bluuebunny/crossref_metadata_2025 huggingface dataset:
Study of effectiveness of two syringe spinal anaesthesia technique for caesarean section
Authors: Acharya Sulav , Bhandari Sabin , Bhandari Sushmita
Published: December 2023

Spinal anaesthesia using hyperbaric bupivacaine is the most popular method for caesarean section. Adjuvents like fentanyl which enhances the sensory block and provide stable haemodynamics are usually premixed with bupivacaine in a single syringe. Fentanyl when added to hyperbaric bupivacaine, decreases the density of solution to extent of 0.0006 which alters the spread of local anesthetics in CSF. If we inject both the drugs separately in different syringe, it may minimize the effect of the changes in densities and PH of both the drugs and produce their maximum effect with minimal haemodynamic alteration. Therefore this study was conducted to see the quality of sensory block and haemodynamic response by sequential intrathecal administration of fentanyl and hyperbaric bupivacaine in two different syringe for patients undergoing caesarian section. This interventional study was carried out in Seventy nine Patients undergoing caesarean section under spinal anesthesia with 0.5% hyperbaric bupivacaine 9mg (1.8 ml) and fentanyl 20 mcg in two different syringe administered sequentially. Out of 79 parturients only 22 (27.85%) had hypotension requiring vasopressor treatment during caesarean section and maximum amount of vasopressor used was 15 mg of mephentermine. The mean level of maximum sensory block after 20 mins of spinal anaesthesia was T2 in 20 (25.32%) patients, T3 in 19 (24.05%) patients, T4 in 32 (40.51%) patients, T5 in 1 (1.27%) patient and T6 in 7 (8.86%) Patients. Intraoperative quality of surgical anaesthesia was very satisfactory to the patients. Only 6 (7.59%) patients had mild discomfort whithout requirement of any medical treatment. The result of this study concluded that separate intrathecal injection of fentanyl and hyperbaric bupivacaine provides better haemodynamic stability, improves quality of surgical anaethesia allowing it to work at higher levels in the spinal cord with minimal other side effects in patient undergoing caesarean section.
Bladder stone in pregnancy: a rare encounter
Authors: Malla Maryada , Poudel Sandesh
Published: December 2023

Bladder stones are rare and account for approximately 5.0% of all urinary tract stones. The presence of bladder stones places the pregnancy at risk for adverse outcomes including recurrent urinary tract infections, preterm labour, and obstructed labour. Prompt and accurate diagnosis requires a high degree of suspicion and judicious use of diagnostic imaging given the higher risks of radiation exposure. Treatment ranges from conservative to more invasive approaches. Thus, management needs to be individualized to the patient with careful consideration of the potential adverse effects. We report a case of bladder stone in mid-pregnancy that was treated by open cystolithotomy.
Financial Accounting Data Processing at El Amir Baby Shop Using Zahir Accounting Version 6.0
Authors: Tri utami Andini , Rahayu Yuri
Published: December 2023

Pesatnya perkembangan teknologi informasi mempengaruhi kegiatan perusahaan untuk mengelola data akuntansi, Semakin maju teknologi informasi, semakin besar dampaknya terhadap akuntansi. Dampak yang sangat terasa adalah pengolahan data berubah dari sistem manual menjadi sistem komputerisasi. Toko Baby Shop El Amir merupakan perusahaan dagang yang kegiatan utamanya adalah pembelian dan penjualan perlengkapan anak dan bayi. Penyusunan tugas akhir ini menggunakan metode wawancara, observasi dan studi pustaka. Pencatatan akuntansi keuangan pada Toko Baby Shop, dalam pencatatan laporan keuangannya masih menggunakan Microsoft excel dan bantuan buku dalam pembuat laporan keuangan setiap bulannya. Hal ini sangat menghambat pekerjaan karena memakan waktu lama. Sedangkan perkembangan teknologi dan persaingan global sudah sangat ketat sehingga tidak efektik jika itu semua dilakukan dengan cara manual. Menggunakan Zahir Accounting Versi 6.0 merupakan solusi yang terbaik untuk memecahkan permasalahan yang ada pada toko ini. Karena dengan menggunakan Zahir Accounting versi 6.0 dapat tercapai sutau kegiatan yang efektif dan efisien dalam menunjang aktivitas dalam perusahaan ini. Dengan menggunakan program apliaksi Zahir Accounting 6.0 maka dapat mengurangi kesalahan yang dapat terjadi dalam mengolah data keuangan.
Causal attributions for offending and victim-related perceptions of imprisoned child sex offenders
Authors: Constantinos Togas , George Alexias
Published: December 2023

This qualitative study with a sample of 10 child sex offenders in Tripolis prison, Greece, aimed to evaluate their causal attributions for offending and their victim-related perceptions. The deductive thematic analysis revealed the following themes concerning their attributions for offending: 1) No explanation provided; 2) “I don’t know why I am in prison. I don’t accept the accusations and I didn’t do anything”; 3) “My action was misunderstood. It wasn't molestation"; 4) “Ι did it but not in the way it was presented”; 5) “I did it, but I don’t accept the culpability”; 6) “I did it and I accept the culpability”. With regard to their victim-related perceptions, the following themes were revealed: 1) "The victim is very well and hasn’t been affected by the molestation"; 2) "I don’t know where the victim is-I suppose he/she is fine"; 3) "I don’t know where the victim is-I suppose he/she has been affected by the molestation"; 4) "I don’t know where the victim is-I suppose he/she isn’t fine due to other reasons". The above themes provide a new framework for evaluating this topic. By enhancing our understanding of this field, we can better plan interventions that respond to the clinical needs of these offenders.
Otuđenje od roditelja - što dalje
Authors: Majnarić Ines
Published: December 2023

