bluuebunny/crossref_metadata_2025 huggingface dataset:
HASIL VALIDASI BAHAN AJAR ICT SAINS TERPADU MODEL TERHUBUNG MENGINTEGRASIKAN NILAI KARAKTER UNTUK PEMBELAJARAN SISWA SMP KELAS VIII
Authors: Asrizal Asrizal , Sumarmin Ramadhan , Iswendi  , Gustiya Trisya
Published: November 2018

Integration among of science branches, ICT, and character values in learning process is necessary conductedin Junior High School. Science learning in Junior High School should be conducted because Science is an unity. Fact shows that Science in Junior High School is still separated. Purpose of this research is to produce a ICT learning material of integrated Science and to determine its validity result. This result can be categorized into research and development. There are five stages of this research, those are: to know potency and problem, to collect the information, to design the ICT learning material, and to valid the ICT learning material. Base on the development of ICT learning material can be stated two results of this research. First. Main menus of integrated Science learning material consist of home, identities, competency, introduction, learning material, exercise, competency test, references, and supporting menus. Second, validity result of integrated Science learning material is very good with average value is 85.90.
Preprint: Increased startle potentiation to unpredictable stressors in alcohol dependence: Possible stress neuroadaptation in humans
Authors: Moberg Christine A. , Bradford Daniel E. , Kaye Jesse T , Curtin John Joseph
Published: November 2018

Stress plays a key role in addiction etiology and relapse. Rodent models posit that following repeated periods of alcohol and other drug intoxication, compensatory allostatic changes occur in the central nervous system (CNS) circuits involved in behavioral and emotional response to stressors. We examine a predicted manifestation of this neuroadaptation in recently abstinent alcohol dependent humans. Participants completed a translational laboratory task that uses startle potentiation to unpredictable (vs. predictable) stressors implicated in the putative CNS mechanisms that mediate this neuroadaptation. Alcohol dependent participants displayed significantly greater startle potentiation to unpredictable than predictable stressors relative to nonalcoholic controls. The size of this effect covaried with alcohol-related problems and degree of withdrawal syndrome. This supports the rodent model thesis of a sensitized stress response in abstinent alcoholics. However, this effect could also represent pre-morbid risk or mark more severe and/or comorbid psychopathology. Regardless, pharmacotherapy and psychological interventions may target unpredictable stressor response to reduce stress-induced relapse.
Optical-photon quantum computing
Authors: Piasini Eugenio
Published: November 2018

Optical photons present many interesting aspects in the context of the research for suitable physical representations of quantum bits. Photons are chargeless particles, and do not interact strongly with each other, or even with most matter. They can be guided along long distances with low loss in optical fibers, delayed efficiently using phase shifters, and combined easily using beamsplitters. Photons exhibit typical quantum phenomena, such as the interference produced in two-slit experiments. Furthermore, in principle, photons can be made interact with each other if carefully handled. There are many practical problems with this approach; nevertheless it presents, beyond what has already been noted, an appealing conceptual simplicity.The purpose of this work is to present - at least, in its fundamental principles - a set of optical photon quantum gates that is universal for quantum computation. To do so, we begin by gathering the necessary mathematical and physical tools. We discuss canonical quantization for the electromagnetic field, and we formalize in an abstract context the characteristic properties of every realization of the Fock canonical commutation relationships (CCR). We analize the class of the spaces where it is possible to give such a realization, and that naturally lend themselves to host the physical model of our interest. Once acquired these bases, we turn ourselves to a particular optic system, the Mach-Zehnder interferometer, and we study the general properties of this system and of its essential constituents. At this point we choose a particular encoding of quantum bit and we look at the optical devices just discussed as elements of a quantum circuit. We then discuss the fundamental ideas that may guide the implementation of some important quantum gates: Hadamard gate, $\pi/8$ gate and controlled-NOT. We conclude by showing that these three quantum gates form a universal set of gates for quantum computation.
Intralesional Triamcinolone Acetonide (TA) Versus Incision and Curettage (I & C) for Medium and Large Size Chalazia
Authors: Singhania Renu , Sharma Nidhi , Vashisht Shashi , Dewan Taru
Published: November 2018

Introduction: Chalazion is a common inflammatory mass lesion of eyelid. Incision and curettage is a conventional treatment but intralesional steroid is also a safe option for multiple chalazia and chalazion near lacrimal drainage system. So, we conducted an interventional study to compare the treatment outcomes of injection triamcinolone acetonide (TA) versus incision and curettage (I&C) in medium and large sized primary chalazion.Objective: To compare the success rate of intralesional TA versus I&C for the treatment of medium and large sized primary chalazia.Materials and Methods: An interventional study was carried out in 118 patients with primary chalazion. The patients were divided equally into two groups A and B of medium sized (3-7mm) and large sized chalazia (>7mm) respectively. Treatment modality either I&C or TA was decided in each group by randomization Cytological evaluation was done for each case and diagnosis other than chalazion was excluded. Main outcome measure was resolution in size more than 80%. Secondary outcome measure was correlation of cytological features with size, duration, success rate and complications.Conclusion: Intralesional TA was found to be as effective as I&C in both the groups. In cytological analysis, we found that in large sized chalazia I&C is superior to TA in suppurating granuloma.
Pengaruh Alokasi Dana Desa Terhadap Kemiskinan
Authors: Dewi Ratna Sari , Irama Ova Novi Irama Novi
Published: November 2018

