bluuebunny/crossref_metadata_2025 huggingface dataset:
Regional Government Authority in the Implementation of Natural Disaster Management
Authors: Akhmaddhian Suwari , Tendiyanto Teten , Nursyamsu Roni , Abdilah Alif Faisal , Gustianitami Azmy Sabila
Published: December 2022

Natural disasters certainly have negative impact on the environment and society in community health, comfort, and economic conditions. This study aims to asertain and analyze the regulation─regional government service authority in organizing natural disaster management in Indonesia. This study employed empirical legal method involving primary and secondary data and was conducted in Kuningan Regency. The data were collected through interviews, observations and literature studies. The finding revealed the regional government service authority is governed in Article 9 of Law Number 24 of 2007─Disaster Management, Government Regulation of the Republic of Indonesia Number 21 of 2008─the Implementation of Disaster Management, and Regional Regulation Number 6 of 2011─ the Implementation of Disaster Management. Finally, their authority is mostly defined clearly in Law Number 24 of 2007 concerning Disaster Management. This law establishes apparent rules that each duty and function is already appropriate.
Sermaye Yapısı ve Firma Performansı İlişkisi: BIST Ana Metal Sanayi Sektörüne Yönelik Bir Analiz
Authors: ASLAN Mesut
Published: December 2022

20. Yüzyılın başlarında firma karlılığının artırılması olarak tanımlanmış olan firma amacı, bu yüzyılın ikinci yarısından itibaren sermaye maliyetinin azaltılması ve firma performansının artırılması şeklinde tanımlanmaya başlanmıştır. Buna bağlı olarak küresel dünyada yaşanan hızlı gelişmeler, firmaları yoğun bir rekabet içerisine koymuş, bu rekabet ortamı da belirsizlikleri ve riskleri artırmıştır. Oluşan bu duruma karşı firmalar sermayeyi daha etkin kullanabilecek finansal kararlar almaya başlamıştır. Bu çalışmada amaç, sermaye yapısı ile firma performansı arasındaki ilişkiyi tespit edebilmektedir. Bu amaçla BIST Ana Metal Sanayinde faaliyette bulunan 22 şirketin 2010-2020 yılları arasındaki verileri kullanılmıştır. Çalışmada kullanılan veriler kamuyu aydınlatma platformundan alınmıştır. Çalışmada bağımlı değişken olarak sermaye yapısı, bağımsız değişken olarak ise aktif kar marjı ve faaliyet kar marjı değişkenleri kullanılmıştır. Yapılan analizler sonucunda, sermaye yapısı ile aktif kar marjı ve faaliyet kar marjı arasında negatif yönlü anlamlı bir ilişkinin olduğu tespit edilmiştir. Performans açısından daha iyi bir seviyeye gelebilmeleri için firmaların yabancı kaynak kullanımını mümkün olduğunca azaltmaları gerektiği önerisi sunulmuştur.
Stok Kontrolünün Etkinliği Açısından Bir Özel Hastanenin Ameliyathane Bölümünde Kullanılan Tıbbı Sarf Malzeme Stoklarının Değerlendirilmesi
Authors: ERKILIÇ Cemre Eda , ÇULHA Ercan
Published: December 2022

Stok kontrolü, sağlık hizmeti sunumunun kesintiye uğramaması ve sunulan sağlık hizmetlerinde kalitenin, verimliliğin ve etkinliğin sağlanması açısından önemli bir denetleme aracı olduğu için hastanelerde stok kontrol yöntemi ilkelerini benimsemek ve stok kontrol yöntemlerini kullanmak günün ihtiyacı olmuştur. Bu çalışmanın amacı, Ankara’da bir özel hastanenin ameliyathane bölümünün 2020 ve 2021 yıllarına ait tıbbı sarf malzeme stoklarını inceleyerek, tıbbi sarf malzeme stoklarının tüketim tutarlarını ve tüketim miktarlarını belirlemek, yıl bazında karşılaştırmak ve stok kontrolünde etkinliğin sağlanabilmesi açısından hastanede uygulanabilecek en uygun yöntemi tespit etmektir. Ameliyathane bölümünün stoklarında yer alan tıbbi sarf malzemelere ait verilerin analizi Microsoft Excel programı yardımıyla, stok kontrol yöntemlerinden ABC, VED ve ABC-VED Matris yöntemlerinin uygulanması ile gerçekleştirilmiştir. ABC yönteminin uygulanması ile tıbbi sarf malzeme stoklarının maliyet açısından önemleri, VED yönteminin uygulanması ile tıbbi sarf malzemelerin kritiklik açısından önemleri ve ABC-VED Matris yönteminin uygulanması ile tıbbi sarf malzemelerin hem maliyet hem de kritiklik açısından önemleri belirlenmiştir. Çalışma sonucunda, stok kontrol planının geliştirilmesi sürecinde her üç yöntemin de kullanılabileceği tespit edilmiştir. Ancak, hastanelerde stok yönetiminin önemli bir unsuru olan stok kontrolünde etkinliğin sağlanması açısından, maliyet ve kritiklik parametrelerinin bir kombinasyonunu sunan ABC-VED Matris yönteminin daha uygun bir yöntem olduğu sonucuna ulaşılmıştır.
CEFR 단계 교재와 초등영어 교과서 어휘 분석
Authors:   The Korea Association Of Primary English Education, Jeon Ji-hye
Published: December 2022

