bluuebunny/crossref_metadata_2025 huggingface dataset:
SURVEY ON POWER AWARE LOAD BALANCING IN CLOUD COMPUTING
Authors: Manjula  , B R Madhu
Published: February 2021

Cloud computing in the current years has been taking its development from the logical to the non logical and business applications. Control utilization and Load adjusting are essential and complex issue in computational Cloud. Load Balancing is an imperative segment in the item benefits based cloud computing. There is a need to create calculations that can catch this multifaceted nature yet can be effortlessly actualized and used to fathom an extensive variety of load adjusting situations in a Data and Computing escalated applications. Because of increment in the quantity of server farms, which relate to electrical vitality cost, crest control scattering, cooling and carbon emanation. These days, control utilization is one of the significant issues for the operation and upkeep of server farms. Vitality costs for server farms are multiplying like clockwork and have effectively crossed $19 billion. Be that as it may, a lot of this power is squandered as servers are for the most part sit. Sit without moving servers can likewise expend as much as 60% of pinnacle power utilization. To measure the energy consumed by processor, and we call these are a load balancing techniques, we introduced many algorithm like Power Aware Load balancing (PALB), Double Threshold- Power Aware Load balancing (DT-PALB), Dynamic Round-Robin (DRR), Equally Spread Active Execution( ESCE ),Minimum Cost Maximum flow (MCMF). In this paper we compare algorithm and we will conclude which algorithm is best for power aware load balancing in cloud.
APPLICATION OF VALUE ENGINEERING IN AFFORDABLE HOUSING IN INDIA
Authors: Sharma Prashant , Srikonda Ramesh
Published: February 2021

A major challenge for the Indian government is the rapid growth of the urban population, leading to housing shortages and poor urban living conditions. The current need-based housing shortage in the country is about 19 million units as per the 2011 census. The government has introduced many affordable housing schemes that focus on meeting the shortage of housing needs. Excess cost management needs to be planned from the initial stages of design during the building's project life. Value engineering is an effective problem-solving approach that minimizes prices while preserving and improving performance and quality requirements. Ve process's success lies in its ability to find ways to reduce redundant expenses while maintaining efficiency, reliability, performance, and other critical elements that reach or surpass the standards of the client. This study aims at understanding the application of value engineering in affordable housing to optimize cost, time and quality thus increasing overall value of the project. Two case studies of different scale of housing projects are considered, it has been found out that on replacing a material with similar functions, helps reduce the cost of the project and add to the value of the project. This research will provide an overview of benefits of strong value engineering and use of alternative materials to enhance the efficiency of a project.
Recycling of Ceramic Tiles and Marble Powder waste as Partial Substitution in Concrete
Authors: Soomro Bilawal , Mangi Sajjad Ali , Bajkani Rashid Ali , Junejo Abdul Qudoos
Published: February 2021

Recycling the waste has been one of the most influential aspect affecting global conditions of the world. In the world of Civil Engineering, it serves the purpose of preservation of the natural building materials such as Sand, Stones, etc. Fair amount of work been done on utilization of the waste such as Fly ash, marble waste, tiles waste, plastic, etc. used as different forms of replacement, provokes the need of work still to be done. So much of the work has been done on wastes available from Marble and Tiles. The combined effect of waste marble powder (M.P) and Ceramic tile waste (CTW) as partial replacement of Cement (10%) and Coarse Aggregates (10%,20%,30% respectively) is to be observed and analyzed. The obtained results will be compared with the conventional cement concrete at 7 and 28 days of Curing. Total 24 number of cylinders casted and tested for their workability and Compressive strength. The Workability of Concrete with replacement decreased with increasing ratio of replacement as well as its Compressive Strength. The Compressive strength of concrete with replacement is approximately of same value as that of Conventional Concrete at (10%+10%) partial substitution ratio.
Influence of Trendelenburg position and pneumoperitoneum on the cardiovascular system during robotic-assisted radical prostatectomy
Authors:   Bashkir state medical university of the Ministry of health of Russia, Ufa, Russia, Lutfarakhmanov I. I. , Galeev I. R. ,   Bashkir state medical university of the Ministry of health of Russia, Ufa, Russia, Mironov P. I. ,   Bashkir state medical university of the Ministry of health of Russia, Ufa, Russia, Pavlov V. N.  ,   Bashkir state medical university of the Ministry of health of Russia, Ufa, Russia
Published: February 2021

