bluuebunny/crossref_metadata_2025_split huggingface dataset:
Conservative Management of Rhabdomyosarcoma of Uterine Cervix
Authors: Mathews Susan , Veena P S , Natarajan Nithiyaanandan 
Published: August 2021

Background:
Rhabdomyosarcoma (RMS) of the uterine cervix is a rare disease, usually affects pediatric and adolescent girls. Excellent treatment outcomes have been reported with combined modality treatment employing surgery, chemotherapy, and radiation therapy. Fertility-sparing treatment options can be considered in young patients without compromising outcome.

Aim:
This study aimed to analyze the outcome of patients with cervical RMS who were managed conservatively.

Materials and Methods:
We retrospectively reviewed the clinical and pathologic data of all patients with cervical RMS who were registered at our institution during 1995–2010. Long-term outcome data of patients who had conservative surgery were analyzed.

Results:
During this period, six patients with cervical RMS were registered. Five patients, managed conservatively, were eligible for analysis. The median age was 20 years (range: 14–21 years). Excessive vaginal discharge was the most common presenting symptom (n = 3). All patients initially had either a polypectomy (n = 4) or gross tumor resection (n = 1) followed by received chemotherapy with VAC regimen (Vincristine, Actinomycin-D and Cyclophosphamide). One patient received local radiation (HDR brachytherapy) for microscopic residual disease. All patients were disease-free at the completion of primary therapy. At a median follow-up of 10 years, four patients remain relapse-free; three, having retained fertility, had successful pregnancies and healthy children. One patient developed ovarian failure consequent to radiation treatment but remains disease free. One patient developed local recurrence, 8 years after primary treatment, and underwent salvage hysterectomy followed by second-line chemotherapy. This patient too remains disease-free, 3 years after salvage treatment.

Conclusion:
RMS of the uterine cervix is highly curable in early stages. The focus now is on improving the quality of life by reducing treatment-related morbidity and late effects. Fertility preservation approaches should be considered in young females with RMS of cervix.
Patient awareness of oral health and periodontal disease before and after comprehensive periodontal treatment
Authors: Patel Fatimah I. , Khan Khadija A. , Abdelrasoul Mohamed R. , Bahammam Maha A. 
Published: August 2021

Introduction:
Periodontal disease (PD), a major health problem, reportedly affects a large percentage of the adult population with multifactorial etiology including awareness and practices from family and/or their treating physician.

Aim:
The aim of the study was to assess the patient's oral health as well as PD awareness before and after comprehensive periodontal treatment registered at the Outpatient Department of Batterjee Medical College.

Materials and Methods:
The present cohort study was conducted on 120 adult patients, selectively undergoing comprehensive clinical care by the dental students of the final 2 clinical years (D4 and D5, respectively) and interns (D6) with a self-answered questionnaire.

Results and Discussion:
Among the majority (92%, n = 113), the usage of toothbrush and toothpaste was common before treatment like the previous studies. In addition, there was an increase in the knowledge of the word dental plaque and calculus, where the majority believed calculus to be the causative factor of PD. It was noticed that there was very little difference in the knowledge being given regarding systemic association to their oral health. Postoperatively, 70% of the patients believed that they should visit the dentist annually or biannually, but a larger percentage across all groups (them) believed that dental visits are need based. Moreover, awareness increased postoperatively in patients. As a result, the majority of them acknowledged the deleterious effects of smoking.

Conclusion:
A change in the patient's attitude and behavior toward oral health is achieved in a coalition with the practitioner's professionalism, empathy, and delivery of oral hygiene advice.
18F-fluorodeoxyglucose positron emission tomography-computed tomography imaging of leiomyomatosis peritonealis disseminata
Authors: Khoo Alex Cheen Hoe , Lim Shyang Yee 
Published: August 2021

