bluuebunny/crossref_metadata_2025 huggingface dataset:
Optimizing an Emergency Medical Dispatch System to Improve Prehospital Diagnosis and Treatment of Acute Coronary Syndrome: Nationwide Retrospective Study in China
Authors: Dong Xuejie , Ding Fang , Zhou Shuduo , Ma Junxiong , Li Na , Maimaitiming Mailikezhati , Xu Yawei , Guo Zhigang , Jia Shaobin , Li Chunjie , Luo Suxin , Bian Huiping , Luobu Gesang , Yuan Zuyi , Shi Hong , Zheng Zhi-jie , Jin Yinzi , Huo Yong
Published: November 2022

Background

Acute coronary syndrome (ACS) is the most time-sensitive acute cardiac event that requires rapid dispatching and response. The medical priority dispatch system (MPDS), one of the most extensively used types of emergency dispatch systems, is hypothesized to provide better-quality prehospital emergency treatment. However, few studies have revealed the impact of MPDS use on the process of ACS care.

Objective

This study aimed to investigate whether the use of MPDS was associated with higher prehospital diagnosis accuracy and shorter prehospital delay for patients with ACS transferred by an emergency medical service (EMS), using a national database in China.

Methods

This retrospective analysis was based on an integrated database of China’s MPDS and hospital registry. From January 1, 2016, to December 31, 2020, EMS-treated ACS cases were divided into before MPDS and after MPDS groups in accordance with the MPDS launch time at each EMS center. The primary outcomes included diagnosis consistency between hospital admission and discharge, and prehospital delay. Multivariable logistic regression and propensity score–matching analysis were performed to compare outcomes between the 2 groups for total ACS and subtypes.

Results

A total of 9806 ACS cases (3561 before MPDS and 6245 after MPDS) treated by 43 EMS centers were included. The overall diagnosis consistency of the after MPDS group (Cohen κ=0.918, P<.001) was higher than that of the before MPDS group (Cohen κ=0.889, P<.001). After the use of the MPDS, the call-to-EMS arrival time was shortened in the matched ACS cases (20.0 vs 16.0 min, P<.001; adjusted difference: –1.67, 95% CI –2.33 to –1.02; P<.001) and in the subtype of ST-elevation myocardial infarction (adjusted difference: –3.81, 95% CI –4.63 to –2.98, P<.001), while the EMS arrival-to-door time (20.0 vs 20.0 min, P=.31) was not significantly different in all ACS cases and subtypes.

Conclusions

The optimized use of MPDS in China was associated with increased diagnosis consistency and a reduced call-to-EMS arrival time among EMS-treated patients with ACS. An emergency medical dispatch system should be designed specifically to fit into different prehospital modes in the EMS system on a regional basis.
Tác động của lũ lụt đến thu nhập hộ trồng lúa tại huyện Châu Phú, tỉnh An Giang
Authors: Nguyễn Văn Ngân , Nguyễn Thị Quỳnh Như , Võ Thành Danh , Nguyễn Thị Kim Phượng
Published: November 2022

Từ cơ sở dữ liệu được khảo sát trực tiếp từ hộ trồng lúa về nhận thức, ứng phó rủi ro do lũ lụt, thu nhập nông hộ, phương pháp thống kê mô tả và hồi qui được sử dụng để phân tích tác động của lũ lụt đến thu nhập của hộ trồng lúa tại huyện Châu Phú, tỉnh An Giang. Kết quả phân tích cho thấy bình quân mỗi nông hộ ở địa bàn nghiên cứu canh tác khoảng 3 hecta lúa. Mức thu nhập trung bình của các hộ gia đình trong mẫu khảo sát là khoảng 107 triệu đồng/năm. Tỉ lệ khả năng nhận thức được rủi ro do lũ lụt của đáp viên chiếm 52,27% và có 43,18% có khả năng ứng phó với những rủi ro do lụt. Kết quả phân tích hồi qui cho thấy các yếu tố như: học vấn của chủ hộ, làm việc cho chính quyền, tổng diện tích đất, khu vực sống và số nhân khẩu tác động đến thu nhập của nông hộ trồng lúa.
Các thông số chất lượng nước và thành phần tảo khuê trong ao nuôi tôm thẻ chân trắng (Litopenaeus vannamei) siêu thâm canh
Authors: Nguyễn Thị Kim Liên , Võ Nam Sơn , Huỳnh Trường Giang
Published: November 2022

Nghiên cứu nhằm khảo sát các thông số chất lượng nước và cấu trúc thành phần loài tảo khuê ở các ao tôm thẻ siêu thâm canh. Nghiên cứu được thực hiện tại các trại nuôi tôm ở thành phố Bạc Liêu, tỉnh Bạc Liêu. Tổng cộng có 11 đợt thu mẫu chia thành 2 giai đoạn gồm giai đoạn ương (thu ở 2 ao) và giai đoạn nuôi thương phẩm (4 ao). Kết quả cho thấy các thông số môi trường nước biến động khá cao trong chu kỳ nuôi, trong đó một số yếu tố dinh dưỡng (TAN, NO3- và PO43-) có xu hướng tăng cao vào cuối vụ nuôi. Tổng cộng có 16 loài tảo được ghi nhận, trong đó tảo khuê có thành phần loài cao nhất (8 loài, chiếm 50%), các ngành tảo còn lại từ 2 đến 3 loài (chiếm 12-19%). Mật độ tảo khuê trung bình ở giai đoạn ương là 2.813.930 cá thể/L và giai đoạn nuôi là 2.614.583 cá thể/L. Tảo Thalassiosira sp. hiện diện thường xuyên và chiếm ưu thế (84-99%) qua các đợt thu mẫu. Các loài tảo khuê được ghi nhận trong các ao tôm gồm Thalassiosira sp.,
Tổng quan về đặc điểm sinh học sinh sản của họ ốc bươu Ampullariidae
Authors: Lê Văn Bình , Ngô Thị Thu Thảo
Published: November 2022

