bluuebunny/crossref_metadata_2025 huggingface dataset:
Automation of Street Light of Adarsh Gram With Manual Intervention and Automatic Luminosity Control With Traffic Flow
Authors: Singh Rahul Kumar , Bala Anju , Verma Pratibha
Published: June 2023

Sixty-five percent of India's population still lives in the villages. Even after years of independence, the condition of villages are not good for living. The basic facilities and amenities like drinking water, hospital, and electricity are not available in most villages in India. The streets of villages are mostly dark either due to no light or malfunctioning lights. This leads women and children facing problems at night while going outside. The authors try to overcome this problem with the concept of electrification of street lights with minimum power consumption by automatic control along with intensity control with simple, cheap, durable, and easily reparable components with and without manual intervention and further expanding into solar power.
Performance Evaluation of Hybrid Meta-Heuristics-Based Task Scheduling Algorithm for Energy Efficiency in Fog Computing
Authors: Jakwa Ali Garba , Gital Abdulsalam Yau , Boukari Souley , Zambuk Fatima Umar
Published: June 2023

Task scheduling in fog computing is one of the areas where researchers are having challenges as the demand grows for the use of internet of things (IoT) to access cloud computing resources. Many resource scheduling and optimization algorithms were used by many researchers in fog computing; some used single techniques while others used combined schemes to achieve dynamic scheduling in fog computing, many optimization techniques were assessed based on deterministic and meta-heuristic to find out solution to task scheduling problem in fog computing but could not achieve excellent results as required. This article proposes hybrid meta-heuristic optimization algorithm (HMOA) for energy efficient task scheduling in fog computing, the study combined modified particle swarm optimization (MPSO) meta-heuristic and deterministic spanning tree (SPT) to achieve task scheduling with the intention of eliminating the drawbacks of the two algorithms when used separately, the MPSO was used to schedule user task requests among fog devices, while hybrid MPSO-SPT was used to perform resource allocation and resource management in the fog computing environment. The study implemented the proposed algorithm using iFogSim; the performance of the algorithm was evaluated, assessed, and compared with other state-of-the-art task scheduling and resource management algorithms, the proposed method performs better in terms of energy consumption, resource utilization and response time, and the study proposed future research on evaluating the execution time using the hybrid algorithm.
Effect of Psychosocial Interventions on Psychological Distress and Quality of Life of Mothers of Children with Cancer
Authors: Chavan Seema Shankarsingh , Mendonca Theresa L. , Lobo Renilda S. , Amali Jensi
Published: June 2023

Background:

Parents experience emotional stress as a result of a diagnosis of cancer in their child. This has a severe influence on their quality of life (QoL). Anxiety and psychological stress also have a negative impact on parent's health. Parents, particularly mothers, have been proven to suffer post-traumatic distress levels that are significantly higher than their child who survives cancer. As a result, family-centered care is crucial from the diagnosis to long-term survivorship or mourning. This protocol aims to conduct a full-scale systematic review and meta-analysis on the effects of psychosocial interventions on psychological distress and QoL of mothers of children with cancer.

Methods:

We will search for eligible published studies through PUBMED, Science Direct, COCHRANE library and Clinical Trials Registry – India. Reports from the conference or dissertations from SHODHGANGA, MEDLINE and PsychINFO will be used for extracting relevant data using a standardised data collection form. The pooled estimates of relative ratios with 95% confidence intervals will be combined using the random-effects model of meta-analysis. A funnel plot will be used to evaluate publication bias and Egger's regression will be used to check the funnel plot's symmetry.

Results:

Symmetrical funnel plots will suggest low risk of publication bias. This review will present the most recent data on the effectiveness of various psychosocial interventions in reducing psychological distress and improving the QoL for mothers of cancer patients.

Conclusion:

Future research will be guided by this to treat mothers holistically, which will help to better care for the children. The International Prospective Register of Systematic Reviews assigned our systematic review procedure the registration number CRD42022345747 when it was registered in accordance with the requirements.
Degendering Nursing Profession in India
Authors: Baby Priya
Published: June 2023

Globally, nursing is a highly female-dominated profession. Even though the number of men in nursing has increased in the past few decades, societal and organisational factors prevent the easy admittance and retention of men in the nursing profession. The COVID-19 pandemic has magnified the global nursing shortage and there is an urgent need to mitigate nursing staff shortages. One crucial strategy would be degendering the nursing profession, especially in the context of India, through diversifying recruitment strategies. This article discusses the historical background of how nursing became a gendered profession. While critically examining the ethical concerns about gendering practices in the nursing profession, this article argues for the need to break the gendered stereotypes in nursing. In addition, this article elicits an urgent call for action utilising feminist pedagogy in the nursing curriculum to transform nursing education.
Strategies for Bridging the Theory-Practice Gap in Nursing Education from the Perspective of Nursing Teachers, Clinical Nurses, and Nursing Students
Authors: Adha Yuvraj Singh , Thomas Chris
Published: June 2023

Background:

Nurses are the integral part of the health-care team who focus on the well-being of the patient and quality patient care. With wide range of roles and responsibility, nurses should have proper knowledge of the subject along with the necessary competent skills to perform their duties. The gap between education and the clinical practice has always been challenge for educational experts in the field.

