bluuebunny/crossref_metadata_2025 huggingface dataset:
Variation of Al species during water treatment: correlation with treatment efficiency under varied hydraulic conditions
Authors: Wang Zhenghua , Huang Wei , Wang Chuang , Li Xiaoshang , He Zhaohui , Hursthouse Andrew , Zhu Guocheng
Published: July 2021

The concentration of hydrolyzed coagulant ion species is a key factor in determining drinking water treatment efficiency. Direct correlation of water treatment efficiency with changes in species during coagulation has not been addressed. We investigated the correlation under different hydraulic conditions and water treatment efficiencies including changes in removal of turbidity, ultraviolet adsorption at 254 nm (UV254) and dissolved organic carbon (DOC). Results highlighted that Al species (monomeric species as Ala, medium polymeric species as Alb and colloidal species as Alc) behaved differently during coagulation and treatment efficiencies were affected. When varying the mixing speed, the removal of Alc species had a strong negative correlation with water treatment efficiency but under other hydraulic conditions positive correlations were found. The removal of Ala species was positively correlated with water treatment efficiency, but under other hydraulic conditions the low abundance of Ala species meant the correlation was difficult to observe. The Alb species were significantly and positively correlated with water treatment efficiency with the highest correlation coefficient (R2) of 0.87. The correlation of metallic species with removal efficiencies of the DOC and the UV254 produced higher R2 values. Correlation of the rate of removal of Alb species with the removal efficiencies of the DOC or the UV254 was better than for Alc.
Przygotowanie dalsze i bliższe do małżeństwa po Dekrecie ogólnym Konferencji Episkopatu Polski z 2019 r.
Authors: Dullak Kazimierz
Published: July 2021

Getting married in the Catholic Church should be preceded by preparation divided into three stages: further, closer and direct. In Poland, since June 1st , 2021, an episcopal document is in force, specifying in particular canonical and pastoral talks with the engaged couples. The earlier stages of marriage formation have been discussed in scattered legal acts. These documents have the scope of the universal Church and the others are in force in Poland. This study summarizes the regulations that are in force in Poland, regarding further and closer marriage preparation. Some changes were suggested, for the welfare of marriage.
Komentarz do sprawy S-J o stwierdzenie nieważności małżeństwa z tytułu przeszkody węzła małżeńskiego
Authors: Białobrzeski Tomasz
Published: July 2021

Publikacja stanowi komentarz do sprawy o stwierdzenie nieważności małżeństwa prowadzonej w Sądzie Biskupim Płockim w 1978 roku. Dotyczy ona małżeństwa S-J zawartego 7 sierpnia 1976 roku w parafii R. na terenie diecezji płockiej. Mężczyzna celowo wprowadził w błąd swoją narzeczoną oraz duszpasterzy. Zataił fakt uprzednio zawartego związku z inną kobietą w 1971 roku. Usprawiedliwiając się różnymi obiektywnymi trudnościami nie dostarczył swojej metryki chrztu. W ten sposób doprowadził do nieważnego zawarcia związku małżeńskiego w 1976 roku z powodu przeszkody węzła małżeńskiego. Analiza tego kazusu jest interesująca z powodu bardzo rzadko spotykanej w praktyce sądowej przeszkody węzła małżeńskiego. Dodatkowym walorem prezentacji jest odniesienie do historii prawa kanonicznego, tzn. do norm obowiązujących przed promulgacją Kodeksu Prawa Kanonicznego z 1983 roku. Referowany kazus jest też okazją do podkreślenia, jak ważną rolę w przygotowaniu do zawarcia małżeństwa odgrywa kanoniczne dochodzenie przedślubne.
Natural Antibodies: Protecting Role of IgM in Glioblastoma and Brain Tumours
Authors: Semwal Shubham , Boukherroub Rabah , Savvides Savvas N. , Bouckaert Julie
Published: July 2021

Background:

Glioblastoma is a grade IV astrocytoma with an average survival span for patients of
18 months after initial diagnosis and no standard treatment protocol is available. Therefore, there is a need to
search for novel approaches to target glioblastoma.

Objectives:

This review intends to capture the role of immunoglobulin-M in cancer, more specifically in
glioblastoma multiforme (GBM), and to compile the latest developments and immunological pathways relevant
to glioblastoma.

Methods:

Information on glioblastoma, cancer microenvironment, cancer therapeutics, and how to improve the
scenario were obtained from scientific literature databases such as Pubmed, Medline, Google Scholar, Science
Direct, Springer, Wiley online library, and some data was harvested from regulatory and compliance databases
such as clinicaltrials.gov, FDA database, and WHO Globocan.

Results and Conclusions:

Currently, only a limited number of therapies are approved for GBM, and no standard
care is in place in case of disease relapse, necessitating a possible broader perspective in looking at the disease
and its underlying mechanisms.
A Meta-Analysis of Safety of Different Regimens of Remdesivir in COVID-19 Patients
Authors: Konwar Mahanjit , Maurya Miteshkumar , Bose Debdipta
Published: July 2021

:

