bluuebunny/crossref_metadata_2025 huggingface dataset:
Las derivas éticas del concepto de “repetición” y su prolongamiento en la teoría de lo minoritario en la filosofía de Gilles Deleuze
Authors: Béjar Carlos
Published: June 2021

Junto con el concepto de “diferencia”, el concepto ontológico de “repetición” tiene en la obra de Deleuze muchas derivas importantes. En este artículo me propongo analizar el concepto de “repetición” que aparece en Diferencia y repetición, revisando para ello las filosofías precursoras de Kierkegaard, Nietzsche y Péguy en relación con dicho concepto. Se verá que la repetición, aunque en principio es una categoría ontológica que cumple un eminente papel en relación con el tiempo y la constitución de la subjetividad, posee también una deriva ética que cuestiona las pretensiones de la ley moral. Es esta deriva ética la que pone al concepto de “repetición” en conexión con temas y problemas que aparecerán más tarde en las obras que Deleuze escribió junto a Guattari y que se inscriben de lleno en un pensamiento de corte ético-político. Mostraré para ello, al final del artículo, cómo el entramado de nociones que conforman el pensamiento sobre la repetición está implícito en la dupla minoritario-mayoritario de sus obras de madurez.
Una aproximación a la dimensión etho-estética en Marcuse. Entre el furor y la serenidad
Authors: Viveros Chavarría Edison Francisco
Published: June 2021

Este artículo tiene el propósito de realizar una aproximación a la dimensión etho-estética en Marcuse. Este escrito parte de la siguiente tesis: la dimensión etho-estética consiste en la transformación de la subjetividad basada en una sensibilidad artística y una racionalidad crítica desde las cuales sean reconstruidas material e intelectualmente unas relaciones sociales opuestas a la sociedad industrial avanzada y su hombre unidimensional. La conclusión es: una teoría crítica marcusiana, heredera de Marx y Schiller, es aquélla capaz de analizar los posibles cambios cualitativos de los sujetos y las instituciones sociales para generar un mayor nivel de desarrollo racional, equitativo en la distribución de recursos y en la generación de mayores espacios de libertad. Su fundamento sería una actitud etho-estética que no disfruta del derroche, sino de la experiencia reflexiva de lo sensible.
“Padre, perdónalos, porque no saben lo que hacen”: el problema de la responsabilidad moral de los verdugos de Jesús en un escenario sin posibilidades alternativas
Authors: Mina Vargas Andersson
Published: June 2021

Si se interpreta la condena y crucifixión de Jesucristo en clave de omnisciencia divina luterana y ausencia de posibilidades alternativas, surgiría una aparente contradicción en cuanto a la responsabilidad moral y los deberes de sus verdugos israelitas: ¿cómo sostener su responsabilidad moral si no contaban con posibilidades alternativas y si al parecer, de acuerdo con la primera palabra en la cruz, no sabían lo que hacían? Y ¿cómo atribuirles deberes que no podían cumplir? Esto se puede encarar desde una perspectiva semicompatibilista de la responsabilidad moral, y argumentar que: 1) la ausencia de posibilidades alternativas y la ignorancia no excluyen el que los verdugos puedan ser considerados moralmente responsables por la crucifixión de Cristo, y 2) la imposibilidad de cumplir con ciertos deberes no implica que los verdugos no tuviesen dichos deberes y que no puedan ser considerados moralmente responsables por su incumplimiento.
THE FUTURE IS MULTIVARIATE: THROUGH THE VALUE CONFLICT TO A NEW MODEL OF DEVELOPMENT
Authors:   Belarusian State University, Danilov Alexandr
Published: June 2021

The article shows that the future is multivariate, the world has become anomalous and entered a period of global instability and unsteadiness and a new model of civilizational development is being formed. The choice of future development takes place in the sphere of culture on the basis of a value conflict, during which the selection of experience worthy of cultural transmission is carried out. Therefore, the very choice of the future civilizational development is not unambiguous. Values create a holistic image of a person’s life world, expressing an attitude towards reality. The filling of existing values with a new content is the result of the rooting of new worldview meanings, which reflect the state of culture as an environment in the depths of which the synthesis of traditional and emerging new civilizational experience is constantly taking place. On this path, strategies that preserve the basic values of the previous type of development compete with innovative aspirations focused on the search for new life meanings and updating the content of values that meet modern realities. New values are born in the depths of the old culture and form the shoots of the future civilization.
RISKS OF AMENDMENTS TO CONSTITUTIONAL DOCUMENTS: RUSSIAN AND FOREIGN EXPERIENCE
Authors:   North-West Institute of Management, Branch of Russian Presidential Academy of National Economy and Public Administration (RANEPA), Vulfovich Revekka
Published: June 2021

The article considers the risks of amendments to the basic law of the state, which are associated with the inability to accurately predict political and managerial problems arising in the new constitutional context. An analysis is conducted of the changes in constitutions as the basis of the political, economic, and social life of the societies that are bifurcation points from which development can proceed in various directions. This creates risks at the stages of formation and functioning of complex public systems of authority, whose work greatly influences the creation of an optimal quality of life as the criterion of the basic goal of a modern democratic state. The analysis is comprised of factors that affect the reduction or levelling of such risks, or increase the possible of their occurrence. A developed democratic political culture and a high degree of public readiness for radical changes in the foundations of the political system (for example, France after World War II) are identified as factors that positively affect the state system, and excessive haste in decision making and lack of broad public fundamental changes discussion (for example, Germany in the early 90-ies of the last century) are identified as factors that negatively affect the social integration of society and the achievement of uniformity in the quality of life on the territory of the state. Both examples demonstrate in the Russian context the need to balance state policy in the process of implementing political decisions that led to amendments to the Constitution of the Russian Federation in 2020.
Heat and water flux modeling in an earth dam
Authors: Kumar Sushant , Sahu A. K. , Kumar Munendra
Published: June 2021

