bluuebunny/crossref_metadata_2025 huggingface dataset:
ANALISIS PENGARUH PELAYANAN PRIMA DAN CITRA LEMBAGA TERHADAP LOYALITAS MELALUI MEDIASI KEPUASAN SISWA PADA LKP FIARA COMPUTER
Authors:   Universitas Labuhanbatu, Syahfitri Nasution Adelia , Nasution Zulkarnain ,   Universitas Labuhanbatu, Fitri Nasution Meisa ,   Universitas Labuhanbatu
Published: July 2022

This research aims to analyze the influence of excellent service and image institution on student loyalty and satisfaction on LKP Fiara Computer. The data which is used in this research is primary data collected from 52 respondents. The Sampling technique in this research is a non-probability sampling technique with pusposive sampling method, and analyzed by a non path analysis. The results of this research indicate that in structure of the I simultaneously excellent service and image institution significant affect student loyalty. Partially proven that excellent service and image institution significant effect on student loyalty. In the second structure, variable excellent service, image institution and loyalty simultaneous effect on student satisfaction. Service, image institution and loyalty have a significant effect on student satisfaction. Analysis of the determinant coefficient (R2) on the first structure seenfrom R Square of 39%. This figure has the influence of excellent service and image institutions in loyalty simultaneously is 39.0%, while the remaining 61%. Analysis of the coefficient of determination (R2) in second structure seen from R Square of 52.1%. The lift has the influence of excellent service, image institution, and loyalty student simultaneously is 52.1%, while the remaining 47.9% (100% -52.1%) is influenced by other variables
ANALISIS KINERJA KEUANGAN DILIHAT DARI CURRENT RATIO, DEBT TO EQUITY RATIO, DAN TOTAL ASSET TURNOVER PADA PERUSAHAAN MANUFAKTUR SUBSEKTOR FARMASI
Authors:   Universitas Teknologi Sumbawa, Hartini Hartini , Hardianti Nini ,   Universitas Teknologi Sumbawa
Published: July 2022

Financial performance is a description of a company's financial condition related to its financial aspects. this research intend to test and analyze partially or simultaneously the consequenceof the variables Current Ratio (CR), Debt-to-EquityRatio (DER) and Total-Assets-Turnover (TATO) on Return-on-Assets (ROA). The populace in this learn were pharmaceutical company list on the Indonesia Stock Exchange in 2016-2020, which are then picked usepurposive sampling mode, result in a sampled of seven company. The analytical method used in this researchwas panel data regression analysis with the requirements test, specifically the classical assumption test utilizing the EViews 9 program. The outcome of this research show that the Current-Ratio (CR) have a significant influence on Return-on-Assets (ROA), the Debt-to-Equity-Ratio (DER) have no influence on Return-on-Assets (ROA), and Total-Assets-Turnover (TATO) has a significant influenceon Return-on-Assets (ROA). This study also shows that the Current-Ratio, Debt-to-Equity-Ratio, and Total-Assets-Turnover have a simultaneous influenceon Return-on-Assets (ROA)
PENGARUH PROMOSI MEDIA SOSIAL INSTAGRAM DAN WORD OF MOUTH TERHADAP KEPUTUSAN PEMBELIAN PAKAIAN PADA TOKO WILDA COLLECTION RANTAUPRAPAT
Authors:   Universitas Labuhanbatu, Nasution Rostika , Nasution Zulkarnain ,   Universitas Labuhanbatu, Fitri Nasution Meisa ,   Universitas Labuhanbatu
Published: July 2022

This study aims to analyze The effect of social media promotion on Facebook and word of mouth on purchasing decisions at Wilda Collection Store Rantauprapat partially and simultaneously. Thisstudy uses an associative method with a quantitative approach. The sample in this study were 96 respondents using nonprobability sampling technique with purposive sampling approach with the criteria of visitors aged 18 years and over, visiting at least once, and active users of social media. The data analysis method used is the validity and rehability test, classical assumption test, multiple regression analysis test, hypothesis test through t-test and f-test, and determination coefficient test. Tests are carried out using SPSSassistance. The results showed that promotion using social media had a significant effect on consumer purchasing decisions. subsequent results show that word of mouth has a significant effect on purchasing decisions. The more often social media marketing is done, the higher the consumer's intention to buy.
INVESTIGATING MARKETPLACE CUSTOMER SATISFACTION:DATA MINING APPROACH
Authors:   Institut Teknologi Sumatera, Suryaneta Suryaneta , Gus Fahm Achmad ,   Institut Teknologi Sumatera, Syahjoko Saputra Iwan ,   Institut Teknologi Sumatera, Yuli Handayani Kiki ,   Institut Teknologi Sumatera
Published: July 2022

Customer satisfaction is perceived as business strategy’s key component and critical differentiation in a competitive marketplace. The recorded huge transactions per day in marketplaces can be used as useful information to evaluate customer satisfaction. A sophisticated method, such as data mining, is necessary to analyze this massive, multifaceted, and versatile empirical data generating accurate predictions. This research purported to investigate marketplace customer satisfaction as a reference to determine service and quality improvements. In conclusion this study draws two conclusive results: (1) The majority of marketplace consumers preferred the lead-time sensitive over price-sensitive; and (2) The Neural Net empirically showed as the most appropriate robust data mining technique among other techniques to predict marketplace customer satisfaction indicating by fittest accuracy, F score and ROC curve
DAMPAK KOMPENSASI DAN BEBAN KERJA TERHADAP KEPUASAN KERJA TENAGA HONORER
Authors:   Universitas Tadulako, Kornelius Yoberth , Chintya Dewi Buntuang Pricylia ,   Universitas Tadulako
Published: July 2022

