bluuebunny/crossref_metadata_2025 huggingface dataset:
Ethical Dilemmas for Human Resource Professionals in Handling Sexual Harassment at Workplaces: Cases from Sri Lanka
Authors: Paternott Kanishka , Adikaram Arosha S.
Published: November 2022

The aim of this article is to explore the ethical dilemmas faced by Human Resource (HR) professionals when handling sexual harassment in organizations, using a multidimensional framework suggested by Kevin Wooten for studying Human Resource Management (HRM) ethics. Employing a qualitative research approach, HR professionals of 10 Sri Lankan companies operating in different industries were selected for the study using a purposive sampling technique. Data was collected through in-depth interviews and documents. The nature of ethical dilemmas faced by HR professionals (such as misrepresentation and collussion, misuse of data , manipulation and collusion, value and goals conflict and technical ineptness), when handling sexual harassment in organizations within an HRM environment, which is greatly influenced by the legislative/regulatory climate, demographic trends and social climate with organizational, personal and professional ethics overlapping and intersecting in different ways and instances, was revealed . The main areas under sexual harassment that give rise to these ethical dilemmas were identified as; 1) handling complaints without proper evidence and failing to ensure the truthfulness of data 2) handling complaints against key persons, 3) managing tempting behaviours at workplaces in order to prevent sexual harassment occurrences, 4) unawareness about the issue of sexual harassment at workplaces, and 5) the inability to ensure complete confidentiality. Further, the study also explores environmental influences and other competing ethical considerations which influence the occurrence of these ethical dilemmas.
Leading-edge Suction Behavior of Unsteady Airfoils in Forward And Reverse Flows
Authors: Narsipur Shreyas , Gopalarathnam Ashok
Published: November 2022

To model unsteady airfoil aerodynamics in forward and reverse flows in a simple and robust manner requires a strong understanding of the complex flow dynamics and their relation to first-order concepts. The current work explores the relation between the leading-edge suction force, represented
nondimensionally by the leading-edge suction parameter (LESP), and the flow physics of forward and reverse dynamic stall as a function of freestream Reynolds number, airfoil thickness, and motion kinematics for the NACA 0012, 0015, and 0018 airfoils using computational tools. The relation
between the LESP and critical events associated with leading-edge vortex (LEV) shedding was found to be independent of flow direction barring the signature to identify LEV initiation. Leading-edge suction was observed to continue to increase after LEV initiation in reverse flow and could be
attributed to the combined effect of a weak LEV and strong trailing-edge vortice. While LESP, forces, and moments were found to be moderately dependent on airfoil thickness and strongly dependent on the Reynolds number in forward flow conditions and the critical LESP, in addition, was weakly
dependent on motion kinematics, the aerodynamics were observed to be largely independent of said parameters in reverse flow. This allows for a single critical LESP value to be used for symmetric airfoils to indicate LEV initiation when the blunt edge is experiencing reversed flow, a finding
which serves to largely reduce the empirical dependencies while modeling unsteady reverse dynamic stall in low-order methods.
Expression and prognostic significance of cyclin D1 and cyclooxygenase-2 in colorectal carcinoma
Authors: Roshdy Rania G. , Said Eman M.
Published: November 2022

Background

Colorectal cancer (CRC) is one of the most frequent cancers worldwide. Cyclin D1 (CNND1) and cyclooxygenase-2 (Cox-2) are expressed in a plethora of neoplastic tissues.

Aim

The present work was conducted to examine the immunohistochemical expression of CNND1 and Cox-2 in colorectal adenocarcinoma, compared with colonic adenoma to evaluate its association with various clinicopathological features.

Patients and methods

A total of 30 colorectal adenocarcinoma cases, 20 cases of colonic adenoma, and 10 normal colonic mucosal biopsies as controls were studied. Immunohistochemical technique was applied to detect CNND1 and Cox-2 expression and correlate them with clinicopathological findings.

Results

Both cytoplasmic high CNND1 and nuclear positive Cox-2 expression were significantly increased from normal colonic mucosa (0 and 10%, respectively) to CRC (80 and 83.3%, respectively) passing through colon adenoma (25 and 55%, respectively) (P≤0.001 for both). High CNND1 score was significantly related to lymph node spread and stage (P≤0.001 for both). A statistically significant difference was documented between Cox-2 and grade of differentiation (P=0.017), distant metastasis, and TNM stage (P=0.033, 0.003, respectively).

Conclusion

The present work suggests the oncogenic role of CNND1 and Cox-2 in CRC. Furthermore, overexpressions of CNND1 and Cox-2 are associated with poor prognostic factors, implicating their potentially prognostic role in CRC.
Survival pattern in cervical cancer patients in North West India
Authors: Yadav Manjulata , Kumar H. S. , Kumar Rajesh , Sharma Neeti , Jakhar Shankar Lal
Published: November 2022

Background:

Cervical cancer is most common malignancy of female reproductive system worldwide. As per GLOBOCAN 2020, there are 604,127 (6.5%) new cases of cervical cancer in the world, among women it is fourth most common and eighth most common in both sexes. In India, there are 123,907 total new cervical cancer cases (18.3% in female sex whereas 9.4% in both sexes). There are several etiological factors and the most significant is due to persistent infection of specific human papilloma virus (HPV) strains, particularly type 16 and 18 which are most common. Screening and early detection is likely to improve mortality and incidence also.

Aims and Objectives:

The objective of this retrospective study was to determine the survival rates of cervical cancer and its associated factors in North-West region.