This study aims to identify the water flux in an earth dam using heat flux due to convection. Sixteen earth dam models were constructed in a hydraulic flume by varying geometrical and flow input parameters to identify heat and water flux. Homogeneous as well as earth dams with clay cores were built in a hydraulic flume. Temperature measurements were done to calculate heat flux in the experimental model. A finite element model of the earth dam using Seep/w was developed to obtain water flux, while temp/w was used to obtain heat flux. These results were used as input in Temp/w and Seep/w in Geostudio 2020. Significant reduction of the heat and water flux was seen while comparing the homogeneous models with central impervious core models. An increase in the heat and water flux was observed on increasing the downstream filter's length, longitudinal slope, and vice versa with the upstream slope and the thickness of the clay core. Comparing fluxes in a homogeneous dam model (model 1) with the clay core model (model 9) with top width 2.4 m and bottom width 18 m in model 9, both water flux and heat flux were reduced by 78.46%. While comparing it with model 10, with bottom core width of 18 m and top core width of 1.9 m, both water flux and heat flux reduced by 77.72%. Heat flux measurements were found to be a valuable alternative to detecting water flux and seepage in an earth dam at a reduced cost.
IMPACTO DA MULTIMORBIDADE NAS CONDIÇÕES DE SAÚDE BUCAL EM IDOSOS BRASILEIROS
Authors: Melo Laércio Almeida de , Mayara de Figueirêdo Oséas Jéssica , Pessoa Pereira Leite Fabíola , César Brigolini de Faria Júlio , De Pedro Netto Mendonça Beatriz , Costa de Lima Kenio
Published: June 2021

Introdução: A ocorrência de multimorbidade, a qual corresponde ao acúmulo de doenças crônicas, é considerada um problema de saúde pública e suas consequências na saúde bucal carecem de evidências científicas em grandes populações. Objetivo: Avaliar o impacto da multimorbidade nas condições de saúde bucal em idosos brasileiros. Método: Realizou-se um estudo transversal e de base populacional, utilizando a base de dados da Pesquisa Nacional de Saúde (PNS). A presença de multimorbidade em idosos foi considerada quando o mesmo possuía um diagnóstico de duas ou mais doenças crônicas. Com relação às condições de saúde bucal, essas foram coletadas a partir das variáveis estudadas na PNS. O teste Qui-quadrado foi utilizado para a análise dos dados e em seguida as razões de prevalência foram ajustadas por meio da regressão múltipla de Poisson. Resultados: Participaram 11.697 idosos e, desses, 53,1% possuíammultimorbidade. Na análise multivariada, observou-se que a presença de multimorbidade em idosos predispôs a um relato negativo da autopercepção de saúde bucal (p=0,025), à dificuldade de se alimentar devido a problemas dentários (p<0,001), a perder totalmente os dentes superiores (p<0,001) e a escovar os dentes ou próteses pelo menos uma vez ao dia (p=0,025). Conclusões: Diante dos resultados, conclui-se que a maioria das condições de saúde bucal, assim como a autopercepção das mesmas apresentam-se piores na presença de multimorbidade na população idosa.
ASSISTÊNCIA À SAÚDE NA ATENÇÃO BÁSICA AOS PORTADORES DE HIPERTENSÃO ARTERIAL SISTÊMICA E DIABETES MELLITUS
Authors: Lopes Monique da Silva , Justino Dayane Caroliny Pereira , Andrade Fábia Barbosa de
Published: June 2021

Introdução: As doenças são responsável por maior parte das hospitalizações e mortes no mundo. Porém, a maioria delas podem ser previnas por ações realizadas na Atenção Básica. Objetivo: comparar a morbidade e mortalidade por Doenças Crônicas Não Transmissíveis, Hipertensão Arterial e Diabetes Mellitus nos anos 2012-2014 com a cobertura da Atenção Básica na região Nordeste do Brasil. Metodologia: Trata-se de estudo ecológico, retrospectivo, realizado no nordeste brasileiro com dados dos anos de 2012 e 2014 com dados disponíveis no Departamento de Informática do Sistema Único de Saúde. Foi realizada uma análise descritiva e analítica e correlacionada as taxas de internação e óbitos dos agravos estudados com cobertura da Atenção Básica. Resultados: Ao comparar a ocorrência de internação e óbito entre os anos de 2012 e 2014 observou-se redução no nordeste. Todavia, quando correlacionado com a cobertura da Atenção Básica, quanto maior a cobertura maior foi a ocorrência dos agravos. Conclusões: O estudo revelou a necessidade de reflexão e tomada de atitude pelos gestores e profissionais de saúde considerando a continuidade do cuidado ao usuário da Atenção Básica, bem como todos os investimentos financeiros realizados pelo Ministério da Saúde junto aos municípios do Nordeste do Brasil.
“FALTÔMETRO”: ESTRATÉGIA PARA O ENFRENTAMENTO DO ABSENTEÍSMO NO ÂMBITO DA ATENÇÃO BÁSICA
Authors: Tatiane Alves da Silva Maria , Rufino Barbosa da Silva Elaine , Ranielli da Costa Nayara , Barbosa da Silva Júnior Valdecir , De Oliveira Silva Sousa Fabiana
Published: June 2021

