bluuebunny/crossref_metadata_2025 huggingface dataset:
Case Study: Competitive Advantage at All Costs - An Inside Look at Five Pharmaceutical Industry Practices Which Undermined Customer Relationships
Authors: Nathan Edward P.
Published: December 2019

This study attempts to answer the question: Over the past 35 years, what competitive business practices instituted by the pharmaceutical industry intended to drive increased competitiveness and business efficiencies had the unintended results of increasing the publics’ general distrust and dissatisfaction with the industry? This paper takes a unique perspective by analyzing five apparently disparate business practices designed to improve business performance but which also increased customer distrust and dissatisfaction of the industry. Specifically the five business practices were:Reliance on pharmaceutical marketers with MBAs but limited or no practical pharmaceutical selling experience.The loss of independent pharmacies and pharmacists as customers due to the rise in national pharmacy chains.Purchase and use of physician-specific prescribing dataUse of direct to consumer advertising for prescription drugsDelaying generic competition and providing industry support for the Affordable Healthcare Act in exchange for U. S. government prohibition against the importation of low cost prescription drugs into the U.S. and prohibiting negotiated Medicare drug prices.The paper uses a case study methodology. The results section details the practices reviewed in this case study and suggests they did improve competitiveness and efficiencies, but also contributed to erosion in customer confidence which includes key customer groups: physicians, pharmacists, patients and payers. Consumer groups such as American Association of Retired Persons (AARP) are focusing both financial resources and membership efforts to advocate for changes in pharmaceutical industry pricing and marketing practices. To see if this phenomenon has occurred in other industries, it was observed that the airlines, fast food and information technology industries also pursued greater business efficiencies. The discussion section suggests they too experienced and continue to experience significant customer relationship issues resulting from the drive for greater efficiencies, including government intervention to address customer concerns. The conclusions review some of the limitations of this study and suggest areas for additional research.
Tourists’ Perceived Quality on History and Culture of Sheqi Ancient Town: A Moderating Effect of Tourist Motivation
Authors: Zhang Juan , Bunchapattanasakda Chanchai
Published: December 2019

Perceived quality was identified an important antecedent of tourist satisfaction and destination loyalty, however, few studies examine the factors influencing tourist’s perception on the service quality of a destination. For historic and cultural tourists, tourist experience play an important role during their visits. The main purpose of this study was to investigate whether tourists’ experience influenced perceived quality of the tourist as an antecedent and the moderating effect of tourists’ motivation on the relationship between tourists’ experience and perceived quality within historic and cultural tourism contexts. A survey of 1,389 tourists visited an ancient town in center part of China, Sheqi, was conducted as the basis for analysis. With SPSS 22.0 and data collected in Sheqi Ancient Town, the hypothetical model was tested by the method of hierarchical regression analysis. The empirical results indicated that, firstly, the tourists’ experience positively influenced perceived quality significantly. Secondly, tourist motivation played a significant moderating role on the relationship between tourist’s experience and perceived quality.
FTA: A Stumbling Bloc towards Global Free Trade
Authors: Wang Qiong
Published: December 2019

This paper examines the impact of free trade areas (FTAs) on the world trading system. It uses a partial equilibrium framework among three countries where Cobb-Douglas utility function is applied. It is found that FTAs are primarily detrimental to multilateral trading system and are stumbling blocs to global free trade (GFT), whether in a symmetric or an asymmetric case. This conclusion is based, firstly, upon the findings that the utility of member countries in a FTA are higher than status quo, so they are interested in forming a FTA, and secondly, after forming a FTA, they don't have incentive to let the third country join in since their utility would be lowered. In addition, this paper shows that when there are two large countries and a small one, it is more profitable for one large country to form a FTA with the small one instead of the other large one.
Cerámica prehistórica y el kit instrumental para su producción. Descripción del registro arqueológico de Coro Trasito (Tella-Sin, Huesca)
Authors: Clemente Conte Ignacio , Mazzucco Niccolò , Cuenca-Solana David , Mozota Holgueras Millán , Díaz Bonilla Sara
Published: December 2019

En este artículo presentamos los instrumentos de trabajo relacionados con la producción cerámica. El punto de partida es una serie de programas experimentales que nos permiten definir la aparición y el desarrollo de los rastros de uso en las superficies de los distintos instrumentos relacionados con esa producción, una vez reconocidos arqueológicamente. Esto incluye el uso de instrumentos manufacturados en materias primas de distinto origen: minerales (material lítico tallado, cantos o guijarros naturales, fragmentos de cerámica…), y materias duras de origen animal (espátulas/punzones de hueso, instrumentos de conchas…).Una vez definidos estos tipos de instrumentos de trabajo, aplicamos el estudio a un yacimiento arqueológico concreto. En este caso, describimos los instrumentos recuperados en Coro Trasito (Tella-Sin, Huesca) que tienen que ver con la producción y el mantenimiento de la cerámica, especialmente en un periodo cronológico relacionado con el Neolítico antiguo.
La cocción cerámica en la prehistoria: un proceso de especialización marcada en Las Cogotas (Cardeñosa, Ávila)
Authors: Padilla Fernández Juan Jesús
Published: December 2019

Los estudios sobre procesos tecnológicos cerámicos en arqueología frecuentemente han centrado su atención en distinguir dos tipos de cocciones: a fuego abierto y en horno cerrado. Las primeras, más simples y de menor temperatura, han sido asociadas comúnmente a comunidades no especializadas, mientras que las segundas, más complejas y de mayor temperatura, han sido relacionadas con grupos más especializados. Este artículo propone una visión alternativa a este convencional binomio a través del análisis tecnológico de las cerámicas documentadas en el yacimiento de Las Cogotas, desde la Edad del Bronce hasta el final de la Edad del Hierro. Todo apunta a que el grado de especialización en la fase de la cocción no vendría marcado por la clase de estructura empleada o por los picos de temperatura alcanzados, sino por el dominio —o no— de determinados hábitos técnicos.
Presentación. El estudio de la cerámica prehistórica, una investigación global
Authors: Clop Garcia Xavier , García Roselló Jaume
Published: December 2019

