bluuebunny/crossref_metadata_2025 huggingface dataset:
ÜRÜN GELİŞTİRME SÜREÇLERİNDE KANO MODELİ SINIFLANDIRMA YÖNTEMLERİ SEÇİMİ
Authors: YILMAZ Erdal
Published: December 2020

Kano modeli, ürün tasarımında yüksek bir maliyet artışına neden olmadan ürün özelliklerini müşterinin bakış açısından değerlendirmek için geliştirilmiştir. Geçmişte kullanılan yöntemler, ürünün sahip olduğu özellikler ile müşteri memnuniyeti arasında doğrusal bir ilişki olduğunu varsaymaktadır. Tek boyutlu kalite modellerine göre, daha fazla özellik daha fazla memnuniyet ortaya çıkartacak, buna karşın özelliklerin azalması müşteri memnuniyetinde düşüşü beraberinde getirecektir. İki boyutlu kalite modeli olarak Çekici Kalite Teorisi, ürün özellikleri ile müşteri memnuniyeti arasındaki ilişkiyi üç ana kategoride tanımlamaktadır: Temel, Tek Boyutlu ve Heyecan Verici. Bu sayede, Kano Modeli, tek boyutlu kalite modellerindeki bir eksikiği ortadan kaldırmaktadır. Ancak Kano Modeli de kalite unsurlarına müşteriler tarafından verilen önem derecesini dikkate almaz. Rafine (İşlenmiş) Kano Modeli ya da IPA-Kano Modeli gibi alternatif yaklaşımlar bu eksikliği gidermeyi amaçlamaktadır. Çalışmamızda Geleneksel Kano Modelinin yanı sıra Rafine Kano Modeli ve IPA-Kano modeli detaylı bir şekilde ele alınmıştır. Her üç model de taşınabilir bilgisayar tasarımı örneği için kullanılmış ve birbirleri ile kıyaslanmıştır.
RE-READING THE DEAD CHILD:THE POST-HOLOCAUST RECEPTION OFTHE DIARY OF ANNE FRANK
Authors: Mukherjee Rajarshi , Chakraborty S.
Published: December 2020

This paper aims to focus on the reception of The Diary of Anne Frank in the post-Holocaust era. While as a personal narrative The Diary has been immensely successful in acquiring the sympathy of the reader towards the teenaged victim and her family, it has been far from being beyond the realm of criticism. The apparently simple diary of the traumatized teenaged holocaust victim has sparked off revisionist and anti-Semitic debates and discussions which problematizes not only the premises of the composition, but the authorship as well.
RESOLUTION OF RICCATI EQUATION BY THE METHOD DECOMPOSITIONAL OF ADOMIAN
Authors: Abdelbaki Choucha , Kaddour Guerbati
Published: December 2020

In this work, we will use the method of decompositional for Adomian solve the

Riccati equation in the form:
CASE REPORT – ACUPUNCTURE TREATMENT IN FEMALE PATIENTS WITH ELEVATED ANTI-TPO LEVELS
Authors: Arsovska Blagica , Zhu Jihe , Kozovska Kristina
Published: December 2020

Slightly elevated level of TSH, normal T3/T4 levels and high Anti TPO level is a sign of subclinical hypothyroidism. More than 90% of the thyroid disease cases are caused by diseases that are autoimmune in nature. Hashimoto’s thyroiditis is a progressive and lifelong autoimmune disease. It starts subtly, usually long before the patient is diagnosed and develops slowly. In this research is presented a case of 38-year-old woman with elevated anti-TPO levels, without previous thyroid disorders. The patient has done 10 acupuncture treatments every two weeks in a period of 6 months. Before the treatment the anti-TPO level was 91.2 U/ml (<60.0 U/ml). After the treatment it was normalized to 54.8 U/ml. The TSH level before the treatment was also slightly elevated to the upper range – 4.39 pIU/ml (0.55-4.75 pIU/ml). After the treatment it was normalized to 2.08 pIU/ml. Acupuncture points used in the treatment are: RN4 (QuanYuan), RN6 (QiHai), DU20 (BaiHui), GB20 (FengChi), DU14 (DaZhui), LI4 (HeGu), DU4 (MingMen), BL15 (XinShu), ST9 (RenYing), BL20 (PiShu), BL23 (ShenShu), LR2 (TaiChong), SP9 (YinLingQuan), SP6 (SanYinJiao), ST36 (ZuSanLi), KI3 (TaiXi) and Ashi (trigger) points located on the neck (front and back). The acupuncture treatment is always most effective at the onset of the disease and gives good results in such pre-conditions. The acupuncture treatment is a great choice for prevention, as well as for more serious and advanced conditions.
PROVISION OF CHERT AS A SOURCE OF SILICONE (SI) FOR THE GROWTH AND YIELD OF RICE (ORYAMMONIUM SULFATE SATIVA L.) TO SUPPORT A SUSTAINABLE CULTIVATION SYSTEM
Authors: Kotta Herry Z. , Mella W.I. I. , Suwari  , Bhuja Paulus
Published: December 2020

A combination of silicon and macro nutrients has been proven to increase rice yield above the average of macro nutrient alone. Chert can contain up to 98% of silicon.Rice field in Timor can be alkaline or non-alkaline in nature. The solubility of SiO2 tends to be higher under acidic soil condition. The use of nitrogen fertilizer can reduce the acidity and hence may increase silicon availability. This research in designed to study the effect of the use of chert powder in combination with urea and ammonium sulfate on rice growth and yield.The study was a pot experiment laid-out based on complete randomized design with nine treatments and three replications. The treatments were control, chert powder 55 kg/ha,chert powder110 kg/ha, urea 100 kg/ha;ammonium sulfate 200 kg/ha,urea 100 kg/ha + chert powder 55 kg/ha,urea 100 kg/ha + chert powder 110 kg/ha, ammonium sulfate 200 kg/ha + chert powder 55 kg/ha, and ammonium sulfate 200 kg/ha + chert powder110 kg/ha. Results showed no significant difference in rice plant height and tillers among the treatments. Beside treatment effect, there was an indication of effect of factors other than treatment effects especially on the non-alkaline pots. It was suspected that the additional effect might be due to the presence of allelophatic substances.Therefore, it is suggested to have a future study on a combined effect of allelophatic substance and treatments assigned to this study to observe such an effect on rice growth and yield.
A NOTE ABOUT HAND WASHING IN MEDICAL HISTORY SOVIOR OF MOTHERS Dr. SEMMELWEIS
Authors: AYAN Dursun
Published: December 2020