Introdução: A garantia de um acesso universal, integral e equânime é um dos desafios da Atenção Básica, onde o absenteísmo se configura como obstáculo e, ao mesmo tempo, um analisador sobre a organização do cuidado do serviço de saúde. Dessa forma, necessitando de intervenções para o enfrentamento. Objetivo: Narrar a experiência da construção do “Faltômetro” e refletir sobre o desafio de implementar novas estratégias para o enfrentamento de antigos problemas nos serviços de saúde.  Metodologia: Trata-se estudo descritivo do tipo relato de experiência, realizado numa Estratégia de Saúde da Família (ESF), no município de Vitória de Santo Antão - PE, com o Núcleo Ampliado de Saúde da Família e Atenção Básica (NASF-AB) de referência, entre junho e outubro de 2019. A experiência foi realizada em três etapas: monitoramento das demandas do NASF-AB; construção do “Faltômetro” e sala de espera com os usuários. Resultados: Por meio da experiência, foi identificada a fragilidade no registro de faltas; a importância do Agente Comunitário de Saúde (ACS); a necessidade de identificação das causas das faltas; e a necessidade de repensar a organização do processo de trabalho. Conclusões: O “Faltômetro” e a sala de espera foram estratégias fundamentais para o debate sobre o absenteísmo no âmbito da Atenção Básica. No entanto, faz-se necessário o desenvolvimento de processos de Educação em Saúde com a população, permitindo um diálogo horizontal, para a compreensão das possíveis causas das faltas. Além disso, os profissionais em saúde necessitam romper com o discurso de culpabilização dos usuários, reconhecendo a existência de barreiras de acesso no território.

Palavras-Chave: Absenteísmo; Atenção Primária à Saúde; Educação em saúde; Sistema Único de Saúde.
SERVIÇO DE SAÚDE ESCOLAR: EVIDÊNCIAS DA LITERATURA
Authors: Brandão de Araújo Karla , Oliveira Abinader Erika , Brandão de Araújo Vanessa , Brandão de Castro Jamilly , De Souza Brandão Karem
Published: June 2021

RESUMO
Introdução: Ações em saúde, no âmbito escolar, pré-dispõe os indivíduos a adotarem medidas de proteção quanto a sua saúde reduzindo fatores de risco na vida adulta corroborando para melhor qualidade de vida. Objetivo: Pesquisar as evidências científicas sobre as ações de saúde ofertadas no ambiente escolar. Metodologia: Estudo descritivo, com abordagem qualitativa que através de revisão integrativa da literatura investigou as evidências sobre o objeto deste estudo utilizando as bases: LILACS e SCIELO. A coleta dos dados ocorreu em julho de 2020, aos pares, considerando o recorte temporal de cinco anos (2015 à 2020) nos idiomas português e inglês. A estratégia de busca foi formulada utilizando os descritores controlados “serviços de saúde escolar” e “promoção da saúde” que foram combinados entre si através do operador booleano AND.  Resultados: Foram encontrados 1603 artigos que após uso de critérios de elegibilidade, restaram 05 na composição da amostra final. Da análise do conteúdo foi evidenciado as lacunas quanto promoção da saúde no ambiente escolar. Conclusões: os serviços de saúde no âmbito escolar são realizados através de ações pontuais, geralmente motivadas por ações sanitaristas com modelo campanhista. Foi evidenciado a necessidade de educação permanente para capacitação dos profissionais.
Palavras-Chave: Serviços de saúde escolar, Promoção da Saúde, Equipe de assistência ao paciente.
EFICÁCIA DE OLÉOS VEGETAIS NO CONTROLE DO BIOFILME DENTAL: REVISÃO INTEGRATIVA
Authors: Gaia de Oliveira Suila , Tupinambá Emmi Danielle
Published: June 2021

Introdução: A terapia de bochecho com óleos vegetais é uma cultura tradicional na Índia com intuito de prevenir afecções bucais, como cárie e doença periodontal. Atualmente, com as mudanças nos padrões alimentares da sociedade, tem-se empregado com maior valor o uso de óleos naturais, já que estudos demonstram sua importância para saúde. Objetivo: Esta revisão integrativa teve como objetivo selecionar evidências que mostrassem a utilização de óleos vegetais, com ação antimicrobiana, no controle do biofilme dental. Metodologia: O levantamento bibliográfico foi realizado nos meses de julho e agosto de 2020, por meio de pesquisa por via eletrônica, consultando-se o banco de dados Pubmed e SciELO (Scientific Electronic Library Online). Foram utilizados os descritores: Óleos vegetais, agentes antimicrobianos, Placa dental, Odontologia preventiva e Odontologia, os descritores foram usados separadamente e em cruzamento com o operador boleano AND. Utilizou-se os seguintes critérios de inclusão: Estudos clínicos, artigos completos e disponíveis gratuitamente, publicados no período de 2010 a 2020 em português e/ou inglês, e indexados nas bases de dados já citadas. Foram excluídos os trabalhos de conclusão de curso, dissertações, teses, livros e capítulos de livros, além de artigos duplicados e que não abordaram o tema do estudo. Resultados: Foram previamente selecionados 10 artigos indexados após a leitura do título, 09 na base de dados Pubmed e 01 na base Scielo. Após a leitura do resumo, 04 artigos atenderam os critérios de inclusão e 06 artigos foram descartados, sendo 05 artigos da Pubmed e 01 da Scielo.  Conclusões: Os artigos analisados mostraram eficácia na utilização de óleos vegetais no controle do biofilme dental, sendo esses aplicados clinicamente, não mostrando prejuízo aos participantes e indicados como coadjuvante na manutenção da saúde bucal.
SÍNDROME DE BURNOUT E ANSIEDADE EM TRABALHADORES EM SAÚDE MENTAL: ENFRENTANDO UMA REALIDADE SILENCIOSA
Authors: Medeiros do Nascimento Filho José , Fernandes Vital Ana Luísa , Da Silveira Gonçalves de Oliveira Ana Katherine
Published: June 2021

