bluuebunny/crossref_metadata_2025 huggingface dataset:
KESENIAN RONGGIANG PASAMAN GROUP RANAH SAIYO DARI BENTUK HIBURAN KE BENTUK PERTUNJUKAN
Authors: Batu Bara Emeilya , Nerosti Nerosti
Published: September 2021

This study aims to reveal the art of Ronggiang Pasaman of Ranah Saiyo group from entertainment to performance form. This is a qualitative research using analytical descriptive method. The main instrument in this study was the researcher it self with primary and secondary data. The data were collected throughliterature study, observation, interview, and documentation. The object of this research was Ronggiang Pasaman Art of Ranah Saiyo group. The results show that Ronggiang is the only entertainment dance which has its own characteristics, uniqueness, and beauty from other entertainment dances in AuaKuniang village. Ronggiang can be seen from the form of presentation. Ronggiang is danced by three or four dancers. There are male dancers and one of which acts as singer. This is due to the fact that in ancient times women were prohibited to dance in crowd by the customs of Aur Kuning community. The place to show Ronggiang performance is not arbitrary because the performanceis arranged as well as possible. Music in Ronggiang is the main support which serves to provide atmosphere and enthusiasm for the dancers and the audiences who watch it. The differences can be seen from the entertainment and performance form Ronggiang. Ronggiang performance usually serves as entertainment for the community. Such entertainment is performed in some events such as Mamasak, maaghak-aghak, youth events, and West Pasaman's Birthday. As for the show, it is usually performed in a special place.Keywords: ronggiang pasaman, form of entertainment, form of performance.
CHARACTER BUILDING OF STUDENTS' INTERESTS AND TALENTS THROUGH LEARNING POP MUSIC IN THE FIELD OF CULTURAL ARTS
Authors: Fauzan Yusman Ahmad , Suhaili Neviyarni
Published: September 2021

This article discusses the character arrangement of students, in this case students, from learning pop music to students. Compiled with quantitative methods with literature review. The main problem here is that there are too many types of music available at this time, one of which is pop music. In this day and age, pop music has been worldwide from an early age until adults love pop music, thus allowing pop music to be well received. Learning the art of music in services is to provide direct experience in the learning process for students, including other learning such as literature and language learning, skills and others. The formation of student character by learning pop music will determine the character of students from each song in pop music. In the 2013 curriculum, several materials were stipulated that support teachers to provide opportunities for students to develop character through learning pop music, including in the subject of Cultural Arts for junior high school level.Keywords: character, students, pop music
REALIZATIONS OF STRATEGIES ENGLISH ONLINE LEARNING TO INCLUSIVE STUDENTS
Authors: Husein Rahmad . , . Sumarsih .
Published: September 2021

ABSTRACTLearning strategies is related with specific action taken by english learner and students to make learning process is easier, faster, more enjoyable to new situation. Learning strategies in the beginning used in the military system, but now then also used in education.The aim of this research is to describe similarities and differences with reference to the realizations of learning strategies used in the English online lerning to inclusive students at SMA Negri II Lubuk pakam. This research is conducted by using descriptive qualitative design. The data of this research are sentences containing realization of learning strategies in English online class to inclusive students. The sources of data are taken from 10 inclusive students and 2 English teachers at SMA Negri II Lubuk Pakam grade XI and XII. The inclusive students and English teachers are assumed to represent all inclusive learning both locally and provincially. Each of the learning strategies is represented by ten inclusive students for inclusive students two english teachers for all english teachers in inclusive classes. The data are analyzed by using interactive model in which sentences are analyzed with reference Heaver (2009) theory  adaptation of inclusive learning strategies. The findings indicate that there are similarities and diffrences with reference to the realizations of learning strategies in the English online learning to inclusive students. Keywords: Learning Strategies, English Learning, Online, Inclusive Students
FACTORS SLOW SECONDARY LEARNESR DIFFICULTIES IN LEARNING SPEAKING AT HOMESCHOOLING
Authors: Lusiana Devi . , Pulungan Anni Holila , Husein Rahmad .
Published: September 2021

ABSTRACTThis research deals with factors slow secondary learners difficulties in learning speaking at Homeschooling Global Lentera Kasih Batam. This research was conducted by using qualitative research. The objectives of this study was to investigate the factors causing slow secondary learners difficulties in learning speaking English. The data of this study obtained from documentation and interview. The techniques of collecting data that was applied in this research- they are observation, interview and documentation. The data of this study obtained from the result of interview from teacher and parents of slow learners. The source of data in this study was slow secondary learners grade X and the English teacher. There were 2 English teachers, and 2 classes of secondary level learners in Homeschooling Global Lentera Kasih and both slow learners classes contains 4 students, in class X-1 they are FL, NM, RRH and PLG, while in class X-2, they are DA, KT, SRN and FDF. The results showed that there were two factors caused the difficulties of slow learners in learning speaking, they are emotional and personal factors. Keywords: Factors, Slow Learners, Difficuties , Learning, Homeschooling
Activating model of professional training of persons with disabilities as competitive specialists in higher education establishment
Authors: Bonkalo Tatyana I. , Shmeleva Svetlana V. , Nazarenko Veronika V. , Karpov Vladimir Yu. , Logachev Nikita V. , Kumancova Elizaveta S.
Published: September 2021