Materials and Methods:

A total of 520 newly diagnosed cases of cervical cancer were enrolled at Acharya Tulsi Regional Cancer Treatment and Research Centre, Bikaner from January 1, 2014 to December 31, 2014 were included in this study. The main source of information was patient's medical records from which the data were abstracted and cases were followed up for next five years periodically from the date of diagnosis to access their survival status.

Results:

Kaplan Meier analyses were conducted to identify overall survival and median survival time. Among 520 cases, 130 (25%) had lost to follow up so excluded from the study and the study sample was about 390 patients. The median survival time for cervical cancer in this study was 60 (32-60) months and the overall survival rates at 1, 3 and 5 years were 93.07%, 72.3% and 54.9% respectively. Education, use of oral contraceptive pills (OCP), tobacco chewing (good survival in tobacco non-chewers) and staging were significantly associated with survival.

Conclusion:

The 1, 3 and 5 year survival rates for cervical cancer were found to be 93.07%, 72.3% and 54.9% respectively. Various factors determining survival rates were potentially modifiable. Early diagnosis and prevention strategies are keys to obtain better outcomes.
Relationship of irradiated bone marrow volume and neutropenia in patients undergoing concurrent chemoradiation therapy for cervical cancer
Authors: Antony Febin , Chalissery Jomon Raphael , Varghese K. Mathew , Gopu G. Paul , Boban Minu
Published: November 2022

Introduction:

Concurrent chemoradiation therapy (CCRT) is the standard of care in the management of cervical cancer (International Federation of Gynecology and Obstetrics [FIGO] 2008 Stages IB2-IVA). Apart from the myelotoxic effects of chemotherapy, irradiation of pelvic bone marrow (BM) in the radiation field, can also contribute to hematological toxicity.

Objectives:

We examined the relationship of irradiated BM volume and neutropenia in cervical cancer patients undergoing CCRT.

Materials and Methods:

This prospective study was conducted in a tertiary cancer center with a longitudinal study design. A total of 43 patients undergoing CCRT for cervical cancer were included. Using auto bone segmentation, the external contour of pelvic bones from L4 vertebral body to ischial tuberosities were delineated as BM. The volume of BM receiving 10, 20, 40, 50 Gy was calculated. Complete blood counts were done weekly to evaluate the neutropenia and were graded according to Common Terminology Criteria for Adverse Events, version 3.0. The risk of developing neutropenia was analyzed using logistic regression.

Results:

Twenty-seven patients (62.8%) received 5 cycles of chemotherapy, 14 patients (32.6%) received 4 cycles of chemotherapy and 2 patients (4.7%) received 3 cycles of chemotherapy. Overall, 22 patients (51.2%) experienced acute neutropenia. On multivariate analysis increased BM V50Gy had a statistically significantly odds of developing any grade of neutropenia (odds ratio [OR] =1.43; 95% confidence interval [CI], 1.03–1.97; P = 0.028). When comparing patients receiving BM V40Gy ≥40% with BM V40Gy <40% odds of any grade of neutropenia was increased (OR = 2.03; 95% CI, 0.55–7.42; P = 0.28). Moreover, when comparing patients receiving BM V50Gy ≥15% with BM V50Gy <15% odds of any grade of neutropenia was increased (OR = 2.13; 95% CI, 0.57–7.97; P = 0.26).

Conclusions:

High-dose irradiation to the larger volume of BM prevents compensatory hyperplasia which leads to neutropenia in patients undergoing CCRT for cervical cancer.
First-line chemotherapy analysis on survival in carcinoma ovary patients
Authors: Dogra Atika , Talwar Vineet , Goel Varun , Sekhon Rupinder , Rawal Sudhir Kumar
Published: November 2022

Aims:

This study aims to assess the survival and identify the prognostic factors in ovarian cancer patients treated with surgery and carboplatin/paclitaxel based first-line chemotherapy (CT).

Settings and Design:

The electronic medical records of all ovarian cancer patients registered during January 2009 and December 2017 were screened retrospectively.

Subjects and Methods:

A total of 440 cases were included in accordance with the inclusion/exclusion criteria of study. The comprehensive data regarding demography, treatment, chemotoxicities, recurrence, and others were collated and analyzed.

Statistical Analysis Used:

Cox regression analysis was used for univariate and multivariate analyses of prognostic factors.

Results:

The median age at diagnosis was 50.6 years. All cases had got CT-related morbidity but no associated mortality. The median recurrence-free survival (RFS) and mean overall survival (OS) were 30 (95% confidence interval [CI]: 24.65–35.38) months and 40.4 months, respectively. A significant difference was observed among the RFS (P < 0.001); and OS (P = 0.036) in relation to the stage of disease. Furthermore, patients who relapsed post first-line CT had 36%, 9%, 3% recurrence in second-, third-, and fourth-line CT regimens, respectively. Multivariate analysis proved the histology, low-grade serous, to be the favorable prognostic factor for RFS (hazard ratio = 0.18; 95% CI: 0.04–0.82).