Introduction. Prostate cancer remains one of the most common malignant neoplasms of the genitourinary system. Robot-assisted radical prostatectomy (RARP) is currently considered the most effective option for the treatment of this pathology. Special conditions of this operation, such as long-term stay of the patient in the Trendelenburg position and pneumoperitoneum, affect blood pressure, vascular resistance and inotropic function of the heart. The clinical significance of this effect remains poorly understood. The aim of the study was to systematize new information about hemodynamic disorders in patients with pneumoperitoneum in the Trendelenburg position in RARP. Materials and methods. The search for relevant studies published before may 2019 was conducted in the electronic databases PubMed, Embase, Cochrane Central Register of Controlled Trials, Web of Science, Google Scholar using the keywords: «prostatectomy», «robotic surgery», «robotic assisted», «robotic laparoscopic radical prostatectomy», «pneumoperitoneum», «Trendelenburg position», «hemodynamics», «hemodynamic changes», «cardiac function», «cardiovascular function» without restrictions on the publication language. Forty one studies were identified, of which 15 were selected according to pre-defined inclusion criteria. Results. Most studies revealed an increase in arterial and central venous pressure in patients with pneumoperitoneum in the Trendelenburg position. Changes in stroke volume and cardiac output were multidirectional. There was also an increase in pulmonary artery pressure and filling pressure, a decrease in the aortic diameter and an increase in vascular resistance, a deterioration in central hemodynamic parameters, and increased microcirculation. Eleven studies did not show a negative effect of the Trendelenburg position and pneumoperitoneum on the cardiovascular system. The developed changes were easily controlled during anesthesia, and in the postoperative period, the indicators of the cardiovascular system returned to normal. In 4 studies, the negative impact of these factors was noted: the development of mitral valve dysfunction, a significant prolongation of the QT interval and an increase in blood pressure, and hemodynamic instability. Conclusions. The position of the Trendelenburg and pneumoperitoneum and in RARP are accompanied by hemodynamic disorders, most of which are controlled and reversible. Further studies with a longer follow-up period are needed to determine their clinical safety.
Complications of urachal cyst: aspects of diagnosis and treatment in adult patients
Authors:   Moscow regional research clinical Institute named after M.F. Vladimirsky, Bazaev V.V. ,   Moscow, Russia, Bychkova N.V. ,   Moscow regional research clinical Institute named after M.F. Vladimirsky; Moscow, Russia, Morozov A.A. ,   Moscow regional research clinical Institute named after M.F. Vladimirsky; Moscow, Russia, Morozov A.P. ,   Moscow regional research clinical Institute named after M.F. Vladimirsky; Moscow, Russia, Smirnova Е.V. ,   Moscow regional research clinical Institute named after M.F. Vladimirsky; Moscow, Russia
Published: February 2021

Introduction. Urachal cyst is a congenital malformation, presented by a closed cavity filled with serous fluid in the urachus. Although a morphological picture of the urachal malformation is well known and is quite common in different patients, each case with a complicated cyst has unique clinical features, requiring a differential diagnosis. Aim. To demonstrate differential diagnosis of two cases with congenital urachal malformations, presenting different clinical features. Materials and methods. The study describes 2 clinical cases. A 65-year-old patient presented with non-intensive hematuria and fever up to 37.5 ° C, symptoms appeared 2 weeks after blunt abdominal and chest trauma with 7-10th ribs fractured on the left side. Ultrasound revealed a cystic formation of the urachus, up to 6 cm in size. The 2nd patient - 62-year-old with a bladder tumor. MSCT revealed a mass (tumor of the urachus) with signs of invasion into the bladder anterior-superior wall, with signs of involvement in the process of one loop of the small intestine and the proximal part of sigmoid colon. Results. The first patient underwent an open surgery: partial midline laparotomy with excision of an umbilical hernia, containing a portion of the greater omentum. The 62-year-old patient also underwent an open surgery - lower midline laparotomy with removal of the urachal tumor, bladder upper hemisphere, and a part of the small intestine. Conclusions. In the first clinical case, the complicated urachal cyst simulated bladder cancer. Visual differential diagnosis of urachal festering cyst with its possible malignant neoplasm directly during the surgery was hampered by secondary tissue changes and other organs involvement. In the second clinical case actinomycosis was identified, which probably provoked inflammatory changes in the urachal cyst. This manifested the clinical picture and required radical surgical treatment.
Is there a connection with basic sperm parameters and age?
Authors:   Yaroslavl State Medical University, Yaroslavl , Russia, Ryzhkov A.I. , Shormanov I.S. ,   Yaroslavl State Medical University, Yaroslavl, Russia, Sokolova S.Yu. ,   Yaroslavl State Medical University, Yaroslavl, Russia
Published: February 2021

Introduction. TStandard sperm examination, performed according to WHO guidelines, remains the main method of assessment of male fertility. At the same time, this research method has a number of significant limitations, including a low predictive value regarding the outcomes of assisted reproductive technologies (ART) programs and the outcome of naturally occurring pregnancies. The limitations of standard sperm examination dictate the need for additional methods for assessing male fertility. The most promising and widely used test is the assessment of the level of sperm DNA fragmentation. Aim. To evaluate the associations between the levels of sperm DNA fragmentation and the age of the patients along with the following parameters used as a part of standard sperm analysis: semen volume, total number of spermatozoa, percentages of progressively-mobile, non-progressively-mobile and immobile forms, percentages of morphologically normal forms and the forms bearing head defects within the structure of total number of morphological anomalies, as well as semen leukocyte count. Materials and methods. Study materials were the examination results from 121 males aged from 21 to 53 years old (mean age 32.7±4.5 years old), undergoing an examination within the Clinical Institution «Mother and Child – Yaroslavl» during a time period from January 2019 until April 2020. Standard sperm analysis procedures were carried out according to latest edition of WHO Guidelines (2010). The determinations of germ cell DNA fragmentation levels were performed using the TUNEL method. Results. The test results have revealed a weak negative relation between the sperm DNA fragmentation (%) and the percentage of progressively-mobile forms (%) – r = -0.26 (p <0.01). The correlation of sperm DNA fragmentation with age and other parameters was considered statistically insignificant. The second stage of the analysis have demonstrated that the increased degree sperm DNA fragmentation is 1.8-fold more often found in the patients having signs of astenozoospermia (23.6%) comparing to the patients showing normal degree of spermatozoa mobility (13.1%), (p <0.05). Conclusions. The level of sperm DNA fragmentation correlates with the percentage of progressively-mobile forms of spermatozoa (negative relation) and no correlations were found with other semen parameters and with the age. The rates of increased levels of sperm DNA fragmentation are 1.8-fold more often found in astenozoospermia patients comparing to the patients showing normal degrees of spermatozoa mobility.
Pathogenetic therapy of benign prostatic hyperplasia and prostatic intraepithelial neoplasia
Authors:   N.A. Lopatkin Scientific Research Institute of Urology and Interventional Radiology – Branch of the National Medical Research Centre of Radiology of the Ministry of Health of Russian Federation, Krasnyak S.S. ,   Moscow, Russia
Published: February 2021

