bluuebunny/crossref_metadata_2025 huggingface dataset:
Results of endoscopic aspiration of hypertensive intracerebral hematomas depending on the surgery technique
Authors:   SBHI Sklifosovsky Institute for Emergency Medicine of the Moscow Healthcare Department, A.I. Yevdokimov Moscow State University of Medicine and Dentistry of the Ministry of Health of the Russian Federation, Moscow, Dashyan V.G. , Godkov Ivan Mikhailovich ,   Department of Emergency Neurosurgery, SBHI Sklifosovsky Institute for Emergency Medicine of the Moscow Healthcare Department, Moscow, Savvin Mikhail Yurievich ,   Department of Emergency Neurosurgery, SBHI Sklifosovsky Institute for Emergency Medicine of the Moscow Healthcare Department, Grin Andrey Anatolievich ,   Scientific Department of Emergency Neurosurgery, SBHI Sklifosovsky Institute for Emergency Medicine of the Moscow Healthcare Department, Krylov Vladimir Viktorovich ,   Department of Emergency Neurosurgery, SBHI Sklifosovsky Institute for Emergency Medicine of the Moscow Healthcare Department
Published: June 2022

Aim: to conduct a comparative analysis of the invasiveness, radicality of operations and treatment outcomes, depending on the options for the technique of endoscopic aspiration of hypertensive intracerebral hematomas (EA ICH). Material and methods. At the Sklifosovsky Institute for Emergency Medicine, EA ICH was performed in 131 patients with haemorrhagic stroke from 2006 to 2020. There were 89 men (67.9%) and 42 women (32.1%). The mean age of the patients was 55.1±12.5 years (from 20 to 87 years). According to the Glasgow Coma Scale (GCS) [28], the level of consciousness during hospitalization corresponded to 15 points in 42 (32.1%) patients, 11-14 points - in 78 (59.5%), 9-10 points - in 9 (6.9), 6-8 points - in 2 (1.5%) patients. In 124 (94.7%) patients, ICH was supratentorial, in 7 (5.3%) patients - subtentorial. The average volume of supratentorial ICH was 48.3±20.1 cm³ (from 6 to 131 cm³), subtentorial - 14.3±3.5 cm³ (from 9 to 18 cm³). The average term of performing the surgery was 5.5±7.5 days. ICH removal in the aquatic environment was performed through single-channel (6.5 mm) and multi-channel (6.0 mm) trocars of ventriculoscopes; removal of ICH in the air was achieved through a single-channel trocar (6.5 mm), wide (from 12 to 21 mm) and narrow (8.0 mm) transparent ports. CT brain scan was performed during the first day after the operation. The outcomes were assessed on the 30th day according to the modified Rankin scale. Results. The most radical ICH removal was achieved with the use of wide transparent ports, while the least number of recurrences was after operations through narrow transparent ports, and the tendency to achieve better functional outcomes was obtained when the method of ICH removing in the aquatic environment was refused in favor of EA in the air environment. Conclusion. The trend in achieving better functional outcomes can be traced in patients after surgeries in the air environment. Operations through wide ports provide a more radical removal of blood clots, while operations through a trocar and narrow ports in the air allow for the lowest rate of ICH recurrences.
Venous blood supply of the lateral ventricles of the brain. Clinical observations
Authors:   FSAI N.N. Burdenko National Medical Research Center of Neurosurgery of the Ministry of Health of Russia, Maryashev S.A. , Shkarubo M.A. ,   FSAI N.N. Burdenko National Medical Research Center of Neurosurgery of the Ministry of Health of Russia, Andreev D.N. ,   FSAI N.N. Burdenko National Medical Research Center of Neurosurgery of the Ministry of Health of Russia, Batalov A.I. ,   FSAI N.N. Burdenko National Medical Research Center of Neurosurgery of the Ministry of Health of Russia
Published: June 2022

Surgical treatment of tumors of the lateral ventricles is a complex problem in neurooncology. Tumors of the lateral ventricles account for 1–2 % of all brain neoplasms. Practical neurosurgeons are faced with the treatment of such patients, despite their rarity. One of the successful results of the treatment of patients with tumors of the lateral ventricles is good knowledge of the anatomy, including the blood supply of these tumors. One of the important problems that neurosurgeons face when removing tumors of the lateral ventricles is the condition of the internal veins. Quite frequently the veins are included in the structure of the tumor. If the veins are damaged, a violation of the venous outflow occurs, which leads to the development of complications in the form of edema, and in some cases, dislocation of brain structures. Therefore, knowledge of venous anatomy and its changes in the presence of tumors of the lateral ventricles before surgery is of great importance for the successful surgery of tumors of the lateral ventricles. The proposed article is devoted to the venous anatomy of the lateral ventricles. The presented clinical observation demonstrates the correct examination of patients with neoplasms of the lateral ventricles.
Features of the Immune Response and the Possibility of Correcting the Maladaptation of the Immune Response in Patients with Acute Respiratory Viral Infections from Organized Groups
Authors:   Central Research Institute of Epidemiology, Akimkin V.G. , Ponezheva Zh.B. , Ponezheva L.O. , Guseva T.S. , Parshina O.V. , Turapova A.N. ,   I.M. Sechenov First Moscow State Medical University,   N.F. Gamaleya National Center of Epidemiology and Microbiology
Published: June 2022

