bluuebunny/crossref_metadata_2025 huggingface dataset:
Scope Interpretation of Article Xi of the GATT—In Light of the COVID-19 Pandemic
Authors: Cai Yujie , Messenger Greg
Published: March 2023

In early 2020, the COVID-19 pandemic broke out around the world. In order to combat the epidemic and ensure the operation of public health systems, more than 200 countries in the world have issued policies and carried out other related measures to interfere with the production and sales of medicines for COVID-19 treatment and to restrict the export of medical supplies such as masks, ventilators and protective suits. However, most of these measures seem to violate the general quantitative restriction rule of Article XI of the GATT, which makes people re-examine the interpretation and scope of application of this rule. As far as I’m concerned, this pandemic has made it clear that the prohibition under Article XI:1 GATT is overly broad, and the exceptions under Article XI:2(a) is overly narrow. This essay will analysis the scope interpretation of Article XI of the GATT in two parts. Firstly, by reviewing the Japan-Trade in Semi-Conductors case, the first part suggests that the interpretation of Article XI:1 GATT is very broad and most of the export restriction measures during the pandemic may be clarified as “other measures” further proves that. Secondly, it will consider the view that the pandemic made it clear that the exceptions under Article XI:2(a) overly narrow since the export restriction measures imposed on medical products can hardly see to be “temporarily” and the products can also difficultly see to be “essential”.
Sensitivity Analysis Between Commodity and Budget: Utility Maximization Case
Authors: Mohajan Devajit , Mohajan Haradhan Kumar
Published: March 2023

In this article, sensitivity analysis between commodity and total budget are discussed. The property of a commodity that enables it to satisfy human wants is called utility. In economics, utility maximization method is essential for the welfare of the organizations and society. This study deals with four commodities and two constraints, such as budget constraint, and coupon constraint. In this article, 6×6 Hessian and 6×10 Jacobian are operated for the sensitivity analysis. Throughout the paper scientific method of optimization are applied.
The Spread of Christianity and Islam in the Early Modern Period in Relation to Strategies for Localizing These Faiths
Authors: Sui Ziying
Published: March 2023

Since the sixteenth century, Christianity and Islam have evolved into global religions through the efforts of missionaries, spreading throughout the world and gaining widespread acceptance among local populations. The wide spread of religion cannot be separated from the strategies for localizing these faiths. This article discusses in detail the application and impact of localization strategies in the early modern period spread of Christianity and Islam to enrich scholarly research on religious communication strategies.
Impact of Managerial Entrenchment on Firm Performance
Authors: Fareeha Waseem  , Nimra Shaukat  , Syeda Fizza Abbas
Published: March 2023

This research attempts to analyze the impact of managerial entrenchment on firm performance in the context of KSE-100 index companies in Pakistan. The given study engages the CEO share as the measure of managerial entrenchment and investigate its impact on financial performance of companies. In pertinent to this, regression analysis has been utilized by employing the top performing corporations listed on KSE-100 index. For measurement of firm performance, this study employs the two variables used to quantify firm performance as “return on assets (ROA)” and “Tobin's Q”. This study comprises 318 observations, from 53 non-financial companies of Pakistan Stock Exchange (PSX), over 6 years period (2015-2020) from annual reports. The results of this study indicate that there is a significant negative relationship between the managerial entrenchment measured through CEO share and financial performance measured through ROA and Tobin’s Q. The study has some limitations. The future researchers can add other parameters of managerial entrenchment such as board independence, board compensation, tenure and management duality to get more insights on this association. The research findings are giving implications for managers, investors and shareholders. Managers may adopt techniques that allow them to strengthen their position thus gaining investors’ confidence. This research extends the literature by comprehensively employing the impact of managerial entrenchment on financial performance of companies in KSE-100 index companies that was predominately neglected by the previous researchers in context of Pakistan
Tertiary Education Performance Influenced by Administrative Leadership, Entrepreneurial Orientation with Moderating Role of Managerial Ties
Authors: Javed Tasawar , Ahmad Sabir Saeed , Bukhari Syed Izhar
Published: March 2023

The professionals, researchers, scientists and specialists contribute in innovative initiatives for generating and utilizing knowledge through tertiary institutes that play a vital role in national development. World-class universities are required in today’s dynamic environment to accomplish the goals of knowledge excellence that further upsurge the role of educational institutions in the development of human capital and overall performance-related consequences. The appropriate leadership is necessary for higher education institutions that strong leadership has the potential to enhance the performance and mitigate the negative impact of events that may damage the performance of educational perspective. This research effort focused on the appropriate leadership style to handle the issues, challenges and problems occurred on routine basis from prime stakeholders that hinder the performance of universities in the public sector specifically. This study incorporated the role of administrative leadership, Entrepreneurial orientation, and managerial ties to explain the phenomenon of the performance of universities. The study proposed to investigate the moderation role of managerial ties between the exogenous and endogenous constructs. The research used a quantitative research method and collected data from university leaders through proportionate random sampling from the public sector universities of Punjab, Pakistan. Partial Least Squares (PLS) was utilized for data analysis and results generation, the results of the collected data implied that administrative leadership, and managerial ties significantly influence the university performance. The moderation role of managerial ties has been assessed and results revealed that managerial ties significantly moderate the relationship between administrative leadership and universities, between the relationship of Entrepreneurial orientation and university performance. The findings of the study suggested to higher education institutes to ensure the appropriate leadership style, effective practices for Entrepreneurial orientation to ensure the effective relationship between colleagues and supervisors in order to grasp the corporate’s strategic goals of higher education sector. The limitation and future research avenues are incorporated in the study.
Activity Budget and Behavioral Repertoire of Mysore Slender Loris Loris lydekkerianus lydekkerianus in Keelaveliyur, Tamil Nadu, India
Authors: Lavanya Ravichandran , Gokula Varadharajan
Published: March 2023