Remdesivir is an adenosine analogue drug that targets RNA-dependent RNA polymerase
enzyme and inhibits viral replication. As of 22nd October, 2020, US FDA fully approved the
drug Remdesivir for the treatment of COVID-19 patients who requires hospitalisation. Many clinical
studies reported the derangement in hepatic and renal function tests, which is alarming considering
the health conditions of the COVID-19 patients. In view of these results, the present study was
envisaged to review the safety of Remdesivir in COVID-19 patients. The PubMed, Embase, and
Cochrane databases were searched using the terms ‘Remdesivir,’ ‘veklury,’ ‘SARS’ and ‘COVID’
till 1st December, 2020. The studies included in this meta-analysis were either randomised or nonrandomised
studies that evaluated Remdesivir for the treatment of COVID-19 against Placebo [standard
of care]. The Adverse events [AEs], Serious adverse events [SAEs] and Treatment Discontinuation
due to Adverse Events (TDAE) were used as primary outcome measures. The quality of
studies was evaluated by using the Cochrane Collaboration’s tool for the assessment of RoB. Data
analysis was performed by two authors (MK & DB) using statistical software Review manager
[Revman] version 5.3. The pooled Risk Ratios (RR) and 95% Confidence Intervals (CI) were calculated
by using a random-effects model for both primary and secondary outcomes. A total of four
RCTs were included for the meta-analysis. Out of the four included clinical trials accepted for its
methodological quality, three were of excellent quality and one study was of moderate quality. The
pooled estimates of the three studies showed that Remdesivir had a 24% lower risk of SAEs compared
to the placebo arm. However, the pooled estimates of two studies showed that 10 days of
Remdesivir had 56% higher risk of SAEs compared to 5 days of Remdesivir regimen. Similarly,
the 10 days of Remdesivir had two times higher risk of TDAEs compared to 5 days Remdesivir regimen.
In conclusion, our meta-analysis demonstrated that Remdesivir is a safe therapeutic option.
Our metanalysis revealed 5 days’ regimen have better safety profile than 10 days’ regimen of drug
Remdesivir with respect to SAEs and TDAEs. For hospitalized patients, a 5-day course could be
preferable with fewer safety concerns and lower drug costs.

PROSPERO Registration ID:

CRD 42020224272.
Anaphylaxis to Pantoprazole: A Case Report and Prerequisite for Vigilant
Prescribing Practises for Proton Pump Inhibitors
Authors: James Jerin , Rani Jamuna , Sathyanarayanan Varadarajan , Begum Althab , Fayaz Syed Hussain
Published: July 2021

Background:

Pantoprazole is a Proton Pump Inhibitor, commonly used by clinicians all
over the world as a gastric acid synthesis inhibitor for a wide variety of gastrointestinal disorders.
The efficacy and the safety of the drug are unsurmountable. PPIs are being prescribed nowadays
for unapproved indications. It is one of the widely used medications in the world. Consequently, adverse
events are commonly reported nowadays with proton pump inhibitors, and it is essential to
improve physician awareness regarding judicious prescribing practice.

Objective:

To report a case of anaphylaxis to pantoprazole, that occurred in a patient admitted with
gastrointestinal complaints.

Case summary:

Within few minutes of intravenous infusion of pantoprazole, a 75-year-old female
developed anaphylaxis. The adverse drug reaction was promptly diagnosed, and the patient was resuscitated.

Conclusion:

It is imperative that clinicians should be aware of this adverse effect that might occur
with pantoprazole and hence be more cautious while prescribing the drug, especially in the elderly.
The Validity of Mobile Applications to Facilitate Patient Care Provided to Cancer Patients: Opportunities and Limitations
Authors: Amawi Haneen , Al-Azzam Sayer , Alzanati Tasnim , Altamimi Neveen , Hammad Alaa , Alzoubi Karem H. , Ashby Charles R. , Tiwari Amit K.
Published: July 2021

Background:

The use of health-related applications (apps) on smartphones has become widespread. This is especially of value during the ongoing SAR-COV-2 pandemic, where accessibility to health care services has been greatly limited. Patients with free access to apps can obtain information to improve their understanding and management of health issues. Currently, there are cancer-related apps available on iPhones and androids. However, there are no guidelines to control these apps and ensure their quality. Furthermore, these apps may significantly modify the patients’ perception and knowledge about drug-related health services.

Objective:

The aim of this study was to assess the convenience, quality, safety and efficacy of apps for cancer patient care.

Methods:

The study was conducted by searching all apps related to cancer care on both Google Play Store and Apple iTunes Store. A detailed assessment was then performed using the mobile application rating scale (MARS) and risk assessment tools.

Results:

The results indicated that on a scale from 1-5, 47% of the apps were rated ≥ 4. The MARS assessment of the apps yielded an overall quality rating of 3.38 ± 0.9 (mean ± SD). The visual appeal of the app was found to have a significant effect on app functionality and user engagement. The potential benefits of these apps come with challenges and limitations. Patents related to smartphone applications targeting patients were also discussed.

Conclusion:

We recommend a greater emphasis toward producing evidence-based apps. These apps should be rigorously tested, evaluated and updated by experts, particularly clinical pharmacists. Also, these apps may alter patient attitudes toward services provided by physicians and pharmacists. Finally, these apps should not replace in-person interactive health services.
Низкочастотный магнитоэлектрический датчик без смещения на основе слоистой структуры Metglas/кварц/Metglas
Authors: Sun Changxing , Yang Wenrong , He Yifan , Chen Lei , Dong Cunzheng , Liang Xianfeng , Chen Huaihao , Sun Nian-Xiang
Published: July 2021

Tremendous progress has been made on boosting the performance of magnetoelecric sensor to detect low frequency magnetic field signal by frequency multiplication based on magnetolectric composites. In this paper, a novel magnetoelectric sensor based on the laminated Metglas/piezoelectric quartz crystal/Metglas composites structure is presented. The Metglas foils are bonded symmetrically on both sides of the X-cut quartz crystal plate with epoxy. Experiments showed that the ME composites sensor was able to achieved a limit of detection of 11 pT for a low frequency magnetic field 1 Hz without any bias field through frequency multiplication method. The noise power spectrum density of the sensor has also been tested to be 3.93·10-6 V/Hz−1/2 at 1 Hz. The results indicate that the proposed sensor has favorable features, which provides a cost-effective and high-performance approach for low frequency magnetic field measurement.
Применение вспомогательных топлив для управления сверхзвуковыми потоками реагирующих топливно-воздушных смесей в канале камеры сгорания
Authors: Колосенок С.В. , Куранов А.Л. , Саваровский А.А. , Булат П.В. , Галаджун А.А. , Левихин А.А. , Никитенко А.Б.
Published: July 2021