Bu çalışma, Dr. Semmelweis’in Viyana Allgemeines Krankenhaus Doğum Hastanesinde Kadın Hastalıkları Uzmanlığı ve oradaki loğusa humması için yaptığı gözlemler ve önerileriyle ilgili yaşam öyküsünü vermeyi, ayrıca tıp tarihi ve sosyolojisi
açısından bazı notlar eklemeyi amaçlamıştır. Macar kadın doğum uzmanı Ignac Philipp Semmelweis, kadın doğumuna olan katkısıyla ve ayrıca hayatının son döneminde çok dramatik olaylarla tıp tarihinin ilgi çekici bir kişisiydi. 1818'de
Buda'da Almanca konuşan bir ailenin çocuğu olarak doğdu ve Macar lise programında eğitim gördü ve Viyana'daki tıp fakültesine katıldı. Tıp doktoru olarak Semmelweis, Viyana'daki Allgermeines Krankenhaus'a birinci asistan olarak
atandı. O zamanlar, çocuk yatağı ateşinden kaynaklanan anne ölümleri salgın boyutlara ulaşmıştı. Semmelweis, bir buçuk yıl içinde, klinik ve ölüm sonrası gözlemler ve epidemiyolojik araştırmalar yoluyla, Viyana'daki Allgermeines
Krankenhaus'ta puerperal sepsisin (lohusa humması) bulaşma şeklini ilk belirleyen kişi oldu O zamanlar, çocuk yatağı ateşinden kaynaklanan anne ölümleri salgın oranlara ulaşmıştı. Semmelweis, bir buçuk yıl içinde, klinik ve ölüm
sonrası gözlemler ve epidemiyolojik araştırmalar yoluyla sorunun nedenini belirledi ve önlenmesi için başarılı bir strateji başlattı. Semmelweis'in sosyoloji için önemli olan yazıları ve sesi, günümüze kadar dünyadaki büyük ölçekli
insan grupları için sinematografi ve drama metinlerinden de yansıdı. Bu makale, Semmelweis'in annelerin kalbindeki etkilerini vurgulamaya çalışmaktadır. Bu kısa makalenin, Türkiye'de tıp tarihi bağlamında Hungaroloji çalışmaları
için küçük bir not olarak değerlendirilmesinden memnuniyet duyulacaktır.
Sistem Pakar Diagnosa Awal Penyakit Mata dengan Metode Bayesian Network
Authors: Laylatul Husna Novanita , Bimantoro Fitri
Published: December 2020

Almost every human activity needs an eye to support these activities, therefore it will have a bad effect if the eyes experience interference. Disorders that can be experienced in the eye can occur from minor disorders to disorders that cause loss of vision and even death. Based on the results of the Rapid Assessment Assessment of Avoidable Blindness (RAAB), the blindness rate in districts/cities in NTB was 4%. This is not only due to medical-related problems but also due to social problems related to knowledge from the community, facilities, and resources. To make it easier for the public to make an initial diagnosis of eye disease, one thing that can be done is to use an expert system. Various methods can be implemented for expert systems, one of which is the Bayesian Network method. Based on the results of accuracy testing that has been done, this application provides an accuracy rate of 84.99%. Whereas, if the system diagnosis results are a subset of expert diagnostic results, the accuracy rate is 89.99% and based on the results of the use made by the general public, this application has been running well and has provided clear information related to the diagnosis of eye disease.
Analisa Kepuasan Mahasiswa Terhadap Kegiatan Belajar Mengajar Di Program Studi Teknik Informatika Universitas Mataram Menggunakan Metode Importance Performance Analysis
Authors: Febrian Diaz Guntur , Agitha Nadiyasari
Published: December 2020

Penelitian ini membahas Analisis Kepuasan Siswa Terhadap Kegiatan Belajar Mengajar di Program Studi Teknik Informatika Universitas Mataram menggunakan Metode Importance Performance Analysis. Siswa diminta mengisi kuesioner belajar mengajar dari semua mata kuliah yang diikuti. Kuesioner terdiri dari pertanyaan yang berkaitan dengan kegiatan belajar mengajar. Siswa memberikan nilai persepsi dan nilai harapan pada setiap pertanyaan kuesioner. Kemudian hubungan antara nilai persepsi dan nilai harapan dianalisa menggunakan metode Importance Performance Analysis. Dari hasil analisa dapat diketahui variabel mana yang harus diprioritaskan untuk perbaikan dan variabel mana yang berlebihan dan tidak memerlukan prioritas.
Tinjauan Durabilitas Campuran Asphalt Concrete Wearing Course Menggunakan Aspal Tua Dengan Berbagai Bahan Peremaja
Authors: Yuniarti Ratna , Widianty Desi , Rohani Rohani , Hasyim Hasyim
Published: December 2020