Animal, to survive and reproduce, exhibits different types of behaviors and thus studying behavior is vital to fully understand the animal. In the present study, an attempt was made to study the behaviors and activity budget of Mysore slender loris Loris lydekkerianus lydekkerianus in Keelaveliyur, Tamil Nadu, India. In total, 1284 hours of observation were made on 46 lorises (16 adult males, 12 adult females, five sub-adult males, five sub-adult females, and eight infants) from Jan 2017-Jan 2018.  Mysore slender lorises were nocturnal in the habit at Keelaveliyur, Tamil Nadu. Lorises awoke between 17:00 h and 18:00 h and ceased their activities between 07:00h and 08:00h. They were almost inactive between 07:00h to 17:00h. A total of 15 different categories, comprising 45 different behaviors were cataloged for the Mysore slender loris.
Functional Outcomes of Varus Osteotomy with Locking Compression Plate Fixation in Legg-Calve-Perthes Disease
Authors: Leeprakobboon Duangjai , Sukpanichyingyong Sermsak , Sangkomkamhang Thananit
Published: March 2023

Purpose: Patients with Legg-Calve-Perthes disease are treated to preserve the roundness of the femoral head. Surgical treatment includes the proximal femur or acetabulum operations, however, remains controversial. Herein, we investigated the clinical findings and outcomes of varus osteotomy with locking compression plate fixation.
Methods: We reviewed 19 children (20 hips) with Legg-Calve-Perthes disease who underwent varus osteotomy with locking compression plate fixation at our hospital. The time to re-ossification, Stulberg classification, and Harris hip score were recorded preoperatively and at the final follow-up.
Results: We included 16 boys and two girls with unilateral hip involvement and one girl with bilateral hip disease. The mean age at the time of surgery was 7.9 years. Based on the Catterall classification, one, 10, and nine patients were classified as grades II, III, and IV, respectively. All patients were followed for 33 months. The mean time to re-ossification was 167 days. At final follow-up, based on the Stulberg classification, seven, nine, and four patients were categorized as class II, III, and IV, respectively. Based on the Harris hip score, 21.1%, 47.7%, and 31.6% of patients showed excellent, good, and fair functional outcomes, respectively. The Harris hip scores at the final follow-up were significantly improved compared to preoperative values. Following adjustment for sex and disease severity, age at disease onset and time of surgery were associated with Harris hip scores.
Conclusions: Varus osteotomy with locking compression plate fixation yields good results and significantly improves functional outcomes, although patient age affects the outcomes.
Infectious syphilis in women and heterosexual men in major Australian cities: sentinel surveillance data, 2011–2019
Authors: Carter Allison , McManus Hamish , Ward James S , Vickers Tobias , Asselin Jason , Baillie Greta , Chow Eric PF , Chen Marcus Y , Fairley Christopher K , Bourne Christopher , McNulty Anna , Read Phillip , Heath Kevin , Ryder Nathan , McCloskey Jenny , Carmody Christopher , McCormack Heather , Alexander Kate , Casey Dawn , Stoove Mark , Hellard Margaret E , Donovan Basil , Guy Rebecca J
Published: March 2023

Objectives

To examine changes in the positive infectious syphilis test rate among women and heterosexual men in major Australian cities, and rate differences by social, biomedical, and behavioural determinants of health.

Design, setting

Analysis of data extracted from de‐identified patient records from 34 sexual health clinics participating in the Australian Collaboration for Coordinated Enhanced Sentinel Surveillance of Sexually Transmissible Infections and Blood Borne Viruses (ACCESS).

Participants

First tests during calendar year for women and heterosexual men aged 15 years or more in major cities who attended ACCESS sexual health clinics during 2011–2019.

Main outcome measures

Positive infectious syphilis test rate; change in annual positive test rate.

Results

180 of 52 221 tested women (0.34%) and 239 of 36 341 heterosexual men (0.66%) were diagnosed with infectious syphilis. The positive test rate for women was 1.8 (95% confidence interval [CI], 0.9–3.2) per 1000 tests in 2011, 3.0 (95% CI, 2.0–4.2) per 1000 tests in 2019 (change per year: rate ratio [RR], 1.12; 95% CI, 1.01–1.25); for heterosexual men it was 6.1 (95% CI, 3.8–9.2) per 1000 tests in 2011 and 7.6 (95% CI, 5.6–10) per 1000 tests in 2019 (RR, 1.10; 95% CI, 1.03–1.17). In multivariable analyses, the positive test rate was higher for women (adjusted RR [aRR], 1.85; 95% CI, 1.34–2.55) and heterosexual men (aRR, 2.39; 95% CI, 1.53–3.74) in areas of greatest socio‐economic disadvantage than for those in areas of least socio‐economic disadvantage. It was also higher for Indigenous women (aRR, 2.39; 95% CI, 1.22–4.70) and for women who reported recent injection drug use (aRR, 4.87; 95% CI, 2.18–10.9) than for other women; it was lower for bisexual than heterosexual women (aRR, 0.48; 95% CI, 0.29–0.81) and for women who reported recent sex work (aRR, 0.35; 95% CI, 0.29–0.44). The positive test rate was higher for heterosexual men aged 40–49 years (aRR, 2.11; 95% CI, 1.42–3.12) or more than 50 years (aRR, 2.36; 95% CI, 1.53–3.65) than for those aged 15–29 years.

Conclusion

The positive test rate among both urban women and heterosexual men tested was higher in 2019 than in 2011. People who attend reproductive health or alcohol and drug services should be routinely screened for syphilis.
Transhumanismo, transmodernidad y posthumanismo. Posibilidades y límites
Authors: Gutiérrez Ulloa Cristian Raymound , García Salirrosas Liz Maribel
Published: March 2023

