bluuebunny/crossref_metadata_2025 huggingface dataset:
POSITIVE RESPONSE TO ANTI-HER THERAPY FOR METASTATIC MALIGNANT BREAST CANCER: CASE REPORT
Authors: Perillo Pedro Henrique de Ávila , Souza Pedro Vinicyus Novais e , Bunholli Anelize Maria , Azevedo Fernando Santos de , Santana Lanúscia Morais de , Sousa Lara Letícia Gaspar , Faria Julia Roberta Rodrigues de
Published: February 2022

Introduction: Progression-free survival in patients with HER2-positive breast cancer was significantly improved after administering dual block (DB) associated with docetaxel when compared with trastuzumab and docetaxel. This case report is about a patient with malignant breast cancer — HER2 positive — and metastatic lung and liver disease. Objective: The aim of this study is to report the positive response to the oncologic treatment. Case Report: A 43-year-old woman was diagnosed in 2011 with malignant breast cancer in early stage, i.e., cT1N0M0, with acute liver lesion not detected by tomography. She underwent upfront surgery, adjuvant chemotherapy with AC-TH schedule plus 1 year of Herceptin, and adjuvant radiotherapy. The tumor was developed again in 2015 through physical examinations, revealing metastatic lung and liver disease. She underwent first-line chemotherapy with docetaxel, Herceptin, and pertuzumab with DB maintenance. After additional physical examination, she presented an excellent response to treatment, remaining on maintenance with DB since October 2015 with an exceptional response to oncologic therapy. Discussion: It was observed an excellent response to treatment. Despite the poor prognosis, the patient presented a complete clinical improvement, and the treatment ensured much longer than average survival and an outstanding quality of life. Conclusion: Using docetaxel, Herceptin, and pertuzumab in patients with breast cancer, HER2 positivity improved the median overall survival of the patient; this confirms, albeit as an isolated case, the data from the Cleopatra study.
RELATIONSHIP BETWEEN ANALOGIC VISUAL SCALE FOR FEAR OF MOVEMENT AND TAMPA SCALE OF KINESIOPHOBIA APPLIED IN PATIENTS AND BREAST CANCER SURVIVORS
Authors: Marques Vitor , Santos Wanderson , Silva Naiany , Schincaglia Raquel , Vieira Carlos
Published: February 2022

Purpose: The aim of this study is to verify if there is a relationship between the Analogic Visual Scale (AVS; 0–10) for fear of movement and the Tampa Scale of Kinesiophobia (TSK) in patient/survivors with breast cancer. Methodology: Twentyfour women with breast cancer (age: 52.29±8.28 years, range: 35–64 years) attended a single day of evaluation. The fear of movement was assessed by the two psychometric measurements as follows: (1) AVS, a metric rule printed with a scale ranging from 0 (“not afraid at all”) to 100 mm (“complete afraid”) for using the ipsilateral limb affected by the surgical and (2) TSK, the total score ranging from 17 to 68. TSK with higher scores represents the increasing of the kinesiophobia. The TSK was transformed to the same range scale as AVS, in which 17 is 0 and 68 is 100, for comparison. The relationship between AVS and TSK was investigated with a linear regression analysis. The variability between scales was tested using the coefficient of variation (CV). Results: We did not find a relationship between AVS and TSK (r=0.008, R² <0.0001, p=0.971). The CV was 56.52%±47.51%, with 95%CI ranging from 36.45 to 76.58. Conclusion: There is no relationship between AVS and TSK; hence, they should not be used interchangeably to measure the fear of movement. Therefore, general kinesiophobia may not represent the specific kinesiophobia in women with breast cancer.
EXPERIENCE REPORT OF PSYCHOSOCIAL CARE TO A PATIENT WITH BREAST CANCER
Authors: Peixoto Yêda Maria Silva , Veloso Márcia de Faria , Freitas-Júnior Ruffo
Published: February 2022

Introduction: This study presents the experience of psychological care to women with breast cancer, attended at the Advanced Breast Diagnosis Center (CORA), Hospital das Clínicas – UFG, under supervision. Objective: The aim of this study is to describe the phases of greatest psychosocial impact in the treatment of patients and family members. Methodology: The service to EAS was started in November 2017 after, 43 years old, divorced, and provider of three minor children, receiving the diagnosis of phylloid tumor, intense anguish, fear of death, emotional lability, conflicts family and socioeconomic status, presenting a distorted perception of identity. She was mastectomized and underwent chemotherapy and a new surgery in 2018, after a recurrence of sarcoma in the sternum bone, at which point she went into palliative care. Psychological, digital, and social-technical resources were used until her death in May 2020. Results: An improvement was observed in the coping strategy, resolution of family conflicts, recovery of affective bonds and their identity, with the distribution of tasks of the children, and improvement of the family dialogue, including the desire to grant the guardianship of the children to her brother. Discussion: It is necessary to have a systemic look at the patient who arrives at the public hospital. Considerations: This experience was enriching due to the relevance of the role of psychology and its interventions with the multidisciplinary team, promoting a significant improvement in the psychological well-being and quality of life of the patient who arrives with real and imagined suffering aggravated by the disease and treatment.
MANAGEMENT OF THE AXILLA IN PATIENTS WITH BREAST CANCER AND ONE OUT OF ONE POSITIVE SENTINEL LYMPH NODE. CAN WE OMIT AXILLARY LYMPH NODE CLEARANCE?
Authors: Irakleidis Foivos , Tondare Ashutosh , Hamed Hisham , Kothari Ashutosh
Published: February 2022