Abstrak

 

Penelitian ini  bertujuan untuk mengetahui dan menganalisis Alokasi Dana Desa berpengaruh terhadap Kemiskinan di Pemerintah Desa Provinsi Sumatera Utara menurut Kabupaten/Kota. Populasi penelitian sebanyak 81  pemerintah desa Provinsi Sumatera Utara menurut Kabupaten/kota sejak tahun 2014 – 2016. Sampel yang dipilih dengan menggunkaan metode purposive sampling yaitu dengan kriteria yang dimiliki yaitu adanya data laporan APBDes dan tingkat kemiskinan pemerintah desa Provinsi Sumatera Utara menurut Kabupaten/Kota secara berturut-turut selama 3 tahun berjumlah 81 Kabupaten/Kota.  Penelitian ini merupakan penelitian deskriptif kuantitatif dengan  menggunakan uji regresi sederhana. Data diolah dengan  menggunakan program SPSS 22. Hasil penelitian menunjukkan bahwa Alokasi Dana Desa berpengaruh positif secara signifikan. Kesimpulan hasil penelitian, alokasi dana desa  yang merupakan salah satu pendapatan desa memiliki pengaruh dalam mengentaskan kemiskinan di pemerintah desa.

 

Kata Kunci : Alokasi Dana Desa, Kemiskinan
Social Aspects of the Immigration Movement in Present-Day Spain
Authors: Vatamaniuk Anastasiia
Published: November 2018

The author of the article considers the concept of immigration as a social threat to the Spanish society, highlights social attitude towards immigrants and refugees in Spain and analyzes the adaptation of immigrants to the new environment. The author attempts to give in-depth analysis of the migration policy of Spain and discloses the main factors affecting social attitude towards immigrants and refugees in Spain. Consequently, the author explains current tendency, creating a negative stereotype of an immigrant in the Spanish society.

Keywords: Refugees, immigrants, integration, adaptation, migration policy of Spain
The Concept of Europeanization and Possibilities of its Application to the Analysis of Ukraine-EU Relations
Authors: Popova Natalia
Published: November 2018

The concept of Europeanization has become quite fashionable in EU studies in recent years. It is often used for the analysis of the relations between the EU and non-member states. The aim of the article is to examine the possibilities of its application in explaining the relationship between the EU and Ukraine. The structure of the article is as follows: firstly, the concept of Europeanization is defined considering such two disputable issues as distinguishing among concepts of Europeanization and European integration as well as Europeanization and EU-ization. Next, the evolution of the theoretical research of Europeanization and definition of this concept are analyzed. Two main mechanisms of Europeanization (conditionality and socialization) are examined. The author considers main approaches to the analysis of the "external" Europeanization emphasizing the concept of "external governance". Three groups of factors which influence the effectiveness of Europeanization are briefly analyzed. And finally, the peculiarities of application of the Europeanization concept to the Ukraine-EU relations are outlined.

Keywords: EU, Ukraine, Europeanization, EU-ization, ‘external’ Europeanization, conditionality, socialization, concept of ‘external governance’
Embracing multiculturalism of Canada: the roots & the present-day realities
Authors: Bohatyrets Valentyna
Published: November 2018

The paper provides the framework for embracing multiculturalism as a source of national identity, a political ‘profession de foi’, and an engine for a government to gain positive outcomes, leading to better immigrant integration and economic advantages for any country in the world. Noteworthy, Canadian federal policy of multiculturalism, since its official adoption in 1971, is witnessed to work stunningly and in contrast to developments elsewhere – in Canada, public support for multiculturalism is seeing unprecedented growth. Currently, the diversity of the Canadian populace is increasing faster than at any time in its history; Canada’s ethnic makeup has notably altered over the time due to changing immigration patterns. According to the latest poll findings, 84% of Canadians agree with the statement that ‘Canada’s multicultural makeup is one of the best things about this country’; 61% of Canadians believe multiculturalism ‘strengthens national identity’. Moreover, released data from Environics reveals that 27% of Canadians believe ‘multiculturalism is the one characteristic about Canada that most deserves to be celebrated on its upcoming 150thanniversary. Undeniably, people around the world tend to view Canada as “good”. Importantly, the election of Justin Trudeau is viewed as an excellent opportunity to invigorate brand Canada. Noteworthy, brand Justin Trudeau is currently composed of his belief in and promotion of the values of tolerance, equality and diversity. While recognizing the value for society of the human dignity inherent in each individual, Trudeau’s government aims to push beyond mere tolerance to mutual understanding and respect.
Keywords: Multiculturalism of Canada, immigration, digital diplomacy, brand, national identity, poll, ethnic groups
«Interculturalism»: Quebec’s Model of Cultural Pluralism
Authors: Logvinova Dariya
Published: November 2018

This article examines the impact of poly-ethnicity on political communities, by focusing on the symbolic aspect of citizenship. What are the symbolic ‘anchors’ that frame and define sentiments of belonging in a democratic polity? How do we evaluate such criteria in the light of the challenge of poly-ethnicity? Such questions are explored through a comparative conceptual assessment of the Canadian policy of multiculturalism and the Quebec’s model of interculturalism.

