bluuebunny/crossref_metadata_2025 huggingface dataset:
PERANCANGAN MANAJEMEN JARINGAN KOMPUTER BERBASIS MIKROTIK DENGAN MENGGUNAKAN TOP DOWN NETWORK DESIGN
Authors: Fritz Gamaliel  , P. Yudi Dwi Arliyanto
Published: January 2023

Dalam perusahaan sebagian besar komputer telah terhubung ke jaringan internet untuk menunjang operasional perusahaan. Jika perusahaan belum memiliki pengaturan bandwidth, pengaturan firewall, pengaturan notifikasi masalah jaringan, pengaturan wifi seamless, pengaturan loop protect, pengaturan failover link internet, pengaturan monitoring jaringan, maupun pengaturan tunneling maka perusahaan menugaskan ahli untuk mengatur bandwidth, mengatur firewall, mengatur notifikasi masalah jaringan, mengatur wifi seamless, mengatur loop protect, mengatur failover link internet, mengatur monitoring jaringan, maupun mengatur tunneling. Dalam pengembangan manajemen jaringan kami menggunakan metode Top Down Network Design. Metode Top Down Network Design memiliki tahapan analisa permasalahan, desain jaringan logis, desain jaringan fisik, testing, optimasi, dan dokumentasi desain jaringan. Berdasarkan hasil penelitian yang telah dilaksanakan, terbukti bahwa mikrotik dapat digunakan untuk mengatur bandwidth, mengatur firewall, mengatur notifikasi masalah jaringan, mengatur wifi seamless, mengatur loop protect, mengatur failover link internet, mengatur monitoring jaringan, maupun mengatur tunneling.
EXCEPTIONAL ABILITIES AND INDIVIDUALS WITH AUTISM. A HISTORICAL ACCOUNT
Authors: Eunice Meng Yin Tan  , Kenneth Kin-Loong Poon
Published: January 2023

This paper examines the historical account of individuals with autism and their exceptional abilities (savant skills). It has been mentioned in some research journals regarding the exceptional abilities of individuals with autism spectrum disorder (ASD). These occurrences transpire when individuals with intellectual disabilities, including ASD), may exhibit certain capacities of talent or genius that may differ from the adaptive living skills. One in ten persons with ASD has savant abilities in varying degrees. Academics and scholars used to believe that exceptional abilities or savant skills were irrelevant or insignificant. Nevertheless, savant syndrome has gained more interest in recent years. It is an area for further exploration in terms of research. Academics and scholars are currently trying to comprehend and appreciate the intricacies of the human mind. The savant syndrome is about describing individuals with intellectual difficulties (including ASD) who may also experience and possess astonishing aptitudes in arithmetic, reading, calendar calculations, music or art
KEYWORDS: exceptional abilities, autism, savant syndrome
Ekstremizm prawicowy Partii Ludowej—Nasza Słowacja w Republice Słowackiej: ideologia i praktyka polityczna
Authors: Lewkowicz* Łukasz
Published: January 2023

The aim of the article was to analyze the ideology of the People’s Party–Our Slovakia (Ľudová strana naše Slovensko, ĽSNS), established in 2009. The first part of the text discusses the definitions of political extremism and then presents this phenomenon in Slovakia in a historical perspective. The most important categories of topics discussed by ĽSNS in election programs and party rhetoric, as well as party activity to date were analyzed in detail: the nation, anti-Roma and anti-immigration attitudes, and distance towards the West.
Експериментально-статистичні моделі для прогнозування надійності та несучої здатності нормальних перерізів попередньо напружених залізобетонних балок
Authors: Агаєва О.А. , Сьоміна Ю.А. , Постернак О.О.
Published: January 2023

Розроблені адекватні експериментально-статистичні моделі, які дозволяють достовірно визначати розрахункову надійність та несучу здатність нормальних перерізів попередньо напружених залізобетонних конструкцій для різних поєднань вихідних конструктивних чинників. Одночасно досліджені значення характеристик надійності та несучої здатності вказаних конструкцій в залежності від використаних в них класу бетону, класу арматури та коефіцієнту армування.
Модифіковані високоміцні бетони для реконструкції інженерних споруд та мереж, доріг
Authors: Ксьоншкевич Л. М. , Крантовська О. М. , Синій С. В. , Сунак П. О. , Орешкович Матіа , Ксьоншкевич А. С.
Published: January 2023

Розглянуто вплив рецептурно-технологічних факторів на фізико-механічні властивості цементного в’яжучого. Виявлено, що сумісне дослідження факторів впливу – механоактивації та мікрокремнезему, при визначеній концентрації Супер ПК і поліпропіленової фібри, дозволяє збільшити міцність цементного каменю в 28-ми добовому віці з 62,41 до 113,4 МПа, тобто більше, ніж у 1,8 раза в порівнянні з контролем. Це дозволить в подальшому застосовувати зазначений склад цементного в’яжучого для приготування високоміцних бетонів в дорожньому будівництві, зокрема при обґрунтованих інженерними розрахунками реконструкції, відновленні вулиць та доріг, враховуючи елементи конструкцій та конструктивні елементи інженерних споруд та мереж.
Bim: ефективний інструмент для реконструкції будівель та споруд
Authors: Мещерякова О.М. , Ясній В.П.
Published: January 2023

