bluuebunny/crossref_metadata_2025 huggingface dataset:
Termeléstervezési módszerek hatékonyságának vizsgálata rugalmas gyártórendszer szimulációs modelljével
Authors: Kulcsár Gyula , Tóth Norbert
Published: December 2020

A cikk bemutatja egy rugalmas gyártórendszer szimulációs modelljét, amelyben a humán erőforrás kulcsszerepet játszik. A termeléstervezési feladat hatékony megoldására egy speciális keresési módszert javaslunk, amely figyelembe veszi a műszakokban dolgozó emberek valós gyártási képességeit a műszakokra vonatkozó munkák kiosztása során. A feladatot egy másik megközelítéssel is megoldjuk, melynek lényege, hogy a termeléstervezési feladatot visszavezetjük permutációs optimalizálási problémára és a Plant Simulation szoftver genetikus algoritmusával oldjuk meg. A két módszert összehasonlítjuk a vizsgált rugalmas gyártórendszer szimulációs modelljének segítségével és bemutatjuk a futási eredményeket.
Oktagonális lapka alkalmazása során mért forgácsolóerő vizsgálata és összehasonlítása más lapka geometriákkal homlokmarás esetén
Authors: Makkai Tamás
Published: December 2020

A termelékenység növelése versenyelőnyt jelent a termelő vállalatoknál, ezért annak kutatása az egyik meghatározó irányvonalat képviseli a forgácsoló megmunkálások területén. A hatékonyságot a technológiai paraméterek módosításával lehet befolyásolni. Homlokmarás esetén az egyik módszere a termelékenység növelésének az, ha az egy élre jutó előtolást növeljük. Ebben a cikkben bemutatásra kerül egy nyolcszögletű lapkával végzett forgácsolási kísérlet, valamint annak eredményei. Állandó fogásmélység és állandó forgácsoló sebesség mellett ötféle fogankénti előtolás alkalmazásával vizsgáltam az előtolás hatását a forgácsolóerőkre ötvözetlen acél homlokmarásánál. A kísérlet eredményeit felhasználva, valamint az előző kísérletek eredményeivel összevetve elemeztem a fajlagos forgácsolóerő változását négy különböző lapkageometria (lapkaalak) esetén. Ebből megállapítottam, hogy energiafelhasználás szempontjából legelőnyösebb a vizsgált lapkák közül a téglalap, majd a négyzet, a nyolcszög és a kör alakú lapka alkalmazása a vizsgált paramétertartományban.
Unpacking the Impact of the COVID-19 Pandemic in Zimbabwe`s Public Sector
Authors: Dr. Alouis Chilunjika , Muzvidziwa-Chilunjika Sharon , Mutizwa Bismark
Published: December 2020

The novel COVID-19 pandemic has ravaged the entire world and its far reaching impacts have been felt across different regions and sectors world-over. Similarly, the Zimbabwean public sector has been equally affected by this pandemic. Using a qualitative methodology the research interrogates the effects of the COVID-19 pandemic and proffers ways to deal with its impacts on the Zimbabwean public sector. Data was extensively collected from documentary sources such as books, journals, government publications etc. The study established that the Zimbabwean Health Sector (ZHS) is completely overwhelmed by the pandemic, that there is a decrease in revenue collection, poor social accountability, and corruption and that frontline employees and those working in environments that are exposed to the virus are psychologically affected. The research recommends that the government should capacitate the ZHS, revitalise industries and harnessing small to medium enterprises, embrace open Information Technologies (I.T) in parliamentary activities, strengthen the Watchdog institutions and create sustainable conducive working conditions for all.
Tinjauan Yuridis Transaksi Jual Beli Online Menurut Undang-Undang Nomor 11 Tahun 2008 Tentang Informasi dan Transaksi Elektronik di Kota Bengkulu
Authors: Tanjung Sapriandi
Published: December 2020

Suatu perjanjian jual beli online melalui internet dianggap sah apabila memenuhi syarat subyektif dan syarat obyektif, pemenuhan atas syarat tersebut berakibat pada perjanjian yang telah dibuat menjadi sah sebagaimana diatur dalam KUHP Pasal 1320. Seiring dengan perkembangan e-commerce, semakin bertambah juga permasalahan yang timbul akibat maraknya e-commerce tersebut. Salah satu permasalahan yang timbul yaitu adanya wanprestasi yang dilakukan oleh salah satu pihak yang terlibat dalam e-commerce tersebut. Tujuan penelitian ini adalah untuk mengetahui apakah transaksi jual beli online memenuhi syarat sahnya perjanjian dan mengetahui apakah bentuk transaksi online menurut UU No. 11 Tahun 2008 tidak bertentangan dengan syarat sah suatu perjanjian. Jenis penelitian yang digunakan oleh penulis adalah penelitian empiris yang bersifat deskriptif. Penelitian hukum bersifat deskriptif merupakan penelitian yang bertujuan menggambarkan tentang sifat-sifat individu, keadaan, gejala atau kelompok tertentu atau untuk menentukan penyebaran suatu gejala dengan gejala lain dalam masyarakat. Syarat sah transaksi berdasarkan Pasal 2 Undang-Undang Nomor 11 Tahun 2008 tentang Informasi dan Transksi Elektronik (“UU ITE”) adalah Undang-Undang ini berlaku untuk setiap Orang yang melakukan perbuatan hukum sebagaimana diatur dalam Undang-Undang ini, baik yang berada di wilayah hukum Indonesia maupun di luar wilayah hukum Indonesia, yang memiliki akibat hukum di wilayah hukum Indonesia dan/atau di luar wilayah hukum Indonesia dan merugikan kepentingan Indonesia. Berdasarkan ketentuan ini, anak-anak yang masih di bawah umur dapat melakukan E-Commerce dan tidak memenuhi syarat subjektif dalam Pasal 1320 KUHPerdata. Oleh karena itu, kontrak dapat dibatalkan melalui seseorang yang mengajukan pembatalan di pengadilan. Masih banyak pelaku usaha yang ketika menawarkan produknya di dunia maya atau internet memberikan informasi yang kurang baik dan kurang benar sehingga konsumen tidak merasa di kecewakan karena ada upaya hukum yang bisa dilakukan oleh pembeli perdata sesuai dengan Undang-Undang No. 11 tahun 2008 tentang ITE. Kata Kunci : Jual Beli Online, UU ITE
ANALISIS YURIDIS PEMBENTUKAN BADAN USAHA MILIK DESA (BUM DESA) BERDASARKAN UNDANG-UNDANG NOMOR 6 TAHUN 2014 TENTANG DESA
Authors: Lestari Novita , Arafat Hermana M.
Published: December 2020