Značajan interes znanstvenika i stručnjaka za koncept otuđenja datira od 80-ih godina 20. stoljeća, a u posljednje tri godine zadobio je određenu pažnju i u Hrvatskoj. S obzirom na mnoge rasprave koje se danas vode o konceptu otuđenja, cilj rada bio je prikazati aktualno razumijevanje koncepta te polemike koje se na međunarodnoj razini kao i među hrvatskim stručnjacima, vode o znanstvenoj utemeljenosti koncepta i rizicima njegove primjene u praktičnom radu. Živa diskusija postoji između autora koji se prvenstveno usredotočuju na otuđenje i onih koji se prvenstveno usredotočuju na zlostavljanje djece i obiteljsko nasilje. Nadalje se u radu daje pregled razvoja istraživačkog pristupa konceptu te se konstatira da su istraživanja u području otuđenja sve brojnija, da postoji pomak prema kvantitativnim istraživanjima i sve većem broju istraživanja koja testiraju teorijski generirane hipoteze. Zaključno se naglašava slaganje stručnjaka i znanstvenika oko potrebe za oprezom zbog mogućnosti zlouporabe koncepta otuđenja, oko višefaktorske perspektive otuđenja, kao i potrebe za daljnjim istraživanjima. Na kraju rada daju se preporuke za moguća daljnja istraživanja u svrhu doprinosa metodološkoj jasnoći i boljem međusobnom razumijevanju praktičara i znanstvenika.
Sports training aids - as an effective means of to increase the speed of military servicemen artillery detection
Authors: Babych M. , Nebozhuk O. , Klymovych V. , Pylypchak I. , Lashta V. , Romaniv I. , Iarovyi M.
Published: December 2023

Abstract. Given the peculiarities and importance of performing missile and artillery tasks, special requirements are imposed on the efficiency of artillery intelligence specialists. To increase the efficiency of operational tasks, high speed and coordination of all personnel is necessary in order to achieve a positive result in the performance of military and professional activities. It has been established that regular practical orienteering exercises allow servicemen to confidently move through unfamiliar terrain and overcome various natural obstacles, receive and analyze relevant information, and promptly make and implement decisions in extreme situations.
Military-applied skills in terrain orienteering are especially important for servicemen of artillery, reconnaissance, airborne assault and other special units, who mainly perform combat missions in small groups outside of permanent deployment points, in forested and marshy areas, the conditions of which require rapid orienteering using the "properties of nature".
The article discusses a way to improve the speed characteristics of an artillery scout by using elements of orienteering training. This method was chosen due to the comprehensive growth of important professional qualities, taking into account the performance of tasks for the speed of a specialist when using orienteering exercises and techniques.
The influence of the use of modern means of fitness on the development of physical qualities of young athletes from sports aerobics
Authors: Golenkova Yu. , Kirash Ir.
Published: December 2023

The directions of application of health fitness are as diverse and versatile as the types of health fitness themselves. Modern trends in the development of the direction of fitness have proved that today there are almost no restrictions in the use of fitness methods since health fitness does not have clear standards, but on the contrary makes it possible to mix, combine, and in each specific situation choose exactly such a set of exercises that would help as much as possible in realizing the goal. In this work, the influence of modern fitness tools on the development of physical qualities of young athletes in sports aerobics is considered. According to the results of the study, it was found that the use of fitness programs in the educational and training process in sports aerobics contributes to a likely improvement in the results of the following control standards: lifting the legs to a right angle in the height on the gymnastic wall by 3.06 times (p < 0.01); stop angle, legs apart by 2.5s (p < 0.05); flexion and extension of the arms in the stop lying 2.45 times (p < 0.05); full-length twine (left by 3.06 cm (p < 0.01) and right by 2.19 cm (p < 0.05)); jumping out of a deep squat improved by 2.21 times (p < 0.05). Less likely to improve the results of jumping in place with a rotation of 360 ° by 1.94 times (p < 0.1).

To increase the level of physical training of young athletes involved in sports aerobics, fitness programs were proposed, including exercises with yoga elements, exercises with a rope, gymnastics tape, gymnastics bench and wall. According to the results of the implementation of these programs in the training process of young athletes, there were likely improvements in the results of testing strength, flexibility, explosive strength and coordination. Therefore, it can be argued that the developed additional fitness programs have a positive effect on the development of physical qualities of athletes in sports aerobics.
Modern methods of physical rehabilitation for the prevention of osteochondrosis in sports players
Authors: Myroshnichenko V. , Putrov S. , Gordyeyeyva S.
Published: December 2023

An important component in increasing the efficiency of the training process and achieving the highest possible results of athletes - players are the methods of physical rehabilitation in osteochondrosis, which are aimed at rapid recovery of the body and are an integral part in the development of training programs. Therapeutic physical culture, massage and physiotherapeutic methods used in the prevention of osteochondrosis are considered. Taking into account the methods and means of physical rehabilitation in athletes with osteochondrosis is a priority direction in the correction of loads in different periods of the annual cycle.

