bluuebunny/crossref_metadata_2025 huggingface dataset:
Anemia asociada a infección por Helicobacter pylori en estudiantes universitarios.
Authors: Quispe Reyes Juan Marco , Vega Rojas Sheein Estephanie Maria , Huayta Quispe Isaac kenyi , Díaz Quiquia Vasti Evelyn , Chávez Cáceres Pavel Illich
Published: February 2021

Introducción: La anemia se considera una entidad de mayor prevalencia en países en vías de desarrollo, teniendo como causas principales la falta de ingesta nutricional: hierro, ácido fólico, vitamina B12. La anemia ferropénica es la causa más frecuente y afecta en su mayoría a mujeres en edad fértil como en la postmenopausia. Además se ha asociado a Helicobacter pylori, como factor de riesgo para anemia ferropénica. Objetivo: Determinar la asociación que existe entre la anemia y Helicobacter pylori como factor de riesgo en los estudiantes de la Universidad Peruana Unión en el año 2014. Materiales y métodos: Estudio de casos y controles. Este trabajo se llevó a cabo en estudiantes de la Universidad Peruana Unión. Se obtuvo la base de datos de estudiantes atendidos en la Clínica Good Hope, con los diagnósticos de anemia ferropénica, seleccionados por medio de un muestreo aleatorio simple determinando el grupo caso de 40 personas con anemia (n=40) y 80 personas sin diagnóstico de anemia siendo el grupo control. Se aplicó una encuesta con las variables de interés para la descripción de la población y el análisis de muestra sanguínea para el hematocrito, hemoglobina (en 48 personas para confirmar los casos y controles) y la prueba rápida anti-Helicobacter pylori. Resultados: Se determinó un odds ratio entre anemia y Helicobacter pylori de 3,8; un chi cuadrado de 10,12 y una p=0,001. Este resultado rechaza la hipótesis nula de independencia de las variables y se comprueba la asociación antes propuesta. Discusión: Helicobacter pylori es un factor de riesgo asociado a la anemia ferropénica, aunque se requiere más estudios en nuestra población. Conclusiones: Helicobacter pylori es un factor de riesgo asociado con anemia, aunque se requieren más estudios en la población de esta investigación.
Medicamentos genéricos, percepción de los médicos. Cali-Colombia
Authors: Torres Serna Camilo , Ángel Medina Juan Camilo , Klinger Torres Helen Viviana , Márquez Flórez Vanessa , Micolta Bejarano Jean Marcos , Sánchez Suescún Jhon Jairo
Published: February 2021

Es frecuente escuchar la desconfianza médica de la efectividad de los medicamentos genéricos. El objetivo de este estudio es cuantificar la aceptación de médicos vinculados al Sistema General de Seguridad Social en Salud de Colombia a la prescripción de medicamentos genéricos.

Se realizó un estudio de tipo descriptivo de corte transversal. Se entrevistaron 80 médicos en ejercicio clínico, todos médicos que realizaban consulta clínica en los sitios de práctica de una Facultad de Medicina de Cali-Colombia.

Los resultados muestran que los médicos consultados tienen claro el concepto de medicamento enérico y el 89,6% de ellos, consideran el producto genérico esencialmente similar al medicamento original de referencia, pero al mismo tiempo tienden a pensar que los productos genéricos no cumplen con el efecto terapéutico deseado. Se destaca también que el 74,4% de los médicos considera que los pacientes valoran poco el uso de productos genéricos.
Rotura de aneurisma del seno de valsalva coronario derecho en paciente femenino: reporte de caso
Authors: Moncada Paz Gustavo A. , Silva Coello Efraín Antonio , San Martin Pavón Julio David , Salgado Fonseca Ana Saraí , Morales Mejía Obed Josué
Published: February 2021

Los aneurismas del seno de Valsalva son anomalías infrecuentes, ocasionadas por la falta de continuidad entre la túnica media de la aorta y el anillo valvular. Suelen ser asintomáticos mientras estén íntegros, la mayoría se diagnostica sucesivamente a una rotura. Son más frecuentes en el sexo masculino y su rotura afecta más a jóvenes adultos. Pueden ser causa de insuficiencia cardiaca y en algunos casos llegan a presentarse como muerte súbita. Su diagnóstico requiere estudios de imagen y su tratamiento generalmente es quirúrgico. Se presenta el caso de un paciente femenino de 18 años que consultó por síntomas de insuficiencia cardiaca. Al examen físico se encontró hipotensa, con choque de punta desplazado hacia la izquierda, soplo auscultado en todos los focos e irradiado hacia la izquierda, ingurgitación yugular y ascitis. La radiografía de tórax reveló cardiomegalia y el ecocardiograma transtorácico evidenció rotura de aneurisma del seno de Valsalva coronario derecho. La sospecha de rotura de aneurisma del seno de Valsalva ante síntomas de insuficiencia cardiaca y soplo, permite la corrección exitosa del defecto.
Fenotipificación de un caso de anemia de células falciformes
Authors: Garcés Mendoza Manuel Cristóbal , Escobar Paredes Daniel Alejandro
Published: February 2021

La anemia de células falciformes es una enfermedad genética frecuente en la que la herencia de dos genes mutantes de la hemoglobina, uno de cada progenitor, produce un trastorno de la hemoglobina. Es una enfermedad crónica con exacerbaciones agudas que causan efectos a largo plazo en la educación, la vida familiar, la integración social y la calidad de vida del paciente. La clínica se resume en vaso oclusión e isquemia tisular, anemia hemolítica y la susceptibilidad a infecciones. Se presenta el caso de un hombre de raza negra, de 28 años cursando con crisis dolorosa vaso-oclusiva, trastorno hemolítico y síndrome anémico de volúmenes normales.
Púrpura trombocitopénica idiopática en adultos: experiencia en un hospital de tercer nivel, La Paz, Bolivia
Authors: Nina García Nelson Miguel , Huarita Hernán
Published: February 2021

