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Spasmofilia dengan Hipoparatiroidisme Pasca Tiroidektomi
Pub Date : 2022-07-29 DOI: 10.56260/sciena.v1i4.57
Lydia Susanti, Syarif Indra, Aulia Noza
Spasmofilia merupakan keadaan patologis dimana terjadi hiperiritabilitas saraf dan otot (neuromuskular) akibat adanya gangguan keseimbangan elektrolit,  terutama ion kalsium (Ca2+) dan ion magnesium (Mg2+) yang ditandai dengan munculnya kedutan otot, kesemutan dan spasme karpopedal. Hipoparatiroidisme merupakan keadaan dimana produksi hormon paratiroid yang tidak adekuat. Keadaan ini jarang ditemukan dan umumnya disebabkan oleh kerusakan atau pengangkatan kelenjar paratiroid pada saat operasi tiroid. Laporan kasus ini  membahas mengenai pasien perempuan berusia 25 tahun dengan spasmofilia  dan hipoparatiroidisme sekunder  ec tiroidektomi.
多动症是一种病理状态,由电解质平衡(Ca2+)和镁离子(Mg2+)组成,其特征是肌肉抽搐、刺痛和关节痉挛。甲状腺功能减退症是一种产生不佳甲状腺素的情况。这种情况很少被发现,通常是由甲状腺手术期间损坏或切除的结果。该病例报告涉及25岁女性患者,患者有痉挛性鼻塞和甲状腺功能双甲状腺切除术。
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引用次数: 0
Treatment Of The Cleft Foot 兔唇足的治疗
Pub Date : 2022-07-29 DOI: 10.56260/sciena.v1i4.56
Deddy Saputra
Congenital cleft foot is a rare anomaly that exhibits many morphological variations. The typical cleft foot is characterized by congenital absence of one or several median rays bordering the cleft. Treatment has been focused on improving function and aesthetic appearance. The most common surgical treatment in the literature includes excision of the useless bony remnants and closure of the cleft. There should be some cases of the cleft foot been managed in M DJamil Hospital but there is no data available during 10 years (2011-2021). We reported a 15-month-old girl born with cleft of the right and polysindactyly of the left foot. The right foot has one central ray deficiency. We performed simple reconstruction of the cleft of the right foot and corrected the polysyndactyly at the same time. The evaluation of the procedures were based on assessments on cosmetic, functional, and roentgenographic results. At 3 month after surgery it showed no widening of the reconstructed foot, no hypertrophic  scarring, and no overlapping of the toes. The functional assessment includes evaluation on gait disturbance and ulceration of the foot, we did not find gait disturbance nor ulceration found. According to the roentgenographic evaluation, we found no valgus deformity of the first toe and the distance between the first and fifth metatarsal was not narrowing.
先天性裂足是一种罕见的畸形,表现出许多形态变异。典型的兔唇足的特点是先天性缺乏一条或几条与兔唇接壤的中间射线。治疗的重点是改善功能和美观。在文献中最常见的手术治疗包括切除无用的骨残余物和封闭唇裂。在M DJamil医院应该有一些唇腭裂病例得到治疗,但没有10年(2011-2021年)的数据。我们报告了一名15个月大的女婴,出生时患有右脚裂和左脚多足。右脚有一处中央射线不足。我们对右足唇裂进行了简单的重建,同时矫正了多指畸形。对手术的评估是基于对外观、功能和x线检查结果的评估。术后3个月,重建足无增宽,无增生性瘢痕,无脚趾重叠。功能评估包括步态障碍和足部溃疡的评估,我们没有发现步态障碍和溃疡。根据x线片评估,我们发现第一脚趾没有外翻畸形,第一和第五跖骨之间的距离没有缩小。
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引用次数: 0
Penilaian Vitalitas Flap Otot dengan Stimulasi Listrik Otot : Perbandingan Sumbatan Pada Arteri dan Vena 肌肉Flap的生命力与电刺激的肌肉:动脉和静脉的梗阻比较
Pub Date : 2022-07-29 DOI: 10.56260/sciena.v1i4.55
Deddy Saputra
Pendahuluan: Permasalahan yang sering timbul pada penilaian vitalitas flap otot pada evaluasi pasca operasi mikrovaskular adalah masih kurang adekuatnya cara dan alat pengamatan yang sederhana, murah, tingkat objektivitas yang tinggi, dan mudah dilakukan. Pengamatan praktis dengan pemeriksaan klinis pada skin paddle atau pada ototnya langsung, seperti warna, temperatur, turgor, dan refilling capilar, masih mempunyai nilai subjektivitas dan bias yang tinggi dalam menilai vitalitas flap otot. Pada flap otot yang baik mempunyai manifestasi yang sama dengan keadaan otot secara umum, dimana didapatkan warna, perdarahan dan kontraktilitas-nya baik. Metode: Dilakukan penilaian kontraktilitas flap otot dengan menggunakan flap otot rectus abdominis tikus  Sprague-Dawley yang diperlakukan sumbatan arteri dan venanya. Hasil: Dalam uji klinis awal pada flap otot tikus tersebut memperlihatkan adanya hubungan antara kontraktilitas   dengan vitalitas flap otot, dan perbedaan vitalitas flap otot antara sumbatan arteri dan vena.