Вже зараз постає необхідністю потреба в оцінці доцільності відновлення та реконструкції значної кількості об’єктів в країні. Задля підвищення якості контролю робіт на всіх етапах, зниження вартості будівництва, а головне — підвищення його безпечності актуальним є використання сучасних технологій Будівельного інформаційного моделювання (ВІМ). На сьогодні ВІМ в Україні ще не досить поширений, проте, за досвідом країн ЄС, стає пріоритетом галузевої державної політики. Автоматизоване створення BIM моделі для існуючої будівлі означає досягнення оптимізації, яка починається із введення даних (наприклад, хмари точок/зображення/відео/інше) і закінчується готовою моделлю BIM, а у проміжних процесах застосовуються напівавтоматичні або автоматизовані методи, що економлять зусилля та час для підвищення ефективності та доцільності прийнятих рішень.
Analysis of changes in media articles following the announcement of government press releases on the return of U.S. military bases
Authors:   Taegu Science University Defense Security Institute, Kim Hyung Ho , Kim Jang-yeop
Published: January 2023

The full-fledged return of U.S. military bases began in 2004 when U.S. military bases scattered across the country were relocated to Pyeongtaek and other areas under the YRP (Yongsan Relocation Plan), LPP (Land Partnership Plan), which were ratified by the National Assembly. The relocation is expected to be completed by the end of this year. In addition, the U.S. Military Jeonpyeong Housing Support Act, a special corporation enacted for the relocation of U.S. military bases to Pyeongtaek, is also expected to achieve its purpose and be abolished in 26. At this point, the newspaper article according to the government's press release when returning the U.S. military base would like to find out what interests are through text mining and topic modeling, and analyze the differences in these key words at the time of base return announcement. In addition, it presents a methodology for post-examination and analysis after the release of the government press release. Through this study, it was recognized that it was necessary to fully consider whether there was a difference in opinions between stakeholders and whether the opinions of policy beneficiaries were sufficiently reflected when writing a government press release. In addition, it is necessary to monitor follow-up newspaper articles to see how people's interests change and whether government press releases provide sufficient information to resolve conflicts. This can be used as a tool or methodology to resolve conflicts between stakeholders in advance for large-scale national projects to be carried out in the future.
A study on the activation plan to improve the professionalism of pre-service elementary teachers in physical education classes
Authors:   Taegu Science University Defense Security Institute, Seo Jae-Bok , Shin Won
Published: January 2023

The purpose of this study is to obtain basic data for improving the professionalism of physical education classes by analyzing various problems that appear in the physical education of pre-service elementary teachers. The participants in this study were sophomores with a total of 110 (36, female 74), who were pre-service elementary teachers at 00 University of Education. The conclusion of this study is as follows. First, pre-service elementary teachers' perception of physical education classes showed a negative trend. As a result, it was found that anxiety factors for physical education classes were generated. Second, pre-service elementary teachers suggested the necessity of physical education classes that include fun and entertainment in various sports with the preference types of physical education sports. Third, pre-service elementary teachers said that they lack exercise tools and that it is difficult to use them during physical education classes, and active physical education classes are necessary regardless of the environment. Fourth, it was concluded that pre-service elementary teachers do not need self-management and specialized practical training to improve physical education professionalism. As a result of the above survey, it was concluded that pre-service elementary teachers had a strong negative perception of physical education classes, but lacked various professional learning and self-management to improve them. Therefore, it is judged that it is necessary to reorganize the curriculum for various pre-service elementary teachers in order to change their perception of physical education classes and to improve their professionalism.
A Study on the Validation of the Korean Version of the Problematic Pornography Consumption Scale(PPCS-K)
Authors:   Taegu Science University Defense Security Institute, Park Jae-Seo , Kim Aran , Lee Da In , Shin Sungman
Published: January 2023

The purpose of this study is to translate and validate the Problematic Pornography Consumption Scale(PPCS; Bőthe et al., 2017). We analyzed 336 Korean adults. We conducted Confirmatory Factor Analysis to test that the original scale factor structure was applied equally to Korean adults. As a result of the analysis, it was confirmed that it was the same hierarchical secondary structure model as the results of the validation study of the PPCS. Subsequently, the reliability, Concurrent validity, convergent validity of the Korean version of the Problematic Pornography Consumption Scale were verified, and all of them showed appropriate levels of results. We conduct Latent Profile Analysis(LPA) to classify latent groups according to the level of problematic pornography consumption. As a result, it was confirmed that it was appropriate to classify the entire sample into three groups. ROC analysis was conducted to identify the high-risk group, and optimal cut-off point for identifying the high-risk group was confirmed as 67 points. Through the results of this study, it was confirmed that the Korean version of the Problematic Pornography Consumption Scale is reliable and valid scale to measure the problematic pornography consumption level of Korean adults. Finally, implications and limitations of this study and suggestions for future research were discussed.
Fully negative near-zero ultra-flat dispersion photonic crystal fibers in E+S+C+L band
Authors: Yucheng Mao  , Yiwu Ma  , Ying Huang  , Hua Yang
Published: January 2023

We demonstrate a modified hexagonal three-layer air-hole photonic crystal fiber (PCF) which presents a good ability of dispersion management. The proposed PCF not only achieved an ultra-flattened all-negative dispersion characteristics of 0.15085 ps/(km·nm) fluctuation within the wavelength range of E+S+C+L wavelength band but also has been able to obtain other interesting features such as low confinement loss. Furthermore, the quadrilateral and octagonal structures are investigated to compare the superiority of different structures and analyze why we chose the hexagonal one.
Implementasi Kebijakan Response Time Tujuh Menit Dinas Pemadam Kebakaran Dan Penyelamatan Surabaya
Authors: Wahyuningsih Mirotin Eka , Rachman Rio F
Published: January 2023

