organizational support is critical as it ensures support given by the organization to workers and to complete one’s job proficiently and effectively. Design/methodology/approach: Data were collected from IT firm employees through a self-administered questionnaire survey where a total of 400 questionnaires were distributed, i.e. 200 in each country’s IT firms. A total of 383 completed questionnaires were received (190 from Pakistan and the remaining 183 from Saudi Arabia) representing a response rate of 95%. The hypothesis was tested using confirmatory factor analyzes and direct relations were confirmed using AMOS v24. Findings: The results indicate that perceived organizational support and affective commitment have a significant positive impact on employee performance. Findings of the study show that perceived organizational support and affective commitment directly and significantly correlated (r= 0.439**; p< 0.05) (r= 0.489**; p< 0.05) with employee performance. On other hand, results of structural equation modeling indicate that perceived organizational support and affective commitment have a significant and positive impact (ß= 0.284; p< 0.01) and (ß= 0.370; p< 0.01) on employees’ performance. Moreover, affective commitment partially mediates the relationship between perceived organizational support and employee performance. Research limitations/implications: The outcomes are not generalized, as the researcher analyzed working employees in the IT firms in Saudi Arabia and Pakistan. The relationship between perceived organizational support and employees’ performance may be checked in a longitudinal study. If all items are considered because of the ambiguity of human feeling and acknowledgment, it is hard to precisely assess employees’ performance and their needs. This research proposes a straightforward and handy model that supports managers to feature the most powerful factors in building up their employees’ performance. Originality/value: This study proposes managers to give chances to proficient advancement, improved occupation and satisfying the necessities identified through deference, mindfulness and endorsement. Furthermore, they ought to make more good working conditions, for example, preparing chances to support workers in their wants for self-improvement and accomplishment. The research additionally recommends recording the unmistakable standard operation procedure to clarify the understanding of the employees. In addition, managers ought to invest sensible energy with their front-line employees through socialization and training. These efforts could limit fatigue work, enhance organizational duty and performance.

Deep saline aquifers are good candidates for CO2sequestration because of their huge reserves, wide distribution, cost-effectiveness, and relatively high security. The impact of CO2sequestration on the rock's mechanical and petrophysical properties is a complex issue that depends on a number of factors, such as salinity. This study provides insights into the potential changes in rock petrophysical and geomechanical properties due to the reactivity of CO2-saturated brine with limestone. Specifically, this article provides insights into the impact of salinity on wormhole generation and the corresponding changes in rock properties. Three Indiana limestone samples with a 1.5-inch diameter and 3-inch length, 15% average porosity, and 2 mD average permeability were used. The samples were flooded at 1 mL/min, 2000 psi, and 60 °C with different brine concentrations mixed with CO2at a 70:30 ratio. To examine the impact of salinity, CO2was mixed with brine concentrations of 40,000 ppm, 120,000 ppm, and 200,000 ppm for the coreflooding experiments. The samples' Young's modulus (YM) and Poisson's ratio at different confining pressures were measured before and after coreflooding. A medical CT scan was also used to visualize the generated wormholes and quantify their volumes. Results showed that it took only 14.3 pore volumes (PVs) to create a wormhole at 40,000 ppm, while 24.8 and 25.6 PVs at 120,000 ppm and 200,000 ppm, respectively. Lower salinity live brine generated a thicker wormhole compared to the other salinities. The reduction in rock strength in terms of YMs was the highest at 200,000 ppm, followed by the 120,000 ppm and then the 40,000 ppm cases. This study demonstrates that wormhole generation can substantially increase CO2storage capacity in low-salinity aquifers; however, an increase in CO2relative permeability indicates that it will accumulate primarily beneath the caprock. In addition, this study reveals that fresh carbonated water or water with a low salinity can be used for acid stimulation.

The present research paper reports a convenient synthesis of novel 4-(benzylideneamino)-5-pentadecyl-2H-1,2,4-triazol-3(4H)-ones and their in vitro antioxidant assay. The synthesized azomethine-triazole hybrids are characterized using FT-IR, multi nuclear NMR and elemental analysis (CHN). Oxidative potential of the synthesized derivatives is assessed by performing various in vitro antioxidant and α-amylase assays. The best antioxidant potential was displayed by 4dfollowed by 4a, 4eand 4i. Molecular docking simulations revealed that the tested azomethine-triazole 4ashowed strong binding inside the active-site gorges of the α-amylase. A striking agreement was obtained as the best-docked poses showed important binding features mostly based on interactions due to triazolone moiety of the azomethine linkage. The docking computations coupled with the experimental findings ascertained that the compound 4acan serve as a potential scaffold for the development of a novel class of α-amylase inhibitors.