Giai đoạn trưởng thành có thể phân biệt được các loài ốc thuộc họ Ampullariidae qua hình dạng bên ngoài và qua giải phẫu. Họ Ampullariidae có tỷ lệ giới tính không đều và ốc cái chiếm tỷ lệ cao hơn ốc đực trong quần đàn. Ốc đực và ốc cái phát triển giới tính riêng biệt, sau khi bắt cặp giao phối thì quá trình thụ tinh diễn ra trong buồng chứa tinh của con cái. Tập tính sinh sản chung là ốc cái đẻ trứng thành từng đám bám vào hốc đất, bùn hay trên thân cây thực vật thủy sinh. Ốc cái đẻ từng trứng hoặc từng đôi trứng, khi một cặp trứng đi ra khỏi đường sinh dục cái qua cơ quan đẻ trứng, sau đó được đẩy ra khỏi cơ thể và gắn vào cạnh dưới của tổ trứng, tổ trứng có nhiều tầng hay chỉ một tầng tùy thuộc vào nơi đẻ. Trứng ốc mới đẻ rất mềm, thường trong suốt và sau một thời gian được vôi hóa bởi một lớp canxi hạt trứng sẽ trở nên cứng chắc hơn.  Màu sắc hạt trứng cũng khác nhau tùy theo loài ốc.
Stuktur Sosial Masyarakat Petani Bawang Merah di Desa Sigentong, Kecamatan Wanasari, Kabupaten Brebes, Jawa Tengah
Authors: Rinardi Haryono R , Maulany Nazala Noor , Masruroh Noor Naelil , Rochwulaningsih Yety , Amaruli Rabith Jihan
Published: November 2022

Brebes saat ini dikenal sebagai sentra produksi bawang merah terbesar di Indonesia. Usaha pertanian bawang merah Brebes melibatkan sebagian besar penduduknya yang menggantungkan hidup mereka pada sektor tersebut. Secara sosiologis, struktur sosial masyarakat petani bawang merah di daerah itu sangat kompleks, dengan keterlibatan berbagai pihak dengan berbagai peran dan kedudukannya. Demikian pula pola-pola hubungan kerja yang terjalin di dalamnya antara kelompok satu dengan kelompok yang lain. Penelitian ini bermaksud mengungkap gambaran struktur sosial dan pola-pola hubungan kerja dalam masyarakat petani bawang merah Brebes yang dilakukan melalui studi kasus di Desa Sigentong, Kecamatan Wanasari, Kabupaten Brebes. Penelitian ini adalah sebuah penelitian kualitiatif yang disusun menggunakan metode observasi partisipan, wawancara dan dokumentasi. Hasil penelitian menunjukkan secara umum bahwa terdapat pelapisan sosial masyarakat petani di Desa Sigentong pada masa produksi dan masa pascapanen. Pelapisan sosial pada masa produksi terdiri dari kelompok para juragan yang terdiri dari juragan pemilik tanah, petani dan buruh. Sementara pada pelapisan sosial masa pascapanen, secara umum terdiri atas kelompok juragan pada lapisan paling atas dan buruh pada lapisan paling bawah. Terkait dengan pola hubungan kerja dalam masyarakat petani bawang merah secara umum, hubungan antara juragan dan petani diikat oleh sistem penguasaan tanah dengan sewa, gadai dan bagi hasil. Di antara petani dan buruh, bentuk hubungan kerja yang ada bersifat borongan dan lepas. Secara umum pola-pola hubungan di antara mereka satu sama lain tidak terikat dan cenderung dianggap saling menguntungkan.
Magnetized Bianchi Type-VI0 String Cosmological Model for Anti-Stiff Fluid in General Relativity
Authors:   Department of Mathematics & Statistics, University college of science,  Mohanlal Sukhadia University, Udaipur, 313001, Rajasthan (India), Chhajed Dhirendra , Choudhary Ankita ,   Department of Mathematics & Statistics, University college of science,  Mohanlal Sukhadia University, Udaipur, 313001, Rajasthan (India), Tyagi Atul ,   Department of Mathematics & Statistics, University college of science,  Mohanlal Sukhadia University, Udaipur, 313001, Rajasthan (India)
Published: November 2022

In this paper, we have investigated magnetized Bianchi type-VI0 string cosmological model for anti-stiff fluid in general relativity. We assume that F23 is the only survival component of electromagnetic field tensor Fij. For the absolute determination of the model, we assume the expansion in the model is proportional to the shear. The common measures of the Einstein’s field equations for the cosmological model have been acquired under the assumption of anti-stiff fluid i.e. p + ρ = 0, where ρ and p are the rest energy density and the pressure of the fluid, respectively. The physical and geometrical outcomes of the model in the presence of magnetic field are discussed.
Blended “Three Entries” Ideological and Political Curriculum Integration Experiment: A Case Study of Comprehensive English Course
Authors: Feng Yang , Wang Xiya
Published: November 2022

This study carried out a two-semester “Three Entries” course ideological and political experiment in the teaching of English majors in colleges and universities. The experiment found that the 58 students in the experimental group who integrated socialist ideals and beliefs into the teaching of professional courses, their life pursuits, postgraduate entrance examination plans, career ideals, and learning enthusiasm have all improved significantly, and the average score of professional course examinations has also increased by 15%; while the 60 control group students who have not carried out ideological and political integration in the course have no significant changes in the above test indicators. This experiment shows that the development of ideological and political courses in colleges and universities can effectively improve students’ learning motivation and academic performance, and promote postgraduate entrance examinations and career development, providing case experience and reference for the reform of ideological and political courses in colleges and universities.
The effect of problem-based learning during the pandemic on self-confidence and social interaction of high school student
Authors: Nursa'idah Siti Latifah , Mustofa Romy Faisal , Nuryadin Egi
Published: November 2022