Pemerintah Kota (Pemkot) Surabaya termasuk dalam jajaran Pemerintah Daerah (Pemda) dengan banyak prestasi dari berbagai ajang penghargaan di bidang inovasi. Pada gelaran Kompetisi Inovasi Pelayanan Publik Tahun 2022 yang diadakan Kementerian Pemberdayaan Aparatur Negara dan Reformasi Birokrasi, salah satu inovasi yang dicetuskan Dinas Pemadam Kebakaran dan Penyelamatan atau DPKP Kota Surabaya bernama Response Time 7 Menit Layanan Pemadam Kebakaran di Surabaya terpilih menjadi Top 45 Inovasi Terpuji kategori Umum. Artikel ini membahas tentang inovasi tersebut di aspek formulasi, implementasi, evaluasi, dan reformasi birokrasi. Teori yang digunakan adalah konsep kebijakan publik yang dipopulerkan oleh Hayat. Metode dalam studi ini adalah kualitatif dengan pendekatan fenomenologi. Hasil dari kajian ini menunjukkan bahwa Response Time 7 Menit yang dilakukan DPKP Surabaya diterapkan melalui tahapan-tahapan yang sesuai dengan alur teoritik yang digariskan para pakar. Kebijakan Response Time 7 Menit ini bisa dirasakan oleh semua kalangan di masyarakat karena sasarannya adalah seluruh warga tanpa sekat golongan/kelompok tertentu, dan selaras pula dengan tujuan pembangunan berkelanjutan atau SDGs yang diresolusikan oleh Perserikatan Bangsa-Bangsa.
Comparison of SARS-CoV2 IgG Antibody Levels in Health Workers with and without a History of COVID-19 Infection after Heterologous Vaccination at Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia
Authors: Puspalina Ferda , Nova Kurniati  , Eddy Mart Salim  , Yuniza  , Zen Ahmad
Published: January 2023

Background: The COVID-19 pandemic, which has spread very quickly, has created crises in all aspects of life around the world. The administration of the COVID-19 heterologous vaccine in Indonesia is prioritized for high-risk groups, one of which is health workers. This study aimed to determine the comparison of quantitative IgG antibody levels for SARS CoV2 between health workers with and without a history of being infected with COVID-19 after heterology vaccination at Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia.

Methods: This study was a cross-sectional analytic observational study. A total of 64 subjects participated in this study. Data analysis was carried out with the help of SPSS software in univariate and bivariate.

Results: SARS-CoV2 IgG antibody levels with and without a history of being infected with COVID-19 after heterologous vaccination did not find a significant difference in IgG levels between the two groups. However, the quantitative IgG levels of SARS-CoV2 in the infected history group were greater, namely 4834.25 AU/mL, compared to no history of COVID-19 infection of 3833.35 AU/mL

Conclusion: There is a difference in the average SARS-CoV 2 IgG between subjects with a history of being infected with COVID-19 and without a history of COVID-19 at Dr. Mohammad Hoesin General Hospital, Palembang, Indonesia, although statistically, it is not significantly different.
Mortgage Financing: Access, Knowledge, Attitudes and Challenges Experienced by Urban Housing developers
Authors: Nakiwala Margaret , Mukiibi Stephen , Kigundu Amin Tamale
Published: January 2023

This paper summarises the housing challenges that stem from the increasing population growth in Uganda by reviewing the literature. The housing deficit is the problem that the goals set in the National Development Plan (NDP III) determine to alleviate. In her NDP III, Housing Finance Bank strategised to offer affordable mortgages to Ugandan citizens. It is clearly stated in the NDP III that the problem of housing financing is left to the individuals as the central government cannot set up housing for all its citizens. The theories that guide the use of mortgage financing include the Lien, Title, Intermediate, and Lifestyle theories. This argument is presented in a systematic literature review of studies about the issues around mortgage financing in different parts of the world—specifically, Access. Established Knowledge, Attitudes and Challenges of accessing mortgage financing were issues of concern that needed researching.

Moreover, the literature confirmed that the biggest challenge that housing developers endure to access mortgage financing is the high-interest rates, especially in developing countries. Various economies have people with different knowledge about Mortgage Financing. Uganda is the case study that aimed at increasing urban housing accessibility by citizens of the country. The research method applied in this paper is purely qualitative research that analyses the opinions of different academic scholars in mortgage financing. However, this paper argues that financial institutions' eligibility terms significantly limit Access to Urban Housing through mortgage financing. The set terms need to reviewing to suit the informal setting of developing countries like Uganda. The recommendation from the study is the adoption of a central tool to oversee the set eligibility terms on mortgages.
Hepatitis B, C, HIV infection and liver disease in patients with SARS-CoV-2 infection. Clinical implications.
Authors: Calvo Bernal MM , Moya Montoya MM , Campos Serrano N , Jácome Pérez AP , Aparicio Mota A , de Vicente Ortega A , Casado Martín M
Published: January 2023

Objetivos: 1. Evaluar el resultado del cribado de la infección por virus de la hepatitis C (VHC), virus de la hepatitis B (VHB) y virus de la inmunodeficiencia humana (VIH) en pacientes hospitalizados con COVID-19. 2. Analizar la evolución clínica de los pacientes con COVID19 e infección viral subyacente o patología hepática previa. 3. Evaluar el efecto de la infección por SARS-CoV-2 en la analítica hepática y su repercusión clínica.

Pacientes y métodos:Estudio observacional retrospectivo en el Hospital Torrecárdenas de Almería. Incluimos los pacientes ingresados por infección SARS-CoV-2 desde marzo hasta noviembre de 2020. Se han analizado variables clínicas, epidemiológicas y analíticas.

