bluuebunny/crossref_metadata_2025 huggingface dataset:
Implante de stent ductal por vía axilar en neonato con cardiopatía congénita con flujo pulmonar dependiente del conducto arterioso
Authors: Lince Varela Rafael , Gómez-Osorio Mateo , Oquendo R. Alejandro , Osorio Johanna , Quintero Juan Camilo , Soto Valentina
Published: March 2022

El implante de stent en el conducto arterioso es una alternativa paliativa para neonatos con flujo pulmonar dependiente.Objetivo: Presentar una alternativa de acceso arterial para intervención percutánea en neonatos.Caso Clínico: Neonato a término con bajo peso, con diagnóstico de atresia pulmonar con septum interventricular intacto e hipoplasia grave de la válvula tricúspide con circulación coronaria dependiente. Por el riesgo quirúrgico y de daño arterial femoral y por la anatomía del conducto se decidió punción arterial axilar izquierda por donde se implantó exitosamente stent ductal coronario de 3,5 milímetros. Se presentó espasmo axilar que resolvió espontáneamente.Conclusión: Los accesos arteriales alternativos diferentes a la vía arterial femoral son una opción para neonatos de alto riesgo quirúrgico y bajo peso.
Debate sobre el retorno a clases presenciales en Pandemia
Authors: Correa D. Alfonso , González L. Isabel , Sepúlveda M. Mireya , Burón K. Verónica , Salinas A. Patricia , Cavagnaro SM. Felipe Gonzalo
Published: March 2022

Las implicancias del cierre de los establecimientos educacionales durante la pandemia por COVID-19 y la discusión generada respecto de la apertura de estos, nos invitan y nos exigen plantearnos, desde las distintas posiciones y responsabilidades, los cambios que debemos hacer como sociedad a nivel educacional. En este artículo, un conjunto de profesionales de la salud, recaban información y reflexionan sobre las repercusiones del retorno y del no retorno a las actividades escolares presenciales, a nivel de la salud física, emocional y en la formación académica. A partir de lo que se sabe que son factores protectores y posibles amenazas frente al retorno, se concluye que cada realidad local debe tomar su propia decisión informada, con la participación de todos, en búsqueda del bien común, que favorezca a los estudiantes, que proteja a los profesores y que se privilegie el rol del sistema educativo en la formación socioemocional. La escuela es un espacio de contención de las emociones y necesidades de adaptación que los alumnos y sus familias han vivido en este tiempo de incertidumbres. Todos tenemos un nivel de responsabilidad en la construcción de una nueva civilización en torno a estos temas que vinculan educación, salud física, salud mental, colaboración social y responsabilidad individual. Las diferencias en las condiciones de vida de las personas y la desigualdad de oportunidades se han vuelto más visibles que antes (otras todavía están ocultas) y generan una oportunidad de cambios que juntos debemos afrontar.
Rabdomiosarcoma alveolar primario de hueso
Authors: Tordecilla C. Juan , Mosso Ch. Claudio , Franco S. Carmen , Díaz P. Eduardo , Lobos R. Germán
Published: March 2022

El rabdomiosarcoma (RMS) es un tumor sólido maligno de origen mesenquimático. Es el sarcoma de tejidos blandos más común en la infancia y adolescencia. Un 65% de los casos son diagnosticados antes de los 6 años. Los subtipos histológicos incluyen al RMS embrionario, alveolar, pleomórfico y de células fusadas. El subtipo embrionario es más frecuente en los niños, mientras que el alveolar es más frecuente en adolescentes y adultos.Objetivo: Describir la presentación clínica de un rabdomiosarcoma alveolar primario en una escolar.Caso Clínico: Escolar femenina de 7 años que debuta con dolor progresivo en el muslo izquierdo de un mes de evolución. La radiografía muestra un tumor con compromiso lítico a nivel diafisiario de fémur izquierdo. Se realizó estudio con 2 biopsias, inmunohistoquímica y estudio de PAX-FOXO1 compatibles con RMS alveolar. Recibió quimioterapia, con buena evolución posterior.Conclusión: El Rabdomiosarcoma alveolar primario óseo es infrecuente, pero debe ser considerado dentro del diagnóstico diferencial de los tumores óseos primarios de células pequeñas, redonadas y azules. Este tipo de tumor, a pesar de presentar una citogenética de mal pronóstico, parece tener un mejor comportamiento biológico, siendo necesario para un tratamiento exitoso tener un alto índice de sospechar para instalar una terapia multimodal en el contexto de un protocolo nacional.
Interacciones farmacológicas en niños con infección por VIH en tratamiento con antirretrovirales
Authors: Castro-Moraga Maria Eugenia , Campos Loyola Andrea , Figueroa V. Camila , Yizmeyián M. Anahí , Piñera Morel Cecilia
Published: March 2022

Las interacciones farmacológicas son eventos indeseados observados en la práctica clínica. En pacientes con infección por VIH con terapia antirretroviral (ARV) es particularmente importante tener presente que muchos medicamentos de uso habitual en pediatría pueden tener interacciones con ARV.Objetivo: comunicar un caso de interacción farmacológica entre un ARV (lopinavir/ritonavir) y corticoides inhalados en un niño con infección por VIH, y revisar interacciones farmacológicas más frecuentes en niños con terapia ARV.Caso Clínico: Preescolar de 5 años, sexo masculino, con antecedentes de infección vertical por VIH etapa N1 según clasificación del CDC 1994, en terapia ARV desde los 8 meses de vida con zidovudina, lamivudina y lopinavir/ritonavir con buen control virológico e inmunológico. Por clínica de rinitis alérgica consistente en congestión nasal, prurito nasal y ronquido nocturno, inició tratamiento con fluticasona intranasal. Tras 1 mes de tratamiento, evolucionó con fascie cushingoide, aumento de peso, dislipidemia mixta, insulinorresistencia, cortisol basal AM < 1 μg/dL y hormona adrenocorticotropa (ACTH) < 2 pg/ml, con prueba de estimulación con ACTH compatible con insuficiencia suprarrenal central, atribuido a interacción farmacológica con lopinavir/ritonavir por conocimiento de esta interacción. Inició tratamiento de sustitución con hidrocortisona, recuperando función de eje hipotálamo-hipófisis-adrenal tras 18 meses.Conclusión: El conocimiento de ésta y otras interacciones farmacológicas entre ARV y medicamentos de uso habitual en pediatría es fundamental para el manejo integral de los pacientes con infección por VIH, especialmente referido a prevención de efectos adversos indeseados.
Sistem Pakar Identifikasi Penyakit Tanaman Cabai Rawit Menggunakan Metode Forward Chaining Berbasis Web
Authors: Andriani Siti
Published: March 2022