El transhumanismo, la transmodernidad y el posthumanismo parten de constatar el agotamiento del humanismo moderno que entendía, el mejoramiento de la sociedad y el hombre a través de la educación, la ciencia, la tecnología, su capacidad de razonar, de autorreflexión y de autogobierno; dicho agotamiento se muestra en el incremento del potencial barbárico de la civilización occidental. Así mismo, se presentan como nuevos proyectos que buscan superar el individualismo, la heterogeneidad y el particularismo, proclamado como humanismo existencialista por la postmodernidad. Se basa en una metafísica fundada en la semiurgia o análisis de como los símbolos generan una nueva realidad, que permite llevar a la simulocracia, que es el estudio de como los simulacros producen espacios y efectos de poder; así mismo plantean utilizar la ingeniería genética para la transformación del ser humano, lo que en algunos casos lo denominan el ser posthumano. Estas propuestas se postulan como un proyecto de liberación que busca analizar los fenómenos de manera glocal y promoviendo un diálogo intercultural simétrico, que permita empoderar a las culturas no occidentales y supere el afán hegemónico y autoritario de la cultura eurocéntrica.
The stress and resources of higher status hypotheses in light of COVID-19: Effects on work-life conflict and self-rated health (Online-Appendix)
Authors: Peters Eileen , Reimann Mareike , Diewald Martin
Published: March 2023

This paper explores the heterogeneous effects of the COVID-19 pandemic on employees’ well-being regarding their work–life conflicts and self-rated health. Following the stress of higher status and resources of higher status hypotheses, we compared employees with and without supervisory responsibility. We used the third wave of a longitudinal linked employer–employee dataset (LEEP-B3) conducted in 2018/19 and a COVID-19 follow-up survey conducted in late 2020, providing information on 733 employees in establishments having more than 500 employees. Thus, we provide a longitudinal perspective covering the situation before the pandemic and possible pandemic-induced changes. We found that supervisory responsibility offered a comparative advantage for decreasing work–life conflict during the pandemic, but no such difference was detected among non-supervisors. However, there was no significant difference between employees with and without supervisory responsibility for self-rated health. Self-rated health status decreased during the pandemic in both groups to a similar degree. Our results indicate that having supervisory responsibility during the COVID-19 pandemic can be a double-edged sword, acting as both a resource and a stressor when it comes to employees’ work-life conflict and self-rated health.
Von der Konkurrenz zur strategischen Zusammenarbeit
Authors: Brockhoff Rainer
Published: March 2023

Was im Bereich der Kooperationen möglich ist, zeigt das Beispiel der Caritas: Hier ist der Aufbau einer verbandsinternen, gemeinsamen IT-Infrastruktur geplant. Mit über 60.000 IT-Arbeitsplätzen wäre der Caritas-Netzwerk IT e.V. die bisher wohl größte Unternehmenskooperation innerhalb der Freien Wohlfahrt.
Das Potenzial genossenschaftlicher Ansätze
Authors: Merkle Sebastian , Wilk Patrick
Published: March 2023

Welche Potenziale bietet der Genossenschaftsansatz beim Management aktueller Themen wie etwa Digitalisierung oder Wohnraumschaffung? Zwei Beispiele aus der Praxis zeigen zum einen die konkreten Beweggründe bei der Entscheidung für die Rechtsform einer Genossenschaft und zum anderen das Potenzial von Kooperationen zwischen Sozialträgern und Genossenschaften bei der Wohnraumschaffung und Immobilienentwicklung.
Die Tagsatzung der Eidgenossen
Authors: Würgler Andreas
Published: March 2023

Die »Tagsatzung der Eidgenossen« bietet die überfällige Untersuchung der wichtigsten Institution der vormodernen Schweiz.

Diese Versammlung verkörperte im komplexen Bündnisgeflecht der alten Eidgenossenschaft den zentralen Ort der Kommunikation der Vertreter der dreizehn Kantone und der locker assoziierten »Zugewandten Orte« unter sich und mit den Gesandten europäischer Mächte. Trotz ihrer unumstrittenen Bedeutung für die Schweizer Geschichte und in eigentümlichen Kontrast zum Reichtum der Quellen gab es bislang wenig Detailforschung und kein Gesamtdarstellung.

Erstmals werden Anzahl, Frequenz, Dauer, Teilnehmer und Gäste der über 5.000 Tagsatzungen und Konferenzen zwischen 1470 und 1798 auf der Basis der »Eidgenössischen Abschiede«, der 1856-1886 edierten Sitzungsnotizen in Regestform, quantifizierend dargestellt. Das Sozialprofil der Teilnehmer - eidgenössische Tagherren und Gesandte fremder Mächte - und die an den Sitzungen behandelten über 60.000 Geschäfte werden in Stichproben rekonstruiert. So entsteht das Profil einer Institution, die zwar keine normativen Gründungsdokumente oder ausformulierte Geschäftsordnungen kannte, sich aber über die ständig wiederholte Praxis als langlebigste föderative Versammlung überhaupt etablierte.

Die Analyse der Verfahren zur Entscheidungsfindung, die an der Tagsatzung in Gebrauch waren, mündet in eine Kulturgeschichte des Politischen. Sie untersucht anhand von Berichten, Korrespondenzen und diplomatischen Akten aus dreizehn schweizerischen und europäischen Archiven die Kommunikationsmodi unter den eidgenössischen Tagherren und den europäischen Diplomaten. Eingebettet in vielfältige Formen des Zeremoniells und der Soziabilität vermittelten die Akteure offiziell im Sitzungssaal, aber auch informell im Wirtshaus, im Thermalbad oder im Gotteshaus innereidgenössische Konflikte, verwalteten die »Gemeinen Herrschaften« (Untertanengebiete) und koordinierten die Außen- und Wirtschaftspolitik. Dabei erwies sich die Tagsatzung als stabil, flexibel - etwa in der Ausdifferenzierung konfessioneller Konferenzen nach der Reformation - und weit effizienter als ihr Ruf.

Schließlich symbolisierte die Institution Tagsatzung die Eidgenossenschaft als komplexes föderales Gebilde. Dies zeigt nicht nur die eidgenössische Selbstdarstellung in Texten, Bildern und Ritualen, sondern auch die europäische Wahrnehmung von Staatstheoretikern, Bildungsreisenden und Diplomaten. Im Vergleich zu anderen - bündischen und ständischen - repräsentativen Institutionen des frühneuzeitlichen Europa waren die wenig hierarchisierten eidgenössischen Tagsatzungen und Konferenzen bemerkenswert eigenaktiv und langlebig.