Besides gas-dynamic methods, chemical ones are also suitable for the implementation of stable
supersonic combustion of hydrocarbon fuels. Organoelemental compounds are known for their
high reactivity, so attention was paid to organosilicon liquid during the research on the
experimental model. The obtained estimates of the laminar flame speed in a mixture of vapors of
this liquid with air were 0.72-0.8 m/s, which is higher than that of ethylene successfully used in
supersonic combustion tests. The tested compound can be considered as a candidate for
supplementary fuel to control the supersonic reactive flows in the combustion chambers of
ramjet engines.
URIC AS AN INTEGRAL INDICATOR OF MEASURING THE INNOVATIVE POTENTIAL OF AN ORGANIZATION
Authors:   South-Western State University, Starykh  S.A. , Kuzmicheva  I.G. ,   South-Western state University, Raspopin  D.I. ,   South-Western state University
Published: July 2021

Subject. The level of intellectual capital development that reflects the innovative potential of the organization. Topic. The study of the level of development of the intellectual capital of an educational institution as a type of innovative organization. Purpose. Evaluate and analyze the intellectual capital of an educational organization based on the characteristics of the assessment of the innovative and intellectual potential of the organization itself, the region, as well as the socio-economic system as a whole. Methodology. Methods of research, analysis, and systematization of data. Results. The proposed measurement method allows for periodic monitoring of PEC, identifying strong and weak areas in the field of intellectual capital of the enterprise, and gives a real opportunity for management to systematically manage PEC. Application area. Organizations of an innovative type. Conclusions. Educational institutions are typical representatives of innovative organizations, on the one hand, having specific features, and on the other, having pronounced characteristics of this type of organization. It is educational institutions that combine all the essential parameters that are characteristic of innovative organizations, so to specify the methodology for assessing intellectual capital, we propose to use the indicators that are characteristic of educational institutions. Keywords: URIC, integral indicator, innovative potential of the organization, assessment of intellectual capital
THE NECESSITY OF FOREIGN LANGUAGE LINGUISTIC COMPETENCE IN THE STATE CIVIL SERVICE OF THE RUSSIAN FEDERATION
Authors:   Russian Presidential Academy of National Economy and Public Administration (branch of RANEPA), Zolotukhina  T. V. , Garkavtseva A.S. ,   Russian Presidential Academy of National Economy and Public Administration, Prozorovskaya A.R. ,   Russian Presidential Academy of National Economy and Public Administration (branch of RANEPA)
Published: July 2021

Subject. Foreign language (linguistic) competence in the Civil Service of the Russian Federation Topic. Problems of linguistic competence in the Civil Service of the Russian Federation Goals. Analysis of normative acts and reference sources that define aspects of linguistic competence in the civil service of the Russian Federation. Identification of the practical need for foreign language (linguistic) competence in the civil service of the Russian Federation. Methodology. The method of comparative analysis of statistical data, assessment of the regulatory framework in the field of foreign language (linguistic) competence. Results. In the process of analyses of the foreign language linguistic competence of the civil servants development, practical and reputational incentives that contribute to an increase of the level of linguistic (foreign language) competence of the civil servants were identified. As a solution, it was proposed to develop a specialized advanced training course «The improvement of the linguistic communicative competence for the civil servants (72 hours)» on the basis of the RANEPA (Voronezh branch), contributing to the development of the linguistic competence of the civil servants of the Russian Federation, Voronezh region. Scope of application. State Service of the Russian Federation. Conclusions. The development of the advanced training course «The improvement of the linguistic communicative competence for the civil servants (72 hours)»on the basis of the RANEPA (Voronezh branch). This proposal will contribute to the development of the linguistic and communicative competence in the public sector. Keywords: competence, linguistic competence, state service of the Russian Federation, state civil service of the Voronezh region, languages, foreign language competence.
ANALYSIS OF THE COMPETITIVENESS OF APPLE AND HUAWEI PRODUCTS IN THE CONTEXT OF THE US-CHINA TRADE WAR
Authors:   South-Western State University, Starykh  S.A. , Lavoshnikova  S.A. ,   South-Western state University, Chesnokova  A.D. ,   South-Western state University
Published: July 2021

Subject. Trade relations between the United States and China on the example of Apple and Huawei. Topic. The competitiveness of Apple and Huawei products. Purpose. Calculate the integral indicator by means of technical and economic parameters of the competitiveness of products of these organizations. Methodology. Methods of logical and comparative analysis of the turnover of Apple and Huawei companies. Results. Large-scale forms of competition acquire the character of a trade war, which increasingly restrains the opponent with the help of the non-price factor of competition. Application area. The trade balance between China and the United States by means of sales of Apple and Huawei products. Conclusions. The article examines the consequences of the trade war between the United States and China on the example of the companies «Apple» and «Huawei». Based on the calculation of the integral indicator, the technical and economic parameters of the competitiveness of the products of these organizations were obtained. It was concluded that large-scale forms of competition acquire the character of a trade war, which increasingly restrains the opponent with the help of the non-price factor of competition. Key words: trade war, competitive advantage, trade balance between China and the USA, global smartphone market, integral indicator of competitiveness
DIGITAL COMPETENCIES OF STATE CIVIL SERVANTS OF THE RUSSIAN FEDERATION: CURRENT STATE AND DIRECTIONS OF DEVELOPMENT
Authors:   Russian Presidential Academy of National Economy and Public Administration (branch of RANEPA), Sushkova  I.V. , Garkavtseva  A.S. ,   Russian Presidential Academy of National Economy and Public Administration
Published: July 2021