The purpose of the study is Assess the effectiveness of an activating model of vocational training at a university for persons with disabilities as competitive specialists. The developed model was implemented in a formative experiment that lasted from 2014 to 2018 – from the 1st to the 4th year of higher education programs in different training areas. The experimental group consisted of 18 inclusive student groups, where 416 students graduated in 2018, 71 were graduate students with disabilities. The proof of the effectiveness of the developed model is the fact that the percentage distribution of students with disabilities, who made up the experimental and control groups, according to the levels of their academic, practical, and personal readiness, significantly differed from each other by the end of the experiment. The variety of teaching methods, the alternation of traditional, standard methods with methods of activating cognitive activity, even without the use of special technical means, determine the success of memorizing educational and scientific information by persons with disabilities.
Social guarantees in Russia in the context of the concept of Social State
Authors: Kuleshov Georgyi Nickolaevich , Raheem Al Ali Naser Abdel , Neznamova Alla Andreevna , Turkin Mikhail Mikhailovich
Published: September 2021

The paper explores the aspects of social policies in the Russian Federation and approaches the problems of social security in the context of Russia's ratification of the Social Security (Minimum Standards) Convention. The importance of social standards in the context of labour and social security is demonstrated with further analysis of applicable Russian laws and principal international statutes establishing the minimum guarantees of social security rights. Conclusions are drawn that the legal framework of social security should be enhanced, taking into account the best practices of foreign countries. Another focus of the analysis concerns the issues of raising social security levels for certain categories of individuals by increasing the value of minimum social standards by means of statutory indexation.
The Determinants of Sukuk Issuance: Evidence from Top Sukuk Issuing Countries
Authors:   Arshad Ayub Graduate Business School, Universiti Teknologi MARA, Malaysia, Jaafar Mohamad Nizam , Muhamat Amirul Afif ,   Faculty of Business Management, Universiti Teknologi MARA, Malaysia, Abdul Karim Norzita ,   Faculty of Business Management, Universiti Teknologi MARA, Malaysia, Basri Mohd Faizal ,   Faculty of Business Management, Universiti Pendidikan Sultan Idris, Malaysia, Hasmadi Amer Alif ,   Arshad Ayub Graduate Business School, Universiti Teknologi MARA, Malaysia
Published: September 2021

Macroeconomic variables may influence the issuance of Sukuk. The purpose of this study was to determine the relationship between macroeconomic variables namely Gross Domestic Product (GDP) per capita, inflation, rules of law, corruption of control and political stability. This study used a panel data study consisting of 11 countries that were mostly involved in the issuance of Sukuk. The countries are Bahrain, Brunei Darussalam, Indonesia, Kuwait, Malaysia, Pakistan, Qatar, Saudi Arabia, Singapore, Turkey and United Arab Emirates. The data was generated from 2006 until 2015 and collected from the authorized sources such as the Islamic Finance Information Services (IFIS), World Development Indicator and World Economic Outlook. This research employed several statistical methods like descriptive statistics, unit root test, and correlation analysis. In order to meet the objective of this research, an econometrics estimation of Pool Ordinary least square model, Fixed Effect Model and Random Effect Model were tested. The output from the Fixed Effect Model indicates that only GDP and control of corruption have a significant relationship to Sukuk issuance. It can be concluded that when the GDP increases, the number of Sukuk issued will increase accordingly. This is also applicable to corruption where better control of corruption will lead to an increase in Sukuk issuance. Therefore, good policies should in place to ensure a conducive economic environment that will encourage participation in the Sukuk market. Keywords: Sukuk, Islamic capital market, macroeconomic, panel data, least square model
THE DIDACTICS OF ONLINE VIDEOS, WHICH SUGGEST INDIVIDUAL PHYSICAL ACTIVITIES AT HOME, TARGETTING STUDENTS OF PRIMARY AND MIDDLE SCHOOL, DURING THE 2020-2021 PANDEMIC SCHOOL YEAR
Authors: BARTHA VELU-SEBASTIAN , VĂIDĂHĂZAN REMUS
Published: September 2021

ABSTRACT: As COVID-19 swept across the world, educators, including those responsible for teaching physical education, were left wondering about those teaching methods that could work best for the remote learning situation, taking into consideration the apocalyptic circumstances (Morris, 2018). Unfortunately, these detrimental situations are unpredictable and challenging to prepare for. Difficulties have arisen due to the education’s way of responding to the COVID-19 crisis. Objective of the study: The objective of this study was to analyze some of conclusive video tutorials for online physical education classes, tutorials suggested by the Education and Research Minister in Romania. Furthermore, we would like to put into spotlight a few striking issues that might need to be improved in terms of form and content in video tutorials. Methods: We used a comparing protocol document to differentiate the characteristics of the YouTube tutorials from the scholar physical education theory and methodology. We analyzed 30 tutorials, which were suggested as educational contents meant to be used in online physical education classes. Conclusions: Technology can be useful in numerous ways, by helping physical education teachers and improving student engagement and assessment. A lot of mistakes will be made on the way, but it will be worth it as long as the guidelines of physical education didactics are applied. The study can be used by teachers and students in the future to improve their video tutorials used in online learning physical education classes or to practice spare time physical activities.
SWIMMING AS A LEISURE PHYSICAL ACTIVITY DURING THE 2020-2021 PANDEMIC COVID-19 IN CLUJ-NAPOCA
Authors: JULEAN IULIA , VĂIDĂHĂZAN REMUS
Published: September 2021

