bluuebunny/crossref_metadata_2025 huggingface dataset:
Penerapan NPS dalam Pelayanan Penerbitan SKPD Kendaraan Bermotor Berbasis Online pada SAMSAT Kalimantan Tengah
Authors: Yusuf Muhammad , Jariah Ainun , Sadar Sadar
Published: November 2020

Diberlakukannnya undang-undang tentang pemerintahan daerah, menuntut setiap daerah untuk mampu mandiri mengatur dan mengelola segala kebutuhan rumah tangganya. Untuk dapat memenuhi kebutuhan tersebut, salah satu sumber pembiayaan yang menjadi potensi besar sebagai pendapatan asli daerah yaitu penerimaan pajak. Penggunaan kendaraan bermotor menjadi salah satu kebutuhan pokok saat ini, mengingat bahwa kemajuan zaman yang menuntut serba cepat dalam melakukan segala hal. Selain itu, dengan jangkauan wilayah yang luas seperti pada daerah Kalimantan Tengah, tentunya moda transportasi berupa kendaraan bermotor menjadi sangat penting. Oleh sebab itu, dengan penggunaan kendaraan bermotor yang marak, maka menjadi potensi besar sebagai salah satu sumber pendapatan daerah. Untuk dapat maksimal dalam penerimaan pajak, pemerintah melakukan berbagai upaya dan inovasi dalam pelayanan pembayaran pajak.  Penerapan paradigma New Public Service dalam pelayanan penerbitan Surat Ketetapan Pajak Kendaraan Bermotor yang berbasis online merupakan salah satu perwujudan dari komitmen pemerintah dalam menjalankan tugasnya sesuai dengan tuntutan dan kondisi yang terjadi pada masyarakat, terutama pada saat pandemi covid-19 ini. Penelitian ini menggunakan pendekatan kualitatif dimana data dikumpulkan  berbasis digital atau dalam jaringan (online) . Tujuan penelitian ini untuk mengetahui bagaimana Penerapan NPS dalam Pelayanan Penerbitan SKPD Kendaraan Bermotor Berbasis Online pada SAMSAT Kalimantan Tengah. Hasil penelitian menunjukkan bahwa dalam proses pelayanan penerbitan surat kendaraan bermotor pada SAMSAT Provinsi Kalimantan Tengah telah menerapkan konsep New Public Service dimana orintasi pelayanan dipusatkan pada kebutuhan masyarakat atau khususnya pengguna layanan, akan tetapi dalam proses penerapan konsep tersebut masih ditemukan berbagai kendala terutama mengenai fasiltas pendukung.
EVALUACION DE LA CONCENTRACION DE POLVO ATMOSFERICO SEDIMENTABLE Y MATERIAL PARTICULADO (PM2.5, PM10) PARA LA GESTION DE LA CALIDAD DEL AIRE 2017, EN LA CIUDAD DE TACNA
Authors: Miranda Casapia Jeissy Lady Shalom , Merma Aruhuanca Lizbeth , Herrera Rejas Milagros
Published: November 2020

La ciudad de Tacna no es ajena a la exposición de los agentes contaminantes como las partículas sedimentables que se generan debido a las condiciones atmosféricas estables, al crecimiento urbano, el incremento del tráfico vehicular, la expansión urbana, las calles no pavimentadas, entre otros factores. Mediante el presente trabajo de investigación que se realizó en la ciudad de Tacna, se logró determinar la concentración de polvo atmosférico sedimentable en nuestra ciudad, para lo cual se establecieron 08 estaciones de muestreo donde se aplicó la metodología de Muestreo Pasivo, que consistió en la colocación de placas de vidrio ubicados en el nivel superior de las viviendas y/o instituciones, por un periodo de 04 meses y en ese tiempo se recopiló la información cada 30 días calendarios. Para la ubicación de las estaciones a muestrear se tuvo en cuenta el tipo de vía, densidad poblacional y tráfico; logrando determinar con ello 08 zonas de muestreo localizadas en la zona Centro e Intermedia de la ciudad de Tacna, tomando como referencia el paseo cívico de la ciudad. Los resultados obtenidos del muestreo de partículas sedimentables indican un valor promedio final de 1.07 mg/cm2/mes en todas las estaciones de muestreo, el cual se encuentra en el orden de 0.57 mg/cm2/mes por encima de los valores guía para partículas atmosféricas sedimentables de la Organización Mundial de la Salud - OMS, fijado en 0.50 mg/cm2/mes. De acuerdo a los resultados obtenidos se logró determinar 3 puntos con mayor grado de significancia, en los cuales se monitoreó el PM2.5 y PM10 con la estación móvil donde se aplicó la metodología de Monitoreo Automático.
Caracterización de residuos sólidos en el Campus Capanique de la Universidad Privada de Tacna
Authors: Lazo Ramos Richard Sabino , Herrera Rejas Milagros
Published: November 2020

El estudio tuvo como propósito estudiar las características y conocer la cantidad de los residuos sólidos generados por la comunidad universitaria en el campus Capanique de la Universidad Privada de Tacna (UPT). Se aplicó la normativa para residuos sólidos municipales del MINAM (2012). La obtención de la muestra fue aplicando el método del cuarteo el cual permitió conocer las características del material reciclable y orgánico que fue de un 59,0 % del total de residuos sólidos, dentro de ellos el PET (botellas de plástico) con el 14,52 % y la materia orgánica con el 10,93 %. Referente a la cantidad de residuos generados se determinó el peso volumétrico o densidad “in situ” que fue de 102,3 kg/m³ lo que señala una baja densidad de residuos en los depósitos de la Universidad, así mismo se estimó la tasa de generación per cápita que fue de 0,5 (kg/día/persona). Según el grupo de generación de residuos se demostró que la mayor cantidad de residuos fueron generados en el área administrativa y por los docentes a tiempo completo 0,11 (kg/día/persona), además el campus que generó mayor residuo fue el campus 3 constituido por la Facultad de Ciencias Empresariales con 190,932 kg/semana y la generación de los residuos hospitalarios procedente de la Clínica Universitaria de la Facultad de Ciencias de la Salud fue de 1 235 kg/día. La investigación significa una contribución para una adecuada gestión de residuos sólidos en la Universidad Privada de Tacna.
Protectoral action of molsidomin ATP combination in chronic stress in young and old rats
Authors: Kuprash Liana , Panteleymonova Tetyana , Sharabura Ludmila , Labunets Irina , Sykalo Nina , Olar Vitaliy
Published: November 2020