Objectives:

The objectives were to explore the factors causing the theory-practice gap in nursing education in India and to identify the strategies for bridging the theory-practice gap in nursing education.

Methods:

The research design was descriptive qualitative design. The data were collected from 30 participants including 10 clinical nurses, 10 nursing teachers and 10 nursing students from selected hospitals and nursing colleges of Northern India. Non-probability purposive sampling technique was used to collect the data. Semi-structured telephonic interview with self-administered questionnaire was used to collect the data. The collected data were analysed by using Coloizzi's method and the data were organised and transcribed.

Results:

The five emergent themes were clinical practice and clinical nurse-related factors, curriculum-related factors, student-related factors, nurse faculty-related factors and administration-related factors. Findings for the strategies to bridge the theory practice gap were organised into 12 subcluster themes, 7 cluster themes and 5 emergent themes which are collaborative health care approach, reforms in teaching styles and evaluation system, system change and integrative approach of nursing curriculum.

Conclusion:

Nursing practice is closely associated with the theory taught in the class. Hence, the theory should be wisely applied in the clinical areas to deliver the quality nursing care to the patients.
Perspective of Nursing Officers towards their Preferred Profession in India
Authors: Mohanasundari S. K. , Raghu V. A.
Published: June 2023

Introduction:

The performance of nurses has a substantial impact on patient outcomes and professional development. The perspective towards the job and the nursing profession has a direct impact on professional commitment. The aim of this study was to explore the perspectives of nurses towards their preferred profession.

Methods:

A total of 572 nursing officers from all four of India's regions – the East, West, North and South–were included in a cross-sectional descriptive study. The samples were contacted by WhatsApp, e-mail and telegram by sharing the SurveyMonkey app-created survey link. The questionnaire includes a 5-point Likert scale to assess the nursing officers' perspectives on a total of 20 statements regarding their perception. The subjects were asked to fill out the informed consent before the study started.

Results:

The majority of the nursing officers (69.1%) had favourable perspectives and only 1/3rd of the subjects (30.9%) had unfavourable perspectives towards their preferred profession. The years of experience had a significant association with levels of perspective (P = 0.016) tested by Chi-square. Multiple logistic regression showed geographic region had a significant influence on the level of perspective (P = 0.027; 95% confidence interval: 1.059–2.622).

Conclusion:

The nursing officers had favourable perspectives towards the chosen profession and geographic region is the influencing factor on levels of perspective. To increase personal and professional development, efforts must be taken to reduce the influencing factor and barriers that affect the nursing officer's perspectives.
Primary epithelioid trophoblastic tumor of the lung: A case report
Authors: Zhang Qiongying , Sun Wenwen , Zhang Zhen , Li Jianmin
Published: June 2023

Primary epithelioid trophoblastic tumor (ETT) of the lung is exceedingly rare. Only about three cases have been reported in Pubmed and worldwide literature. We presented a case of multiple primary ETT of the lung occurring in a 33-year-old Chinese female patient. Comprehensive physical examinations revealed no evidence of a primary lesion on the uterus or cervix uteri. Microscopic examination of the tumor demonstrated ETT of the lung, which was confirmed by immunohistochemical staining and declining level of beta-human choriogonadotropin (β-HCG) after the operation. Our case revealed that the ETT can occur in the lung and should be considered when a female had a tumor of lung with increasing β-HCG.
The Taq 1 polymorphism of Vitamin D receptor gene is associated with oral cancer and preoral cancer in North Indian population
Authors: Nigam Kumud , Singh Navin , Yadav Suresh Kumar , Sanyal Somali
Published: June 2023

Background:

Oral cancer is known as one of the most common cancers, with a poor prognosis, related to delayed clinical diagnosis, either due to the lack of particular biomarkers related to the disease or costly therapeutic alternatives.

Aims and Objectives:

In this study association of single nucleotide polymorphism (Taq1, T>C) in Vitamin D receptor gene with oral cancer and pre oral cancer was studied.

Materials and Methods:

Total 230 patients of precancerous oral lesions (Leukoplakia 70, Oral Sub mucous fibrosis 90, Lichen Planus 70), 72 oral cancer patients and 300 healthy control subjects were genotyped by PCR-RFLP methods. Chi-square test was used for calculation of genotype and allele frequencies.

Results:

Mutant genotype CC as well as C allele were found to significantly decrease the risk of oral disease (P value=0.04, OR=0.60 and P value=0.02, OR=0.75 respectively). In particular, compared to non smokers, smokers with TC & CC genotypes were at decrease risk of oral diseases (P value=0.0001, OR=0.04). The mutant allele genotype CC as well as the mutant allele C showed protective association with leukoplakia (P value=0.01, OR=0.39 & P value=0.009, OR=0.59 respectively). However, individual with CC genotype had developed high cell differentiated grade at diagnosis (OR= 3.78, P value= 0.008).