Background: Over the past three decades, the treatment of the axilla in breast cancer management continues to change. Current treatment strategies aim to achieve regional nodal control associated with reduced incidence of lymphedema and other long-term complications. In this study, we analyzed our tertiary center’s database of patients who had a single retrieved sentinel node (SN) that was positive for macrometastatic disease. We focused on AMAROS trial outcomes and the future view of treating this cohort of patients with axillary radiotherapy (RT) instead of axillary node clearance (ANC). Methods: Both the literature review and the 5-year retrospective analysis of our database were performed, focusing on the management of the axilla in patients with breast cancer with one-in-one positive SN. Results: A total of 24 patients who had surgery as primary treatment had one-in-one positive SN. All patients had the clinical and radiological assessment of their axilla prior to their sentinel lymph node biopsy (SNB). In all, 92% of these patients had a complete ANC, 50% of them had zero additional positive nodes, 21% had only one additional positive node, and a further 21% had more than one additional positive node. One patient was planned for ANC but died from chemotherapy-related complications and one more patient had alternative axillary RT instead of ANC. Of note, 80% of patients who had three or more positive axillary lymph nodes following ANC had indeed evidence of advanced locoregional disease and thus would not be eligible for alternative axillary RT, as compared with one patient who had a multifocal disease, could have axillary RT but had a heavy axillary burden on ANC. Finally, 71% of patients could have been offered alternative axillary RT but had ANC instead. Fourteen patients from this group had chest wall and supraclavicular fossa RT after their initial surgery, and thus, the addition of axillary RT instead of ANC could have been offered. Conclusion: In patients with early breast cancer and clinically node-negative axilla, disease burden in non-SN is limited and ANC may entail overtreatment. In view of low recurrence and complication rates seen in the AMAROS trial, axillary irradiation appears to be a valid and safe alternative when compared with ANC in patients with one-in-one positive SN.
SUCCESSFUL THERAPY OF METASTATIC BREAST CANCER WITH LIFE-THREATENING BONE MARROW FAILURE DURING THE COVID-19 PANDEMIC: REFLECTIONS ON A CASE REPORT
Authors: Illarramendi Jorge , Breeze Richard , Outeiro Montserrat , Mugica Idoia , Salgado Esteban , Illarramendi Jose Juan
Published: February 2022

Introduction: Delayed diagnoses and treatments of breast cancer (BC) have been described as a consequence of the COVID19 crisis. Some cases may even progress to a situation of functional derangements or so-called visceral crises before the start of the treatment. We described a case of BC with life-threatening pancytopenia who needed urgent therapy during the peak of the first wave of the COVID-19 pandemic. Case Report: A 52-year-old lady was diagnosed with Her2/neupositive BC with bone metastases in March 2020. During the waiting time for a positron emission tomography scan, she attended the emergency room in a very bad condition, with extreme asthenia, disorientation, and dyspnea. Altered blood analyses include severe anemia (hemoglobin 6 g/dL) and thrombocytopenia (4,000 platelets/μL) with a leukoerythroblastic reaction. Bone marrow biopsy confirmed invasion by BC. Polymerase chain reaction for SARS-CoV-2 was negative. Our hospital was collapsed at that time, with more than two-thirds of beds occupied by COVID-19 patients. On Easter Saturday (April 11), we started urgent chemotherapy with weekly reduced doses of paclitaxel (30 mg/m2 ) combined with trastuzumab (TTZ). Multiple transfusions of red cells and platelets were also needed. Standard doses were implemented after an initial improvement, and pertuzumab (PTZ) was also added in combination with TTZ. After 5 months, a complete response (CR) was documented by imaging and normalization of tumor markers. Therapy has been continued with PTZ + TTZ every 3 weeks. In March 2021, she maintains a status of CR and enjoys a normal active life. Conclusions: Situations of hospital crises like COVID-19 require individualized and adjusted protocols and schedules to deal with abnormal situations not fulfilling classical criteria used in clinical trials. Chemotherapy and target therapy may be successful in some of these patients. The use of available supportive care measures is also the main factor for optimal results.
BENEFITS OF BREAST RECONSTRUCTION ON THE QUALITY OF LIFE OF WOMEN WITH BREAST CANCER
Authors: Assunção Silvaleide Ataides , Rahal Rosemar Macedo Sousa
Published: February 2022

Objectives: Mastectomy is the most effective form of treatment in cases of breast cancer, promoting biopsychosocial consequences to patients. Thus, the objective is to integrate and analyze data from studies carried out, highlighting the positive impact of breast reconstruction based on the available medical literature, contributing to a better understanding of the importance of such a procedure to improve the quality of the services provided. Methodology: This is a descriptive research based on a review of the medical literature available through a survey of publications from the past 12 years in the PubMed, Lilacs, and MedLine databases. The following descriptors were used: “reconstruction” AND “mammary” AND “benefits”. Results: It was noted that women who underwent breast reconstruction had a high level of satisfaction with the quality of life in the psychological and social relations domains. Most of them have a medium to a very high degree of satisfaction, suggesting that the postoperative functional adaptation was not negatively affected by the additional anatomical changes imposed by breast reconstruction. There are also benefits in the sexual life of these patients, who find a degree of satisfaction between good and excellent. In the literature, there are reports of better social interaction, job satisfaction, higher levels of satisfaction, and lower incidence of depression among women who underwent immediate reconstruction after 1 year of surgery. However, such benefits do not seem to be universally found when women undergoing immediate reconstruction are compared with those treated conservatively, with quadrantectomies or lumpectomies. Conclusion: Breast reconstruction, in addition to being a right under Law 12.802, is a procedure that reduces the sensation of mutilation and alleviates the absence of the breast. Therefore, when indicated procedures, such as prostheses, tissue expansion or flaps, after mastectomy, reinforce the woman’s self-esteem because the breast is understood in society as a fundamental characteristic for femininity.
METAPLASTIC BREAST CARCINOMA: CASE SERIES
Authors: Oliveira Fergus Tomás Rocha de , Costa Rafael Everton Assunção Ribeiro da , Siqueira Eduarda Norberto , Araújo Ana Lúcia Nascimento , Vieira Sabas Carlos
Published: February 2022

