bluuebunny/crossref_metadata_2025 huggingface dataset:
Attitudes Towards Involving Children in Decision-Making Surrounding Lung Transplantation
Authors: Barsky Emily , Berbert Laura , Dahlberg Suzanne , Truog Robert
Published: November 2020

Background: Medical care has shifted from a paternalistic model towards
one centered around patient autonomy and shared decision-making (SDM),
yet the role of the pediatric patient in decision-making is unclear.
Studies suggest that many children with chronic disease are capable of
participating in and even making medical decisions at a young age, and
yet we do not standardly involve them. Methods: This is a single center
survey study investigating physician attitudes towards involvement of
children in decisions regarding lung transplantation, utilizing a
hypothetical case scenario with systematic manipulation of age and
maturity level. We evaluated physician belief regarding ultimate
decision-making authority, attempts at reconciliation of parent-child
discordance, and views towards utilizing ethics and psychiatry
consultation services. Results: The majority of pediatric pulmonologists
believe decision-making authority rests with the parents. The effects of
age and maturity are unclear. In instances of parent-child disagreement,
physician are more likely to try to convince parents to defer to the
child if the child is both older and more mature. Physicians are divided
on the utility of ethics and psychiatry consultations. Conclusion:
Involvement of children in shared decision-making is broadly supported
but poorly implemented. Despite evidence that children with chronic
disease may have decisional capacity starting at a young age, the
majority of physicians still grant decisional authority to parents.
There are numerous barriers to involving children in decisions,
including legal considerations. The role of age and maturity level in
influencing these decisions appears small and warrants further
investigation.
Use of the Inverse Solution Guidance Algorithm method for RF ablation catheter guidance
Authors: Lv Wener , Barrett Conor , Arai Tatsuya , Bapat Aneesh , Armoundas Antonis , Cohen Richard , Lee Kichang
Published: November 2020

We previously introduced the Inverse Solution Guidance Algorithm (ISGA)
methodology using a Single Equivalent Moving Dipole model of cardiac
electrical activity to localize both the exit site of a re-entrant
circuit and the tip of a radiofrequency (RF) ablation catheter. The
purpose of this study was to investigate the use of ISGA for ablation
catheter guidance in an animal model. Ventricular tachycardia (VT) was
simulated by rapid ventricular pacing at a target site in eleven
Yorkshire swine. The ablation target was established using three
different techniques: a pacing lead placed into the ventricular wall at
the mid-myocardial level (Type-1), an intracardiac mapping catheter
(Type-2), and an RF ablation catheter placed at a random position on the
endocardial surface (Type-3). In each experiment, one operator placed
the catheter/pacing lead at the target location, while another used the
ISGA system to manipulate the RF ablation catheter starting from a
random ventricular location to locate the target. The average
localization error of the RF ablation catheter tip was 0.31 ± 0.08 cm.
After analyzing ~35 cardiac cycles of simulated VT, the
ISGA system’s accuracy in locating the target was 0.4 cm after 4
catheter movements in the Type-1 experiment, 0.48 cm after 6 movements
in the Type-2 experiment, and 0.67 cm after 7 movements in the Type-3
experiment. We demonstrated the feasibility of using the ISGA method to
guide an ablation catheter to the origin of a VT focus by analyzing a
few beats of body surface potentials without electro-anatomic mapping.
Identification of deliberate catheter motion at the left atrial posterior wall during pulmonary vein isolation: Validity of respiratory motion adjustment
Authors: Tomlinson David , Biscombe Katie , True John , Hosking Joanne , Streeter Adam
Published: November 2020

Background During automated radiofrequency (RF)
annotation-guided pulmonary vein isolation (PVI), respiratory motion
adjustment (RMA) is recommended, yet lacks in vivo validation.
Methods Following contact force (CF) PVI (continuous RF, 30W)
using general anaesthesia and automated RF annotation-guidance
(VISITAG™: force-over-time 100% minimum 1g; 2mm position stability;
ACCURESP™ RMA “off”) in 25 patients, we retrospectively examined RMA
settings “on” versus “off” at the left atrial posterior wall (LAPW).
Results Respiratory motion detection occurred in 8, permitting
offline retrospective comparison of RMA settings. Significant
differences in LAPW RF auto-annotation occurred according to RMA
setting, with curves displaying catheter position, CF and impedance data
indicating “best-fit” for catheter motion detection using RMA “off”.
Comparing RMA “on” versus “off”, respectively: Total annotated sites
82 versus 98; median RF duration per-site 13.3s versus 10.6s
(p<0.0001); median force time integral 177g.s versus 130g.s
(p=0.0002); mean inter-tag distance (ITD) 6.0mm versus 4.8mm (p=0.002).
Considering LAPW annotated site 1-to-2 transitions resulting from
deliberate catheter movement, 3 concurrent with inadvertent 0g CF
demonstrated <0.6s difference in RF duration. However, 13
deliberate catheter movements during constant tissue contact (ITD range
2.1 – 7.0mm) demonstrated (mean) site-1 RF duration difference 3.7s
(range: -1.3 to 11.3s): considering multiple measures of catheter
position instability, the appropriate indication of deliberate catheter
motion occurred with RMA “off” in all. Conclusions ACCURESP™
respiratory motion adjustment importantly delayed the identification of
deliberate and clinically relevant catheter motion during LAPW RF
delivery, rendering auto-annotated RF display invalid. Operators seeking
greater accuracy during auto-annotated RF delivery should avoid RMA use.
Fibrotic Tissue Properties associated with Atrial Fibrillation Rotors in Patients with Persistent Atrial Fibrillation
Authors: Nakamura Toshihiro , kiuchi kunihiko , Fukuzawa Koji , Takami Mitsuru , watanabe yoshiaki , Izawa Yu , suehiro hideya , akita tomomi , takemoto makoto , sakai jun , yatomi atsusuke , Sonoda Yusuke , Takahara Hiroyuki , Nakasone Kazutaka , Yamamoto Kyoko , negi noriyuki , Kono Atsushi , Ashihara Takashi , Hirata Ken-ichi
Published: November 2020