Conclusions:

Surgery and first-line CT with carboplatin/paclitaxel lead-to-moderate long-term survival in ovarian cancer. The likelihood of relapse is fairly high as stage advances. Low-grade serous histology is an independent prognostic factor for RFS.
Role of Echocardiography in Balloon Dilatation of Aortic Valve
Authors: Verma Sudeep , Gouthami V.
Published: November 2022

Aortic valve obstruction accounts for majority of left ventricular outflow tract obstruction. When present in neonatal age group, presentation is more severe and is mostly due to unicomissural aortic valve while at later age, bicuspid aortic valve is the most common cause for aortic stenosis. Echocardiography plays an importance role in the diagnosis and to assess the anatomy for suitability for balloon valvuloplasty. Its role also extends to assess the left ventricle size and function, to diagnose associated lesions and to suggest the suitable plan of management. Echocardiography also plays an important role immediately after balloon dilatation and during follow up to assess adequacy of dilatation and resultant complications. Balloon dilation of bicuspid aortic valves is associated with better outcome and lesser need for reinvention as compared to unicuspid valves.
Percutaneous Closure of Ruptured Sinus of Valsalva Aneurysm
Authors: Tomar Munesh , Srivastava Roli
Published: November 2022

Ruptured sinus of Valsalva (RSOV) aneurysm is a rare but well-known entity. It is a form of left-to-right shunt due to the rupture of aortic sinus into cardiac chambers, more commonly right sided. Hemodynamic effects are acute and severe. Surgical repair of RSOV aneurysm is an established treatment option and is being done with excellent results. Over the last two decades, there are case reports and case seriers describing percutaneous closure of RSOV aneurysm with promising results. Before planning percutaneous closure of RSOV aneurysm, it is imperative to know the detailed anatomy of the defect and its hemodynamic effects and to rule out associated defects requiring surgical intervention. Echocardiography plays a crucial role in defining the lesion in detail and helps in decision-making.
Functional and Radiological Outcome after Cervical Arthrodesis using Polyetheretherketone or Tricortical Iliac Bone Graft for Degenerative and Traumatic Spine Pathologies: A Single-center Experience
Authors: Thankaraj Jithin Veliyath , Kidangan Geo Senil , Warrier Bijukrishnan Rajagopala , Veepanattu Pranav
Published: November 2022

Introduction:

Anterior cervical discectomy and fusion (ACDF) is the most common surgical procedure used for decompression and fusion of adjacent cervical vertebral bodies. Iliac bone graft was widely accepted for fusion during ACDF to the introduction of polyetheretherketone (PEEK) spacers. Even though PEEK spacers have the advantage of reducing donor-site complications, in cases with doubtful supporting ligament continuity, the long-term outcome of cervical spine stability is not confirmed. In this study, we are comparing the clinical and radiological outcomes of both substitutes.

Materials and Methods:

We did a retrospective analysis of 111 patients who underwent singlelevel ACDF using PEEK or tricortical iliac bone graft for various disc pathologies at our institution in the past 10 years along with clinical and radiological presentations and outcome of the procedure at 3 weeks, 6 months, and after 1 year. The study population was divided into two groups: Group “P” (PEEK spacer) and Group “G” (bone graft spacer). Distribution of clinical presentation in terms of radiculopathy, myelopathy, and myeloradiculopathy was evaluated and correlated with the demographic parameters. The standard deviation and P value of the radiological variables were calculated. “Mann–Whitney U-test” for the Japanese Orthopaedic Association score at 1-year follow-up and “Pearson's Chi-square” value for the Odom's score of both groups were used to analyze the correlation.

Results:

All the radiological parameters were analyzed by the Wilcoxon signed-rank test after checking for normality distribution. The improvements reported above in all domains were found to be statistically significant at P < 0.001. When analyzing the radiographic evidence of bony fusion at 1 year by Bridwell fusion grading, only two patients in Group P had poor fusion and all the patients in Group G had Grade 1 or 2 fusion. The clinical improvement analyzed by evaluating the ODOMS score after 1-year follow-up showed significant improvements in both groups.

Conclusions:

In our study, PEEK spacers have got definite advantage over iliac bone grafts in maintaining the disc segmental height, segmental angle, cervical lordosis, and fusion segment height without adding any donor-site morbidity.
Anonimna poezija u srpskoj književnosti 18. veka
Authors: Balać Jelena Marićević
Published: November 2022

Pored autora koji su svoju poeziju objavljivali pod svojim imenom, u okviru štampanih publikacija ili u rukopisima, sačuvan je obiman korpus pesama koje su beležene i objavljene adespotno. Većina pesama spada u korpus takozvanog građanskog pesništva, koji čine posebnu tipološku celinu. Postoje pesnički zapisi za koje se pouzdano ne može tvrditi ko im je autor, već se navode pretpostavke (stihovi u Stematografiji (1741) Hristifora Žefarovića) i, najposle, emblematski zbornik Itika Jeropolitika (1774) u kome embleme prate anonimni stihovi. Temi zaborava pristupljeno je kroz problem nepoznatog autorstva u srpskoj književnosti 18. veka. Cilj je da se kroz predlog tipologije anonimne poezije definiše problem i odrede njene moguće poetičke karakteristike.

Anonymous Poetry in Serbian Literature of the 18th Century

This paper approaches the theme of oblivion through the problem of unknown authorship in Serbian literature of the 18th century. Along with poetry published by known authors, printed publications or manuscripts preserve an extensive corpus of poems recorded and published by anonymous authors. Majority of such poems belongs to the corpus of socalled civic poetry – a special typological whole. For some poetic records, it is not possible to state with certainty who the author is. However, there are some assumptions based primarily on verses in Hristifor Žefarović’s Stematography (1741) and also on the emblematic collection, Itika Jeropolitika (1774), where emblems are accompanied by some anonymous verses. By proposing the typology of anonymous poetry, our goal is to define the problem and to determine possible poetic characteristics.
A Retrospective Study to Evaluate the Maternal and Fetal Outcome in Patients of Heart Disease in Pregnancy at a Tertiary Rural Hospital
Authors:   Department of OBGY, SMBT Institute of Medical Sciences, Nashik, Maharashtra,, Naik Amit S , Naik Saudamini A , Shinde Snehal , Vaje Mugdha C
Published: November 2022