Adaptive reactions to chronic stress, reaching a certain intensity, can become harmful and be involved in any pathological process. Therefore, the search for new ways to increase the adaptive capacity reduced with age and the body's resistance to the negative effects of chronic stress remains relevant. The aim of the study was to experimentally study the age-related protective properties of the combination of molsidomine and ATP in chronic mild stress. The experiments were performed on young (6 months) and old (26 months) Wistar rats exposed to stressors that changed periodically at random for 8 weeks. During the 6-8th week of the experiment, against the background of stress, the animals were sublingually administered a pharmacological combination based on molsidomine - 2 mg / kg, ATP - 10 mg / kg. It was found that the adaptive reactions of young and old animals to chronic stress have qualitative and quantitative differences. Chronic stress in old rats caused changes in behavior and psycho-emotional state, deterioration of cognitive function, changes in lipoperoxidation. On the part of the immune system in old rats, against the background of a pronounced age involution of lymphoid organs, no significant changes in thymus mass and cellularity were observed during chronic stress, while the mass and cellularity of the spleen increased. The combination of molsidomine and ATP prevented post-stress changes in animal behavior, reduced anxiety, normalized social activity, restored the lost ability to recognize, improved cognitive function. The drug contributed to the preservation of the function of immunocompetent organs in young animals and to a lesser extent showed a protective effect in older animals against the background of involutional changes caused by both aging and chronic stress. The combination of molsidomine and ATP had an antioxidant effect. Thus, in chronic mild stress, older animals showed a different response from young animals to both stress and the administration of molsidomine with ATP. The applied pharmacological combination can be considered as a promising stress-protective agent that has a complex effect on various pathogenetic links of chronic stress due to its neuro- and immunomodulatory, energy-saving, antioxidant properties. Keywords: aging, chronic stress, anxiety, social activity, cellularity of the thymus and spleen, lipid peroxidation, combination of molsidomine and ATP, pharmacological action.
RUMUSAN PENDIDIKAN TENTANG HUKUM ISLAM DAN HUKUM ADAT
Authors: Hartono Rudi
Published: November 2020

Dalam rumusan pendidikan tentang hukum, utamunya hukum Islam termasuk juga hukum kawarisan di Indonesia, terjadi perdebatan sengit antara para ahli hukum mengenai status hukum adat. Karena itu, timbul 3 (tiga) mengenai hubungan hukum Islam dengan hukum adat, yaitu: teori receptio a contrario in complexu, dan teori receptie. Berlakunya hukum kewarisan Islam di Indonesia bukan melalui teori receptio in complexu dan teori receptie melainkan hukum kewarisan Islam yang berlaku karena kedudukan hukum Islam itu sendiri. Selain teori receptio a contrario yang disebutkan di atas, juga digunakan rumusan-rumusan garis hukum di dalam perundang-undangan dan Komplisai Hukum Islam, Qur’an Hadits Rasulullah, dan pendapat para sahabat Rasulujllah serta ahli hukum Islam.
Vai trò phẫu thuật nạo hạch trong điều trị ung thư phổi không tế bào nhỏ
Authors: Quế Đỗ Kim
Published: November 2020

Trong thời gian 10 năm từ năm 2004 tới năm 2014có 94 bệnh nhân ung thư phổi không tế bào nhỏ có hạch trung thất đã được phẫu thuật tại bệnh viện Thống Nhất. 78 trường hợp cắt 1 thùy phổi chiếm tỉ lệ 83%, 2 trường hợp cắt 2 thùy phổi chiếm tỉ lệ 2,1%, cắt toàn bộ 1 bên phổi trong 3 trường hợp chiếm tỉ lệ 3,2%, 3 trường hợp mổ nội soi cắt thùy phổi chiếm tỉ lệ 3,2%, 8 trường hợp mổ thám sát sinh thiết u và hạch trung thất chiếm tỉ lệ 8,5%. Tất cả 94 bệnh nhân đều được hóa trị bổ trợ với phác đồ có platinum.

62 trường hợp phát hiện có hạch trung thất trước mổ trên chụp vi tình cắt lớp chiếm tỉ lệ 66,0%. 42 trường hợp hạch trung thất phát hiện có tế bào ung thư di căn trên mô bệnh học chiếm tỉ lệ 44,7%.

Kết quả sớm cho thấy không có tử vong do phẫu thuật. 1 trường hợp chảy máu sau mổ chiếm tỉ lệ 1,1%. Xẹp phổi do tắc đàm 1 trường hợp, tràn khì màng phổi kéo dài 2 trường hợp.

Thời gian sống thêm trung bính là 36 tháng, thời gian sống thêm không bệnh trung bính là 30,4 tháng. Tỉ lệ sống thêm 5 năm là 19,1%. Có sự khác biệt giữa nhóm bệnh nhân có hạch N2 có tế bào ung thư di căn và nhóm hạch N2 không có tế bào ung thư di căn về thời gian sống thêm 5 năm lần lượt là 14,3% và 23,1%.
Bất thường Ebstein sửa chữa 1-1/2 thất
Authors: Đạt Phạm Quốc , Hùng Dương Đức , Dũng Vũ Anh , Hiếu Vũ Công
Published: November 2020