AbstractLeiomyomatosis peritonealis disseminata (LPD) is a rare benign condition characterized by multiple smooth muscle implants in the peritoneal cavity. The clinical presentation is usually nonspecific abdominal discomfort and nontender abdominal mass. Preoperative imaging usually points to suggests malignancy due to its unusual location, but the diagnosis can only be confirmed by histopathological examination. We share 18F-Fluorodeoxyglucose positron emission tomography-computed tomography images of a 43-year-old woman diagnosed with LPD and briefly discuss the clinical aspects of this disease.
სტუდენტთა მიერ ციფრულ საკომუნიკაციო საშუალებათა გამოყენების ზოგადი ანალიზი კორონავირუსის გამო დისტანციური სწავლის დროს
Authors: TIKISHVILI MZIA 
Published: August 2021

მზია ტიკიშვილი
ეკონომიკის მეცნიერებათა დოქტორი
ინფორმაციული მენეჯმენტი ეკონომიკასა და ბიზნესში, ივანე ჯავახიშვილის თბილისის სახელმწიფო უნივერსიტეტი, ეკონომიკისა და ბიზნესის ფაკულტეტი, მოწვეული ლექტორი
E-mail: mzia.tikishvilii@bntu.edu.ge
http://orcid.org/0000-0002- 5240-9030

მოკლე აღწერა
კორონავირუსულმა პანდემიამ მოულოდნელად მკვეთრად შეცვალა ჩვენი ცხოვრების ყოველდღიური რიტმი. გლობალური მასშტაბით მოუწიათ მოსახლეობასა და ორგანიზაციებს ცხოვრების ახალ ხერხებზე მორგება და ბევრ ახალ წესთან შეგუება.
კოვიდ-19-მა ახალი გამოწვევების წინაშე დააყენა ინფორმაციული ტექნოლოგიებიც, და თუ პანდემიამ უკან დასწია ეკონომიკის და ბიზნესის ზოგიერთი დარგი, ამას ვერ ვიტყვით ინფორმაციულ ტექნოლოგიებზე. ინფორმაციული ტექნოლოგიები აქამდეც მართალია სწრაფი ევოლუციით გამოირჩეოდნენ, მაგრამ პანდემიის გამო ბლოკირებამ და ონ-ლაინ რეჟიმში სულ უფრო მეტი მომხმარებლებლებისა და სერვისების ჩართვამ მათი არნახულად სწრაფი ტემპით განვითარება და IT ინდუსტრიაში უამრავი შესაძლებლობის გახსნა გამოიწვია.
სტატიაში მოკლედაა დახასიათებული დისტანციური სწავლის დროს ყველაზე ხშირად გამოყენებული საკომუნიკაციო საშუალებები, და მოყვანილია კორონავირუსის გამო დისტანციურ სწავლებაზე გადასვლისას სტუდენტთა მიერ ციფრულ საკომუნიკაციო საშუალებათა გამოყენების ზოგადი ანალიზი.
სტატიის კვლევის შედეგი გვიჩვენებს თუ როგორი დამოკიდებულება გააჩნიათ სამივე საფეხურის სტუდენტებს (ბაკალავრებს, მაგისტრებს, დოქტორანტებს) ზოგადად ონლაინ რეჟიმში სწავლებისა და მუშაობისადმი; რას მიიჩნევენ ისინი ონლაინ რეჟიმის ყველაზე დიდ უპირატესობად და ყველაზე დიდ ნაკლოვანებად; თანამედროვე ციფრული საკომუნიკაციო საშუალებებიდან კერძოდ რომელს ანიჭებენ უპირატესობას დისტანციური სწავლისას; ზოგად ანალიზთან ერთად ჩატარებულია აგრეთვე კვლევა სქესი და სწავლის საფეხური ახდენს თუ არა გავლენას სტუდენტთა მიერ ციფრული საკომუნიკაციო საშუალების არჩევანზე. ამ მხრივ ნაშრომში დასმულია ჰიპოთეზები, რომელთა შემოწმებაც რეალიზებულია დისპერსიული ანალიზის საშუალებით.
INFLUENCE OF TEMPERATURE AND DURATION OF STORAGE OF FROZEN MILK OF VARIOUS AGRICULTURAL ANIMALS ON ITS TECHNOLOGICAL PROPERTIES
Authors: Dmitruk E. , Efimova E. , Virina S. 
Published: August 2021