The aim of present study was to access the antioxidant and ameliorative efficacy of Wendlandia heyneistem bark's crude methanol extract (WHBM) against bisphenol A (BPA)-induced hepatotoxicity in the rat moel. WHBM and its derived fractions exhibited promising activity for the scavenging of DPPH, hydroxyl and nitrite radicals, iron chelation, and for the inhibition of β-carotene oxidation. The administration of BPA to Sprague Dawley rats (25 mg kg−1) for 28 days resulted in an elevated (p< 0.01) level of aspartate transaminase, alanine transaminase, alkaline phosphatase, and globulin, and at the same time a decrease (p< 0.01) in the level of total protein and albumin in the serum of the rats. In hepatic samples, the levels of catalase, peroxidase, superoxide dismutase, glutathione-S-transferase, and reduced glutathione were decreased (p< 0.05), whereas thiobarbituric acid reactive substances, hydrogen peroxide, and the nitrite content were increased (p< 0.05) with BPA treatment to the rats. The administration of WHBM to BPA-intoxicated rats restored the altered levels of these parameters toward the control animals. Histopathological alterations of the hepatic tissues induced with BPA were restored with WHBM co-treatment to the rats. HPLC-DAD analysis ensured the occurrence of rutin, catechin, and caffeic acid in WHBM and WHBE. The results of this study suggested that the presence of phenolics and flavonoids in W. heyneibark might be responsible for it exhibiting antioxidant potential during the in vitroand in vivostudies and hence it has potential to be used as a therapeutic agent against oxidative stress associated diseases.

White-eyed blowout fracture was first described by Jordan et al. is often found in pediatric patients and shown clinically minimal soft tissue signs. White-eyed blowout fracture could manifest as a linear or hinged-like trapdoor deformity. Due to the rarity of these fractures, it possesses a diagnostic challenge that can be easily missed and ultimately lead to delayed intervention and cost the surgeon an optimal time frame for surgical intervention. Better results are found with the early release of entrapments. The authors report a case of a 14-year-old child with a white-eyed blowout fracture treated with elevation and release of entrapped orbital soft tissues by the help of endoscopic light for a full assessment of entrapped soft tissue to prevent incomplete release that can lead to second surgery with higher morbidity. The immediate return of right eye functions highlights the successful management of this case despite a delay in surgical intervention.

Background:Recurrent pericarditis in pregnancy is uncommon and the data regarding the safety and efficacy of conventional therapy is sparse. We describe a multidisciplinary approach to managing a challenging case of chronic, recurrent pericarditis in the setting of newly-diagnosed systemic lupus erythematosus (SLE) and pregnancy.Case:28-year-old female at 24 weeks gestation with no known medical history presents with sharp, pleuritic and positional chest pain and hypotension. Transthoracic echocardiography reveals acute, effusive pericarditis with features of tamponade. Despite emergent pericardiocentesis, pericardial window placement and treatment with steroids, she had recurrence of pericarditis the following month. Due to the recurrent nature of pericarditis of unknown etiology and pregnancy, clinicians were faced with a diagnostic and therapeutic dilemma.Decision Making:After extensive testing to rule out malignancy, bacterial and fungal infections, she was diagnosed with SLE - the culprit of her recurrent pericarditis. An multidisciplinary approach among cardiology, rheumatology and obstetrics was taken to determine an optimal therapeutic regimen and several risk-benefit discussions were conducted with the patient and family. In order to treat both recurrent pericarditis and SLE, she was tapered off of steroids initiated on Azathioprine 50 mg and low-dose Colchicine 0.3 mg twice daily. She was followed closely with cardiac MRI (Figure 1) and ultimately delivered a healthy child despite her new diagnoses.Conclusion:This case showcases the complexity of managing recurrent pericarditis in the setting of pregnancy and comorbid conditions and supports the use of Colchicine and Azathioprine for this population despite the lacking literature. This case also emphases the importance of multidisciplinary teamwork, clinical acumen and the value of patient-centered care when determining a course of therapy for a challenging patient.