Resultados:El estudio incluyó 476 pacientes.

En 50% de ellos se realizó serología VHB, VHC y VIH. Se detectaron 5 casos de infección por VHB (2.1%) y 3 por VHC (1.3%).

Durante la hospitalización 294 pacientes (64%) presentaron elevación de transaminasas, 122 pacientes mostraban dichas alteraciones al ingreso. La hipertransaminasemia se asoció con menor mortalidad. La linfopenia con mayor mortalidad.

La evolución clínica de los 27 pacientes con patología hepática previa fue similar al resto de los pacientes.

Conclusiones: La prevalencia de la infección por VHB y VHC en pacientes con infección SARS-CoV-2 es mayor a la estimada para la población general.

En los pacientes ingresados por COVID19, la elevación de las transaminasas es frecuente y se asocia con menor mortalidad. La evolución clínica de los pacientes con infecciones hepáticas virales subyacentes y con patología hepática previa fue similar a la del resto.
Pemilihan Kepala Desa, Teologi Politik, dan Peran Gereja: Analisis Kritis di Desa dan Jemaat Abat, Maluku
Authors: Melatawun Salomi A
Published: January 2023

This research aims to describe the dynamics and impact of village head elections on the implementation of church services in Abat. The research was conducted using political theology theory as a means to present God's kingdom through the church. The church in its ministry must actively make changes as a form of presenting the kingdom of God in the middle of the world. This study uses a qualitative descriptive approach involving data collection procedures, data analysis, data processing, and data interpretation. The author finds that there are factors such as intervention, provocation, interests, village funds, and divisions of areas of power that are the causes of conflict and strained relations between communities in Abat. These factors have an impact on the arrangement of services in the Congregation and the social life of the people. Therefore, the church needs to renew its understanding of politics as a vessel for preaching and glorifying God, by presenting the values of God's kingdom which is full of peace, justice, and freedom of life.
Analisis Perputaran Arus Kas dan Perputaran Aktiva Tetap Dalam Menilai Return on Assets Pada PT. Mandom Indonesia.Tbk Periode Tahun 2016 – 2020
Authors: Nainggolan Rico Utama , Hamid Edison , Suprihanto Slamet
Published: January 2023

This study aims to determine how the Cash Flow Turnover and Fixed Asset Turnover Assessing Return on Assets (ROA) The object of this research is PT. Mandom Indonesia Tbk, the data is taken from the financial statements for the period 2016-2020. This study uses a qualitative method consisting of three variables, namely Cash Flow Turnover and Fixed Asset Turnover as the independent variable and Return on Assets (ROA) as the dependent variable. Data analysis using case studies (non-hypothesis). Based on the results of data analysis shows that the average cash flow turnover is 7.54 times per year as a whole is categorized as very good. For the average fixed asset turnover of 2.38 times per year is included in the criteria quite well because it has reached company standards. Then the results of the analysis of cash flow turnover in assessing returns on assets (ROA) contributed 42.29% and fixed asset turnover in assessing return on assets (ROA) contributed 12.74% and the results of analysis of cash flow turnover and fixed asset turnover in assessing the return on assets (ROA) at PT. Mandom Indonesia Tbk, together in the last 5 years period 2016-2020 an average of 55,02%, and the rest is influenced by other variables not examined in this study.

Abstrak

Penelitian ini bertujuan untuk mengetahui bagaimana Perputaran Arus Kas dan Perputaran Aktiva Tetap Menilai Return on Assets (ROA) Objek penelitian ini adalah PT. Mandom Indonesia Tbk, data diambil dari laporan keuangan periode 2016-2020. Penelitian ini menggunakan metode kualitatif yang terdiri dari tiga variabel yaitu Perputaran Arus Kas dan Perputaran Aktiva Tetap sebagai variabel bebas dan Return on Assets (ROA) sebagai variabel terikat. Analisis data menggunakan studi kasus (nonhipotesis). Berdasarkan hasil analisis data menunjukkan bahwa rata-rata perputaran arus kas sebesar 7,54 kali per tahun secara keseluruhan dikategorikan sangat baik. Untuk rata-rata perputaran aktiva tetap sebesar 2,38 kali per tahun termasuk dalam kriteria cukup baik karena sudah memenuhi standar perusahaan. Kemudian hasil analisis perputaran arus kas dalam menilai pengembalian aset (ROA) memberikan kontribusi 42,29% dan perputaran aset tetap dalam menilai pengembalian aset (ROA) memberikan kontribusi 12,74% dan hasil analisis perputaran arus kas dan aset tetap turnover dalam menilai return on assets (ROA) pada PT. Mandom Indonesia Tbk secara bersama-sama dalam periode 5 tahun terakhir 2016-2020 rata-rata sebesar 55,02%, dan sisanya dipengaruhi oleh variabel lain yang tidak diteliti dalam penelitian ini.
La formación de competencias profesionales en la educación superior mediante la aplicación de estrategias didácticas y las TIC: Una realidad necesaria en los Institutos tecnológicos de la provincia del Cañar
Authors: Idrovo Ortiz Francisco Xavier
Published: January 2023

