bluuebunny/crossref_metadata_2025 huggingface dataset:
REAL-WORLD IMPLEMENTATION OF NORTH AMERICAN AND SIOP STRATEGIES FOR THE TREATMENT OF WILMS TUMOR IN URUGUAY
Authors: Vargas Diana , Chantada Luisa , Cuturi Bruno , Silveira Anaulina , Rodríguez Ángeles , Guerrero Luján , Díaz Lucia , Castiglioni Mariela , Morosini Fabiana , Pagés Carolina , Simón Elizabeth , Castillo Luis
Published: September 2022

We performed an audit from 1995 to 2020 of patients with Wilms tumor in
a referral center in Uruguay. Treatment included North American (NA)
strategies (n=23) up to 2004 followed by SIOP strategy (n=35) thereafter
(stage I-II=28, III=7, IV=14 and V=9). Delay in local radiotherapy was
noted (median of 21 days after surgery). There was no toxic or surgical
death or abandonment. Five-year pOS was 0.72 and 0.92 for the NA and
SIOP respectively. Results favored the SIOP strategy with no unexpected
toxicities and high treatment compliance in both strategies. Timely
implementation of radiotherapy was challenging.
Exact formula for the Fine Structure constant α in terms of the Golden Ratio φ
Authors: Pellis Stergios
Published: September 2022

We propose the exact formula for the fine-structure constant α
in terms of the golden angle,relativity factor and the fifth power of
the golden mean. Also we will present the continued fraction for the
fine-structure constant.
Jakość usług przewozowych w transporcie miejskim w Warszawie
Authors: Baran Joanna , Palica Kamil
Published: September 2022

W artykule scharakteryzowano system transportu miejskiego w Warszawie obejmujący komunikację autobusową oraz komunikację szynową (w tym linie tramwajowe, metro, szybką kolej miejską – SKM). W artykule zaprezentowano również wyniki badań ankietowych przeprowadzonych w 2015 roku wśród 210 użytkowników transportu miejskiego. Z przeprowadzonych badań wynika, że mieszkańcy Warszawy są zadowoleni z poziomu usług świadczonych przez pub-liczny transport zbiorowy. Cechy komunikacji miejskiej o kluczowym znaczeniu dla użytkowników to częstotliwość kursowania pojazdów oraz koszty podróży (ceny biletów).
Dochodowość gospodarstw o różnych kanałach dystrybucji rzepaku
Authors: Bełdycka-Bórawska Aneta , Szymańska Elżbieta
Published: September 2022

W opracowaniu podjęto problematykę organizacji i dochodowości gospodarstw o różnych kanałach dystrybucji rzepaku. Badania zrealizowano w 2014 roku na podstawie kwestionariusza wywiadu kierowanego w 74 gospodarstwach zajmujących się uprawą rzepaku, położonych w województwach warmińsko-mazurskim (38) i pomorskim (36). Z badań wynika, że producenci rzepaku wykorzystywali różne kanały dystrybucji. Ich rodzaj zależał od skali produkcji. Najwięcej rolników sprzedawało rzepak bezpośrednio w gospodarstwie (34%) oraz dostarczało do za-kładów przemysłowych (34%). Największa dochodowość cechowała gospodarstwa sprzedające rzepak bezpośrednio w gospodarstwie. Odmienna sytuacja wystąpiła w gospodarstwach dostarczających rzepak do zakładów przetwórczych. Zdaniem producentów rzepaku duży wpływ na osiągane wyniki ekonomiczne ma koniunktura na rynku, możliwości eksportu produktów oraz dopłaty bezpośrednie.
Ocena inwestycji w infrastrukturę transportową w powiecie wołomińskim w opinii lokalnych przedsiębiorstw
Authors: Pasztaleniec Mateusz , Rokicki Tomasz
Published: September 2022

Celem artykułu było przedstawienie oceny i postrzegania inwestycji w infrastrukturę transportową przez lokalne podmioty. Badania ankietowe przeprowadzono w 2014 roku na terenie powiat wołomińskiego na grupie 20 losowo wybranych przedsiębiorstw. Lokalne przedsiębiorstwa w większości dobrze i bardzo dobrze oceniały rozwój infrastruktury transportowej w powiecie. Lepiej były postrzegane inwestycje drogowe niż kolejowe. Przyczyną takiego stanu jest przewaga inwestycji drogowych oraz większa ich użyteczność w prowadzonej działalności przedsiębiorstw.
The potential of maritime transport in logistics of Ukrainian grain export
Authors: Cherevko Georgiy , Kolodiichuk Volodymyr
Published: September 2022

The article examines the historical background and logistical characteristics of maritime transport and focuses the attention to its advantages and disadvantages compared to other kinds of transport in the transportation of grain cargoes. It was found that the sea routes exported the majority of grain has considerable potential for the development of port infrastructure and shipbuilding in Ukraine. Old technologies and a significant depreciation of manufacturing equipment are problematic issues of port elevators, which reduce the efficiency of cargo handling. Investment attractiveness of maritime transport confirmed the participation of powerful multinational grain traders in the reconstruction of existing domestic ports and construction of new berths. In recent years the volume and capacity of grain mass transshipment were increased significantly. It is established that the loss of sea ports in temporarily annexed Crimea is not critical for Ukraine logistics grain flow and it caused their temporary reorientation to other ports.
Analiza ofert sprzedaży internetowej produktów FMC w wybranych sklepach
Authors: Jankowska Agata , Łukasiak Monika
Published: September 2022

