bluuebunny/crossref_metadata_2025 huggingface dataset:
Factors Associated of Multidrug-Resistance Tuberculosis among Minangkabau Ethnicity in Indonesia
Authors: Kadri Ambun , Machmud Rizanda , Putra Andani , Indrapriyatna Ahmad Syafruddin
Published: September 2022

BACKGROUND: Past tuberculosis therapy has been linked to an increased chance of developing multidrug-resistant tuberculosis (MDR-TB). Indonesia is placed 8th among the 27 nations with "high-burden" MDR-TB.
AIM: The purpose of this study was to determine the risk factors associated of multidrug-resistance tuberculosis among minangkabau ethnicity in Indonesia.
METHODS: The authors conducted a case control study. Data were gathered  in Dr. M Djamil General Hospital Padang, Lubuk Alung Hospital Pariaman and Primary Health Care in Padang Pariaman District from December 2019-March 2020. In this study, there were 73 cases (MDR-TB) and 219 controls (Tuberculosis) who were matched by age and sex. The sampling technique in this research was convenience sampling. Data were gathered from medical records. Bivariate and multivariate analysis were investigated using chi-square and logistic binary regression test. The data were analyzed using STATA version 14.2.
Results: The risk factors for MDR-TB, cavitary pulmonary had the highest odds ratio (OR = 113.54 [95% CI 15.02-858.54]), followed by TB outside the lung (OR = 38,68 [95% CI 4.89-305.43]), nutritional status (OR = 10.92 [95% CI 5.79-20.56]), alcohol consumption (OR = 6.45 [95% CI 1.57-26.48]), working status (OR = 4.08 [95% CI 2.33-7.17]), level of education (OR = 2.79 [95% CI 1.61-4.85]), history of close contact to patients with MDR-TB and TB (OR = 2.35 [95% CI 1.30-4.22]) and diabetes mellitus (OR = 2.12 [95% CI 1.15-3.91]). Multivariate analysis found that patients with a cavitary pulmonary was significant dominant factors for MDR-TB.
Conclusion: MDR-TB was predicted by previous tuberculosis therapy and cavitary pulmonary disease.
Revision of Gastric Plication to Gastric Bypass (Indications and Solutions)
Authors: Al-Sewadi Wisam Hamza , Algazgooz Falih M. , Abdullah Nawal , Fadhl Jawad Ramadhan
Published: September 2022

BACKGROUND: Laparoscopic gastric plication (LGP) has gained increased acceptance as initial weight loss operation, but as with any other procedures, insufficient weight loss, early and late complications such as early and late strictures, gastroesophageal reflux and leak and others have been announced as an indication for revision to gastric bypass surgery as the correct solution.

AIM: The aim of the study was to recognize the common indications for revision of gastric plication (GP) to RYGP and OAGB in our centers and to evaluate the outcome of treating weight regain, complications, and comorbidities.

METHODS: A retrospective study conducted on 54 cases of undesirable results following gastric plication in other centers that were revised to gastric bypass procedures (RYGB and OAGB) from June 2015 to June 2018. Weight regain, gastroesophageal reflux disease not responding to medical treatment, undiagnosed hiatal hernia at surgery, post-operative leak, and strictures are the main categories included as indications for revision to gastric bypass in this study for a period of follow up to 2–5 years regarding weight loss, improvement of GERD and hiatal hernia, improvement of leak, stricture, and axial rotation of stomach.

RESULTS: 54 consecutive patients included in this study previously subjected for LPG few years ago. 13 (24%) male and 41 (76%) female patients with mean age of 39.5 years ranging from (21–58) years and BMI from (41–48) Kg/m2. The main indication for revision surgery in the form of gastric bypass procedure (RYGB and OAGB) was weight regain in about 69% of cases. In addition to non-responding GERD to medical treatment (13%), hiatus hernia with plicated stomach migration to the mediastinum (3.7%), local collection secondary to leak (1.85%), stricture at site of plication (1.85%), and one case of axial rotation of the stomach (1.85%). Patient postoperatively done well and a follow-up for up to 3 years after revision surgery was uneventful. Most of our patients have good improvement regarding the inclusion criteria in our study (100% cured GERD, 90% cured leak site, about 90% cured symptomatic and radiological hiatal hernia, 100% cured after early, late strictures, and axial rotation while regarding loss of weight and least comorbidities about 88%).

CONCLUSION: Although GP is an established bariatric procedure in treating and solving obesity and its complications, there are certain restrictions and difficulties that makes RYGB superior to GP.
Delayed Repair of a Lesser Tuberosity Avulsion Fracture in an Adolescent 3 Years After Initial Injury
Authors: Garbis Nickolas G. , Walsh Daniel J.
Published: September 2022

This case study examines an adolescent athlete who had an avulsion fracture of the lesser tuberosity of the humerus. This is a relatively rare injury, although a collection of case studies have identified an increase in this type of injury in the past 15 years. Uniquely, the patient experienced a delay in appropriate diagnosis for approximately 3 years from the time of his initial injury. This is one of the most significant delays in diagnosis and treatment in the current body of literature regarding lesser tuberosity fractures. The authors include a detailed series of imaging studies, including preoperative plain radiographs, preoperative computed tomography, intraoperative arthroscopic images, and postoperative plain radiographs. In addition, a thorough description of the patient's surgery is presented. The degree of scarring to the axillary nerve present in this patient required conversion to a full open reduction. The authors' aim is that this case can be used as a reference for future surgical decision making, particularly in pediatric patients whose injuries are highly chronic or who are actively involved in athletic physical training programs. [
Orthopedics
. 2023;46(3):e189–e192.]
Optimal impulse control of West Nile virus
Authors: Agusto Folashade , Bond Daniel , Cohen Adira , Ding Wandi , Leander Rachel , Royer Allis
Published: September 2022

