bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengaruh Metode Mind Mapping terhadap Hasil Belajar IPA tentang Gaya pada Siswa Kelas IV SDN Pondok Kopi 03 Pagi Jakarta Timur
Authors: Virdiana Tisya , Ramdani Akhmad Subkhi
Published: October 2020

This study used quantitative research through mind mapping methods for grade IV elementary school in Pondok Kopi 03 East Jakarta in order to find out whether there was an effect of the use of mind mapping methods on the learning outcomes of natural science at grade IV elementary school in Pondok Kopi 03 East Jakarta. The purpose of this research was to analyze The Influence of the Mind Mapping Method on the Learning Outcomes of the Natural Science about energy. This research was conducted at the Public Elementary School on Pondok Kopi in West Jakarta. The sample of the research was students at grade IV in the Second semester of elementary school, 2017/2018. The sample was taken using simple random sampling technic. The data was collected by giving multiple choice test, then calculated normality data using liliefors and homogeneity class using barlet. Normality and homogeneity test results indicate that the data is normal and both classes was homogeneous. Subsequently analysed by t test. The results were the value of t count 2,31. Value t table on significance level α = 0.05 and dk = 29 is 1,70. Therefore t count value greater than the t table (2,31 1,70), the null hypothesis is rejected and accepted working hypothesis. That mean, mind mapping method significantly influence the achievements force on grade IV elementary school.
Penerapan Pembelajaran Autonomi dalam Meningkatan Keterampilan Membaca Text Bahasa Inggris
Authors: Mardiyah Mutmainatul
Published: October 2020

To describe how autonomous learning increases students’ English text reading skills. The research was conducted at Faculty of Economics, MH. Thamrin University, East Jakarta. The result of the research is as follows: (1) autonomous learning implementation at Faculty of Economics, MH. Thamrin University is generally good. The achievement of all indicators of autonomous learning is very high. (2) Students’ English text reading skills at Faculty of Economics, MH. Thamrin University is generally very good. The achievement of all indicators of reading skills strategies is very high. (3) Autonomous learning has been successfully implemented to increase the students’ English text reading skills at Faculty of Economics, MH. Thamrin University. Based on the research result, the students’ English text reading skills could be enhanced by deeply implementing the indicators of autonomous learning through 1). Developing self-awareness, 2). Developing effective learning strategies, 3). Developing thinking skills, 4). Developing organizational skills, 5). Developing cooperative skills, 6). Developing metacognitive skills, 7). Developing problem solving dan supporting others. It proves that autonomous learning can increase students’ English text reading skills.
PENDIDIKAN ANTI KORUPSI DALAM KURIKULUM PENDIDIKAN DI INDONESIA
Authors: Wutsqah Urwatul
Published: October 2020

Pemerintah dalam memberantas korupsi telah mengadakan komitmen bersama dari segenap lembaga untuk memerangi dan memberantas korupsi di negeri ini. Sebagaimana kita ketahui korupsi di Indonesia dengan segala polemiknya sudah menyandera kehidupan berbangsa dan bernegara, korupsi telah melumpuhkan roda perjalanan Republik Indonesia. Para pejabat menggunakan kekuasaannya dan jabatannya untuk mengeruk habis uang rakyat sehingga disinilah titik terendah dari kemajuan bangsa ini. Para pelaku korupsi yang sudah berpendidikan serta dipercaya mengemban amanah rakyat tetapi mereka tidak dapat menjalankan tanggung jawabnya sekaligus dikarnakan ternyata pendidikan yang mereka tempuh belum mampu membentuk cara berfikir, cara bersikap, dan cara bertindak yang bersentuhan dengan realitas sesungguhnya, kebanyakan dari mereka hanya mampu diteori, namun tidak bisa melaksanakan diranah  realita. Inilah yang menjadikan peneliti mengkaji bagaimana pendidikan diyakini sebagai kunci masa depan bangsa dapat menciptakan inovasi baru dalam system kurikulum dengan pendidikan antikorupsi salah satu yang dapat dilakukan sebagai penindakan dan pencegahan dari perilaku korupsi itu sendiri dan semua ini tidak akan berhasil optimal jika hanya dilakukan oleh pemerintah saja tanpa melibatkan peran serta masyarakat dari tingkat pendidikan paling dasar dengan tingkat tertinggi (universitas) dan masyarakat sebagai bagian masyarakat sipil yang memiliki peran starategis dalam mengupayakan pemberantasan dan pencegahan korupsi guna untuk menciptakan karakter masyarakat anti korupsi.
Tratamiento quirúrgico de malformaciones linfáticas en pacientes pediátricos.
Authors: Oré Acevedo JF , La Torre Caballero LM , Urteaga Quiroga RJ
Published: October 2020

Introducción: Los linfagiomas quísticos son malformaciones de los conductos linfáticos los cuales forman cavidades con líquido linfático. Objetivos: Determinar las características clínicas, evolución y complicaciones de los pacientes operados de malformaciones linfáticas localizados en la región de la cabeza y el cuello. Diseño: Estudio observacional descriptivo tipo serie de casos. Metodología: Se revisaron las historias clínicas de los pacientes operados con resultado de patología compatible con malformaciones linfáticas, en el periodo desde enero 2008 hasta enero del 2017.
Estudio de caso de un quiste tirogloso lingual: una urgencia en la vía aérea del lactante menor
Authors: Muñoz Tamayo Juan Fernando , Sierra Jaramillo Julian , Mendoza Gallego Alejandra , Hurtado González Manuela
Published: October 2020