Background: A computational model demonstrated that atrial fibrillation
(AF) rotors could be distributed in patchy fibrotic tissue and play an
important role in AF drivers. However, this was not validated in humans.
Objective: The purpose of this study was to evaluate the fibrotic tissue
properties of AF rotors in patients with persistent AF. Methods: A total
of 287 segments in 15 patients with persistent AF (longstanding
persistent AF in 9 patients) that underwent AF ablation were assessed.
Non-passively activated areas (NPAs), where rotational activation (AF
rotor) was frequently observed, were detected by the novel real-time
phase mapping (ExTRa Mapping). Atrial fibrosis was detected by
late-gadolinium enhancement magnetic resonance imaging (LGE-MRI), and
the fibrotic heterogeneity and density were assessed by the entropy
(LGE-entropy) and volume ratio of the enhancement voxel (LGE-volume
ratio), respectively. Results: NPAs were found in 61 (21%) of 287
segments and were mostly found around the pulmonary vein antrum. A
receiver operating characteristic curve analysis yielded an optimal
cutoff value of 5.7 and 10% for the LGE-entropy and LGE-volume ratio,
respectively. The incidence of NPAs was significantly higher at segments
with an LGE-entropy of >5.7 and LGE-volume ratio of
>10% than at the other segments (38 [30%] of 126 vs.
23 [14%] of 161 segments, p = 0.001). No NPAs were found at
segments with an LGE-volume ratio of >50% regardless of
the LGE-entropy. Conclusion: AF rotors are mostly distributed in
relatively weak and much more heterogenous fibrotic tissue.
Out of Hospital Sudden Death in a Rural Population: Low Rates of ICD Underutilization Among Decedents
Authors: Eboh Oghenesuvwe , Mao Yuxuan , Lee Elisabeth , Okunrintemi Victor , Derbal Ouassim , Hill Sharidan , Sears Samuel , Pursell Irion , Mounsey John , Burch Ashley
Published: November 2020

Introduction: The implantable cardioverter defibrillator (ICD) reduces
mortality in patients at risk for potentially life-threatening
arrhythmias. Access and distribution of ICDs in rural or economically
disadvantaged populations is suspected to be low. This study examined
Out of Hospital Premature Natural Death data (OHPND) and electronic
medical record (EMR) data to identify rates of non-implantation of ICDs
in a sample of decedents in eastern North Carolina. Methods and Results:
Death certificate information on 1,316 decedents were matched with EMR
data (N = 967, 73.4%). Chart review identified 70 (7.2%) potential ICD
candidates with a left ventricular ejection fraction (LVEF) ≤35%. Of
the 70 identified patients, 5 (7.1%) did not meet criteria because LVEF
subsequently improved. Of the remaining 65 patients, 32 (49.2%) already
received an ICD or a wearable cardioverter-defibrillator (WCD), and 33
patients (50.7%) met ICD implantation criteria but had not received
one. The reasons identified for non-implantation of ICDs included:
limited life expectancy secondary to comorbidities, principally chronic
kidney disease (CKD) (N=11, 17%), lack of physician adherence to
guidelines (N=9, 14%), lost to follow-up (N=7, 11%), patient refusal
(N=5, 8%), and patients yet to commence guideline-directed medical
therapy (N=1, 2%). Among our cohort of 967 individuals who died
unexpectedly at home, 9 (0.9%) patients may have avoided unexpected
death with an ICD/WCD. Conclusion: This study using decedent data shows
low rates of ICD-underutilization in a rural population, but also
emphasizes the role that advanced comorbidities such as CKD play in
ICD-underutilization.
Heat generation and side milling stability of titanium alloy
Authors: Li Hong-Tao , Zhao Gang , Ji Ying-Xin , Zhang Yi-Chen
Published: November 2020

In this paper, the thermal generation and milling stability of titanium alloy
during machining are investigated mainly. A new definition of processing
behavior is given based on the principles of minimization, entity
expression and combination, and a model of side milling behavior is
constructed. Through a series of side milling orthogonal experiments on
Ti-6Al-4V titanium alloy, the cutting forces under different process
parameters are obtained. Further, the cutting force coefficients of the
model is calculated by the complete average algorithm and the peak average
algorithm, and the milling stability of the system is analyzed by a
stability lobe diagram. The results show that the different cutting
parameters have important influences on the milling stability of titanium
alloy.
The analytic solutions for the unsteady rotating flows of the generalized Maxwell fluid between coaxial cylinders
Authors: Wang Fan , Shen Wang-Cheng , Liu Jin-Ling , Wang Ping
Published: November 2020

In this paper, we consider the unsteady rotating flow of the generalized
Maxwell fluid with fractional derivative model between two infinite straight
circular cylinders, where the flow is due to an infinite straight circular
cylinder rotating and oscillating pressure gradient. The velocity field is
determined by means of the combine of the Laplace and finite Hankel
transforms. The analytic solutions of the velocity and the shear stress are
presented by series form in terms of the generalized G and R functions. The
similar solutions can be also obtained for ordinary Maxwell and Newtonian
fluids as limiting cases.
The vector power-law calculus with applications in power-law fluid flow
Authors: Yang Xiao-Jun
Published: November 2020

