bluuebunny/crossref_metadata_2025 huggingface dataset:
Examining Differences in Noncognitive Skills for State-Level Career Development and Leadership Development Event Participants
Authors: Smith Kasee L. , Thapa Bishal
Published: July 2022

Educators are increasingly pressured to include experiences for students which will help develop noncognitive skills. Noncognitive skills lie outside of the physiological ability to process information and encompass adjacent concepts including soft-skills, 21st century skills, or employability skills. Grit, optimism, and self-efficacy are three noncognitive skills which overlap substantially with the three-component model for agricultural education. In agricultural education, Career and Leadership Development Events (CDE/LDE) allow students to work persistently toward a task and develop expectations for ability to perform and outcomes of the competitive event along with other actions researchers have concluded can help build noncognitive skills in adolescents. This study was designed to describe the grit, optimism, and self-efficacy of CDE & LDE competitors in Idaho and determine if differences exist between students who performed at the gold-rank level, and those who did not receive a gold ranking in their respective events. This study was a census of all students (N = 413) who competed at a CDE or LDE at the 2018 Idaho Leadership Development Conference. Results of independent samples t-tests revealed differences between both grit and self-efficacy scores of participants based on ranking and differences in self-efficacy based on event type. The conclusions drawn from this study allow us to recommend areas for continued examination related to noncognitive skills in agricultural education, and practical solutions for agricultural educators to enhance noncognitive skills in their classrooms.
Coexistence of low testosterone and metabolic syndrome associated with increased arterial stiffness in male patients with type 2 diabetes
Authors: Chuang Shih-Ming , Ngu Kat-Yien , Lee Chun-Chuan , Chien Ming-Nan , Huang Yueh-Chiu , Shih Hong-Mou , Liu Sung-Chen
Published: July 2022

Introduction

Male patients with type 2 diabetes (T2D) have a high prevalence of low testosterone (LT) or metabolic syndrome (MetS). While LT or MetS are associated with arterial stiffness, few studies have investigated the effect of these conditions when manifested together. Our study was performed to explore the influence of coexistence of LT and MetS on arterial stiffness in male patients with T2DM.

Material and methods

We recruited 332 male patients with T2D at the endocrine and metabolic clinic of the Taitung branch of the Mackay Memorial hospital. Subjects were divided according to the presence of LT or MetS as follows: normal (neither condition present), LT only, MetS only and the coexistence of LT and MetS. All enrolled subjects consecutively underwent brachial-ankle pulse wave velocity (PWV) to evaluate arterial stiffness.

Results

Patients with LT have a higher prevalence of MetS than those without LT (80.1% vs. 64.2%; P=0.03). Age, weight, triglycerides and PWV were significantly higher in patients with coexisting LT and MetS than in the groups with LT or MetS alone. Multiple linear regression analysis was performed to demonstrate that PWV was significantly positively associated with age (P <0.001), SBP (P=0.002) and triglycerides (P=0.001) and negatively associated with testosterone (P=0.039). ANCOVA analysis revealed that PWV remained highest in patients with coexisting MetS and LT compared to the other groups, even after adjusting for confounding factors.

Conclusions

In our study, the coexistence of MetS and LT was significantly associated with a high risk of increased arterial stiffness in male patients with T2D.
Shadow IT: que controles a gestão da tecnologia pode estipular sem anacronismos
Authors: Evangelista Verônica Da Silva , Lopes Mariana Almeida de Souza , Xavier Flavia Maria Valença
Published: July 2022

Facilidades como armazenamento em nuvem, constante inovação das tecnologias e obsolescência de outras que demoram a ser substituídas pela área de TI, levam os usuários a buscarem meios mais funcionais de realizar suas tarefas. Todas essas práticas revelam ações ligadas à denominada Shadow IT. Este fenômeno descreve artefatos ou soluções de TI usadas dentro de uma organização sem a aprovação, ou mesmo conhecimento, da TI corporativa, que podem prejudicar o fluxo dos processos organizacionais executados na estrutura de computação organizacional. Este trabalhou buscou reconhecer as rotinas e usos da Shadow IT em ambientes empresariais da região do Grande Recife por meio de entrevistas aplicadas em 3 empresas distintas. Os resultados encontrados mostraram que práticas de Shadow IT são inerentes aos processos organizacionais e ocorrem em diferentes graus e por diferentes motivações, dentre as quais é possível destacar maior produtividade com tecnologias informais e falta de adequação das tecnologias homologadas às demandas dos usuários. Concluiu-se que existe compreensão acerca dos riscos que a Shadow IT pode ocasionar, incluindo preocupações a respeito de perda de dados, invasões e roubo de informações.
Bentuk dan Konstruksi Komposisi Musik Modern ‘Tjapung Ketjipung Di Tjikapundung’ Karya Amir Pasaribu
Authors: Ance Juliet  , Simangunsong Emmi
Published: July 2022

This research is entitled Modern Music Composition 'Tjapung Ketjipung Di Tjikapundung' by Amir Pasaribu. The basic method that applied in this research is descriptive method. In addition, the approach used by the library method is to find and produce pentatonic elements similar to the pelog barrel which are harmonized with elements of western tone harmony in the composition of Tjapung Ketjipung in Tjikapundung which is famous for the work of the Indonesian composer Amir Pasaribu with the characteristics of his piano music, regarding the form and the pattern of the structure as well as the parts contained in the construction of the music, the beginning, the continuation part, the complication part and the resolution part. In addition to the musical construction, the composition of piano music by Amir Pasaribu uses a free form pattern in the context of modern music. The use of chord levels (harmony progressions) and soloist playing made this composition even more exalted and majestic for its time.
Novine u uredskom poslovanju
Authors: Jurin Bakotić Vesna , Čvrljak Ana
Published: July 2022

