bluuebunny/crossref_metadata_2025_split huggingface dataset:
To assess the prevalence of clinical and subclinical cardiac autonomic dysfunction in adolescent with family history of hypertension and adolescent with prehypertension; correlating with adolescent anthropometric parameters
Authors: Herlekar Shantala S. , Kapparrad Deeksha 
Published: August 2022

Objectives:
Hypertension (HTN) is an inherited disorder and these patients manifest with cardiac autonomic dysfunction (CAD). The present study intends to assess the presence of pre HTN, clinical and subclinical CAD in adolescents with a family history of HTN, and to obtain its correlation with anthropometric values.

Materials and Methods:
After obtaining ethical clearance and informed consent, three groups containing 50 subjects each, of age 17–19 years were included in the study. (Group-I: Normotensives without a family history of HTN; Group-II: Normotensives with a family history of HTN and Group-III: prehypertensives). CAD was done by performing (1) resting tachycardia, (2) loss of sinus arrhythmia, and (3) heart rate response to the Valsalva manoeuvre. If any two of them are positive then the presence of CAD was confirmed.

Results:
Height, weight, BMI, SBP and DBP was significantly higher in group 3 (prehypertensives). Confirmed CAD findings was seen in 36% of group 2 and 46% of group 3 participants. Of the anthropometric parameters, a significant positive correlation was seen between weight and SBP, DBP and CAD parameters, and height with SBP and DBP.

Conclusion:
Clinical and subclinical CAD exists in adolescents with risk factors for HTN including heredity, obesity, and pre-HTN values. These risk factors show multiplicative effects for disease genesis and indicate high sympathetic and low parasympathetic drives. Extra care should be taken to curb the onset of clinical HTN and CAD in these young adults. Additional work needs to be done on pathophysiological mechanisms for the same.
Blood pressure trend of lowlanders during first 6 days of acclimatisation to high altitude
Authors: Singh Krishan , Shekhar Atul , Singh Santosh Kumar , Kumar Rakesh , Yadav Arun Kumar , Manimaran P. , Sethy Niroj Kumar 
Published: August 2022

Objectives:
The present study was planned to delineate the blood pressure (BP) response of the lowlanders during initial 6 days of acclimatisation to high altitude.

Materials and Methods:
398 normotensive sojourners at sea level ascended to HA (3,500 m). Blood pressure response of these subjects were analysed for 6 consecutive days at HA. Based on the BP response of these subjects on the 6th day at HA they were divided into two groups: HBP-high BP group and NBP- normal BP group.

Results:
It showed that on 6th day at HA, 51 out of 398 subjects presented with BP≥140/90 mmHg (HBP) while others remained normotensive (NBP). Comparative systolic BP of HBP and NBP groups during successive days at HA were as follows: HA day 1 (146.8 ± 13.7 mmHg vs 146.3 ± 8.8 mmHg, p>0.05), HA day 4 (144.5 ± 8.7 mmHg vs 135.0 ± 7.0 mmHg, p<0.05) and HA day 6 (148.1 ± 7.9 mmHg vs 131.7 ± 5.3 mmHg, p<0.05). Whereas, diastolic BP of HBP and NBP groups were: HA day 1 (94.0 ± 8.1 mmHg vs 93.2 ± 6.6 mmHg, p>0.05), HA day 4 (88.9 ± 6.0 mmHg vs 85.3 ± 5.1 mmHg, p<0.05) and HA day 6 (93.8 ± 6.3 mmHg vs 83.7 ± 3.8 mmHg, p<0.05).

Conclusion:
It was found that NBP had initially raised BP which returned to normal levels after acclimatisation period of 6 days, but in HBP, it started rising after 4th day. It can be concluded that those individuals whose BP on 6th day at HA does not return to normal after acclimatisation period needs regular follow up as these individuals can have a delayed acclimatisation normalising BP later on or can become hypertensive subsequently.
Clinical Profile of Diabetic Nephropathy and its Correlation with Neutrophil-Lymphocyte Ratio in Type 2 Diabetes Mellitus
Authors: Murughesh M. E. , Holay Madhuri , Patil Prashant , Tayade Parimal 
Published: August 2022

Objectives:
Diabetic nephropathy (DN) is a microvascular complication of diabetes. It manifests clinically as albuminuria which is the precursor of end-stage renal failure. This is considered to be an inflammatory process. In recent past, it has been reported that the neutrophil-lymphocyte ratio (NLR) may be a favourable indicator of the inflammatory status. It is cost effective and easily accessible marker. The present research was undertaken to study the clinical profile of DN and to see the association between NLR and DN in patients with type 2 diabetes mellitus (DM).