In this article, based on the Leibniz derivative and Stieltjes-Riemann
integral, we suggest the vector power-law calculus to consider the
conservations of the mass and angular momentums for the power-law fluid.
Quantitative analysis of concrete on the basis of fuzzy set and computerised tomography number
Authors: Fang Jian-Yin , Li Na , Qu Fei , Dou Zhan-Shuang , Li Shu-Tian
Published: November 2020

In this study, the portable power loading device and medical Marconi M8000
spiral CT scanner are used to conduct the uniaxial compression CT scanning
test of the concrete. The concrete porosity, hardened cement rate, and
aggregate rate are defined, and the variation law of the concrete is
analyzed in the uniaxial compression CT test. The proposed method is
considered to utilize the value of each CT number, to realize the
quantitative partition of the various components of concrete, and to
quantitatively evaluate the damage evolution law of the concrete and strain
localization during stress. It is shown that damage at the middle section
increased from inside to the outside in the uniaxial compression CT test of
the concrete.
Analytical solution for non-linear local fractional Bratu-type equation in a fractal space
Authors: Yao Shao-Wen , Li Wen-Jie , Wang Kang-Le
Published: November 2020

In this paper, the non-linear local fractional Bratu-type equation is
described by the local fractional derivative in a fractal space, and its
variational formulation is successfully established according to
semi-inverse transform method. Finally, we find the approximate analytical
solution of the local fractional Bratu-type equation by using Adomina
decomposition method.
The new exact solitary solutions for the (3+1)-dimensional Zakharov-Kuznetsov equation using the Riccati equation
Authors: Yin Xiao-Jun , Liu Quan-Sheng , Yang Lian-Gui , Narenmandula N
Published: November 2020

In this paper, a non-linear (3+1)-dimensional Zakharov-Kuznetsov equation is
investigated by employing the subsidiary equation method, which arises in
quantum magneto plasma. The periodic solutions, rational wave solutions,
soliton solutions for the quantum Zakharov-Kuznetsov equation which play an
important role in mathematical physics are obtained with the help of the
Riccati equation expan?sion method. Meanwhile, the electrostatic potential
can be accordingly obtained. Compared to the other methods, the exact
solutions obtained will extend on earlier reports by using the Riccati
equation.
Two Chimeras in the Landscape
Authors: Bell Mark
Published: November 2020

This article discusses the history of investigations into British linear earthworks in the twentieth century. The influence of pre-existing beliefs about the environment of Britain, especially the existence of impassable forest cover, deeply influenced the interpretation of linear monuments and had a lasting effect on the study of these monuments. A brief history of the personalities involved is followed by two case studies of monuments that were believed to be post-Roman in date but are now seen as Iron Age monuments. The implications of the change in the relationship to of the dykes to the landscape is discussed along with potential future research, better informed by an awareness of this confusing tradition of field archaeology.
ANALISIS DAN PERANCANGAN LOOPS PADA SISTEM PEMIPAAN JALUR PIPA GAS DENGAN MENGGUNAKAN PROGRAM CAESAR II
Authors: Komaruzaman Insan Kamil , Sumarjo Jojo , Santosa Aa
Published: November 2020

Sistem pemipaan merupakan berfungsi untuk mengalirkan fluida (Zat cair, gas) dari satu tempat ketempat lainnya bisa dalam bentuk pipeline ataupun piping. Sistem pemipaan harus dirancang sedemikian rupa supaya terhindar dari kecelakaan yang diakibatkan oleh kelebihan beban/Overload maupun kelebihan panas / Overheat. Salah satu cara untuk membuat sistem pemipaan aman, maka dibuat sebuah loops untuk menjaga supaya tidak terjadi expansion thermal. Untuk itu dalam perancangan pipa salah satu yang harus dilakukan adalah analisis tegangan (stress analysis),yang mana harus diupayakan agar tegangan maksimum yang terjadi pada pipa tidak melebihi tegangan izin material yang digunakan dalam perancangan. Dalam Penelitian ini dirancang sebuah loops pada sistem pemipaan untuk mengalirkan gas yang bertemperatur 1400F dengan tekanan didalam pipa sebesar 1000 psi, dengan jarak antar reservoir sejauh 1 km dengan kondisi seperti itu dikhawatirkan akan terjadi bending pada pipa tersebut. Perancangan dan analisis sistem pemipaan ini merujuk kepada Code Asme B31.3 dengan material A-335 P11. Hasil penelitian dengan menggunakan simulasi ini menunjukan bahwa tegangan maksimum yang terjadi pada pipa dengan pressure 100 Psi, temperatur 140oF sebesar 2025,6 lb/sq.in. Dicplacement (pergerakan) maksimal terjadi pada node 29 sebesar 0,0635 in dalam arah sumbu z. Gaya terbesar terjadi pada node 18 dan 29 searah sumbu y sebesar 3400,6 lb. Nilai tegangan maksimum tersebut masih jauh di bawah tegangan izin materialnya sebesar 30000 lb/sq.in, dan pipa tidak mengalami overstress karena tegangan yang terjadi tidak melebihi tegangan izin maksimum dari meterial pipa, sehingga loops yang direncanakan dikatakan aman.
Fatal multiple intestinal intussusceptions and torsion secondary to a non-degradable foreign body gastrointestinal obstruction in a captive Lion (Panthera leo)
Authors: Akanbi Olatunde , Adam Mohammed , Jegede Henry , Ajadi Abdullateef , Atata Jamila , Raufu Ibrahim , Aiyedun Julius , Shoyinka Shodeinde
Published: November 2020