The purpose of this study was to analyze the vocabulary within Korean elementary text books and CEFR level textbooks, as vocabulary is a basic element for communication among language users. For this vocabulary analysis, the 2015 curriculum’s recommended vocabulary list and an EVP (English Vocabulary Profile) of CEFR were used. Both Korean and CEFR level textbooks used in this research were structured based on themes. The same theme categories were chosen for collecting content words. Content words were divided into the following categories. Elementary, above elementary, and those of categories not included in the 2015 curriculum’s recommended vocabulary list. Since this study was limited to a single type of Korean textbooks and CEFR level textbooks, the number and frequency of content words could be considered small. Based on this, it is suggested that a classification method according to the learner’s language proficiency is needed rather than classification by school in the curriculum. The development of a questionnaire tool to investigate the vocabulary proficiency of learners is also recommended. Since this study specifically presented the vocabulary required for the development of the test tool based on the frequency and CEFR Basic User level, a follow-up study is needed.
Tactical potential of units voluntary fire protection in the fire safety system
Authors:   Academy of State Fire Service of EMERCOM of Russia, Shcherbakov Alexander Valerievich , Denisov Alexey Nikolaevich ,   Academy of State Fire Service of EMERCOM of Russia
Published: December 2022

Introduction. The article presents the organizational structure and management system of "Public Associations of Fire Protection" as an element of the fire safety system in the context of the prospects of application by authorized executive authorities of the subjects of the Russian Federation, local self-government to ensure fire safety. In general, the article is devoted to the tactical capabilities of the units of the voluntary fire protection to support managerial decision-making in achieving the goals set by the leadership in the field of fire safety. The tasks of the research are to analyze the organizational component of the "Public associations of fire protection"; to consider the tactical potential of the units of the voluntary fire protection for the intended purpose, level of equipment, structure and order of recruitment for participation (or) extinguishing fires. Methods. Methods of analysis and synthesis were used. Results and discussions. Tactical capabilities have been developed for quantitative and qualitative assessment of the functioning and preparation for actions under the designation "Public Associations of Fire protection". A proposal has been put forward for their application at the stage of actions carried out at the fire site. Conclusions. The presented material theoretically substantiates the provisions of its application, the need for fundamental and applied research on this topic, including the assessment of the effect of the tactical potential of voluntary fire protection units of certain types in the relevant municipalities, on protected objects of various functional purposes to support management decisions in ensuring fire safety in terms of choosing the best technical and operational indicators and economic feasibility. Key words: public associations of fire protection, voluntary fire protection, voluntary fire brigades, voluntary fire brigades.
On the effect of the duration of operation of metal structures on their fire resistance
Authors:   Academy of State Fire Service of EMERCOM of Russia, Shakhabov Mayrbek Musaevich , Sivenkov Andrey Borisovich ,   Academy of State Fire Service of EMERCOM of Russia
Published: December 2022

Introduction. The solution of the issue of assessing the fire resistance limit of metal structures under the influence of prolonged mechanical stress and environmental factors, as well as an objective assessment of their behavior in fire conditions should be inextricably linked with the aging process, leading to changes in the physical and chemical, mechanical properties of metals. The analysis of scientific works in the field of fire resistance of metal structures indicates that the aging process of metals is not actually taken into account when considering the issue of assessing the limits of fire resistance of these structures. It is not clear to what extent the aging factor of metals can influence the behavior of metal structures in fire conditions. In this regard, it is undoubtedly necessary to develop scientific ideas about the behavior of metal structures in fire conditions, taking into account the duration of their operation, the relationship of this behavior with processes occurring under prolonged exposure to environmental factors, as well as obtaining new experimental data on the limits of fire resistance of metal structures of various service life. Aims and purposes. Formation of scientific opinion on the peculiarities of the influence of the duration of operation of metal structures on their fire resistance. Methods. The article used the method of analytical research based on the results of the analysis of works in the field of metal aging processes, taking into account the prolonged impact of mechanical stress and various environmental factors. Results and their discussion. Based on the results of the analysis of theoretical and experimental studies, it is suggested that the fire resistance of metal structures may decrease as a result of their prolonged operation. The possibility of reducing the fire resistance of metal structures is based on the research results of many authors, whose works revealed characteristic changes in the chemical composition, structural elements, properties of metals as a result of prolonged operation of metal structures. Conclusion. The result of the analysis of scientific papers shows that the long-term operation of metal structures and the impact of various environmental factors can lead to a decrease in the limits of their fire resistance. The possibility of reducing the fire resistance of metal structures as a result of their long-term operation, which was not previously taken into account in regulatory documents and the calculation methodology for assessing fire resistance, is considered. Keywords: fire resistance, fire resistance limit, metals, steel structures, service life, aging.
Some features of ensuring the readiness of fire trucks in the long-term planning of the activities of units
Authors:   Academy of State Fire Service of EMERCOM of Russia, Satin Alexey Petrovich , Aristarkhov Vladimir Anatol'yevich ,   Academy of State Fire Service of EMERCOM of Russia, Daines Vitaly Andreevich ,   EMERCOM of Russia
Published: December 2022