Die Geschichte der alten Eidgenossenschaft wird als Kommunikationsgeschichte ihrer bedeutendsten politischen Institution geschrieben und die Tagsatzung der Eidgenossen im Vergleich mit europäischen repräsentativen Versammlungen der Vormoderne neu positioniert.
Roman Republican Antiquarianism: Back to the Future
Authors: Arena Valentina
Published: March 2023

Professor Valentina Arena explains how ‘antiquarian’ Roman-era texts are profoundly innovative, politically engaged and culturally radical. Contrary to the assumption that the antiquarians operated in a detached world of scholarly endeavours, these authors were not only restorers, but also innovators of the world around them.
INCREASING THE LIFETIME OF WHEELS AND RAIL STEEL BY SELECTING THE OPTIMUM BETWEEN THEM STRENGTH CHARACTERISTICS
Authors: Бунькова Тамара Геннадьевна
Published: March 2023

Долговечность колеса и рельса характеризуется ресурсом, который в свою очередь определяет продолжительность работы системы «колесо - рельс» до предельного состояния, выраженная в единицах наработки, в данном случае тыс. км

The durability of the wheel and rail is characterized by a resource, which in turn determines the duration of the operation of the "wheel - rail" system to the limit state, expressed in units of operating time, in this case, thousand km
Đánh giá nguy cơ chảy máu theo thang điểm ARC - HBR ở bệnh nhân Hội chứng vành cấp được can thiệp động mạch vành qua da
Authors: Thân Đức Tài Nhân  , Đỗ Mạch Hoạt  , Nguyễn Quang Kha  , Đông Văn Thanh  , TS.BS.Nguyễn Quốc Thái
Published: March 2023

ÓM TẮT

Chảy máu là biến chứng sớm phổ biến nhất liên quan đến PCI. Hiệp hội nghiên cứu học thuật về nguy cơ chảy máu cao (ARC-HBR) đã phát triển sự đồng thuận định nghĩa dựa trên bệnh nhân nguy cơ chảy máu cao (HBR) vào tháng 5 năm 2019 và đưa ra bảng điểm ARC - HBR để phân tầng nguy cơ chảy máu ở bệnh nhân sau khi trải qua PCI 1.

Chúng tôi tiến hành nghiên cứu quan sát gồm 235 bệnh nhân với chẩn đoán hội chứng mạch vành cấp và được can thiệp động mạch vành qua da thành công tại Viện Tim mạch Việt Nam, nhằm theo dõi biến cố chảy máu trong viện và đánh giá khả năng phân tầng nguy cơ chảy máu theo bảng điểm ARC - HBR.

Kết quả nghiên cứu: Phân loại nguy cơ chảy máu cao dựa trên tiêu chí ARC-HBR cho thấy khả năng dự đoán mức độ khá đối với biến cố chảy máu trong thời gian nằm viện ở bệnh nhân hội chứng mạch vành cấp được can thiệp mạch vành qua da.Từkhóa:ARC - HBR; nhồi máu cơ tim cấp.
Đặc điểm tổn thương động mạch vành và thay đổi mức lọc cầu thận sau chụp hoặc can thiệp động mạch vành qua da ở bệnh nhân bệnh thận mạn
Authors: Lê Văn Thăng  , Phạm Lê Minh  , DD.Nguyễn Tuấn Anh  , DD.Đỗ Đức Tuân  , ThS.BS.Phạm Nhật Minh  , PGS.TS.BS.Phạm Mạnh Hùng
Published: March 2023

ÓM TẮT

Mở đầu: Bệnh động mạch vành là nguyên nhân hàng đầu gây tử vong ở bệnh nhân bệnh thận mạn. mặc dù có nhiều tiến bộ trong chẩn đoán và điều trị nhưng can thiệp động mạch vành qua da trên bệnh nhân bệnh thận mạn tính vẫn còn nhiều thách thức.

Mục tiêu:

(1) Mô tả đặc điểm lâm sàng, cận lâm sàng và tổn thương Động mạch vành ở những bệnh nhân bệnh thận mạn cần chụp động mạch vành qua da tại Viện Tim mạch Việt Nam.

(2) Đánh giá sự thay đổi về lâm sàng, cận lâm sàng và Mức lọc cầu thận sau chụp hoặc can thiệp ĐMV ở những bệnh nhân nói trên.

Đối tượng và phương pháp: Nghiên cứu mô tả tiến cứu trên 59 bệnh nhân bệnh thận mạn được chỉ định chụp có hoặc không kèm theo can thiệp động mạch vành qua da tại Viện Tim mạch Việt Nam từ tháng 8-2020 đến tháng 10 - 2021. Thu thập và tiến hành phân tích các thông tin về đặc điểm lâm sàng, cận lâm sàng, kết quả chụp động vành qua da và thay đổi chức năng thận sau can thiệp.

Kết quả: Điểm SYNTAX trung bình là 21,9 ± 13,0. Tổn thương mạch vành chiếm tỷ lệ nhiều nhánh chiếm đa số (84,8%), tổn thương 1 nhánh (11,9%). Vị trí tổn thương thường gặp nhất là động mạch liên thất trước (88,1%) tiếp đến là động mạch vành phải (71,2%), động mạch mũ (50,8%). Tổn thương thủ phạm thường phức tạp, type B2 và type C là dạng tổn thương thường gặp nhất (76,2%), kế đến là type B1 (14,3%), type A (9,5%). Tỷ lệ tắc hoàn toàn mạn tính cũng chiếm tỷ lệ khá cao (25,4%), tổn thương chỗ chia đôi (25,4%) tổn thương thân chung động mạch vành trái ít hơn (13,6%). Có 17,3% bệnh nhân gặp biến chứng tổn thương thận cấp sau can thiệp, ở nhóm CKD 3 có 12,9% và nhóm CKD 4-5 có 23,8% bệnh nhân. Trong số này 3 bệnh nhân phải lọc máu cấp cứu sau can thiệp.