Intussusception is the invagination of one segment of the intestine into the part of the tract that either precedes or follows in the gastrointestinal tract of different species of animals. This report describes a case of fatal multiple intestinal intussusceptions and torsion associated with non-degradable foreign body gastrointestinal obstruction in a captive lion (Panthera leo) in a zoo in Nigeria. Parenchymatous tissues were aseptically collected during necropsy for bacteriological isolation and histopathology. Also, intestinal fecal material was collected and sent for parasitological examination. The main lesions were gastroduodenal, duodeduodenal, duodejejunal and jejunojenunal intussusceptions and duodenal torsion. A non-degradable towel-like fabric foreign body obstruction along the pyloric antrum/canal region of the stomach down to the jejunum was found. Microscopic lesion included ischemic necrosis of inner circular and outer longitudinal smooth muscles of the intestine with necrosis of other layers and vascular congestion. Parasitological examination revealed presence of Babesia spp. in blood smear examined before the death of the lion. While Escherichia coli was isolated from the liver on MacConkey agar. A diagnosis of intussusception and torsion associated with non-degradable foreign body (fabric) gastrointestinal obstruction was made. This first case of ingestion of a non-degradable fabric foreign body leading to gastrointestinal obstruction in captive lion in Nigeria has brought about the need for vigilance of zoo authority to prevent a recurrence during crowd influx to the garden.
Uterine leiomyosarcoma with secondary acute hemoabdomen in a goat
Authors: Rissi Daniel , Nemeth Nicole
Published: November 2020

Neoplasms of the reproductive tract are uncommonly reported in goats. Here we describe a case of sudden death caused by acute hemoabdomen due to a ruptured uterine leiomyosarcoma in a 7-year-old female mixed breed goat. Gross changes included oral and ocular pallor, as well as 3 liters of blood and blood clots in the abdominal cavity. The uterine body wall was irregularly thickened and firm, and had a 2 cm in diameter, transmural perforation. The uterine lumen was filled with dark red to brown blood clots admixed with friable necrotic material. Histologically, a poorly-demarcated neoplasm expanded and effaced the uterine wall. The neoplasm consisted of densely packed bundles and streams of elongate neoplastic cells with moderate pleomorphism and abundant eosinophilic cytoplasm and elongate nuclei with coarsely stippled chromatin. The mitotic count was 4 per 2.37 mm2. Multiple areas of necrosis and clusters of lymphocytes and plasma cells were present throughout the neoplasm. Neoplastic cells exhibited diffuse immunolabeling for smooth muscle actin and patchy immunolabeling for desmin, consistent with a uterine leiomyosarcoma.
Local adaptive refinement method applied to solid mechanics
Authors: Daridon Loic , Delaume Eric , Monerie Yann , Perales Frédéric
Published: November 2020

A good spatial discretization is of prime interest in the accuracy of the Finite Element Method. This paper presents a new refinement criterion dedicated to an h-type refinement method called Conforming Hierarchical Adaptive Refinement MethodS (CHARMS) and applied to solid mechanics. This method produces conformally refined meshes and deals with refinement from a basis function point of view. The proposed refinement criterion allow adaptive refinement where the mesh is still too coarse and where a strain or a stress field has a large value or a large gradient. The sensitivity of the criterion to the value or to the gradient ca be adjusted. The method and the criteria are validated through 2-D test cases. One limitation of the h-adaptive refinement method is highlighted: the discretization of boundary curves.
Kuraklık Stresi Koşullarında Dışarıdan Uygulanan Salisilik Asitin Turp (Raphanus sativus L.) Çeşitlerinin Çimlenme ve Vejetatif Büyüme Özellikleri Üzerine Etkisi
Authors: Nasırcılar Ayşe Gül , Ulukapı Kamile , Kurt Zehra
Published: November 2020

Bu çalışmada ilk olarak dört farklı turp çeşidinin (siyah, beyaz, iri kırmızı, kırmızı fındık) farklı PEG6000 (%5, %10, %15, %20) konsantrasyonları uygulanarak oluşturulan kuraklık koşullarında çimlenme ve vejetatif gelişim parametreleri değerlendirilmiştir. Çimlenme parametresi olarak; çimlenme yüzdesi (%), çimlenme süresi ve vigor indeksi belirlenmiştir. Bitkilerde vejetatif gelişim parametresi olarak; yaprak sayısı (adet), sürgün boyu (cm), kök uzunluğu (cm), yaprak genişliği (cm), yaprak uzunluğu (cm), gövde çapı (mm), bitki yaş ve kuru ağırlıkları (g) ölçülmüştür. Beyaz, siyah ve kırmızı fındık turp çeşitlerinde %15, kırmızı iri turp çeşidinde ise %20 PEG uygulamalarında vegetatif gelişim parametreleri belirgin bir şekilde düşüş göstermiş olup, bu dozlar salisilik asit uygulamaları için eşik değer olarak belirlenmiştir. İkinci aşamada, çeşitlerin kuraklığa toleransını arttırmak amacıyla PEG6000 içeren ortamlara farklı dozlarda salisilik asit (0,25, 0,50, 0,75, 1,00 mM) uygulanmıştır. Salisilik asitin farklı dozlarının, kuraklık koşullarında turp tohumlarının çimlenmesi ve vejetatif gelişim parametreleri üzerine etkisi, çeşide bağlı olarak değişiklik göstermiş olup, çimlenmeyi teşvik edici etki yaptığı belirlenmiştir. İri kırmızı turp çeşidi hariç, bitki gelişimi üzerinde de genel anlamda olumlu etki yapmış, bu çeşitte uygulanan SA dozlarının inhibe edici etki yaptığı tespit edilmiştir. Siyah turp çeşidinde eşik değeri olarak belirlenen %15‘lik PEG6000 konsantrasyonunda 0,50 mM salisilik asit uygulaması; beyaz ve kırmızı fındık turp çeşitlerinde ise eşik değeri olarak belirlenen %15‘lik PEG6000 konsantrasyonunda 0,25 mM salisilik asit uygulaması vegetatif parametrelerinin iyileştirilmesi açısından oldukça iyi sonuç vermiştir.
Bemisia tabaci (Gennadius)‘de İki Nikotinik Asetilkolin Reseptör Genin Klonlanması
Authors: Satar Gül , Ulusoy Mehmet Rifat , Dong Ke
Published: November 2020