Annotation Subject. Digital competencies of State civil servants of the Russian Federation Topic. The importance of digital competencies of civil servants of the Russian Federation in the system of public administration and the main approaches to their formation and development. Goals. Analysis of the results of the development of digital competencies in the public sector in order to form a unified approach to the methodology of teaching the basics of digitalization in the public sector. Methodology. Methods of statistical, graphical, system analysis, grouping methods, comparative analysis of statistical data, expert evaluation, as well as assessment of the regulatory framework in the field of competencies in the civil service of the Russian Federation were used in the research. Results. Based on the analysis of the results of the development of digital competencies in the public sector, it is possible to draw conclusions about the need for a high-quality study of the composition of digital transformation teams, a responsible approach to the appointment of digital transformation managers, as well as the need to develop a unified methodology for teaching the basics of digital transformation, both the teaching staff and civil servants of the Russian Federation. To solve this problem, it is proposed to form a single categorical and terminological apparatus, to define unified requirements and approaches for the appointment of those responsible for digital transformation in state bodies, as well as to develop methodological recommendations that define the main aspects of the organization of the learning process. In order to improve the quality of teaching the basics of digital transformation in the field, it is advisable to develop a course aimed at training the teaching staff. Scope of application. State authorities of the Russian Federation and the subjects of the Russian Federation. State Civil Service of the Russian Federation. Conclusions. The transition to the information society is characterized by the formation of new relationships between the individual and the government, the improvement of the quality of life, the emergence of conditions for business development, the use of innovative solutions. Today, there is a high demand for information technologies in the public sector, government agencies are focused on customer orientation, and actively implement an innovative approach. The process of mastering the digital competencies of state civil servants of the Russian Federation will allow optimizing the organizational work of state structures. Keywords: State Civil Service of the Russian Federation, competencies, digital competencies, digitalization, digital transformation, competence model.
THEORETICAL AND METHODOLOGICAL APPROACH, ENSURING DEVELOPMENT SYNCHRONIZATION REGIONAL AND MUNICIPAL STRATEGIES
Authors:   Voronezh state University, Risin  I.E. , Chicherina  A.S. ,   Voronezh state University
Published: July 2021

Subject.The process of developing strategies for the socio-economic development of regions and municipalities. Topic. A theoretical and methodological approach that ensures the interrelated development of regional and municipal strategies. Goals. Determining the conditions that ensure the synchronization of regional and municipal strategies, substantiating the sequence and content of the actions of their developers. Methodology. The method of organizational modeling, which is in demand in the justification of the order of interaction between the developers of regional and municipal strategies. Results. The proposed theoretical and methodological approach makes it possible to synchronize the processes of developing regional and municipal strategies. Scope of application. The practice of developing strategies for the socio-economic development of regions and municipalities. Conclusions. The application of the proposed theoretical and methodological approach will increase the level of validity of the basic components of regional and municipal strategies, expand the number of stakeholders actively involved in solving the key tasks of their development. Keywords: theoretical and methodological approach, the synchronization of the processes of development, regional and municipal strategy
THE PROBLEMS OF THE REGIONAL POLICY IN RUSSIA IN THE CONTEXT OF THE WORLD PRACTICES
Authors:   Russian Presidential Academy of National Economy and Public Administration (branch of RANEPA), Slinko  E.A. , Brylev  V.S. ,   Russian Presidential Academy of National Economy and Public Administration
Published: July 2021

Subject. This article examines the possibilities of transforming the relations between the center and the regions in Russia. Topic. Problems of regional policy in Russia in the context of foreign experience. Purposes. To analyze some aspects of regional policy in different countries of the world to understand the possibilities of regional transformation in the Russian Federation. Methodology. Institutional and neoinstitutional methods, system approach, comparative method. Results. Each system of government has a» corridor « of improvement, which is associated with certain difficulties on the way to implementation. Regional policy in Russia tends to be centralized, which may limit the opportunities for regional development. At the same time, there is a need to maintain a single vertical of power and avoid the risks associated with decentralization. Application area. The results of the study can be applied by specialists in the field of regional policy and political management, teachers and students of higher educational institutions. Conclusions. The coronavirus pandemic has led to the activation of regional activities and the actualization of the regional agenda, while the 2020 constitutional reform is focused on strengthening the center and consolidating the vertical. Russia needs to avoid both the risks of over-centralization and the risks of excessive decentralization, while taking into account the specifics of individual regions. Keywords: regional policy, overcentralization, decentralization, form of government, centre, periphery.
ON THE ACTUALIZATION OF SOURCE STUDIES IN THE LIGHT OF THE OPPOSITION TO THE FALSIFICATION OF HISTORICAL EVENTS OF THE GREAT PATRIOTIC WAR (BASED ON THE MATERIALS OF THE RUSSIAN REGIONS)
Authors:   Russian state University of justice, Central branch, Savushkin L.M. , Kochetova  L.V. ,   Russian state University of justice, Central branch, Pervushina  V. N. ,   Russian state University of justice, Central branch, Ostapenko  V. S. ,   Russian state University of justice, Central branch
Published: July 2021