Introduction. The process of operation of fire trucks is investigated. A graph has been constructed that reflects the possible states of the car depending on age. A mathematical description of the possible states of the car is given and the well-known Bellman equation is adapted to describe the function of minimizing the cost of maintaining fire trucks. An algorithm has been developed that describes the conditions for the stay of fire equipment in the category of operation, which ensures the possibility of its use for its intended purpose. Goals and objectives of the study. The goal is to manage the readiness of fire trucks by defining a strategy for their operation and improving the quality of service and repair. To achieve the goal, the tasks were solved to determine the conditions for the stay of a fire truck in the I or II category of operation, a mathematical description of these conditions and an algorithm for the stay of the vehicle in the required category of operation were given. Research methods. In the course of the study, methods of operations research and the method of dynamic programming were used. Results and its discussion. An algorithm has been developed that allows, in the course of long-term planning, to ensure the serviceability of fire trucks and their readiness for use for their intended purpose. Conclusion. The results of the study can be used as practical recommendations for officials of the logistics authorities in the long-term planning of the operation of fire trucks of fire and rescue units in modern conditions. Keywords: planning, costs, year, fire trucks, equipment operation, technical condition category, failure, replacement, step.
Survey results of specialists from crisis management centers on emergency response
Authors:   Academy of State Fire Service of EMERCOM of Russia, Kadiev Shamil Kudrudinovich , Khabibulin Renat Shamil'yevich ,   Academy of State Fire Service of EMERCOM of Russia, Ryzhenko Natalya Yuryevna ,   Academy of State Fire Service of EMERCOM of Russia
Published: December 2022

Introduction. Timely response to emergency situations is an urgent task in the framework of improving management in the structure of EMERCOM of Russian. The high need for the rapid creation and development of digital products, the management of digital services require a rethinking of approaches to the organizational and functional structures of government bodies. The rapid development of artificial intelligence models and algorithms inevitably leads to digital transformation processes, including at the stage of emergency response. To identify problems at the stage of responding to emergencies, a survey questionnaire was drawn up for specialists and employees of Crisis Management Centers of EMERCOM of Russia. The system of Crisis Management Centers of EMERCOM of Russia provides a solution to many complexly structured control tasks. Targets and goals. The aim of the work is to determine the priority of emergency criteria for their subsequent classification and search in the knowledge base. In order to achieve this goal, it is necessary to conduct a survey of specialists of Crisis Management Centers of EMERCOM of Russia on the widest range of issues in the field of emergency response. Methods. In the course of the work, statistical and dispersion-correlation analysis of the obtained data was carried out. Expert opinions were ranked, after which their consistency was determined. Results and its discussion. Conducted a survey of employees of Crisis Management Centers of EMERCOM of Russia (430 specialists) in 15 constituent entities of the Russian Federation, survey results were analyzed in order to obtain data to determine the number of response forces and means. A priority sequence of criteria has been obtained for three types of emergency situations: transport accidents, explosions (including those with subsequent burning) and (or) destruction (collapse) in buildings and structures, accidents in life support systems. This sequence is necessary to classify and search for emergencies in the knowledge base in order to determine the required number of forces and means to respond. Conclusions. The application of the results of the work will allow carrying out procedures for classifying emergencies, ranking their criteria, as well as determining the required number of forces and means for response. Keywords: survey, emergency, crisis management center, dispersion-correlation analysis, classification, ranking.
Assessment of the behavior of the staff of shops of shopping and entertainment centers when organizing the evacuation of people
Authors:   Academy of State Fire Service of EMERCOM of Russia, Efimov Andrey Aleksandrovich , Shikhalev Denis Vladimirovich ,   Academy of State Fire Service of EMERCOM of Russia
Published: December 2022

Introduction. Fires in shopping and entertainment centers often receive a wide public response. First of all, this is due to the large number of dead and injured people. The results of domestic and foreign studies in the field of evacuation indicate that the behavior of personnel is one of the key factors affecting the safety of people in case of fire. However, the analysis of information about large fires at such facilities showed that the staff of shopping and entertainment centers does not always have the appropriate level of training and skills to organize the evacuation of visitors to the facility, which negatively affects the process under consideration. The established facts confirm the relevance of the research topic. Goals and objectives. The purpose of the study is to establish the factors influencing the process of organizing the evacuation of people by collecting and analyzing information about the actions of personnel when various signs of fire appear. To achieve this goal, it is necessary to conduct a survey of persons responsible for the evacuation of visitors to shopping and entertainment centers. Methods. To formalize the decision-making process and obtain data on the behavior of the staff of shopping and entertainment centers when organizing the evacuation of visitors, identifying their quantitative parameters and prevalence, a proven method of individual questioning was used. Results and its discussion. In the course of the study, a survey of the staff of shops of shopping and entertainment centers (384 respondents) was conducted. Important facts in the field of organization of the evacuation process have been revealed. Algorithms of personnel actions have been established when various signs of fire appear, as well as the procedure for organizing evacuation has been formalized. Conclusions. The results obtained will be applied in the development of an information and analytical system to support management decision-making in the organization of evacuation from shopping and entertainment centers. Computer simulation of evacuation, taking into account the algorithms obtained, will allow us to determine rational strategies for organizing the evacuation of people. Keywords: survey, evacuation organization, store staff, shopping and entertainment center, decision support.
Topical issues in Arctic studies: a perspective from China
Authors:   St Petersburg University, Wang Ruoxuan
Published: December 2022