Introduction. Benign prostatic hyperplasia (BPH) is a neoplasm and clinically occurred by progressive enlargement of the prostate. However, prostate neoplasm can also be malignant, which is come out from high-grade prostatic intraepithelial neoplasia (PIN). It is a proven precancerous condition. Purpose. Тo evaluate the data published on September and October 2020 on the prevalence, pathogenesis of BPH and PIN and methods of their treatment. Materials and methods. The search results in scientific databases PubMed, MEDLINE, Embase were analyzed for the queries «BPH», «PIN», «epidemiology of BPH», «pathogenesis», «treatment of PIN». Results. BPH is a very common disease in the elderly population. The pathogenesis of BPH includes age, genetics or hormones disorders, growth factors, inflammation, and lifestyle factors. PIN is the only common precursor of prostatic cancer. The main treatment methods are 5α-reductase inhibitors, phosphodiesterase-5 inhibitors, and surgical methods. In addition, plant active molecules are also widely used in the treatment of BPH and PIN. Conclusions. While 5α-reductase and phosphodiesterase-5 inhibitors treatment, as well as surgical methods have a lot of adverse events and complications, a unique herbal complex Gardaprost was developed, which suppresses hyperplasia of prostate. Curcumin, genistein and epigalocatechin-3- gallate, which are part of the preparation, form a safe agent aimed at combating the growth of the prostate gland in BPH, and also has a significant effect in the prevention of exacerbations of chronic prostatitis and malignancy in patients with PIN.
Correction of symptoms of impaired urination in men with the drug Diunorm®.
Authors:   «Belgorod National Research University», Belgorod, Russia, Shkodkin S.V. , Polischuk A.V. ,   «Belgorod National Research University», Belgorod, Russia, Chirkov S.V. ,   «Belgorod National Research University», Belgorod, Russia, Churikova O.V. ,   «Belgorod National Research University», Belgorod, Russia, Kravtsova N.A. ,   Medical centre «Energy of Life», Belgorod, Russia
Published: February 2021

Introduction. Lower urinary tract symptoms are a socially significant problem on a global scale. Material and methods. The clinical study included 57 men with complaints of LUTS. Patients were randomized to receive LUTS medication. The main observation group consisted of 42 primary patients aged 41 to 67 years. For therapy in whom the drug Diunorm® was used at a dose of 400 mg once a day. The control group included 15 patients aged 50 to 64 years. As an initial therapy, Tamsulosin 0.4 mg was prescribed once a day. The observation period last 90 days in both groups. The effectiveness of therapy was assessed on the basis of questionnaire scales, ultrasound and uroflowmetry. Results and discussion. Conservative therapy of LUTS in both groups was accompanied by a subjective reduction in symptoms according to the total score on the IPSS scale (p <0.0001). A similar dynamics in the study groups took place in relation to a decrease in the frequency of nocturia (p <0.01). Analysis of the IIEF-5 questionnaire and ultrasound did not reveal any changes in the observation groups for 3 months (p> 0.05). A significant increase in the maximum urination rate was recorded in patients taking Diunorm®. The growth rate was on average 29.3 ± 21.0% (p <0.001). Conclusion. The drug Diunorm® reliably and comparable to tamsulosin reduces the severity of LUTS and the frequency of nocturia in primary relatively young patients, without causing ejaculatory disorders.
Serenoa repens in the treatment of voiding dysfunction in patients with BPH: discussion of effectiveness and complex mechanism of action
Authors:   N. Lopatkin Research Institute of urology and Interventional Radiology – branch of the National Medical Research Centre of Radiology of Ministry of health of Russian Federation, Sivkov A.V. ,   Moscow, Russia, Kirpatovskiy V.I. ,   N. Lopatkin Research Institute of urology and Interventional Radiology – branch of the National Medical Research Centre of Radiology of Ministry of health of Russian Federation; Moscow, Russia
Published: February 2021

