181 research outputs found

    Perbandingan Penerapan Strategi Index Card Match Dan Snowball Throwing Terhadap Hasil Belajar Siswa Kelas IV Di SD Muhammadiyah 22 Sruni Surakarta Tahun Pelajaran 2015/ 2016

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    Danik Witantri/A510120171. COMPARISON OF IMPLEMENTATION STRATEGY INDEX CARD MATCH AND SNOWBALL THROWING AGAINST STUDENT RESULTS CLASS IV AT ELEMENTARY SCHOOL MUHAMMADIYAH SURAKARTA SRUNI 22 IN THE ACADEMIC YEAR 2015/2016. Essay. Faculty of Teacher Training and Education. Muhammadiyah University of Surakarta. April 2016. Learning that takes place in the fourth grade 22 Sruni Surakarta Muhammadiyah still simple, proven by teachers given lessons in a conventional manner. Strategy used by teachers during lessons to be very simple so that students feel less interested and less than the maximum student learning outcomes. Teachers should use a variety of strategy and appropriate materials to improve student learning outcomes. In this study classroom teachers try to apply the strategy index card match and snowball throwing. This study aims to determine whether the strategy is there any difference and index card match better learning results than throwing snowball strategy in the fourth grade students of Elementary School Muhammadiyah Surakarta Sruni 22 in the academic year 2015/2016. This research is a kind of experiment. Data analysis used Hypothesis test (t test). With the results of t test analysis between variables strategy index card match with snowball throwing and variable learning outcomes in the experimental class derived from hypothesis testing partially the result of probability. t = 0.453> 0.05. Then there is no difference in learning outcomes of the implementation of the strategy index card match and snowball throwing in the fourth grade of Elementary School Muhammadiyah Surakarta Sruni 22 in the academic year 2015/2016

    The effect of the systemic inflammatory response on plasma vitamin 25 (OH) D concentrations adjusted for albumin

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    <b>Aim</b><p></p> To examine the relationship between plasma 25(OH)D, CRP and albumin concentrations in two patient cohorts.<p></p> <b>Methods</b><p></p> 5327 patients referred for nutritional assessment and 117 patients with critical illness were examined. Plasma 25 (OH) D concentrations were measured using standard methods. Intra and between assay imprecision was <10%.<p></p> <b>Result</b><p></p> In the large cohort, plasma 25 (OH) D was significantly associated with CRP (rs = −0.113, p<0.001) and albumin (rs = 0.192, p<0.001). 3711 patients had CRP concentrations ≤10 mg/L; with decreasing albumin concentrations ≥35, 25–34 and <25 g/l, median concentrations of 25 (OH) D were significantly lower from 35 to 28 to 14 nmol/l (p<0.001). This decrease was significant when albumin concentrations were reduced between 25–34 g/L (p<0.001) and when albumin <25 g/L (p<0.001). 1271 patients had CRP concentrations between 11–80 mg/L; with decreasing albumin concentrations ≥35, 25–34 and <25 g/l, median concentrations of 25 (OH) D were significantly lower from 31 to 24 to 19 nmol/l (p<0.001). This decrease was significant when albumin concentration were 25–34 g/L (p<0.001) and when albumin <25 g/L (p<0.001). 345 patients had CRP concentrations >80 mg/L; with decreasing albumin concentrations ≥35, 25–34 and <25 g/l, median concentrations of 25 (OH) D were not significantly altered varying from 19 to 23 to 23 nmol/l. Similar relationships were also obtained in the cohort of patients with critical illness.<p></p> <b>Conclusion</b><p></p> Plasma concentrations of 25(OH) D were independently associated with both CRP and albumin and consistent with the systemic inflammatory response as a major confounding factor in determining vitamin D status.<p></p&gt