We construct a West Nile virus epidemic model that includes the interaction between the bird hosts and mosquito vectors, mosquito life stages (eggs, larvae, adults), and the dynamics of both larvicide and adulticide. We derive the basic reproduction number for the epidemic as the spectral radius of the next generation matrix. We formulate two impulsive optimal control problems which seek to balance the cost of insecticide applications (both the timing and application level) with the benefit of (1) vector control: reducing the number of mosquitoes or (2) disease control: reducing the disease burden. We reformulate these impulsive optimal control problems as nonlinear optimization problems and derive associated necessary conditions for the optimal controls. Numerical simulations are used to address three questions: How does the control and its impact on the system vary with the objective type? Is it beneficial to optimize the treatment timing? How does the control and its impact on the population vary with the type of pesticide used?
Double total domination number in certain chemical graphs
Authors: Barišić Ana Klobučar , Klobučar Antoaneta
Published: September 2022

Let $ G $ be a graph with the vertex set $ V(G) $. A set $ D\subseteq V(G) $ is a total k-dominating set if every vertex $ v\in V(G) $ has at least $ k $ neighbours in $ D $. The total k-domination number $ \gamma_{kt}(G) $ is the cardinality of the smallest total k-dominating set. For $ k = 2 $ the total 2-dominating set is called double total dominating set. In this paper we determine the upper and lower bounds and some exact values for double total domination number on pyrene network $ PY(n) $, $ n\geq 1 $ and hexabenzocoronene $ XC(n) $ $ n\geq 2 $, where pyrene network and hexabenzocoronene are composed of congruent hexagons.
The Gauss sums involving 24-order character and their recursive properties
Authors: Su Juanli , Zhang Jiafan
Published: September 2022

The main purpose of this paper is to use elementary and analytic methods to study the calculating problem of one kind of Gauss sums and obtain an exact computational formula for it.
A variational image denoising model under mixed Cauchy and Gaussian noise
Authors: Jung Miyoun
Published: September 2022

In this article, we propose a novel variational model for restoring images in the presence of the mixture of Cauchy and Gaussian noise. The model involves a novel data-fidelity term that features the mixed noise as an infimal convolution of two noise distributions and total variation regularization. This data-fidelity term contributes to suitable separation of Cauchy noise and Gaussian noise components, facilitating simultaneous removal of the mixed noise. Besides, the total variation regularization enables adequate denoising in homogeneous regions while conserving edges. Despite the nonconvexity of the model, the existence of a solution is proven. By employing an alternating minimization approach and the alternating direction method of multipliers, we present an iterative algorithm for solving the proposed model. Experimental results validate the effectiveness of the proposed model compared to other existing models according to both visual quality and some image quality measurements.
La Théorie des Marées d'Isaac Newton
Authors: Deparis Vincent
Published: September 2022

Dans cet article, nous suivons le raisonnement de Newton pour établir sa théorie du flux et du reflux de la mer. Nous montrons comment il atteint le phénomène terrestre des marées en faisant le détour par les inégalités du mouvement de la Lune et comment il quantifie la force de marée grâce à un procédé géométrique astucieux. Mais si Newton comprend parfaitement le principe et l'origine de la force de marée, il ne sait pas encore en calculer précisément les effets, en raison de sa théorie statique.
Mazen Haïdar, La Ferronnerie architecturale à Beyrouth au XXe siècle, Paris, Éditions Geuthner, 2021
Authors: Rouizem Nadya
Published: September 2022

Ce texte est un compte-rendu du dernier ouvrage de l’architecte franco-libanais Mazen Haïdar, La Ferronnerie architecturale à Beyrouth au XXe siècle, paru aux éditions Geuthner à Paris en 2021. Premier ouvrage à recenser les éléments de ferronnerie architecturale dans une ville du monde arabe, il nous propose de considérer cet art comme une clé de lecture du patrimoine architectural de la ville, afin de nous sensibiliser à sa sauvegarde.
Severe progression of autoimmune hepatitis in a young COVID-19 adult patient
Authors: Kumar Neeraj , Satyapriya Sushant , Tahaseen Shaik Mohammad , Singh Kunal , Kumar Abhyuday
Published: September 2022

Rationale:

The impact of COVID-19 in patients with autoimmune liver disease treated with immunosuppressive therapy has not been described so far. This case report describes the clinical course of a patient with autoimmune hepatitis (AIH) who developed COVID-19 and the features of cytokine syndrome leading to its deterioration in our intensive care unit.

Patient’s Concern:

A 28-year-old male presented with generalized anasarca for two weeks and chronic liver disease for 8 months.

Diagnosis:

AIH and Covid-19 with features of cytokine storm syndrome.

Interventions:

Intravenous furosemide, mannitol, syrup lactulose, steroids (prednisolone 40 mg), azathioprine 1 mg/kg body weight, rifaximin, vitamin K, and blood products.

Outcomes:

The patient had hepatic encephalopathy and AIH and died on the 10th day after admission despite ventilatory support, sustained low-efficiency hemodialysis, and resuscition.

Lessons:

The dramatic release of cytokines and the inflammatory-immune responses not only alter the pathophysiology but also affects the onset and severity of disease progression in patients with AIH.
Role of budesonide inhalation in treatment of meconium-aspiration syndrome
Authors: Ahmed Zainab S. , Mohamed Amira M. , Abdelmeguid Mona M
Published: September 2022

Background and aim

Meconium-aspiration syndrome (MAS) is a common cause of respiratory distress. MAS is a serious disease that affects neonates born through meconium-stained amniotic fluid. The pathophysiology of MAS is multifactorial, inflammation has an important role in MAS, so anti-inflammatory drugs like corticosteroids may be effective in the treatment of MAS. Budesonide is a nonhalogenated glucocorticoid that can reduce vascular permeability, inhibit secretion of mucus, relieve edema and spasm, and help pulmonary ventilation.