Material and Methods:
A total of 210 patients were enrolled, of them 105 healthy individuals without diabetes were taken as controls and cases were 105 subjects with type 2 diabetes. Patients were, further, divided based on urine albumin creatinine ratio (UACR) into DM without nephropathy (UACR <30 mg/g) group and DM with nephropathy (UACR >30 mg/g) group. For intragroup comparison, DM with nephropathy group was, further, divided into microalbuminuria (UACR 30–300 mg/g) and macroalbuminuria (UACR >300 mg/g).

Results:
NLR was found significantly increased (P < 0.0001) in patients with DN (2.81 ± 0.51) as compared with DM without nephropathy (2.12 ± 0.64) and healthy adults (2.06 ± 0.29). However, NLR value was unable to differentiate between patients with microalbuminuria and macroalbuminuria. There was a significant correlation between NLR and DN in type 2 diabetes while there was no statistically significant difference in distribution of NLR in different stages of chronic kidney disease.

Conclusion:
NLR can be used as a novel biomarker of DN in patients with type 2 DM.
ENDOPHASE FORM OF SPEECH IN POSTMODERN DISCOURSE (BY THE EXAMPLE OF THE STORY OF S. ANDRUKHOVYCH “FELIX AUSTRIA”)
Authors: Torchynska Nataliia 
Published: August 2022

The article deals with the works, the objects of which are different forms of improper direct speech representation by the example of Ukrainian and foreign language artistic discourses. Turning to human inner world, the ambiguity of his thoughts, feelings, behavior encourages writers to choose a certain style of presentation, where endophasy, ie internal, improperly direct, forms of actors' speech played an important role. The lack of single clear structure, typology and definition of the essence of improper direct speech in scientific research is due to the constant evolution of artistic speech, individual styles of writers who, even in their own works, can change the ways of representing a foreign language. The purpose of the article is to characterize the specifics of improper direct speech construction, to find out the functions of endophasy (inner) forms which Sofia Andrukhovych used in the novel “Feliх Austria”. The analysis focuses on the syntactic (availability of specific syntactic constructions), lexical (the use of subjective-evaluative lexemes with positive and negative connotations), morphological (the use of appropriate verbal-pronominal units), structural (representation of a certain number of sentences – from syntactically unarticulated construction to a complex syntactic integer) aspects that are inherent in the design and separation of inner speech in postmodern discourse. Thus, endophasy (inner) forms of speech in the novel is aimed at understanding their “I”, knowledge of the inner world, determining their own place in society, trying to find motivation for their own actions and people around them.
SEMANTIC AND PSYCHOTHERAPEUTIC FEATURES OF UKRAINIAN LULLABIES
Authors: Nykoliuk Tamara , Shkliaieva Natalia , Shkliaieva Iryna 
Published: August 2022

It has been found that modern parents sing lullabies, but they do not remember them, while the collections collected by informants born in the 23-30s contain 100-200 lullabies. It is found that Ukrainian lullabies are the way of interaction between the performer and the child and are a kind of influence on the baby’s sensory system. Using the theory of D. Grinder and R. Bandler, the linguistic (discrete) map of lullabies is analyzed and it is determined that the images in lullabies are presented in visual, auditory, kinesthetic, olfactory, gustatory representative systems. The greatest influence by the performer to the listener is through kinesthetic and visual systems. The soothing effect of lullabies is in the monotony achieved through simplicity of content and with the help of anaphora. In some lullabies, language constructions are similar to the incantation. In some texts of lullabies a certain positive picture of the world about the happy future life of the child is formed. The girls have different pictures than boys. Some lullabies celebrate an attractive life, such songs perform a therapeutic function. Some lullabies resemble a notebook: the performer “chants” the next plans for the day. Cradles have the effect of situational psychotherapy, in which the mother complains to the child her own worries, for example, she complains that she has been left a widow or complains that her family has left her. Many songs reveal not only the psychological state of the performer, but also the physical (mostly a fatigue state). A separate type of lullabies are those that use the technique of cartoons. There are also cursing lullabies. Lullabies like fairy tales at night have a narrative character. These are simple stories in a song form.
A Commentary: Education in Canada - Does Anyone Read Our Constitution?
Authors: Phillips Ron S 
Published: August 2022