This study aims to analyze the effect of compensation and workload on job satisfaction of honorary workers at the Sulawesi River Region III Regional Office. This research method uses a quantitative approach. This research can be grouped into descriptive causal which aims to explain the influence of the relationship/causal between the research variables. The population in this study were honorary employees at the Regional Office of the Sulawesi River III, which amounted to 80 people. The entire population was sampled using a saturated sampling technique (census). This means that with this technique, the entire population is used as research respondents as many as 80 people. Data was collected through several stages starting from observation, questionnaires, and documentation. Furthermore, data analysis using multiple linear regression. The results showed that compensation and workload had an effect on job satisfaction of temporary employees at the Sulawesi River Region III Regional Office, with a large effect of 56.1%
LOYALITAS MEREK MELALUI PENGALAMAN MEREK DAN NILAI PELANGGANSMARTPHONE XIAOMI
Authors:   Institut Informatika dan Bisnis Darmajaya, Fratama Dendi , Pratisti Cahyani ,   Institut Informatika dan Bisnis Darmajaya
Published: July 2022

The competition between smartphone manufacturers is getting tougher along with the increasing demand for smartphones. Brand loyalty is important for companies because it can predict future purchases. This study aims to determine the effect of brand experience on the loyalty of the Xiaomismartphone, to determine the effect of customer value onthe Xiaomismartphone brand loyalty, and to determine the effect of brand experience and customer value on Xiaomismartphonebrandloyalty. This causality quantitative study useda survey method witha close questionnaireinstrument distributed online to 300 respondent. Through multiplelinear regression, t testand F testanalysis,it was found that brand experience and customer value both partially and simultaneously affecedtXiaomi smartphone brand loyalty. This proves that manufacturers should pay moreattention to brand experience and customer value to strengthen thebrand equityand increase in sales
ANALISIS MARKETING STRATEGY SAYUR ONLINE DI MASA NEW NORMAL COVID-19
Authors:   Universitas Sjakhyakirti, Deni Muhammad , Mawarni Indah ,   Universitas Sjakhyakirti
Published: July 2022

This study aims to find out: how to apply online vegetable marketing strategy at Warung Ibu Yuli in the new normal of Covid-19. The method used in sampling is to use purposive sampling method, the analysis method used is qualitative descriptive analysis method using SWOT and QSPM matrix method. The results of this study showed that the final score after weighting in internal and external analysis there are 7 alternative strategies that have been obtained from the results of the SWOT matrix, namely (1)reminding the public periodically about the quality and price of Warung Sayur Ibu Yuli products, (2)expanding and adding information about the location and phone number or Whatsapp, (3)opening direct orders betweenand expanding supplier networks , (4) make and add innovations to the marketing done and packaging conducted, (5) the application of discount promos adjusted to the difference in the latest price increase of products, (6)continue to innovate on the service and supervise players in the same market periodically, (7)increase the number of orders from the number of requests. Each altenative is then analyzed using the QSPM matrix
Sodium doping in brookite TiO2 enhances its photocatalytic activity
Authors: Zhuang Boxiang , Shi Honglong , Zhang Honglei , Zhang Zeqian
Published: July 2022

We report in this work that sodium doping of brookite TiO2 effectively enhances its photocatalytic activity, which becomes three times higher than that of the quasi-spherical brookite TiO2. The results demonstrated that the sodium-doped brookite NaxTi1−xO2 can be stable up to 500 °C. At 600°C, the sodium in the brookite precipitates in the form of Na2CO3, and above 700 °C, the brookite NaxTi1−xO2 transforms into Na2Ti6O13 by a twinning process with the orientation relationship of [1−2−3]Matrix//[1−23]Twins and (−2−10)Matrix//(1−1−1)Twins. The differences in the ionic radius and the electronegativity between Na and Ti destroy the local atomic arrangement of the brookite structure and produce microstructures such as the core–shell structure, local lattice distortion, interstitial atoms, and atomic vacancies, which are critical to its excellent photocatalytic activity.
Clinical characteristics and outcomes of acute pancreatitis following spinal surgery: a systematic review
Authors:   Department of Surgery, Faculty of Medicine, University of Colombo, Sri LankaNational Hospital of Sri Lanka, Jayasinghe Ravindri , Ranasinghe Sonali , Kuruppu Chandrani , Jayarajah Umesh , Seneviratne Sanjeewa
Published: July 2022

Review question / Objective: This study reviews the current evidence on clinical characteristics and outcome of Acute Pancreatitis following spinal surgery. Condition being studied: Acute pancreatitis in spinal surgery. Information sources: All articles were searched electronically using PubMed/Medline, Scopus, EMBASE, Cochrane CENTRAL, and Latin American & Caribbean Health Sciences Literature (LILACS) before May 2020 without any restriction in the language or status of publication. Key words related to acute pancreatitis and its complications and various types of spinal surgeries were searched in the title and abstract fields.
Invitro Evaluation of Ethanolic extract of Acalypha Indica Linn. Leaves for Antilithiatic Activity.
Authors:   Ph.D Scholar, Mula Education Society’s, College of Pharmacy, Sonai, Ahmednagar, Maharashtra., Aghade Karveer , Joshi Uttara ,   Ph.D Scholar, Mula Education Society’s, College of Pharmacy, Sonai, Ahmednagar, Maharashtra., Kandalkar Ashish ,   Principal at L.S.R.G.I.O.P Pharmacy College, Akola, Maharashtra, Pandhare Ramdas ,   Professor, Mula Education Society’s, College of Pharmacy, Sonai, Ahmednagar, Maharashtra
Published: July 2022