Background: Heart disease(HD) in pregnancy remains an important cause of maternal, fetal morbidity and mortality especially in a developing country like India, where incidence of cardiac disease that complicates pregnancy is between 1% to 4% & Rheumatic heart disease (RHD) still remains the most common type of heart disease complicating pregnancy due to Poor socioeconomic condition. Methods: This is a retrospective observational study carried out in Department of Obstetrics and Gynaecology at S.M.B.T. Institute of medical sciences, Dhamangaon during the period of 24 months to assess the maternal and fetal outcome on patients of heart disease with pregnancy. Result: Among the 3182 patients delivered in the study 35 had cardiac disease with prevalence of 1.1%, all patients were booked and diagnosed with heart disease during ANC checkup. Rheumatic Heart disease (70%) was the commonest form of heart disease with MS with MR predominating (22%). NYHA grade 2 patients (41%) were maximum with Anemia as the associated complicating factor.4 patients with severe MS required balloon mitral valvotomy (BMV) of them 1 patient went into pulmonary edema. There was no maternal mortality. 2 patients underwent medical termination of pregnancy (MTP) for cardiac reason and there was 1 neonatal mortality. Conclusion: RHD is still the commonest heart disease in pregnancy; BMV can be performed in third trimester on patients with severe MS reducing intra and postpartum complications. Giving good and timely antenatal, Intranatal and postnatal care at a tertiary care hospital with good cardiac, obstetric & Neonatal care setup reduces maternal and fetal morbidity in patients of heart disease with pregnancy. Keywords: Rheumatic heart disease in pregnancy, Congenital heart disease in pregnancy, Balloon Mitral Valvotomy in pregnancy
Air Medical Casualty Evacuation in High Altitude: An Experience of 100 Cases in High Altitude and Hilly Terrain of Northern India
Authors:   Department of Anaesthesia, BHDC, Lucknow,, Singh Satyen , Singh Dhananjay , Thakur Haneesh , Bhardwaj Ajit , Chawla Vikas Chawla
Published: November 2022

Objectives: This article describes the on ground challenges faced by the medical care team deployed for transferring critically ill patients by air from remote locations of the high altitude and hilly terrain to definitive health care facility. Methods: All intubated critical patients requiring definitive and super specialty medical care, transferred by air from high altitude hilly terrain to tertiary care hospital during Jan 2016 to Dec year 2020, analyzed in this retrospective study. Results: The total duration of flight was between 40 – 150 min and average being 83 min. Twenty four patients were transferred by fixed wing aircraft and rest 76 by helicopters. All patient were given sedation in form of injection fentanyl 1mcg/kg in dividing doses and boluses of propofol 10 mg intravenously during transfer. The most common change noticed was fall in oxygen saturation with incidence almost 100% of the patients. The mean fall in saturation was 17.29%. Four patients required injection atropine for bradycardia which resulted with decrease of Saturation of peripheral oxygen (SpO2). Conclusion: Transferring a critically ill patient by road to distant medical centers is often not an option because of losing the golden hour of the medical care. Here comes the importance of aeromedical evacuation for a timely transfer for early medical attention. But shifting the critical patients through aerial mode requires planning and poses a variety of challenges. Keywords: Air­evacuation, High altitude, Air ambulance
Tandem Kidney: A Case of Left Crossed Fused Renal Ectopia
Authors:   Dr. B R Ambedkar Medical College, Bangalore, India,, Subramani Arundhati V , Kulkarni Vasudha
Published: November 2022

Crossed fused renal ectopia is a condition in which the ureter of one kidney enters the urinary bladder on the opposite side. It is the second most frequent fusion abnormality of the kidney after the horseshoe kidney. The crossed kidney is horizontally fused to the lower pole of the normal kidney in the case of tandem kidney, which is a kind of crossed fused renal ectopia. A 33-year-old woman was diagnosed with pelvic inflammatory disease and a urinary tract infection. She was found to have left crossed renal ectopia with a Tandem kidney subtype during her ultrasonography assessment. Crossed fused renal ectopia may be asymptomatic, associated with other anomalies such as hydronephrosis, or represent a risk factor for renal neoplasms. It has been associated with genital and anorectal malformations. Fused renal abnormalities are of significance during abdominal surgeries such as malignant kidney excision, renal transplantation, or surgical management of aortic aneurysm. Keywords: Ectopic kidney, Crossed renal ectopia, Tandem kidney, Horseshoe kidney
Comparative Study of the Role of MRCP and USG in Patients with Pancreatic Duct and Biliary Duct Pathology
Authors:   Department of Radiodiagnosis, IGIMS, Patna, Bihar,, Kumari Manisha , Suman Sanjay Kumar , Gupta Ruchi , Singh Aishwerya , Verma Pragya , Jha Ashish Kumar
Published: November 2022