Celem artykułu była analiza pięciu wybranych sklepów internetowych w aspekcie sprzedaży dóbr FMC. Porównano ceny produktów, koszty dostawy oraz oferowany zakres usług dodatkowych. Szczegółową analizą objęto segment B2C, który ma istotne znaczenie zarówno dla konsumenta, jak i dla przedsiębiorstwa. W opracowaniu uwzględniono także problematykę dywersyfikacji kanałów dystrybucji oraz rozwiązań tzw. ostatniego kilometra. Rozpoznano znaczenie sprzedaży elektronicznej w Polsce. Przedstawiono statystyki dotyczące zakupów żywności przez Internet na podstawie danych opracowanych przez firmę Gemius. Z badań wynika, że polscy konsumenci nadal preferują zakupy w tradycyjnych sklepach niż drogą internetową.
Modernizacja taboru a koszty transportowe – studium przypadku przedsiębiorstwa Agrowit
Authors: Wieczorek Adam
Published: September 2022

W pracy przedstawiono znaczenie kosztów transportu w przedsiębiorstwie. Zbadano przedsiębiorstwo Agrowit, które zajmuje się zarobkowym przewozem towarów oraz świadczy usługi na potrzeby własne. Przeanalizowano wybrane koszty transportowe z 2010 oraz 2015 roku, co umożliwiło porównanie tych wartości. Wskazano, na czym polegała modernizacja w przedsiębiorstwie w trzech aspektach: wykorzystanie nowych pojazdów, zmiany ładowności pojazdów oraz różnice w wykorzystaniu jednostek napędowych o różnej klasyfikacji normy Euro. Stwierdzono, że modernizacja taboru oraz wykorzystywanie nowoczesnych pojazdów pozwala na redukcję wybranych kosztów transportowych.
The mechanism of enterprise logistics system
Authors: Zaburanna Lesia , Balanovska Tetiana , Gogulya Olga
Published: September 2022

The article deals with the essence and basic principles of the formation mechanism of improving automotive enterprise logistics system in terms of adaptation to adverse changes in the external and internal environments. In particular, the mechanism of improving the logistics system of automotive enterprises from domestic reserves, consisting of scientific and methodological, regulatory and contracting, technical and technological, organizational and economic components, logistics and evaluation of the effectiveness of the proposed measures are grounded in the article. Based on the characteristics of automotive companies in Ukraine was formed phase of transformation of the logistics system, which is logistics-oriented for the consumer, and was developed and adapted for today’s conceptual approach to the management and planning of the logistics system of automotive enterprise, based on the principles of flexible production concept.
Spójność terytorialna jako wyzwanie dla polskich regionów w procesie integrowania rozwoju
Authors: Słodowa-Hełpa Małgorzata , Kurach Joanna
Published: September 2022

Celem artykułu, zawierającego krytyczne refleksje związane z mechanizmami rządzącymi spójnością terytorialną, jest ukazanie możliwości jej pogłębiania oraz dylematów i obaw dotyczących skutecznego wdrażania tej koncepcji w polskich realiach. Na tle zasadniczych przesłanek i symptomów decydujących o rosnącej randze oraz wyjątkowej aktualności problematyki spójności terytorialnej przedstawiona została jej geneza, główne wymiary oraz zasadnicze różnice między podejściem terytorialnym a sektorowym. Artykuł, zredagowany na podstawie literatury przedmiotu, aktów prawnych i innych dokumentów, ma charakter przeglądowy, wprowadzający do pogłębionej dyskusji. Jej punkt wyjścia stanowić mogą pytania i postulaty dotyczące polityki rozwoju regionalnego w Polsce, w szczególności wykorzystania nowych instrumentów UE sprzyjających integrowaniu rozwoju.
Dochodowy wymiar nierówności regionalnych w Polsce
Authors: Leszczyńska Małgorzata
Published: September 2022

W artykule dokonano oceny sytuacji dochodowej gospodarstw domowych w ujęciu czasowym (retrospektywa z lat 2009–2012) w skali regionalnej. Jako punkt odniesienia przyjęto bowiem, że zróżnicowanie dochodów uzależnione jest od geograficznej przestrzeni zamieszkiwania. W analizie i porównaniach wykorzystano dane GUS dotyczące 16 województw Polski. Przyjęto, że makroekonomiczny schemat tworzenia PKB „przekłada się” na rozporządzalne dochody gospodarstw domowych (na poziomie mikroekonomicznym). Jak się okazuje, skala regionalna istotnie różnicuje relacje tych kategorii w Polsce, gdyż nadal wskazuje na istnienie ich relatywnie dużych odchyleń.
Rola projektów partnerstwa publiczno-prywatnego w realizacji strategii rozwoju gminy
Authors: Nalepka Adam , Węgrzyn Joanna
Published: September 2022

W artykule dokonano analizy danych na temat projektów PPP, które zostały zainicjowane w Polsce w latach 2009–2014. Opracowane dane pozwalają zauważyć, że w Polsce inicjatywy podejmowane są przede wszystkim na poziomie lokalnym. Dlatego też celem artykułu jest zaproponowanie modelu odzwierciedlającego mechanizm, na podstawie którego gminy podejmują decyzję o przystąpieniu do wykonania danego zadania w formule PPP. Punkt wyjścia oraz tło dla podejmowanych w pracy rozważań stanowi problem niedostatku środków finansowych w samorządach w stosunku do powierzanych im zadań, postrzegany jako bariera rozwoju lokalnego.
Czynniki determinujące skłonność do założenia własnej firmy – analiza ekonometryczna
Authors: Kunasz Marek
Published: September 2022