Asphalt concrete wearing course is laid on the top of road pavement so that directly exposed to ultra violet light and other environment impact. The higher temperature at the pavement surface and exposure to atmospheric oxygen accelerated aging cause asphalt to stiffen and become brittle. This aging result decrease the binding of asphalt and aggregate leads various damage of pavement. The aged asphalt rejuvenated and recycled with rejuvenating agent has been developed to reduce the use of virgin material for road maintenance. This article aims to review durability of asphalt concrete wearing course using waste cooking oil, epoxy resin, kerosene and waste engine oil as asphalt rejuvenators. Aging asphalt was prepared by heating in an oven at 85 oC for 120 hours (long term oven aging). Durability was assessed from the value of Marshall immersion which represent the resistance of asphalt mixture at water immersion. Relation between Marshall immersion and voids in mix (VIM), voids in the mineral aggregate (VMA), voids filled with bitumen (VFB) and density are also evaluated. From the analysis, it can be concluded that the use of waste cooking oil, epoxy resin, kerosene and waste engine oil as asphalt rejuvenators increase the durability of asphalt mixture containing the aged asphalt.
Alih Fungsi Lahan di Kawasan Pariwisata Nusa Penida
Authors: Sudipa Nyoman , Mahendra Made Sudiana , Adnyana Wayan Sandi , Pujaastawa Ida Bagus
Published: December 2020

Nusa Penida is part of the Province of Bali which consists of three small islands, namely Nusa Penida Island, Nusa Lembongan and Nusa Ceningan within the administrative area of Nusa Penida District, Klungkung Regency. The development of tourism in Nusa Penida has increased access to physical development and supporting facilities for the region. The leap of development of tourism facilities began to be felt starting in 2005, namely on the islands of Nusa Lembongan and Nusa Ceningan. The development of massive tourism facilities took place in 2015 until 2019 since the 2014 Nusa Penida Festival was held. Many coastal and inland areas were built with tourism accommodation, which naturally led to land conversion and land depreciation. The purpose of this study was to determine land use change from 2003 to 2019 using the overlapping analysis method of Google maps and maps derived from quick bird imagery. Transfer of land functions in the Nusa Penida Region from 2003 to 2019 reached 164.84 ha or the rate of land use change that occurred in the Nusa Penida Region was 0.85%.
SEMANGAT KEBANGKITAN NASIONAL UNTUK MENGHADAPI COVID-19 DALAM KONTEKS PANCASILA DAN KONSTITUSI
Authors: Supriyono Supriyono , Irawan Anang Dony
Published: December 2020

ABSTRAKPancasila sebagai dasar ideologi negara Indonesia merupakan rumusan dan pedoman kehidupan berbangsa dan bernegara bagi seluruh rakyat Indonesia. Sedangkan Undang-Undang Dasar Negara Republik Indonesia Tahun 1945 atau disingkat UUD 1945 merupakan hukum dasar tertulis, konstitusi pemerintahan negara Indonesia saat ini. Pancasila dengan UUD 1945 keduanya saling berkaitan erat. Pancasila digali dari budaya bangsa Indonesia sendiri memiliki fungsi dan arti yang sangat luas dalam perilaku kehidupan berbangsa dan bernegara. Tujuan negara Indonesia telah tercantum dalam Pembukaan UUD 1945. Banyaknya berita hoax, ujaran kebencian, perundungan (bullying), tindakan intoleransi, konflik sosial, radikalisme, terorisme dan lain-lain menjadi bukti bahwa Pancasila dan UUD 1945 mengalami degradasi nilai.  Namun pada saat pandemi Covid-19 seperti saat ini dapat kita lihat masyarakat bahu-membahu saling membantu, sebagai bentuk persatuan dan kesatuan bangsa yang merupakan wujud impelementasi dari nilai-nilai Pancasila dan UUD 1945. Pancasila yang merupakan dasar falsafah hidup bangsa Indonesia tidak boleh ditinggalkan demi tercapainya nilai-nilai sila yang terkandung dalam Pancasila terlebih pada masa pandemi Covid-19 seperti saat ini. Penelitian ini menggunakan metode studi kepustakaan, yaitu penelitiankualitatif, dengan cara mengumpulkan bahan-bahan kepustakaan, membaca dan mencatat serta menganalisis. Pancasila menjadi satu ideologi atau pandangan hidup yang paling tepat, karena Pancasila memiliki arti dan fungsi yang sangat penting dalam kehidupan berbangsa dan bernegara di Indonesia
PENGARUH SIFAT FISIK ASPAL MODIFIKASI LIMBAH PVC DAN LLDPE TERHADAP SIFAT VOLUMETRIK ASPHALT CONCRETE WEARING COURSE
Authors: Hasyim Hasyim
Published: December 2020

Aspal yang digunakan sebagai bahan perkerasan jalanharusmemenuhipersyaratantertentuyang ditetapkanDirektoratJenderal Bina Margaagar dapat memikul beban lalu lintas selama umur yang telah direncanakan. Namun seringkali ditemukan bahwa aspal yang digunakan tidak sesuai dengan standar. Karena itu, perlu ada upaya untuk meningkatkan kualitas aspal dengan modifikasi menggunakan bahan-bahan lain.Tulisan ini ingin mengkaji hubungan antara sifat fisik aspal yang dimodifikasi limbah PVC dan LLDPE dengan sifat-sifat volumetrik campuran, yaitu  rongga di antara mineral agregat (VMA), rongga dalam campuran (VIM) dan rongga terselimuti aspal (VFB).Sifat fisik aspal modifikasi limbah PVC dan LLDPE yang dikaji adalah daktilitas, penetrasi dan titik lembek. Dari analisa yang dilakukan, disimpulkan bahwa daktilitas, penetrasi dan titik lembek aspal modifikasi limbah PVC dan LLDPE berpengaruh sangat signifikan terhadap sifat volumetrik campuran aspal-agregat. Campuran asphalt concrete wearing course yang menggunakan aspalmodifikasi limbah PVC menghasilkan ikatan antara aspal dan agregat yang lebih kuatdibandingkan dengan campuran yang menggunakan aspal modifikasi limbah LLDPE.
TANGGUNGJAWAB KEPALA DESA DALAM PENGGUNAAN DANA DESA DIHUBUNGKAN ASAS EFEKTIFITAS DAN ASAS EFISIENSI
Authors: Meilany Andi Nurannisa
Published: December 2020