Bất thường Ebstein là một bệnh lý hiếm gặp, chiếm 1% các trường hợp tim bẩm sinh, đặc trưng bởi sự bám thấp của lá vách và lá sau của va ba lá (VBL) vào thất phải (TP) dẫn đến hình thành một vùng nhĩ hóa của TP [1]. Bất thường này thường đi kèm với thông liên nhĩ và hở VBL, hiếm gặp hơn là hẹp VBL. Biểu hiện lâm sàng có thể ngay sau sinh với triệu chứng tím nặng và suy TP. Những trường hợp này cần can thiệp phẫu thuật rất sớm [2]. Đa số các trường hợp biểu hiện ở tuổi thiếu niên với biểu hiện tím vừa và suy TP ở thời điểm lúc can thiệp phẫu thuật [3]. Hiếm gặp hơn là những bệnh nhân Ebstein lớn tuổi. Ở tuổi này thường có các biểu hiện gồm tím, loạn nhịp, suy TP nặng và kèm theo suy thất trái thứ phát do tình trạng tím và suy TP kéo dài. Với các trường hợp này sửa chữa 2 thất thường không có kết quả và tỷ lệ tử vong cao theo nghiên cứu của Carpentier [1]. Chúng tôi báo cáo một trường hợp Ebstein lớn tuổi, thiểu sản TP nặng được sửa chữa theo phương pháp 1-1/2 thất nhằm đưa ra một lựa chọn điều trị trong các phương pháp phẫu thuật cho bệnh nhân Ebstein.
ĐÁNH GIÁ SỚM KẾT QUẢ ĐIỀU TRỊ BỆNH VIÊM TẮC ĐỘNG MẠCH MẠN TÍNH HAI CHI DUỚI BẰNG CẦU NỐI NGOÀI GIẢI PHẪU
Authors: Thuu Le Quang
Published: November 2020

Đối tượng và phương pháp nghiên cứu: Từ 01/2009 đến 12/2011 nghiên cứu tiến cứu tại khoa ngoại Lồng Ngực – Tim Mạch BV TW Huế đã có 64 bệnh nhân vào viện điều trị bệnh viêm tắc động mạch mạn tinh 2 chi dưới bằng cầu nối ngoài giải phẫu, trong đó có 52 nam, 12 nữ với độ tuổi từ 32 đến 91 tuổi.Mục tiêu nghiên cứu: Đánh giá kết quả 6-12 tháng sau phẫu thuật làm cầu nối ngoài giải phẫu.Kết quả: Đa số các bệnh nhân khi nhập viện đều trong tình trạng nặng nề của bệnh, chủ yếu là giai đoạn III, IV theo phân độ của Leriche-Fonrtaine, với giai đoạn IV chiếm 87,5%. Tất cả các bệnh nhân nhập viện đều được làm siêu âm Doppler động mạch và chụp động mạch chân bị viêm tắc, kết quả tắc nghẽn chủ yếu ở động mạch đùi nông (81,25%). Sau đó, chúng tôi chỉ định làm cầu nối ngoài giải phẫu, cao nhất là cầu nối đùi – khoeo (62,5%), cầu nối đùi – chày sau (25%), tiếp đến là cầu nối đùi chày trước và khoeo – mác (6,25%).Theo dõi 6-12 tháng sau khi làm cầu nối ngoài giải phẫu, chúng tôi nhận thấy tỷ lệ cầu nối thông tốt lên đến 81,25%, tắc cầu nối 18,75%. Biến chứng sau mổ: chảy máu sau mổ 12,5%, nhiễm trùng vết mổ 12,5%, và biến chứng cắt cụt đoạn chi sau phẫu thuật làm cầu nối 6,25%.
ĐÁNH GIÁ KẾT QUẢ SỚM PHẪU THUẬT THAY VAN HAI LÁ CƠ HỌC ĐƠN THUẦN TẠI TRUNG TÂM TIM MẠCH BỆNH VIỆN E
Authors: Hanh Nguyen Hong , Huu Nguyen Cong , Tien Do Anh , Viet Nguyen Bang , Nguyen Phan Thao , Long Nguyen Thai , Dung Le Tien , Hieu Nguyen Trung , Hung Nguyen Do , Ha Chu Minh , Cuong Ta Manh , Thanh Le Ngoc
Published: November 2020

Mục tiêu: Nhận xét tổn thương tim trong mổ ở bệnh nhân phẫu thuật thay van hai lá (VHL) cơ học đơn thuần tại trung tâm Tim mạch bệnh viện E. Đánh giákết quả sớm sau phẫu thuật thay VHL cơ học đơn thuần. Đối tượng: Toàn bộ bệnh nhân được thay VHL cơ học đơn thuần tại TTTM bệnh viện E trong 1 năm từ 1/2010 đến 1/2011, gồm 111 bệnh nhân.Phương pháp: Thiết kế nghiên cứu can thiệp lâm sàng không đối chứng. Các bệnh nhân đều được mổ thay VHL có bảo tồn dây chằng lá sau. Kết quả và kết luận: Tổn thương VHL chủ yếu là bệnh van tim do thấp van đã vôi hóa. Tỉ lệ huyết khối nhĩ trái ở nhóm HHL cao hơn nhiều so với nhóm HHoHL và nhóm HHoHL cao hơn nhiều so với nhóm HoHL. Tử vong sau mổ do vỡ thất trái (1,8%) gặp ở bệnh nhân có VHL và tổ chức dưới van vôi thành cục. Biến chứng và điều trị sau mổ chủ yếu liên quan đến thời gian kẹp động mạch chủ và tuần hoàn ngoài cơ thể.
TẠO HÌNH XƯƠNG ỨC VÀ THÀNH NGỰC BẰNG NẸP VÍT TRONG VẾT THƯƠNG NGỰC XUYÊN
Authors: Toan Dr. Hoang Quoc , Tuan Dr. Hoang Anh
Published: November 2020