Celem pracy była analiza czynników sprzyjających prawdopodobieństwu wyboru samozatrudnienia jako docelowej formy aktywności zawodowej. W warstwie metodycznej znalazło zastosowanie instrumentarium modelowania ekonometrycznego (szacowano modele zmiennej jakościowej). Analizom poddano materiał empiryczny z badań przedsiębiorczości studentów studiów stacjonarnych w Polsce realizowanych w Uniwersytecie Szczecińskim. Z przeprowadzonych badań wynika, iż czynnikiem determinującym w wyraźnie największym zakresie prawdopodobieństwo podjęcia ryzyka działalności gospodarczej przez studentów jest posiadanie interesującego pomysłu na biznes.
Konkurencyjność regionu turystycznego w teorii eko
Authors: Roman Michał
Published: September 2022

Celem artykułu jest przedstawienie istoty konkurencyjności regionu turystycznego w teorii ekonomii. W opracowaniu szczególną uwagę zwrócono na konkurencyjność turystyki wiejskiej. Konkurencyjność pochodzi od konkurencji stanowiącej podstawowe zjawisko gospodarki rynkowej. Tworzenie warunków do wzrostu konkurencyjności turystyki wiejskiej regionu związane jest ze wzrostem skłonności i zdolności do oszczędności oraz akumulacji podmiotów turystycznych na wsi, a także efektywnego wykorzystania poczynionych inwestycji na drodze realizacji postępu technicznego. Dzięki temu można osiągnąć w perspektywie długofalowej wzrost konkurencyjności, wzrost poziomu dochodów, zatrudnienia i poprawę zamożności społeczności wiejskiej.
Diversification trends of the supply of Ukraine’ sugar-mills
Authors: Doronin Andriy , Rybchak Vitaly
Published: September 2022

The evaluation of the production efficiency of sugar beets and sugar in Ukraine for the period of 2001–1015 was made. The preconditions of negative changes in the sugar branch were studied. A polynomial model which describes the yielding capacity level of sugar beets in Ukraine in 1913–2015 has been worked out; the prediction of sugar beet yield for the year of 2017 has been made and its increase by 28% is expected. Diversification trends of the supply of sugar-mills which will favour the efficiency enhancement of sugar beet production have been explained. The ways of the efficiency enhancement of sugar beet production to ensure stable business development in the branch which requires active government support of producers have been identified.
Wybrane aspekty rozwoju turystyki city break na przykładzie Warszawy
Authors: Gralak Katarzyna
Published: September 2022

Artykuł analizuje zjawisko podróży typu city break, a w szczególności charakterystyczne dla tej formy podróży cechy oraz czynniki, które wpłynęły na jego rozwój. Głównym miastem krótkich pobytów turystycznych w Polsce oprócz Krakowa jest Warszawa, lecz dynamicznie rośnie znaczenie miast położonych poza stolicą, głównie Gdańska, Poznania i Wrocławia. W pracy przedstawiono czynniki warunkujące rozwój turystyki city break oraz elementy potencjału turystycznego Warszawy, umożliwiające rozwój tej formy turystyki w mieście.
Horizontal and vertical spatial distribution and loss of grassland in Bosnia and Herzegovina
Authors: Draskovic Branislav , Petronic Sladjana , Gutalj Marko , Maric Natasa
Published: September 2022

Two databases related to grassland in Bosnia and Herzegovina (B&H) have been
used in this research-the Copernicus Grassland (GRA) and CORINE Land Cover
(CLC). The data have been processed by using GIS tools, and the spatial
distribution of grass vegetation in relation to three biogeographical and
four elevation zones has been determined. By using the Copernicus Water and
Wetness (WaW) database, an insight into the coverage of grass vegetation in
wetlands has been obtained. In addition, the analysis of changes in
databases determined the total amount and location of the largest grassland
losses. Based on GRA database, B&H is one of the richest countries, with
22.4% of its territory covered by grassland. According to the CLC database,
pastures occupy 6.3% and natural grasslands 5.6% of the territory of B&H.
However, grassland is exposed to various anthropogenic and natural processes
that affect its distribution, quality, functions, etc. The CLC database has
been processed by extracting the grasslands (pastures and natural
grasslands) and calculating their spatial coverage and changes which
happened during the three six-year periods from 2000 to 2018. The trend of
decreasing pasture areas and increasing natural grasslands has been noticed.
The pastures are most endangered by the processes of conversion to other
types of agricultural land, while natural grassland increased spatial
coverage during the period 2012-2018 mostly due to the revitalization and
grazing of burned areas in the region of Herzegovina. Grasslands have been
particularly targeted for afforestation and cropland conversion at present.
COVID-19: Determining the changing motivations of international second home tourists in coastal Turkey
Authors: Baltaci Furkan , Kurar İhsan
Published: September 2022

The COVID-19 pandemic has brought dramatic changes in all the areas of life, and has inflicted many societal costs. The negativities in the field of health and economy are the prominent ones. The whole process significantly affected human behavior, preferences, and priorities. The aim of this study is to determine the impact of COVID-19 on the motivations of international second home tourists (ISHOT). In addition, motivations for buying or renting a second home in the pre-pandemic period, the push and pull factors affecting their decision to stay in a destination, and the emotional experience they had during the pandemic were also interpreted in the study. Qualitative data research method was used with semistructured interview forms. In-depth interviews were conducted with 26 ISHOTs living in Alanya, coastal Turkey. The results proved that there were significant differences between pre-pandemic and postpandemic motivations of ISHOTs for second homes. In the pre-pandemic period, increasing the quality of life, being happy, providing mental health and well-being, emotional relaxation, and getting away from stress were in the frame among the reasons that pushed ISHOTs to acquire second homes. During the pandemic, it was determined that these motivations were replaced by feelings such as anxiety, complaint, protection instinct, uncertainty, and a trust pledge. Low risk, information provision, hygiene, and health system were important reasons that pulled ISHOTs to their second homes during the pandemic process. Insecurity, late intervention, the health system, the risk of being infected, and inadequate precautions were the reasons pushing them away from their home countries.
COVID-19 and internal migration in Serbia-geographical perspective
Authors: Lukic Vesna , Lovic-Obradovic Suzana , Corovic Radoslav
Published: September 2022

