bluuebunny/crossref_metadata_2025 huggingface dataset:
The First Experience of Using the Developed Modified Allogenic Bone Grafts in the Surgical Treatment of Patients With Severe Fractures of the Surgical Neck of the Humerus
Authors: Vaza A. Y. , Fain A. M. , Borovkova N. V. , Galankina I. E. , Makarov M. S. , Zabavskaya O. A. , Titov R. S. , Ziminа L. N. , Nefedova G. A. , Bondarev V. B. , Mironov A. S. , Ponomarev I. N.
Published: April 2021

BACKGROUND Fractures of the proximal humerus are more common in older adults. Two options for surgical treatment of the same fractures are routinely performed — primary arthroplasty and osteosynthesis with metal fixators. Both methods are most effective in elderly patients for augmentation of the proximal humerus. For this purpose, methyl methacrylate cement or bone allo-/autografts are used. However, the incidence of unsatisfactory functional results after surgery remains high.

AIM OF STUDY To develop allogeneic graft to strengthen the proximal humerus in the osteosynthesis of a comminuted fracture with a lack of bone tissue which has osteoconductive properties and capable of being a carrier of biologically active substances.

MATERIAl AND METHODS The head, neck and portion of diaphysis of a fibula of a cadaver were used for a graft. The graft 6–8 cm long was formed and saturated with a collagen solution. Ten patients with 4-fragment fractures of the proximal humerus underwent surgery. X-rays and computed tomography of the operated joint were performed the day after surgery, and then, 6 weeks, 6 months, and one year after the surgery. The follow-up period ranged from 6 to 18 months.

RESUlTS When evaluating osteoconductive effect in cell culture during saturation with collagen, the content cells on the surface of bone was 5–8 thousand/cm2 and 16–18 thousand/cm2 on the sample, saturated with plasma and growth factors. The studied bone grafts were biocompatible and non-toxic for fibroblast culture. On the surface of the bone graft without collagen adhesion of minimum number of cells occurred. After saturation of the graft with collagen, the adhesive activity of cells on the bone matrix increased, which indicated the presence of an osteoconductive effect. The addition of plasma saturated with growth factors promoted an increase in the number of adhered cells; therefore, the graft can be used as a carrier of biologically active substances. Postoperative X-ray didn’t reveal secondary varus displacement of the head in any patient (except for ununiformed fracture case).

CONClUSION The developed graft is non-toxic, does not possess immunogenicity, has more pronounced osteoconductive properties in comparison with native bone allografts, which contributes to its colonization with cells. The use of such a graft in clinical practice makes it possible to achieve healing of the fracture and prevent secondary displacement of fragments.
Impact of a One-Off Demonstration on the Use of ICT in the Teaching of Andragogy Students on Their Change of Attitude Towards the Use of ICT in Education
Authors: Kursch Martin
Published: April 2021

The research study deals with the issue of attitudes towards the use of ICT in the education of andragogy students. As a method of research, we chose a three-year experiment. The study first surveyed 224 students in andragogical fields – future educators - in order to discover input factors like identifying their relationship to ICT, skills, experience in the field of ICT and frequency of the use of ICT at work. The study further examines four separate variables, representing three dimensions of attitudes (cognitive, conative and emotional) towards the use of ICT in education – the conviction to use ICT in their teaching, the opinion on the impact of the use of ICT on the understanding of curriculum, the opinion on the impact of the use of ICT in teaching and education itself and the tendency to act to recommend the use of ICT in teaching to their colleagues. In the university teaching of students itself, using the didactic method of AIDA on a mathematical problem, the experimental group is the subject of a demonstration of the use of ICT in empirical verification of the results of the task, as opposed to a control group that does not use ICT in teaching. Specifically, the representation of results in MS Excel and the empirical verification of results in a Python-created program are used. The research aims to determine the impact of the demonstration of a one-off use of ICT in teaching on the change of dimensions of attitude towards the use of ICT in education represented by separated variables. Their rate is measured by a 10-point bipolar scale. The results show p value (p<0.05), which provides evidence that a one-off demonstration of the use of ICT in the teaching of andragogy students is a factor that statistically significantly influences these dimensions of attitude towards the use of ICT in education and thus its overall change, regardless of the gender of the students. The three-year research study confirmed these results in an aggregated experimental group of 112 respondents who were compared with the same aggregated control group.
Peculiarities of The Students’ Conceptual Structures and Basic Beliefs Correlation
Authors: Kibalchenko Irina , Tatiana Eksakusto , Klavdia Chegodaeva
Published: April 2021

The research is basically aimed at studying the students’ conceptual structure and basic beliefs being formed and correlated as well as at their classifying in accordance with the level of integration and coherence. The students’ conceptual structures and basic beliefs are analyzed in the article; special attention is paid to semantic, categoric and conceptual abilities coherence (homogeneity) and formedness. If speaking about methodology of the research, it includes theoretical and empirical methods. Theoretical, cluster and factor analyses as well as the Kruskal-Wallis rank sum test allowed us to define 5 clusters (groups) with low, medium-low, mean (average), high and extraordinary indices of the students’ conceptual structure and basic beliefs formedness. These clusters significantly differ at levels from p≤0.01 to p≤0.05. The students’ conceptual structure and basic beliefs correlations form the level systems classification characterized by different coherence of these levels. It is sufficient to conclude that different basic beliefs are the core of the students’ subjective inner world and are correlated with these beliefs conceptual structures specificity. The attained results prove the phenomenon of the intellectual resource “splitting”: the intellectual resource can split into productive and non-productive components in case of high-level intelligence, i.e. if the intelligence level is too high the intellectual resource and its basic components can be insufficiently formed and/or poorly developed.
Stromal Vascular Fraction: Biology and Application Outlook
Authors: Pavlov V. N. , Kazikhinurov A. A. , Kazikhinurov R. A. , Agaverdiev M. A. , Gareev I. F. , Beylerli O. A. , Mazorov B. Z.
Published: April 2021