Subject. Source studies and historiography of the war years, dynamics and forms of development under the influence of the Union and regional authorities. Topic. The impact of the source studies of the war period in the light of the opposition to the falsification of military events. Goals. Analysis of regional practice in the field of source studies of the war years from the standpoint of historical truth, directed against the falsification of the events of the heroic period. 81 № 2 (53), 2021 РЕГИОН: системы, экономика, управление Methodology. Methods of logical, retrospective and comparative analysis of the forms and methods of using the source base in the «West-East» format. Results. On the basis of the analysis and evaluation of the documents, the trends in the development of source studies at different stages of the Soviet period are revealed, and in this regard, the regional peculiarities of the source base in covering the problems of the rear and front are noted. The actualization of source studies is due to the global confrontation between Russia and the West on the problems of interpreting many events of the Second World War and the Great Patriotic War. It reflects the urgent actions of the state authorities to strengthen the source base and create a national center for the study of the history of the Great Patriotic War in this regard. Scope of application. The sphere of youth policy, its formation and regulation at the mesolevel. Research materials can and should be used in the educational process, as well as in the research work of students. Conclusions. Updating and expanding the base of source studies of the war years is especially urgently needed at the present stage to ensure the coordination of research and educational activities in order to resist the attempts of the West to slander and distort the history of our country, including the war period. Key words: source studies, actualization, falsification, confrontation, World War II, Great Patriotic War, silence, distortion of events, «new concepts», Ministry of Defense, National Center
Optimasi Penempatan Gardu Distribusi Sisip CS3 Menggunakan Metode Buffering Gardu Pada Mapping Jaringan Pelanggan di PT PLN (Persero) UID Banten UP3 Cikupa
Authors: Utami Prihatini , Badaruddin Badaruddin
Published: July 2021

Permasalahan listrik yang sering dialami oleh pelanggan yang terletak di ujung jaringan yaitu tegangan yang diterima relatif lebih rendah. Jatuh tegangan mengakibatkan peralatan listrik milik pelanggan tidak dapat difungsikan dengan maksimal hingga menyebabkan kerusakan pada peralatan listrik. Pada penelitian ini gardu yang mengalami jatuh tegangan adalah Gardu Distribusi CS3 yang melayani konsumen umum wilayah PT. PLN (Persero) UP3 Cikupa, tepatnya di Kp Solear Ds. Solear. Untuk mengatasi permasalahan tersebut dilakukan pembangunan gardu sisip dengan menggunakan metode buffering sehingga dapat direncanakan lokasi yang tepat untuk pemasangan gardu sisip dan wilayah jangkauan gardu. Berdasarkan hasil penelitian menggunakan metode buffering didapatkan prosentase jatuh tegangan sebelum pemasangan gardu sisip sebesar 28.8% untuk phasa R, 30.9% untuk phasa S, 29.4% untuk phasa T. Setelah dilakukan pemasangan gardu sisip nilai jatuh tegangan menjadi 3.2% untuk phasa R, 1.8% untuk phasa S, dan 1.8% untuk phasa T.
Rancang Bangun Prototipe Sistem Kontrol Terdistribusi untuk Pemantauan dan Pengendali Ketinggian Permukaan Air pada 5 Pintu Air Berbasis IoT (Internet of Things) menggunakan Socket.IO
Authors: Iklima Zendi
Published: July 2021

Pemantauan tinggi permukaan air pada sungai merupakan salah satu tindakan untuk mengurangi terjadinya banjir akibat kelebihan debit air sungai dan ketinggiannya. Pengembangan sistem pemantauan permukaan air sungai telah banyak dilakukan. Namun, sistem tersebut tidak saling terhubung antar pintu air yang saling berhubungan. Maka dari itu penelitian ini bertujuan untuk mengembangkan Sistem tersebut dalam pengembangan teknologi IoT (Internet of Things) yaitu menggunakan workflow Socket sebagai sistem kontrol terdistribusi. Dengan adanya pengembangan pada sistem tersebut diharapkan memberikan informasi yang akurat dan tepat waktu (real-time) mengenai status dari ketinggian permukaan air yaitu Siaga I, Siaga II, Siaga III dan Normal.  Dengan sistem yang terpusat (centralized Sistem) maka sistem ini dapat melakukan pemantauan dan pengkontrolan pintu air yang terintegrasi dalam suatu wilayah desa, kota, provinsi dan negara tertentu. Maka hasil pemantuan ketinggian permukaan air sungai pada 5 kanal diketahui memiliki respons 7.05ms dengan data berkapasitas 117B. Data yang diolah tersebut didistribusikan oleh server kesemua client yang terkoneksi didalam sistem dan mengirim notifikasi dengan Google SMTP Server. Sistem ini merekam semua data yang diambil dari sensor HC-SR04 secara real-time serta men-tigger untuk membuka pintu air (gate servo MG90S) dalam status tertentu sehingga disediakan sebuah dashboard untuk melakukan pemantauan dan pengendalian sistem terintegrasi pada pintu air.
Rancang Bangun Monitoring Dan Kontrol Kualitas Udara Dengan Metode Fuzzy Logic Berbasis Wemos
Authors: Virdaus Muchamad Seno Sahisnu , Ihsanto Eko
Published: July 2021

Pencemaran udara di lingkungan semakin meningkat. Pengaruh geografis dapat mendorong terjadinya peningkatan pencemaran udara, misalnya pencemaran udara seringkali dihasilkan oleh berbagai  kegiatan seperti transportasi, industri, kebocoran gas LPG rumahan, dan pembangunan infrastruktur. Selain gas-gas yang disebutkan diatas, tidak ketinggalan adalah asap yang juga dapat menyebabkan pencemaran lingkungan. Kandungan gas berbahaya dan asap tidak kasat mata, sehingga sulit bagi masyarakat awam untuk mengantisipasi gangguan tersebut. Bahkan banyak diantaranya menganggap jika udara yang dihirup sudah bersih dan menyehatkan. Pada penelitian ini dibuat sebuah alat yang dapat memberikan informasi keadaan udara pada lingkungan setiap waktu. Alat berbasis mikrokontroler Wemos yang disusun dengan sensor MQ-7 sebagai sensor pendeteksi karbon monoksida dan sensor MQ-135 sebagai pendeteksi kualitas udara akan membaca kandungan karbon monoksida dan kualitas udara yang ada untuk kemudian kedua nilai masukan ini akan diolah menggunakan Logika Fuzzy Mamdani yang akan menentukan keadaan udara dalam ruangan gudang bahan berbahaya dan beracun (B3). Pengujian implementasi alat dilakukan dua kali yaitu yang pertama menguji sensor MQ-7 dengan korek api gas dan untuk pengujian sensor MQ-135 dengan kertas dibakar yang menimbulkan asap. Dengan melihat hasil pengujian maka dapat disimpulkan bahwa alat pendeteksi pencemaran udara ini memiliki akurasi sebesar 100%.
Effectiveness of Enhanced Recovery After Surgery (ERAS) for patients undergoing hysterectomy: A systematic review and meta-analysis
Authors: Ho Chengyi , Oh Hui Xian , Seah Zi An Shian , Zhu Jiemin , HE Hong-Gu
Published: July 2021