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URGENSI PENGATURAN PRAKTEK ESTETIKA MEDIS YANG DILAKUKAN DOKTER UMUM DI INDONESIA, SUATU TINJAUAN PERBANDINGAN PENGATURAN ESTETIKA MEDIS DI SINGAPURA, MALAYSIA DAN KOREA SELATAN
Authors: Yati Erni
Published: December 2020

Estetika medis merupakan suatu pengembangan dari ilmu kedokteran yang menggunakan prosedur dan teknik untuk meningkatkan penampilan, tekstur, dan kontur dari kulit, wajah, dan tubuh. Di Indonesia telah banyak dokter umum dan spesialis yang telah berpraktek estetika medis, namun belum ada peraturan perundang-undangan khusus yang mengatur layanan estetika medis. Hal tersebut menyebabkan tidak adanya kepastian hukum dan perlindungan bagi pasien maupun praktisi di bidang estetika medis. Di beberapa negara, layanan estetika medis telah diatur oleh pemerintahannya dalam bentuk perundang-undangan. Untuk itu dilakukanlah sebuah perbandingan pengaturan layanan estetika medis di Singapura, Malaysia dan Korea Selatan guna mengetahui sejauh mana urgensi pengaturan layanan estetika medis di Indonesia.
TINJAUAN YURIDIS ATAS KESETARAAN DALAM PERJANJIAN KREDIT PERBANKAN SYARIAH DAN PERBANKAN KONVENSIONAL
Authors: Hamdan Rizki Kurnia
Published: December 2020

Pembangunan nasional Indonesia untuk mewujudkan masyarakat yang adil dan makmur berdasarkan Pembukaan Undang-Undang Dasar 1945 tersebut telah mencapai berbagai kemajuan termasuk di bidang ekonomi dan moneter sebagaimana tercermin pada pertumbuhan ekonomi yang cukup tinggi dan tingkat inflasi yang terkendali. Salah satu sarana dalam mewujudkan pembangunan tersebut adalah dengan ditunjangnya peran serta dari lembaga keuangan yang mengatur tatanan sistem ekonomi yang menunjang pelaksanaan tujuan pembangunan nasional.Berdasarkan sistem operasionalnya bank terbagi menjadi dua yaitu bank konvensional dan bank Syariah. Bank Syariah merupakan bank yang menganut sistem Syariah dalam pelaksanaan kegiatan usahanya. Bank Syariah merupakan jawaban dari keinginan-keinginan masyarakat Indonesia akan kehadiran bank yang bisa lebih menguatkan keyakinannya tersebut dalam menjalankan usahanya dengan perbankan. Dalam proses penyaluran dana kepada masyarakat bank memiliki beberapa fasilitas diantaranya adalah kredit bagi bank konvensional dan pembiayaan bagi bank Syariah. Penyaluran kredit kepada masyarakat, bank dituntut mengedepankan asas kesetaraan sehingga dapat tercipta Kerjasama yang sehat dan baik antara bank dan nasabah. Asas keseimbangan ini harus diterapkan bagi setiap bank baik bank yang menganut sistem operasi konvensional maupun Syariah
IMPLEMENTASI PERLINDUNGAN HUKUM JURNALIS DALAM MENJALANKAN PROFESINYA BERDASARKAN UNDANG-UNDANG NOMOR. 40 TAHUN 1999 TENTANG PERS
Authors: Rohman Abdul
Published: December 2020

Penting sekali pengkajian tentang implementasi perlindungan hukum jurnalis dalam menjalankan profesinya. Undang-Undang Nomor 40 Tahaun  1999 Tentang Pers (UU Pers), adalah bukti bahwa Pers merupakan salah satu pilar dalam negara Indonesia. Tetapi, dilapangan rentan terjadi pada insan informasi ini, mereka terkadang menjadi kambing hitam dari situasi tertentu, padalah telah jelas bahwa mereka dilindungi secara konstitusi. Peran masyarakat dan pemerintah menjadi penting guna terealisasinuya perlindungan insan jurnalis. Dan hambatan yang terjadi baik berupa kurangnya pengetahuan maupun tidak adanya kepahaman terhadan beberapa oknum aparat pemerintahan serta masyarakat, dapat dilakukan upaya internal maupun eksternal agar perlindungan terhadap jurnalis ini dapat terimplementasikan sesuai harapan di negara Indonesia.
KEPASTIAN HUKUM DALAM PENENTUAN DASAR PERALIHAN HAK ATAS TANAH UNTUK PEMBAYARAN BEA PEROLEHAN HAK ATAS TANAH DAN BANGUNAN SEBAGAI IMPLEMENTASI DARI UNDANG-UNDANG NOMOR 20 TAHUN 2000 TENTANG PERUBAHAN ATAS UNDANG-UNDANG NOMOR 21 TAHUN 1997 TENTANG BEA PEROLEHAN HAK ATAS TANAH DAN/ATAU BANGUNAN (BPHTB) DI KABUPATEN CIANJUR DIHUBUNGKAN DENGAN ASAS KEADILAN
Authors: Erick Boris
Published: December 2020