El quiste tirogloso es una de las principales causas de tumores congénitos en cuello, siendo la lengua un sitio infrecuente de presentación, no obstante, es relevante conocer esta ubicación, principalmente en lactantes menores, ya que, debido a sus características anatómicas, presentan como síntoma principal disnea, con diferentes grados de severidad que puede llegar a comprometer la vía aérea y la vida del paciente. Se presentan dos casos de lactantes que ingresan por estridor y signos de falla ventilatoria, se les realizó nasofibrolaringosocopia flexible evidenciando lesión de aspecto quístico en la base de la lengua, posteriormente se complementó estudio imagenológico, con primera opción diagnóstica quiste tirogloso lingual; se les realizó manejo quirúrgico con microlaringoscopia de suspensión más marsupialización endoscópica con corte frío y radiofrecuencia con adecuada evolución postoperatoria. Basados en los casos previos proponemos un algoritmo de manejo haciendo énfasis en el uso de imágenes diagnósticos y la técnica quirúrgica.
FORMULASI SEDIAAN KRIM EKSTRAK ETANOL DAUN BELIMBING WULUH (Averrhoa bilimbi L.) DENGAN BASIS ASAM STEARAT
Authors: Istiqomah Rahmawati Azizah , Azzahra Fara
Published: October 2020

Abstrak

Daun belimbing wuluh mengandung flavoniod, saponin, tanin, sulfur,peroksidase. Ekstrak etanol daun belimbing wuluhdiformulasikanmenjadi sediaan krim. Tujuan penelitian ini adalah mengetahui karakteristik fisik krim ekstrak etanol daun belimbing wuluh.

Penelitian ini merupakan eksperimental dengan metodelogi posttest only control group design.Ekstrak hasil maserasi diformulasikan menjadi krim menggunakan basis asam stearat.Krim dibuat menjadi FI formula kontrol (basis krim) dan FII krim dengan ekstrak etanol daun belimbing wuluh. Krim diuji organoleptis,pH, homogenitas, dan daya sebar. Data dianalisis menggunakan SPSS, uji normalitas menggunakan Shapiro Wilk. Perbedaan karakteristikFI dan FII diuji menggunakanIndependent sample T-test.

Hasil penelitian menunjukkan ada pengaruh ekstrak etanol daun belimbing wuluh terhadap organoleptis dan pH krim. Warna FII hijau kecoklatan sedangkan warna FI putih. Hasil pH FII 5,66 ± 0,10 dan FI 6,5 ±  0,15, hasil uji Independent T-test pH krim menunjukkan hasil (Sig<0,05), ini berarti terdapat perbedaan signifikan antara nilai pH FI dan FII.Hasil uji daya sebar dan homogenitas tidak memiliki perbedaan signifikan antara FI dan FII. Rerata daya sebar FI 6,41 ± 0,35 cm dan rerata daya sebar FII 6,77 ± 0,11 cm. FI dan FII menunjukkan hasil homogen.

Kesimpulan penelitian yaitu ekstrak etanol daun belimbing wuluh dapat dibuat dalam sediaan krim dan memiliki sifat fisik yang baik.
Frizzled Receptors in Tumors, Focusing on Signaling, Roles, Modulation Mechanisms, and Targeted Therapies
Authors: Sun Yu , Wang Wei , Zhao Chenghai
Published: October 2020

Wnt molecules play crucial roles in development and adult homeostasis through their receptors Frizzled proteins (Fzds). Fzds mediate canonical -catenin pathway and various noncanonical -catenin-independent pathways. Aberrant Fzd signaling is involved in many diseases including cancer. Wnt/-catenin is a well-established oncogenic pathway involved in almost every aspect of tumor development. However, Fzd-mediated noncanonical Wnt pathways function as both tumor promoters and tumor suppressors depending on cellular context. Fzd-targeted therapies have proven to be effective on cultured tumor cells, tumor cell xenografts, mouse tumor models, and patient-derived xenografts (PDX). Moreover, Fzd-targeted therapies synergize with chemotherapy in preclinical models. However, the occurrence of fragility fractures in patients treated with Fzd-targeted agents such as OMP-54F28 and OMP-18R5 limits the development of this combination. Along with new insights on signaling, roles, and modulation mechanisms of Fzds in human tumors, more Fzd-related therapeutic targets will be developed.
ARTERIA SUBCLAVIA DERECHA ABERRANTE EN PACIENTE DE 54 AÑOS
Authors: Moreno Samuel , Orillac Angelique
Published: October 2020

Se presenta una paciente femenina de 54 años con hallazgo incidental de arteria subclavia derecha aberrante, también conocida en la literatura como arteria lusoria. Se puede considerar a la arteria lusoria como la anomalía embriológica del arco aórtico más común; descrita desde 1735 por Hunauld. La incidencia se estima entre 0.5-2% en la población general.1 La anatomía se describe como 4 arterias originandose del cayado aórtico: arteria carótida común derecha, carótida común izquierda, subclavia izquierda y subclavia derecha (la cual cruza la línea media en su recorrido). La prevalencia de esta anomalía varía según la región geográfica, en Estados Unidos se reporta una prevalencia de 0.5%.1 La falta de protocolos estandarizados de tratamiento hacen que el mismo sea basado en criterio médico, la sintomatología del paciente y su capacidad para ser sometido a procedimientos invasivos. La paciente descrita no presentaba sintomatología por lo que no recibió tratamiento.
Posisi Ilmu Bahasa Arab dalam Kajian Islam (Perspektif Filsafat Ilmu)
Authors: Nurhayati Tati , Misnatun Misnatun
Published: October 2020