El presente trabajo de investigación plantea una revisión documental sobre la importancia de abordar las competencias profesionales en la enseñanza de la educación superior en los institutos tecnológicos de la Provincia del Cañar. El principal objetivo de esta investigación es determinar la importancia de encontrar nuevas formas de enseñar desde la perspectiva de estrategias didácticas y la inclusión de las TIC para generar un modelo de formación por competencias en los institutos tecnológicos de la Provincia del Cañar – Ecuador. La investigación se desarrolló desde una revisión de literatura documental con un enfoque descriptivo. El proceso de recolección de la información se desarrolló a través de la filtración de varios documentos que abordan la temática planteada. De los datos analizados se pudo observar que los institutos tecnológicos mantienen un modelo de enseñanza tradicional y que todavía no se incrustan las TIC ni estrategias didácticas acordes al trabajo colaborativo y al desarrollo d ellos distintos tipos de pensamiento como una alternativa necesaria y pertinente dentro del proceso educativo
El desarrollo de proyectos de innovación tecnológica mejora las competencias transversales de estudiantes en instituto superior tecnológico, Público, Apurímac, 2022
Authors: Díaz Torres Amparo , Juro Llamocca Miguel Ángel , Gambarini Vera Marilú
Published: January 2023

El objetivo de la presente investigación fue Determinar en qué medida el desarrollo de proyectos de innovación tecnológica mejora las competencias transversales de Estudiantes en Instituto Superior Tecnológico Público, Apurímac, 2022.

En este estudio se utilizó como metodología el paradigma positivista, el enfoque fue cuantitativo de diseño experimental y modalidad pre experimental, se utilizó como método la observación y el instrumento fue guía de observación. La población considerada estuvo compuesta por 60 estudiantes, de donde se consideró una muestra de 20 estudiantes, por el método no probabilístico, por conveniencia.

El estudio se concluyó y en base a los resultados obtenidos de la contrastación de hipótesis, utilizando la prueba de Shapiro-Wilk, para una muestra donde la diferencia de medias en pre test 48,550 y en el pos test 69,000, además la prueba t en la primera evaluación, denominada pre test fue de 47.031, así como en la segunda evaluación al que denominamos pos test fue de 68,640 y teniendo un valor de p < 0,5 resultados que indican que la intervención con el programa “PROYINTEC” tuvo éxito y mejoró las competencias transversales de Estudiantes en Instituto Superior Tecnológico Público, Apurímac, 2022.
RELATIONSHIP OF CUSTOMER SATISFACTION AND CUSTOMER LOYALTY IN ONLINE BANKING CONSUMERS IN GUJARAT, INDIA.
Authors: Badiyani J. M.
Published: January 2023

Online banking is growing in the world and India. This paper examines the relationship of customer satisfaction and customer loyalty among online banking customers in Gujarat state of India. Customer satisfaction and customer loyalty is measured on the basis of several factors affecting online banking customers. A sample of 281 customers through convenience sampling method was surveyed using structured questionnaire. The analysis is done using descriptive analysis, pearson correlation coefficient, regression analysis, t test and ANOVA test. Positive correlation is found using pearson correlation method and regression model is formed. Comparing various demographic groups like gender, age, education and income, significant difference is found in customer satisfaction between male and female and among few income groups. For formulating marketing strategies, further research is required but, the research has thrown light on relationship and demographic group comparisons.
Characterization of Patients with Chronic Diseases and Complex Care Needs: A New High-Risk Emergent Population
Authors: Wittel M Bernabeu , Romero L Garcia , Zaragoza J Murcia , Mancera R Gamez , Santos R Aparicio , Manglano J Diez , de la Fuente M Lopez , Sanchez EA Vogt , M Villarino Marzo , A Aquilino Tari , S Herranz Martinez , P Diaz Jimenez , M Ollero Baturone , MP Rosich Peris , researchers Cronicom Project
Published: January 2023

Background: To analyze the prevalence and main epidemiological, clinical and outcome features of in-Patients with Complex Chronic conditions (PCC) in internal medicine areas, using a pragmatic working definition. Methods: Prospective study in 17 centers from Spain, with 97 in-hospital, monthly prevalence cuts. A PCC was considered when criteria of polypathological patient (two or more major chronic diseases) were met, or when a patient suffered one major chronic disease plus one or more of nine predefined complexity criteria like socio-familial risk, alcoholism or malnutrition among others (PCC without polypathology). A complete set of baseline features as well as 12-months survival were collected. Then, we compared clinical, outcome variables, and PROFUND index accuracy between polypathological patients and PCC without polypathology. Results: The global prevalence of PCC was 61% (40% of them were polypathological patients, and 21% PCC withouth polypathology) out of the 2178 evaluated patients. Their median age was 82 (59.5% men), suffered 2.3 ± 1.1 major diseases (heart diseases (70.5%), neurologic (41.5%), renal (36%), and lung diseases (26%)), 5.5 ± 2.5 other chronic conditions, met 2.5 ± 1.5 complexity criteria, and presented functional decline (Barthel index 55 (25-90)). Compared to polypathological patients, the subgroup of PCC without polypathology were younger, with a different pattern of major diseases and comorbidities, a better functional status, and lower 12-months mortality rates ((36.2% vs 46.8%; p = .003; OR 0.7(0.48-0.86). The PROFUND index obtained adequate calibration and discrimination power (AUC-ROC 0.67 (0.63-0.69)) in predicting 12-month mortality of PCC. Conclusion: Patients with complex chronic conditions are highly prevalent in internal medicine areas; their clinical pattern has changed in parallel to socio-epidemiological modifications, but their death-risk is still adequately predicted by PROFUND index.
Increase of Consultations for Premature Thelarche and the Post-Diagnostic of Precocious and Accelerated Puberty in Pediatric Endocrinology in Alava, due to the Confinement Measures Endured in 2019 due to the COVID-19 Pandemic
Authors: Vilella San Martin Leyre Aurora , Lopez Ignacio Diez , Martu00edn Orayen Amaia San , Mendez Sandra Maeso , Miranda Ainhoa Sarasua
Published: January 2023