Background: There is a lack of systematic review exploring the
effectiveness of Enhanced Recovery After Surgery (ERAS) in hysterectomy
in promoting better recovery. Objectives: To synthesize the best
available evidence of the effectiveness of ERAS intervention in
promoting better recovery of shortened length of hospital stay (primary
outcome), lower readmission, and complication rates (secondary outcomes)
among patients undergoing hysterectomy due to benign conditions as
compared to conventional perioperative care. Search Strategy: Seven
electronic databases were searched from the date of inception to
December 2020. Selection Criteria: Randomized controlled trials, cohort
studies, or quasi-experimental studies published in English examining
the effects of ERAS for women diagnosed with benign gynecologic diseases
and underwent either abdominal or laparoscopic hysterectomy were
included. Data Collection and Analysis: Two reviewers independently
conducted database search, data extraction, and methodological quality
assessment. Meta-analyses were performed for all outcomes. The overall
quality of evidence was assessed using GRADE. Main Results: Nine studies
were included in this review. Meta-analysis showed a statistically
significant reduction in length of hospital stay (SMD = -0.76, 95% CI
[-1.06, -0.46], Z = 4.72, p < .00001), readmission rate
(RR = 0.65, 95% CI [0.44-0.96]; Z = 2.16, p = .03) and complication
rate (RR = 0.61, 95% CI [0.48-0.77]; Z = 4.17, p <
.0001), with high certainty of evidence. Conclusions: The effectiveness
of ERAS in improving recovery indicates that hospitals could adopt the
protocol to improve patients’ health and wellbeing. Future studies can
focus more on standardizing the protocol’s elements.
ASSOCIAÇÃO ENTRE AS EMPRESAS DE AUDITORIA INDEPENDENTE E AS ESCOLHAS CONTÁBEIS DE COMPANHIAS BRASILEIRAS LISTADAS
Authors: Pinto Aline Fernandes , Lemes Sirlei
Published: July 2021

O presente estudo tem como objetivo verificar a associação entre as empresas de auditoria independente e as escolhas contábeis. A amostra foi composta por 135 companhias de capital aberto brasileiras, listadas na B3, no período de 2010 a 2017. Foram avaliadas as escolhas contábeis relativas à mensuração de propriedades para investimentos, mensuração dos estoques, taxa de depreciação, método de depreciação, reconhecimento das parcelas do arrendamento mercantil operacional, reconhecimento das compras ou vendas regulares de ativos financeiros, classificação de juros pagos, classificação de dividendos e juros sobre o capital próprio pagos e dividendos e juros sobre o capital próprio recebidos. Essas escolhas foram selecionadas por estarem contidas explicitamente nas normas contábeis e, portanto, serem de fácil identificação nas demonstrações contábeis. Para testar a associação entre as empresas de auditoria e as escolhas contábeis foi utilizado o teste Qui-quadrado. Os resultados apontam a associação da mudança da empresa de auditoria com todas as escolhas contábeis investigadas, exceto a mensuração dos estoques e a classificação dos dividendos e juros sobre o capital próprio pagos. Adicionalmente, verificou-se que o fato de a empresa de auditoria ser uma Big Four está associado à mudança de práticas relativas à mensuração de propriedades para investimentos, mensuração de estoques e classificação de dividendos e juros sobre o capital próprio pagos. As evidências do estudo indicam que a auditoria pode ser um fator relevante para o entendimento das práticas contábeis adotadas pelas empresas.
EFICIÊNCIA RELATIVA DE UNIVERSIDADES FEDERAIS BRASILEIRAS NAS ATIVIDADES DE ENSINO, PESQUISA E EXTENSÃO
Authors: Alvarenga Franciane de Oliveira , Ohayon Pierre
Published: July 2021

Objetivou-se avaliar o nível de eficiência relativa de Universidades Federais Brasileiras nas atividades de ensino, pesquisa e extensão, uma vez que elas impulsionam o crescimento socioeconômico, fazendo-se necessário que os gastos públicos sejam feitos de forma eficiente, atentando-se à produtividade. Para isso, utilizou-se a técnica Análise por Envoltória de Dados. A pesquisa é caracterizada como descritiva e de abordagem quantitativa, sendo composta por 34 universidades federais brasileiras, adotando-se uma análise longitudinal entre os anos de 2013 e 2017. Para as atividades de ensino, observou-se que nove universidades apresentaram eficiência total ao longo do período analisado, sendo que 2014 foi o ano que apresentou os piores níveis de eficiência e 2016 o melhor. Já para as atividades de pesquisa, os resultados apontaram que nove universidades foram 100% eficientes ao longo do período de análise, apontando que 2014 foi o pior ano (com menores níveis de eficiência) e 2017 o melhor. Por fim, em relação às atividades de extensão, os resultados mostram que as universidades têm mais dificuldades para se manterem totalmente eficientes, visto que apenas três universidades são consideradas 100% eficientes em relação ao grupo de análise nos anos compreendidos, apontando que 2014 foi o ano que as universidades tiveram melhores níveis de eficiência e 2017 o pior ano.  Sabendo que a missão das universidades é realizar atividades de ensino, pesquisa e extensão, observou-se que apenas a Universidade Federal de Minas Gerais e a Universidade Federal de Ciências da Saúde de Porto Alegre se mantiveram 100% eficientes em todas as atividades em conjunto e nos anos analisados.
INSTRUMENTOS FINANCEIROS COM CARACTERÍSTICAS DE PATRIMÔNIO E POTENCIAIS IMPLICAÇÕES TRIBUTÁRIAS DE SUA CONTABILIZAÇÃO
Authors: Flores Eduardo , Martins Eliseu , Carvalho Nelson , Braunbeck Guillermo Oscar
Published: July 2021