ABSTRAKPada analisis yuridis pembentukan BUM Desa berdasarkan Undang-Undang Nomor 6 Tahun 2014 tentang Desa di mana BUM Desa merupakan lembaga ekonomi baru yang masih membutuhkan landasan yang kuat untuk tumbuh dan berkembang. Tujuan Penelitian adalah (1) mengetahui pembentukan Badan Usaha Milik Desa (BUM DESA) berdasarkan Undang-Undang Nomor 6 Tahun 2014 tentang Desa, (2) dapat menjelaskan hambatan pembentukan Badan Usaha Milik Desa berdasarkan Undang-Undang Nomor 6 Tahun 2014 tentang Desa. Jenis penelitian yang dipergunakan dalam penelitian ini adalah normatif, karena materi yang dibahas mengutamakan analisis dari segi peraturan perundang-undangan yang berhubungan dengan Pembentukan Badan Usaha Milik Desa berdasarkan Undang-Undang Nomor 6 Tahun 2014 tentang Desa. Hasil Penelitian menunjukkan bahwa 1) Pembentukan BUM Desa berdasarkan Undang-Undang Nomor 6 Tahun 2014 tentang Desa antara lain: Pendirian BUM Desa berdasarkan perundangan dan teknis pendirian BUM Desa 2). Hambatan pembentukan BUM Desa berdasarkan Undang-Undang Nomor 6 Tahun 2014 tentang Desa secara umum belum adanya peraturan daerah yang mengatur tentang BUM Desa sehingga tidak adanya dasar hukum yang menjadi landasan pembentukan BUM Desa. Kata kunci: BUM Desa; pembentukan; desaABSTRACTOn judicial review BUM Desa establishment by Act Number 6 of 2014 on the village where BUM Desa a new economic institutions that still need a solid foundation to grow and develop. Objective: (1) determine the formation of village-owned enterprises (BUM DESA) pursuant to Act Number 6 of 2014 on the village, (2) barriers to the formation of village-owned enterprises pursuant to Act Number 6 of 2014 concerning the village. This type of research used in this study is normative, because the material covered prioritize a review of the terms of the legislation relating to the Establishment of village-owned enterprises pursuant to Act Number. 6 of 2014 concerning the village. Research results show that 1) Establishment BUM Desa by Act Number 6 of 2014 on the village include: Establishment BUM Desa based on legislation and technical establishments BUM Desa 2). Barriers BUM Desa establishment by Act Number 6 of 2014 on the village in general the lack of regulations governing BUM Desa area so that no legal basis on which the formation of BUM Desa.Keywords: BUM Desa; formation; village
DISKURSUS JABATAN KEANGGOTAAN DEWAN PERWAKILAN DAERAH: PARTAI POLITIK ATAU PERSEORANGAN
Authors: Goutama Kexia , Srihandayani Luisa
Published: December 2020

ABSTRAKAmandemen konstitusi mengamanatkan perubahan komposisi Majelis Permusyawaratan Rakyat (MPR) menjadi terdiri atas anggota Dewan Perwakilan Rakyat (DPR) dan Dewan Pewakilan Daerah (DPD). DPD dihadirkan sebagai representasi daerah. Namun, saat ini tengah terjadi polemik dalam pengisian jabatan keanggotaan DPD sebab DPD dikehendaki untuk bersifat netral agar dapat mewakili aspirasi daerah, tetapi kini diragukan karena banyaknya anggota DPD yang berafiliasi dengan partai politik. Pada tahun 2014-2019 setidaknya terdapat 70 anggota DPD yang berafiliasi dengan partai politik. Fenomena ini dikhawatirkan dapat mempengaruhi kinerja DPD dalam menyerap aspirasi daerah. Oleh karena itu, peneliti hendak mengkaji pengaturan keanggotaan DPD sebagai representasi teritorial dalam rangka mewujudkan aspirasi daerah. Metode yang digunakan adalah yuridis normatif. Hasil penelitian ini adalah belum terdapat ketegasan pengaturan keanggotaan DPD dilarang berasal dari partai politik sehingga berpengaruh terhadap kinerja penyerapan aspirasi rakyat, oleh karena itu perlu dilakukan revisi pasal terkait untuk mempertegas larangan pengisian jabatan DPD oleh partai politik.Kata kunci: DPD, partai politik, netralABSTRACTThe constitutional amendments mandate changes in the composition of the People's Consultative Council (MPR) to become members of the House of Representatives (DPR) and the Regional Representative Council (DPD). DPD is presented as a regional representation. However, there is currently a polemic in the filling of DPD positions because the DPD is desired to ensure neutrality can represent regional aspirations, but now it is questioning because DPD members are affiliated with political parties. In 2014-2019 there were 70 DPD members affiliated with political parties. It is feared that this phenomenon can affect the DPD's performance in absorbing regional aspirations. Therefore, researchers must examine the DPD's representative council as territorial representation in order to realize the aspirations of the region. The method used is normative juridical. The results of this study have not yet discussed DPD regulations issued by political parties related to requirements involving the aspirations of the people, therefore it is necessary to revise articles relating to reinforcing restrictions on filling DPD ownership by political parties.Keywords: DPD, political parties, neutral
DRUG UTILIZATION PATTERN IN CARDIOVASCULAR CONDITIONS OF OUTPATIENTS AT A TERTIARY CARE HOSPITAL IN GUJARAT
Authors: Raval Neha , K Neeta
Published: December 2020