Abstract
Science and religion are both tools for searching the truth, even though they cannot be categorized as something similar. Islam as a religion, is certainly one of the tools for humans to seek the truth. In Islamic studies, there are three models of thinking to determine the location of the authority of truth, which later by al-Jabiri is matched with the epistemological model popular in Islamic studies, one of which is the epistemology of bayani. Based on this bayani epistemology that to find a truth in Islamic studies, it must refer to the text. The text which is the main source of truth in Islamic studies is the Qur'an and hadith. Qur'an and hadith are arranged in Arabic. From here it is clear that there is an important role or position in Arabic science in Islamic studies. Based on the study by the author that the position of Arabic language science in Islamic studies is as a tool to find the truth or study the contents contained in the Qur'an and the Sunnah which are sources of truth in Islamic studies and the main sources of Islamic teachings. So that the contents of the Qur'an and the Sunnah can be understood by the followers of Islam (Muslim) appropriately and avoid mistakes in the meaning of its contents.
 Keywords: Arabic Language Science, Islamic Studies
Civilization, Technosphere And Technical Development As A Legitimate Process
Authors: Amonov Rustam Samejonovich
Published: October 2020

The article considers the transition of society to industrial, industrial civilization, the emergence and content of the Technosphere, the development of technology and its consequences, as a systematic legal process.
Historical Considerations Of Rural Areas Of The Ancient Kesh Oasis
Authors: Muminov Orifhuja Odilovich
Published: October 2020

Kesh (Arabic, in its sources Kashsh, Kass, Kise) is a historical city and region. It occupies the north-eastern part of the present-day Kashkadarya region of Uzbekistan. Initially, it was located on the site of Kitab district, then in the 9th-10th centuries it moved to Shakhrisabz. Extensive research has been conducted in the Kesh oasis over the years, which has provided valuable information on the ancient and medieval history of the oasis. Important information about the ancient and medieval history of the oasis is given in the sources. These sources provide detailed information on the geographical location of the Kesh oasis, the lifestyle of the population of the oasis, the socio-economic life of the oasis, the structure of the city of Kesh. Historians such as Ibn Hawqal and Al-Muqaddas have provided such valuable information in their works. From the 20th century, archeological excavations began in the oasis. Preliminary research was conducted by orientalists in the oasis. In the oasis V.V.Bartold, V.A.Vyatkin, B.Denike conducted scientific research. In 1926, A.Yu.Yakubovsky was sent to Shakhrisabz to study historical topography. In the 1930s, the monuments of Shakhrisabz were studied by Y.G.Gulomov, T.M.Mirgiyosov, S.K.Kabanov, S.A.Sudakov and the artist N.S.Lojkin. Archaeological excavations in the oasis were also carried out by M.E. Masson in the 1940s. Archaeological excavations were carried out by S.K.Kabanov in 1946-1950. In 1955, V.D.Zhukov conducted excavations at the site of Kindiklitepa. The research conducted by N.I.Krasheninnikova in 1970-1980 is also important. Similar expeditions were carried out in later periods. Among them are R.H.Suleymanov, E.V.Rtveladze and A.S.Sagdullaev. The archeological researches and scientific researches of these scientists are served as an important basis in determining the age of the cities of the eastern (Kesh) and western (Karshi) oasis of Kashkadarya and their place in the urban culture of Central Asia.
Central Asian Factor In The Sustainable Development Of Uzbekistan
Authors: Saidraxmonovich Iymanov Javlon
Published: October 2020

This article is written on the basis of specific information, examples and evidence about the role of the Republic of Uzbekistan in the Central Asian region, cooperation with neighboring countries, cooperation within international organizations, resolutions for the development of the region, initiatives of the President of Uzbekistan, effective activities under the "Action Strategy", preventive diplomacy with neighboring countries. written on the basis of clear information, examples and evidence of your contribution to security and development.
The Importance Of Historical And Artistic Works In Forming The Qualities Of Courage In Future Military Men
Authors: Usmanovna Murodillaeva Munavvarxon
Published: October 2020

In the historical development of personality, the creation of written sources, including historical and historical-artistic works, had a direct impact on the development of social relations. The educational influence of ideas put forward in such works has created an opportunity for centuries to use them in the formation of moral and moral qualities in a person. The reflection of individual-specific will qualities in the artistic image of historical heroes encouraged the younger generation to become courageous. The theme of military courage in historical and artistic works, which occupy a place in Uzbek and world literature, forms the basis of the plot. These works serve to develop the qualities of military courage of young people, especially, military men in modern conditions. This is what is mentioned in the article.
Web-based and mixed-mode cognitive large-scale assessments in higher education: An evaluation of selection bias, measurement bias, and prediction bias
Authors: Zinn Sabine , Landrock Uta , Gnambs Timo
Published: October 2020

Educational large-scale studies typically adopt highly standardized settings to collect cognitive data on large samples of respondents. Increasing costs alongside dwindling response rates in these studies necessitate exploring alternative assessment strategies such as unsupervised web-based testing. Before respective assessment modes can be implemented on a broad scale, their impact on cognitive measurements needs to be quantified. Therefore, an experimental study on N = 17,473 university students from the German National Educational Panel Study has been conducted. Respondents were randomly assigned to a supervised paper-based, a supervised computerized, and an unsupervised web-based mode to work on a test of scientific literacy. Mode-specific effects on selection bias, measurement bias, and predictive bias were examined. The results showed a higher response rate in web-based testing as compared to the supervised modes, without introducing a pronounced mode-specific selection bias. Analyses of differential test functioning showed systematically larger test scores in paper-based testing, particularly among low to medium ability respondents. Prediction bias for web-based testing was observed for one out of four criteria on study-related success factors. Overall, the results indicate that unsupervised web-based testing is not strictly equivalent to other assessment modes. However, the respective bias introduced by web-based testing was generally small. Thus, unsupervised web-based assessments seem to be a feasible option in cognitive large-scale studies in higher education.
Un caso de CIA compleja: ¿dónde están los bordes del septum interauricular?
Authors: Amor Miguel , Graciela Rousse María , Veloso Sergio , Darú Víctor , Lowenstein Jorge A.
Published: October 2020