Conclusions:

This study concludes that VDR (Taq1) polymorphism is associated with oral cancer and pre oral cancer susceptibility in North Indian population.
Epithelioid leiomyosarcoma: An unusual presentation
Authors: Kalantri Suman H. , Joseph Leena Dennis , Priyathersini N. , Elangovan Babu
Published: June 2023

Uterine mesenchymal tumors are a heterogeneous group of neoplasms that can be diagnostically challenging. Thorough investigations and histopathological findings are highly significant to arrive at the correct diagnosis, thus ensuring appropriate and prompt treatment to the patient. Leiomyosarcoma (LMS) is an uncommon uterine malignancy, which arises from the smooth muscle of the uterine wall. They usually present in postmenopausal women with abnormal uterine bleeding. It follows an aggressive clinical course with an extremely poor prognosis. Surgical management followed by adjuvant chemotherapy is usually the treatment for such cases. Here, we report the case of a 57-year-old menopausal female who presented with a large abdominal swelling that was seen infiltrating the adjacent structures. On resection and histopathological evaluation, a diagnosis of epithelioid LMS was made, which was confirmed by immunohistochemistry.
Severe persistent marrow aplasia in chronic myeloid leukemia (CML): An unusual complication of imatinib
Authors: Madabhavi Irappa , Patel Apurva , Anand Asha , Panchal Harsha
Published: June 2023

Background:

Imatinib has changed the treatment of chronic myeloid leukemia (CML) drastically since 15 years. It is usually well tolerated, but severe persistent marrow aplasia is an unusual complication of imatinib while using it in CML. The aim of this study is to describe our experience confronting this rare side effect and review the available data worldwide.

Patients and Methods:

It was a retrospective analysis conducted at a center from February 2002 to February 2015. This study was endorsed by our Institutional Review Board (IRB) and written consent was taken from all patients. Patients diagnosed as Philadelphia (Ph) chromosome-positive CML either in chronic phase (CP), accelerated phase (AP), or blastic crisis (BC) were included. There were a total of 1,576 patients with CML treated with imatinib during this period. Karyotyping and quantitative reverse transcriptase polymerase chain reaction (RT-qPCR) were done at the time of pancytopenia for all patients.

Results:

In total, 11 (males = 5, females = 6) patients met our inclusion criteria from 1,576 patients of CML. The median age was 58 years (range 32–76). Out of 11 patients 8, 2, and 1 patients were in CP, AP, and BC phases, respectively. The median time of administration of imatinib was 3.3 months (range 1.5–6). The average time of marrow recovery was 10.4 months (range 5–15). Two patients expired (one from septicemia and the other from intracranial hemorrhage). BCR-ABL transcripts level by RT-PCR revealed the existence of the disease in all patients.

Conclusion:

Imatinib is a very well-tolerated tyrosine kinase inhibitor (TKI), but is associated with persistent myelosuppression when used in older age, advanced phase of the disease, and treated previously. After confirming persistent marrow aplasia, the treatment is mainly supportive. It is striking that the disease is still persistent, which is confirmed by RT-PCR. There is no consensus regarding recalling imatinib at lower doses or the use of second-generation TKI (nilotinib, dasatinib) in these patients.
Intra-operative partial breast irradiation versus external whole breast irradiation for early breast cancer
Authors: Güzle Adaş Yasemin , Uyar Serab , Yazıcı Ömer
Published: June 2023

Aims:

Intra-operative radiotherapy (IORT) is a new alternative way to give radiation therapy. During surgery to remove breast cancer, radiation is given as a single dose directly to the area where the tumor used to be. The aim of the study was to compare the results of IORT as partial breast irradiation and external whole breast irradiation (EBRT) for early breast cancer in elderly patients after breast-conserving surgery. The results were retrospectively analyzed from a single institution. We report 7-year results for local control.

Settings and Design:

Cross-sectional study.

Methods and Material:

Between November 2012 and December 2019, 21 Gy partial breast irradiation was applied intra-operatively to 40 selected patients. Two of these patients were excluded from the study, and 38 patients were evaluated. Also, 38 patients who had EBRT and had similar properties to that of IORT patients were selected to compare the treatment results in terms of local control.

Statistical Analysis Used:

SPSS version 21 was used for statistical analysis. Patient groups undergoing IORT and EBRT were analyzed with the Kolmogorov–Smirnov test. The groups were examined in terms of demographic features using t-test, and P < 0.05 was considered as statistically significant. Local recurrence rates were calculated by Kaplan–Meier analysis.

Results:

The median follow-up time was 58 months (range 20–95 months). The local control was 100% in both groups, and no local recurrences were observed.

Conclusion:

IORT seems to be a safe and effective alternative to EBRT for early breast cancer in elderly patients.
Evaluating the effects of variation in CT scanning parameters on the image quality and Hounsfield units for optimization of dose in radiotherapy treatment planning: A semi-anthropomorphic thorax phantom study
Authors: Sorooshfard Elahe , Tahmasbi Marziyeh , Chegeni Nahid , Birgani Mohammad Javad Tahmasebi
Published: June 2023

Aim:

The diagnosis accuracy of computed tomography (CT) systems and the reliability of calculated Hounsfield Units (HUs) are critical in tumor detection and cancer patients’ treatment planning. This study evaluated the effects of scan parameters (Kilovoltage peak or kVp, milli-Ampere-second or mAS reconstruction kernels and algorithms, reconstruction field of view, and slice thickness) on image quality, HUs, and the calculated dose in the treatment planning system (TPS).

Materials and Methods:

A quality dose verification phantom was scanned several times by a 16-slice Siemens CT scanner. The DOSIsoft ISO gray TPS was applied for dose calculations. The SPSS.24 software was used to analyze the results and the P-value <0.05 was considered significant.