To give scientific background to the above traditional claim, the aerial parts of Acalypha Indica Linn. were evaluated for its antilithiatic activity. In the present study, aerial parts of Acalypha Indica Linn. were subjected to morphological, microscopically, phytochemical investigations and evaluated for in vivo antilithiaticactivity. The plant material after defatting with pet. Ether (60-80) extracted with ethanol and then fractionated with chloroform, ethyl acetate and n-butanol. Qualitative chemical examination of various extracts revealed the presence of Alkaloids, Steroids, Flavonoids, Glycosides, Tannins, and Carbohydrates. Acute toxicity studies were carried out as per OECD guidelines and the doses were fixed at 200 mg/kg b.w. and 400 mg/kg b.w. The Ethanolic extract was evaluated for in vivoantilithiatic activity by using CCl4 induced antilithiatic model. The ethanolic extract showed better effect at the dose of 10 mg/kg b.w in lowering elevated level of kidney stones in the kidney. Keywords: - Acalypha indica Linn, Phytochemical, antilithiatic, Ethanolic extract
Vegetarian diet in children
Authors:   3rd Clinic of Pediatrics, ”Gr. T. Popa” University of Medicine and Pharmacy, Iasi, Romania, Anton-Paduraru Dana-Teodora , Oltean Carmen ,   Children’s Emergency Hospital “Sf. Maria”, Iasi, Romania, Trandafir Laura Mihaela ,   3rd Clinic of Pediatrics, ”Gr. T. Popa” University of Medicine and Pharmacy, Iasi, Romania, Mineata Amalia Maria ,   Hiperclinica Medlife, Iasi, Romania
Published: July 2022

Vegetarianism may have implications on the growth of children and adolescents. There are different types of vegetarian diets: some may be suitable for children, other deficient in essential nutrients. If a vegetarian diet is done properly and includes fortified foods it can promote health and reduce risk for major chronic diseases. Restriction or exclusion of products of animal nature can lead to low intake of essential nutrients.
Epidemiological aspects of congenital heart malformations in children and their implications in developing a clinical monitoring registry
Authors:   IOSUD, University of Medicine and Pharmacy, Targu-Mures, Romania, Puiac (Ciorba) Mariana , Opris Mihaela ,   Internal Medicine Department, University of Medicine and Pharmacy, Targu-Mures, Romania, Toganel Rodica ,   Pediatrics Department, University of Medicine and Pharmacy, Targu-Mures, Romania, Ciorba Marius ,   1st Internal Medicine Department, University of Medicine and Pharmacy, Targu-Mures, Romania, Suciu Horatiu ,   1st Surgery Department, University of Medicine and Pharmacy, Targu-Mures, Romania, Brinzaniuc Klara ,   Anatomy Department, University of Medicine and Pharmacy, Targu-Mures, Romania
Published: July 2022

Introduction. With an estimated incidence of 6 cases to 1000 births worldwide, congenital cardiac malformations (CHM) are one of the main causes of death during the first year of life. The main issues regarding CHM management in Romania are the lack of data that describe the true incidence on population level, lack of standardized diagnosis and CHM reporting at national level. In Romania we see only local attempts at establishing such a CHM registry. Objectives. Measuring and analyzing the incidence of CHM in children within the Pediatric Cardiovascular center of the Emergency Cardiovascular and Transplant Institute in Targu Mures (IUBCvT) in order to determine de rate of enrollment, contouring the registration and follow-up form for CHM. Material and methods. We have conducted a retrospective, descriptive study concerning children discharged between 2008-2013, with a main diagnosis or comorbidity belonging to the category Q20-Q28 (Congenital cardiac malformations – ICD 10 AM), belonging to the Pediatric Cardiovascular center of IUBCvT. The study group was made up of 839 new-born babies discharged from the Neonatology clinic of the Mures County Emergency Clinical Hospital (SCJU) and 2181 children discharged from IUBCvT. Results. The incidence of CHM in new-born babies discharged from SCJU varied between 5.23% and 11.47%. Of the total 839 new-born babies, 139 underwent surgery in the IUBCvT within the first 30 days of life. The most frequent malformations found were interatrial communication (46.52%), persistent ductus arteriosus (22.10%), interventricular communication (9.04%). Disease group based morbidity within the IUBCvT demonstrates the large share of interventricular communication (20.05%), interatrial communication (15.98%) respectively of persistent ductus arteriosus (13.05%). Of the 1255 children that underwent surgery, the most frequent procedures (17.93%) were conducted for interatrial communication. Conclusions. Establishing a CHM clinical registry is important for the screening, diagnosing, monitoring of congenital cardiac malformations as well as aiding in choosing the right treatment path.
Tendinţe actuale în alimentaţia şi îngrijirea prematurului şi a copilului cu greutate mică la naştere
Authors:   Disciplina Puericulturǎ, Universitatea de Medicinǎ şi Farmacie „Gr. T. Popa“, Iaşi, România, Florescu Laura
Published: July 2022

Greutatea mică la naştere este un indicator important al sănătăţii infantile din cauza relaţiei strânse dintre greutatea la naştere şi morbiditatea şi mortalitatea infantilă. Diminuarea ratei de mortalitate şi morbiditate presupune cunoaşterea particularităţilor de creştere şi îngrijire la aceste categorii de copii. Indiferent de categoria din care fac parte – prematuri, Small for Gestational Age, întârziere în creşterea intrauterină – aceşti copii, prin greutatea la naştere mică, au un risc crescut de a dezvolta malnutriţie, motiv pentru care la aceştia se impune cunoaşterea necesarului energetic şi de principii alimentare maximale, particular lor. Asigurarea unui suport nutriţional optim precoce reprezintă elementul esenţial al îngrijirii acestora.
Osteopenia în copilărie şi adolescenţă
Authors:   Clinica I Pediatrie, Spitalul clinic de urgenţe pentru copii „Sf. Maria“, Iaşi, România, Russu Georgiana , Rusu Tania ,   Clinica II Pediatrie, Universitatea de Medicină şi Farmacie „Gr. T. Popa“, Iaşi, România, Ioniuc Ileana ,   Clinica II Pediatrie, Universitatea de Medicină şi Farmacie „Gr. T. Popa“, Iaşi, România, Goţia Stela ,   Clinica II Pediatrie, Universitatea de Medicină şi Farmacie „Gr. T. Popa“, Iaşi, România
Published: July 2022