Internal migration is an essential part of regional population change. Driven
by various determinants, internal migration has been unequal across time and
space. Migration responses to the changes in societal circumstances make it
relevant to investigate the spatial and temporal dimension of internal
migration in Serbia before and in the aftermath of the COVID-19 pandemic
outbreak. The research aims to identify to what extent and in what way the
pandemic has changed the magnitude and geographical patterns of internal
migration in Serbia. The study is based on additionally processed official
statistics on internal migration for the period 2018-2020, from March to
December for each year, at the municipal, district (oblast, plural-oblasti),
and regional levels. These are aggregate administrative data on usual
residence registration by month. The derived data on the net migration rate
is cartographically presented using the classification method natural Breaks
(Jenks). Spatial dependence was assessed applying the spatial
autocorrelation method, based on the Local Moran statistic. The results
revealed that the pandemic affected not only the volume of internal
migration but also its spatial patterns. The findings present new insights
on the role of internal migration in reallocation of population across
Serbia before and during the COVID-19 pandemic while underlying the
importance of further research to deepen the understanding of internal
migration trends upon the COVID-19 outbreak.
Forest fires in Serbia-influence of humidity conditions
Authors: Zivanovic Stanimir , Gocic Milena
Published: September 2022

This study focuses on the possible impact of forest fires on the destruction
of forests in Serbia. The variability of forest fires in NUTS 3 regions in
Serbia was investigated. By analyzing the data for the period from 2009 to
2018, it can be concluded that there were pronounced oscillations in the
number of forest fires and the size of the burned forest areas. It was
determined that during the observed period, the maximum number of fires was
recorded in 2012, and the minimum in 2014. The largest burned forest areas
were 7,460 ha in 2012 and 2,036 ha in 2011, which is correlated with high
air temperatures and lack of precipitation. The damage caused in the forest
fire, expressed in m3 for the felled wood mass is the highest in 2012 and
the lowest in 2010. The greatest threat to forest fires were in Raska oblast
(Uzice) and Zlatiborska oblast (Kraljevo), and the lowest were in
Severnobanatska oblast (Kikinda), Zapadnobacka oblast (Sombor), and
Srednjobanatska oblast (Zrenjanin). The correlation of forest fire
occurrence dynamics and humidity conditions were observed on the basis of
statistical indicators of the number of forest fires and the values of
Standardized Precipitation Index (SPI). The number of forest fires,
depending on the influence of humidity conditions is the highest in the dry
season.
Quality of life after maxillectomy and prosthetic rehabilitation: A pilot study
Authors: Milosevic-Markovic Maja , Djordjevic Igor , Petrovic Milan , Jelovac Drago , Kuzmanovic-Pficer Jovana , Latas Milan , Jovanovic Svetlana
Published: September 2022

Background/Aim. Although radical surgical treatment is the method of choice in the therapy of cancer of the maxilla and maxillary sinus, it can cause oral dysfunction, social isolation, and emotional and psychological distress, which significantly affects the patient?s quality of life (QoL). The aim of the study was to determine the health-related QoL of patients rehabilitated with obturator pros-thesis (OP) after maxillectomy, according to demographic and clinical characteristics. Methods. The study included 32 patients with a mean age of 6 3.6 years. The measurement of QoL of patients after maxillectomy and prosthetic rehabilitation was assessed using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) and EORTC QLQ ? Head and Neck Cancer Module (QLQ-H&N43). Results. Functioning and symptoms were more pronounced in women, younger patients, and single patients (p < 0.05). Patients after definitive prosthetics rehabilitation had fewer problems and symptoms compared to patients with surgical and interim OP (p < 0.05). Patients with partial obturator dentures had a better perception of function than patients with total dentures (p < 0.05). Irradiated patients had more pronounced fatigue, appetite loss, pain in the mouth, dry mouth and sticky saliva, and sense and skin problems compared to nonirradiated patients (p < 0.05). Conclusion. The results of this study suggest that sex, age, marital status, characteristics of OP, and radiotherapy have a significant impact on QoL in patients after maxillectomy.
Current approaches to the treatment of metastatic brain tumors
Authors: Nikolov Vesna , Radisavljevic Misa , Jelenkovic Boban , Stojanovic Nikola
Published: September 2022

Background/Aim. About 10% of patients diagnosed with systemic cancer had brain metastases in the central nervous system. Patients with diseased lungs, breasts, urinary and digestive tract, as well as melanoma of the skin, are increasingly treated by neurosurgeons due to their dissemination and creation of secondary deposits in the brain. The aim of the study was to assess the efficacy of treatment modalities for patients with brain metastasis according to their type ? solitary or multiple, and also to the primary cancer site. Methods. The retrospective study was performed at the Clinic for Neurosurgery and the Clinic for Oncology from 2018 to 2020. One hundred and eleven patients with solitary changes in the brain and 122 patients with multiple changes were examined. Results. It was found that multiple metastases were more common in primary lung cancer, while single metastases were more common in adenocarcinoma. However, patients with primary adenocarcinoma died in a significantly higher number. Conclusion. Surgery and radiation remain the cornerstone of therapy for symptomatic lesions. We should strive to improve surgical techniques in the direction of less damage to the surrounding healthy tissue. Radiosurgery, as well as whole brain radiotherapy, remains the basic form in the treatment of multiple metastases.
The effects of various mouth rinses on enamel bond strength of a universal adhesive system
Authors: Ayar Muhammet
Published: September 2022