In this study we aimed to find out the effect of early nebulized budesonide in the treatment of MAS.

Patients and methods

This was a prospective study conducted during the period from October 2017 to July 2018 at El-Minia General Hospital and Al-Azhar University Hospital, Assiut. Intervention: budesonide inhalation in a dose of 50 mg every 12 h till clinical recovery, whichever was earlier.

Results

The present study revealed that nebulized budesonide improves the clinical outcome of newborns with MAS in terms of lowering the duration of O2 dependency, duration of respiratory distress, duration of hospital stay, duration of radiograph clearance, time for full feeding (P<0.001), and thus early discharge from the NICU.

Conclusion

Early nebulized budesonide is effective in treating MAS and has high safety with almost no short-term complications.
Study of bullying behavior and its risk factors among primary school students in Sohag Governorate
Authors: Metwaly Nabiel , Shaaban Islam , Ali Marwa S.G.
Published: September 2022

Background and aim

Bullying is one of the most serious problems that children face in the education system. Several other studies have found that bullying represents a standard problem in schools worldwide. This study aims to assess the incidence of school bullying as well as its suspected risk factors among primary school students.

Patients and methods

The study included 280 primary school students (146 males and 134 females) aged from 10 to 12 years old in the first stage of the study for screening for bullying behavior. A self-administered questionnaire was used to collect data about the bullying behavior among the selected students. The questionnaire was adopted from the validated Arabic version of Bullying Behavior Scale for children and adolescents.

Results

The incidence of significant bullying among the included students was found to be 12.5%, with males showing higher degrees of bullying. There was a significant association between involvement of the student in the bullying behavior and the risk factors such as student exposure to frequent punishment and negative attitude by the teacher, lack of acceptance from colleagues, and exposure to previous bullying.

Conclusion

Male students in primary schools showing higher degrees of bullying with significant association were found between bullying behavior and its risk factors.
Effect of cesarean section on breastfeeding at the age of 6 months
Authors: Ibrahim Mamdouh M. , Khashaba Mohamed T. , El-Gilany Abdel-Hady , Barakat Tarek E.
Published: September 2022

Background and aim

Milk from a mother’s breast is the most suitable nutrient source for healthy growth and development of infants. Cesarean section (CS) is one of the factors that affect breastfeeding. This study aimed to show the effect of CS on breastfeeding at the age of 6 months.

Patients and methods

This was a retrospective cohort study conducted in primary health care centers of Sherbin District during a period of 1 year from December 2018 to December 2019. Each mother underwent full history taking and assessment of breastfeeding state regarding the following parameters: time of initiation of breastfeeding, no prelacteal feeding practice, exclusive breastfeeding (EBF), and breastfeeding performance index (BFPI).

Results

Time of initiation of breastfeeding, no prelacteal feeding practice, EBF, and BFPI are significantly higher in normal vaginal delivery than CS, with P values of 0.043, 0.028, 0.001, and less than or equal to 0.001, respectively. CS group is more likely to be younger and primiparous than the vaginal group. EBF was more evident among housewives, previously breastfed mothers, and mothers delivered vaginally than the CS group. Suckling before 1 h is more common among older mothers (>30 years of age), multiparous mothers, and previously breastfed mothers. Labor in a nonprivate place and CS were found to have a 30% more incidence of suckling after 1 h. No prelacteal feeding practice is more commonly seen among older mothers, multiparous, previously breastfed mothers, and mothers delivered vaginally than the CS group. Previously breastfed mothers and mothers delivered vaginally are more likely to have high BFPI.

Conclusions

CS is a negatively associated with EBF, early breastfeeding start, no prelacteal feeding practice, and BFPI.
Dissociated vertical deviation: Simplified
Authors: Preet Neha , Khurana Mittali , Sharma Srishti , Singh Anupam
Published: September 2022

Dissociated vertical deviation (DVD) is not a well-understood ocular motility disorder. It is defined as an intermittent anomaly of a non-fixing eye consisting of upward excursion, ex-cyclotorsion, and lateral deviation. It can present as latent or manifest deviation. It is usually bilateral, asymmetrical, and often associated with latent nystagmus and infantile esotropia. In unilateral cases, it can be associated with amblyopia. Binocular vision is usually absent in these patients. There are huge variations in the measurements of DVD, as it becomes visible only with one eye covered, hence making quantification of its magnitude difficult. Therefore, choosing an adequate management option is difficult. Management options include both conservative as well as surgical treatment. Conservative management is done with spectacles correction to encourage fusion. Surgical management is indicated in large, frequent DVD or with anomalous head posture. Surgical options commonly adopted are superior rectus recession with or without posterior fixation sutures. Different surgical approaches to DVD are currently being used but no recommended guidelines are available, hence is based on the amount of deviation and experience of a surgeon.
Diagnostic Assessment of Deep Learning Algorithms for Frozen Tissue Section Analysis in Women with Breast Cancer
Authors: Kim Young-Gon , Song In Hye , Cho Seung Yeon , Kim Sungchul , Kim Milim , Ahn Soomin , Lee Hyunna , Yang Dong Hyun , Kim Namkug , Kim Sungwan , Kim Taewoo , Kim Daeyoung , Choi Jonghyeon , Lee Ki-Sun , Ma Minuk , Jo Minki , Park So Yeon , Gong Gyungyub
Published: September 2022