The article presents the results of studies on the influence of temperature and duration of storage of frozen milk of various farm animals on its technological properties. It was found that with an
increase in the duration of storage of frozen milk, the organoleptic characteristics of sour-milk and protein products produced using this milk slightly decrease, the yield of protein products and the degree of use of dry substances decrease.
STUDYING THE INFLUENCE OF SEASONAL FACTORS ON CASEIN AND WHEY PROTEIN CONTENT IN RAW MILK AND CHEESE YIELD
Authors: Bahdanava L. , Podryabinkina A. , Bahdanau I. , Savelyeva T. 
Published: August 2021

The article presents the results of research to study seasonal changes in the content of total protein, casein and whey proteins in raw milk and to analyze their impact on cheese yield. It was determined that the lowest casein content in raw milk (18% lower than the national average) was observed in October and March. The linear
dependence of the cheese yield on both the total protein content and casein content was established.
TECHNOLOGICAL FEATURES OF PRODUCTION OF BOILED-SMOKED SAUSAGE PRODUCTS AT THE MODERN STAGE
Authors: Meliashchenia A. , Demchina T. , Marchenko K. 
Published: August 2021

The features of the modern technological process of manufacturing boiled-smoked sausages, including depending on the method of preparation of raw meat, on the type and diameter of the shell, the presence of secondary smoking, are studied. In industrial conditions, the established optimal heat treatment modes were tested according to two schemes, depending on the presence of secondary
smoking. Investigations of quality and safety indicators of manufactured samples. Based on the studies, a standard technological instruction for the manufacture of cooked smoked sausages according
to the state standard is being developed.
RHEOLOGICAL BASES OF THE PROCESS OF SEPARATION OF MEAT AND BONE RAW MATERIALS BY THE SCREW PRESSING UNIT
Authors: Grudanov V. , Brench A. , Datsuk I. 
Published: August 2021

The process of separating meat and bone raw materials using screw devices is considered. A rheological model of the fullness extraction of the meat fraction during the separation of meat and bone raw materials by the screw pressing unit has been developed. A laboratory stand with a screw pressing unit for separating meat
and bone raw materials was designed and
manufactured. The results of experimental
studies of the influence of modal constructive
parameters of a laboratory deboning press on
the fullness extraction of meat fraction during
the separation of meat and bone raw materials
are presented.
INFLUENCE OF DETERGENTS AND DISINFECTANTS ON THE QUALITY INDICATORS OF EDIBLE HEN EGGS WASHED AND DISINFECTED
Authors: Gordynets S. , Charniauskaya L. , Yakhnovets J. , Kosyanenko S. , Kiselev A. 
Published: August 2021

The article presents the results of evaluating the effect of detergent and various disinfectants used for sanitary treatment of the surface of egg shells of hen edible on their quality and safety indicators. Four disinfectants belonging to different groups of drugs were selected for research: «SUNWAY DES» (peroxide), «Silversil Des» (silver-containing), «Lanex» (quaternary-ammonium compounds), «Catelon 502» (containing peracetic acid). A decrease of the mass of all samples of eggs during the whole storage period (35 days) 5,6–6,6% of initial, was increasing the height of the air chamber eggs 2,3–2,9 times, with the largest increase was in specimens treated by «Silvercel Des» and «Lanex». The decrease in egg density in
salt solution was at the same level in all
experimental samples. There was a decrease in the yolk index by 7,7% in the control sample and by 16,3–19,0% in the experimental samples, but the yolk shell did not break in all cases. By the end of
the shelf eggs life, the shell thickness and elastic deformation met the requirements. According to microbiological indicators, all egg samples during 33 days of storage met the requirements of the technical normative legal acts. Organoleptic evaluation of eggs at 16 and 35 days of storage allowed us to establish that the best, closest in organoleptics to the eggs of the control group, were the eggs of the 1st experimental group, and the worst, according to the conclusion of the majority of tasters, were the eggs of the 3rd experimental group. Based on a comprehensive analysis of the research, it was found that «SUNWAY DES» and «Catelon 502» disinfectants can be recommended for disinfecting the surface of the egg shell of edible hen eggs.
ASSESSMENT OF TECHNOLOGICAL CHARACTERISTICS OF CONSORTIA OF LACTIC ACID MICROORGANISMS DURING FREEZING IN LIQUID NITROGEN AND STORAGE
Authors: Titova O. , Golovach O. , Proshkina M. , Spiridonova I. , Zhabanos N. , Furik N. , Savelyeva T. 
Published: August 2021