The article examines promising areas of China’s research on the Arctic issues. The aim is to identify current areas of Arctic research in China based on content analysis via the CiteSpace software, and to determine the directions of Russian-Chinese cooperation in this area. Through the analysis of available publications in highly ranked Chinese journals, three most important research areas of China as a near-Arctic state have been identified, which cover the problems of climate change, development of the Arctic sea route, management of the Arctic and regional cooperation. The issues of maritime navigation in the Arctic are associated with the development of Russian-Chinese cooperation and the revival of China’s Northeast region. In the future, the focus of Arctic research in China is predicted to shift towards the economic sphere.
Monitoring of the Mordyyakha gas explosion object development on Yamal on the basis of Earth remote sensing data
Authors:   Oil and Gas Research Institute of RAS, Bogoyavlensky V.I. , Bogoyavlensky I.V. ,   Oil and Gas Research Institute of RAS, Nikonov R.A. ,   Oil and Gas Research Institute of RAS, Kargina T.N. ,   Oil and Gas Research Institute of RAS
Published: December 2022

The authors carried out a comprehensive study of the Mordyakh object C15 of a catastrophic gas blowout in 2017 using the Earth remote sensing (RS) data from space, including ArcticDEM digital 3D models. According to the remote sensing data, the researchers proved the rapid growth of the perennial heaving mound (PHM) C15 of about 1 m in height during 14.5 months from March 19, 2012 to June 6, 2013 and that in the next four years its growth rate was about 10 cm per year. They determined that in the period from June 8 to June 19, 2017, an explosion occurred in the arch of the PHM with the formation of a crater. As a result of photogrammetric processing of aerial images from a helicopter, the authors developed a highly detailed 3D model of the crater as of August 26, 2020. They recorded the scattering of frozen soil pieces up to a distance of 90 m, and calculated the approximate volume of the largest of them, which was about 40—50 m3. As a result of the research the authors confirmed the endogenous gas-dynamic mechanism of PHM growth followed by powerful blowout and gas explosions with the formation of giant craters. The results contribute to improving the safety of the operation of oil and gas facilities in the Arctic.
Solid particles as an indicator of the placement of air pollution monitoring posts in Murmansk
Authors:   FSBI UralNII “Ecology”, Oputina I.P. , Shklyaev V.A. ,   Perm State University, Kostyleva N.V. ,   FSBI UralNII “Ecology”
Published: December 2022

The article presents the results of field measurements and analysis of atmospheric air samples at 25 characteristic points on the territory of Murmansk in 2017—2018. For all particles taken from atmospheric air the researchers determine the granulometric, morphological and chemical composition using a high-resolution scanning electron microscope S-3400N Hitachi. They consider meteorological conditions as of the dates of sampling from the point of view of their effect on the dispersion of pollutants. The results made it possible to preliminary determine the regions on the territory of Murmansk that are most and least dependent on meteorological conditions, as well as to formulate recommendations for improving the atmospheric air monitoring network in Murmansk.
Bank loan portfolio analysis: the case of Expobank JSC
Authors: Н.Ю. БАГАЕВА, , Н.А. ПАРФЕНОВА,
Published: December 2022

Цель любой кредитно-финансовой организации ‒ это получение прибыли. На сегодняшний день кредитные организации основную прибыль получают за счет процентных и комиссионных доходов. Процентные доходы в основном формируются за счет выдачи кредитов физическим и юридическим лицам. Коммерческие банки на постоянной основе должны проводить анализ кредитного портфеля, для того чтобы сохранить его «качество». Главным критерием успеха кредитной организации является качество кредитного портфеля, так как от качества кредитного портфеля зависит, насколько работа в кредитной организации будет эффективной. В данной работе был проанализирован кредитный портфель частной кредитной организации Акционерное Общество «Экспобанк». Опорой для проведения исследования послужили федеральные акты, подзаконные акты, нормативные акты Банка России, также статистическая и финансовая отчетность АО «Экспобанк». Проанализированы основные показатели, дающие представление о качестве и динамике изменения кредитного портфеля за период 2019˗2020 гг. Рассмотрена просроченная задолженность кредитного портфеля, а также рассчитаны основные коэффициенты кредитного портфеля, которые показывают долю риска: общая кредитная активность, использование привлеченных средств, сомнительная задолженность и другие. Даны мероприятия по минимизации рисков и увеличения уровня дохода кредитной организации, так как от качества кредитного портфеля во многом зависит степень развития кредитной организации.