Keywords: Сitizenship, self-identification, constitutional state, migration policy, migrant, integration, cultural diversity, minority cultures, interculturalism, multiculturalism
Design and Implementation of High Speed Area Efficient Carry Select Adder Using Spanning Tree Adder Technique
Authors: Vykuntam Hima Bindu , M Chennaiah , K Sudhakar
Published: November 2018

In this paper, we propose Carry Select Adder (CSLA) architecture with parallel prefix adder. Instead of using 4-bit Brent Kung Adder (BKA), another parallel prefix adder i.e., 4-bit spanning Tree (ST) adder is used to design CSA. Because Adders are key element in digital design, which are not only performing addition operation, but also many other function such as subtraction, multiplication and division. A Ripple Carry Adder (RCA) gives the most complicated design as-well-as longer computation time so that we may gone for parallel prefix adders. This time critical application we use Spanning tree parallel prefix adder to drive fast results but they lead to increase in area. Proposed Carry Select Adder understands between RCA and BKA in term of area and delay. Delay of Existing adders is larger therefore we have replaced those with Brent Spanning Tree parallel prefix adder which gives fast result. This paper describes comparative performance of 4-bit RCA and 4-Bit BK parallel prefix adders with Our Proposed Spanning Tree adder based carry select adder designed using Xilinx ISE tool.
Determination of cord blood lipid profile in neonates and its correlation with birth weight and maternal anthropometry
Authors: Mandraha Shipra , Agrawal Avyact , Talware Vikas
Published: November 2018

Introduction: Serum lipid disorders have their roots in childhood and atherogenic changes are postulated to originate early in life. Cord lipid profile is a useful tool in the earlier detection of babies at a higher risk. Objectives: The objectives of the study were to assess the early onset dyslipidemia by determining cord blood lipid profile in healthy term newborns and to compare the cord blood lipid profile between terms small for gestational age (SGA) and appropriate for gestational age (AGA) newborns. Materials and Methods: This prospective observational study was conducted from October 2013 to October 2014 in the Department of Pediatrics of a Tertiary Care Institution of Central India. All normal term newborns with gestational age between 37 and 42 weeks were included in the study. After thorough examination, their weight, length, and ponderal index (PI) were recorded. Cord blood was collected immediately after the delivery and cord lipid profile was measured. Data were recorded and correlated statistically. Results: Of 114 neonates, 71 were AGA, 40 were SGA, and three were large for gestational age. There were 59 (51.8%) female and 55 (48.2%) male neonates. Birth weight, length, gestational age, head circumference, and PI were significantly higher in AGA neonates than SGA neonates (p<0.001, 0.013, 0.022, 0.02, and <0.001, respectively). Total cholesterol (TC), triglycerides (TGs), low-density cholesterol (LDL), and very low-density cholesterol (VLDL) levels were significantly higher in term SGA than term AGA neonates. Conclusion: Birth weight correlated negatively with LDL, VLDL, TC, and TG. Lipid profile parameters were also higher in babies with maternal body mass index ?25 kg/m2.
The influence of the factor of the method of hybrid pigs feeding while growing on the meat quality
Authors: Nechmilov V. M.
Published: November 2018

In this article have been presented results of the analysis of the influence of the method of feeding pigs during growing-finishing on the quality of meat when fattening to live weight 100, 110 and 120 kg, in terms of the combined use of feed of different humidity during rearing and fattening. The pig meat of commercial hybrid (Y×L)× “MaxGrow” was characterized by a low level of water-holding capacity, regardless of the live weight of animals at slaughter and feeding methods, which is negatively associated with the loss of free moisture during further storage and processing of meat raw materials. According to the color of the meat no significant difference was found between the groups, but the meat of pigs, live weight 110 and 120 kg little compared to the darker coloration on a scale of “Pork Quality Standards”. Animals that consumed wetter feed during the full cycle of growing-finishing and fattening were superior to their counterparts in the content of intramuscular fat (P ≤ 0.01). With the increase in live weight of animals, the fat content in the meat of pigs which used a liquid type of feeding during rearing increased. The difference in fat content was especially pronounced between animals that consumed on growing-finishing dry and liquid feed when slaughtering them with a live weight 120 kg. The effect of the combination of feeding method for these groups was η² = 39.3% (P ≤ 0.01). Two-factor analysis showed the effect of both factors – the feeding method η² = 15.2% (P ≤ 0.001) and live weight η² = 20.1% (P ≤ 0.01), on the level of intramuscular fat in pigs. Factors of feeding (η² = 26.2%) and live weight (η² = 18.7%) had a reliable effect (P ≤ 0.001) on the energy value of pork meat in the studied genotype. Feeding young animals moistened with multiphase method, followed by fattening with liquid feed contributed to the formation of a certain mode of consumption and mechanism of assimilation of nutrients in piglets, which led to a more intensive accumulation of intramuscular fat.
The effectiveness of the use of probiotics for wet maize grain preserving
Authors: Fedak N. , Chumachenko S. , Darmohray L. , Gutyj B. , Perederiy M. H.
Published: November 2018