Introduction The Covid-19 pandemic has had a negative impact on the global community, leading to restrictive measures in all areas of activity, including sports. Starting with March 2020, most physical activities have ceased, due to the establishment of the state of emergency in Romania. Swimmers were restricted from accessing their main training facilities and were no longer allowed access to the pools. After a more sedentary period, in which each of us tried to adapt to the existing situation, the need to be involved in sports, the need for movement, and the need for socialization was growing. Thus, the instructors tried to find out alternatives to continue athletes training, so they do not completely lose their physical fitness. Some managed to continue their training in the water, at other pools, others organized workouts outside the pool, maintaining their physical condition at an optimal level. In fewer cases, coaches continued training with athletes online. The purpose of this study was to discover the training strategies applied by swimming coaches during the pandemic, during the State of emergency and the Alert state, in Cluj-Napoca. The results of our study can be used, in the future, by students, teachers and instructors to better reorganize their physical activities, especially swimming, when a special situation arises again.
How did COVID-19 affect medical and cardiology journals? A pandemic in literature
Authors: Venturelli Andrea , Vitolo Marco , Albini Alessandro , Boriani Giuseppe
Published: September 2021

Background and aims

The spreading speed of the COVID-19 pandemic forced the medical community to produce efforts in updating and sharing the evidence about this new disease, trying to preserve the accuracy of the data but at the same time avoiding the potentially harmful delay from discovery to implementation. The aim of our analysis was to assess the impact of the COVID-19 pandemic on medical literature in terms of proportion of COVID-19-related published papers and temporal patterns of publications within a sample of general/internal medicine and cardiology journals.

Methods

We searched through PubMed scientific papers published from 1 January 2020 to 31 January 2021 about COVID-19 in ten major medical journals, of which five were in general/internal medicine and five in the cardiology field. We analyzed the proportion of COVID-19-related papers, and we examined temporal trends in the number of published papers.

Results

Overall, the proportion of COVID-19-related papers was 18.5% (1986/10 756). This proportion was higher among the five selected general/internal medicine journals, compared with cardiology journals (23.8% vs 9.5%). The vast majority of papers were not original articles; in particular, in cardiology journals, there were 28% ‘original articles’, 17% ‘review articles’ and 55.1% ‘miscellaneous’, compared with 20.2%, 5.1% and 74.7% in general/internal medicine journals, respectively.

Conclusions

Our analysis highlights the big impact of the COVID-19 pandemic on international scientific literature. General and internal medicine journals were mainly involved, with cardiology journals only at a later time.
Architectural design quality and social sustainability in building certification systems
Authors: Oberfrancová Lucia , Wollensak Martin
Published: September 2021

The main objective of the study is to examine to what extent the architectural design quality and social sustainability are taken into account in building certification systems. The following most commonly used building assessments in Europe (focus on Germany, Slovakia and Czech Republic) have been investigated: BREEAM, LEED, CESBA, LEVEL(s), DGNB, BNB, BNK, NaWoh, SBToolCZ and WELL. After extensive research of chosen certification systems and various sources on topics such as conditions of well-being, sociocultural indicators, assessment of social performance of sustainable buildings and design quality assessment, the main social and architectural design quality aspects were determined and used for further analysis and final evaluation. Studied aspects are divided into the following categories: user satisfaction and quality of life (building-related), sustainable and healthy lifestyle (building-related), architecture – design quality (building-related), innovation and social responsibility (external). The article contains a summary of results with overall evaluation and comparison of certification systems including weighting of studied categories in selected building assessments. Furthermore, indicators used in building certifications associated with the quality of life and the quality of architectural expression and their weighting are described and presented.
Scale of community centre: Clarification of the relation between scale and multifunctionality of community buildings
Authors: Butková Miriama
Published: September 2021

Community architecture is becoming a contributing tool for community development. In recent years it has gained popularity for its potential to encourage interaction and strengthen community ties. Community architecture represents not only the final product of architectural design but also the design process. It covers many kinds of community interventions and efforts of different extent; from tiny public space interventions to a complex design of community centres or comprehensive urbanistic structures focused on community well-being. Irrespective of the scale, their goal is the same; to provide space for leisure activities, networking, and reinforcing a sense of community. The most apparent design concept representing community architecture is the community centre, which provides space for meetings and interaction, and its program derives from the needs of a specific community. Furthermore, the design considers urbanistic relationships, architectural appearance, materials, spatial and functional requirements, interior design, equipment, and furniture solutions.

The community architecture theory is an under-explored phenomenon in Slovakia. Thus, there is a lack of methodical design recommendations or guidelines for designing community centres as individual typological forms. The article focuses on the examination of 100 selected community facilities, identifying their prevalent features and their interrelationships. Presented research aims to examine fundamental characteristics of community centres, particularly their multifunctionality related to the character of the space, and the scale related to size in square meters. In conclusion, research suggests new size categories considering the relationship between the two factors.
Temporary use of abandoned buildings
Authors: Joja Marie
Published: September 2021

Temporary architecture is a way to produce an instant experience. It concentrates on a specific location and develops unique tactics to activate it. It adapts to the site, which is often abandoned and backward. Temporary use focuses on a single purpose and its influence at a given moment. It reflects the current economic state and situation in adjacent neighbourhood and community. It aims at becoming a catalyst for a permanent change. Empty buildings represent a valuable resource for urban development of an area. They belong to the category of areas suitable for reconstruction. Their activation contributes to the recycling of areas within the urban structure increasing the efficiency of land use and contributing to the sustainable development of the territory. A removal of abandoned buildings from a functioning urban organism has a negative impact on the integrity of the urban structure.