Results:

Reconstruction kernels and algorithms significantly affected noise, signal-to-noise ratio (SNR), and contrast-to-noise ratio (CNR). The noise increased and CNR decreased by raising the sharpness of reconstruction kernels. SNR and CNR had considerable increments at iterative reconstruction compared with the filtered back-projection algorithm. The noise decreased by raising mAS in soft tissues. Also, KVp had a significant effect on HUs. TPS--calculated dose variations were less than 2% for mediastinum and backbone and less than 8% for rib.

Conclusions:

Although HU variation depends on image acquisition parameters across a clinically feasible range, its dosimetric impact on the calculated dose in TPS can be neglected. Hence, it can be concluded that the optimized values of scan parameters can be applied to obtain the maximum diagnostic accuracy and calculate HUs more precisely without affecting the calculated dose in the treatment planning of cancer patients.
Feature selection algorithm based on binary BAT algorithm and optimum path forest classifier for breast cancer detection using both echographic and elastographic mode ultrasound images
Authors: Sasikala S , Ezhilarasi M , Arunkumar S
Published: June 2023

Context:

Breast cancer is one of the fatal diseases among women. Every year, its incidence and mortality rate increase globally. Mammography and sonography are widely used in breast cancer detection. Because mammography misses many cancers and shows false negatives in the denser tissues, sonography is preferred to give some extra information in addition to that available from mammography.

Aims:

To improve the performance of breast cancer detection by reducing false positives.

Settings and Design:

The local binary pattern (LBP) texture features must be extracted from ultrasound elastographic and echographic images of the same patients and then fused to form a single feature vector.

Methods and Materials:

Local Binary Pattern (LBP) texture features of elastographic and echographic images are extracted, and reduced individually through a hybrid feature selection technique based on binary BAT algorithm (BBA) and optimum path forest (OPF) classifier and then fused serially. Finally, the support vector machine classifier is used to classify the final fused feature set.

Statistical Analysis Used:

Various relevant performance metrics such as accuracy, sensitivity, specificity, discriminant power, Mathews correlation coefficient (MCC), F1 score, and Kappa were used to analyze the classification results.

Results:

The use of LBP feature produces 93.2% accuracy, 94.4% sensitivity, 92.3% specificity, 89.5% precision value, 91.88% F1 score, 93.34% balanced classification rate, and Mathews correlation coefficient of 0.861. The performance was compared with gray level co-occurrence matrix (GLCM), gray level difference matrix (GLDM), and LAWs features, and showed that LBP outperformed.

Conclusions:

Because the specificity is better, this method could be useful for detecting breast cancer with minimum false negatives.
Clinico-virological profile of severe acute respiratory infections in children admitted in pediatric ICU/high dependency unit
Authors: Kavil Hasanath Ayyappan , Anand Manjula , Kandath Sathishkumar , Ramachandran Anand Manjeri
Published: June 2023

Background:

Viral etiologies responsible for acute respiratory infections in our region are poorly understood or studied, particularly among hospitalized children. Lacking etiologic diagnosis is the main reason that most of the cases suffer unnecessary or inappropriate prescription of antibiotics.

Objectives:

This study was done to know clinic-virological profile of severe acute respiratory infections in children admitted to pediatric intensive care unit or high dependency unit in a tertiary care hospital.

Materials and Methods:

Respiratory samples were collected and screened for viruses by utilizing multiplex real-time polymerase chain reaction (PCR) assay.

Results:

Viral PCR detection rate was 82.9%. A total of 69% of isolates were single virus and 31% were coinfection. Among the viral isolates, respiratory syncytial virus (RSV) A, B was the most common viral isolate (27.6%), followed by adenovirus (23.42%) and bocavirus (12.66%). RSV A, B showed an age predilection for 1–5 years. RSV A, B was the predominant isolate in children having acute respiratory distress syndrome, need for invasive ventilation and prolonged intensive care unit stay and it showed a seasonal prevalence in the months of August to December with peak incidence during October.

Conclusion:

Overall positivity was 82.9%. RSV A, B was the most predominant virus.
Rehabilitation of a completely edentulous patient with fixed implant prosthesis on titanium framework
Authors: Kalavathy Natarajan , Anantharaj Nikhil , Ragunath Karthiban , Shetty Mitha M , Kumar P. Roshan , Patil Netra
Published: June 2023

Rationale:

This article describes step by step procedure for the rehabilitation of a completely edentulous patient with 12 endosseous implants followed by the fabrication of the Malo bridge with CAD-CAM fabricated titanium framework.

Patient Concerns:

The patient with a chief complaint of ill-fitting conventional complete denture reported to the hospital and wanted a fixed rehabilitation.

Diagnosis:

The patient was diagnosed with completely edentulous maxillary and mandibular arches without any systemic illness.

Interventions:

Twelve implants (Neobio tech) were placed in maxillary and mandibular arches (6 in each arch). After osseointegration, healing abutments were placed during the second stage of surgery. A final impression was made using the open tray technique. The accuracy of the impression was verified using jig trial and OPG. This was followed by jaw relation and try-in. A titanium metallic framework was positioned on the implants to check the fit. A Malo bridge with individual cementable zirconium crowns was fabricated. The metallic framework was torqued to 35N and crowns were cemented using Implant Premier cement. The screw holes were packed with Teflon tape and restored using composite.

