Introduction: Rhinoplasty is an esthetic and functional nasal reconstruction surgery. The elimination of physical disabilities directly affects mental health and leads to a better psychological balance. Therefore, patient satisfaction is considered a valuable measure of medical service outcomes. The objectives of this study were to evaluate subjective patient satisfaction 1 year after surgery and its influence on the quality of life.Methods: This was a clinical, retrospective, randomized, and single-blinded study in which patients were randomly questioned by the same examiner. All subjects underwent pre-operative preparation and post-operative flow at Eurofarm Centre from 2007 to 2010. The survey was conducted through anonymous questionnaires that were provided to each respondent at least 1 year after discharge from the hospital.Results: Overall, 20 (50%) patients had esthetic and 20 (50%) had functional nasal surgery. Most respondents were born between 1971 and 1980 (52.5%) and between 1981 and 1991 (40%), with the least born between 1951 and 1960 (2.5%). Regarding the education level, 27 had university degrees (67.5%), 1 had postgraduate education (2.5%), and 12 (30.0%) were secondary school graduates. In addition, 25 (62.5%) were unmarried and 15 (37.5%) were married.Conclusion: No statistically significant correlation was found between the subjective assessment of patient’s health based on eight dimensions of health assessment and variables such as type of surgery, age, level of education, and marital status 1 year after undergoing rhinoplasty. A statistically significant difference was found between the type of surgery and physical pain (p = 0.004 < 0.05, Mann–Whitney U test). Based on the research findings, we can conclude that patient satisfaction after undergoing rhinoplasty was moderately correlated positively with the quality of life (r = 0.180-0.345, p < 0.05).

In this paper, we try to modestly, but strictly, using a mathematical approach, show that life was created with a certain goal and that the possibility of accidental origin of life is equal to zero. To calculate the probability of accidental creation of only one protein molecule, the basic building block of living systems, we selected a hemoglobin molecule that, because it is well studied, has become the standard for protein research. For comparison, together with this calculation, we also made a calculation of the probability of the systematic stacking of chaotically scattered playing cards from a certain height on a certain surface, a probability that is generally accepted as - improbably!

Introduction: Using computed tomography (CT) and treatment planning systems (TPS) in radiotherapy, due to the difference in photon beam energy on CT and linear accelerator, it is necessary to convert Hounsfield units (HU) to relative electron density (RED) values. The aim of this dosimetric study was to determine whether there is a significant effect of potential in the CT tube, field of view size (FOV), and phantom dimensions on the CT conversion curve CT-RED. The second aim is whether there are significant differences between the CT-RED obtained by the Computerized Imaging Reference Systems (CIRS) Thorax 002LFC phantom and the “reference” curve in the TPS, obtained by the CIRS 062M pelvis phantom, at the same CT conditions.Methods: Heterogeneous CIRS 062M and CIRS Thorax 002LFC phantoms were used, which anatomically and dimensionally represent the human pelvis, head, and thorax, with a set of known RED inserts. They were scanned on a CT LightSpeed GE simulator and obtained CT-RED.Results: The high voltage in the CT tube had a significant effect on the HU (t = 10.72, p < 0.001) for RED values >1.1, while FOV as a parameter did not show statistical significance for the 062M pelvis phantom. Comparing the slopes (062M pelvis and head) of the CT-RED for RED ≥ 1.1, the obtained value is t = 1.404 (p = 0.163). In the case of a 062M pelvis and a 002LFC phantom, we have seen a difference in RED values (for the same HU value) of 5 % in the RED region ≥ 1.1 (bone).Conclusion: Patients should be imaged on a CT simulator only at the potential of the CT tube on which the conversion curve was recorded. The influence of the FOV and scanned phantom dimensions is not statistically significant on the appearance of the calibration curve (RED ≥ 1.1).