Background/Aim. Although essential oil-containing mouth rinses have some advantages, it is not well-known what effects they have on the bond strength of the universal resin adhesives system to the enamel. The aim of the study was to evaluate the effect of essential oil-containing mouth rinses on the enamel bond strength of the universal adhesive system. Methods. A total of 96 bovine incisors were used in the study. The teeth were divided into four different groups according to the control group and three different mouth rinses: Group I (Control) ? distilled water, Group II ? Listerine Cool Mint (essential oil mouth rinse), Group III ? Kloroben (0.12% chlorhexidine gluconate mouth rinse), and Group IV ? Oxyfresh (0.05% sodium fluoride mouth rinse). Each group was divided into two subgroups according to the application mode of the universal adhesive (etch-and-rinse mode or self-etch mode) (n = 12). Mouth rinses were applied daily for 30 sec to the enamel surfaces for a month, and the samples were soaked in distilled water. After the shear bond strength (SBS) tests were per-formed with the universal test machine at a speed of 1 mm/min, the SBS data were statistically analyzed (p = 0.05). Results. Two-way ANOVA showed that the enamel bond strength of universal adhesive was not affected by mouth rinse and was significantly affected by the application mode. Conclusion. The use of essential oil-containing mouth rinses and other mouth rinses tested in the study is safe in terms of the quality of enamel bonding of the tested adhesive.
Novel molecular classification of endometrial cancer - current and future clinical implications
Authors: Mandic Aljosa , Nadj Gabriel-Stefan , Stanulovic Nevena , Maricic Slobodan , Gutic Bojana
Published: September 2022

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Myomectomies of 65 Fibroids with Preservation of Uterus in a Nulligravida with Minimally Invasive Incision - A Rare Case with Review of Literature
Authors: DK Rajshree
Published: September 2022

Uterine fibroids are benign neoplastic growth arising from the myometrium, with estimated incidence being 20 - 40%. They are a major cause of morbidity in women of reproductive age group. The gold standard diagnostic modality for uterine fibroids appears to be gray - scale ultraso nography, with magnetic resonance imaging being a close second option in complex clinical circumstances. The management of uterine fibroids can be approached medi cally, surgically, and even by minimal access techniques. Here we are reporting a case of myo mectomy with removal of 65 fibroids and conserving the uterus for future fertility.
Compression Circulatory Hypoxia of the Brain as a Type of Intrapartum Hypoxia
Authors: VV Vlasyuk
Published: September 2022

Among the 5 types of intrapartum hypoxia of the fetus is proposed to allocate compression circulatory hypoxia of the brain (CCHB). The relationship between the CCHB and the stages of the fetal head configuration is considered. When a fetal head is pressed, three successively developing s tages are distinguished: 1) Stage of the physiological configuration of the head, 2) Stage of the CCHB and 3) Stage of the birth trauma (BT) of the skull.
Effectiveness and Complications of TVT and TVT - O Operations in the Treatment of Female Stress Urinary Incontinence. Five Years Follow - Up Prospective Study
Authors: Aniulienė Rosita
Published: September 2022

The Aim of the Study: To compare TVT (tension - free vaginal tape) and TVT - O (tension - free vaginal tape obturator) operations: results, complications, effectiveness after 5 years of follow - up. Material and M ethods: A single center nonblind, prospective study of women with SUI who were randomized to TVT and TVT - O from April 2005 to April 2013. Prospective study out of 394 patients, 114 were operated using TVT operation and 280 patients – TVT - O operation. There was no significant difference between groups concerning the age, BMI (body mass index), parity, menopausal status and prolapse (no patients had cystocele greater than stage II). Results: Mean operat ive time was significantly shorter in the TVT - O group (18±4.6 min) compared with the TVT group (27±7.1 min). There were no significant differences in the effectiveness of both procedures after 5 years. Hospital stay was statistically significantly shorter in TVT - O group (1.2±0.5 days) than in TVT group (4.0±0.6 days). Significantly less complication were in TVT - O group. Conclusion: TVT and TVT - O operations are equally effective for the surgical treatment of female stress urinary incontinence. TVT - O had a sh orter operation time and a lower complication rate.
Exploration and Comparison of Ovarian Hormones with Anti - Mullerian Hormone amongst Women with Polycystic Ovarian Syndrome
Authors: BM Rupakala
Published: September 2022