Outcomes:

The patient was satisfied with the treatment outcome. Follow up were done after 10 years with no significant complications.

Lessons:

Fixed implant prosthesis with titanium framework was found to be a successful treatment protocol for the rehabilitation of the completely edentulous patient.
A state-of-the-art approach for dental diagnosis using machine learning assessment
Authors: Saravanan A. , Kumar D. Manoj , Arthi R.
Published: June 2023

In the modern era, intelligent systems are playing a vital role in day-to-day human life-related applications. It is not only giving solutions to handling health-care applications for dental treatments. In this context, artificial intelligence-based machine learning (ML) algorithms are used for experimenting with the trained data sets that progress the relevances in decision-making. A specific practice The “Internet of Dental Things” is a ground-breaking method to accomplish the avoidance and supervision of periodontal diseases, dental caries, oral cancers, and other dental diseases. Various ML algorithms such as convolutional neural network, K-nearest neighbor, and random Forest are used for anticipating nodal status and tumor grade in oropharyngeal and oral cavity squamous cell carcinoma. The ML algorithms help with diagnosis, assistive systems, and monitoring toward decision-making and contribute to the pursuit of suggesting an exact dental treatment. It is helpful in diagnosing tooth loss, cracked teeth, periodontitis, dental fluorosis, dental caries, dental calculus, dental plaque, and periodontal disease. The suggestions given by the intelligent system render accuracy, precision, specificity, sensitivity, confusion matrix, recall, and F1-Score to strengthen the decision-making and contribute to the pursuit of offering an exact treatment.
Structural Design and Analysis of Sliding Composite Mono Leaf
Spring
Authors: Wang Lubin , Zhu Chendi , Lu Xiaoqin , Zhang Zhengpeng , Liang Shiwen
Published: June 2023

The lightweight structure of a semitrailer composite leaf spring is designed and
manufactured using glass fiber composite to replace the conventional steel leaf
spring. The sliding composite mono leaf spring was designed based on the
conventional parabolic spring design theory. The composites product design (CPD)
module of CATIA software is used to create the lamination of the composite leaf
spring. Using finite element analysis of the position and proportion of ±45°
biaxial layer by OptiStruct software, it is found that a certain proportion
(nearly 5%) of a ±45° biaxial layer can effectively reduce the shear stress
under the condition of keeping the total number of layers fixed. Then, the
natural frequency, stiffness, and strength of the composite leaf spring are
simulated by the finite element method. Finally, the stiffness, fatigue, and
matching of the designed spring are tested by experiments. The design weight of
the composite leaf spring is 18.5 kg, which is 55.4% lighter than the
conventional steel leaf spring. The composite mono leaf spring has good fatigue
performance; the vertical fatigue cycles are more than 300,000 times, 1.6 times
of the traditional steel leaf spring. The results of the system bench test show
that the movement state of the composite mono leaf spring is consistent with the
steel leaf spring. It can be preliminarily speculated that the composite leaf
spring structure can meet the requirement of vehicles. A proposed method
combining theoretical analysis, calculation, and finite element simulation can
be used to design and test composite products quickly. This method has a high
significance for the structural optimization of other laminated composite
products.
Parents of Children with Hearing Loss in Inclusive Education in Turkey: Which Problems Do They Face and What Do They Need?
Authors: İçyüz Rifat , Doğan Murat
Published: June 2023

This study aimed to determine the problems and needs of the parents of children with hearing loss in primary and secondary inclusive schools in Turkey. A mixed methods exploratory sequential design was conducted, where the qualitative data were followed by quantitative data. The participants were determined by purposive sampling method. In the qualitative phase, semi-structured interviews were held with the parents, and the themes related to the problems and needs of the parents were created by analyzing the data through an inductive approach. The data were not only used to identify the problems and needs, but also formed the basis of the Parents’ Problems and Needs Questionnaire (PPNQ). A total of 66 parents participated in the study. In the quantitative phase, the PPNQ was developed and administered. The quantitative data obtained through the questionnaire were combined with the qualitative data. Qualitative data of the research were made using content analysis, and quantitative data were made using descriptive analysis method. The findings indicated that the primary problems for parents were the absence/inadequacy of the educational support services. Parents had communication problems with the teachers, they fell short regarding the education of their children, and problems arose regarding the approach of typically developing peers and their parents towards the children with special needs. These problems implied that the parents needed more information on inclusive education, psychological support, and financial support. As a result, the necessity of arrangements has emerged to provide educational support services for both the parents and students, especially in inclusive educational settings in Turkey. Therefore, it can be alleged that it is vital to invigorate the available regulations.
Evaluate the effectiveness of laparoscopic myomectomy without power morcellator
Authors: Le Si Phuc An , Le Si Phuong , Nguyen Vu Quoc Huy
Published: June 2023

Aim: To describe characteristics of uterine fibroids and evaluate the effectiveness of laparoscopic myomectomy.

Methods: Cross-sectional observative study in fifty-two patients underwent laparoscopic myomectomy at Department of Obstetrics and Gynecology, Hospital of Hue Medicine and Pharmacy University and Hue Central Hospital from 6/2019 to 6/2021. Inclusion criteria were patients with ≤ 5 fibroids, largest diameter did not exceed 10cm in diameter and no contraindication for laparoscopy. Patients were operated laparoscopically and manually morcellated by vaginal route, without electrical morcellator.