The purpose of the study was to determine the severity of maladaptation disorders of the immune response and the possibility of their correction in patients with acute respiratory viral infections from organized groups. Material and methods. 90 patients with uncomplicated forms of ARVI and a group of conditionally healthy (n = 30) from organized groups were examined. In addition to symptomatic therapy, patients received a combination of rectal and intranasal forms of recombinant IFN-α-2b. Identification of the ARVI pathogen was determined by PCR. ELISA was used to determine serum concentrations of IFN-α and IFN-γ and the ability of blood cells to produce these cytokines ex vivo spontaneously and when stimulated by Newcastle disease virus or phytohemagglutinin. Flow cytometry was used to analysis the subpopulation composition of peripheral blood lymphocytes. The study of the levels of secretory IL-8, IgA, serum IL-8 was carried out by enzyme immunoassay. Results. The etiology of ARVI was deciphered in 62.1% of patients, the main share in the morbidity structure was due to influenza (39.3%) and adenoviruses (35.6%). In the first 3 months of the formation of organized teams in apparently healthy people, a decrease in the level of T-helpers, natural killers and inhibition of the interferon system was revealed, which indicates a violation of adaptive mechanisms and contributes to a decrease in body resistance. An analysis of the cytokine system showed an increase in the concentration of secretory and serum IL-8 in patients with acute respiratory viral infections compared with a group of practically healthy people. In the immune status 1 month after ARVI, there was a significant increase in the number of T-lymphocytes, T-helpers with a tendency to normalize T-lymphocytes carrying IFN-α and -γ receptors, while maintaining a significantly reduced number of B-lymphocytes. The immunomodulatory efficacy of combination therapy with recombinant IFN-α-2b is characterized by an increase in the amount of induced IFN-α during its initial depression and a decrease in initial hyperproduction. Also, at the initial level of induced IFN-α less than 200 pg/ml, there was an increase in the concentration of secretory IL-8 and IgA. Conclusion. In conditionally healthy individuals, in the first 3 months of the formation of organized groups, maladjustment disorders in the immune response were detected in 34% of cases. The interferon-modulating effect of combination therapy with recombinant IFN-α-2b was shown.
La sentence arbitrale rendue sur le fond le 29 juin 2017 en l’affaire du différend territorial et maritime entre la Croatie et la Slovénie
Authors: Giraudeau Géraldine
Published: June 2022

The Arbitral Award of 29 June 2017 was issued in the context of a land and maritime territorial dispute which has for a long time undermined the relations between two Member States of the European Union and been a source of instability in the Balkan region. On the merits of the case, the award confirmed, on the basis of the agreement of the Parties, the applicability of uti possidetis in the Balkans, in a non-colonial context, and proposes an original analysis in relation to bays with several riparian states and in relation to freedoms of communication and navigation in the sea, in the present case in a zone of ‘ Slovenian junction to the high seas’.
L’affaire Hissein Habré
Authors: Maison Rafaëlle
Published: June 2022

On May 30th 2016, former Chadian President Hissein Habré was sentenced to life by an Extraordinary African Chamber established by an agreement between Senegal and the African Union. The judgment, confirmed in appeal in Dakar on April 27th 2017, was accompanied by reparations to the benefit of the regime’s victims. The judges of the African Chambers decided precisely upon a state policy expressing a ‘ joint criminal enterprise’ of terror against opponents of the regime, described as a crime against humanity. The former Chadian dictator, however, responded alone to these acts since his associates were not brought before the judges. His outside support, particularly French, was only mentioned to qualify certain aspects of the Chadian and international conflicts, to punish crimes committed against prisoners of war protected by the IIIrd Geneva Convention of 1949.
Le chapitre ‘Commerce et environnement’ de l’Accord Économique et Commercial Global (AECG/CETA) face à l’urgence climatique
Authors: Grosbon Sophie
Published: June 2022

L’Accord économique et commercial global entre l’Union européenne et le Canada (AECG/ CETA) et l’Accord de Paris sur le climat ont été pensés et négociés parallèlement, à une époque où certaines voix s’élèvent appelant instamment à «dé-fragmenter » le droit international du climat afin notamment de mieux concilier les exigences du libre-échange et celles de la lutte contre le réchauffement climatique. Le chapitre 24 de l’AECG est consacré explicitement à la question «commerce et environnement » . Mais cet accord perpétue une approche classique du soutien mutuel qui peut s’avérer problématique à l’heure où l’Accord de Paris renationalise les objectifs climatiques et où la crise climatique ne peut plus être pensée comme un problème purement environnemental.
Samoizrabljivanje pod krinkom slobode
Authors: Šokčević Šimo
Published: June 2022

Ovim člankom htjeli smo sintetizirati kritiku neoliberalnog kapitalizma analizirajući ključna djela njemačko-korejskog filozofa Byung Chul-Hana. Tom analizom i sintezom došli smo do osnovnih zamjerki koje ovaj autor upućuje politici neoliberalnog kapitalizma, tzv. „psihopolitici” koja svojom zavodničkom moći potiče samoizrabljivanje, što dovodi do mnogih neuroloških bolesti današnjice. Iako se s mnogima Hanovim tezama slažemo, primjećujemo da u njegovoj dijagnozi nedostaje govor o nadi koji bi otvorio pore za novo, drugačije i trajnije razumijevanje i življenje istinske slobode.
Dva češka prijevoda
Marulićeve Institucije iz 17.
stoljeća
Authors: Kramarić Martina
Published: June 2022