Background: Despite alarming rise in prevalence of cardiovascular diseases (CVDs), there is paucity of Indian data in such population. Drug Utilization Study (DUS) in government clinical setup is instrumental in developing effective healthcare system of the country. The study was carried out with objectives to study the pattern of usage of drugs in CVDs in patients of Medicine Outpatient Department (MOD), Sir Sayajirao General Hospital, Vadodara and to have information about the current trends with CVDs and their correlation with different WHO indicators.
Methods: A cross-sectional, observational DUS was carried out in adult patients of either sex. The data were recorded in previously prepared case record form for a period of four months (March 2014 to July 2014). The data were analyzed as per WHO prescribing indicators.
Results: Among 1020 patients, 570 (55.88%) were female and 450 (44.11%) were male. Most of patients (30.49%) belonged to the age-group of 60-69 years. Total 19 CVDs were observed during the study period, with hypertension prevailing in maximum cases (70.88%). Diabetes mellitus was most frequently encountered (21.6%) non-cardiovascular comorbidity. Number of drugs prescribed by brand name was as low as 15 (19.7%) and >80%, drugs were prescribed by generic name. Number of drugs per prescription was 6.4.
Conclusion: This study gives an idea of treatment measures being conducted in a large population at a tertiary care hospital in Gujarat and gives a comparative description of drug utilization pattern in similar settings across other regions of India.
BIRTHING BALL EXERCISE FOR PROMOTION OF NORMAL BIRTH AMONG GNM NURSING STUDENTS
Authors: Singh Geetanjali , Choudhary Mansi
Published: December 2020

Birthing ball is originally evolved in 1963 and its miles used as a physical remedy for the neurodevelopment remedy. It became delivered as a childbirth tool in 1980 through Perez and Simkin, Perez in 2001 said that the birthing ball turned into physically beneficial use in the course of pregnancy and labor by means of generating most advantageous positioning and pain discount at some stage in contraction whilst eliciting non-recurring motion. The size of population included this study was 80 GNM Nursing Final year students which were selected according to inclusive and exclusive criteria. The mean difference of 9.03 points in knowledge scoring between pre-test (7.65±1.21) and post-test (16.68±1.41) was statistically strongly significant (p<0.001). This is clearly reflected that the planned teaching programme regarding birthing ball exercise for promotion of normal birth of GNM Nursing final year students found to be effective in improving knowledge about birthing ball exercise for promotion of normal birth.
ASSOCIATION OF BODY MASS INDEX WITH SELECTED RISK FACTORS AMONG THE ETHNIC POPULATION OF TRIPURA- A CROSS SECTIONAL STUDY.
Authors: Paul Debosmita , Baidya Subrata , Chowdhury Purvita , Karmakar Sanjoy , Kalita Biraj Kumar
Published: December 2020

Introduction: Obesity is one of the most significant multifactorial non-communicabledisorders that have reached a pandemic level in present era. Moreover, the cut off for its appropriate definition in different ethnic groups and races vary greatly. As per recent NCD initiative, Tripura reported 1,73,112 cases throughout the state. (www.tripurancd.org) However, there is paucity of exclusive data regarding the indigenous population, made vulnerable by modern lifestyle.
Aim:To assess the association of BMI with blood pressure and biochemical risk factors for NCDs among the ethnic population of Tripura and to evaluate the role of obesity as a predisposing factor.
Methods and materials:This cross-sectional facility-based study was conducted in the ethnic belt under Kherengbar CHC employing pre-designed questionnaire, anthropometry and laboratory investigations. Of the 182 ethnic subjects (≥30years) from the Tripuri tribe, 7.8%, 30.7%, 61.4% were in underweight, normal and pre-obese/obese categories respectively. Among the study population with hypertriglyceridemia (≥200mg/dl.) the prevalence of obesity was found to be 78.3%, among hypoalphalipoproteinemic subjects with HDL≤35mg/dl. 55.6% were obese, among systolic (≥140mmHg) and diastolic (≥90mmHg) hypertensives, prevalence of obesity was 64.58% and 66.66% respectively, and among hyperglycemic individuals with RBS≥140mg/dL prevalence was 55.2%.
Results and conclusionsThis study brings into light that although indigenous populations were once thought to have a leaner body mass and lower prevalence of hypertension and metabolic disorders than non-ethnic populations, the trend is fast changing owing to societal intermingling and change in lifestyle.A higher BMI was observed among the ethnic Tripuri tribe of Tripura and also associated with dyslipidemia, hypertension and hyperglycemia. An increasing prevalence of obesity, hypertension and altered lipid profile among the ethnic population is an indication of the growing risk of cardiometabolic diseases.
COVID-19 PANDEMIC AND MENTAL HEALTH OF SECONDARY SCHOOLS' STUDENTS
Authors: Ahmad Tasneem
Published: December 2020