La comunicación interauricular (CIA) ostium secundum es la cardiopatía congénita más frecuente en la edad adulta. Se presenta el caso de un varón de 45 años, asintomático, con gran sobrecarga de cavidades derechas al que se detecta una CIA de gran tamaño. Debido a su gran tamaño y la ausencia de bordes suficientes, es dificultosa la clasificación del tipo de defecto, revisando el diagnóstico diferencial con el tipo seno venoso inferior. Se discuten también las dificultades de valoración no invasiva de la presión pulmonar ante un reflujo tricúspide de escasa magnitud y pobre representación espectral.
Anatomía ecocardiográfica de un mixoma neovascularizado
Authors: Fuentes-Molina Edgar
Published: October 2020

Clásicamente, el diagnóstico de mixoma cardíaco está basado principal y fundamentalmente en la ecocardiografía transtorácica y transesofágica, y en general no ofrece mayor dificultad si la presentación es típica; sin embargo, en no pocas ocasiones, se suelen utilizar otras modalidades de imagen para “confirmar” o “asegurar” el diagnóstico, sin lograr agotar antes todas las opciones que ofrece la ecocardiografía hoy en día, tanto con técnicas novedosas, como con técnicas antiguas que muchas veces se dejan de lado. Se presenta un caso típico de mixoma, con algunos hallazgos ecocardiográficos que van más allá del simple hallazgo de una masa cardíaca.
PKM Kegiatan Outbound & Team Building Bagi Karyawan BPR Mandiri
Authors: Sukartaatmadja Iswandi , Muktiadji Nusa , Effendy Marwan
Published: October 2020

Kegiatan Outbound & Team Building bagi Karyawan BPR Mandiri merupakan salah satu metode pembelajaran modern yang memanfaatkan keunggulan alam. Para peserta yang mengikuti kegiatan ini tidak hanya dihadapkan pada tantangan intelegensia, tetapi juga fisik dan mental. Dan ini akan terus terlatih menjadi sebuah pengalaman yang membekali dirinya dalam menghadapi tantangan yang lebih nyata. Begitu pula dalam menghadapi persaingan dikehidupan sosial masyarakat. Program Outbound & Team Building dirancang bagi organisasi atau perusahaan yang ingin meningkatkan atau membangun sikap kepemimpinan dan kerjasama kelompok dalam diri karyawan dalam suatu perusahaan atau  anggota dalam suatu organisasi. PKM ini merupakan bentuk Kerjasama STIE Kesatuan dengan BPR Mandiri dengan melaksanakan kegiatan Team Building yang dipadu dengan konsep acara Outbound untuk mengembangkan dan memperkuat sinergi kerja karyawan BPR Mandiri. Pasca PKM, karyawan BPR Mandiri membentuk komitmen bersama untuk bekerja bersama-sama mengembangkan perusahaan untuk mencapai tujuan bersama. Beberapa rencana kerja kelompok dikembangkan bersama.
CHARACTERIZATION OF GASTROESOPHAGEAL REFLUX ACCORDING TO PH-IMPEDANSOMETRY
Authors: Komarchuk V. V. , Komarchuk E. V. , Trushin А. S. , Gorbulich A. V. , Sheptukha A. A. , Shamoun K.
Published: October 2020

Summary. Aim. To study the characteristics of gastroesophageal reflux using pH-impedance monitoring.

Materials and methods. pH-impedance monitoring was carried out in 38 patients with GERD symptoms without endoscopic signs and 22 patients with endoscopic signs of reflux esophagitis and reflux gastritis.

Results. All studied parameters confirmed the physiological nature of GER in 38 patients of group I and 9 patients of group II; the presence of pathological GER and impaired gastroesophageal antireflux barrier function in 13 patients of group II.

Conclusions. The conducted pH-impedance monitoring made it possible to determine not only acidic GER and superrefluxes, but also weakly acidic and weakly alkaline ones, most accurately obtain quantitative and qualitative characteristics of GER, as well as establish a violation of the chemical and volumetric clearance of the esophagus. The data obtained can be used when choosing the method of antireflux surgery in patients with GERD.
CLINICAL DYNAMICS OF TISSUE CHANGES IN THE FORMATION OF COMPARTMENT SYNDROME IN BURNS
Authors: Boiko V. V. , Kurbanov T. A. , Kravtsov O. V. , Isaev Yu. I. , Kravtsova E. A.
Published: October 2020

Summary. Compartment syndrome — local hypertensive-ischemic syndrome - a formidable complication of traumatic tissue damage, the basis of which is the increase in intrafascial pressure of muscle masses above 20 mm. The treatment of this dangerous condition is carried out by emergency surgery to decompress tissues.

The aim of the study was to study in an experiment the clinical and morphological development of the compartment syndrome for burns and to evaluate the effectiveness of necrotomy operations and impregnation of affected tissues with ozonized physiological saline.

Materials and methods. The experiment was carried out on 18 rats of the WAG line, weighing 190-210 g. The study material was skin with adjacent soft tissues of the thigh area. To simulate experimental deep burns, we used a device developed by us for the formation of burns, standard in depth and area of the lesion. After the burn was formed, interstitial pressure was measured.