Marulićeva Institucija imala je snažan odjek u Češkoj te tako postoje čak dva prijevoda toga djela na češki jezik. Uz dosad poznati tiskani češki prijevod Marulićeva traktata De institutione bene vivendi per exempla sanctorum, autora Šimona Lomnickoga iz Budče (Šimon Lomnický z Budče), pod naslovom Cesta do Nebe (1621.), u praškoj Sveučilišnoj knjižnici (sign. XVII. D. 14.) čuva se još jedan, rukopisni prijevod Institucije s naslovom Historiae aneb Kniha o ustanovení a řízení pobožného života. Za razliku od tiskanoga prijevoda, koji obuhvaća samo pet poglavlja toga Marulićeva djela, rukopisni je prijevod opširan i zapisan na 478 stranica neobjavljena rukopisa. Dodatna je razlika i u tome što je rukopisni prijevod dosta nepoznat i neistražen te o njemu ne postoje zapisi u bogatoj literaturi o Instituciji. U kataložnome opisu rukopisa za potrebe praške knjižnice, koji je 1906. sastavio Josef Truhlář, navodi se kako je riječ o prijevodu nepoznata autora i podrijetla. Prema podatcima navedenima na stranicama rukopisa prijevod je izrađivan u razdoblju od 1620. do 1622. godine, i to prema predlošku antverpenskoga latinskog izdanja iz 1593. godine te nekoga nenavedenog njemačkog prijevoda. Rukopisni prijevod nastao je u Starom Etinku (Altötting) u Bavarskoj. Razlika između tih dvaju prijevoda nije samo u njihovoj cijelosti nego i u porukama koje taj prijevod nosi. Šimon Lomnický iz Budče snažno je angažiran prevoditelj, koji svoj prijevod piše u jeku Tridesetogodišnjega rata i posvećuje ga jednomu od sudionika takozvane druge praške defenestracije Vilému Slavati, dok je anonimni rukopisni prevoditelj više usmjeren na općenite kršćanske i biblijske pouke te ne korespondinira s aktualnim društvenim zbivanjima.U radu ćemo ponuditi opis dosada nepoznatoga češkog rukopisnoga prijevoda, predstaviti njegov sadržaj te ga formalno usporediti s antverpenskim latinskim izdanjem Institucije, koje je 1593. tiskao Martinus Nutius. Nadalje ćemo usporediti i analizirati poruke koje prevoditelji tih dvaju prijevoda šalju svojim čitateljima. Nadamo se time pridonijeti istraživanju dosad nedovoljno zastupljene teme prijevoda Marulićevih djela na češki jezik.
The Role of Psychological Approaches in Data Journalism Visualisations
Authors: Kalliri Emilia , Veglis Andreas
Published: June 2022

Data journalism is the process of analysing, clarifying, and visualising data to convey a story and present the news more effectively. Data visualisation, the method that allows communicating large amounts of data, can improve viewers’ understanding of news and can increase interaction (Bradshaw 2010). The minimalistic theory of the “data-ink” ratio, which can design effective data visualisations, explains that ink should only be used to display the data. Data visualisations with right selection of visual channels can influence memory, attention, and news comprehension (Pan, 2010; Smilek, Dixon & Merikle, 2002). The purpose of this study is to explore if and how visual designers assess psychological principles in journalistic data visualisation. Data visualisations from two well-known organisations (the BBC and the Guardian) presenting COVID-19 information were collected. The analysis was effectuated based on a ‘decoding model’ initiated by Munzner (2014) to identify their visual attributes. The findings concluded that media organisations consider and apply psychological metrics in the visual design process. Interesting colour differences between visualisations were identified and discussed. A limitation was that the sample of the study was small. Future research could include more data visualisations or could use interviews to understand better the way visual designers practice psychology.
Analisis Kualitas CPO Menggunakan Seven Tools dan Kaizen
Authors: Harma Beni , Farid  , Susriyati  , Miliandini Eriesta Putri
Published: June 2022

Kelapa Sawit merupakan sumber utama minyak kelapa sawit yang namanya mengacu pada negara asalnya yaitu Afrika. Minyak kelapa sawit didapat dari hasil pengolahan tandan buah segar (TBS) dipabrik, tujuan utama dari pengolahan kelapa sawit adalah mengurangi fosil dan dapat menghasilkan Crude Palm Oil CPO). Untuk memenuhi permintaan konsumen di bulan Januari-Juni 2021, CPO yang dihasilkan tidak memenuhi standar kualitas perusahaan yang telah disepakati dengan konsumen. Tingginya kadar asam lemak bebas mulai dari 5.02%-6.68%, kadar air mulai dari 0.16%-0.26% dan kadar kotoran mulai dari 0.020%-0.029%, Dengan kondisi tersebut, maka perlu dilakukan kegiatan analisis produksi untuk mengukur kualitas CPO, dengan menggunakan metode Seven Tools dan menerapkan konsep Kaizen. Yang bertujuan untuk meningkatkan kualitas CPO dan perbaikan sistem kerja di PT. Perekebunan Nusantara VI UU Solok Selatan. Berdasarkan hasil dari analisis kualitas CPO dengan menggunakan metode Seven Tools, diketahui bahwa rendahnya kualitas CPO disebabkan oleh 3 faktor yaitu kadar asam lemak bebas, kadar air dan kadar kotoran. Dimana dari hasil perhitungan menggunakan Seven Tools tersebut didapatkan tingkat tertinggi yang mempengaruhi rendahnya kualitas CPO adalah Kadar Asam Lemak Bebas (ALB). Yang terjadi sebanyak 20 kali, kemudian disusul oleh kadar kotoran sebanyak 15 kali dan kadar air sebanyak 11 kali dalam periode waktu Januari-Juni 2021. Usulan perbaikan sistem kerja dengan Konsep Kaizen menggunakan metode 5W+1H dan PDCA yaitu, melakukan pengumpulan buah tepat setelah pasca panen dan melakukan pengolahan buah kelapa sawit secara cepat. Agar tidak menumpuk dalam waktu yang lama, proses penyortiran buah dilakukan dengan teliti agar buah kelapa sawit yang diolah sesuai dengan standarisasi yang telah ditentukan, memberikan pelatihan berdasarkan divisi kerja karyawan agar tidak terjadi permasalahan, karyawan dianjurkan untuk memanfaatkan waktu istirahat dengan baik, agar saat bekerja bisa konsentrasi, melakukan pemeriksaan dan menjaga kebersihan secara keseluruhan
Analisis Kinerja Organisasi Sektor Publik Dengan Metode Balanced Scorecard (Studi Kasus Pada Dinas Komunikasi Dan Informatika Provinsi Sumatera Utara)
Authors: Pratiwi Anggun , Nurwani Nurwani
Published: June 2022

