Multi-criteria decision making for determining landfill location in Malaka Regency, East Nusa Tenggara Province of Indonesia

The absence of a landfill has increased the illegal waste disposal sites in Malaka Regency, which was established between 2013 and 2021. Therefore, this study aimed to analyze suitable and available land for the development of a landfill. The methodology used consisted of 2 analysis steps, namely land suitability and land availability. Land suitability was analyzed using a multi-criteria decision-making method, which included the slope, stone type/geology, lithology, soil type, soil texture, soil depth, soil drainage, distance from settlements, and water sources. The criteria were then weighted using the Analytical Hierarchy Process (AHP) and geographic information system for overlaying. Furthermore, the results of the land suitability analysis were used to determine its availability with the aid of spatial and regional planning (RTRW), land use, and forest area maps. The results showed that the highly suitable (S1) and available terrain for the landfill in Malaka Regency covered an area of 203.37 ha or 1.73% of the regency. Also, the analysis results indicated that there was still adequate land available for the landfill.

PRODUCTS OF ULTRAFILTERS AND MAXIMAL LINKED SYSTEMS ON WIDELY UNDERSTOOD MEASURABLE SPACES

Constructions related to products of maximal linked systems (MLSs) and MLSs on the product of widely understood measurable spaces are considered (these measurable spaces are defined as sets equipped with \(\pi\)-systems of their subsets; a \(\pi\)-system is a family closed with respect to finite intersections). We compare families of MLSs on initial spaces and MLSs on the product. Separately, we consider the case of ultrafilters. Equipping set-products with topologies, we use the box-topology and the Tychonoff product of Stone-type topologies. The properties of compaction and homeomorphism hold, respectively.

Correlations between the Physical Mechanical Properties of Greek Dimension Stones

This study focuses on the investigation of possible relations betweenthe physical mechanical properties of natural stones from various places in Greece, i.e., limestones, marbles, sandstones and schists. Specimens were prepared to perform laboratory tests according to the applicable EN. Overall and “by stone type” correlation equations were established between flexural strength under concentrated load valueswithout and either after freeze–thaw cycling or thermal shock, indicating a linear and a powerrelationship, respectively. A power function was establishedbetween flexural strength under a concentrated load and under a constant moment. Results have also shown that water absorption increases linearly with open porosity.

Factors Affecting Transfusion During Percutaneous Nephrolithotomy: A Retrospective Study of 665 Cases

Purpose: To evaluate the aspects affecting transfusion following percutaneous nephrolithotomy (PCNL).Background: From 2016 to 2019, 665 patients underwent PCNL for removal of renal calculi in our center. Complications, including hemorrhages, have been reported. Twenty-three patients (3.5%) have received a blood transfusion and twelve (1.9%) were treated by hyper-selective embolization. We focus on the influencing factors related to postoperative blood transfusion. The factors analyzed were (age, sex, hypertension, diabetes, serum creatinine level, preoperative hemoglobin, and use of anticoagulants or antiplatelet medications); renal and stone factors (previous surgery, abnormal anatomy, stone side, stone burden, stone type); and surgical features: (access number, the calyx of puncture and stone-free rate). These data were analyzed for the presence of bleeding.Results: Among individual factors, preoperative hemoglobin level (P<0.001), and urinary infection (P<0.001) were significantly correlated with blood transfusion. Among renal and stone factors, only previous history of open surgery was significantly correlated with blood transfusion (P<0.05). Stone type or stone burden does not correlate with transfusion. There was also no statistically significant correlation between surgical features and bleeding, and a lower stone-free rate reported for transfusion group.Conclusion: The obtained results demonstrated that PCNL is a safer surgery in a high volume center, but anemic conditions, infections and history of open surgery will significantly increase transfusion rate following PCNL.

Central incisors shape and proportions prevalence in Argentinian university students: by visual assessment and a new standardized method

The aim of this study was to analyze the dimensions of the clinical crown of upper central incisors and the prevalence of tooth shapes by two different protocols. Assessment was performed on each of the 111 dental stone type V maxillae models of students of dentistry from Buenos Aires University [93 females and 18 males, mean age 23.70 (± 2.26) years] The mesial and distal-vestibular angles were defined on each right upper incisor, and the following segments were defined: AB (zenith - incisal edge), CD, EF, GH (apical, middle, and incisal thirds - vestibule - mesial and vestibule-distal angles) and their lengths were determined with a precision caliper. Then, the CD/AB, EF/AB and mean CD-EF/AB ratios were calculated. Shapes were assessed by four independent observers, three of whom evaluated digital images of the models, while the fourth had no access to the images, and determined the shapes using an algorithm developed from the dimensions of the studied segments. Rates and confidence intervals were determined, and Fleiss’ Kappa was calculated to assess the agreement among the evaluators who worked with the images and among all of them. Average incisor length was 10 mm, and widths at CD and EF were 7.35 mm (0.65) and 8.27 mm (0.58), respectively. Regarding shapes, 51.58% (47.90-55.20) of the incisors were identified as square, 18.02% (14.50-21.90) as ovoid and 30.41% (30.00-30.90) as triangular. Fleiss’ Kappa agreement was 0.71 (0.62-0.80). The application of the proposed algorithm provided a considerable level of agreement among the observers. Regarding tooth size, both the average segment length and the proportions were similar to those reported by various authors.

Prospective Single-Center Study of SuperPulsed Thulium Fiber Laser in Retrograde Intrarenal Surgery: Initial Clinical Data

<b><i>Introduction:</i></b> The objective of this study was to present our clinical experience of using the thulium fiber laser in retrograde intrarenal surgery (RIRS). <b><i>Methods:</i></b> A prospective clinical study performed after the IRB approval (Sechenov University, Russia). Patients with stones &#x3c;30 mm were treated with SuperPulsed thulium fiber laser (SP TFL) (NTO IRE-Polus, Russia) through a 200-μm-diameter fiber. Stone size, density, the duration of the operation, and laser on time (LOT) were measured. Based on the surgeon’s feedback, retropulsion and intraoperative visibility were also assessed (Likert scale). Stone-free rates (SFRs) were assessed with a low-dose CT scan 90 days after the operation. <b><i>Results:</i></b> Between January 2018 and December 2019, 153 patients (mean age 54 ± 2.8 years) underwent RIRS with SP TFL (mean stone density 1,020 ± 382 HU). Median stone volume was 279.6 (139.4–615.8) mm³. Median LOT was 2.8 (IQR 1.6–6.6) min with median total energy for stone ablation 4.0 (IQR 2.1–7.17) kJ, median ablation speed was 1.7 (1.0–2.8) mm³/s, median ablation efficacy was 13.3 (7.3–20.9) J/mm³, and energy consumption was 170.3 (59.7–743.3) J/s. Overall, the SFR (at 3 months) was 89%. The overall complication rate was 8.4%. Retropulsion was present in 23 (15.1%) patients. Visibility was estimated as optimal in most patients, with poor visibility reported in only 13 (8.5%) patients. <b><i>Conclusion:</i></b> The SP TFL is a safe and efficient tool in lithotripsy, irrespective of the stone type and density. Retropulsion is minimal and visibility is maintained with SP TFL. Nonetheless, further clinical studies are needed to ensure optimal comparison with conventional holmium:YAG lithotripsy.