O objetivo central deste artigo é avaliar potenciais implicações tributárias do registro contábil de instrumentos financeiros com características de patrimônio. Foram analisados, mais especificamente, os híbridos de capital e dívida em razão da ausência de tratamentos contábeis específicos para esses títulos, bem como das alegações de que essa categoria vem sendo utilizada como um potencial instrumento para arrojados planejamentos tributários. Por meio de uma abordagem lógico-dedutiva, verificou-se que os híbridos de capital e dívida podem ser empregados em contextos em que há investimentos internacionais, com a intenção de que investidas em uma jurisdição se valham da dedutibilidade fiscal dos juros, enquanto investidoras localizadas em outro domicilio fiscal possam reconhecer os mesmos proventos como dividendos recebidos e, por conseguinte, não os tributar ou tributá-los a taxas reduzidas. Nesse cenário, os híbridos funcionariam à espécie de conversores financeiros com a finalidade de reduzir a carga tributária do grupo. Do mesmo modo, verificou-se que os referidos instrumentos financeiros podem ser aplicados como forma de reduzir os índices de subcapitalização, potencialmente afastando o risco de glosa fiscal por descumprimento das regras dessa natureza. Em linhas gerais, conclui-se que, sob o enfoque fiscal, os instrumentos híbridos devem ser estudados por meio de grupos interjurisdicionais (e.g. BEPS), visando impedir sua emissão com o propósito de redução da carga tributária por meio de artifícios criados sobre assimetrias de ordenamentos jurídicos.
Changes in Enamel Topography with the Contemperary Orthodontic Adhesives: A Pilot Study
Authors: Kamboj Ashish
Published: July 2021

Introduction: The self-etching primer system consists of etchant and primer dispersed in a single unit. The etching and priming are merged as a single step leading to fewer stages in bonding procedure and reduction in the number of steps that also reduces the chance of introduction of error, resulting in saving time for the clinician. It also results in smaller extent of enamel decalcification. Aim: To compare the Shear Bond Strength (SBS) of orthodontic molar tubes bonded with conventional acid etching system and Self-Etch Primers (SEP) and to study the surface appearance of enamel after debonding using surface profilometry and scanning electron microscope. Materials and Methods: The sample of this in-vitro study consisted of sixty caries free, intact extracted mandibular first molar teeth. A molar tube of 0.018” Roth prescription with micro etched base was bonded to each molar with two different bonding agents. All the molar tubes were subsequently tested for evaluation of shear bond strength with a universal testing machine. Surface Profilometry and Scanning Electron Microscope (SEM) was used to evaluate the effect of various light cure adhesives on the enamel morphology. Results: Transbond-XT exhibited the highest bond strength (22.6 MPa) closely followed by Transbond Plus SEP (19.6 MPa). However, Transbond-XT sample also had higher surface roughness and enamel alterations as compared to the Transbond Plus SEP. Conclusion: The adequate bond strength of self-etching primers, less deleterious effects on the enamel and less chair side time due to absence of acid etching makes it a good option for routine use in orthodontics.
Use of Biodegradable Implant in Rhinoplasty and Nasal Septum Surgery
Authors: A Sheleib Walaa
Published: July 2021

The nasal septum has a significant influence on the form and function of the nose, as it is a key element of the nasal framework. Its shape, size, position, and integrity help determine not only the patency of the nasal fossae but also the appearance of the nasal pyramid. Achieving satisfactory functional and aesthetic results presents a real challenge for the surgeon in a wide range of nasal septal deformities. During the last decade, the absorbable biodegradable plate DePuySynthes Rapidsorb fixation system has been used to repair pediatric facial fractures. It provides stability during the initial period of healing until the bony fracture segments have reunited. There are many differently sized and shaped plates with varying thickness available. We believe this is a useful technique to improve the rate of septoplasty success, and with further experience, the indications and role in septal surgery can be better defined.
Utilization of an Application in Dizziness Treatment: Pilot Study
Authors: da Glória Canto de Sousa Maria
Published: July 2021

Vestibular Rehabilitation (VR), a method of therapy for dizziness, aims at reestablishing body balance and also at facilitating central compensation by means of adaptation and substitution mechanisms. With technological advance, the feasibility of a device which aided in VR process took place, both for stimulating and monitoring patients. In that sense, an application called Dizziness APP was developed in order to simplify and automatize dizziness therapy process performed by the phonoaudiology professional. The aim of the present study was to report a Dizziness APP experience of usage as therapeutic strategic towards dizziness, besides comparing dizziness impact on quality of life before and after using that application. It is a descriptive, exploratory study with a qualitative approach. A subject, age 29, female gender, took participation in the present study being solely subjected to Vestibular-Ocular-Reflex (VOR) Exercises by means of vertical, horizontal and oblique optokinetic stimulation during a period of six months. The scores obtained on Dizziness Handicap Inventory (DHI), monthly, expressed by the utilization of an automatized and simplified digital process available on the Dizziness APP application, were used. Initial DHI score achieved 46 points and, upon treatment conclusion, 0 point. Using Dizziness APP as a therapeutic resource enabled the following up, monitoring and remission of dizziness symptom demonstrating the beneficial effects by means of optokinetic exercise during the Dizziness APP process of validation.
Unusual Development of Second Branchial Cleft Cyst in an Adult after URTI: Diagnosis and Detailed Approach
Authors: Tawfeeq Essa
Published: July 2021