The scientific novelty of the study is due to the fact that osteochondrosis of the spine in athletes is one of the most common chronic diseases. During the training and competitive process, athletes-players endure heavy loads, which provoke further exacerbation of the manifestations of osteochondrosis, where their physical and functional capabilities in motor activity are significantly limited. Therefore, it becomes obvious the need to consider modern methods and programs of physical rehabilitation as a comprehensive approach used in the prevention of osteochondrosis.

However, in recent years, the specifics of the physical rehabilitation of osteochondrosis of the spine in athletes - highly qualified players have been caused by a number of contradictions. In particular, the issue of the impact of spinal cord pathology on the motor functions of athletes has not been investigated. The effectiveness of the use of rehabilitation programs of physical rehabilitation, which open up new possibilities for the prevention of osteochondrosis, has not been highlighted.
Swimming as a means of harmonious development of high school children
Authors: Stasyuk Roman , Ostapenko Yurii , Basko Vasyl , Khomenko Oleksandr
Published: December 2023

This article is devoted to the study of the role of swimming as a harmonious development of children of high school age. In the context of the modern educational process, where the emphasis is on a comprehensive approach to the physical and mental development of children, swimming is an effective means of achieving this goal.

The positive influence of swimming on the physical condition of children, in particular on the development of the musculoskeletal system and the cardiovascular system, improving their physical strength, endurance and coordination of movements is considered. Special attention is paid to the positive effect of swimming on the child's body. The impact of swimming on improving mental health has been analyzed, indicating the level of concentration, self-discipline and general emotional stability in children engaged in this sport. Immersion in water can promote relaxation and reduce stress. Swimming can improve mood, reduce anxiety levels and promote a general sense of well-being. It is also important to note the social aspect joint training and teamwork can help to form friendships and increase self-esteem.

The conclusions of the article emphasize the importance of including swimming in the system of physical education, as an effective tool for achieving the harmonious development of their physical and mental health.
Improving the skills of boxers through the use of lead-in exercises
Authors: Khrystosov Ihor , Volodchenko Oleksandr , Shtatahey Dmytro , Volodchenko Julia , Tykhorskyi Oleksandr
Published: December 2023

The article addresses the pressing issue of refining the training system for boxers by emphasizing the need for innovative methodological approaches in organizing the training process and selecting specialized training methods aligned with competition trends. The authors highlight the inadequacy of general approaches in the existing literature, stressing the necessity of detailed investigation into the aspects pivotal for boxer preparation. The research's relevance lies in resolving the contradiction between the paramount importance of technical-tactical readiness for competitive activities and the insufficient development of methodologies for its enhancement during the training process using specific drills.

The study aims to investigate the impact of incorporating guiding exercises on the physical preparedness indicators of boxers. A pedagogical experiment was conducted with a group of ranked boxers, integrating guiding exercises during training sessions throughout the preparatory period. Physical fitness was assessed through pedagogical tests encompassing pull-ups, push-ups, running at various distances, long jumps, and the number of strikes on a boxing bag. The experimental group exhibited statistically significant improvements in pull-ups, push-ups, short-distance running, and the number of strikes on the boxing bag. The results underscore the positive influence of guiding exercises on the physical performance of boxers. Additionally, the article emphasizes the significance of refining the technical-tactical preparedness of boxers and encourages further research in this domain. In conclusion, the findings contribute to the understanding of how targeted exercises positively impact the physical capabilities of boxers, shedding light on the need for a more nuanced and detailed approach to training methodologies. The article serves as a valuable resource for coaches, researchers, and practitioners involved in high-level boxing training.
Implementation features of the physical education program for secondary school students in the distance education condition
Authors: Shuba L. V. , Shuba V. V. , Shuba V. O. , Omok Н. А.
Published: December 2023

Distance learning, also known as online learning or e- learning, is an educational method that utilizes technology to deliver instruction to students who are not physically present in a traditional classroom setting. This approach enables students to access educational content and interact with instructors from anywhere with an internet connection. Various tools, such as video lectures, discussion forums, and online assessments, facilitate the learning process. The growing popularity of distance learning is a global trend, especially in the context of modern technology and global changes such as the COVID-19 pandemic or war. Features of distance learning may be distinctive from different countries depending on the infrastructure, educational systems, cultural characteristics and other factors. The main distance learning features: flexibility and convenience; using modern technologies and societal trends; lack of physical presence; independence; assessment is usually based on tests, projects and other tasks that the student completes in an online environment; development of e-communication skills; the need for regular materials updating. Twenty-one boys and sixteen girls of the eighth class took part in the research. All secondary school students were classified in the main medical group. The developed methodology contributes to the realization of the strengths and knowledge acquired by students in the basic component, the formation values life, mastering the experience of self-organization, self-realization, self-control and helps in professional self-determination. Analyzed the implemented methodology supported by positive digital dynamics, come to an agreement that the methodology aimed at the implementation of the physical culture program has the right to exist at present.
Application of the game method for the formation of motor skills and skills of professional direction of students in the process of physical education
Authors: Bazylevych N.O.
Published: December 2023

The article highlights the main issues of searching for new directions for improving the quality of the process of professionally-applied physical training on the basis of the latest technologies. In our opinion, one of the main tasks of education and upbringing in the process of vocational and physical training of students of vocational schools is the development of thinking as a necessary condition for orientation in professionally significant problems, the formation of physical culture of the individual. Along with the general means and methods of professionally-applied physical training, an important role belongs to the game method and the competitive one. The game is a purposeful independent activity aimed at assimilation of specific knowledge, skills and skills of physical culture, in which students not only understand what they are offered as an object of assimilation, but also in practice will be convinced that their successes in self-development, their fate as a citizen, as a specialist, as a business person depends on their own efforts and decisions.

