bluuebunny/crossref_metadata_2025_split huggingface dataset:
Case Report: Diagnosis and Management of Long-Standing Essential Hypertension on a Teenager
Authors: Moreta Miguel 
Published: March 2023

Background: Hypertension affects about one third of the worldwide adult population, in patients aged 18 to 39, prevalence of hypertension is 7.3%. The risk factors for primary hypertension in young adults are the same as in older adults, which include family history of hypertension, poor diet with excess intake of sodium, lack of physical activity, obesity and excess intake of alcohol or tobacco smoking. The treatment of choice for essential hypertension in young adult are lifestyle changes but there is no consensus on the role pharmacological treatment in young hypertensives.

The Case: A 19–year–old patient present with a worsening five–year history of palpitations felt in the abdominal region, tachycardia and high blood pressure. He had a body mass index of 31.3 kg/m2, suboptimal diet and level of physical activity (though he was previously very active) and a family history of essential hypertension. Possible secondary causes of hypertension were ruled out and a diagnosis of essential hypertension was reached through 24–hour ambulatory blood pressure monitoring. The patient was treated with a combination of 5mg amlodipine and 5mg bisoprolol per day as well as lifestyle changes.

Conclusion: This case highlights the increasingly young age of presentation of essential hypertension, especially since the patient refers presence of symptoms as early as 14 years old when he had a relative lack of risk factors. It is important to rule out other potential causes of hypertension in young adults before making a diagnosis of essential hypertension.
Análise do bloqueio peridural em pacientes pediátricos: uma revisão sistemática
Authors: Santana Natan Augusto de Almeida , Santana Alexandre Augusto de Andrade , De Freitas Yuri Borges Bitu , Tessari Bernardo Malheiros , Póvoa Gustavo Rodrigues , Landim Gregor Moraes , Sá Isabela de Paula , Do Prado Gabriel Corrêa 
Published: March 2023

INTRODUÇÃO: O desenvolvimento de bloqueios nervosos periféricos e centrais permitiram a redução de concentrações de doses de medicamentos sistêmicos, melhorando a estabilidade hemodinâmica, especialmente em pacientes de alto risco, como prematuros e recém-nascidos. Grupo esse que, devido à imaturidade do SNC, pode desenvolver depressão respiratória perioperatória. OBJETIVO: Compreender as indicações e riscos para bloqueio peridural em pacientes pediátricos. MÉTODO: Trata-se de uma revisão sistemática, na base de dados da PubMed, com os descritores: “spinal anesthesia” AND “pediatrics”, nos últimos 10 anos. Foram selecionados 8 artigos científicos, com texto completo e gratuito. RESULTADOS: O bloqueio peridural caudal mostra-se como uma técnica de anestesia regional amplamente administrada, a qual tem se demonstrado segura e eficaz, capaz de oferecer analgesia perioperatória e pós operatório com deambulação precoce, além de estabilidade hemodinâmica e respiração espontânea em grupos de pacientes com via aérea difícil. Contudo, o principal risco envolvendo essa técnica é a contaminação bacteriana dos cateteres caudais. Além disso, são raras as complicações graves, como meningite, abscesso epidural ou sepse sistêmica, e a abordagem de Taylor modificada pela linha média auxilia no controle do risco de infecção. Ademais, o uso de bloqueio caudal de injeção única mostrou-se eficiente para controle de dor neuropática persistente após procedimentos cirúrgicos ambulatoriais, como correção de hérnia inguinal e orquidopexia. CONCLUSÃO: Diante do exposto nota-se que o bloqueio caudal é eficaz e seguro no âmbito da pediatria. Nos casos de contraindicação por infecção local ou presença de anomalias espinhais e meníngeas, sugere-se cautelosa análise de risco-benefício e investigação anatômica por exames de imagem. A punção guiada por ultrassonografia auxilia na identificação de pequenas estruturas e permite a visualização da dispersão do anestésico local, melhorando as taxas de sucesso e aumentando sua duração. Por fim, apesar de todas as informações coletadas, mais estudos sobre esta questão são necessários.
Thoughts on Writing Teaching Based on the Core Quality of English Subject
Authors: Zhang Chaoqun 
Published: March 2023