The process of processing and storage of high moisture grain is one of the important problems of forage production, especially in the Carpathian region due to its excessive moisture, therefore, due to the intensification of the livestock industry, the conservation of feed is becoming increasingly important. The purpose of the research was to determine the effect of different doses of bacterial preparation KT-L 18/1 (produced by Chernihiv ISMAV NAAS) on the preservation of nutrients and microbiological parameters of maize grain of high humidity in dynamics. The investigation of influence different doses of bacterial preparation KT-L 18/1 on the nutrients and microbiological parameters protection in maize grain with high humidity were realized in the laboratory of animal feed and feed technology (containers with maize grain, treated with different doses of microbial preparation KT-L 18/1, were laid, their chemical composition and microbiological parameters were determined). The control was grain without drying and with the addition of a chemical preservative CAS. During  storage of treated maize grain  were determined their chemical composition, content of main fermentation acids, and microbiological parameters. It was found that dry matter reduce, an integral feed nutrition indicator, in maize grain samples, treated with KT-L-18/1 and chemical preservative were 1.0 and 1.1% respectively. The lowest number of harmful micromycetes was noted by using the KT-L-18/1 at dose 8 ml/kg. It was found that using of chemical preservative CAS suppresses all investigated microorganisms, including lactic acid bacteria. Probiotic preparation KT-L-18/1 at dose 8 ml/kg wet maize grain provides to nutrients preservation same level like chemical preservative through active development of lactic acid microorganisms. It is advisable for final conclusions to carry out the testing of this preparation during the harvesting of wet ivy corn grain under production conditions and in experiments on animals.
Indicators of functional and antioxidant liver status of rats under oxidative stress conditions and on the action of the liposomal drug “Butaselmevit”
Authors: Martyshuk T. V. , Gutyj B. V. , Vishchur O. I.
Published: November 2018

The purpose of the work was to study the parameters of the functional and antioxidant state of the liver in rats under conditions of oxidative stress and at the actions of the liposomal drug “Butaselmevit”. The research was carried out on young white laboratory male rats of the Vistar line with a body weight of 180-200 g, which were kept in the standard conditions of the institute vivarium of the State Scientific Research Control Institute of Veterinary Preparations and Feed Additives. Animals were divided into three groups of 20 animals in each: 1st group (K) intact animals; 2nd group (D1) – rats, affected with tetrachloromethane; group 3 (D2) – rats, affected with tetrachloromethane and treated with Botselmevit liposomal preparation. Toxic lesion of rats was caused by intramuscular administration of 50% tetrachloromethane at a dose of 0.25 ml per 100 g of animal body weight for the first and third day of the study. Animals of the experimental group D2 on the first and third day of the study, an hour after the introduction of tetrachloroethane, additionally administered a liposomal preparation at a dose of 2 ml per 1 kg of body weight of the animal. The composition of this preparation includes the following substances: butafosfan, selenium, methionine, thistle injection and vitamins A, E and D3. The development of oxidative stress in rats caused by intramuscular administration of tetrachloromethane was accompanied by suppression of protein synthesis of the liver, as evidenced by the low level of total protein and the decrease in the albumin-globulin factor. Low levels of albumin and high levels of globulins in the blood of diseased rats indicate an albumin-globulin disproportion. The indicators of liver function were quite high, namely: the level of creatinine increased by 46%, urea by 74% and total bilirubin by 34%. When applying the liposomal drug "Butaselmevit" to rats, under conditions of oxidative stress during research, the normalization of biochemical parameters occurs in the blood. It has been proven that modeling of the stress response in rats of the experimental group leads to a probable decrease in the level of reduced glutathione and the activity of glutathione peroxidase in the second and fifth days of the experiment. When applying the liposomal drug Butaselmevit to rats, under conditions of oxidative stress during the studies, activation of the glutathione linkage of the antioxidant system occurs in the blood, indicating an increase in the level of reduced glutathione and the activity of glutathione peroxidase in the blood of animal data. At the 14th day of the research, the level of reduced glutathione and the activity of glutathione peroxidase in blood of the experimental group D2 were the highest. The results of the research indicate the antioxidant properties of the new liposomal drug “Butaselmevit”.
Subsidiary methods of pregnancy diagnosis in diary cattle – alternative for the future
Authors: Sharan M. , Shalovylo S.
Published: November 2018

Early pregnancy diagnosis in cows is one of the key elements of effective reproduction management of this species. Still imperfect effectiveness of procedures performed motivates veterinarians for further exploration of new techniques for the diagnosis of pregnancy and their new application. The following article aims to give existing laboratory methods and possibilities for their use in the diagnosis of pregnancy before the 3rd day of insemination. In particular, substances that can be identified as soon as possible after insemination are presented: early pregnancy factor (EPF), progesterone (P4), estrogen sulfate and pregnancy-associated glycoproteins (PAG). A detailed description of these substances and their role in the formation and maintenance of celibacy in cows are given. The possibility of using laboratory methods in modern milk reproduction protocols is shown. From the perspective of modern literature sources, the most effective laboratory methods for diagnosing pregnancy in dairy farming today are the definition of an early pregnancy factor (EPF) and pregnancy-associated glycoproteins (PAG). Description of the methods available on the market and a new compilation (protocols) above techniques may be of interest for veterinarian involved in cattle reproduction. Despite the rapid development and the presence of more and more effective ultrasound devices, a practical veterinarian should not forget about the existence of indirect methods of diagnosis of pregnancy, which in large herds can significantly improve the economic conditions for the management of reproduction of cows in the future.
The usage of bioindicators for assessment of the atmospheric air state in the area of the activity of Dobrotvirska Thermal Power Station (TPS)
Authors: Butsyak A. A. , Butsyak V. I. , Muzyka L. I.
Published: November 2018