Results: Mean age was 42.3 ± 4.2 years old. The most common symptom was abnormal uterine bleeding (42.3%). The mean diameter was 66.8 ± 16.3 mm. The success rate of laparoscopic myomectomy was 98.1%. The mean operation time was 148.66 ± 51.4 min. Diameter ≥ 80mm, multiple fibroids (>5 fibroids) and operation time ≥ 180 min (p < 0.05) were associated factors of significant Hemoglobin drop and prolonged surgery.

Conclusions: Laparoscopic myomectomy had high success rate and low complication rate, however appropriate indication and experienced surgeon were necessary.
Risk factors of postpartum hemorrhage due to uterine atony: a retrospective cohort study
Authors: Vo Hoang Lam , Truong Quang Vinh
Published: June 2023

Background: Postpartum hemorrhage (PPH) continues to be a significant global burden leading to high maternal mortality and morbidity rates. Uterine atony is the most prevalent cause of postpartum hemorrhage, accounting for 75% to 90% of cases.

Aim: Research uterine atony related PPH at Hospital of Hue University of Medicine and Pharmacy’s Department of Obstetrics and Gynecology.

Materials and methods: In this study, we conducted a retrospective case-control study to determine the risk factors for PPH among a cohort of women who gave birth between August 2020 and June 2021 at the Department of Obstetrics and Gynecology, Hue University of Medicine and Pharmacy Hospital. PPH was defined as an estimated blood loss ≥500 mL. Logistic regression analysis was used to identify independent risk factors for PPH.

Results: After the vaginal deliveries, we collected data from 147 patients, including 49 women with PPH caused by uterine atony and 98 without PPH. Maternal characteristics significantly associated with PPH included: pre-delivery anemia (adjusted OR [aOR] 4.0, 95% Confidence interval [CI]: 1.7 - 11.2), macrosomia (aOR = 4.3; 95%CI 1.1 - 16.8) and grand parity (aOR = 4.7; 95%CI: 1.7 - 13.9).

Conclusions: All pregnant women should have their risks associated with postpartum hemorrhage evaluated and monitored during their pregnancies’ prenatal, labor, and postpartum stages.
Correlation of serum biomarkers with treatment result in women with first trimester threatened miscarriage
Authors: Le Uyen Phuong , Ho Tran Tuan Hung , Vo Van Duc
Published: June 2023

Objectives: To assess the correlation of serum biomarkers with treatment result in women with first trimester threatened miscarriage.

Materials and methods: Cross-sectional observative study in 107 patients which were first trimester threatened miscarriage at Department of Obstetrics and Gynecology, Hue Central Hospital and Hospital of Hue Medicine and Pharmacy University from March 2021 to June 2022. Inclusion criteria included women with threatened miscarriage and gestational age ≤ 13 weeks and 6 days. Participants were measured the levels of biomarkers (PAPP - A, CA 125, β-hCG, progesterone) and divided into two groups: group 1 included 90 women with successful treatment (continued pregnancy), and group 2 included 17 women with failed treatment (miscarriage, stillbirth).

Results: The level of maternal serum PAPP - A, β-hCG and progesterone for the successful treatment group were higher than the failed treatment group (p < 0.05). The median PAPP - A in group 1 and group 2 were 0.59 (0.12 - 2.04) IU/L and 0.02 (0.01-0.04) IU/L, respectively. The cut-off limit of 0.088 IU/L of PAPP - A level achieved sensitivity of 77.8% and specificity of 94.1%. The cut-off limit of 8004.5 mIU/ml of β-hCG level for ≤ 6 weeks gestational age group achieved sensitivity of 92% and specificity of 84.6%. The cut-off β-hCG value of 29162.5 mIU/ml for over 6 weeks to 13 weeks and 6 days group gave a sensitivity of 98.5% and specificity of 100%. The threshold progesterone value of 14.13 ng/dl gave a sensitivity of 93.3%, specificity of 94.1%. The median CA 125 in the group 2 was 74.01 (32.75 - 103.00) U/ml, that was higher than group 2 which was 40.90 (27.28 - 76.76) U/ml, p > 0.05. The cut-off CA 125 value of 68.55 U/ml for miscarriages gave a sensitivity of 58.8% and specificity of 71.1%.

Conclusions: Levels of maternal serum PAPP – A, CA 125, β-hCG and progesterone were early predictors of pregnancy outcome in women with first trimester threatened miscarriage.
PREDICTION OF THE MAIN GEAR LIFETIME OF BELAZ DUMP TRUCK AT THE DESIGN STAGE
Authors:   OJSC “BELAZ” – Management Company of Holding “BELAZ-HOLDING”, LISICHIK Aliaksander S. , SHYSHKO Sergei A. ,   OJSC “BELAZ” – Management Company of Holding “BELAZ-HOLDING”, ISHIN Nikolay N. ,   Joint Institute of Mechanical Engineering of the NAS of Belarus, SIDORENKO Alexandr G. ,   Joint Institute of Mechanical Engineering of the NAS of Belarus, MAKSIMCHENKO Natalia N. ,   Joint Institute of Mechanical Engineering of the NAS of Belarus
Published: June 2023