Vlada Republike Hrvatske je 1. srpnja 2021. godine donijela novu Uredbu o uredskom poslovanju koja predstavlja ključni propis za rad javnopravnih tijela cijele države. Najzvučnije novine svakako su službeno dopisivanje elektroničkim putem i vođenje evidencija u pisarnici koje postaje elektroničko, a papiri odlaze u povijest. Ono što je potpuna novina je uvođenje pojmova „jedinstveni identifikator“ i „jedinstvena oznaka pismena“. Došlo je i do promjene definicije pečata i potpisa čiji su sadržaj, oblik i uporaba propisani posebnim zakonom, a pojam „kvalificirani elektronički pečat“ definiran je Uredbom (EU) br. 910/2014. Osim same Uredbe, Vlada je kao prilog njoj, odnosno, kao sastavni dio Uredbe o uredskom poslovanju, donijela dokument pod nazivom Tehnička specifikacija informacijskog sustava elektroničkog uredskog poslovanja, kojom se utvrđuju pravila i standardi postupanja s pismenima u elektroničkom obliku, a namijenjena je javnopravnim tijelima i trgovačkim društvima koja razvijaju digitalna rješenja za javnu upravu, kao i svim drugim zainteresiranim dionicima koji surađuju s javnopravnim tijelima. Prema novoj Uredbi javnopravna tijela međusobno te s fizičkim i pravnim osobama, službeno dopisivanje obavljaju primarno elektroničkim putem, a pismena se evidentiraju u informacijskom sustavu uredskog poslovanja javnopravnog tijela. Za naglasiti je kako javnopravna tijela koja nemaju uspostavljen informacijski sustav uredskog poslovanja u skladu s odredbama Uredbe, dužna su ga uspostaviti najkasnije do 1. siječnja 2023.
The Etzel Propaganda Trials during the Revolt, 1944-1948
Authors: Nayot Chen-Tzion
Published: July 2022

In February 1944, the Irgun issued a ‘proclamation of revolt’ that ushered in a new era in the organization's attitude toward the mandatory government. In its publications, the Irgun called for a revolt against the mandatory laws, but in its directives to members, it was more moderate and measured. The legal defense in the weapons trials was centralized and managed by the legal organization of the Irgun, which functioned in conjunction with the law firms of Seligman, whom they considered trustworthy, and with Levitsky. Unable to engage in active warfare, the imprisoned members of the Irgun decided to turn the trial into a propaganda arena as the focus of an alternative struggle. A recommended line of defense was offered after their personal situation had been checked out and their legal status verified by the lawyers. The same considerations that led the Irgun to craft a political line of defense in many of the weapon’s trials led to a legal line of defense for the vast majority of the propaganda trials. The understanding that the propaganda trials did not attract a high degree of resonance in the media, the extreme youth of the defendants, and the possibility of getting them acquitted or at least of largely reducing their sentences, tipped the scales in favor of the decision to adopt a legal line of defense. The decision to continue delegating authority for the propaganda trials to the legal departments of the district was in keeping with the preference for a legal line of defense that did not require centralized and coordinated management. The Irgun's approach in the legal arena was graduated, complex and measured, ranging from adherence to its intrinsic goals and objectives to a concern for the life and freedom of its fighters.
National and Transnational Trade: Israel and the Jewish-Yemeni Diaspora at the Red Sea
Authors: Marmari Shaul
Published: July 2022

During the age of imperialism, hundreds of Yemeni Jews settled around the Red Sea, forming a Jewish-Yemeni trading diaspora. The study examines the fate of this diaspora after the establishment of the State of Israel in 1948 and the mass migrations thereto. While the first part of the article is dedicated to the inherent contradiction between the diaspora and the Zionist project, the second part argues for their symbiosis. As the Red Sea area assumed a strategic importance for Israel, the young Jewish state relied heavily on the established Jewish diaspora in the region to consolidate its power; the diaspora, for its part, was able to find in the Israeli enterprise a measure of compensation for its lost, pre-national trade. The alliance between the two, argues the article, allowed the diaspora to persist beyond the rupture of 1948.
Unexpected positive intraoperative cultures (UPIC) at index osseointegration do not lead to increased postoperative infectious events
Authors: Hoellwarth Jason S. , Reif Taylor J. , Henry Michael W. , Miller Andy O. , Kaidi Austin C. , Rozbruch S. Robert
Published: July 2022