Introduction: Metaplastic breast carcinoma (MBC) is understood as a heterogeneous group of malignant tumors, which exhibits the transformation of part or its entire glandular carcinomatous component into a nonglandular component by means of epithelial and mixed mesenchymal differentiation. The MBC is a rare and aggressive breast cancer, accounting for approximately 1% of all breast tumors that have a worse prognosis. The aim of this study was to describe four cases of MBC, analyzing the progression of patients in a mean follow-up of 25 months (11–43 months). Case series: All patients were female. The mean age of the four cases of the series was 50 years (40–61 years). All patients had tumors that were histologically classified as metaplastic carcinoma. The mean tumor size of the series was 8.3 cm (2.2–15.5 cm). Two patients had the angiolymphatic invasion, and none had the perineural invasion. In three cases, there was an axillary node involvement. None of the cases had metastasis at the time of diagnosis. All patients underwent surgical treatment. Concerning complementary treatment, all patients underwent chemotherapy, three underwent radiation therapy, and two received hormone therapy. Three patients had systemic recurrence with metastases (i.e., all progressed to death). The study was approved by a Research Ethics Committee, under CAAE Nº 30154720.0.0000.5209. Conclusion: With a mean follow-up of 25 months (11–43 months), three out of four cases (75%) presented systemic recurrence with metastases (i.e., all culminating in death), and one patient is alive without evidence of malignancy.
ESCOLARIZAÇÃO DA PESSOA COM DEFICIÊNCIA: TRAJETÓRIA E PERSPECTIVAS
Authors: Silva Danubia Souza Marques da , COSTA CHRISTINE SERTÃ
Published: February 2022

ESCOLARIZAÇÃO DA PESSOA COM DEFICIÊNCIA: TRAJETÓRIA E PERSPECTIVAS

Danubia Souza Marques da Silva
Professora de Ensino Fundamental da SME do Rio de Janeiro
minimizarbarreiras@gmail.com

Christine Se
Exploring the Importance of Career Counseling at Grade-12 Level at a Public Sector School in Sindh, Pakistan
Authors: Shah Sayeda Sapna , Pireh Mahar  , Syeda Sumbul Shah  , Surhan Rafique  , Shahar Bano
Published: February 2022

The focus of this study is to get an in-depth understanding of the importance and need for Career Counseling at the Grade 12 level because career counseling at this level helps students in selecting the appropriate study program in line with their future career choice. The study was guided by 5 research questions including; what are the perspectives of grade 12 students about career counseling? To what extent career counseling is provided to grade 12 students at school? What are the benefits of career counseling for grade 12 students? What are the issues related to career counseling for grade 12 students? And how do the issues related to career counseling for grade 12 students be resolved? Purposefully selected research participants of this study were 6 students who were studying at grade 12 level at a semi-public sector school of Sukkur city. A qualitative case study approach has been used, with a semi-structured interview guide for collecting data. Data were analyzed by an open coding strategy and is reported thematically. It is anticipated that this study will help students, teachers, parents, educational institutes, and policymakers to a greater extent. Career counseling is becoming people-oriented and so with the findings of this study, policymakers can make new policies and implement them in the system. Future research can be conducted in different public and private sector schools of Sindh. Research participants from different education systems will provide a deeper analysis of different views and perspectives of students in different settings.
Respiratory pathologies in small ruminants and factors contributing to their outbreak
Authors: Bidjeh Kebkiba  , Ban-Bo Bebanto Antipas
Published: February 2022

Pneumopathy embraces all diseases relating to the lungs. However, this name is more often used to refer to a lung infection. There are several types of lung disease: infectious, interstitial, inhalation and hypersensitivity. It should be noted that pneumopathies of infectious origin are the most frequent. Indeed, a pneumopathy designates an inflammation of the lungs and more generally the respiratory system. It can be of various origins, viral for example, but most of the time, it is bacteria (pasteurella, streptococcus, pneumococcus, mycoplasma, etc.) that are involved. Globally, pneumonia remains the dominant pathology in small ruminants in sub-Saharan Africa. They generally evolve during the dry- cold and rainy season causing many mortalities. Although small ruminants contribute a lot to the national economy in African countries, their development is hampered by various infectious factors such as peste des petits ruminants, pasteurellosis, mycoplasma, etc. Apart from these factors there are also the non-infectious factors, namely climate change, stress, the farming method and the production system. In fact, small ruminants could contribute more to the well-being of pastoralists if they do not pay a heavy price for pathologies. The presence of respiratory pathology, where infectious agents are strongly involved, is reported all over Africa, but very little quantified assessment is made about its prevalence and even less about its economic impact. The objective of this manuscript is to summarize from bibliographic references the different respiratory pathologies of small ruminants, the factors contributing to their appearance, the different pathogens involved, their diagnosis, treatment and prophylaxis.
Design of automated database system for storage and management of reports on mycotoxins contaminated agricultural products in Sub-Saharan Africa
Authors: Eunice C Chibudike  , Henry O Chibudike  , Nwaebuni E Odega  , Emeka E Njokanma  , Olubamike A Adeyoju  , Constance O Ngige
Published: February 2022