前瞻性:肌肉flap在微血管手术后评价后经常出现的问题是,它们缺乏简单、廉价、客观性高、易于实现的观察力。通过临床对皮肤板或直接肌肉进行临床观察,如肤色、温度、turgor和壳反射,在评估肌肉浮力方面仍然具有高度的主观性和偏向性。好的肌肉皮瓣表现出与一般肌肉状态相同的表现,即获得颜色、出血和收缩很好。方法:使用治疗动脉和静脉栓塞的鼠鼠拟合膜进行肌收缩评估。结果:在老鼠肌肉的早期临床试验中,老鼠肌肉的皮瓣显示出收缩与肌肉皮瓣的活力之间的联系,以及动脉和静脉交界处的肌肉皮瓣之间的生命力差异。
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引用次数: 0
Faktor Stent yang Mempengaruhi Inflamasi Setelah Dilakukan IKP pada Pasien PJK Stabil 在稳定的冠心病患者中加入cjk后影响炎症的Stent因子
Pub Date : 2022-07-29 DOI: 10.56260/sciena.v1i4.54
Dian Puspita
Prosedur intervensi koroner perkutan (IKP) merupakan prosedur revaskularisasi paling umum pada penyakit jantung koroner (PJK) stabil. Selain sebagai managemen PJK stabil, prosedur IKP juga dapat menyebabkan komplikasi. IKP mengakibatkan ruptur plak yang diinduksi mekanik, kerusakan endotel, dan barotrauma ke dinding pembuluh darah, sehingga terjadi  inflamasi, yang pada akhirnya dikaitkan dengan peningkatan risiko KKM. Reaksi inflamasi akibat pemasangan stent dapat dipengaruhi oleh beberapa faktor, salah satunya faktor stent. Jika faktor-faktor ini tidak diatasi, maka akan terjadi peningkatan inflamasi setelah IKP yaitu aktivasi sel endotel, aktivasi platelet, infiltrasi  leukosit, hiperplasia neointima, dan melibatkan banyak mediator.
