bluuebunny/crossref_metadata_2025 huggingface dataset:
Long-Term Angiographic Results of Recanalization of Small Diameter Coronary Arteries in Patients with Coronary Heart Disease
Authors: Aksenov E. V. , Demchenko R. B.
Published: June 2021

One of the most serious problems of modern times are cardiovascular diseases, and these are the leading cause of death worldwide. The main contribution to the structure thereof belongs to coronary heart disease (CHD) which has become the greatest threat to the health of the population all over the world.

The aim. To study the results of endovascular procedures in revascularization of small diameter coronary arteries.

Materials and methods. The study included 417 patients aged 59 to 78 years with a mean diameter of the true in-ternal lumen of the arteries of 2.75±0.016 mm who underwent revascularization of the myocardium through stenting or percutaneous transluminal balloon coronary angioplasty (PTCA).

In patients undergoing stenting of coronary artery (N=269), the mean diameter of the true internal lumen of the arteries was 2.68±0.03 mm. In the group of patients who underwent PTCA (N=148), this indicator was found to be 2.61±0.09 mm. The average degree of stenosis was 81.3±4.07%. The length of the artery stenosis was 12.4±0.71 mm.

All the patients had the history of Q wave myocardial infarction (MI) more than 3 months ago, which made it possible to diagnose postinfarction cardiosclerosis. Ischemic history of more than 5 years was noted in 46 patients of this group (11.03% of cases), up to one year in 221 patients (70.2% of cases), from 1 to 2 years in 41 patients (9.83% cases), and 3 to 4 years in 38 people (9.11% of cases).

Results and discussion. As a result of the studies, it was found that in patients with eccentric type of stenosis who used balloon angioplasty, restenosis in the remote postoperative period was 21% more frequent compared to a similar contingent of patients with implanted stents. In addition, restenosis of the stenosed area of the coronary artery > 1.5 mm in the distant period was 14.9% more common when PTCA was performed. And the frequency of remote restenosis (with complex morphology of initial damage of the arteries) in the stenting group was 14.2% lower than in the group of PTCA. Additionally, in the group of patients who underwent stenting, neoatherosclerosis in the treated segment was found in 92 patients (34.2 %). Patients with PTCA had a less progress of atherosclerosis (44 patients 29.72%)

Conclusions. Restenosis in the remote postoperative period was 25.4 % less frequent in patients with eccentric ste-nosis who underwent stenting than in patients with balloon angioplasty. At the same time, restenosis of the stenosed area of CA >15 mm in the distant period was 10.43% more frequent during PTCA. In the coronary angioplasty group, patients with complicated morphology of basal damage of arteries had a 21.67% higher incidence of restenosis than in the coro-nary stenting group. Thus, we plan to carry out further study and analysis of immediate and long-term results of X-ray and endovascular operations in patients with coronary artery disease and small coronary artery diameter.
Providing Medical Care for Patients with Cardiac Arrhythmias in the Context of the COVID-19 Pandemic. Analysis of the Situation and Personal Experience
Authors: Karpenko Yu. I. , Kushnirenko V. I. , Yarovenko A. A. , Pavlinova N. V. , Bokhonko O. I.
Published: June 2021

The sudden spread of the virus and the rapid increase in the number of patients infected with coronavirus could not but affect the work of cardiology and cardiac surgery departments, catheterization laboratories, electrophysiol-ogy laboratories, in which surgical treatment of cardiac arrhythmias is performed.

After the announcement of quarantine in Ukraine, our department of arrhythmias introduced a set of measures to prevent infection of the staff and patients. All operations are carried out in full compliance with epidemic rules. Every patient, even with a negative PCR test, is considered conditionally infected. This allowed the entire staff to work for a long period with a minimal risk of infection and to maintain an uninterrupted cycle of specialized care for patients with cardiac arrhythmias in the city of Odessa, the Odessa region.

In accordance with the recommendations of the European Society of Cardiology, we urgently developed and com-municated to all cardiologists, emergency doctors, general practitioners clear criteria for the “urgency” of patients with arrhythmias and indications for hospitalization.

We were able not only to reduce the total number of operations, but even to increase in comparison with last year and perform the largest number of operations for cardiac arrhythmias and conduction disturbances in all the years of our work: 856 procedures in one operating room compared to 828 operations in 2018 and 798 operations in 2019.

The “golden rule” during the coronavirus pandemic is to carry out surgical treatment on the day of admission, i.e. “one-day operation”.

During the pandemic, as a result of the limited availability of consultative and diagnostic assistance to patients with cardiovascular diseases, it is necessary to look for new forms of interaction between the medical care system and the pop-ulation. We carried out 13 trips to the districts of the Odessa region with our equipment (expert class echocardiograph, ECG recorder). 1287 patients were consulted, 496 complete echocardiographic examinations and 1112 ECG recordings were performed.

Cardiologists, arrhythmologists and electrophysiologists should actively use all the possibilities of virtual consulta-tions in patients with arrhythmias. In this unprecedented time, it is imperative that patients with cardiac arrhythmias should not feel left out by doctors and the health care system as a whole.

In crisis periods of strict quarantine, it is necessary to transfer consultative and diagnostic assistance to the regions: “the doctor goes to the patient”.
Algorithmic Approaches in Diagnostic Decision Support for Combined Use of Speckle-Tracking Echocardiography and Coronary Angiography in Patients with Coronary Artery Disease
Authors: Nastenko E. A. , Potashev S. V. , Rybakova O. V. , Didyk Yu. V.
Published: June 2021

Background. Improving methods of coronary artery disease (CAD) diagnosis involves determining the most informative and less expensive methods. Speckle tracking echocardiography (STE) is now widely used for early myocardial ischemia diagnosis, allowing better verification of ambivalent results of coronary angiography (CAG).

The aim. To develop algorithmic approaches to early CAD diagnosis through the combined use of STE and CAG in order to increase accuracy and reduce the cost of diagnosis and treatment of CAD.