The Coronavirus disease 2019 (COVID-19) pandemic has become an epidemic that has major impacts throughout the world, one of which is the change in the Indonesian education system from face-to-face learning to online learning. This study aims to determine the effect of online-based problem-based learning on the self-confidence and social interaction of students in class X MIPA at SMA Negeri 6 Tasikmalaya, West Java-Indonesia. This study uses the true experimental method. The population of this study is all classes X MIPA of SMA Negeri 6 Tasikmalaya for the 2020/2021 academic year. The samples of this study are class X MIPA 4 and class X MIPA 5, with as many as 36 students from each class. The instruments used are a self-confidence questionnaire and a social interaction questionnaire. The data analysis technique used is One-Way ANOVA with the Fcount of self-confidence (7.328) and social interaction (6.115). The results of data analysis and hypothesis testing concluded that there was an effect of problem-based learning on self-confidence and social interaction with a high category. A study using online-based problem-based learning must be supported by the readiness of students and teachers so that learning becomes effective. In addition, learning media such as Zoom meetings or Google Meet must be used.
Analysis Determinant of Optimization Assets With Asset Control Intervening Variabels (Case Study at The Bogor Agricultural Technology Research and Development Center
Authors: Aminda Renea Shinta , Indupurnahayu Indupurnahayu , Soejarwati Soejarwati , Ningsih Eka Yulia
Published: November 2022

This study aims to determine how much influence the use and security of assets have on asset optimization through asset control intervening variables, this is motivated by the implementation of asset administration, management and control. The research method used is the Kolmogorof-Smirnov one sample data normality test, collinearity test, multicollinearity test, and table f analysis test, as well as analysis test using intervening variables or path analysis. Based on the results of the calculations on the data normality test, it can be concluded that the data is normally distributed, the research variables are perfectly correlated, the variable does not occur multicollinearity, the f table test can explain all independent variables, can explain the dependent variable of each variable, the variable has a direct influence through intervening variable on asset optimization. The object of research is to immediately carry out administration, management and control based on the applicable money laws and regulations and complete a complete and detailed list of assets per each asset and can also carry out control by taking inventory, asset control card and complete a list of assets in each room, prequires commitment from the leadership in the work unit in order to administer assets to improve asset optimization and training, workshops, seminars and courses are needed for asset officers at the Center for the Study and Development of Agricultural Technology
The Implementation of Learning Organization to Increasing SME Performance through Innovation
Authors: Ambarwati Titiek , Sudarmiyatin Sudarmiyatin , Hermawan Agus
Published: November 2022

The resulting performance measures the success of a business. Performance can be said good or not based on several aspects, including conducting continuous learning to improve skills and achieve business goals and innovating to maintain the running business. The objective of this study was to analyze the impact of learning organizations on business performance through innovation as a direct and indirect mediation. This study was conducted in Micro, Small, and Medium Enterprises (MSMEs) in Malang City with a sample of 50 respondents. Data analysis in this study used path analysis with SmartPLS 3.0 software. The results found that the better the implementation of the learning organization, the greater the business performance and innovation. Innovation has a mediating role in the effect of learning organization on performance.
The Role of Internal Audit Quality to the Sustainability and Success of Microfinance Program
Authors: Gassama Saikou , Sudaryati Erina
Published: November 2022

Microfinance institutions are the main source of finance for the poor and the women in many country, therefore the sustainability of these companies is a concern, but that cannot be achieved without proper internal control mechanism to detect any attempt frauds that could harm the operations of microfinance institutions. The research will used literature review method by digging into previous researches to see the main courses of the failure of many microfinance institutions. The research found out that most of the microfinance institution failed due to inadequate control in place to detect malfunctions or fraud at the earlier stages that can safeguard the operations of microfinance institutions.
PEMBERDAYAAN TANAMAN HIDROPONIK PADA PERUMAHAN EMERALD GARDEN BUMIAYU - KEDUNGKANDANG
Authors: Novita Ratna Satiti  , Putri Viajeng Purnama
Published: November 2022

Tujuan kegiatan pengabdian mewujudkan kemandirian ekonomi warga dengan memanfaatkan lahan kosong, lahan yang dapat dikembangkan agar lingkungan lebih hijau akan dikelola dengan baik oleh warga, terbentuknya kemandirian warga, serta peningkatan ketahanan pangan warga. Hasil dari pengabdian ini adalah terbentuknya media dan tanaman hidroponik di lahan-lahan kosong perumahan Emerald Garden Bumiayu Kedung Kandang Malang. Program pengabdian masyarakat di lingkungan masyarakat Bumiayu bertujuan untuk memberdayakan ibu rumah tangga dengan memberikan pelatihan bercocok tanam atau berkebun dengan sistem hidroponik. Hal ini dilator belakangi karena banyaknya lahan kosong yang kurang produktif pada masyarakat Bumiayu. Konsep penanaman Hidroponik ini merupakan budidaya tanaman dengan memanfaatkan air yang telah diberikan nutrisi sebagai sumber makanan tanaman. Konsep penamaman Hidroponik ini memanfaatkan pekarangaan yang kecil serta bahan-bahan bekas. Beberapa tahapan yang akan digunakan untuk melakukan kegiatan pengabdian ini antara lain dengan bimbingan teknis, sosialisasi dan workshop yang didalamnya terdapat kegiatan praktek langsung oleh warga tentang bercocok tanam tanaman hidroponik.
UPAYA MENINGKATKAN EFISIENSI BIAYA PRODUKSI PUPUK ORGANIK CAIR PADA PETANI BUNGA KOPENG
Authors: Silvia Hendrayanti  , Yuli Ernawati Fidyah
Published: November 2022