UU Nomor 20 Tahun 2000 tentang BPHTB menjelaskan bahwa pembayaran BPHTB menganut self assessment system yaitu Wajib Pajak dapat menghitung dan membayar sendiri BPHTB tanpa surat penetapan pajak. Pembayaran BPHTB di Kabupaten Cianjur seringkali berubah dalam kurun waktu yang sama terhadap suatu daerah sehingga menimbulkan ketidakpastian. Penelitian ini bertujuan mengetahui implementasi pembayaran BPHTB di Kabupaten Cianjur dihubungkan UU BPHTB dan Asas Keadilan serta penegakan hukum pembayaran BPHTB dihubungkan asas kepastian hukum. Hasil penelitian menujukkan bahwa Implementasi pembayaran BPHTB di Kabupaten Cianjur dihubungkan UU BPHTB dan asas keadilan yakni kewenangan Pemerintah Daerah dalam menetapkan dan melaksanakan peraturan daerah, dimana telah sesuai dengan UU BPHTB dan asas keadilan, namun dalam pelaksanaanya belum sepenuhnya berjalan dengan baik karena tidak sepenuhnya sesuai dengan self assessment system. Penegakkan hukum pembayaran BPHTB di Kabupaten Cianjur dihubugkan dengan asas kepastian yakni melalui permohonan banding atau pengajuan keberatan terhadap pembetulan, pembatalan, pengurangan ketetapan dan penghapusan atau pengurangan sanksi administratif, serta pengembalian kelebihan pembayaran BPHTB yang diatur dalam UU Perpajakan dan Perda No. 2 Tahun 2011 tentang Pajak Daerah dan Perda No. 6 Tahun 2012 tentang Pajak Bumi dan Bangunan Perdesaan dan Perkotaan Kab. Cianjur serta dapat melalui pengaduan kepada Komite Pengawas Perpajakan berdasarkan Pasal 27A UU BPHTB, Pasal 36C UU KUP dan Keputusan Menteri
TANGGUNG JAWAB RUMAH SAKIT TERHADAP PENYELENGGARAAN PROGRAM PENGENDALIAN RESISTENSI ANTIMIKROBA DIHUBUNGKAN DENGAN UPAYA KESEHATAN
Authors: Anom Bagus
Published: December 2020

Rumah sakit sebagai lembaga pelayanan kesehatan menurut ketentuan Pasal 1367 Kitab Undang-Undang Hukum Perdata (KUHPerdata) mempunyai tanggung jawab atas kerugian yang dilakukan oleh pegawai atau bawahannya. Jika tenaga kesehatan baik medis maupun nonmedis bekerja untuk rumah sakit, maka mereka berada di bawah mekanisme pengawasan rumah sakit. Ini berarti rumah sakit bertanggung jawab secara hukum atas tindakan dokter dan tenaga kesehatan lainnya yang menyebabkan kerugian kepada pasien. Oleh karena itu secara condition sino quanon tidak salah jika tuntutan ganti kerugian ditujukan kepada rumah sakit. Selain itu, dalam Pasal 17 ayat (2) Peraturan Menteri Kesehatan Republik Indonesia Nomor 290/Menkes/Per/III/2008 Tentang Persetujuan Tindakan Kedokteran ditegaskan bahwa sarana pelayanan kesehatan atau rumah sakit bertanggung jawab atas pelaksanaan persetujuan tindakan kedokteran atau tindakan medis. Penyebab terjadinya resistensi antibiotik secara global adalah multifaktorial dan kompleks, meliputi permasalahannya pada prescriber (ketidakpastian diagnosis, kurangnya pengetahuan, insentif dan lain-lain), dispenser (penggunaan obat-obat standar, kurangnya aturan dispensing), pasien (tekanan terhadap dokter, pengobatan sendiri, akses antibiotik secara bebas) dan fasilitas pelayanan kesehatan (kurangnya pengendalian infeksi yang dapat memicu penyebaran organisme yang resisten terhadap antibiotik). Salah satu contoh kegagalan program pengendalian resistensi antimikroba yang cukup terkenal adalah kasus bakteremia Gram negatif yang terjadi di Jerman pada tahun 1983.Bakteri Gram negatif yang paling sering diisolasidi ICU anak adalah Pseudomonas aeruginosa, Escherichia coli, Enterobacter cloacae, dan Klebsiella pneumoniae. Sumber bakteremia tersering adalah infeksi saluran kemih dan pneumonia. Melihat keadaan tersebut maka tujuan penelitian ini adalah 1). Untuk menemukan implementasi program pengendalian resistensi antimikroba di rumah sakit dihubungkan dengan pelayanan kesehatan. 2). Untuk menemukan tanggung jawab rumah sakit terhadap pelaksanaan program pengendalian resistensi antimikroba dihubungkan dengan pelayanan kesehatan. Penelitian ini mempergunakan metode yuridis normatif, dengan pendekatan yang bersifat kualitatif. Yuridis normatif karena penelitian ini mengacu pada norma-norma hukum yang terdapat dalam peraturan perundang-undangan. Hal ini dilakukan dengan cara penguatan kapasitas tenaga kesehatan dan masyarakat dalam meningkatkan pengetahuan tentang resistensi antimikroba. Adapun upaya kuratif-rehabilitatif dijalankan dengan cara perbaikan kuantitas penggunaan antibiotik, perbaikan kualitas penggunaan antibiotik, peningkatan mutu penanganan kasus infeksi secara multidisiplin dan terintegrasi, dan penurunan angka infeksi rumah sakit yang disebabkan oleh mikroba resisten.
PERLINDUNGAN HUKUM PELAKSANAAN BEAUTY CONTEST DALAM PEMILIHAN VENDOR KERJASAMA OPERASIONAL PENGELOLAAN ALAT LABORATORIUM PADA RUMAH SAKIT BADAN LAYANAN UMUM. DIHUBUNGKAN DENGAN PRINSIP-PRINSIP DASAR PENGADAAN BARANG DAN JASA
Authors: Hermawan Yuli Aryani
Published: December 2020