Background: Various imaging modalities like USG, CT, Invasive cholangiography has been used since long for the evaluation of the pathology of hepato-biliary-pancreatic duct. These techniques pose some limitations either due to bowel gas and obesity in USG, distal CBD calculus and isodense calculus (isodense to bile) in CT (also not used in patient with history of contrast allergy) and post-procedural complications (followed by invasive cholangiography like ERCP and PTC). MRCP is a non-invasive diagnostic technique for the direct visualization of the biliary ducts images similar to that produced in PTC (percutaneous trans-hepatic cholangiography) and ERCP. Also, the continuous expanding spectrum of therapeutic options, including radiological interventions (for palliative and curative) for the patients with biliary tree pathology requires the accurate assessment of the lesion visualized. Aims & objectives: Comparison of sensitivity, specificity and diagnostic accuracy between the MRCP/MRI and USG in patients with pancreatic and hepato-biliary pathology and it’s related complications. Materials & methods: The study was a retrospective, single institutional study done during the last two years (January 2018 – December 2019) at IGIMS, Patna, Bihar (A tertiary care hospital). Data was collected from the departmental record for USG findings, medical record for history and PACS (Picture archiving and communicating system) for MRCP findings. Hundred patients were included in our study. All the data were entered in the MS Excel sheet and were expressed as percentage and variables as required. Vassarstats software was used for the data analysis. Results: Benign lesions were common in the age range of 46-60 years (23%), followed by 31-45 years. Most of the malignant lesions were detected in the age range of 31-45 years of age group (13%). USG detected and MRCP detected lesions were benign in 63% and 62% of the cases and malignant in 34% and 35% of the cases respectively. There were overlapping findings present in most of the cases. Pancreatitis, cholecystitis and choledochal cysts were usually associated with biliary tree calculi. Overall sensitivity, specificity and diagnostic accuracy of MRI with MRCP sequence (97%, 85% and 92.75%) is greater than that of USG (92%, 80% and 85.5%). Conclusion: MRCP combined with other MRI sequences was superior to the USG in identifying benign and malignant pathology. However, ultrasound remains the primary investigating modality of choice. However, with use of recent advances of USG like harmonic imaging there is significant improvement in the lesion characterization. MRCP is the modality of choice of imaging investigation for the characterization of the lesion especially in obese patients or to choose the patients who are ideal candidate for the MRCP. Keywords: Hepato-biliary-pancreatic pathology, MRCP
GÊNEROS ACADÊMICOS E BANCO DE DADOS: O DESENVOLVIMENTO DA PRODUÇÃO ESCRITA NO ENSINO SUPERIOR
Authors: Dos Anjos Sant’Ana Rosilene , Bicalho Ferreira Thiago , Lacerda de Oliveira Maria Fernanda
Published: November 2022

A produção escrita no ensino superior tem apontado para dificuldades dos estudantes com relação aos gêneros acadêmicos. Diante disso, este artigo tem como objetivo apresentar uma experiência realizada entre duas disciplinas apontando os benefícios dessa integração para a produção escrita acadêmica. Para isso, foi analisada a utilização de sequência didática para o desenvolvimento da produção escrita de resumos expandidos, com o fim de amenizar tal problemática, com alunos do 3º período do curso Análise e Desenvolvimento de Sistemas do IFNMG campus Almenara no primeiro semestre de 2018, envolvendo as disciplinas Gêneros Acadêmicos e Banco de dados. Para tanto, foi utilizada a metodologia da Pesquisa-Ação no intuito de estruturar o processo de escrita do gênero discursivo resumo expandido, buscando a compreensão, reflexão e soluções a um problema identificado na própria prática pedagógica. A partir da análise dos gêneros produzidos e de respostas dos estudantes a um questionário ao final do trabalho interdisciplinar, considera-se que os objetivos referentes à disciplina de Banco de Dados e Gêneros Acadêmicos foram alcançados, haja vista que os acadêmicos conseguiram correlacionar conceitos teóricos das disciplinas e aplicar em apresentação de seminário, e apresentar um resumo expandido coerente com as características do gênero ao final da sequência didática.
Men’s Front Open Trunks
Authors: Catherine Samson  , Haripriya A
Published: November 2022

This project is about finding the issues men are facing using regular briefs and trunks that are currently available in our market. As we all are aware that men are facing certain issues by using briefs and front open trunks. These issues includes fertility problems ,style , problems while they pee, genital allergies etc. Undies too tight: This can really get to you and ruin your entire game. In a tightly-packed room.Waistband impressions: Itchy, irritating and unbearable. That’s waistband impressions for you.
.Chafing: Caused because of sweat and the rubbing of your underwear fabric with your skin. This can be quite problematic.Belly Lip: The belly lip is to men what muffin top is to women. Belly fat bulging out of tight waistbands, that’s not the best thing to flash by the beach or anywhere really.Dampness could this be the worst of all underwear problems? Many men seem to agree. The moisture can get so bad for some it’s like walking out of a pool with your clothes on.Wearing tight underwear can be uncomfortable, and in some cases it may have adverse effects on your health. For men , wearing tight underwear can push the scrotum against the body, causing the testes to rise in temperature. This has shown in some research to correlate with a lower sperm count.Here we study about all the issues faced by men using under-wears.Design and Styling of Men's Front Open Trunks . The objective is to come up with a modern and stylish design that is comfortable to wear and is also functional. The project has involved the use of CAD software to create the design, and the final product was made
and let few selected members have used it to know the exact review of the product.
Studies on the Phytochemistry, Medicinal Properties of Hippophae Rhamnoides
Authors: Aman Khajuria  , Arti Chaurasia
Published: November 2022

