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2022 ◽  
Vol 28 (5) ◽  
pp. 9-23
Author(s):  
O. M. Parkhomenko ◽  
V. O. Shumakov ◽  
T. V. Talayeva ◽  
I. V. Tretyak ◽  
O. V. Dovhan

The aim – to create a new method of assessing the development of long-term complications in STEMI patients by studying blood cell composition and its adaptation to practical application in general clinical practice.Materials and methods. The study was involved 148 patients with acute myocardial infarction (AMI) who was admitted from January 2014 to June 2020 to the intensive care unit. Some patients were evaluated retrospectively and were in group 1 (n=92). Group 2 – 56 patients, who were studied prospectively. The groups of patients did not differ in clinical and anamnestic characteristics and treatment. The study provided an annual observation period. The endpoint in group 1 was: death, stroke, exacerbation of coronary heart disease – including the need for revascularization, the developement or decompensation for heart failure, which led to hospitalization (in addition, group 2 was analyzed for onset of cardiac death).Results and discussion. There complex indicators were built, based on the analysis of the clinical profile and dynamics of laboratory parameters in patients with the onset of the endpoint – a modified leukocyte index (mLI), which contains the values ​​of the number and percentage of granulocytes, lymphocytes and monocytes on days 1, 3 and 10 of STEMI and leukocyte-platelet index (mLPI), which additionally includes indicators of platelet inhomogeneity in size (PDWc and P-LCR). These indices with their limit values ​​(mLI > 140 units and mLPI > 242 units) were more informative in predicting distant cardiovascular events than other laboratory markers (including neutrophil-leukocyte ratio, NLR). In a prospective study branch (group 2), the mLI and mLPI indicators also turned out to be more informative than other markers (in particular, the NLR indicator) in determining the propensity to occur as a combined endpoint (area under the curve 0.71 for both; p>0.0001), so and death (areas under the curve 0.78 and 0.84, respectively; p>0.0001). Based on the data obtained, a computer algorithm has been created that simplifies the risk assessment in AMI patients using the developed indicators.Conclusions. Created leukocyte and leukocyte-platelet indices are highly informative in predicting the risk of complications in patients within a year after AMI.


Author(s):  
Jared T White

Abstract Let G be an amenable group. We define and study an algebra ${\mathcal{A}}_{sn}(G)$, which is related to invariant means on the subnormal subgroups of G. For a just infinite amenable group G, we show that ${\mathcal{A}}_{sn}(G)$ is nilpotent if and only if G is not a branch group, and in the case that it is nilpotent we determine the index of nilpotence. We next study $\textrm{rad}\, \ell^1(G)^{**}$ for an amenable branch group G and show that it always contains nilpotent left ideals of arbitrarily large index, as well as non-nilpotent elements. This provides infinitely many finitely generated counterexamples to a question of Dales and Lau [4], first resolved by the author in [10], which asks whether we always have $(\textrm{rad}\, \ell^1(G)^{**})^{\Box 2} = \{0 \}$. We further study this question by showing that $(\textrm{rad}\, \ell^1(G)^{**})^{\Box 2} = \{0 \}$ imposes certain structural constraints on the group G.


2021 ◽  
pp. 002203452097963
Author(s):  
M. Takiguchi ◽  
I. Sato ◽  
Z.L. Li ◽  
H. Miyaso ◽  
S. Kawata ◽  
...  

It is difficult to correlate the direction of mandibular canal branches (MCBs) with altered sensation in dental treatments. In contrast, calcitonin gene–related peptide (CGRP) is related to vasodilation, bone formation, and the interaction with the peripheral nervous system. Therefore, we investigated the detailed morphological characteristics of MCBs using cone-beam computed tomography (CBCT) and observation of the CGRP distribution around the MCB. The MCB measurements were evaluated using principal component analysis (PCA) to identify morphological correlations. A total of 168 sides of mandibles from 84 cadavers were analyzed in this study. Most of the MCBs were primarily in the direction of the clock model from X to XI in sagittal sections and XII to I in coronal sections of the mandible. The structure of the MCB was divided into the fine canal branch (60.4%, 223/369), partial branch (24.4%, 90/369), and no canal branch (15.2%, 56/369). PCA indicated that the measurement element with the MCB and its structures were correlated in contrast to tooth factors. Positive CGRP reactions were clearly observed in the no-canal branch group compared to other groups. These data provide useful suggestions for MCB dynamics and information for clinical dental treatment.