Research results and discussion. The dynamics of macroscopic observations of the wound process and x-ray studies reflect their correspondence to the severity of thermal injury and the positive impact of the proposed therapeutic measures.

Сonclusions.

The development of the compartment syndrome with circular and subcircular limb burns and electric burns is a formidable complication, leading to a sharp deterioration in thermal injury and requires immediate surgical intervention.

The critical point of the level of interstitial pressure should be considered 20 mm, the increase is an absolute indicator for the operation.

The effectiveness of necrotomy can be improved by the use of a number of medications, in particular local infiltration with ozonized saline.
ADVISABILITY OF THYMECTOMY IN YOUNG PATIENTS WITH THYMUS-INDEPENDENT MYASTHENIA GRAVIS IN THE PRESENCE OF BIOMARKERS SPECIFIC FOR PATIENTS WITH THYMOMA
Authors: Klimova E. M. , Drozdova L. A. , Lavinskaya E. V. , Minukhin D. V. , Kudrevich A. N.
Published: October 2020

Summary. The aim is to assess the presence of specific markers in patients with thymus-independent and thymus-dependent myasthenia gravis for choosing treatment tactics.

Materials and methods. The presence of specific markers was assessed in 138 patients with thymus-independent (M – myasthenia gravis without thymus changes) and thymus-dependent (MH – myasthenia gravis with thymus hyperplasia, MT – myasthenia gravis with thymoma) for the choice of treatment tactics. We used methods of enzyme immunoassay, spectrophotometry, light and fluorescence microscopy.

Results and discussion. The relationship between the clinical phenotypes of myasthenia gravis and the variants of HLA leukocyte antigen diplotypes was revealed: in young patients with thymus-independent myasthenia gravis (M), a high heterogeneity of the genotypic markers HLA-DR (DR1, DR2, DR3, DR5, DR7) was observed. Patients with thymus-dependent myasthenia (MT) had only the HLA DR2 and HLA DR7 diplo- and haplotypes. The presence of HLA DR2 and HLA DR7 haplotypes and certain changes in the complex of biomarkers (anti-nuclear antibodies, innate immunity and humoral sensitization) in some young patients with M with disease progression led to the development of myasthenia gravis with thymoma (MT) at an older age.

Conclusions. The prognosis of the progression of myasthenia gravis and the development of remission can be made using genomic (the presence of certain HLA-DR haplotypes) and molecular (anti-nuclear antibodies ANA, different fractions of medium molecular weight peptides, circulating immune complexes) biomarkers, that can be used for the choice of treatment tactics.
CLINICAL CASE OF APPENDIX MUCOCELL, COMPLICATED BY PERFORATION AND THE FORMATION OF RETROPERITONEAL SPACE PHLEGMON
Authors: Povch О. А. , Shepetko Е. N. , Коvalchuk О. V. , Leleta R. О. , Rebenkov S. О.
Published: October 2020

Summary. The aim. To analyze the anamnestic data, clinical symptoms, preoperative diagnosis, features of surgical intervention and the results of histological examination in a patient with mucocele of the appendix (MA), complicated by necrosis and perforation of the wall and formation of retroperitoneal space phlegmon (FRS).

Material and methods. An analysis of the case of MA, which was complicated by the atypical course and the development of retroperitoneal space phlegmon, which was diagnosed after multispiral computered tomography of the abdominal cavity (MSCT AC).

Results. The patient, despite periodic atypical complaints of discomfort in the right iliac region, did not seek medical attention and was not examined. Operated urgently after performing MSCT AC. Intraoperatively, a rupture of the MA was diagnosed with formation of FRS, which significantly complicated the course of the operation and the course of the postoperative period. Appendectomy, drainage of the abdominal cavity and retroperitoneal space were performed. Gradual improvement and recovery.

Conclusions: The acute situation resulting from the rupture of the MA, led to a complex operation. Performing MSCT AC at the prehospital stage makes it possible to diagnose the problem and perform the operation in a timely manner, without waiting for serious complications.
IMPACT OF PSYCHOLOGICAL HEALTH ON ACADEMIC PERFORMANCE OF MEDICAL STUDENTS. WHERE DO WE STAND?
Authors: Hamna Khan  , Ain ul Momina  , Muhammad Zeeshan Sarwar
Published: October 2020

ABSTRACT

BACKGROUND & OBJECTIVE: The objective of our study is to evaluate the prevalence of anxiety, stress and depression in undergraduate MBBS students to correlate it with self-efficacy, life satisfaction and to evaluate its effect on academic performance. We have also considered the relation between academic year and last year score.

METHODOLOGY: A total of 800 self-administered questionnaires were filled by 1st year to final year undergraduate students using non-probability, purposive sampling. The 10-minute questionnaire comprised of four sections: (1) demographics (2) Depression, Stress and Anxiety Scale (DASS ) 21 scoring system (3) Satisfaction with Life Scale (4) General Self-Efficacy Scale. The demographic questions included participants’ age, gender, and year of study, residence and last year professional examination score percentage. A percentage below 50% was named as low achievers. A percentage from 50% to 70% was considered as moderate achievers and above 70% as high achievers.

 RESULTS: In this sample of 505 students 180 (35.6%) were male undergraduates consisting of 18.6% from 1st year, 26.5% from 2nd year and 20.8%, 18% and 16% from 3rd year, 4th year and final year respectively. The depression, anxiety and stress rate were 69.5%, 78.6% and 63.4% respectively. Generally, depression, anxiety and stress were found more in females as compared to males. Anxiety was more common as compared to stress and depression. Students of 4th year were experiencing least psychological stress.