Purpose Assessing the metastasis status of the sentinel lymph nodes (SLNs) for hematoxylin and eosin–stained frozen tissue sections by pathologists is an essential but tedious and time-consuming task that contributes to accurate breast cancer staging. This study aimed to review a challenge competition (HeLP 2019) for the development of automated solutions for classifying the metastasis status of breast cancer patients.Materials and Methods A total of 524 digital slides were obtained from frozen SLN sections: 297 (56.7%) from Asan Medical Center (AMC) and 227 (43.4%) from Seoul National University Bundang Hospital (SNUBH), South Korea. The slides were divided into training, development, and validation sets, where the development set comprised slides from both institutions and training and validation set included slides from only AMC and SNUBH, respectively. The algorithms were assessed for area under the receiver operating characteristic curve (AUC) and measurement of the longest metastatic tumor diameter. The final total scores were calculated as the mean of the two metrics, and the three teams with AUC values greater than 0.500 were selected for review and analysis in this study.Results The top three teams showed AUC values of 0.891, 0.809, and 0.736 and major axis prediction scores of 0.525, 0.459, and 0.387 for the validation set. The major factor that lowered the diagnostic accuracy was micro-metastasis.Conclusion In this challenge competition, accurate deep learning algorithms were developed that can be helpful for making a diagnosis on intraoperative SLN biopsy. The clinical utility of this approach was evaluated by including an external validation set from SNUBH.
The shape of cyclic number fields
Authors: Bolaños Wilmar , Mantilla-Soler Guillermo
Published: September 2022

Let
$m>1$
and
$\mathfrak {d} \neq 0$
be integers such that
$v_{p}(\mathfrak {d}) \neq m$
for any prime p. We construct a matrix
$A(\mathfrak {d})$
of size
$(m-1) \times (m-1)$
depending on only of
$\mathfrak {d}$
with the following property: For any tame
$ \mathbb {Z}/m \mathbb {Z}$
-number field K of discriminant
$\mathfrak {d}$
, the matrix
$A(\mathfrak {d})$
represents the Gram matrix of the integral trace-zero form of K. In particular, we have that the integral trace-zero form of tame cyclic number fields is determined by the degree and discriminant of the field. Furthermore, if in addition to the above hypotheses, we consider real number fields, then the shape is also determined by the degree and the discriminant.
Forest Resource Management Plans: A Sustainability Approach
Authors: Pile Lauren S. , Watts Christine M. , Straka Thomas J.
Published: September 2022

Forest Resource Management Plans is the capstone course in many forestry and natural resource management curricula. The management plans are developed by senior forestry students. Early management plans courses were commonly technical exercises, often performed on contrived forest “tracts” on university‐owned or other public lands, with a goal of generating standard reports showing silvicultural, forest management, and timber harvesting activities. This early timber‐oriented management approach gradually changed late in the last century into one that was oriented around real‐world private forest landowners. Various types of actual forest properties and owner types were used for the exercises, but family forest properties tended to be stressed because they represent one of the most common types of management plans. Also, the timber emphasis changed to a multiple‐use emphasis (with major considerations of nontimber resources, like wildlife, recreation, water, soils, and aesthetics). Forestry students were exposed to real‐world forest owners and linked to practicing professional foresters who currently managed these properties. This same approach is being used to introduce forestry students to a major new emphasis: forest sustainability and forest certification. Sustainable forest management has grown into a major thrust of forestry for economic and ecological interests and forest certification systems are now crucial to ensuring sustainability. Clemson University is incorporating a major American forest certification system for family forest owners into its curriculum and capstone course to strengthen student understanding of these essential concepts. It represents an expansion of the landowner approach to broaden the capstone course to emphasis forest sustainability issues.
Subacute Thyroiditis after COVID-19: A Literature Review
Authors: Ando Yuya , Ono Yosuke , Sano Azusa , Fujita Naoya , Ono Sachiko
Published: September 2022

Subacute thyroiditis (SAT), potentially caused by severe acute respiratory syndrome coronavirus 2 infection, has been reported as a complication of COVID-19 since 2020. The clinical characteristics and outcomes of SAT after COVID-19 remain incompletely defined. Therefore, we aimed to collect and survey case reports of SAT after COVID-19. We performed a systematic search of PubMed/MEDLINE, Web of Science, and Google Scholar. The keywords and MeSH terms used for the searches were “subacute thyroiditis” and “COVID-19.” A total of 38 patients from 26 case reports, case series, and letters on SAT associated with COVID-19 were included and analyzed. The most frequent SAT symptom was neck pain (27 cases), followed by fever (22 cases). Of the 25 cases with information on the duration between onset of COVID-19 symptoms and onset of SAT symptoms, the shortest was simultaneous occurrence, and the longest was 4 months. In most cases, patients developed SAT at several days or weeks after the onset of COVID-19. All patients with SAT recovered with no severe complications or sequelae. Clinicians should be aware of the possibility of SAT development in patients with neck pain and fever following COVID-19. Further research is necessary to determine the relationship between SAT and COVID-19.
Multiple Organ Dysfunction Syndrome and Pediatric Logistic Organ Dysfunction–2 Score in Pediatric Cerebral Malaria
Authors: Johnson Hunter , Raees Madiha , Urbina Evangelina , Muszynski Jennifer , Seydel Karl , Taylor Terrie , O’Brien Nicole
Published: September 2022

Malaria resulted in an estimated 627,000 deaths in 2020, the majority of which occurred in children under 5 years of age. Cerebral malaria (CM) is a severe manifestation of the disease with case fatality rates of up to 40%. Autopsies in children with CM have demonstrated sequestration of Plasmodium falciparum parasites in the brain as well as multiple other organs. Thus, multiple organ dysfunction syndrome (MODS) may be present in pediatric patients with CM, but its frequency and association with mortality have not been evaluated. This is a retrospective study of data collected prospectively from children with CM admitted in Blantyre, Malawi. Physical examination findings and laboratory values necessary to calculate a Pediatric Logistic Organ Dysfunction–2 (PELOD-2) score, a validated method that quantifies organ dysfunction in critically ill children, were abstracted. A total of 145 patients were included. Mortality was 15% (n = 22). Ten patients (7%) had single organ dysfunction, 36 (25%) had two organs involved, 68 (47%) had dysfunction of three organs, and 31 (21%) patients had four organs affected. Beyond neurologic dysfunction, other organ systems involved included hematologic (77%), renal (61%), cardiovascular (44%), and respiratory (1%). The median PELOD-2 score on admission was 4 (interquartile range [IQR] = 3–6) in survivors and 6.5 (IQR = 5–10) in the nonsurvivors (P < 0.0001). Admission PELOD-2 score predicted mortality with an area under the curve of 0.75. MODS is widespread in pediatric patients with CM. Objectively identifying children with MODS, and therefore at an increased risk of mortality, may allow for the allocation of limited resources.
Aydeniz Yöntemiyle Şanlıurfa İlinin meteorolojik kuraklık riski altındaki alanlarının belirlenmesi
Authors: KESKİNER Ali Demir
Published: September 2022