This paper discusses the idea and the design of an automated system for storage and management of mycotoxins reports for decision making. Mycotoxins are poisonous chemical compounds produced by certain fungi. Mycotoxins are fungal secondary metabolites that contaminate various feedstuffs and agricultural crops. The contamination of food by mycotoxins can occur before production, during storage, processing, transportation or marketing of the food products. High temperature, moisture content and water activity are among the factors that facilitate the production of mycotoxins in food. The five major mycotoxins produced in food and feedstuffs are Aflatoxins, ochratoxins, fumonisins, deoxynivalenol and zearalenone. In Africa, mycotoxin contamination is considered to be a major problem with implications that causes human and animal health hazards and poor economy. Aflatoxin-related hepatic diseases are reported in many African countries. Ochratoxin and fumonisin toxicity in humans and animals is widespread in Africa. The available and updated information on the incidence of mycotoxin is not collectively vivid for policy making. A complete automated system allows to monitor the statistical report of mycotoxins stored in agricultural products. This study involves analytical Service conducted on Mycotoxins such as Mold Culture and Identification and Chemical Analysis which involves microbiological Culturing; Microscopic or biochemical identification, enzyme linked Immunosorbent (ELISA), tin layer Chromatography (TLC), high Performance Liquid Chromatography (HPLC), and gas Chromatography /Mass Spectroscopy. The design and development of Mycotoxins Automated Database System (MADAS) makes provision for easy access and acknowledgment of mycotoxins in different grains, fruits, vegetables and foods in Sub-Saharan Africa. It also enhances robust data collection, management, and analysis, a secure and protected data environment, error reduction and data storage to facilitate regulatory compliance, improved maintainability, standardization, control, predictability, and traceability of data and lower costs due to automation of labor intensive tasks and elimination of redundant work.
ANALISIS KEPUASAN MAHASISWA TERHADAP PELAYANAN DI PERPUSTAKAAN UNIVERSITAS MUHAMMADIYAH GRESIK DENGAN METODE SERVQUAL TERINTEGRASI DENGAN IMPROVEMENT GAP ANALYSIS (IGA)
Authors: Fanani Ardian
Published: February 2022

Perguruan tinggi adalah kelanjutan pendidikan yang dilakukan untuk mempersiapkan mahasiswa menjadi anggota masyarakat yang mempunyai kemampuan akademis dan professional. Perguruan tinggi mempunyai peranan yang sangat penting dalam peningkatan sumberdaya manusia. Salah satu aspek penting dalam sebuah perpustakaan adalah pelayanan. Pelayanan yang diberikan pustakawan adalah citra dari sebuah perpustakaan. Penelitian ini bertujuan untuk mengetahui kualitas pelayanan Perpustakaan Universitas Muhammadiyah Gresik, dilakukan untuk mengetahui atribut yang perlu perbaikan di perpustakaan Universitas Muhammadiyah Gresik. Metode Service Quality (SERVQUAL). Untuk menutupi kekurangan SERVQUAL peneliti menggunakan alat lainnya yaitu yaitu Improvement gap analysis (IGA). Berdasarkan hasil perhitungan SERVQUAL score yang didapatkan dalam mengukur kualitas pelayanan perpustakaan Universitas Muhammadiyah Gresik, didapatkan bahwa semua atribut yang digunakan dalam penelitian ini memiliki nilai SERVQUAL score negative yang berarti bahwa performa pelayanan perpustakaan Universitas Muhammadiyah Gresik belum sesuai dengan harapan mahasiwa. Sehingga kualitas pelayanan perpustakaan Universitas Muhammadiyah Gresik saat ini perlu dilakukan perbaikan. Atribut yang perlu untuk dilakukan perbaikan, berdasarkan metode IGA yaitu atribut yang terletak pada kuadran I. terdapat 4 atribut yang masuk dalam kuadran I, Usulan yang perlu untuk dilakukan perbaikan , terdapat 4 usulan, yaitu pihak perpustakaan Universitas Muhammadiyah Gresik menambah lagi koleksi buku-buku, penerapan 3s  (senyum, sapa, salam) lebih di tekankan lagi terutama sektor pelayanan dan juga petugas perpustakaan Universitas Muhammadiyah Gresik seharusnya mempunyai tata cara pelayanan agar saat penerapan pelayanan ke mahasiswa terus meningkat.