Branchial cleft cyst is a congenital anomaly benign in nature. It usually appears in the lateral aspect of the neck and typically presents as a unilateral fluctuant mass. We present here a 30 years old adult who is previously healthy complaining of five years history of a left lateral neck swelling following an upper respiratory tract infection. Multiple aspirations were done but all resulted in recurrence of condition. Investigations have been done and a CT neck performed which showed a complicated second branchial cleft cyst. The definite treatment for branchial cleft cysts is surgery. He underwent surgical excision of the cyst with minimal scarring. This case is important due to the limited literature done in adults with branchial cleft cysts, in addition to highlighting the correct sequence of management when detecting a lateral cervical swelling.
Potilaiden ja läheisten näkemyksiä lääkärien palliatiivisen hoidon ja saattohoidon osaamisesta
Authors: Mäenpää Pia , Lamminmäki Annamarja , Kaakinen Pirjo , Hökkä Minna
Published: July 2021

Palliatiivinen hoito on parantumattomasti sairaan potilaan ja hänen läheisensä aktiivista ja kokonaisvaltaista hoitoa. Palliatiivisen hoidon tarve tulee kasvamaan väestön ikääntyessä ja pitkäaikaissairauksien lisääntyessä. Palliatiivisen hoidon saannin turvaamiseksi lääkärillä tulee olla osaamista palliatiivisesta hoidosta ja saattohoidosta kaikilla terveydenhuollon tasoilla. Tutkimuksen tarkoituksena oli kuvailla potilaiden ja läheisten kokemuksia lääkärien osaamisesta palliatiivisessa hoidossa ja saattohoidossa. 
Tutkimusaineisto kerätiin sähköisenä kyselynä ja tiedote kyselystä oli Palliatiivisen hoitotyön ja lääketieteen koulutuksen monialaisen ja työelämälähtöisen kehittämisen (EduPal) -hankkeen verkkosivulla. Avoimeen kysymykseen: Mitä mielestäsi jokaisen lääkärin tulee osata palliatiivisesta hoidosta ja saattohoidosta valmistuessaan? vastasi 41 potilasta ja läheistä. Aineisto analysoitiin induktiivisella sisällön analyysilla.  
Potilaiden ja läheisten mukaan lääkärit tarvitsevat palliatiivisessa hoidossa ja saattohoidossa kivunhoidon osaamista. Lisäksi he tarvitsevat vuorovaikutusosaamista ja potilaslähtöisen hoidon osaamista. Potilaat ja läheiset arvoivat lääkärin tarvitsevan vahvaa kliinistä osaamista palliatiivisesta hoidosta ja saattohoidosta. Myös lääkäreiden kohtaamisosaamista sekä potilaan ja läheisten tukemisosaamista pidettiin tärkeänä.
Lääkärillä tulee olla laaja-alaista osaamista palliatiivisesta hoidosta ja saattohoidosta. Potilaiden ja läheisten kokemusten huomioiminen lääketieteen perusopetuksessa ja täydennyskoulutuksessa vahvistaa ja tukee kliinistä osaamista sekä potilaan hoidon laatua. Lääketieteen koulutukseen tulee lisätä vuorovaikutus- ja kohtaamistaitoja kehittävää opetusta sekä turvata kaikille lääketieteen opiskelijoille osaaminen palliatiivisen hoidon ja saattohoidon perusteista.
Diagnoosin muodostuminen mahdollisuuksien pelitilassa
Authors: Routila Johannes
Published: July 2021

Lääketieteellisen diagnoosin tarkoitusta ja tehtävää tarkastellaan useimmiten sen moninaisten esiintymismuotojen kautta. Taudinmääritystä koskevissa tarkasteluissa on kyetty epätyydyttävästi esittämään diagnoosin saavuttamisen merkitys ja tehtävä lääketieteen kannalta. Diagnoosin merkitys havaintoja jäsentävänä totuuskäsitteenä, joka muodostaa lähtöpisteen hoitovalinnoille ja joka syntyy abduktiivisen hypoteesinmuodostuksen kautta, tarjoaa näkökulman, jossa diagnoosin muodostumista tarkastellaan mahdollisuuskäsitteen kautta. Tämä fenomenologinen tutkimus pyrkii kuvaamaan diagnostisen mahdollisuuden ilmiötä hyödyntäen Martin Heideggerin työkalun ja Lauri Routilan mahdollisuuksien pelitilan käsitteistöä. Mahdollisuutta tarkastellaan sekä loogisena että ontologisena käsitteenä pitäen se erillään todennäköisyyden käsitteestä. Tutkimuksen tuloksia havainnollistetaan virheellistä diagnostista päättelyketjua edustavien tapausesimerkkien valossa. Lääketieteellisen diagnoosin todetaan muodostuvan mahdollisuuksista rajautuvasta välttämättömyydestä, joka määrittelee hoidonvalinnan toimintaympäristön. Mahdollisuuksien pelitila todetaan käyttökelpoiseksi välineeksi diagnoosinmäärittämisen jälkikäteisessä arvioinnissa. Toisaalta sillä nähdään paikkansa tapahtumanaikaisessa diagnoosimahdollisuuksien ja diagnoosin ilmiön jäsennyksessä.