Archipop is the author’s newly established database focusing on the topic of temporariness in architecture. Its aim is to map successful activations of abandoned buildings by the means of temporary interventions in Europe. Archipop deals with the subject of ‘pop–up’ in architecture. Its prime objective is to attract a target group of users over the shortest period of time possible by exclusivity of a presented activity, concentrating on temporary uses located in abandoned buildings in Europe. It examines successful projects of activation of unused objects by using temporary activity profile. Targeting at interested public, potential investors, and last but not least government and municipalities, Archipop was created to provide inspiration and opportunities of temporary use. Its ambition is to promote revitalisation of unused areas with the use of temporary architecture and to save historic heritage from its terminal destruction.
Enhancing in vitro oocyte maturation competence and embryo development in farm animals: roles of vitamin-based antioxidants – A review
Authors: Swelum Ayman A. , Abdelnour Sameh A. , Sheiha Asmaa M. , Hashem Nesrein M. , Taha Ayman E. , Khafaga Asmaa F. , Attia Youssef , Al-Mutary Mohsen G. , Abd El-Bar Marah M. , Ohran Husein , Nagadi Sameer A. , Abd El-Hack Mohamed E.
Published: September 2021

Oocyte/embryo in vitro culture is one of the most important assisted reproductive technologies used as a tool for maintaining genetic resources biodiversity and the inheritance of valuable genetic resources through generations. The success of such processes affects the final goal of the in vitro culture, getting viable and healthy offspring. In common in vitro oocyte maturation and/or embryo development techniques, the development of oocytes/embryos is carried out at 5% carbon dioxide and roughly 20% atmosphere-borne oxygen ratios in cell culture incubators due to their reduced cost in comparison with low atmospheric oxygen-tension incubators. These conditions are usually accompanied by the emergence of reactive oxygen species (ROS), which can extremely damage cell membrane integrity and other vital cellular organelles, as well as genetic material. The present review mainly focuses on the antioxidant roles of different vitamins on in vitro oocyte maturation competence and embryo development in farm animals. The use of antioxidant agents may prevent the extreme augmentation of ROS generation and enhance in vitro matured oocyte competence and embryo development. Therefore, this review aimed to provide an updated outline of the impact of antioxidant vitamin (Vit) supplementations during in vitro maturation (IVM) and in vitro fertilization (IVF) on oocyte maturation and consequent embryo development, in various domestic animal species. Thus, the enrichment of the culture media with antioxidant agents may prevent and neutralize the extreme augmentation of ROS generation and enhance the in vitro embryo production (IVEP) outcomes.
Financial cycle − A critical analysis of the methodology for its identification
Authors: Kurowski Łukasz
Published: September 2021

While the legitimacy of the concept of the financial cycle (as distinct from the business cycle) in research and economic policy after the experience of the global financial crisis raises no concerns, the methodology for its application has become a subject of discussion. The purpose of this article is to indicate which research methods dominate in identifying a financial cycle and which methodological traps accompany them. The low level of critical perspective on the methods used to identify cycles often results in conclusions that have no economic justification and may result in erroneous decisions in economic policy and central bank practice. The case study carried out in the article confirms that the key elements in identifying a financial cycle are part of a long-term series covering at least two lengths of the financial cycle. In addition, because the results may be sensitive to the type of filter used, it is important not to rely on a single variable but rather to build indexes that take into account a number of them (including those obtained using filtration methods).
Die postkeynesianische Ökonomik in der Finanzethik des katholischen Sozialethikers Bernhard Emunds – Diskussion aus einer angebotsorientierten Perspektive
Authors: Heider Felix
Published: September 2021

Bernhard Emunds, a German Catholic social ethicist, is engaged in research into financial markets. This article introduces post-Keynesianism as his economic foundation, followed by a description of conclusions Emunds draws about the regulation of financial markets. Thereafter, implications of the post-Keynesian framework are contrasted with those of supply-side economics. The article finally appraises the suitability of post-Keynesianism as an economic foundation for Catholic social teaching.
الخطة التحسينية لمؤسسات التعليم العالي وفقا لمعايير الجودة والاعتماد العالمية
Authors: تومي سامية
Published: September 2021

تحاول هذه الورقة البحثية في المقام الأول تسليط الضوء على دور الخطة التحسينية في تحقيق الجودة بمؤسسات التعليم العالي، من خلال تقييم تجربة الانخراط في مشروع ضمان الجودة والاعتماد الأكاديمي في التعليم العالي وذلك بدءا إجراءات تطبيق نظام ضمان الجودة إضافة إلى إنشاء هيئات التطوير والتقويم وخلايا ضمان الجودة على مستوى كل الجامعات الجزائرية، دون إغفال التقييم الداخلي ومدى الاستفادة من نتائجه لبناء الخطط التحسينية مرورا بالتقييم الخارجي ووصولا إلى متطلبات الاعتماد الأكاديمي، كأحد العمليات الهامة والضرورية عند الحديث عن الجودة والتخطيط والتطوير المؤسسي الفعال. ومن هذا المنطلق، نحاول الوقوف على دواعي الجودة في التعليم العالي، ودواعي الاعتماد الأكاديمي لمؤسسات التعليم العالي، إمكانية تقديم آلية الخطة التحسينية لتحقيق معايير الجودة ومتطلبات الاعتماد الأكاديمي.
قياس أثر جهود منظمات العمل الإنساني في تحقيق التنمية المستدامة في السودان- دراسة حالة ولاية جنوب دارفور
Authors: فطر حسن , محمد عز الدين , عبد الرحمن الطيب
Published: September 2021