Introdução: Os trabalhadores em saúde mental são expostos a situações adversas e estressantes, agravadas por um constante estado de excitabilidade e atenção, sendo conhecido aumento na incidência da Sídrome de Burnout e de ansiedade nesse grupo. Objetivo: avaliar a prevalência da Síndrome na amostra e suas correlações com outras variáveis. Metodologia: Estudo transversal, observacional, onde 142 trabalhadores de um hospital psiquiátrico foram entrevistados por meio de três questionários: sociocultural, Maslach Burnout Inventory (MBI) e Beck Anxiety Inventory (BAI). Os dados foram tabulados e analisados por meio do teste de qui-quadrado, com valor de p significativo <0,05. Resultados: na amostra, a maioria era mulher, com média de idade 50 anos e média de 14 anos de trabalho nesse hospital. 55 trabalhadores apresentaram Burnout (pelo menos um critério comprometido), sendo 18 com diminuição da esfera de realização pessoal (RP), 41 com exaustão emocional (EE) e 23 sofrendo de despersonalização (DP). Foi encontrada uma relação da Síndrome de Burnout com elevados níveis de ansiedade (p=0.0008).  Conclusões: O grupo com maiores níveis de ansiedade mostraram pior estados emocional e de saúde mental, associado à incidência da Síndrome de Burnout.

Palavras-Chave: Saúde Mental; Burnout; Ansiedade; Profissionais da Saúde.
Antimicrobial Resistance in Bacteria Causing Urinary Tract Infections
Authors: Salh Khonaw Kader
Published: June 2021

Background:

The bacteria, Escherichia coli (E. coli) and Klebsiella pneumoniae (K. pneumoniae), are the main reasons for urinary tract infections (UTIs). This research aimed to investigate the isolation of etiologic agents from patients with UTI; it also investigates the antibiotic resistance activities and incidence of ESBL genes between different clinical separates of uropathogenic E. coli, determining their association with ESBL genes.

Methods:

The study enrolled 1000 positive growth isolates. The predominant pathogen associated with urinary tract infection, Gram-negative, were the main isolates from UTI patients, including E. coli, K. pneumoniae, Pseudomonas aeruginosa, Proteus mirabilis, Staphylococcus aureus and Enterococcus faecalis.

Results:

Among suspicious cases of urinary tract infection, we showed that 15.2% of the patients had UTI, and female patients in the childbearing age group were more affected.
644 E. coli (64.4%) and 322 (32.2%) K. pneumoniae were more isolated. Among 936 (93.6%) ESBL producing bacteria, 614 (61.4 %) E. coli showedhigh resistance to the antibiotics, Cefotaxime (85.7 %), Cefepime (85.7 %), Ciprofloxacin (83.1 %) and Kanamycin (77.9 %). Most ESBL-producing K. pneumoniae were multidrug-resistant (MDR). Nitrofurantoin, gentamycin, and imipenem were the most effective antibiotics for ESBL-producing E. coli isolates.

Conclusion:

Research shows that high rates of MDR Escherichia coli infections in our hospital
were the frequent causes of UTIs. Nitrofurantoin and aminoglycosides were the most beneficial
first-line drugs to be prescribed in UTI cases. It is recommended that regular investigations should
be carried out on drug resistance in all isolates to formulate helpful antibiotic treatment policies in
Iraq. Thus, it is important to determine ESBL prevalence in urine E. coli and K. pneumoniae
isolates as it has a great impact on the selection of suitable antibacterial agents. In short, more than
half of ESBL producers have Multiple Drug Resistance (MDR).
Terra sigillata in southern Latium. The evidence from the Pontine Region Project, 1987-2014
Authors: Tol G.W. , De Haas T.C.A. , Attema P.A.J.
Published: June 2021

This contribution is the first of a series of publications by the authors to systematically disclose the wealth of material evidence collected during some 30 years of fieldwork in the Pontine region by the Pontine Region Project. This project has, since its inception in the mid-1980s, investigated more than 36 km2 of terrain across all major geomorphological units of the region, largely by means of systematic surface investigations. During these investigations, close to 200 000 artefacts were collected for further study, including c. 1 660 fragments of (Italian) terra sigillata, the emblematic, shiny red fine table ware of the Early Imperial period. In this article, we present a detailed spatial and contextual analysis of the terra sigillata fragments that have been gathered within the Pontine Region Project and discuss the results in light of economic issues (market integration, economic growth). We then supplement this evidence by published evidence of name stamps from surrounding areas to further expose to what extent, and in what ways, the different parts of southern Latium were embedded in the long-distance economic networks of the period.
Isolated and backward Westerwolde (Groningen, the Netherlands)? A confrontation of archaeological and historical data from the Middle Ages in a wider geographical context
Authors: Groenendijk Henny A. , Van Schaïk Remi
Published: June 2021