Presentación del número
Nadie nace sabiendo: los aprendices en la cerámica hecha a mano
Authors: Vidal Aixa
Published: December 2019

En la bibliografía tradicional sobre cerámica arqueológica es frecuente que se asocie la identificación de aprendices con la presencia de niños. Sin embargo, el proceso de adquisición de las técnicas y la idiosincrasia alfarera puede ocurrir a cualquier edad, y no necesariamente genera el mismo tipo de registro. En este trabajo presentamos algunos casos etnográficos que ejemplifican la variedad de situaciones de aprendizaje en sociedades no industrializadas en cuanto a forma y edad de inicio en la actividad. A partir de ellos, realizamos un análisis comparativo de las variables típicas de los materiales iniciales que permiten observar las diferencias existentes entre alfareros plenamente formados y aprendices, tomando como elemento diferenciador la capacidad intelectual y la edad del aprendiz. La posible aplicación de este modelo se ilustra con algunos ejemplos de cerámicas arqueológicas.
Milczenie Boga: przykłady żydowskiej i chrześcijańskiej teologii Holocaustu (Paul van Buren i Richard L. Rubenstein)
Authors: Kopiec Piotr
Published: December 2019

When considering the causes of secularization in the Western societies, one must mention sociological and political consequences of both the World War II and Holocaust. Extermination of the Jewish nation prompted raising the question of “why did God allow Auschwitz?” Many Jewish and Christian theologians attempted to explain the moral collapse in the time of Holocaust. Part of them was related to the so-called Death of God theology, the theological movement which interpreted a radical secularization of the Western culture in many ways. The article discusses theological reflections of the Christian theologian Paul van Buren and the Jewish thinker Richard L. Rubenstein. They are considered to belong to the movement of the Death of God theology, though in both cases such classification is not justified. Both interpret Holocaust in the perspective of God’s silence, and both search for new notions and meanings for God in the secular world after Auschwitz.
Християнські мотиви в ойконімах України: лінгвокультурологічний аспект
Authors: Котович Віра
Published: December 2019

In the article there are discussed the names of modern settlements in Ukraine, motivated by church-Christian vocabulary. It was found out that such an oikonim is formed out of microtoponimes motivated by appellates to denote sacral structures; from the general or proper names that originally indicated the belonging of the object to clerics, on collective names denoting a family, a family, a collection of such persons were named an omonim nickname, surname; from naming the consecrated church or on the occasion of the settlement or its renaming in the time of the church-Christian holiday; from the collective names of persons named for belonging to a particular parish; series of appellates with sacred semantics; from anthroponimes with the original God and so on. It is proved that the oikonimes that explicate the information of the spiritual linguistic and cultural code are equally widespread both in time (from archaic to modern) and in space (throughout the territory of Ukraine). This indicates the continuity of the Ukrainian tradition of naming settlements.
Dzieło misyjne Cyryla i Metodego na Rusi-Ukrainie
Authors: Kozak Stefan
Published: December 2019

In 988, prince Volodymyr took up the great epochal challenges of faith and grace, making the salviﬁ c secret of the Baptism of the Ruthenians and other Slav peoples inhabiting the vast lands of Kievan Rus. This is the most important breakthrough moment of the act of conversion and the process of Christianization, opening the Christian epoch throughout Russia and including Kievan Rus in the civilization of countries of the early Middle Ages. It is hard to overestimate the importance of these „plural” monasteries, council schools and libraries for the further development of Kievan Rus. After all, they were the driving force of the missionary work of Cyril and Methodius, they promoted and disseminated the religion and Christian principles of life and co-existence, created works conducive to the formation of Rusin’s personality of „new times” and at the same time satisfying the whole of his religious, social and cultural needs. The missionary work of Cyril and Methodius in Rus – Ukraine gave Kyiv Christianity the hallmarks of universality, thus opening up the possibility of bringing together and playing the role of a bridge between Christian East and West and drawing a full hand on the heritage of civilization and culture. Literature, art and science of both the East and the West. It is no coincidence, therefore, that Kiev fulﬁ lled an honorable role of „the mother of Ruthenian cities,” and at the same time as Constantinople was perceived as the „New Jerusalem”. It is the fruit of the idea of the apostolicity of Kiev realized by the rulers of Rus-Ukraine for over two centuries, which experienced its „Golden Age” of development.
Modlitwa Jezusowa jako dziedzictwo duchowe Polaków i Ukraińców
Authors: Mytnik Irena
Published: December 2019

The article is an attempt to look at Jesus’ prayer as a common spiritual heritage of all Christians, including the Polish and the Ukrainian, and at the same time a synthesis of the current thoughts on this prayer tradition, which is one of the oldest forms of Christian contemplative prayer. It originates from the Holy Scriptures and meditations of the Word of God, it was practiced and developed by the Desert Fathers, Fathers of the Church, monks, clergy and laity, above all in the Churches of the Christian East. Today, the most widespread is in the Orthodox and Greek Catholic Church, but for many years has been experiencing a kind of revival in the Catholic Church. The article presents the teaching of the Church, its saints and contemporary spiritual masters on this subject.
Przestrzenie sacrum w Trylogii wołyńskiej Wołodymyra Łysa
Authors: Nowacki Albert
Published: December 2019