Belum adanya standar dalam mengelola Limbah dan standar pembuatan pupuk organik cair (POC)  menjadi permasalahan yang belum terpecahkan bagi para petani bunga di kawasan Wisata Kopeng. Adanya standar tersebut akan berdampak pada efisiensi biaya produksi pupuk. Lokasi pendampingan berada di Kawasan Wisata bunga Kopeng, Kabupaten Semarang. Pendampingan ini dilaksanakan karena pengetahuan yang kurang dalam pemanfaatan limbah rumah tangga dan kurangnya pengetahuan dalam mengatur biaya produksi agar efisiens bagi para petani bunga Kopeng. Hal inilah yang menjadi pertimbangan untuk melakukan kegiatan tersebut. Beberapa Petani bunga di Kawasan ini tidak melakukan upaya penanganan saat membuang limbah rumah tangga. Tujuan yang ingin dicapai dari kegiatan pendampingan pembuatan pupuk organik (POC) dari limbah organik yang dihasilkan oleh rumah tangga adalah memberikan informasi pengetahuan serta menumbuhkan kesadaran masyarakat terhadap pentingnya pengolahan limbah secara efisien, sehingga para Petani bunga tidak sembarangan menumpuk sampah-sampah organik yang nantinya akan menimbulkan aroma tidak sedap sehingga mengundang penyebaran bibit penyakit. Selain itu adanya pengolahan limbah yang baik dapat menjadikan efisiensi pada biaya produksi yang pada akhirnya akan memberikan laba/ pendapatan yang optimal bagi para petani bunga di Kawasan Kopeng. Metode yang diterapkan dalam kegiatan ini adalah menyajikan materi kemudian melakukan Presentasi pada peserta pelatihan. Pendampingan masyarakat ini berhasil menumbuhkan kesadaran para petani akan pentingnya hidup sehat dan kreatif, memotivasi para petani agar tidak mendekati pestisida dan pupuk kimia dan beralih kepada pupuk organik cair (POC), serta melatih para peserta untuk belajar mengatur biaya produksi agar lebih efisien karena akan berdampak pada pendapatan/ laba yang akan mereka peroleh.
PENGEMBANGAN DESA WISATA PENDEM KECAMATAN JUNREJO KOTA BATU
Authors: Marsudi Marsudi , Mursidi Mursidi , Robbie Iqbal
Published: November 2022

Program pengabdian kepada masyarakat ini berlokasi di Desa Pendem Kecamatan Junrejo Kota Batu yang bertujuan untuk menunjang Kota Wisata Batu, Desa Pendem mempunyai slogan Desa Berdaya Kota Berjaya. Sebagai lanjutan dari program pengabdian masayarakat tahun lalu dan melaksanakan RPJM Desa tahun 2020-2025 maka tim pengabdi melihat kawasan sungai yang bisa dioptimalkan pemanfaatannya. Hasil identifikasi masalah di lapangan ditemukan bahwa pihak desa membutuhkan konsep desa wisata khususnya wisata di sekitar aliran sungai. Kegiatan yang dilakukan dalam pengabdian ini adalah memberikan pemahaman kepada masyarakat mengenai pembentukan sungai tematik dan wisata kawasan sungai. Penetapan pengabdian kepada masyarakat Desa Pendem sangat tepat karena masyarakat di daerah tersebut menginginkan adanya perubahan pada lingkungan alam sekitar, khususnya sungai yang ada dan dapat menciptakan manfaat dari alam tersebut. Hasilnya adalah : pelatihan berjalan dengan baik dengan terbentuknya SOP pengembangan desa wisata.
Effects of Sago Starch Types on Crackers from Edible Larvae of Sago Palm Weevils
Authors: Tuhumury Helen , Souripet Agustina , Nendissa Sandriana
Published: November 2022

Sago starch and palm weevil larvae can be utilized as ingredients in crackers making to replace tapioca and prawn or fish. This research aimed to study the physicochemical and sensory properties of crackers made from three different sago starch, i.e., Molat, Ihur, and Tuni mixed with sago palm weevil larvae and to determine the best sago starch in making palm weevil larvae crackers. Results showed that Molat sago starch was the best option in making palm weevil larvae crackers. It resulted in crackers with better physicochemical and sensory properties than other sago starch. This cracker had the moisture, ash, protein, fat, fiber, and carbohydrate contents of 9.74, 1.17, 6.94, 0.45, 1.22, and 80.50%, respectively. The hardness of the un-fried crackers (17.19 N) was higher than that of others, while the fried crackers were lower (5.00 N). The crackers from Molat sago starch were liked by panelists in their taste and perceived to have a standard aroma. Whereas panelists extremely desired color, crispiness, and overall likeness. Crackers developed from Molat sago starch, and palm weevil larvae can fulfill the demands of nutritional security.
Optimization Of Glucose and Nitrogen Consentration In Medium Nata de Citrus From Calamansi Orange Juice
Authors: Anggreani Nita , Jais Ahmad , Murcitro Bambang Gonggo , Maulidia Anggun , Dia Safitri Egi
Published: November 2022

Calamansi orange is a superior fruit that is being promoted for planting in Bengkulu Province. Calamansi citrus preparations have only a few variations, generally made into calamansi orange syrup. This research was conducted to make a new processed variation from calamansi orange juice to Nata de Citrus products and to optimize the nata fermentation medium based on glucose and nitrogen concentrations. This study used a factorial completely randomized design (CRD) with 2 factors. The first factor is the variation of glucose in the medium by diluting orange juice 0 times ( no diluting); 0.5 times; 1 times; 1.5 times and 2 times. The second factor is the variation of nitrogen in the medium obtained by adding 0.6% Ammonium Sulfate; 0.7% and 0.8%. The results were analyzed using ANOVA and for significantly different variables, further analyzed using orthogonal polynomial order 2. The optimum results were obtained at a glucose concentration of 1.76% (dilution of calamansi orange juice 1.65 times) and a nitrogen concentration of 0.17% (ammonium sulfate 0.8%).
París-Brasília
Authors: Von Brunn Albert
Published: November 2022

