bluuebunny/crossref_metadata_2025 huggingface dataset:
Wpływ czynników związanych z rodzicami na stan higieny i uzębienia dzieci i młodzieży
Authors: Pantelewicz Anna , Piekoszewska-Ziętek Paula
Published: April 2021

Introduction. Healthy behaviours of parents determine their attitudes related to the protection of both their own as well as their children’s oral health. Aim. To assess the influence of socio-demographic factors and parental dental anxiety on health-related behaviours as well as the relationship between parental factors and the status of oral hygiene and dentition in children. Material and methods. Oral hygiene status (OHI-S) and caries levels (dmft/DMFT) were evaluated in patients aged between 3 and 18 years, treated in the Paediatric Dentistry Department in the Warsaw Medical University. Parents were asked to complete a questionnaire on socio-economic factors, healthy dental behaviour and dental anxiety (using the Polish version of Modified Dental Anxiety Scale – MDAS). Statistical analysis was performed (Spearman’s rank correlation coefficient, Mann-Whitney U test). The level of significance was p < 0.05. Results. A total of 88 patients aged 3-15 years (mean age 8.73 ± 4.28 years) and their parents were included in the study. Moderate dental anxiety was found in 28.4%, while high and extreme anxiety in 23.7% of respondents. Age, sex and the level of dental fear were negatively correlated, whereas the level of parental education was positively correlated with healthy behaviours. The level of education and the socioeconomic status were negatively correlated with DT. The level of dental fear was positively correlated with OHI-S and the level of caries in deciduous dentition. Regular dental check-ups, the use of additional means of dental prophylaxis and hygiene, as well as the use of fluoride toothpaste were negatively correlated with the level of caries in both deciduous and permanent dentition. Conclusions. Children’s oral health and hygiene status depends on the health-related behaviours of their parents, which can be modified by socioeconomic factors and the level of dental anxiety.
Eltrombopag w leczeniu przewlekłej małopłytkowości immunologicznej u pacjentów pediatrycznych – doświadczenia ośrodka
Authors: Koch Katarzyna , Łaguna Paweł , Adamowicz-Salach Anna , Karwacki Marek , Klukowska Anna , Romanowska Izabela , Celi Ewa , Matysiak Michał
Published: April 2021

Introduction. Immune thrombocytopenia (ITP) is an autoimmune disease that results in a reduction of blood platelets <100 X 109/l. Immune thrombocytopenia for over 12 months is defined as chronic ITP. The introduction of a drug program to chronic thrombocytopenia with the use of thrombopoietin receptor agonists (eltrombopag) is associated with high hopes of achieving lasting remission of the disease and increasing the chances of avoiding splenectomy. Aim of the study. Evaluation of the effectiveness of eltrombopag is increasing the platelet count in patients with cITP treated in the Department of Pediatric Hematology and Oncology of the Medical University of Warsaw. Materials and methods. The study group consisted of 6 patients (6 girls and 4 boys) aged 4 to 12 years, with cITP. The patients' qualification for the examination and further treatment were realized in accordance with the criteria of the B.98 drug program „Eltrombopag in the treatment of pediatric patients with cITP”. The first of the reported patients was treated with eltrombopag from September 2016 to December 2016, before the drug program was created. Results. All patients responded to eltrombopag treatment. One of the patients has already completed therapy and the remaining patients are still treated according to the B.98 drug program. Two patients receive eltrombopag in monotherapy, three patients require additional immunosuppressive drugs. During treatment, three patients experienced a decrease in the number of platelets requiring the use of immunoglobulin infusions or pulses from a methylprednisolone. During the therapy no hepatotoxicity or development of cataract was observed.
Blueberry muffin baby syndrome – praca poglądowa
Authors: Chyżyński Bartosz , Matysiak Michał
Published: April 2021

Blueberry muffin baby syndrome is a nonspecific skin symptom characterized by the presence of blue-red, purple, small skin lesions with a coherent consistency, size from 1-5 mm, which have historically been described for the first time in newborns with congenital rubella virus infection. Originally, these changes were associated with the presence of persistent fetal dermal erythropoiesis during the fetal period. We now know that the described changes may be related not only to infectious disorders, but also to other disease entities ranging from hematological, vascular and metabolic disorders to neoplastic diseases including neonatal period. The image of skin lesions depending on the underlying disease may be significantly different. To our knowledge, at present there is no generally accepted algorithm for diagnostic and therapeutic procedures in patients with blueberry muffin skin changes. Knowledge about the most common causes underlying the symptom of bluberry muffin baby syndrome is the key to conducting an efficient diagnostic process, establishing a diagnosis and implementing a quick and effective treatment appropriate for the underlying blueberry muffin disease.
Zastosowanie laseroterapii i rVIIa w leczeniu krwawienia do tkanek miękkich w trombastenii Glanzmanna
Authors: Choińska Barbara , Łaguna Paweł , Scipio Del Campo Karol , Matysiak Michał
Published: April 2021

Glanzmann’s thrombasthenia (GT) is a rare thrombocytopathy. It is an autosomal recessive disorder. This disease is caused by the quantitative or qualitative defect of the αIIbβ3 membrane integrin, which is the receptor binding the adhesion proteins to the platelet surface in the initial stage of the coagulation process. Abnormal platelet aggregation associated with the αIIbβ3 mutation is the cause of serious and challenging bleeding. The first-line treatment for severe bleeding is transfusion of platelet concentrate or recombinant factor VIIa (rFVIIa) in case of refractoriness to transfusion. The primary objective of this study was to describe clinical effects observed in laser treatment of muscle bleeding in patients with coagulation disorders. We present the case of a 13-year-old boy with TG who was admitted to the hospital with quadriceps muscle hematoma after falling from the bicycle. Due to the lack of response to a platlet concentrate we used rFVIIa with a good effect. Due to the presence of a large painful muscle hematoma, we started laser therapy. Significant pain reduction and rapid hematoma regression were observed.
Przewlekły kaszel jako główna manifestacja chłoniaka Hodgkina – opis przypadku
Authors: Wójcicka Katarzyna , Pogorzelski Andrzej
Published: April 2021