Kuraklığın şiddeti, sıklığı ve alansal boyutu hakkında geliştirilen kuraklık indeksleri yardımıyla kuraklıkla ilgili önemli bilgiler elde edilebilmektedir. Yüz ölçümü olarak 19.242 km² olan Şanlıurfa ilinde yürütülen bu çalışmada; Aydeniz Yıllık Nemlilik Katsayısı (N(ks)yıllık) yardımıyla Şanlıurfa ilinin meteorolojik kuraklık riski altındaki alanlarının belirlenmesi amaçlanmıştır. Şanlıurfa il sınırları içerisinden ve dışarısından 11 adet meteoroloji gözlem istasyonundan uzun yıllar aylık olarak temin edilen; toplam güneşlenme süresi (saat), ortalama nispi nem (%), ortalama sıcaklık (ºC) ve toplam yağış (mm) serileri indis değerinin hesaplanmasında kullanılmıştır. Her istasyon için Aydeniz N(ks)yıllık değerleri hesaplanmıştır. Elde edilen N(ks)yıllık serilerinde eksik yıllara sahip olan istasyonlar ile seri uzunluğu tam olan istasyonlar arasında %5 önem düzeyinde korelasyon ve regresyon analizleri uygulanarak eksik yıllar tamamlanmıştır. Her istasyon için elde edilen N(ks)yıllık serilerinin ortalamaları kullanılarak Ters Uzaklık Yöntemi ile 100x100 m çözünürlükte Şanlıurfa iline ait ‘’Aydeniz N(ks)yıllık İklim Sınıfı’’ haritası üretilmiştir. Elde edilen bulgulara göre Şanlıurfa ilinin sırasıyla kuzeyden güneye "Kurak", "Çok Kurak" ve "Çöl" iklim sınıfları ile temsil edildiği ve tüm ilin farklı şiddetlerde meteorolojik kuraklık riski altında olduğu sonucuna varılmıştır. Tüm bu bilgiler dikkate alındığında, Suriye sınırından kuzeye doğru Ceylanpınar, Akçakale, Harran, Viranşehir, Suruç ve Şanlıurfa il merkezini kapsayan bölge, kuraklıktan öncelikli etkilenecek alanlar olarak belirlenmiştir.
Governing Health and Consumption
Authors: Herrick Clare
Published: September 2022

This book critically explores the urban governance of healthy lifestyles and the contemporary problematisations of the obesity, sedentarism and alcohol epidemics.
Qual-Online the Essential Guide: What Every Researcher Needs to Know about Conducting and Moderating Interviews via the Web: A Book Review
Authors: Marques Allie
Published: September 2022

Technology has become an increasingly valuable tool to the field of research. However, researchers must be provided with training to conduct ethically sound qualitative research in online settings. Jennifer Dale and Susan Abbott provide such preparation in their book, Qual-Online the Essential Guide: What Every Researcher Needs to Know about Conducting and Moderating Interviews via the Web. This guidebook explains the purpose, process, and resources associated with conducting and moderating online interviews, and provides novice to experienced qualitative researchers with practical examples and tips for implementation.
Studi Analisis Tentang Penyelesaian Sengketa Tata Usaha Negara
Authors: Naufal Khoiriyyah Nizar
Published: September 2022

Dalam penyelenggaraan hukum dalam suatu negara, sebuah negara mengatur hukum dalam seluruh lapisan didalamnya termasuk juga pemerintahan. Salah satu bentuk penegakan hukum di dalam pemerintahan yaitu dengan adanya Peradilan Tata Usaha Negara. Peradilan Tata Usaha Negara (PTUN) diciptakan untuk menyelesaikan sengketa yang timbul antara pemerintah dengan warga masyarakat, akibat dari adanya perbuatan pemerintah yang dianggap melangggar hak-hak dari warga masyarakat. Undang-Undang PTUN yang berlaku saat ini adalah UU Republik Indonesia No.9 Tahun 2004 Tentang Peradilan Tata Usaha Negara, perubahan atas UU No. 5 Tahun 1986. Dalam tugasnya dijelaskan di pasal 4 Undang-undang nomor 5 tahun 1986 yaitu Peradilan Tata Usaha Negara adalah salah satu pelaksana kekuasaan kehakiman bagi rakyat pencari keadilan terhadap sengketa Tata Usaha Negara. Dan memiliki kedudukan disebutkan dalam pasal 6 ayat (1) dan ayat (2) bahwa Pengadilan Tata Usaha Negara berkedudukan di kotamadya atau ibukota kabupaten, dan daerah hukumnya meliputi wilayah kotamadya atau kabupaten. Pengadilan Tinggi Tata Usaha Negara berkedudukan di ibukota propinsi, dan daerah hukumnya meliputi wilayah propinsi
Hubungan Minat Memilih Program Kompetensi Terhadap Hasil Belajar Kimia Siswa SMK Negeri 1 Cariu
Authors: Nur’aini Dini
Published: September 2022