هدفت الدارسة إلى قياس جهود منظمات العمل الإنساني في تحقيق التنمية المستدامة في السودان- دراسة حالة ولاية جنوب دارفور. اتبعت الدراسة المنهج الوصفي التحليلي، واعتمدت على المصادر الأولية مستخدمة الاستبيان كأداة رئيسة لجمع بيانات مجتمع الدارسة الذي شمل العاملين بمنظمات العمل الإنساني في مجال التنمية بولاية جنوب دارفور خلال فترة الدارسة. تم اختيار عينة عشوائية بسيطة بلغت (226) مفردة. لتحليل البيانات استخدمت الدراسة برنامج الحزم الإحصائية للعلوم الاجتماعية (spss). خلصت الدارسة إلي وجود أثر اجتماعي ايجابي لمنظمات العمل الإنساني في توفير خدمات التعليم والصحة والمياه للسكان بولاية جنوب دارفور. أكد تحليل اختبار مربع كاي عند مستوي دلالة 0.05 وجود علاقة إيجابية ذات دلالة إحصائية بين جهود منظمات العمل الإنساني وزيادة حجم الإنتاج وتحسين مستوى المعيشة لدى السكان في ولاية جنوب دارفور. أوصت الدارسة بضرورة تطوير منظمات العمل الإنساني إستراتيجيتها من نهج تقديم الخدمات إلى نهج مشاريع التنمية والتمكين الاقتصادي، فضلاً عن السعي في العمل الجاد للمساهمة في تغيير مفاهيم المجتمع لتحقيق التنمية المستدامة.
The Protective Effect of Omega 3 and Vitamin D in Preventing Damage Occurring in Central Nervous System of Neonatal Rats Exposed to Cigarette Smoke in Intrauterine Period
Authors:   Altinbas University, Gözlükgiller Hayri
Published: September 2021

In our study, the toxic effects of cigarette smoke exposure on central nervous system and the protective role of Omega 3 and Vitamin D against these toxic effects were investigated at biochemical and histological level.
Bronchial provocation test measured by using the forced oscillation technique to assess airway responsiveness
Authors: Xu Hui , Gao Yi , Xie Yanqing , Liang Xiaolin , Zheng Jinping
Published: September 2021

Background:The bronchial provocation test (BPT) performed by using the forced oscillation technique (FOT) is cooperated without forced expiratory effort. However, a comparison of the application value and safety of BPTs measured by using the FOT and the standardized dosimeter method is lacking, which limits its clinical practice.Objective:We aimed to analyze the diagnostic value and safety of the BPT as measured by the FOT in patients with asthma and in healthy subjects.Methods:This was a randomized cross-over clinical study. Airway responsiveness was measured by using the FOT and the aerosol provocation system (APS) dosimeter method in all the participants. The between-test interval was 24 hours. The diagnostic value and safety of the two tests were analyzed.Results:Asthma control status was assessed based on ACT scores, and patients with asthma (including 27 uncontrolled, 34 partially controlled, and 32 controlled) were collected, and 69 healthy subjects were recruited. Receiver operating characteristic curves revealed slightly superior screening capability of cumulative dose of methacholine causing a 20% decrease (PD20)‐forced expiratory volume in the first second of expiration when measured by using the APS-dosimeter method (area under the curve [AUC] 0.981 [95% confidence interval {CI}, 0.952‐1.000]) over that of cumulative dose of inhaled methacholine at the inflection point when respiratory resistance began to increase continuously (Dmin) by using the FOT (AUC 0.959 [95% CI, 0.924‐0.994]). The sensitivity and specificity were 98.9% and 98.6%, respectively, with the APS-dosimeter method, and 100% and 87.0%, respectively, with the FOT. It took an average of 9.0 minutes (range, 6.0‐11.0 minutes) when using the FOT and an average of 17.0 minutes (range, 14.0‐25.0 minutes) when using APS-dosimeter method (p< 0.01) in all the participants. The measurement time for the FOT was reduced by 47.1% than the APS-dosimeter. The incidence rate of the adverse events with the FOT was slightly higher than that with the APS-dosimeter method (p< 0.05). Both tests were well tolerated. No serious adverse event was found.Conclusion:The FOT, characterized as being simple, safe, and time saving, could be used to assess airway hyperresponsiveness in patients with asthma and worthy of clinical application.
Sustained decrease in pediatric asthma emergency visits during the first year of the COVID-19 pandemic
Authors: Arsenault Samantha , Hoofman Jacob , Poowuttikul Pavadee , Secord Elizabeth
Published: September 2021