Because of its anti-inflammatory, antibacterial, and anti-cancer capabilities, Hippophaerhamnoides L. of the Elaeagnaceae family has been known as the "wonder plant." In addition, it shields the body against rheumatoid arthritis, psoriasis, multiple sclerosis, and other conditions that affect the throat, lungs, skin, and cardiovascular system. Seabuckthorn grows in five states in India: Himachal Pradesh, Sikkim, Jammu and Kashmir, Uttrakhand, and Arunachal Pradesh. Two of the four Hippophae species in these five states are in Jammu & Kashmir. Seabuckthorn is abundant in this state's Ladakh area, with populations flourishing in the districts of Leh and Kargil. Because the issue is so essential, the leaves of Hippophaerhamnoides are investigated to discover whether it contains any bioactive compounds. Generally, samples of shade-dried leaves from several Kargil populations are made using one of three distinct organic solvent: acetone, water, and methanol.In other cases, chloroform, meta-phosphoric acid,
& petroleum ether were also detected. These were then analysed and subjected to various colour tests. According to the findings, these leaves contain many essential antioxidants and other health-promoting compounds. All three extract types tested positive for ascorbic acid, phenols, tannins, sterols, flavonoids,alkaloids, and saponins. All were devoid of anthocyanides, phlobatannins, steroids, and leucoanthocyanins. The aqueous extract contains terpenoids, flavonols, as well as cardiac glycosides.
Their behavior in other solvents, however, is different. This article reviews the research on the medicinal properties of Sea buckthorn (Hippophaerhamnoides L.) for the treatment of both acute and chronic conditions.In many regions of the globe, the plant is eaten and utilised because of its nutritional and therapeutic benefits. Numerous in vitro, in vivo, and even some clinical research have investigated the therapeutic and pharmacological potential of sea buckthorn in the recent past. Several biochemical and
pharmacological research has been conducted on sea buckthorn
Wireless notice board design using bluetooth technologies
Authors: Akash R.  , Maya Srinivas  , Venugopal Rao S  , Sanjan Kashyap  , Adithya T.G.  , Pavithra G.  , Sindhu Sree M.  , T.C.Manjunath
Published: November 2022

The work presented in this paper deals with the wireless notice board design using bluetooth technologies. This project deals with an innovative rather an interesting manner of intimating the message to the people using a wireless electronic display board which is synchronized using the Bluetooth technology. This will help us in passing any message almost immediately without any delay just by sending a SMS or voice message which is better and more reliable than the old traditional way of passing the message on notice board. This proposed technology can be used in colleges, many
public places, malls or big buildings to enhance the security system and also create awareness of the emergency situations and avoid many dangers. Using Bluetooth module message can be displayed on the LCD display board and using GSM module SMS or voice message can be sent to the Bluetooth module. The Electronic notice board is wireless and needs no wires for displaying the information on the LCD Display. It is very easy to operate and consumes less power. The circuit of the wireless
notice board is portable. The work presented here is the mini-project work of the second semester engineering students of electronics & communication engineering department of Dayananda Sagar College of Engg., Bangalore, Karnataka.
Društvena odgovornost u osiguranju kao važan princip savremenog poslovanja
Authors: Ćeha Milenko , Ćeha Nikola , Lukić Marija
Published: November 2022

Društvena odgovornost je vrhunski princip u savremenom poslovanju. Preduzeća koja su uspešna u globalnim razmerama jesu i društveno odgovorna preduzeća. Društvena odgovornost preduzeća u osiguranju predstavlja jedan od stubova poslovne izvrsnosti. Pitanje društvene odgovornosti se definiše na globalnom nivou. Inicijative iz domena društvene odgovornosti preduzeća se primenjuju i u domaćim osiguravajućim društvima, ali ne u obimu i na način kako se primenjuju u razvijenim zemljama sveta. Primena društvene odgovornosti u domaćim osiguravajućim društvima je bitno zbog činjenice da globalno tržište zahteva stalno unapređenje kvaliteta i produktivnosti, unapređenje zadovoljstva korisnika i zadovoljenje zahteva svih interesnih grupa u okruženju. Princip društvene odgovornosti je utkan u same temelje delatnosti osiguranja, jer je ono zasnovano na srodnim principima uzajamnosti. Tržište osiguranja značajno utiče na razvoj ekonomije svake zemlje i važan je činilac stabilnosti finansijskog sektora. Rastuća složenost uslova poslovanja ubrzava povećanje brojnih interaktivnih veza i odnosa osiguravajućih društava i okruženja, menjajući uslove na tržištu što otežava njihovo ponašanje i funkcionisanje.
Analisis Tingkat Pepuasan Pesepeda yang menggunakan Fasilitas Lajur Khusus Sepeda pada Kawasan Perkotaan Jl. Veteran – Jl. Pemuda Kabupaten Klaten
Authors: Nur Istikhomah Afuah , Priyanto Sigit , Dewanti Dewanti
Published: November 2022

Penelitian ini dilakukan untuk mengidentifikasi tingkat kepuasan masyarakat Klaten khususnya para pengguna lajur sepeda terhadap lajur sepeda yang telah disediakan oleh Pemerintah, dan keinginan yang mempengaruhi pesepeda untuk menggunakan lajur sepeda sepanjang Jl. Veteran-Jl. Pemuda Kabupaten Klaten. Data yang digunakan dalam penelitian ini berupa data hasil kuesioner. Penelitian ini merupakan penelitian kuantitatif dengan metode analisis yang digunakan adalah analisis deskriptif dengan menggunakan metode IPA (Importance Performance Analysis). Pengambilan sampel dalam penelitian ini menggunakan metode perhitungan Hair et al dengan 130 responden. Hasil penelitian yaitu tingkat kepuasan responden pengguna lajur sepeda sepanjang Jl. Veteran – Jl. Pemuda Kabupaten Klaten sebesar 97% terhadap 9 atribut pernyataan kuesioner lajur sepeda yang disediakan oleh pemerintah yang menentukan kepuasan pengguna lajur sepeda adalah sangat memuaskan, dan berdasarkan hasil uji koefisien determinasi menghasilkan kepuasan pengguna lajur sepeda hanya mampu menjelaskan 30,1% terhadap variabel keinginan pesepeda menggunakan jalur sepeda. Sedangkan sisanya sebesar 69,9% merupakan variabel yang tidak diteliti dalam penelitian ini.
COMPOSITE SCINTILLATORS BASED ON ORGANIC GRAINS AND THEIR PULSE SHAPE DISCRIMINATION CAPABILITY
Authors: Khromiuk I.F. , Karavaeva N.L. , Krech А.V. , Lazarev І.V. , Martynenko Ye.V. , Tarasenko О.А. , Khabuseva S.U.
Published: November 2022