This study aims to analyze the performance of the Department of Communication and Information of North Sumatra Province as a public sector organization with a balanced scorecard approach. Performance is measured through four balanced scorecard perspectives, namely: financial perspective, internal business process perspective, growth and learning perspective, and customer/society perspective. The type of research used is descriptive qualitative research with data collection techniques through observation, interviews, questionnaires, and documentation. The results of this study indicate that performance appraisal from a financial perspective is economical with an average budget realization achievement of 86.60% in the past 3 years, which means it is effective and efficient, on the other hand, budget information is still not transparent. Performance appraisal from the community's perspective is considered good, the community is satisfied with relevant and updated information services. Performance appraisal according to the perspective of internal business processes is classified as efficient and good in providing services measured through several indicators. Performance appraisal based on learning and growth perspective is considered good considering the welfare of its employees as measured by several indicators.Keywords: Performance, Public Sector Organizations, Balanced Scorecard
La política de cohesión de la Unión Europea para el periodo 2021-2027
Authors: Pérez Suárez Macarena , Sánchez Torné Isadora , Pérez Ramírez Bartolomé
Published: June 2022

El recurso didáctico pertenece a una serie de recursos de apoyo dentro de la asignatura de Políticas de Desarrollo Local (https://www.us.es/estudiar/que-estudiar/oferta-de-grados/grado-en-relaciones-laborales-y-recursos-humanos/1780042). En particular, el introduce la Política de Cohesión actual de la Unión Europea a partir de los Fondos Estructurales, con objeto de facilitar la comprensión sobre la financiación comunitaria que se materializa en las regiones, en nuestros municipios.

Facilita la adquisición de conocimientos al alumnado de cuarto curso del Grado en Relaciones Laborales y Recursos Humanos de la Universidad de Sevilla. Así como, a cualquier persona con inquietudes en la política económica territorial.

La Política de Cohesión o política regional de la Unión Europea actúa sobre las regiones y los Estados Miembros para reducir las disparidades económicas, sociales y territoriales existentes y promover la convergencia. Se define como una política de inversión y apoya la creación de empleo, la competitividad y el crecimiento económico. Es la segunda partida en importancia del gasto total (MFP 2021-2027). Se lleva a cabo, a través de tres fondos: Fondo de Cohesión, Fondo Europeo de Desarrollo Regional (FEDER) y el Fondo Social Europeo + (FSE+).
Perbandingan Algoritma C4.5 dan Naive Bayes Dalam Klasifikasi Tingkat Kepuasan Mahasiswa Terhadap Pembelajaran Daring
Authors: Fatmawati Fatmawati , Narti Narti
Published: June 2022

Since the spread of Covid-19, online learning is considered the main solution for universities so that the lecture process continues to run well, but in online learning there are many obstaclesfaced by students and lecturers, as for the obstacle, namely the location of the house is not covered by the internet network, student behavior is difficult to understand. monitored and absorption of material is very lacking and the obstacles faced by campus are the difficulty of knowing how big the level of student satisfaction in online learning is, on this problem, the author wants to evaluate the online learning system by first classifying the level of student satisfaction with online learning using the C4.5 algorithm. , based on the results of data processing that is deemed less convincing, data processing is also carried out using another classification method, namely the Naive Bayes method. Based on the results of the comparison of the two algorithms, the accuracy of the algorithmNaïve Bayes is better than C4.5 by a difference of 11.77%. That the accuracy rate of the algorithmC4.5 is 58.82% with the validity test using cross validation obtained the average value for the value of Class Precision Dissatisfied 0%, Class Precision Satisfied 66.67%, Class Precision Unsatisfied 0%, Precision Class Very Dissatisfied 0%. And the value of Class Recall Dissatisfied 0%, Class Recall Satisfied 90.91%, Class Recall Unsatisfied 0%, Class Recall Very Dissatisfied 0%. While the level of accuracy using the AlgorithmNaïve Bayes with the results of 70.59% with the validity test using cross validation obtained the average value for the value of Class Precision Dissatisfied 0%, Class Precision Satisfied 76.92%, Class Precision Unsatisfied 33.33%, Class Precision Very Dissatisfied 100% and Class values Recall Dissatisfied 0%, Class Recall Satisfied 90.91%, Class Recall Less Satisfied 25%, Class Recall Very Dissatisfied 100%.
Erector spinae plane block vs. single shot epidural block for postoperative analgesia in lumbar spine surgery: a randomized controlled trial
Authors: Abdelhamid Hebatallah Salah , ElSabbagh Hala Ahmed , Amin Shereen Mostafa , Abdelhakeem Amr K.
Published: June 2022

Background: Epidural block is an effective route for analgesia in spine surgeries. Erector spinae plane block (ESPB) is a field block that showed promising results in various surgeries. We compared both procedures in spine surgery, regarding postoperative pain, the time to first analgesic request, postoperative total morphine consumption, perioperative hemodynamics, and any adverse events.

Methodology: Sixty-seven patients were enrolled in this double-blinded randomized controlled study. Patients were allocated into two groups. The epidural group received an ultrasound-guided single-shot epidural block with 20 mL of 0.25% bupivacaine. The ESPB group received an ultrasound-guided bilateral single-shot ESPB with 20 mL of 0.25% bupivacaine for each side. Postoperative pain, the time to first analgesic request, postoperative total morphine consumption, perioperative hemodynamics, and any adverse events were recorded.