Kết luận: Tổn thương động mạch vành ở bệnh nhân bênh thận mạn thường phức tạp, thường gặp tổn thương nhiều nhánh động mạch vành và có xu hướng tổn thương nặng hơn theo sự suy giảm mức lọc cầu thận. Can thiệp động mạch vành qua da ở bệnh nhân bệnh thận mạn có kết quả an toàn về mặt thủ thuật tuy nhiên tỷ lệ biến chứng tổn thương thận cấp khá cao ở các bệnh nhân bệnh thận mạn.

Từ khoá: Tổn thương động mạch vành, bệnh thận mạn, tổn thương thận cấp.
Kết quả sử dụng đường vào đoạn xa động mạch quay trong chụp và can thiệp động mạch vành
Authors: Nguyễn Khắc Linh  , Vũ Thị Thu Trà  , ThS.BS.Trần Bá Hiếu  , PGS.TS.Nguyễn Ngọc Quang
Published: March 2023

Mục tiêu: Đánh giá tính khả thi và kết quả sử dụng đường vào đoạn xa động mạch quay trong chụp và can thiệp động mạch vành.

Đối tượng và phương pháp: Gồm 180 bệnh nhân có chỉ định chụp và can thiệp ĐMV qua da tại Viện Tim mạch - Bệnh viện Bạch Mai, từ tháng 8 năm 2020 đến tháng 10 năm 2021 được chia thành 2 nhóm 90 bệnh nhân sử dụng đường vào ĐM quay và 90 bệnh nhân sử dụng đường vào đoạn xa ĐM quay. Các bệnh nhân được theo dõi ngắn hạn trong thời gian nằm viện.

Kết quả: Tuổi trung bình là 68,07 ± 10,28 tuổi, Nam/ nữ > 2/1. THA là yếu tố nguy cơ thường gặp nhất (>70%), chủ yếu là hội chứng vành cấp (> 80%) trong đó STEMI chiếm > 13%. Kết quả chụp và can thiệp ĐMV qua đoạn xa ĐM quay có tỷ lệ thành công 100%, biến chứng trong thủ thuật 13,3% (tương đương với ĐM quay), không có biến chứng tại chỗ trong và sau can thiệp, tỷ lệ tử vong 0%. Thành công của thủ thuật mở đường vào đoạn xa ĐM quay 94,5% tương đương với đường vào truyền thống (95,5%), mức độ đau, mức độ khó chịu, tê bì, sưng nề, bầm tím bàn tay và các biến chứng tại vị trí chọc mạch bằng không, thời gian cầm máu, thời gian nới và tháo bỏ hoàn toàn băng ép thấp (bằng 1/2 đường truyền thống) đã mang lại nhiều sự thoải mái, dễ chịu cho cả bệnh nhân và bác sĩ can thiệp, giảm được các biến chứng cục bộ, giảm được tỷ tệ tắc ĐM quay, bảo tồn được ĐM quay và bàn tay cho bệnh nhân. Do đó đây là kỹ thuật có tính khả thi, tính ứng dụng và an toàn cao. Đường vào này được xem như là “tương lai của can thiệp tim mạch”.

Từ khóa: ĐM quay, đoạn xa ĐM quay, chụp và can thiệp ĐMV.
Nghiên cứu rối loạn acid uric máu ở bệnh nhân tăng huyết áp nguyên phá
Authors: Nguyễn Văn Tuấn  , Hoàng Thị Cúc
Published: March 2023

Mục tiêu: Xác định tỷ lệ tăng acid uric máu và mối liên quan giữa tăng acid uric máu với một số chỉ số lâm sàng, cận lâm sàng ở bệnh nhân tăng huyết áp nguyên phát.

Phương pháp: Nghiên cứu mô tả cắt ngang được thực hiện trên 200 bệnh nhân tăng huyết áp nguyên phát để xác định tỷ lệ tăng acid uric máu và mối liên quan giữa tăng acid uric máu với một số chỉ số lâm sàng, cận lâm sàng ở bệnh nhân tăng huyết áp nguyên phát điều trị tại bệnh viện đa khoa 115 Nghệ An.

Kết quả: Tỷ lệ tăng acid uric máu ở bệnh nhân tăng huyết áp (THA) nguyên phát là 38,5%. Nam giới có tỷ lệ tăng acid uric cao hơn nữ giới (46,7% so với 29,5%, p < 0,05). Các yếu tố liên quan đến tăng acid uric máu ở bệnh nhân THA: THA điều trị không đạt huyết áp mục tiêu (OR = 1,96), thừa cân-béo phì (OR= 1,92), hút thuốc và lạm dụng rượu (OR=2,63 và OR=3,49), Đái tháo đường (OR= 1,94 ), hội chứng chuyển hóa (OR= 2,01), giảm mức lọc cầu thận (OR=1,86 ), tất cả đều có ý nghĩa thống kê với p ≤ 0,05. Phân tích hồi quy logistic đa biến cho thấy: lạm dụng rượu, thừa cân-béo phì, hội chứng chuyển hóa và giảm mức lọc cầu thận là các yếu tố nguy cơ độc lập làm tăng nồng độ acid uric máu ở bệnh nhân tăng huyết áp.

Kết luận: Tỷ lệ tăng acid uric máu ở bệnh nhân THA nguyên phát là 38,5%. Lạm dụng rượu, thừa cân-béo phì, hội chứng chuyển hóa và giảm mức lọc cầu thận là các yếu tố nguy cơ độc lập làm tăng nồng độ acid uric máu ở bệnh nhân tăng huyết áp.

Từ khóa: Tăng acid uric máu, tăng huyết áp.
Đánh giá hiệu quả điều trị của thuốc hạ huyết áp phối hợp liều cố định ở bệnh nhân tăng huyết áp độ II, độ III
Authors: Nguyễn Tá Đông  , Nguyễn Đình Đạt  , Huỳnh Văn Minh
Published: March 2023

Mục tiêu: Mô tả đặc điểm lâm sàng, cận lâm sàng bệnh nhân tăng huyết áp độ II hay III và đánh giá hiệu quả của viên thuốc phối hợp liều cố định so với kết hợp viên riêng lẻ ở bệnh nhân tăng huyết áp độ II và III.