Rumah sakit merupakan suatu lembaga yang memiliki peranan yang penting dalam pembanguan kesehatan saat ini. Laboratorium menjadi salah satu faktor pendukung dalam pembangunan kesehatan melalui Rumah Sakit, hasil pemeriksaan laboratorium digunakan untuk memastikan atau menunjang diagnosis suatu penyakit. Untuk menunjang hal tersebut, Laboratorium klinik memerlukan peralatan yang memadai. Kerjasama operasinal dengan beauty contest dianggap mampu memnuhi tujuan tersebut, namun dalam pelaksanaaanya sering terbentur dengan terbatasnya peraturan yang ada sehingga sering timbul permasalahan terutama dalam hal transparansi serta persekongkolan yang bertentangan dengan UU No 5 Tahun 1999 tentang  larangan Praktik monopoli dan Persaingan Usaha Tidak Sehat dalam hal ini di Wilayah Priangan Timur. Masalah yang diteliti dalam penelitian ini adalah bagaimana perlindungan hukum pelaksanaan beauty contest dalam pemilihan vendor kerjasama operasional pengelolaan alat laboratorium pada rumah sakit dengan status Badan Layanan Umum (BLU) dihubungkan dengan prinsip transparansi pengadaan barang dan jasa dalam Perpres No 16 Tahun 2018. Tujuan penelitian ini adalah untuk mengetahui aspek legalitas perlindungan hukum dan pemenuhan prinsip transparansi dalam beauty contest kerjasama operasinal laboratorium rumah sakit. Penelitian ini dilakukan dengan metode yang bersifat deskriptif analitik menggunakan pendekatan yuridis normatif yakni dititikberatkan pada studi dokumen dan penelitian kepustakaan untuk mempelajari data sekunder yang terkumpul berupa bahan-bahan hukum yang ada kaitannya dengan masalah yang akan diteliti. Data yang terkumpul kemudian dianalisis secara analitis kualitatif sehingga menghasilkan data deskriptif analitis. Dari hasil wawancara dan studi kepustakaan, didapatkan bahwa tidak terdapat peraturan tertulis yang secara khusus mgnatur tentang pelaksanaan beauty contest, prinsip transparansi dalam beauty contest tidak dapat diterapkan karena berbeda dengan tender. Sebagai upaya mengatasi keterbatasan peraturan diharapkan peraturan kepala daerah atau berupa kebijakan direktur dapat mengatur tentang beauty contest dan diuji cobakan tentang sistem beauty contest terintegrasi antar beerapa rumah sakit dalam suatu wilayah tertentu.
IMPLIKASI PENDAYAGUNAAN DOKTER SPESIALIS TERHADAP PEMERATAAN PELAYANAN KESEHATAN SPESIALISTIK DAN HAK ASASI MANUSIA DI INDONESIA
Authors: Hakiki Dovi
Published: December 2020

Dalam rangka peningkatan akses dan pemenuhan kebutuhan masyarakat terhadap pelayanan kesehatan spesialistik, perlu dilakukan upaya pemerataan dokter spesialis di seluruh Indonesia, khususnya di daerah tertinggal, perbatasan, dan kepulauan (DTPK) dan daerah bermasalah kesehatan, Upaya pemerataan dokter spesialis dilakukan melalui program Pendayagunaan Dokter Spesialis sebagai bentuk pengabdian kepada negara guna meningkatkan mutu pelayanan kesehatan. Negara turut berperan dalam proses pendidikan dokter spesialis dengan memberikan subsidi dalam penyelenggaraan pendidikan kedokteran program spesialis. Pendayagunaan Dokter Spesialis adalah penempatan dokter spesialis di rumah sakit milik pemerintah pusat dan pemerintah daerah dan Peserta Pendayagunaan dokter spesialis adalah setiap dokter spesialis yang baru lulus pendidikan kedokteran program dokter spesialis, yang terdiri dari Peserta mandiri serta Peserta penerima beasiswa dan/atau program bantuan biaya pendidikan. Pendayagunaan dokter spesialis dilaksanakan di Rumah Sakit milik pemerintah dan pemerintah daerah utamanya di RS DTPK, RS Rujukan Regional, RS Rujukan Provinsi dan RS milik Pemerintah dan Pemda lainnya dalam menjalankan program pendayagunaan Dokter spesialis pemerintah tentan dengan pelanggaran terhadap Hak Asasi Manusia yang telah diatur dengan undang-undang Nomor 19 Tahun 1999 tentang Pengesahan Ilo Convention No. 105 Concerning The Abolition Of Forced Labour (Konvensi Ilo Mengenai Penghapusan Kerja Paksa) namun demikian perlu dilakukan analisis terhadap implementasi pendayagunaan dokter spesialis agar para tenaga kesehatan ini terlindungi dari unsur pemaksaan ataupun pelanggaran terhadap hak asasi manusia.Kata kunci: Pendayagunaan Dokter Spesialis; Undang-Undang; Dokter Spesialis.
Characterization of carbon fibrous material from platanus achenes as platinum catalysts support
Authors: Kaludjerovic Branka V. , Jovanovic Vladislava M. , Stevanovic Sanja I , Bogdanov Zarko D. , Krstic Sanja S. , Dodevski Vladimir
Published: December 2020

Carbon materials with developed porosity are usually used as supports for platinum catalysts. Physico-chemical characteristics of the support influence the properties of platinum deposited and its catalytic activity. In our studies, we deposited platinum on carbon fibrous like materials obtained from platanus seeds - achenes. The precursor was chemically activated with different reagents: NaOH, pyrogallol, and H2O2, before the carbonization process. Platinum was deposited on all substrates to study the influence of the substrate properties on the activity of the catalyst. Carbon materials were characterized by nitrogen adsorption/desorption isotherms measurements, X-ray diffraction, and scanning electron microscopy. It was noticed that the adsorption characteristics of carbon support affected the structure of platinum deposits and thus their activity.
Determination of the Need for Reconstructive Surgical Interventions Using Conduits of Biological Origin in Acute Arterial Insufficiency
Authors: Lyzikov A , Kaplan M , Tsikhmanovich V , Straltsov V , Gorokhovsky S
Published: December 2020