A cough lasting longer than 4-8 weeks, defined as chronic cough, always requires thorough diagnostic evaluation. In addition to detailed history-taking and physical examination, simple and available diagnostic methods, such as chest x-ray and spirometry, should be performed. They may be helpful tool to establish the underlying cause of cough. Many younger children may have difficulties in performing the forced expiratory maneuvers and fulfilling repeatability criteria for spirometry. The disturbances resulting from insufficient cooperation should be considered in interpratation of the obtained results. The shape of the flow-volume curve, which suggests upper or central airways obstruction, can not be ignored and always requires further investigation for diagnosis of respiratory pathology. The chest x-ray is the most frequently performed radiographic examination in children. Accurate interpretation is essential in reaching a correct diagnosis. Mediastinal widening on the chest x-ray in children can occur due to a large variety of causes. The normal thymus can take on a variety of sizes and shapes and still be considered normal in the first few years of life. In older children mediastinal widening should be differentiated from mediastinal masses. Lymph node enlargement represents a frequent cause, usually as a result of infection or malignancy. The article reports a case of a 12-year-old boy with chronic cough, mediastinal widening on the chest X-ray and abnormal spirometry results, who was finally diagnosed with stage III Hodgkin’s lymphoma.
Impacto de la pandemia COVID-19 en la cirugía pancreática. Análisis en dos instituciones, una pública y otra privada
Authors:   Hospital General de Agudos Dr. Cosme Argerich . Buenos Aires, Argentina, Ocampo Carlos G. , Zandalazini Hugo I. , Alonso Facundo ,   Clínica Bazterrica. Buenos Aires, Argentina
Published: April 2021

ABSTRACT Background: The COVID-19 pandemic has introduced dramatic changes in the health system. Elective surgeries are the surgical activities with greater decline during the pandemic. Objective: The aim of this paper is to analyze the impact of the COVID-19 pandemic in pancreatic surgery in a public and a private institution. The number of surgeries performed in each institution was compared with those performed in same period of the previous year. Material and methods: Data from a prospective database of all the patients who underwent pancreatic surgery between March 10, 2020, and June 3, 2020, were analyzed. The epidemiological data, type of pancreatic resection, pathology diagnosis, morbidity and mortality were determined in each institution and compared with patients who underwent pancreatic surgery in both institutions between March 3, 2019, and June 24, 2019. Results: 23 pancreatic resections were performed during the pandemic (13 cephalic pancreaticoduodenectomies, 9 left pancreatectomies and 1 total pancreatectomy); 70% (16/23) were adenocarcinomas. There were 34.7% complications and no deaths were reported. None of the patients was infected with coronavirus. The pandemic had no impact on the number of pancreatic resections in the private institution (22 vs. 20, p = 0.88), while the number of pancreatic surgeries was significantly lower in the public center (14 vs. 3, p = 0.009). Conclusion: Pancreatic surgery can be safely performed during the pandemic. The number of pancreatic surgeries did not decline during the pandemic. The priority for treating patients with COVID-19 at the public center resulted in a significant decrease in pancreatic surgeries. Keywords: pandemic, COVID 19, surgery, pancreas, pancreatic surgery, private center, public center, pancreaticoduodenectomy, left pancreatectomy.
A HIPÓTESE DA GRANDE DEUSA ENTRE OS ROMÂNTICOS E ACADÊMICOS
Authors: Bezerra Karina Oliveira
Published: April 2021

O movimento romântico exaltou o natural e o irracional, a beleza e sublimidade da natureza selvagem e da noite, e a “Grande Deusa”. Porém, a forma como o passado foi apresentado, representa mais os desejos dos modernos sobre os antigos, do que a representação do passado em si, a qual as evidências deixam mais dúvidas do que respostas. Para compreender o tear entre evidências históricas e fenomenologias sobre o tema, apresentaremos discursos oriundos do século XIX aos dias atuais, à saber: o resgate da deusa da natureza, de Apuleio, pelos românticos; a ideia dos acadêmicos no século XIX de que havia uma única grande deusa, representada e adorada como Mãe Terra; as descobertas arqueológicas de estatuetas femininas do paleolítico, neolítico, e da idade do bronze; o desenvolvimento do arquétipo da Grande Mãe na psicologia; a arqueologia de Leroi-Gourhan e a da polêmica Marija Gimbutas, que apresentou uma religião da Deusa, que se estendeu por toda a Europa, ao Oriente Próximo e à região do Mediterrâneo como um sistema ideológico coeso e persistente; e finalmente a perspectiva de Paolo Scarpi, à qual seria improvável que houvesse no neolítico uma ideia de divindade, portanto, o tema da “deusa mãe” seria um “mito” científico.
OS SENTIDOS DA PANDEMIA DO COVID19 PARA AS COMUNIDADES TRADICIONAIS DE MATRIZ AFRICANA
Authors: Corrêa Lages Sônia Regina , Turetti Scotton Raquel
Published: April 2021