This paper is devoted to the problems of the sacred space in the prose of one of the contemporary Ukrainian writers Volodymyr Lys. The basis for these analyses are three novels that form the co called “Volhynia trilogy” (Jacob’s Century, Solo for Solomiya, and Virgo of Mlynyshche). The analyses of the above-mentioned works allow us to conclude that the writer quite often refers to functioning of category of sanctity which can be divided in a conventional way into several spaces. One of them is undoubtedly the sacralization of Volyn as a “small homeland” of its inhabitants, but the analysis also revealed the use of legends, folk beliefs and frequent references to religious tradition and the belief in God. It can be said that the mysterious relationship between the good and the evil, sin and sanctity is a characteristic feature of Volodymyr Łys’ “Volhynia Saga,” which creates a speciﬁc world where man lives with the God, sensing Him almost physically.
Świat po katastroﬁe. Motywy postczarnobylskie w powieści Очамимря Ołeksandra Irwańca i w dramacie Na początku i na końcu czasów Pawła Arje
Authors: Olechowska Paulina , Zambrzycka Marta
Published: December 2019

The subject of the article is the analysis of post-Chernobyl themes in the novel by Oleksandr Irwaniec Ochamimriya and in Pawel Arje’s play At the beginning and end of time. The Chernobyl disaster played a key role in the development of contemporary Ukrainian literature and culture. Chernobyl very quickly became a universal metaphor that have gone far beyond ecology and into a cultural and political context. In both works, the atomic explosion (taken literally by Arje, as the explosion of the No. IV reactor in Chernobyl and by Irvacek more vaguely as an explosion) is a key element of the plot, aﬀ ecting both the fate of the characters and the shape of the surrounding reality. Although these works belong to two diﬀ erent literary genres and showcase two diﬀ erent conventions of presenting reality, they are connected by a post-apocalyptic vision of the world and the concept of a looping time. The heroes of both texts live in a time after the catastrophe, deprived of civilized goods and isolated from the rest of the world. In the novel by Irwaniec, this time after the catastrophe is a sort of “new medieval” with a decidedly pessimistic expression while in Arje’s drama the return to the pre-industrial worldview contains hope for ﬁ nding traditional values. Both texts also address issues relevant to the modern post-Soviet society, but they do so in very diﬀerent ways. Irwaneć uses grotesque, to deprive his characters of complexity, while Arje makes his characters deeply tragic and psychologically probable.
35 “Ur” Type Anti-Tank Rifle– A Numerical Analysis of Armour Penetration of a World War II Tank
Authors: MAGIER Mariusz , ŻOCHOWSKI Paweł , BURIAN Wojciech
Published: December 2019

The paper presents a simulated process of penetration of a steel slab with a strength performance approximate to that of World War II battle tanks with a 7.92 mm DS projectile fired from the 35 “Ur” type anti-tank rifle. The basic technical parameters necessary for the simulation process were sourced from historical records. The FEM (Finite Element Method) applied in LS-Dyna enabled an estimation of the penetrating capability of the DS projectile. Decisive to the high penetrating capability of the DS projectiles were the non-optimized properties of armour steel
(its high brittleness) and a high kinetic energy of the projectile, which generated high shearing stresses upon impact against the steel slab causing the effect of ‘plugging’ upon penetration.
The numerical simulation results confirmed the high combat effectiveness of the DS projectile and the argument that the DS projectile could pierce a 20 mm thick armour plate made from the material applied during the World War II era.
Possibilities of Applying New Navigation Techniques in Military Equipment Testing
Authors: DORCZUK Maciej
Published: December 2019

The article proposes the possibilities of testing military equipment using satellite navigation systems, as well as systems that aid such systems, used for determining the position of and indicating targets. The research employed modern civilian navigation devices using satellite navigation systems, as well as navigation aided by land-based reference stations. Using Trimble R8 and RT4000 devices in research is proposed. The possibilities of the RT4000 precise movement parameter measuring device within the scope of position determining using a portable reference station using the Trimble R4 receiver and Satel-TA18 radio (not the device’s standard equipment) are presented.
The Lombard Protocol as a sustainable development concept
Authors: Lipiec Jacek
Published: December 2019

The objective of the article is to describe the case of a novel and innovative concept of the Lombard protocol for sustainable development. This concept was developed as a form of partnership between public and private institutions to achieve the sustainable development goals of the 2030 Agenda. Lombardy is a leading European region, ranked as the second in terms of GDP. The region intends to be a leader in achieving sustainable development goals, therefore the President of Lombardy created a novel solution – the Lombard Protocol, the document which was signed by 54 entities. The formula of this document is open and can be accessed by other entities that will gain the approval of the President of Lombardy. The Lombard Protocol is an example of a solution to set up a partnership in the region to implement the principles of sustainable development. In Lombardy, it is planned to go beyond this partnership by involving even citizens.
Mezoekonomia międzynarodowa, czyli o umiędzynarodowieniu branży
Authors: Wach Krzysztof
Published: December 2019

Książka: Katarzyna Mroczek-Dąbrowska, The internationalisation of Polish industries
in the context of the new institutional economics: diagnosis and determinants to
badawcza monografia porusza bardzo aktualne zagadnienia, istotne zarówno z naukowego jak i pragmatycznego, aplikatywnego punktu widzenia. Jest opracowaniem dojrzałym metodologicznie
i poznawczo. Książka porusza relatywnie słabo jeszcze eksplorowaną tematykę internacjonalizacji branży. Należy podkreślić, że wypełnia ona lukę na polskim rynku wydawniczym.
Å gi rom for muslimske barns utprøving av faste i barnehagen
Authors: Giæver Katrine
Published: December 2019