Stromal vascular fraction (SVF) is a heterogeneous cell extract obtained with enzymatic dissociation of adipose tissue followed by centrifugation. This population includes many different cell types, i.a. adipose tissue stem cells (ATSCs), vascular endothelial and smooth muscle cells and their precursors, pericytes, fibroblasts, macrophages, T-lymphocytes, etc., excluding mature adipocytes. The main SVF component is ATSCs capable of self-renewal and multipotent differentiation. Since early research on SVF, an extensive effort has been aimed at understanding its clinical applications promoting a significant progress in the SVF use for treatment of various diseases and injuries. The past decade has witnessed an upward publication trend in basic and clinical research into the SVF therapeutic value. Manifold methods and devices for the SVF isolation from human liposuction lipoaspirate have been developed, continuously contributing to preclinical and clinical trials of its safety and efficacy. This review discusses the main properties and functions of the SVF cell population, its efficacy and safety for human therapy.
HÁ VIDA NA MÁQUINA? NOTAS SOBRE A EDUCAÇÃO NO SÉCULO XXI E O CASO DO URUGUAI
Authors: Marrero Fernández Adriana Elsa
Published: April 2021

Historicamente, a educação uruguaia sempre foi marcada pelos princípios da universalidade e da igualdade. Com base no direito indiscutível de cada pessoa à educação gratuita, obrigatória e laica, sempre teve como objetivo garantir aos mais humildes e marginalizados o acesso a todos os bens culturais de nossa sociedade. Porém, no século XXI, vemos que na ambição de seu propósito está a razão de seu fracasso. Este ensaio tenta localizar as falhas de um sistema de ensino público que, fingindo ser perfeito, se revelou injusto, exclusivo e reprodutivo.
MAIN CHARACTER’S STRUGGLE AGAINSTS WOMAN OPPRESSION IN “MARLINA THE MURDERER IN FOUR ACTS” MOVIE
Authors: SIMANJUNTAK DESY NATALIA , TAMBUNAN ANNA RIANA SURYANTI , TETTY MORADA
Published: April 2021

This study dealt with the struggle of the main character in Marlina the Murderer in Four Acts movie. The objectives were to find out the oppressions that the main character experienced, the struggles against the oppression, and how the main character struggled against the oppression. This study used descriptive qualitative as the method to analyze the data. The researcher used Young's (1990) theory to analyze the data from the movie's script. Marlina, as the movie's main character, suffered from three kinds of oppression; marginalization, powerlessness, and violence. Marlina suffered oppression because she was powerless; she lived in poverty and patriarchal culture in Sumba. Marlina also struggles against oppression by doing feminism; they are; liberal feminism and radical feminism.
METHODS IN TRANSLATING PROVERBS IN MANGALA PAKPAHAN’S BOOK: BATAK TOBA KARAKTER KEARIFAN INDONESIA
Authors: SIHOMBING SOLINA , DIRGEYASA I WAYAN , TETTY MORADA
Published: April 2021

This study aimed to find out the method used in translating Batak Toba Proverbs into English and explain the reasons for the translation method used in Mangala Pakpahan’s book: Batak Toba character kearifan Indonesia. The research was conducted by using the descriptive qualitative method. The data were taken from Mangala Pakpahan’s book that contained 72 proverbs from the Batak Toba language. The findings of the study showed that not all methods were used in translating the proverbs. They were the adaptation translation method (69.44%), followed by the communicative translation method (12.5%), free translation method (11.12%), and the last was the exact translation method (6.94%). Moreover, the reason for using the translation method in translating the proverbs was the translation sounds natural even though in the form of proverbs and is still focused on English grammatical rules. Translation method was also the easier way to be understood by the reader, and it keeps retaining the translation of the proverbs without altering the original meaning.
REGISTER APPLICATION ON INSTAGRAM: BEAUTY PRODUCT
Authors: SINAGA LEYLA CHRISTY , GINTINGS IMMANUEL PRASETYA , HASIBUAN JULI RACHMADANI
Published: April 2021

In the era of globalization, seller-buyer transactions happened a lot on Instagram's social media platform. A register is a language variation that is usually used in the seller-buyer transaction. This study aimed to analyze the register in Instagram used in a beauty product by examining the linguistic form that is viewed from the register variable situation and understanding the meaning of register in a beauty product. This research uses qualitative research by collecting the data, analyzing the data, analyzing the context, and identifying the data. The object of this research is an Instagram account by guardian_id that was taken in February-March 2020. Based on the analysis, the researcher found 20 data with two types of linguistic form, the unstable situation of register that is field, tenor, mode, and two types of meaning in the register.
Strategi promosi dan komunikasi “UIN SUSKA Mengajar” dalam meningkatkan kesadaran publik mengenai pendidikan
Authors: Hayyuni Marda Al , Sari Genny Gustina
Published: April 2021