We are living in troubles times. The covid -19 pandemic appeared as a global health crisis that has caused huge mental and physical health challenges. . When covid-19 was declared a pandemic, no one imagined the changes it would bring. The covid-19 situation has actually changed the normal life. Pandemic is a triggering event, with which the people could not cope. Specific population groups have been affected by COVID-19 in different ways. The lockdown and social distancing norms have badly affected the level of mental health of secondary level students. Pandemic situation introduced new norms in domain of educational activities. These new norms have affected the way of teaching and learning in negative ways and become the immediate source of mental illness. In the present paper, author tried to point out the source of mental health in teaching learning activities during lockdown and social distancing situation.
TO SEE THE IMPACT OF LOCKDOWN IN COVID19 PANDEMIC ON TUBERCULAR PATIENTS IN A TERTIARY CARE CENTRE OF HILLY AREA.
Authors: Chander Subhash , Sharma Ritin , Chaudhary Ankit , Chauhan Rakesh
Published: December 2020

Aim: To see the impact of lockdown in Covid19 Pandemic on Tubercular patients in a Tertiary care Centre of hilly area.
Material and Methods: The study was conducted among adult patients in a tertiary health centre in a rural area. Study was conducted through lockdown period, comparing it with corresponding period in 2019. Tuberculosis patients or suspects were categorized in two groups. Group A was designated for participants in the year 2020 during lockdown period. Group B was data taken from time period similar to lockdown period in the year 2019. Data from two groups was compared.
Observations: There was a 44.1% decline in number of male patients, whose sputum was examined by microscopy for tuberculosis. In case of female patients, decline was 68.6%. This decrease was present in all phases, more in 1st phase, 69.1%. During lockdown period number of patients presenting to medicine department were 45% compared to previous year ( 5129 vs 11280), sputum positive diagnosed during lockdown and similar period in 2019 were (84.4%) 27 vs 32 ( p 0.016). OPD declined by 54.5% during lockdown, however diagnosed tubercular cases by CBNAAT declined by 44.4%.
Conclusion: COVID 19 pandemic greatly affected the routine healthcare services. Lockdown period saw a decline in number of patients presenting to outdoor as well as indoor patients. There was a decline in number of tuberculosis suspects as well as number of diagnosed tuberculosis patients. However decline in tuberculosis patients was less as compared to overall patients.
EVALUATE THE PHYSICALACTIVITY (MOBILITY-INDOOR,OUTDOOR) AND VAS SCORE OF TRANSPEDICULAR DECOMPRESSION AND INSTRUMENTED FUSION IN PATIENTS WITH THORACIC AND THORACOLUMBAR FRACTURE
Authors: Panwar Sharad , Pandey Kk
Published: December 2020

AIMS & OBJECTIVES
Evaluate the Physical activity (mobility-indoor,outdoor) and VAS score of Transpedicular decompression and instrumented fusion in patients with thoracic and thoracolumbar fracture .
Method
We include 30 patients and score was recorded from admission, preoperatively, immediate post operatively at the time of discharge and follow up period ( 1 month, 6 month, 1 year ) and evaluate the patients Physical activity (mobility-indoor,outdoor) and VAS score.
Result
In this study we found that there is gradual and excellent improvement in functional outcome in patients daily life . with the help of walking aids , wheelchair/ physiotherapy patients improve their routine lifestyle after undergo transpedicul decompression and instrumented fusion.
In this study we found that there is gradual and excellent improvement in functional outcome in patients daily life .Mean mobility-indoor,outdoor is 1.4 in post op, 8.9 in 3 month, 14.23 at 6 month , 19.36 at 1 year and VAS score at pre op , post op , 3 month 6 month and 1 year is respectively 8 , 7.75 , 4.06 ,1.9 , and 1.23 .
IMMUNIZATION STATUS AND ITS DETERMINANTS - A HOSPITAL BASED STUDY IN CHILDREN AGED 1-6 YEARS.
Authors: Patel Ami H. , Chauhan Halak H. , Patel Nirmika , Kavad Vilasben Kathadbhai , Kapadia Munjal Mikeen
Published: December 2020

Background: Immunization, a powerful and cost effective intervention against vaccine preventable diseases needs to be sustained with higher coverage for desired benefits. Despite the ongoing Universal Immunization Programme, the immunization coverage in India is low.
Objectives: To determine the immunization status of children aged 1-6 years, to study its association with various sociodemographic factors and the reasons for partial and no immunization.
Methods: This prospective study was conducted from September 2019 to February 2020 at a tertiary care hospital in Ahmedabad, India. Sociodemographic data and immunization history were recorded in a structured proforma. Children were classified as being completely, partially or unimmunized based on the vaccines (as per National Immunization Schedule) received as applicable for age.
Results: Of the 608 enrolled children, 467 (76.8 %) were fully immunized, 134 (22 %) partially immunized and 7 (1.2 %) were unimmunized. 87.8 % children had complete primary immunization up to first measles containing vaccine. Lower socioeconomic status, home delivery, birth order more than 2, low maternal education and occupation status were found to be significant risk factors (p<0.05) for incomplete immunization. With increasing age, immunization coverage decreased (p=0.047). The most common causes for incomplete immunization and no immunization were lack of knowledge about subsequent doses (31.8%) and lack of awareness of immunization (55.6%) respectively.
Conclusion: The immunization coverage of children attending a tertiary care hospital needs to be improved. Special attention on increasing the coverage of booster doses and creating awareness in the groups who are at high risk of being incompletely immunized is required.
EARLY PREDICTION OF DIABETIC RETINOPATHY BY MPV AND P-LCR
Authors: Verma Rajpal , Gulla Sumit , Verma Shikha
Published: December 2020