The purpose of the study is to investigate the impact of the game method in the professional-applied physical training of students on their physical fitness.

The results of the experimental work on the application of the game method in professional-applied physical training showed a significant improvement in the level of physical fitness of students of the experimental group.
Dawn of Resilience: A Tribute to Gaza’s Children
Authors: Abdulwahed Jalal Nori
Published: December 2023

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Core training and motion capacity: a study on joint range in amateur soccer
Authors: YILMAZ Osman
Published: December 2023

This study investigated the effects of core training on functional movement capacity and range of motion in amateur soccer players. Twenty-nine amateur male volunteer soccer players participated in the study, including the experimental group (n = 15; age = 20.13 ± 1.55) and the control group (n = 14; age = 19.39 ± 1.08). The assumption of normality was made by employing the Kolmogorov-Smirnov test. The independent sample t-test was employed due to the normal distribution of the data. Statistically significant differences were observed between the groups in FMS, hip extension right-left, hip abduction right-left, hip internal rotation left, hip external rotation right-left, shoulder hyperextension right-left, ankle dorsiflexion right-left, and ankle plantar flexion right-left (P<0.05). No significant differences were found in the right-left knee flexion, right-left hip flexion, and right hip external rotation (P>0.05). According to the results of the study, core training improved FMS, hip extension right-left, hip abduction right-left, hip internal rotation left, hip external rotation right-left, shoulder hyperextension right-left, ankle dorsiflexion right-left, and ankle plantar flexion right-left range of motion parameters. These results suggest that including core training in the program is highly effective in improving the FMS and ROM in young soccer players.
Pseudo-invasive Vasculocentric Adenomyosis- A Diagnostic Dilemma
Authors: Akhtar Kafil , Abrari Andleeb , Tirkey Rachel
Published: December 2023

Pseudo-invasive, vasculocentric adenomyosis is a rare benign lesion of the uterus, characterized by the aberrant, pathological presence of variable sized, non-neoplastic endometrial glands and surrounded by endometrial stroma deep within the myometrial blood vessels. This condition usually affects multiparous women in their fourth and fifth decades, with other risk factors being prior caesarian surgery or uterine surgery. Mostly the patients present with abnormal uterine bleeding, pelvic pain, dysmenorrhea, dyspareunia, or infertility while a third of them may be asymptomatic. Microscopic examination of hysterectomy specimens remains the gold standard to make a definitive diagnosis. Herein we present a rare case of Pseudo-invasive, vasculocentric Adenomyosis in a 47 year old multigravida female, who presented with a history of chronic pelvic pain with menorrhagia, dyspareunia and excessive menstrual bleeding for the past four months, with a history of lower uterine caesarean section a decade ago.
Rectal Polyp Prolapse: A Case Report
Authors: Agarwal Nirmal Kumar , Nath Choudhury Dhirendra , Minocha Akshit
Published: December 2023

Colorectal adenomas are polyps that develop from the mucosa and exhibit neoplastic characteristics. Adenomas’ increasing dysplasia and malignant potential are connected to their size, villous content, and patient’s age. An anorectal emergency is definitely a possibility when there are large villous polyps in the rectum. They could be involved in rectal bleeding, blockage, prolapse, or imprisonment. We describe a 53-year-old female who was treated successfully for giant tubulovillous rectal adenoma that was prolapsed through anal opening. The patient’s clinical symptoms and signs were mistaken for prolapsed hemorrhoids.
Comparison of Safety and Efficacy of Two Different Chemotherapy Dosing Schedules Used in Concurrent Chemoradiation of Head and Neck Cancer: A Retrospective Experience from a Tertiary Cancer Care Institute of Eastern India
Authors: Bhanja Sayoni , Lahiri Debarshi , Roy Sanjoy , Maji Tapas , De Palas
Published: December 2023

Introduction: Concurrent chemoradiation has shown improvements in local control and survival in various multi-institutional trials and been the standard of care for locally advanced head and neck cancers. Platinum-based chemotherapy has shown the maximum benefit without any significant difference between mono- or polychemotherapy. Despite a general consensus that platinum-containing regimens are optimal, the actual dose schedule remained open questions. Our study aimed to assess the efficacy and toxicity of concurrent weekly cisplatin with radical radiotherapy and compare two different chemotherapy dosing schedules of concurrent chemoradiation in head and neck cancer. Materials and methods: The records of 62 eligible patients of locally advanced (T3-4a, N1-2) squamous cell carcinoma of oropharynx, hypopharynx and larynx registered between 2016 to 2020 at a regional cancer centre in India were analysed from the hospital database after approval of the Institutional Ethical Committee and informed consent taken from all the eligible patients.One group of patients (Group A) received Concurrent Chemo-radiation with injection Cisplatin 40 mg/m2 weekly with Radiotherapy to a dose of 66 Gy delivered in 33 fractions for six & half weeks and the patients of the other group (Group B) received injection Cisplatin 100 mg/m2 in three weekly schedule on Days 1, Day 22 & Day 43 along with the same radiation schedule. Results: There was no significant difference in the baseline characteristics between the two groups (p value≥0.05). Though the complete response occurred more in 3 weekly group compared to weekly cisplatin group at follow up of 6 weeks (67.7% vs 61.3%), 6 months (80.6% vs. 67.7%) and 12 months from the completion of CCRT (78.9% vs 65%), it was not statistically significant (p value≥0.05). No statistically significant differences were found in terms of both the acute toxicities (anaemia, leukopenia, mucositis, dermatitis, UGI toxicities, dysphagia) and late toxicities (laryngeal edema, dryness of mouth and edema of skin of neck) when weekly concurrent chemoradiotherapy was compared to three weekly chemoradiotherapy (p value ≥ 0.05).Conclusion: Weekly chemotherapy regimen can be delivered safely on a day care basis and can be helpful in a set up with limited logistics and considerable patient burden.
Artificial Intelligence and Cancer Control in Low-middle Income Countries- relevance in the COVID-19 Era
Authors: Gangopadhyay Aparna
Published: December 2023