Este trabalho faz parte de uma pesquisa sobre o autor brasileiro Milton Hatoum, cujos últimos dois romances têm como protagonista Martim, um jovem estudante de arquitetura, confrontado com a nova capital Brasília, construída no meio de um descampado com a ditadura militar (1964-1985) como pano de fundo, tudo isto em comparação com Paris, o centro de atração tradicional para os intelectuais brasileiros do século XIX.
Prevalencia y valor pronóstico del síndrome eutiroideo enfermo en niños críticamente enfermos
Authors: S Polacov , G Rostagno
Published: November 2022

INTRODUCCIÓN: el síndrome eutiroideo enfermo (SEE) es la principal anomalía endocrinológica enenfermos críticos. La presencia y gravedad del SEE se asocia a peor evolución clínica.OBJETIVO: conocer la prevalencia del SEE en niños críticamente enfermos y su correlación con lagravedad y resultado clínico de la enfermedad.MATERIALYMÉTODO: estudio prospectivo, observacional y analítico en niños críticamente enfermosinternados en terapia intensiva entre mayo de 2019 y mayo de 2020. Se definió al SEE como la alteracióntiroidea en enfermos críticos sin patología hipotálamo-hipófiso-tiroidea preexistente. Las variablesanalizadas fueron: edad, sexo, duración de internación, decesos, requerimiento de ventilación mecánica einotrópicos, diagnóstico al ingreso, PIM3. Para variables cualitativas se utilizó test de Chi cuadrado, paravariables cuantitativas, test de Wilcoxon.RESULTADOS: de 47 pacientes estudiados, 28 (60%) presentaron SEE. No hubo diferencias respecto asexo (p>0,999), decesos (p>0,999) ni uso de inotrópicos (p=0,1564). Hubo asociación significativa entreSEE y más días de internación (p= 0.0390) y mayor requerimiento de ventilación mecánica invasiva (p=0.0261) y entre valores bajos de hormonas tiroideas y mayor coeficiente y probabilidad de mortalidad delPIM3 (p<0,0001 y p<0,001, respectivamente).CONCLUSIONES: el SEE es frecuente en niños críticos y se asocia a dos indicadores de gravedad:duración de internación y requerimiento de ventilación mecánica invasiva. La asociación entre valores bajosde hormonas tiroideas y altos coeficientes y probabilidad de mortalidad permite usar el análisis tiroideopara predecir la evolución clínica de niños críticamente enfermos.
Efecto del tabaquismo en la vascularización de la retina mediante Angiografía-Tomografía de coherencia óptica
Authors: C Giustetti , N Crim
Published: November 2022

INTRODUCCIÓN: El consumo de tabaco es un factor de riesgo para numerosas enfermedadesrespiratorias, cardiovasculares y tumorales principalmente pero también lo es para trastornos oculares.OBJETIVO: Comparar mediante angiografía-tomografía de coherencia óptica (OCT) la densidad de losvasos y la densidad de perfusión de la retina superficial y la zona avascular foveal (ZAF) de la retina entreun grupo de pacientes tabaquistas y un grupo de pacientes no tabaquistas.MATERIAL Y MÉTODO: Estudio de tipo prospectivo, analítico, observacional y transversal. Seestudiaron un total de 100 ojos de personas de ambos sexos, entre 20 y 70 años de edad, que asistieron alInstituto Oftalmológico de Córdoba en el período de un año. Se incluyeron pacientes sanos tabaquistas yno tabaquistas, los cuales firmaron consentimiento informado, excluyendo aquellos con algunacomorbilidad sistémica preexistente o con ametropías elevadas. Se les realizó una valoración oftalmológicacompleta y una angiografía mediante OCT- HD Cirrus Model 5000, registrando los valores de densidad devasos (mm/mm2) y densidad de perfusión (%) de la retina superficial y el área de la zona avascular foveal(ZAF) (mm2), en un campo de análisis de 3 x 3 mm2. Como análisis estadístico se utilizó el Test MannWhitney y el Test de Kruskal-Wallis considerando p<0.05 como estadísticamente significativo. El trabajocontó con la aprobación del Comité de Ética de Investigación del Sanatorio Allende.RESULTADOS: Se analizaron 100 ojos, 50% eran tabaquistas (50) y 50% no tabaquistas (50). El 77% (77)eran mujeres y un 23% (23) hombres. El rango de edad con predominio fue de 50-55 años. No se obtuvieronresultados significativos (p>0.5) al comparar entre tabaquistas y no tabaquistas la densidad de vasos central(9.89 ±2.80 vs 9.88 ±3.76) la densidad de vasos periférica (21.16 ±1.57 vs 21.01 ±2.54), la medición de ladensidad total de vasos (19.90 ±1.56 vs 19.75 ±2.54), la densidad de perfusión central (17.37 ±4.89 vs17.20 ±6.50), la densidad de perfusión periférica (38.55±2.50 vs 37.54 ±6.24) y la medición total deperfusión (36.19 ±2.51 vs 35.67 ±4.29). Como así tampoco la Zona Avascular Foveal (0.29 ±0.12 vs 0.30±0.11). Se obtuvo un resultado significativo al comparar la capa de fibras nerviosas de la retina entretabaquistas y no tabaquistas (94.18 ±8.83 vs 99.22 ±8.80).CONCLUSIONES: No se observó que el tabaquismo influye en la vascularización de la retina, pero si hubouna disminución en el espesor de la Capa de Fibras Nerviosas Retiniana (CFNR) siendo importanteconsiderarlo en pacientes que tienen antecedente de glaucoma.
Advances in chimeric antigen receptor T cell therapy for treatment of hematological malignancies
Authors: FENG RIDONG , Xu Jianguo
Published: November 2022