2020 ◽  
Vol 9 (2) ◽  
pp. 347
Author(s):  
Rika Wirandi ◽  
Magfhirah Murni Bintang Permata ◽  
Berlian Denada

AbstrakPenelitian ini berjudul “Sistem Tatakelola Grup Rapa’i Daboh Bungong Jeumpa Bantimoh di Kawasan Pengungsian Pasca Tsunami, CARE, Kota Jantho”. Penelitian ini bertujuan untuk mengetahui sistem tatakelola yang diterapkan dalam Grup Rapa’i Daboh Bungong Jeumpa Bantimoh (GRDBJB), yang dikaitkan dengan bagaimana suatu kelompok kesenian tradisional mampu bertahan dan berkembang oleh suatu masyarakat di tengah perubahan sosio-geografis dan ekonomi, yang semulanya menetap di Pulau Aceh kemudian berpindah ke kawasan pengungsian Pasca Tsunami Aceh, CARE, di Kota Jantho. Memfokuskan pada kajian bentuk tatakelola, dengan mengambil topik bahasan sistem pengelolaan yang meliputi: pembentukan grup; sistem pengurusan; kepemimpinan; evaluasi kinerja; pengelolaan keuangan; sistem pewarisan rekrutmen dan pelatihan; dan strategi pertunjukan/ promosi/ pemasaran. Menggunakan pendekatan sistem pelembagaan seni dan sistem pengelolaan seni dari Jazuli. Metode penelitian yang digunakan dalam rencana penelitian ini nantinya dalah metode penelitian kualitatif sebagai prosedur penelitian yang menghasilkan data deskriptif berupa kata-kata tertulis dari orang-orang dan perilaku yang dapat diamati dengan menggunakan beberapa tahapan pengumpulan data yaitu: observasi; studi pustaka; wawancara; dan dokumentasi. Penelitian ini menyimpulkan bahwa, GRDBJB dibentuk atas alasan pembinaan dan pengembangan dengan tujuan pemeliharaan, penyelamatan, pelestarian, pengelolaan dan termasuk di dalammnya adalah upaya memberikan bimbingan, pengarahan, penggalian, pencatatan, dan peningkatan kualitas dari kalangan orang tua yang merupakan seniman pelaku kesenian rapa’i yang tergabung dalam GRDBJB. Sistem pengelolaan atau tatakelola GRDBJB didasari oleh sistem pengelolaan semi-profesional berbasis kolektif-partisipatif-domokratis masyarakat dusun CARE. GRDBJB merupakan grup asuh atau grup cabang yang dibentuk dengan tujuan pelestarian dan pewarisan kepada generasi muda CARE yang berorientasi pada sistem pengelolaan non-komersil dan orientasi sosial.              Kata Kunci: tatakelola, rapa’i daboh, GRDBJB, CARE.AbstractThis research is entitled "Management System of the Rapa'i Daboh Bungong Jeumpa Bantimoh Group in the Post-Tsunami Refugee Area, CARE, Jantho City". This study aims to determine the governance system applied in the Rapa'i Daboh Bungong Jeumpa Bantimoh Group (GRDBJB), which is associated with how a traditional art group is able to survive and develop by a society in the midst of socio-geographic and economic changes, which originally settled in The island of Aceh then moved to the post-Tsunami refugee area in Aceh, CARE, in the City of Jantho. Focusing on the study of governance forms, taking the topic of management systems which include: group formation; management system; leadership; performance evaluation; financial management; recruitment and training inheritance system; and performance / promotion / marketing strategy. Using the approach of art institutionalization systems and art management systems from Jazuli. The research method used in this research plan is a qualitative research method as a research procedure that produces descriptive data in the form of written words from people and behavior that can be observed using several stages of data collection, namely: observation; literature review; Interview; and documentation. This study concludes that GRDBJB was formed for the reason of coaching and development with the aim of maintaining, saving, preserving, managing and including efforts to provide guidance, direction, excavation, recording, and quality improvement among parents who are artists who do the art of rapa ' i who is a member of GRDBJB. The GRDBJB management or governance system is based on a semi-professional management system based on the collective-participatory-domocratic community of the CARE hamlet. GRDBJB is a foster group or branch group that was formed with the aim of preservation and inheritance to the young generation of CARE which is oriented towards a non-commercial management system and social orientation.  Keywords: management, rapa’i daboh, GRDBJB, CARE.


2020 ◽  
Vol 30 (1) ◽  
pp. 97-117
Author(s):  
S. T. Samarakoon ◽  

Grigorchuk's Overgroup G˜, is a branch group of intermediate growth. It contains the first Grigorchuk's torsion group G of intermediate growth constructed in 1980, but also has elements of infinite order. Its growth is substantially greater than the growth of G. The group G, corresponding to the sequence (012)∞=012012…, is a member of the family {Gω|ω∈Ω={0,1,2}N} consisting of groups of intermediate growth when sequence ω is not eventually constant. Following this construction we define the family {G˜ω,ω∈Ω} of generalized overgroups. Then G˜=G˜(012)∞ and Gω is a subgroup of G˜ω for each ω∈Ω. We prove, if ω is eventually constant, then G˜ω is of polynomial growth and if ω is not eventually constant, then G˜ω is of intermediate growth.