The goal of any financial institution is to make profit. To date, credit institutions receive the main profit from interest and commission income. Interest income is mainly formed by issuing loans to individuals and legal entities. Commercial banks must constantly analyze the loan portfolio in order to maintain its “quality”. The main criterion for the success of a credit institution is the quality of the loan portfolio, since the quality of the loan portfolio determines how effective the work in the credit institution will be. This article analyzed the loan portfolio of a private credit organization Joint Stock Company “Expobank”. The study was based on federal acts, by-laws, regulations of the Bank of Russia, as well as statistical and financial reporting of Expobank JSC. The main indicators are analyzed that give an idea of ​​the quality and dynamics of changes in the loan portfolio for the period 2019-2020. The overdue debt of the loan portfolio was considered, as well as the main coefficients of the loan portfolio were calculated, which show the share of risk: total credit activity, use of borrowed funds, doubtful debts, and others. Measures are given to minimize risks and increase the level of income of a credit institution. Since the degree of development of a credit institution largely depends on the quality of the loan portfolio.
Dermatology Case
Authors: D Fadia Racchana
Published: December 2022

None
Managing Parkinsonism and Parkinson's Disease
Authors: Muthane Uday
Published: December 2022

None
The Ever Growing Menace of Diabetes
Authors: Panikar Vijay
Published: December 2022

None
Haematoma in the mesentery of terminal ileum and intramural haematoma of caecum, ascending colon with hemoperitoneum due to abdominal massage
Authors: VS Kappikeri , Kriplani Akshay , Ingalalli Vinayak
Published: December 2022

Mesenteric hematoma is a rare clinical condition and difficult to diagnose due to its variable presentation. We report a case of 45 year old male who presented with pain abdomen for two days with no history of fever vomiting or trauma to abdomen. USG abdomen showed collection in the right iliac fossa and right paracolic gutter. On exploration hematoma was noticed in the seromuscular layer of caecum ascending colon and mesentery of terminal ileum caecum and ascending colon. Having a high level of suspicion and ordering appropriate imaging is essential to make this diagnosis.nbsp
Continuing Medical Education Program
Authors: S Shankar P
Published: December 2022

None
Study of intraocular pressure in relation to diabetic and non-diabetic patients
Authors: NP Vidhya , M Subhashini , R Priyadarshini
Published: December 2022

Aim To determine the correlation between intraocular pressure in patients with and without diabetes mellitus.Methods A hospital based cross-sectional study was carried out. A complete ophthalmologic examination was done .Intraocular pressure IOP was recorded using a Goldmann applanation tonometry. Gonioscopy and perimetry was planned if IOPgt 21mmHg or optic disc changes suggestive of glaucoma were present. Dilated fundus examination was done.Results 150 patients who met the inclusion criteria were taken for the study. The mean IOP plusmn SD in eyes of patients with diabetes was 16.4 plusmn1.32 and in eyes of patients without diabetes was 12.9 plusmn1.09. A significant difference in mean intraocular pressure was observed in patients with diabetes when compared with non diabetic patients p value lt0.0001.Conclusion This study shows significantly higher intraocular pressures in patients with Type 2 diabetes. This would suggest that diabetics should be monitored regularly for intraocular pressure to detect an early onset of glaucoma in susceptible patients.
CAD pandemic - Tips for thy healthy heart
Authors: Dwivedi Shridhar
Published: December 2022

None
Factor XII Deficiency
Authors: V Baldua , P Kadam , N Castellino , S Castellino , S Saste , N Agarwal
Published: December 2022

Acase of Factor XII deficiency which was incidentally recognized in a child who presented with purpuric lesions is reported.nbsp
Guillain-Barre Syndrome
Authors: S Shankar P
Published: December 2022

None
Cancer Biomarkers
Authors: S Shankar P
Published: December 2022

None
“Handedness and speed of peripheral nerve conduction”
Authors: BA Soumya , AR Vikas , DV Deshpande
Published: December 2022

A study was conducted to know the differences in motor and sensory nerve conduction in right and left handers. The study included 100 young adult males 18 left handers in the age group of 17-21 years. Sensory and motor nerve conduction velocities of median and ulnar nerves of both the sides were determined in each subject by RMSEMGEPMK II software. On statistical analysis itwas found that left handers exhibited a greater sensory nerve conduction velocity with the left ulnar nerve exhibiting a significant difference p-value 0.012. The motor nerve conduction velocity was also found to be greater in left handed individuals but was statistically not significant.nbsp
Nipah virus outbreak
Authors: P.S. Shankar Dr.
Published: December 2022

None
Disease burden amongst elderly patients in a tertiary-care centre
Authors: V. Jali M. , Kambar Sanjay , C. Ghagane Shridhar , M. Jali S.
Published: December 2022

The census of 2011 revealed that about 5.3 of the Indian population wasgt 65 years of age. This number has gradually grown up over past few decades and sharply increasing. The prevalence of diabetes is increasing due to the ageing population and increasing obesity in India. We report the burden of diabetes mellitus with severe co-morbidities in elderly patients at the tertiary care centre. During the study period between 2014 and 2017 a total of 726 patients with diabetes mellitus reported at our centre. Out of them male patients were 73.82 n536 and female patients 26.17 n190. The mean age of females was 69.13plusmn4.70 range 65 to gt90 years and in males it was 70.41plusmn5.49 range 65 to gt 95 years. During their regular monthly follow upmicrovascular and macrovascular complications were evaluated among them.The study revealed that there was a high prevalence of hypertension and other severe co-morbidities in elderly diabetes mellitus patients.nbsp
Research and Clinics Partnership Stress and Diabetes Mellitus (DM) at Cell and Molecular Levels
Authors: Wadhwa Renu , Garg Sukant , Afzal Sajal , V. Jali M. , C Kaul Sunil
Published: December 2022