Osteopenia, termen aparţinând patologiei copilului, este o scădere a masei osoase în raport cu vârsta cronologică, reprezentând o stare intermediară între normal şi osteoporoză. Este o afecţiune plurietiologică, cuprinzând un grup heterogen de boli ale ţesutului conjunctiv cu determinism genetic, dar şi osteopenia dobândită în diverse stări patologice care afectează homeostazia osoasă. Diagnosticul precoce se stabileşte prin măsurarea densităţii osoase prin metode imagistice noninvazive, cele mai utilizate fiind dual-energy x-ray absorbtiometry (DEXA) şi ultrasonografi a cantitativă. Tratamentul la copil se particularizează prin necesitatea adaptării aportului de calciu şi vitamina D atât la nevoile fiziologice ale creşterii, cât şi la cerinţele unei patologii. Tratamentul medicamentos specific cu bifosfonaţi nitrogenici a fost introdus la copii, dar nu este încă bine statuat. Atenţia care trebuie acordată acestei patologii osoase la copil şi adolescent este justificată de valoarea prognostică pentru tot restul vieţii a masei osoase de vârf a vârstei 20-21 ani.
Principiile monitorizării combinate impedanţ-pH-metrie la copii: indicaţii, avantaje şi limitări
Authors:   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, România, Stoicescu Mihai-Mirel , Galoş Felicia ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, România, Munteanu Mihai ,   Spitalul de Urgenţă pentru Copii „Marie Sklodowska Curie“, Bucureşti, România, Vişan Simina ,   Spitalul de Urgenţă pentru Copii „Marie Sklodowska Curie“, Bucureşti, România, Ulmeanu Coriolan ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, România, Bălgradean Mihaela ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, România
Published: July 2022

Metoda de investigaţie standard în cazul suspiciunii unui reflux gastroesofagian este reprezentată de pH-metria esofagiană. Cu toate acestea, marea majoritate a episoadelor de reflux la sugari şi copii sunt slab-acide (pH>4), iar simptomele extradigestive pot fi declanşate de către episoade de reflux atât acid, cât şi slab-acid. Pentru a depăşi aceste aspecte, o nouă metodă a fost dezvoltată în ultimii douăzeci de ani şi supusă evaluării ştiinţifice: impedanţa esofagiană. În combinaţie cu pH-metria esofagiană standard, aceasta aduce mult mai multe informaţii decât simpla pH-metrie, deoarece permite analiza refluxului non-acid şi a asocierii temporale dintre acesta şi simptome. Informaţia analizată precizează compoziţia bolusului (gaz, fluid, solid), înălţimea, durata refluxului şi timpul de clearance al bolusului. Deşi nu sunt încă disponibile valori pentru limitele normalului în populaţia pediatrică, impedanţ-pH-metria promite să devină noul gold-standard în investigarea refluxului gastroesofagian.
Current trends in feeding and caring for premature and low birth weight infants
Authors:   Infant Care Department, ”Gr. T. Popa” University of Medicine and Pharmacy, Iasi, Romania, Florescu Laura , Temneanu Oana ,   Infant Care Department, ”Gr. T. Popa” University of Medicine and Pharmacy, Iasi, Romania, Mindru Dana ,   Infant Care Department, ”Gr. T. Popa” University of Medicine and Pharmacy, Iasi, Romania
Published: July 2022

Low weight at birth is an important indicator of infant health due to the tight relationship between birth weight and infant mortality and morbidity. The diminishing of the mortality and morbidity rate requires information on the growth characteristics and caring requirements for this category of children. Regardless of the category they are in – prematures, Small for Gestational Age, delay in intrauterine growth – these children, due to their low weight at birth present a high risk to develop malnutrition, a reason why there should be known the energy requirements and the optimum nutrition principles, specific to them. Ensuring an early most favourable diet is the essential element in their care assistance.
Somnologia pediatrică în România – rezultatele unui chestionar aplicat medicilor de diferite specialităţi
Authors:   Clinica de Pediatrie Medicover, Bucureşti, România, Oroş Mihaela , Mihălţan Florin ,   Institutul de Pneumologie „Marius Nasta“, Bucureşti, România
Published: July 2022