The aim of this paper is to question the supposed isolated and backward position of the region of Westerwolde, in the north-eastern part of the Netherlands. Westerwolde’s geographically rather isolated position has traditionally been brought forward to explain its backward image. Progressive peat growth ever since the Bronze Age occupation had transformed Westerwolde into an island. It was abandoned in the Late Iron Age, only to be recolonized in the early Middle Ages. During the 19th century, romantics were still admiring Westerwolde’s arcadian scenery and cultural traditions. In contrast, from the mid-19th century until well into the 20th century, protagonists of modern agriculture criticized its backward farming methods and standard of living, as well as its poor infrastructure. The central issues we address here is whether critics were justified in describing it as backward in the 19th century and whether concrete indications for this assumed backwardness are to be found in previous centuries. To jump from early medieval times to the 19th century is too big a leap, but combining archaeological and ecological data with a renewed and more critical study of written sources against the background of huge landscape transformations has brought a nuanced understanding of how Westerwolde evolved. We present new insights for the period starting with the conquest of Frisia and Saxony by the Carolingians and the introduction of Christianity, when missionaries and newly founded monasteries acquired agricultural assets and rights in the conquered region, up to the late Middle Ages. We therefore analyze church foundations, livelihoods or economic conditions of existence in connection with occupation structures, infrastructure and exchange of consumer goods interdisciplinarily. Conservatism appears easily confused with backwardness, and an aversion to innovation, with indifference, as underlying external factors often forced the inhabitants to adopt a wait-and-see attitude. Westerwolde is viewed continuously in connection with the adjacent regions of Drenthe and Lower Saxon Emsland.
Real-world Health Data and Precision for the Diagnosis of Acute Kidney Injury, Acute-on-Chronic Kidney Disease, and Chronic Kidney Disease: Observational Study (Preprint)
Authors: Triep Karen , Leichtle Alexander Benedikt , Meister Martin , Fiedler Georg Martin , Endrich Olga
Published: June 2021

BACKGROUND

The criteria for the diagnosis of kidney disease outlined in the Kidney Disease: Improving Global Outcomes guidelines are based on a patient’s current, historical, and baseline data. The diagnosis of acute kidney injury, chronic kidney disease, and acute-on-chronic kidney disease requires previous measurements of creatinine, back-calculation, and the interpretation of several laboratory values over a certain period. Diagnoses may be hindered by unclear definitions of the individual creatinine baseline and rough ranges of normal values that are set without adjusting for age, ethnicity, comorbidities, and treatment. The classification of correct diagnoses and sufficient staging improves coding, data quality, reimbursement, the choice of therapeutic approach, and a patient’s outcome.

OBJECTIVE

In this study, we aim to apply a data-driven approach to assign diagnoses of acute, chronic, and acute-on-chronic kidney diseases with the help of a complex rule engine.

METHODS

Real-time and retrospective data from the hospital’s clinical data warehouse of inpatient and outpatient cases treated between 2014 and 2019 were used. Delta serum creatinine, baseline values, and admission and discharge data were analyzed. A Kidney Disease: Improving Global Outcomes–based SQL algorithm applied specific diagnosis-based International Classification of Diseases (ICD) codes to inpatient stays. Text mining on discharge documentation was also conducted to measure the effects on diagnosis.

RESULTS

We show that this approach yielded an increased number of diagnoses (4491 cases in 2014 vs 11,124 cases of ICD-coded kidney disease and injury in 2019) and higher precision in documentation and coding. The percentage of unspecific ICD N19-coded diagnoses of N19 codes generated dropped from 19.71% (1544/7833) in 2016 to 4.38% (416/9501) in 2019. The percentage of specific ICD N18-coded diagnoses of N19 codes generated increased from 50.1% (3924/7833) in 2016 to 62.04% (5894/9501) in 2019.

CONCLUSIONS

Our data-driven method supports the process and reliability of diagnosis and staging and improves the quality of documentation and data. Measuring patient outcomes will be the next step in this project.

CLINICALTRIAL
When and How Is It Possible to Stop Therapy in Patients with Lupus Nephritis
Authors: Moroni Gabriella , Frontini Giulia , Ponticelli Claudio
Published: June 2021

Glucocorticoids and other immunosuppressants still represent the cornerstone drugs for the management of SLE and lupus nephritis. The refined use of these drugs over the years has allowed us to obtain stable disease remission and improvement of long-term kidney and patient survival. Nevertheless, a prolonged use of immunosuppressive agents may be accompanied by severe and even life-threatening side effects. Theoretically, a transient or even definitive withdrawal of immunosuppression could be useful to prevent iatrogenic morbidities. For many years, however, the risk of SLE reactivation has held clinicians back from trying to interrupt therapy. In this review, we report the results of the attempts to interrupt glucocorticoids and other immunosuppressive agents in lupus nephritis and in SLE. The available data suggest that therapy withdrawal is feasible at least in patients enjoying a complete clinical remission after a prolonged therapy. A slow and gradual reduction of treatment under medical surveillance is needed to prevent flares of activity. After therapy withdrawal, around one-quarter of patients may have kidney or systemic flares. However, most flares may respond to therapy if rapidly diagnosed. The other patients can enter stable remission for even 20 years or more. The use of antimalarials can help in maintaining the remission after the withdrawal of the immunosuppressive therapy. A repeated kidney biopsy could be of help in deciding to stop therapy, but given the few available data, it cannot be considered essential.
Controllability of impulsive neutral stochastic integro-differential systems driven by fractional Brownian motion with delay and Poisson jumps
Authors: Youssef Benkabdi , El Hassan Lakhel
Published: June 2021