Introducción: La purpura trombocitopénica idiopática es un trastorno adquirido causado por auto-anticuerpos contra antígenos plaquetarios. A la fecha no se han estudiado las características clínicas y respuesta al tratamiento en Bolivia. Objetivo: Describir las características clínicas y resultados del tratamiento en pacientes adultos con purpura trombocitopénica idiopática de reciente diagnóstico. Métodos: Se realizó un estudio descriptivo, retrospectivo de una serie de casos de adultos con púrpura trombocitopénica idiopática en un Servicio de Hematología de La Paz, Bolivia durante el periodo 2009-2014. Resultados: El análisis incluyó 23 pacientes con una edad media de 59,9 años. Al diagnóstico todos los pacientes presentaron manifestaciones hemorrágicas (nasal 82,6%, cutáneo 56,5%, y oral 34,78%), la media del recuento plaquetario al diagnóstico fue de 26.7 x 109/L. Se detectó anticuerpos contra Helicobacter pylori en 4 de 6 que contaban con esta prueba. El hallazgo más frecuente en médula ósea fue la presencia de un número aumentado o normal de megacariocitos. La respuesta al tratamiento de primera línea fue del 96% (RC: 61%, R: 35%). Tras una media de seguimiento de 24 meses, el 60% de los pacientes presentaron recaída en un promedio de 12,5 meses desde el diagnóstico. Conclusiones: Al momento del diagnóstico las manifestaciones hemorrágicas son las más frecuentes, los recuentos plaquetarios por lo general son inferiores a 30 x 109/L. Los corticoides son el tratamiento inicial de elección, con respuestas favorables en la mayoría de los pacientes, sin embargo, más de la mitad de los pacientes presentan recaída en tiempo promedio de 1 año.
Small-scale poultry production in Bangladesh: challenges and impact of COVID-19 on sustainability
Authors:   Nourish Poultry and Hatchery Ltd., Dhaka, Bangladesh, Rahman Masudur , Chowdhury Emdadul Haque ,   Department of Pathology, Faculty of Veterinary Science, Bangladesh Agricultural University, Mymensingh-2202, Bangladesh, Parvin Rokshana ,   Department of Pathology, Faculty of Veterinary Science, Bangladesh Agricultural University, Mymensingh-2202, Bangladesh
Published: February 2021

Poultry meat is an important source of animal protein in Bangladesh. Small-scale poultry production plays a crucial role in the socio-economic development and nutritional requirements of rural and peri-urban households and provides an income source for resource-poor areas. Therefore, focusing on small-scale poultry production remains important. However, improper management, disease outbreak, market volatility and many other factors are typically responsible for the sustainability of this rising prospect of small-scale poultry production potential. The recent pandemic coronavirus disease of 2019 (COVID-19) tremendously influenced the sustainability of the small-scale poultry sector. This review addressed Bangladeshi small-scale poultry production and its market value, identified issues, and suggested potential guidelines to sustain the small-scale sector
Seroprevalence and molecular diagnosis of sheep brucellosis in Dakahlia governorate, Egypt
Authors:   Mansoura Provincial Laboratory, Animal Health Research Institute, Agricultural Research Center, Giza, Egypt, El-Diasty Mohamed , El-Said Rana ,   Department of Food Hygiene and Control, Faculty of  Veterinary Medicine, Mansoura University, Mansura, Egypt, Abdelkhalek Adel ,   Department of Food Hygiene and Control, Faculty of  Veterinary Medicine, Badr University, Egypt
Published: February 2021

Brucellosis is an endemic disease among livestock and humans in Egypt. Sheep are the most common type of livestock ruminant in Egypt and considered the fundamental etiology for spreading and maintaining B. melitensis either in human being or animal populations. In the current study, we investigated the seroprevalence of brucellosis in sheep herds reared in Bilqase, one of the biggest cities at Dakahlia governorate in Egypt's Delta region. In total, 610 sheep from seven herds were investigated. Anti-Brucella antibodies were detected in 48 (7.8%) samples tested by Buffered Acidified Plate Antigen Test (BAPAT), in 44 (7.2%) samples tested by Rose Bengal Plate Test (RBPT) and in 41 (6.7%) samples tested by Milk Ring Test (MRT). The isolation rate was 29.6% (16 out of 54 examined samples). Brucella organism was isolated from three aborted fetuses, one tissue sample of slaughtered serologically positive ewe and 12 milk samples. The Abortus Melitensis Ovis Suis-PCR (AMOS-PCR) confirmed all Brucella strains as B. melitensis. More than three successive negative serological tests are required to declare that the infected herd is free from brucellosis. In conclusion, no single serological test could conclusively diagnose brucellosis in endemic areas. Confirmation of results with molecular diagnosis or culture is indispensable in diagnosis. B. melitensis was the prevalent serotype among sheep in Dakahlia governorate
OUTCOMES OF COMPARISON BETWEEN EMERGENCY VS ELECTIVE LOWER SEGMENT CESAREAN SECTION
Authors: Tahira Malik  , Sadia Zahoor  , Sonia Zulfiqar
Published: February 2021