Education in Canada is generally considered to be within the exclusive domain of the thirteen provincial and territorial governments. There are numerous statements or writings from politicians, textbook authors, federal and provincial governments, researchers, newspaper columnists, as well as education organizations that state unequivocally that education in Canada is the exclusive jurisdiction of the provinces and territories. Some statements indicate that the federal government has no constitutional role in education. Such misinformation and beliefs have had severe consequences for First Nations as Canadians absolve federal inaction in First Nations education because ‘education is a provincial responsibility’. However, education in Canada is the constitutional responsibility of both the federal and provincial/territorial governments. This article will examine the federal government’s constitutional responsibility in education, as well as the consequences of the misinformation.
Graduate Literacy Students’ Reading Completion
Authors: Rak Linda , Olmstead Kathleen , Zhang Jie , Pelttari Carole 
Published: August 2022

Course reading completion enhances student learning and helps deepen students’ thinking about concepts and ideas presented in class. To better understand the students’ reading completion and the factors which impact course reading compliance, the researchers engaged in an action research with 434 students enrolled in six graduate level literacy courses, or 28 classes, over nine years from 2009 through 2017. The researchers shared the results and discussed recommendations to Literacy instructors for course improvement.
Pengembangan Instrumen Soal HOTS pada Materi Operasi Hitung Bilangan Bulat Positif untuk Meningkatkan Literasi Numerasi Siswa Kelas II SDN 3 Kademangan
Authors: Oktiningrum Wuli , Rahayu Lilik Indah 
Published: August 2022

Tujuan penelitian ini yaitu mengetahui kelayakan instrument soal materi operasi hitung bilangan bulat untuk meningkatkan literasi numerasi, mengetahui hasil siswa terhadap instrument soal, dan mengetahui hasil pengembangan instrument soal materi operasi hitung bilangan bulat untuk meningkatkan literasi numerasi siswa Sekolah Dasar. Jenis penelitian yang digunakan adalah metode penelitian Research and Development (R&D) yang terdiri atas 1) Potensi dan Masalah, 2) Pengumpulan Data, 3) Desain Produk, 4) Validasi Produk, 5) Perbaikan produk, 6) Uji Coba Produk, 7) Revisi Produk, 8) Uji Coba pemakaian, 9) Revisi Produk, 10). Produksi. Penelitian ini dimana menghasilkan sebuah produk tertentu dan menguji kelayakan produk yang dikembangkan. Metode penelitian ini menggunakan model pengembangan Brog and Gall. Subyek penelitian ini adalah siswa kelas 2 SD Negeri 3 Kademangan. Teknik pengumpulan data yang dilakukan oleh peneliti menggunakan pretes dan postes, dokumentasi, wawancara. Hasil penelitian menunjukkan bahwa instrument soal tersebut layak untuk diuji cobakan dengan melakukan revisi berdasarkan saran para ahli materi. Rata-rata kelayakan yang diberikan oleh ahli materi yaitu 96% dengan kualifikasi “Sangat Layak” diujicobakan untuk siswa Sekolah Dasar. Rata-rata respon siswa terhadap media yang diberikan oleh kelompok kecil 92% dengan kualifikasi “sangat baik” dan oleh kelompok besar 95% dengan kualifikasi “Sangat Layak”. Hasil uji coba pada kelompok besar mengalami peningkatan yakni pada rata-rata pretes 69 dan postest 89. Hasil uji coba kelompok besar nilai ketuntasan 50% pada pretes dengan menunjukkan kualifikasi tidak tuntas dan 100% pada posttest dengan kualifikasi tuntas, sehingga ada perbedaan sebelum dan sesudah menggunakan media pembelajaran. Hasil penelitian dan pengembangan yang dilaksanakan, Instrumen Soal tersebut layak digunakan dan dapat meningkatkan literasi numerasi siswa kelas 2 Sekolah Dasar.
Alternative Fuel: Hydrogen and its Thermodynamic Behaviour
Authors: Balasubramanian R. , Abishek A. , Gobinath S. , Jaivignesh K. 
Published: August 2022