chest wall was destroyed in the penetrating chest wound is dificult problems for a variety of conditions and has been a complex problem in the past due to intraoperative technical difficulties, surgical complications, and respiratory failure. The surgical technique of chest wall stabilization for fail chest and reconstruction with a screws plate as a part of destroyed chest wall and reconstruction is described here in this article.Cas reporte A 54-year-old male was shot in the left thorax , fired from a AK bullet at close range (plus than 3 m). He arrived to our hopital approximately 8 hours after the injury. He had absent breath sounds on the left side, rapid respiratory rate 35 L/P,upper anterior fail chets(paradoxical motion of segments of the chest wall) and his vital signs were stable (pulse was 130, blood pressure was 140/90 mmHg. Physical examination revealed a single skin laceration (plus than 2. cm) with less surrounding contusion at the left anterier-axillary line; 3th intercostal space. The admission chest radiograph revealed a all left hemothorax(pleural effusion). chest X-ray demonstrated a foreign body at the right clavicle bone with the form of an bulett (Figure 1). A leftsided thoracostomy tube drained blood, the patient underwent a traumatic thoracotomie.the bullet and ribs,1/2 anterior upper sternum, muscles on the destroyed anterior upper chest wall were removed.wide anterior chest wall defects on only shaped by steel wires and screws plate and grand pectoralis muscles to the chest wall fix (stabilisation), avoid reversal respiratory and mediastinal infection.. The patient had an uneventful hospital stay and was discharged home 25 days later.
Kinh nghiệm điều trị phẫu thuật cho 9230 bệnh nhân suy giãn tĩnh mạch nông chi dưới tại bệnh viện đại học Y dược Tphcm
Authors: Hằng Lê Thị Ngọc , Đình Lê Quang , Luân Trần Minh Bảo , Phong Lê Thanh , Nga Lê Thị Thiên , Phương Đào Duy , Thắng Lương Việt , Cường Lâm Thảo , Anh Phan Sơn , Bằng Hồ Tất , Long Lê Phi , Nam Nguyễn Hoài , Vỹ Trần Thanh
Published: November 2020

Trong thời gian từ tháng 8 năm 2004 đến tháng 7 năm 2017, có 9230 trường hợp bệnh nhân suy tĩnh mạch chi dưới mạn tính được khám và điều trị phẫu thuật tại Khoa lồng ngực mạch máu bệnh viện Đại học Y dược Tp Hồ Chí Minh. Tỷ lệ nữ trên nam là 2.55, tuổi trung bình 55. Phần lớn bệnh nhân phải đứng lâu trên 8 giờ mỗi ngày. Điều trị bằng phương pháp phẫu thuật bao gồm phẫu thuật Stripping và müller bệnh nhân, Müller đơn thuần cho bệnh nhân, can thiệp nội mạch tĩnh mạch (bao gồm RFA tĩnh mạch, Laser tĩnh mạch, Keo sinh học tĩnh mạch, chích xơ tĩnh mạch) bệnh nhân. Kết quả tốt cho 87 ,8% các trường hợp. Giãn và suy tĩnh mạch chi dưới mạn tính là một bệnh thường gặp ở phụ nữ. Điều trị bằng phẫu thuật cho kết quả tốt. Tuy nhiên bao giờ cũng phảo bắt đầu và duy trì bằng điều trị nội khoa với thuốc làm tăng tính bền của thành tĩnh mạch và vớ y khoa. Việc điều trị kết hợp giữa nội khoa – Phẫu thuật và Vớ Y khoa cho kết quả lâu dài
Kết quả bước đầu điều trị ung thư phế quản - phổi nguyên phát không tế bào nhỏ giai đoạn I bằng phẫu thuật nội soi lồng ngực một lỗ tại bệnh viện hữu nghị Việt Đức
Authors: Lư Phạm Hữu , Anh Nguyễn Việt , Bình Bùi Văn , Hưng Đoàn Quốc , Ước Nguyễn Hữu
Published: November 2020

Nghiên cứu mô tả tiến cứu 14 bệnh nhân ung thư phổi không tế bào nhỏ giai đoạn I được điều trị bằng phẫu thuật nội soi lồng ngực một lỗ từ tháng 10/2016 tới 03/2018 về các thông số trước, trong và sau mổ. Bao gồm 09 nam và 05 nữ. Tuổi trung bình 59,6 ± 4,5 (54 - 74). Phát hiện bệnh do khám sức khỏe định kỳ 5/14 trường hợp (35,7%). Triệu chứng chính khi vào viện là đau ngực là 07/ 09 trường hợp (77,8%). Triệu chứng ho máu là 02/ 09 trường hợp (22,2%). Kích thước khối u trung bình 2,4 x 2,9cm, trong đó kích thước nhỏ nhất 1,5x1,9cm; lớn nhất 2,7 x 3,5cm. Thời gian phẫu thuật 156,5 ± 16,4 phút (140-186). Thời gian rút dẫn lưu màng phổi trung bình 5,4 ± 0,6 ngày (4-9). Số ngày nằm viện trung bình 7,4 ± 0,8 ngày (5-18). Không có tử vong và biến chứng nặng sau mổ. Kết quả giải phẫu bệnh sau mổ: 03 ung thư biểu mô vảy và 11 ung thư biểu mô tuyến. Giai đoạn ung thư: 08 trường hợp giai đoạn IB và 06 trường hợp giai đoạn IA. Điều trị ung thư phổi không tế bào nhỏ giai đoạn I bằng phẫu thuật nội soi lồng ngực một lỗ là một phương pháp có độ an toàn, có tính khả thi và kết quả tốt sau phẫu thuật.
Đánh giá nguyên nhân chuyển mổ mở trong phẫu thuật nội soi cắt thùy phổi
Authors: Bình Nguyễn Hoàng , Vĩnh Vũ Hữu
Published: November 2020

Trong thời gian từ 1/2013 đến 12/2016, chúng tôi đã PTNS cắt thùy phổi cho 134 bệnh nhân. Giới: 48 nữ, 86 nam. Tuổi trung bình là 55.3.Trong đó: bệnh lành tính: 42 bệnh nhân, trong đó u lao nhiều nhất: 17.4%. Bệnh lý ác tính: 92 bệnh nhân, ung thư phổi nguyên phát: 88 bệnh nhân (65.7%), ung thư phổi thứ phát: 4 bệnh nhân (2.9%). Thời gian phẫu thuật trung bình: 3.34 giờ. Lượng máu mất trung bình: 82.1 ml. Tất cả bệnh nhân ra viện tốt, không có tử vong. Thời gian nằm viện sau phẫu thuật trung bình: 4.9 ngày. Chảy máu sau phẫu thuật: 1 bệnh nhân (0.7%)Chuyển mổ mở: 8 bệnh nhân (5.9%), trong đó 5 bệnh nhân do chảy máu khi bóc tách mạch máu, 3 bệnh nhân do hạch dính sát mạch máu, không bóc tách được. PTNS cắt thùy phổi an toàn, hiệu quả được chỉ định trong các bệnh lý phổi, bệnh nhân được chuyển mổ mở do chảy máu hay do hạch dính động mạch thùy phổi. Trong các yếu tố rãnh liên thùy không hoàn toàn, thùy trên phổi làm tăng nguy cơ chuyển phẫu thuật mở, cần chú ý khi phẫu thuật
PHẪU THUẬT SỬA VÒNG VAN BA LÁ TRONG THAY VAN HAI LÁ TỔN THƯƠNG DO THẤP
Authors: Toàn Hoàng Quốc , Tuấn Hoàng Anh
Published: November 2020