Methods. We examined 568 patients (425 [74.8%] men and 143 [25.2%] women) aged 62.3±8.9 years admitted to our center for diagnosis verification and establishing indications for coronary interventions. All the patients underwent CAG directly before or after STE.

Results. Through both methods no pathology was detected in 5.2% of men and 16.8% of women. In 2.6% of men and 4.2% of women, STE found no regional strain disorders in the absence of significant alterations in coronary arteries (CA) according to CAG. Such false-positive STE results may witness of: 1) insignificant myocardial ischemia due to congenital distal coronary branches tortuosity or intramural (I/M) CA course, as well as myocardial ischemia due to microcirculation disorders not diagnosed by CAG; 2) non-coronary myocardial dysfunction. In 1.2% of men and 4.2% of women, CAG found significant or insignificant (up to 50–70%) atherosclerotic stenotic lesions in the absence of data suggestive of myocardial ischemia by longitudinal strain “drop” during STE. Such false-negative STE results may witness of high coronary reserve due to advanced collateral circulation in viable myocardium in ischemic coronary area. Myocardial ischemia according to both coronary beds visualization through CAG, as well as according to characteristic regional strain decrease revealed by STE, was found in 91.1% men and 74.8% women, witnessing of high correlation of the results obtained through both methods. Such results show coincidence of signs of hemodynamically significant CA stenoses according to both methods, including I/M CA segments course.

Conclusions. Combination of CAG and STE in patients with CAD allows better determination of CA lesions hemodynamic significance, including I/M CA segments course, and to use STE as a non-invasive imaging technique in CAD, including pharmacological stress test. Combined CAG and STE use with integrated analysis thereof allows identification of coronary circulatory disorders that could not be detected separately, helping to increase diagnostic accuracy and to improve cost-effectiveness of diagnosis and treatment.
Student Perceptions of a Simulated Clinical Experience: A Pilot Study
Authors: Elliott Haley , Brumbaugh Klaire
Published: June 2021

Purpose: The purpose of this qualitative study was to document the experience of using a computer-based simulated (Simucase, 2019) learning opportunity in a Master of Science in speech-language pathology program. Method: Focus groups were held utilizing a semi-structured interview format. Themes were identified using a qualitative methodological approach. Participants were first year graduate students (N=10) that were interviewed after completing an eight-week simulated learning opportunity. Results: Seven themes emerged from the data. The themes were as follows: setup of the computer-based simulation, the incorporation of computer-based simulation in courses, supplemental information that assisted in development of clinical knowledge, increased knowledge of assessments and testing procedures, authenticity, confusion regarding feedback and how to benefit more from computer-based simulation. Conclusions: Results were consistent with previous literature in simulated learning. Students reported positive and negative feelings regarding the computer-based simulated experience. The simulated learning experience resulted in overall positive perceptions for using stimulation to improve familiarity with assessments and understanding testing procedures.
Enhancing Intercultural Competence: Can it be done without Studying Abroad?
Authors: Krishnan Lata , Jin Lan , Calahan Charles
Published: June 2021

Participation in intensive, immersive, service-learning study abroad programs with intentional intercultural activities embedded in the course curriculum has been shown to enhance cultural competence as measured via the Intercultural Development Inventory (IDI®) (Krishnan, Masters, Holgate, Wang & Calahan, 2017; Krishnan, Lin & Benson, 2020). The purpose of this study was to evaluate the relative impact of embedding intercultural learning activities on students’ intercultural competence when included in an on-campus course compared to a study abroad program. The intervention group consisted of 34 students enrolled in the on-campus course which incorporated intentional intercultural activities. Forty-one students who did not take the course comprised the control group. Comparison of the pre- and post-IDI® scores showed a significant increase in intercultural competence in the intervention group and no change in score in the control group participants. Qualitative data supported these findings. The increase in group mean score is slightly lower than group mean score increases in study-abroad students. Results indicate that incorporating intentional intercultural learning activities in an on-campus course can be an effective mechanism for students to enhance intercultural competence without travelling abroad.
AUTHENTIC FOOD SOUVENIR TO SUPPORT MSMEs AND LOCAL WISDOM IN BANGKA BELITUNG, INDONESIA
Authors:   Sahid University, Faculty of Economics and Business, Management Department, Jakarta, Indonesia, LEVYDA Levyda , RATNASARI Kania ,   Sahid University, Faculty of Economics and Business, Management Department, Jakarta, Indonesia, GIYATMI Giyatmi ,   Sahid University, Faculty of Food Technology and Heath, Food Technology Department, Jakarta, Indonesia
Published: June 2021

Authentic food souvenirs are essential in tourism, MSMEs and local wisdom. However, there is no satisfactory authentic assessment method yet, because it only examines objective or subjective aspects. Therefore, a more comprehensive study is needed; this study aims to assess authentic food souvenirs' authenticity with a geographic approach. Several stakeholders involved. It uses various methods of obtaining information. The result of this research is the superior authenticity of food souvenirs. Authentic food is useful for promoting destinations and increasing tourist spending. This assessment method can be an alternative in the assessment of authentic food souvenirs.
Оценка фармакотерапевтического потенциала оловоорганических соединений in vivo
Authors: Додохова М. , Сафроненко А. , Котиева И. , Сухорукова Н. , Ганцгорн Е. , Алхусейн-Кулягинова М. , Комарова Е. , Шпаковский Д. , Милаева Е.
Published: June 2021

В обзоре приведены и проанализированы сведения, характеризирующие фармакотерапевтический потенциал оловоорганических соединений (ООС) и токсикологический профиль кандидатов в лекарственные средства (ЛС), изученных на различных видах лабораторных животных. Для ряда ООС установлена противоопухолевая и антиметастатическая активность в экспериментах in vivo на некоторых опухолевых моделях. Результаты анализа литературы будут использованы при планировании дальнейших доклинических исследований субстанций: для выбора наиболее перспективных ООС, оптимального пути введения их в организм, моделей опухолевых процессов и т. д. В качестве потенциально значимых были определены ООС, содержащие антиоксидантный протекторный фрагмент 2,6-ди-трет-бутилфенола, а также модели перевиваемых опухолей — меланома В16 и эпидермоидная карцинома легкого Lewis и агенты для приготовления суспензии (желатин, крахмал).
Disminución de caídas mediante una intervención multifactorial en adultos mayores frágiles
Authors: Prevettoni Mariana Alejandra , Guenzelovich Tami , Zozaya Maria Estefanía , Giardini Gimena , Hornstein Lucila , Schapira Marcelo , Giber Fabiana , Quintar Eugenia , Perman Gaston
Published: June 2021