Kerugian petani dalam pembudidayaan tanaman cabai rawit hingga saat ini masih menjadi kendala, karena masih banyak petani yang tidak mengetahui gejala yang diderita tanaman cabai rawitnya tersebut. Dengan adanya sistem pakar ini petani mampu mengidentifikasi penyakit tanaman cabai rawit secara dini dengan menggunakan metode forward chaining berbasis web. Penyakit dikenali dengan melihat gejala-gejala yang muncul dan dilakukan penanganan terhadap penyakit tanaman cabai rawit. Identifikasi sistem pakar penyakit tanaman cabai rawit ini memiliki nilai keakuratan 94,444 % dan nilai eror 5.556 % untuk di uji coba pada 19 petani dan pegawai penyuluhan. Dan dapat disimpulkan bahwa sistem pakar cukup layak untuk digunakan petani dalam mengidentifikasi secara dini pada penyakit tanaman cabai rawit.
Rechtssicherheit und Einhaltung von Entscheidungen des Interamerikanischen Gerichtshofs für Menschenrechte: Der Fall “Gomes Lund und andere (“Guerilla von Araguaia”) vs. Brasilien”
Authors: Abreu Eduardo João Gabriel Fleck da Silva , Santos Marcelo de Oliveira Fausto Figueiredo
Published: March 2022

Die Werte der nationalen Souveränität und der Verpflichtung, internationale Verpflichtungen einzuhalten, werden oft schockiert. Um diese Situation zu veranschaulichen, nehmen wir den Fall “Gomes Lund und andere (‘Guerilla von Araguaia’) vs. Brasilien”, das 2010 als Beispiel beurteilt wurde, wenn man bedenkt, dass nicht nur noch ausstehende Einhaltung durch das Land, sondern auch seine Entscheidung von nationalen Gerichten widerlegt wurde. Angesichts dieses Panoramas stellt sich die grundsätzliche Frage nach der Möglichkeit, dass sich der Nationalstaat von seinen völkerrechtlichen Verpflichtungen unter dem Souveränitätsanspruch löst, sowie nach der Existenz von Kriterien, die das staatliche Verhalten leiten und damit angesichts des verfassungsrechtlichen Erfordernisses der Rechtssicherheit für mehr Berechenbarkeit sorgen können. Ziel ist es, diese Frage aus der Forschung der Top-Organe der nationalen Justiz und der spezialisierten Doktrin in den Bereichen Verfassungsrecht und Menschenrechte zu beantworten. Auf diesem Weg wollen wir die Struktur und Besonderheiten des Interamerikanischen Systems, die Zwangskraft der Entscheidungen des Interamerikanischer Gerichtshof für Menschenrechte und die rechtlichen Merkmale des verfassungsrechtlichen Erfordernisses der Rechtssicherheit im staatlichen Verhalten in dieser Wechselwirkung zwischen nationalem und internationalem Recht verstehen. Dies kann über die obligatorische Durchsetzung der Entscheidungen des regionalen Systems und die schädlichen Auswirkungen, die ihre Nichtbeachtung für den Verfassungsgrundsatz der Rechtssicherheit verursacht, sowie über die Möglichkeit geschlossen werden, nach Wegen zu suchen, um zu versuchen, diese Sackgasse zu überwinden.
PECULIARITIES OF THE ANALYSIS OF THE COMPANY IN THE THEORY OF TRANSACTION COSTS
Authors:   Odesa I. I. Mechnikov National University, Нornyak Olha
Published: March 2022

The company as a network of contracts is a manageable network of specific contracts based on limited rationality, opportunism and asset specificity. The main activity of the company is to monitor the implementation of contracts within the organization and outside it. The company as an organizational structure provides the achievement of new knowledge and new conditions, which are the result of the joint action of the members of the company's team and the trust between them. The company as a set of tangible assets represents a system of relations with suppliers in the process of vertical integration and inducement, implemented in the process of entering into incomplete contracts. Transactional costs and incomplete contracts imply that ownership of the tangible assets becomes crucial, and the structure of property rights encourages the development of integration processes and intercompany business. Contractual relationships, which constitute the economic basis of the company, develop under the influence of general trends in the economy and the internal processes of the company. At the same time, ways to reduce the transaction costs are of particular importance. Among them, organizational forms of economic activity play an important role, so the management structures should be more flexible and vary in accordance with changes in production processes and consumer preferences. The structure of the configuration of the property rights to assets regulates the company's relationships with suppliers and ensures a reduction in the level of transaction costs. The study of the company on the basis of theoretical and methodological approaches of the theory of transaction costs makes it possible to comprehensively analyze the preconditions, the economic nature, and the boundaries of the company. In today's environment, changes in the economy are causing dramatic shifts both within the company and between companies. The chain nature of modern economic activity contributes to the development of the theory of transaction costs, the deepening of such its directions as opportunism in the behavior of economic agents, suspicion and trust in the relations of counterparties.
CONCEPTUAL APPROACH TO DEFINITION OF ESSENCE AND JUSTIFICATION OF COMPONENT ELEMENTS OF INNOVATIVE MARKETING
Authors:   Dnipro State Agrarian and Economic University, Bahorka Mariia , Kadyrus Iryna ,   Dnipro State Agrarian and Economic University, Myronova Olena ,   Dnipro State Agrarian and Economic University
Published: March 2022