Objective; To compare emergency vs elective LSCS for their various outcomes. Study setting; Sheikh Zayed Hospital, Rahim Yar Khan Duration; 01-09-2018 to 28-02-2019 Methodology: This was a randomized controlled-trial, in which pregnant females irrespective of their duration of gestation, gravida and parity having age equal more than 20 years were included. The cases were subdivided into 2 equal groups. The cases in group A were operative for emergency C section surgery and those, who were in group B underwent elective surgery. These cases were then followed to look for various surgical outcomes. Results: In this study total 150 cases of C section were included with 75 in each group. The mean age of the group A and B was 28.87±4.43 vs 29.54±5.13 years and mean duration of gestation at presentation was 37.13±2.56 vs38.67±1.39 weeks. SSI was seen in 3 (5.33%) cases in emergency group vs 2 (2.66%) in elective group with p= 0.07. PPH was observed in 2 (2.66%) of the cases each with p= 1.0 and both hysterectomy and maternal mortality was observed in 1 (1.33%) cases each in emergency group with p= 0.81 each. Conclusion; Complications are rate are relatively higher in emergency as compared to elective C section and SSI is nearly significantly high in this group.
The Relationship Burnout With The Performance of Implementing Nurses in The Inpatient Room at Rawa Lumbu Hospital 2019
Authors: Deniati Kiki
Published: February 2021

Burnout merupakan kelelahan secara fisik maupun emosi dan sebagai suatu perubahan sikap ataupun perilaku. Akibat dari kelelahan atau kejenuhan kerja itu sendiri dapat muncul dalam bentuk berkurangnya kepuasan kerja, produktivitas yang rendah dan memburuknya kinerja. Kinerja keperawatan merupakan aktivitas yang diberikan kepada klien melalui pelaksanaan asuhan keperawatan untuk mencapai tujuan pelayanan kesehatan. Penelitian ini bertujuan untuk mengetahui apakah ada Hubungan Burnout Dengan Kinerja Perawat Pelaksana Di Ruang Rawat Inap Rumah Sakit Rawa Lumbu 2019. Metode penelitian ini menggunakan desain observasional analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah semua perawat di ruang rawat inap Rumah Sakit Rawa Lumbu yang berjumlah 30 perawat, setelah dimasukkan kedalam  rumus slovin jumlah sampelnya sebanyak 28 perawat. Hasil penelitian yang didapat dari hasil uji statistik Chi-Square diperoleh p value sebesar 0,028 dapat disimpulkan p value (0,028) < nilai α (0,05), hal ini menunjukkan bahwa ada hubungan burnout dengan kinerja perawat pelaksana di ruang rawat inap Rumah Sakit Rawa Lumbu 2019. Kesimpulannya adalah Burnout dapat mempengaruhi kinerja perawat, ketika perawat merasakan adanya kelelahan atau kejenuhan (burnout) maka tidak lama lagi situasi lingkungan kerja menjadi tidak kondusif apabila keadaan ini dibiarkan berlarut-larut maka dapat menyebabkan penurunan kinerja.
Hubungan Pandemik Covid-19 Dengan Beban Kerja Perawat Di Puskesmas Pakisjaya Kabupaten Karawang 2020
Authors: Deniati Kiki
Published: February 2021

Beban kerja adalah keadaan ketika pekerja dihadapkan pada tugas yang harus diselesaikan tepat waktu. Memahami beban kerja serta kekurangan tenaga kesehatan terutama perawat merupakan upaya yang mendesak saat ini, dimasa pandemik terjadi peningkatan jumlah pasien sementara jumlah tenaga perawat saat ini tidak mencukupi dan menyebabkan beban kerja berlebih untuk perawat itu sendiri. Metode penelitian ini menggunakan desain deskriptif analitik dengan pendekatan cross sectional. Dari hasil uji statistik Chi-Square diperoleh p value sebesar 0,003 dapat disimpulkan p value (0,003) < 0,05, hal ini menunjukkan bahwa ada hubungan pandemik covid-19 dengan beban kerja perawat di puskesmas pakisjaya kabupaten karawang 2020. Pandemik Covid-19 dapat mempengaruhi beban kerja perawat di Puskesmas Pakisjaya Kabupaten Karawang, ketika kasus Pandemik Covid-19 tinggi dapat meningkatkan beban kerja perawat sampai beban kerja berat, beban kera berat ini juga berpengaruh terhadap kebutuhan SDM perawat, jika jumlah perawat tercukupi maka tidak akan terjadi peningkatan beban kerja pada perawat dan perawat tetap bisa bekerja secara produktif.
Alternatyvaus investavimo fondų reguliavimo Lietuvoje raida ir tobulinimo galimybės
Authors: Galinienė Birutė , Jarašius Gytis
Published: February 2021

Alternatyvaus investavimo fondai Lietuvoje įteisinti 2008 m. pradžioje ir jau spėjo įsitvirtinti Lietuvos investicinių fondų rinkoje. Todėl tokių fondų teisinis reguliavimas ir priežiūra tampa dar svarbesnė, nes jie yra potencialiai pavojingesni finansų sistemai nei įprastiniai investiciniai fondai. Nors nuo šių fondų įteisinimo įvyko nemažai investicinių fondų teisinio reguliavimo pokyčių, atlikta analizė atskleidė, kad srityse, kuriose yra reikšminga galimybė atsirasti sisteminei rizikai, alternatyvaus investavimo fondų reguliavimas galėtų būti griežtesnis ir priežiūra intensyvesnė.
Lietuviška garbės samprata
Authors: Smetonienė Irena
Published: February 2021