The purpose of the research is to improve the method for calculating the lifetime of bevel gears with a circular tooth of the driving axle of the BELAZ dump truck with a hydromechanical transmission. An analysis of domestic and foreign calculation methods showed that when determining the contact stresses in the gearing, the influence of the modification of the side surfaces of the teeth on the magnitude of internal dynamic loads is not taken into account, which leads to a significant overestimation of the calculated lifetime of gears during their design. The solution to the problem is the introduction of refinement coefficients into the calculation methods traditionally used in OJSC “BELAZ”, the values of which are determined according to the recommendations of the Gleason company (USA), the supplier of gear-cutting equipment to OJSC “BELAZ”. Comparison of the actual value of the lifetime of the gear wheels of the main gear, established according to the results of the career operation of the BELAZ dump truck with a carrying capacity of 90 t with a hydromechanical transmission (about 142,000 km of run), with the results of calculating the lifetime using the proposed (134,000 km of run) and traditional (167,000 km of run) methods showed that the relative error in estimating the lifetime of the bevel gears of the drive axle of the dump truck, calculated by the proposed method, is about 6 %, and by the traditional one — 15.5%.
Fear of the COVID-19 Pandemic in Driving Mobile Payment Applications Adoption
Authors: Hardiyanto Nugroho , Rafdinal Wahyu , Wibisono Nono , Juniarti Cahaya , Septiany Mitha
Published: June 2023

This study aims to analyze how the perceived fear of COVID-19 will affect the adoption of mobile payment applications. The data were collected from 500 mobile payment applications users in Indonesia. The Structural Equation Model-Partial Least Square (PLS-SEM) was used to analyze the relationship between variables and test the hypotheses. According to the findings, perceived fear influences two TAM variables: perceived usefulness and perceived ease of use. Attitude is significantly influenced by the two TAM variables. However, only perceived ease of use has a significant influence on intention to use. Finally, attitude influences the intention to use mobile payment applications. This study will assist mobile payment application providers in planning services and increase the intention of mobile payment applications during the COVID-19 pandemic. This study will also append the subsisting knowledge about the mobile payment applications literature in the context of the pandemic. This research complements the marketing literature in analyzing the adoption of mobile payment applications during the COVID-19 pandemic based on perceived fear of the COVID-19 pandemic.
The Influence of Experiential Marketing and Service Innovation against Positive Word of Mouth with Patient Satisfaction as a Mediating Variable at Ntb Provincial Hospital
Authors:   Faculty of Economics and Business, University of Mataram, Indrayani Tina , Herman Mulyono Lalu Edy ,   Faculty of Economics and Business, University of Mataram, Handayani Rinuastuti Baiq ,   Faculty of Economics and Business, University of Mataram
Published: June 2023

The phenomenon of the emergence of many hospitals and increasing public knowledge and awareness about health causes demands on health care providers including hospitals are also increasing. The hospital must maintain its positive image to be able to seize the market. One of the positive images is built by positive word of mouth (positive WOM). Many factors encourage the formation of positive WOM. This study aims to examine the effect of experiential marketing and service innovation on positive WOM mediated by patient satisfaction. The population is all patients of NTB Provincial Hospital with a total sample of 100 people. The retrieval technique uses the purposive sampling method. Data analysis using SEM-Partial Least Square (PLS). The results showed that experiential marketing does not have a direct effect on positive WOM, but must be mediated by patient satisfaction. Experiential marketing and service innovation have a positive effect on patient satisfaction while service innovation has a positive effect on WOM both directly and mediated by patient satisfaction.
Fraud Detection of LPG 3 Kg at SPPBE PSO PT XYZ in Indonesia
Authors:   Master of Accounting Widya Mandala Catholic University, Genta Dewangga Reynaldi
Published: June 2023

Determent the potential of fraud, early detection of fraud it’s important things. Fraud detection can help management to evaluate the control system, showing of internal control weaknesses and prevent losses that will be happened at the company. The purpose of this study is to determine the fraud detection of 3 kg LPG at SPPBE PSO PT XYZ, which was conducted in the period of October 2019 until June 2020. Using the Critical Point Auditing method and Job Sensitivity Analysis. Data collection techniques are carried out by documentation, interviews and observations.The objects studied were Rubberseal, Capseal, Plastic Warp, and Scales. The result and conclusion of this study, determine a fraud indication of 3 kg LPG at SPPBE PSO PT XYZ, with the analysis of increasing usage trends. The special test results have a difference each day that indicates fraud. Job sensitivity analysis technique indicates that several positions are proneness to fraud.
The Actual Situation of Building Responsibility Centers at Garment Enterprises in Hanoi
Authors:   University of Labour and Social Affairs, Hanoi, Vietnam, Hoai Anh Nguyen , Thi Linh Nguyen ,   University of Labour and Social Affairs, Hanoi, Vietnam
Published: June 2023

The trend of the economy is increasingly opening, garment enterprises have many opportunities but also many challenges. In order to enhance competitiveness in the market, garment enterprises need to decentralize management and management rights. When departments in an enterprise have a clear hierarchy, managers at all levels are assigned responsibility and evaluated on their achievements, then the department is formed as a responsibility center. Building a system of criteria to evaluate the performance of responsibility centers is how senior managers realize the strategic goals of the enterprise. Enterprise administrators understand that the importance of responsibility centers is just the beginning, building and operating responsibility centers to achieve the highest control efficiency is a challenge for business administrators in general and garment enterprises in Hanoi in particular. Therefore, studying the actual situation of building responsibility centers is the actual need of garment enterprises in Hanoi.
Regspraak: Insolence, insubordination and employer authority: lessons from South Africa and the Netherlands
Authors: Van Staden MJ
Published: June 2023