For many years, the methods of cancer treatment are usually surgery,
chemotherapy and radiation therapy. Although these methods help to
improve the condition, most tumors still have a poor prognosis. In
recent years, immunotherapy has great potential in tumor treatment.
Chimeric antigen receptor T-cell immunotherapy (CAR-T) uses the
patient’s own T cells to express chimeric antigen receptors. Chimeric
antigen receptor (CAR) recognizes tumor-associated antigens and kills
tumor cells. CAR-T has achieved good results in the treatment of
hematological tumors. In 2017, the FDA approved the first CAR-T for the
treatment of B-cell acute lymphoblastic leukemia (ALL). In October of
the same year, the FDA approved CAR-T to treat B-cell lymphoma. In order
to improve and enhance the therapeutic effect, CAR-T has become a
research focus in recent years. The structure of CAR, the targets of
CAR-T treatment, adverse reactions and improvement measures during the
treatment process are summarized. This review is an attempt to highlight
recent and possibly forgotten findings of advances in chimeric antigen
receptor T cell for treatment of hematological tumors.
A Review of Ddos Attack Detection in Iot Networks
Authors:   School of Technology Ghana Institute of Management & Public Administration  GreenHills, Accra, Ghana, Kpieleh Ferdinand
Published: November 2022

The security risks and vulnerabilities associated with these resource-constrained Internet of Things (IoT) devices grow as their usability rises. Distributed Denial of Service is one of the main dangers to Internet of Things devices (DDoS). Continuous monitoring, early detection, and adaptive decision-making are necessary for IoT device security to be robust and effective. With software-defined networking (SDN), these issues can be solved, giving IoT devices the chance to manage DDoS threats in an efficient manner. This study suggests a unique SDN-based secure IoT framework that uses IP Payload Analysis and session IP counters to identify IoT device vulnerabilities and malicious traffic sent by IoT devices. The proposed methods can readily identify the DDoS attack in the SD-IoT network by analyzing several metrics, even with high traffic volumes, thanks to the DDoS attack detection module of the framework. By creating a lot of traffic from a compromised node, which is later identified and alerted, these tactics are tested on an SDN controller. The results and comparison analysis show that the suggested framework effectively and accurately detects DDoS attacks in their early stages, with a detection rate ranging from 98% to 100% and a low false-positive rate. Keywords; IoT networks, DDoS, DDoS attacks, DDoS Detection and IoT security
Educational analysis of loneliness and old age in the survival practices of kazan bourgeois women (late 18th - first half of the 19th centuries)
Authors: Bessonova Tatyana Victorovna , Alexandrovna Nikolaeva Valentina
Published: November 2022

The article is devoted to educational analysis of the everyday life practices of bourgeois widows – one of the most socially vulnerable categories of the urban population. Using various sources, many of which have been first introduced into scholarly discourse, various ways of surviving widows are shown by way of the example of the petty bourgeoisie of Kazan, a large provincial city of the Russian Empire. The micro historical approach to the study made it possible to identify the educational and literary aspects, social feeling and sentiment of this category of Russian townswomen. In light of this, the key role of family in matters of social care which strengthened the subjection of women in society during the considered period was revealed. On the other hand, the necessity to keep themselves, to manage their estate, encouraged women to intense activity, made them more independent and self-reliant, which had been gradually destroying patriarchal stereotypes in gender relations.
Collective farm construction in kuban in the 1930s
Authors: Chuprynnikov Sergey A. , Chikaeva Karina S. , Voskoboynikov Sergey G. , Kasyanov Valery V. , Schukina Tatyana V.
Published: November 2022

The article is devoted to the problem of reorganizing agriculture on a socialist basis – collective farm construction, in particular, the activities of local party and Soviet bodies and the opposition of the population. The chronological framework of the study is the 1930s. This is a period of tough socialist pressure in the agrarian sphere, when the old traditional institutions for the life of the peasantry were being replaced by fundamentally new ones - collective and state farms. The relevance of the study is due to the need to study the historical experience of interaction between the state as an institutional authority and government on a regional scale, and civil society (local population) in modern conditions of modernization and transition to a market economy. The article is based on a large amount of factual material state archives and documentation centers of the modern history of the Rostov Region and Krasnodar Territory. The materials of these archives made it possible at the local level to investigate the contradictory nature of the process of collective farm development, which consisted both in the crimes of the local authorities and in the sabotage of the population, both collective and individual farmers. It is concluded, that by the end of the 1930s collective farms had become a natural and effective form of life in the countryside, which played a significant role in ensuring victory in the Great Patriotic War.
Provide a model for measuring and increasing the effectiveness of learning in virtual (electronic) education systems
Authors: Benin Dmitry M. , Mikheev Pavel A. , Borovskoy Vladimir P.
Published: November 2022

The main purpose of virtual or e-learning systems, like traditional systems based on physical presence, is to transfer maximum concepts from published sources, especially from the teacher, to the recipient of knowledge. Improvement in this process is possible only if the achievement of the goal, or in other words, the effectiveness of the knowledge transfer process, is measured appropriately and validly. Although different models have been proposed to measure the effectiveness of education in traditional systems, new and virtual education systems have fundamental differences with previous types that make the use of those models inappropriate. In this paper, considering the specific features of e-learning systems, a model for measuring their effectiveness has been developed, emphasizing measuring learning rather than measuring education. In this model, the factors affecting learning in e-learning systems are identified, and a preliminary equation is derived to determine their relationship.
Multilingualism as Lingua Franca
Authors: Hudelist Andreas
Published: November 2022