Stress is a state of a living cells and tissues that triggers undesired changes in normal physiology. Cell culture system is a reliable and established way to study the molecular basis of stress and find ways to intervene. India is the potential diabetic capital of the world. Diabetes mellitus may easily trigger the development of heart- and brain-related diseases blindness and liverkidney failure. Mortalin is a member of hsp70 family of stress proteins that regulates mitochondria function and provides quality control mechanism for other proteins. It is one of the key determinant of cancerous properties of cells upregulated and age-linked brain pathologies down regulated.nbsp
Stem cells….Rejuvenate, Resuscitate, Revitalise the dead tooth - a review
Authors: Amudha Lakshmi Krishnan , Usha Rao Golla , Muniyandi Udhayakumar Gokulnath
Published: December 2022

Stem cells are defined as clonogenic self-renewing progenitor cells that can generate into one or more specialized cell types. Stem cells are biological cells found in all multi-cellular organisms that can divide through mitosis and differentiate into diverse specialized cell types and can self renew to produce more stem cells. Self renewal and totipotency are characteristic of stem cells. Though totipotency is shown by very early embryonic stem cells the adult stem cells possess multi-potency and differential plasticity which can be exploited for future generation of therapeutic options. Thus they represent an important building block for regenerative medicine and tissue engineering.Teeth are the most natural non-invasive source of stem cells. Dental stem cells which are easy convenient and affordable to collect hold promise for a range of very potential therapeutic applications. The search for more accessible mesenchymal stem cells MSCs than those found in bone marrow has propelled interest in dental tissues which are rich sources of stem cells. This article provides an overview of stems cells and then focuses on dental stem cells DSCs and how recent developments have the potential to greatly impact the way DSCs might be used in future regenerative medicine applications that include regenerative endodontic therapies.
High resolution computed tomography of the lungs: An over view
Authors: Balachandiran G.
Published: December 2022

None
The prevalence and outcome of covid-19 smell problems at Kurdistan Iraq
Authors: Abdul-Hamid Ibrahim , Samar , Emin Abdulkhaliq
Published: December 2022

Background: In December of 2019, a new form of coronavirus was discovered in Wuhan,China. Signs and symptoms of it include tiredness, cough, and fever . Another common symptom of this respiratory disease is the loss of smell.

Objective: To find the  frequency of anosmia in COVID-19 patients in our community in relation to other communities and to determine the clinical outcome of patients affected by COVID-19.

Patients and Methods: This is a cross-sectional study at Kurdistan Iraq conducted during the period from January 2021-January 2022 .The 460 cases were admitted to quarantine centers 320 were positive for COVID 19 .The sample size is (260) cases of smell affection with proven COVID-19 disease.

Results: The percentage of smell affection patients were 81% of the sample size, they were as follows, the percentage of bad odor smell was 9%, alteration of smell was 21% , partial loss of smell was 24% and complete loss of smell was 27%. The female percentage of all patients were 55 % while male percentage was 45% .

Conclusion: Olfactory dysfunction is one of cardinal symptoms of COVID 19 disease.Females are slightly more affected than males with olfactory dysfunction. 4 th and 5th decades patients are more affected with bad odor and alteration of smell while. partial loss and complete loss of smell happened within 6 th decade patient mostly.
A Study on Pain and Hemodynamic Parameters in Minor Gynecological Procedures: Propofol – Fentanyl Vs. Ketamine – Midazolam
Authors: Sameer Najeeb , Dena , Halko Ahmed Bnar
Published: December 2022

Background: One of the minor obstitrical procedures is dilation and curettage; pain usually occurs during it. Consequently, an anesthetic drug desires sufficient analgesia, brisk onset, and recovery.

Objective: To evaluate two groups of drug combinations {midazolam 0.08mg/kg – ketamine (0.5mg/kg)} and propofol with (1mg/kg) –fentanyl dose (1mcg /kg)}, in hemodynamic parameters, pain scoring and recovery characteristics thus finding the optimal combination which can be applied all along the operation.

Patients and Methods: It was taken100 patients weregoing  through dilatation & curettage of approximately 15-30 min. Duration   was enrolled after ethical committee approval in Erbil in 2022, and it was divided into two groups of 50 each. Baseline anesthesia was maintained, and the patients were haphazardly selected to get propofol 1mg/kg with 1 mcg/kg fentanyl (First group), midazolam 0.08mg/kg with 0.5 mg/kg ketamine (Second group) as a bolus to induce anesthesia and for maintenance. Then. pain scores, Aldrete scores, and hemodynamic signs were assessed during and after the procedure. Finally, the results were arranged and inspected statistically with the Student's unpaired t-test and chi-square test.

Results: BP (systolic, diastolic) and PR were significantly higher in Group 2 compared with Group 1. No significant difference was found in the two groups regarding the parameters: the sedative level at 3-5 minutes (p = 0.499) and the duration of the operation (p = 0.105).