Die outeur oorweeg in die aantekening lesse wat uit beslissings in Suid-Afrika en Nederland te leer is oor die hantering van weerspannigheid en ongehoorsaamheid in die werkplek en die grense van die werkgewer se gesag. In Suid-Afrika en Nederland word weerspannigheid en ongehoorsaamheid geag ’n skending van die werknemer se plig daar te stel. Werknemers is verplig om hul persoonlike dienste tot die werkgewer se beskikking te stel en dit met omsigtigheid en bekwaamheid binne die konteks van die gesagsverhouding te doen. Werknemers moet respekvol teenoor hul werkgewers optree en werkgewers se redelike instruksies uitvoer. Met die bydrae word gepoog om te demonstreer hoe die Suid-Afrikaanse en Nederlandse regbanke onlangse gevalle van weerspanningheid en ongehoorsaamheid hanteer het. Onlangse uitsprake in hierdie jurisdiksies het nuwe toepassings van bestaande beginsels van die arbeidsreg weerspanningheid wat verband hou met weerspannigheid, ongehoorsaamheid en die grense van ’n werkgewer se gesag waarvan werkgewers bewus moet wees. Eerstens word bevind dat, terwyl die onderskeid tussen parmantigheid en ongehoorsaamheid nuttig is, is albei konsepte ’n inbreukmaking op die werkgewer se gesag. Tweedens word bevind dat werkgewers gewoonlik nie arrogante of ongehoorsame werknemers summier kan ontslaan nie. Derdens word bevind dat ’n werkgewer se gesag ernstig uitgedaag moet word om ontslag te regverdig. Die gewraakte gedrag moet aanhoudend en opsetlik wees. Vierdens word bevind dat ’n werknemer slegs ontslaan kan word indien hy ’n werkgewer se gesag teëgestaan of verontagsaam het en indien die opdrag redelik en wettig was. Laastens moet die werknemer se reg op vrye uitdrukking afgeweeg word teen die werkgewer se reg om billik deur werknemers behandel te word en om werknemers opdrag te gee. Gevalle van weerspannigheid en ongehoorsaamheid is algemeen tot alle werkplekke en, as sodanig, is dit noodsaaklik dat werkgewers in staat moet wees om sulke gevalle op ’n regtens gepaste wyse te hanteer. Wanneer werknemers die grense van hul werkgewer se gesag uitdaag, kan dit lei tot nadelige gevolge vir beide werknemers en werkgewers. Werkgewers moet derhalwe bewus wees van die beginsels van die arbeidsreg wat verband hou met die dissiplinering en uiteindelike afdanking van weerspannige werknemers. Die gevallestudies hierin bespreek, asook die regsbeginsels wat daaruit afgelei word, kan derhalwe daartoe bydra om die negatiewe gevolge van weerspannigheid en ongehoorsaamheid in die werkplek te beperk.
The Impact of Advanced Food Processing Technologies on Agricultural Value Addition
Authors: Neema Faith
Published: June 2023

Purpose: The study aimed at investigating the impact of advanced food processing technologies on agricultural value addition

Methodology: This study adopted a desktop methodology. This study used secondary data from which include review of existing literature from already published studies and reports that was easily accessed through online journals and libraries.

Findings: The study revealed that the adoption of advanced food processing technologies enhances value addition by preserving nutritional quality, extending shelf life, improving sensory attributes, optimizing processing efficiency, and ensuring microbial safety. The study also found out that advance food processing technologies have significant advantages over conventional processing methods, such as increased yield of bioactive compounds, improved rehydration properties, reduced drying time, and better maintenance of color, flavor, and texture.

Unique Contribution to Theory, Practice and Policy: The study was anchored on Innovation Systems theory which was developed by Christopher Freeman and the Diffusion of Innovations Theory which was propounded by Everett Rogers. The study recommends the adoption of advanced food processing technologies can facilitate the development of innovative food products that meet consumer demands for healthier, safer, and more convenient options.
Development of Portable Noise Detector Device with Vibration Mechanism and Light Warning Signal
Authors: Rayon Dexter Jhon G. , Tin-awan Haneh Jhene B. , Matoguina Angie S. , Gonzales Kristine Hazel S. , Duat Dexter L.
Published: June 2023

To assess the performance of a noise-detecting device, we conducted an experiment in the main library of the University of Science and Technology of Southern Philippines. The device was deployed on each table to detect different sound ranges: QUIET (below 50 decibels), WARNING (51-59 decibels), and NOISY (60 decibels and above). The results demonstrate that the portable noise detector effectively alerts library users about their excessive noise, relieving the need for repeated bell ringing and allowing staff to focus on more important matters. Furthermore, we conducted a survey among selected library users to evaluate the device's acceptability. The feedback from students was positive, indicating that they found the device acceptable and helpful. These findings suggest that the portable noise detector, equipped with a vibration mechanism and light warning signal, provides an effective solution for reducing excessive noise and notifying library users.