UIN SUSKA Mengajar adalah nama sebuah komunitas yang kini sudah menjadi bagian dari unit kegiatan mahasiswa di Universitas Islam Negeri Sultan Syarif Kasim Riau. UIN SUSKA Mengajar merupakan suatu gerakan peduli pendidikan anak pedalaman dengan cara melahirkan relawan, membina relawan-relawan yang tanggap dan peduli terhadap masalah pendidikan di daerah pedalaman dan menjembatani aspirasi anak-anak pedalaman agar dapat diperhatikan pemerintah. Tujuan dari UIN SUSKA Mengajar adalah untuk meningkatkan kualitas pendidikan anak pedalaman yang tidak terjamah oleh pemerintah. Daerah Taman Nasional Bukit Tigapuluh (TNBT) Kabupaten Indragiri Hulu Provinsi Riau merupakan salah satu daerah yang saat ini menjadi fokus daerah pengembangan pendidikan UIN SUSKA Mengajar. Penelitian ini membahas bagaimana strategi promosi dan komunikasi yang dilakukan oleh UIN SUSKA Mengajar dalam menjalin hubungan dengan masyarakat di Provinsi Riau agar dapat meningkatkan kesadaran pendidikan dan sekaligus membantu pendidikan anak-anak daerah pedalaman yang tidak terjangkau oleh pemerintah. Metode yang digunakan dalam penelitian ini adalah deskriptif kualitatif dengan menggunakan teknik purposive. Hasil penelitian ini adalah strategi promosi dan komunikasi UIN SUSKA Mengajar dalam meningkatkan kesadaran pendidikan publik adalah dengan memfokuskan 4 (empat) elemen komunikasi, yaitu elemen komunikator yang memiliki kriteria kreadibilitas komunikator, daya tarik komunikator, dan penguasaan komunikator. Kedua, elemen komunikan yaitu latar belakang pendidikan, latar belakang agama, dan jenis kelamin. Ketiga, elemen strategi penyampain pesan yang dilakukan adalah dengan melakukan penekanan pada inti pokok pesan. Keempat adalah elemen pemilihan media, yaitu dengan memilih media cetak dan media sosial berupa Website, Instagram, Facebook, dan Whatsapp sebagai sarana membantu penyebaran informasi dan komunikasi.
Díadas de cuidado y competencia para cuidar al alta hospitalaria en un hospital de Bogotá
Authors: Rojas Barbosa Jenny Carolina , Quemba Mesa Monica Paola
Published: April 2021

Introducción. Con frecuencia las personas con enfermedades crónicas requieren un cuidado especial en su hogar, siendo en este contexto fundamental la competencia de cuidado. Objetivo. Identificar las características y asociaciones del cuidado informal y de la competencia para cuidar de la díada cuidador-persona con enfermedad crónica, durante el alta hospitalaria en un hospital de alta complejidad de Bogotá – 2016. Metodología. Estudio cuantitativo–descriptivo, transversal-analítico; en la medición se usó la encuesta de caracterización de la díada: cuidador-persona con enfermedad crónica, y el instrumento de competencia de cuidado en el hogar, versión abreviada CUIDAR. Resultados. Participaron 97 díadas. Los cuidadores eran, en su mayoría, mujeres (79,4%) con edad promedio de 43,7 (±15,5) años, con una trayectoria como cuidadores en promedio de 4,3 años. Las personas con enfermedad crónica eran mayormente mujeres (67,0%), con edad promedio de 64,3 años, y con antecedentes patológicos de diabetes mellitus (55,7%) e hipertensión arterial (48,5%). Cuidadores perciben sentir carga (61,9%) y pacientes ser una carga (57,7%); las díadas perciben mínima satisfacción con el apoyo recibido y están más familiarizadas con el uso del teléfono y televisión. La competencia para cuidar fue valorada como alta por el cuidador (44,8 puntos promedio). Dimensiones de la competencia de cuidado se asociaron (p<0,05) con escolaridad, compromiso religioso, carga percibida, edad del paciente, entre otros aspectos. Conclusiones. Las díadas de cuidado cuentan con características relacionadas con el nivel de competencia para el cuidado, estas son de importancia en la estructuración de intervenciones para mejorar el bienestar de los cuidadores.
Ex-haciendas en Tlaxcala. Hacia una reconfiguración del paisaje rural
Authors: Ríos Elorza Serafín
Published: April 2021

The hacienda system in Mexico represented a unique stage of development, playing a role of territorial control, social reproduction and production, reaching significant levels of productivity, forming a solid economic base, which allowed it to transcend various socio-political and economic conflicts, to this day, where due to its heritage and productive relevance, it has formed a vernacular landscape characteristic of the Mexican country side. The socio-economic and historical inheritance of the hacienda system in Tlaxcala gave rise to population centers, ejidos, municipalities and cities, from ceded or expropriated lands, forming the basis of the current Tlaxcaltec society. The assets represented by the former estates are at risk, when the disappearance of 65% of properties is registered, due to the high maintenance and conservation costs; low profitability of agricultural production; legal problems and lack of institutional support. This chapter deals with the origin, evolution and current situation of the former hacienda of the estate of Tlaxcala, concluding with rescue and conservation alternatives.
Una aproximación a la dimensión patrimonial del paisaje en la comunidad de San Pedro Atlapulco, Estado de México
Authors: Rivera Juárez Frida Itzel
Published: April 2021

Our landscapes today face daily the voracity of neoliberal capitalism, this socio-economic system generates abysmal inequalities and puts the future of our territories at risk. Given this panorama, the development of participatory methodologies focused on rescuing local territorial and historical knowledge is seen as an opportunity to know the social assessment of the landscape. The objective is to integrate the heritage dimension of the landscape into territorial management, in an inclusive process through dialogue between science, public administration and civil society.
Cálculo de la impedancia de secuencia cero del transformador Zig-Zag tipo núcleo de tres columnas utilizando el método de elementos finitos
Authors:   , Castillo Pérez Alejandro
Published: April 2021