Straipsnyje kognityvinės definicijos metodu atliekama žodžio garbė koncepto analizė. Iš jos išryškėja, kas lietuviams yra garbė, kokios yra svarbiausios šio žodžio semos, kokia galima žodžio garbė kognityvinė definicija. Tiek atskirų diskursų analizė, tiek jaunimo apklausos rezultatai rodo, kaip per šimtmetį pakito garbės samprata, koks yra studentų požiūris ne tik į garbę, bet ir apskritai į moralines vertybes, kas jaunimui daro didžiausią įtaką formuojantis jų vertybių sistemai.
Šauliškasis aspektas Lietuvos parlamentarizmo istorijoje: Steigiamojo Seimo atvejis
Authors: Nefas Mindaugas
Published: February 2021

Straipsnyje analizuojamas Lietuvos šaulių sąjungos veiksnys Steigiamojo Seimo darbe. Remiantis Steigiamojo Seimo narių biografiniu žodynu, Šaulių sąjungos Centro valdybos posėdžių ir Steigiamojo Seimo protokolais, istoriografine medžiaga, nagrinėjama 1920–1922 metais Steigiamajame Seime dirbusių šios organizacijos narių veikla įtvirtinant įstatymišką Lietuvos šaulių sąjungos pagrindą. Ši sukarinta organizacija veiklą pradėjo vykstant kovoms dėl Lietuvos Nepriklausomybės ir tokiu būdu užsitarnavo Lietuvos valdžios pasitikėjimą. Pagal veiklos principus tai nebuvo analogų neturinti organizacija, tačiau jos veiklą reglamentavo įstatymai – tai Šaulių sąjungą teisiniu požiūriu padarė išskirtine organizacija. Šaulių palaikymas politiniu lygmeniu nebuvo vienodas. Steigiamasis Seimas reiškė pasitikėjimą šia organizacija (pavyzdys – 1921 m. priimtas Lietuvos šaulių sąjungos įstatymas), o Krašto apsaugos ministerija siekė visapusiškai kontroliuoti šaulius, panaikindama savarankiško valdymo galimybes. 1921 m. priimtas pirmasis Lietuvos šaulių sąjungos įstatymas buvo svarbus įrodymas, kad Lietuvos valdžia vertina organizacijos narių veiklą, be to, jis įtvirtino tik dalinę organizacijos priklausomybę nuo Krašto apsaugos ministerijos.
Ar mokykliniai vadovėliai ugdo demokratinio parlamentarizmo šalininkus? Lietuvos moderniųjų laikų parlamentarizmas 9–12 klasių istorijos vadovėliuose
Authors: Bitautas Algis
Published: February 2021

Straipsnyje analizuojama, kaip Lietuvos moderniųjų laikų parlamentarizmo istorija yra pateikta mokykliniuose istorijos vadovėliuose. Straipsnyje išskirtinis dėmesys teikiamas šiems moderniųjų laikų Lietuvos Seimams: Didžiajam Vilniaus Seimui (1905 m. gruodžio 4–5 d.), Steigiamajam Seimui (1920–1922), parlamentinio valdymo Seimams (1922–1926), „smetoninio“ Seimo (1936–1940) ir Liaudies seimo (1940) specifikai, Lietuvos Respublikos Aukščiausiajai TarybaiAtkuriamajam Seimui (1990–1992) ir Seimams nuo 1992 metų iki šių dienų.

Analizei pasirinkti visi galiojantys bendrojo lavinimo dalykų istorijos vadovėliai, kurie buvo ir yra šiuo metu naudojami mokykloje. Atskleidžiant moderniųjų laikų parlamentarizmo istoriją apžvelgtas skirtingų leidyklų vadovėlių autorinis tekstas, rašytiniai ir vaizdiniai šaltiniai bei mokiniams skirtos užduotys. Ypatingas dėmesys kreipiamas į atskirų leidyklų vadovėlių autorių pateikimo skirtumus, t. y. kam vadovėlių autoriai teikia daugiau dėmesio. Akcentuojamos mokinių vertybines nuostatas formuojančios užduotys ir klausimai siekiant išsiaiškinti, ar šiuolaikiniai mokykliniai istorijos vadovėliai ugdo demokratinio parlamentarizmo šalininkus.
Teachers 'Efforts to Improve Students' Arabic Language Ability in Class V MI Syaikh Zainuddin NW Anjani, Suralaga District
Authors: Muh Zulkifli
Published: February 2021

Learning is an activity or a process to acquire knowledge, improve skills, improve behavior, attitudes, and strengthen personality. In the context of becoming to know or the process of acquiring knowledge. The learning process is essentially to develop the activities and creativity of students, through various interactions and learning experiences. However, in its implementation we often do not realize that there are still many learning activities being carried out which actually hinder the activities and creativity of students. Learning Arabic means learning aspects of the language itself, and each aspect of the habit has its own characteristics that differ from one another. In addition, the language learning system planning is prepared based on basic assumptions and principles that must be held and a clear operational rationale and capability. The assumptions and basic principles of learning Arabic are related to the true nature of Arabic learning. Arabic is a language that must be studied, liked, known and can be mastered by generations of Islam which of course goes through long and varied processes either obtained from formal or non-formal processes. The method used in this research is a qualitative research method. qualitative is a deep understanding and interpretation of the meaning, reality and relevant facts. The research results obtained by the researchers were very influential in the teacher's efforts to improve Arabic language skills by using interesting methods by the researchers. After conducting the research, the researchers obtained the efforts made by the teacher to improve the Arabic language skills of class V students of MI Syaikh Zainuddin NW Anjani, namely, explaining the subject matter, providing insight and motivation, giving mufrodats, training them to read in Arabic, using methods appropriate to their circumstances
Application of Role Play Learning Design in Increasing Motivation to Learn Citizenship Education (PKn) at MI NW Pungkang
Authors: Fahrurrozi
Published: February 2021