Somnologia pediatrică reprezintă un domeniu de cercetare intensă. Importanţa screeningului pentru sindromul de apnee obstructivă în somn (SASO) a fost pusă în evidenţă în ghidurile internaţionale publicate recent cu privire la diagnosticul şi managementul SASO la copii. În România, primii paşi în diagnosticul şi tratamentul tulburărilor de somn la copii au fost făcuţi de curând, iar intenţia noastră a fost de a evalua gradul de conştientizare şi opţiunile terapeutice actuale pe un grup de profesionişti în domeniul sănătăţii. S-a trimis prin e-mail un chestionar aplicabil prin autoadministrare, către medici pediatri, de familie şi medici de alte specialităţi inclusiv pne umologi, psihiatri şi medici ORL. Rezultatele, importante din punct de vedere calitativ, arată că tulburările de somn la copii, în principal SASO, sunt diagnosticate mai ales de medicii de diferite specialităţi şi nu de medicii de familie, şi că, în majoritatea cazurilor, strategia terapeutică a fost de reevaluare şi/sau trimitere către un alt specialist. La ultima întrebare deschisă din cadrul chestionarului, jumătate dintre respondenţi au subliniat nevoia de îmbunătăţire a cunoştinţelor teoretice şi practice, a comunicării între medicii de diferite specialităţi, a accesului la instrumentele de diagnosticare, cât şi nevoia de creştere a gradului de informare în rândul părinţilor, al copiilor de vârste mai mari şi al adolescenţilor. Sunt necesare cercetări suplimentare care să confirme aceste date calitative, însă cu toate acestea, chestionarul a permis identificarea zonelor vulnerabile de la nivelul diferitelor grupuri de lucru, şi în final elaborarea de recomandări pentru diferite tipuri de intervenţii care ar putea influenţa dezvoltarea acestui domeniu şi în ţara noastră.
Aspectele epidemiologice ale malformaţiilor cardiace congenitale la copii şi implicaţiile acestora în elaborarea unui registru clinic de monitorizare
Authors:   Institutul de Urgenţă pentru Boli Cardiovasculare şi Transplant, Universitatea de Medicină şi Farmacie, Târgu-Mureş, România, Puiac (Ciorba) Mariana , Opriş Mihaela ,   Departamentul Medicină Internă V, Universitatea de Medicină şi Farmacie, Târgu-Mureş, România, Togănel Rodica ,   Departamentul Pediatrie III, Universitatea de Medicină şi Farmacie, Târgu-Mureş, România, Ciorba Marius ,   Departamentul Medicină Internă I, Universitatea de Medicină şi Farmacie, Târgu-Mureş, România, Suciu Horaţiu ,   Departamentul Chirurgie I, Universitatea de Medicină şi Farmacie, Târgu-Mureş, România, Brînzaniuc Klara ,   Disciplina Anatomie, Universitatea de Medicină şi Farmacie, Târgu-Mureş, România
Published: July 2022

Introducere. Cu o incidenţă estimată la nivel mondial de 6 în 1.000 de nou-născuţi, malformaţiile cardiace congenitale (MCC) sunt una dintre principalele cauze ale mortalităţii în primul an de viaţă. Principalele probleme în managementul malformaţiilor cardiace congenitale (MCC), în România, sunt lipsa de date care să descrie incidenţa reală la nivel populaţional, lipsa de standardizare în diagnosticul şi raportarea MCC la nivel naţional. În România, există doar încercări locale de a dezvolta un registru de malformaţii cardiace. Obiective. Măsurarea şi analiza incidenţei MCC la copii în Centrul Pediatric Cardiovascular al Institutului de Urgenţă pentru Boli Cardiovasculare şi Transplant Tg. Mureş (IUBCvT) în vederea determinării ratei de înrolare, stabilirea formularului de înregistrare şi urmărire al Registrului Clinic de Monitorizare al MCC. Material şi metodă. A fost realizat un studiu descriptiv retrospectiv al copiilor externaţi cu un diagnostic principal sau comorbiditate din categoria Q20-Q28 (Malformaţii cardiace congenitale – ICD 10 AM), în perioada 2008- 2013, la nivelul Centrului Pediatric Cardiovascular al Institutului de Urgenţă pentru Boli Cardiovasculare şi Transplant Târgu-Mureş. Lotul de studiu a cuprins un număr de 839 de nou-născuţi externaţi din secţia Neonatologie a Spitalului Clinic Judeţean de Urgenţă Târgu-Mureş (SCJU), respectiv 4.423 de copii externaţi din IUBCvT. Rezultate. Incidenţa MCC la nivelul nou-născuţilor externaţi din SCUJ a variat între 5,23% şi 11,47%. Din cei 839 nou-născuţi, 139 au fost operaţi în cadrul IUBCvT în primele 30 zile de viaţă. Cele mai frecvente malformaţii sunt Comunicaţie interauriculară (46,52%), Permeabilitatea canalului arterial (22,10%), Comunicaţia inter ventriculară (9,04%). Morbiditatea spitalizată pe grupe de boli la nivelul IUBCvT demonstrează ponderea ridicată a Comunicaţiei interventriculare (20,05%), a Comunicaţiei interauriculare (15,98%) şi a Permeabilităţii canalului arterial (13,05%). Din cei 1.255 de copii la care s-a intervenit chirurgical, cele mai frecvente intervenţii chirurgicale (17,93%) au fost pen tru Comunicaţie interauriculară. Concluzii. Întocmirea unui Registru al MCC este importantă pentru depistarea, diagnosticul, monitorizarea şi instituirea unei atitudini terapeutice adecvate.
Malformaţie cerebrală extremă – consideraţii clinice şi etice pe marginea unui caz
Authors:   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, România, Brezan Florin ,   Institutul pentru Ocrotirea Mamei şi Copilului „Prof. Dr. Alfred Rusescu“, Bucureşti, România, Codreanu Ioana ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, România, Creţu Rodica ,   Institutul pentru Ocrotirea Mamei şi Copilului „Prof. Dr. Alfred Rusescu“, Bucureşti, România, Ghiţă Lucica ,   Institutul pentru Ocrotirea Mamei şi Copilului „Prof. Dr. Alfred Rusescu“, Bucureşti, România, Ritivoiu Mirela ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, România,   Institutul pentru Ocrotirea Mamei şi Copilului „Prof. Dr. Alfred Rusescu“, Bucureşti, România, Goran Diana ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, România, Anca Ioana Alina ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, România,   Institutul pentru Ocrotirea Mamei şi Copilului „Prof. Dr. Alfred Rusescu“, Bucureşti, România
Published: July 2022