Hở van 3 lá thường gặp trong bệnh lý van 2 lá do thấp, việc có sửa van 3 lá khi mổ thay van 2 lá khi đầu đã có những quan điểm khác nhau.Tuy nhiên,hở van 3 lá thứ phát sau mổ làm tăng tỉ lệ bệnh nhân suy tim và tử vong đã có nhiều nghiên cứu đề cập tới.vì vậy, cho tới nay việc sửa hở van 3 lá trong phẫu thuật van tim bên trái được hầu hết các phẫu thuật viên thống nhất nên làm.Đã có nhiều phương pháp mổ sửa van 3 lá như: De vega, Kay, vòng van(Carpentier,Edwards.). Thành công ứng dụng các phương pháp tạo hình vòng van 3 lá ở mỗi một trung tâm có khác nhau(15,16,17,18,20,21). Chúng tôi tiến hành sửa van 3 lá sau thay van 2 lá bằng phương pháp sử dụng giải PTFE bắc cầu giữa hai trụ, được tạo bởi khung sợi phải và vòng van lá sau(được khâu lại} để giữ vòng van 3 lá không bị giãn sau mổ, bước đầu đạt được kết quả khả quan.

Mục đích của bài báo này nhằm: đánh giá bước đầu kết quả phương pháp tạo hình vòng van ba lá của chúng tôi.
La fortaleza medieval de Isso (Albacete) y su territorio
Authors: Navarro Palazón Julio
Published: November 2020

This paper presents some of the information obtained during the archaeological surveys carried out in 2019 in the stately fortress known as Torre de Isso, located in the municipality of Hellín (Albacete). These fieldworks have attempted to answer some questions related to the historical interpretation of the preserved monumental remains, specifically two large towers and some walls from the second half of the thirteenth or fourteenth century. The initial study and graphical documentation were carried out to obtain the data needed to draft a conservation project in line with current scientific criteria.Extending the investigation to the whole neighborhood of houses that surrounds the towers resulted in the discovery of a quadrangular fortress of 44 x 42 m, which incorporates the towers and in which different construction phases have been identified, certainly prior to and subsequent to the Christian conquest. The remains found were reused in the load-bearing walls of some of the houses. Beside the fortress, we extended the study to the entire village of Isso, in order to find out if the medieval castle had an annexed relevant village. Finally, the surveys expanded throughout the entire territory of Isso, with the desire to know if its characteristic dispersed settlement, made up of small farmhouses, and its traditional irrigation system, have a medieval origin.This multidisciplinary research project has allowed us to obtain extensive data and produce significant information, although it should be noted that many issues and some of the interpretations offered in this article are still hypothetical. Therefore, only future development of additional archeological and historical works will make it possible to tackle those questions that remain to be answered.
Dust emission in farmland caused by aerodynamic entrainment and
surface renewal
Authors: Dun Hongchao , Huang Ning
Published: November 2020

Abstract. Mineral dust emission is an important physical process related to gas-particle interaction and soil moisture temporal change, which is crucial on global circulation patterns and biogeochemical cycles. The existing dust models are usually semi-empirical functions and far from reliable prediction of dust emission rate ignoring the different phases in dust emission. Here, a dust emission model combined with aerodynamic entrainment and surface renewal mechanisms is established to simulate the physical phased dust emission in farmland. We use a soil moisture transport module to simulate the temporal soil surface moisture, and a simple and feasible scheme to calculate the amount of free grains exposed on soil surface. The model reproduces three typical phases of dust emission: aerodynamic entrainment, dry soil saltation and surface renewal, in which soil moisture is the dominating limiting factor and the dust emission rate remains low. Results show that our model is an effective method to predict the dust emission rate.
HIDRA 1.0: Deep-Learning-Based Ensemble Sea Level Forecasting
in the Northern Adriatic
Authors: Žust Lojze , Fettich Anja , Kristan Matej , Ličer Matjaž
Published: November 2020

Abstract. Complex interactions between atmospheric forcing, topographic constraints to air and water flow, and resonant character of the basin, make sea level modeling in Adriatic a particularly challenging problem. In this study we present an ensemble deep-neural-network-based sea level forecasting method HIDRA, which outperforms our general ocean circulation model ensemble (NEMO v3.6) for all forecast lead times and at a minuscule fraction of the numerical cost (order of 2 × 10−6). HIDRA exhibits larger bias but lower RMSE than NEMO over most of the residual sea level bins. It introduces a trainable atmospheric spatial encoder and employs fusion of atmospheric and sea level features into a self-contained network which enables discriminative feature learning. The HIDRA architecture building blocks are experimentally analyzed in detail and compared to alternative approaches. Results show individual importance of sea level input for accurate forecast lead times below 24 h and of the atmospheric input for longer time leads. The best performance is achieved by considering the input as the total sea level, split into disjoint sets of tidal and residual signals. This enables HIDRA to optimize the prediction fidelity with respect to atmospheric forcing, while compensating for the errors in the tidal model. HIDRA is trained and analysed on a ten-year (2006–2016) timeseries of atmospheric surface fields from a single member of ECMWF atmospheric ensemble. In the testing phase, both HIDRA and NEMO ensemble systems are forced by the ECMWF atmospheric ensemble. Their performance is evaluated on a one-year (2019) hourly time series from tide gauge in Koper (Slovenia). Spectral analysis of the forecasts at semi-diurnal frequency (12 h)−1 and at ground-state basin seiche frequency (21.5 h)−1 is performed by a continuous wavelet transform. The energy at the basin seiche in the HIDRA forecast is close to the observed, while NEMO underestimates it. Analyses of the January 2015 and November 2019 storm surges indicate that HIDRA has learned to mimic timing and amplitude of resonant sea level excitations in the basin.
A Crip Queer Dialogue on Sickness (Editors' Introduction)
Authors: Lajoie Corinne , Douglas Emily
Published: November 2020