The article substantiates that the symbiosis of marketing and innovation, dictated by the requirements for businesses seeking effective and sustainable development in modern economic conditions, has become a catalyst for the emergence of the concept of “innovative marketing” and related concepts such as “innovation marketing” and “marketing innovations”. This has sparked debate among researchers and scholars, whose views on these categories are divided between those who identify them and those who distinguish them. The authors systematized the existing positions of modern researchers and emphasized the lack of agreement in the views of scientists on the essence and content of innovation marketing and innovation marketing, and proposed clarification of their content. According to the results of systematization, the authors identified the following approaches to the definition and characterization of the concept of “innovative marketing”: as a process of planning and introduction of new products to the market; as a concept of doing business; as a search for new areas and ways to use the potential of the enterprise; as an activity in the innovation market; as an activity of the enterprise aimed at the formation of new markets. The authors conclude that in scientific publications there is a unity of positions of the authors on the concept of “innovation in marketing”. In addition, the authors of the article summarize the approaches to the definition of “innovation marketing”: as a tactical innovation marketing; as an activity aimed at finding new areas and ways to use the potential of the enterprise; as an activity aimed at the commercialization of innovations; as a direction of marketing activity, which requires special methods, tools and methods; as an activity aimed at finding new areas of activity; as a combination of actions, receptions, methods, systematic activity of subjects of economic relations concerning development and advancement in the market of new goods. Taking into account the work of modern researchers in the field of innovative marketing and on the basis of their critical analysis, the authors of the article propose a conceptual approach to understanding the essence, components of innovative marketing and types of innovations in marketing.
DOMESTIC EXPERIENCE OF ENTERPRISES IN DEVELOPING A FINANCIAL STRATEGY
Authors:   V. O. Sukhomlynskyi Mykolaiv National University, Koval Olexandra , Kornieva Natalia ,   V. O. Sukhomlynskyi Mykolaiv National University
Published: March 2022

The article deals with the effectiveness of the enterprise's financial strategy on the example of domestic companies. The modern stage of economic development requires companies to constantly improve the efficiency and competitiveness of services through the introduction of scientific and technological advances, innovative management systems, the use of innovative methods of market conquest and maintaining their positions. Effective tool for long-term management of a company's financial activities, subordinated to the objectives of its overall development in conditions of significant changes in macroeconomic indicators, the system of market processes state regulation, financial market conditions and related uncertainty, is a financial strategy. Effective management of financial stability allows the company to adapt to the external environment and control the degree of its independence from external sources of funding.
STRATEGY OF AN EFFECTIVE PROFIT MANAGEMENT SYSTEM OF THE ENTERPRISE
Authors:   Yuriy Fedkovych Chernivtsi National University, Skliar Yevheniia , Fen Kateryna ,   Yuriy Fedkovych Chernivtsi National University, Karpyak Alina ,   Yuriy Fedkovych Chernivtsi National University
Published: March 2022

The influence of an effective profit management system on the stable functioning and development of the enterprise is investigated. The scientific content and economic essence of the enterprise profit are revealed. The factors influencing the size of the enterprise’s profit are revealed and the task of profit management is formulated. The constituent elements, tasks and principles of the enterprise profit management system are presented. Its profitability plays a crucial role in the sustainable development and operation of any enterprise. Profit is the main purpose of entrepreneurial activity and the main criterion for assessing the effectiveness of activities, and is the main protective mechanism of the enterprise against the threat of bankruptcy. In conditions of high competition, ensuring effective profit management is an important part of the enterprise, because it is the most desirable result. To obtain a positive dynamics of profitability of the enterprise requires the construction of an effective profit management system. Thus, there is a problem of identifying all the benefits of profit management system as a basis for effective operation of the enterprise. Enterprises of all forms of ownership aim to organize their activities so that their work is characterized by increased profitability and increased profits. The article considers the issue of enterprise profit management. It is shown that profit is an important monetary value of production and financial activities of the enterprise, which demonstrates the efficiency of the enterprise. It is one of the main indicators of activity and development of the enterprise, improvement of material base of the enterprise and its production. Profit also characterizes the return on investment in the enterprise and the rational use of its property. Shows the role of enterprise profit in a market economy. Proved apart from the main goal profit also creates the basis for the economic development of the state as a whole is a criterion for the effectiveness of a specific production (operating) activity, the main internal source of formation of financial resources of the enterprise, and also the main source growth of the market value of the enterprise. It is concluded that the main purpose of profit management is to ensure the optimization of its formation, distribution and use, both in the current and in the long run.
IMPLEMENTATION OF INTERNATIONAL EXPERIENCE OF FORMATION OF CLUSTER STRUCTURES IN MODERN CONDITIONS OF REGIONAL DEVELOPMENT OF UKRAINE
Authors:   Institute of Industrial Economics of the National Academy of Sciences of Ukraine, Drachuk Yurii , Trushkina Nataliia ,   Institute of Industrial Economics of the National Academy of Sciences of Ukraine, Shiposha Valerii ,   LLC «Institute of Scientific-Pedagogical and Production Infrastructure» (Slovyansk)
Published: March 2022