Background: On January 20, 2020, the first documented case of novel severe acute respiratory syndrome coronavirus 2 (coronavirus disease 2019 [COVID-19]) was reported in the United States. The U.S. Centers for Disease Control and Prevention continues to report more morbidity
and mortality in adults than in children. Early in Pandemic, there was a concern that patients with asthma would be affected disproportionately from COVID-19, but this was not manifested. It is now recognized that angiotensin-converting enzyme 2 receptors that are used by the coronavirus
for infection have low expression in children with atopy that may contribute to decreased infectivity in children who are atopic. There are several early reports of decreased emergency department (ED) visits for children with asthma. The authors previously reported a decrease in pediatric
ED visits in the spring of 2020, which correlated with school closure. Objective: To determine if this trend of decreased ED visits for pediatric asthma was sustained throughout the first COVID-19 pandemic year. Methods: ED data from one inner city children's
hospital were collected by using standard medical claims codes. Conclusion: We reported a sustained year of decreased ED visits for children with asthma in one pediatric ED in an inner-city hospital; this seemed to be secondary to school closure and decreased exposure to
upper respiratory infections.
How important is proper dosing for subcutaneous and sublingual allergy immunotherapy?
Authors: Nelson Harold S.
Published: September 2021

Background:Results of surveys report that allergists use a wide range of doses for allergy immunotherapy; however, results of randomized, double-blind, placebo controlled studies suggest that the range of the optimum effective dosing is relatively narrow.Objective:To review studies that established effective or less than fully effective doses for allergy immunotherapy.Methods:Studies were reviewed that established effective and ineffective subcutaneous and sublingual immunotherapy doses. Only those studies that expressed dosing in terms of the content of a major allergen in the maintenance doses were included in defining effective and ineffective doses.Results:Studies were identified that showed effective doses for subcutaneous injection, established in randomized, double-blind, placebo controlled trials, for short ragweed, timothy grass, house-dust mites, cat and dog dander, birch, and Alternaria. For short ragweed, timothy grass, Dermatophagoides pteronyssinus, and cat and dog dander, less-effective doses were determined, along with effective doses; the less-effective doses were only one-fifth to one-tenth less in allergen content than were the effective doses. Effective doses of cockroach and all fungal extracts except Alternaria have not been established. Information is available on the mean major allergen content of U.S. standardized and a few nonstandardized extracts, which allows the information on effective and ineffective dosing to be used in prescribing subcutaneous allergy immunotherapy. With sublingual allergy immunotherapy, all the approved tablets had multidose studies that determined the optimal dose. For the U.S. liquid extracts, to my knowledge, there are no studies to define effective doses except for ragweed.Conclusions:Although a wide range of doses are prescribed by U.S. allergists, analysis of available data suggests that effective doses fall within a narrow range and that use of doses one-fifth or one-tenth of the effective doses may sacrifice most or all of the potential efficacy of the treatment.
Allergic reactions and adverse events associated with administration of mRNA-based vaccines. A health-care system experience
Authors: Arroliga Mercedes E. , Dhanani Karim , Arroliga Alejandro C. , Huddleston Penny S. , Trahan Jason , Aguilar Toni , Weldon David
Published: September 2021

Background: Adverse reactions, including anaphylaxis, to messenger RNA coronavirus disease 2019 (COVID-19) vaccines rarely occur. Because of the need to administer a timely second dose in subjects who reported a reaction to their first dose, a panel of health-care professionals
developed a safe triage of the employees and health care providers (EHCP) at a large health-care system to consider administration of future dosing. Methods: There were 28,544 EHCPs who received their first dose of COVID-19 vaccines between December 15, 2020, and March
8, 2021. The EHCPs self-reported adverse reactions to a centralized COVID-19 command center (CCC). The CCC screened and collected information on the quality of reaction, symptoms, and timing of the onset of the reaction. Results: Of 1253 calls to the CCC, 113 were identified
as requiring consideration by a panel of three (American Board of Allergy and Immunology) ABAI-certified allergists for future dosing or formal in-person assessment. Of the 113 EHCPs, 94 (83.2%) were recommended to get their second dose. Eighty of 94 received their second planned dose without
a severe or immediate reaction. Of the 14 of 113 identified as needing further evaluation, 6 were evaluated by a physician and subsequently received their second dose without a serious adverse reaction. Eight of 14 did not receive their second dose. Only 5 of the 113 EHCPs reported reactions
(4.4%) were recommended to not take the second dose: 3 (2.6%) because of symptoms consistent with anaphylaxis, and 2 because of neurologic complications (seizure, stroke). Conclusion: The panel demonstrated that, by consideration of reaction history alone, the ECHPs could
be appropriately triaged to receive scheduled second dosing of COVID-19 vaccines without delays for in-person evaluation and allergy testing.
The Effect of Strategic Service Quality Management and Strategic Human Resources Planning & Budgeting on the Effectiveness of Organizational Performance Mediated by Work Climate at the Main Base of the Indonesian Navy III Jakarta
Authors: Hermanto Hermanto , Kusnadi Kusnadi , Panjaitan Eddy , Arafah Willy
Published: September 2021