The aim of the study was to determine the structure of the pathology that causes acute arterial insufficiency, which requires the implementation of surgical interventions, including reconstructive operations using conduits of various origins; to identify the needs for grafts of biological origin. Material and methods. A retrospective analysis of 212 case histories of patients with acute arterial insufficiency of the lower extremities who underwent open surgery on the arteries of the lower extremities at the department of vascular surgery of the Gomel Regional Clinical Cardiology Center from 2017 to 2019 was performed. Results and discussion. As a result of the study, the following issues were identified. Surgical treatment of acute arterial insufficiency, which developed due to thrombosis with the progression of atherosclerotic lesions, requires reconstructive surgery using various plastic materials as patches and conduits in 60% of the total number of open operations. There is a serious need for materials of biological origin as a plastic material for the treatment of acute arterial insufficiency, which developed against the background of atherosclerotic vascular damage, because 59% of the total number of primary operations were bypass surgeries, of which, in 73.7% of cases, for various reasons, synthetic transplants were used. The high frequency of repeated surgical interventions, reaching 28.9% of the total number of operations, more often on injured limbs in 97% of patients, including those after application of autological venous conduits in 40.7% of cases, is a serious problem that needs to be solved by searching for new sources for biological materials. Atherosclerotic damage to the contralateral limb occurred in 53.2% of patients with thrombosis and in 17.8% with embolism, while in 62.6% of patients with thrombosis, the degree of chronic arterial insufficiency in the contralateral limb was greater than 2 (Fontaine’s classification of chronic limb ischemia), which is indicative for reconstructive surgical interventions.
Perceptions and Misconceptions about the Undergraduate Laboratory from Chemistry, Physics and Biology Academics
Authors: Buntine Mark Anthony , Burke da Silva Karen , Kable Scott , Lim Kieran , Pyke Simon , Read Justin , Sharma Manjula , Yeung Alexandra
Published: December 2020

The undergraduate laboratory occupies a large fraction of science students’ time. Over 3000 students were asked to rate their laboratory learning experience using 12 metrics. 362 academics were asked to predict which of these 12 aspects of the student experience would correlate with the overall laboratory learning experience. Responses from academics in biology, chemistry and physics departments, and from the USA and Australia, are statistically the same. However, the correlation between these staff predictions and student results is poor. The student results are consistent with extant educational research, but it appears that these findings are not reaching those who are responsible for developing undergraduate laboratory courses. There is a great need for educational research to be made more accessible for academics who are trained in scientific, but not in educational research.
Short Review on Printing Ink Technology to Prevent Counterfeit of the Products
Authors: Pranav Y. Dave
Published: December 2020

In the recent world, there are number of problems related to counterfeit of the different products. In another way, there are number of products, which can be easily duplicated by simple processes and the product is accurate and precise. Even the counterfeit of currency is also a main problem in world’s economic. So from both ways, the terrorist activities are increasing to destroy the country in economical way. Also, there are number of sectors, which can be effected due to this reason like duplication of electronic products, duplication of food products, duplication of automobile products, duplication of currency, etc. So there are number of anti-counterfeiting technologies and to fabricate different fluorescent ink is one of the techniques to prevent the counterfeiting process. In this review article, the fabrication of ink explains. Printing ink is very useful as per the security purpose to write down confidential documents or sign. Fluorescent material based ink can be difficult to counterfeit and also costly. Even the ink has diverse properties to apply in different sectors. The article also explains which properties ink must have for prevention. It is also described that how fluorescent material based ink can help in different sectors and how it is helping and a part of anticounterfeiting technology nowadays.
DEMOKRASI AGONISTIK DAN SPIRIT BARU PASCA-PILKADA
Authors: Jehalut Ferdi
Published: December 2020

Abstract

The simultaneous general election of district heads in 270 regencies, municipalities and provinces in Indonesia in 2020 has ended. The end of the simultaneous general elections does not mean the end of competition, debate and discourse in democracy. A living democracy needs constant contestation, debate and discourse. That is the essence of the idea of agonistic democracy. The idea of agonistic democracy will be discussed in a sharp and comprehensive manner in this paper. Thus, the aim of this paper is to explain the concept of agonistic democracy. Furthermore, starting from the idea of agonistic democracy, the writer will show what spirit needs to be nurtured after the simultaneous regional elections that have just been held. The approach used in this paper is a speculative-analysis approach.
Scientific-practical conference "Urology, andrology, nephrology - 2016 "
Authors: В. М. Лісовий  , І. М. Антонян  , Н. М. Андоньєва  , Д. В. Щукін  , І. А. Гарагатий  , В. І. Савенков  , А. В. Мальцев  , Ю. М. Гурженко  , І. А. Дудар  , С. М. Шамраєв  , Т. А. Торак
Published: December 2020

In Kharkiv on the basis of PAT FC "Metalist" hosted the annual scientific-practical conference with international participation under the Ministry of Health Registry of Ukraine № 146 "Urology, andrology, nephrology - 2016" 26-27 May 2016.
The first experience with an injectable form of acetaminophen for pain relief during sessions of extracorporeal shock wave lithotripsy
Authors: І. О. Драгомир
Published: December 2020

The article presents data illustrating the high clinical efficacy and safety of using an injectable form of paracetamol. The use of strong analgesic of Infulgan («Yuria-Pharm», Ukraine) is real and safe, as evidenced by the results of the research. Analgesia with preservation of consciousness during the sessions of extracorporeal shock wave lithotripsy (ESWL) can be done via the Central intravenous analgesia intravenous form of paracetamol. It extends the capabilities of the ambulatory ESWL and quality of patient care.
Psycho-emotional state of patients suffering from erectile dysfunction and benign prostatic hyperplasia
Authors: Ю. М. Гурженко  , М. Д. Квач
Published: December 2020