In this paper the controllability of a class of impulsive neutral stochastic integro-diﬀerential systems driven by fractional Brownian motion and Poisson process in a separable Hilbert space with inﬁnite delay is studied. The controllability result is obtained by using stochastic analysis and a ﬁxed-point strategy. Finally, an illustrative example is given to demonstrate the eﬀectiveness of the obtained result.
Peran Kepemimpinan Dalam Pengembangan Kompetensi Pegawai Negeri Sipil Pada Badan Pengembangan Sumber Daya Manusia (BPSDM) Provinsi Bali
Authors: Wirata Gede , Widiantini Ni Luh , Sulandari Sri
Published: June 2021

Leadership related to developing employees’ competencies is an important part of organization life. However, this has not been carried out properly to ensure all duties and obligations are carried out within the organization, one of which is developing the competence of organizational members. Objectives of this research are to determine the role of leadership in developing the competence of Civil Servants at BPSDM Bali; and to determine the constraints of developing the competence of Civil Servants at BPSDM Bali. This research uses qualitative descriptive method with transformational leadership theory. There were 8 (eight) informants determined using purposive sampling technique. Data collection use interview guidelines, observation and documentation. The methods and data analysis techniques were carried out by reducing, presenting data and drawing conclusions. The final stage of the analysis carried out the presentation of the results of the data presented with narrative text. From the analysis, the results show that the role of leadership in developing the competence of civil servants at BPSDM has not been maximal in mobilizing, directing and evaluating subordinates to fulfill the rights and opportunities for competency development of civil servants for 20 hours of lessons / year according to government regulation Number 11 of 2017 concerning Employee Management Civil Affairs. Furthermore several constraints are found, namely the egoism of subordinates, no leadership commitment, no strategy in accelerating employee competency development, the need for employee competency development get maximum budget support.
Implementasi Peraturan Komisi Pemilihan Umum Tentang Kampanye Pemilihan Umum Tahun 2019 di Kabupaten Gianyar
Authors: Sulandari Sri , Astawa I Wayan , Rahayu Luh Riniti , Lesmana Putu Surya Wedra
Published: June 2021

One of the stages of the 2019 election is the implementation of the election campaign in which the General Election Commission has issued PKPU Number 23 concerning the 2019 General Election Campaign as a legal basis for the implementation of the election campaign in Indonesia. The objectives and benefits of the research refer to the formulation of the problem. The research method that the writer uses is descriptive qualitative. Research shows that the implementation of the General Election Commission’s regulations regarding the 2019 General Election Campaign in Gianyar Regency is generally going well, this is evidenced by the implementation of the 2019 election campaign stages have followed provisions and regulations that have been established, and election organizers can both facilitating election participants in accordance with what is mandated by the general election commission regulations regarding the 2019 election campaign. There are several factors inhibiting the implementation of the general election commission regulations regarding the 2019 election campaign, including the size factor and policy objectives, the human resource factor possessed by the election organizers. and election participants, the characteristic factors of the executing agent, the attitudes or tendencies of the implementers, the inter-organizational communication factors and the activities of the executors, and finally the economic, social, and political environmental factors that exist in Gianyar District.
LAW ENFORCEMENT AND PROTECTION OF NOTARIES IN THE CRIMINAL DOMAIN AND LAW OF NOTARY POSITION (CASE STUDY OF DECISION NUMBER 196/PID.B/2019/PN DENPASAR)
Authors: Ananta Gede Amatya , Arjaya I Made , Agung Anak Agung Istri
Published: June 2021

Notary is an official authorized to make an authentic deed in accordance with the provisions of Law Number 2 of 2014 concerning Amendments to Law Number 30 of 2004 concerning Position of Notary (UUJNP). In carrying out his duties, the notary must uphold the moral values ​​and professional ethics and must obey the applicable law so as not to make mistakes which will carry risks for the notary himself and cause harm to the community. Risks arising from negligence for the notary public in their duties are in the form of enforcement of sanctions both civil sanctions, criminal sanctions and administrative sanctions. This study analyzes criminal enforcement of notaries, as well as norm conflicts that arise between criminal decisions by judges against notaries and the applicable laws. The aims of this study is to find out the enforcement and sanctions against notaries in the realm of criminal law and notary office law based on case study of decision number 196 / pid.b / 2019 / pn Denpasar), and to determine the form of legal protection against notaries. This study uses the normative juridical method. The results of this study revealed that there are two elements in law enforcement and protection of notaries, namely preventive and repressive. Preventive in the form of supervision of notary practices and repressively is the imposition of sanctions. The form of legal protection for notaries is carried out by the Notary Supervisory Board and the Notary Honorary Council.
DISPUTES SETTLEMENT OF BALI TRADITIONAL INHERITANCE THROUGH PEACE AGREEMENT
Authors: Agung Anak Agung Istri , Sukandia I Nyoman
Published: June 2021

The inheritance and the division of inheritance that is felt to be unfair is often a source of dispute. The disputes that occur can sometimes be resolved by making a peace agreement between the disputing parties. The peace desired by the parties is, of course, expected to end disputes/conflict and to provide legal certainty among those in dispute. However, sometimes peace agreements that have been made between those in dispute are disputed again in court. This study aims to examine the settlement of Balinese traditional inheritance disputes through a binding peace agreement between the parties make it. The method used in this study is a normative legal research, using a statute approach and a case approach. The result of this study showed that the settlement of Balinese indigenous inheritance disputes through a binding peace agreement of the parties that make it if the peace agreement is made based on the validity of the agreement as stipulated in article 1320 of the Civil Code, based on good faith as the principles in the law of the agreement, and must be made in the form of a notary deed is in accordance with the provisions for conciliation in book III of the Civil Code.
Melampaui Politik Identitas: Elaborasi Publik dalam Meretas Kemiskinan di Kabupaten Timor Tengah Selatan
Authors: Tome Dhavid Kristofel Dira , Funay Yaspis Edgar N.
Published: June 2021