Studies of photoluminescence, relative light output and optical transmission of organic single-layer composite scintillators with different grain sizes have been carried out. The paper presents the dependences of these values on the grain sizes for fractions <0.04; <0.06; 0.06…0.1; 0.1…0.3; 0.3…0.5; 0.5…1.0 mm. Possible physical mechanisms of such results are discussed.
CONCEPTUAL PROJECT OF THE NSC KIPT NUCLEAR PHYSICS COMPLEX FOR BASIC AND APPLIED RESEARCH IN THE FIELD OF NUCLEAR PHYSICS, HIGH ENERGY PHYSICS AND INTERACTION OF RADIATION WITH SUBSTANCE
Authors: Shul'ga M.F. , Kovalenko G.D. , Guk I.S. , Gladkikh P.I. , Peev F.A.
Published: November 2022

The main ideas for creating a project for an accelerator complex with an energy of up to 550 MeV with a continuous electron beam for work in high energy physics and nuclear physics are presented. Schematic solutions for injectors, high-frequency system of the complex and magnetic elements are chosen. The choice of the magneto-optical
scheme of the recirculator is substantiated. The dynamics of the beam in the facility and the parameters of the extracted beam are studied.
FORMATION OF MIXED X,n-RADIATION FIELD AT AN ELECTRON ACCELERATOR
Authors: Zakharchenko A.A. , Uvarov V.L. , Malets Eu.B.
Published: November 2022

For conducting photonuclear programs with the use of a high-intensity photon source the latter is ordinary obtained by transformation of an electron beam into X-ray radiation. Such a process is performed using an intermediate target-converter maid from a high-Z material. The (γ,n) reactions take place in the converter under the action of high-energy bremsstrahlung photons. As a result, a quasi-isotropic neutron flux escapes the converter jointly with the photon beam directed forward. The parameters of the both types of radiation, as well as the ratio of their intensities play the important role depending on a program under way. In work, the spatial radiant characteristics of the mixed X,n-radiation generated with the electron beam in the converter located together with an isotopic target in the middle of a neutron moderator in the electron energy range 40…95 MeV and various size of the moderator are studied by computer simulations with the use of a GEANT4 transport code.
DEVELOPMENT AND TESTING OF A SYSTEM FOR FORMING NEUTRON FLUXES ON A LINEAR ELECTRON ACCELERATOR
Authors: Gokov S.P. , Horbach V.M. , Kalenik S.A. , Kazarinov Yu.G. , Kantemirov V.V. , Kasilov V.I. , Kochetov S.S. , Lyukhtan O.A. , Tverdohvalov A.V. , Tsiats’ko V.V. , Tsiats’ko E.V.
Published: November 2022

A system for the formation of neutron fluxes, consisting of a neutron converter, a neutron reflector and a lead protection, has been developed and partially manufactured. Test tubes with an aqueous solution of the organic dye methyl orange with the addition of 4% boric acid were used as detectors of the generated neutron fluxes, which is associated with the impossibility of using gas-discharge neutron counters in the accelerator bunker due to the impact of pulsed electrical noise and gamma-ray flashes. Testing of the neutron flux formation system showed that the neutron flux at the location of the detectors increased by 15%, while the neutron background in the accelerator bunker decreased by 3 times. The conducted studies have shown the effectiveness of using a chemical dosimeter under conditions of intense pulsed neutron fluxes.
The Handbook of Educational Methodology for Students Majoring in Teaching and for Practicing Teachers
Authors: Korom Alexandra
Published: November 2022

The sudden outbreak of the COVID-19 pandemic brought many changes to our lives, and the new situation demanded quick adaptability as a response. The regular face-to-face offline classroom training was abruptly moved into the online world, and teachers and students were suddenly faced with new teaching and learning methods. Adrienn Papp-Danka’s 2021 handbook is supplementary in many aspects to the spectrum of methodological literature in the field of education. The 91-page book, written during the pandemic, superbly reacts to the situation and at the same time offers methodological solutions which can be implemented in face-to-face and online educational settings.
Witness Hills: An Invitation to Dance
Authors: Trencsényi László
Published: November 2022

The Hungarian Pedagogical Association has always considered drawing on the examples and strengths of notable predecessors to contemporary pedagogy to be a vital mission which can help teachers who struggle with everyday challenges and, at times, are vulnerable to burnout. A symbolic tool for taking up this task is the publication activity of the Association. The book ‘Tanúhegyek’ (Witness Hills in English - a metaphor) was published in 2018 with support from several municipalities and institutions of higher education. The book contains more than fifty portraits of famous Hungarian drama educators, puppeteers, musicians, and radio personalities, such as music and dance teachers.
The History of the State Regulation of Dance Teacher Training in Hungary
Authors: Bolvári-Takács Gábor
Published: November 2022

In regard to dance teacher training, the process of state regulation began with a recognition of dance education as an activity worthy of regulation, followed by efforts to gradually bring it under state control. Until the middle of the 20th century, this mainly resulted in the regulation of dance school activities by professional interest protection organizations and regulations related to exit exams. These measures began in 1922 when for the first time the minister of interior affairs established a dance master qualification examination board for the state recognition of certificates issued by professional associations. After 1945, the process diversified in terms of genres (e.g., ballet, the art of movement, folk dance, and ballroom dance) and, in addition to the regulation of training, took shape in the creation of state institutions. In 1974, dance teacher training was raised to the college level, and finally after 2006, as a result of the Bologna process, the master’s degree represented the highest attainment in the training of dance teachers.
COMPARISON OF CORONARY ARTERY DISEASE SEVERITY AMONG DIABETIC AND NON DIABETIC PATIENTS ADMITTED TO KHYBER TEACHING HOSPITAL, PESHAWAR
Authors: Ahmad Asfandyar , Ashraf Saadia , Bahadar Sher , Irfan Muhammad , Ashraf Amber , Hafizullah Muhammad
Published: November 2022

Objectives: To compare the coronary artery disease severity in type-2 diabetic and non-diabetic patients suffering from coronary artery disease presenting to cardiology department of Khyber Teaching Hospital, Peshawar.