Abstract. Introduction: The most common complication following transcutaneous
osseointegration for amputees is infection. Although an obvious source of
contamination is the permanent stoma, operative site contamination at the
time of implantation may be an additional source. This study investigates
the impact of unexpected positive intraoperative cultures (UPIC) on
postoperative infection.
Methods: Charts were reviewed for 8 patients with UPIC and 22 patients
with negative intraoperative cultures (NIC) who had at least 1 year of
post-osseointegration follow-up. All patients had 24 h of routine
postoperative antibiotic prophylaxis, with UPIC receiving additional
antibiotics guided by culture results. The main outcome measure was
postoperative infection intervention, which was graded as (0) none, (1)
antibiotics unrelated to the initial surgery, (2) operative debridement with implant retention, or (3) implant removal.
Results: The UPIC vs. NIC rate of infection management was as follows: Grade 0, 6/8 = 75 % vs. 14/22 = 64 %, p = 0.682; Grade 1, 2/8 = 25 % vs. 8/22 = 36.4 % (Fisher's p = 0.682); Grade 2, 1/8 = 12.5 % vs. 0/22 = 0 %
(Fisher's p = 0.267); Grade 3, 0/8 = 0 % vs. 1/22 = 4.5 % (Fisher's p = 1.000). No differences were statistically significant.
Conclusions: UPIC at index osseointegration, managed with directed
postoperative antibiotics, does not appear to increase the risk of
additional infection management. The therapeutic benefit of providing
additional directed antibiotics versus no additional antibiotics following
UPIC is unknown and did not appear to increase the risk of other adverse
outcomes in our cohort.
Monkeypox: An Ignored Adversary
Authors: Haris Sadaf
Published: July 2022

Monkeypox was first discovered in monkeys in 1958, so it was named after that. The first case was seen in humans in 1970. Monkeypox virus is the causative agent, the same family as smallpox, but causes a less severe disease.ÊThe Congo Basin and West African strain are the two types of strains. All cases identified in the outbreak have been caused by the West African strain
AKTUALISASI SISTEM PELEMPAR BOLA PADA ROBOT ISOLA_229
Authors: Nabawi A.M. Ridha , R. Aam Hamdani  , Asep Hadian Sasmita
Published: July 2022

The ISOLA_229 robot is designed to have a maximum dimension of a cube of 1 m3 with an extension of up to 1.8m, must be able to throw the ball in 3 throwing zones that have different shooting distances and heights according to the rules of the ABU Robocon robot contest with the theme "Throwing the blessing ball", a traditional game from Vietnam. The ISOLA_229 robot that has been made meets the dimensions, but throws the ball not yet able to reach the target in the shooting zone 3. There is a need for analysis to find out the cause of the problem and how to solve the problem, one of which is descriptive method. The analysis carried out on the ISOLA_229 robot focused on the problem of the ball throwing system. The results of the analysis of the ISOLA_229 robot ball throwing system found that it was necessary to reduce the throwing speed by 65% ​​from normal speed at air pressure P = 6 bar and change the elevation angle from = 45o to = 50o to reach the target in throwing zone 3.
Pemanfaatan Energi Surya untuk Sistem Refrigerasi Berbasis Siklus Adsorpsi
Authors: Ali Mukhlis
Published: July 2022

Application of solar adsorption refrigeration systems has developed significantly since 1980’s. Although it has some advantages like noiseless, non-corrosive and environment friendly operation (because solar energy is one of green and renewable energy), but until now the application still cannot compete with the traditional vapor compression refrigeration systems. Fortunately, due to the increasing of awareness about ozone depletion and global warming, green technology including solar adsorption refrigeration systems still becomes priority research is developed by some country. Recent research in application of solar adsorption refrigeration systems not only focus in how to increase the coefficient of performance (COP) like the use of various collectors or working pairs but also how to implement the systems so that suitable with the location that it will be applied. Nowadays, application of solar adsorption refrigeration systems mostly varies into 3 categories: ice maker, cool chamber and humanitarian aid. And the application’s usage usually implement in remote area that far from grid electricity.
Pengembangan Mesin Penggerak Ayakan Serbuk Sisa Powder Coating dengan Metode Vibrasi
Authors: Supriadi Ari
Published: July 2022

Sarandi Karya Nugraha is a company engaged in the manufacture of medical devices which almost 85% of its products use paint from powder coating, so many powder coatings are wasted and used as powder coatings. However, the former powder coating can still be used as a mixture with a new powder coating. The ratio between used powder coating and new powder coating is 1: 3. During this time at PT. Sarandi Karya Nugraha filtering powder coating is done manually. This does not guarantee the quality of the powder coating so that it can affect the quality of the product produced. Therefore, a tool is made in the form of a powder coating vibrator filter that functions to maintain the quality of thepowder coating and efficiency of filtering time, thereby increasing operator productivity.
MENENTUKAN VARIABEL YANG PALING BERPENGARUH TERHADAP KINERJA POMPA HIDRAM MENGGUNAKAN METODE ESTIMASI EFEK ALGORITMA YATES
Authors: Ibrahim Maulana Malik , Dezya Aditya Pratama  , Nata Yudi
Published: July 2022

In each study, often many variables are used and interrelated with each other. The increasing number of variables often confuses which variables are the most dominant for changes or desired results.Many methods are used to find the most dominant variable in influencing the research output.Factorial 2 3design with estimated effects of Yates algorithm is a method that can be used to find the most dominant variable in influencing output. This study aims to find the most dominant variable on the output pressure generated by the hydram pump. The results calculated using this method are the result of flow simulations in pumps with CFD [1]. Variables used are valve opening, a height of the water flow, and valve type. The greater the velocity of water flow in the drive pipe, the greater the flow rate of the water in the delivery pipe and the flow rate of the pressure valve. The drag coefficient of the ball valve press model is smaller than the valve press plate model, so it requires a smaller force to open and close the valve. In accordance with the valve on the hydram pump which requires the process of opening and closing the valve must be fast so that it can provide better performance [2]. The simulation results also show that the most optimal step valve press length is at the valve opening-diameter ratio of 0.16. This research is expected to provide input on the design of the hydram pump in the future
PENGARUH PENYETELAN KATUP PADA ENGINE 4K 4 SILINDER 1300CC TIPE OHV TERHADAP EMISI GAS BUANG
Authors: Lestari Dwi Mardika , Ahmad Rizal Fauzi
Published: July 2022