Introduction: Polycystic ovarian syndrome (PCOS) is a common endocrine disorder in reproductive women and leading causes of female sub fertility. Symptoms include amenorrhea, infertility, anovulation with irregular menstruation, and excessive release of androgenic hormones. When compared to normal women, PCOS patients have higher serum Anti - Mullerian ho rmone (AMH) levels, along with increased serum androgens and higher number o f small - antral follicles. Objective: This study seeks to explore the effectiveness of previous literature on usefulness of testing serum levels of, LH, FSH in comparison with AMH for a period of 3 months of treatment. Methods : Prospective and cross secti onal study, conducted from march 2017 to Oct 2018. 100 women reporting to OBG clinic with inclusion criteria were , Age group: ≥ 18 to ≤ 40 years, Patients complaining of irregular menstruation, amenorrhea and infertility, while exclusion criteria were w om en with any other co morbid conditions, receiving any medications, Pregnant, lactating and post - menopausal women. We divided them into two groups of 50 each. Group 1 was analyzed for LH, FSH, and scanning (as routine) and group 2 were analyzed for LH, FSH, AMH and scanning (as routine). The blood was centrifuged, separated and analyzed at Central laboratory. To compare between LH, FSH with AMH, we use USG scan as standard diagnostic tool to prove the efficacy of AMH. Conclusion: Our results showed that ser um AMH has significant increase in PCOS compared to serum LH and FSH levels. Our findings conclude that AMH is good clinical parameters that can be used for diagnostic testing of PCOS.
Socio - Economic Factors Associated with Occurrence of Stillbirths among Women Delivering in Selected Hospitals of Marsabit County
Authors: BA Wako
Published: September 2022

Worldwide, of the 130 million babies born every year, approximately 4 million are stillborn, more than 98 per cent of these occur in developing countries. Stillbirth remains a widespread unfavorable pregnancy outcome estimated to occur in 2.64 million pre gnancies annually across the globe with majority of this cases occurring in low and middle - income countries. Even though the government of the Republic of Kenya has put in place several measures such as the National Health Insurance Fund, Free Child Delive ry Programs for pregnant women among other measures in order to meet the Sustainable Development Goals on health, the problem of stillbirths continues to prevail in the country at alarming rates. The study sought to determine socio - economic factors associa ted with occurrence of stillbirths among women delivering in selected hospitals of Marsabit County. A cross - sectional descriptive study design was used targeting women who delivered at Marsabit County. The study used both qualitative and quantitative data collection techniques. A total sample size of 387 mothers were selected from Kalacha Sub - County Referral Hospital, Laisamis Sub - County Referral Hospital, Moyale Sub - County Referral Hospital and Marsabit County Referral Hospitals proportionately using syste matic sampling with a predetermined interval of 10 while 8 nurses were selected purposively to provide additional information as the Key Informants. After data collection, Statistical Package for Social Sciences version 24.0 was used to analyze descriptive statistics for quantitative data. Inferential statistics were calculated using Chi Square and Fisher’s Exact Tests at 95% confidence interval and p - values of <0.05considered significant. The study results revealed that the rate of stillbirth occurrence wa s 5.9 per cent. Socio - economic factors such age (p=0.006), education (p=0.007), occupation (0.002) and level of income (p=0.047), maternal factors such as antenatal attendance (p=0.031), use of illicit drugs (p=0.041), low maternal weight (p=0.043) and tou gh domestic work (p=0.004). The results further revealed low knowledge levels among respondents with a significant influence (p=0.039) on outcome of delivery. The study concluded that the respondents from Marsabit County experience relative high rates of s tillbirths compared to the national figure. The outcome of delivery was significantly influenced by socio - economic and low knowledge levels which influenced outcome of delivery.
The Quarantine Effect on Vitamin D Level and the Immunity against COVID 19 Viruses
Authors: AS Emad
Published: September 2022

COVID-19 is abbreviation for Coronavirus disease 2019 refer to an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The disease was first identified in 2019 in Wuhan, Central China, and has since spread globally, resulting in the 2019–20 coronavirus pandemic (With more than 3.5 million infections until now)
HIV and SARS-Cov-2 the Dilemma
Authors: C Abreu
Published: September 2022

At a time when the COVID-19 pandemic is still at its peak with an expanding global activity, patients with HIV infection have always been a worrying population because, with a chronic disease causing immune system depletion, they are at high risk for serious diseases and poor prognosis. However, although there are no large studies directed at this population yet published both in terms of incidences and mortality that compare them with the non-HIV population.
Prevalence Along with Diagnostic Modalities and Treatment of Female Infertility Due to Female Genital Disorders
Authors: F Naeem
Published: September 2022

Infertility is a communal pathological ailment now-a-days worldwide and approximately females are mostly suffering from this condition. In previous studies, out of 2.4 million married couples have females in between the ages from 15-44 year; 1.0 million couples were suffering from primary infertility and 1.4 million couples had secondary infertility. The infertility causes are ovulatory factors, dietary factors, psychological factors, abnormal endocrine functions, fallopian tube disorders etc. PCOS, PIDs, endometriosis. The ultrasonography is the most powerful tool for diagnosis. The treatment involves medical, surgical and assisted reproduction. Medical treatment includes clomiphene, metformin, iron & folic acid supplements along with oralcontraceptives. Surgical treatment is operative laparoscopy and assisted reproduction is achieved by IVF, GIFT & IUI etc. It is concluded from the study that the percentage prevalence of female infertility among ages was higher in age group (25-34) years (76%) and it was mostly secondary infertility (54%). The main pathological factor of female infertility in Sialkot city was PCOS, which was 52% of evaluated patients. Commonly used diagnostic tools were ultrasonography with prevalence of 100% and endocrine tests (72%). In prescription trend, anti-obesity drugs, anti-oestrogen drugs and oral-contraceptives were commonly prescribed and other treatment interventions were also seen in few patients.
Covid19 the Virus Immunology and Blood Coagulation, a Positive Feedback Cycle with Resultant Pathogenesis: A Perspective
Authors:   https://medwinpublishers.com/VIJ/covid19-the-virus-immunology-and-blood-coagulation-a-positive-feedback-cycle-with-resultant-pathogenesis-a-perspective.pdf, K Ghosh
Published: September 2022