At present, the problems of improving the management of cluster structures in the industrial regions of Ukraine, taking into account the best international experience in accordance with modern challenges related to smart specialization, modernization of production and digitalization of organizational and managerial processes. In this regard, the article analyzes and summarizes the international practice of development of cluster structures in order to further develop proposals for its possible application in the modern conditions of the regional economy of Ukraine. As a result of the research it was established that the current legislation of Ukraine does not pay due attention to the creation and functioning of cluster structures. Therefore, the definition of the terms "cluster" and "clustering" at the legislative level remains an urgent issue. General provisions on clusters as a territorial association of enterprises should be included in Chapter 12 of the Commercial Code of Ukraine, and the specification of their legal status should be set out in a special Law of Ukraine "On Cluster Associations of Enterprises". In this case, the content of the legislation on clusters should be formed taking into account the fact that cluster relations have a specific organizational and legal nature and can operate both with the rights and without the rights of a legal entity, using other organizational and legal forms of associations, and and without them. It is necessary to make changes and additions to the Concept of creating clusters in Ukraine, Regional Development Strategies until 2027 and Action Plans for their implementation for 2021-2023 on the creation of cluster structures as a business entity. It is expedient to develop and approve the Concepts of cluster policy and the Target Program "Formation and development of clusters in the regions of Ukraine for 2021-2023", which should provide for the creation of clusters as a special type of enterprise associations in various fields and taking into account regional specifics.
Research on a high-accuracy dynamic test method of the rotor temperature field of an explosion-proof motor
Authors: Zhao Qiang , Yuan Yichao , Guo Junjie , Tang Chuansheng , Wu Xuandong
Published: March 2022

To achieve high-accuracy dynamic rotor temperature measurement of an explosion-proof motor during operation, a novel measurement method with a new-type FBG (Fiber Bragg Grating) sensor, is proposed in this paper. First, a new kind of FBG temperature sensors which could be employed in the narrow and small spaces of a motor�s air-gap with microsize sealing was developed. Experiments have shown that the designed sensor has a linearity of 0.999, and a repeatability of greater than 274.5 K within the range of 323 K�443 K. Second, a rotor temperature test system with designed sensor was built; the test results showed that the error between the test results and simulation results was less than 8%, which verified the feasibility and validity of the presented method. Furthermore, introducing an all-optical signal into the motor�s measurement field, this method was characterized by good fitness, immunity to electromagnetic interference, good explosion-proof performance, high accuracy, dynamic measurement, etc. Therefore, this method could be widely applied to the motor measurement field.
Studies of weak external force on thermal conductivity of complex liquids using homogenous perturbed simulations
Authors: Shahzad Aamir , Kashif Muhammad , Munir Tariq , Shakoori Muhammad Asif , He Maogang , Bashir Sajid , Islam Qamar Ul
Published: March 2022

A modified Evan-Gillan homogenous perturbed scheme was employed to measure the thermal response and corresponding normalized plasma thermal conductivity (λ0) of strongly coupled dusty plasmas (SCDPs). Homogenous perturbed molecular dynamics (HPMD) approach was employed to analyze the efficiency and compared the obtained outcomes of perturbed heat flux vector to the outcomes computed through equilibrium molecular dynamics (EMD) approach. Our new outcomes show that the thermal response of heat energy current through HPMD and EMD approaches is an excellent agreement with each other for SCDPs at much low value of normalized external perturbation (F*). The obtained HPMD simulations demonstrate that the presented approach provides good outcomes with fast convergence and small system size for low-tointermediate plasma couplings (Γ) at very weak F*. It was found that the measured plasma λ0 outcomes at nearly equilibrium weak F* (= 0.00005) are in reasonable agreement with earlier results obtained from EMD, homogenous and inhomogeneous nonequilibrium molecular dynamics simulations and theoretical predictions and generally overpredicted the plasma λ0 by ~1%–~24% depending on the arrangement of plasma parameters (Г, к). It was shown that the HPMD is an excellent approach to calculate the plasma λ0 and to recognize the elementary patterns in 3D SCDPs.
Elastic constants and thermodynamic properties of AgY and CuY compounds under pressure and temperature effects
Authors: Liu Lili , Chen Cai , Xu Gang , Jiang Youchang , Wen Yufeng , Zeng Xianshi
Published: March 2022

Results of first principles calculations of the lattice parameter, elastic constants and some thermody-namic properties in a wide range of pressures and temperatures are reported for the B2 structure AgY and CuY. The calculated lattice and elastic constants at 0 K and 0 GPa are in agreement with the previous experimental and theoretical values. Using the density functional perturbation theory (DFPT) under the quasi-harmonic approximation (QHA), the evolution of some thermodynamic parameters concluding bulk modulus, volume expansion, thermal expansion coeff icient and heat capacity at constant pressure with temperature and pressure is computed. This is the first quantitative theoretical prediction of the reported properties and it still awaits experimental confirmation.
Method for prediction of liquid-vapor critical points in binary mixtures: geometrical-EOS model
Authors: Grine Hichem , Madani Hakim
Published: March 2022