Indonesia is a country that has a lot of users of motorized vehicles, this is because the level of consumer need to have a motorized vehicle is very high. Cars are one of the favorite vehicles for Indonesian citizens. Because cars provide more comfort and security and now many cars are becoming luxury goods. So many people are turning to cars as their everyday vehicles. Many people want to own a car but at a cost that is not too high, namely by buying a used car. This is where used cars usually have various problems, especially in the engine and exhaust emissions that are not up to standard, therefore it is necessary to repair the car engine. In this study contains about Toyota Kijang 4K valve adjustment variations which have engine problems. To study this study there are two methods used, namely the first is the primary method obtained from direct practice and observation. The second is the secondary method, namely the method taken from internal data and external data. This research data collection resulted from variations in the valve gap ex 0.30mm valve in 0.15mm, valve ex 0.30mm valve in 0.20mm and valve ex 0.30mm valve in 0.25 at engine speed of 1000 rpm, 1500 rpm, rpm 2000, 3000 rpm, and 3500 rpm. The conclusion from the results of this study is that there is a significant effect of valve adjustment on exhaust gas emissions on a 1300cc 4k 4 cylinder 1300cc stand engine OHV type.
ANALISIS PENGARUH INLET TEMPERATUR SISTEM PENDINGIN BUATAN TERHADAP KENYAMANAN TERMAL KELAS UNIVERSITAS NUSA PUTRA DENGAN METODE CFD
Authors: Agung Pratama  , Jihad Hari Ramdani  , Kihsan Makbil  , Dwi Mardika Lestari
Published: July 2022

Air circulation needed to meet comfort standards in classrooms with artificial cooling systems (Air Conditioning) to achieve thermal comfort (Thermal comport), Thermal comfort is one aspect that must be considered when designing a classroom. because at the time of learning there is an accumulation of heat and humidity of the air that will make the room uncomfortable. This research focuses on using the Simulation Computational Fluid Dynamic (CFD) method in the classrooms of Nusa Putra Sukabumi University.

Simulation using Flovent 10.1 software, the simulated room is a B3D classroom on the 3rd floor of building B of Nusa Putra University which measures 10.15 m x 4.8 m x 3.25 m. The main purpose of this study is to find out the influence of inlet temperature on artificial cooling systems. Through simulation can predict efficiently and effectively setting the temperature inlet of the most optimal artificial cooling system. In the simulation conducted 5 variations, the result is the most ineffective temperature in variation 1, variation 2 and variation 3 at room temperature 16.32 °C – 20.06 °C, belongs to the category of too cold which means the room is uncomfortable. While the room with inlet temperature variation 4 and variation 5 temperature between 21.34 °C – 22.59 °C belongs to the category of comfortable cool based on the thermal comfort standard SNI 03-6572-2001.
Balanço hídrico e seus comparativos com 1996-2005, 2006-2015 em relação a 2015 no município de São Bento do Uma - PE
Authors: Medeiros Raimundo Mainar de , França Manoel Vieira de , Saboya Luciano Marcelo Fallé , Holanda Romildo Morant de , Araújo Wagner Rodolfo de , Braga Salatiel Ewen
Published: July 2022

É importante conhecer a distribuição de chuvas e suas variabilidades em uma região, almejando por tanto avaliar os períodos de deficiência, excedente, retirada e reposição de água para o setor agropecuário, agronegócio e o avícola visando a demanda hídrica, pois o balanço hídrico do ponto de vista agronômico oferece este planejamento. Os dados pluviométricos foram adquiridos da Superintendência do Desenvolvimento do Nordeste e da Agencia Pernambucana de Água e Clima compreendido entre os anos de 1920 a 2016. Utilizou-se de cálculos simplificados estatisticamente para definir, média, desvio padrão, coeficiente de variância, máximos e mínimos valores absolutos ocorridos, definiu-se a quadra chuvosa e seca. As temperaturas foram estimadas pelos métodos da reta de regressões múltiplas levando em consideração as coordenadas geográficas. Os parâmetros analisados indicam condições insuficientes ao desenvolvimento de determinadas culturas e a sustentabilidade do desenvolvimento na produção de avicultura com cuidados especiais no armazenamento, represamento e distribuições de água nos bebedouros visto que a temperatura está elevada. A análise da variabilidade espacial e temporal das chuvas proporciona informações de como o homem rural e urbano deverá estabelecer medidas para captura de águas de chuvas e seu armazenamento usando o período mais chuvoso. Verifica-se que não ocorreram excedentes hídricos nos anos estudados, os valores das deficiências foram mais significativas no ano de 2011 de que no período 1926-2010. A evapotranspiração potencial foi mais elevada no ano de 2011; ocorreu um acréscimo na precipitação de 159,9mm no ano de 2011.
PENGARUH TEKNIK BECERITA TERHADAP KEMAMPUAN MEMAHAMI CERITA NARASI PADA SISWA KELAS V UPTD SDN 159 INPRES TEKOLABBUA KABUPATEN MAROS
Authors: Hasanah Aswatul Nur , Asdar Asdar , Hamsiah Andi
Published: July 2022