In the present work, the zero sequence impedance, of a three column core type grounding Zig-Zag transformer of 9.959 MVA , 34.5 kV is calculated applying the finite element method. A magneto-dynamic analysis is performed to study the grounding transformer in the frequency domain. 2D and 3D models are built, which are solved through the formulations of vector and scalar potentials. Once the behavior of the magnetic field has been studied, the magnetic energy storage technique is used to calculate the value of the zero sequence impedance. The results obtained by the finite element method were experimentally validated in the laboratory. In recent years the classical design of these grounding transformers has not changed. Therefore, this work presents the solution of a problem posed by a Mexican manufacturer of transformers, which represents an excellent relationship between the university-company binomial.
Serum Beta-Trace Protein versus Glomerulus Filtration Rate as a Predictor for Kidney Function among Hypertensive Patients
Authors: Handayani Ranisa , Widaningsih Yuyun , Mangarengi Fitriani , Bahrun Uleng
Published: April 2021

Beta-Trace Protein (BTP) is a low-molecular-weight glycoprotein that can convert prostaglandin H2 into prostaglandin D2 and is associated with the vascular function's alteration. Serum beta-trace protein has been proposed as a promising marker in predicting kidney function in hypertensive patients. This study aimed to analyze the correlation between BTP and glomerulus filtration rate, particularly in hypertensive patients. A cross-sectional survey was conducted on 70 hypertensive participants admitted to Dr. Wahidin Sudirohusodo Hospital from July-August 2019. Beta-trace protein, serum urea, creatinine, blood pressure, and anthropometric were measured. The Glomerulus Filtration Rate (GFR) with Cockcroft Gault was graded using GFR stages. The hypertension was graded according to the category of the European Society of Cardiology (ESC) 2018. A descriptive test, Kruskal-Wallis test, Fisher exact test, Spearman correlation test, and logistic regression test were performed at a confidence level of 95%. Significant differences were found between the age, systole, diastole, blood urea, creatinine, and GFR (p=< 0.05). There was a significant difference between GFR and the degree of hypertension (p=< 0.001), but no differences were found in the mean value of BTP and the degree of hypertension (p=0.348). A significant negative correlation was found between GFR and BTP (p=0.028, r = -0.263). Logistic regression test s showed that the increased BTP led to 2.591 times greater possibility of end-stage renal disease with GFR < 15 mL/min/ 2 1.73 m (crude odds ratio 95% CI 1.168-5.475). Serum beta-trace protein possesses a prognostic ability of glomerulus filtration rate and can be used to predict the odd of end-stage renal disease in hypertensive patients.
Pancytopenia and Progressive Splenomegaly in Patient with Disseminated Histoplasmosis
Authors: Notopuro Paulus Budiono , Hajat Arifoel , Sedana Made Putra
Published: April 2021

Disseminated histoplasmosis is a severe manifestation of fungal infection caused by Histoplasma capsulatum. It usuallyoccurs in a patient with an immunodeficiency state. With the increase of HIV infection and the use of immunosuppressantdrugs lately, its prevalence also increases. A case of 43 years old female with prolonged fever, pancytopenia, and massiveprogressive splenomegaly. The diagnosis of disseminated histoplasmosis and the secondary hemophagocytic syndromewas made based on bone marrow examination that showed increased hemophagocytic processes and multipleintracytoplasmic H.capsulatum. She had been treated with Itraconazole 200 mg for three months. In the first month'sevaluation, her complete blood count improved without any transfusions, and the size of her spleen size decreased. She hadbeen fully recovered after the completion of 3-month treatment.
C-Reactive Protein as A Fungal Infection Marker in Acute Leukemia Patients
Authors: Sidharta Brigitte Rina Aninda , Suparyatmo JB. , Astuti Avanti Fitri
Published: April 2021

Invasive Fungal Infections (IFIs) can cause serious problems in cancer patients and may result in high morbidity andmortality. C-reactive protein levels increase in response to injury, infection, and inflammation. C-reactive protein increasesin bacterial infections (mean of 32 mg/L) and in fungal infections (mean of 9 mg/L). This study aimed to determineC-Reactive Protein (CRP) as a marker of fungal infections in patients with acute leukemia by establishing cut-off values ofCRP. This study was an observational analytical study with a cross-sectional approach and was carried out at the Departmentof Clinical Pathology and Microbiology of Dr. Moewardi Hospital in Surakarta from May until August 2019. The inclusioncriteria were patients with acute leukemia who were willing to participate in this study, while exclusion criteria were patientswith liver disease. There were 61 samples consisting of 30 male and 31 female patients with ages ranging from 1 to 70 years.Fifty-four patients (88.5%) were diagnosed with Acute Lymphoblastic Leukemia (ALL) and 30 (49.18%) were in themaintenance phase. The risk factors found in those patients were neutropenia 50-1500 Î¼L (23.8%), use of intravenous line(22%), and corticosteroid therapy for more than one week (20.9%). The median of CRP in the group of patients with positiveculture results was 11.20 mg/L (11.20-26.23 mg/L) and negative culture results in 0.38 mg/L (0.01-18.63 mg/L). The cut-offvalue of CRP using the Receiver Operating Curve (ROC) was 9.54 mg/L (area under curve 0.996 and p. 0.026), with a sensitivityof 100%, specificity of 93.2%, Positive Predictive Value (PPV) of 33.3%, Negative Predictive Value (PPV) of 100%, PositiveLikelihood Ratio (PLR) of 1.08, Negative Likelihood Ratio (NLR) of 0 and accuracy of 93.4%. C-reactive protein can be used asa screening marker for fungal infections in patients with acute leukemia.
Antibiotics Susceptibility Pattern of MRSA at Intensive Care Room of Ulin General Hospital Banjarmasin
Authors: Chineko Shania Indah , Pratiwi Dewi Indah Noviana , Rahmiati Rahmiati , Muthmainnah Noor , Yasmina Alfi
Published: April 2021