In view of limited resources and financial constraints, overburdened cancer services in low-middle income countries struggle to provide timely interventions in patients with cancer. Cancer services have been severely affected during the Coronavirus disease 2019 pandemic. Many patients are being deprived of timely screening and treatments have been delayed owing to resource reallocation and funding constraints. Artificial intelligence shows considerable promise in reducing screening, treatment, and patient waiting times; it also increases departmental throughput and improves the cost-benefit ratio of treatment. In limited resource settings, the reallocation of saved costs may be used to improve care services. In view of the disruption caused by the pandemic, greater use of artificial intelligence for cancer screening and care may reduce the burden on existing facilities in low-middle income countries. This may aid early diagnosis and treatment, prevent the need for prolonged and intensive treatments, and improve patient outcomes at this difficult time.
Urinary Tract Infection in Patients after Transurethral Resection of Bladder Tumor Procedure in Tertiary Hospital
Authors: Kusnawan Andi , Vijay Pramod Sawkar , Safriadi Ferry
Published: December 2023

Introduction: The incidence of UTI after TURBT in the early stages can result in morbidity, increase the length of stay, and patient costs, even if not treated can be a risk factor for bladder tumor recurrence. The global incidence of post-TURBT UTI varies between 2-39%. This study aims to determine the incidence of UTI in post-TURBT patients. Materials and Methods: This study was a cross-sectional retrospective study. The research data was taken from the medical records of patients who underwent TURBT between 2017 - 2021 at a tertiary hospital. UTI after the TURBT was defined by symptoms of fever (≥ 38oC) and the results of urinalysis examination with positive bacteriuria. While asymptomatic bacteriuria (ABU) is defined by the results of a positive bacteriuria examination without symptoms of fever. The results of the study were processed with descriptive statistics and then presented in the form of tables and explanatory narratives. Statistical analysis was performed using SPSS version 26 with a p-value < 0.05 considered statistically significant. Results: 140 patients underwent the TURBT. The data collected were 92 patients. In the pre TURBT, 56 (60,9%) patients were positive for bacteriuria, but 55 (59,8%) patients did not have fever symptoms. There were 1(1.1%) patient who had UTI before the TURBT. This patient was treated first with an antibiotic before the TURBT procedure. After the TURBT, 9 (9,7%) patients underwent urinalysis. A total of 4 (4.3%) patients experienced UTI after the TURBT and 3 (3.3%) experienced ABU after the TURBT. The incidence of UTI after the TURBT increased the length of stay of the patient (p = 0,003). Conclusion: The incidence of post-TURBT UTI is 4.3%. Only 9,8% of patients underwent urinalysis after the TURBT.
Paediatric Mesenchymal Hamartoma of Liver-A Diagnostic Dilemma
Authors: Sahni Manish , Daga Ram , Jangir Nishant , Singh Suresh , Sharma Rajgovind
Published: December 2023

Introduction and Importance: Benign tumors of the liver are relatively rare in children. Mesenchymal hamartoma (MH) is a benign tumor of the liver. It is the second most common benign pediatric hepatic tumor after infantile hemangioma. Mostly it is seen in children less than 2 years of age. The diagnosis of this tumor is difficult because of nonspecific clinical symptoms and lack of definitive laboratory studies. The precise diagnosis of mesenchymal hamartoma relies on histological evaluation of the tissue.We hereby present a rare case in a 2 year old child with mesenchymal hamartoma and its diagnostic challenges. Case presentation: A 2 year old previously healthy male was referred to our institution for evaluation of a liver mass. He complained of loss of apetite and abdominal distension since last 10 weeks. He had no complaints of fever/trauma. Clinical findings and Investigations: On per abdomen examination,there was a presence of large, non tender hepatomegaly with no shifting dullness present. On radiological evaluation, Ultrasound abdomen showed solitary right lobe mass. On further imaging, CT scan of the abdomen was done which showed a large multiloculated lesion in right lobe liver with arterial enhancing intervening septae within.The lesion was compressing and displacing right portal vein and right hepatic vein. At that time, laboratory evaluation showed normal liver function tests, serum AFP and other blood parameters. Differentials of liver cyst, hydatid cyst and biliary cystadenoma was made. Intervention and outcome: After discussion in multidisciplinary care, he was planned for surgery which would provide the exact histological diagnosis also in such cystic lesion of liver.He was optimized for surgery and subsequently underwent right hepatectomy with resection of the ~14× 12 cm mass. No major periperative complications developed and patient was discharged from hospital on POD6. The pathological review of the resected mass showed mixture of bile ducts, vessels, irregular liver cell plates and loose mesenchyme containing variable sized cysts consistent with a mesenchymal hamartoma. He is asymptomatic at the time of regular follow-up visits. Relevance and Impact: Benign tumors of the liver are relatively rare in children. The diagnosis of mesenchymal hamartoma still remains a challenge with non –specific complaints, normal laboratory findings and delay in diagnosis can lead to complications from local compression. Though advance imaging can diagnose this entity if index of suspicion is high but Differentiating it from other tumors such as an undifferentiated embryonal sarcoma is difficult on imaging alone. Hence surgical excision is the gold standard for diagnosing to reach the final histological diagnosis and treating these entities.
Próby w badaniach psychologicznych – wnioski i rekomendacje płynące z przeglądu literatury
Authors: Świderska Joanna , Puchalska Magdalena , Grzegorczyk Maciej , Szałek Zuzanna , Nadolna Natalia , Andryszkiewicz Martyna , Jastrzębska Maria , Szablowski Przemysław , Śmigrodzka Maja
Published: December 2023