    Independent susceptibility markers for atrial fibrillation on chromosome 4q25

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    Background-: Genetic variants on chromosome 4q25 are associated with atrial fibrillation (AF). We sought to determine whether there is more than 1 susceptibility signal at this locus. Methods and results-: Thirty-four haplotype-tagging single-nucleotide polymorphisms (SNPs) at the 4q25 locus were genotyped in 790 case and 1177 control subjects from Massachusetts General Hospital and tested for association with AF. We replicated SNPs associated with AF after adjustment for the most significantly associated SNP in 5066 case and 30 661 referent subjects from the German Competence Network for Atrial Fibrillation, Atherosclerosis Risk In Communities Study, Cleveland Clinic Lone AF Study, Cardiovascular Health Study, and Rotterdam Study. All subjects were of European ancestry. A multimarker risk score composed of SNPs that tagged distinct AF susceptibility signals was constructed and tested for association with AF, and all results were subjected to meta-analysis. The previously reported SNP, rs2200733, was most significantly associated with AF (minor allele odds ratio 1.80, 95% confidence interval 1.50 to 2.15, P=1.2×10) in the discovery sample. Adjustment for rs2200733 genotype revealed 2 additional susceptibility signals marked by rs17570669 and rs3853445. A graded risk of AF was observed with an increasing number of AF risk alleles at SNPs that tagged these 3 susceptibility signals. Conclusions-: We identified 2 novel AF susceptibility signals on chromosome 4q25. Consideration of multiple susceptibility signals at chromosome 4q25 identifies individuals with an increased risk of AF and may localize regulatory elements at the locus with biological relevance in the pathogenesis of AF

    Analisis Kesalahan Menyelesaikan Soal Vektor Ditinjau dari Taksonomi SOLO pada Siswa Kelas XI SMK Batik 1 Surakarta

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    Learning mathematics has given rise to the assumption that mathematics is one of the difficult subjects in school. An analysis that examines the mistakes made by students in completing various mathematical questions, one of them is analysis based on SOLO taxonomy. This research aims to describe the types of student errors and analyze the factors that cause students to make mistakes in solving vector problems which are reviewed from the SOLO taxonomy. This type of research is qualitative descriptive involving 24 students of class XI TKJ at Surakarta Batik 1 Vocational School. Data collection techniques in this study include documentation and interviews, while analyzing data through data reduction, data presentation and conclusion drawing. The results of this research indicate the types of student errors in solving vector problems which are reviewed from the SOLO taxonomy with the size of the presentation namely prestructural level 15.28%, unistructural level 6.95%, multistructural level 30.55%, relational level 33.33% and extended abstract level 13.89%. Factors that cause students to make mistakes include not being careful when working on answers, using the wrong formula, hurrying to do answers, not understanding the concept of vector calculations

    Genome-wide analyses identify common variants associated with macular telangiectasia type 2

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    Idiopathic juxtafoveal retinal telangiectasis type 2 (macular telangiectasia type 2; MacTel) is a rare neurovascular degenerative retinal disease. To identify genetic susceptibility loci for MacTel, we performed a genome-wide association study (GWAS) with 476 cases and 1,733 controls of European ancestry. Genome-wide significant associations (P < 5 × 10−8) were identified at three independent loci (rs73171800 at 5q14.3, P = 7.74 × 10−17; rs715 at 2q34, P = 9.97 × 10−14; rs477992 at 1p12, P = 2.60 × 10−12) and then replicated (P < 0.01) in an independent cohort of 172 cases and 1,134 controls. The 5q14.3 locus is known to associate with variation in retinal vascular diameter, and the 2q34 and 1p12 loci have been implicated in the glycine/serine metabolic pathway. We subsequently found significant differences in blood serum levels of glycine (P = 4.04 × 10−6) and serine (P = 2.48 × 10−4) between MacTel cases and controls

    Myocardial energy depletion and dynamic systolic dysfunction in hypertrophic cardiomyopathy