Introduction. The review analyzes the clinical efficacy and mechanism of action of lipidsterol extracts of the American dwarf palm fruit Serenoa repens (SRE), including the drug Permixon (Pierre Fabre), used for the treatment of urination disorders in men with benign prostatic hyperplasia (BPH). Material and methods. When writing the review, data from the PubMed database was used (https://www.ncbi.nlm.nih.gov/pubmed/) and scientific electronic library Elibrary.ru (https://elibrary.ru/). Search keywords for articles on the review topic were «BPH», «therapy of urinary dysfunction», «Serenoa repens», «Permixon», «mechanism of action», «bladder receptors». As a result, 48 publications were selected in peerreviewed foreign and domestic journals. Results. It is noted that the composition of extracts from different manufacturers and for different types of extraction (supercritical fluid extraction with carbon dioxide under high pressure, extraction with hexane, ethanol or diethyl ether) differs significantly, which may affect the effectiveness of therapy. At the same time, according to the authors, the greatest effect is observed when using preparations with hexane extraction of SRE components, which include Permixon. The main ingredients that provide antiandrogenic, adreno- and cholinolytic and antiinflammatory effects of SRE drugs were determined. Analysis of the effectiveness of the Permixon in the form of monotherapy, in comparison with the traditionally used α-blockers and in combination with them, showed a significant improvement in the quality of urination in patients with BPH during treatment with this drug, comparable to the effect of α-blockers. Data are discussed indicating that the mechanism of action of SRE can be associated not only with the effect on the prostate gland, but also on the bladder, improving the contractile function of detrusor due to α-adrenolytic, M-cholinolytic and antiinflammatory actions, which helps to reduce the dysfunction of urine accumulation in the spectrum of lower urinary tract symptoms. Conclusion. The mechanisms of action of SRE in LUTS/BPH should be considered more broadly and comprehensively, including the possible effect of drugs not only on the prostate, but also on the obstructive bladder. However, there are few objective data on this issue, which requires new special studies.
Isolated kidney injury: international recommendations and Moscow standards
Authors:   Pirogov Russian National Research Medical University, Perov R.A. ,   Moscow, Russia, Nizin P.Yu. ,   Pirogov Russian National Research Medical University; Moscow, Russia, Kotov S.V. ,   Pirogov Russian National Research Medical University; Moscow, Russia
Published: February 2021

Introduction. Currently, existing classifications of kidney injury severity do not indicate the choice of a particular treatment method. The purpose of our study was to retrospectively evaluate the management of patients with isolated kidney injury. Materials and methods. A retrospective analysis of the results of treatment of 52 patients with isolated kidney injury was performed. All patients according to the AAST (American Association for Surgery and Trauma) classification were divided into five groups: group I – 25 (48%) people, group II – 7 (13%), group III – 6 (12%), group IV – 11 (21%), group V – 3 (6%). Results. In patients with I degree of damage (n=25), no invasive methods of diagnosis and treatment were required: 12 (48%) patients were discharged from the hospital after active observation, 13 (52%) patients underwent complex conservative treatment. In group II (n=7), in most cases (n=6; 86%), treatment was also conservative, with the exception of one patient who underwent diagnostic angiography. All patients with grade III damage (n=6) underwent diagnostic angiography, and in 2 (33%) cases, selective embolization of the renal artery branch was performed. In group IV (n=11), diagnostic angiography was performed in 9 (82%) patients, however, selective embolization of the renal artery branch was effective in 7 (78%) patients, and the remaining 2 patients underwent organ-preserving surgery. Only 2 (18%) patients with grade IV damage had a nephrectomy. None of the patients with V degree of damage (n=3) could avoid nephrectomy. Discussion. Based on our own data and the results of foreign studies, it was concluded that the stability of hemodynamics is a fundamental sign of determining the tactics of treating a patient. In patients with stable hemodynamics with kidney injury, selective embolization of the branches of the renal artery is indicated. Angiography and embolization can be performed for kidney injuries of any degree, but it is most justified for complex injuries. The effectiveness of embolization is obvious, but unsuccessful embolization is a direct indication for renal revision. It should also be noted that open kidney injury is an absolute indication for revision. Conclusions. X-ray endovascular technologies are widely used in patients with isolated kidney injury, which in turn dictates the need to include this type of care in the standards of treatment of patients in this group.
Emphysematous pyelonephritis: epidemiology, modern approaches to diagnosis and treatment
Authors:   L.A.Vorokhobov Municipal Clinical Hospital № 67 of the Moscow Health Department, Novinsky A.A. ,   Moscow, Russia, Zinukhov A.F. ,   L.A.Vorokhobov Municipal Clinical Hospital № 67 of the Moscow Health Department; Moscow, Russia
Published: February 2021

Introduction. Emphysematous pyelonephritis (EPN) is a rare form of acute suppurative pyelonephritis, which is characterized by a rapid and severe course due to the pathogenic effect of the gas-forming bacterial flora. Currently, only a few hundred clinical cases of EPN are described in the literature. Currently, there are no standards for the surgical treatment of patients with EPN, but there is a clear tendency towards a wider use of minimally invasive methods of treatment and limitation of indications for nephrectomy. A risk-based approach based on the proposed radiological classifications of EPN is considered preferable. Purpose. Тo study all literature sources available for the current period on the Internet, describing clinical cases and experience in treating patients with a diagnosis of emphysematous pyelonephritis. Materials and methods. Тhe results of a search in the scientific databases PubMed, MEDLINE, Embase, elibrary were analyzed for the queries «emphysematous pyelonephritis», «classification», «gassing bacterial flora», «diabetes mellitus», «conservative treatment», «nephrectomy», «percutaneous drainage». 754 scientific publications were found, 25 were selected for detailed analysis. Results and discussion. Today, there are no standards for surgical treatment of patients with EP, but there is a clear trend towards wider use of minimally invasive methods of treatment and limiting the indications for nephrectomy. Minimally invasive methods of treating EN allows organ-preserving treatment and reduces the risk of renal failure. The lack of clear indications for the choice of the scope of surgical treatment and the low orientation of specialists towards radiological diagnostic criteria are the main reasons for excessive organ-carrying treatment of patients with PF. A risk-mediated approach based on the proposed clinical and radiological classifications of EP is considered preferable. In controversial cases, it is possible to recommend an attempt at minimally invasive treatment in combination with adequate conservative therapy, and only if it is ineffective, resort to performing nephrectomy. Conclusion. Indications for nephrectomy should be strictly limited and revised taking into account modern approaches. Nephrectomy should be an option of choice only if conservative treatment is impossible or ineffective.
Ways to improve the results of treatment of patients with end-stage chronic renal failure in the outcome of urological diseases and acute pyelonephritis
Authors:   State hospital № 52, Moscow Department of Health, Lubennikov A.E. ,   Moscow, Russia, Trushkin R.N. ,   State hospital № 52, Moscow Department of Health; Moscow, Russia, Shevtsov O.S. ,   State hospital № 52, Moscow Department of Health; Moscow, Russia, Frolova N.F. ,   State hospital № 52, Moscow Department of Health; Moscow, Russia
Published: February 2021