Cel: Celem przeglądu była identyfikacja elementów występujących w opisach procedury badania i próby oraz sformułowanie na tej bazie rekomendacji dla autorów.
Metoda: Badanie przeprowadzono zgodnie ze standardem PRISMA. Łącznie przeanalizowano 305 artykułów polskich badaczy z czterech czasopism, z czego 230 zostało poddanych krytycznej ocenie. Ostateczne analizy dotyczyły 295 opisów badań.
Wyniki: Analizy wykazały, że najczęściej badacze raportują: procedurę badania, zastosowaną metodę doboru i wielkość próby, formę badania, a z cech socjodemograficznych: płeć i wiek.
Konkluzje: Wnioski z analiz i doświadczenia z przeglądu pozwoliły sformułować rekomendacje w zakresie wyczerpującego metodologicznie opisu procedury i próby.
Khyber Pakhtunkhwa under the Specter of Wahhabism
Authors: Shah Saqib , Bilal Fakhar
Published: December 2023

For the past few centuries Pakhtun population had witnessed a number of internal and external challenges i.e., colonialism, tribalism and terrorism. Despite being resilient in the face of growing challenges, they have been subjugated by external forces of Power with ruthlessness. Today Pakhtuns residing on both sides of the Durand line are faced with yet another threat to their existence from religious fundamentalism; the roots of which lie in the infiltration of Wahhabism into the subcontinent in the Nineteenth century. The Specter of Wahhabism has completely altered the outlook of the Pakhtun culture and society transforming it into an Arab colony of the seventh century.
Study the Relationship between Parenting Style and Child-Parent Relationship on Students' Achievement at the Elementary Level
Authors: Shahzad Mubbsher , Lodhi Huma , Siddique Muhammad
Published: December 2023

This study aims to find the relationship of parenting style, child parent relationship and student achievement at elementary level. Questionnaires were used for collection of data and sample were comprised 500 parents and 500 students selecting by the random sampling. The results shows that majority of the parent use authoritative parenting style (PS) and student response reveal that their relationship with parent was positive relation. The relationship of PS with child-parent (CP) relationship was positive weak relationship and parenting style with student achievement score was negative weak relationship). Results also show significantly weak and negative relationship between PS and child parent relationship. A majority style of parents is authoritative and child parent relation was positive relation. This reflects the fact that the student has positive relation with their parent and parent has mutually understanding with their child.
Collaboration, Frustration, and Exhilaration: A Qualitative Exploration of Team Presentation Experiences
Authors: Waqar Yasira , Mahmood Aisha , Masood Sajid
Published: December 2023

Group presentations are commonly used in higher education for developing transferable skills among students. However, the complexities of teamwork also lead to varied challenges. This study aimed to explore students’ experiences of undertaking group presentations using a descriptive qualitative approach. Fifteen reflective accounts of graduate students about a team presentation task were analysed using framework analysis. The findings revealed four major themes–preparation, emotional experiences, perceived learning outcomes, and recommendations. Preparation involved dividing work, planning meetings, and gathering content. Emotions like nervousness, excitement, and frustration were experienced at different phases. Key learning outcomes were presentation skills, research abilities, and appreciating diversity, but time management needed improvement. Better planning, role clarity, and anxiety management were suggested for future presentations. The findings largely resonate with existing literature while also providing contextual insights into the real-world experiences of learners. Results can inform instructional design and learning support for enhancing team-based presentation competencies.
Statistics and Trends in the Functioning of Social Networks
Authors: Havrylіuk Oleh
Published: December 2023