Covid 19 is a new beta corona virus which is driving the present pandemic across the world. The virus is highly transmissible through respiratory route with a Ro value varying between1.3-2.0. The virus is a direct strand RNA virus and is one of the largest viruses of RNA virus group. It has 11 open reading frame of which ORF 9-11 is involved in translation of structural S (Spike), E (Envelop), M (Matrix) and N (Nucleocapsid) glycoproteins. Of these S protein is very important from the point of view of virus engagement with the host cell and its infectivity.
Computational Remodeling Mechanism Analysis of Three HIV Enzyme Partners (Protease (PR), Reverse Transcriptase (RT) and Integrase (IN)) on Behalf of Structural and Functional Analysis
Authors: A Dubey
Published: September 2022

Remodeling mechanism analysis of three HIV enzymes based on computational analysis for potential active sites identification of three viral enzymes, reverse transcriptase (RT), integrase (IN), and protease (PR) are all good drug targets and three distinct types of inhibitors, which block the polymerase activity of RT and IN, have been approved to treat HIV-1 infections, A better understanding of the structure and function of three HIV enzymes and mechanism of inhibition can be used to generate better drugs; in particular drugs that are effective against the current drug-resistant strains of HIV-1 and HIV 2 via structure prediction analysis of three HIV enzymes present their different activities as given tables. Computational protein modeling is a method designed for the most probable 3D structure from a sequence given its alignments with related structure .In this topic we discuss about the three HIV partner enzymes structure of HIV1and HIV2 from different software’s and their variations in core value, hydrophobicity, residues and intermolecular forces. Finally In this project we developed remodeled structures of different parameters mechanism in different core HIV enzymes partners with different types of functional structure prediction based on computational arithmetical calculations
Prediksi Tinggi Gelombang Berdasarkan CERC (SPM 1984) di Pantai Baru, Bantul, Daerah Istimewa Yogyakarta
Authors: Kuswartomo Kuswartomo , Sulistiya Bima Nur , Isnugroho Isnugroho , Fatchan Achmad Karim
Published: September 2022

Gelombang laut merupakan hasil perwujudan energi yang diakibatkan adanya gesekan angin dengan permukaan air laut. Gelombang tersebut akan memberikan pengaruh terhadap bangunan-bangunan yang ada di pantai. Perhitungan gelombang tersebut dapat dilakukan dengan menggunakan metode Coastal Engineering Research Center (CERC) yang tercantum dalam Shore Protection Manual (SPM). Penelitian ini dilakukan di perairan di Pantai Baru Kecamatan Srandakan, Kabupaten Bantul Yogyakarta. Tujuan dari penelitian ini adalah memprediksi tinggi gelombang berdasarkan metode CERC, menentukan arah  gelombang berdasarkan windrose dan mengetahui probabilitas tinggi gelombang maksimum dan rata-rata. Data yang digunakan dalam penelitian ini berupa data kecepatan angin yang diambil dari Stasiun Klimatologi di daerah Sleman selama 1 tahun yaitu tahun 2019. Data angin tersebut dikonversikan menjadi data kecepatan angin di atas permukaan air laut. Hasil dari konversi kecepatan angin tersebut dapat di hitung gelombang signifikan pada kondisi fully developed sea. Hasil penelitian menunjukkan arah gelombang dominan mengarah ke barat sebesar 69,50%.Tinggi gelombang signifikan rata-rata setinggi 0,584 m dan tinggi gelombang signifikan maksimum setinggi 3,609 m. Probabilitas gelombang yang lebih kecil dari gelombang rata-rata sebesar 78,2%. Oleh karena itu, tinggi gelombang rata-rta masih aman bila digunakan untuk perencanaan bangunan pantai.
O ESTUDO DE NÚMEROS QUÂNTICOS POR MEIO DE UM JOGO DIDÁTICO: RELATO DE UMA ATIVIDADE
Authors: Reis de Sousa Lucas Felipe , Soares Carvalho Jacqueline , Alves de Paiva Joseilson
Published: September 2022

Por envolver muitos conceitos abstratos, na sua maioria, os estudantes consideram a Química com elevado grau de compreensão, o que gera uma aversão ao estudo da disciplina. O presente trabalho resulta de uma atividade realizada por meio de um jogo didático na disciplina de Química.  O trabalho tem por objetivo investigar as possíveis contribuições do jogo didático para o ensino de Química, a pesquisa foi realizada em um colégio da rede privada, localizado na cidade de Santana do Araguaia no estado do Pará. Para coleta de dados, o jogo foi constituído com um total de trinta questões, divididas em dez por modalidade de nível fáceis, médio e difícil. Os resultados apontam que, a utilização desse recurso metodológico possibilitou uma participação mais efetiva dos estudantes no decorrer do processo, despertando nos alunos por meio da atividade o interesse pelo estudo da disciplina, evidenciando a contribuição para o ensino de Química.
AÇÕES ÉTICAS PARA O COMBATE AO BULLYING: UM OLHAR PARA OS DOCUMENTOS OFICIAIS DO ENSINO TÉCNICO PROFISSIONAL OFERTADO PELO IFMT
Authors: Cunha Filha Elizabeth da , Saragiotto Silva Juliana
Published: September 2022