Introduction. Patients in the outcome of urological diseases after the beginning of treatment with hemodialysis in the presence of permanent drainage in the kidneys, or with recurrent pyelonephritis have high risks of urosepsis and death. In order to improve the results of diagnosis and treatment of this category of patients, we analyzed our own results. Materials and methods. The study included 58 patients with end-stage chronic renal failure (ESRD) who were treated with hemodialysis and had a nephrectomy for active pyelonephritis in the period from 2013 to 2020. Results. The most informative method in the diagnosis of pyelonephritis was magnetic resonance imaging using diffuse-weighted image protocols (MRI-DWI), the diagnostic efficiency was 94%. There were no differences in the frequency of intraoperative complications in laparoscopic and open nephrectomy. The mortality rate after nephrectomy was 25.9% (n=15). With a preoperative C-reactive protein (CRP) level of more than 95 mg/l (p=0.011) and a Charlson comorbidity index of more than 5 (p=0.003), a high probability of death was predicted. Long-term (more than 14 days) antibacterial preoperative therapy was significantly associated with sepsis before surgery, postoperative antibiotic-associated colitis, and infectious-inflammatory complications from the postoperative wound. Discussion. Our work, as well as many other publications, demonstrates a high incidence of septic complications in patients with ESRD. Patients with permanent drainage in the upper urinary tract are most at risk. this study convincingly showed that the results of nephrectomy are significantly worse in the presence of a systemic inflammatory reaction (SIRS), and therefore it is advisable to perform a nephrectomy before the development of SIRS. Our opinion on the possibility and safety of laparoscopic nephrectomy in chronic pyelonephritis in patients with ESRD who have undergone repeated renal interventions is consistent with a number of other studies in recent years. Conclusion. Diagnosis of pyelonephritis in patients with ESRD is advisable to start with MRI-DWI. The results of nephrectomy are better in the absence of a systemic inflammatory response. It is necessary to minimize antibacterial therapy before surgery. Laparoscopic nephrectomy is a safe procedure for inflammatory kidney diseases.
Options for assessing renal function after organ-preserving operations in patients with renal cell carcinoma
Authors:   Сlinical hospital named after S.P. Botkin, Seregin A.V. ,   Moscow, Russia, Indarokov T.R. ,   Department of Urology and Surgical Andrology, RMANPO; Moscow, Russia, Shustitsky N.A. ,   Сlinical hospital named after S.P. Botkin; Moscow, Russia, Seregin A.A. ,   Department of Urology and Surgical Andrology, RMANPO; Moscow, Russia
Published: February 2021

Introduction. Despite the improvement of various methods of surgical and ablative methods of treating kidney cancer, the question remains about the functional state of the kidney after surgical treatment. Along with the achievement of oncological results, the preservation of renal function is the main task in the treatment of tumorous diseases of the kidneys. Aim. To evaluate the functional results of organ-preserving operations with a preventive suture with preserved blood flow, as well as in patients who underwent a resection of the kidney with compression of the renal pedicle, using nephroscintigraphy. Material and Methods. The study included 175 patients in stages pT1a-T2bN0M0, which are divided into 2 groups. Group 1 – 150 patients who underwent organ-preserving options with the use of preventive hemostatic sutures, allowing operations to be performed without clamping the kidney leg. 25 patients underwent a resection of the kidney with compression of the renal pedicle. To assess renal function, patients underwent dynamic nephroscintigraphy. In the first group, the tumor was located in the central segment in 64 patients, in the upper segment in 45 patients, in the lower segment in 41 patients. Stage T1a was established in 74 patients, stage T1b in 53 patients, stage T2a in 4 patients. In 19 patients diagnosed with cystic T1a cancers. In the second group in the central segment – in 10 patients, in the upper segment in 7 patients and in 8 patients in the lower. According to the stages, patients were divided as follows – T1a – 16, T1b – 8, T2a – 1. Results. Organ-preserving operations were performed for all patients. In the first group, in no case did the renal pedicle be pinched. The average time of thermal ischemia in the second group was 13 ± 2 min. The perfusion and renal index for the operated kidney in both groups was comparable, and amounted to 54.13 ± 2% and 53.24 ± 4%. However, after surgical treatment, the indicators were significantly different. In the first group, the perfusion index was 46.82 ± 2.39% against 35 ± 1.52% in the second, the renal index in the first group was 46.82 ± 2.39%, against 39 ± 0.88% in the second. Conclusion. Thus, even short-term thermal ischemia leads to significant impairment of renal function. Preventive suture allows you to remove a tumor from any part of the kidney, while maintaining blood flow, and allows you to protect the renal parenchyma from ischemic damage.
A Szociálismunkás-képzés Globális Alapelvei
Authors: Budai István , Toldiné Bélteki Andrea
Published: February 2021