CONCLUSION: Moderate level of depression, stress and anxiety is necessary for good grades but excess of these psychological problems leads to emotional exhaustion and has a negative effect on learning and academic score. These psychological problems also lower the general self-efficacy of a student and are associated with low satisfaction with life.
CONTRAST-INDUCED NEPHROPATHY IN PATIENTS WITH STABLE CORONARY ARTERY DISEASE AND 1-YEAR PROGNOSIS
Authors: Mironov O. Iu. , Sivakova O. A. , Fomin V. V.
Published: October 2020

Aim. The aim of our study was to assess the prevalence of contrast-induced nephropathy (CIN) in patients with chronic coronary artery disease (CAD) and its 1-year prognostic significance.

Materials and methods. 462 patients with chronic CAD and indications to the interventions with intraarterial contrast media administration were included in the study. We conducted a prospective open cohort study (ClinicalTrials.gov NCT04014153). The primary endpoint was the development of CIN. The secondary endpoints were total mortality, cardiovascular mortality, myocardial infarction, stroke, gastrointestinal bleeding, acute decompensation of heart failure, coronary artery bypass grafting, repeat percutaneous coronary intervention.

Results. 28 patients (6%) developed CIN. The rate of CIN in female patients was twice higher, than in males (9,29% vs. 4,66%). There was a trend towards less cases of CIN in patients without obesity (5,88% vs. 6,22%). CIN developed more frequently in patients with anemia (8,9% и 5,7%, р=0,3649, ОR 1,633,95% CI 0,6507-4,239). There was a trend to higher incidence of CIN in people with hyperuricemia (8% vs. 5,95%, р=0,6575, ОR 1,375,95% CI 0,3055-5,808). The rate of CIN in patients with diabetes mellitus was 2% higher, then without one. People, who suffered from myocardial infarction after 1 year of follow up, had the highest rate of CIN (26,7%), as well as patients with other major cardiovascular complications (18,1%). The rate of repeat percutaneous coronary interventions was 9,5%, the rate of acute decompensation of heart failure was 7%.

Conclusion. The prevalence of CIN in patients with chronic CAD was 6%. After 1 year of follow up the rate of CIN was higher in patients who had myocardial infarction, repeat percutaneous coronary interventions and acute decompensation of heart failure.
Endemic Rice Pulu' Mandoti Supports the Economy and Food Security at Salukanan Community During Covid-19 Global Pandemic Crisis
Authors: Karim Abdul
Published: October 2020

alukanan Village is one of the villages in the Enrekang Regency, precisely in the Baraka District. The area of Salukanan Village has an area of ± 1716 KM4 and is inhabited by 1,232 people. Its population depends on the agricultural sector. A well-known agricultural product from Salukanan Village is Pulu' Mandoti (glutinous rice). Various studies have been conducted by several researchers and the conclusion is that Pulu 'Mandoti can only grow with a distinctive aroma in the rice fields of Salukanan Village. Currently, Pulu' Mandoti glutinous rice is the most expensive rice in Indonesia because the price reaches IDR. 55,000 kilograms.
Appraisal of the Level of Coordination among Solid Waste Management Agencies in Zaria Urban Area, Kaduna–Nigeria
Authors: Tunau Tpl. Lawal Kabir , Wanda Tpl. Moses Zira
Published: October 2020

The paper is aimed at determining the level of coordination that exists among the different agencies that are involved in solid waste management in Zaria Urban area. Structured questionnaire and literature review were used to obtain data and information on the roles and responsibilities of agencies involved in solid waste management as well as the nature of inter-agency relationship in the study area. Purposive sampling technique was used to select 13 representatives of the Solid Waste Management agencies. Methods of data analysis employed for the research were the descriptive statistics (frequency analysis, percentage distribution, mean scores, grand mean scores and content analysis) for both government agencies and formal private waste collectors. The two points ordinal scale 1 representing yes and 2 representing no was employed for obtaining information on inter-agency relationships while the multiple options likert scale format was used for obtaining information on the level of coordination that exists among the different agencies, using such indicators as collaboration, consultation and information exchange. The multiple options likert scale questions type was also used to obtain information on effects of absence of a well-coordinated solid waste management system within the study area. The results of the analysis of the indicators of coordination using the two points ordinal scale on inter-agency relationship and other indicators, that is collaboration, consultation and information exchange also signified inefficient coordination among the agencies. The paper recommended among others that, there is need to prepare a well-coordinated and common solid waste management plan for common implementation by all stakeholders, which will guide policy formulation and coordinate all urban solid waste management issues within the urban area and also information exchange should be improved by providing effective means of communication among the institutions in the areas of public awareness campaigns, regularity of accessibility of the institutions to up to date information from other institutions
Rotavirus: Preventive Vaccines and a Rare Side Effect
Authors: Rajagopal Harini , T Nithya , Thomas Hemlin , P R Varghese , Namboodirippad Aparna
Published: October 2020