Penelitian ini dilakukan dengan tujuan untuk mengetahui pengaruh teknik bercerita terhadap kemampuan memahami cerita pada siswa kelas V UPTD SDN 159 Inpres Tekolabbua Kecamatan Maros. Jenis penelitian ini adalah kuantitatif dengan metode eksperimen. Sampel penelitian ini adalah peserta didik kelas V sebanyak tiga puluh satu. Teknik pengumpulan data yang digunakan dalam penelitian ini adalah tes dan dokumentasi. Data yang diperoleh dideskripsikan dengan kata-kata dan hasil tes. Hasil penelitian menunjukkan bahwa teknik bercerita berpengaruh terhadap kemampuan memahami cerita narasi pada peserta didik. Berdasarkan hasil penelitian dengan teknik bercerita akan menghasilkan proses pembelajaran yang menyenangkan dan untuk meningkatkan motivasi dan semangat belajar anak.
Introducing a Bit of Active Latin into Your Current Advanced Latin Classroom: Usus loquendi et audiendi de Terentio Catulloque
Authors: Ancona Ronnie
Published: July 2022

The purpose of this paper is to show how easily and profitably one can introduce a small portion of active Latin into an upper-level Latin classroom through select questioning and response that draws directly from and reinforces grammatical structures and forms, as well as key vocabulary, from the students’ advanced Latin texts under study. Use of active Latin supports SLA (Second Language Acquistion) research about the value of spending time “in the language” in the classroom. The current Standards for Classical Language Learning recognizes this value as well.
De Sallustio Latine Praelegendo: Causae, Rationes et Consilia Docendi
Authors: Garrido Jorge
Published: July 2022

Multae sunt viae, multi modi quibus utentes possumus auctores rimari eosque discipulis nostris in scholis monstrare et aperire. Describuntur hac in symbola rationes Sallustii in Vniversitatibus studiorum praelegendi, subsidia didascalica et exercitia varia, quae omnia sunt usu et tractatione coram discipulis a nobis probata. Praeterea significantur causae cur multum iuvet linguam Latinam per loquelam ipsam Latinam docere, et quae beneficia ex his rationibus capiant discipuli qui sermonis rudimenta iamdudum perdidicerunt atque se auctoribus legendis et excutiendis dederunt. Referuntur postremo et exempla probationum et summa percontationis, ad quam, cursu academico peracto, harum rationum non amplius expertes discipuli responderunt.
Tratamento do pé torto congênito pela técnica de Ponseti
Authors: Santos Saulo Monteiro dos , Santos Ricardo Barreto Monteiro dos , Santana Cláudia Cristina de Lira , Lima Lorena Maria de Araújo Ribeiro , Cruz Fernando José Barbosa da
Published: July 2022

A técnica de Ponseti para o tratamento do pé torto congênito tem sido reconhecida como a mais eficaz. O tratamento deve começar o mais precoce possível e consiste em manipulação e aplicação de aparelhos gessados semanais com duração de aproximadamente sete semanas, corrigindo-se primeiro o cavo, seguido pela adução, enquanto se mantém o retropé em equino. Por fim, a deformidade em equino é corrigida utilizando-se a tenotomia percutânea do tendão de Aquiles. Para manter a correção e evitar a recorrência é utilizada a órtese de Denis Browne.
Síndrome de Möebius e sua relação com o uso de misoprostol: relato de caso
Authors: Santos Saulo Monteiro dos , Santos Ricardo Barreto Monteiro dos , Santana Cláudia Cristina de Lira , Souza Bruno Felipe Novaes de , Cruz Fernando José Barbosa da
Published: July 2022

A síndrome de Möebius consiste em uma paralisia congênita unilateral ou bilateral do VI e VII pares cranianos associada às alterações faciais e ortopédicas. A isquemia fetal transitória, fatores ambientais e genéticos são causas importantes. O misoprostol é o princípio ativo do Cytotec®, uma droga utilizada para o tratamento da úlcera péptica que atua na contratilidade uterina quando empregada durante a gravidez. Este trabalho teve como objetivo descrever as principais características clínicas da síndrome de Möebius, relatando um caso com ênfase nas alterações faciais e ortopédicas, bem como chamar a atenção para a associação do uso do misoprostol durante o primeiro trimestre da gravidez como um fator etiológico importante dessa condição.
Effect of dexmedetomidine on stented artery diameter during elective endovascular myocardial revascularization
Authors: Tsarkov A. V. , Levit A. L.
Published: July 2022

Introduction. Dexmedetomidine (a highly selective α2-adrenergic agonist) is used for analgosedation in various interventions. Some studies have noted that a loading dose of dexmedetomidine 1.0 μg/kg/15 minutes can lead to a decrease in the diameter of the coronary arteries in both healthy volunteers and patients with coronary heart disease (CHD). The aim of the study was to evaluate the effect of monoanesthesia with dexmedetomidine on the diameter of the stented artery (proximal and distal to the site of stenosis) during elective endovascular stenting of the coronary arteries. Materials and methods. A quasi-experimental study "before and after" was carried out. The study included 22 patients from September 2021 to January 2022. A comparison of 27 indicators was carried out, since 5 patients underwent simultaneous stenting of 2 coronary arteries. Results. The diameter of the proximal section of the stented artery before the loading dose of dexmedetomidine was 2.9 mm [2.5–3.4]; after loading dose – 3.0 mm [2.5–3.4] (p = 0.6). The initial diameter of the distal segment of the coronary artery was 2.2 mm [1.7–2.4], while after a loading dose of dexmedetomidine it was 2.2 mm [2.0–2.5] (p = 0.001). Discussion. In this study, there was no change in the proximal segment of the coronary artery when using a loading dose of dexmedetomidine 0.5 mcg/kg/10 minutes. Whereas an increase in the diameter of the distal coronary arteries has been reported with the above loading dose of dexmedetomidine. Conclusion. Despite a number of limitations of this study (factors affecting the diameter of the coronary arteries that were not taken into account), with a certain degree of optimism, one can speak of a smaller effect of a loading dose of dexmedetomidine 0.5 μg/kg/10 minutes on the diameter of the lumen of the coronary arteries.
Unfavorable prognosis of diseases characterized by high blood pressure in modern conditions
Authors: Manoilov А. E.
Published: July 2022