Editors' introduction to the Puncta special issue on "Critically Sick: New Phenomenologies Of Illness, Madness, And Disability."
Shifting the Weight of Inaccessibility: Access Intimacy as a Critical Phenomenological Ethos
Authors: Valentine Desiree
Published: November 2020

This paper offers a critical phenomenological view of the concept of access intimacy, a term coined by disability justice advocate Mia Mingus. Access intimacy refers to a mode of relation between disabled people or between disabled and non-disabled people that can be born of concerted cultivation or instantly intimated and centrally concerns the feeling of someone genuinely understanding and anticipating another’s access needs. Putting in conversation this notion of intimacy with Kym Maclaren’s critical phenomenological account of intimacy, I show how accessibility is not about what one person or institution can do for another but involves an ongoing, interpersonal process of relating and taking responsibility for our inevitable encroachment on one another in ways that enhance one another’s freedom.
Prediction of post-elastic seismic response of structures by a mode superpostion technique
Authors: Gillies A. G. , Shepherd R.
Published: November 2020

For the determination of the dynamic response of a structural system to earthquake ground motion the mode superposition technique offers an alternative approach to the well established direct integration method. Whereas the principle of modal superposition is encountered commonly in elastic analyses, the response of a yielding structure is predicted almost universally by direct integration of the equation of motion. In this paper the principles of modal superposition are extended into the post-elastic domain. Among the advantages which accrue from the modal based transformation are a potential reduction in the number of dynamic degrees-of-freedom considered in the solution, and a new insight into the structure response provided by the instantaneous dynamic properties of the structure.
From NGOs’ accountability to social trust. The evidence from CEE countries
Authors: Waniak-Michalak Halina , Perica Ivana , Leitoniene Sviesa
Published: November 2020

Purpose: The paper aims to find a link between the level of NGO accountability and the social trust for non-governmental organisations (NGOs). We will investigate if the accounting regulations and transpa-rency rules for NGOs in particular countries influence the social trust for NGOs. We will follow the process of the creation of accounting law for NGOs in three CEE countries: Lithuania – one of the Baltic states, which is in last place in the World Giving Index ranking, and Poland, and Croatia – the two best post-communist countries in the World Giving Index ranking. We will analyse the change in social trust in these countries in line with the development of legal and accounting rules and norms for NGOs. Methodology/approach: The design and methodology approach includes a literature review and compa-rative analysis. We supported our findings with panel regression analysis. Research limitations include the selection of only a few countries for the analysis and only nine years of observation per country. Findings: The results of our research indicate that accounting regulations are of marginal importance for social trust. We conclude that accountability alone does not solve the social trust problems faced by non- -profit organisations. Other factors affect social trust, such as lack of institutional mechanisms, lack of anempathic society, and negative media coverage. Originality/value: The originality and value of this paperlie in the fact that we explain how NGOs’ accountability and revenues influence social trust in NGOs.Furthermore, we refer to CEE countries where – due to their historical heritage – both social trust andtransparency were deeply affected.
Random Forest-Based Ensemble Machine Learning Data-Optimization Approach for Smart Grid Impedance Prediction in the Powerline Narrowband Frequency Band
Authors: Oyekanlu Emmanuel , Uddin Jia
Published: November 2020

In this chapter, the random forest-based ensemble regression method is used for the prediction of powerline impedance at the powerline communication (PLC) narrowband frequency range. It is discovered that while PLC load transfer function, phase, and frequency are crucial to powerline impedance estimation, the problem of data multicollinearity can adversely impact accurate prediction and lead to excessive mean square error (MSE). High MSE is obtained when multiple transfer functions corresponding to different PLC load transfer functions are used for random forest ensemble regression. Low MSE indicating more accurate impedance prediction is obtained when PLC load transfer function data is selectively used. Using data corresponding to 200, 400, 600, 800, and 1000 W PLC load transfer functions together led to poor impedance prediction, while using lesser amount of carefully selected data led to better impedance prediction. These results show that artificial intelligence (AI) methods such as random forest ensemble regression and deterministic data-optimization approach can be utilized for smart grid (SG) health monitoring applications using PLC-based sensors. Machine learning can also be applied to the design of better powerline communication signal transceivers and equalizers.
First Report of Preimplantation Genetic Diagnosis for Steroid-Resistant Nephrotic Syndrome
Authors: Khordadpoor Deilamani Faravareh , Akbari Mohammad Taghi
Published: November 2020

Background: Steroid-resistant nephrotic syndrome is a genetic disease with autosomal recessive inheritance pattern and symptoms such as proteinuria and hypoalbuminemia and rapid progress of kidney disease. Preimplantation genetic diagnosis is an option for couples who are at risk of affected pregnancy to have a healthy child. Objectives: This study aimed to develop a new PGD test for a couple who are heterozygous for a mutation in NPHS2 gene and have a son affected to steroid-resistant nephrotic syndrome. Methods: Variant detection by cycle sequencing and Multiplex fluorescent PCR for identification of flanking STR markers were used to investigate the status of the embryos. Results: Three out of six embryos were transferable from which one was transferred and resulted in the birth of a healthy boy. Conclusions: We recommend increasing the number of the STR markers to two at the downstream of the NPHS2 gene especially in cases that direct mutation analysis such as cycle sequencing is not applied.
Is the press presenting (neoliberal) foreign residency laws in a depoliticised way? The case of investment visas and the reconfiguring of citizenship
Authors: Santos Tânia R. , Castro Paula , Guerra Rita
Published: November 2020