A new method for predicting the Liquid- Vapor critical point of binary mixture, is presented, which is based in geometrical distances. Actually, the method is based on the minimization of the distance between the experimental and calculated values of the critical temperatures and critical pressures. The SRK and PR equations of state along with classical mixing rules of van der Waals were used as thermodynamic models to calculate the critical point of a given mixture. The proposed method requires that the mixture parameters a, b, and the covolume ε = b/v of each equation of state be determined at each iteration by solving the resulting cubic equation. For nine binary mixtures containing: hydrocarbon derivatives, carbon dioxide and alcohols are studied. The AARE of the calculated values is about 0.86% for critical temperature and 2.07% for critical pressure. Good agreements are found between the calculated results and experimental data. The technique is a general purpose one and can be applied in connection with other thermodynamic models.
Efficacy and safety of lokivetmab (Cytopoint®) for the control of pruritus and skin lesions in dogs with atopic dermatitis
Authors:   University of Lisbon, Faculty of Veterinary Medicine, Centre for Interdisciplinary Research in Animal Health (CIISA), Lisbon, Portugal, Pinto Marta , Silva Maria ,   University of Lisbon, Faculty of Veterinary Medicine, Centre for Interdisciplinary Research in Animal Health (CIISA), Lisbon, Portugal, Fernandes Beatriz ,   University of Lisbon, Faculty of Veterinary Medicine, Centre for Interdisciplinary Research in Animal Health (CIISA), Lisbon, Portugal, Bizarro Ana ,   University of Lisbon, Faculty of Veterinary Medicine, Centre for Interdisciplinary Research in Animal Health (CIISA), Lisbon, Portugal, Pereira Hugo ,   University of Lisbon, Faculty of Veterinary Medicine, Centre for Interdisciplinary Research in Animal Health (CIISA), Lisbon, Portugal, Lourenço Ana ,   University of Lisbon, Faculty of Veterinary Medicine, Centre for Interdisciplinary Research in Animal Health (CIISA), Lisbon, Portugal
Published: March 2022

Background and objective: Lokivetmab is the first anti-canine interleukin-31 monoclonal antibody approved in the European Union for Canine Atopic Dermatitis (CAD) management. This study aimed to assess the lokivetmab’s efficacy and safety in treating CAD cases from a university reference service, as well as the dog’s owner’s overall opinion regarding therapy. Methods: Eighteen atopic dogs were enrolled to perform two subcutaneous injections of lokivetmab, according to the protocol. In order to determine the efficacy and safety of the treatment, skin lesions, pruritus score, blood count, liver parameters and adverse side effects were evaluated over 56 days. The overall pet owner’s satisfaction about the therapy was assessed at the end of the study, and the number of animals that maintained the treatment three months after the end of the study was considered. Results: There was a significant reduction in pruritus score over the eight weeks, with 76.5% of the dogs showing a significant clinical improvement. Regarding the lesion score, 77.8% of the dogs achieved significant clinical improvement, with 61.1% reaching it in the first 4 weeks. There were no reported adverse side effects or changes in blood tests. Pet owner’s opinion regarding the improvement of both the dog and its family’s quality of life was very positive, and three months after the end of the study, 77.8% of the dogs continued their therapy with lokivetmab. Conclusion: Lokivetmab proved to be extremely effective and safe, in addition to sparing pet owners from at home drug administrations, which also contributes to their high satisfaction degree. The great specificity of this biological therapy makes it one of the most potent and promising in the CAD field.
Bilateral superficial cervical plexus block with conscious sedation for thyroid surgery
Authors: Hossain Mohammad Ahad , Banik Debabrata , Akter Sumaiya , Mondal Montosh Kumar , Hoque AKM Faizul , Hannan Mohammad Abdul , Yeasmin Sabina
Published: March 2022

Total thyroidectomy can safely be performed by bilateral superficial cervical plexus blockade which is a regional anesthetic technique to anaesthetize superficial branches of the anterior primary rami of cervical 3-5 spinal nerves. Conscious sedation with this anesthetic technique enhance safe and faster recovery compared to general anesthesia (GA) with endotracheal intubation which is traditionally employed technique for thyroidectomy. This randomized active control trial was conducted in the department of Anaesthesia, Analgesia and Intensive care medicine, Bangabandhu Sheikh Mujib Medical University from January to December 2018 to compare perioperative outcome between bilateral superficial cervical plexus blockade and GA technique during total thyroidectomy. Total 60 patients of American Society of Anesthesiol- ogists Classification grade I and II who were selected for thyroidectomy were randomly divided into Group-A(n=30) and Group-B (n=30). Group A received with 0.5% bupivacaine and 1% lignocaine; and group B received general anesthesia during total thyroidectomy. Heart rate, systolic blood pressure, diastolic blood pressure mean arterial blood pressure , oxygen satura- tion (SPO2) were recorded and compared between the groups. Operative site bleeding, surgeon’s satisfaction & post operative pain were measured with Boezaart Scoring system, Likert scale & visual analogue scale repectively; and compared between two groups. During induction, systolic and diastolic blood pressure were high in group B and reduced in group A which were statistically significant. Systolic and diastolic blood pressure was significantly reduced in Group-A in comparison to Group-B after 5 minutes, 30 minutes, 45 minutes and at the end of operation. Bilateral superficial cervical plexus blockade reduced pain more effective- ly than GA group & it was statistically significant. Mean value of bleeding score were also statis- tically significant in Group-A. Regarding surgeons’ satisfaction, there was no statistically signif- icant difference between the groups. Bilateral superficial cervical plexus block with conscious sedation provided better outcome in terms of perioperative hemodynamics, pain and surgical site bleeding compared to general anaesthesia.
BSMMU J 2021; 14(4): 104-108
Socio-demographic and clinical profile of the COVID-19 positive cases among the patients attending in the fever clinic of a tertiary care hospital of Bangladesh
Authors: Arafat Shohael Mahmud , Khan Abed Hussain , Sharmin Elora , Alam Md Adnanul
Published: March 2022

Coronavirus disease-2019 (COVID-19) caused by the virus SARS CoV 2 is a major global health concern nowadays. Bangladesh is also confronting this highly transmissible disease with an exponentially rising number of cases across the country. This study was designed to observe the socio-demographic characteristics and clinical profile of COVID-19 patients in Bangladesh is still very scanty. In this cross-sectional observational study, a total of 662 COVID-19 positive patients were enrolled following selection criteria who attended the fever clinic at BSMMU. COVID-19 was found to be more prevalent in males as the male to female ratio was 2.5:1. The mean age was 37.50 ± 12.14. Most of them belong to the 31-40 year age group. Among the patients, 41.8% were obese. DM, hypertension and bronchial asthma are the most common comorbidities. The most frequent symptoms were fever 80.8%, cough 36%, anosmia 21.8% and runny nose 1.7%. Most of the patients sought healthcare for fever 77.6 %, cough 23.3 %, dysgeusia 13.3% and anosmia 21.7 %. About 86.6 % had no history of contact with positive cases. Most of them had been BCG vaccinated previously.
BSMMU J 2021; 14(4): 114-120
Pengaruh Model Concept Sentence dengan Pendekatan CLIL terhadap Pengetahuan dan Keterampilan Krangan Narasi Kelas V
Authors: Sari Ratna , Muktadir Abdul , Hambali Daimun
Published: March 2022