Introduction. Estimation of prevalence of hypertension diseases (BHPA) and investigation of their complications allows to judge the effectiveness of antihypertensive therapy, the main directions of medical care for patients with BHPA, as well as to identify ways to prevent these diseases. The aim of the work is the study of primary and general morbidity of BCHD, essential hypertension (EH) and hypertensive heart disease (HHD) in the Chelyabinsk region and in the whole Russian Federation as well as the prognosis of the disease development for the nearest perspective. Materials and Methods. The analysis of official statistical data on the morbidity of the Russian population was carried out. Results and Discussion. A rise in the primary morbidity of BCHD has been detected. Forecast for the future indicates that the current trends of BCHD morbidity growth are preserved. At the same time the primary incidence of BCHPA will reach 1,822.5 cases per 100,000 adults by 2025, and the total incidence could be 23,328.3 cases per 100,000 adults in the region. A slower negative dynamics of EG morbidity rates against the background of BCHD morbidity growth in the Chelyabinsk Oblast has been detected. Reliable data on the increase in the primary and total incidence of GBS were calculated. The prognostic calculation of GBS morbidity in the adult population of the Chelyabinsk Oblast up to 2025 also shows unfavorable growth trends. Conclusion. The predicted increase in the incidence of BHPAD, EG and GBS in the Chelyabinsk Oblast reflects the relationship between these morbidity indicators and the need to consider all three indicators.
Bilateral anterior ischemic optical neuropathy against the background of newly diagnosed antiphospholipid syndrome in a young patient
Authors: Poltanova T. I. , Belousova N. Ju. , Volkova S. A.
Published: July 2022

Introduction. Antiphospholipid syndrome (APS) is one of the leading causes of nonarteritic anterior ischemic opticoneuropathy (AION) in young patients. Ocular pathology, often being the earliest and the only manifestation of APS, explains possible difficulties in diagnosis of this thrombophilic condition. Objective – to present a clinical case of bilateral anterior ischemic opticoneuropathy against the background of newly diagnosed antiphospholipid syndrome in a young patient. Materials and Methods. At admission, the patient, born in 1988, was diagnosed with bilateral acute ischemic nonarteritic ION on the basis of visual acuity decrease to 0,7, narrowing of peripheral borders of visual fields concentrically by 10–15°, optic disc edema (ODE) of both eyes and macular edema of the right eye according to ophthalmoscopy and optical coherence tomography (OCT). Laboratory examination revealed thrombocytopenia, antibodies to DNA and cardiolipin in elevated titer, which allowed the diagnosis of primary antiphospholipid syndrome. Local anticoagulant and anticoagulant therapy, systemic administration of antioxidants, antiaggregants, vitamins, as well as preparations, improving microcirculation, were carried out. Results and Discussion. Against the background of treatment visual function restored to 1.0 in the right eye and 0.9 in the left eye, residual ODE edema was diagnosed in both eyes in the upper nasal sector. At follow-up in 2.5 months the morphological parameters of the retina and optic nerve were restored. Conclusion. Thromboocclusive lesions of retinal and optic nerve vessels are an early and sometimes the only manifestation of antiphospholipid syndrome. Their presence in young patients requires clinical and laboratory follow-up examination for timely diagnosis of concomitant thrombophilic condition. High risk of recurrent thrombosis of different localization makes it necessary to take antiplatelet agents for a long time.
EFFICACY OF DIGITAL MANIPULATION OF THYROID CARTILAGE, FLUENCY SHAPING THERAPY AND COMBINATION OF BOTH IN TREATMENT OF STUTTERING SEVERITY: A RANDOMIZED CLINICAL TRIAL
Authors:   National Institute of Rehabilitation Medicine, Islamabad Pakistan, Khan Nasir , Khatoon Raheela ,   Institute of Clinical Psychology, University of Karachi, Karachi Pakistan, Saleem Hina ,   Department of Rehabilitation Sciences, Shifa Tameer e Millat University, Islamabad Pakistan, Kiani Humaira Shamim ,   Faculty of Rehabilitation & Allied Health Sciences, Riphah International University Islamabad. Pakistan, Butt Rizwana ,   Institute of Medical Rehabilitation, Islamabad Pakistan
Published: July 2022