I denne artikkelen utforskes muligheten til å gi rom for barns livshistorier knyttet til religiøse praksiser i barnehagen. I lys av en fokusgruppesamtale om barnehagebarn som vokser opp i hjem med muslimske praksiser, diskuteres det hvorvidt barns livshistorier gis begrenset plass når de kommer i konflikt med personalets forståelse av hva som er barns grunnleggende behov. Fokusgruppen besto av barnehagelærerstudenter som jobbet deltid i barnehage, og barns tilnærming til ramadan og faste ble brukt som eksempel på praksiser som kan oppleves utfordrende i barnehagen. Diskusjonen har utgangspunkt i Hannah Arendts teorier om livshistorier og Mikhail Bakhtins diskursteori. Avslutningsvis foreslås noen alternative måter til å gi plass til ulike livshistorier knyttet til kulturelt og religiøst mangfold i barnehagen.

Nøkkelord: Barnehage, muslim, Islam, faste, diskurser, livshistorier

 

This article explores possibilities to embrace children's life stories connected to religious practices in kindergarten. In the light of a focus group conversation about children who grow up in homes with Muslim traditions, the author discusses the consequences when children's life-stories conflict with practitioners' understanding of children's fundamental needs. The focus group consisted of early childhood education students who worked part-time in kindergarten, and children's approach to Ramadan and fasting was used as an example of practices that were experienced as challenging in kindergarten. The discussion draws on aspects of Hannah Arendt and Bakhtin’s theorisations concerning life-worlds and discourses. In conclusion, some alternative ways of including diverse life-stories connected to cultural and religious diversity are suggested.

 

Key words: Kindergarten, Muslim, Islam, fasting, discourses, life stories.
Arcabouço de Vigilância Inteligente para Operações de Compras Eletrônicas no Contexto de Smart Cities
Authors: dos Santos Suzani , de Melo Robson , Calonego Junior Nivaldi
Published: December 2019

Sistemas de vigilância inteligentes almejam identificar atividades suspeitas, indo além da observação de pessoas e ambientes, dado que as redes de computadores e os sistemas computacionais continuam vulneráveis às ações maliciosas. O sistema Arcabouço de Vigilância Inteligente (AVI) utiliza a construção cognitiva de um perfil de usuário e o reconhecimento de dispositivos para realização de compras eletrônicas, objetivando assegurar a autenticidade das transações para sistemas computacionais em interligados em rede. A avaliação do AVI monstra que é eficaz em relação à autenticidade dos usuários e que o modelo de vigilância inteligente em operações de compras condiz com a expectativa de redução de vulnerabilidades.
Análise de Sentimento sobre Filmes no contexto do Twitter
Authors: Rocha Vinicius , Fernandes Anita , de Aguiar Sandro
Published: December 2019

Este artigo apresenta um estudo sobre abordagens para análise de sentimento na língua portuguesa, tendo como estudo de caso o tema filmes. O trabalho propõe a comparação de três abordagens: Naive Bayes, que é um classificador probabilístico, OpLexicon, que é um dicionário léxico da língua portuguesa, e a abordagem de Comitê, composta pelos algoritmos Naive Bayes e OpLexicon
Optimizing Neural Network Training through TensorFlow Profile Analysis in a Shared Memory System
Authors: Vilasbôas Fabrício Gomes , Bianchini Calebe Paula , Pasti Rodrigo , Castro Leandro Nunes
Published: December 2019

On the one hand, Deep Neural Networks have emerged as a powerful tool for solving complex problems in image and text analysis. On the other, they are sophisticated learning machines that require deep programming and math skills to be understood and implemented. Therefore, most researchers employ toolboxes and frameworks to design and implement such architectures. This paper performs an execution analysis of TensorFlow, one of the most used deep network frameworks available, on a shared memory system. To do so, we chose a text classification problem based on tweets sentiment analysis. The focus of this work is to identify the best environment configuration for training neural networks on a shared memory system. We set five different configurations using environment variables to modify the TensorFlow execution behavior. The results on an Intel Xeon Platinum 8000 processors series show that the default environment configuration of the TensorFlow can increase the speed up to 5.8. But, fine-tuning this environment can improve the speedup at least 37%.
An Episode from the Beginnings of Anthropology in the Amazon
Authors: Schröder Peter
Published: December 2019

The German ethnologist Curt Unckel Nimuendajú (1883-1945), who had immigrated to Brazil in 1903, moved his permanent residence to Belém in 1913, where he established professional contacts with the Goeldi Museum. Between 1915 and 1919, he survived by working precarious jobs, but also carried out fieldwork among the Xipaya Indians in quite adverse circumstances. This is an illuminating episode about the beginnings of anthropology in the Amazon, which allows relativizing some stereotypes about the history of anthropology, which are commonly reproduced in social science curricula. In addition, it sheds light upon an anthropology without universities where the influences of German ethnology still prevailed and where texts written by self-educated researchers were still accepted.
Diario del tercer viaje de Martín Gusinde a Tierra del Fuego (1921-1922)
Authors: Behnke Marisol Palma
Published: December 2019

This article contains a contextualized translation of the first part of the diary written by Fr. Martín Gusinde SVD, a German missionary and ethnographer, during his third trip to Tierra del Fuego (1921-1922). As such, it forms a part of the series of previous publications concerning this topic (Palma 2018a, b). The original version of the diary is preserved in the archive of the Anthropos Institute in Sankt Augustin, Germany. In the article, I analize the background and circumstances of Gusinde’s research during the third trip to the region that was conducted in the company of another SVD missionary and ethnographer, Wilhelm Koppers
From Rāmacharaka’s “Standard of the Normal Man” to Lutosławski’s Strategy of National Revival
Authors: Świerzowska Agata
Published: December 2019