As comunidades tradicionais de matriz africana podem ser reconhecidas como territórios promotores de saúde, uma vez que desenvolvem em seus terreiros práticas e cuidados para com a saúde em seu sentido amplo, que envolve a espiritualidade, a saúde mental e física de seus adeptos. No contexto atual da pandemia pelo coronavírus, os terreiros tiveram que se posicionar diante da necessidade do isolamento social e da suspensão do calendário litúrgico, propondo novas formas de continuar atendendo aos seus devotos. Diante disto, apresentamos a resposta dos terreiros a esse momento atual através de uma etnografia digital, num espaço denominado de ciberaxé,priorizando as páginas no Facebook e os vídeos publicados por sacerdotes e sacerdotisasa respeito da pandemia.A pesquisa aponta a centralidade do orixá Obaluaiê neste momento de confronto com a doença e com a morte, a transformação como sentido para a pandemia e a fé nos orixás e na ciência.
NO RASTRO DA AL-WEB: TECNO-ATORES, DISPOSITIVOS TÉCNICOS E EXPERIÊNCIAS MIDIÁTICAS NA REDE SOCIOTÉCNICA ISLÂMICA NO NORDESTE DO BRASIL.
Authors: Goldfarb Maria Patrícia Lopes , Lima Vanessa Karla Mota Souza
Published: April 2021

Este artigo se propõe a discutir o trajeto de muçulmanos no nordeste do Brasil (litoral da Paraíba e agreste de Pernambuco) a partir de aportes antropológicos da teoria de Deleuze & Guattari (1995), Latour (2012), Strathern (2014) e Ingold (2015). Por meio de análise de conteúdos realizamos a pesquisa em comunidades virtuais da internet. Propomos uma reflexão sobre a realidade do campo de pesquisa nessas comunidades, a partir de pressupostos teóricos e novas realidades digitais que me fazem seguir os rastros dos caminhos digitais do e-Islã entre conversos pernambucanos e paraibanos, de modo a mapear a teia islâmica (Al-Web) nesses contextos: circuitos, trajetos, aprendizados e práticas dos muçulmanos (socialidades) de modo local e os seus diálogos transnacionais.
PLURALISMO E TEOLOGIA
Authors: Ribeiro Claudio de Oliveira
Published: April 2021

Resenha do livro de GONÇALVES, Alonso de Souza. Por uma Teologia Protestante das Religiões: Uma proposta teológica latino-americana em diálogo com a visão trinitária de Jürgen Moltmann.
Avaliação do conhecimento em primeiros socorros de alunos das autoescolas de Vassouras
Authors: Pereira Carolina Monte Santo Burdman , Neves Ana Cláudia Ferreira , Carvalho Ayla Jaqueline Pereira , Silva Pedro Victor Dias da , Nogueira Patrícia Pereira
Published: April 2021

Objetivo: Avaliar o conhecimento em primeiros socorros de motoristas em formação em um município do interior do Rio de Janeiro. Métodos: Estudo descritivo e transversal, com abordagem quantitativa, com dados obtidos por questionário de 132 alunos de duas autoescolas do interior do Rio de Janeiro para caracterização do conhecimento em primeiros socorros, entre 2019 e 2020. Resultados: Sobre a sequência correta da avaliação primária, 41,7% indicaram ABCDE. Ao se deparar com vítima que não está respirando, 8,3% acertaram a alternativa de elevar a mandíbula da vítima. Em hemorragias, 32,6% assinalaram corretamente “vômitos de coloração escura indicam hemorragias no trato digestivo, principalmente estômago e a vítima deve permanecer deitada”. Sobre sinais vitais, houve 54,5% erros. No tema de PCR, 20,4% e 18,4% marcaram corretamente “a vítima deve ser colocada deitada de costas, com o pescoço levantado a fim de facilitar a respiração” e “realizar duas respirações artificiais para cada 15 massagens cardíacas, caso esteja acompanhado”, respectivamente. Das 14 questões, 6 apresentam erro acima de 50%. Conclusão: Existe necessidade de aprimoramento na condução do aprendizado de PS para os futuros condutores, já que foi identificado grande percentual de erro em questões básicas sobre o tema, especialmente em suporte básico cardiovascular.
Compound Presentation: A Case Report of One of the Rarest Varieties- Vertex, Hand, and Feet Presentation
Authors:   Department of Obstetrics and Gynecology, Saint Paul’s Hospital Millennium Medical College, Ethiopia, AF Sium , A Tilahun ,   Department of Obstetrics and Gynecology, Saint Paul’s Hospital Millennium Medical College, Ethiopia, A Mersha ,   Department of Obstetrics and Gynecology, Saint Paul’s Hospital Millennium Medical College, Ethiopia, S Yihun ,   Department of Obstetrics and Gynecology, Saint Paul’s Hospital Millennium Medical College, Ethiopia
Published: April 2021

Background: Compound presentation occurs in approximately 1/700 deliveries. Being the rarest type, there is scarce literature about the recommended management for vertex-hand-feet variety of compound presentation. We report a similar type of compound presentation. Case Summary: A 25 years-old primigravida who claimed to be 9 months ammenorric presented with a history of pushing down pain of 12 hours duration with associated history of passage of liquor of 4 hours duration. Up on physical examination she was in active first of labor at cervical dilation of 5 centimeters and the presentation was compound- a vertex-hand-feet variety. Cesarean delivery was done after two hours of conservative management and the outcome was an alive 2300grams male neonates with no perinatal or maternal complication. Conclusion: In the rarest variety of compound presentation, which is a vertex, hand, and feet type, spontaneous correction is unusual if the fetus is alive and interference is usually necessary.
Touch DNA; A Quantitative Study in the Perspective of Forensic Science
Authors:   State Forensic Science Laboratory, Jharkhand, India, Kumar Avinash
Published: April 2021