Los adultos mayores frágiles (AMF) tienen mayor riesgo de caídas, con morbi-mortalidad asociada. Nuestro objetivo fue disminuir el porcentaje de AMF con caídas luego de una intervención multifactorial y sistémica. Estudio cuasiexperimental antes-después, propio individuo control. Ámbito: domicilio de AMF, en área metropolitana de Buenos Aires. Periodo de reclutamiento: 01/10/17-31/04/18. Evaluación basal y seguimiento a 3 meses. Criterios de inclusión: ≥65 años con criterios de fragilidad según médico tratante. Criterios de exclusión: rechazo de intervención o paciente moribundo. Intervención: un orientador (agente) socio-sanitario evaluó sistemáticamente en domicilio distintas dimensiones para prevención de caídas e intervino según necesidad en cada caso en: seguridad ambiental, indicación y capacitación en uso de apoyos de marcha, ejercicios de fortalecimiento, mejora de la red de cuidado, y conciliación de medicación. Se analizó por intención de tratar el cambio en el porcentaje de personas con caídas en el último mes (McNemar).

Incluimos 108 personas, edad promedio 85,2 años (DE 6,2), mujeres 79,6%. Barthel promedio 50,5 (DE 35,9). El 56,8% tenían dependencia severa o total; 29,6% demencia; 30,5% institucionalizados; 82,4% polimedicados. El 79,6% (IC95% 71,1-86,1) tenían alto riesgo de caídas. En evaluación inicial habían sufrido caídas en el último mes 33,3% (IC95% 25,2-42,7). Post intervención, 13,9% (IC95% 8,6-18,6), p<0,001. Tasa de caídas previa: 50/100 personas (DE 87); posterior: 11/100 personas (DE 34), p< 0,001. En conclusión, esta intervención multifactorial y sistémica en AMF mostró reducción de personas con caídas de 41,7%, y  tasa de caídas de 78%.
Desigualdades en el acceso a medicamentos y gasto de bolsillo, realidades del subsistema público de salud en el interior argentino
Authors: Nievas Claudia Mariela , Gandini Jose Bernardo , Tapia Angelina Belen
Published: June 2021

Introducción: La disponibilidad de medicamentos representa un factor determinante en el acceso de los usuarios a la salud, especialmente de los hogares más desprotegidos.
Objetivo: identificar barreras en el acceso a medicamentos y presencia de gasto de bolsillo en una ciudad del interior argentino entre marzo y octubre de 2018.
Método: estudio transversal, analítico, en usuarios frecuentes de servicios públicos de salud, mediante análisis descriptivo, frecuencias absolutas, relativas, prevalencias, desvío estándar, regresión logística con análisis bivariado, multivariado y Odds Ratio; con intervalo de confianza del 95% y valor de significancia estadística p<0,05. En todos los análisis se utilizó el software estadístico SPSS versión 26.
Resultados: La probabilidad del no acceso a medicamentos se incrementó en 1,7 veces más si se es mujer y en 2,8 veces más si para poseerlo se requiere realizar gasto de bolsillo. El gasto de bolsillo se incrementó en 3,26 veces la probabilidad de realizarlo si se es mayor de 50 años y 3,59 veces más si la medicación se requiere por tiempo mayor a un año. El gasto de bolsillo necesario fue entre 1 dólar y 34,72 dólares en el 80,51% de los usuarios.
Conclusiones: Hogares de bajos ingresos corren mayores riesgos de sufrir dificultades para acceder a medicamentos si son mayores de 50 años y necesitan medicación por tiempo mayor a un año. Los hallazgos de esta investigación sugieren revisión de estrategias o políticas públicas en el interior de argentina tendientes a disminuir brechas de desigualdad.
Evaluación del impacto de una intervención en las habilidades comunicacionales de médicos residentes de primer año de pediatría
Authors: Urtasun Marcela , Labanca Vanesa Denise , González Pannia Paula , De Rochebouët Luisa , Chiappino Romina , Ferrero Fernando Claudio , Ossorio María Fabiana , Torres Fernando Adrian
Published: June 2021

Introducción: La comunicación es una competencia básica en educación médica. Precisa de conocimientos, actitudes y habilidades que pueden enseñarse, aprenderse y evaluarse durante el proceso formativo.
Objetivo: Explorar si la implementación de una intervención específica mejora las habilidades comunicacionales de médicos residentes de primer año de pediatría.
Población: Se incluyeron 23 médicos residentes de primer año de pediatría de un hospital pediátrico.
Material y métodos: Estudio prospectivo de evaluación de impacto, tipo antes y después (control intrasujeto). Se realizó una videograbación de una consulta médica, previo consentimiento informado de los participantes. Dos investigadores, de manera independiente, valoraron el desempeño en la competencia comunicacional a través de la escala de CICAA, instrumento diseñado y validado para tal fin.  En una instancia de retroalimentación, cada médico observó su filmación y recibió una devolución sobre sus fortalezas y debilidades. Posteriormente se realizó la videograbación de otra consulta y nueva valoración mediante escala CICAA, a fin de evaluar el impacto de la intervención.
Resultados: El puntaje total en la escala de CICAA previo a la intervención, presentó una mediana de 16,4 (IIC 13-20) y posterior a la misma un valor mediano de 31,1 (IIC 27-36) (p<0,01).
Conclusión: Una intervención basada en observación crítica y objetiva (escala CICAA), la auto observación de consultas médicas, junto con una retroalimentación constructiva, tuvo un impacto positivo en las habilidades comunicacionales de médicos residentes de primer año de pediatría.
Efecto de la acumulación de factores de riesgo en el riesgo de carcinoma de células escamosas bucal
Authors: Piemonte Eduardo David , Lazos Jerónimo Pablo , Belardinelli Paola , Castillo Graciela del Valle , Talavera Angel Daniel , Secchi Dante Gustavo , Lanfranchi Tizeira Héctor Eduardo , Brunotto Mabel Noemí
Published: June 2021