Infection caused by Methicillin-Resistant Staphylococcus aureus (MRSA) is a healthcare-associated infection thatreceives the most significant attention worldwide due to its resistance. Administration of precise and rational antibiotics canprevent high MRSA rates in hospitals. This study aimed to determine the antibiotic susceptibility pattern of MRSA at theintensive care room of Ulin General Hospital, Banjarmasin, between 2016 and 2018. This study was an observational analyticstudy by taking the results of culture and antibiotic susceptibility pattern data of the MRSA isolated from patients treated atthe intensive care room retrospectively. The results showed 37 data of patients suffering from MRSA at the intensive careroom in 2016-2018, with a percentage of 23.81%, 25.81%, and 35.19%, respectively. The most common sources of MRSAisolate in this study were sputum (32.39%), blood (29.27%), and pus (16.67%). From 2016 to 2017, there was a decreasedsusceptibility to macrolide antibiotics, aminoglycosides such as Gentamicin, and quinolones such as Moxifloxacin. In 2018,there was an increased susceptibility pattern of some antibiotics compared to the previous period. Antibiotics with thehighest susceptibility in period of 2016-2018 were Linezolid, Quinupristin/Dalfopristin, Tigecycline, Nitrofurantoin, andTrimethoprim/Sulfamethoxazole. Also, the antibiotic with the lowest susceptibility was Tetracycline. It was concluded thatthere had been changes in some antibiotics' susceptibility pattern to MRSA within 2016-2018.
Relationship between Serum Dehydroepiandrosterone Levels and Heart Ejection Fraction in Heart Failure Patients
Authors: Chrisnanda Rima Hayyu , Fuadi M. Robiul , Edijanto S.P. , Yusuf M.
Published: April 2021

Cardiovascular disease is still a serious problem in the world of health. Life expectancy after being diagnosed with heartfailure is 50% and 10% for 5 and 10 years. Steroid hormones such as Dehydroepiandrosterone (DHEAS) havecardioprotective effects by inhibiting the formation of atherosclerotic plaque, pulmonary artery vasodilators, and protectingcardiomyocytes. DHEAS levels decrease with age. Decreased DHEAS levels are associated with an increased risk ofcardiovascular disease. This study aimed to know the relationship between DHEAS levels in serum and ejection fractions inheart failure patients. This cross-sectional study used a sample of 34 people aged > 30 years who had been diagnosed withheart failure by a specialist in the Department of Cardiology and Vascular Medicine. The diagnosis of heart failure usesEchocardiography to determine the ejection heart fraction. DHEAS levels were taken from venous blood and examinedusing the CLEIA method with an IMMULITE device (Siemens Healthineers, Germany). Statistical analysis was performed bySpearman correlation test, with a significance level of p < 0.05. Thirty-four research subjects found that 13 patients had anejection fraction of 40% (Heart Failure with Reduced Ejection Fraction/HFrEF), 12 patients had an ejection fraction of 41-49%(borderline) and 9 patients had an ejection fraction of â‰¥ 50% (Heart Failure with Preserved Ejection Fraction/HFpEF).Spearman correlation test results obtained a correlation coefficient or r=0.357 with a value of p=0.038, which meant therewas a significant relationship between DHEAS with ejection fraction (p < 0.05). The lower the DHEAS level, the ejectionfraction would also be lower. Further with age, DHEAS levels get lower. The lower the DHEAS level, the lower the ejectionfraction.
Analysis of Urea, Creatinine, and Platelet Indices in Hypertensive Patients
Authors: Hutapea Ratna Delima , Widaningsih Yuyun , Mangarengi Fitriani , Muhadi Darwati
Published: April 2021

Hypertension may lead to complications of kidneys and blood vessels. Measurement of urea, creatinine, and platelet indices can be markers of renal function and endothelial dysfunction in hypertensive patients. This study aimed to analyze the profile and correlation between renal function parameters such as urea and creatinine and platelet indices (MPV, PDW, and PCT) with blood pressure in hypertensive patients. One hundred and thirty-third hypertensive patients treated at Wahidin Sudirohusodo Hospital from April to July 2019 were involved in this cross-sectional study. Researchers collected demographic data, blood pressure degrees (based on ESC 2018), systolic and diastolic blood pressure, and urea, creatinine, and platelet index value (MPV, PDW, and PCT) data from the medical record. Descriptive analysis, Spearman test, Fisher exact test, and Kruskal-Wallis test were used confidence interval of 95%. A total of 133 participants were involved in this research. There were significant difference between the mean age (p=0.023), MPV (p=0.032), and PCT (p=0.019) to the degree of hypertension, while gender (p=0.185), urea (p=0.106), creatinine (p=0.498), platelet (p=0.094) and PDW (0.826) showed no significant difference. The bivariate correlation test showed that urea (rs= -0.232 p=0.007) and creatinine (rs= -0.180 p=0.038) had a positive correlation with systolic blood pressure. Platelets index, MPV (rs=0.285 p=0.001), and PDW (rs=0.179) were positively correlated to systolic blood pressure. Also, urea levels and creatinine were positively correlated with MPV value. There was an increase in MPV along with the increase of urea, creatinine. An increase in MPV could be a predictor of endothelial damage and the risk of atherothrombosis.
Role of Lactic Acid as Predictor of Mortality in Patients with Acute Myocardial Infarction
Authors: Firani Novi Khila , Oetji Theresa Sugiarti
Published: April 2021