Neoliberalism calls upon the social sciences to explore how legal innovations – new laws and policies – incorporating neoliberal values are presented to the citizenry. An example are investment visas, a new legal instrument regulating foreign residency. Investment visas reconfigure citizenship by prioritising neoliberal values, by privileging economic capital over labour and over place-and-community involvement in the host country. They also create sub-groups within a same migrant community. The press can present these changes by highlighting how they involve choices among competing values, stimulating debate, or it can hide such choices, offering a depoliticised coverage of the issue. This paper explores how investment visas were presented to the Portuguese public by the press, in connection with the Chinese, its main beneficiary community. The analysis is two-fold: first, a thematic analysis focuses on the representation of the Chinese in two newspapers (n = 525 articles), exploring whether it differentiates the investment visa sub-group within the Chinese community; second, a content analysis examines whether the law’s transformations to citizenship are presented in a depoliticised way (n = 164 articles). Findings indicate that the press shows Chinese investment visa beneficiaries as disconnected from other representations of the Chinese. Additionally, the investment visa laws are presented in a depoliticised way: one (uncontested) perspective is privileged, emphasizing their benefits. Conflicting values are almost absent, and the deterritorialised aspect of citizenship is left unproblematized. We conclude by discussing the implications of this type of coverage in shaping social debate and for the socio-psychological study of legal innovations and of citizenship.
The main plant mineral nutrition balance on using ecological fertilizers
Authors: Burakova Auksė , Bakšienė Eugenija , Ražukas Almantas
Published: November 2020

The experiments were performed in stationary cylindrical lysimeters, which were filled with soil typical of the Eastern Lithuanian region: sandy loam and loamy sand soil (Haplic Luvisol). In the experiment, the main aim was to investigate the balance of nitrogen (N), phosphorus (P) and potassium (K) in the sandy loam and loamy sand Haplic Luvisol and to evaluate their effectiveness and suitability for the light texture soil and agricultural crop harvest in organic agriculture. It was found that, in general, during the three years of the experiment, the balance of N in the sandy loam and loamy sand soil was negative, but fertilization with organic sapropel showed the positive results: less N leaching losses content, compared to other organic-organic fertilizers. Fertilization with cattle manure did not ensure the P positive element balance, in both types of soils, due to a small amount of P in the fertilizer and a high accumulation in the yield. The amount of potassium added each year with NPK fertilizer ensured a positive element balance only in the sandy loam soil.
Influence of vegetable additives on spelt wheat (Triticum spelta L.) bread quality
Authors: Daunaravičiūtė Miglė , Paulauskienė Aurelija , Tarasevičienė Živilė , Silkartaitė Berta
Published: November 2020

The research was performed at Aleksandras Stulginskis University (Vytautas Magnus University Agriculture Academy since 2019) in 2017–2018. Bread was baked without additives and enriched with 10% of dried carrot and beetroot powders. The research aim was to investigate and compare the influ­ence of these additives on bread quality. Using standard methods, water content, titratable acidity, fiber and ash quantities were established in baked bread. Crumb porosity, firmness and colour were also evaluated, and bread sensory analyses were carried out. The highest moisture (44.64%) and fiber (2.65% DM) contents were established in the bread with carrot powder, and in the bread with beetroot powder the highest ash content (3.98% DM) was found. The lowest acidity was found in the bread with carrot powder. The highest porosity was found in the bread without additives (52.12%). Vegetable additives reduced bread porosity. The bread with carrot and beetroot additives had a brighter colour. The bread with beet­root powder had the darkest and most intense red crumb, while the bread with carrot powder additive had the brightest yellow colour of the bread crumb. The results of the sensory evaluation of the bread showed that the appearance and bread crumb colour with the addition of beetroot powder was the most acceptable to the evaluators. The bread without additives had the highest scores of the aroma, while the bread with carrot powder had the best taste.
In vitro and molecular docking and analysis of isoxazoline derivatives with DPPH
Authors:   PG & Research Department of Chemistry, Government Arts College, C. Mutlur 608 102, Chidambaram, India, Geetha C
Published: November 2020

A series of isoxazoline derivatives (4a-i) was synthesized from the reaction of 3-(4-fluorophenyl)-1-phenylprop-2-en-1-one derivatives (4a-i) and hydroxylamine hydrochloride in ethanol at reflux conditions. The compounds were confirmed by spectral (IR, 1H & 13C NMR) and elemental analysis. The compounds were screened for their in vitro antioxidant activity against DPPH. We show that compound #4i has potential antioxidant activity. The Molecular docking analysis of the compound with DPPH shows strong hydrogen bonding interactions with several amino acid residues of the protein tyrosine kinase enzyme structure (PDB ID: 2HCK) for effective inhibition.
Professionsidentitet i bevægelse
Authors: Munksgaard Kristian Fahnøe , Schmidt Christina Haandbæk , Skovgaard Thomas
Published: November 2020

Artiklens ærinde er dels at udforske, hvordan pædagoger kan begribe og udvikle deres professionsidentitet, og dels at udfolde hvilken betydning bevægelse har for en teoretisk forståelse af professionsidentitet. En teoretiske indkredsning af begrebet professionsidentitet kvalificeres via et realist review og en interviewundersøgelse af fire daginstitutionspædagoger. Artiklen konkluderer, at self-efficacy, motivation, affektiv engagement og praksisfællesskaber kan anvendes som analytiske redskaber til at få øje på, hvordan pædagoger udvikler professionsidentitet i kontekster hvor bevægelse har et særligt fokus. Artiklens pointer perspektiveres afslutningsvist i relation til en analyse af læringsforståelser i bekendtgørelsen for pædagoguddannelsen.