Introducción: los factores causales de carcinoma de células escamosas bucal son causas no necesarias y no suficientes, incluso los más aceptados, como tabaco y alcohol. Poco se conoce sobre el efecto acumulativo de todos los factores de riesgo de cáncer bucal. El objetivo de este trabajo fue analizar si la sumatoria de factores de riesgo de cáncer bucal se asocia con un aumento de su riesgo.

Métodos: se realizó un estudio de casos y controles para determinar los factores de riesgo de cáncer bucal en la población bajo estudio, para luego correlacionar el número de factores de riesgo en cada individuo, con el riesgo de cáncer bucal.

Resultados: la acumulación de factores de riesgo de cáncer bucal, analizada mediante diferentes estrategias, estuvo siempre asociada con un aumento significativo del riesgo de cáncer bucal. Tener 3 o más factores de riesgo estuvo asociado con mayor riesgo de cáncer bucal (OR 110, p<0,0001)

Conclusión: el principal factor de riesgo de cáncer bucal es la acumulación de sus factores de riesgo. La acumulación de factores de riesgo podría considerarse una causa necesaria para el desarrollo de cáncer bucal.
Percepción de la memoria en estudiantes universitarios de Venezuela durante la COVID-19
Authors: Chipia Lobo Joan , Paredes Yorman , Lobo Sandra , Sánchez Mariana , González Alexy
Published: June 2021

Introducción: Los estudiantes universitarios necesita de la memoria para el manejo de los procesos de aprendizaje basados en la metacognición y de esta manera puedan responder a las demandas en el futuro como profesionales. Métodos: se estructuró con enfoque cuantitativo, tipo comparativo, diseño no experimental transversal, la muestra estuvo conformada por 237 respuestas de estudiantes. Resultados: la edad fue de 26,45 ± 8,96 años, 66% del sexo femenino y 34% masculino, los estudiantes mayores de 27 años poseen un mayor promedio en el uso de estrategias de memoria (p=0,003); se obtuvo que a mayor semestre aumenta el promedio de la percepción de la estrategia (p=0,027). Cuando se utilizan las TIC disminuye en promedio la percepción de satisfacción (p=0,014), competencia (p<0,001), estrategia (p=0,004) y memoria general (p=0,001). Conclusiones: los sujetos mostraron una percepción de la memoria aproximadamente igual según sexo, se encontró que, a mayor edad, hubo una mejor percepción de la estrategia y en cuanto a regiones de procedencia, los estudiantes de la Universidad de Los Andes reportaron un promedio de satisfacción menor al de los estudiantes provenientes de otras casas de estudio, y un promedio mayor en relación a la percepción de la competencia. En cuanto al uso de las TIC y la percepción de la memoria muestra que los estudiantes que no utilizan dispositivos móviles antes de dormir tienen una percepción más satisfactoria de su memoria general, al igual que de su percepción de competencia y estrategia.
Virilización y enfermedad metabólica en mujer postmenopáusica relacionado a hiperplasia e hipertecosis ovárica
Authors: Larrea Agustina Lucila , González Vicente Ricardo , Knoblovits Pablo , Gil Santiago José
Published: June 2021

Durante la transición menopáusica pueden aparecer signos clínicos leves de hiperandrogenismo, como parte del proceso de envejecimiento normal, pero el desarrollo de virilización franca sugiere una fuente específica de exceso de andrógenos debiendo descartar la presencia de tumores secretores de andrógenos tanto a nivel adrenal como ovárico.

Se presenta un caso de una mujer de 51 años postmenopáusica con signos de virilización de 12 meses de evolución, asociado a antecedente personal de diabetes tipo 2 e hipertensión arterial, de mal manejo en el último año. Las pruebas de laboratorio mostraron una franca elevación de los niveles de andrógeno sérico e hiperinsulinemia asociada. Las imágenes solicitadas evidenciaron ambos ovarios aumentados de tamaño de aspecto homogéneo y sólido, con glándulas adrenales de aspecto conservado, lo que hizo sospechar de una posible hiperplasia tecal del estroma ovárico. Se realizó una anexectomía bilateral por laparoscopia, cuya anatomía patológica confirmó la presunción diagnóstica. Los dosajes de testosterona sérica al mes de la cirugía retornaron a valores cercanos a la normalidad para una mujer postmenopáusica.

El diagnóstico causal de virilización en mujeres posmenopáusicas es un desafío, y por lo general están asociadas con patologías poco frecuentes. Una historia clínica detallada es fundamental para diferenciar el desarrollo progresivo de virilización que caracteriza las causas benignas de la rápida progresión que caracteriza a los tumores malignos. La interpretación de pruebas correctas de laboratorio con imágenes complementarias, así como la búsqueda de antecedentes de riesgo cardiovascular como la diabetes y la hipertensión asociadas son fundamentales para establecer un correcto diagnóstico y tratamiento.
Breve recorrido a través de la historia de la cirugía de columna vertebral: desde la mitología egipcia hasta la cirugía de mínima invasión
Authors: Almendárez Sánchez César Adán
Published: June 2021