The aim of the article is to present how Rāmacharaka’s vision of yoga fits with the initial stage of yoga adaptation in Poland. The focus lays on the fact how elements of Rāmacharaka’s yoga were used by Wincenty Lutosławski in his system of yoga, described as “the development of the power of will”. It may be assumed that it was Lutosławski’s activity, who not only wrote the first Polish yoga textbook but was also deeply involved in promoting his system, that contributed to the wider interest in Rāmacharaka and introduced his specific understanding of yoga to this part of Europe.
Narrative Failures
Authors: Way Jennifer
Published: December 2019

This article considers what an unstudied collection of Vietnamese handicraft owned by the Smithsonian National Museum of Natural History reveals about its collecting culture and, conversely, what the collecting culture discloses about the collection. I show how the collecting culture’s activities intersected with American State Department efforts to bring postcolonial South Vietnam into the Free World during the Cold War. Attention to the Smithsonian National Collection of Fine Arts’ exhibition, “Art and Archaeology of Vietnam. Asian Crossroad of Cultures,” also reveals narratives of power and knowledge associated with the collecting culture. Ultimately, these failed the collection by leaving it disregarded.
Usefulness of the CHA2DS2-VASc Score to Predict “St Segment Resolution Failure” In Patients Treated With Primary Percutaneous Coronary Intervention for St-Segment Elevation Myocardial Infarction
Authors: AKSOY Fatih , IŞIK İsmail Barkın , BAŞ Hasan Aydın , BAĞCI Ali , KAHRAMAN Fatih , OKUDAN Yunus Emre , KUYUMCU Mevlüt Serdar , ALTINBAŞ Ahmet
Published: December 2019

Background: Rapid
supply of coronary blood flow in the occluded
coronary artery is the principle aim of early ST-elevation myocardial
infarction (STEMI) therapy. Although coronary blood flow has been supplied,
insufficient myocardial reperfusion mainly at the level of micro vascular
circulation has been assessed a large number of patients. Electrocardiographically
by measuring ST-segment resolution (STR) after procedure is an easy and good
indicator for the evaluation of reperfusion failure. The CHA2DS2-VASc
risk score is used to predict the risk of thromboembolism in non-valvular AF
patients. Its usefulness in predicting AF in the development of STR failure in
patients presenting with STEMI is unknown. We evaluated the predictive value of
the CHA2DS2-VASc score in patients with STR failure following STEMI.Methods: Models including clinical and laboratory parameters
were constructed to test the predictive value of CHA2DS2-VASc and CHA2DS2-VASc -HS
scores. Patients were divided into two groups: those with STR> 70 % and
those without STR> 70. Predictors of STR failure were determined by
multivariate regression analysis.Results: Multiple regression analysis showed that CHA2DS2-VASc-HS
score, Anterior STEMI, peak CK-MB level and symptom to percutaneous coronary
intervention time were associated with development of STR failure in patients presenting with
STEMI. ROC curve analyses showed that CHA2DS2-VASc and CHA2DS2-VASc -HS scores were signiﬁcant predictors for STR
failure.

Conclusion: CHA2DS2-VASc and CHA2DS2-VASc -HS scores predict STR failure in patients
presenting STEMI.
Dijital Blok Anestezisi ve Genel Anestezi Yöntemleri İle Yapılan El Parmak Replantasyonlarının Karşılaştırılması
Authors: CINAL Hakan , TAN Önder
Published: December 2019

Amaç: Bu çalışmada dijital blok anestezisi (DBA) (Group II) ile genel anestezi (GA) (Group I) altında yapılan el parmak replantasyonları; ameliyata alınma süresi, iskemi süresi ve ameliyat sonrası sağ kalım yönünden retrospektif olarak karşılaştırılmıştır. Literatürde DBA altında parmak replantosyonuna ait sadece 2 çalışmaya rastladık. Ancak GA ve DBA altında yapılan el parmak replantasyonalarının karşılaştırılmasına dair bir çalışmaya ise literatürde rastlamadık.

Yöntemler: Çalışmaya 2005-2014 yılları arasında kliniğimizde metakarpofalangeal (MF) eklem ve distali seviyesinden el parmak replantasyonu veya revaskülarizasyonu yapılan 50 hasta dahil edildi. Hastalar kullanılan anestezi yöntemine göre GA (Grup I) ya da DBA (Grup II) olarak iki gruba ayrıldı. Dijital blok işlemi için yarı-yarıya hazırlanmış 1-4 ml epinefrinsiz Lidocaine %2 ve Bupivacaine %0.5 kombinasyonu kullanıldı. Çalışmada, hasta dosyalarından, fotoğraflardan ve kliniğimizde düzenlenen replantasyon izlem formlarından her iki gruptaki hastalara ait demografik, ameliyat ve klinik izlem bilgileri elde edildi.

Bulgular: Hiçbir hastada GA ya da DBA’ne bağlı komplikasyon gelişmedi. Grup II'deki hastaların operasyona hazırlanma süreleri daha az bulunmuş, bu da ameliyata diğer gruba göre anlamlı derecede daha erken bir zamanda başlanmasını sağlamıştır (p=0.048). Grup II'deki parmakların iskemi sürelerinin anlamlı olarak daha kısa olduğu da gözlendi (p=0.003). Acil servise ulaştırılma (p
Akut ve Kronik Pulmoner Tromboembolide Cerrahi Tecrübelerimiz
Authors: IŞIK Mehmet , TANYELİ Ömer , DERELİ Yüksel , EGE Erdal , GÖRMÜŞ Niyazi
Published: December 2019

Giriş-Amaç: Pulmoner emboli vakaları tedavi edilmediği takdirde ani ölüm, hayatı tehdit eden akut bir durum ya da trombüslerin pulmoner damar duvarında organize olmasına bağlı olarak kronik tromboembolik pulmoner hipertansiyon gelişir. Bu çalışmada, tüm dünyada belirli merkezler dışında çok fazla sayıda yapılmayan ve mortalitesi yüksek olan pulmoner tromboendarterektomi ameliyatı ile ilgili tecrübelerimizin paylaşılması amaçlandı.