The students’ level of proficiency in any particular course is individually distinctive. Therefore, it is necessary for the educators to be able to address their student’s level of ability in understanding of the course they enrolled. Particularly, educators should be able to design a set of questions which suits the level of their students’ ability. For this reason, this study is concentrated on identifying the level of student’s ability in understanding probability concepts that has been included in the statistics course (STA150: Probability and Statistics 1). This course was enrolled by two groups of students (Group A and Group B) from the Faculty of Computer and Mathematical Sciences, Universiti Teknologi MARA Perak branch. Group A enrolled the course in December 2015 until March 2016 whilst Group B enrolled in June until November 2016 sessions. Since the aims of this study are to investigate the difference in students’ conceptual knowledge and understanding of probability concepts, as well as to examine which concepts were found most difficult by the students, hence the Rasch measurement approach was used to explore those aims. An instrument consists of 20 items in a test based on the “Counting Rule” topic was formed by an experienced lecturer to measure the level of student’s ability between the two groups. Based on the findings, it was found that there is a high reliability index of 0.93 (Group A) and 0.88 (Group B) which suggests the suitability of the instrument developed in this study to be replicated to the other samples, even though, the person student’s responses to the items for both groups appeared differently in terms of their difficulties in understanding the probability concepts which represents the student’s ability on this particular topic.


2019 ◽  
Vol 25 (1) ◽  
pp. 29
Author(s):  
Nurul Badriyah

Pelatihan dan pendampingan ini bertujuan untuk meningkatkan pengetahuan perempuan/Ibu-ibu anggota pengajian dalam berwirausaha, meningkatkan ketrampilan perempuan khususnya di dunia kuliner dan packaging produk siap masak dan saji dan membentuk bisnis produk makanan siap masak dan saji skala rumah tangga kecil. Dengan metode kegiatan yang dirancang dalam bentuk pemahaman, pelatihan dan dilanjutkan dengan pendampingan, dan kegiatan ini akan berdampak pada upaya menumbuhkan jiwa wirausaha ibu-ibu rumah tangga, utamanya yang bersumber ide-ide kreatif. Pelatihan ini dilaksanakan pada kelompok pengajian Majlis Taufiqur Rohman, Oro-Oro Dowo yang secara struktural berada di bawah ketakmiran Musholla Taufiqur Rohman dan lingkup kelompok Nahdhatul Ulama Ranting Oro-Oro Dowo Kota Malang, sebagai wilayah yang dituju pada kegiatan pengabdian kepada masyarakat ini. Pendampingan merupakan langkah akhir dari pengabdian masyarakat ini. Tujuan dari adanya pendampingan kegiatan adalah untuk memonitor anggota kelompok pengajian ibu–ibu dalam melaksanakan kegiatan ini agar tetap berlangsung dan apabila terdapat kendala selama kegiatan maka dapat didiskusikan lebih lanjut oleh tim pengabdi untuk menemukan solusi dan memperbaiki progam yang telah berjalan ini. Kata kunci: Wirausaha, Manajemen Waktu, Pemberdayaan Perempuan. Abstract This training and mentoring aim to increase the knowledge of women and/or female members of recitation group in entrepreneurship, improving their skills especially in matters of culinary and cooking ready to eat food product and establishing a smallscale homemade food business. With methods of activities that was designed in the form of comprehension, training, and also mentoring and this activity will have an impact on the effort to foster entrepreneurship spirit of housewives, primarily those that came from creative ideas.This training will be carried out on recitation group of MajlisTaufiqur Rohman, Oro Oro Dowo which is structurally under the administrator of mushola Taufiqur Rohman and within the scope of Nadhatul Ulama branch group of Oro-Oro Dowo of Malang City, as the intended region for this community service, Mentoring is the last step of this community service. The purpose of having a mentoring session is to observe the women member of the recitation group in undertaking this activity without any problems and if there are indeed problems during the duration of the activity, they will be discussed further by the team to find a suitable solution and ensuring the success of the program.  Keywords: Entrepreneur, Time Management, Women Empowerment. 


Author(s):  
Ahmet Naci Çoklar ◽  
Erkan Efilti ◽  
Yusuf Levent Şahin

The use of ICTs has become an obligation rather than an option for teachers. This intense pressure leads to a modern adaptation disorder expressed as technostress. Technostress is one of the many problems experienced particularly by beginning teachers, and the technostress levels of these teachers were investigated. For this purpose, in the 2015-2016 academic years, data were collected from 83 teachers having a professional seniority of 0-5 years. It was concluded that the general levels of technostress of the teachers were moderate, which they had a moderate-level technostress at the learning-teaching process-oriented, technical-issue-oriented, and social-oriented technostress factors, and they had a low-level of technostress at the profession-oriented and personal-oriented technostress factors. When examined in terms of the variables, while the general level of technostress does not vary by gender and branch group, it varies by the variable of average use of the internet. Finally, the solution proposals for technostress were examined.


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