Nikotinik asetilkolin reseptörleri (nAChR), böcek sinir sisteminde hızlı kolinerjik sinaptik geçişe aracılık ederler. Neonikotinoid grubu insektisitler, bu reseptörleri hedefleyerek böceklerde ölüme neden olurlar. Bu çalışmanın amacı, Bemisia tabaci (Gennadius) (Hemiptera: Aleyrodidae) nAChR alt birim genlerinin cDNA klonlarını izole etmektir. Bu genlerin elde edebilmesi için RACE (cDNA Ends'in hızlı amplifikasyonu) tekniği uygulanmıştır. Bu çalışmada, B. tabaci (Bt)‘den sırayla iki kısmi nAChR alt birim geni β1 ve Î±8 (Btβ1-1168 bp ve BtÎ±8-755 bp) elde edilmiştir. Bu çalışmayla Bemisia tabaci nAChR Î±8 alt birimi, klonlanarak ilk kez elde edilmiştir. Btβ1 ve BtÎ±8'in nAChR alt birimlerinin tipik ve birbirinden farklı özelliklerine sahip olduğunu belirlenmiştir. Filogenetik ağaç sonuçları, B. tabaci‘nin Btβ1 ve BtÎ±8 alt birim genlerinin, farklı böcek türlerine ait ortolog gen bölgeleriyle kümelendiğini göstermektedir.
Effects of Honey Sales Performed via Television Commercials on Consumers‘ Buying Behavior
Authors: Kabakcı Dilek , Çankaya Soner , Akdeniz Gökhan , Derebaşı Engin
Published: November 2020

Honey is the most known and consumed bee product by consumers. Therefore, from the past to the present, the investigation of the factors affecting the supply and consumption of honey has been on the agenda of the researchers. For this purpose, in our survey study, the effects of honey sales carried out via television channels (commercials) on consumers were investigated. According to the survey results, it was determined that 87.91% of consumers had a negative view about honey sales performed via television, 3.54% had a positive opinion, and 8.55% had no opinion on the issue. It was found that 5.83% of consumers bought honey through television commercials, and the education, income, gender and number of individuals in their households have an effect on the tendency to buy honey. Regarding the exposing of companies selling fake or adulterated honey by the Ministry of Agriculture and Forestry, results showed that this situation positively affected 54.53 of consumers in terms of trust in honey positively, affected 13.30% of consumers negatively, and did not affect 13.30% of consumers in any way. As a result, deceptive honey commercials lead to consumer abuse and create an environment of distrust of honey. In order to minimize speculation on honey, it is seen necessary to increase deterrent penalties for businesses that lead to unfair competition.
The effect of customer experience and emotional value on the net promoter score: Middle-class millennial climber category
Authors: Sahir Syafrida Hafni , Situmorang Syafrizal Helmi
Published: November 2020

This study investigates net promoter score changes due to the emotional value and experience of middle-class customers. A total of 150 respondents wereselected, while 96 brands were observedbased on the respondent's daily life needs, such as clothes, cafes, gadgets and travels, amongothers. Customers experience was measured by analyzing their interactions with the brands they use. The emotional value was measured by the positive or negative emotion score of each brand. The gap between brand Promoter and Detractor is the Net Promoter Score. Thisresearch shows a positive correlation between customer experience, emotional value, and net promoter score. Data were analyzed using the Multiple regression method.
Integration of service quality, benchmarking and Ishikawa diagram in service operations
Authors: Prayudha Adrian Noor , Harsanto Budi
Published: November 2020

This paper aims to explore the integration of Service Quality (SERVQUAL) and two specific Total Quality Management (TQM) techniques -benchmarking and Ishikawa diagram- to improve quality in the service industry, particularly in the hospitality industry. The survey was administered to respondents at one five-star hotel in Bandung City, Indonesia. Benchmarking was conducted to compare this hotel to two other hotels at similar levels and within geographical proximity. Ishikawa analysis was then performed to analyze potential causes. The results of the study identified eleven negative score attributes (out of twenty-one) from SERVQUAL, which was in line with the benchmarking results. The Ishikawa diagram showed the root causes of these attributes and helped with developing ideas for practical quality improvements in the future. Most studies in the hospitality industry have examined SERVQUAL and TQM separately. Our study contributes uniquely to the existing literature by providing insight into the combination of SERVQUAL and two TQM specific tools to improve quality operations in a hospitality setting.
Transformational leadership positive influence toward employee engagement through job satisfaction and its effect on improving organizational commitment
Authors: Herminingsih Anik
Published: November 2020