Yöntemler: Şubat 2007 - Temmuz 2018 tarihleri arasında kliniğimizde akut pulmoner emboli ve kronik tromboembolik pulmoner hipertansiyon tanılarıyla ameliyat edilen toplam 13 hasta çalışmaya dâhil edildi. Bu hastaların 9’u acil 4’ü elektif olarak ameliyata alındı. Hastalara açık kalp ameliyatı şartlarında pulmoner tromboendarterektomi cerrahi prosedürü uygulandı. Hastaların geriye dönük bilgileri hastane yazılım sisteminden elde edildi.

Bulgular: Pulmoner tromboendarterektomi uygulanan hastaların 6’sı bayan 7’si erkekti. Ortalama yaş 58 (38-71) olarak bulundu. Risk faktörü olarak 7 hastada derin ven trombozu, 3 hastada yakın zamanda geçirilmiş cerrahi, 2 hastada malinite, 5 hastada sigara kullanımı, 1 hastada behçet ve 1 hastada serebrovasküler olay öyküsü mevcuttu. Dört vaka, postoperatif 0-26 gün aralığında exitus oldu. Bunların 3’ü akut pulmoner emboli, 1’i kronik tromboembolik pulmoner hipertansiyon tanılı hastalardı.

Sonuç ve Yorum: Pulmoner tromboendarterektomi uygulanan hastaların erken dönem pulmoner arter basınçlarında belirgin düşüş izlendi. Kronik tromboembolik pulmoner hipertansiyon tanısı konan hastalar, kalıcı arteriopati gelişmeden, pulmoner tromboendarterektomi ameliyatı için cerrahi merkezlere erken dönemde yönlendirilmelidir. Akut pulmoner emboli tanısı alan hastaların cerrahiye verilme zamanlamasının önemli olduğu kanaatindeyiz. Geciken ve hipotansif şok tablosunda ameliyata alınan hastaların mortalitesi yüksek olmaktadır.
Diyarbakır’da Bir İlçe Devlet Hastanesi Engelli Sağlık Kuruluna Başvuran Hastalarda Zihinsel, Ruhsal, Davranışsal Bozuklukların Değerlendirilmesi
Authors: ERGÜL Ceylan
Published: December 2019

Amaç: Engellilik ülkemizde önemli bir sorun olmasına rağmen bu konuda yapılmış az sayıda çalışma bulunmaktadır. Bu çalışmanın amacı ülkenin kırsal kesimine hizmet veren bir ilçe devlet hastanesinden engelli sağlık kurulu raporu alan kişilerdeki psikiyatrik tanıların sıklığının ve psikiyatrik tanı almış olan kişilerin demografik özelliklerinin ortaya konulmasıdır.
Yöntemler: Eylül 2016-Şubat 2019 tarihleri arasında bir ilçe devlet hastanesi engelli sağlık kuruluna alınmış olan 3842 kişinin dosyaları geriye dönük olarak araştırıldı. Psikiyatrik bir tanı ile engel oranı almış olan 576 kişinin demografik bilgileri, engel oranları ve tanı sıklıkları incelendi.
Bulgular: Sağlık kurulunda rapor düzenlenen kişilerden psikiyatrik bir tanı ile engel oranı almış olan 576 kişinin 312’sinin erkek (%54,2), 264’ünün kadın (%45,8) olduğu ve yaş ortalamalarının 42,6±17,4 olduğu saptandı. Çalışmaya alınan kişilerin toplam engel oranı ortalaması %62,7±20,9 iken, psikiyatri ile ilişkili aldıkları engel oranı ortalaması %42,5±22,5 olarak bulundu. Engelli sağlık kurulu tarafından günlük yaşam aktivitelerini başkalarının yardımı olmaksızın yerine getiremeyeceği için ‘ağır engelli’ olduklarına karar verilen kişi sayısı 96 (%0,2) idi. En sık engel oranı alınan ilk beş psikiyatrik tanı şizofreni-tedaviye rağmen çalışma olanağı olmayan (%17,4), yaygın anksiyete bozukluğu-tedavi ile işlevselliği kısmen düzelen (%17,4), hafif zeka işlev bozukluğu (IQ: 50-69) (%12,5), sınırda mental kapasite (IQ: 70-80) (%11,7) ve distimi-tedavi ile işlevselliği kısmen düzelen (%8,7) idi.
Sonuç: Çalışmamıza göre sağlık kurulu başvuruları arasında psikiyatrik engelliliğe en sık yol açan hastalıklar şizofreni ve yaygın anksiyete bozukluğudur. Bu çalışma ülkemizdeki zihinsel, ruhsal ve davranışsal açıdan engelli olan kişilerin durumunu ortaya koyması açısından faydalı ve engelliler ilgili yapılacak düzenlemeler için yol gösterici olabilir.
Etkin Eğitim Müdahalesi HIV Hastalarında Uyumu İlaç Pozolojisinden Bağımsız Olarak Etkiler mi?
Authors: AKDEMİR KALKAN İrem , KARAŞAHİN Ömer , DAL Tuba , ÖREN Meryem Merve , AYHAN Merve , DEMİR Yakup , YILDIZ Yeşim , AKTAR Fesih , ÇELEN Mustafa Kemal
Published: December 2019

Amaç: Ülkemizde 2017 verileriyle 17.000 kişinin HIV (insan immün yetmezlik virüsü) ile enfekte olduğu

bilinmektedir. Hastalığın tedavisinde ilaç uyumu en önemli noktalardandır. HIV/AIDS tedavisinde hasta eğitimi çok

önemlidir. Bu çalışmanın amacı eğitim müdahalesi yapılan hasta grubunda ilaç uyumunun değerlendirilmesidir.