Rotaviruses are the most common cause of diarrhoeal disease among infants. Till now 108 countries have introduced rotavirus vaccines to prevent severe diarrhea. The Global Rotavirus Surveillance Network (GRSN) was established by WHO in 2008. Some studies reported that rotavirus vaccination can lead to a small increase in the risk of intussusception, a type of bowel blockage. This is a rare side effect. Intussusception, death of tissue of the intestinal wall due to lack of blood supply may cause life-threatening complications if left untreated. In infants idiopathic ileocolic intussusception is the most common form typically managed with operative or non operative reduction like hydrostatic or pneumatic enemas. Whereas, in adults and older children, intussusception is not very common and occurs more often in the colon of small intestine, pathogenesis is lead point in most of the symptomatic cases. Numerous countries have scrupulously noted the occurrence of intussusception post vaccination, and others yet to introduce the vaccine are gathering base line data on the incidence of intussusception which is an important safety issue in determining vaccine policy. However, it should be noted that naturally occurring intussusception, although rare, does occur in the very young. Due to heavy burden of rotavirus, some developing countries have introduced rotavirus vaccines. In India it is now part of the national immunization programme. Hospitalizations and deaths from rotavirus have been averted significantly because vaccination far exceeded the reported cases of intussusception with vaccination. The underlying rationale behind the differing risk of intussusception after rotavirus vaccination in various countries is not yet determined, therefore continuous monitoring is necessary.
Could Serological Markers of the Dengue Viral Disease Predict the Outcomes in Pregnant South Asian Population?
Authors: Guruprasad Dr. Harshita , Rachakonda Dr. Lakshmi , Mande Dr. Shubhangi
Published: October 2020

A recent rise in the incidence of a vector borne viral disease, Dengue Disease, in South Asian countries has also shown an impact on the pregnant population in these regions. There are four known Dengue virus serotypes, the predominant ones being DENV- 2 and DENV-3, when present during pregnancy could be associated with complications like preterm birth, maternal mortality and morbidity and adverse neonatal outcomes.[1]. We aimed to study the outcomes in the pregnant patients that presented to our institution with the Dengue disease.  Methods: A 6-month (1/9/2019 – 29/2/2020) study was undertaken during the months of high prevalence of the Dengue disease in our region. Clinical, laboratory, maternal and foetal outcomes were studied among serologically positive dengue mothers treated at MGM Hospital, Aurangabad. A total of 25 patients were found to have Dengue disease during the study period. NS1Ag and IGM serological analysis results were used to achieve diagnosis and early management. 7 patients had symptomatic thrombocytopenia and needed platelet transfusions. Majority of our patients had favourable outcomes. 3 mothers died succumbing to the multiorgan failure. Favourable maternal and foetal outcomes could be achieved with early diagnosis of suspected Dengue disease with both NS1Ag and IGM serological analysis.
Financial and Environmental Cost-Benefit Analyses Support the Continuation of Government Incentives for Solar Power
Authors: Himes Ryan , Withers London , Black Alyssa
Published: October 2020

Solar power is a source of clean, renewable energy that can help consumers reduce their carbon footprints and curb climate change. In recent years, government incentives, along with improvements in efficiency and reduced costs, have made solar power financially beneficial for consumers as well. In order to accurately analyze the costs and benefits of a potential solar project, many factors must be considered. These include the size of the solar array, the amount of sun exposure, the lifespan of the panels and inverters, the lifespan of the roof or other foundation, the current and future price of utility-provided electricity, and the amount of government incentives offered. These factors are described in detail throughout this article, and the analysis reveals that government incentives for solar power projects make a substantial positive impact on the financial feasibility. We find that the US federal and state governments should continue their incentive programs in order to prompt more organizations to transition to solar power and thereby reduce greenhouse gas emissions.
Gebeliğin İntrahepatik Kolestazıyla Antenatal Aneuploidi Serum Tarama Markerları Arasında İlişki Var mı?
Authors: EROGLU Hasan , TOLUNAY Harun , ÇAYÖNÜ Neval , VANLI Nazan Vanlı Tonyalı , SAHİN Dilek , YÜCEL Aykan , ERKAYA Salim
Published: October 2020

Giriş

Bu çalışmanın amacı antenatal dönemde yapılan serum tarama testlerindeki biokimyasal markerlerin gebeliğin intrahepatik kolestazını öngörebilme özelliğinin araştırılmasıdır.

Materyal ve Method

Bu vaka - kontrol gruplu çalışmada retrospektif olarak hasta kayıtları değerlendirilmiştir. Çalışmaya 156 gebe kadın dahil edilmiştir ( Çalışma , 49 kolestaz tanısı alan gebe ve 116 kontrol grubu gebelerden oluşmaktadır ).

Sonuçlar

İkinci trimesterde taranan alfa -fetoprotein (AFP) MoM , unkonjuge estriol (E3) MoM ve total B-HCG MoM değerleri, her 2 grupta benzerdi (p=0.299 , p=0.571, p=0.285). Birinci trimester tarama testi parametresi olan PAPP-A MoM değerine bakıldığında , kolestaz tanısı almış grup ile kontrol grubu arasında fark saptanmamıştır (p=0.103).

Tartışma

Sonuç olarak çalışmamızda birinci ve ikinci trimesterdeki prenatal serum tarama testlerinde bakılan biokimyasal markerler intrahepatik kolestazı öngörmede yetersiz kalmıştır. Çalışmamızın retrospektif olması ve hasta populasyonunun az olması bunun nedenleri arasındadır. Daha anlamlı sonuçlar için hasta populasyonunun fazla olduğu prospektif bir çalışma yapılması gerektiği kanısındayız .
Lobbying influence: public consultations and EU policy making
Authors: Todorova Tatyana
Published: October 2020

The European Commission considers involvement of interest groups as a way to strengthen democratic legitimacy in the European Union (EU). In terms of a strategy for enhancing good governance, the Commission has taken a range of actions to increase civil society inclusion. Whether these measures really add up to democratic legitimacy, however, depends on the allocation of influence among interest groups. In this context, the purpose of this study will be to analyze the distribution of influence by means of a quantitative analysis of submissions via the Commission’s public consultations.
INVESTIGATING ABNORMAL VOLATILITY TRANSMISSION PATTERNS BETWEEN EMERGING AND DEVELOPED STOCK MARKETS: A CASE STUDY
Authors: Spulbar Cristi , Trivedi Jatin , Birau Ramona
Published: October 2020