This study aims to analyze the effect of transformational leadership on Organizational commitment through job satisfaction and employee engagement as mediating variables. Furthermore, as many as 112 nurses are involved as respondents, and the data are gathered with self-rating questionnaire. The Data are analyzed by using structural equation model. The confirmatory factor analysis shows that all questions in the instruments are valid and reliable. The research indicates that transformational leadershippositively and significantly affects on job satisfaction and employees’ engagement, but it does not have a direct effect on organizational commitment. Therefore, it is concluded that transformational leadership has a positive effect on organizational commitment mediated by job satisfaction and employee engagement.
The importance of customer trust toward ewom on customer behavior: The case of generation y in Indonesia
Authors: Ardyan Elia , Sudyasjayanti Christina
Published: November 2020

This study determines the effects of customer trust towards eWOM on customer behavior. This study focuses on Generation Y in Indonesia. The samplesof this study are about 260 respondents who have used eWOM. This study uses structural equation modelling (SEM) to analyze data. The results of this study indicate that trust can mediate the customer experience toward eWOM on customer behavior. The attractiveness of eWOM itself strongly influences customer trust toward eWOM. Other results also show the critical role of customer trust towards eWOM indirectly improving customer behavior.
‘Usul mikul’, ‘Ketiban sampur’, and the atrophy of innovation process
Authors: Adiguna Rocky , Iman Nofie , Rostiani Rokhima
Published: November 2020

Idea sharing is one of the most common ways of developing innovation in organizations. Aspirations and suggestions for improvements are recognized, discussed, and executed through idea sharing. This study adopts an ethnographic approach and critically analyzes how idea sharing goes against the grain of organizational culture. Based on a study of a higher education institution in Java, Indonesia, the paper highlights usul mikul and ketiban sampur as two modes of cultural practice which, over time, penalize innovators in their efforts to initiate change and renewal. The results show that these practices are formative to organizational atrophy. They weaken organizational capability to innovate due to the disuse of members’ capabilities. Importantly, the study contributes to the growing literature on innovation management, organizational culture, and higher education management.
Lexis of the thematic group “food and food consumption” in the novel by Mikhail Saltykov-Shchedrin “The Golovlyov Family”
Authors: Liashenko Tatiana
Published: November 2020

The subject of this research is lexemes of the thematic group “food and food consumption” in the novel by Mikhail Saltykov-Shchedrin “The Golovlyov Family”. The object of this research is the functional yield of these linguistic units in the text. The author of the article describes the functionality of food images in literature in form of the system of oppositions “external (existential) – internal (psychological)”, and “static-dynamic”. The four functions are differentiated: external static (food image as a detail scenery), external dynamic (food image as a theme-forming element), internal static (food image as an element of portrait of the character), internal dynamic (food image characterizes the dynamics of relations between the characters). It is noted that the thought on “low functionality” of gastronomic images in a literary text, which is expressed in some research, testifies to insufficient study of such rich material. Food as a literary image, as well as the motif of food consumption in a literary text always convey semantic meaning. In the novel “The Golovlyov Family”, the words with “food” semantics serve for the formation of external, existential aspect of narration, as well as internal, psychological aspects. Images of food alongside motifs of food consumption are characterological (describing portrait of the character) to a lesser degree, and more often used for demonstrating relationships between the characters.
Artistic system of the children’s poetic folklore of Dagestan
Authors: Alieva Fatima Abdulovna , Mukhamedova Fatyma Khamzaevna , Bekeeva Aigul' Muratovna
Published: November 2020

The subject of this research is the artistic system of children's folklore of Dagestan. Based on the analysis the example of cradlesongs, play poetry, and calendar songs, the author determines their thoughtful humanistic and democratic motif, high ideological focus, and aesthetic perfection. The article covers the ideological, thematic and artistic content, and highlights the archaic elements of cradlesong poetry, which enjoys most popularity among other genres of the poetic folklore. The author’s special contribution consists in explication of specificity of artistic means and aesthetic foundations of the folk worldview and culture reflected in folk poetry; as well as in analysis of compositions of various folklore genres as the elements of single literary system, which indicates their focus on labor, strong ideals of patriotism, kindness and continuity throughout the entire social practice of the people. The oriented towards a young developing individual, children's poetic folklore reconstructs the work and life experience in a form comprehensible to a child. This is why were created the cradlesongs, nursery rhymes, games that involved poetry, and all these word-creating activities, which in their centuries-long evolution led to higher imagery, infused and gifted each upcoming generation truly humanistic values. Children's poetic folklore that reflects the questions of folk pedagogy based on life experience of the mountaineers, had a major impact upon the development Dagestan children's literature.
Tales on the prophets: artistic reflection in the Kumyk literature
Authors: Akamov Abusup'yan Tatarkhanovich , Sultanmuradov Agaragim Magomedovich , Bekeeva Aigul' Muratovna , Alkhlavova Inna Khumkerkhanovna
Published: November 2020