BACKGROUND:
Mean platelet volume (MPV), platelet-large cell ratio (P-LCR) are the indicators of enhanced platelet activity and can be considered as potential biomarkers for diabetic microvascular complications like diabetic retinopathy.
PURPOSE: To study MPV and P-LCR in Type 2 diabetics with and without complications of diabetic retinopathy.
MATERIAL AND METHODS: A cross sectional study was conducted on 75 Type 2 diabetes patients. Detailed clinical history regarding duration, and complications was taken. MPV and P-LCR were obtained using automated cell counter. Fasting blood glucose, HbA1c were also obtained. Diabetics were further categorized into patients with complications and without complications of diabetic retinopathy. Statistical analysis was performed by Statistical Package for the Social Sciences Version 16 (Chicago, IL), the Chi-square test and the unpaired t-test. The receiving operating curve (ROC) analysis was carried out. The area under the curve (AUC) was calculated. The sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were calculated.
Results: MPV and P-LCR were significantly (p=0.001) higher among patients with retinopathy than without retinopathy.
Conclusion: MPV and P-LCR are predictive markers of diabetic microvascular complication diabetic retinopathy. They are more significant in microvascular complication diabetic retinopathy.
IMPACT OF COVID-19 ON HEMATOLOGICAL PARAMETERS-A SINGLE CENTRE STUDY, INDIA.
Authors: Anegundi Reshma , Rajeswari Talari , A Arathi C , S Raghavendra M
Published: December 2020

Aims and Objectives: To analyze various hematological parameters in Covid-19 infected patients.
Patients/Materials and Methods: This is a retrospective, single centre cross sectional study conducted in a tertiary care hospital, located in a tri-state region. Data was collected from patients admitted in Covid-19 ward and ICU between 28 July to 7 September 2020, confirmed positive for Covid-19 infection. Basic demographic data was collected from Laboratory Information System(LIS) of our hospital . Whole blood EDTA sample sent from Covid-19 ward and ICU were processed in LH780/DXH 500(Beckman coulter) for complete blood counts. Further patients laboratory features were analyzed .
Results: Findings of 338 patients, both from ward and ICU, showed varied hematological parameters. Demographic data revealed age range from 1day to 86 years. Males constituted 205(60.65%) and females 133(39.34%).Complete blood count showed Hemoglobin(Hb) concentration ranged from 5.8 -18.5gm/dL and median value 13.6gm/dL. Red cell distribution width(RDW) ranged from 11.4-39.9% with median value of 13.6%. Leucocytosis was observed in 13.9% of patients, high absolute neutrophil count in 15.6% ,high Neutrophil to Lymphocyte ratio(NLR) in 10.05% patients and eosinophil count ranged from 0-15.3%.
Conclusion: Baseline alterations in CBC parameters of 10-15% of patients in the present study along with articles reviewed from various countries indicate Covid -19 infection causes systemic infection involving multiple organs and systems.
CORRELATION BETWEEN ANDROGENIC ALOPECIAAND CORONARY ARTERY DISEASE SEVERITY ON CORONARY ANGIOGRAPHY AMONG YOUNG MALES IN CENTRAL INDIA
Authors: Kinare Amit Bhanudas , Jain Pradeep Kumar , Rai Nimish , Tripathi Vishwa Deepak
Published: December 2020

Androgenic alopecia (AGA) is a hereditary androgen‑dependent disorder, characterized by gradual conversion of terminal hair into miniaturized hair and defined by various patterns. This was a hospital‑based observational study done on men in the age group of 18–45 years. Thirty cases each, with clinically diagnosed early onset androgenic alopecia (Norwood Grade III or above) (Group A) and without androgenic alopecia (Group B), along with evidence of coronary artery disease (CAD) on coronary angiography (CAG) report were included in the study. Correlation between Male androgenic alopecia grades and coronary artery disease severity in group A was statistically significant in patients with androgenic alopecia when compared to that in group B. Patients presenting with myocardial infarction who had concurrent AGA were evaluated by coronary angiography and found to have comparatively more severe form of coronary artery disease.
Level of senior medical students’ knowledge on antimicrobial therapy: the results of the «KANT» project
Authors: Bontsevich Roman A. , Adonina A.V. , Gavrilova A.A. , Batisheva G.A. , Cherenkova O.V. , Goncharova N.Y. , Bikkinina G.M. , Barysheva V.O. , Ketova G.G. , Bochanova E.N. , Dauletbekov N.D. , Tilekeeva U.M.
Published: December 2020

Objective.

To determine the level of basic knowledge of senior students of medical universities in the rational use of AMP.
Materials and Methods.

Analysis of an anonymous multicenter survey in the framework of the “KANT” project (the full name of the project is “Physicians’ (Students ’) knowledge in antimicrobials usage”), conducted in 2018–2019 in 6 cities of Russia and Kyrgyzstan.
Results.

The study revealed a low level of knowledge of senior students in the field of antibiotic therapy and the empirical use of AMP. The best results are shown by students when answering questions “time interval for evaluating the effectiveness of starting antimicrobial therapy”, “rationality and the period of changing AMP with a positive clinical effect”, and “choice of tactics for treating acute tonsillitis/pharyngitis”; the worst – for questions “choice of first-line AMP in the treatment of various infections”, “choice of adjuvant drugs for bacterial infections of the respiratory tract”, and “determination of irrational combinations of AMP”.
Conclusions.