This study aims to determine the effect of the concept sentence model with the CLIL approach to the knowledge and skills of writing narrative essays in class V of the Rejang Lebong V. group This type of research is quantitative research using the Quasi Experimental Research method with One Group Pretest and Posttest Design. The population in this study were all fifth grade students of Rejang Lebong Public Elementary School grade A accredited A, totaling 222 students, namely SDN 110, SDN 111, and SDN 114. The sampling technique was using cluster random sampling. The sample in this study consisted of 1 study group, which was an experimental class consisting of 32 students from 111 Rejang Lebong Elementary Schools. The research instrument was used in the form of a 5W + 1H narrative essay knowledge and writing skill given through the pre-test before the learning took place and the post-test after the learning took place. The research data were analyzed using descriptive analysis, prerequisite tests, and inferential analysis, namely one sample t-test. Data were obtained from the results of the study of the average pretest experimental class knowledge (53) and the average pretest experimental class skills (42). While the research data of posttest average experimental class knowledge (68) and posttest average experimental class skills (69). One sample of the results of the t-test is knowledge of the posttest value indicating sig. (2-tailed) (0.468)> ? (0.05). For this reason Ho was rejected. And for the posttest test sample the narrative essay writing skills show sig. (2-tailed) (0.552)> ? (0.05). For this reason Ho was rejected. Because both hypotheses are Ho which is rejected, which means Ha is accepted. Thus it can be concluded that there is an effect of the application of the concept of sentence learning models with the CLIL approach to the knowledge and skills of writing narrative essays in class V SDN Group V Rejang Lebong. The difference is shown after students follow the narrative text learning by applying the concept of sentence learning models with the CLIL approach.
Pengaruh Model Pembelajaran Coreative Problem Solving (CPS) terhadap Kemampuan Berpikir Kreatif Matematika Siswa di Kelas VA SD Negeri 99 Rejang Lebong
Authors: Tria Euis , Susanta Agus , Djuwita Puspa
Published: March 2022

Penelitian ini bertujuan untuk mengetahui pengaruh penggunaan model Creative Problem Solving (CPS) terhadap kemampuan berpikir kreatif Matematika siswa di kelas V A SD Negeri 99 Rejang Lebong. Jenis penelitian ini adalah penelitian eksperimen semu dengan desain The Matcing Only Pretest-Posttest Group Design. Subyek penelitian ini terdiri dari dua kelas yaitu kelas VA sebagai kelas eksperimen dan kelas VB sebagai kelas kontrol. Data dikumpulkan melalui pretest dan posttest. Data diolah dengan menggunakan analisis kuantitatif. Hasil penelitian ini yang pertama menunjukkan bahwa terdapat pengaruh yang signifikan model pembelajaran CPS terhadap kemampuan kefasihan berpikkirkreatif matematika, yang kedua yaitu terdapat pengaruh yang signifikan penggunaan model pembelajaran CPS terhadap kemampuan fleksibilitas berpikir kreatif matematika, dan yang ketiga yaitu terdapat pengaruh yang signifikan penggunaan model pembelajaran CPS terhadap kemampuan kebaruan berpikir kreatif matematika siswa di kelas V A SD Negeri 99 Rejang Lebong. Rekomendasi dari penelitian ini adalah agar setiap guru dapat menggunakan model pembelajaran yang melibaatkan siswa dan dapat mengoptimalkan kemampuan berpikir kreatif di dalam setiap pembelajaran khususnya matematika guna untuk meningkatkan kemampuan berpikir kreatif untuk menjadi lebih baik.Keywords: Creative Problem Solving (CPS), Berpikir Kreatif Matematika
PERANAN SUMPAH SEBAGAI ALAT BUKTI DI DALAM PROSES PERDATA
Authors: Daud Daud
Published: March 2022

Tujuan dilakukannya penelitian ini adalah untuk mengetahui apakah sumpah merupakan alat bukti yang mengikat dan sempurna dalam pemeriksaan perkara perdata di sidang pengadilan dan apakah sumpah merupakan alat bukti dalam pemeriksaan perkara perdata di sidang pengadilan. Dengan menggunakan metode penelitian yuridis normatif, disimpulkan: 1. Pengakuan yang merupakan bukti yang mengikat dan sempurna adalah pengakuan yang dilakukan di muka sidang pengadilan. Pengakuan ini harus diucapkan di muka hakim oleh tergugat sendiri atau oleh seorang yang khusus dikuasakan untuk itu. Pengakuan yang dilakukan di muka hakim itu, tidak boleh ditarik kembali kecuali apabila dapat dibuktikan bahwa pengakuan itu telah dilakukan sebagai akibat dari suatu kekhilafan mengenai hal-hal yang terjadi. Jadi pengakuan yang dikemukakan di sidang pengadilan itu mempunyai kekuatan pembuktian yang lengkap terhadap yang mengemukakan, dan merupakan bukti yang menentukan. Oleh karena itu, apabila ada salah satu pihak yang mengaku, maka hakim harus mengaggap pengakuan itu sebagai benar, dan hal ini akan membawa akibat tidak perlu dibuktikan lebih lanjut tentang tuntutannya yang telah diakui tadi. 2. Sumpah yang merupakan alat bukti dalam perkara perdata adalah: Sumpah yang oleh pihak yang satu diperintahkan kepada pihak lawan untuk menggantungkan putusan perkara kepadanya, yang dilakukan secara lisan dihadapan lawan dan di depan hakim dalam persidangan yang sedang berlangsung, yang disebut sumpah pemutus atau dicissoir. Sumpah yang oleh hakim karena jabatannya, diperintahkan kepada salah satu pihak untuk menambah pembuktian yang dianggapnya kurang meyakinkan, yang disebut sumpah tambahan atau suppletoir.
PENGARUH PENGEMBANGAN KARIER TERHADAP MOTIVASI KERJA PEGAWAI PADA BANK MANDIRI Tbk CABANG USU MEDAN
Authors: Fristy Poppy
Published: March 2022