This paper will describe and analyze the elaboration of government programs and realities that occur in society as one of the strengths to create a system of integration in the context of poverty in South Central Timor. Furthermore, the article was appointed to show how the identity politics of local communities not only become a symbol of resistance but can also be synergized as a critical space in order to achieve an ideal social transformation. Therefore, the method used in collecting data in the form of reviewing the facts of literature sources will then be tested for relevance to the reality of poverty that is happening in the community. Using Manuel Castells' theory of identity and Peter Blau's explanation of social exchange, this paper will examine the extent to which the incorporation of the values or habits of local communities and government policies can play a role in cracking poverty in the context of South Central Timor. In the end, this paper will also explore the benefits of a mutually beneficial relationship between grassroots residents and the government as a political elite to support economic development and community maturity.
Penggalian Nilai-Nilai Pancasila Berbasis Kearifan Lokal Bali Dalam Rangka Penguatan Wawasan Kebangsaan
Authors: Wiratmaja I Nyoman , Suacana I Wayan Gede , Sudana I Wayan
Published: June 2021

Consensus on Pancasila is not only because all parties are deeply aware of the need to build a National Insight and Indonesian Unity, but also because Pancasila contains elements that are upheld by all groups and levels of Indonesian society. Pancasila from its reality dimension implies that the basic values of ideology come from the real values of living in a very plural society, including the values of local wisdom that grow in the life of Balinese people. Bali, as one of the pillars of the integrity of the Nation and State, really needs and must be able to always contribute positively and significantly in the effort to achieve common goals. For this reason, this paper focuses on problems related to efforts to explore the values of Balinese local wisdom which are in line with the values of Pancasila in order to strengthen national insight. Balinese people in their daily life practices have local wisdom that cannot be separated from the teachings of Hinduism, which always maintain the balance of Skala and Niskala. Panca Sradha, Tri Kona, Tri Hita Karana, Tri Kaya Parisudha, Catur Purusa Artha, Vasudhaiva Kutumbakam, Loka Samasta Sukhina Bhavantu, Bhinneka Tunggal Ika, Tat Twam Asi, Yadnya, Ngayah, Sangkep, and other local wisdom values are the value of local wisdom which is very much in line with Pancasila.
Laboratory Study of the Effect of Some Factors on the Parasitoid, Psyttalia concolor (Szépligeti), of the Olive Fruit Fly
Authors:   Plant Protection Department, Faculty of Agriculture, Damascus University,Damascus,Syria, Zraiki Maath , Bashir AbdelNabi ,   Plant Protection Department, Faculty of Agriculture, Damascus University,Damascus,Syria; & Center for Research & Biological Control, Damascus University, Syria, Ibrahim Ghassan ,   Plant Protection Department, Faculty of Agriculture, Damascus University,Damascus,Syria; & Center for Research & Biological Control, Damascus University, Syria
Published: June 2021

The main objective of this study was to study the effect of some influencing factors on Psyttalia concolor (Szépligeti) (Hymenoptera: Braconidae) parasitism, which is one of the most important insect parasitoids used in biological control of the olive fruit fly. The study was carried out at the Biological Control Studies and Research Center, Faculty of Agriculture, Damascus University. Results obtained indicated that the parasitoid prefers the third larval instar, followed by the fully-grown larvae. The effect of olive (Olea europaea L.) fruit size on parasitism rate was quantified within one olive cultivar (Kaisi) and across four different olive cultivars (Mawi, Istanboli, Sorani and Kaisi, in increasing order of fruit size). Parasitism was examined under two different host distributions: variable distribution in which insect host density increased with decrease in olive fruit size; and uniform distribution in which insect host density was more or less similar across olive fruit sizes. The results obtained showed that the parasitism rate decreased as the size of the olive fruit increased. In addition, parasitism rate was influenced by the olive variety, olive fruit size and the age of the insect host larvae. Furthermore, the parasitoid preferred the third larval stage, thus it is recommended to release the parasitoid in commercial olive orchards at the time when the third larval stage of the olive fruit fly is prevalent, and such date could vary from one region to another. Keyword: Parasitoid, natural enemies, Kaisi variety, olive, Psyttalia
Effect of Constant Temperatures on Biological Parameters of Tuta absoluta (Meyrick, 1917) on Tomato Plants in Case of Asexual Reproduction (Parthenogenesis
Authors:   Plant Protection Department, Faculty of Agriculture, Teshreen University,Lattikia ,Syria, Abo Kaf Nabil , Youssef Rawa ,   Plant Protection Department, Faculty of Agriculture, Teshreen University,Lattikia , Center of Scientific Agricultural in Lattikia ,  Syria, Aboud Rafic ,   Center of Scientific Agricultural in Lattikia ,  Syria
Published: June 2021