El conocimiento de las contribuciones a la cirugía de columna realizadas a través del tiempo, nos proporciona el contexto del entendimiento de las técnicas quirúrgicas actuales y del éxito que ha tenido esta área con el paso de los años. En este trabajo el autor realizó una búsquea de los hitos históricos que marcaron el rumbo de la cirugía de columna, lo cual representó un arduo trabajo por grandes figuras de la medicina, partiendo desde la mitología Egipcia, pasando por el periodo Griego, Arábico y el Renacimiento, hasta la Edad Moderna y el desarrollo de la cirugía de mínima invasión.
SEJARAH MODERNISASI PASCA PERANG DUNIA KEDUA SERTA PENGARUHNYA PADA KEHIDUPAN MASYARAKAT
Authors: Ansyari Rudi Resnawan
Published: June 2021

Teori Modernisasi lahir setelah usainya perang dunia kedua yang dimenangkan blok sekutu dan kekalahan pada blok poros atau Axis. Amerika serikat menjadi negara adidaya yang mendominasi setelah perang dunia kedua sedangkan negara-negara di Eropa seperti Prancis dan Jerman semakin melemah setelah adanya perang dunia kedua, banyak negara yang sebelumnya di bawah kekuasaan bangsa Eropa mulai memerdekakan diri seperti negara di kawasan Afrika dan Asia. Di saat Bangsa Eropa mulai melemah, USSR meluaskan pengaruhnya mulai dari Eropa Timur sampai ke kawasan Asia. Teori Modernisasi muncul sebagai solusi dalam menghadapi masalah yang ada pasca perang dunia kedua.
PERAN ULAMA DALAM POLITIK
Authors: sari Yeti novita purnama
Published: June 2021

Politik juga bisa dikatakan sebagai tentang legitimasi kekuasaan dalam hal Negara, dan juga merupakan suatu hal yang terlepas secara langsung dari yang namanya moralitas yang tercermin pada situasi konkrit Negara yang membutuhkan tindakan tersebut. Negara adalah sisi nyata dari perpolitikan, dengan itu maka untuk mempertahankan negara, pengabaian terhadap sifat sifat yang berbau moral dapat saja di hilangkan oleh seorang penguasa. Dalam berpolitik peran ulama sangatlah penting karena dapat mengontrol kebijakan penguasa dan menjadikan pihak penguasa dan pihak oposisi. Ulama di tekankan memiliki dua peran yang mana dianggap sangat penting, yang pertama, berdasarkan pada bobot keilmuanya maka para ulama sudah sepantasnya sebagai penncerah alam pemikiran umat. Yang kedua ada sebagai panutan umat dalam artian khusus dalam keteladanan moral yang di ajarkan dan di contohkan ulama kepada masyarakat.
Micro, Small, and Medium Enterprises (MSME’s) IN THE MIDDLE OF THE COVID-19 PANDEMIC
Authors: lady
Published: June 2021

MSMEs (Micro, Small, and Medium Enterprises) according to Law No. 20 of 2008 is a stand-alone productive economic activity. This business is usually carried out by individuals and not business entities that have subsidiaries or branch companies. It is further explained in the Law regarding the criteria for MSMEs, which are as follows:• Micro Enterprises: maximum assets of IDR 50 million• Small Business: assets of more than IDR 50 million – IDR 500 million.• Medium Enterprises: assets of more than IDR 500 million – IDR 10 billion.
Sumber Zat Gizi Dan Penilaian Zat Gizi
Authors: Zakiyyah Wafiq
Published: June 2021

Zat gizi adalah senyawa dari makanan yang digunakan tubuh untuk fungsi fisiologis normal. Definisi yang luas ini mencakup senyawa yang digunakan langsung untuk produksi energi yang membantu dalam metabolisme (koenzim), untuk membangun struktur tubuh atau untuk membantu dalam sel tertentu.
Sumber zat gizi dan penilaian zat gizi
Authors: T Mutiara
Published: June 2021

Membahas tentang sumber" zat gizi dan penilaian zat gizi
BERPIKIR SEJARAH DAN PERADABAN AWAL BENUA EROPA
Authors: Rahmatita Najmila
Published: June 2021

Sejarah adalah ilmu yang memberikan dan menanamkan pengetahuan mengenai proses perubahan dan perkembangan masyarakat dari masa lampau hingga masa kini. Sejarah juga bisa digunakan sebagai sarana pembelajaran dalam kehidupan sehari agar bisa menjalani kehidupan hari berikutnya lebih baik daripada hari kemarin.Sejarah sebagai ilmu mengajarkan kita, untuk selalu berdialog pikiran, sejarah juga menghubungkan masa lampau masa sekarang dan masa yang akan datang (Anis, M. Z. A. 2015: 53). Terdapat pengulangan peristiwa dalam sejarah meskipun pengulangan itu tidak sama persis seperti yang terjadi pada zaman dahulu sampai lahirnya peradaban. Pada umumnya tempat lahirnya peradaban tidak jauh dari sungaisungai besar, dan tepi laut, hail ini menunjukka bahwa air sebagai sumber kehidupan utama bagi manusia. Selain itu sungai dan pantai juga merupakan sarana perhubungan dengan bangsa lain.
Variance vs entropy of one-hot vectors
Authors: Ellerman E. Castedo
Published: June 2021

What is the relationship between the variance and entropy of independent one-hot vectors? This document proves inequalities relating variance, collision entropy and Shannon entropy of sequences of independent one-hot vectors.
Main Map Value Preposition Design
Authors: Tantienaffectio Monica Evelyn
Published: June 2021

Main Map Value Proposition Design. By : Monica Evelyn Tantienaffectio,NIM : 2401962900, Universitas Bina Nusantara. Email : monica.tantienaffectio@binus.ac.id).Content (canvas, design, test, & evolve). Reference : (Alexander Osterwalder, Yves Pigneur, Greg Bernarda & Alan Smith (2014) Value Proposition Design, John Wiley & Sons, Inc.). Dosen Pembimbing : Agung Purnomo
Anotasi Terhadap Artikel Jurnal Pembinaan Etika Peserta Didik Melalui Pembelajaran Tematik-Integratif Di Sekolah Dasar
Authors: ananda rizkia
Published: June 2021