The purpose of the article is to analyse the statistics and trends in the functioning of social networks in the world and Ukraine according to various criteria.
Research methods. General scientific methods of analysis and synthesis were used, which allowed achieving the goal.
The scientific novelty of the results obtained is to identify, based on the analysis of a broad statistical base, the trends in the functioning of social networks in the world and Ukraine according to various criteria.
Conclusions. With the emergence of Web 2.0, end users are directly involved in changing the future of the WWW in terms of its structure, design and usefulness. In this context, social networks are becoming an application capable of not only establishing but also managing explicit relationships between users. It is emphasised that the reasons for the popularity of social networks are that they promote the vision of a human-centred network, where a network of people and their interests become a source of information that is constantly available in the same network. Based on the analysis of available statistical data, the author concludes that the main trends in the functioning of social media in Ukraine in recent years are as follows: a rapid increase in the number of social media users, but the amount of time spent by users on the network in 2023 is decreasing; during the Russian-Ukrainian war, one of the most important functions of social media has become informational, in particular for providing news; by age, younger people use social media more, and older people less; taking into account settlements, the number of social media users is much higher in large cities than in rural areas; entertainment and educational topics are of the greatest interest to Ukrainian social media users; the number of influencers on social media is increasing, etc.
Some Aspects of E-commerce Business Process Automation
Authors: Tkachenko Olha , Hnatiuk Maksym
Published: December 2023

Automation of e-commerce business processes is one of the key elements in optimising e-commerce operations. Modern enterprise resource planning (ERP) systems and customer relationship management (CRM) systems contribute to the optimisation and automation of e-commerce business operations. The article discusses the benefits of business process automation, such as reduction of time, costs and risks, and data analysis for making informed management decisions. Some aspects of automation of e-commerce business processes are investigated, such as control of stocks of goods, tracking the movement of goods (logistics business processes), analysis of supply and demand, forecasting market trends, and planning and management of resources.
The purpose of the article is to study and analyse various systems for automation of business processes, in particular, accounting and sales of goods, e-commerce; to identify existing problems and ways to solve them; to apply an innovative approach to the implementation of information systems for e-business support, which combines the guarantee of a high level of security and excellent performance with a wide range of functionalities that meet modern user requirements.
The research methods are the main methodological approaches and technological tools for creating high-performance and user-friendly e-commerce business process automation systems.
The novelty of the research is the analysis of modern technologies for developing platforms for supporting e-commerce business processes, the results of which can be used in the development of an in-house software product – a system for automating business processes, in particular, accounting and sales of goods.
Conclusions. The paper examines the existing views on the modern approach to the development of e-commerce business process automation systems. The advantages and disadvantages of the known e-commerce business process automation systems are analyzed, and the importance of such systems in achieving the efficiency and competitiveness of enterprises in the modern business environment is noted.
The introduction of IT and relevant business process automation information systems makes it possible to increase the accuracy of accounting, reduce the time and cost of operations, improve customer interaction and optimize resource management.
A Miquel-Steiner Transformation
Authors: Odehnal Boris
Published: December 2023

Svaki potpuni četverokut ima tri Miquel-Steinerove točke. Bilo koji trokut zajedno s po volji odabranom točkom koja ne leži na stranicama trokuta također definira potpuni četverokut, pa stoga ova točka određuje tri Miquel-Steinerove točke. Te tri Miquelove točke tvore trokut koji je perspektivan polaznom trokutu. Preslikavanje koje točki pridružuje jedinstveno definirano središte perspektiviteta je kvadratna neinvolutivna Cremonina transformacija koju ćemo zvati Miquel-Steinerova transformacija. Proučavat ćemo djelovanje Miquel-Steinerove transformacije i njen inverz.
Locus Curves in Triangle Families
Authors: Kodrnja Iva , Koncul Helena
Published: December 2023

U ovom članku proučava se jedanparametarska familija trokuta kojemu su dva vrha fiksna, a treći vrh leži na zadanom pravcu. Za takvu familiju trokuta promatraju se geometrijska mjesta težišta, ortocentara, središta opisanih kružnica, središta upisanih i pripisanih kružnica te nekih elemenata vezanih za te karakteristične točke trokuta.
PENGARUH BUDAYA BELAJAR DAN MOTIVASI BELAJAR TERHADAP EFIKASI DIRI PESERTA PELATIHAN BERBASIS KOMPETENSI
Authors: Setiawati Anis , Sudadio Sudadio , Darmawan Dadan
Published: December 2023

Tujuan penelitian ini adalah untuk mengetahui dan menganilis pengaruh budaya belajar dan motivasi belajar terhadap efikasi diri peserta pelatihan. Populasi terdiri dari peserta pelatihan yang tergabung dalam program PBK (Pelatihan Berbasis Kompetensi) tahun 2023 yang berjumlah 192 orang, sampel dalam penelitian ini menggunakan teknik slovin dengan tingkat kesalahan 5% yaitu sebanyak 130 orang. Latar belakang penelitian ini yaitu terdapat adanya indikasi permasalahan pada beberapa peserta pelatihan yang tidak menyukai budaya belajar dalam proses pelatihannya sehingga motivasi belajar dari peserta pelatihan berkurang dan berdampak pada efikasi diri peserta pelatihan, yang mana efikasi diri sangatlah berperan penting sebagai modal untuk memasuki dunia kerja. Pengumpulan data dilakukan dengan menyebarkan angket atau kuesioner, observasi dan dokumentasi. Metode penelitian ini menggunakan analisis deskriptif dengan pendekatan kuantitatif. Data kemudian diolah dan dianalisis menggunakan aplikasi SPSS-25. Hasil penelitian menunjukkan bahwa: 1) budaya belajar berpengaruh positif dan signifikan terhadap efikasi diri peserta pelatihan, 2) motivasi belajar berpengaruh positif dan signifikan terhadap efikasi diri peserta pelatihan, 3) budaya belajar dan motivasi belajar secara simultan memiliki pengaruh yang sangat signifikan terhadap efikasi diri peserta pelatihan berbasis kompetensi.
PENGARUH PEMBINAAN GURU DAN KOMPETENSI PROFESIONAL TERHADAP KOMITMEN GURU
Authors: Khomarudin Khomarudin
Published: December 2023