Case Presentation:A male in his 40s presented for chest pain, dyspnea and bilateral leg edema. He has a history of hypertrophic cardiomyopathy treated with septal myectomy complicated by constrictive pericarditis (CP) that was treated with right-sided pericardiectomy, NSAIDs, colchicine, and steroids. Echo showed LVEF of 55% with thickening of the pericardium, abnormal septal bounce, tethering of the right atrium, respiratory variation in flow across the mitral and tricuspid valves and IVC plethora. Cardiac MRI showed diffuse mild thickening of residual left-sided pericardium, mild diffuse circumferential pericardial enhancement, mild diastolic septal bounce, diastolic restraint, exaggerated inspiratory flattening and conical deformity of the ventricles without evidence of myocardial inflammation or scarring. Right heart catheterization showed near equalization of RV and LV pressures, RV and LV respiratory concordance, aortic pulsus paradoxus with an inspiratory decrease of 15 mmHg, and Kussmaul’s sign with an inspiratory increase in RA pressure of 68 mmHg. Left heart catheterization showed normal coronaries. The patient was diagnosed with CP and underwent repeat pericardiectomy and was treated with NSAIDs and diuretics. On follow-up, patient had symptomatic improvement but still had evidence of residual constriction on echocardiogram.Discussion:Pericardiectomy is the definitive treatment for CP, however it carries high morbidity and mortality rates. Recurrence of constrictive pericarditis requiring repeat pericardiectomy is very rare and risk factors for recurrence are not well-defined. His initial pericardiectomy was complicated with evidence of active visceral epicarditis with epicardial constriction. This case suggests that active inflammation at the time of pericardiectomy is a potential risk factor for recurrent CP requiring repeat pericardiectomy, and surgery should be deferred until the active inflammation has subsided.

Case Presentation:A 54-year-old male with a past medical history of hypertension presented with chest tightness, shortness of breath, fatigue, and ankle edema. His vital signs were within normal limits but physical exam was significant for jugular venous distension and bilateral peripheral edema. Laboratory studies were unremarkable except for elevated inflammatory markers (C-reactive protein [23.6 mg/dl] and erythrocyte sedimentation rate [34 mm/hour]). Interferon assay, Influenza A/B antigens and anti-nuclear antibody were negative. The patient was diagnosed with constrictive pericarditis (CP). Although the patient was treated appropriately for pericarditis with a steroid taper, colchicine and ibuprofen, his symptoms recurred. Therefore, he underwent a radical pericardiectomy which resulted in a marked clinical improvement. The final pericardial pathology revealed fibrosis and plasma cell infiltrates with >30% of cells positive for IgG4. An echocardiogram revealed a small pericardial effusion with septal bounce, annulus reversus, and a plethoric inferior vena cava consistent with a diagnosis of CP. Cardiac magnetic resonance imaging showed a small circumferential pericardial effusion and respirophasic septal flattening during inspiration with marked pericardial delayed enhancement (DHE).Discussion:CP is commonly caused by viral or idiopathic etiologies, with infection (tuberculosis) being more prominent in developing countries. IgG4 disease is an uncommon cause of CP with only a few cases of IgG4-related CP have been reported. Pathological findings on histology include IgG4-positive lymphoplasmacytic cells and fibrosis. The disease is characterized by steroid-responsive condition but pericardiectomy is pursued with a suboptimal response. Cardiovascular manifestations of IgG4 disease are under explored and our case illustrates the importance of recognizing and treating the pericardial complications of IgG4 disease.

Case Presentation:A 14-year-old female presented with a 3-week history of lower extremity edema, abdominal distension, fatigue, and dyspnea on exertion. Her examination was notable for an elevated jugular venous pulse, abdominal distension with hepatomegaly, and 2+ pitting edema in the bilateral lower extremities. Laboratory findings were within normal limits. EKG showed low-amplitude QRS and echocardiogram confirmed bi-atrial enlargement, a dilated and non-compressible IVC, dyskinetic interventricular septum, and elevated right atrial pressures. Chest computed tomography demonstrated mediastinal mass with findings of a 6.2 x 4-centimeter mass in the pre-vascular space, diffuse necrotic mediastinal lymphadenopathy, and constrictive pericarditis with associated congestive hepatopathy. Cardiac magnetic resonance imaging revealed significant enhancement in T2 STIR with severe circumferential delayed enhancement, diastolic bounce, and respirophasic shift. A right heart catheterization was pursued which revealed elevated filling pressures but preserved cardiac index. The patient underwent video-assisted thoracoscopic biopsy of the mass with an initial histologic diagnosis of inflammatory myofibroblastic tumor (IMT). She underwent radical pericardiectomy for symptom resolution.Discussion:IMT is composed of spindle cells mixed with infiltrates of varying numbers of inflammatory cells. Although IMT can present in any age group, most patients who develop IMT are in adolescence. IMT is incredibly rare and its etiology still remains unclear. It remains difficult to distinguish IMT from a malignant tumor on the basis of imaging. As a result, in most cases, a definitive diagnosis is made based on the histopathological findings from either a resected tumor or a needle biopsy. Management of IMTs presents a challenge as treatment protocols have not clearly been established; radical local excision of the tumor is the mainstay of treatment.