Đối tượng và phương pháp nghiên cứu:

Đối tượng: 98 bệnh nhân được chẩn đoán tăng huyết áp độ II hoặc III (tương ứng với mức huyết áp tâm thu ≥160 mmHg và/hoặc huyết áp tâm trương ≥100 mmHg), 53 bệnh nhân được điều trị với viên kết hợp liều cố định chứa perindopril 5mg/amlodipine 5mg; 45 bệnh nhân được điều trị phối hợp riêng lẻ viên perindopril 5mg và viên amlodipine 5mg.

Phương pháp nghiên cứu: Nghiên cứu mô tả, so sánh, có theo dõi.

Kết quả và kết luận: Không có sự khác biệt giữa nhóm dùng viên kết hợp liều cố định và nhóm dùng viên kết hợp riêng lẻ xét trên các đặc điểm: tuổi, giới, hút thuốc lá, bệnh lý kèm... Điều trị bằng viên kết hợp liều cố định mang lại hiệu quả hạ huyết áp và tỷ lệ đạt mục tiêu tốt hơn so với sử dụng kết hợp viên riêng lẻ.

Từ khóa: Viên thuốc phối hợp liều cố định; tăng huyết áp
A Narrative Inquiry on the Challenges and Coping Mechanism of School Leaders in Higher Learning Institutions Amidst Pandemic
Authors: Aquino John Michael
Published: March 2023

The current study seeks to discover the experiences of the school leaders towards their challenges during a pandemic and their coping mechanisms to provide quality education to the institution's students. The researcher applies narrative inquiry to a qualitative research design. A total of six deans and associate deans were selected as research participants through purposive sampling. Via an interview guide during the interview, the researcher gathered data and presented it using narratives. The results revealed that school leaders encountered many challenges, particularly in the immediate readiness of evaluation tools, accessibility of technology, relationships with coworkers, the University's learning continuity plan implementation, the execution of the course, and the systematic implementation of procedures. In contrast, the efforts made by the school leaders to battle the pandemic outbreak are vital for the education system to cope, including the delivery of webinars, training, and workshops, the availability of a plan for continuous learning, and the University's assistance to stakeholders. It is recommended that higher education institutions design and enhance their learning continuity plans, ensure that the manuals are appropriately disseminated, undertake curriculum enhancements for those programs requiring review, and follow the administration's instructions.
Application of the Promethee II Method for Determining Road Improvement Priorities
Authors: Mayang Sari  , Kosim Kosim , Andika Saputra
Published: March 2023

The road is an infrastructure that is often passed by the community. If there is damage, it will significantly disrupt community activities; for example, road conditions become jammed. This is necessary for the Public Works and Spatial Planning Office of the City of Cirebon to handle the road repairs, but in carrying out repair planning, there are obstacles, one of which is the difficulty in determining priority for road repairs with limited funds from the center. This research decision support system using the Promethee II method aims to find accurate results that are useful in determining priority road repairs that will be selected for repair. The criteria used in this study are Section Length, Road Width, Damage Condition, Traffic Volume (LHR), and Road Access. The results of this study selected Jalan A1 as an alternative that had the highest rating level of 0.613333333, and this indicated that this road was a road that had to be prioritized for repair. The test results show that the Promethee II method can produce priority recommendations for road improvements based on the required criteria.
Pediatric Hepatitis A: A Case Report
Authors: Yusuf Sulaiman , Siregar Fitri Mardia Sari
Published: March 2023

Background: Hepatitis A is a systemic infection which predominantly inflame the liver due to Hepatitis-A-Virus (HAV) infection. Developing countries have higher prevalence of this disease because of poor sanitation and environment. The transmission of HAV is fecal-oral via contaminated foods or beverages.
Case: A 14-year-old boy visited emergency department with yellowish skin on body, nausea, fever, and liver enlargement. He had a bad habit of consuming unhealthy street-foods. Hepatitis A was diagnosed after history taking, physical examination and laboratory testing. Serology test was performed with positive Anti HAV IgM to confirm the disease. Liver enzymes, and bilirubin level were also increased in this patient.
Discussion: The transmission of HAV is through fecal-oral via contaminated foods or beverages. This disease can be prevented by having good personal hygiene, avoiding contaminated food, with good access to clean water and environmental sanitation. Habit of consuming street foods is a risk factor of developing HAV infection. The clinical manifestation of HAV infection includes jaundice, nausea, decreased appetite, and vomiting.
Conclusion: Diagnosis of hepatitis A requires careful history taking, physical examination and laboratory evaluation. Hepatitis A is a self-limiting disease and currently there is no specific treatment to cure this disease. Supportive treatment, hepato-protector and vitamin supplementation will improve the condition.
KEPEMIMPINAN VISIONER KEPALA MADRASAH DI ERA DIGITAL
Authors: Elvi Rahmi  , Moh. Muslim  , Yusnia Binti Kholifah
Published: March 2023

ABSTRACT. This scientific article uses library research. Data is collected through text review and relevant research results. then the data were examined qualitatively by using content analysis. based on the results of the analysis and interpretation of the data, conclusions are drawn which are complemented by suggestions. Besides that, a literature study was carried out by examining various scientific journals and reading books that have a relationship with the visionary leadership of madrasa heads in the digital era. Visionary leadership emphasizes the importance of vision for the organization in realizing an effective and competitive organization. The power of leadership results in various policies and operationalization of work that are guided by the vision of the organization. A visionary leader is highly required to have clear goals and vision in the Institution he leads so that it becomes an advanced and competitive Institution. Thus, a visionary leader must be able to meet the progress that can be realized with full optimism even though there are many obstacles and obstacles. Effective Islamic education leadership can create many indications of achievement in Islamic education institutions, even at the same time the willingness of leaders who make changes and reforms using effective leadership patterns triggers reforms in a better direction.