Conclusion: group (propofol -fentanyl) was superior to group (midazolam–ketamine) and may be a good option in uterine dilation, and curettage (propofol –fentanyl) provides sufficient analgesia for the minor surgical intervention with accurate recovery characteristics like awakening time and response to verbal commands.
Failure to thrive and it's Risk factors among children under 5 years old in Al-Batool Teaching Hospital in Baquba city
Authors: Abdul Kareem Mahawi , Nadia , Ahmed Shakir , Shahab , Shamkhi Gebir Mehdi
Published: December 2022

Background: Failure to thrive (FTT) indicates insufficient weight gain or absence of an appropriate physical growth,it is a sign not a disease ,commonly seen by the primary health care physicians. It might be due to organic or non-organic causes and it is usually of a multifactorial etiology.

Objective: To detect the prevalence of failure to thrive and risk factors in pediatric age group - under 5 year old in Al-Batool teaching hospital in Baquba city through 2020-2021.

Patients and Methods: This study was across sectional study that took place In Al-Batool Teaching Hospital for maternity and children,in Baquba Distract-Diyala province, Iraq.during the period from 1st of February 2020-31st of July 2021. Throughout this study Two hundred and fifty (250) child were randomly  selected under -5years old . Informations were collected from the patients files including age,current  weight,birth weight,type of feeding,weaning,history of prematurity, history of  chronic diseases and socioeconomic conditions.

Results: Showed that children below 12 months were (45.2%), males (51.6%)and females (48.4%). male:female ratio was 1:1 ,majority of children were from Bohris . medium socioeconomic level was the largest with (61.6%). regarding mother education,mothers who have secondary education  represent the largest level with (45.6%),children with bottle feeding were the largest with (45.0%),premature birth represent (2.0%),children with chronic  diseases (14.0%),children with UTI (32.0%). Children with (FTT)were(23.2%),while (76.8%) were of normal growth. Regarding age groups most of the affected children were below 24 months  of age with (36.5%) (P value was 0.0001) which is considered to be a significant.  Males with (FTT) (24.8%) ,while Females (21.5%). (Pvaluewas0.534) which is  considered to be of no significance. Regarding children with (FTT) and low socioeconomic level it was (68.8%)  (p value was 0.0001)which is considered to be a significant. Children with  (FTT) and illutrate mother was(60.0%) (p value was 0.0001)which is considered  to be a significant. children with breastfeeding showed no (FTT) ,while those with bottle feeding was (37.0%) (P value was 0.0001 ) which is considered to be a significant. children with (FTT) and UTI (58.8%)(P value was 0.0001)which is considered to be a significant.

Conclusion: This study concluded that failure to thrive is strongly correlated with poverty, mothers education ,chronic diseases, premature birth and type of feeding.failure to thrive showed no correlation with gender .
Clinical and Ultrasonographic evaluation of patients with Trochanteric Bursitis
Authors: Hikmet Hameed , Ibtihal , A AlBustany Dashti
Published: December 2022

Background: Trochanteric bursitis is an inflammation of the greater trochanteric bursa which is a recurrent source of lateral hip pain.

Objective: To assess the diagnostic value of 6 clinical tests that can be used to diagnose trochanteric bursitis and utilize ultrasound as an imaging modality to confirm the diagnosis.

Patients and Methods: This Cross-sectional study included 85 consecutive patients who had been experienced lateral hip pain in the greater trochanteric area for at least 6 weeks with at least one of the following features: pain on lying on the affected side, pain while climbing stairs or when sitting. Six clinical tests on examination that elicit pressure on the greater trochanteric region were performed to evaluate their value to diagnose trochanteric bursitis and then ultrasound was utilized to confirm the diagnosis.

Results: A total of 85 participants were enrolled in the study. Tenderness to deep palpation was the most accurate sign in predicting the diagnosis, with a sensitivity of 100% and specificity of 81.8%. There were no significant differences between its results and the ultra-sonographic findings (p=0.500). Regarding the other tests, there were significant differences between their results and the results of ultrasound (p< 0.001).

Conclusion: Tenderness to deep palpation of the greater trochanter, combined with ultrasound imaging modality, is likely to have the best diagnostic value for evaluation of trochanteric bursitis in patients complaining of lateral hip pain around the greater trochanter region.
Evaluation and Comparison the Effectiveness of Remifentanil, Nitroglycerin, Esmolol, and Nitroglycerin + Esmolol on Blood Pressure And Heart Rate During Rhinoplasty Surgery
Authors: Aydin Abbas Mohammad , Uludag Orhan ULUDAG
Published: December 2022

Background: Rhinoplasty is still one of the top five aesthetic surgeries performed and is considered one of the most challenging procedures in otorhinolaryngology surgery. Bleeding is one of the most important factors affecting an operation's success. The controlled hypotension method reduces bleeding; therefore, it provides a satisfying bloodless surgical field during operation.

Objective: To evaluate and compare the effectiveness of (Remifentanil, Nitroglycerin, Esmolol, and Nitroglycerin + Esmolol) on hemodynamic parameters and the effectiveness of these drugs in providing a satisfactory bloodless surgical field during rhinoplasty surgery.

Patients and Methods: 200 adults aged 20 to 45 years were randomly divided into four groups: Remifentanil (R), Nitroglycerin (N), Esmolol (E), Nitroglycerin + Esmolol (N+E). Systolic blood pressure, diastolic blood pressure, mean blood pressure, and heart rate (SBP, DBP, MBP, and HR) were recorded before anesthesia induction until the operation's end. The bleeding score and the visibility of the surgical field were rated by the surgeon as follows: (0) No bleeding, (1) Mild bleeding - no aspiration required, (2) Mild bleeding - intermittent aspiration is required, (3) Moderate bleeding - frequent aspiration is required, (4) Severe bleeding-constant aspiration is required, (5) Severe bleeding, operation stopped because of surgical field invisibility.