Results: The time to the first analgesic requirement was longer in the ESPB group (11.5 [9-14] h, vs. 7 [5-8] h, P < 0.001). The mean morphine consumption was lower in the ESPB group (3.88 ± 0.54 vs. 7.12 ± 1.94 mg; P < 0.001). The numeric rating scale was lower in the epidural group. Less patients experienced intraoperative hypotension and tachycardia in ESPB group.

Conclusion: ESPB provides longer postoperative analgesia, less opioid consumption, and more intraoperative hemodynamic stability when compared with a single-shot epidural block in lumbar spine surgery.

Trial registration: The ethical approval was obtained from the Research Ethics Committee of Cairo University (M D-82-2019), and the trial was registered on www.clinicaltrials.gov with registration number (NCT04320212). https://clinicaltrials.gov/ct2/show/NCT04320212

Abbreviations: ESPB - Erector spinae plane block; LA - Local anesthetics

Key words: Erector spinae plane block; Pain, Postoperative; Spine surgery; Analgesia, Epidural; Fascial plane blocks; Neuraxial analgesia

Citation: Abdelhamid HS, ElSabbagh HA, Amin SM, Abdelhakim AK. Erector spinae plane block vs. single shot epidural block for postoperative analgesia in lumbar spine surgery: a randomized controlled trial. Anaesth. pain intensive care 2022;26(3):310-317.

DOI: 10.35975/apic.v26i3.1897

Received: February 01, 2022; Reviewed: March 13, 2022; Accepted: March 23, 2022
Simulation mathematical modeling of hydroecological monitoring of water resources using space images of the Earth
Authors: Yakymchuk Vladyslav
Published: June 2022

Modeling of aquatic ecosystems is the basis for solving many practical problems. These problems are related to increasing the productivity of water bodies, improving the quality of water in them and the implementation of water protection measures in catchment areas. The study is based on the integration of materials from space images of the Earth and terrestrial values of the ecological index of water quality to assess the state of aquatic ecosystems, which provides sufficient data to assess the parameters of water pollution. The issues of construction of resource-oriented scenarios of nature management based on the balance of water consumption and reproduction are considered. The role and place of mathematical modeling in the system of ecological monitoring are shown, namely that the information technology of process scenario management allows to maintain the balance of water consumption and reproduction of water resources. Integrated dynamic models of Kyiv Reservoir systems have been built, focused on establishing a balance of water consumption and reproduction. A systematic approach was used to build the models, in which the economic goals of water consumption are made dependent on the ecological state. In accordance with the principle of dynamic balance, which postulates the desire of a complex system to dynamic equilibrium with variable external forces, the creation of the method proposed a universal model of adaptive balance of the system of interdependent processes. As an example of using a systematic management methodology, consider the problem of finding a balance between the volume of water consumption and the volume of their reproduction. This balance, maintained through environmental measures, is represented by a conceptual model of the ecological and economic system. Simulation experiments with the model of adaptive balance of water resources impacts were performed. The main advantage of such computer control technologies is the wide possibility to carry out simulation experiments and choose from an ensemble of possible process scenarios that meet the target guidelines for sustainable development.
АРХИСЕМА ЛЮБИТЬ В ПРОИЗВОДНЫХ НА РАЗНЫХ СТУПЕНЯХ СЛОВООБРАЗОВАНИЯ
Authors: KHASANOV Eldar
Published: June 2022

Статья посвящена анализу архисемы любить в производных на всех ступенях словообразования по словообразовательному словарю современного русского языка А. Н. Тихонова. Изучение семантики производных на примере одного СГ позволяет проследить семантическую преемственность и категориальное становление производных на всех ступенях, а также позволяет проследить отношение семантической структуры в зависимости от глубины СГ. В результате анализа архисемы любить нам удалось установить, что доминирующим типом связи между производящими и производными является гиперо-гипонимическая связь. С углублением СГ в семантике производных происходит уменьшение ЛСВ и типов семной связи, но увеличивается объем грамматического значения. В процессе словообразования большинство производных СГ любить не сохраняют категориальную сему вершины «состояния», зато приобретают новые семы «признаковость», «процессуальность», «предметность». Значительная часть производных совмещает семы «признаковость» и «предметность». Формирование грамматического значения происходит на первой ступени СГ, где все производные наследуют сему предметности или признаковости, сдвигая на «задний план» процессуальность. Развитие на последующих ступенях происходит посредством приобретения субкатегориальных сем.
Ключевые слова: архисема; словообразовательное гнездо; любить; лексико-семантический вариант; ступени словообразования.
ФОНОСТИЛИСТИКА КАК ОБЪЕКТ СОПОСТАВИТЕЛЬНОЙ ЛИНГВИСТИКИ И МЕТОДИКИ ОБУЧЕНИЯ ЯЗЫКУ
Authors: IBRAGIMOVA Arzayim
Published: June 2022