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Analisis Dinamika Stroller (Kereta Bayi) dengan Metode Port-Controlled Hamiltonian System (PCHS) berbasis Komputasi Fisika
Authors: Ariska Melly , Akhsan Hamdi , Muslim Muhammad
Published: February 2021

Computational physics can be used to help solve complex dynamics equations, both translational and rotational. The purpose of this study is to obtain differences in the dynamics of mechanical systems with non-holonomic constraints in various flat and curved configuration spaces based on physics computing. In this study the reduction used is a mathematical calculation of the Port-Contolled Hamiltonian System (PCHS) equation in a mechanical system that is a Stroller, so that the equation used in determining the Stroller motion equation with and without friction that moves in the curved plane in the form of a spherical surface with various initial conditions based on maple is Poincaré's equation which is based on Routhian reduction with and without friction. The effect of friction can be clearly seen through dynamics and graphical equations on the Stroller. This method can reduce the Stroller motion equation with and without friction that moves on the ball sphere clearly in the form of a set of differential equations. The findings of this study are dynamic equations and graphs of Stroller equations with and without friction that move in the curved plane in the form of a spherical ball with varying initial conditions based on maples. This study proves physical concepts about dynamics and kinematics and analyzes Stroller dynamics using computational physics to determine the characteristics of complex and complex Stroller movements, both translational and rotational.
Pengembangan E-UKBM Dengan Aplikasi Kvisoft Flipbook Maker dalam Pembelajaran Fisika untuk Meningkatkan Kemampuan Problem Solving Peserta Didik
Authors: Pratiwi Gilang , Akhdinirwanto Raden Wakhid , Nurhidayati Nurhidayati
Published: February 2021

The Self-Study Activity Unit Electronic (E-UKBM) is a small learning unit that orderly arranged from easy to difficult level based on e-learning using kvisoft flipbook maker application as the development of teaching material through interactive teaching media to improve students problem solving skill. E-UKBM has the characteristic of learning tool to achieve competency of knowledge and skill on teaching process using Sistem Kredit Semester (SKS). The aim of the use of E-UKBM is to improve students problem solving ability. This type of research develops the result of Plomp’s research design model, (1) Preliminary Investigation, (2) Design, (3) Realization/Contruction, (4) Tes, Evaluation, and Revision, (5) Implementation. The sample of this research is students of X MIA 3 SMA N 1 Purworejo. This data analysis was done by using the validity and reliability test, the problem solving ability test using the pre-test and post-test. The result of this study indicate that E-UKBM is valid, practical, and effective so that it is feasible to improve students problem solving ability.
Pembuatan Sistem Perancang Peredam Kebisingan
Authors: Prasetya Rahmat Bagus , Gunadi Sunartoto , Wati Erna Kusuma
Published: February 2021

One of the problems experienced by the community, whether at home or at work, was the disruption in the sense of concentration caused by noise. This study aims to measure noise as well as provide materials to reduce noise in the area. The time for data collection was one day, carried out for 4 samples of data collection based on a reference from the Ministry of Environment, no: Kep-48 / MENLH / 11/1996. The measurement method also using SNI standard number 7231 in 2009. Then based on the noise value displayed on the instrument, material recommendations will be given based on the value of Noise Reduction Coefficient (NRC), Sound Transmission Coefficient (STC) and Loss Factor. The results of noise measurements at the AT-Taqwa Mosque are 77.1 dB and the recommended material recommended by the tool is Acourete Perfowood - Acoustic Panel 881 with NRC 0.375. While the measurement at the Musholla at Pasar Minggu station is 76.8 dB and the recommended material recommended by the tool is Accourete Fiber 300 with an NRC of 0.44.
ANALISIS PENILAIAN HARGA SAHAM MENGGUNAKAN METODE DIVIDEND DISCOUNT MODEL (DDM) SEBAGAI DASAR PENGAMBILAN KEPUTUSAN INVESTASI (Studi pada Perusahaan yang termasuk dalam Indeks LQ-45 di Bursa Efek Indonesia Tahun 2013-2015).
Authors: Setia Vandara Vavras
Published: February 2021