The purpose of this study was to analyze the direct effect of Strategic Service Quality Management on Good Work Climate; Strategic Human Resources Planning & Budgeting on Work Climate; Strategic Service Quality Management on Organizational Effectiveness Performance; Strategic Human Resources Planning & Budgeting on Organizational Performance Effectiveness; Work Climate on Organizational Performance; indirect influence of Strategic Service Quality Management on Organizational Performance Effectiveness mediated by Work Climate and Strategic Planning Human Resources & Budgeting on Organizational Performance Effectiveness mediated by Work Climate. The population in this study were employees of Lantamal III Jakarta with a population sample of 172 respondents. The findings of this study are that there is an influence of strategic service quality management and strategic planning of human resources & budgeting on the effectiveness of organizational performance mediated by the good work climate and the seven hypotheses proposed are all proven to be accepted. Good Work Climate plays a very important role as mediation in improving Strategic Service Quality Management and Strategic Human Resources Planning & Budgeting on Organizational Performance Effectiveness.
Innovation in business model and finances in pediatrics
Authors: Kumar Kishore R.
Published: September 2021

Innovation is something original, more effective, and, as a consequence, new, that “breaks into” the market or society, by development and implementation of a new product, process, or service, with the aim of improving efficiency, effectiveness, or competitive advantage. Entrepreneurship, by contrast, is applying the innovation to bring the ideas to life. It is a social invention, which lets people do what they could not previously do. Health-care delivery is a complex subject, which determines whether a government succeeds in improving the health of the nation or not. In this article, we will be talking on the innovations – specifically financial innovations as applicable to neonatal care, pregnancy care, and pediatrics – as this can make a huge impact on our everyday life.
Fatal recurrent ischemic stroke caused by vertebral artery stump syndrome
Authors: Yamano Akinari , Nakai Yasunobu , Akutagawa Kazuki , Igarashi Haruki , Tsukada Kazuaki , Terakado Toshitsugu , Uemura Kazuya , Ishikawa Eiichi
Published: September 2021

Background:

Vertebral artery stump syndrome (VASS) develops into recurrent posterior circulation ischemic stroke after ipsilateral vertebral artery (VA) occlusion at its origin.

Case Description:

The patient was a 46-year-old man with the right posterior cerebral artery occlusion. We used a recombinant tissue plasminogen activator (rt-PA) and then performed mechanical thrombectomy using a stent retriever. Angiography revealed left VA occlusion and stagnant flow to the left VA from the right deep cervical artery; therefore, we diagnosed VASS. Within 24 h of the rt-PA injection, the symptoms had dramatically improved, and so we avoided additional antithrombotic agents. Only 13 h later, the patient developed a basilar artery occlusion and died in spite of a repeated mechanical thrombectomy.

Conclusion:

Vigilance against early (and sometimes fatal) recurrent stroke induced by VASS is required.
Critical cerebellar hemorrhage due to pilocytic astrocytoma in a child: A case report
Authors: Teshigawara Akihiko , Kimura Toshikazu , Ichi Shunsuke
Published: September 2021

Background:

Cerebellar hemorrhage is rare in children, and its cause is usually vascular disorders such as arteriovenous malformations or hematological disorders.

Case Description:

A previously healthy 10-year-old girl presented with a loss of consciousness following sudden headache and vomiting. A non-contrast brain computed tomography (CT) scan revealed a massive cerebellar hemorrhage with obstructive hydrocephalus; however, subsequent CT angiography (CTA) showed no vascular abnormalities. An emergency craniotomy was performed to evacuate the hematoma, and histological analysis of the specimen obtained from the tissue surrounding the hematoma revealed a pilocytic astrocytoma (PA). Six months after the ictus, her recovery was scored at 2 on the modified Rankin Scale.

Conclusion:

PA can be a cause of critical cerebellar hemorrhage. In this case of life-threatening massive hematoma, CTA was useful to exclude a major vascular pathology and to save time.
Skull base osteomyelitis by Pandoraea apista: An unusual pathogen at unusual location – A case report
Authors: Patil Ninad Ramesh , Tripathi Manjul , Charaya Kshitij , Angrup Archana , Ahuja Chirag , Mohindra Sandeep
Published: September 2021

Background:

Pandoraea apista is predominantly recovered from the respiratory tract of patients with cystic fibrosis (CF). Authors report first case of central nervous system infection by P. apista in the form of skull base osteomyelitis.

Case Description:

A 67-year-old male presented with complaints of earache and hearing deficit for few months. The radiology was suggestive of skull base osteomyelitis and polypoidal soft tissue extending from the middle cranial fossa to the infratemporal fossa. The sample from the targeted area revealed P. apista on matrix-assisted laser desorption ionization-time-of-flight mass spectrometry. With adequate antibiotic therapy, there was clinicoradiologic improvement. P. apista is an infection exclusively seen in pulmonary infection in patients with CF. We identified its intracranial involvement in a patient for the 1st time in the literature. The serendipitous diagnosis needs evaluation on specific PCR and matrix-assisted laser desorption spectrometry. The treatment with antibiotics provides a definite cure.

Conclusion:

We report a rare opportunistic infection with central nervous system involvement which can be cured by accurate diagnosis and appropriate antibiotic treatment.
Spectrum of remote site extradural hematomas following decompressive craniectomy: Does fracture always co-exist?
Authors: Singh Apinderpreet , Wadhwa Chetan , Karthigeyan Madhivanan , Salunke Pravin , Bansal Hanish , Chaudhary Ashwini Kumar
Published: September 2021

Background:

Remote-site extradural hematomas (EDHs) after decompressive-surgeries for traumatic brain injury (TBI) are rarely encountered. Typically, they form contralateral to the injured side, with an overlying fracture. We present a subset which developed EDH immediately after decompressive-hemi-craniectomy for TBI, most without an evidence of fracture, and not limited to contralateral location.