В статье рассматриваются теоретические и практические аспекты стилистических фоновариантов языковых единиц разносистемных языков. Определяется, что фоностилистика, например, английского, русского и тюркских языков имеет сходства и различия. Сходства носят общий характер, свойственный всем языкам мира, а специфические особенности в каждом языке проявляются по-своему, как на уровне сегментной, так и суперсегментной фоностилистики. Это имеет большое теоретическое и практическое значение, что диктует необходимость лингводидактического описания фоностилистики неродного языка как предмета изучения и преподавания. В этих целях осуществляется лингводидактическое, сопоставительное описание особенностей фоностилистики русского, английского, казахского, узбекского языков, чтобы выявить универсальные и специфические свойства фоностилистики как общего объекта для разносистемных языков. Фоностилистика родного (тюркского) и неродного (английского или русского) языков, имея различия, характеризуется и сходствами как в лингвотеоретическом, так и в лингводидактическом и лингвометодическом планах. Обучение фоностилистике неродного языка по сравнению с обучением фоностилистике родного языка уровневым дисциплинам (фонетика, лексика, морфология, синтаксис) отличается тем, что она междисциплинарная, т.е. на стыке фонетики, фонологии и стилистики, что порождает в инофонной речи речевые ошибки, истоки которых можно объяснить и с учетом синтеза особенностей звукового строя языка, и стилистики. Преодоление трудностей, т.е. речевой интерференции, порождаемой различиями фоностилистики изучаемого и родного языков, осуществляется внедрением разработанной системы упражнений в учебный процесс, которая должна учитывать как статические, так и динамические свойства изучаемого (неродного) языка. В процессе ведения научного исследования были использованы такие методы, как сопоставительный, контроль и оценка знаний, умений, навыков, противопоставление минимальных пар, которые способствовали получению теоретических и методических результатов.
A CASE REPORT ON GIANT LIPOSARCOMA OF OMENTUM – SURGICAL EXCISION WITH OMENTECTOMY.
Authors: Goyal Amit , Vyas Shashwat , D.S. Shreyas
Published: June 2022

Liposarcomas are a subtype of soft tissue sarcomas that often appear in the fth and sixth decades and can occur in a range of anatomical places.
However, liposarcomas of omental origin are uncommon, with only a few examples reported worldwide. The following is a case report of a 32-
year-old woman who presented with abdominal pain and early satiety, as well as an abdominal mass. She underwent investigations, which revealed
a 20x15-cm intraabdominal mass, and was scheduled for surgical exploration, which revealed a 20x8x18-cm mass arising from the omentum with
no capsulation or feeding vessel. The lump, together with the greater omentum, was excised and sent for histological investigation, which revealed
it to be a liposarcoma of the omentum. In conclusion, our case report demonstrates that liposarcoma of the omentum has vague clinical
symptomatology and that omentectomy may be recommended to prevent metastasis, but further research studies are needed before it can be
adopted as the therapy of choice.
THE DIAGNOSTIC AND PREDICTIVE ROLE OF NEUTROPHIL LYMPHOCYTES RATIO, D-NLR AND PLATELET LYMPHOCYTES RATIO IN COVID-19 PATIENTS
Authors: Patel Naman , Patel Rushi , Patel Tushar
Published: June 2022

Aim: To increase evidence that indicated the main role played by virus-triggered inammation in the 2019novel coronavirus disease (COVID-19)
which emerged in Wuhan City and rapidly spread throughout world. Age, neutrophil(NEU)-to-lymphocyte Methods: (LYM) ratio (NLR),
lymphocyte-to-monocyte (MON) ratio, platelet-to-lymphocyte ratio (PLR), and C-reactive protein (CRP) of 93 patients with laboratory conrmed
COVID19 were investigated and compared. The receiver operating characteristic curve was applied to determine the thresholds for ve biomarkers, and their prognostic values were assessed via the Kaplan–Meier curve and multivariate COX regression models.
Results: The median age was 44 years old, and 35 cases were males. Fever (80.8%) and cough (71%) were the two most common symptoms.
Elevated NLR and age were signicantly associated with illness severity.
Conclusions: Elevated age and NLR can be considered independent biomarkers for indicating poor clinical outcomes.
EFFECT OF PREOPERATIVE ISOMETRIC EXERCISES ON CEPHALIC VEIN DIAMETER IN AV FISTULA PATIENTS
Authors: Prajapati Chetan , Kalra Nisha , Patel Rahul , singh Pratap Pranav , Kachhadiya Nilesh , Kadia Ronak
Published: June 2022

Purpose: Incidence rate of arteriovenous stula (AVF) is not very high. AVF formation is often not attempted due to small cephalic vein (CV)
diameter. We hypothesized that forearm CV diameter can increase by isometric handgrip exercises and gave better results for AVF formation in
AVF patients.
Methods: All patients with (eGFR<25mL/min/1.73m2; CV<2.5mm) and without prior vascular access were selected. They did regular handgrip
exercises in the preferred excercised arm (EA), with the nonexercised arm (NEA) as control. CV diameter was measured at baseline, by ultrasound
at four and eight weeks. The primary endpoint was the mean increase in CV diameter. Secondary endpoints were mean CV diameter increase from
baseline, increased proportion of potential AVF sites and successful AVF placement.
Results: Atotal of 60 patients were selected and 51 nished the study. Mean CVdiameter increased in both the EAand NEAby 0.46-0.75 and 0.45-
0.60 mm, respectively. Compared to baseline, all CV diameters increased signicantly (P<.05) after four weeks. In the EA, mean distal and
proximal CV increased from 1.68 to 2.43 mm and from 2.27 to 2.87 mm, respectively. The changes noted in the NEA were not signicant. There
were also signicant increases in the number of sites and patients eligible for AVF formation. 16 patients had successful AVF placement.
Conclusions: Isometric handgrip exercises resulted in signicant CV diameter increases after eight weeks, in the EAgroup and potentially allows
for AVF formation in those not previously deemed patients.
EFFECT OF CYSTOSCOPY AND URETHRAL DILATATION VS CYSTOSCOPY ALONE WITH TAMSULOSIN IN WOMEN WITH VOIDING DYSFUNCTION: A RETROSPECTIVE COMPARATIVE STUDY
Authors: Mittal Ruchi , G Iyer Saumya , Kumar Sandeep , Sagar Sumedhankar , Choudhuri Pratiti
Published: June 2022