Penelitian ini berawal dari permasalahan peningkatan data peminat program kompetensi teknik kendaraan ringan hingga mencapai 400 orang, dengan kuota 100 orang mengakibatkan banyak siswa yang tidak masuk dan dilimpahkan ke program kompetensi lain. Atas dasar permasalahan tersebut, peneliti melakukan penelitian dengan tujuan mengetahui gambaran minat terhadap hasil belajar siswa kelas X TKR SMK Negeri 1 Cariu pada pelajaran kimia. Penelitian ini merupakan penelitian jenis ex-post facto yang  menggunakan metode deskriptif korelasi yang akan memberikan gambaran minat memilih program keahlian siswa kelas X TKR SMK Negeri 1 Cariu pada pelajaran kimia. Populasi seluruh siswa kelas X TKR yang berjumlah 36 siswa dan sampel sebanyak 30 siswa. Instrumen yang digunakan adalah angket dengan skala Likert yang terdiri dari 25 butir pernyataan yang untuk minat. Pengujian validitas melalui expert judgment. Hasil penelitian diperoleh minat 30 % ini menunjukkan minat memilih program kompetensi siswa kelas X TKR SMK Negeri 1 Cariu termasuk kategori sedang. Hasil penelitian pada hasil belajar siswa kelas X TKR SMK Negeri 1 Cariu pada mata pelajaran kimia pada kategori sedang. Hasil dari pengujian hipotesis tidak terdapat hubungan yang signifikan antara minat memilih program kompetensi terhadap hasil belajar siswa kelas X TKR SMK Negeri 1 Cariu.
Strengthening Concrete Beams Using High Strength Concrete In 3 (Three) Days
Authors: Baginda Polianus Sitorus Henry , Tarigan Johannes , Nursyamsi Nursyamsi
Published: September 2022

Setiap bangunan terdiri atas bagian-bagian yang memiliki fungsi tertentu, tidak terkecuali juga balok beton. Elemen yang satu ini sangat berguna untuk menyangga lantai yang terletak di atasnya. Tidak hanya itu, ternyata balok juga memiliki peran sebagai penyalur momen menuju ke bagian kolom pada bangunan yang sedang dibuat. Perkuatan struktur balok beton menggunakan beton mutu tinggi (High Strength Concrete) dengan komposisi campuran yaitu semen, silica fume, pasir silica, pasir, fly ash, superplasticizer, air dan polypropylene fibres. Didapatkan pertambahan kuat lentur beton yang semula 33,9 MPa menjadi 37,8 MPa dengan besar pertambahan 3,9 MPa dalam 3 hari, sehingga tergolong early strength
Penerapan Metode Pembelajaran Gallery Learning Sebagai Upaya Peningkatan Pemahaman Siswa Pada Materi Hakikat Perlindungan Dan Penegakan Hukum
Authors: Hadi Wahyudin
Published: September 2022

Setiap warga negara Indonesia berhak memperoleh pendidikan terbaik untuk menjadi bekal dalam kehidupan sehari-hari di masa ini dan mendatang. Termasuk di dalamnya mata pelajaran PKN materi hakikat perlindungan dan penegakan hukum. Akan tetapi, proses pembelajaran yang dilakukan masih tradisional sehingga pemahaman siswa belum maksimal yang dapat dilihat dari hasil belajar siswa yang belum mencapai KKM. Untuk itulah penelitian ini bertujuan untuk menaikkan hasil belajar siswa dengan  metode gallery learning pada mata pelajaran Pendidikan Kewarganegaraan materi hakikat perlindungan dan penegakan hukum. Penelitian ini menggunakan jenis Penelitian Tindakan Kelas (PTK) yang terdiri dari 3 siklus. Setiap siklus menggunakan tahapan yang sama, yaitu perencanaan, tindakan, observasi, refleksi dan kesimpulan. Pada siklus I menunjukkan ketuntasan hasil belajar sebesar 71,45%, pada siklus II sebesar 85,71% dan pada siklus III sebesar 100%. Dengan ini diketahui bahwa metode gallery learning dapat meningkatkan pemahaman siswa pada materi Hakikat Perlindungan dan penegakan hukum
Analisis Kinerja Keuangan Pemerintah Daerah Provinsi Sumatera Selatan Berdasarkan Analisis Pertumbuhan Dan Rasio Keuangan
Authors: Monalisa Monalisa , Indriasari Desi
Published: September 2022

Penelitian ini bertujuan untuk menganalisis kinerja keuangan di Pemerintah Provinsi Sumatera Selatan periode anggaran 2016 sampai dengan 2020. Penelitian ini menggunakan analisis deskriptif kuantitatif. Sumber data yang digunakan untuk objek penelitian ini menggunakan data sekunder yang diperoleh dari Badan Pengelola Keuangan dan Aset Daerah (BPKAD) Provinsi Sumatera Selatan. Teknik analisis data yang digunakan dalam penelitian ini adalah deskriptif kuantitatif dengan rumus: Rasio Kemandirian, Rasio Efektivitas PAD, Rasio Efisiensi, Rasio Keserasian, dan Rasio Pertumbuhan. Hasil penelitian ini menunjukkan bahwa kinerja keuangan Pemerintah Provinsi Sumatera Selatan dari: 1) Rasio Kemandirian tergolong Sedang karena setiap tahun berada di interval 50-75% dengan rata-rata selama 5 tahun yaitu 63,85% dan pola hubungannya termasuk ke Partisipatif. 2) Rasio Efektivitas PAD tergolong Cukup Efektif karena rata-rata efektivitasnya berada di bawah 100% yaitu 95,06%. 3) Rasio Efisiensi tergolong Efisien karena selama lima tahun berturut-turut berada di bawah 100% yaitu 70,08%. 4) Rasio Keserasian masih banyak pengalokasian Belanja Operasi daripada Belanja Modal dimana rata-rata belanja operasi 77,31% dibanding belanja modal yang sebesar 22,10%. 5) Rasio Pertumbuhan PAD, Pendapatan, Belanja Operasi, dan Belanja Modal selalu mengalami penurunan dari tahun ke tahun.
Analisa Evapotranspirasi Daerah Irigasi Tanrutedong Kabupaten Sidrap
Authors: Firstania Andi Adillah , Alimuddin Azis
Published: September 2022