Bakhtin's understanding of heteroglossia shows us, that a language can neither be a closed system that can be separated from other languages, nor that the border(s) are fluid and have to go crazy every now and then, but that the use of language borders in the sense of monolingualism serves normative verification or obsolete identifications. With the help of the concept desiring-machines by Deleuze and Guattari, in this paper I want to map the polyphonic literature by James Joyce and Milan Rakovac. The concept of heteroglossia should help to reveal possibilities of description that go beyond normative attributions. Desiring machines produce nomadic positions that create a multitude of possibilities, potentially infinite possibilities. This is accompanied by schizo-analysis, which connects different subject positions and eludes the Oedipal capitalist definition of the subject. Subjects are divided by the incisions of desiring machines and are multiplied by them. The selection of subject positions multiplies and potentially reaches infinite possibilities.
Mencetak Generasi yang Berakhlak Mulia: Perspektif Pendidikan dalam Tafsir al-Mishbah dan Tafsir al-Azhar pada Q.S. As-Saffat Ayat 100-111
Authors: Maulidia Maulidia , Mahfuzh Taufik Warman , Hartati Zainap
Published: November 2022

Al-Qur’an Surah As-Saffat Verse 100-111 shows that Islamic teachings are very concerned about how important it is to create a generation that has noble character and is close to their Lord. This illustrates that the content of the verse has an educational perspective. However, in order not to leave the spirits of Islamic education, it is necessary to put the thoughts of the scholars into one of their works, including the interpretation of the Qur’an. This article concludes: First, the educational perspectives contained in the interpretation of al-Mishbah are: 1) Religious values, namely belief in God, divine guidance, trials, tawakkal, patience, piety, and the fruit of faith; 2) Social values, namely honest, democratic, and polite; 3) Ethical values, namely responsibility, hard work, and resilience; and 4) Aesthetic Values, namely appreciating achievements, giving values and awards. Second, the educational perspective contained in the interpretation of al-Azhar are: 1) Religious values, namely belief in God, divine guidance, trials, patience, tawakkal, syaja’ah (courage) and piety; 2) Ethical values, namely hard work, the fruit of faith; and 3) Aesthetic Values, namely appreciating achievements and giving values and awards. Third, the educational perspective contained in the two interpretations is understood from almost the same substance, the difference only lies in the narrative.
Orman Yangınlarının Hava Kalitesine Etkisi: Antalya Örneği
Authors: BOLAT İlyas
Published: November 2022

Hava kirliliği, havanın normal karışımında yer alamayan kirleticilerin suya, canlılara, toprağa, ve materyallere zarar verecek konsantrasyonda ve yeterince uzun süre atmosferde bulunması olarak adlandırılmaktadır. Türkiye’de gözlemlenen yüksek sıcaklık ve düşük nem gibi atmosferik koşullar, orman yangınları için uygun ortamı meydana getirmektedir. Bitki artıkları ayrıştığında ya da yakıldığında atmosfere karıştıklarından, orman yangınları da hava kirliliğine neden olan sebeplerden biri haline gelebilmektedir. Buradan hareketle yapılan çalışmada Türkiye’de 28 Temmuz–12 Ağustos 2021 tarihleri arasında çıkan orman yangınlarının hava kalitesine olan etkileri incelenmeye çalışılmıştır. Çıkan yangınlardan en fazla etkilenen Antalya ili olduğundan bu il seçilmiştir. Elde edilen sonuçlara göre 2020 yılı üç yaz ayı (haziran, temmuz ve ağustos) ortalama PM10 konsantrasyonu 44,89 μg/m3, 2021 yılı üç yaz ayı ortalama PM10 konsantrasyonu 37,61 μg/m3 bulunmuştur. PM2.5’un 2020 yılı ortalama konsantrasyonu 18,38 μg/m3, 2021 yılı ortalama konsantrasyonu 19,94 μg/m3’dür. Antalya’da kükürt dioksit yıllık ortalama olarak 2018’de 5,34 μg/m3, 2019’da 5,40 μg/m3, 2020’de 2,92 μg/m3 ve 2021’de 4,13 μg/m3 olarak elde edilmiştir. 2019 Kasım ile 2022 Nisan ayı arasındaki dönemde Antalya’da karbon monoksit (CO) konsantrasyonu en düşük 41,95 (24.05.2020) μg/m3 ve en yüksek 2151,9 μg/m3 (21.12.2021) olarak tespit edilmiştir. Hava kirleticilerin başında gelen ve bu çalışmada ölçümü yapılan PM10, PM2.5, kükürt dioksit (SO2), karbon monoksit (CO) ve ozon (O3) parametrelerinin günlük ve yıllık konsantrasyonlarının limit değerleri sadece PM10 ve PM2.5 için aşılmıştır. Bundan dolayı, çalışmada değerlendirilmesi yapılan hava kirleticilerin 2021 yılı üç yaz ayına ait konsantrasyonlarının 2020 yılı ile yaklaşık benzerlik göstermesinden, gerçekleşen orman yangınının Antalya ve civarında hava kalitesini aşırı derecede olumsuz yönde etkileyen tek ve önemli bir faktör olmadığı söylenebilir.
The Implementation of Co-teaching Model within the Moroccan TEFL Classroom-Moroccan Teachers Trainers’ Perspectives
Authors: Raha Yassine , Qasserras Mohammed
Published: November 2022

Despite the high prevalence of co-teaching in EFL classes around the globe because of its numerous advantages, it is noticed that its implementation is below the expectation in the Moroccan context because of various reasons. This article’s fundamental objectives are twofold: It investigates the successful implementation of this approach from teacher trainers’ perspectives and the appropriate model that can be applied smoothly and successfully in the Moroccan EFL context. An online questionnaire is used to collect data about teacher trainers’ attitudes toward the suitable model that can be applied in the Moroccan English classes. The preliminary results of this article unveil that teacher trainers have a positive attitude toward the implementation of co-teaching. Nonetheless, there are some individual, psychological, and institutional constraints that impede its implementation. Therefore, getting rid of individual culture and encouraging the habit of co-operating among pupils along with recruiting more professional teacher trainers to raise teachers’ trainees and experienced teachers’ awareness of the importance of this approach are the most effective solution to apply it successfully in Moroccan EFL classrooms.
TECHNOLOGICAL LITERACY AND RESOURCE MANAGEMENT IN SME INCOME
Authors: Nanda Oktasavira Nanda Oktasavira , Ismanto Hadi
Published: November 2022