Tujuan dari penelitian ini adalah untuk mengetahui dan menganalisa pengaruh pengembangan karier pegawai terhadap motivasi kerja pegawai pada Bank Mandiri Tbk. Cabang USU Medan. Pada dasarnya perusahaan bukan saja mengharapkan karyawan yang “mampu, cakap dan terampil”, tetapi yang terpenting karyawan mau bekerja dengan giat dan memiiki motivasi untuk mencapai hasil kerja yang optimal. Pentingnya motivasi karena motivasi adalah hal yang menyebabkan, menyalurkan dan mendukung perilaku manusia supaya mau bekeerja giat dan antusias mencapai hasil yang optimal. Motivasi semakin penting karena manajer membagikan pekerjaan pada bawahannya untuk di kerjakan dengan baik dan terintegrasi kepada tujuan yang di inginkan. Mtivasi adalah pemberian daya penggerak yang menciptakan kegairahan kerja seseorang, agar mereka mau bekerjasama, bekerja efektif dan terintegrasi dengan segala daya upaya untuk meningkatkan kepuasan
PENYELESAIAN SENGKETA KONSUMEN MELALUI BADAN PENYELESAIAN SENGKETA KONSUMEN (BPSK) MENURUT UNDANG-UNDANG NOMOR 8 TAHUN 1999
Authors: Rahmadany Rahmadany , Yusriana Yusriana
Published: March 2022

Badan Penyelesaian Sengketa Konsumen (BPSK) sebagaimana disebutkan dalam UndangUndang No. 8 Tahun 1999 tentang Perlindungan Konsumen (UUPK) yang dibentuk oleh pemerintah, adalah badan yang bertugas menangani dan menyelesaikan sengketa antara konsumen dan pelaku usaha. Pembentukan BPSK ini ditujukan untuk mengatasi liku-liku proses pengadilan yang cenderung lama, formal dan berbelit-belit dengan jalan alternatif penyelesaian sengketa di luar pengadilan berdasarkan asas cepat, sederhana dan biaya murah. Metode pendekatan yang penulis gunakan dalam penelitian ini adalah pendekatan yuridis normatif dan yuridis empiris. Penelitian ini bersifat deskriptif analitis yang mengungkapkan peraturan perundang-undangan yang berkaitan dengan teori- teori hukum yang menjadi objek penelitian. Hasil penelitian ini menunjukan bahwa perlindungan hukum terhadap konsumen sangat perlu diperhatikan dan dilaksanakan sebagaimana yg diatur dalam UUPK. BPSK merupakan suatu lembaga khusus yang dibentuk dan diatur dalam UUPK, yang tugas utamanya adalah menyelesaikan sengketa atau perselisaihan antara konsumen dengan pelaku usaha.
Analisis Perkawinan Campuran Dan Akibat Hukumnya
Authors: Dewi Atika Sandra , Syafitri Isdiana
Published: March 2022

Penelitian ini bertujuan untuk menganalisis perkawinan campuran antar Warga Negara Indonesia dengan Warga Negara Asing menurut Undang-Undang No.1 Tahun 1974 tentang Perkawinan (UUP) dalam perspektif Hukum Perdata Internasional (HPI). Penelitian hukum ini menggunakan jenis penelitian normatif yang memanfaatkan bahan hukum primer, sekunder dan tertier dalam pengkajiannya. Pengumpulan bahan menggunakan studi literatur. Berdasarkan penelitian bahwa perkawinan warganegara yang berbeda kewarganegaraan , maka hukum yang berlaku bagi mereka juga berlainan. Undang-Undang Perkawinan tidak mengatur dengan tegas mengenai akibat hukum yang timbul dari perkawinan campuran. Ketentuan yang mengatur mengenai akibat hukumnya  adalah Pasal 62 yang mengatur  bahwa kedudukan anak dari perkawinan campuran diatur sesuai dengan Pasal 59 ayat (1) dimana kewarganegaraan yang diperoleh menentukan hukum yang berlaku. UU  No.12  Tahun  2006     memberikan perlindungan bagi perempuan yang menikah dengan Warga Negara Asing dan anak-anak   dari hasil perkawinan campuran dan telah menghapus aturan kewarganegaraan yang bersifat diskriminatif.
PENGARUH KESELAMATAN DAN KESEHATAN KERJA (K3) TERHADAP KINERJA KARYAWAN PADA PT. XL. AXIATA MEDAN
Authors: Budhiartini Dewi
Published: March 2022