The article provides a comparative assessment of the main technological characteristics of consortia of lactic acid microorganisms used to make starter cultures for cottage cheese products, before and after freezing in liquid nitrogen, during storage for 6 months. It was found that when stored for 6 months with a temperature regime of minus (40 ±
2) ºС and below, the main technologically
significant characteristics of consortia of lactic acid microorganisms for the manufacture of starter cultures used in the dairy industry are preserved.
INVESTIGATION OF THE RHEOLOGICAL CHARACTERISTICS AND LEVEL OF SYNTHESIS OF EXOPOLYSACCHARIDES (EPS) BY THE CONSORTIUM OF STREPTOCOCCUS SALIVARIUS SUBSP. THERMOPHILUS AND
LACTOBACILLUS DELBRUECKII SUBSP. BULGARICUS AT DIFFERENT TEMPERATURE IN PROCESS OF MILK FERMENTATION
Authors: Golovach O. , Babitskaya M. , Zhabanos N. , Pyzhik I. , Korkina M. , Smaliak T. 
Published: August 2021

The article provides the results of studies on the influence of temperature conditions of milk fermentation in the manufacture of yogurt on the characteristics of milk clots and the level of EPS production. The characteristics of the samples of reconstituted skim milk fermented by consortia of lactic acid microorganisms for the manufacture of
starter and viscous consistency yoghurt starter cultures under temperature conditions are determined: (43 ± 1)°С, (38 ± 1)°С, (35 ± 1)°С and ( 30 ± 1)°С. It was noted that with a decrease in the fermentation temperature from (43±1)°C to (30±1)°С, the organoleptic characteristics of the formed clot are evaluated differently. At the fermentation temperature of (30±1)°С, the lowest
degree of syneresis was noted: 45% for the consortium, during the fermentation of milk raw materials forming clumps of inviscid consistency, 29% for the consortium, during the fermentation of
milk raw materials forming clumps of viscous consistency. At the same time, it was found that at fermentation temperatures of (43±1)°С and (30±1)°С, the highest level of EPS synthesis for consortia was noted: (2107 ST-A+2674 TL-AV) – 874.6 and 667.9 μg / ml, (1141 ST-AV+2674 TLAV) – 683.9 and 541.3 μg / ml.
Influence of Point-Based Program on Financial Performance of Selected Firms in the Service Industry in Kenya.
Authors: Kiarie John , Kirori Gabriel , Wachira David 
Published: August 2021

Introduction: Points based programs are programs offered by service industries to their customers when they make a purchase. In Points based system, frequent customers earn points, which translate into some type of reward: discount, gifts, or special customer treatment, customer purchases toward a certain amount of points to redeem their reward.
Purpose: This study sought to establish the influence of point-based program on financial performance of selected firms in the service industry in Kenya.
Methodology: The research design adopted descriptive method of the study. The target population was three (3) telecommunication firms (Safaricom, Airtel and Telkom Kenya), 5 supermarkets and 18 Five Star hotels. The study used census survey method for telecommunication firms and all the 18 five-star hotels in Nairobi offering loyalty points and thus there was no sampling. The study used secondary data extracted from financial statements. The researcher used both descriptive and inferential statistics. Descriptive analysis and trend analysis of the dependent and the independent variable were conducted.
Findings: The results showed that point-based program has a positive and significant relationship with financial performance of selected supermarkets in Kenya.
Recommendations: The study recommended that it’s imperative for the policy makers such as Communication Authority of Kenya, Tourism Authority of Kenya and the ministry of trade to support the development and usage of point based programs among supermarkets firms in Kenya. This can be done in friendly manner such as avoiding overly broad and strong regulation of the point based programs. In this regard, the government and the law makers should ensure that they involve a variety of point based programs stakeholders in the regulatory process, so that their vision and needs can be fairly balanced with government interests.
EFFECT OF INTEGRATED TICKETING ON SUSTAINABLE MOBILITY IN THE MATATU SACCOS IN NAIROBI COUNTY, KENYA
Authors: Muhoro Priscilla , Wachira Anita , Kiarie David 
Published: August 2021