According to the results of this study, senior students showed a low level of knowledge in the basic issues of the rational use of AMP and the principles of antibiotic therapy in general, which indicates the urgent need for additional educational activities among this category of respondents and an increase in the number of academic hours in the disciplines “Pharmacology” and “Clinical” pharmacology in universities.
Primary hyperparathyroidism during pregnancy – current approach
Authors: Kochman Magdalena
Published: December 2020

Primary hyperparathyroidism (PHPT) during pregnancy is a rare, but may cause many maternal and fetal complications. Most cases are mild and very often remain undiagnosed throughout the whole pregnancy period, especially since its symptoms overlap those occurring in normal pregnancy. Additionally, physiological changes in calcium metabolism and PTH secretion may make the diagnosis difficult. Some current data indicate, that in pregnant women with mild PHPT the risk of obstetrical complications do not increase. However, according to others some complications, including miscarriage, intrauterine growth retardation or preeclampsia continue to occur even in subjects with mild hypercalcemia or those previously successfully treated for PHPT. Additionally, the course of PHPT during pregnancy may exacerbate, and rapid severe worsening of hypercalcemia may occur in the postpartum period. Parathyroidectomy, optimally performed during the second trimester, remains the main and the only definite treatment of PHPT, especially, when the serum calcium level exceeds 2,75 mmol/l. In patients with mild, asymptomatic PHPT some experts recommend conservative treatment with postponing surgery to the postpartum period. There are no medical guidelines regarding the treatment of PHPT during pregnancy. Therefore, to achieve optimal care of pregnant women with PHPT, they should be diagnosed, monitored and treated in reference centers by multidisciplinary teams of closely cooperating specialists. Conservative treatment is possible only on condition of close monitoring of the mother and child during pregnancy and after delivery.
CHRONOBIOLOGICAL AND PSYCHOEMOTIONAL STATUS IN WOMEN WITH CHRONIC RECURRENT BACTERIAL CYSTITIS AND CARBOHYDRATE METABOLISM DISORDER
Authors: Химичева Мария Николаевна , Кузьменко Андрей Владимирович , Кузьменко Владимир Васильевич , Гяургиев Тимур Асланбекович
Published: December 2020

Инфекции мочевых путей - наиболее распространённая группа заболеваний в практике врача уролога. Один из представителей является хронический рецидивирующий бактериальный цистит. Данное заболевание встречается во всех возрастных категориях и затрагивает все сферы жизни пациентов. Симптомы, возникающие при обострении хронического бактериального цистита, оказывают негативное влияние на качество жизни, что может приводить к нарушению психоэмоционального состояния больных. Отдельную группу высокого риска в отношении ИНМП составляют пациенты с нарушением углеводного обмена, у которых риск развития различных инфекций выше, чем у людей без подобных нарушений. К факторам, повышающим риск развития ИНМП у больных с нарушением углеводного обмена, относят возраст, компенсацию и наличие хронических осложнений, в первую очередь нефропатии и цистопатии. Человеческий организм функционирует циклически в соответствии с определенными индивидуальными ритмами. Любое хроническое заболевание приводит к рассогласованию процессов, протекающих в различных системах организма, вызывая развитие десинхроноза. Наличие у человека более 1 хронического заболевания утяжеляет течение болезни и приводит к снижению восстановительных способностей организма и сокращению его адаптационного потенциала

Urinary tract Infections are the most common group of diseases in the practice of a urologist. One of the representatives is chronic recurrent bacterial cystitis. This disease occurs in all age categories and affects all areas of life of patients. Symptoms that occur with the exacerbation of chronic bacterial cystitis have a negative impact on the quality of life, which can lead to a violation of the psychoemotional state of patients. A separate high-risk group for INMP is patients with impaired carbohydrate metabolism, who have a higher risk of developing various infections than people without such disorders. Factors that increase the risk of developing INMP in patients with impaired carbohydrate metabolism include age, compensation, and the presence of chronic complications, primarily nephropathy and cystopathy. The human body functions cyclically in accordance with certain individual rhythms. Any chronic disease leads to misalignment of the processes occurring in various body systems, causing the development of DS, the Presence of more than 1 chronic disease complicates the course of disease and leads to a decrease in regenerative abilities of the organism and reduce its adaptive capacity
INFLUENCE OF THE THYROID GLAND ON THE COURSE OF TUBERCULOSIS
Authors: Лушникова Анна Владимировна , Бакутина Юлия Юрьевна , Хорошилова Надежда Егоровна , Недомолкина Светлана Александровна
Published: December 2020

В 2018 году по данным Всемирной организации здравоохранения было выявлено более 10 млн. человек, заболевших туберкулезной инфекцией, 1,6 млн. из которых погибли. Причинами высокой смертности могли послужить: низкая эффективность лечения, множественная лекарственная толерантность к препаратам как первой, так и второй линий, применяемых в лечении, неосведомленность о соматическом состоянии пациентов, развитие побочных действий и снижение реактивности организма [1]. За последние годы по данным статистических обзоров во всем мире, в том числе и РФ, отмечается значительный рост числа больных, инфицированных мультирезистентными штаммами M.tuberculosis. В режимы химиотерапии таких больных включают большое количество противотуберкулезных препаратов, удлиняются сроки лечения, что способствует увеличению побочных реакций токсического характера, как от самих лекарственных препаратов, так и от их метаболитов. Также одним из возможных и недооцененных триггеров, влияющих на течение туберкулеза, может быть функциональное состояние щитовидной железы. Именно поэтому тиреоидный статус пациентов с туберкулезной инфекцией может играть значительную роль в развитии, течении и исходе данного заболевания. Так, проблемой современного медицинского общества может быть недостаточность знаний и отсутствие комплексных обследований полиморбидных пациентов, являющихся основой группы пациентов с туберкулезом легких

In 2018, according to the world health organization, more than 10 million people were identified with tuberculosis infection, 1.6 million of whom died. The causes of high mortality could be: low effectiveness of treatment, multiple drug tolerance to both first-and second-line drugs used in treatment, lack of awareness of the somatic state of patients, the development of side effects and reduced reactivity of the body. [1] in recent years, according to statistical reviews all over the world, including the Russian Federation, there has been a significant increase in the number of patients infected with multi-resistant strains of M. tuberculosis. These data contribute to an increase in toxic adverse reactions both from the drugs themselves and from their metabolites. Also, one of the possible and underestimated triggers that affect the course of tuberculosis may be the functional state of the thyroid gland. That is why the thyroid status of patients with tuberculosis infection can play a significant role in the development, course and outcome of this disease. Thus, the problem of modern medical society may be the lack of knowledge and the lack of comprehensive examinations of polymorbid patients, which are the basis of the group of patients with pulmonary tuberculosis
Relevansi Pembiayaan Pemilikan Rumah (PPR) Syariah dalam Penyelesaian Pembiayaan Bermasalah Bernilai Humanis Islami
Authors: Kurnaemi Anita  , Muhammad Wahyuddin Abdullah  , Muhammad Nirwan Idris
Published: December 2020