Kata kunci : Atribut, Improvement gap analysis (IGA), Kuadran Service Quality (SERVQUAL)
ANALISIS KUALITAS PELAYANAN DI DISPENDUK CAPIL GRESIK DENGAN MENGGUNAKAN METODE SERVICE QUALITY (SERVQUAL) DAN IMPROVEMENT GAP ANALYSIS (IGA)
Authors: Setiawan Aris , Leksono Eko Budi
Published: February 2022

Semakin banyak masyarakat yang menggunakan pelayanan Dispenduk Capil Gresik, maka pelayanan Dispenduk Capil Gresik harus berkualitas dikarenakan kegiatan pelayanan merupakan ujung tombak dari kegiatan yang dilaksanakan dalam sebuah pusat pelayanan publik. Penelitian ini dilakukan dengan tujuan untuk mengetahui kualitas pelayanan dan memberikan saran prioritas perbaikan di Dinas Kependudukan dan Pencatatan Sipil Kabupaten Gresik. Dalam penelitian ini kualitas pelayanan diukur dengan menggunakan metode Service Quality (Servqual) dan metode Improvement Gap Analysis (IGA). Berdasarkan pengolahan dan analisa data per kriteria dapat diketahui bahwa tingkat kualitas pelayanan Dinas Kependudukan dan Pencatatan Sipil Kabupaten Gresik secara keseluruhan memiliki nilai negatif. Sehingga masyarakat belum puas terhadap pelayanan jasa yang diberikan
6 Chronology
Ecclesiastical Chronotaxes
Authors: Acciarino Damiano
Published: February 2022

1 Introduction. – 2 Lists of Popes and Bishops. – 3 Conclusions. – Appendix.
Методичний підхід формування комплексу заходів впровадження новітніх технологій для розроблення перспективних зразків (комплексів, систем) озброєння та військової техніки Збройних Сил України
Authors: Залужний В.Ф. , Шаптала С.О. , Коваль В.В.
Published: February 2022

У статті розкрито методичний підхід до визначення проблем впровадження новітніх технологій в Збройних Силах України, запропоновано послідовність формування комплексу заходів щодо усунення причин їх виникнення та впровадження новітніх технологій під час розроблення перспективних зразків (комплексів, систем) озброєння та військової техніки (ОВТ).
Модель системи воєнно-наукової інформації Збройних Сил України
Authors: Щербінін С.О. , Беспалько О.В. , Гарячий М.В. , Михальчук Ю.Р.
Published: February 2022

У роботі розглядаються питання інформаційного забезпечення наукової і науково-технічної діяльності НАТО, збройних сил США та Збройних Сил України. Наведений аналіз структури інформаційного забезпечення наукової і науково-технічної діяльності НАТО та збройних сил США. За результатами наведеного аналізу визначено недоцільність прямого копіювання системи воєнно-наукової інформації в систему воєнно-наукової інформації Збройних Сил України. На основі аналізу керівних документів та з метою уніфікації поняття, що застосовуються в НАТО, збройних силах США та Україні для інформації, направленої на забезпечення наукових досліджень в Збройних Силах України, запропоновано використовувати поняття “воєнно-наукова інформація”. Запропонована в роботі модель системи воєнно-наукової інформації дає можливість розділити вертикаль інформаційного забезпечення наукової і науково-технічної діяльності на структурні одиниці за функціональним характером, визначити ієрархію між основними елементами системи воєнно-наукової інформації, розмежувати сфери відповідальності органів військового управління, встановити напрямки взаємозв’язків між основними елементами системи воєнно-наукової інформації та в подальшому дослідити ефективність її функціонування.
THERMAL TOURISM AS A DRIVER OF LOCAL DEVELOPMENT, AN ILLUSTRATION OF OPPORTUNITIES AND CONSTRAINTS. CASE STUDY OF HAMMAM-GUERGOUR IN THE PROV
Authors:   University Ferhat Abbes, Institute of Architecture and Earth Sciences, Geography Department, Setif 1, Algeria, FERTAS Lahcene , ALOUAT Mohamed ,   Laboratory of History, Civilization and Applied Geography, Ecole Normale supérieure de Bouzereah, Algeria, BENMAHAMED Hamid ,   University Ferhat Abbes, Institute of Architecture and Earth Sciences, Geography Department, Setif 1, Algeria
Published: February 2022

Algeria is the largest country in the Mediterranean Basin, but it have classified at the bottom of the ranking in terms of tourism’s share of GDP. It is a pristine tourist destination that has unfortunately not been sufficiently exploited, This paper attempts to analyse and understand the dilemma between an incompatible natural potential and the persistence of the proven delay of touristic development by the case study of a mountain municipality of Hammam Guergour. Which is well known for its mineral springs, and which in turn has contributed to the activity of thermal tourism. We used the (SWOT) method which allows internal and external analyses of Thermal tourism. SWOT analysis is used to exploit the opportunities for development in the region, and then how development actors can outperform. The aim is to determine how force factors are used to take advantage of opportunities for development in the region, and then how development actors can overcome weaknesses and then push back threats. We noted striking disparities between the more or less structured spaces in the high plains of the Sétif region, such as the Sétif – El Eulma axis; and a deconstructed mountain space, because the implementation of activities and equipment’s does not respond to the existing constraints of Hammam Guergour.
COPING MECHANISM IN THE FACE OF LANDSLIDE HAZARD IN EAST JAVA INDONESIA
Authors:   Universitas Negeri Malang, Faculty of Social Science, Geography Department, Indonesia, BACHRI Syamsul , SUMARMI Sumarmi ,   Universitas Negeri Malang, Faculty of Social Science, Geography Department, Indonesia, IRAWAN Listyo Yudha ,   Universitas Negeri Malang, Faculty of Social Science, Geography Department, Indonesia, ALDIANTO Yulius Eka ,   Universitas Negeri Malang, Faculty of Social Science, Geography Department, Indonesia, UTOMO Kresno Sastro Bangun ,   Universitas Negeri Malang, Faculty of Social Science, Geography Department, Indonesia, WARDHANI Aqilah Kusuma ,   Universitas Negeri Malang, Faculty of Social Science, Geography Department, Indonesia
Published: February 2022