Introduction:There is no risk stratification tool to identify patients with amyloid cardiomyopathy (ACM) that will benefit from prophylactic anticoagulation and the available survival staging systems have only modest discriminatory abilityMethods:Using the prospective Amyloid Heart Disease database of Cleveland Clinic, we identified patients with light chain (AL) or transthyretin (ATTR) ACM but no history of atrial fibrillation. LA strain was measured in accordance with guidelines and its association with incident thromboembolic event (TE) and mortality was evaluated. In addition, we determined the incremental utility of LA strain to current ACM prognostic staging systemsResults:In 448 patients (mean age 68 years, 72% male), there were 64 (14.3%) TE and 234 deaths (52.2%) after a median follow up of 3.8 years. LA reservoir (LAr) and contractile (LAc) strain significantly predict both events (Fig 1). The hazard ratio (HR) for TE was 2.22 (95% CI=1.27-3.85, p=0.006) and 2.63 (1.25-5.00, p=0.01) per standard deviation decrease in LAr and LAc, respectively. The respective HR for mortality was 1.32 (1.09-1.59, p<0.001) and 1.49 (1.22-1.75, p<0.001). The addition of either LAr or LAc to prognostic staging systems resulted in significant increase in discriminatory ability e.g., C-statistics of the revised Mayo staging for AL increased from 0.65 to 0.68 and 0.70 (p≤0.02) after the addition of the LAr and LAc, respectively (Fig 2)Conclusions:Patients with ACM experience high rate of TE and mortality, even in the absence of atrial fibrillation. LA strain can help to identify those that will benefit from prophylactic anticoagulation and provides incremental risk stratification

Introduction:Recurrent pericarditis (RP) is defined as recurrence of pericarditis after an initial documented episode of pericarditis and symptom free interval of four to six weeks. In this study, we aimed to investigate the prognostic value of the pericardial delayed hyperenhancement (DHE) in patients with idiopathic recurrent pericarditis (IRP).Hypothesis:We hypothesize that moderate to severe DHE is correlated with worse outcomes.Methods:Consecutive patients (n=223) with IRP from 2012-2019 were included. Out of 223 patients, 213 had DHE tracing. Patients were then followed for events of clinical improvement (CI), clinical remission (CR), and clinical recurrence.Results:The mean age of the 223 patients included was 45 ± 16 years, and 51% were females. DHE was divided into two groups none/mild (n=160) and moderate/severe (n=53). At baseline, median number of prior recurrences was 3 (Q1, Q3: 2,5). Furthermore, when adjusted for age, gender, prior number of recurrences, and anti-inflammatory therapy on multivariable cox-regression analysis, moderate to severe DHE was independently associated with less likelihood of having CI (HR 0.24, p<0.001) and CR (HR 0.31, p=0.011), and more likelihood of having clinical recurrence (HR 1.58, p=0.02). On Kaplan Meier analysis, moderate to severe DHE was associated with more time to clinical improvement (log rank p<0.0001), more time to clinical remission (log rank p<0.0001), and less time to clinical recurrence (log rank p=0.0047).Conclusions:Moderate to severe DHE is independently correlated with worse outcomes in patients with IRP. DHE should be considered an important part of evaluation in patients with recurrent pericarditis and should be included in new guidelines. Our study will help clinicians utilize DHE as a prognostic marker in patients with IRP.