Introduction: Due to the COVID 19 pandemic and home confinement measures, many of our routine and daily habits have been both affected and modified. Have these factors conditioned a real increase in Precocious (PP) and Accelerated Puberty (AP)? Objectives: This is an observational and retrospective study in which the incidence of medical consultations due to Premature Thelarche is compared between March to December 2019 and 2020. The medical consultations occurred in the Pediatric Endocrinology (PE) consultation of our hospital. Patients and Methods: The analysis involved 75 cases of young girls consulted with Premature Thelarche in 2019 and 97 girls which were consulted in 2020. From each patient different variables were analyzed, such as somatometry, hormones, eco and treatment. Results: In 2019, 75 first visits of PE were due to Premature Thelarche in young girls (accounting for 2.46% of the total number of first visits carried out in Pediatrics Outpatient Clinics (POC) and 16.77% of PE first visits). However, in 2020, 97 first visits were due to PE (3.52% the total first time visits of OC and 23.3% in PE). It was found that, in 2020 the number of first time visits due to Premature Thelarche increased by 28% compared to 2019 (p = 0.0001 mean comparison). In 2019, out of the 75 consultations due to premature Thelarche, 40% were diagnosed with an earlier physiological puberty. Conversely in 2020, out of the 97 consultations, 61.77% had a normal physiological puberty. These figures represent an OR of 1.54 (p = 0.02 t Student for independent samples). It was evaluated whether the patients had experienced > 3 kg weight gain above 6 months prior to the medical visit. In 2020, 31.57% of patients experienced weight gain, whereas 68.42% did not. In 2019 patients who experienced weight gain accounted for 12.16% and 87.83% did not experience significant weight gain (p = 0.01 t Student for independent samples). Conclusion: Our data demonstrates there has been an increase in the incidence of the referrals from Primary Attention to Pediatric Endocrinology to examine advanced Thelarche during the period of lockdown measures (2020), in addition to an increase in the number of diagnostics of PP and AP in young girls in our hospital when compared to figures of 2019. Furthermore, in 2020 there was a greater number of patients who experienced weight gain increase 6 months prior to the medical consultations. We hypothesize that lockdown inflicted sedentary lifestyles together with changes in dietary habits, promoting weight gain in patients. This effect could have caused a body fat mass increase in girls, suggesting a “trigger effect” in the activation of the gonadal axis, causing a rise in the number of early puberty cases.
Six Examples with Different Means of Operative Treatment of Humeral Shaft Fracture
Authors: Bekic Marijo , Golubovic Marko , Lojpur Jakisa , Sesic Nenad , Moretti Marko , Pericic Marin
Published: January 2023

We showed different cases and operative treatment of traumatic fractures of humeral shaft including operative treatment by means of external fixation, intramedullary fixation with long humeral nailing, intramedullary fixation with Rush nail and plate osteosynthesis. The indications were chosen according to fracture anatomy and biology but foremost by specific socioeconomic comorbidities and aspects of the patient itself. Bone healing status, postoperative local status, neurocirculatory status, postoperative physical therapy course and overall functional results of injured limb and patient satisfaction.
Successful 4-Year Outcome Following Convergent Ablation for Longstanding Persistent Atrial Fibrillation in an Octogenarian – Novel Therapy for an Old Condition in the Very Elderly
Authors: Ahmed Omar , Elbadri Azza , Momin Aziz , Kaba Riyaz A
Published: January 2023

The most common age range for Atrial Fibrillation (AF) prevalence over the coming decades will potentially be in those over 75 years old. However, despite widespread recognition of the strong association between AF burden and age, the elderly are under-represented within trials evaluating invasive rhythm control strategies. We report the outcomes of a gentleman in his late eighties that underwent Convergent hybrid ablation for highly symptomatic and longstanding persistent AF. Now four years later and into his nineties, he remains in sinus rhythm and enjoys good cardiac health without the need for anti-arrhythmic drugs or further intervention. To our knowledge, this case report is the oldest patient to have successfully undergone Convergent ablation with enduring sinus rhythm with long-term follow-up, despite significant risk factors for AF recurrence. As the overall population ages, the emergence of this minimally invasive multidisciplinary ablation technique for AF may offer to similar patients benefits over percutaneous ablation strategies alone.
Wood Fiber Characteristics of Underutilized Poplar Species and Comparision with P. deltoides in Terms of their Pulp and Paper Quality
Authors: Yadav Ronak , Kumar Dheerendra , Ansari Tabassum
Published: January 2023

The pulp and Paper industries are growing at a tremendous rate. To satisfy the raw material supply and sustainability of their future industries need an alternative resource from fast-growing tree species. Poplar is one of the world’s fastest-growing lightwood trees with its used in several industries. The present work relies on the comparative fiber morphological dimensions of four species of poplar i.e. Populus alba L, Populus ciliata Wall. ex Royle, Populus euphratica Oliv, and Populus nigra L. The quality of pulp and paper was directly related to the fiber dimensions i.e., fiber length, fiber lumen diameter, and fiber wall thickness. A number of wood properties related to paper quality were also derived from the fiber dimensions including the Runkel ratio, flexibility coefficient, solid factors, luce’s-shape factors, slenderness ratio and wall coverage ratio. The mean value of fiber length, fiber diameter, fiber wall thickness and basic density of these four species ranged from 919-1425 μm, 19.71-25.85 μm, 2.72-4.99 μm and 0.38-0.54 g cm⁻¹ respectively. The prominent objective was to compare the fiber quality of these four poplar species within among self and also with an exotic poplar species Populus deltoides and other fast-growing tree species.
Evaluation of Relationship between Modified ATRIA Risk Score and Mortality in Hospitalized Patients with COVID-19
Authors: AFŞİN Abdulmecit , TURGUT Kasım , BURSA Nurbanu , YAVUZ Erdal , GÜVEN Taner , HOŞOĞLU Yusuf
Published: January 2023