Background:To analyze the data of cystoscopy and urethral dilatation with tamsulosin therapy in comparison to cystoscopy alone with tamsulosin
in women with voiding dysfunction and overactivity. Methods: Retrospective data of women with overactive bladder symptoms and a maximum
ow rate of <15 mL/sec on a voided volume of over 150 mLand/or a postvoid residual volume >100 mLwho underwent dilatation and tamsulosin
therapy were compared with the patients who had undergone cystoscopy and tamsulosin. Symptom assessment and urodynamic evaluation was
done at baseline, 6 weeks and 6 months postoperatively. Results: In total, 67 patients (34 in dilatation and tamsulosin [group A] and 33 in
cystoscopy and tamsulosin [group]) were included in this study. After 6 weeks and 6 months, the American urological association symptom score
decreased by 12.46 and 9.84 in group A and by 8.88 and 6.55 in group B. Changes in voided volume, maximum ow rate and post-void residual
volume at 6 weeks and 6 months were signicant in both the groups (P=0.001). On comparing both the groups, improvements in all the parameters
were numerically higher in group Aat 6 weeks. Mild bleeding was seen in ve cases of group A, no other adverse events were noted. Conclusion: A
signicant improvement in clinical as well as urodynamic parameters was seen in both the groups individually at both 6 weeks and 6 months posttreatment. However, the intergroup comparison revealed that the addition of urethral dilatation to cystoscopy fares better than cystoscopy alone but
for short term.
DENTIGEROUS CYST – A CASE REPORT.
Authors: Venkatateji Apoorva , Devi Sarita , Amarnath Konda , Afreen Minhaj
Published: June 2022

Dentigerous cysts are usually easy to treat when small. However, extensive cysts are more difcult to manage requiring cyst enucleation and
extraction of associated teeth. We advocate the use of assessment criteria to dictate the treatment modality indicated in each individual case such
as cyst size and site, patient age,the dentition involved, and the involvement of vital structures. A 24 years old male patient reported with pain in
lower left back tooth region since 3 months. Marsupialisation is done followed by enucleation of cyst and followed up for a period of 6 months.
The treatment was successful and no recurrence was seen.
SPINDLE CELL SARCOMA: RARE BUT NOT TO BE IGNORED
Authors: Sinha Nayan , Shavik Kumar
Published: June 2022

Spindle cell sarcoma of the lower limb is a rare tumor. It remains a diagnostic as well as a therapeutic challenge to identify and successfully treat a
case of spindle cell sarcoma as the tumor can be notorious sometimes. The current study presents a case of spindle cell sarcoma with clinical,
imaging and pathological examination. A 20-year-old female presented to the surgery OPD of Rajendra Institute of Medical Sciences, Ranchi
suffering from a mass on the posteromedial aspect of her left leg for approximately four years. Imaging examination by leg computed tomography
angiogram scan revealed a large thrombosed arterio-venous malformation. The patient underwent wide local excision of the mass. Pre operative
ne needle aspiration cytology examination revealed benign spindle cell mass. The swelling was excised under anaesthesia. Post op
histopathological examination was done which revealed spindle cell sarcoma
THE STUDY OF PORTAL VEIN THROMBOSIS PATIENTS WITH CHRONIC LIVER DISEASE
Authors: Prajapati Umesh Kumar , Kansal Archana , Raj Gaurab Anupam , Kumar Gupta Pankaj , Jadi Suresh , Subba Miskila
Published: June 2022

BACKGROUND: Portal vein thrombosis in the general population is a rare event, but it occurs relatively frequent in patients with cirrhosis and its
prevalence increases with severity of the disease. The causal relationships and clinical presentation are often complex .As PVT may cause short
term as well as long term complications, correct management by adopting adequate diagnostic and therapeutic measures is paramount
OBJECTIVE: To nd out the incidence of portal vein thrombosis in Chronic Liver disease patients and factors and complications associated with
it .
MATERIALAND METHODS:All the patients of chronic liver disease attending department of General Medicine, Jayarogya Hospital patients
were evaluated for detailed history, abdominal ultrasonography, portal vein colour doppler studies ,coagulation prole and other biochemical
prole.
RESULTS: In this study 9% of patient developed PVT with commonest etiology being chronic alcohol intake. Chronic alcohol intake is a
signicant etiological factor for the development of PVTin patients of preexisting CLD. Hemetemesis, Encephalopathy, Splenomegaly and ascites
were found signicantly higher proportion in PVT group when compared with non PVT group. Portal vein thrombosis could worsen the rate of
hepatic decompensation and survival of cirrhosis.
CONCLUSION: Portal vein thrombosis is considered to be a signicant complication of liver cirrhosis. Portal vein thrombosis could hasten the
rate of decompensation and worsen the survival of cirrhotic patient. Prognostic value of PVTis cirrhosis remain a grey zone.
A PROSPECTIVE STUDY OF ROLE OF MDCT IN EVALUATION OF COLORECTAL LESIONS WITH HISTOPATHOLOGICAL CORRELATION
Authors: Poorna Sasank Karanam , Rawoof Mohd Abdul , Sudanagunta Esparanto , Rakesh Chowdary Chandra , Lokanandi Peethamber
Published: June 2022