“Touch DNA” is a DNA obtained from biological material transferred from a source to an object or a person during physical contact. Touch DNA came into notice after the research work of Ronald van oorschot, he focused on DNA from fingerprint. We usually use the “Swabbing” and “cutting out” Technique for collection of Touch DNA. Organic method of extraction is most favoured, followed by RT-PCR for quantitation of DNA. Belonging’s used in day-to-day life holds an ample amount of DNA like Brush, Smart phone, Mask, Toothpicks etc, which is quite sufficient to generate a DNA profile of any individual. It can be a very valuable source to establish the identity and individuality of any person in the field of forensic science.
Radical-Scavenging and UV-Radiation Absorption Activities of Aaptamine Derivatives: DFT and TD-DFT Studies
Authors: Doan Thi Hoai Nam , Nguyen Thi Le Anh , Nhung Nguyen Thi Ai , Quang Duong Tuan , Dao Duy Quang
Published: April 2021

Antioxidant and UV absorption activities of three aaptamine derivatives including piperidine[3,2-b]demethyl(oxy)aaptamine (C1), 9-amino-2-ethoxy-8-methoxy-3H-benzo[de][1,6]naphthyridine-3-one (C2), and 2-(sec-butyl)-7,8-dimethoxybenzo[de]imidazo[4,5,1-ij][1,6]-naphthyridin-10(9H)-one (C3) were theoretically studied by density functional theory (DFT). Optimized geometries of C1C3 and theirs intrinsic thermochemical properties such as bond dissociation energy, proton affinity, and ionization potential were calculated at DFT/M05-2X/6-311++G(d,p) level of theory in vacuo and in water. The results show that C1C3 exhibited similar potent antioxidant activities, which are comparable to well-known antioxidants such as Trolox or cembrene. The radical scavenging activity of the antioxidants were then investigated by evaluation the Gibbs free energy (ΔrG0) of the reaction between C1C3 and the HOO●/HO● radicals via four mechanisms, including: hydrogen atom transfer (HAT), single electron transfer (SET), proton loss (PL) and radical adduct formation (RAF). Kinetic calculation reveals that HOO● scavenging in water is occurred via HAT mechanism with C1@C19 while RAF is more dominant with C2 and C3. Antioxidant activity of aaptamine derivatives can be classified as C1 > C3 > C2. In addition, all compounds are active in UV-Vis absorption; the excitations of which are determined as π-π* transition. Overall, the results suggest the potential applications of the aaptamines in pharmaceutics and cosmetics, i.e. as sunscreen and antioxidant ingredient
Bilateral deficit: relationships with training history and functional performance
Authors: Nicholson Gareth , Masini Dario
Published: April 2021

The purpose of the study was to investigate the magnitude of bilateral deficit (BLD) in trained males and examine its relationship with functional performance and recent resistance training history. Ten physically active males (age: 23.02±1.27 years) self-reported the number of unilateral and bilateral exercises within their structured resistance training schedule. During two visits to the laboratory, participants performed unilateral and bilateral squat jumps (SJ) and isometric leg extensions (ILE) for the quantification of BLD. Participants also performed bilateral countermovement jumps (CMJ) and a change of direction (COD) test to quantify functional performance. The performance outcomes and information regarding training history were then correlated with the bilateral index (BLI) metric. The key findings were that: (a) a lower BLD in SJ peak power related to a greater CMJ peak force (r=.728; p=.02) and peak power (r=.750; p=.01), (b) the BLI in the ILE was unrelated to performance outcomes, and (c) BLI was unrelated to the mean number of bilateral and unilateral exercises in the structured resistance training programme of participants. In conclusion, lower levels of BLD may be advantageous for bilateral tests of functional performance (i.e. jumps) however there is a need to consider the mechanical similarity between the performance and BLD measure. Finally, the balance of unilateral and bilateral exercises in an individual’s recent resistance training history is not sensitive to the BLI measured during dynamic or isometric assessments.
Perancangan Model Stacker Crane Flexible Manufacturing System untuk Pembelajaran di Institusi Pendidikan
Authors: Setiawan Ari
Published: April 2021

Flexible Manufacturing System (FMS) is one of the modern production systems that support the implementation of Industry 4.0. An educational institution plans to build an FMS model for learning the modern production systems. The FMS is a manufacturing system consisting of a set of automatic workstations connected to a material handling system where all activities are controlled by a computer system. The material handling system consists of a material storage system and a transportation system, one example of a transportation system is the stacker crane. In this research, the stacker crane model has been built which consists of three main components, which are the bottom frame, the mast, and the carriage. This component is equipped with stepper motors, leadscrews that are controlled by the micro controller and an application on Android. The stacker crane model is tested to retrieve and deliver the stereofoam material model to the destination which is controlled by the user using an application on Android. The characteristics of the stacker crane model can move the workpiece with a maximum error of 2 mm in the positive x-axis direction, 2 mm in the negative x-axis movement, up to 2 mm positive y-axis, downward at negative y-axis direction 2 mm.
Modelo de probabilidad de accidente en bicicleta. Caso de estudio Engativá, Bogotá
Authors: Duarte Deison , Lopez Katherine , Meneses Sonia
Published: April 2021