The teaching quality of writing class will affect the cultivation and promotion of students 'core literacy , the implementation and completion of the writing task is students' comprehensive embodiment of reading comprehension ability, logical thinking ability and communication expression ability, but there are many problems in the current English writing class: the writing purpose is not clear, lack of teacher’s guidance on students’ writing process and the evaluation criteria is single, these cause students are short of strong writing intention and enough language support to write a coherent and logic, fluent and beautiful article. This paper aims to analyze the above problems, think about the construction of English writing teaching mode in junior high school, and put forward some relatively superficial suggestions for writing teaching.
ANALISIS PENANGANAN CLEARANCE SISTEM INAPORTNET PADA PT. KARTIKA SAMUDRA ADIJAYA CABANG BATULICIN
Authors: Rosariasanti Irnita , Wardhana Andri Ali , Tulus Cocon Adi 
Published: March 2023

Pertumbuhan jumlah perusahaan pelayaran di Indonesia, maka persaingan usaha di bidang pelayaran akan semakin ketat. Oleh karena itu, perusahaan pelayaran harus memiliki seorang operasional yang handal dalam menghadapi ketatnya persaingan. Faktor yang menentukan efektif dan efisiensinya operasional kapal di pelabuhan adalah hubungan yang kondusif serta perlu adanya koordinasi yang baik dengan instansi atau pihak-pihak yang berkepentingan dalam operasional kapal selama di pelabuhan seperti pihak syahbandar, kantor immigrasi, bea cukai, kantor karantina kesehatan pelabuhan, polisi air laut, kesatuan penjagaan laut dan pantai, agar meminimalisir keterlambatan kapal datang maupun berangkat sebuah kapal. Dalam pelaksanaannya sendiripun banyak perusahaan pelayaran maupun pemilik kapal dapat mengurusi kebutuhan kapal- kapalnya sendiri, oleh karena itu, diperlukan adanya penunjukan keagenan guna memperlancar kegiatan kapal disetiap pelabuhan yang akan dikunjungi contohnya di PT. Pelindo III Indonesia cabang Batulicin.
Adapun jenis pendekatan penelitian ini adalah deskriptif. Penelitian deskriptif yaitu penelitian yang berusaha untuk menuturkan pemecahan masalah yang ada sekarang berdasarkan data-data, dengan lebih banyak bersifat uraian dari hasil wawancara dan studi dokumentasi. Data yang telah diperoleh akan dianalisis secara kualitatif serta diuraikan dalam bentuk deskripsi.
Hasil pembahasan pada proses penyelesaian clearance kapal pada PT. Katika Samudra Adijaya Cabang Batulicin telah berubah dari sistem manual menjadi sistem online atau menggunakan Inaportnet. Penyelesaian clearance kapal menggunakan sistem Inaportnet melalui beberapa tahap yakni, persiapan, proses clearance in, mulai dari sebelum kapal datang dan pada saat kapal sandar di pelabuhan, dan proses clearance out. Agen mengajukan layanan kapal keluar melalui sistem Inaportnet dengan mengupload data agar bisa diakses oleh penyelenggara pelabuhan (Otoritas Pelabuhan), Pelindo, beberapa Laporan Kedatangan Kapal (LKK), dan Lapporan Kedatangan dann Keberangkatan Kapal (LK3). Setelah semua dokumen clear dan dokumen selesai diperiksa, agen membawa kembali dokumen ke atas kapal untuk diserahkan kepada nakhoda dan dokumen kapal diperiksa kembali oleh nakhoda.
The influence of anthropogenic human activity on the components of the environment in a rural settlement of the Khmelnytsk region
Authors: Davydiuk H.V. , Shkarivska L.I. , Klymenko I.I. , Dovbash N.I. , Kushchuk M.A. , Hirnyk V.V. 
Published: March 2023