Guru menanamkan Pendidikan Etika pada peserta didik di Sekolah dasar agar peserta didik memiliki sikap dan perilaku yang bermoral dan beradab, maka dari itu dibuatnya jurnal ini untuk memberikan pandangan terhadap guru sekolah dasar agar dapat mengembangkan dan membimbing peserta didik agar memiliki etika yang berkualitas di dalam dirinya sehingga ketika ia sudah terjun ke dunia masyarakat ia akan menghadapinya dengan baik. Maka dari itu adanya anotasi ini untuk menuliskan suatu pikiran kita dengan cara mengomentar tulisan seseorang agar dapat memahami, menelaah lebih dalam lagi sehingga ketika para pembaca sudah membaca artikel Pembinaan Etika Peserta Didik Melalui Pembelajaran Tematik-Integratif Di Sekolah Dasar ini dapat memahaminya secara keseluruhan.
Analysis of Iterative Dichotomiser 3 Algorithm Uses Fuzzy Curves Shoulder as a Determinant of Grade Value
Authors: Silalahi Arina Prima
Published: June 2021

Data mining is a process that combines statistics, artificial intelligence, mathematics and machine learning to extract data on a large scale in the database. Data mining is always able to analyze the data so as to find the relevance of data that has a meaning and have a tendency to check large-scale data stored in the database to find a meaningful pattern or rules. The increasing availability of data is often not utilized to provide new knowledge so that large data accumulate is meaningless. The purpose of this research is to extract the information so as to produce knowledge through the decision tree and show the accuracy or influence of Iterative Algorithm Dichotomiser 3 which is used to predict a situation. The classes or attributes in the Iterative Algorithm Dichotomiser are continuously broken into relative categories. Fuzzy Curve Shoulder will be used as a function to form the categories of each attribute value. Using a fuzzy shoulder curve, the dataset is processed using a decision tree that is useful for extracting large amounts of data and searching for hidden links between multiple potential input variables with a target variable. The results of this study are decision trees that will provide predictive data with Iterative Dichotomizer (ID) Algorithm 3.
Medium,Small and Medium Enterprise and Digital Platfrom Journal Sitasi
Authors: Dila Hana
Published: June 2021

In July 2020, the Indonesian economic situation face deflation of 0,1 % explained by theCentral Bureau of Statistics of the Republic of Indonesia. Furthermore, the tobacco, food, andbeverage sector also face the same situation with deflation of 0,79%, following 0.19% deflation infoodstuff. Deflation happened in demand for food related with the exchange rate of agriculturalfood crops decreased by 0,74 %. Based on the contribution of public expense, 40% group of lowerclass contributes 17% of the entire national consumption, and also 40 % group of middle classcontributes 36.78%, and 20 % group of upper class contributes 45.49 %.
MELESTARIKAN KEARIFAN LOKAL BANJAR DENGAN MENGEMPLEMENTASIKAN ADAT BEUSUNG KHAS BANJAR KALIMANTAN SELATAN TERHADAP PESERTA DIDIK
Authors: NISA
Published: June 2021

Kebudayaan merupakan suatu tradisi yang tidak dapat dipisahkan oleh masyarakat dimana didalam lingkungan sosial terdapat banyak tradisi, masyarakat terbentuk adanya tradisi kalau tidak ada tradisi maka suatu masyarakat tidak terjalin ataupun sebaliknya jika tidak ada masyarakat maka tidak ada yang menjalankan tradisi. Di Kalimantan selatan memiliki banyak budaya lokal yang masih dilestarikan oleh orang atau masyarakat tertentu, satu diantara kearifan lokal banjar yang masih di jalankan satu diantaranya adat beusung, adat ini sering dilakukan oleh para penganten banjar yang satu diantara penganten tersebut sudah mempunyai adat turun temurun untuk mengerjakan tradisi tersebut, jikalau penganten yang masih ada keturunan tersebut tidak melaksanakan adat beusung maka penganten tersebut bisa kesurupan karena tidak melaksanakan kegiatan tradisi beusung. Jika dikaitkan kearifan lokal, adat beusung ini terhadap pendidikan maka dapat dijadikan sebuah implementasi pembelajaran dimana peserta didik dapat mendengar serta mengetahui kearifan lokal yang ada pada kearifan lokal suku banjar maka dari itu didalam tulisan ini saya akan meuraikan serta menjelaskan melestarikan kearifan lokal adat beusung dengan mengenalkan kepeserta didik didalam pembelajaran.
Pronoun interpretation in Italian: assessing the effects of prosody
Authors: Goad Heather , White Lydia , Garcia Guilherme D. , Guzzo Natália Brambatti , Mortazavinia Sepideh , Smeets Liz , Su Jiajia
Published: June 2021

In this paper, we offer a prosodic account to supplement some well-known findings relating to choice of antecedents for pronouns in Italian. We argue that methodologies previously used to assess pronoun interpretation are flawed in that they rely only on written language to assess interpretation. In biclausal sentences like (1a), null pronouns are preferred when the antecedent is the discourse topic and subject of a higher clause; otherwise, overt pronouns are preferred. Sorace and Filiaci (2006) and Belletti et al. (2007) report that second language (L2) speakers of Italian overuse overt pronouns in contexts where null pronouns would be appropriate; they attribute this overuse to problems at the syntax-discourse interface (a failure to fully appreciate the discourse requirements on overt pronouns) and/or to processing problems relating to the Position of Antecedent Strategy (PAS) proposed by Carminati (2002). In addition to the behaviour of the L2ers with respect to overt pronouns, there are some puzzling results in this literature: both native speakers and L2ers fail to perform as expected with null pronouns, allowing them to take object antecedents about 50% of the time.
Peran Inovasi Pendidikan Terhadap Pembelajaran IPS Di Zaman Sekarang
Authors: Gymmayil Orm Aqil
Published: June 2021