Abstrak-Memiliki guru yang berkomitmen sangatlah krusial dalam konteks pendidikan. Komitmen guru mencerminkan tekad dan dedikasi mereka dalam melaksanakan tugas mengajar dan membimbing siswa. Komitmen guru Sekolah Dasara Negeri Kecamatan Sirampong dinilai masih kurang. Melalui observasi awal yang dilakukan oleh peneliti hal tersebut diduga disebabkan oleh rendahnya pembinaan guru dan kompetensi profesional guru. Oleh karena itu, peneliti merasa perlu melakukan penelitian agar dapat diuji kebenarannya. Penelitian ini bertujuan untuk mengungkap pengaruh pembinaan guru dan kompetensi profesional terhadap komitmen guru sekolah dasar negeri Kecamatan Sirampng Kabupaten Brebes. Penelitian ini menggunakan metode survey dengan pendekatan kuantitatif, serta teknik korelasional dan regresi. Teknik pengumpulan data melalui angket skala Likert terhadap 57 responden yang merupakan guru Sekolah Dasar di Kecamatan Sirampong Kabupaten Brebes. Hasil analisis data menunjukkan bahwa (1) Pembinaan guru berpengaruh terhadap komitmen guru sekolah dasar, (2) Kompetensi profesional guru berpengaruh terhadap komitmen guru, (3) Pembinaan guru dan kompetensi profesional guru secara bersama-sama berpengaruh terhadap komitmen guru sekolah dasar. Upaya pembinaan guru yang efektif dapat dilakukan dengan cara meningkatkan kualitas pertemuan individual dan demonstrasi mengajar, melalui pelatihan komunikasi dan manajerial serta memberikan pedoman yang jelas. Untuk meningkatkan kompetensi profesional guru dan komitmen mereka, diperlukan langkah-langkah konkret seperti pelatihan yang berfokus pada kebutuhan guru, pengembangan kurikulum yang mendukung peningkatan kompetensi, dan meningkatkan akses guru terhadap sumber daya pendukung seperti bahan pengajaran yang berkualitas. Membangun lingkungan yang mendukung, dan melibatkan guru dalam pengambilan keputusan terkait pembelajaran dan kebijakan sekolah.
PEMBINAAN DAN PEMBERDAYAAN GURU OLEH KEPALA SEKOLAH SERTA KONTRIBUSINYA TERHADAP DISIPLIN KERJA GURU
Authors: Satiwi Satiwi , Dekawati Ipong
Published: December 2023

Abstrak-Menjadi bangsa yang memiliki karakter disiplin tinggi dimulai dari unit terkecil yaitu individu untuk selanjutnya dikembangkan disiplin dalam keluarga untuk kemudian membangun masyarakat cinta disiplin. Disiplin diri, keluarga dan bangsa tentunya dimulai dari sejak kecil. Secara formal pendisiplinan dibentuk di sekolah. Siswa dituntut untuk berperilaku disiplin agar menjadi kebiasaan yang mendarah daging (internalized). Di sekolah agak sulit mendisiplinkan siswa manakala gurunya tidak disiplin. Maknanya sebelum mendisiplinkan siswa terlebih dulu gurunya harus disiplin. Banyak faktor yang berkontribusi terhadap disiplin kerja guru. Di antaranya pembinaan dan pemberdayaan guru. Dalam penelitian ini ingin menganalisis kontribusi pembinaan dan pemberdayaan guru terhadap disiplin kerja guru baik secara parsial maupun gabungan. Metode penelitian yang digunakan adalah metode deskriptif dan verifikatif, dengan teknik pengumpulan data menggunakan angket skala Likert, terhadap 42 orang guru. Pengolahan hasil penelitian menggunakan teknik analisis regresi. Uji signifikansi menggunakan uji-F. Hasil penelitian menunjukkan bahwa: (1) Terdapat kontribusi positif dan signifikan pembinaan guru terhadap disiplin kerja guru. (2) Terdapat kontribusi positif dan signifikan pemberdayaan guru terhadap disiplin kerja guru. (3) Terdapat kontribusi positif dan signifikan pembinaan dan pemberdayaan guru terhadap disiplin kerja guru. Beranjak dari kondisi tersebut, penulis menyarankan, bahwa: (1) Berdasarkan pengolahan data, dimensi yang mendapat penilaian terendah dari dimensi pembinaan guru adalah program supervisi pendidikan. Penulis menghimbau agar supervisi dilakukan secara lebih terkoordinasi dimulai dari program, jadwal supervisi hingga masalah yang ditemui sehingga guru yang disupervisi menyadari kekurangannya serta merasakan kebermanfaatan dari program supervisi yang dilaksanakan. Pada sisi pemberdayaan guru, dimensi yang mendapat penilaian terendah adalah dimensi kejelasan. Berdasarkan kondisi tersebut penulis menyarankan  agar program pemberdayaan guru hingga pelaksanaannya dilakukan secara transparan agar guru yang bersangkutan mengetahui tujuan dilaksanakannya pemberdayaan sehingga guru memahami dan menyadari pentingnya pemberdayaan guru guna peningkatan keunggulan institusi (sekolah) tempayna bekerja.