Increasing the number of landslide disasters and their effecting population in Indonesia is crucial to concern and need a solution. A coping mechanism is the strategies of people exposed to disasters and a key to anticipate and prepare and reduce landslide disaster risk. During twenty years, Malang Regency in East Java Province was hit by several landslide disasters, which radically affected both the physical and social environment. This paper aims to investigate coping strategies by communities facing landslide disaster. The methodology used in this research was divided into three sections: (1) pre-field; (2) fieldwork; and (3) post-field. The survey was initially conducted by mapping physical condition and interview with the key of informants. The research result was analyzed utilizing recorded-transcribed interviews and interpreted according to recurrent themes in the answers. Generally, people have performed different strategies to cope with landslide disasters within the study area. The coping mechanisms have been well developing into two categories, such as individual and structural coping mechanisms. This case study indicates that a coping strategy should be taken to reduce landslide disaster risks, such as fostering agriculture protection, properties-housing protection, and reinforcing risk governance to improve landslide disaster management and programs fostering adaptation and resilience.
Cartografías de movilidad. ATLAS ENcuesta MOvilidad DOmiciliaria (ENMODO) del AMBA, 2009-2010
Authors: Gutiérrez Andrea Inés , Pereyra Leda Paula Mariel
Published: February 2022

Las Encuestas de Movilidad Domiciliaria (ENMODO) son una fuente oficial de datos estadísticamente representativos de la movilidad cotidiana de aglomerados urbanos, a escala macro y por todos los motivos y modos de transporte. Resultan clave tanto para políticas públicas como para investigaciones académicas, para elaborar diagnósticos, observar tendencias, definir líneas de base o contextualizar información proveniente de otras fuentes. Siendo la movilidad parte indisoluble de lo territorial, el análisis espacial es una metodología clave del estudio territorial (Gutiérrez, 2020). Sin embargo, el análisis espacial de las ENMODO es débil, y en particular la cartografía que acompaña la publicación de sus resultados.

El objetivo del trabajo es aportar a la producción de cartografía temática y analítica sobre movilidad cotidiana, basada en la utilización de los datos cuantitativos ofrecidos por las ENMODO. En lo metodológico, se trabaja con el caso de la ENMODO 2009-2010 realizada en el Área Metropolitana de Buenos Aires, recuperando aprendizajes y desarrollos vinculados con la elaboración de un Atlas. Como aporte empírico se presenta la tipología y los criterios de selección de las cartografías de movilidad resultantes. El principal hallazgo versa acerca de la factibilidad de una mayor explotación cartográfica de las ENMODO como medio para generar información nueva, útil para la gestión del territorio, y accesible a un público amplio.
Crisis in the Russian-Serbian relations in the late 1830s
Authors:   Institute of Russian History, Russian Academy of Sciences, Kudriatseva Elena P.
Published: February 2022

Creation of an autonomous Serbian state became possible thanks to the consistency of the Russian government in advocating for the relentless implementation of the articles of bilateral Russian-Turkish agreements by the Ottoman Porte. These were the articles of the Treaty of Bucharest (1812), the Akkerman Convention (1826) and the Treaty of Adrianople (1829). All these documents implied granting Serbia autonomy within the Ottoman Empire. These were the demands put forward by the Russian envoys in Constantinople, i.e. G.A. Stroganov, A.I. Ribopierre. Later, they were supported by A.P. Butenev, during his work in the Ottoman capital the Turkish government issued hatt-i sharifs in favour of the Serbian people. It would seem that the Russian envoys and government could expect gratitude from the Serbian leaders. However, after Serbia received autonomous rights, Prince Miloš Obrenović I of Serbia chose a different path for his country. The interference of the European powers in the internal affairs of the Serbian principality, their promises made to Miloš, who strived to remain the sovereign ruler f Serbia ― all these led to the fact that the Prince did not welcome the very presence of Russian diplomatic representatives in Serbia. The crisis in Russian-Serbian relations was closely related to the re-focusing of his policy towards Great Britain, which was facilitated by the activities of the British consul in Belgrade, J. Hodges. Russian-Serbian relations were dramatically undermined during the final years of Miloš Obrenović’s reign and led to further decline in the early 1840s.
Travel essays about Bulgaria by P. A. Kulakovsky
Authors:   Institute of Slavic Studies, Russian Academy of Sciences, Gusev Nikita S.
Published: February 2022

The author considers the articles by P. A. Kulakovsky, which he wrote based on the data collected in the course of his trip to Bulgaria in 1899. The main objects of his attention were the development of Sofia and the country as a whole over the past 20 years, political system of Bulgaria, its culture, and attitude to the Macedonian issue. A comparison of Kulakovsky's notes with other Russian sources of the same period confirms correctness of his observations and conclusions.
Ministry of Foreign Affairs of the Russian Empire and the treaty between Greece and Serbia during World War I (a review of the diplomatic documents collections)
Authors: Sokolovskaya Olga V.
Published: February 2022