A inclusao de pessoas surdas tem ganhado visibilidade nas ultimas decadas, cita-se como exemplo a redacao do ENEM no ano de 2017, a implementacao dos cursos de licenciatura e bacharelado de Letras: Libras e as acoes das universidades publicas. Diante do exposto, o presente trabalho tem por objetivo compreender como se caracteriza o ethos da Universidade Federal de Goias (UFG) acerca da inclusao, especificamente no que se refere a inclusao dos sujeitos surdos. Para tanto, foi desenvolvida uma pesquisa qualitativa, de carater documental. O trabalho tem como aporte teorico os estudos acerca da Analise do Discurso e do ethos desenvolvidos por Maingueneau (2008, 2018), alem de teoricos que discorrem sobre a educacao de surdos. O corpus e formado por uma noticia acerca do seminario de avaliacao do programa UFGInclui, da Universidade Federal de Goias (UFG). Os resultados encontrados indicam que embora a instituicao busque um ethos positivo, no que se refere a comunidade surda, o ethos visado nao corresponde com o produzido. PALAVRAS-CHAVE : Surdos. Discurso. Ethos. Inclusao. DOI: https://doi.org/10.47295/mgren.v9i3.2427

Matrix factorization methods employ standard linear algebra, i.e. linear models, for recommender systems. With the introduction of the tropical semiring, we can achieve non-linearity. We review algorithms that use the tropical semiring for matrix factorization and provide their strengths and limitations. We show that the tropical matrix factorization yields better results than non-negative matrix factorization for the synthetic data created by the underlying process of the tropical semiring.

Castleman disease (CD) includes a group of rare and heterogeneous disorders with characteristic lymph node histopathological abnormalities. CD can occur in a single lymph node station, which is referred to as unicentric CD (UCD). CD can also involve multicentric lymphadenopathy and inflammatory symptoms (multicentric CD [MCD]). MCD includes human herpesvirus-8 (HHV-8)-associated MCD, POEMS-associated MCD, and HHV-8-/idiopathic MCD (iMCD). The first-ever diagnostic and treatment guidelines were recently developed for iMCD by an international expert consortium convened by the Castleman Disease Collaborative Network (CDCN). The focus of this report is to establish similar guidelines for the management of UCD. To this purpose, an international working group of 42 experts from 10 countries was convened to establish consensus recommendations based on review of treatment in published cases of UCD, the CDCN ACCELERATE registry, and expert opinion. Complete surgical resection is often curative and is therefore the preferred first-line therapy, if possible. The management of unresectable UCD is more challenging. Existing evidence supports that asymptomatic unresectable UCD may be observed. The anti-interleukin-6 monoclonal antibody siltuximab should be considered for unresectable UCD patients with an inflammatory syndrome. Unresectable UCD that is symptomatic as a result of compression of vital neighboring structures may be rendered amenable to resection by medical therapy (eg, rituximab, steroids), radiotherapy, or embolization. Further research is needed in UCD patients with persisting constitutional symptoms despite complete excision and normal laboratory markers. We hope that these guidelines will improve outcomes in UCD and help treating physicians decide the best therapeutic approach for their patients.

Introduction: Worldwide, COVID-19 pandemic caused millions of infected people and thousands of deaths. Due to enormous pressure on health-care systems and its inadequate preparedness, utter collapse is expected. In the current epidemic response, healthcare workers’ (HCWs) knowledge and practice are crucial, while the impact on their mental health is still unknown.Methods: The cross-sectional study was conducted among HCWs redeployed to COVID points in the Public Institution Health Centre of Sarajevo Canton. According to guidelines and information provided by the World Health Organization and Ministries of Health, a questionnaire was developed. In addition, General Anxiety Disorder-7 as a screening tool for anxiety disorders was used.Results: Of 180 respondents, 26 (14.4%) were in direct contact with the sick patient. In total, 79 (43.9%) respondents consider their personal protective equipment is in accordance with the guidelines of the world health authorities. A total of 72 (39.7%) of respondents used the same mask for several days. In general, the danger from new coronavirus was considered minimal by 59 (32,6%) HCWs. Based on the achieved score for assessing the anxiety disorder, in 63 (35%) subjects, the presence of severe symptoms was detected.Conclusion: This study found that most HCWs do not have enough knowledge about the COVID-19 pandemic. We identified that there are differences in the sources of information and gap in perceptions of the native origin of the virus. Considering the frequency of anxiety symptoms among HCWs, interventions are necessary in order to preserve their mental health.