LQ-45 is a group share consisting of 45 shares of the elect with the level of market capitalization and liquidity level above the average for the other stocks. So LQ-45 became one of the most volatile due to the high level of liquidity and market activities. The share price berfluktuatif is a risk that must be faced by investors. Assessment of the share price can be done to minimize the risk of one price.This research aims to know and analyze the results from the calculation of the stock valuation using the Dividend Discount Model (DDM) as the basis for decision on investment companies including in the LQ-45 in Indonesia Stock Exchange the year 2013-2015. This research is classified as quantitative descriptive research and sampling used is purposive sampling. A sample of this research as much as 11 companies in accordance with the criteria.Based on the results of research and analysis of the data using the method Dividend Discount Models (DDM) not constant growth shows that the entire company in 2015 including overlavued category among others, ADRO, AKRA, ASII, ( BBCA, BBNI, BBRI, BMRI, CPIN, GGRM, UNTR, UNVR. While, 2013 and 2014 only one company including undervalued categories namely ASII. Investment decision that can be taken when have stocks including overvalued category, should be sold and when the shares including undervalued categories should be purchased or suspended when has. Keywords : Stock Valuation, Dividend Discount Models (DDM), Investment Decision.
PELATIHAN, KEMAMPUAN KERJA DAN PERENCANAAN KARIER BERDAMPAK PADA KINERJA KARYAWAN PDAM KABUPATEN KEDIRI
Authors: Dewi Anita Sumelvia
Published: February 2021

This research is analyze the influence of training, the ability work and development career, of the performance of employees PDAM Kabupaten Kediri. As for research sample areas is 49 employees of PDAM Kediri.An analysis of this research using multiple linear regression using SPSS software, produced the following: all the variables was in also had an impact significantly correlates with the employee performance. For training variables influence the performance of local PDAM company employees tens of thousand of workers Kabupaten Kediri as much as 0.022. For work ability variables, influence the performance employees PDAM Kediri of 0.605 while for development carrer variable influence of 0.266 of the PDAM Kediri employee performances.This research result indicates that to enhance the performance of some of their workers, Kediri district local clean water companies PDAM should prioritize more on the ability of , because been disclosed in the research it produces the regression coefficient the greatest of all ( as much as 0.605 ) Keyword: Trainning, Work Ability, Carrer Development and Employee Performance
EQUILIBRE: JOGO DIDÁTICO COMO ESTRATÉGIA DE BALANCEAMENTO DE EQUAÇÕES QUÍMICAS PARA ALUNOS COM DÉFICIT DE ATENÇÃO
Authors: Cedran Jaime da Costa , Cedran Débora Piai , Silva Luana Zulli , Riva Andressa Della
Published: February 2021

O desenvolvimento de recursos didáticos que auxiliem a aprendizagem de alunos com deficiência cognitiva é uma necessidade para a educação. Dentro deste contexto, este artigo desponta na contribuição de novas ferramentas didáticas para o ensino por meio de um jogo didático. O desenvolvimento e a aplicação deste jogo foi realizado com alunos do segundo ano do ensino médio que apresentam o transtorno de déficit de atenção, em uma escola pública do município de Maringá-PR, sendo utilizado para a aplicação do jogo o tema balanceamento de equações. Para a investigação dos benefícios do jogo didático, foram levados em consideração critérios como, o acompanhamento semanal dos alunos no projeto, que permitiu conhecer o perfil de cada um com relação ao transtorno e as vantagens e desvantagens encontradas na aplicação de jogos didáticos em alunos com déficit de atenção.
LEITURAS DE UM POEMA CIENTÍFICO POR GRADUANDOS EM QUÍMICA: IMPLICAÇÕES PEDAGÓGICAS A PARTIR DE REAÇÕES ESTÉTICAS
Authors: Francisco Junior Wilmo Ernesto , Leite Wiliane Rodrigues
Published: February 2021

Práticas envolvendo a arte podem ser um caminho na ampliação de sentidos e ressignificação da ciência. A partir da investigação da leitura de um poema com caráter científico realizada por licenciandos em química, este trabalho procurou compreender as percepções e reações estéticas suscitadas e suas implicações pedagógicas. Os dados, coletados por meio de uma atividade escrita de pós-leitura, evidenciaram reações estético-afetivas de primeira expressão, caracterizadas por serem imediatas e emocionais, e de segunda expressão, abarcando representações de sentimentos e imaginação. Três implicações pedagógicas podem ser estabelecidas: i) a potencialidade deste gênero textual em expandir a capacidade intelectual; ii) um processo de mediação leitora que considere às especificidades do gênero; iii) uma reação lúdico-afetiva engendrada pela vivência estética que pode mobilizar o pensamento imaginativo.
A tabela periódica em fascículos: uma proposta de objeto educacional
Authors: Cunha Mayana Ferreira da , Corrêa Thiago Henrique Barnabé
Published: February 2021

Este artigo apresenta um estudo que investigou as potencialidades de uma proposta didático-pedagógica (e-book) destinada aos professores de Química e alunos do ensino médio, a qual foi elaborada e desenvolvida com o objetivo de ser versátil e que promova, a partir de uma linguagem fluída, uma interlocução com os leitores, de modo que estes possam explorar os conceitos químicos que versam o conteúdo da tabela periódica. É importante salientar que não há a pretensão de substituir os livros didáticos, mas sim, ser um recurso didático complementar e de fácil acesso, por meio digital ou impresso (fichário).
A formação docente em Química e os paradoxos da atuação profissional
Authors: Rigue Fernanda Monteiro , Farina Gonçalves Débora
Published: February 2021