En Bogotá se ha incrementado el uso de la bicicleta y, con este, los índices en accidentalidad, ya que para el 2017 se presentó una cifra de 71 ciclistas muertos y 1.271 lesionados. A pesar de que existen campañas de seguridad vial, la cantidad de accidentes no disminuye. Con base en una revisión del estado del arte, en los últimos 5 años se observa que hay registros de la accidentalidad explicada de manera monocausal pero no un análisis integral de las diferentes causas en contexto. Se presenta una investigación descriptiva que desarrolla un modelo que explica qué variables influyen en la ocurrencia de un accidente en bicicleta,para lo cual se utilizó información histórica de accidentalidad, facilitada por la Secretaría de Movilidad de Bogotá de los años 2015 a 2018, con las causales de accidentalidad reportadas. Se identificaron variables de accidentalidad de investigaciones del tema a nivel mundial, regional y local. Se compararon con información de encuestas a 280 biciusuarios de la localidad de Engativá. Se obtiene un árbol de sucesos en que se asocian las variables y de cadauna de ellas, el cálculo de la probabilidad frecuentista del suceso, cuyo cálculo está sujeto a la existencia o no de un accidente en bicicleta. Se aplicó el teorema de Bayes para explicar las variables condicionadas e integradas.En conclusión, este modelo identifica las variables más significativas presentes en la accidentalidad en viaje en bicicleta, como base para orientar la formulación de campañas y políticas públicas más efectivas.
Modelado de procesos de negocio para la obtención y renovación de registro calificado utilizando Togaf
Authors: López Ortiz Iván Arturo , Peña Hidalgo Hernando José , Aparicio Alexandra
Published: April 2021

En la actualidad la gestión de la información es una de las actividades de gran importancia en las organizaciones y ante la necesidad de mejorarla han surgido propuestas que permiten optimizar su gestión mediante la implementación de herramientas tecnológicas que integren los procesos y la gestión humana, lo que permite encaminar el uso y aprovechamiento de la información; es así como se identificó que la Escuela de Ciencias Básicas Tecnología e Ingeniería (Ecbti) adscrita a la Universidad Nacional Abierta y a Distancia (UNAD), en la actualidad soporta gran parte de sus actividades en los procesos y procedimientos generados por la alta dirección de la universidad, establecidos con formatos procedimentales, muchos de ellos sin hacer uso de sistemas de información y con soporte tecnológico básico, basado en herramientas de gestión, lo que conlleva a demoras, y pérdida de información en determinado momento. Por lo anterior, se propone realizar un estudio de orden empresarial que ayude a organizar los objetivos de la organización y alinearlos con tecnologías de la información (TI), en este sentido el presente artículo indica cómo utilizar el marco de trabajo (framework) de The Open Group Architecture Framework (Togaf) en donde se aborda las fases iniciales como son: preliminar, visión de arquitectura, arquitectura de negocios, arquitecturas de sistemas de información y arquitectura de tecnología. Aplicados en el proceso de gestión de la oferta educativa en dos de sus procedimientos como son nuevo registro calificado y renovación de registro, en el que se identifican las brechas y propuestas de mejora, y se contribuye de esta manera con aspectos iniciales para una futura implementación de la arquitectura empresarial al interior de la Ecbti.
Identitas Visual Dalam Destination Branding Kawasan Srigunting Semarang
Authors: Ersyad Firdaus Azwar , Watie Errika Dwi Setya , Fitrianti Ayang
Published: April 2021

Penelitian ini bertujuan untuk menganalisis potensi kawasan Srigunting Semarang. Potensi kawasan ini perlu adanya rancangan identitas visual sebagai bentuk bentuk promosi wisata kota Semarang yang notabene pemerintah masih aktif untuk meningkatkan promosi wisata lokanya. Penelitian ini bermaksud merancang identitas visual bagi Kawasan Srigunting, sehingga penelitian ini dilakukan dengan penelitian kualitatif. Sebagai sebuah kegiatan komunikasi persuasif, perancangan ini menggunakan pendekatan A-A Procedure. Adapun teknik pengumpulan data dalam penelitian ini adalah observasi, wawancara, dokumentasi dan studi literatur. Penelitian ini bermaksud memberi kontribusi pemerintah kota Semarang khususnya dinas Kebudayaan dan Pariwisata untuk merancang identitas visual kawasan Srigunting agar memiliki identitas yang dapat dijual kemasyarakat dan dapat menambah daya tarik stakeholder untuk meningkatkan promosi kota Semarang
PENGHARMONISASIAN RANCANGAN PERATURAN DAERAH INISIATIF EKSEKUTIF OLEH KEMENTERIAN HUKUM DAN HAK ASASI MANUSIA
Authors: BN Hermi Sari , Asmara Galang , Zunnuraeni Zunnuraeni
Published: April 2021