The methodological aspects of the research of the atmospheric air state have been studied, the attention has been paid to biological methods, in particular, to the method of indicating the area of leaf blades, which is easy to use and allows getting reliable results. Taking into account the informative value of the morphometric parameters of the warty birch leaves and the sensitivity of the species to environmental pollution, it is promising to use this species of tree plants as a bioindicator when assessing the ecological status of an urbanized and anthropogenic-transformed environment. The integral index of warty birch leaves asymmetry in the territory with a minimum air pollution was the lowest – 0.0258. The maximum value (0.0914) was investigated in the territory of the “Dobrotvirska Thermal Power Station”, which indicates extremely unfavorable conditions; therefore the plants are in a very depressed state. The average integral index of the fluctuating asymmetry for the warty birch in the region of our studies is 0.0586, which suggests an approximation of the ecological state to pre-critical level. The comparative analysis of the morphometric parameters of the warty birch leaves discovered their uneven resistance to environmental pollution, which manifests itself by decreasing the size, area and biomass (cell material) of the leaves, as well as by increasing the degree of their necrotic damage.
Perancangan Media Pembelajaran Mengenal Huruf Arab (Hijaiyah) untuk Anak Usia 4-6 Tahun dengan Menggunakan Software Pengolah Animasi 2 Dimensi
Authors: Andini Titania Dwi , Wafa Achmad Bahar
Published: November 2018

Media Pembelajaran ini dinilai sangat bermanfaat karena membantu Anak pada Usia 4-6 tahun bisa lebihmudah menerima materi yang diajarakan selain itu juga membuat anak-anak tertarik untuk mempelajarimateri yang disampaikan. Dalam media pembelajaran ini yang akan disampaikan adalah tentang HurufArab (Hijaiyah). Lebih ditujukan kepada anak pada usia 4-6 tahun, karena pada anak usia 4-6 tahun sangatmudah dan cepat untuk menghafal dari apa yang mereka lihat dan pelajari. Kecanggihan teknologi sekarangini memudahkan siapapun mampu belajar membuat Media Pembelajaran seperti software pengolah animasi2 dimensi, Macromedia Flash serta software pengolah gambar vektor, Corel Draw. Media pembelajaran inimemiliki konsep yang menarik, dari materi yang disampaikannya mudah dipahami, ditambah dengangambar karakter maupun background yang unik akan membuat anak- anak tidak jenuh untukmempelajarinya serta memahami isi dari materi yang disampaikan.
Multimedia Interaktif Sebagai Media Informasi STMIK ASIA Berbasis Flash
Authors: Indahsari Rina Dewi , Istanto Aditya Tri
Published: November 2018

Menyikapi dari kebutuhan STMIK ASIA dalam menyampaikan informasi perkuliahan kepada mahasiswa secara efektif dan ekonomis, serta kebutuhan akan media apresiasi, disusunlah konsep perancangan untuk mengemas bagaimana sebuah multimedia interaktif dapat secara efektif dan ekonomis dalam menyampaikan informasi serta menjadikan salah satu media apresiasi bagi mahasiswa STMIK ASIA.
Proses pembuatan aplikasi ini meliputi pengumpulan data pendukung melalui observasi dan dan studi pustaka. Aplikasi dibuat menggunakan bahasa pemrograman flash (action script 2.0) dengan dukungan database MySQL, sehingga konten dan fitur didalamnya mampu diperbaharui.
Penelitian ini menghasilkan sebuah aplikasi multimedia dengan dukungan audio dan video, dilengkapi dengan sistem database sederhana yang mampu menampilkan informasi dengan lebih menarik, interaktif, dan ekonomis, serta dinamis dan mudah dalam pengolahan data konten dari informasi itu sendiri.
Melihat dari hasil tersebut, maka dihimbau agar menggunakan media visual yang menarik, serta dapat berinteraksi dengan pengguna, agar dapat meningkatkan efektifitas penggunaan multimedia sebagai media informasi.
PERILAKU CARING MAHASISWA PROGRAM STUDI SARJANA KEPERAWATAN STIKES HAFSHAWATY PESANTREN ZAINUL HASAN
Authors: Nusantara Ana Fitria , Wahyusari Shinta
Published: November 2018