Case Presentation:A 42-year-old male with a past medical history of recurrent myopericarditis treated with a combination of NSAIDs, colchicine, and steroids presented for left-sided chest pain. The pain first recurred when he attempted a prednisone taper and he was started on Anakinra. Upon presentation, physical examination and laboratory findings were within normal limits. Echocardiography and electrocardiogram were within normal limits. Cardiac magnetic resonance imaging (CMR) showed transmural enhancement of the basal-mid inferolateral segments and patchy mid-myocardial enhancement in the basal-mid anterolateral segments. Nuclear medicine PET showed FDG uptake in the basal anteroseptal, anterolateral, inferolateral, inferior, and apical segments suggestive of active inflammation. Initially, the diagnosis was thought to be recurrent myopericarditis of unknown etiology. Subsequent right heart catheterization with endomyocardial biopsy (EMB) showed mononuclear infiltrates in the interstitium associated with myocyte infiltration and focal moderate interstitial fibrosis. Due to his clinical, imaging, and pathologic findings, he was diagnosed with lymphocytic myocarditis. His anti-inflammatory therapy regimen was reinstated, and he was started on Mycophenolate Mofetil. On follow-up, the patient had significant symptomatic improvement.Discussion:Lymphocytic myocarditis is a pattern of myocardial inflammation that is typically associated with autoimmune and idiopathic causes. Myocarditis frequently manifests with signs and symptoms of heart failure, including chest pain, dyspnea, and arrhythmias. Diagnosis of myocarditis is often supported by CMR and FDG-PET findings, however, EMB is the gold standard for the diagnosis of myocarditis. Treatment is generally supportive, though immunomodulatory therapies have gained increased popularity due to benefits in treating symptoms and preventing complications of heart failure.

Case Presentation:A 47 years old male presented with progressive dyspnea, bilateral leg and abdominal swelling, weight gain, and intermittent low-grade fever. He had a history of hypertension and chronic lymphocytic pericarditis complicated by an episode of constrictive pericarditis. Exam showed jugular venous pressure of 10 cmH2O, pericardial knock, and abdominal distention. Inflammatory markers were elevated (CRP 87.3 mg/dL, ESR 29 mm/hr). Echo showed abnormal increase in septal longitudinal motion and Doppler interrogation of the hepatic veins showed diastolic flow reversal at the end of expiration. Cardiac MRI showed pericardial thickening and circumferential delayed pericardial enhancement. Patient was diagnosed with transient constrictive pericarditis (TCP) and was treated with ibuprofen, colchicine, and prednisone and had improvement in his symptoms and inflammatory markers. However, he experienced another recurrence 6 months later and underwent pericardiectomy. Pathology showed organized fibrosis overlying the parietal fibrosa layer, mild neovascularization and perivascular chronic inflammation, confirming the diagnosis of TCP. After pericardiectomy, patient had significant symptomatic improvement and returned to his baseline activity level. Postoperative echo showed normalization of annulus longitudinal motion and cardiac MRI showed near resolution of pericardial delayed enhancement. He was successfully tapered off of his anti-inflammatory regimen.Discussion:TCP is a sub-type of constrictive pericarditis characterized by pathological findings of pericardial edema, acute or subacute inflammation, and fibrin deposition, as opposed to the fixed pericardial fibrosis and calcification seen in constrictive pericarditis. Constriction may resolve spontaneously, and anti-inflammatory therapy is the mainstay of treatment but in refractory cases like these, pericardiectomy comes to the rescue.

Electroencephalography (EEG) signals are always accompanied by endogenous and exogenous artifacts. Research carried out in the past few years focused on EEG artifact removal considered EEG signals recorded in a restricted lab environment. Considering the importance of EEG in daily life activities, no definitive approach is presented in removing blink artifacts from non-restricted EEG recordings. In this paper, a new supervised artifact removal method is proposed that classifies EEG chunks having eye movements and then utilizes independent component analysis and discrete wavelet transform to eliminate the ocular artifacts. The EEG data is acquired from 29 subjects in a non-restricted environment where the subject has to watch videos while walking and giving gestures and facial expressions. Thirteen morphological features are extracted from the recorded EEG signals to classify chunks with eye movements. The EEG chunks with eye movements are further processed to remove noise without distorting the morphology of signals. The proposed method is tested for eye movements and shows an improved performance in terms of correlation, mutual information, phase difference, and computational time over unsupervised modified multi-scale sample entropy and kurtosis, and wavelet enhanced independent component analysis based approaches. Moreover, the computed values of statistical parameters including sensitivity and specificity show the robustness of the proposed scheme.