Inovasi sendiri ialah memperkenalakan apa saja yang baru yang ada dimuka bumi ini tetapi hanya berhubungan dengan manusia yang mana tujuannya membuat perubahan kearah yang lebih baik. Dunia pendidikan pun tidak lepas dari kata inovasi yang mana banyak sekarang ini metode-metode baru berkembang guna terciptanya perubahan untuk generasi selanjutnya. pendidikan dihadapkan pada tuntutan paradigmatik untuk memerankan pendidikan dalam penguasaan ilmu dan teknologi. Tantangan ini muncul dan menuntut untuk dihadapi secara serentak, dan menuntut jawaban strategis dengan mengintegrasi kebijakan dan pembudayaan dalam kerangka peningkatan kualitas manusia Indonesia untuk menyongsong di era globalisasi melalui peningkatan mutu pendidikan. Karena Negara yang maju pastinya memiliki faktor tentang pendidikan yang baik karena dari pendidikan itulah yang menghasilkan orang-orang hebat
Ilmu sejarah dan pendidikan
Authors: Najuah
Published: June 2021

Pangeran Hidayatullah pernah diusulkan sebagai calon Pahlawan Nasional, namun kemudian ditolak pada tahun 2001 karena dinyatakan pernah menyerah kepada pihak penjajah Belanda hidayatullah halil illah bin pangeran ratu sultan muda abdurrahman atau lebih di kenal sebagai pangeran hidayatullah lahir di martapura 1822 meninggal di cianjur 24 november 1904 adalah salah satu pemimpin perang banjar hidayatullah menjadi satu-satunya pemimpin rakyat banjar antara tahun 1859-1862. Konflik dengan hindia belanda terus bergulir setelah dia menjadi sultan, beberapa kali sultan hidaytullah di tipu oleh para penjabat hindia belanda lalu setelahnya pangeran hidayatullah muak dengan cara tipu muslihat belanda yang ingin mengusai banjar lalu sultan hidayatullah memilih melawan belanda.
KOMPOSISI GIZI
Authors: Darwis Dian Yuliawati
Published: June 2021

Gizi adalah senyawa adalah senyawa dari makanan yang digunakan tubuh untuk fungsi fisiologisnormal.Definis yang luas ini mencakup senyawa yang digunakan langsung untuk produksi energi yang membantu dalam metabolisme ( koenzim ),untuk membangun struktur tubuh atauuntuk membantu dalam sel tertentu.Suatu zat Gisisangat pentinguntuk organismedalam kelangsungansiklus hidup yang terlibat dalam fungsi organisme.
KEBIJAKAN KEIMIGRASIAN DI MASA PANDEMI COVID-19
Authors: safri irwan
Published: June 2021

Covid Disease 2019 (Covid-19) showed up toward the finish of 2019 in Wuhan, Hubei Province, China. The infection spread to different nations, including Indonesia. To forestall Covid-19 from spreading in Indonesia, the public authority, through the Directorate General of Immigration, given a few approaches while as yet maintaining basic freedoms. This examination will answer two issues. First is the means by which far types of movement strategy identified with Covid-19 from the viewpoint of basic liberties, second what are the deterrents confronted while executing the approach. The examination strategy utilized is subjective and with deductive reasoning rationale. This examination infers that the public authority sets two approaches during Covid-19. They are limitations for outsiders to Indonesian region and identification administrations limitations. On a basic level, the two approaches don't contain components of common liberties infringement. Other than of that, there is no critical obstruction during the time spent carrying out the approach so everything went on while as yet maintaining basic freedoms.
Konsep Ekonomi Pada Masa Rasulullah
Authors: Rozalddin Muh. Risky
Published: June 2021

Konsep ekonomi Islam pada zaman Rasulullah saw. ditandai dengan Allah swt. menghadirkan Rasulullah saw. di Mekah agar memperbaiki kondisi perekonomian disana. Akan tetapi, Rasulullah saw. tidak mempraktikkan konsep ekonomi Islam di Mekkah melainkan di Madinah. Dan praktik ekonomi Islam dilakukan pada zaman Rasulullah saw. dan dilanjutkan oleh umat Islam setelahnya hingga saat ini.
The hit problem of five variables in the generic degree $5(2^{s}-1) + 42.2^{s}$ and its application
Authors: Phúc Đặng Võ
Published: June 2021

We denote by $\mathbb Z_2$ the prime field of two elements and by $P_t = \mathbb Z_2[x_1, \ldots, x_t]$ the polynomial algebra of $t$ generators $x_1, \ldots, x_t$ with $\deg(x_j) = 1.$ Let $\mathcal A_2$ be the Steenrod algebra over $\mathbb Z_2.$ A central problem of homotopy theory is to determine a minimal set of generators for the $\mathbb Z_2$-graded vector space $\{(\mathbb Z_2\otimes_{\mathcal A_2} P_t)_n\}_{n\geq 0}.$ It is called \textit{the "hit" problem} for Steenrod algebra and has been completely solved for $t\leq 4.$ In this article, we explicitly solve the hit problem of five variables in the "generic" degree $n=5(2^{s}-1) + 42.2^{s}$ for every non-negative integer $s.$ The result confirms Sum's conjecture [15] for the relation between the minimal sets of $\mathcal A_2$-generators of the algebras $P_{t-1}$ and $P_{t}$ in the case $t=5$ and degree $n$ above. An efficient approach for surveying the hit problem of five variables has been presented. As an application, we obtain the dimension of $(\mathbb Z_2\otimes_{\mathcal A_2} P_t)_n$ for $t = 6$ and degree $5(2^{s+5}-1) + 42.2^{s+5}$ for all $s\geq 0.$ At the same time, we show that the Singer transfer homomorphism is an isomorphism in bidegree $(5, 5+n)$.
PENGARUH LOKASI, HARGA DAN KUALITAS BARANG TERHADAP MINAT BELANJA KONSUMEN PADA SWALAYAN GOTA DI KABUPATEN MALUKU TENGGARA
Authors: MARANRESSY INAY KRISTINA
Published: June 2021