Aim. To analyze the state of the soil, natural waters and vegetable products to identify the negative impact of anthropogenic pressure on the residential area of the village. Samchyky Khmelnytsky district, Khmelnytsky region. Methods. The method of route monitoring was used for the research. Chemical-analytical studies were carried out by methods that correspond to the regulatory framework of Ukraine. Results. The analyzed soil samples had a very high content of mobile compounds of phosphorus from 1010 to 1685 mg/kg and potassium 332 mg/kg to 420 mg/kg. The content of lead in some soil samples taken at the fallow and vegetable gardens exceeded the MPC. In the water of wells, water pipes and sources, no excess of drinking and household standards was found, except for one of the wells, where the total hardness index was 11 meq/l (standard 10 meq/l) and the calcium content was 154.3 mg/l (standard 130 mg/l). In the river of Sluch, a slight excess of the reaction of the medium pH - 8.6 (standard 6.5–8.5) and the content of Р2О5 – 0.9 mg/l (standard 0.46 mg/l) was noted. In all analyzed samples of vegetable products, nitrate contamination was not found, but almost all of them did not meet sanitary and hygienic standards for the content of lead, cadmium and nickel. Conclusions. Consequently, the analysis of the state of the residential area with. Samchyky Khmelnytsky district, Khmelnytsky region showed that one of the main factors influencing its ecological safety is the anthropogenic load, which leads to the accumulation of biogenic elements and pollutants in soils, natural waters and vegetable products. Monitoring the state of residential areas and establishing the features of migration and accumulation of biogenic elements and ecotoxicants is a promising area of research for the development of measures to prevent pollution of soil, groundwater, open water bodies and crop products.
UPAYA KEPOLISIAN DALAM MENANGGULANGI TINDAK PIDANA PENCURIAN OLEH ANAK DI WILAYAH HUKUM POLSEK TAMPAN
Authors: S Zulkarnain 
Published: March 2023

Abstrak
Masyarakat modern yang serba komplek, sebagai produk kemajuan teknologi, mekanisasi, industrialisasi dan urbanisasi memunculkan banyak masalah sosial . Maka usaha adaptasi atau penyesuaian diri terhadap masyarakat modern yang sangat komplek itu tidak mudah. Kesulitan mengadakan adaptasi menyebabkan banyak kebimbangan, kebingungan, kecemasan dan konflik, baik konflik eksternal yang terbuka maupun internal dalam bathin sendiri yang tersembunyi dan tertutup sifatnya. Sebagai dampaknya anak lalu mengembangkanpola tingkah laku menyimpang dari norma-norma umum dengan jalan berbuat semau sendiri demi keuntungan sendiri dan kepentingan pribadi, kemudian mengganggu dan merugikan pihak lain, maka sengaja atau tidak sengaja menjadikan anak melakukan tindakan yang merugikan diri sendiri dan masyarakat sekelilingnya, hal ini juga terjadi wilayah hukum Polsek Tampan.
Polsek Tampan yang berada di wilayah kecamatan Tampan kota Pekanbaru mengalami perkembangan yang cukup pesat serta jumlah penduduk yang padat terdiri atas berbagai macam suku, agama dan budaya yang berbeda, maka angka kejahatan yang di lakukan oleh anak juga sangat memprihatinkan,khususnya tahun 2021.terutama jenis tindak pidana yang sangat menonjol adalah pencurian, perampasan sePeda motor yang di lakukan oleh kaum remaja, kejahatan tersebut sangat meresahkan masyarakat maka perlu dicari penyelesaiannya secara konfrehensif.
Abstract
Modern society which is copletely complex, as a product of technological progress mechanization, industrialization , urbanization raises many social problems. So the effort to adapt or adjust to a very complex modern society is not easy . Difficulty adapting causes a lot of indecision, confusion, anxiety and conflict. As a result, children develop patterns of behavior and then deviate from general norms by doing whatever they want for ther own benefit and personal interests, then disturbing and harming other parties , then intentionally or unintentionally make children do actions that are detrimental to themselves and the community around them. Especially in the jurisdiction of the Tampan Police, number of crime committed by children is very concerning, especially in 2021 , the most prominent types of crime are theft , the seizur of motorbikes by teenagers, these crime are very disturbing to the community , so it is necessary to find a comprehensive solution comprehensive
Hukum Syuro’ dalam Sistem Pemerintahan Islam
Authors: Zaini Muhibuddin 
Published: March 2023