Preference in solution construction of non-performing financing based on Islamic business ethics was born from the accumulation of fiqh of muamalah conceptions. This study aimed to describe the PPR mechanism according to sharia standards and to identify the relevance of sharia PPR practices in producing non-performing financing with Islamic humanist values based on fiqh of muamalah. This is qualitative research with a phenomenological approach to the Sharia Property Developer PT. Wahana Persada Indonesia. Data collection was conducted through observation and interviews with the president director, accounts receivable staff, marketing staff, and several users. This research describes the flow of financing that occurs in the field, starting from the location survey to the implementation of the Sale and Purchase Agreement and the handover of homeownership certificates. Besides, this study also finds three types of handling of problematic financing qualifications applied by developers in each cluster, starting from soft connections, restructuring, and finding a replacement for users. This is then made relevant to the values of Islamic business ethics to create an Islamic humanist financing atmosphere.
Takbir Zawāid dalam Salat Id Prespektif K.H. Lanre Said al-Bugisi
Authors: Syandri Syandri , Saifullah bin Anshor  , Patahuddin Askar , Miranto Agus
Published: December 2020

This research aimed to identify zawāid takbir in id prayer according to K.H Lanre Said al-Bugisi perspective. This research was a qualitative descriptive study using the library research method with juridical-normative and philosophical approaches. The results of this study indicate that in determining shari law, K.H. Lanre Said used several approaches and methods. The method of iṣtishābul hāl, muqaranāt al-maẓāhib, tarjih, and the principle of "al-khurūju minal khilāf. Based on this method K.H. Lanre Said al-Bugisi rejects the existence of zawāid takbir (additional takbir) in the id prayers arguing that all narrations describing zawāid takbir are of a weak degree. Therefore, the takbir for the id prayer must be returned to its original form, which is one takbir, just as the Friday prayer is only one takbir. In addition, K.H. Lanre Said al-Bugisi built his opinion using the method of al-aqly (reason) in which he argued that zawāid takbir was not needed because it would be one of the causes for the loss of solemnity in prayer. This research has a positive implication which is to reveal the shari law-setting method according to K.H. Lanre Said al-Bugisi and his arguments against the existence of zawāid takbir in id prayers.
Pelaksanaan Program Pendekatan Keagamaan melalui KKN STIBA Makassar di Desa Baruga Kabupaten Maros
Authors: Patuti Asnawati , Rahmat Rahmat
Published: December 2020

Baruga village, Bantimurung sub-district is an area in Maros district where the majority of the original population is Muslim. The existence of Islam in Maros has been around for a long time, namely with the entry of Raja Gowa and Tallo which have a direct border area with the Marusu Maros kingdom so that the Islamic life of the Baruga Village Community, Bantimurung Maros sub-district looks so real. The purpose of Real Work Lecture (KKN) III Stiba Makassar is to realize community service which is one of the pillars of the tri dharma of higher education. The method of implementing this program begins with conducting a field review based on an independent instrument. The results of the KKN program show the importance of community service programs by seeing the benefits felt by KKN participants, the community and the government. Religious activities which are the main orientation of this program have been successfully carried out, as well as social activities, organizational activities and the active role of KKN participants with the government in successful community development efforts.
A STUDY ON ADVANCED BOTNETS DETECTION IN VARIOUS COMPUTING SYSTEMS USING MACHINE LEARNING TECHNIQUES
Authors: K. Vamshi Krishna
Published: December 2020

Due to the rapid growth and use of Emerging technologies such as Artificial Intelligence, Machine Learning and Internet of Things, Information industry became so popular, meanwhile these Emerging technologies have brought lot of impact on human lives and internet network equipment has increased. This increment of internet network equipment may bring some serious security issues. A botnet is a number of Internet-connected devices, each of which is running one or more bots.The main aim of botnet is to infect connected devices and use their resource for automated tasks and generally they remain hidden. Botnets can be used to perform Distributed Denial-of-Service (DDoS) attacks, steal data, send spam, and allow the attacker to access the device and its connection. In this paper we are going to address the advanced Botnet detection techniques using Machine Learning. Traditional botnet detection uses manual analysis and blacklist, and the efficiency is very low. Applying machine learning to batch automatic detection of botnets can greatly improve the efficiency of detection. Using machine learning to detect botnets, we need to collect network traffic and extract traffic characteristics, and then use X-Means, SVM algorithm to detect botnets. According to the difference of detection features, botnet detection based on machine learning technology is divided into network traffic analysis and correlation analysis-based detection technology.
KEYWORDS: Botnet, Study, Security, Internet-network, Machine Learning, Techniques.
Utilization of evidence-based tools and medical education literature by Canadian postgraduate program directors in the teaching and assessment of the CanMEDS roles
Authors: Doja Asif , Eady Kaylee , Warren Andrew , Wiesenfeld Lorne , Writer Hilary
Published: December 2020

Background: Researchers have shown that clinical educators feel insufficiently informed about how to teach and assess the CanMEDS roles. Thus, our objective was to examine the extent to which program directors utilize evidence-based tools and the medical education literature in teaching and assessing the CanMEDS roles.