The subject of this research is the Quranic narratives on the prophets in the books by A. Akayev, Shihammat-kadi from Erpeli, and Magomed Kazanbiev. In their works, tales on the prophets are interpreted and embellished with the corresponding Quranic ayats and hadiths. An attempts is made to determine cognitive function of the tales that would combine artistic virtues with folk elements, as well as frame a philosophical worldview. The worldview function of these tales is defined as humane by the spirit and logical by the method of interpretation of Islamic theosophy and ideology. It is worth noting that these tales and narratives contain the elements of folklore traditions (M. Kazanbiev “The Radiant Story”). Having analyzed the tales on the prophets described in the books by A. Akayev, Shihammat-kadi from Erpeli, and Magomed Kazanbiev, the author concludes that they represent the extensive authorial narratives based on Quranic themes. The conducted comparative analysis of the texts demonstrates that Shihammat-kadi from Erpel infuses more fiction elements, while A. Akayev places emphasis on the historical-biographical records on the prophets. Unlike the aforementioned authors, M. Kazanbiev describes and glorifies the actions and personal traits of a single prophet. Reference to the Quranic narratives on the prophets in the Kumyk religious literature allows tracing the peculiarities of their interpretation, determine the specificity of authorial narration, their style, as well as similarities and differences. The acquired results confirm that A. Akayev, Shihammat-kadi from Erpeli, and Magomed Kazanbiev embellish the Quranic texts in their works.
PENGARUH INTERNAL MARKETING TERHADAP ORGANIZATIONAL PERFORMANCE DI ERHA CLINIC DENGAN MARKET ORIENTATION SEBAGAI VARIABEL INTERVENING
Authors: Ginting Eva Valentina , Hati Shinta Wahyu
Published: November 2020

This study aims to determine and analyze how the influence of internal marketing to organizational performance in ERHA Clinic with market orientation as intervening variable. The type of research used is quantitative research with saturated sampling technique or examine the total population amounted to 60 people as many as 30 employees of ERHA Clinic Batam and 30 employees of ERHA Clinic Medan. The respondents consisted of staff working in Pharmacy, Frontliner, Nurse, Therapist, Medical Record, and all staff working in the Back Office unit. Data processing method using path analysis with SPSS 20 software. Based on the results of research stated that (1) internal marketing positively significant to market orientation in ERHA Clinic Sig. 0.000 (<0,05), (2) market orientation have positive and significant influence to organizational performance in ERHA Clinic Sig. 0,000 (<0,05), and (3) internal marketing have positive and significant effect to organizational performance in ERHA Clinic Sig. 0,000 (<0.05). This means that internal marketing affects organizational performance in ERHA Clinic.
Factors that Contribute to the High Rate of Teenage Pregnancy and its Reduction in a High-Risk Area in North West, South Africa
Authors: Sehularo Leepile Alfred , Medupe Kebitsamang Elizabeth , Meno Omphemetse
Published: November 2020

Teenage pregnancy is a global concern, and is associated with high levels of sociomedical morbidity. However, no studies have been conducted on this topic at a high-risk area in the North West province of South Africa. The aim of this study was to explore and describe the factors that contribute to the high rate of teenage pregnancy and its reduction in a high-risk area in North West. A qualitative, exploratory, descriptive and contextual research design was used to achieve the aim of the study. A non-probability purposive sampling method was used to select 15 teenage girls aged between 13 and 19 years. A total of 15 semi-structured individual interviews were used to collect data from the teenagers. Tech’s open-coding method of qualitative data analysis was used separately by the researcher and the co-coder to analyse the data. Two themes emerged, namely, contributory factors of teenage pregnancies and factors that could help to reduce teenage pregnancies. The findings of the study indicate that to effectively reduce teenage pregnancies in the high-risk area in North West, the teenagers, friends, parents, families, tavern owners and health professionals must adopt a collaborative approach to work together to fight this problem. Recommendations were made to reduce teenage pregnancies in the high-risk area in North West.
The influence of socioeconomic variability on the housing quality standard in sub-Saharan Africa
Authors: DARAMOLA Olawumi , ADELEYE Olufemi , AGBABIAKA Hafeez , OLOWU Falilat
Published: November 2020

The study examined the relationships between residents’ socioeconomic characteristics and the housing quality standard in Abeokuta, Nigeria. Systematic sampling technique was used to select 198 household heads for questionnaire administration. The findings revealed that socioeconomic factors are correlated in the following proportions: educational level shows a moderate correlation with monthly income (r = .463, p < 0.01), length of stay (r = -.433, p < 0.01) and age of building (r = -.414, p < 0.05); monthly income displays a fairly strong correlation with length of stay (r = -.502, p < 0.01) and age of building (r = -.625, p < 0.01); household size presents a relatively strong correlation with length of stay (r = .766, p < 0.01), and a moderate correlation with age of building (r = .545, p < 0.01). The results of the multiple regression analysis produced an R2 = 0.387, meaning that socioeconomic variables explained the 38.7% variance in the housing quality standard (HQS) in the study area. Therefore, the study concluded that length of stay, educational level and age of building are strongly associated with the housing quality in Abeokuta.
Identification of differences between group and individual life insurance for employees
Authors: Piechota Anna Maria
Published: November 2020

Group life insurance for employees is one of numerous voluntary insurance products covering employees’ personal risks. It can be an important complement to mandatory insurance arrangements (especially social insurance schemes) that provide personal coverage for workers. While employees may take out their life insurance on an individual basis, employer-offered group life insurance is an attractive alternative. Joining a group insurance plan is an employee’s individual decision that should be taken based on his or her knowledge of the terms of coverage. The purpose of this article is to point out the differences between employee group life coverage and individual life insurance, with a particular emphasis on insurance funding aspects and how they affect certain aspects of relevance to employees.
Cost structure of production as a determinant of the deflator of household consumption. The Input - Output approach.
Authors: Gorzałczyński Artur
Published: November 2020