Methods:

Nine such patients were retrospectively identified. Plausible mechanisms, management issues and outcomes have been discussed.

Results:

All nine patients were victims of severe-TBI. Six did not have any skull-fractures. Eight showed hemispheric-injuries while one had bifrontal-contusions. In hemispheric-injuries, midline-shift was at least 8 mm except one with midline-shift of 6 mm. The EDH was straddling the midline in 2 (bifrontal-1, bi-occipital-1), and juxtaposed to the previous craniectomy in 1, apart from a contralateral-bleed in 6; all, except one, needed evacuation. In most patients, venous-source of bleed was identified. All had improved from their preoperative Glasgow coma scale (GCS) at follow-up.

Conclusion:

A fracture need not always co-exist in EDH following decompressive craniectomy. However, an extra-caution is suggested in its presence. Given the need for surgical-evacuation in most patients and an inability to assess immediate postoperative-GCS in severely head-injured, a routine postoperative-computed tomography is recommended to avoid overlooking such potentially treatable condition.
Tuberculoma mimicking postoperative VP shunt seeding of craniopharyngioma: A rare case report
Authors: Dariansyah Ahmad Data , Suryaningtyas Wihasto , Parenrengi Muhammad Arifin
Published: September 2021

Background:

Tuberculosis (TB) is still a big problem in developing and TB endemic countries such as Indonesia. The most common manifestations of TB in the central nervous system are tuberculous meningitis and tuberculoma. In developing and TB endemic countries, tuberculomas account for 33% of intracranial space-occupying lesions. Isolated tuberculoma without systemic TB is rarely seen. On physical and radiological examination, tuberculoma often gives an atypical appearance. From imaging, tuberculoma often mimics another intracranial tumor. Oftentimes the accurate diagnosis can only be made after postoperative histopathological and microbiology examination.

Case Description:

An 11-year-old, Indonesian girl has been complaining persistent headache in the past 3 years. The patient had a history of surgical excision of craniopharyngioma 8 years ago, and placement of ventriculoperitoneal shunt due to postoperative hydrocephalus. Patient was immunocompetent with no sign of systemic TB nor tuberculous meningitis. Brain magnetic resonance imaging (MRI) revealed a 4 × 2.3 × 2.1 cm mass surrounding the ventricular drain which was attached in the anterior horn of the right lateral ventricle to the right frontal cortex. From dynamic susceptibility contrast MRI perfusion and MR Spectroscopy suggested a process of seeding metastases surrounding the ventricular drain. Postoperative histopathological examination results were consistent with tuberculoma.

Conclusion:

Tuberculoma should always be considered as one of the differential diagnoses along with primary and secondary intracranial neoplasm, particularly in developing and TB endemic countries, and inpatient with immunocompromised state.
Oro-mandibular dystonia in pediatric moyamoya disease: Two cases report
Authors: Koga Yuichiro , Kashiwazaki Daina , Hori Emiko , Akioka Naoki , Kuroda Satoshi
Published: September 2021

Background:

In this report, we describe rare two pediatric cases that developed oro-mandibular dystonia due to moyamoya disease.

Case Description:

A 7-year-old boy presented with oro-mandibular dystonia and transient weakness of the left extremities, and was diagnosed as moyamoya disease. Another 7-year-old boy developed oro-mandibular dystonia alone and was diagnosed as moyamoya disease. In both, cerebral blood flow (CBF) was markedly decreased in the involved hemispheres, including the basal ganglia and cerebral cortex. They successfully underwent combined bypass surgery and experienced no further attacks of oromandibular dystonia during follow-up periods. CBF almost normalized through surgical collaterals through direct and indirect bypass.

Conclusion:

When treating patients with oro-mandibular dystonia, moyamoya disease should be listed as one of the differential diseases. The underlying mechanism of oro-mandibular dystonia in moyamoya disease is still unclear, but persistent cerebral ischemia in the basal ganglia and/or parietal lobe may play a key role to induce this rare symptom.
Traumatic cervical vertebral artery aneurysm associated with suicidal stabs
Authors: Nonaka Senshu , Oishi Hidenori , Tsutsumi Satoshi , Ishii Hisato
Published: September 2021

Background:

Cervical vertebral artery (VA) aneurysm occasionally develops in association with penetrating injury. However, its treatment strategy is not yet determined.

Case Description:

A 50-year-old woman with bipolar disorder attempted suicide by stabbing herself in the lateral neck. At presentation, focal neurological deficits were not observed. Spinal computed tomography (CT) showed unclear delineation of the VA in the right C4/5 intervertebral foramen. CT performed 7 days later identified an aneurysm of the right VA at C4/5, with abnormal arteriovenous shunts between the aneurysm and paravertebral venous plexus. The patient underwent coil embolization of the VA segment involving the aneurysm on the same day that was complicated by cerebellar ataxia due to procedure-associated infarction.

Conclusion:

Traumatic VA aneurysms associated with penetrating injuries should be carefully managed with a detailed presurgical evaluation of the relevant cranial and spinal structures.