Tujuan dari penelitian ini yaitu untuk mengetahui berbagai tahapan sebagai konsep pembentukan Peraturan Daerah dan menganalisis mekanisme pengharmonisasian terhadap Raperda dilingkungan Pemerintah Daerah oleh Kemenkumham sesuai dengan peraturan perundang-undangan. Selain itu, hal ini juga sekaligus untuk mengetahui keefektifan pengharmonisasian Raperda yang dilakukan oleh Kemenkumham dalam upaya mewujudkan Perda yang berkualitas dan keselarasannya dengan kewenangan fasilitasi Raperda oleh Pemda Provinsi atau Kemendagri. teori yang relevan dengan pembahasan di atas adalah teori kewenangan, keberlakukan norma hukum, dan pembentukan hukum serta pengharmonisasian peraturan perundang-undangan. Adapun pendekatan yang digunakan yaitu menggunakan Pendekatan Peraturan Perundang-undangan (statute approach) dan Pendekatan Konseptual (Conceptual Approach). Dengan adanya perbedaan waktu pelaksanaan pengharmonisasian Raperda inisiatif Eksekutif (Kepala Daerah) oleh Kemenkumham tidak menjadikan kewenangan tersebut tumpang tindih atau mereduksi sebagian kewenangan Kemendagri/Pemerintah Daerah Provinsi (Pemprov)  dalam hal pengharmonisasian Raperda melalui mekanisme fasilitasi. Akan tetapi, justru kewenangan Kemenkumham yang diatur dalam UU 15/2019 ini menjadikan proses pengharmonisasian Raperda pada tahap penyusunan tidak efektif dan efisien karena diantaranya membutuhkan  waktu yang lama dan biaya.
ANALISIS PATRONASE POLITIK TERHADAP BIROKRATISASI PEMERINTAHAN DALAM PEMILIHAN KEPALA DAERAH KOTA PADANG
Authors: Winanti Sherly Atha
Published: April 2021

Competition in a government organization that has a position always causes negative friction. The source of all this is due to the absence of bureaucrats' policies in carrying out professional, efficient, neutral and honest duties and responsibilities. Implementation in the bureaucratic system is not spared from the view of the public who know that people who occupy bureaucratic positions always serve the community and become an intermediary between political parties and the government. It has become commonplace for bureaucrats to always use a system of mutualism, as well as mutual relations without harming one party to the other. In giving positions from superiors (patrons) to subordinates (clients), it is always included with a high desire and marukh that someone who has a high position then he must also balance with a broad and high power as well. Therefore the recruitment of bureaucratic members in the government does not always look at the functional side of a person, but because of the support of his subordinates. There must be a term that is always fixed in the mind and mind of a high-ranking bureaucratic official, that the stronger a person's power is always marked by the number of subordinates or staff he has especially in the city of Padang. The method used in this article is the writing method with literacy studies sourced from written sources, in the form of journals, articles, magazines, internet, literature or documents that are relevant to the problem under study. The results of the study with this literature study method are to analyze the relationship between patrons and clients towards government bureaucratization with the dimensions of parkinsonism or classic disease that cannot be overcome or eliminated which will have an impact on the wider community.

 
PEMODELAN PENENTUAN PRIORITAS RENAKSI (RENCANA AKSI REHABILITASI & REKONSTRUKSI) MENGGUNAKAN METODE ARAS
Authors: Huizen Lenny Margaretta , Pinem Agusta Praba Ristadi
Published: April 2021

Seiring dengan berkembangnya teknologi sekarang ini, kecepatan sebuah informasi diperlukan untuk pengambilan keputusan, karena sebuah Informasi yang diterima akan menjadi pedoman didalam seseorang atau organisasi mengambil langkah selanjutnya. Informasi merupakan sekumpulan data yang telah diproses sehingga  menjadi sesuatu yang lebih bermanfaat. Kelengkapan data dan informasi yang berkualitas akan mempunyai pengaruh terhadap pengambilan keputusan. Penentuan prioritas sangat diperlukan pada RENAKSI (Rencana AKsi Rekonstruksi dan Rehabilitasi)  agar dapat diketahui mana yang akan mendapatkan penanganan terlebih dahulu. Metode ARAS (Additive Ratio Assessment) merupakan satu dari beberapa metode pengambilan keputusan yang penggunaannya melalui perangkingan yang menjadi dasar penilaian dengan berpegang teguh bahwa sebuah pilihan yang sudah dipilih mempunyai kedekatan dengan data sebenarnya. Hasil yang diperoleh bahwa pemodelan untuk menentukan prioritas pada RENAKSI dengan menggunakan Metode ARAS didpatkan nilai sebesar sebesar 0,9636 dan hasil dari penelitian ini tidak jauh berbeda dari data set history yang digunakan sebagai pembanding. Metode sistem pengambil Keputusan yang mempunyai fungsi nilai yang optimum dapat menghasilkan nilai korelasi dasar yang lebih baik
Critical care medicine in the French Territories in the Americas: Current situation and prospects
Authors: Kallel Hatem , Resiere Dabor , Houcke Stéphanie , Hommel Didier , Pujo Jean Marc , Martino Frederic , Carles Michel , Mehdaoui Hossein
Published: April 2021

Hospitals in the French Territories in the Americas (FTA) work according to international and French standards. This paper aims to describe different aspects of critical care in the FTA. For this, we reviewed official information about population size and intensive care unit (ICU) bed capacity in the FTA and literature on FTA ICU specificities. Persons living in or visiting the FTA are exposed to specific risks, mainly severe road traffic injuries, envenoming, stab or ballistic wounds, and emergent tropical infectious diseases. These diseases may require specific knowledge and critical care management. However, there are not enough ICU beds in the FTA. Indeed, there are 7.2 ICU beds/100 000 population in Guadeloupe, 7.2 in Martinique, and 4.5 in French Guiana. In addition, seriously ill patients in remote areas regularly have to be transferred, most often by helicopter, resulting in a delay in admission to intensive care. The COVID-19 crisis has shown that the health care system in the FTA is unready to face such an epidemic and that intensive care bed capacity must be increased. In conclusion, the critical care sector in the FTA requires upgrading of infrastructure, human resources, and equipment as well as enhancement of multidisciplinary care. Also needed are promotion of training, research, and regional and international medical and scientific cooperation.
Specifications of Microfloria in Dysbacteriosis of the Urogenital Tract in Women
Authors:   Oles Honchar Dnipro National University. 72, Gagarin Avenue, Dnipro city 49010, Ukraine, Sklyar T. V. , Medvedeva O. M. , Drehval О. А. , Holodok L. P. , Cherevach N. V.
Published: April 2021