Aim: The ATRIA score was developed to assess the probability of an ischemic stroke in patients with atrial fibrillation (AF). The modified ATRIA (M-ATRIA) risk score incorporates predictive risk variables for coronavirus disease 2019 (COVID-19). As a result, we looked into the association between the M-ATRIA risk score and the risk of in-hospital death in COVID-19 patients.Materials and Methods: The data of 595 inpatients in the COVID-19 research were evaluated retrospectively and separated into three groups based on the M-ATRIA scoring system. The M-ATRIA score used the troponin I level as a parameter in place of the proteinuria criterion in the ATRIA score. Those with a score between 0 and 5 were classified as group 1 (n = 269), those with a score of 6 as group 2 (n = 64), and those with a score of 7 and above were classified as group 3 (n = 162). In-hospital death, mechanical ventilation, and admission to the critical-care unit were all considered adverse clinical events.Results: The M-ATRIA risk score associated with adverse clinical events (all, p < 0.001). An M-ATRIA score of 6, an M-ATRIA score greater than 7, procalcitonin, and C- reactive protein were found to be independent predictors of in-hospital mortality in the multivariate logistic regression analysis. In the ROC analysis, an M-ATRIA score of 4.5 or above predicted in-hospital mortality with a sensitivity of 90.2% and a specificity of 58.9%. Conclusion: Regardless of the status of AF, the M-ATRIA risk score computed at admission may be a valuable tool for predicting in-hospital mortality in COVID-19 patients.
Assessment of Fructosamine 3-kinase in Type 2 Diabetic Patients and Its Relation to Some Biochemical Variables
Authors: Abdulrahman Tamara , Mohammed Rafad
Published: January 2023

It took over 30 years for first description of the synthesis of fructosamines and this was conducted through non-enzymatic protein-glucose reactions (also known as glycation). Fructosamines in mammalian cells has not been known until recently. It transforms spontaneously into advanced glycation end products. The discovery of fructosamine 3-kinase, which is a novel enzyme, in human reveals the existence of a previously unknown intracellular metabolism of these substances. Protein-bound fructosamines are phosphorylated by fructosamine 3-kinase with high affinity on a third carbon atom of the deoxyfructose moiety and this results in fructosamine 3-phosphates. These later substances are unstable and spontaneously break down into inorganic phosphate and 3-deoxyglucosone, regenerating the unglycated amine in the process. The fact that many prokaryotic and eukaryotic genomes contain proteins connected to fructosamine 3-kinase shows that this 'deglycation' process is not exclusive to mammals. The current study aims at determining the normal values of fructoseamine 3-kinase enzyme in the control group as well as in the group of patients with type II diabetes (the experimental group). The relationship of enzyme  activity with some biochemical variables was also studied in patients with type 2 diabetes, due to the association of these variables with high blood sugar, as shown by previous studies. The Research dealt with the investigation of Fructosamine 3-Kinase activity and some biochemical variables for (136) Type 2 diabetes patients. The results indicated that there was a significant increase in Fructosamine 3-Kinase activity in type 2 diabetes patients (253 ng/l) in comparison to the control group. The normal value of enzyme in the control group was (181ng/l) and the activity of the enzyme in control group individuals was not affected by age and sex. The research also showed a significant decrease in the level of iron, zinc, chromium and sodium as well as a significant increase in the potassium level in patients with type 2 diabetes compared to the control group individuals. Additionally, the research predicted that there is a significant decrease in the levels of vitamins C and E. Also, it was shown that there was a significant increase in malondialdehyde level and a myeloperoxidase activity in type 2 diabetes patients. Activity of FN3K increased in type 2 diabetes compared to the control group individuals. It was noted that the activity of FN3K in the control group was not affected by age or sex.
TD 2701 - A Reformulação das transferências de renda no Brasil : simulações e desafios
Authors: Paiva Luís Henrique , Bartholo Leticia , Souza Pedro H. G. Ferreira de , Orair Rodrigo Octávio
Published: January 2023

O objetivo deste trabalho é apresentar simulações para o futuro das transferências não contributivas de renda no Brasil, ao debater os dilemas de cada desenho, estimando seus custos e possíveis impactos sobre a pobreza e a desigualdade, e avaliar os desafios operacionais e orçamentários para sua implementação. Simulamos a adoção de três modelos de benefícios não contributivos: i) um focalizado, pago aos mais pobres; ii) um universal, pago indistintamente a todos os brasileiros; e iii) um híbrido, com um componente pago universalmente às crianças e adolescentes de até 18 anos, e um componente focalizado, ofertado aos mais pobres acima dessa idade. Cada alternativa de modelo é considerada sob três cenários orçamentários: i) R$ 58 bilhões/ano; ii) R$ 120 bilhões/ano; e iii) R$ 180 bilhões/ano. Em todas as combinações modelo/orçamento, há substantivo aumento de cobertura em relação ao Bolsa Família. Os resultados das simulações indicam que os modelos fortemente progressivos (focalizado e híbrido) são mais efetivos na redução da pobreza e da desigualdade do que o universal. O híbrido, com resultados próximos aos estimados para o focalizado, tem a vantagem de fornecer proteção adicional para um grupo bastante vulnerável à pobreza (crianças e adolescentes). O trabalho também faz uma avaliação das dificuldades operacionais envolvidas na expansão de cobertura – em relação ao Bolsa Família – e busca analisar, de forma detalhada, as grandes dificuldades para viabilizar a expansão das transferências não contributivas do ponto de vista orçamentário, até mesmo no cenário fiscalmente neutro. Cenários orçamentários mais generosos poderiam ser viabilizados ao associar-se a expansão das transferências não contributivas às discussões de criação do Imposto sobre Bens e Serviços (IBS) moderno, tal como proposto na reforma tributária em trâmite no Congresso Nacional, a alterações voltadas para aumentar as alíquotas efetivas do IRPF pago pelos mais ricos.
Heating Effects of Supra-arcade Downflows on Plasma above Solar Flare Arcades
Authors: Xie Xiaoyan , Reeves Katharine K.
Published: January 2023