Purpose: The purpose of this study was to establish the effect of integrated ticketing on sustainable mobility in the Matatu Saccos in Nairobi County, Kenya.
Materials and Methods: The study was guided by Positivism philosophy while descriptive research design was adopted. The target population was 177 Sacco Managers and two representatives, one from MOT and other from MVOA respectively. The whole population of 179 respondents was used in the study hence; the study employed the census approach. The questionnaire was pilot tested on 18 respondents who were selected randomly. The study applied Cronbach's alpha and the results displayed a high level of internal consistency hence infers that the research tool used in the study was reliable. The data collection instrument was a semi-structured questionnaire, which were dropped and picked later. A semi-structured interview guide was also used. Data was analysed using descriptive and SPSS Version 24.
Results: Correlation analysis indicates that there is a strong positive and significant relationship between integrated ticketing and sustainable mobility of Matatu Sacco in Nairobi County. (rho = 0.809, p value <0.05). Regression analysis also showed that in general, integrated ticketing is significant in explaining the variation in sustainable mobility of Matatu Sacco’s in Nairobi County, Kenya (β = 1.046, t = 15.872, p<0.05).
Unique contribution to theory, practice and policy: The study recommended that, the Ministry of Transport and the management of the Saccos should formulate substantial policies on how to handle ticketing where the government imposes control of fares. This ensures that there is functional guidance on charging the passengers, which would, in turn, improve customer satisfaction and improve company image.
AN EXAMINATION OF FACTORS LEADING TO THE COLLAPSE OF PUBLIC SECTOR ORGANIZATIONS IN GHANA: A CASE STUDY OF METRO MASS TRANSPORT
Authors: Mantey Isaac , Frempong Abigail , Aryee Christopher Lartei , Ampofo Justice Agyei 
Published: August 2021

Tax payers money are been used every day in Ghana to establish public sector organizations. This is why the management of public sector organizations is important in sustainable development. The main objective of this study was to examine the factors leading to the collapse of Metro Mass Transit in Ghana. The study revealed literature on transportation, the role of the state in public transportation, the nature of Metro Mass Transit operations, management practice of Metro Mass Transit and challenges of the public transport system. The study purposively sampled sixty (60) respondents which comprises of 30 workers of Metro Mass Transit (10 Professional Drivers, 10 Senior Management Staff and 10 Junior Staff) and 30 passengers (comprising of 15 passengers from Metro Mass Transit, 5 passengers of OA Transport, 5 passengers of VIP Transport and 5 passengers from VISION Transport). The major findings of the study revealed that Metro Mass Transit offers scheduled trips on intercity and intra city route but does not offer quality transport services as private transport like OA, VIP and VISION does in Accra. The study also found out that passengers prefer private transport more to Metro Mass Transit because the workers have good communication skills as compared to the workers of Metro Mass Transit in Accra, Metro Mass Transit officials have inefficient managerial skills and therefore can’t meet the demands of their customers, Metro Mass Transit have inadequate operation buses, there is frequent breaking of Metro Mass Transit vehicles. The study recommends that the management of Metro Mass Transit should make proper use of Public Private Partnership. This can help in securing more buses to boost their operations. The study also recommends that the management of Metro Mass Transit should work on improving their management practices to enhance performance in other to meet the demand of their customers. Again the management of Metro Mass Transit should ensure that there is frequent maintenance of vehicles to enhance effective operations and also management must also try to maintain an optimum level of providing good communication and effective managerial skills in order to improve its operations.
Keywords: Factors, Collapse, Public Sector Organizations, Metro Mass Transport, Ghana.
Covid-19 Pandemisinde Kişisel Koruyucu Ekipman Akılcı Kullanım Uygulaması Etkinliğinin Değerlendirilmesi
Authors: ARTUK Cumhur , ÖZBEK GÜVEN Gamze 
Published: August 2021