Hidranencefalia reprezintă una dintre malformaţiile cerebrale extrem de rară şi cu prognostic nefavorabil, cu impact psihoafectiv negativ asupra familiei şi societăţii. În mod obişnuit, cei afectaţi rămân într-o stare vegetativă permanentă şi necesită îngrijiri pe termen nelimitat. Deşi majoritatea celor afectaţi decedează în primele zile-luni de viaţă, o parte dintre ei supravieţuiesc până în decada a 2-a a 3-a de viaţă. Din punct de vedere al tratamentului, îngrijirile acordate sunt pur paliative şi sunt îndreptate spre menţinerea funcţiilor vitale. Concluzii. Hidranencefalia reprezintă o malformaţie cerebrală rară, cu prognostic rezervat şi speranţă de viaţă şi calitate a vieţii scăzute. Diagnosticul impune o serie de probleme etice. Importanţa diagnosticului prenatal se impune prin faptul că hidranencefalia reprezintă indicaţie de avort terapeutic. O altă problemă etică o ridică îngrijirile medicale acordate, ce sunt pur paliative, pacienţii fiind în stare vegetativă permanentă. Atât instituirea tratamentului chirurgical pentru drenajul cantităţii excesive al LCR, cât şi metodele noi terapeutice descrise în literatură, de tipul coagulării endoscopice a plexurilor choroide, nu influenţează statusul neurologic şi dezvoltarea neuropsihomotorie a pacienţilor. Toate aceste date trebuie explicate clar aparţinătorilor, pentru a nu-şi ridica speranţe false în ceea ce priveşte evoluţia acestor bolnavi.
Osteopenia in childhood and adolescence
Authors:   Pediatric Clinic I, Emergency Clinical Hospital for Children, Iasi, Romania, Russu Georgiana , Rusu Tania ,   Pediatric Clinic II, ”Gr. T. Popa” University Medicine and Pharmacy, Iasi, Romania, Ioniuc Ileana ,   Pediatric Clinic II, ”Gr. T. Popa” University Medicine and Pharmacy, Iasi, Romania, Gotia Stela ,   Pediatric Clinic II, ”Gr. T. Popa” University Medicine and Pharmacy, Iasi, Romania
Published: July 2022

Osteopenia, term of child pathologies, is a decrease in bone mass relative to chronological age, being an intermediate state between normal bone mass and osteoporosis. It has multiples etiological factors, comprising a heterogenic group of diseases of the connective tissue with genetic determinism and osteopenia gained in various pathological conditions affecting bone homeostasis. Early diagnosis is determined by measuring bone density through non invasive imaging methods, the most common being dual-energy x-ray absorptiometry (DEXA) and quantitative ultrasonography. Treatment in children customize through the need to adapt the intake of calcium and vitamin D to physiological growth needs and to requirements of some diseases. Specific drug treatment with nitrogen bisphosphonates was introduced to the children but is not yet well acted. Attention to be given to this bone pathologies in children and adolescents is warranted of its prognostic value for the rest of his life, to the peak bone mass of 20-21 years of age.
Reducing edentulous ridge resorption by using PRF (Platelet Rich-Fibrin). Clinical case
Authors:   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, Andrei Cătălin , Comănescu Cristian ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, Pătraşcu Ion ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, Perieanu Viorel ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, Perieanu Mădălina ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti
Published: July 2022

Platelet rich-fibrin (PRF) is the ideal material for hard tissue augmentation after tooth extraction. It is based on patient’s fibrin and platelets and represents the main matrix of osteogenesis. The new A-PRF (Advanced-PRF) consists of monocytes that enrich the fibrin clot. These preparations certain growth factors and cytokines gradually released from the fibrin clot. This is the secret of osteogenesis process in PRF techniques of preserving the alveolar ridge.
Positives effects of using PRF (Platelet Rich-Fibrin) in dental surgery. Clinical case
Authors:   Universitatea de Medicină şi Farmacie „Carol Davila“ Bucureşti, Andrei Cătălin , Comănescu Cristian ,   Universitatea de Medicină şi Farmacie „Carol Davila“ Bucureşti, Pătraşcu Ion ,   Universitatea de Medicină şi Farmacie „Carol Davila“ Bucureşti, Perieanu Viorel ,   Universitatea de Medicină şi Farmacie „Carol Davila“ Bucureşti, Perieanu Mădălina ,   Universitatea de Medicină şi Farmacie „Carol Davila“ Bucureşti
Published: July 2022

Inserting dental implants in proper prosthetic shaft is no longer an issue for dental surgeon due to development of biomaterials, especially bone substituent and bone regeneration techniques. However physiological healing processes of the human body guided researchers to obtain more predictable results. Therefore, they included more grown factors in augmentation materials reducing complications after surgery and during healing period. For this purpose, platelet concentrates were used in different shapes. The advantages of using PRF (Platelet Rich- Fibrin) in bone regeneration techniques consist in many platelet growth factors and fiber clot that represent the main healing matrix. PRF is the simplest and less expensive solution for the dental surgeon to enrich the bone graft material with growth factors, thus obtaining better and predictable results.
The consequences of remaining calcium hydroxide in the root canal
Authors:   Facultatea de Medicină Dentară, Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, România, Suciu Ioana , Dimitriu Bogdan ,   Facultatea de Medicină Dentară, Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, România, Perlea Paula ,   Facultatea de Medicină Dentară, Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, România, Amza Oana ,   Facultatea de Medicină Dentară, Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, România, Jivoinovici Radita ,   Facultatea de Medicină Dentară, Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, România, Suciu Ileana ,   Facultatea de Medicină Dentară, Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, România, Gheorghiu Irina ,   Facultatea de Medicină Dentară, Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, România
Published: July 2022