Keywords: Visionary Leadership, Madrasa Head, Digital Era.
Optimal Commodity Storage: Privately and Publicly Financed Storage Compared
Authors: Hallwood Paul
Published: March 2023

Consideration of optimal commodity storage with different discount rates. Finding that, even with a lower discount rate than private storage, optimal government-financed storage may not narrow price fluctuations compared with optimal privately financed storage because a government has to choose a probability of buffer stock failure greater than zero to economize on storage costs that could conceivably become very large. There is no presumption that government financed storage would be larger, with narrower intervention bands and more stable prices, than with privately-financed storage. The welfare enhancing effect of government financed storage compared to private storage is therefore indeterminate.
Penggunaan Kalimat dalam Teks Eksposisi Karya Siswa Kelas X SMA Negeri 1 Nan Sabaris Kabupaten Padang Pariaman
Authors: Sari Intan Juwita , Hafrison Mohd.
Published: March 2023

This study aims to describe the use of sentences in exposition texts in terms of structural clarity, logical meaning, frugality of words and standardization of words in exposition texts by class X students of SMA Negeri 1 Nan Sabaris, Padang Pariaman Regency. This type of research is qualitative research using descriptive methods. The data to be obtained are words and sentences obtained from research data sources. The source of the data used in this study was exposition texts by class X students of SMA Negeri 1 Nan Sabaris, Padang Pariaman Regency, for the 2021/2022 academic year with a total of 30 student exposition texts. The data collection technique in this study is the fishing technique. The instrument in this study was the researcher himself and assisted by an inventory table. Based on the results of the study, it can be concluded that First, in terms of structural clarity consisting of clarity of active and passive structures, 47 non-standard sentences were found, 18 non-standard adverbial subjects were found, five non-standard predicates were found, non-subject adverbs were found. five non-standard sentences, and the subject is not missing found 16 non-standard sentences. Second, in terms of logical meaning, it consists of a logical relationship between the meanings of S and P found in 16 non-standard sentences and a logical relationship of detailed (parallel) meanings found in 13 non-standard sentences. Third, from the point of view of saving words consisting of using one subject from the same subject, three non-standard sentences were found, using one word from several synonymous words, 90 non-standard sentences were found, and using the words needed to express the author's intent, 125 non-standard sentences were found. . Fourth, in terms of word standardity, 32 non-standard words were found. the results obtained prove that the use of sentences in expository texts for class X students of SMA Negeri 1 Nan Sabaris Padang Pariaman Regency is still low.
Kurikulum Merdeka dalam Perspektif Filsafat Konstruktivisme
Authors: Hakiky Nur , Nurjanah Siti , Fauziati Endang
Published: March 2023

The dynamics of learning in Indonesia are very dynamic accompanied by increasingly rapid technological developments. The purpose of this study is to describe an independent curriculum that carries the concept of independent learning in the perspective of constructivism philosophy. The method used in this research is library research using a philosophical approach (analyzing the constructivism philosophy of the independent curriculum). The data collection technique used is the documentation technique which is carried out by collecting data sourced from books in libraries and the internet, as well as articles and journals related to various writings in research. The results of this study indicate that the independent curriculum that carries the concept of independent learning is very much in line with the philosophical theory of constructivism which encourages teachers and students to construct their own knowledge. The learning process is highly emphasized to create innovations that can motivate students to build their own learning experiences according to conditions. The curriculum that carries the concept of independent learning emphasizes student-centered learning (student center), the teacher is no longer a center of learning but a facilitator who helps facilitate students to explore their own knowledge, chooses a learning style that suits them, gives complete freedom to students to be able to grow a character that is brave, confident, independent, and disciplined.
Performance Assessment of a Novel Multianalyte Methodology for Celiac Disease Biomarker Detection and Evaluation of the Serology-Alone Criteria for Biopsy-Free Diagnosis
Authors: Novis Camille Leite , Wahl Edward , Camacho Eric , Aure Mary Ann , Mahler Michael , Nandakumar Vijayalakshmi
Published: March 2023

Context.—

Serology plays a vital role in celiac disease (CD) diagnosis, and the latest European guidelines advocate for biopsy-free diagnoses in patients with ≥10× the upper limit of normal (ULN) of anti–tissue transglutaminase (tTG) immunoglobulin A (IgA) antibodies.

Objective.—

To assess performance characteristics of a novel automated particle-based multianalyte technology (Aptiva) for anti-tTG and anti–deamidated gliadin peptide (DGP) antibody detection as compared to the traditional enzyme-linked immunosorbent assay (QUANTA Lite). Performance characteristics of the ≥10× ULN anti–tTG IgA criteria for serologic diagnosis of CD were also evaluated.

Design.—

Sera samples from 703 patients were tested for anti–tTG IgA, anti–tTG immunoglobulin G (IgG), anti–DGP IgA, and anti–DGP IgG antibodies on both platforms. In total, 127 patients had medical information and were classified as CD-positive (n = 58) and CD-negative (n = 69) based on biopsy results. Clinical performance characteristics were evaluated.

Results.—

Anti–tTG IgA detection showed equal clinical sensitivity and specificity of 91% sensitivity and 99% specificity on both platforms. Anti–tTG IgG resulted in moderate sensitivity of 69% and 72%, but high specificity of 100% and 94% on Aptiva and QUANTA Lite, respectively. Anti–DGP IgG displayed comparable sensitivity of 90% and 81%, and a specificity of 94% and 99%, on Aptiva and QUANTA Lite, respectively. Anti–DGP IgA demonstrated greater sensitivity on QUANTA Lite (83%) than Aptiva (69%) and similar specificities of 97% and 98% on QUANTA Lite and Aptiva, respectively. At ≥10× ULN levels for anti–tTG IgA, Aptiva displayed a sensitivity of 72% and a specificity of 100%, and QUANTA Lite showed a sensitivity of 69% and a specificity of 100%.