Hydrogen is a contender for alternative energy. Hydrogen fuel cell vehicles and hydrogen-based low-carbon fuels will contribute to the decarburization of the mobility sector, shipping and aviation. Hydrogen is used as a rocket fuel. In addition, petroleum refining, semiconductor manufacturing, aerospace industry, fertilizer production, metal treatment, pharmaceutical, power plant generator, methanol production, commercial fixation of nitrogen from air reduction of metallic ores. Also, hydrogen is used to turn unsaturated fats into saturated fats and oils. In the enhancement of NMR and MRI signals, parahydrogen is used. Parahydrogen and orthohydrogen are nuclear spin isomers of hydrogen. At room temperature, the normal hydrogen at thermal equilibrium consists of 75% orthohydrogen and 25% parahydrogen. The development of hydrogen technology requires knowledge of the thermophysical properties of hydrogen. The second virial coefficient characterizes the primary interaction between the molecules. Therefore, knowledge of the second virial coefficient enables one to determine the pairwise molecular interaction and, in turn, the thermodynamic behaviour of hydrogen. The present study is based on three parameter modified Berthelot Equation of state aims to determine the second virial coefficient of hydrogen and its isomers, i.e., orthohydrogen and parahydrogen, over a wide range of temperatures, from the boiling point to the Boyle point. The obtained results are compared with those of the van der Waals Equation of state, Berthelot Equation of state, Tsonopoulos correlation, McGlashan & Potter correlation, Yuan Duan correlation, Van Ness & Abbott correlation, and McGlashancorrelation. The results of this work agree well with those of other correlations in the high temperature region. Doi: 10.28991/HEF-2022-03-02-05 Full Text: PDF
Analysis of Health Level of Banking Camel Method in Bank Tabungan Pensiunan Nasional (btpn) Sharia 2016-2020
Authors: Silvia Ersa Lailatul , Pratikto Muhammad Iqbal 
Published: August 2022

Assesment of the soundness of financial institution banking is an essential matter. It is used to gain and people trust to islamic ban. The level of capability is the expertiseÂ of a bank in doing its operational activity and being ableÂ to fullfill its obligations, especially in short-term debt.Â CAMEL method is used to pay attention to the soundnes level fluctuation of sariah bank by seeing these five types, capital, asset, management, profitability, and liquidity. The result finding indicates that the BTPN Syariah can be categorized as healty banking since 2016-2020. It means during that time period , BTPN Syariah is able to provide guarantees for each deposit which is given to the customer and can pay all of its obligations.
Pengaruh Perputaran Modal Kerja,Pertumbuhan Penjualan dan Perputaran Aktiva Tetap terhadap Return on Investment (ROI), pada Industri Otomotif di Indonesia.
Authors: Hidayat Wastam wahyu 
Published: August 2022

Tujuan penelitian ini adalah untuk menganalisis pengaruh Perputaran Modal Kerja, Pertumbuhan Penjualan dan Perputaran Aktiva Tetap terhadap Return On Investment (ROI). Jenis penelitian yang digunakan adalah penelitian kausal dengan purposive sampling. Penelitian ini menggunakan sampel 12 perusahaan industriÂ otomotif yang terdaftar di Bursa Efek Indonesia dan menerbitkan laporan keuangan tahunan tahun 2015 â€“ 2019. Teknik analisis yang dipakai pada penelitian ini adalah analisis regresi berganda dengan software Statistical Package for the Social Science versi 23.0. Hasil penelitian menyimpulkan bahwa Perputaran Modal Kerja berpengaruh signifikan dan negatif terhadap Return On Investment dengan nilai signifikansi 0,000 < 0,05. Sedangkan Pertumbuhan Penjualan tidak berpengaruh signifikan terhadap Return On Investment dengan nilai signifikan 0,288 > 0,05. Perputaran Aktiva Tetap berpengaruh signifikan dan positif terhadap Return On Investment dengan nilai signifikansi 0,000 < 0,05. Sedangkan secara simultan menunjukkan bahwa Perputaran Modal Kerja, Pertumbuhan Penjualan dan Perputaran Aktiva Tetap secara simultan berpengaruh terhadap Return On Investment dengan nilai signifikansi 0,000 < 0,05. Sedangkan variabel Perputaran Modal Kerja, Pertumbuhan Penjualan dan Perputaran Aktiva Tetap dapat menjelaskan sebesar 77,9%Â berpengaruh terhadap Return On Investment (ROI), sedangkan sisanya sebesarÂ 22,1%, di pengaruhi oleh variable lainnya.
Analisis Sistem Pengendalian Internal pada Sistem Point of Sales (POS) Terintegrasi di UD. Akor Nature Bag
Authors: Estiyanti Ni Made , Widiastuti Putu Ari 
Published: August 2022