The microbiocenosis of the vagina is a set of microorganisms that inhabit this habitat, normally represented mainly by lactobacilli. The condition of the microbiocenosis of the vagina is of great importance for reproductive health. Bacterial vaginosis and aerobic vaginitis are infectious diseases of the vagina caused by imbalances between physiological and opportunistic microflora, which are normally found in small quantities. The purpose of the study. The work is devoted to the study and analysis of the microflora of the urogenital tract of women in different periods of life with dysbiotic disorders. Materials and methods. A study of the vaginal microflora of 50 women of different ages who complained to a gynecologist was carried out. Microscopic examination of biological material from the vagina using Pappenheim staining showed complete or partial absence of lactobacilli in the samples and their replacement by other bacteria. Smear microscopy showed an increased content of epithelial cells, leukocytes and "key cells" - Gardnerella vaginalis in 25% of women of the 2nd age category (25-35 years old). In women of the 1st and 3rd age categories (15-25 and 45-65 years old, respectively), the content of epithelial cells and leukocytes was normal or slightly higher than normal. Results and discussion. In no case were gonococci and Trichomonas detected in the examined smears. Lactobacilli (bacillus flora) were most often registered in the 1st age category - almost 80%, against 12% in the second and 13% in the third. In 68% of women of the 2nd age category the mixed coco-stick flora prevailed; in the 3rd age group mixed microflora was found in 36% of people; in the first – was absent. Poor microflora was most often found in group 3 of women – 66%, against 20% in group 2, and was not observed in women of group 1. Real-time polymerase chain reaction was used to identify microorganisms in the studied samples. Conclusion. As a result of the survey of women of all ages, 155 strains of pathogenic microorganisms were isolated. The largest number of samples contained Candida spp. (18.7%), Staphylococcus spp. (10.3%), Gardnerella vaginalis (9.7%), Streptococcus spp. (7.1%), Mobiluncus spp., Atopobium vaginae, Leptotrichia spp., Eubacterium spp. were detected in a small number of samples, Ureaplasma urealytic and Mycoplasma hominis were not detected
Herpesviruses. Part 2
Authors:   Kharkiv National Medical University. 4, Nauky Avenue, Kharkiv 61022, Ukraine, Nazaryan R. S. , Fomenko Yu. V. , Scheblykina N. A. , Kolesova T. A. , Golik N. V. , Sukhostavets E. V.
Published: April 2021

The clinical manifestations of herpes infection depend on the pathogenic properties of the pathogen and on the state of immunity of the infected organism. Herpesviruses type 1-3 are predominantly neurotropic and cause diseases of the nervous system. The reproduction of the virus is carried out in the neurons of the nerve ganglia and epithelial cells, as they have a common ectodermal origin. Herpesviruses type 4, 5 and 8 are predominantly lymphotropic and cause diseases of the immune system. In a latent and persistent state, viruses are found in lymphocytes, monocytes, polymorphonuclear leukocytes, as they exhibit tropism for cells of mesenchymal origin. When the infection is reactivated, the virus is reproduced in cells of ectodermal origin, which leads to characteristic organ lesions. Type 6 and 7 viruses are both neurotropic and lymphotropic. They are capable to infect T-lymphocytes, B-lymphocytes, epithelial cells, endothelial cells, hepatocytes, fibroblasts, glial cells, stem cells, monocytes, macrophages, leukocytes, etc. They are able to promote the reactivation of other viruses, forming mixed forms, which leads to an aggravation of the clinical picture of the disease. Therapy of herpesvirus infections should be scientifically grounded, consistent, gradual, complex and include: specific antiviral treatment; immunotherapy; antibacterial therapy; detoxification therapy; symptomatic treatment and therapeutic measures aimed to eliminate various complications. Antiviral drugs for the treatment of herpes infection are divided into 4 groups: nucleoside analogs; drugs that cause the destruction of viruses located extracellularly; drugs that are active against intracellular viruses; drugs with a double effect. Modern therapy of herpesvirus infections is capable to suppress the reproductive activity of the reactivated virus, modulate the body's immune response, prevent and eliminate various complications of herpes infections, but is unable to affect the latent form of viruses. In the complex therapy of herpes infection, along with the specific treatment methods aimed to destroy the virus and to enhance the body's immunity, it is necessary to apply the entire range of therapeutic measures that help eliminate the accompanying symptoms and complications of diseases caused by herpesviruses
Model Pengukuran Kualitas Audit pada Kantor Akuntan Publik di Kota Medan : Pendekatan Partial Least Squares (PLS) - SEM Analisys
Authors: Rialdy Novien , Alpi M. Firza , Purnama Nadia Ika , Januri Januri
Published: April 2021

This study aims to analyze the factors that affect the quality of the audit at the public accounting firm in Medan. This research is a basic research. The research was conducted in several public accounting firms (KAP) in Medan City. The population in this study were all independent auditors who worked at the Public Accounting Firm (KAP) in Medan City, which were registered in the IAI Directory of the Public Accountants Compartment in 2018-2019, totaling 168 auditors. Sampling is done using probability techniques that provide equal opportunities for each member of the population to be elected. Because the number of the study population is small, all populations are sampled (census). The data used in this study are primary and secondary data. Primary data used in this study were obtained by distributing questionnaires to internal auditors who work at the Public Accounting Firm (KAP) in Medan City. The results showed that there was a significant effect of accountability on audit quality. There is a significant effect of competence on audit quality. There is a significant effect of independence on audit quality. There is a significant effect of professional ethics on audit quality. And the professional ethics moderation model is able to strengthen the influence of competence on audit quality.
Dampak Thin Capitalization, Profitabilitas, Dan Ukuran Perusahaan Terhadap Tindakan Penghindaran Pajak
Authors: Anggraeni Tesa , Oktaviani Rachmawati Meita
Published: April 2021