Pengelolaan dalam sistem irigasi sangat penting memenuhi kebutuhan air irigasi. Dengan hal tersebut,peneliti bertujuan untuk menganalisis kebutuhan air irigasi sehingga dapat diketahui nilai kebutuhan evapotranspirasi pada daerah irigasi tanrutedong kabupaten sidrap. Dilakukan dengan pengumpulan data klimatologi yang berupa suhu,kecepatan angin,kelembaban,penyinaran matahari dan penguapan. Metode analisis dilakukan dengan beberapa metode pendekatan dalam menentukan atau memperkirakan nilai evapotranspirasi secara empiris mulai bulan januari sampai bulan desember. Metode yang dipengaruhi oleh faktor – faktor evapotranspirasi adalah Metode Penman: Suhu, Penyinaran Matahari Kecepatan Angin, Metode Blaney-Cridle, Metode Turc, Metode Thorntwaite : Suhu, Metode Penman Modifikasi: Suhu, Penyinaran Matahari,Kecepatan Angin. Dari hasil analisis korelasi kelima metode yang dipengaruhi oleh faktor faktor evapotranspirasi adalah suhu. Karena suhu mempunyai korelasi yang sangat erat dengan laju evapotranspirasi potensial setiap tahunnya. Metode Penman= 4,44 mm/hr,Metode Blaney-Cridle=4,63 mm/hr,Metode Turc= 1,76 mm/hr,Metode Thornthwaite = 5,105 mm/hr,Metode Penman Modifikasi= 5,103 mm/hr.Dari perbandingan metode – metode empiris terhadap metode penman modifikasi yang paling sesuai untuk daerah stasiun Klimatologi Tanrutedong Kabupaten Sidrap adalah Metode Penman, selain paling sering digunakan juga mencakup seluruh faktor – faktor evapotranspirasi
Abordagem atual das dislipidemias
Authors: Juliani Fabiana Cordeiro , Rocha Viviane Zorzanelli
Published: September 2022

As doenças cardiovasculares são a principal causa de morte no mundo, respondendo por cerca de 17,9 milhões de óbitos anuais. O controle das dislipidemias representa um importante passo para a prevenção da doença cardiovascular aterosclerótica. As diversas diretrizes preconizam a redução do LDL-c de acordo com o risco cardiovascular calculado, com reduções maiores sugeridas para pacientes de maior risco. Evidências atuais mostram que o LDL-c e os triglicérides elevados e/ou o HDL-c baixo são preditores de risco cardiovascular. Enquanto a literatura revela redução de eventos cardiovasculares de forma proporcional à redução de LDL-c, ainda não existe consenso sobre o benefício da redução dos TG e seu impacto em desfechos cardiovasculares. Já estratégias farmacológicas desenvolvidas até o momento para o aumento do HDL-c foram abandonadas. O tratamento do LDL-c se baseia, na maioria das diretrizes, na estimativa de risco para o paciente, com recomendação de redução de LDL-c para aqueles de risco alto ou muito alto (em geral ≥ 50%), ou em indivíduos de risco intermediário com agravantes. Além das estatinas, tratamento de primeira linha para redução do LDL-c, e de medicações adicionais como o ezetimibe e os inibidores de PCSK9, novas terapias capazes de reduzir o LDL-c, os triglicérides, e a Lp(a) estão sendo testadas, e se aprovadas poderão contribuir adicionalmente com a redução do risco cardiovascular. Finalmente, deve-se destacar a importância de medidas não farmacológicas de controle dos fatores de risco, que devem ser sempre recomendadas a todo e qualquer paciente.

Unitermos
Doenças cardiovasculares. Aterosclerose. Dislipidemias. Medicamentos hipolipemiantes. Estatinas.
Diagnóstico e tratamento da hipertensão arterial sistêmica
Authors: Midlej Thiago
Published: September 2022

A hipertensão arterial sistêmica (HA) é uma doença crônica, multifatorial, que depende de fatores genéticos, ambientais e sociais. É caracterizada por elevação persistente da pressão arterial (PA), ou seja, PA sistólica (PAS) maior ou igual a 140 mmHg e/ou PA diastólica (PAD) maior ou igual a 90 mmHg. A avaliação inicial de um paciente com HA inclui a confirmação do diagnóstico, a suspeita e a identificação de causa secundária, avaliação do risco cardiovascular (CV), investigação de lesões de órgão-alvo e as doenças associadas. A meta deve ser definida individualmente e considerando a idade, a presença de doença cardiovascular ou de seus fatores de risco. De forma geral, deve-se reduzir a PA visando a alcançar valores menores que 140/90 mmHg e não inferiores a 120/70 mmHg. A redução de PA sistólica de 10 mmHg e diastólica de 5 mmHg com fármacos é acompanhada de diminuição significativa do risco relativo de desfechos maiores. A monoterapia pode ser a estratégia anti-hipertensiva inicial para pacientes com HA estágio 1 com risco CV baixo ou pré-hipertenso com risco CV alto ou para indivíduos idosos e/ou frágeis. O uso de combinação de fármacos é a estratégia preferencial para a maioria dos pacientes hipertensos. Unitermos Hipertensão arterial sistêmica. HAS. Tratamento de HAS. Pressão alta
Two lasers x ultrasonic on root canal walls treatment: a scanning electron microscopy study
Authors: Berbert Fábio Luiz Camargo Villela , Pimenta Fernanda Bueno , Dametto Fábio Roberto , Bagnato Vanderlei Salvador , Freitas Karina Maria Salvatore
Published: September 2022