Yöntemler: Çalışma retrospektif verilerin analiz edildiği bir müdahale çalışması olarak gerçekleştirilmiştir. MayısTemmuz

2017 tarihleri arasında Dicle Üniversitesi Tıp Fakültesi Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji

bölümünde izlenmekte olan 107 HIV/AIDS hastası çalışmaya dahil edilmiştir. Hastalığa özgü detaylı eğitim almayı

kabul eden hastalar 1. Grup olarak değerlendirilmiştir. Eğitim almak istememiş olan 25 hasta ise (2. Grup/Kontrol

grubu) standart poliklinik bilgilendirmesi almıştır. Her iki grubun eğitimleri aynı hekim tarafından verilmiştir.

Hastaların tedavinin 3. ve 6. aylarındaki ilaç uyumları tablet sayma yöntemiyle değerlendirilmiştir.

Bulgular: Tedavi almakta olan 107 hastanın yaş ortalaması 28.6 yıldır. Hastaların 86’sı (%80,4) erkektir. Hastaların

eğitim durumları incelendiğinde %8,4’ü (n=9) sadece okuryazar, %67,3’ü (n=72) ilk ve orta öğretim mezunu olarak

tespit edilmiştir. Hastaların öğrenim durumları ile 3. ve 6. aydaki ilaç uyumları arasında istatistiksel olarak anlamlı bir

fark tespit edilmemiştir (sırasıyla p=0,159 ve p=0,274). Günlük tablet sayısından bağımsız olarak, ilaç uyumu, eğitim

verilenlerde istatistiksel olarak anlamlı düzeyde yüksek saptanmıştır ( p
Závazkové nástroje ochrany smluvního věřitele korporace začleněné do podnikatelského seskupení
Authors: Houdek Zdeněk
Published: December 2019

Přes stále rostoucí význam a ekonomickou sílu podnikatelských seskupení absentuje jednotná definice tohoto jevu, jehož podoby zahrnují spektrum od vysoce centralizovaných po silně diversifikované skupiny společností. S ohledem na majetkovou samostatnost mateřské společnosti a omezené ručení (odpovědnost) společníků zůstává klíčovou otázkou, do jaké míry může být mateřská společnost odpovědná za porušení závazku mezi dceřinou společností a věřitelem v případech, kdy je dceřiná společnost ovlivněna jednáním mateřské společnosti. Následující článek analyzuje závazkové nástroje ochrany věřitele korporace začleněné do podnikatelského seskupení. Je dovozováno, že nárok věřitele dceřiné společnosti proti společnosti mateřské může být založen na předpokladech a podmínkách aplikace institutů culpa in contrahendo spolu s prvky smlouvy s ochranným účinkem ve prospěch třetího.
Ochrana vlastních občanů v zahraničí: mezinárodněprávní souvislosti navrhované novelizace Ústavy ČR
Authors: Svaček Ondřej
Published: December 2019

Dne 23. 7. 2019 předložila skupina 67 poslanců návrh ústavního zákona, jehož cílem je změna čl. 43 Ústavy České republiky spočívající v posílení pravomocí vlády při rozhodování o vyslání ozbrojených sil ČR mimo území ČR a o pobytu ozbrojených sil jiných států na území ČR a o přeletu nebo průjezdu ozbrojených sil jiných států přes území ČR. Novelizace mj. reaguje na skutečnost, že „podle dosavadní úpravy by například bylo mimořádně obtížné včasné vyslání ozbrojených sil ČR za účelem záchrany životů občanů ČR protiprávně zadržovaných v zahraničí nebo občanů, jejichž životy jsou v ohrožení v důsledku živelních katastrof.“ Vzhledem k tomu, že je návrh předkládán poslanci napříč politickým spektrem (včetně předsedů A. Babiše, J. Hamáčka, P. Fialy, M. Výborného a V. Rakušana), lze očekávat jeho přijetí. Článek se zabývá mezinárodněprávními souvislostmi navrhované novelizace Ústavy, které jsou v návrhu značně zjednodušeny a zodpovídá tak na otázku, zda současné mezinárodní právo umožňuje použití ozbrojené síly na území jiného státu za účelem ochrany vlastních občanů. Odpověď na tuto otázku má přitom zásadní význam, neboť – jak je dobře známo – ČR, a tedy i vláda, dodržuje závazky vyplývající z mezinárodního práva, přičemž těchto závazků se nemůže zprostit, a to ani odkazem na vlastní ústavní předpisy (srov. čl. 26 Vídeňské úmluvy o smluvním právu či čl. 3 Návrhu článků o odpovědnosti státu za mezinárodně protiprávní chování).
Scaffolding for Fine Philosophical Skills
Authors: Marcus Russell ,   Philosophy Documentation Center
Published: December 2019

Philosophy students often struggle to master the complex skills needed to succeed in their work, especially in writing thesis-driven essays. Research over the past forty years on instructional scaffolding, both generally and as applied in philosophy, has helped teachers to refine both instruction and assignment design to improve students’ performance on complex philosophical tasks. This essay reviews the fundamentals of scaffolding in order to motivate and support some innovative in-class exercises and writing assignments that can help students develop even finer-grained skills. These skills are useful both intrinsically and for their transfer to longer-form essays, to other philosophical work, and to the general academic and intellectual development of our students.
The Writing on the Wall
Authors: Thompson Terry W. ,   Marquette University Press
Published: December 2019