Abstrak
Islam agama yang sangat banyak dianut umat manusia didunia, Pew Research Center (PRC) menurut hasil risetnya, diperkirakan tahun 2070 Islam akan dianut oleh kebanyakan penduduk dunia dan penentu masa depan peradaban dunia. yang mengakibatkan akan terjadi transformasi sistem pemerintahan dunia melaksanakan roda pemerintahan menggunakan sistem pemerintahan islam dengan ketetapan Hukum Syuro’.Penelitian ini bertujuan mengetahui bagaimanakah Hukum Syuro’ dalam Sistem Pemerintahan Islam. Metode yang digunakan tercakup dalam penelitian hukum normatif. Hasil Penelitian menemukan bahwa dalam Sistem Pemerintahan Islam hukum Syuro’ tidak bisa lepas dari ajaran islam, sehingga Al-Qur’an dan hadis menjadi dasar hukum pemerintahan dan pemerintah. syuro’ memiliki karakter hukum bersifat wajib, bersifat pilihan, bersifat mengikat atau keterkaitan.Penulis menyarankan dalam konteks mengimplementasikan Hukum Syuro’ terhadap sistem pemerintahan Islam, diperlukan suatu ketaatan dan kesadaran dari umat Islam terhadap keputusan yang dikeluarkan oleh pemerintah melalui hasil Syuro’, sehingga Hukum yang ditetapkan menjadi bersifat wajib dan mengikat tanpa ada bersifat pilihan.
Abstract
Islam is very much embraced the human race in the world, one of the institutes in the United States were named Pew Research Center (PRC) argues through his research, Islam was about to become the religion professed by the majority of the world's population, which is estimated established in 2070. interpret Islam determining the future of world civilization which resulted in the magnitude of the change in the world government system carrying out the wheels of government through an Islamic government system with the provisions of theLaw Syuro’. This study focuses on discussing how theLaw is Syuro’ in the Islamic Government System, which aims to find out how theLaw is Syuro' in the Islamic Government System. The method used in this research is covered in normative legal research. With special specifications on the study of documentation, collecting data and documents needed, namely citing, reviewing, and adapting material from books (literature) or literature searches that have to do with the problems discussed, both in the form of books, papers and articles. articles and other scientific writings that are considered representative. The type of research used is descriptive using a Conceptual Approach and a Historical Approach. The results of the study found that in the Islamic Government System, thelaw Syuro' cannot be separated from Islamic teachings, so that the Qur'an and hadith become the legal basis for Islamic government, for a government to exercise its authority. according to experts and scholars, '' law Syuro’ has a legal character based on its nature, some are mandatory, optional, binding or related.
PENYELESAIAN PERSELISIHAN HUBUNGAN INDUSTRIAL ANTARA PEKERJA KONTRAK PADA PT. SURVEYOR INDONESIA CABANG PEKANBARU MELALUI MEDIASI OLEH DINAS TENAGA KERJA DAN TRANSMIGRASI PROVINSI RIAU
Authors: Puspita Rahmania , S Thamrin , Febrianti Lidia 
Published: March 2023

Mediation is a dispute resolution outside the court that present a third party referred to as a mediator. The settlement of industrial relations disputes between contract workers and PT. Surveyor Indonesia Pekanbaru branch refers to law No. 2 of 2004 and the role of the mediator in the settlement of this dispute is considered quite good.

Keywords :Work Termination, Industrial relations dispute, Mediation, The role of mediator
Análisis geoespacial de transmisión del SARS-CoV-2 haciendo uso de componentes principales para la reducción de dimensiones
Authors: Damelines Pareja Juliana , Ríos Oliveros Sofia , Rubio Sáenz Javier , Serrano Medina Juan David , Piñeros Chía Kimberly , Moyano Romero Diane 
Published: March 2023

Las tecnologías de información geográfica y el análisis geoestadístico permiten focalizar la observación analítica en los entornos donde se desarrolla la vida de las personas por medio de los datos cuantificables y localizados que hablan del territorio, orientando las acciones de salud y la gestión de los recursos de manera costo-efectiva. Frente a la emergencia sanitaria, los sistemas de información geográfica visibilizaron la configuración del evento de interés COVID-19 y su progresiva expansión. Se utilizó una metodología de parcelación espacial en Bogotá, por la cual se delimitaron cuadrantes con el fin de observar constantes y medir variables de interés epidemiológico y espacial para el virus SARS-CoV-2. Asimismo, a través de un análisis factorial de componentes principales fue posible agrupar dos grupos de variables que se definieron como “Transmisibilidad” y “Severidad”.
Entre los resultados se obtuvo una escala de “gravedad” y su respectiva medición para cada cuadrante (parcela) que fue calculada semanalmente desde mayo de 2020, y usada hasta la fecha de edición del presente artículo con miras a la búsqueda activa de personas potencialmente transmisoras o que puedan tener complicaciones en su estado de salud debido al COVID-19.
Los resultados que se presentan han permitido mejorar la gestión y planeación en salud pública en lo referente a la configuración del COVID-19, así como evidenciar la necesidad de realizar este tipo de análisis como herramienta dirigida a fortalecer la gobernanza en la toma de decisiones.
ESTRATEGIAS DIDÁCTICAS PARA LA RESOLUCIÓN DE PROBLEMAS MATEMÁTICOS EN JOVENES DE GRADO NOVENO
Authors: Noida Ivonne Gómez M.  
Published: March 2023