Conclusions.—

Aptiva is a reliable method to measure CD biomarkers with reduced hands-on necessity and high-throughput capabilities. This study supports the use of a ≥10× ULN anti–tTG IgA biopsy-free approach for serologic diagnosis of CD.
Peningkatan Daya Saing UMKM melalui Social Capital
Authors: Ferine Kiki Farida , Zaki Ahmad , Cahyaningrum Anis Okta , Papilaya Fioletta , Fkun Egidius
Published: March 2023

Persaingan bisnis nasional dan internasional dilaporkan dalam keadaan kompetitif. Setiap perusahaan dan bisnsi berjuang mencapai keunggulan kompetitif untuk keberlanjutan usaha. Persaingan sifatnya abadi, pemanfaatan sumber daya berdasarkan theory Resources Based View dimana modal sosial bisa dimanfaatkan sebagai sumber daya strategis dan potensial. Tujuan penelitian ini untuk berkontribusi peran modal sosial dalam keberlanjutan UMKM. Metode penelitian ini adalah survey dengan pendekatan kuantitatif. Sampel penelitian 70 wirausaha industri kuliner di Kabupaten Sukabumi dengan teknik quota sampling. Hasil Penelitian menunjukan bahwa modal sosial berpengaruh positif dan signifikan terhadap keunggulan bersaing berkelanjutan. UMKM industri kuliner di Kabupaten Sukabumi mampu menciptakan keunggulan keberlanjutan, hanya tidak merata.
Internalisasi Nilai Pancasila dan Bhineka Tunggal Ika Sebagai Upaya Penguatan Identitas Manusia di SMA Negeri 11 Palembang
Authors: Sari Syalni Puspita
Published: March 2023

Penelitian ini bertujuan untuk mendeskripsikan internalisasi nilai pancasila dan bhinneka tunggal Ika dalam kegiatan pembelajaran di SMA Negeri 11 Palembang. Jenis penelitian ini yaitu deskriptif analitis. Metode yang digunakan dalam penelitian adalah metode Study literature dan observasi. Adapun hasil yang didapat yaitu sekolah SMA Negeri 11 Palembang sudah menanamkan nilai-nilai pancasila dan kebhinekatunggalikaan sebagai penguat identitas manusia peserta didik. Guru memasukkan nilai pancasila dan bhinneka tunggal Ika melaui berbagai kegiatan pembelajaran. Faktor pendukung keberhasilan penanaman nilai pancasila yaitu kepala sekolah, guru, orang tua, lingkungan sekolah maupun lingkungan luar sekolah.
Simbol di SMA Negeri 10 Palembang Tentang Penghargaan Serta Penghayatan Terhadap Nilai - Nilai Pancasila dan Kebhinekatunggalikaan
Authors: Astuti Rahma Dinta
Published: March 2023

Penelitian ini bertujuan untuk mengetahui bagaimana penghayatan terhadap nilai-nilai Pancasila dan Bhinneka Tunggal Ika yang diterapkan di SMA Negeri 10 Palembang. Penelitian ini merupakan penelitian kualitatif dengan menggunakan metode observasi dengan pengamatan secara langsung. Berdasarkan penelitian yang dilakukan SMA Negeri 10 Palembang telah menerapkan nilai-nilai Pancasila dan Kebhinekatunggalikaan.Guru dan semua staff SMA Negeri 10 Palembang telah bekerjasama dengan baik dalam mengimplementasikan nilai-nilai Pancasila, dimana seluruh peserta didik memiliki hak dan perlakuan yang sama sehingga peserta didik mampu berprilaku sesuai dengan nilai-nilai yang terkandung di dalam Pancasila sebagai penguatan karakter peserta didik dengan profil pelajar Pancasila.
Profil Pelajar Pancasila Sebagai Upaya Mewujudkan Identitas Nasional Era Revolusi Industri 4.0
Authors: Astuti Yeni Dwi
Published: March 2023

Setiap bangsa memiliki jati diri yang membedakannya dari bangsa lain, yang terkait dengan identitas Nasional. Identitas nasional Indonesia mengandung nilai-nilai budaya yang dapat membentuk perilaku dan sikap individu dalam menghadapi dampak Revolusi Industri 4.0. Kurikulum MeSrdeka berusaha untuk membentuk profil pelajar Pancasila sebagai acuan untuk menanamkan nilai-nilai karakter dalam pendidikan. Oleh karena itu, perlu ada tindakan nyata untuk mewujudkan profil pelajar Pancasila. Penelitian ini menggunakan metode kualitatif dengan pendekatan studi kepustakaan dan hasil observasi peserta didik di SMA Negeri 11 Palembang. Hasilnya adalah bahwa profil pelajar Pancasila memegang peran penting dalam membentuk identitas nasional dan mempersiapkan generasi muda untuk menghadapi dampak negatif era Revolusi Industri 4.0. Studi terhadap profil pelajar Pancasila dan hasil observasi di SMA Negeri 11 Palembang membuktikan bahwa profil pelajar Pancasila dapat mewujudkan generasi yang memegang teguh identitas nasional dan nilai-nilai budaya Indonesia.
Penerapan Pendidikan Karakter Berdasarkan Nilai-nilai Pancasila Di SMA Negeri 1 Palembang
Authors: Savitri Maharani Diah
Published: March 2023

Penelitian ini bertujuan untuk mengetahui kegiatan apa saja yang merupakan penerapan pendidikan karakter berdasarkan nilai-nilai Pancasila yang terjadi di SMA Negeri 1 Palembang. Metode yang digunakan adalah metode deskriptif kualitatif yang diimplementasikan dengan studi kasus dan observasi langsung di SMA Negeri 1 Palembang yang menggambarkan dan memaparkan sesuatu secara akurat, faktual, dan sistematis. Parameter yang diamati yaitu kegiatan yang termasuk kedalam penerapan pendidikan karakter berdasarkan nilai-nilai Pancasila. Hasil penelitian penerapan pendidikan karakter berdasarkan nilai-nilai Pancasila di SMA Negeri 1 Palembang dapat dilihat melalui beberapa kegiatan yaitu mengaji/membaca Al-Qur’an bersama, sholat dhuha, budaya 5S, apel pagi setiap hari dan upacara pengibaran bendera setiap hari senin, penggunaan kotak saran, penerimaan peserta didik baru dan aturan penggunaan seragam sekolah, senam pagi, literasi, sekolah sehat berbasis ISO 9001:2015, berbagai kegiatan ekstrakurikuler, serta ajakan anti-bullying.