经皮冠状动脉介入手术(IKP)是最常见的冠心病revaskularisasi程序(冠心病)稳定。除了管理作为冠心病稳定,IKP程序也可能导致并发症。IKP导致ruptur诱导斑块的机械师、内皮损伤和气压伤到动脉壁,所以发生炎症,最终与m的风险增加。支架安装的炎症反应可能受到几个因素的影响,其中一个因素是支架的影响。如果这些因素不解决,就会增加炎症IKP即内皮细胞激活,激活后良性前列腺neointima血小板、白细胞渗透,涉及很多调解员。
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引用次数: 0
Eradicating Plastic Pollution Globally by 2030 到2030年在全球消除塑料污染
Pub Date : 2022-07-01 DOI: 10.7336/academicus.2022.26.04
Michael V Peshkam
A world without plastic packaging waste by 2030 is achievable. But it will require significant change. It will require consumers to be connected to the packaging they use. It will require a marriage between economy, ecology, and society. And it will require a monetary, ecological (i.e., carbon credit), and social value to be assigned to packaging that is currently disposed of all too easily. And finally, it will require “Uberization of waste management.” In this paper, a number of solutions and recommendations for creating a world without plastic packaging waste are presented – all are in harmony with the pace of change we are witnessing within the present age of the Fourth Industrial Revolution (4IR) aka Industry 4.0. The study explores how the plastics industry in general, and Food & Beverage (F&B) industry in particular can adopt the recommendations, thus transforming the industry, and crafting entirely new customer value propositions. The findings from the yearlong qualitative study that commenced in 2018, in part were based on interviews of industry experts. They are condensed into nine strategic recommendations to help achieve the vision of a world free plastic pollution by 2030. The recommendations were chosen to be both achievable yet bold and strive to encourage all stakeholders to work collectively towards meeting the vision by 2030.
到2030年,一个没有塑料包装废弃物的世界是可以实现的。但这需要重大变革。它将要求消费者与他们使用的包装联系起来。这需要经济、生态和社会的结合。而且,它还需要为目前处理得太容易的包装赋予货币、生态(即碳信用)和社会价值。最后,它需要“垃圾管理的优步化”。在本文中,提出了一些解决方案和建议,以创造一个没有塑料包装废物的世界-所有这些都与我们在第四次工业革命(4IR)即工业4.0时代所见证的变革步伐相一致。该研究探讨了塑料行业,特别是食品和饮料(F&B)行业如何采用这些建议,从而改变行业,并制定全新的客户价值主张。从2018年开始的为期一年的定性研究的结果,部分是基于对行业专家的采访。它们被浓缩为九项战略建议,以帮助实现到2030年全球无塑料污染的愿景。选择这些建议既可实现又大胆,并努力鼓励所有利益攸关方共同努力,到2030年实现这一愿景。
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引用次数: 0
New Italian Migration in the People’s Republic of China 中华人民共和国的新意大利移民
Pub Date : 2022-07-01 DOI: 10.7336/academicus.2022.26.03
Marianna Chirivì, Grazia Moffa
In the panorama of international migration statistics, there is a progressive growth of registrations of Italian citizens residing abroad. In particular, the steady increase in consular registrations based in the People’s Republic of China is striking. The expression “new emigrations” is an increasingly recurrent among scholars to highlight the quantitative and qualitative changes that have characterised Italian emigration abroad in recent years. The choice to emigrate depends on many factors, the very definition of new emigration calls into question aspects of the debate that imply a careful evaluation of the different components that characterize its profile. Which dimensions, above others, act on the choice to emigrate? Which aspects characterize the profile of Italians who decide to undertake an emigration experience in the People’s Republic of China, albeit temporary? New Italian migration in Shanghai is a Skilled Migration? In this article, we will focus on some results of a qualitative research conducted on the new Italian emigration to China. More precisely, in the following pages we try to bring out which dimensions act in the choice to emigrate and which aspects characterize the profile of Italians who decide to emigrate to Shanghai.