The problem examined in this study is the application of the Role Play learning design to increase the learning motivation of fourth grade students of MI NW Pungkang. This study aims to determine the application of the Role Play learning design in increasing the learning motivation of grade IV students at MI NW Pungkang on the Competency Standards for the Village Government System. This research is a Classroom Action Research (CAR) taken in one cycle. Each cycle consists of four stages, namely planning, implementing, observing, and reflecting. As for who became the research subjects were grade IV MI NW Pungkang totaling 17 students. Data collection techniques use observation techniques, questionnaires and interviews about the application of role play learning designs. The data analysis techniques used were qualitative and quantitative data analysis. Based on the results of the study it was concluded that the application of the role play learning design could increase the learning motivation of fourth grade students of MI NW Pungkang as evidenced by an increase in the percentage of observation results, the students' learning motivation score was 11.25% from the pre-cycle. 62.63% increased to 82.22% in silu I. In addition, based on the results of the questionnaire data analysis, it can also be concluded that there was an increase in student learning motivation scores by 7.75% from the initial observation score of 62.63% to cycle I of 82.22%. When viewed classically, the remaining learning motivation which is categorized as medium and high also increases from 60.10% to 93.33%. The results of interviews with teachers and students related to the implementation of role play learning designs also received a positive response
BENTUK PROBLEM RUMAH TANGGA TERHADAP PENYIMPANGAN TINGKAH LAKU SISWA
Authors: Ahmad Fathoni  , Suraji
Published: February 2021

Tujuan dari penelitian ini adalah: (1) untuk mengetahui bentuk problem rumah tangga dan bentuk prilaku menyimpang yang dialami siswa, (2) bagaimanakah upaya guru dalam menyikapi siswa yang berprilaku menyimpang dikarenakan memiliki problem rumah tangga. Metode penelitian menggunakan kualitatif dengan model studi kasus. Bentuk problematika rumah tangga yang dialami siswa yaitu: Broken home (perceraian) dan kesibukan orang tua dalam bekerja. Sedangkan bentuk penyimpangan tingkah laku siswa yang memiliki problem rumah tangga dibagi menjadi dua macam yaitu: Prilaku menyimpang individual dan Prilaku menyimpang primer. Kendala-kendala yang dialami guru dalam menyikapi penyimpangan tingkah laku siswa yang memiliki problem rumah tangga diantaranya yaitu: (1) komunikasi guru dengan siswa yang memiliki problem rumah tangga, dan (2) komunikasi guru dengan orang tua siswa yang memiliki problem rumah tangga
TEACHER AND PARENT COMMUNICATION PATTERNS IN INCREASING STUDENT LEARNING MOTIVATION
Authors: Suraji
Published: February 2021

The purpose of this study is to determine the Communication Patterns of Teachers and Parents of Students in Increasing Student Motivation at SD Negeri 5 Banyu Biru, Semarang Regency, Central Java. The method used is descriptive quantitative method. Based on the description of the communication patterns between teachers and parents at SD Negeri 5 Banyu Biru, it can be concluded that the communication patterns used by teachers and parents at SD Negeri 5 Banyu Biru are: a) interpersonal communication because this communication is carried out by two people or more and the message delivered can also be replied directly; b) group communication because communication that occurs in a group can make existing information easily known by other student guardians. There are some Factors supporting and hindering teacher to communicate with parents at SD Negeri 5 Banyu Biru, those are: (1) Guardians who are proactive with their constructive ideas, criticisms and suggestions are one of the supporting factors for communication at SD Negeri 5 Banyu Biru, (2) limited activity in School so that it has a positive effect on smooth communication, especially between teachers and guardians of students, (3) The use of media and technology is not optimal because there are no special teachers to handle or operate school websites. (4) Limited facilities and infrastructure owned by the school.
A novel method to identify sub-seasonal clustering episodes of
extreme precipitation events and their contributions to large
accumulation periods
Authors: Kopp Jérôme , Rivoire Pauline , Ali S. Mubashshir , Barton Yannick , Martius Olivia
Published: February 2021

Abstract. Temporal (serial) clustering of extreme precipitation events on sub-seasonal time scales is a type of compound event. It can cause large precipitation accumulations and lead to floods. We present a novel, count-based procedure to identify episodes of sub-seasonal clustering of extreme precipitation. We introduce two metrics to characterise the frequency of sub-seasonal clustering episodes and their relevance for large precipitation accumulations. The procedure does not require the investigated variable (here precipitation) to satisfy any specific statistical properties. Applying this procedure to daily precipitation from the ERA5 reanalysis data set, we identify regions where sub-seasonal clustering occurs frequently and contributes substantially to large precipitation accumulations. The regions are the east and northeast of the Asian continent (north of Yellow Sea, in the Chinese provinces of Hebei, Jilin and Liaoning; North and South Korea; Siberia and east of Mongolia), central Canada and south of California, Afghanistan, Pakistan, the southwest of the Iberian Peninsula, and the north of Argentina and south of Bolivia. Our method is robust with respect to the parameters used to define the extreme events (the percentile threshold and the run length) and the length of the sub-seasonal time window (here 2–4 weeks). This procedure could also be used to identify temporal clustering of other variables (e.g. heat waves) and can be applied on different time scales (sub-seasonal to decadal). The code is available at the listed GitHub repository.
Audit efficiency and board activity in Saudi Arabia: Empirical investigation
Authors: Aljaaidi Khaled Salmen , Bagais Omar Ali , AlAbdullatif Sultan Abdullah
Published: February 2021