The aim of this study was to assess the efficacy of smear layer/debris removal with EDTA, passive ultrasonic irrigation (PUI), Nd:YAG or GaAlAs laser, using surface topography analysis using scanning electron microscopy (SEM). Forty maxillary canines were decoronated, instrumented and randomly assigned (n = 10): G1 - 17% EDTA; G2 - PUI; G3 - Nd:YAG laser; G4 - GaAlAs laser. The roots were prepared for SEM and the cleanliness of each third of the root canal walls was accessed using a predetermined rating system. Kruskal-Wallis test was performed for statistical analysis. A significant difference was observed for G1 and the other three groups in the coronal third (p < 0.01), between G1, G2 and G4 (p < 0.01) and between G1 and G3 (p < 0.05) for the middle third, and between G1 and G4 (p < 0.01) and G1 and G2 (p < 0.05) in the apical third. Not one sample showed a perfectly clean surface of all levels of the root canal.
Amelogenesis imperfecta: a literature review based guide to diagnosis and management
Authors: Wimalarathna Aruna , Abeyasinghe Udari , Jayasooriya Primali , Herath Chandra
Published: September 2022

Amelogenesis imperfecta (AI) is a hereditary disorder which alters the enamel formation of the teeth by exhibiting the changes in quality and quantity of the enamel. The varieties of clinical presentations range from hypoplastic, hypomaturation to hypocalcified with the combination of different genetic mutations. It can present in both deciduous and permanent dentitions. The diagnosis of AI depends on clinico-pathological correlation by excluding other structural disorders of enamel such as fluorosis and chronological hypoplasia. Therefore, the knowledge of AI is related to its clinical features, radiological and histological findings, genetic mutations and treatment options are utmost important during the management of AI. The following review article will address the diagnostic and management perspectives of AI.
Estudio longitudinal de las Mypes de Tehuacán
Authors: Rodríguez Suárez Cristina , Mascarúa Alcázar Miguel Antonio , Ruíz Contreras Angélica Belén
Published: September 2022

El presente trabajo constituye el primer esfuerzo por medir la evolución de las micro y pequeñas empresas (mypes) en la ciudad de Tehuacán y la zona conurbada; el análisis tiene su origen en el estudio que se hizo en 2015 y que mapeó las actividades y las estrategias de los directivos, las cuales se compararon con los resultados obtenidos en 2020, justo antes de que surgiera la pandemia por COVID-19. Se analizaron 1 013 micro negocios desde el punto de vista sistémico y de la arquitectura organizacional. El estudio usa el método cuantitativo, longitudinal y demuestra que las mypes han crecido en algunos aspectos, como es el uso de las Tecnologías de la Información y la Comunicación (TIC) y los recursos humanos, pero persisten los problemas en las ventas, además, han retrocedido en algunos temas, tales como la posventa.

Abstract

This study constitutes the first effort of measuring the evolution of micro and small enterprises (MSEs) in the City of Tehuacan and its surroundings; the analysis originates from research carried out in 2015 and which mapped directors’ activities and strategies that were compared to results obtained in 2020, just before the COVD-19 breakout. 1 013 micro enterprises were analyzed from a systematic point of view and organizational architecture. This study uses a longitudinal quantitative method and demonstrates that MSEs have grown in some aspects such as the use of Information and Communication Technologies (ICTs) and human resources, but problems in sales persist furthermore some have dropped such as post-sales.
etnografía en el normalismo, metodología para el análisis de la propia práctica.
Authors: Sainz Elizarraraz Rebeca , Ojeda Vázquez Acaxochic , Nieto Hernández Estela , Morales Palomares Lilibeth
Published: September 2022

El presente trabajo es una reflexión que presenta parte de una investigación de corte etnográfico con el propósito de identificar los usos que dan al texto académico 6 docentes y 37 alumnos de la Licenciatura en Educación Especial de una Escuela Normal del Estado de Guanajuato. Describe el proceso etnográfico como metodología y los registros, auto registros, grabaciones y cuestionarios como los métodos que contribuyeron de forma significativa al proceso de formación que generó cambios en la práctica docente de quien lo vivió.

Abstract

A reflection is presented of a paper which forms part of an investigation of ethnographical nature with the purpose of identifying the uses given to an academic text by 6 teachers and 37 students studying for a degree in Special Education in a normal college in the State of Guanajuato. It describes the ethnographic process as a methodology and its registers, personal registers, recordings, and questionnaires as well as its methods that significantly contributed to the formative process that generated changes in the teaching practice of those who were involved.
PENYUSUNAN RENCANA PELAKSANAAN PEMBELAJARAN GURU PPKN TERHADAP KESESUAIAN PROSES PEMBELAJARAN PADA MATA PELAJARAN PPKN
Authors: Marlina Lina
Published: September 2022

ABSTRACT

This study aims to determine the extent of the suitability of a teacher in compiling a learning implementation plan on Civics subjects at SMA Maulana Yusuf Kota Serang with the learning process carried out by the teacher during the teaching process in the classroom so that the flow of the learning implementation plan prepared by the teacher can be said. appropriate and serve as teaching guidelines and by the stages of learning steps from the introduction, core, and closing. In this study, the researcher used a qualitative descriptive method because in this study, the title Preparation of the PPKn Teacher Learning Implementation Plan on the Suitability of the Learning Process in Civics Subjects, was by this research method, the data obtained were processed by descriptive analysis. And the results of this study it can be said that the preparation of the PPKn Teacher Learning Implementation Plan on the Suitability of the Learning Process in Civics Subjects at Maulana Yusuf High School it can be said to have been by the learning process carried out by Civics Education teachers at Maulana Yusuf High School Serang City with the support from the head schools, namely by supervising teachers of Civics subjects during the learning process in the classroom.