El estudio de la matemática conlleva a concretar aspectos inherentes al desarrollo del pensamiento, por esta razón, la presente investigación se plantea como objetivo general: Proponer estrategias didácticas para la resolución de problemas matemáticos en jóvenes de grado noveno de la institución educativa Carlos Ramírez Paris sede Nuestra Señora de Monguí, para tal fin, se seleccionó el paradigma de investigación cuantitativo, mediante un nivel descriptivo, con un enfoque de campo y mediante el tipo de proyecto factible que permite el planteamiento de las fases de diagnóstico, factibilidad y diseño, de esta manera, se seleccionó como población a los estudiantes del grado noveno de la referida institución a quienes se les aplicó un instrumento de recolección de la información tipo cuestionario estructurado, para tal fin, fue necesaria la aplicación de la validación mediante el juicio de expertos y la confiabilidad mediante el Alpha de Cronbach, el análisis de los datos se llevó a cabo mediante la estadística descriptiva, a los docentes se les aplicó un instrumento para medir la factibilidad de aplicación de las estrategias. Los resultados del estudio fueron: Existe una escasa puesta en práctica de estrategias didácticas innovadoras por parte de los profesores y de una manera global se puede denotar una gran factibilidad en la aplicación de las estrategias didácticas para la resolución de problemas matemáticos en la asignatura.
GUIA DIDÁCTICA PARA OPTIMIZAR LA ESCRITURA EN NIÑOS DE EDUCACIÓN PRIMARIA
Authors: Luz Marina Toloza  
Published: March 2023

El presente artículo constituye un esbozo del trabajo de grado de maestría en innovaciones educativas, el cual parte de comprender a la escritura como uno de los medios que emplea el hombre para su comunicación con los demás. Al respecto, la presente investigación se planteó como objetivo general: proponer una guía didáctica para optimizar la escritura en niños de educación primaria, de la Institución Educativa Carlos Ramírez Paris, para tal fin, se desarrolló una investigación cuantitativa, desde el enfoque de campo, ubicada en un nivel descriptivo, por lo cual, se desarrolló un proyecto factible, para lo cual, se tomó como población a los docentes de educación primaria los cuales suman un total de 32 sujetos de la referida institución a quienes se les aplicó un instrumentos con ítems cerrados, el cual, se sometió a la validación por parte del juicio de expertos y a la confiabilidad mediante el coeficiente Alpha de Cronbach, arrojando un 0,95 de coeficiente para una muy alta confiabilidad la interpretación de los datos se desarrolló mediante la adopción de tablas y gráficos porcentuales. En los resultados se logró establecer que las estrategias que prevalecen son la grafía y las visuales, no se emplean estrategias lúdicas ni creativas en la optimización de la escritura, de igual manera, los docentes demandan de la creación de una guí8a didáctica, debido a que posee una alta factibilidad, por ello, se generaron un cuerpo de estrategias didácticas que forman parte de la guía didáctica para la optimización de la escritura en la educación primaria.
New Interpretations of Data about South Slavic Gentes from the De Administrando Imperio of Byzantine Emperor Constantine VII Porphyrogenitus (944-959)
Authors: Živković Tibor 
Published: March 2023

This paper presents an overview of historical research of one of the most important documents for the earliest history of South Slavs – the De administrando imperio by the Byzantine Emperor Constantine VII Porphyrogenitus (944–959). It is evident that previous researchers investigated this work according to a black/white, correct/incorrect template and that the most important things remained unanalysed – where does all this information come from, who collected it and when, for which occasion was it written and with which aim? The researchers posed of the source legitimate questions but in an incorrect order. The firstthing which should have been asked is: on what sources is the work based on, when and where was it written, and who wrote it. Beside the historiographic part of the work, the author, using his own methodological template, also provides information about the newest results in the study of this historical text. He argues that the Emperor’s main source on the settlement of theSouth Slavic peoples on the Balkan peninsula was the now lost work titled De conversione Croatorum et Serborum. Including this element into research allows us to understand some of the Emperor’s claims which but which were never properly understood by historians.