The aim of this study is to empirically examine the association between audit efficiency and board activity among listed energy companies in Saudi Stock Exchange (Tadawul) for the period 2012-2019. The final sample of this study consists of 32 firm-year observations. Using the Pooled OLS regression, the study finds that audit efficiency was positively related to board activity. Moreover, the result indicates the complementary role of monitoring mechanisms in which audit efficiency complements the board activity. The study also provides insightful evidence to policy makers on the link of audit efficiency and board activity among energy companies.
State management of import dependency and state’s economic security ensuring: New analysis to evaluating and strategizing
Authors: Lupak Ruslan , Boiko Ruslan , Kunytska-Iliash Marta , Vasyltsiv Taras
Published: February 2021

The need to improve public administration of import dependency was characterized (in the example of Ukraine) and the signs of its influence and interconnection with ensuring the state’s economic security are characterized. The methodological sequence of import dependency evaluation is substantiated. Using Hotelling’s method of transformation (the method of principal components), the multiplicative form is presented and the integral index of import dependency of the country’s economy is calculated. Harrington’s interval scale is used to summarize the results of the integral evaluation of import dependency. The results of the evaluation have confirmed the high level of import dependency of the Ukrainian economy and clear tendencies for its strengthening, which is critically threatening to the country’s economic security. Using the tool of multivariate dynamic regression modeling, a statistically significant correlation between the level of import dependency and the country’s economic security is established. The economic and mathematical descriptive model of state management of the state’s economic security is formed, which is embedded in a methodical approach to strategizing the state policy of import substitution. The purpose of the state management of import substitution, the parameters of ensuring the country’s economic security agreed with it, the strategic priorities of the state policy of import substitution and the indicators of their implementation are determined.
Exploring the internal factors influencing financial distress
Authors: Jati Kuat Waluyo , Agustina Linda , Amal Muhammad Ihlashul , Wahyuningruma Indah Fajarini Sri , Zulaikha Zulaikha
Published: February 2021

This study aims to examine the effects of different factors influencing on financial distress. The population of this study includes industrial companies listed on the Indonesia Stock Exchange. Samples were processed by choosing 69 companies for three years of information which leaves us to have 150 observations. The sampling technique uses purposive random sampling and data is analyzed using PLS. The results show that firm size and liquidity negatively affect the financial distress while leverage positively affects the financial distress. In addition, institutional ownership moderates liquidity towards financial distress, firm size negatively affects liquidity, and liquidity does not mediate the effect of firm size on financial distress. The conclusion of this research is that management teams can avoid financial distress if they are able to manage liquidity ratios and leverage well, both ratios must be maintained so that they would not exceed firms’ financial abilities. Companies with big amount of total assets have an advantage in competition since it is not overshadowed by the condition of financial distress and they can easily gain stakeholders’ confidence. Institutional ownership in this study seems to encourage management to take risks related to company liquidity to generate profits by utilizing long-term debt in financing its operations.
An analysis on the implementation of cloud accounting to the accounting process
Authors: Marsintauli Frihardina , Novianti Eka , Situmorang Roni Patar , Djoniputri Fransiska Diana Fadjar
Published: February 2021

The use of an online accounting system is considered to be a major innovation in accounting in the application of the stages of the company's accounting cycle. The purpose of this study is to evaluate cloud-based accounting systems in terms of compliance with accounting standards, security systems using the Parkerian Hexad theory and the functions of each part of Accurate Online. The form of this research is qualitative and quantitative. The data collection method was carried out by distributing questionnaires and interviews to Accurate Online users. The sample of this research was obtained as many as 113 samples. The results of this study indicate that Accurate Online has passed all levels of technological readiness, and is on a scale of 9 in technological readiness, which has become a trusted cloud-based accounting information system that has proven to be successful in operating the technology, as well as in providing the benefits of ease of management. corporate financial transactions.
The Effectiveness of Environmental Assessment as a Sustainable Development Tool in Developing Countries: Case of Cameroon
Authors: Ghong Nchia Peter
Published: February 2021

In the last few decades, there has been increased worldwide awareness of the necessity to consider development from a holistic perspective, for human development without adequate environmental protection is undermined. Cameroon, like many other developing countries has made great strides in establishing and putting in place an environmental assessment system to mainstream environmental concerns into development initiatives. The full realization of this goal, however, depends on the effectiveness of the exercise which hinges principally on the provisions of relevant legislation, the institutional framework, the procedure and practice of the assessment process. Environmental assessment in many developing countries is fraught with a plethora of setbacks which can jeopardize the full contribution of the exercise to the attainment of the sustainable development goals, if not taken care of. Based on experience and field research, this study examines the current practice of environmental assessment in Cameroon, the difficulties encountered in developing countries, the chances of environmental assessment contributing to sustainability and makes recommendations on how to improve the practice in developing countries.
Perspectives from the front line: The post-pandemic emergency food system in North Carolina
Authors: Hege Amanda , McCormick Nikki , Robinson Peggy , Charles Kina , Jones Jan , Aft Eric
Published: February 2021