Germs removal from endodontic system is achieved both by instrumentation, accompanied by the use of endodontic irrigants and in precise situations, by interposing intracanallary medication. Based on these features, an update and overview of the attributes of calcium hydroxide was acquired, emphasizing the need to remove the residue of calcium hydroxide as an important measure before performing root canal long lasting fillings. The persistence of calcium hydroxide residue, after removal the drug medication, interfere with dentinal tubules diffusion of the sealant.
Study on the effectiveness of the endodontic treatment performed with the 940 nm diode laser
Authors:   C.M.I. Androne-Onac Alecsandra Laura, Bucureşti, România, Onac Alecsandra , Bîcleşanu Cornelia ,   Disciplina Odontoterapie, Facultatea de Medicină Dentară, Universitatea „Titu Maiorescu“, Bucureşti, România, Tudose Andreea ,   Disciplina Odontoterapie, Facultatea de Medicină Dentară, Universitatea „Titu Maiorescu“, Bucureşti, România, Pangică Ana Maria ,   Disciplina Endodonţie, Facultatea de Medicină Dentară, Universitatea „Titu Maiorescu“, Bucureşti, România, Manea Ştefan ,   Disciplina Endodonţie, Facultatea de Medicină Dentară, Universitatea „Titu Maiorescu“, Bucureşti, România, Florescu Ana Maria ,   Disciplina Odontoterapie, Facultatea de Medicină Dentară, Universitatea „Titu Maiorescu“, Bucureşti, România
Published: July 2022

The aim of this study is to determine the effect of the laser diode with a wavelength of 940 nm in endodontic treatment, by irradiating channels in several stages of treatment, combined with standard lavage solutions. The study determines the removal of the smear layer and the permeability of the dentinal tubules as seen in scanning electron microscopy. Material and method. The study was conducted on 16 mono-radicular extracted teeth having an orthodontic purpose or which presented periodontal lesions and a 3-4 degree of mobility. The teeth were subjected to an endodontic protocol and a laser protocol, followed by a SEM analysis. Results. Increasing the number of cycles has as result the removal of smear layer and of the debris layer by the opening of the dentinal tubules. Conclusions. 940 nm diode laser can be safely and effectively used in endodontic treatments, without harmful effects on periodontal tissues. Using 940 nm laser diode in endodontic treatment has a synergistic effect which has been achieved with standard lavage.
ANALISIS KEBUTUHAN APLIKASI LITERASI SAINS BERBASIS QUR’ANI & SOCIO-SCIENTIFIC ISSUES UNTUK MENINGKATKAN KEMAMPUAN ILMIAH SISWA MTs
Authors: Rokhim Deni Ainur , Dzikrulloh Mohammad Hilfi Azra , Septiani Maya Oki
Published: July 2022

Based data from OECD, Indonesian students’ scientific literacy in 2018 is subaverage. Therefore, researchers do need analysis for developing the scientific literacy application based on Al-Qur'an and Sosio-Scientific issues. The purpose of this research is to obtain information from teachers and students’ perspective about the characteristics of ideal scientific literacy application. This research uses descriptive qualitative research methods. The research subjects consisted of 10science teachers and 300madrasah students from 4 districts in Malang Regency. Scientific literacy emphasizes the need for a balance between various abilities and requires skills in deciding Sosio-Scientific issues. Integration between science and religion is also highly considered in terms of avoiding free value of science. The results showed that the science literacy application development based on Al-Qur’an Sosio-Scientific issues is needed with certain criteria.Keywords: Al-Qur’an; Scientific Abilities; Scientific Literacy; Sosio-Scientific Issues
On Atmospheric Retrievals of Exoplanets with Inhomogeneous Terminators
Authors: Welbanks Luis , Madhusudhan Nikku
Published: July 2022

The complexity of atmospheric retrieval models is largely data-driven, and one-dimensional models have generally been considered adequate with current data quality. However, recent studies have suggested that using 1D models in retrievals can result in anomalously cool terminator temperatures and biased abundance estimates even with existing transmission spectra of hot Jupiters. Motivated by these claims and upcoming high-quality transmission spectra, we systematically explore the limitations of 1D models using synthetic and current observations. We use 1D models of varying complexity, both analytic and numerical, to revisit claims of biases when interpreting transmission spectra of hot Jupiters with inhomogeneous terminator compositions. Overall, we find the reported biases to be resulting from specific model assumptions rather than intrinsic limitations of 1D atmospheric models in retrieving current observations of asymmetric terminators. Additionally, we revise atmospheric retrievals of the hot Jupiter WASP-43b (T
eq = 1440 K) and the ultra-hot Jupiter WASP-103b (T
eq = 2484 K), for which previous studies inferred abnormally cool atmospheric temperatures. We retrieve temperatures consistent with expectations. We note, however, that in the limit of extreme terminator inhomogeneities and high data quality, some atmospheric inferences may conceivably be biased—although to a lesser extent than previously claimed. To address such cases, we implement a 2D retrieval framework for transmission spectra that allows accurate constraints on average atmospheric properties and provides insights into the spectral ranges where the imprints of atmospheric inhomogeneities are strongest. Our study highlights the need for careful considerations of model assumptions and data quality before attributing biases in retrieved estimates to unaccounted atmospheric inhomogeneities.
The outstanding suction-feeder Marcopoloichthys furreri new species (Actinopterygii) from the Middle Triassic Tethys Realm of Europe and its implications for early evolution of neopterygian fishes
Authors: Arratia Gloria
Published: July 2022