Methodology: This cross sectional study was conducted at Cardiology department of Khyber Teaching Hospital, Peshawar from 29th August 2015 to 17th March 2016. Non probability convenience sampling technique was applied. All patients admitted with acute coronary syndrome or previous known coronary artery disease who were candidate for angiography and revascularization and given consent were included. Patient with type 1 diabetes mellitus, valvular heart diseases, chronic kidney disease, Connective tissue disease, previous percutaneous coronary intervention (PCI) and coronary artery bypass graft (CABG) were excluded from study. Patient’s coronary angiograms were evaluated for lesions in coronary arteries, number of vessel involved and type of lesions, by two cardiologist with more than five year post fellowship experience first separately and then results were compared for final reporting in order to eliminate bias in reporting.

Results: It was noted that male diabetic patients with more were ten years duration of diabetes, smokers with 10 pack years and sedentary life style were more prone to have severe disease in coronary arteries. In diabetic patients severe disease was significantly higher in LAD (55.2% vs. 43%, p <0.01), RCA (63.3% vs. 38 %, p <0.002) and Left Circumflex (62% vs. 35%, p <0.003). Diabetic patients were found to have more extensive disease as compared to non-diabetics, so multi vessel disease was more common in diabetics as compared to non-diabetics (55.7% vs. 21.3 %, p <0.001) . It was noted that Type C lesions were more common in diabetics (33.7% vs. 13.9 %, p <0.001). Diabetic patients were having more severe, diffuse disease multivessel disease in our study population as compared to non-diabetics.

Conclusion: Coronary artery disease is more severe, diffuse, aggressive with complicated lesions in diabetic patients having more than 10 years duration of diabetes along with ten pack years history of smoking, with sedentary life style.
FREQUENCY OF WHITE COAT HYPERTENSION USING 24 HOUR AMBULATORY BLOOD PRESSURE MONITORING (ABPM) IN PATIENTS PRESENTING TO TERTIARY CARE HOSPITAL
Authors: Kundi Afrasiyab , Amer Khayyam , Ahmad Farooq , Ashraf Amber
Published: November 2022

Objectives: Prevalence and epidemiologic characteristics of patients with white coat hypertension in our population. Ambulatory blood pressure monitoring is an effective tool to diagnose white coat hypertension. To know the frequency of white coat hypertension in patients presenting to cardiology division of Khyber Teaching Hospital with the help of ambulatory blood pressure monitoring.

Methodology: This cross sectional study was conducted at department of cardiology, MTI / Khyber Teaching Hospital, Peshawar. This study was conducted from 28th August 2021 till 28th February 2022. 102 patients of either gender presenting for blood pressure and cardiac evaluation were enrolled. Diagnosis of hypertension was made on 24 hour ambulatory blood monitoring device. Office blood pressure ≥130/80mmHg and average blood pressure less than 130/80mmHg was considered confirmatory for white coat hypertension.

Results: Age of the patients ranged from 30 to 65 years. Mean age of the patient was 46.68 ± 10.239 years. Male to female ratio was 2.1:1. White coat hypertension was found in 35 patients (34.3%). Gender and smoking history were found to have significant association with white coat hypertension.

Conclusion: White coat hypertension is a frequent finding in patients presenting for evaluation to cardiology department. Elderly female and patients with smoking history are more likely to have it.
TIMI RISK INDEX, A SIMPLE TOOL IN EMERGENCY PERCUTANEOUS REVASCULARIZATION FOR THE PREDICTION OF CONTRAST INDUCED NEPHROPATHY
Authors: Naseer Ali Bin , Kumar Rajesh , Sial Jawaid Akbar , Karim Musa
Published: November 2022

Objectives: Contrast induced nephropathy (CIN) is a common complication seen after primary percutaneous coronary intervention (PCI) which can contribute to increased morbidity and mortality in patients of acute ST elevation myocardial infarction (STEMI). Aim of this study was to validate the TIMI Risk Index (TRI) for the risk stratification of CIN in patients undergone primary PCI.

Methodology: A total of 507 consecutive patients of STEMI undergone primary PCI at a tertiary care cardiac center were included for this study. Patients in Killip class IV at presentation, patients with history of any PCI and chronic kidney diseases were excluded from this study. TRI was calculated using the formula “heart rate  systolic blood pressure” and post-procedure serum creatinine level increase of either 25% or 0.5 mg/dL was taken as CIN.

Results: A total of 507 patients were included in this study out of which 82.2% were males and 17.8% were females. In total 8.7% (44) patients developed CIN. In the receiver operating characteristic (ROC) curve analysis, area under the curve (AUC) for TRI was found to be 0.717, [0.649 to 0.758] for the prediction of CIN. Sensitive, specificity, positive predictive value and negative predictive value of TRI>22.8 to predict the development of CIN were 59.09%, 76.69%, 19.55% and 95.19% respectively.

Conclusion: In conclusion, our study has consolidated the findings of previous studies using TIMI risk index in STEMI patients undergoing primary PCI and has established that this easy to calculate and readily accessible score has good accuracy to evaluate the risk of CIN in primary PCI setting and could be of great help to take any pre-emptive strategies in those identified at high risk of post-procedure CIN.