Peningkatan kinerja karyawan dalam perusahaan ditandai dari hasil kerja dan prestasi kerja yang dicapai. Peningkatan kinerja karyawan dalam perusahaan akan tercapai apabila perusahaan memperhatikan keselamatan dan kesehatan kerja (K3), memberikan motivasi kepada para karyawan dalam upaya mengembangkan segala kemampuan dan skill dalam bentuk pendidikan, latihan, pemberian insentif, penggunaan fasilitas kerja yang lengkap dan modern, sampai dengan penciptaan lingkungan kerja yang kondusif. Hal tersebut diatas akan dapat memacu semangat para karyawan sehingga pencapaian kinerja yang baik sesuai dengan harapan perusahaan dapat direalisasikan. Tujuan penelitian ini Untuk mengetahui pengaruh program keselamatan dan kesehatan kerja (K3) terhadap peningkatan   kinerja karyawan di PT.XL AXIATA Medan. Untuk mengetahui hambatan yang dijumpai dalam melaksanakan keselamatan dan kesehatan kerja (K3) terhadap peningkatan   kinerja karyawan di PT.XL AXIATA Medan.
Manhaj asy-Syaikh Nawawi al-Bantāni fi ‘Ardh al-Qirā’āt
Authors: Hana Natasya
Published: March 2022

This research discusses the Qirā’āt in Tafsīr al-Munīr li Mā'alim at-Tanzīl al-Mufassar 'an Wujūh Mahāsin at-Ta'wīl known as Tafsīr Marāh Labīd Li Kasyf Ma’na Al-Qur’ān al-Majīd by Shaykh Nawawi al-Bantāni. He has been highly recognized as a commentator (Mufassir). His works are still being refered extensively in Indonesia to this day. His tafsir contains a lot of discussion about qirā’āt. The tafseer contained various kinds of qirā’āt. Among them are qirā’āt mutawātirah, qirā’āt āhad, qirā’āt syādzdzah, qirā’āt narrated by companions and tabi'in, and sometimes Syaikh Nawawi incorporates various narrations in one verse. The author also attributes  every qirā’āt to it's reader  and it's narrations, and also to the inhabitants of a country, and the Public acknowledgment or 'al-bāqīn' (other readers those mentioned), or to' āmmah '. Sometimes it also does not attribute to anyone. Syaikh Nawawi also mentions qirā’āt which stated in manuscripts and private manuscripts  of the Ǻahaby.  He also mentions the 'waqaf' dan 'ibtida' in the interpretation in that verse. Sometimes he states 'qirā'āt mutawātirah' and ‘qirā’āt syādzdzah’ but only in a few places. Also he do 'tarjih' on some qira'at. Shaykh Nawawi also gives 'taujih' to qirā'āt mutawātirah and syādzdzah and reveals it's 'illat' as well as reasons for it in terms of language, nahwu's and other disciplines and implications resulting from the taujih to the field of theology and islamic jurisprudence.
Thermal Comfort Analysis of Moisture Management Treated Cotton Fabrics for Sportwear
Authors: Insook Ahn
Published: March 2022

Active seniors have not been the priority target market for retailers and apparel companies in the past. Yet, they present an opportunity: the silver population is projected to drive 45%-60% of the consumption growth in major countries in the next 15 years. Therefore, the purpose of this study is to develop safari jacket designs targeting active senior women. Four research objectives were as follows: (a) identify what items active senior women wear the most as casualwear and the reasons for choice by in-depth interview; (b) conduct a street photography survey in seven locations in Seoul, Korea by taking photos of active senior women wearing safari jackets to verify the results of the first in-depth interview; (c) find the material of the safari jacket to develop the safari jacket design by a second in-depth interview; and (d) derive a total of nine safari jacket designs utilizing the gathered data. With the results of this study, we developed and proposed three different styles of Safari jackets to meet the needs of the senior women in Korean market. More importantly, this study gives an insight to international brands who are trying to penetrate Korean market but previously failed to consider Korean active senior market’s unique characteristics.
Thermal Comfort Analysis of Moisture Management Treated Cotton Fabrics for Sportwear
Authors: Dahua  Shou
Published: March 2022

The COVID-19 pandemic has posed great challenges to the learning and teaching in universities. While addressing this crisis, the teachers and students have recognized the coexistence of the challenge and opportunity. The pandemic has not only changed education dramatically, with the distinctive rise of e-learning and remote teaching, but also brings the latest fashion technologies such as intelligent wearables and advanced textiles to citizens including the university students. Following this trend, we provide a case study in fashion and wearable technology subjects by putting the COVID-19 in a context of teaching and learning. We have proposed varied assignments and encourage students to work on teamwork and group projects related to the COVID-19. Particularly, development of a wearable cooling mask is demonstrated and discussed as a study case, which has significantly improved interest of the students and their understanding of knowledge in fashion technologies.
An Overview of the Basic Knowledge of Levonorgestrel-Releasing Intrauterine System
Authors: Jiming Chen
Published: March 2022

Levonorgestrel-releasing Intrauterine system (LNG-IUS, Mirena) is a very safe, efficient, long-acting and reversible intrauterine device, which releases high-efficiency at a daily dose of 20ug Progesterone mainly acts on the part of the endometrium, causing the endometrial glands to shrink. A large number of studies have fully proved that LNG-IUS is not only effective in contraception, but also widely used in non-contraceptive fields. LNG-IUS is effective in treating gynecological diseases such as menorrhagia and dysmenorrhea. In addition, LNG-IUS is also used in endometriosis, adenomyosis, endometrial polyps, endometrial hyperplasia, and early endometrial cancer. Reversal of cancer and endometrial protection in breast cancer patients. This article will briefly summarize the basic knowledge of LNG-IUS and the clinical application of LNG-IUS in gynecological diseases.
Common Placental Abnormalities Review
Authors: Lazebnik Noam
Published: March 2022

The placenta is comprised of specialized epithelial cell types, collectively referred to as trophoblast cells, situated among mesenchymal cells and vasculature, at the maternal-fetal interface. Trophoblast stem and progenitor cell populations give rise to specialized trophoblast cell lineages these cells differentiate into trophoblast giant cells, spongiotrophoblast cells, glycogen trophoblast cells, invasive trophoblast cells, and syncytiotrophoblast.