The article, based on several sets of diplomatic documents dedicated to the activities of the Russian Foreign Ministry during the First World War, reveals the position of the Russian top leadership in relation to the Balkan states, especially Serbia and Greece, which were bound by the Greek-Serbian Union Treaty. We also consider the struggle of two political groups ― Venizelists and Royalists ― on the issue of Greece's fulfilment of its allied obligations towards Serbia, which led to the split of the country into the Old and New Greece. Russia's policy towards the Thessaloniki Front is also presented.
Balkan policy of the Soviet Union at the end of Perestroika (1990–1991)
Authors:   Institute of Slavic Studies, Russian Academy of Sciences, Guskova Elena Yu.
Published: February 2022

The article examines the period of 1990–1991, when the fate of the socialist federations ― the USSR and Yugoslavia ― was on the scales of history. Trying to preserve the integrity of the country, the leadership of the SFRY had high hopes for the USSR. The Yugoslav direction of the Balkan foreign policy in difficult domestic political conditions was not a priority, it remained in the zone of attention by inertia. Moscow's position was unequivocal ― the Soviet leadership had no doubts about the integrity of Yugoslavia. But the republics of Yugoslavia sought support from Moscow for their independence aspirations, although the USSR Foreign Ministry declared that it took a neutral position in the conflict on the territory of the SFRY. By the autumn of 1991, new trends in the USSR's position had already become more pronounced ― agreement with the internationalisation of the conflict, and support for Western initiatives.
Coleophora galbulipennellaZeller, 1838 (Lepidoptera: Coleophoridae): observations on the larval stage in September 2021 found at Dover, Kent, England
Authors: Heckford R. J. , Beavan S. D.
Published: February 2022

Descriptions are given of the larval case and feeding method of Coleophora galbulipennella Zeller, 1838, found at Dover, Kent, England, on Silene nutans L. in September 2021. Accounts of the larval feeding in the autumn given in British and mainland European literature
differ and are considered.
A Framework of Contingencies Factors, Government Support and Management Accounting Practices in Malaysian Small and Medium-Sized Enterprises
Authors: Nik Abdullah Nik Herda , Mirza Nur Maisara Arif , Krishnan Shamala , Mohd Zakaria Azliza Azrah , Morris Grace
Published: February 2022

Small and medium-sized enterprises (SMEs) are critical in developing countries, as they create significant job opportunities and contribute to global economic development. Numerous Malaysian SMEs are struggling to survive in the aftermath of the COVID-19 outbreak. As a result, the adoption of management accounting practices (MAPs) plays an important role in supporting decision making, which aids in the sustainability of SMEs' economic growth and leads to long-term performance. However, there is limited research on MAPs being used in SMEs across various industries. This paper aims to propose a conceptual framework for the factors affecting MAPs in Malaysian SMEs from a contingency theory perspective. This paper employs a qualitative approach by reviewing all pertinent literature on the subject from various databases and relating it to the current environment, which attempts to bring the entire concept of MAPs into focus based on the findings of previous research and a proposed conceptual framework that can be used for future research. This research has contributed to the literature by providing a conceptual framework for MAPs from the perspective of contingency theory, with an addition on government support, which can improve industry competitiveness, business prosperity, and long-term performance. Based on the proposed framework, further empirical study is needed to examine whether the factors that contribute significantly to the adoption of MAPs in SMEs.
The Influence of Banking Risk on Efficiency: The Moderating Role of Inflation Rate
Authors: Ilmiani Amalia , Meliza Meliza
Published: February 2022

The increasing business activities of state-owned banks in Indonesia increases risks. This circumstance can impact the level of state-owned banks’ efficiency. Thus, this research analyses the influence of banking risks on the state-owned banks’ efficiency in Indonesia from 2016 to 2019. Moreover, inflation as one of the macroeconomic factors may also affect the relationship between banking risks and efficiency; hence, this research also examines the inflation role as a moderating variable of this relationship. The samples of this research are all state-owned banks in Indonesia. Ordinary Least Squares (OLS) regression analysis shows that liquidity risk and credit risk have positive and significant influences on efficiency. However, inflation as a moderating variable has no significant influence on efficiency. Inflation also fails to moderate the relationship between liquidity risk and efficiency of state-owned banks in Indonesia. Nevertheless, inflation successful moderates the relationship between credit risk and efficiency.
Assessment of Factors Affecting Willingness To Pay/Accept: A Study From Begnas Watershed, Nepal
Authors: Poudel Sanjay , Bhattarai Suman , Regmi Siddhartha , Gautam Deepak
Published: February 2022

This study prioritized five major ecosystem services from the watershed which included clean and silt less water, conservation and biodiversity, fresh environment, tourism, and beautiful landscape. Among these ecosystem services, the fresh environment was ranked first based on respondent’s importance. We conducted multiple focus group discussions, key informant surveys, a household survey, and performed statistical analysis to derive results. About 120 respondents were surveyed, out of which 60 were from upstream and 60 were from the downstream community. The majority of the respondents agreed to participate in the PES mechanism for the conservation of watersheds. The present study has estimated average WTP NRs 114.51/ropani/year/HH and WTA of NRs118.18/ropani/year/HH for conservation of watershed. The probit model was adopted to identify the factors affecting people to pay or accept for ecosystem services. Respondent’s socio-economic characteristics such as gender (female), household income, higher education level, and people involved in agriculture and tourism had a positive impact on willingness to pay in downstream community, while the variables occupation (agriculture and tourism) and property size only had a positive relationship with a willingness to accept in upstream community. Our findings showed the feasibility to initiate and implement the PES mechanism in this watershed and the result of this study could also be used to design a long-term wetland management plan in the future to preserve the wetland. Moreover, time and again studies on the monetary values for ecosystem services are also recommended to assess the varying behavior of the people with time and development.
ORGANIZATIONAL AND LEGAL PROPOSALS TO IMPROVE THE ACTIVITIES OF PORT OPERATORS
Authors:   Odessa National Maritime University, Balobanov Oleksandr , Palchenko Alla ,   Odessa National Maritime University
Published: February 2022