O bullying refere-se à demonstração de poder interpessoal mediante prática de ações relativas à agressão/violência nas escolas. Assim, o presente artigo investiga como o Instituto Federal de Educação, Ciência e Tecnologia de Mato Grosso (IFMT) apresenta a temática do bullying em seus documentos oficiais, considerando as transformações proporcionadas pelas políticas públicas na educação brasileira. O trabalho foi realizado por meio de pesquisa bibliográfica e documental, na qual buscou-se analisar os instrumentos normativos da instituição à luz da legislação educacional nacional. Entre os resultados, constatou-se que, nos documentos analisados, são perceptíveis a preocupação e o cuidado com a temática. Entretanto a ética, como tema balizador de debates e ações - meio para mitigar os atos de intimidação e agressão física e psicológica entre estudantes, figura ainda como uma questão nova e que necessita de atenção para além dos documentos oficiais, em um trabalho que permeie, em especial, todo o ambiente escolar.
Effect of cutting speed on milling process on surface roughness of ST-37 steel material workpiece
Authors: Syahri Budi , Prasetya Febri , Refdinal Refdinal , Syahrial Syahrial
Published: September 2022

The importance of the surface roughness value of a workpiece must be of concern to students and machine operators because the surface roughness of the workpiece becomes a benchmark for the use of a component in the machining plane and one of the significant influences on the surface roughness of the workpiece is the cutting speed parameter. To examine the extent of the effect of cutting speed on surface roughness, testing and analysis of the machining process results were carried out by varying three cutting speeds according to the material range and the type of cutting tool used. This study uses an experimental method, with the research object using steel ST-37 by making cuts on the surface. Test result data obtained that the average roughness price per rotation speed is (Ras) = 4.01μm for Cs 20 with a rotation speed of 530.78 Rpm. (∑Ras) = 2.84μm for cs 25 with a rotation speed of 663.48Rpm. (∑Ras) = 2.59 μm for cs 30 with a rotation speed of 796.18Rpm. With the roughness grade on the N8. So the conclusion in this study is that the higher the engine rotation speed, which is influenced by high cutting speed, the lower the surface roughness of the resulting workpiece.
The engine starting system for three-wheeled motorbikes using bluetooth based on Arduino Uno
Authors: Nasrullah Hamid , Tafrikhatin Asni , Hidayat Yusuf
Published: September 2022

The Arduino Uno-based three-wheeled motorcycle engine starting system aims to make it easier for motorcycle users to turn on and add motorcycle safety features from theft. The contact system and the starter system are controlled through the device. The research method used the development research model developed by Dick and Carey. The development research stages are defined, design, develop, and disseminate. The components needed are a battery, Arduino, Bluetooth, and two relays. The device controls this system through an android application developed by the researcher. The results of testing the engine start system using an Android smartphone are a series of techniques that can work by its function, and a Bluetooth connection on an Android smartphone can turn on the motorcycle engine start system at a distance of 1 to 9 meters. The Arduino Uno-based three-wheeled motorcycle engine starting system effectively minimizes inclination because motorbike users can only use it if they have a device that has the application installed.
Blockchain-based diploma information system development
Authors: Saputra Heru , Aresta Bebby Ilham , Sundara Tri A , Stephane Ilfa , Maltaf Lakry
Published: September 2022

A diploma is a document of recognition of learning achievement from a level of education obtained after completing the study period after passing the final exam. The importance of the certificates' existence for working purposes has resulted in the proliferation of making and using fake certificates for various purposes such as applying for jobs, fulfilling the requirements to become members of the legislature, etc. The Diploma Information System using blockchain-based distributed computing can be one way to maintain the diploma's authenticity and validity. This study uses the waterfall method with several applications, ethereum remix ideas, ganache, and metamask, aiming to develop blockchain-based diploma information on STMIK Indonesia Padang by utilizing blockchain technology.
The effect of e-learning media on the improvement of learning outcomes in the Vehicle Body Construction course for students of the Department Automotive Faculty of Engineering UNP
Authors: Saputra Hendra Dani , Setiawan Dedi , Muslim Muslim , Amin Bahrul , Putra Rido
Published: September 2022

Research-based on data on the low student learning outcomes. Internal and external factors cause little learning outcomes. Previous research has concluded that valid and practical E-learning media will streamline the learning process. Research focuses on one of the external factors that cause low learning outcomes. E-learning media is an external factor that is the focus of research. This study aims to analyze the E-learning media on learning outcomes. The analysis results will provide an overview of E-learning media's influence on improving learning outcomes. The increase in learning outcomes in the form of post-test scores on E-learning media is carried out. This research is an experimental study with a randomized control-group post-test only design, where the research subjects were students majoring in automotive engineering. Samples were taken randomly using data collection in data test for student learning outcomes in the Automotive Engineering Department, Faculty of Engineering, UNP. The collected learning outcome test data were analyzed according to the data analysis process, and the results were tested to examine E-learning media's effect on improving student learning outcomes. The test results showed an increase in learning outcomes by 25.33%. The research concludes that E-learning media has no significant impact on learning outcomes.
Development of boost converter training kit as a practical tool in power electronics course
Authors: Akbar Junaidi , Krismadinata Krismadinata , Ahyanuardi Ahyanuardi , Asnil Asnil
Published: September 2022

In the power electronics learning process, apart from theory, it is also necessary to carry out practicum learning to improve the competence of students, so that the learning process runs well, learning is held in the laboratory using a training kit. Practical training kit is very important in the educational process, especially at the level of vocational education at the diploma level. Its existence is very much needed to improve the competence of students and make it easier for teaching staff to carry out the teaching and learning process, especially for practicum activities. The aim of this research is to produce a boost converter practicum training kit, where the parameters are close to the values ​​calculated in theory and simulation. The method used is the experimental method in which the boost converter theory study is designed, made and tested. The test results show that the value of voltage, current and output power shows an average error presentation of less than 10% and the efficiency of the Boost Converter an average of 74% - 95%. The boost converter training kit can be produced well, so that it can be used as a support in power electronics practicum, especially on DC - DC Converter material.