Introduction: Multidetector computed tomography (MDCT) is increasingly useful technique in evaluation of the intestinal diseases, which allows
evaluation of bowel diseases as well as extra-intestinal disease [1]. Thickening of the bowel wall is the commonly identied abnormality on CT in
case of colorectal lesions [2]. Colorectal lesions can present as a mass or focal/diffuse bowel wall thickening, which may be associated with
perienteric abnormalities. MDCTprovides images of the bowel wall and extra colonic tissues in one setting. MDCTprovides rapid acquisition with
thinner collimation, allowing for multiphase studies with improved resolution [3].
Purpose: Present study aimed to characterize wall thickening in patients with colorectal lesions as either benign or malignant based on criteria
specic to CTimaging using histopathology as gold standard.
Material and methods: This prospective, correlative study consisted of people who were suspected to have large bowel lesions and referred to
radiodiagnosis department at apollo hospital, hyderabad. Once a bowel wall thickening was detected, their radiologic features were analyzed by
using criteria specic to CT imaging and characterized as either benign or malignant. Finally, the radiological diagnosis was correlated with
histopathology.
Results:Atotal of 75 participants were included (mean age: 61-70; 42[56%] men; 33[44%] women).Of these, all 56 malignant lesions and 17 of 19
benign lesions were correctly diagnosed in CT with a sensitivity of 96.43% and 78.95% respectively (P= .0001). Except 2 cases with inammatory
lesions, who were diagnosed as malignant in CT.
Conclusion: MDCThas a high predictive value in the diagnosis and differentiation of benign and malignant lesions of the large bowel.
PRIMITIVE BLASTOMA PERIPHERAL PRIMITIVE NEUROECTODERMAL TUMOR OF THE MANDIBLE
Authors: Pilania Dinesh , Deo Vikas , Chattopadhyay C S
Published: June 2022

Peripheral primitive neuroectodermal tumors (pPNET) are high-grade malignant tumors seen in the early age group {5-25 year}, primarily
affecting long bones of extremities afterwards the pelvis, ribs and vertebrae. pPNET in the mandible (head & neck) accounts for only 2% of the
reported cases. pPNET agitate difculty in arriving at a diagnosis due to poor differentiation of small round cells and could be established only by
histopathology and immunochemistry. Surgery with chemotherapy is the preferrable treatment of choice in the mandible. In this article, we
describe a rare case of PNET of the mandible in 11-year-old boy and review of literature.
An Investigation of Humor Based Teaching and Student Learning: Case of Higher Education
Authors: Hassan Ms. Farha Deeba Khizar , Tahir Dr. Muhammad
Published: June 2022

Humor-based teaching is gaining an increased attention from academicians and researchers all over the world. However, its outcomes and contextual factors which make it effective or ineffective are still not clear due to the limited research in this domain. In the present study, the focus is on understanding the effects of humor-based teaching in the university setting. The study utilized a cross-sectional method for data collection and a quantitative approach for data analysis. Data is collected from students in the graduation program in a higher educational institute in Oman. The key findings of the study are that out of three dimensions of humor-based teaching, psychological comfort significantly influences students' academic performance measured in terms of semester GPA and CGPA. The findings highlight that humor-based teaching is important and needs to be given greater attention in this context.
A Case Report of Cervical Ectopic Pregnancy in Early Gestation
Authors: KUYE-KUKU Taiwo.O , OLUMODEJI Ayokunle M. , OREKOYA Oluwaseun O. , AYANBODE Olufemi.S , Haleemah OLALERE Folasade Dolapo , Bilikees Bilikees , SERIKI Oluwatoyin
Published: June 2022

Cervical ectopic is a life-threatening gynaecological emergency. It is highly prone to severe hemorrhage with maternal morbidity and mortality. It has an incidence of 1% and requires prompt diagnosis. Management is usually individualized and depends on gestational age, presentation severity and the available options and expertise. It could be medical, surgical endoscopically or a combination of treatment. A cervical ectopic in a 32-year-old nullipara who had a negative exploratory laparotomy on account of missed cervical ectopic and later a failed medical management with methotrexate. She subsequently had a dilatation and curettage under spinal anesthesia followed by medical management with repeat three doses of systemic methotrexate due to persistent haemorrhage. She was monitored with a serial level of beta human chorionic gonadotrophins until normal level was attained. Cervical ectopic is a rare form of ectopic gynaecological health workers need to have a high index of suspicion in making diagnosis and prompt intervention instituted. Though there is no standard management protocol, combination therapy of available management options has proven to be effective.
Experience and Limitations of Gynecological Laparoscopy for a Beginner in Private Practice
Authors: Borna Dr. Nishat Anam , Haque Dr. A. N. M. Mozammel
Published: June 2022

Introductions: Minimally invasive surgery is now the standard surgical procedure for benign gynecological diseases and plays an increasing role in their treatment. This study presents a personal series of an evaluation of the laparoscopic surgical approach. Its outcomes in the surgical treatment of patients with benign gynecological diseases. Aim: The study aimed to evaluate the outcome of gynecological laparoscopy in a low-resource setting. Method: This cross-sectional study was conducted in a private hospital in Rajshahi, Bangladesh. It is a retrospective surgical series of patients performed by the author, which analyzes (n=24) female patient treated from 2019 to December 2020. Results: A number of 24 female patients were included in this study; their mean age was 32.6 years. Among them diagnostic laparoscopy was done in 13 patients. This is mostly due to primary sub-fertility and therapeutic laparoscopy in 11 patients (2 salpingectomy for ectopic pregnancy, 3 laparoscopically assisted vaginal hysterectomy, 1 myomectomy, 1 TLH, 1 laparoscopic adhesiolysis, 2 Ovarian cystectomy, and 1 left sided salpingoophorectomy was done for ovarian cyst). 1 laparoscopic procedure for LAVH was converted to laparotomy due to excessive bleeding. 20 patients were released without incident, but post-Surgical site infection occurred in 1 patient. There was no significant difference in operative complications, blood loss, or length of hospital stay compared to conventional laparoscopic surgery reported in the literature. The perioperative complications are minimal in this personal series. In this study, laparoscopic myomectomy and laparoscopic adhesiolysis for pelvic endometriosis. It took longer to perform using this approach compared with other procedures. Conclusion: Despite having many benefits over conventional procedures, gynecological laparoscopy has several limitations, especially in a low resource-poor setting (Lack of knowledge, Popularity among patients, Higher cost, Long learning curve, Instrumental backup). This paper reported a feasible and safe surgical approach to laparoscopic surgery for gynecological diseases.