The research deals with the optimisation of CNC turning process parameters to determine the optimal parametric combination that provides the minimal surface roughness (Ra) and maximal material removal rate. The experiment was conducted by the CNC turning process of S355J2 carbon steel. Data from the Taguchi design of experiments were the subject of analysis with Grey Relational Analysis (GRA) and Technique for Order Preference by Similarity to Ideal Solution (TOPSIS). In the present study, three process parameters, such as cutting speed, feed rate and depth of cut, were chosen for the experimentation. It was found that 250 m/min cutting speed, 0.10 mm/rev feed rate and 1.8 mm depth of cut presented the optimal parametric combination by both used multi-objective optimisation methods. Analysis of variance (ANOVA) at a 95 % confidence level was used to determine the most significant parameters. Finally, the accuracy of GRA and TOPSIS results were validated by confirmation experiments.

Trends of globalization very often cause the emergence of phenomena that asymmetrically affect the overall sustainability of the transport system. In order to predict certain situations and potentially be able to manage the transport system, it is necessary to manage risk situations and traffic safety in a timely manner. This study has conducted an investigation which implies defining the level of safety of a total of nine sections of two-lane roads. The main aim of the paper is to create a new multiphase model consisting of CRITIC (The CRiteria Importance Through Intercriteria Correlation), Fuzzy FUCOM (Full Consistency Method), DEA (Data Envelopment Analysis), and Fuzzy MARCOS (Measurement Alternatives and Ranking according to the COmpromise Solution) methods for determining the level of traffic safety on road sections under the conditions of uncertainty. In order for the created model to be adequately applied, eight parameters were created, and they were classified through four inputs and four outputs. To calculate the significance of the inputs, the CRITIC method based on the symmetric correlation matrix was used, and taking into account the nature of the outputs, the Fuzzy FUCOM method based on averaged values using the fuzzy Bonferroni Mean (BM) operator was applied to determine their weights. To determine the degree of safety, the DEA model was created. After that, the Fuzzy MARCOS method was used in order to determine the final ranking of the remaining five sections of the road network. Finally, the verification of results was performed through three phases of Sensitivity Analysis (SA).

When a TeV-scale leptoquark has a sizeable Yukawa coupling, its dominant production mechanism at hadron colliders is the partonic-level lepton-quark fusion. Even though the parton distribution functions for leptons inside the proton are minuscule, they get compensated by the resonant enhancement. We present the first computation of higher order radiative corrections to the resonant leptoquark production cross section at the Large Hadron Collider (LHC). Next-to-leading (NLO) QCD and QED corrections are similar in size but come with the opposite sign. We compute NLO K-factors for a wide range of scalar leptoquark masses, as well as, all possible combinations of quark and lepton flavors and leptoquark charges. Theoretical uncertainties due to the renormalisation and factorisation scale variations and the limited knowledge of parton distribution functions are quantified. We finally discuss how to disentangle the flavor structure of leptoquark interactions by exploiting the interplay between different production channels.

Abstract The aim of this study was to determine the cytogenotoxic effects of methylparaben, ethylparaben and butylparaben using battery of tests in plant cells (Allium cepa assay) and human lymphocytes (chromosome aberration test and alkaline comet assay). Our results for A. cepa assay showed that none of the tested parabens showed an inducing effect on root growth. Mitotic index values decreased with increasing parabens concentration. Ethylparaben (0.10 mg/L) induced a higher number of vagrants and multipolarity, as well as the number of sticky chromosomes (0.50 mg/L), while butylparaben (0.25 and 0.50 mg/L) increased the frequency of sticky chromosomes. Higher frequency of apoptosis and necrosis was observed for ethylparaben (0.50 mg/L) and methylparaben (0.10 and 0.50 mg/L). As for chromosome aberrations test in human lymphocytes, the mitotic index was reduced with an increase in the concentration of all three tested parabens. Differences between methylparaben (0.25 mg/L), ethylparaben (0.10 mg/L) and butylparaben (0.25 mg/L) and controls for acentric fragments, chromatid breaks and polyploidy were observed. Increased frequency of apoptosis was induced by methylparaben and ethylparaben at concentrations of 0.25 and 0.50 mg/L. Alkaline comet assay demonstrated that 0.25 and 0.50 mg/L of ethylparaben and butylparaben have genotoxic potential by increasing the tail intensity against controls. These results suggest that methyl-, ethyl- and butylparaben possess certain geno/cytotoxic potential.