The legal status of port stevedoring operators in the seaports of Ukraine is regulated by the Code of Merchant Shipping, the Law of Ukraine «On Seaports оf Ukraine» and the Rules for the provision of sea services in the ports of Ukraine. Port activity is an integral part of the sphere of merchant shipping and its legal regulation is associated with activities that are part of the concept of merchant shipping. The world transport system, which includes ports, operates in conditions of intensified competition between national systems, between different modes of transport, namely between sea and land. Both containerized and non-containerized lines operate in multimodal mode today. Working as part of a multimodal scheme requires seaports −stevedores to be competitive, both in relation to the subjects of movement of goods, and to the ports included in other logistics chains. Stevedoring activities are part of economic activities. Itshould be considered as the activity of business entities, which is associated with the loading and unloading of ships, aimed at generating income, is regular, permanent, significant, that is, it coincides with the definition of entrepreneurial activity. Stevedoring activities include a production and technological component and an organizational and economic component. As a reality on the grounds of modernization in the development of the world port distribution system, the process of attracting private capital not only in the development of port infrastructure, but also in the actual stevedoring activities. State stevedores operate on the territory of each seaport. The port operator, the terminal operator provide services for freight operations with goods transported by water, rail, road and pipeline modes of transport, as well as other related work at the request of the client. That is, there are two definitions regarding the executor of cargo operations. These are the port operator and the terminal operator. In the seaports of Ukraine, the list of port operators, terminal operators in each seaport, as well as the list of services provided is determined in the register of seaports of Ukraine. Based on this rule, the executor of cargo operations can be only port operators, terminal operators, whose range is limited to the register.Keywords: merchant shipping, stevedoring company, port operator, seaport, terminal operator
An overview of the hospitals’ antimicrobial stewardship programs implemented to improve antibiotics’ utilization, cost and resistance patterns
Authors: Shirazi Ovais Ullah , Ab Rahman Norny Syafinaz , Zin Che Suraya
Published: February 2022

Introduction: The high reliance of the physicians and surgeons on the antibiotics since their discovery has led to an irrational antibiotic utilization which not only has raised the incidence of antimicrobial resistance (AMR) but also increased the cost of treatment with antibiotics as high use of antibiotics has been found related to the occurrence of certain nosocomial infections which need extra antibiotic courses to be cured. In order to overcome these antibiotic utilization related problems an antimicrobial stewardship (AMS) program being the set of various persuasive, restrictive and structural interventions is considered an effective tool to rationalize the in-patient antimicrobial utilization worldwide.
Method: The focus of this review is on the interventions that are being implemented during the in-patient AMS programs and have been described effective in controlling the antibiotic utilization, their cost of treatment and an overall infection control. The literature containing the information about various AMS interventions effecting the utilization and cost patterns along with the impact on AMR was searched in various databases such as PubMed, Google Scholar, Science Direct, Ovid (Medline) and Scopus. The categorical sorting of the published data is based on various AMS interventions such as the guideline development, formulary restriction (pre-authorization), educative interventions, clinical pathway development and prospective (post prescription) audit. Considering the objectives of the study such as the goal to curb overutilization of antibiotics, control of their cost of treatment for in-patients and infection control the sorted literature is presented in three different tables describing the AMS impact on the said outcomes.
Results: The post AMS changes in utilization patterns are described as fall of antibiotics defined daily doses (DDD) and days of therapy (DOT) which resulted in the reduction of the cost of treatment with antibiotics. The reduction of the cost of treatment with antibiotics also resulted due to the AMS impact on the control of various nosocomial and multi-drug resistant (MDR) infections.
Conclusion:  It has been concluded that the AMS program if implemented under the supervision of an expert AMS team mainly comprising of an infectious disease (ID) physician, clinical pharmacists and microbiologists with considerable support by the hospital authorities could be a highly efficient tool of the pharmacovigilance for rationalizing the in-patient antimicrobial practice.
Систематический обзор методов оценки влияния массового туризма на природно-территориальные комплексы Субарктики и Арктики
Authors: Локтев Р.И.
Published: February 2022

В статье впервые представлен систематический обзор иностранных практико-ориентированных научных трудов, описывающих методы изучения влияния туристской деятельности на природно-территориальные комплексы Субарктики и Арктики c общим анализом их эффективности для плани-рования туристско-рекреационного пространства. Результаты большинства прикладных исследований свидетельствуют о том, что субарктические и арктические природные комплексы менее толерантны и наиболее подвержены к негативному воздействию от массового туризма, медленно восстанавливаются. Например, наиболее устойчивые к фактору туризма и рекреации ерниково-моховые и травяно-моховые тундры, а лишайниковые, пушицево-осоковые тундры наиболее уязвимые. Степень устойчи-вости природных комплексов к туристско-рекреационным воздействиям определяется не величиной общего запаса надземной биомассы, а его структурой. На первоначальном этапе проектирования туристско-рекреационного пространства, в природной среде Арктики и Субарктики, в первую очередь, необходимо проводить исследования по оценке линейной и площадной рекреационной нагрузки, во избежание негативных последствий массового туризма.