We deliberately select three flares to investigate heating effects of supra-arcade downflows (SADs) on the surrounding fan plasma. Prior work found in one flare that the plasma around most SADs tends to heat up or stay the same temperature, accompanied by discernible signatures of the adiabatic heating due to plasma compression as well as viscous heating due to viscous motions of plasma. We extend this work to more flares and find that the heating effects of the SADs are also present in these events. The adiabatic heating is dominant over the viscous heating in each event. The adiabatic heating in the two M1.3 flares, being on the order of about 0.02–0.18 MK s−1, is fairly comparable. In the more energetic X1.7 flare, the adiabatic heating is on the order of 0.02–0.3 MK s−1, where we observe a more pronounced temperature increase during which dozens of SADs descend through the fan. As SADs constantly contribute to the heating of the surrounding fan plasma, the areas where SADs travel through tend to cool much slower than the areas without SADs, and the plasma of higher temperature ends up concentrating in areas where SADs frequently travel through. We also find that the cooling rate of areas without SADs is ∼1000 K s−1, much slower than would be expected from normal conductive cooling. Instead, the cooling rate can be interpreted nicely by a process where conductive cooling is suppressed by turbulence.
The Isaac Newton Telescope Monitoring Survey of Local Group Dwarf Galaxies. V. The Star Formation History of Sagittarius Dwarf Irregular Galaxy Derived from Long-period Variable Stars
Authors: Parto Tahere , Dehghani Shahrzad , Javadi Atefeh , Saremi Elham , van Loon Jacco Th. , Khosroshahi Habib G. , McDonald Iain , Mirtorabi Mohammad T. , Navabi Mahdieh , Saberi Maryam
Published: January 2023

We conducted an optical monitoring survey of the Sagittarius dwarf irregular galaxy (SagDIG) during the period of 2016 June–2017 October, using the 2.5 m Isaac Newton Telescopeat La Palama. Our goal was to identify long-period variable stars (LPVs), namely, asymptotic giant branch stars (AGBs) and red supergiant stars, to obtain the star formation history of isolated, metal-poor SagDIG. For our purpose, we used a method that relies on evaluating the relation between luminosity and the birth mass of these most evolved stars. We found 27 LPV candidates within 2 half-light radii of SagDIG. 10 LPV candidates were in common with previous studies, including one extreme-AGB (x-AGB). By adopting the metallicity Z = 0.0002 for older populations and Z = 0.0004 for younger ages, we estimated that the star formation rate changes from 0.0005 ± 0.0002 M
⊙ yr−1 kpc−2 (13 Gyr ago) to 0.0021 ± 0.0010 M
⊙ yr−1 kpc−2 (0.06 Gyr ago). Like many dwarf irregular galaxies, SagDIG has had continuous star formation activity across its lifetime, though with different rates, and experiences an enhancement of star formation since z ≃ 1. We also evaluated the total stellar mass within 2 half-light radii of SagDIG for three choices of metallicities. For metallicity Z = 0.0002 and 0.0004, we estimated the stellar mass M*
= (5.4 ± 2.3) × 106 and (3.0 ± 1.3) × 106
M
⊙, respectively. Additionally, we determined a distance modulus of μ = 25.27 ± 0.05 mag, using the tip of the red giant branch.
Prompt Enhancements of Radiation Belt Electrons over a Wide Energy Range Based on Phase Space Density Variations: A Detailed Case Study
Authors: Wang Xiaoyu , Cao Xing , Gu Xudong , Ni Binbin , Ma Xin , Luo Taorong , Guo Deyu
Published: January 2023

Based on Van Allen Probes observations, we report a prompt enhancement event of radiation belt electrons over a wide energy range from tens of keV to multiple meV spanning 2013 January 13–15. During this period, we also observe prolonged moderate substorm activities and intense whistler-mode chorus emissions. To differentiate the underlying mechanisms responsible for this prompt electron enhancement process, we investigate in detail the evolution of electron phase space densities (PSDs) for various values of the first and second adiabatic invariants (μ and K). The results show that tens to hundreds of keV electrons rapidly penetrated to L* < 4 during the substorm period, with the corresponding PSDs increasing by more than 3 orders of magnitude within about 1 day. Comparatively, the PSD enhancements of higher energy electrons are less significant and shift to higher L*. We find that the fast acceleration of hundreds of keV seed electrons to multi-meV electrons may be reasonably attributed to interactions with the concurrent chorus waves. Specifically, the electron PSD increases for μ≥ 300 MeV G−1 become less pronounced as K increases, consistent with the pitch angle dependence of chorus-induced electron energy diffusion at high energies. Our results therefore provide clear observational evidence for the combined effect of substorm-induced injection and chorus wave scattering on the prompt enhancements of radiation belt electrons over a wide energy range within a couple of days.