Charles Dickens, considered by many the poet laureate for the poor and downtrodden of his time, had a great fondness for "religious and moral themes." As a result, "one does not have to read very far in either the major or minor works of Dickens to learn lessons contained in both the New and Old Testaments." Among his favorite biblical allusions are examples of the many hard "lessons" visited upon the rich and the powerful by a just God. One of the author's most resonating Old Testament references is to the "great feast" of King Belshazzar, the sixth century B.C. ruler of Babylon who loved gold and silver more than people, more than life itself. Allusions, subtle and otherwise, to this self-destructive tyrant appear—with telling effect—in several of Dickens's best-known novels, from A Christmas Carol to A Tale of Two Cities.
Animalidade e apostasia da vontade: Nietzsche vê Schopenhauer
Authors: Krieger Saulo
Published: December 2019

O objetivo deste artigo é fazer ver de que modo o caráter de Janus – do mito de Janus – da filosofia de Schopenhauer pautou a relação que com ela entabulou a filosofia de Nietzsche –, aspecto este um tanto relegado pela pesquisa Nietzsche, talvez justamente por se tomar a relação entre ambos como exaurida em binômios do tipo “adesão e ruptura”, “encantamento e distanciamento crítico", “pessimismo e afirmação da vida”. Assim sendo, num primeiro momento preliminar procederemos a analisar a face dual da filosofia de Schopenhauer, cujo olhar se volta simultaneamente ao passado e ao futuro. Num segundo momento preliminar visitaremos a ousadia de Schopenhauer ao converter as ambições malogradas da filosofia (na figura da “coisa em si”) no princípio inconsciente da vontade. A partir daí passaremos à compreensão de Schopenhauer por Nietzsche ao modo de um filósofo que, vitimado por sua segunda natureza, alemã, esquiva-se de protagonizar a filosofia trágica, que chegou a tangenciar, em função do esquadrinhamento metafísico de sua arrojada descoberta – o inconsciente na espécie humana.
Editorial
Authors: Debona Vilmar
Published: December 2019

Este trabalho não possui resumo.
Foreword - Philosophies of memory
Authors: Santos César Schirmer dos , Rodrigues Tiegue Vieira
Published: December 2019

Esse trabalho não apresenta resumo.
Proof as a Cluster Category
Authors: Czocher Jennifer A. , Weber Keith
Published: December 2019

To design and improve instruction in mathematical proof, mathematics educators require an adequate definition of proof that is faithful to mathematical practice and relevant to pedagogical situations. In both mathematics education and the philosophy of mathematics, mathematical proof is typically defined as a type of justification that satisfies a collection of necessary and sufficient conditions. We argue that defining the proof category in this way renders the definition incapable of accurately capturing how category membership is determined. We propose an alternative account—proof as a cluster category—and demonstrate its potential for addressing many of the intractable challenges inherent in previous accounts. We will also show that adopting the cluster account has utility for how proof is researched and taught.
Concealing former identity to be accepted after the demobilization process in Colombia: A real reintegration in a post conflict scenario?
Authors: Cuénoud González Odile , Clémence Alain
Published: December 2019

Disarmament, demobilization and reintegration (DDR) processes underlie the issue of the adaptation of former combatants into civilian life, as well as their acceptance by the civilian population. In an ongoing conflict scenario like Colombia’s, some factors such as civilian hostility and discrimination can lead former combatants to opt for defensive strategies such as concealing their former identity or taking up arms again. Until 2016, 58’000 combatants tried to rebuild their lives in civil society under a process where concealing their former combatant identity was necessary for reintegration. This paper contributes with original data on concealing identities in DDR processes, from a field study conducted in 2014 in Colombia with former members of guerrillas’ group (FARC and ELN) and paramilitaries’ group (AUC) in four different regions in the country (N = 201). We study the factors that determine concealing the former combatant identity and its effects on reintegration. The voluntary demobilization and the pride of having belonged to an armed group decrease the frequency of concealing the former identity. Otherwise, a hostile civilian community’s reception increases the level of concealing. Contrary to literature on intragroup relations and on social reintegration and reconciliation, our results reveal that concealing one’s past seems to indirectly permit a better integration, with a higher identification with civilian life. Results are discussed with reference to social identity theory, reintegration, and reconciliation literature, regarding the limits of reintegration processes in an ongoing conflict scenario.
The role of identity transformations in comparative victim beliefs? Evidence from South Sudanese diaspora
Authors: Twali Michelle Sinayobye
Published: December 2019

There has been a growing interest in the study on collective victimhood and this research has increased our knowledge on how victim groups construe their victimization relative to other groups. However, most of this research has assumed that the groups involved in these construals were pre-existing prior to the conflict and remained fixed during and after the conflict. This study aimed to examine how conflict facilitates the transformation of social identities (i.e., how ingroups and outgroups are construed) and how these transformed social identities are used by group members in their construals of comparative victim beliefs. Eighteen South Sudanese immigrants were interviewed about their experiences during the Sudan civil wars. Thematic analysis revealed two broader themes: “1) “who is ‘us’ versus ‘them’?” (i.e., identity transformation in light of collective victimization and privilege; 2) “what happened to us?” (i.e., construal of ingroup victimization relative to other groups). These findings demonstrate the complexity in how immigrant groups construe social identities constructed in the context of intergroup conflicts, and how these transformed identities are then used in their construals of collective victimhood.