Marcopoloichthys furrerisp. nov., a small scaleless fish from the Ladinian of Switzerland, is described based on ten well preserved specimens, which provide outstanding morphological information, allowing the re-study of the family and generic diagnoses that were solely based on a few Eurasian marcopoloichthyids. An exhaustive investigation of morphological features of M. furreri provides evidence of new morphological structures not previously known in Triassic neopterygians (e.g., supraneural carrier; two pairs of nasal bones; mesethmoid; series of three bony postcleithra) that are interpreted as autapomorphies of Marcopoloichthys, which occur together with some primitive features (e.g., lack of supramaxillae; presence of surangular and coronoid; aspondylous vertebral column; clavicle present). The combination of primitive and advanced characters proved to be critical when M. furreri was added to a previous hypothesis of neopterygian relationships, because it provided unquestionable support for Marcopoloichthys as a stem teleost or teleosteomorph. Some characters supporting this interpretation are the presence of a mobile premaxilla; an unpaired vomer; and first and last principal rays forming leading margins of caudal fin. Additionally, Marcopoloichthys furreri, due to a combination of teleostean synapomorphies (e.g., epineural processes; four pectoral radials; propterygium fused with first pectoral ray), stands in a polytomy with aspidorhynchiforms and more advanced teleosteomorphs in another phylogenetic analysis. Consequently, the combination of characters of Marcopoloichthys is relevant for understanding the taxonomy and systematics of crown neopterygians. Marcopoloichthyids were suction-feeding fishes, and the excellent preservation of the new species permits discussion of the anatomical modifications involved in the feeding and resting processes.
Lever les brevets sur les vaccins ?
Authors: Cretois Pierre
Published: July 2022

Parce qu’il est juste que chacun soit propriétaire de son travail et parce qu’il ne faut pas supprimer l’incitation à la recherche, certains refusent de lever les brevets sur les vaccins contre la Covid-19. Pourtant, des formes collaboratives de production assureraient plus efficacement la justice globale et la santé publique.
Structuring the Investment Opportunity for a Transition to Practice Program
Authors: Stiesmeyer Johanna K.
Published: July 2022

Gaining organizational commitment to build or expand a transition to practice program is greatly enhanced by following a business strategy that calls out an encompassing program return on investment (ROI). This article proposes the ROI categories that are powerful investment influencers for executives responsible for funding programs. The business strategy offers insight on how to connect workforce pipeline, retention, program accreditation/reimbursement, traveler replacement, improved quality measures, and career advancement data into a persuasive investment case. Additionally, for advanced practice residency/fellowships, additional categories of linking quality outcomes, billing and revenue generation, productivity, and procedural services are highlighted.

[
J Contin Educ Nurs
. 2022;53(7):293–296.]
Oncology-Hematology Nurses' Perspectives on the Compassion Fatigue Resiliency Program: A Qualitative Study
Authors: Pehlivan Tuğba , Güner Perihan
Published: July 2022

Background

Oncology-hematology nurses are at increased risk for compassion fatigue. It remains unclear whether the Compassion Fatigue Resiliency program is effective, and qualitative evidence from participant feedback is limited. This was a follow-up study to a quantitative study of the Compassion Fatigue Resiliency program. The aims of this study were to evaluate how the content of the program affects nurses' compassion fatigue and coping abilities and to obtain their views.

Method

This qualitative study was performed with 24 oncology-hematology nurses at two hospitals. Three focus groups were conducted using a semi-structured questionnaire. The data were analyzed using conventional content analysis.

Results

Four themes emerged: awareness; coping; not for others, for me; and training design. Nurses stated they had only just learned what compassion fatigue and its impact were and had gained more awareness.

Conclusion

The content of the Compassion Fatigue Resiliency program helped nurses learn effective coping skills; however, the program's design is important to its effectiveness.

[
J Contin Educ Nurs
. 2022;53(7):329–336.]
Studying the fear effect in a predator-prey system with apparent competition
Authors: Wang Xiaoying , Smit Alexander
Published: July 2022

Recent experimental evidence shows that the mere presence of predators may largely reduce the reproduction success of prey. The loss of prey's reproduction rate is attributed to the cost of anti-predator defense of prey when the prey perceives predation risks. We propose a predator-prey model where the prey shares a common enemy that leads to apparent competition between the prey and also the cost of anti-predator defense. Analytical results give the persistence conditions for the population densities of the prey and the predator. Numerical simulations demonstrate rich dynamics, such as the bi-stability of an equilibrium and a limit cycle. Results also reveal how the prey and the predator may coexist when the anti-predator defense level varies in prey. A relatively strong anti-predator defense in the prey may drive the population density of the prey to extinction and change the original coexistence of all the prey and the predator where the population densities oscillate periodically. Alternatively, strong anti-predator defense in the prey may facilitate the coexistence of the prey and the predator at a steady state.
Scheduling uniform machines with restricted assignment
Authors: Li Shuguang , Liu Zhimeng
Published: July 2022

The problem of minimizing makespan (maximum completion time) on uniform machines with restricted assignment is considered. The machines differ in their speeds and functionalities. Each job has a set of machines to which it can be assigned, called its processing set. The goal is to finish the jobs as soon as possible. There exist 4/3-approximation algorithms for the cases of inclusive and tree-hierarchical assignment restrictions, under an assumption that machines with higher capabilities also run at higher speeds. We eliminate the assumption and present algorithms with approximation ratios 2 and 4/3 for both cases.
Classifications en transformation. Classifier les substances organiques en 1819 : tables, fiches, calculs et structures
Authors: Bullynck Maarten
Published: July 2022

On trouve dans le livre Die Entwicklung der Pflanzensubstanz, physiologisch, chemisch und mathematisch dargestellt (1819) une recherche et une réflexion poursuivies sur l’organisation et la classification des substances organiques qui illustre bien l’évolution dans la pensée classificatoire de l’époque. Le livre est le résultat d’une correspondance entre le botaniste et Naturphilosoph Nees von Esenbeck, le chimiste et géologue Bischof et le mathématicien Rothe. Dans leur dialogue, les supports pour organiser les faits (fiches et tables) ainsi que les outils de papier qui permettent de les manipuler (tables et calculs) sont essentiels dans la réorganisation réitérée des faits. La négociation sur la classification passe par les formes arborescentes, les tables, les fiches et les calculs pour trouver, finalement, des morceaux de structures chimiques dans les transformations des données.