Swalayan Gota merupakan salah satu Swalayan yang ada di Kabupaten Maluku Tenggara yang berlokasi di Ohoijang, dalam aktifitasnya Swalayan Gota menjual sembilan bahan pokok diantaranya beras, gula, dan lainnya, selain itu juga menjual perlengkapan dan peralatan mandi seperti sabun, odol gigi, sikat gigi dan pakaian serta beragam kebutuhan lainnya. Mengingat konsumen yang berbelanja di Swalayan Gota tidak diketahui dengan pasti berapa jumlahnya maka untuk mendapatkan sampel yang representatif. Hasil penelitian mendapatkan bahwa persamaan regresi yang terbentuk adalah Y = 13.283 + 0.506 X1 + 0.380 X2 + 0.425 X3. Hasil penelitian menunjukkan bahwa lokasi mempunyai pengaruh yang paling besar dibandingkan dengan variabel-variabel bebas lainnya terhadap minat belanja konsumen. Hasil penelitian ini berupa variabel lokasi berpengaruh positif dan signifikan terhadap minat belanja konsumen. Variabel harga berpengaruh positif dan signifikan terhadap minat belanja konsumen. Variabel kualitas barang berpengaruh positif dan signifikan terhadap minat belanja konsumen.
The Effect of Reading and Writing Literacy in Improving the Quality of Teaching Materials
Authors: Yuridha Merli
Published: June 2021

Literacy is one of the important aspects that we must know. Literacy from time to time has undergone many changes. According to (Alfin, 2018) in its development literacy must receive attention. Literacy is a basic skill that must be mastered by every individual. Attention to literacy to improve student learning abilities in the future. Literacy is widely included in subjects at school. One of them is learning Indonesian. One aspect of literacy contained in learning Indonesian. In practice, Indonesian Language Learning focuses on four aspects of skills that require teacher creativity to achieve good learning outcomes. These four aspects of skills are also needed to study other subjects. Every aspect of Indonesian language skills is interrelated with each other. For example, a person can speak because he is able to listen, or is skilled at reading, and writing. Likewise, a person who is skilled at writing, if he is skilled at listening, speaking, and reading. Each skill is interrelated with one another. (Novelti et al., 2018)
FINAL EKONOMI AINUL YAQIN_081
Authors: Yaqin Ainul
Published: June 2021

Catatan terkait hukum perdagangan jual beli
Optimal well-being in the aftermath of anxiety disorders: A 10-year longitudinal investigation
Authors: Disabato David , Kashdan Todd Barrett , Doorley James , Kelso Kerry , Volgenau Kristina , Devendorf Andrew , ROTTENBERG JONATHAN
Published: June 2021

Background: Although preliminary research has explored the possibility of optimal well-being after depression, it is unclear how rates compare to anxiety. Using Generalized Anxiety Disorder (GAD) and Panic Disorder (PD) as exemplars of anxiety, we tested the rates of optimal well-being one decade after being diagnosed with an anxiety disorder. Based on reward deficits in depression, we pre-registered our primary hypothesis that optimal well-being would be more prevalent after anxiety than depression as well as tested two exploratory hypotheses.Method: We used data from the Midlife in the United States (MIDUS) study, which contains a nationally representative sample across two waves, 10 years apart. To reach optimal well-being, participants needed to have no symptoms of GAD, PD, or major depressive disorder (MDD) at the 10 year follow-up and exceed cut-offs across nine dimensions of well-being.Results: The results failed to support our primary hypothesis. Follow-up optimal well-being rates were highest for adults previously diagnosed with MDD (8.7%), then PD (6.1%), and finally GAD (0%). Exploratory analyses revealed optimal well-being was approximately twice as prevalent in people without anxiety or depression at baseline and provided partial support for baseline well-being predicting optimal well-being after anxiety. Results were largely replicated across different classifications of optimal well-being.Limitations: Findings are limited by the somewhat unique measurement of anxiety in the MIDUS sample as well as the relatively high rate of missing data.Conclusions: We discuss possible explanations for less prevalent optimal well-being after anxiety vs. depression and the long-term positivity deficits from GAD.
PENYELIDIKAN DALAM MENGAMBIL KEPUTUSAN SISTEM INFORMASI MANAJEMEN BERBASIS KOMPUTER
Authors: Aqil Muhammad
Published: June 2021

pada sebuah sistem informasi manajemen berbasis komputer dapat diartikan bahwa komputer dapat memegang peran yang sangat penting dari sebuah sistem informasi manajemen. Lingkungan eksternal dan yang berkaitan erat dengan kompetensi teknis, kemampuan organisasi untuk melakukan adaptasi pada keberhasilan organisasi. Sumber daya informasi yang berkualitas pada penggunaan sistem informasi manajemen menjadi pilihan yang tepat di tengah pesatnya perkembangan teknologi.
Peran dan Mutu Pelaksanaan Pembelajaran oleh Guru di Satuan Pendidikan Tingkat Atas
Authors: Zulhafizh Zulhafizh
Published: June 2021

The purpose of research to analyze the implementation of the role and the quality of learning carried out by teachers in upper-level education units. This research uses descriptive correlation method. The research sample consisted of 142 people who were spread across several upper level education units in Siak Regency, Riau Province. The instrument used for data collection was a Likert scale questionnaire. The analysis technique uses descriptive statistics, Product Moment correlation, normality, and anova. The results showed that all the actions taken had a significant role, namely reaching 47.8%, while 52.3% was determined by other factors. All activities carried out have an influence on the form of learning. The implementation of learning carried out in the upper level education unit has a very high quality standard. The teachers have taken appropriate actions to achieve learning objectives. The ability and skills of teachers in carrying out their duties are a means of realizing productive learning.
Tugas PI UAS
Authors: David Gabriel
Published: June 2021

Tugas PI UAS Gabriel David P S 130218261
Teacher Competencies and Its Relation to the Development of Interactive Media
Authors: Emelfa
Published: June 2021

A teacher must have several competencies, one of which is competence in preparing meaningful learning. During the Covid-19 period, teachers must be creative in choosing learning media to be used in distance learning. One alternative is interactive learning media. When teachers and students do not meet face-to-face, students can be facilitated to experience meaningful learning through interactive learning media.