Â ABSTRAKCaring dalam keperawatan merupakan hal yang paling mendasar dan harus diajarkan sejak dini. Caring yang diajarkan dan ditanamkan sejak dini yaitu sejak mahasiswa berada di tingkat satu harapannya ketika mahasiswa berada pada tahap pembelajaran klinik mahasiswa dapat mengaplikasikan atau melakukan asuhan keperawatan dengan jiwa caring. Tujuan dari penelitian ini adalah untuk mengetahui perilaku Caring mahasiswa. Desain kualitatif digunakan pada penelitian ini dengan pendekatan phenomenology hermeneutic. Data dikumpulkan dengan tehnik wawancara tidak terstruktur kemudian dianalisis dengan tehnik Van Manen. Hasil penelitian menunjukkan bahwa pengetahuan mahasiswa tentang caring terbatas pada definisi caring itu sendiri, sementara perilaku caring mahasiswa menunjukkan perbedaan antara mahasiswa tingkat dua, tiga dan empat. Penelitian ini memberikan bukti bahwa semakin tinggi strata pendidikan dan semakin banyak pengalaman praktik yang sudah dilalui sangat berpengaruh pada perilaku caring mahasisawa. Hal ini sangat bermanfaat dalam rangka meningkatkan pelayanan keperawatan pada pasien.Â Kata kunci: perilaku caring, mahasiswa keperawatanÂ Â ABSTRACTCaring in nursing is the most basic thing and must be taught early. Caring mustÂ  taught and instilled early, since students are at the first level, hopely when students are at the clinical learning stage, they can apply or treath the patients with nursing care. The purpose of this study was to determine the behavior of student caring. The qualitative design was used in this study with a phenomenology hermeneutic approach. Data collected with unstructured interview techniques were then analyzed with Van Manen techniques. The results showed that the students' knowledge about caring was limited to the definition of caring itself, while the caring behavior of students showed the difference between second, third and fourth level students. This study provides evidence that the higher level of education and the more practical experience that has been traversed is very influential on student caring behavior. This is very useful in order to improve nursing services for patients.Â Keywords: caring behavior, nursing students
The Role of Work Teams in the Delivery of Service
Authors: Naji Amela Mohsen , Al-Baaj Aziz Saleh
Published: November 2018

The study aims to show the role of the working groups and the analysis of correlation and influence in the service delivery process in general Mutasim contracting company construction one of the formations and the Ministry of construction and Housing, public and municipalities، and adopted the questionnaire as a tool for the study, and the total sample size (55) members of the company researched and included questionnaire on (15) items distributed among the variables of the study teams and delivery service، has been using a range of statistical methods for the analysis of the practical side of the study، including simple correlation coefficient, and the coefficient of determination R2%, test F spss program، and the relative importance and the standard deviation, they found a set of conclusions illusion that there the obvious effect of the teams working in the service delivery operations and، finally، the researchers expressed the most important set of recommendations to encourage work alvrgi in the company being one of the methods that achieve the goals of the company.
Measuring the relationship between training programs and the quality of municipal services
Authors: Al-Zaidi Nazem Jawad , Fadel Abdul Razzaq Abbas
Published: November 2018

The current research examines the correlation between the explanatory variable (the training program) and the responsive variable (quality of municipal services) in the Municipality of Baghdad . As well as testing the moral differences of the search variables , The research community represents the municipal departments in Rusafa district with a total of (4) municipalities out of (8) And the first chest), in addition to the workers in the management of the vocational training institute. A random sample was chosen representing 164 managers and assistants of these departments, as well as officials of municipal councils and divisions, as well as engineering staff responsible for the work teams. Anni 's Social Social Institute of the Sciences and Technology and Technology and Technology, In order to test the correlation between the explanatory variable (the training program) and the responsive variable (quality of municipal services) for research, and using a main tool to collect data from the sample members, the questionnaire is used to collect data. Of the statistical methods (frequency distributions, arithmetic mean, standard deviation, Pearson correlation coefficient). The researcher found that there is a positive correlation between the two variables, ie, the increase in the level of training programs in terms of design, The recommendations focused on the need to support senior departments in the departments concerned with the training programs and increase attention to the development of their human resources. This comes through the adoption of effective training plans and programs for development, especially the engineers and technicians to acquire knowledge and experience and change behavior towards achieving a service related to High quality.
The Impact of Marketing Dashboard in Enhancing Strategic Marketing and Marketing Performance
Authors: Hamid Mulla Hassan Mohammed Mahmoud
Published: November 2018

Organizations were witnessed many changes and developments in their ways of managemnets, production, marketing and different activities related to their process which forces these, Organizations to re-arrangement their fuctions and renovatian their activity managing ways.Because of that many of organization managers to reconsi deration in new competition rules inorder to for mulation many strategies which enable them in autper forms on their competiters and to achieve theirsto goals by satisfying cuers need and desire.This will requires the existance of marketing dashboard which contains of appropriate marketing indicants inorder to evaluate of organizations marketing performance and to giving indicants which reinforcing strategic marketing, achieving goals and correcting of negative deviatians which constrains their marketing works and activities.