Methods: In 2016, the authors utilized an online questionnaire to survey 747 Canadian residency program directors (PD’s) of Royal College of Physicians and Surgeons of Canada (RCPSC) accredited programs.

Results: Overall, 186 PD’s participated (24.9%). 36.6% did not know whether the teaching strategies they used were evidence-based and another third (31.9%) believed they were “not at all” or “to a small extent” evidence-based. Similarly, 31.8% did not know whether the assessment tools they used were evidence-based and another third (39.7%) believed they were “not at all” or “to a small extent” evidence-based. PD’s were aware of research on teaching strategies (62.4%) and assessment tools (51.9%), but felt they did not have sufficient time to review relevant literature (72.1% for teaching and 64.1% for assessment).

Conclusions: Canadian PD’s reported low awareness of evidence-based tools for teaching and assessment, implying a potential knowledge translation gap in medical education research.
„Lice ziemi”. Filozofia krajobrazu Jana Gwalberta Pawlikowskiego
Authors: Salwa Mateusz
Published: December 2020

Artykuł przybliża myśl Jana Gwalberta Pawlikowskiego (1860-1939), nestora polskiej ochrony krajobrazu. Analiza kilku tekstów Pawlikowskiego z jego programowym artykułem "Kultura a natura" (1913) na czele pozwala wydobyć „filozofię krajobrazu”, stanowiącą istotny składnik jego myśli o ochronie przyrody i wskazać na rozmaite sposoby ujmowania przezeń kategorii krajobrazu. Ponadto, teoria Pawlikowskiego zostaje zestawiona ze współczesnymi zagadnieniami podejmowanymi przez filozofów zajmujących się estetyką krajobrazu (m.in. A. Berque, A. Carlson, P. d’Angelo, A. Roger), co pozwala w nowym świetle ukazać rozpowszechnioną wśród polskich badaczy tezę o aktualności jego myśli.
Uchodzić nowoczesności
Authors: Pospiszyl Michał
Published: December 2020

Recenzja książki "Migracje modernizmu. Nowoczesność i uchodźcy" pod redakcją Tomasza Majewskiego, Agnieszki Rejniak-Majewskiej, Wiktora Marca, Narodowe Centrum Kultury – Stowarzyszenie Tomografie, Warszawa – Łódź 2014.
Andrzej Wróblewski: oczyszczanie pola i nowe perspektywy
Authors: Słodkowski Piotr
Published: December 2020

Omówienie książki "Unikanie stanów pośrednich / Avoiding Intermediary States. Andrzej Wróblewski" (1927–1957), red. Wojciech Grzybała, Magdalena Ziółkowska, Fundacja Andrzeja Wróblewskiego / Instytut Adama Mickiewicza / Hatje Cantz Verlag, Warszawa 2014.
Teresa Murak. Selected Earth Works
Authors: Murak Teresa , Cichocki Piotr
Published: December 2020

Presentation of Teresa Murak's Earth Works with a commentary by Sebastian Cichocki.
Rainbow in Flames
Authors: Plińska Weronika
Published: December 2020

The Rainbow is a public sculpture created by Julita Wójcik as an outcome of her participatory art project conducted in Wigry, North-East Poland, in 2010. In 2011, the sculpture was transported to Brussels, where it stood in front of the European Parliament, as a monument to Poland’s first EU Presidency. The sculpture returned to Poland in 2012 and it was located in Warsaw at the Square of the Savior. Between the years 2012 and 2015 the artwork was administrated by the Warsaw City Council.
The Rainbow was destroyed and renovated several times as a visible result of struggles between various groups of its “defenders” and “attackers”. In this article, drawing from my ethnographic data and presenting selected ways of its appropriation, I will argue that the Rainbow surrounded by its material and immaterial infrastructures operates as a powerful device – it is a Gellian “trap” (Gell 1996, 1998), understood, after Roger Sansi, as a “gift” which interpellates the emergent political subjects of those who respond to it as "receivers" (Sansi 2014).
1/280 (English version)
Authors: Skrońc FIlip
Published: December 2020

Presentation of the project "1/280."
Thinking-with-Connections
Authors: Mościcki Paweł , Lipszyc Adam , Weigel Sigrid
Published: December 2020

The text is an interview with prof. Sigrid Weigel (ZFL Berlin) made by Adam Lipszyc and Paweł Mościcki. It concerns the general view of Sigrid Weigel's academic career, her institutional engagements as well as research achievements.
Community Pharmacy Services During the COVID-19 Pandemic: A Systematic Review
Authors: Mendonça Ana , Santos Cátia , Pinto Isabel C.
Published: December 2020

Background. As a central part of the healthcare system, the community pharmacies are afflicted by the repercussions of the pandemic. Therefore, they have to adapt their services according to the needs of their communities.
Objective. This article presents a systematic review with the aim to identify the additional services that community pharmacies are providing during the COVID-19 pandemic.
Methods. The PubMed, Web of Science, and ScienceDirect databases were searched systematically for relevant articles between December 2019 and April 2020, using “Community Pharmacy,” “Services,” “COVID-19,” “Coronavirus,” and “Pandemic” as the keywords. Fifty-nine articles in English, Portuguese, or Spanish were obtained and after applying the filtering criteria, nine of them were selected and included in the study.
Results. Community pharmacies should provide pharmaceutical services that are according to the needs of the communities. During the COVID-19 pandemic, changes of these services must be in line with the common goal of preventing the spread of the disease. In addition to the pre-existing services such as medication dispensing and personalized care, community pharmacists must promote other types of services, for example, informing, advising, and educating the community, maintaining a stable supply of pharmaceuticals and health products, and screening of suspected cases.
Conclusion. While remaining engaged in the coordinated efforts, community pharmacists should apply innovations in their practices to help prevent the spread of coronavirus.