The novel coronavirus pandemic has had an immediate effect on food and nutrition security, leading to the most widespread increase in need for food assistance in modern history. At its onset, the pandemic led to emergency food providers experiencing the “perfect storm”: surges in demand, declines and changes in types of food donations, limits in the food supply chain, and fewer available volunteers. This policy and practice brief provides perspectives from emergency food providers in North Carolina on their pandemic response along with recommendations for policy and practice applications to promote food security. As the pandemic continues, it is urgent for policymakers, organizations, community members, and other food system stakeholders to encourage collaboration across food system sectors, provide adequate funding for all aspects of distributing healthy foods, promote a continuation of program and policy flexibilities for nutrition programs, and support community-based models that engage a diverse group of organizations and leaders.
Governos Locais e a condição financeira: uma análise sistemática
Authors: Renda dos santos Luiz Miguel , Da Silva Karina Paez , Santos Sara Evillyn Simonete , De Oliveira Celio Lima , Dos Santos Edicreia Andrade
Published: February 2021

Este estudo realizado por meio de uma revisão sistemática tem como objetivo identificar a abordagem adotada pela literatura internacional com relação à avaliação do desempenho financeiro dos governos locais. Foram analisadas as especificidades das publicações nas bases de dados da Web of Science e Scopus. Nesse sentido, a busca retornou 345 artigos, que após as eliminações, resultou em um portfólio bibliográfico de 29 artigos. Os resultados encontrados mostram que os modelos mais aplicados são do CICA (1997) e ICMA (2003), e que o indicador mais utilizado na literatura analisada foi à dívida de longo prazo por habitante.
Trend of hypertension in Gujarat–Understanding the NFHS-4 and NFHS-5 Data
Authors: Patel Swati , Patel Prakash
Published: February 2021

Introduction: Several rounds of national health surveys have generated a vast amount of data in India since 1992. This article describes the key health information - hypertension from the National Family Health Survey (NFHS- 4 and 5) of Gujarat. The main aim of this article is to observe the prevalence of hypertension in Gujarat from NFHS-4 and 5 dataset.

Methods: The study was secondary data analysis based on the data from NFHS 4 and NFHS 5.

Results: NFHS 4 data illustrates the average prevalence of blood pressure to be 22.7% (for both men and women, total of all the three categories) in Gujarat. NFHS 5 data demonstrates the average prevalence of blood pressure to be 74.7% (for both men and women, total of all the three categories) in Gujarat.

Conclusion: The prevalence of hypertension is slightly increasing or almost equal to same in all categories of hypertension in rural as compared to urban area of Gujarat.
Het nieuwe migratie- en asielpact: flexibele solidariteit, verplichte grensprocedures en nog meer dataverzameling
Authors: Battjes H. , Brouwer E.R. , den Heijer M.
Published: February 2021

Het nieuwe migratie- en asielpact: flexibele solidariteit, verplichte grensprocedures en nog meer dataverzameling

Op 23 september 2020 presenteerde de Europese Commissie het migratie- en asielpact. Dit pact beslaat 509 pagina’s aanbevelingen en wetgevende voorstellen op het gebied van migratie- en asielrecht, het Schengenacquis en grenscontrole. In deze bijdrage bespreken we onder meer de vraag in hoeverre de voorstellen een basis bieden voor solidaire, menswaardige, maar ook effectievere migratie- en asiel afspraken in de Europese Unie. De bijdrage gaat met name in op de voorgestelde grensprocedures en de hervorming van het Dublinsysteem. Ook bespreken we de plannen ter versterking van Schengen en de maatregelen op het gebied van persoonsgegevens en EU- datasystemen.

Mededeling van de Commissie over een nieuw migratie- en asielpact COM(2020)609 def., 23 september 2020.
Laboratory diagnostics regulations against the background of selected provisions on the professional activities of employees in the field of medicine
Authors: Walter de Walthoffen Szymon
Published: February 2021

Introduction: The article presents laboratory diagnostics legal regulations in Poland. Laboratory diagnostician ability to perform “laboratory activities”, as well as the place where these activities are performed, is complicated in terms of the law. Laboratory diagnostics activities term, used in legal regulations, means an activity which is a health benefit and consists in examining the patient’s state of health and is a component of all diagnostic tests that can be carried out. The legislator has differently referred to health services for the scope of diagnostic tests, including laboratory tests performed in Poland by regulated professions, including medical professions. Aim of work: This article is a voice in the discussion on the need to amend the Act of 27 July 2001 on laboratory diagnostics, as well as statutory changes in other articles related to laboratory diagnostics. Description of the state of knowledge: Currently, applicable law may cause different interpretations of regulations. The same examination performed in medical entities may take a different name, may be performed in different places, and the competences to perform the same examination are different. Ambiguities in the law and misinterpretation can contribute to the deterioration of health services and thus may pose a threat to public health. Conclusions: It seems to be important to start a discussion on changes in the law that will use the correctly defined term “laboratory tests” and set the required minimum professional competence to perform laboratory tests, without violating constitutional law.
THE POSSIBILITY OF LINKING SPONTANEOUS AND INDUCED NEUROCOGNITIVE PLASTICITY: CAN COGNITIVE TRAINING INFLUENCE COMPENSATORY BRAIN ACTIVITY IN OLDER ADULTS? THEORETICAL AND EMPIRICAL PREMISES
Authors: Zając-Lamparska Ludmiła
Published: February 2021