This researcher examines how thin capitalization, profitability, and company size affect tax avoidance. The sample used is manufacturing companies listed on the Indonesia Stock Exchange for the period 2017 to 2019. The sampling method uses purposive sampling in order to obtain 69 manufacturing companies. This study uses panel data regression analysis techniques with the help of the Eviews 10. This study shows that the independent variable thin capitalization has no effect on tax avoidance. While profitability has a significant positive effect on tax avoidance, and company size has a significant negative effect on tax avoidance.
Persepsi Wajib Pajak UMKM Terhadap Kewajiban Perpajakan (Studi Pada UMKM di Eks Karisidenan Surakarta)
Authors: Triatmoko Hanung , Juliati Juliati , Suranta Sri , Wulandari Trisninik Ratih , Zoraifi Renata
Published: April 2021

This study aims to assess the perceptions of MSME taxpayers who are in the Karisidenan Surakarta area on tax obligations. MSMEs are a driver of increasing economic growth in the present era. Solo is one of the cities that is famous for the growth of MSMEs because culinary, handicraft, and clothing entrepreneurs have started to appear in Karisidenan Surakarta. Ideally, an increase in the number of MSMEs will also be followed by an increase in the amount of taxes that will be received by local and central governments. Income Tax (PPh) and Value Added Tax (PPN) are two central taxes which should also increase with the growth of MSMEs. The perception of UMKM taxpayers towards taxation obligations is certainly important to research because negative perceptions of taxes will result in decreased tax revenues so that these perceptions need to be improved with better socialization from the Directorate General of Taxes. This study will examine the perceptions of taxpayers related to NPWP ownership, SPT reporting and tax payments. The method used is a quantitative method by distributing questionnaires to samples of MSMEs in Karisidenan Surakarta. The sampling method used was purposive sampling and the analysis used was linear regression analysis. This research is expected to provide benefits to the government in making policies to increase tax revenue.
Hubungan Good Corporate Governance dengan Nilai Perusahaan yang Dimoderasi Oleh Pengungkapan Corporate Social Responsibility dan Profitabilitas
Authors: Yuliusman Yuliusman , Kusuma Indra Lila
Published: April 2021

This study aims to examine the effect of Good Corporate Governance on firm value by disclosing Corporate Social Responsibility and profitability as a moderating variable. Good Corporate Governance variables are measured by CGPI scores. Company value variable is measured by Tobins' Q. Corporate Social Responsibility disclosure variables measured by the GRI 4.0 item checklist. The profitability variable is measured by Return on Assets (ROA). This study uses a sample of companies that participated in the IICG on the Indonesia Stock Exchange (IDX) for the period 2014 - 2018. The sampling technique used was purposive sampling. The sample used in this study amounted to 7 companies, a total of 35 data. The data analysis technique in this study is the moderation regression analysis. The software used for data processing is SPSS version 22 for Windows. The results of hypothesis testing are as follows. First, Good Corporate Governance influences company value. Second, disclosure of Corporate Social Responsibility is able to moderate the relationship between Good Corporate Governance and corporate value. Third, profitability is not able to moderate the relationship between Good Corporate Governance and firm value.
Metode Altman Z-Skor Dalam Memprediksi Kepailitan Di Semua Koperasi Kredit Di Kabupaten Maumere
Authors: Rangga Yoseph Darius Purnama , Herdi Henrikus , Mitan Wilhelmina
Published: April 2021

Abstract

Problems that often occur in a cooperative are usually caused by financial problems. To measure the level of financial health cooperatives can be used analysis of financial ratios using the Altman Z-Score model. This research aims to predict bankruptcy in the credit Union of the regional government Puskopdit, Maumere, using the Altman Z-Score model. The samples in this study were credit cooperatives of the main district Puskopdit in 2015-2017 consisting of 16 cooperatives. The data source used is the secondary data in the form of cooperative financial statements. The analytical technique used is the Altman Z-Score Bankruptcy Prediction model. The results showed that there is a cooperative that has been in the healthy category during the year 2015-2017, namely Torch Mas Cooperative, Tuke Jung, Ortal, Plantation, star East, and Serba Te. In the years 2015 and 2016 Kelubagolit cooperatives entered in the category of gray area, but in the year 2017 the cooperative is in a healthy category. In addition, there are cooperatives during the year 2015-2017 in the category of gray area namely Sube Huter Cooperative, Tuke Ler, Hiro Heling, Bina Pertiwi, and Surya Sakti. The cooperatives of San Dominggo in 2015 and 2016 were in the category of bankruptcy, but the following year entered the gray area category. The cooperative in the category of bankruptcy from 2015-2017 is the youth cooperative Hokeng and Ankara. In the year 2015 Plelu Meluk Cooperative entered in the category of gray area, the cooperative's performance continued to decline and in the year 2016 and 2017 the cooperative was entered in the category of bankruptcy. In the years 2018, Hokeng Youth Cooperative experienced an amalgamation with Mitan Gitan Cooperative. This indicates that the accuracy level of the Altman Z-Score model is high..