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    Evidence indicates that anatomical and physiological phenotypes of hypertrophic cardiomyopathy (HCM) stem from genetically mediated, inefficient cardiomyocyte energy utilization, and subsequent cellular energy depletion. However, HCM often presents clinically with normal left ventricular (LV) systolic function or hyperkinesia. If energy inefficiency is a feature of HCM, why is it not manifest as resting LV systolic dysfunction? In this Perspectives article, we focus on an idiosyncratic form of reversible systolic dysfunction provoked by LV obstruction that we have previously termed the 'lobster claw abnormality' — a mid-systolic drop in LV Doppler ejection velocities. In obstructive HCM, this drop explains the mid-systolic closure of the aortic valve, the bifid aortic pressure trace, and why patients cannot increase stroke volume with exercise. This phenomenon is characteristic of a broader phenomenon in HCM that we have termed dynamic systolic dysfunction. It underlies the development of apical aneurysms, and rare occurrence of cardiogenic shock after obstruction. We posit that dynamic systolic dysfunction is a manifestation of inefficient cardiomyocyte energy utilization. Systolic dysfunction is clinically inapparent at rest; however, it becomes overt through the mechanism of afterload mismatch when LV outflow obstruction is imposed. Energetic insufficiency is also present in nonobstructive HCM. This paradigm might suggest novel therapies. Other pathways that might be central to HCM, such as myofilament Ca2+ hypersensitivity, and enhanced late Na+ current, are discussed

    Antiinflammatory Therapy with Canakinumab for Atherosclerotic Disease

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    Background: Experimental and clinical data suggest that reducing inflammation without affecting lipid levels may reduce the risk of cardiovascular disease. Yet, the inflammatory hypothesis of atherothrombosis has remained unproved. Methods: We conducted a randomized, double-blind trial of canakinumab, a therapeutic monoclonal antibody targeting interleukin-1β, involving 10,061 patients with previous myocardial infarction and a high-sensitivity C-reactive protein level of 2 mg or more per liter. The trial compared three doses of canakinumab (50 mg, 150 mg, and 300 mg, administered subcutaneously every 3 months) with placebo. The primary efficacy end point was nonfatal myocardial infarction, nonfatal stroke, or cardiovascular death. RESULTS: At 48 months, the median reduction from baseline in the high-sensitivity C-reactive protein level was 26 percentage points greater in the group that received the 50-mg dose of canakinumab, 37 percentage points greater in the 150-mg group, and 41 percentage points greater in the 300-mg group than in the placebo group. Canakinumab did not reduce lipid levels from baseline. At a median follow-up of 3.7 years, the incidence rate for the primary end point was 4.50 events per 100 person-years in the placebo group, 4.11 events per 100 person-years in the 50-mg group, 3.86 events per 100 person-years in the 150-mg group, and 3.90 events per 100 person-years in the 300-mg group. The hazard ratios as compared with placebo were as follows: in the 50-mg group, 0.93 (95% confidence interval [CI], 0.80 to 1.07; P = 0.30); in the 150-mg group, 0.85 (95% CI, 0.74 to 0.98; P = 0.021); and in the 300-mg group, 0.86 (95% CI, 0.75 to 0.99; P = 0.031). The 150-mg dose, but not the other doses, met the prespecified multiplicity-adjusted threshold for statistical significance for the primary end point and the secondary end point that additionally included hospitalization for unstable angina that led to urgent revascularization (hazard ratio vs. placebo, 0.83; 95% CI, 0.73 to 0.95; P = 0.005). Canakinumab was associated with a higher incidence of fatal infection than was placebo. There was no significant difference in all-cause mortality (hazard ratio for all canakinumab doses vs. placebo, 0.94; 95% CI, 0.83 to 1.06; P = 0.31). Conclusions: Antiinflammatory therapy targeting the interleukin-1β innate immunity pathway with canakinumab at a dose of 150 mg every 3 months led to a significantly lower rate of recurrent cardiovascular events than placebo, independent of lipid-level lowering. (Funded by Novartis; CANTOS ClinicalTrials.gov number, NCT01327846.

    Financial controlling as a progressive form of internal control of the enterprise

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    В статті розглянуто теоретико-концептуальні основи проведення фінансового контролінгу на підприємстві. Виділено основні класифікаційні ознаки загроз підприємству, які покликаний функціонально вирішити саме фінансовий контролінг. Обґрунтовано основні чинники підвищення ефективності та рентабельності підприємства за умови чіткого дотримання правил проведення і системності фінансового контролінгу.The article deals with theoretical and conceptual bases of carrying out of financial control in the enterprise. The main classification signs of threats to the enterprise, which are designed to functionally solve financial conglomeration, are highlighted. The main factors of increase of efficiency and profitability of the enterprise are grounded under the condition of strict adherence to rules of conduction and systematic financial control
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