The characteristics of SMEs continue to be highlighted, but the exciting thing behind their strengths are acute unresolved problems such as technology skills, human resource management and finance. Borrowing assumptions from resource-based theory, this study tries to examine the effect of technological literacy, working capital, and labour management on the income of SMEs. The sample consisted of 100 SMEs in 14 industries randomly assigned proportionally based on their industry type and filled out the research questionnaire directly. The collected questionnaires were tabulated and analyzed using the Partial Least Square method. The results show that technological literacy, working capital, and labour management positively affect business income individually and simultaneously. These findings record that 45 per cent of the sample do not integrate their products with competitors because they are less skilled in using information media to measure competitors' capabilities. In practice, technological literacy can be transformed for production, administration, and product marketing activities to maximize business income.
Peramalan Hasil Produksi Ikan Kerapu Provinsi Sumatera Barat dengan Menggunakan Pemulusan Eksponensial Ganda Tipe Holt dan Triple Tipe Brown
Authors: Derisna Silvia Hanifah
Published: November 2022

Grouper is marine fish found in Indonesian waters which are very popular and have high market prices. The production of grouper in West Sumatra is produced by cultivation using floating net cages and direct fishing. The purpose of this study is to form a forecasting model for grouper production of West Sumatra. Also this study to predict the production of grouper based on the model formed using Holt type double exponential smoothing and brown triple exponential smoothing. The data collection method used is data on grouper production of West Sumatra province from 2008 to 2020 which was obtained from the Marine and Fisheries Service of West Sumatra Province. The method used is Holt type double exponential smoothing and brown type triple exponential smoothing. Based on the forecasting model, the forecast results for the next 5 years have increased compared to the previous year's production. By using the Holt type double exponential smoothing method, the predicted results in the year 2021-2025 are 4553.83, 4761.96, 4970.08, 5178.20, 5383.33, while using the brown type triple exponential smoothing method the results are obtained successive forecast of 4868,89, 5160,70, 5464,24, 5779,52, 6106,53.
Optimasi Penjadwalan Produksi Sanjai Rina Menggunakan Algoritma Campbell Dudek Smith
Authors: Yovinda Annisa
Published: November 2022

Abstract — Kerupuk sanjai Rina business always run into lateness in product  delivery because they haven’t done production which will be deliver and delivery deadline only based on intuition. Sanjai Rina have need to establist a better production schedule so that be able to minimizing all product work time total. There are many ways to minimizing total of work time, one of them is using Campbell Dudek Smith (CDS) algorithm. The purpose of the research to know best outcome sanjai Rina production prosess scheduling using CDS algorithm. CDS algorithm obtain k iteration with different values. From k iteration, minimal value will be use to determine production thread. Sanjai Rina business have total time work all of product is 435,88 hours by sequence 1-2-3-4-5-6-7-8. From CDS algorithm iterations, obtain minimal scheduling by sequence 4-8-3-1-2-6-7-5 with total work time all of yhe product is 375,26 hours that will attain saving 60,22 hours time work.
Penentuan Premi Asuransi Jiwa Berjangka Status Last Survivor Menggunakan Model GFGM-Type II Copula
Authors: Erawati Peni
Published: November 2022

The last survivor status of term life insurance is multiple life insurance whose benefits are paid by the insurance company to the heirs if all policyholders have died within a predetermined period of time. The risk of death of a married couple is usually assumed to be independent of each other. But in fact there is a relationship between the risk of death for the couple. The method that can be used to determine the premium for married couples with the assumption of independence is the GFGM-Type II Copula method. The purpose of this study is to determine the formulation of the last survivor term life insurance premium using the GFGM-Type II Copula method. The results obtained from this study are the formulation of the last survivor term life insurance premium using the GFGM-Type II Copula method. Based on the simulation results, it is concluded that the last survivor term life insurance premium calculated with the assumption of independence is smaller than using GFGM-Type II copula Copula.
Islamic Ethnoeducation On Traditional Games From The Kaili Tribe Of Palu City
Authors: Marwany
Published: November 2022

The traditional games of kaili children, nogarata, nomaca, and gunrece, are formed from socio-cultural processes influenced by the spirit of Islam. His paradigm of play shifted from the sacred and mystical to the educational and Islamic paradigm that positioned traditional games as a vehicle for educating and shaping morals. The purpose of this study is to find, identify, and explain the traditional game paradigm of the Kaili tribe in the context of sociocultural, educational, and Islamic (Islamic ethnoeducation). The method used in this study is a qualitative descriptive method that aims to obtain and obtain the results of phenomena in aspects of Islamic ethnoeducation in the traditional game of the Kaili Tribe. Intensive data collection is carried out with engaged observation, interviews and documentation. Data analysis is performed using ethnographic principles through domain analysis, taxonomic analysis, and component analysis. The result of his research is that the traditional games of the Kaili people, nogarata, nomaca, and gunrece, are formed and distributed in socio-cultural, educational, and Islamic dynamics. Socio-culture is a source of creation and value systems; education becomes the pragmatics of the use of traditional children's games for teaching or educational purposes; while Islam became an identity that changed the socio-cultural paradigm and became an important value system in the traditional game of the Kaili Tribe. With the Islamic paradigm, the traditional game of Kaili tribe children becomes a game carried out with the aim of distributing and internalizing Islamic values, especially in the good morals of children.