The presented considerations are an attempt to verify the possibility of using input-output tables for modeling and, as a consequence, to forecast inflation. The study is a continuation of previous simulation experiments performed on a limited statistical material. The study uses input-output tables expressed in current and constant prices, describing the economy of Denmark. This is the richest available set of tables of this type. Thanks to these tables it was possible to trace long-term changes in the structure of production costs and their impact on the deflator of household consumption.
Heritage Tourism: The Back-and-Forth among Tourists, Sites and Residents
Authors: Agbabiaka Hafeez Idowu , Akinbinu Akinkule Akintan , Omisore Emmanuel Olufemi , Abiodun Abiodun Adebola , Sodangi Abubakar Bawa
Published: November 2020

Heritage tourism destinations attract heterogeneous number of players each with significantly different interests at the expense of residents. Therefore, this study assesses impacts and patronage of heritage tourism sites on the host communities in Osun State, Nigeria. Data for this study was derived through questionnaire administration. Random sampling without replacement was used to select eleven (11) heritage tourism sites in which two hundred and twenty-two (222) questionnaire were administered residents. Findings revealed the propelling factors of the influx of tourist to the heritage sites are socio-economic (33.06%), service (17.75%), mobility (12.77%) and management factors (10.78%) and the possible outcomes are both  positive and negative, which were further categorized into Social, economic and environmental impacts. The implications of this study revealed the prominence of social vices such as increase in prostitution, traffic congestion, and noise pollution among others in the areas accommodating the heritage tourism sites, hence appropriate policies for proper guidance among the heritage tourism sites, the tourists and the residents.
Phylogenetic analysis of Helicobacter pylori strains circulating in Yakutia by three housekeeping genes atpA, mutY, ppa
Authors: Борисова Т.В. , Готовцев Н.Н. , Барашков Н.А. , Пак М.В. , Алексеева М.П. , Иннокентьева Н.Н. , Морозов И.В. , Бондарь А.А. , Лоскутова К.С. , Соловьев А.В. , Пшенникова В.Г. , Рафаилов А.М. , Леханова С.Н. , Федорова С.А.
Published: November 2020

В работе представлен филогенетический анализ штаммов Helicobacter pylori, циркулирующих в Якутии, по данным трех генов домашнего хозяйства atpA, mutY, ppa.

The work presents a phylogenetic analysis of Helicobacter pylori strains circulating in Yakutia, according to three housekeeping genes of the atpA, mutY, ppa.
The study of medical and demographic indicators of reproduction of the indigenous Nenets population of the Yamal region of the Yamal-Nenets Autonomous Region
Authors: Лавряшина М.Б. , Ульянова М.В. , Поддубиков В.В.
Published: November 2020

Обсуждаются результаты исследования динамики (1980-2019 гг.) показателей воспроизводства, параметров женской репродуктивности и структуры заболеваемости коренного населения - ненцев - Ямальского района Ямало-Ненецкого автономного округа.

Results of a study (1980-2019) on dynamics of reproduction indices, female reproductive parameters and morbidity structure in indigenous peoples - Nenets, populating Yamal-Nenets Autonomous Region are discussed.
Differences in the level of inbreeding in populations of Dagestan: analysis of runs of homozygosity
Authors: Колесников Н.А. , Харьков В.Н. , Раджабов М.О. , Зарубин А.А. , Литвинов С.С. , Екомасова Н.В. , Хуснутдинова Э.К. , Степанов В.А.
Published: November 2020

Анализ геномных данных (~ 907 750 аутосомных SNP) позволил оценить уровень инбридинга на основе идентификации регионов высокой гомозиготности (FROH) в выборке из 518 человек 23 коренных народов Дагестана. В результате, в популяциях коренного населения Дагестана количество и суммарная длина ROH, а также коэффициент FROH показывают значительное разнообразие как внутри, так и между исследованными популяциями. У гинухцев, гунзибцев, ахвахцев, бежтинцев и цезов наблюдаются одни из самых высоких значений коэффициента инбридинга (FROH>1,5 млн п.н.) по сравнению с остальными мировыми популяциями.

The genomic data analysis (~907750 autosomal SNPs) allowed us to estimate the inbreeding level based on the analysis of runs of homozygosity (Froh) in the group of 518 people from 23 indigenous Dagestan peoples. As a result, the number and total length of ROH, as well as the FROH coefficient, show a significant diversity in the indigenous Dagestan populations both inside and between them. One of the highest values of the inbreeding coefficient (FROH> 1.5Mb) is observed for the Ginukhs, Gunzibians, Akhvakhs, Bezhtins, and Tsez, as compared with the other world populations.
The influence of inbred marriages on the incidence of children
Authors: Гараева С.З.
Published: November 2020

Инбредные браки традиционно популярны среди населения Азербайджанa, в их распространении большую роль играют различные религиозные, национальные традиции, обряды и предрассудки. Рождение детей с различными врожденными пороками из года в год не только не уменьшается, но в некоторых случаях даже имеет тенденцию к росту. При наличии патологического рецессивного аллеля в роду у супружеской пары с кровным родством риск рождения больного ребенка составляет 25%. Поэтому проблема, касающаяся инбредных браков, требует более глубокого изучения совместно с врачами разных специальностей. В данной работе мы изучили распространенность инбредных браков и оценили возможность их влияния на формирование здоровья детей, родившихся от этих браков.

Inbred marriages are traditionally popular among the population of Azerbaijan, in the spread of which various religious, national traditions, rites and prejudices play an important role. The birth of children with various congenital malformations from year to year not only does not decrease, but in some cases even tends to increase. In the presence of a pathological recessive gene in the family of a married couple with consanguinity, the risk of having a sick child is 25%. Therefore, the problem of inbred marriages requires a more in-depth study together with doctors of various specialties. In this paper, we studied the prevalence of inbred marriages and assessed the possibility of their influence on the formation of the health of children born from these marriages.