The hypoxic-ischemic condition causes tissue metabolic abnormalities and organ dysfunction, characterized byelevated blood lactic acid levels. It is suspected that increased lactic acid in Acute Myocardial Infarction (AMI) patients couldincrease mortality risk. This study aimed to determine whether increased lactic acid levels could be used as a predictor ofmortality in AMI patients. The analytical observational-cohort study was performed on AMI patients who were admitted toDr. Saiful Anwar Malang Hospital from January 2018 to December 2019. Research subjects were divided into two groups, thegroup of deceased and living AMI patients, who were tested for lactic acid, troponin-I, CKMB, and creatinine levels atadmission. Diabetes mellitus and septic patients were excluded. For analysis of lactic acid as a predictor of mortality, ROCcurve analysis and odds ratio were used. There found that lactic acid levels in the deceased AMI patients group were highercompared to that of the living AMI patients (p < 0.05). The sensitivity and specificity values of lactic acid as a predictor ofmortality in AMI patients at a cut-off of 3.5 mmol/L were 66.7% and 80%, respectively. Odds ratio analysis showed that AMIpatients with lactic acid levels more than 3.5 mmol/L had 8 times greater mortality risk than those whose level less than 3.5mmol/L. It was concluded that lactic acid level can be used as an indicator to predict the mortality of AMI patients.
Analysis of Neutrophil Lymphocyte Ratio and Absolute Lymphocyte Count as Predictors of Severity of COVID-19 Patients
Authors: Selanno Yunianingsih , Widaningsih Yuyun , Esa Tenri , Arif Mansyur
Published: April 2021

It is important to predict the severity of COVID-19 during the pandemic. Both Neutrophil Lymphocyte Ratio (NLR) andAbsolute Lymphocyte Count (ALC) are two easy, low-cost, and fast inflammatory markers, which positively correlate with theseverity of COVID-19. The purpose of this research was to analyze the value of NLR and ALC as predictors of COVID-19severity. This research was a retrospective study using medical record data of 376 COVID-19 patients duringApril-September 2020 at the Hasanuddin University Hospital and Makassar City Regional Hospital. Patients were classifiedinto non-severe and severe COVID-19. Neutrophil lymphocyte ratio and ALC values were determined based on routineblood test (Sysmex XS-800i) results, statistical analysis using Independent T-test, while NLR and ALC diagnostic values wereanalyzed with Receiver Operating Characteristics (ROC) curve to obtain the cut-off value, p < 0.05 was significant. Thesamples consisted of 372 non-severe and 49 severe COVID-19 patients. Neutrophil lymphocyte ratio value in non-severe(4.02±5.22) was significantly different from severe COVID-19 (9.81±7.06) (p < 0.001), similar to ALC in non-severe(2.00±0.83x103/Î¼L) and severe COVID-19 (1.22±0.78x103/Î¼L) (p < 0.001). Receiver operating characteristics curve showedthat NLR had a sensitivity of 91.8% and specificity of 66.4% with a cut-off â‰¥ 3.17 with Negative Predict Value (NPV) of 98.2%and Positive Predict Value (PPV) of 29.0%; while ALC had a sensitivity of 81.6% and specificity of 64.8% at cut-offâ‰¤ 1.74x103/Î¼L with NPV of 95.9% and PPV of 25.8%. Increased NLR and decreased ALC in severe COVID-19 patientsoccurred due to an increased inflammatory response resulting in a decreased cellular immunity. Receiver operatingcharacteristics curve showed a cut-off for NLR of 3.17 and ALC of 1.74x103/Î¼L, indicating an optimum sensitivity andspecificity. It was concluded that NLR and ALC can be used as predictors of COVID-19 severity with a cut-off â‰¥ 3.17 andâ‰¤ 1.74x103/Î¼L, respectively.
Agreement of Urine Sediment Using Shih-Yung Method in Aspirated and Decanted Supernatant Removal Technique
Authors: Anggraini Jesi , Rikarni Rikarni
Published: April 2021

The technique of supernatant removal in urine sediment examination using the Shih-Yung method can be done by aspirating and decanting. The aspirated technique is the recommended technique. The Central Laboratory Installation of Dr. M. Djamil Hospital, Padang used decanted supernatant removal technique. The variety of preanalytical procedures affect the results of urine sediment examination. This study aimed to analyze the agreement of erythrocyte, leukocyte, and non-hyaline cast sediment examination results using the Shih-Yung method in aspirated and decanted supernatant removal technique. This study was an analytical observational study with a cross-sectional design of 37 urine specimens that met the inclusion and exclusion criteria at the Central Laboratory Installation of Dr. M. Djamil Hospital, Padang from July to September 2020. Examination of erythrocyte, leukocyte, and non-hyaline cast sediment using Shih-Yung method with aspirated and decanted supernatant removal technique. Numeric data were analyzed using the Mann-Whitney U test and Cohen's Kappa test for the degree of agreement, p-value < 0.05 was considered significant. The agreement test results for erythrocyte, leukocyte, and non-hyaline cast sediment in aspirated and decanted supernatant removal technique were (Kappa=0.88, p < 0.05), (Kappa=0.83, p < 0.05), and (Kappa=0.86, p < 0.05), respectively. The degree of agreement test results for erythrocyte, leukocyte, and non-hyaline cast sediment using the Shih-Yung method in aspirated and decanted supernatant removal technique were almost perfect and statistically significant. The technique for supernatant removal in urine sediment examination using the Shih-Yung method can be done by decanting.
A Bibliometric Analysis of Dynamic Capabilities in the Field of Family Firms (2009-2019)
Authors: Brito Ochoa María Paulina , Sacristan- Navarro Maria Asuncion , Pelechano- Barahona Eva
Published: April 2021