The current research aims to identify a marketing tool that can be counted with the same importance as the marketing leadership panel, as well as shedding light on strategic marketing and marketing performance through its theoretical part, as well as providing scientific research for the field concerned about the nature of the dimensions in question, to achieve these objectives, the researcher was designed a questionnour which consist of (21) paragrd phs to collect primary data from the sample which consist of (60) persov. In the light of that, the researcher was tested hypothesis by using (SPSS) program, and bu using sereval of statistic methods to achieve study goals,the researcher was conducted to sereval conclusions which are:

Marketing dashboard is represents a responding to increased complications and markets data variation which faced by top managemnet in information age .

The marketing performance is represented as a result of integeal organization achtivities which reflected on roganization existance and continuation .

The results of the research hypotheses proved that the adoption of the marketing dashboard leads to the promotion of strategic marketing and marketing performance,and the marketing leadership panel contributes to the promotion of both strategic marketing and marketing performance.

In the light of that the researcher was represented several of suggestians which are :

The clarification of managers and superviors tiby the importance and the role of marketing dashboard in the improving of organizational performance and the markting performance .

Manipulating problems and obstacles which is pervents the evolving of marketing performance .

The beneficialness of advantages and benefets when the organization adopting of strategic marketing
Measuring the quality of working life of employees
Authors: Ibrahim Ruwa Ahmed
Published: November 2018

The aim of this research is to identify the reality of the quality of work life in different dimensions and to know the importance of the quality of work life of the employees in the presidency of the University of Tikrit. The research adopted the analytical descriptive research methodology. To achieve the research objectives, the researcher designed a questionnaire for measuring the quality of working life consisting of (5) dimensions, And were applied to a sample of (30) employees of the two years randomly chosen from the research community. Data were statistically processed by calculating arithmetic averages, standard deviations, extraction of frequencies and percentages. In the light of the findings of the research, the researcher came out with a set of Among the recommendations that the decision-makers can make use of at Tikrit University is that improving the quality of the work in its psychological, social and natural dimensions constitutes a social, moral and moral responsibility for the organizations, and that the level of efficiency of the organization in carrying this responsibility can be reflected in tangible results on the Organization's efforts in terms of growth and prosperity And adapting to environmental requirements. The success of the organization in creating the right quality of work life can help it to unleash the capacity of its working members to achieve the goal of increasing productivity in quantity and quality. The current trends of organizations are no longer dependent solely on investment in good capital and modern technology but rather on changes in work in terms of content and dimensions.
Effectiveness of an intervention to optimise the use of mirabegron for overactive bladder: a quasi-experimental study in primary care
Authors: Fernández-Liz Eladio , Tristante Pere Vivó , Martínez Antonio Aranzana , Colomer Maria Estrella Barceló , Rebull Josep Ossó , Dolcet Maria Josep López ,   on behalf of the Urinary Incontinence Improvement Investigators Group
Published: November 2018

Background

Overactive bladder is a composite of lower urinary tract storage symptoms. Pharmacological treatment is widely employed despite markedly modest efficacy data, adverse effects, and costs for the health system.

Aim

To determine the 12-month efficacy of an intervention delivered by GPs on mirabegron revision and, if appropriate, discontinuation of treatment.

Design and setting

Multicentre, quasi-experimental study in Barcelona (Catalonia), Spain.

Method

Two groups composed of 17 intervention and 34 control practices were formed. The follow-up period was 12 months, from 1 January to 31 December 2017. A structured intervention was designed consisting of initiatives with GPs and urology/gynaecology specialists. The primary outcome was mirabegron use at 12 months.

Results

Of the 1932 patients, a significant discontinuation in treatment was observed at 12 months’ follow-up in the intervention group (IG) (n= 433 out of 762, 56.8%), in contrast with the control one (CG) (n= 484 out of 1170, 41.4%) (P<0.001). There was also a reduced incorporation of new treatments in the IG (n= 214 out of 762, 28.1%) compared with the CG (n= 595 out of 1170, 50.9%) (P<0.001). In relation to patients with treatment at the beginning and end of the period, there was a decrease of 219 (28.7%) patients in the IG and an increase of 111 (9.5%) in the CG (P<0.001).

Conclusion

The structured intervention showed optimisation in the use of mirabegron. When considering discontinuation it is necessary to provide clear data on the benefits and/or risks for patients and their caregivers, as such information is a precondition for shared decision making.
Characterising patient complaints in out-of-hours general practice: a retrospective cohort study in Ireland
Authors: Wallace Emma , Cronin Sinead , Murphy Norah , Cheraghi-Sohi Sudeh , MacSweeney Kate , Bates Mel , Fahey Tom
Published: November 2018

Background

Patient complaints can provide valuable insights into the quality and safety of clinical care. Studies examining the epidemiology of complaints in out-of-hours general practice internationally are limited.

Aim

To characterise patient complaints in an out-of-hours general practice setting.

Design and setting

Retrospective cohort study of patient complaints to an out-of-hours service provider in Dublin, Ireland, over a 5-year period (2011–2016). This comprises nurse-led telephone triage and GP consultations for patients with urgent problems.

Method

A modified version of the UK Healthcare Complaints Analysis Tool (HCAT) was utilised to code complaints, which were reviewed independently in duplicate by two academic GPs.