The main aim of this paper is to investigate volatility spillover effects, the impact of past volatility on present market movements,
the reaction to positive and negative news, among selected financial markets. The sample stock markets are geographically dispersed on different continents,
respectively North America, Europe and Asia. We also investigate whether selected emerging stock markets capture the volatility patterns of developed stock
markets located in the same region. The empirical analysis is focused on seven developed stock market indices, i.e. IBEX35 (Spain), DJIA (USA), FTSE100 (UK),
TSX Composite (Canada), NIKKEI225 (Japan), DAX (Germany), CAC40 (France) and five emerging stock market indices, i.e. BET (Romania), WIG20 (Poland), BSE (India),
SSE Composite (China) and BUX (Hungary) from January 2000 to June 2018. The econometric framework includes symmetric and asymmetric GARCH models i.e. EGARCH
and GJR which are performed in order to capture asymmetric volatility clustering, interdependence, correlations, financial integration and leptokurtosis.
Symmetric and asymmetric GARCH models revealed that all selected financial markets are highly volatile, including the presence of leverage effect. The stock
markets in Hungary, USA, Germany, India and Canada exhibit high positive volatility after global financial crisis.
The Chemical Structure of Young High-mass Star-forming Clumps. II. Parsec-scale CO Depletion and Deuterium Fraction of HCO+
Authors: Feng 冯思 S. 轶 , Li D. , Caselli P. , Du F. , Lin Y. , Sipilä O. , Beuther H. , Sanhueza Patricio , Tatematsu K. , Liu S. Y. , Zhang Q. , Wang Y. , Hogge T. , Jimenez-Serra I. , Lu X. , Liu T. , Wang 王 K. 科 , Zhang Z. Y. , Zahorecz S. , Li G. , Liu H. B. , Yuan J.
Published: October 2020

The physical and chemical properties of cold and dense molecular clouds are key to understanding how stars form. Using the IRAM 30 m and NRO 45 m telescopes, we carried out a Multiwavelength line-Imaging survey of the 70 μm-dArk and bright clOuds (MIAO). At a linear resolution of 0.1–0.5 pc, this work presents a detailed study of parsec-scale CO depletion and HCO+ deuterium (D-) fractionation toward four sources (G11.38+0.81, G15.22–0.43, G14.49–0.13, and G34.74–0.12) included in our full sample. In each source with T < 20 K and n
H ∼ 104–105 cm−3, we compared pairs of neighboring 70 μm bright and dark clumps and found that (1) the H2 column density and dust temperature of each source show strong spatial anticorrelation; (2) the spatial distribution of CO isotopologue lines and dense gas tracers, such as 1–0 lines of H13CO+ and DCO+, are anticorrelated; (3) the abundance ratio between C18O and DCO+ shows a strong correlation with the source temperature; (4) both the C18O depletion factor and D-fraction of HCO+ show a robust decrease from younger clumps to more evolved clumps by a factor of more than 3; and (5) preliminary chemical modeling indicates that chemical ages of our sources are ∼8 × 104 yr, which is comparable to their free-fall timescales and smaller than their contraction timescales, indicating that our sources are likely dynamically and chemically young.
The Carnegie Supernova Project-I: Correlation between Type Ia Supernovae and Their Host Galaxies from Optical to Near-infrared Bands*
Authors: Uddin Syed A , Burns Christopher R. , Phillips M. M. , Suntzeff Nicholas B. , Contreras Carlos , Hsiao Eric Y. , Morrell Nidia , Galbany Lluís , Stritzinger Maximilian , Hoeflich Peter , Ashall Chris , Piro Anthony L. , Freedman Wendy L. , Persson S. E. , Krisciunas Kevin , Brown Peter
Published: October 2020

We present optical and near-infrared (NIR) (ugriYJH) photometry of host galaxies of Type Ia supernovae (SN Ia) observed by the Carnegie Supernova Project-I. We determine host galaxy stellar masses and, for the first time, study their correlation with SN Ia standardized luminosity across optical and NIR (uBgVriYJH) bands. In the individual bands, we find that SNe Ia are more luminous in more massive hosts with luminosity offsets ranging between −0.07 ± 0.03 and −0.15 ± 0.04 mag after light-curve standardization. The slope of the SN Ia Hubble residual-host mass relation is negative across all uBgVriYJH bands with values ranging between −0.029 ± 0.029 and −0.093 ± 0.031 mag dex−1—implying that SNe Ia in more massive galaxies are brighter than expected. The near-constant observed correlations across optical and NIR bands indicate that dust may not play a significant role in the observed luminosity offset–host mass correlation. We measure projected separations between SNe Ia and their host centers, and find that SNe Ia that explode beyond a projected 10 kpc have a 50%– 60% reduction of the dispersion in Hubble residuals across all bands—making them a more uniform subset of SNe Ia. Dust in host galaxies, peculiar velocities of nearby SN Ia, or a combination of both may drive this result as the color excesses of SNe Ia beyond 10 kpc are found to be generally lower than those interior, but there is also a diminishing trend of the dispersion as we exclude nearby events. We do not find that SN Ia average luminosity varies significantly when they are grouped in various host morphological types. Host galaxy data from this work will be useful, in conjunction with future high-redshift samples, in constraining cosmological parameters.