AbstractThe purpose of this article is partly to explore how pedagogues understand and develop professional identity and partly to elaborate upon how pedagogues’ sense of embodiment and physical activity are significant to a theoretical understanding of professional identity. A theoretical identification of professional identity is informed and elaborated upon via a realist review and a study based on interviews of four daycare pedagogues. In conclusion the article specifies self-efficacy, motivation, affective commitment, and communities of practice as a relevant analytical apparatus to identify and discuss development of professional identity and the significance of sense of embodiment and physical activity in this context. Finally the conclusion is put into perspective in relation to the current Danish Bachelor Programme of Social Education
Towards a general application programming interface (API) for injection molding machines
Authors: Ogorodnyk Olga , Larsen Mats , Lyngstad Ole Vidar , Martinsen Kristian
Published: November 2020

Injection molding is a complicated process, and the final part quality depends on many machine and process parameters settings. To increase controllability of the injection molding process, acquisition of the process data is necessary. This paper describes the architecture and development of a prototype of an open application programming interface (API) for injection molding machines (IMMs), which has the potential to be used with different IMMs to log and set the necessary process parameter values. At the moment, the API includes an implementation of EMI data exchange protocol and can be used with ENGEL IMMs with CC300 and RC300 controllers. Data collection of up to 97 machine and process parameters (the number might vary depending on the type of machine at hand), obtained from sensors installed in the machine by the manufacturer is allowed. The API also includes a module for the acquisition of data from additional 3d party sensors. Industrial Raspberry Pi (RevPi) was used to perform analog-to-digital signal conversion and make sensors data accessible via the API prototype. The logging of parameters from the machine and from sensors is synchronized and the sampling frequency can be adjusted if necessary. The system can provide soft real-time communication.
The efficacy of IL-6 inhibitor Tocilizumab in reducing severe COVID-19 mortality: a systematic review
Authors: Kaye Avi Gurion , Siegel Robert
Published: November 2020

Background

In the absence of highly effective antiviral therapies against SARS-CoV-2, it is crucial to counter the known pathophysiological causes of severe COVID-19. Evaluating the efficacy existing drugs may expedite the development of such therapeutics. Severe COVID-19 is largely the result of a dysregulated immune response characterized by lymphocytopenia, neutrophilia and critical hypercytokinemia, or “cytokine storm,” which is largely mediated by the cytokine interleukin-6 (IL-6). The IL-6 inhibitor tocilizumab (TCZ) could potentially suppress the effects of the pro-inflammatory cytokine and thereby lower mortality from the disease. This systematic analysis aimed to investigate and synthesize existing evidence for the efficacy of TCZ in reducing COVID-19 mortality.

Methodology

PubMed and SearchWorks searches were performed to locate clinical studies with primary data on TCZ treatment for severe COVID-19. Sixteen case-control studies comparing mortality between TCZ and standard of care (SOC) were identified for quantitative synthesis. The systematic analysis was pre-approved through PROSPERO (CRD42020193479).

Results

Combined mortality for the TCZ-treated and SOC groups were 26.0% and 43.4% respectively. In all but one of the studies, the odds ratio of mortality from COVID-19 pointed towards lower fatality with TCZ vs the SOC. A combined random effects odds ratio calculation yielded an odds ratio of 0.453 (95% CI [0.376–0.547], p < 0.001). Additionally, 18 uncontrolled trials were identified for qualitative analysis producing a raw combined mortality rate of 16.0%.

Conclusions

Important caveats to this research include the lack of prospective randomized control trials and the absence of data from the large COVATA study from the published literature. However, results from this systematic analysis of published research provide positive evidence for the potential efficacy of TCZ to treat severe COVID-19, validating the ethical basis and merit of ongoing randomized controlled clinical trials.
Development of Scale to Examine the Entrepreneurial Behaviour among the Agriculture Students of Farm Universities in Karnataka
Authors: Sanketh C. V. , Raghuprasad K. P. , Ganesamoorthi S. , Gangadharappa N. R.
Published: November 2020

An effort is made in the present investigation to develop a scale to examine the entrepreneurial behaviour among the students who were in the final year of their basic degree in different farm universities of Karnataka state. The developed scale consists of 35 statements categorised under seven important dimensions. The total final year agriculture students in farm universities in Karnataka during 2019-20 were around 1200, but the scale was administrated to 50 final year students in the College of Agriculture, University of Agricultural Sciences, GKVK, Bangalore (UAS(B)) during 2019-20. The developed entrepreneurial behaviour scale was found to be highly reliable and valid. It was found that around two –fifth of students (38.00 %) were having medium entrepreneurial behaviour.
Circulating HBV Genotypes among Animal and Non-Animal Handlers in Osun State, Nigeria
Authors: Okonko I. O. , Gidado I. R. , Anomneze B. U. , Opaleye O. O.
Published: November 2020

Aim: Hepatitis B virus (HBV) is not uncommon among animal and non-animal handlers. The brutality of HBV infection and the outcome of treatment is linked with exact HBV genotypes. No study on the circulation of HBV genotypes has been reported among animal and non-animal handlers in Nigeria. This study was intended to evaluate the genotypic distribution among animal and non-animal handlers in Osun State, Nigeria.

Study Design:  Cross-sectional study.

Place and Duration of Study: Ladoke Akintola University of Technology (LAUTECH), Nigeria, between June 2015 and July 2019.

Methods: Blood samples were obtained from HBsAg positive individuals and screened for HBV-DNA from cohorts of animal and non-animal handlers. HBV-DNA was extracted, amplified and genotyped using a multiplex PCR technique with primers specific for six genotypes of HBV (Genotype A, B, C, D, E and F).

Results: Results showed that a total of 11 (6.1%) of the 180 animal and non-animal handlers evaluated were positive to HBsAg and 4.4% were positive for HBV-DNA by a semi-nested PCR using HBV specific primer pairs. The molecular analysis of the sera of 11 HBsAg positive animal and non-animal handlers showed that 72.7% of them had a true HBV infection. Results further show that genotype E (75.0%) was predominant over genotype A (12.5%) and mix genotypes (D and E) with 12.5% prevalence. Other genotypes were not detected. Of the 8 positive HBV-DNA samples, 7 (87.5%) were males and one (12.5%) was a female. All animal and non-animal handlers with true HBV infection were found to harbour HBV genotype E predominantly.

Conclusion: The molecular analysis of HBV-DNA and genotypes circulating among animal and non-animal handlers shows that the majority of the subjects with true HBV infection were found to predominantly harbour HBV genotype E in Osun state, Nigeria. The study further highlights the predominance HBV genotype E in Nigeria.