O presente estudo realiza uma revisão bibliográfica de caráter qualitativo, que se preocupa em apontar alguns aspectos que atravessam o campo da formação do professor, bem como alguns passos e descompassos da atuação do docente em Química que atua na contemporaneidade. Quem escolhe ser professor, enfrenta alguns desses desafios: a) processos seletivos para acesso ao mercado de trabalho, os quais, muitas vezes colocam o licenciado em situação de desvantagem, assim como a concorrência com bacharéis e químicos industriais, que, inclusive, podem atuar na carreira docente/pedagógica com a aquisição de uma formação pedagógica, como é o caso dos Programas Especiais de Formação de Professores; b) Exigência de experiência docente, o que por vezes fica inviável quando se dedica à Pós-graduação e, quando bolsista de demanda social, não pode exercer atividade remunerada fora da instituição. Essas disparidades que atravessam o acesso do professor de Química ao mercado de trabalho, por vezes, é causa para a desmotivação e o mal-estar do docente, bem como de uma docência deficitária, que leva mais em conta o número de produções acadêmicas e suas classificações, em detrimento de um trabalho pedagógico que reverbere positivamente tanto na vida do estudante, quanto da vida do professor. Fato que, torna o desenvolvimento desse trabalho um importante fazer para pensar e tensionar a docência em Química no presente.
Penindakan Propam (Profesi dan Pengamanan) Terhadap Anggota Polisi Lalu Lintas Yang Melampai Kewenangannya Dalam Menjalankan Tugas (Studi di Kepolisian Resort Kota Besar Medan)
Authors: Nizam Khairul
Published: February 2021

Members of the traffic police must be firm in taking action against traffic violations, but must not deviate from the duties they carry.The deviation of behavior of the members of the Police of the Republic of Indonesia above is a violation of the discipline rules of the members of the Police of the Republic of Indonesia as regulated in Government Regulation of the Republic of Indonesia Number 2 of 2003 concerning Discipline Regulations of the members of the Police of the Republic of Indonesia.The formulation of the problem in this thesis research is what are the factors causing the abuse of authority carried out by the traffic police at Medan City Police Resort, how is the action taken by Propam(Profession and Security) against traffic police that exceeds their authority in carrying out their duties at Medan City Police Resort, and how to deal with against traffic police who exceeded their authority in carrying out their duties at Medan City Police Resort.The research method used is descriptive analysis that leads to empirical juridical legal research that is research conducted by examining primary data by obtaining them directly from sources or interviews and secondary data by processing data from primary legal materials, secondary legal materials and tertiary legal materials.The result showed that the factors causing the abuse of authority by the traffic police in Medan City Police Resort were economic factors, namely the lack of income earned by a police officer that was not comparable with the high cost of leaving. The action taken byPropam(Profession andSecurity) against traffic police who exceeded their authority in carrying out their duties in Medan City Police Resort was to impose sanctions for disciplinary violations against members of the Indonesian Police. The handling of traffic that exceeds their authority in carrying out their duties in Medan City Police Resort, among others, by holding a discussion of cases so that a commitment is made to the decision to be taken as a member of the traffic police with restrictions so as not to occur abuse of authority, carried out for justice and the public interest. Key-Words: Repression, Profession and Security (Propam), Beyond Authority.
Tinjauan Yuridis Penerapan Sanksi Pidana Penjara Dan Pelatihan Kerja Terhadap Anak Pelaku Tindak Pidana Pencabulan (Studi Putusan Nomor: 78/PID.SUS-ANAK/2019/PN. LBP)”.
Authors: Syarifuddin Syarifuddin
Published: February 2021

The purpose of the juvenile criminal justice system is basically to protect the dignity of children, especially the protection of the law in the justice system. Therefore, the juvenile justice system is not only emphasized on imposing sanctions on imprisonment alone, but also on children's responsibilities. The research is descriptive in nature because it only explains about legal arrangements, the application of criminal sanctions, as well as the legal considerations of judges in deciding cases of perpetrators of sexual abuse in the Decision of the Lubuk Pakam Court Number: 78 / Pid.Sus-children / 2019 / PN-Lbp).The application of sanctions which is found in legal arrangements contained in Article 71 to Article 83 of the SPPA Law is imprisonment for 3 (three) years 6 (six) months and job training for 2 (two) months. Judge's legal considerations are based on the age of the child and the potential of the child as the next generation who have knowledge and skills, so it is necessary to be equipped with certain knowledge or skills or expertise in the hope that the child returns to the community based on the judge’s believe. The sustained socialization against law enforcement officers and the public need to do, thereby it can optimize joint commitment in handling children dealing with the law.Keywords: Application of Sanctions, Imprisonment and Training, Child Perpetrators, Sexual Abuse.
Parameter Menentukan Perbuatan Wanprestasi Dan Penipuan Dari Suatu Perjanjian
Authors: Azhari Ar Azhari Ar
Published: February 2021

Agreement is made legally binding for the makers and the parties are obliged to fulfill it. In the practice of daily life, it is not uncommon for contract actors who do not carry out their obligations; they are being prosecuted by creditors through criminal law by referring to article 378 of the Criminal Code so that there seems to be a similarity between the default legal figure and fraud in an agreement, whereas in the regulation both of these are governed by different laws. Default is regulated in the Civil Code while fraud is regulated in the Criminal Code. The problem in this paper is what is the parameter or measure to determine the legal acts of default and criminal act of fraud.Distinguishing parameter between default and fraud is on the default which is seen from the objective and subjective factors of good faith, while the criminal act of fraud is motivated by evil intentions (mens rea) to have an object (items) belonging to someone else with the parameters of subjective and objective elements. In the future, law practitioners and academics should be able to separate explicitly to settle dispute agreements that contain defaults and criminal act of fraud.