One of the most important determinants of successful aging is cognitive ability. Although cognitive decline is a well-documented phenomenon characteristic of aging, it is acknowledged that aging can also be related to cognitive neuroplasticity that allows one to compensate the decline and adapt to it. Cognitive neuroplasticity may be spontaneous or induced by external influences. An example of the former is compensatory brain activity in older adults, and the latter – improvement in cognitive functioning under the influence of cognitive training. Both the compensatory brain activity of older adults and the effectiveness of cognitive training in this age group have already been extensively studied. However, it has not yet been examined whether they can be linked. The article indicates theoretical and empirical premises for the possibility of influencing compensatory brain activity in older adults by cognitive training. In the most comprehensive way the phenomenon of compensatory brain activity in older adults is addressed by the STAC model – the Scaffolding Theory of Aging and Cognition, which also provides the theoretical grounds for the possible impact of cognitive training on compensatory brain activity. There are also empirical arguments in favour of such an impact, but they are quite limited in nature. The reason for this is the lack of research directly addressing the problem of the consistency of brain activity changes resulting from cognitive training with the assumptions of compensatory brain activity models, such as STAC. The theoretical grounds for the linkage of compensatory brain activity in older adults with the influence of cognitive training are clear. However, the analysis of the studies discussed in the article suggests that failing to embed the study design within the theoretical framework of compensatory brain activity in older adults may lead to the exclusion of factors important in drawing conclusions about this phenomenon. The following elements of the study design were identified as necessary to include: participation of young adults in the study as a reference group, usage of tasks in different difficulty levels during the measurement of brain activity and consideration of the relation between brain activity and cognitive performance, and comparison of brain activity in relation to cognitive performance before and after training in both, older and young adults.
DIAGNOSIS OF CHILDREN WITH SANFILIPPO DISEASE – PSYCHOLOGICAL, SOCIAL AND MOTOR ASSESSMENT
Authors: Anikiej-Wiczenbach Paulina , Rudnik Agata , Limanówka Monika , Wierzba Jolanta , Mański Arkadiusz
Published: February 2021

Sanfilippo disease (mucopolysaccharidosis, MPS IIIA) is one of the types of mucopolysaccharidosis associated with extensive neurological effects and somatic symptoms. The consequences of neurodegeneration and cognitive impairment are manifested in challenges with the daily functioning of patients who experience problems with communication and following instructions. The aim of this study was to assess the cognitive functioning of three patients with MPS IIIA and to find patterns of neurodegeneration and to make their environment more friendly.

Three boys (from 5.5 to 7 years) with MPS IIIA participated in the study. Each participant attended two meetings, and his functioning was assessed by three independent person (using two-way mirror). We used Bayley’s Scale III with some modifications. Interviews with parents were also included.

The communication of patients was limited to some vocalizations.
Patients presented instrumental use of items, but not all of them
were able to repeat actions after diagnostician or presented object
permanence. The results showed that the cognitive functioning of
participants was significantly hindered by problems related to motor
dysfunction, hyperactivity, and ataxia. The psychological data was
collated with medical results.

This study allows indicating new sources giving the possibility of
child phenotype variability and to create specific interventions in
the field of psychological therapy for patients with MPS IIIA and
their families.
Primary Small Cell Neuroendocrine Carcinoma of the Vagina: A Clinicopathologic Study
Authors: Bing Zhanyong , Levine Lyuba , Lucci Joseph A. , Hatch Sandra S. , Eltorky Mahmoud A.
Published: February 2021

Context.—Primary small cell neuroendocrine carcinoma of the vagina is extremely rare, and its clinical behavior is aggressive. To our knowledge, 22 patients with this tumor have been reported in the English literature to date.

Objective.—To investigate 3 patients with this tumor clinically and pathologically.

Design.—The pathology database at the University of Texas Medical Branch at Galveston was searched, and 3 cases of primary small cell neuroendocrine carcinoma of the vagina were found. The histologic, immunohistochemical, and ultrastructural profiles of the tumors were investigated. The medical charts of the patients were reviewed, and the patients were followed up.

Patients.—Women with the diagnosis of primary small cell neuroendocrine carcinoma of vagina.

Results.—All 3 patients presented with advanced disease, and 2 patients died within 4 months of the initial diagnosis. One 38-year-old patient was newly diagnosed, and her clinical outcome had not yet been determined. The histologic features of all 3 tumors were similar to those of their pulmonary counterpart. All cases were positive for cytokeratin, chromogranin A, and synaptophysin. The expression pattern of thyroid transcription factor 1 was examined in all 3 patients, of whom 2 were negative and 1 was positive with negative clinical and radiologic thyroid or pulmonary findings. Ultrastructural evaluation showed scattered intracytoplasmic electron-dense neurosecretory granules.

Conclusion.—Primary small cell neuroendocrine carcinoma of the vagina has histologic, immunohistochemical, and ultrastructural features similar to those of its pulmonary counterpart. Because thyroid transcription factor 1 can be positive, it should not be used to differentiate primary from metastatic disease. The current therapies have usually resulted in poor outcomes, and new therapeutic modalities should be explored.
A Case of Acute Hemolysis After Ceftriaxone: Immune Complex Mechanism Demonstrated by Flow Cytometry
Authors: Kakaiya Ram , Cseri Jill , Smith; Steve , Silberman Simone , Rubinas Tara C. , Hoffstadter Alan
Published: February 2021

An immune complex mechanism for ceftriaxone sodium– induced severe autoimmune hemolytic anemia has previously been demonstrated using routine blood bank techniques. We describe herein a patient with severe hemolysis that subsided once the drug was discontinued. Serologic techniques demonstrated immune complex–mediated ceftriaxone-dependent red cell antibodies. These findings were further supported by the results of flow cytometry, in which a change in basal red cell autofluorescence was seen in the presence of the antibody and the drug. Our case illustrates the adjunctive value of flow cytometry in the diagnosis of ceftriaxone-dependent red cell antibody.