Background: The stuttering is manifested by disruption in normal speech flow and fluency that also disturbs social and emotional wellbeing. There is immediate need of rehabilitation for the improvement of fluency and reduce the severity of stuttering.Objective:To compare the digital manipulation of thyroid cartilage (DMTC), fluency shaping therapy (FST) and combination of DMTC and FST for improving severity in stuttering patients. Material and Method: A randomized clinical trial was conducted at National Institute of Rehabilitation Medicine. The patients were enrolled through non-probability, convenient sampling technique. The participants were randomly allocated into three equal groups (n=10): DMTC group, FST group and combination of both. The Scale of Rating Severity of Stuttering (SRSS) was used to assess the severity level at baseline, 2ndweek, 4thweek, 8thweek and 12thweek of intervention.Results: The mean age of DMTC, FST and combination group was, 22.25 ±3.33 years, 21.65±3.36 and 21.35±3.76 years respectively. Friedman with post hoc test revealed significant improvement (p<0.05) in all groups but combination group had showed better outcome than single DMTC and FST intervention. A Kruskal-Wallis H test showed that there was no significant difference (p≥0.05) among DMTC, FST and Combination group from baseline to 8thweeks of training, but significant difference {X2(2) =5.897, p<0.014} was observed after 12thweek of training among the groups. The post hoc test showed that the combination group was more significantly improved as compared to DMTC group {MR=9.10 ver. MR=17.71, p=0.012} but not significant difference between difference between combination and FST group (p=0.317) as well as DMTC and FST group (p=0.619) regarding severity of stuttering. Conclusion: It is concluded that combination of digital manipulation of thyroid cartilage and fluency shaping therapy were more beneficial for improving fluency in stuttering patients. Key words:Digital manipulationtherapy,fluency shaping therapy, stammering, stuttering.
New Technologies, Human Rights, and COVID-19: Evaluating the South Korean Response
Authors:   APEC Studies Association of Korea, Soh Changrok , Connolly Daniel , Lee Sung H. , Kang Haejo
Published: July 2022

The containment and management of the COVID-19 pandemic and its impacts have been a leading priority for nations since its onset in early 2020. South Korea is widely recognized as having one of the best responses to the pandemic without utilizing strict lockdowns or authoritarian measures to safeguard public health and the economy. To do this, Korea utilized new digital technologies at every stage of the process to ensure that infected individuals were tested, traced, and treated, also known as the Three T Strategy. However, the Korean case also shows how the use of technological forms of governance can aggravate preexisting human rights problems and how it can dynamically create new types of victims through enhanced capabilities that allow for the surveillance, categorization, and control of populations. This paper theorizes the Korean Three T Strategy and its constituent technologies as a datafication cycle and critically explores its human rights impacts. It finds that the use of new technologies to combat COVID-19 avoided some kinds of human rights violations associated with lockdowns in other countries, but also created the potential for human rights violations that were more obscure, complex, and difficult to measure. This finding suggests that while new technologies can help mitigate the trade-offs between economic growth, public health, and human rights, their usage alone does not provide a comprehensive solution.
Village education community to prevent corruption in school education: Focusing on the Case of Peace and Unification Education
Authors:   Korean Association For Corruption Studies, Oh Jong Moon , Ha Sang Sup , Jang Se Young
Published: July 2022

The village education community means the recovery of the community of villages and education. In order to form a village education community, it is necessary for the Office of Education, local governments, and villages to cooperate while achieving governance together. The village is a space of cooperation rather than competition, and it is meaningful in that it provides an environment where students can be educated in an equal position and solves the problem of corruption in schools. In order to more practically solve the problem of corruption that may arise in school education and operations, village education community governance must be premised on an open platform. Since an open platform is a structure that operates on the basis of the ownership of all participants rather than strong leadership, it has a structure that is bound to be oriented towards a horizontal organizational culture. An open platform is essential for the village education community to function as an ecosystem. If the village becomes the main body in the village education community and creates an environment in which the residents easily gather, study, discuss, and grow into a community, the closed parts of school management and education can be eliminated. Education in the village is not far away. For example, for Peace and Unification Education, it is necessary to create education with the villagers that can be practiced from the village where I live, not to go to the village with the border. Each village's distinctive and open platform education will change the closeness of schools to openness and prevent a corrupt environment from taking root.
A Study on the Improvement Measures for Establishment of the Personnel Hearing System
Authors:   Korean Association For Corruption Studies, Jeon Chan Hui
Published: July 2022

In a presidential country with clear separation of powers by the Constitution, it is natural to exercise the personnel rights granted to the president to find the best person and operate efficient state affairs. The exercise of personnel rights consistent with the president's philosophy of state affairs can be seen in two main stages. It is the stage of personnel verification at the Blue House and the stage of appointment consent and personnel hearing at the National Assembly. In addition to verifying the policies and qualifications of high-ranking candidates, it is also a means of checking the executive branch of the legislature in a presidential system on the premise of strict separation of power, and further preventing the president from exercising personnel rights. However, it is natural that the confirmation hearing system for high-ranking government officials, which we are used to, should be the answer to its original purpose with a reckless operation, but the hearing was often paralyzed by political delays. Of course, the National Assembly's confirmation committee members believe that they will leave the ruling and opposition parties to thoroughly inquire into the competencies required of the candidates and investigate suspicions that the public is curious about. Aside from the truth or not, the allegation of the moral verification of high-ranking candidates is not only disparaging the morality of our society, but there is also a concern that the issue of the National Personnel Authority will be undermined. In addition, it is true that high-ranking officials who do not require a vote on the National Assembly's motion for appointment are allowed to appoint even if the hearing and report of the competent standing committee are not adopted, and there are frequent cases of appointment. Since the process from birth to the present has not been deplorable, it is expected that the net function of the system will develop into pure logic, even if there are unpredictable variables in reality to lay the foundation for dispelling negative factors.
ANTICOMUNISMO, GOLPISMO E QUESTÃO AGRÁRIA: UMA ANÁLISE SOBRE O PROGRAMA AGRÁRIO DO IPÊS: 1963 - 1966
Authors: Oliveira Vieira Fernando
Published: July 2022