This paper examines the various contributions of scientific research in the field of dynamic capabilities in the field of family businesses, using a bibliometric approach during the period 2009-2019. The volume of scientific publications found in the Web of Science (WOS) database was equal to 56 articles. The application of bibliometric methods and techniques has allowed to reflect the evolution of the level of publications, active institutions, methodologies employed and main research topics discussed. Taking into account the results obtained, future lines of research are proposed that allow progress in the consolidation of the study of dynamic capacities in the field of family businesses as a scientific discipline
Lectura y Escritura eficaces
Authors: García Velasco Antonio
Published: April 2021

El lenguaje escrito es, posiblemente, la forma de comunicación que más hacontribuido al progreso humano, tanto en ciencia y técnica como en arte, sobre todo en literatura. Ciertamente, el lenguaje escrito constituye un signo de un signo, es decir, una representación del lenguaje oral. Pero, al mismo tiempo, es algo más. De hecho, cuando escribimos nos vemos impelidos a pensar mejor, a aclarar nuestras ideas, a cuidar la forma de expresión. Al hablar improvisamos, codificamos nuestros mensajes de manera automática y automáticamente descodificamos las palabras de nuestro interlocutor. No existe tal automatismo al enfrentarnos a la lengua escrita. Dominar una lengua es dominar tanto la lengua oral como la lengua escrita.Hoy por hoy, uno de las mayores deficiencias a las que se enfrenta la escuela, en todos sus niveles, desde la Educación Primaria hasta la Universidad, es la lectura. Salvando los diferentes niveles, raramente se alcanza un grado adecuado de lectura eficaz (rapidez lectora y comprensión de lo leído).En la preocupación por contribuir al logro de la Lectura y Escritura eficaces, surge el programa de ordenador llamado ProLecturas.
Mediación lingüística del texto literario en la enseñanza del español L2: un estudio sobre las variables de facilitación de la lectura y su legibilidad
Authors: Ocampo González Aldo
Published: April 2021

Este estudio analiza los procesos de mediación lingüística del texto literario en la enseñanza del español como lengua extranjera. Específicamente, se profundiza en las variables de legibilidad incidentes en la facilitación del discurso escrito a colectivos de estudiantes provenientes de Haití, quiénes reciben clases de español en la ciudad de Santiago de Chile y, demuestran dificultades significativas de acceso a la lectura y a su comprensión. Se opta por un estudio cuantitativo de tipo descriptivo, con un diseño no-experimental de tipo trasversal. Se recurrió a la estadística descriptiva para el procesamiento de los datos recogidos mediante la aplicación de una escala likert dirigida a docentes y estudiantes de español. El primer instrumento describe las estrategias de mediación lingüística utilizadas por el profesorado, mientras que el segundo, efectúa una evaluación de las estrategias de lecturas, gustos y preferencias del estudiantado. Se concluye sobre la identificación de las dimensiones epistémicas que sustentan el discurso de la legibilidad y la lecturabilidad en el campo de la didáctica de segundas lenguas, desconociendo su potencial didáctico y su escaso nivel de implicación en actividades propias del trabajo pedagógico.
Literatura infantil y universidad: un estudio descriptivo sobre la formación inicial del profesorado de Grado en Educación Primaria
Authors: Palomares Marín Mari Cruz
Published: April 2021

La presente investigación busca ahondar en la formación específica sobre Literatura Infantil y Juvenil que reciben los futuros docentes de Educación Primaria. Un total de 86 alumnos, procedentes de dos facultades de Educación españolas, formó la muestra de alumnos encuestados. Para la recogida de información se diseñó un cuestionario con el que obtener información de carácter descriptivo, que posteriormente fue analizado utilizando el programa informático de análisis cuantitativo de datos. Los resultados de esta investigación revelan una consideración elevada por parte de profesorado en formación sobre los usos didácticos de la Literatura Infantil para el desarrollo de proyectos que impliquen el trabajo de la educación literaria y la promoción lectora, pero que no encuentran una correspondencia directa con las experiencias y formación recibida dentro de las aulas universitarias. Se concluye con los motivos por los que la formación en esta materia debe ser mejorada, aseverando la necesidad de una mayor presencia en la oferta académica tanto inicial como permanente en torno a esta materia.
Factores que influyen en el aprendizaje de la comprensión lectora y de la composición escrita: tres estudios realizados en aulas de Educación Infantil y Educación Primaria
Authors: Llamazares Prieto Mª Teresa , Alonso-Cortés Fradejas M.ª Dolores , Sánchez Rodríguez Susana
Published: April 2021