Penelitian ini bertujuan untuk mengetahui bagaimana penerapan sistem pengendalian internal pada sistemÂ point of salesÂ di UD. AkorÂ Nature Bag. Metode yang digunakan dalam penelitian ini yaitu metode kualitatif bersifat deskriptif. Teknik pengumpulan data yang digunakan melalui proses observasi dengan melakukan pengamatan langsung terhadap proses penjualan yang terjadi di UD. AkorÂ Nature BagÂ dan melakukan wawancara, serta melakukan dokumentasi. Hasil penelitian dari analisis sistem pengendalian internal yang dilakukan di UD. Akor Nature Bag yaitu sudah berjalan baik dan efektif, hal tersebut dapat dilihat dari adanya dokumen, pembagian tugas yang sesuai, tidak adanya bagian-bagian yang melakukan perangkapan tugas, serta setiap prosedur dalam sistemÂ point of salessudah sesuai dengan sistem pengendalian internal.Â
The Influence of Managerial Ownership and Company Growth on Company Value through Institutional Ownership as a Moderation Variable
Authors: Yudha Agam Mei , Yamasitha Yamasitha , Yulia Yosi , Sari Putri Intan Permata 
Published: August 2022

This study aims to find out how much the discussionÂ ofÂ CompanyÂ ValueÂ throughÂ Institutional Ownership as a moderation variable: Managerial OwnershipÂ andÂ CompanyÂ GrowthÂ (InÂ Manufacturing Companies listed on the Indonesia Stock Exchange for the period 2016-2020). Data collection methods through ICMD and IDX sites and literature studies. The method of analysis used is regression analysis.The results of this study were obtained: (1) Managerial Ownership partially affects the Value of the Company (2) Company Growth partially has a significant effect on the Company Value (3) Managerial Ownership and Company Growth partially affects the Value of the Company (4) Managerial Ownership partially affects the Value of the Company with institutional ownership as a moderation variable (5)Â The Company's growth partially has no significant effect on the Value of the Company with institutional ownershipÂ as a moderation variable (6) Managerial Ownership and Company Growth partially affect the Value of the Company with institutional ownership as a moderation variable.
Trend Analysis to Analyze Performance Assessment of Pt Unilever Indonesia Tbk in 2019 â€“ 2021
Authors: Sutisna Salmaa Alya Audy Rachmani , Sulistiyo Hari 
Published: August 2022

Research was conducted to determine the performance of PT Unilever Indonesia Tbk based on the results of financial statements and also income statements with the use of trend analysis. By using analytical techniques, descriptively using a quantitative approach which is financial statement data and income statements that are analyzed so that they can get information related to how financial performance in Unilever Indonesia companies based on financial statements and also income statements. Unilever's company experienced some increases in 2020, but in 2021 it experienced a decline due to the pandemic. But the company kept going despite the decline.Â Â
Navigating a High-Stakes Assessment in Medical School: Students’ Lived Experiences During a Stressful Period of Preparation
Authors: Templeton Kimberly , Vanston Patricia , Luciw-Dubas Ulana A. , Hauer Karen E. , DelVescovo Madeline , Dyrbye Liselotte , Paniagua Miguel 
Published: August 2022

ABSTRACT
Students who aim to become practicing physicians in the United States are required to demonstrate their competence with a variety of assessments during medical school, including those required to obtain a license to practice medicine. The specific challenges and stressors associated with the preparation for successful completion of licensure assessments is not well understood. To better understand students’ experiences in preparation for United States Medical Licensing Examination (USMLE) Step 1, as part of the Re-examining Exams: NBME Effort on Wellness (RENEW) research initiative, a series of eight focus groups were conducted with 33 medical school students who took the exam and received their score. The results provide a retrospective understanding of the lived experiences of aspiring medical professionals and their perceptions of the impact of a high-stakes licensure examination.
Intellectual Modesty in Socratic Wisdom: Problems of Epistemic Logic and an Intuitionist Solution
Authors: Löhrer Guido 
Published: August 2022

Abstract
According to Plato’s Apology of Socrates, a humanly wise person is distinguished by her ability to correctly assess the epistemic status and value of her beliefs. She knows when she has knowledge or has mere belief or is ignorant. She makes no unjustified knowledge claims and considers her knowledge to be limited in scope and value. This means: A humanly wise person is intellectually modest. However, when interpreted classically, Socratic wisdom cannot be modest. For in classical epistemic logic, modelling second-order knowledge of knowing something or not, i.e. positive and negative introspection, requires a degree of self-transparency that would at most be attributed to an omniscient and infallible agent. If intellectual modesty is part of Socratic wisdom, we have to look for another epistemic model. I will offer three proposals and argue that an intuitionist reading of the classical concept of knowledge is best suited for this purpose.