The article discusses the perception of the Institute of Research and Social Studies (Ipês) in relation to the agrarian issue, between the years 1963 and 1966, aiming at analyzing the worldview of anti-communist groups in the 1960s. As its primary sources, the article deploys publications from the Institute itself, such as Reforma Agrária, Bases e Soluções, Reformas de Base: a posição do Ipês, Ipês Monthly Bulletins, and major newspapers. Ipês was an anti-communist group, formed by civilians and military, founded in 1961, whose members engaged in the articulation of the 1964 military coup. Sectaries of this organization, such as Paulo Assis Ribeiro, were incorporated into the Castello Branco government, participating in the formulation of the Land Statute (ASSIS, 2001; DREIFUSS, 2008). Ipês defended a program of changes for Brazil in opposition to the Base Reforms advocated by the João Goulart government. Carrying on with our mas-ter’s degree dissertation, entitled O discurso anticomunista do Ipês entre 1963-1966 [The anti-communist discourse of Ipês between 1963 and 1966], the article also analyzes the relation between the agrarian reform model defended by Ipês and its perspectives on the rural worker, as well as the connection of these pro-posals with its anti-communist conceptions, its doctrinal principles in defense of the Alliance for Progress and the Mater et Magistra letter, and its connection with the principles of the Escola Superior de Guerra [War College].
Rumo a uma abordagem dinâmica para reconversões
Authors: Martin Monique de Sanit
Published: July 2022

Apesar de serem muitas vezes analisadas como formas de reprodução, as reconversões têm sido caracterizadas como formas de mobilidade em várias obras. Ambas opções não são estritamente contraditórias e podem ser igualmente justificadas. No entanto, parece absolutamente necessário tentar circunscrever melhor esta noção. Embora não pretenda oferecer uma definição, a autora se apoia principalmente em pesquisas sobre as elites conduzidas em diferentes contextos geográficos (França, Hungria, Rússia) e históricos, e propõe uma abordagem mais fundamentada e heurística para reconversões que também lhes permitiria ser claramente distinguidas das conversões.
Aloe Vera (L.) como floculante para remoción de turbidez de aguas superficiales
Authors: Ruiz Ortega Elvira Luvieska , Oré Cierto Luis Eduardo , Vega-Guevara Miluska Rosario , Angulo-Romero Adolfo , Ruiz-Huaman Carmen Milagros , Garcia Curo Gianmarco , Diaz Dumont Jorge Rafael
Published: July 2022

El acceso al agua potable por red pública es un problema de la población rural en el departamento de Huánuco, por ende, se suele realizar el consumo de este recurso sin previo tratamiento, produciéndose así enfermedades estomacales. El uso de agentes naturales como el Aloe vera (L.) (Sábila) viene a ser una alternativa como floculante para el tratamiento convencional del agua, por tal motivo, en esta investigación se visualizaron experimentalmente las características y reacciones del gel de A. vera como floculante en la remoción de la turbidez. La turbidez del agua se simuló con el caolín, y se determinó la concentración óptima de alúmina y sábila (1%) a valores diferentes de pH y turbidez iniciales, con los datos resultantes se optimizó las dosis mediante el modelo matemático de superficie de respuesta, para después realizar su respectiva validación mediante métodos gráficos e índices matemáticos; los resultados reflejaron que la turbidez inicial, pH inicial y la dosis del coagulante influyen significativamente en la remoción de la turbidez de agua, de forma individual, concluyendo según el modelo de superficie de respuesta que el volumen óptimo de sábila al 1% alcanza su mayor eficiencia a 0,1 mL y 0,4 mL por cada 500 mL, dosis que varía de acuerdo a su pH y turbidez inicial, este modelo matemático se ajusta para aguas superficiales de la ciudad de Tingo María.
Reshufflings Within Syrian Security System In 2019: Determing Political Motives And Objectives
Authors: Vardanyan Grigor
Published: July 2022

This study is aimed at firstly scrutinizing the reshufflings within Syrian security system in the first half of 2019, secondly to understand the internal and external motives and objectives of new appointments in security and intelligence departments. There are two research questions: 1. What were the key factors behind the decision of the Syrian authorities to conduct reshufflings within Syrian security system? 2. What were the main internal and external actors involving in the configuration processes within Syrian security elite? In the second half of 2019 Syrian authorities were lacking loyal and credible security system which was heavily eroded facing grave threats posed by external and internal state and non-state actors during the Syrian crisis. Analyzing the reshufflings within Syrian security system, discussing the real objectives of the changes, and given all the perspectives and thoughts of subject matter experts we draw our own perspective on the subject and make conclusions.
Turkey’s Expansion In Eastern Africa: The Case Of Somalia
Authors: Hovhannisyan Gor
Published: July 2022

The paper analyzes Turkish involvement in Eastern Africa by the case of Turkey-Somalia relations. The article represents how Turkey successfully went from providing humanitarian aid to taking control over the important infrastructures and locating own military base in Somalia. The research shows that the Turkish involvement in Somalia is mainly benefiting Turkey rather than Somalia, which does not possess enough resources to speak on equal terms with Turkey. The conclusions drawn from the research are the following: 1) Africa’s role as a political theatre is gradually increasing, as more and more players are getting involved, 2) Turkey is getting actively engaged in Africa on its way to becoming a regional power, 3) The case of Turkish involvement in Somalia represents a “Turkish model” that can be offered to struggling states of Africa, i.e. large economic and political involvement in exchange for communication and military infrastructure 4) Somalia’s case can become a motivation for other unstable countries in the region in search for a patron state.