Amaç: Kısa sürede tüm dünyayı etkisi altına alan COVİD-19 pandemisi nedeniyle sağlık çalışanları zor süreçler yaşamaktadırlar. Özellikle virüsten etkilenmiş insanlarla yakın temas halinde çalışmalarından dolayı hastalık etkenine maruz kalma olasılıkları yüksektir. Bu nedenle sağlık çalışanlarının hastaya yaklaşmadan önce kişisel koruyucu ekipmanı (KKE) doğru seçip ve kullanması, el hijyenine ve sosyal mesafeye dikkat etmesi önem arz etmektedir. Bu çalışmada sağlık çalışanlarının COVİD-19 virüsüne karşı kişisel koruyucu ekipman (KKE) kullanımı hakkında geliştirilen uygulamanın etkinliğini değerlendirmek amaçlanmaktadır.
Gereç ve Yöntemler: KKE kullanımı hakkında eğitim, uygulama ve değerlendirme aşamalarından oluşan bir program geliştirilmiştir. Tüm sağlık çalışanlarına eğitim verilmiştir. Eğitimden sonra uygulamaya geçilmiştir. Uygulamada tüm personele KKE temini aralıksız sağlanmıştır. Kullanıcılar sürekli gözlemlenerek, geri bildirimler verilmiştir. Aynı zamanda PCR kültürleri alınarak taramalar yapılmıştır. Virüs tespit edilen çalışanın KKE kullanımı ve etkene maruziyet öyküsü alınarak programın etkinliği değerlendirilmiştir.
Bulgular: Sağlık çalışanlarının özellikle gece ve hafta sonu mesai saatleri ile dinlenme ve yemek zamanlarında maske kullanımı ve sosyal mesafeye dikkat etmedikleri gözlemlenmiştir. Sağlık çalışanlarına daha çok hane halkı üyelerinden ve sosyal yaşamdan bulaşma olduğu değerlendirilmiştir. Yeni işe başlayan sağlık çalışanlarının enfeksiyon kontrolünde riskli davranışları belirlenmiştir.
Sonuç: Araştırma pandemi ile mücadelede sağlık çalışanlarının KKE kullanımı ile enfeksiyon kontrol önlemleri hakkında sürekli eğitimin ve kontrolün önemini göstermiştir. Özellikle sağlık çalışanlarına yönelik izlem çalışmalarının devam etmesi gerekmektedir. Aşılamadan sonra da sağlık çalışanlarının COVİD-19’dan nasıl etkilendiği ve enfeksiyon kontrol önlemlerine uyumu değerlendirilmelidir.
Chuvas intensas para projetos de conservação do solo e da água no estado de Santa Catarina
Authors: Back Álvaro José , Wildner Leandro do Prado , Pereira Jóri Ramos 
Published: August 2021

Para o dimensionamento de estruturas para conservação do solo e água é imprescindível conhecer o valor da chuva intensa de cada local. O presente trabalho teve como objetivo determinar o valor representativo das chuvas intensas a ser usado em projetos de conservação do solo e água para todos os municípios do estado de Santa Catarina. Foram utilizadas séries históricas de 162 estações pluviométricas que possuíam mais de 30 anos de dados, incluindo o período após o ano 2000. Para cada estação foram ajustados os parâmetros da distribuição GEV e Gumbel. Com a distribuição que apresentou melhor ajuste foram estimados os valores de chuva máxima com período de retorno de 10 anos. Estes dados foram espacializados, usando o método da Krigagem, e obtidos os valores médios representativos para cada município catarinense. Os resultados mostram uma variação espacial da chuva intensa no estado, com maiores valores nas Regiões do Extremo Oeste, Litoral Centro e Litoral Norte, e menores no Alto Vale do Itajaí. Para o período de retorno de 10 anos a chuva máxima diária variou de 104,9 a 157,1mm, enquanto a intensidade da chuva com duração de 15 minutos variou de 93,2 a 139,5mm h-1.