在国际移民统计的全景中,居住在国外的意大利公民的登记正在逐步增长。特别是,在中华人民共和国的领事登记的稳步增长是惊人的。学者们越来越频繁地使用“新移民”一词,以强调近年来意大利移民海外的数量和质量变化。移民的选择取决于许多因素,新移民的定义本身就使辩论的各个方面受到质疑,这些方面意味着对构成其特征的不同组成部分进行仔细的评估。哪些因素比其他因素更能影响移民的选择?决定移民到中华人民共和国(尽管是暂时的)的意大利人有哪些特点?意大利新移民在上海是技术移民吗?在这篇文章中,我们将重点介绍一些关于意大利新移民到中国的定性研究结果。更确切地说,在接下来的几页中,我们试图揭示哪些维度在移民的选择中起作用,哪些方面表征了决定移民到上海的意大利人的特征。
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引用次数: 0
Between science, science-fiction and COVID19 as a way to interpret the ontological realm of COVID19. Humanity in the post-COVID19 and re-application of knowledge. 在科学、科幻小说和covid - 19之间,作为解读covid - 19本体论领域的一种方式。后covid - 19时代的人类和知识的重新应用。
Pub Date : 2022-07-01 DOI: 10.7336/academicus.2022.26.02
Chidinma Iheanetu, R. Tandlich
The current article is an attempt by the authors to present a bioethical case, or rather a search being undertaken to develop tools to interpret the novel ontological realm which has been created, and continues to be transformed in real time, by the COVID19 pandemic and its aftermath. The ontological realm is new, but the physical features of the world and the human in it are partially constants and identical to the previous realm parameters, the pre-COVID19 space-time. The question of existence in the new ontological realm is…how can the continuum of Homo sapiens and its existence be sustained in this new realm? The tools being developed use of previous information and knowledge of the members of Homo sapiens as a starting point and source of metaphors as tools to facilitate existence in the new realm. In this way, existing knowledge, which is held by individual members of Homo sapiens, and which exists and continues being created in the continuum of Homo sapiens, can be the foundation for the creation of new knowledge about the post-COVID19 realm and the individual and collective comprehension of humans of it and in it. Conceptual metaphors, the creation of compound metaphor and the prospective dialectic are suggested by authors as a possible epistemic implementation mechanisms in this context. The adaptation of humanity, its imagination and some professions are used to demonstrate the case for the ‘new science of human existence’ in the post-COVID19 world.
当前的文章是作者提出一个生物伦理案例的尝试,或者更确切地说,是一种正在进行的探索,以开发工具来解释covid - 19大流行及其后果已经创建并继续实时改变的新的本体论领域。本体论领域是新的,但世界和其中的人类的物理特征部分不变,与之前的领域参数,即covid - 19前的时空相同。在新的本体论领域中存在的问题是。智人的统一体及其存在如何在这个新领域中得以维持?正在开发的工具以智人成员以前的信息和知识为起点,以隐喻作为工具的来源,以促进在新领域的生存。通过这种方式,由智人个体成员所拥有的现有知识,以及在智人的连续体中存在和继续创造的现有知识,可以成为创造关于后covid - 19领域的新知识以及人类对它和其中的个人和集体理解的基础。在此背景下,概念隐喻、复合隐喻的创造和前瞻性辩证法是可能的认知实现机制。人类的适应、人类的想象力和一些专业被用来展示后covid - 19世界的“人类生存新科学”。
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引用次数: 1
Cross Borders Companies and Worldwide Industry Management. Past, present, and future for businesses at time of slowbalization. 跨国公司和全球行业管理。经济放缓时期企业的过去、现在和未来。
Pub Date : 2022-07-01 DOI: 10.7336/academicus.2022.26.05
G. Ditta
Emerging markets are once again gaining the upper hand. According to the World Bank, current market trends indicate that emerging economies will account for more than 70% of global economic output by 2050. With the economic enigmas and the return of emerging economies, three billion new people have suddenly integrated into the global economy, all at once: one and a half billion Chinese, one billion Indians, and half a billion people from the former Soviet bloc. How then can the strategy that predominates in the internationalization of a company be identified? In this study we will define the necessary internal organization of a company and its activities and establish what changes must be made in the internal structure of employees regarding quantity, qualification, training and facilities for machines, technology, processes, and quality control. Before starting to promote the company internationally, it is advisable to check whether the brand can be used or whether it should be changed. In 2020, the COVID-19 pandemic had profoundly affected international trade, investment and travel. The pandemic has slowed the physical movement of people, goods and services, which is also the slowbalization thesis, and this now deserves careful consideration. The goal of this paper is to examine the objective of internationalization and the international development of companies. In this study are introduced the theoretical basis and a discussion on how exporting companies need nowadays to ask the right questions and how the analysis of the economic management can help internationalize their business. The second part of the study includes the results and conclusions.