Results: As a result, during operation, decreased values of (SBP, DBP, and MBP) were statistically significant in all groups. At the same time, the value of HR showed a statistically significant decrease in the (E) and (R) groups, while there was a statistically significant increase in the (N) and (N+ E) groups. Patients in the (E) and (R) groups had a statistically significantly lower bleeding score than the patients in the (N) and (N + E) groups.

Conclusion: Patients had better Hemodynamic stability and surgical field visibility after applying Esmolol and Remifentanil.
Molecular detection of static magnetic field forces on uropathogenic Escherichia coli number and fermentation activities
Authors: Jamal Azeez , Amanj , Hussein Kamel Fouad
Published: December 2022

Background: The region that a magnetic force has an effect on is known as a magnetic field. Normally, two poles of this field are concentrated. Most magnetic objects are made up of a variety of tiny fields known as domains. There are many different techniques that have been published in the literature for using magnetic energy as a diagnostic tool and for treating illnesses in both humans and animals.

Objective: To examine the influence of varying amounts of static magnetic field on the viability of bacteria and the fermentation of carbohydrates.

Patients and Methods: Locally prepared dipolar static magnetic field of strength 400, 800, 1200 and 1600 Gauss were used in this study measured by Teslometer. Escherichia coli isolated from 75 isolates taken from the patient who had the UPE, 25 were identified as E. coli, and only (12) samples of identified E coli specifically detect changes numbers of bacteria and  biochemical test, most of the sugars ferment that have be changed and the polymerase chain reaction was utilized to identify the 16SrRNA gene (PCR).

Results: The inhibitory impact of SMF is attributable, according to transcriptomic analysis, to differentially expressed genes (DEGs) predominantly included in carbon source consumption. The bacterial phenotype in SMF is consistently effectively restored by adding To the cultivation conditions, add glycolate or glyoxylate, and mutants losing glycolate oxidase are no longer susceptible to static magnetic field.

Conclusion: It was concluded that the magnetic field could notably obvious by exposing bacterial cells growth density will decrease and change bacterial biological activity on sugar fermentation and due to mutation.
Digital law enforcement: Theory and practice
Authors:   All-Russian State University of Justice, Samusevich A. G. ,   Irkutsk National Research Technical University
Published: December 2022

The problems of theoretical understanding and practical development of digital law enforcement are considered. Various modern scien-tific approaches to the concept and features of digital law enforcement, as well as to the digitalization of individual stages of the law enforcement process in various legal procedures are analyzed. The characteristic of digitalization of the stages of law enforcement is given. It is concluded that the process of law enforcement can be digitalized only at some stages (stages) of law enforcement activity. When making legal decisions, the use of digital tools today seems difficult due to a variety of theoretical and technical circumstances. The author comes to the conclusion that it is premature to talk about the complete digitalization of the law enforcement process at the present time.
PERBEDAAN KEMAMPUAN KOMUNIKASI MATEMATIS DAN SELF CONFIDENCE SISWA ANTARA TPS DAN STAD
Authors: Nuraeni Kiki , Afriansyah Ekasatya Aldila
Published: December 2022

Low communication skills and self-confidence affect student learning outcomes. Therefore, there is a need for efforts to improve students' mathematical communication skills and self-confidence, one of which is by using the Think Pair Share learning model and the Student Team Achievement Divisions. The purpose of this study was to analyze differences in mathematical communication skills and self-confidence between students who received the Think Pair Share learning model and the Student Team Achievement Divisions, learning model. The research method used was quasi-experimental with a population of all class X students of SMA Negeri 15 Garut. The sampling technique used was purposive sampling by taking a sample of two classes, namely 31 students of class XMIA-8 and 34 students of class XMIA-4. The research instruments used were essay tests and questionnaires. Based on the results of the data analysis, it was concluded that there were differences in mathematical communication skills and self-confidence between students who received the Think Pair Share learning model and the Studen Team Achievement Divisions learning model.
DAMPAK PANDEMIK COVID-19 TERHADAP	PROSES PEMBELAJARAN ONLINE DI	SMP NEGERI 1 BARUS UTARA
Authors: Harahap Muhammad Syahril , Zulfadly Zulfadly , Simatupang Elsa Putri
Published: December 2022

The background of this research is Covid- 19 pandemic in world. Especially in Indonesia, Minister of Education issued a circular number 3 in 2020 concerning the change of offline learning to online. The approach of the research is descriptive qualitative. The informants are the parents and the students of SMP Negeri 1 Barus Utara. The data analysis used Miles and Huberman. The result of the research showed there are some impacts experienced by parents and students in learning online in Covid-19 pandemic period which included students are forced to be independently and study diligently, students get difficulty in understanding the topic, students are burdened with online learning, students know more about information and technology, students use more handphone, the parents  are able to see the development of the students when they are learning, there are extra work of the parents in accompanying the students when study, and there are extra cost to buy internet quota. It’s concluded learning online gives positive and negative impacts on parents and students of SMP Negeri 1 Barus Utara.