Tomato leafminer Tuta absoluta (Meyrick, 1917) (Lepidoptera: Gelechiidae) is a key devastating pest worldwide, it has the capacity to develop on a wide range of Solanaceous plants but tomato (Solanum lycopersicum L.) is considered to be its preferred host. This study was carried out at the Agricultural Scientific Research Centre in Latakia in 2019 to estimate biological parameters of T. absoluta and evaluate the effect of temperature in its development, longevity, reproduction in parthenogenesis. The experiments were carried out at constant temperatures (10, 20, 30˚ C), 60-65% RH, and photoperiod (16L: 8D). Biological parameters were analyzed according to the theory of age-stage two-sex life table by using the computer program TWO-SEX MSchart. The highest value of intrinsic rate of increase (r), the final increase rate (λ), and net reproductive rate (Ro) were 0.0439±0.0028 females/female/day, 1.0449±0.0029, and 7.01±0.8705 females/female/generation, respectively, at 20˚C. The lowest value of net reproductive rate (Ro) was 0.92±0.1250 females/female/generation at 30˚C. Generation time (T) was the longest (44.3±0.203 days) at 20˚C and decreased to 26.38±1.156 days at 30˚C. T. absoluta completed its development at all these temperatures. The results obtained showed that the effect of temperature on the insect development from egg to adult decreased with increased temperature. The shortest development period on egg, larva and pupa development was 3.95±0.149, 11.975±0.075 and 4.95±0.086 days, respectively, at 30˚C. This means that the development time from egg to adult was shorter (20.8±1.151 days) at 30˚C as compared to 34.51±0.127 days at 20˚C, and longest at 10˚C (125.4±1.211 days). The female longevity was longer (61.35±0.25 days) at 20˚C. The highest rate of fecundity was 12.98±1.072 eggs/unmated female, and the lowest was 2.19±0.152 eggs/unmated female at 30˚C. Moreover, the unmated females kept at 10˚C did not lay eggs, and unfertilized eggs (asexually produced eggs) laid by unmated females at 20 or 30˚C did not hatch. The adult pre-oviposition period (APOP) of unmated females was 2.57±0.1368 days at 20˚C and 4.31±0.2629 days at 30˚C, whereas the total APOP of females was 36.86±0.1844 days at 20˚C and 24.21±0.3039 days at 30˚C. Keywords: Tomato leaf miner, Life tables, asexual reproduction, Parthenogenesis, Syria
Study On Parameters and Operating Modes of the Device for Deseeding Flax in the Field
Authors: Chernikov V. G. , Rostovtsev R. A. , Solov’ev S. V.
Published: June 2021

The authors showed that the main technological process in the combined and separate methods of fiber flax harvesting is deseeding or separating the seed part of the crop from the stems. It was confirmed that there is a direct impact of this process success on seed and straw losses, the fiber yield and quality, the heap composition, the labor intensity and energy consumption of flax drying and processing. (Research purpose) To develop a technology for stripping fiber flax with a comb deseeder during harvesting, to study the deseeder’s specifications and operating modes. (Materials and methods) The authors studied the technological process of stripping flax with a comb deseeder. An experimental plant of a comb deseeder was designed. A model of theoretical calculation was proposed based on the physical and mechanical properties of fiber flax and agrotechnical requirements for its harvesting. (Results and discussion) The authors theoretically determined the comb deseeder’s optimal height, operation kinematic mode, stripping cleanliness, the radius of the stripper drum. Laboratory studies were conducted. It was shown that threshing seeds in the field will reduce the loss of flax seeds by 10 per cent and the stem waste due to tangling during the harvesting process – by 18 per cent. It will also reduce the number of harvesting vehicles, personnel, and the cost of product. The authors identified an opportunity to increase productivity by increasing the width of the header grip: for example, the width of a grain harvester header is about 4 meters, and the width of a flax harvester header is 1.52 meters, that is, the productivity of flax harvesting will increase 2.6 times at the same speed, and 3 times at a higher speed. It was possible to eliminate one piece of equipment – a heap separating machine, since the technological operation of heap processing is carried out by a grain harvester. (Conclusions) The authors presented a theoretical substantiation of the comb deseeder’s operating parameters and modes for stripping fiber flax in the field. The authors proposed a model to determine them based on the physical and mechanical properties of flax and agrotechnical requirements for its harvesting.
Possibility of Obtaining Long Fiber from Oilseed Flax Trusts Using Various Technological Equipment
Authors: Koroleva E. N. , Novikov E. V. , Bezbabchenko A. V.
Published: June 2021

The authors showed that the short fiber of oilseed flax was usually obtained from a tangled mass of broken stems. However, recently, the question of the processing possibility of the culture whole stems left after harvesting into long fiber was raised. (Research purpose) To study the possibility of obtaining long fiber from oil flax stems on various technological equipment with the substantiation of the fiber characteristics. (Materials and methods) Whole oil flax stems of various qualities of six different varieties were taken. The samples were processed on an SMT-500 machine and in an ALS-1 crumpling and scutching machine, after which the quality parameters of the long fiber were determined. (Results and discussion) The authors found that most of the quality indicators of oil flax trusts corresponded to the fiber flax trusts characteristics, but the fiber strength had unacceptably low values. The number of flax stems from oil flax did not exceed 0.5, and the yield of long fiber varied from 0.4 to 11 percent, which was much lower than from fiber flax, so the fiber bulk fell into waste. It was determined that on the SMT-500 machine it was impossible to obtain a long fiber of even the lowest number due to the small value of the gristle length, and after the ALS-1 machine, the number of the long fiber was not higher than 8. During the analysis of individual characteristics of the long fiber from oilseed flax, it was determined that oil flax fiber was thicker, less strong and flexible in comparison with fiber flax. (Conclusions) The authors proved that long fiber could be obtained from flax whole stems, but of poor quality. They determined that up to 67 percent of flax varieties could be processed into long fiber. Of the flax types considered, oilseed flax seeds revealed the best quality-grade LM-98 and the worst – Biryuza and Rucheek.