新兴市场再次占据上风。根据世界银行的预测,目前的市场趋势表明,到2050年,新兴经济体将占全球经济产出的70%以上。随着经济之谜和新兴经济体的回归,30亿新人口突然一下子融入了全球经济:15亿中国人,10亿印度人,以及前苏联集团的5亿人。那么,如何确定在公司国际化中占主导地位的战略呢?在本研究中,我们将定义公司及其活动的必要内部组织,并确定必须在员工的内部结构中对机器,技术,流程和质量控制的数量,资格,培训和设施进行哪些更改。在开始在国际上推广公司之前,最好检查一下这个品牌是否可以使用,或者是否应该更换。2020年,新冠肺炎疫情深刻影响国际贸易、投资和旅游。大流行减缓了人员、货物和服务的实际流动,这也是减速论的论点,现在值得认真考虑。本文的目的是研究国际化的目标和公司的国际化发展。本文介绍了理论基础,并讨论了当今出口企业需要如何提出正确的问题,以及经济管理分析如何帮助其业务国际化。研究的第二部分包括结果和结论。
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引用次数: 0
Corruption and Cryptocurrency - Blockchains as corruption tools 腐败和加密货币——区块链作为腐败工具
Pub Date : 2022-07-01 DOI: 10.7336/academicus.2022.26.06
Adrianit Ibrahimi, Besa Arifi
Cryptocurrency has become ubiquitous and is evolving constantly. The question is if our legal framework is catching up with it. Therefore, this article analyzes the arguments on the legitimacy and legality of cryptocurrency in order to emphasize the relation between corruption and cryptocurrency. The research has enlightened some cogent arguments on the possibility of perpetrators committing corruption acts through cryptocurrency. These arguments basically refer to some of the unique characteristics of cryptocurrency such as the quick value fluctuation, the difficulties in tractability and the lacking current legislation. The unique features of it may headline cryptocurrency as an immensely attractive environment for corruption activities. Hence the world has already faced some tangled scamming scandals with cryptocurrency specified herein. Therefore, the aim of this article is to highlight the possibility for corruption acts to be committed through cryptocurrency as a form of corruption unknown before.
加密货币已经无处不在,并且在不断发展。问题是,我们的法律框架是否跟上了这一步伐。因此,本文分析了关于加密货币合法性和合法性的争论,以强调腐败与加密货币之间的关系。这项研究为犯罪者通过加密货币实施腐败行为的可能性提供了一些有说服力的论点。这些论点基本上是指加密货币的一些独特特征,如价值波动快、可追溯性困难以及缺乏现行立法。它的独特之处可能会使加密货币成为腐败活动的极具吸引力的环境。因此,世界已经面临着一些与这里指定的加密货币有关的错综复杂的欺诈丑闻。因此,本文的目的是强调通过加密货币进行腐败行为的可能性,这是一种以前未知的腐败形式。
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引用次数: 1
Post-Kantian Perfectionism. A Study in the Political Thought of German Idealism, from Leibniz to Marx 后康德的完美主义。德国唯心主义政治思想研究:从莱布尼茨到马克思
Pub Date : 2022-07-01 DOI: 10.7336/academicus.2022.26.09
D. Moggach
The political salience of policy issue arenas related to the movement of people, including immigration, citizenship, and asylum, has increased in recent decades and is likely to continue to escalate for the foreseeable future, because of both real dynamics of migration flows and because of political dynamics including reactions to the Covid-19 pandemic. Existing governance regimes at the global, regional, and national levels somewhat order the migration issue arena and do much humanitarian good, but they also generate new problems and injustices. The perception of disorder in migration and citizenship are likely to continue to present challenges for liberal democracy and for international cooperation. This article outlines the contours of challenges of governing the movement of people since the end of the Cold War.
近几十年来,与人口流动(包括移民、公民身份和庇护)相关的政策问题领域的政治重要性有所增加,而且在可预见的未来,由于移民流动的实际动态以及包括对Covid-19大流行的反应在内的政治动态,这一问题可能会继续升级。现有的全球、区域和国家层面的治理机制在一定程度上规范了移民问题,并为人道主义做出了很大贡献,但它们也产生了新的问题和不公正。对移民和公民身份混乱的看法可能会继续对自由民主和国际合作构成挑战。本文概述了自冷战结束以来管理人员流动所面临的挑战。
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引用次数: 0
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