En este artículo se presentan tres estudios realizados en España sobre las condiciones que afectan a los procesos de aprendizaje de la lengua escrita. Como resultado de estas investigaciones, se ha encontrado que los conocimientos con los que los niños inician el aprendizaje formal en Infantil-5 años influyen significativamente, en primer curso de Educación Primaria, tanto en cuestiones concretas como el nivel de codificación como en su nivel general de rendimiento en lectura y escritura; se han descubierto relaciones significativas entre su nivel de comprensión escrita y la calidad de sus textos escritos; se han detectado patrones de interacción en situaciones de lectura yescritura observadas en el aula; se han caracterizado perfiles de prácticasdocentes para el aprendizaje inicial de la lengua escrita y se ha identificado quéestrategias de comprensión lectora se trabajan más frecuentemente en las aulas. Se explica cómo estos hallazgos pueden contribuir a la formación inicial ypermanente del profesorado así como al desarrollo curricular.
Leer sobre la muerte en la Biblioteca de Aula: una experiencia práctica de lectura en un aula de Educación Infantil
Authors: Selfa Sastre Moisés , Fraga de Azevedo Fernando José , Berengué Carbonell Iolanda
Published: April 2021

Este artículo muestra una experiencia de lectura sobre el tema de la muerteen un aula de 3º de Educación Infantil con uno de los cuentos que forman parte de la Biblioteca de Aula de este nivel educativo. La lectura de este texto narrativo se organiza en seis sesiones en las que a partir de un plan de diálogo se pretende trabajar la comprensión literal del texto y la interpretación de este. Las diversas producciones en forma de dibujos ilustrados con la escritura de palabras demuestran que la experiencia fue del todo positiva y que se alcanzó el objetivo inicial dela lectura y comprensión del texto narrativo escogido.
Plan de formación en comprensión lectora en el I.E.S. Américo Castro
Authors: Eleuterio Plata Ana Isabel
Published: April 2021

El artículo trata de mostrar de forma general los principales problemas de comprensión lectora con que nos encontramos en los centros escolares. Enconcreto en el centro de Educación Secundaria IES Américo Castro, son bastantes frecuentes este tipo de problemas, que el alumnado no comprende lo que lee le repercute de forma negativa en la realización de todo tipo de actividades (exámenes, tareas, etc.) y en todas las áreas o materias. Es por eso que el artículo resume las principales actuaciones que se llevan a cabo en el centro, sobre todo a través del Plan de Lectura, para intentar paliar este tipo de dificultades. La mayoría de estas propuestas están basadas en tres ejes: una metodología dinámica, lúdica y motivadora para el alumnado; la colaboración de todos los profesores/as y todos los departamentos y, sobre todo, partir de los intereses y las motivaciones de nuestro alumnado para fomentar el hábito lector como base de la competencia lectora.
Promoção da leitura na escola portuguesa: metodologias e crenças dos professores do Ensino Básico
Authors: Sardinha Maria da Graça , Azevedo Fernando , Rato Rosa
Published: April 2021

O artigo apresenta os resultados de um estudo levado a cabo no distrito de Castelo Branco, no interior de Portugal, sobre as metodologias e crenças dos professores do 1º Ciclo do Ensino Básico no âmbito da promoção da leitura. A amostra é constituída por 134 professores, que foram submetidos a um inquérito, o qual se encontra dividido em quatro partes: a primeira faz a identificação do inquirido, a segunda refere os hábitos de leitura do sujeito, a terceira diz respeito aos recursos que o professor se socorre e na última revela os métodos aplicados pelo professor em contexto de sala de aula.
Reading comprehension in Spanish language and literature manuals of the second cycle of Elementary Education
Authors: Sánchez Hita Beatriz
Published: April 2021

This paper deals with the readings and reading comprehension exercises from a representative set of Spanish language and Spanish literature textbooks, used in the second cycle of Elementary Education in Andalusia. Specifically, we attend on the typology of the texts, the selected authors and books and the exercises focused on the readings. The objective of the study is the determination of how the proposed texts help in the reading comprehension and which are the better ways to work with them.
Artes y literatura en la LOMCE: mecanismos para la comprensión de lecturas plurales
Authors: De Vicente-Yagüe Jara Mª Isabel
Published: April 2021

The current curriculum in Compulsory Secondary Education within the LOMCE law evidences the existing connection between the different artistic expressions. Specifically in the literary subjects, it is aimed to promote the consideration of the links between Literature and the rest of arts (Music, Painting, Cinema…) as an expression of the human feelings, while analyzing and interrelating works, characters and plots from all the time periods.Aesthetics, Rhetoric, Poetry, Fine Arts, Musicology, Semiotic, the Comparative Literature, and Criticism, as disciplines interested in the foresaid pairing, have just joint their studies, examining, from a theoretical approach, the existing links and transpositions between arts. In the educational field, establishing analogies and intersections between arts is conceived as a process for understanding the literary works: the didactic use of the semiotic correspondences for showing an interconnected reality of multiple readings in the classroom.From that perspective, a literary hypertext allows non lineal readings, through its links and connections with other texts, enhancing the student’s reception and leading it towards multiple and significant realities. In that sense, the literary work, in where several possible reading itineraries coincide all together, acquires an open character, losing its consideration of being close and concluded. Hereby, we specify the type of activities, works and reading mechanisms that the new curricular approach requires; ekphrasis, melopoiesis, and Literature in films, among other dialogic links, that are a reclaim for the reading process in students while strengthening their aesthetical reception skills. In the same way, the theories about the reader intertext, linked to the literary training of students and the development of their reading comprehension, set the standards of the teaching methodology in the classroom.