Results

Of 445 598 telephone contacts, 303 085 resulted in face-to-face GP consultations. Of 234 patients who made 298 complaints, 185 (79%) related to GP care. The remainder related to nurse triage, other staff, and management issues. A total of 109 (46%) related to children aged ≤18 years, and 134 (58%) of complainants were female. There were 0.61 complaints per 1000 GP consultations. Most complaints (n = 126, 42%) were in relation to clinical care problems, largely diagnosis and prescribing. Common themes included unmet management expectations and clinical examination dissatisfaction. Inter-rater reliability was 90% (κ statistic 0.84, 95% confidence interval = 0.80 to 0.88). Following internal investigation, 158 (85%) of GP-related complaints were managed effectively by the out-of-hours service.

Conclusion

The majority of complaints related to clinical care problems and were successfully managed locally. Expectation management may be an important way to mitigate the risk of complaints.
Primary hyperparathyroidism and non-medullary thyroid cancer- A review
Authors: El-Boueiz Nathalie , Salti Ibrahim
Published: November 2018

Background:

The association of thyroid disease and primary hyperparathyroidism is well described, with thyroid carcinoma being reported in 2-15% of cases. The most commonly associated carcinoma is non-medullary thyroid cancer. While the association of PHPT and medullary thyroid cancer (MCT) is well known, that of NMTC, despite its increasing incidence, is still not established. Our study is a review of incidence and underlying mechanisms of non-medullary thyroid cancer associated with PHPT. Also, best imaging tools for concomitant diagnosis is reviewed to ensure an adequate plan of care.

Methods & findings:

A search was done using two databases: Medline & Embase. The search conducted from the period of 2008 until April 2018 yielded a total of 142 studies. After an adequate screening, 26 studies were reviewed. 

Incidence of DTC in association with PHPT in the literature ranged between 0.91% and 17.6%. The main histological thyroid malignancy found is micropapillary carcinoma. Despite its less aggressive presentation, these microcarcinomas may grow or develop nodal metastases on follow up. Although bilateral neck exploration with hemi/total thyroidectomy carries the risk of temporary recurrent laryngeal nerve injury or hypoparathyroidism, permanent complications are rare especially when compared to re-do neck surgery. Recently, parathyroid surgeries are going towards minimal invasive procedures, requiring an adequate imaging tool to ensure diagnosis of both diseases. Multiple risk factors for concomitant diseases were hypothesized, the more robust are the common embryologic origin and activation of angiogenic growth factors.

Conclusion:

NMTC is frequently associated with PHPT especially in endemic goiter areas. With the high prevalence of micropapillary carcinoma and its risks, a partial/total thyroidectomy in addition to parathyroidectomy may be warranted. With the recent need of adequate diagnostic tools, combining both Technetium Sestamibi scintigraphy and thyroid ultrasound improved sensitivities and accuracy of diagnosis, but dual-isotope scintigraphy (I-123 sodium iodide/ 99mTc-sestamibi) seems an attractive modality in hyperparathyroid patients with concomitant suspicious thyroid nodules. However, further studies for validation may be needed.
THE FEATURES OF LABOR EMIGRATION FROM THE SLOVAK REPUBLIC
Authors: Grenčiková Adriana , Skačkauskienė Ilona , Španková Jana
Published: November 2018

Migration is historically a social phenomenon that not only has a significant effect on politics, economics, and social aspects but also presents challenges to the security of states and alters population composition in countries. Labor migration and its investigation are becoming a society-wide phenomenon because of the labor force shortage as well as the aging population. The Slovak Republic is a country that faces the outflow of qualified workers abroad, and the country’s index of aging is one of the most dynamic in Europe. The current study aims at examining the relations and the reasons for emigration to work from the Slovak Republic. To identify the causes of labor emigration in the Slovak Republic, a survey was conducted to explore the decisions of people to emigrate for work, the duration of the stay abroad and the possibility of returning to Slovakia. This study also analyses the relationship between GDP growth and improvement of the economic situation in Slovakia, the number of labor emigrants, as well as the relationship between the minimum wage and the number of labor migrants.
Evaluate the Effect of Education Interventions in the Prevention of Diabetic Foot Ulcers through Knowledge of the Disease and Self-Care Practices in Saudi Arabia
Authors: Mohamed Nagwa Ahmed , Kersha Reham Hamed
Published: November 2018

BACKGROUND: Diabetes mellitus places a substantial burden on society worldwide. Diabetic foot ulcers are a challenging problem for clinicians. Six generally accepted detriments to the healing of diabetic foot ulcers were identified: infection, glycaemic control, vascular supply, smoking, nutrition and deformity.
AIM: To evaluate the effect of educational interventions in the prevention of diabetic foot ulcers through knowledge of the disease and self-care practices.
METHODS AND DESIGN: A quasi-experimental, design was used. The study was conducted in the Internal Medicine Department and Outpatient clinic at Umulj general hospital - 2016. The study sample consists of 60 adult patients with diabetes mellitus. Approval to conduct the study obtained from the Ministry of Health and the University of Tabuk Research Ethics Committee.
RESULTS: This study shows that, a significant relationship between levels of patient's knowledge, practice and level of education.
CONCLUSION: The result of the present study concluded that implementation of the developed educational program showed significant improvement in the patients level of knowledge, patients ability to perform self-foot care and level of patient awareness after program implementation.