The aim of the study: studying the emotional state of patients with erectile dysfunction (ED) and benign prostatic hyperplasia (BPH). Materials and methods. In the study based on the results of diagnosis and treatment of 235 patients with BPH undergoing examination and treatment in state institution «Institute of urology of NAMS of Ukraine» Kyiv for 2010-2014. Results. In the process of implementation of psychological research (evaluation on the scale T Leary) in patients with BPH and ED, it was found that all patients experience the development of psychological and emotional disorders of varying degrees. To the effectiveness of complex treatment of BPH patients show more energy, belief in their own sexual ability, increase self-esteem, independence, autonomy activities. Patients ready to change, their actions are directed on search of new productive long-term relationship. Conclusion. Emotional distress, unpleasant and long-lasting experiences of male patients about the health status and quality of life constantly deteriorating increase manifestations of anger, aggression, incontinence, which significantly affects relationships with family members. At the same time there is a direct correlation between copulative disorders, growth of neurotic disorders and accentuations of character and behavior have parapsychosis nature, which is expressed clinically by episodes of anxiety, chronic neurotic and depressive States.
Reproductive function in patients with chronic abacterial prostatitis
Authors: Р. О. Бистриця
Published: December 2020

The aim of the study: to evaluate the effect of chronic abacterial prostatitis on reproductive function. Materials and methods. The study included 41 patients with chronic abacterial prostatitis (age 20 to 45 years). Patients of the 1st group (n=24) for 4 weeks received standard conservative therapy, after which is appointed by nonspecific stimulation of spermatogenesis within 30 days. Patients of the 2nd group (n=17), along with traditional therapy for 4 weeks received physical therapy, after which they also were appointed nonspecific stimulation of spermatogenesis within 30 days. Results. Analysis of indicators of the ejaculate in patients of the 1st group shows a significant improvement of the fertilizing capacity of sperm. Asthenozoospermia disappeared in 40% of cases; the percentage of morphologically normal forms was subject to regulatory value in all patients with previously identified teratozoospermia. The results of treatment of patients of the 2nd group demonstrated a normalization of almost all the key parameters of the ejaculate. Asthenozoospermia have survived in only 12.3% of patients. The phenomenon of oligo – and teratozoospermia was eliminated in all patients. Conclusion. The use of complex therapy of chronic abacterial prostatitis with subsequent stimulation of spermatogenesis in the background of continuing antioxidant therapy eliminates patospermia and allow the basic parameters of the ejaculate is back to normal.
Prevention of complications after surgery for benign prostatic hyperplasia
Authors: Ю. М. Гурженко  , В. В. Спиридоненко  , Ф. З. Гайсенюк
Published: December 2020

The aim of the study: to evaluate the clinical efficacy of monotherapy with drugs of herbal medicine and -adrenergic receptors and their combinations in patients with benign prostatic hyperplasia (BPH) stage II-III after transurethral resection of the prostate (TURP). Materials and methods. All patients (n=145) were divided into four clinical groups depending on methods of therapy. Patients of the 1st group (n=42) were not prescribed medications after the TURP for them was established active surveillance. Patients of the 2nd group (n=38) received monotherapy with the drug Prostamol Uno. Patients of the 3rd group (n=31) received the drug Flosin. Patients of the 4th group (n=34) received combination therapy drugs Prostamol Uno and Flosin. Results. There were defined the criteria of the effectiveness of medical therapy after surgical treatment of BPH: increased RV by 25%, increased volume by 50%, reducing the average speed of urination, frequency of nighttime urination, IPSS and QoL data. During the year after the TURP the condition of the patients improved markedly, but significant difference in the performance of active surveillance and the groups receiving monotherapy and combined treatment. Conclusion. The early postoperative period after TURP is an indication for long-term combination therapy with drugs Prostamol Uno and Flosin, which is pathogenetically a highly effective and safe, contributes to the rapid elimination of irritative and obstructive symptoms improved quality of life of the patient.
Recovery of spermatogenesis in patients with excretory-toxic infertility
Authors: В. П. Стусь  , Ю. М. Поліон  , М. Ю. Поліон
Published: December 2020

To date, about 10–15% of couples are infertile. According to the WHO critical level is 15%, therefore the obvious importance of correcting this situation. The subject of our study was excretory-toxic infertility (ETI) is most common among the population. The reason for this is high prevalence of diseases caused by urogenital infection. ETI is often one of the consequences of the inflammatory process in the organs of the male reproductive system. Common cause leading to the ETI is the chronic prostatitis (CP) and its complications. ETI is a complication of 40-60% of inflammatory diseases of the genital organs in men. In the treatment of CP is complicated by ETI, deliver the full range of individually selected therapeutic actions: antibacterial, anti-inflammatory therapy, physiotherapy. Further, in the case of a positive result, follow-up tests for cure of sexually transmitted infections (STIs) conducted spermatogenesis therapy for 2 months. As a preparation for the stimulation of spermatogenesis were used rectal suppositories with prostatilen. After treatment significant improvement of quality of semen in patients of the main group, this allows to recommend the drug Protex® for use in treatment of ETI in men.
Modern approaches to the diagnosis and manageJment of patients with cholestatic syndrome in the primary health care level
Authors: С. В. Данилюк  , Л. В. Хіміон  , О. Б. Ященко  , Т. О. Ситюк  , О. Н. Рудь  , М. С. Панасенко
Published: December 2020

The main diagnostic criteria and treatment strategy, which are used for patients with cholestatic syndrome in primary health care practic1 ing are shown in the article. The algorithm of primary medicine doctor’s action in the management of patients with the syndrome of cholestasis is represented.
The relationship of clinical and haematological and immune parameters in patients with mielodisplastic syndrome
Authors: Г. С. Стародуб  , О. В. Басова  , Н. В. Горяінова  , Н. М. Третяк  , А. І. Гордієнко
Published: December 2020

The Objective: to determine the relationship between changes in hema tology clinical condition and immunological parameters in patients with myelodysplastic syndrome (MDS).Materials and methods. There were examined 36 patients diagnosed with MDS . All patients were divided into groups depending on the response to treatment : Group 1 – patients before treatment; Group 2 – patients who have responded positively to therapy and became transfusion independent ( remission , partial remission and great hematological response ); Group 3 – patients, gave only a small hematology response and were transfusion dependent, as well as those that have not responded to treatment. The control group included 30 healthy individuals with no bad habits that can affect your blood.Results. The comparative analysis of clinical and hematological data and immunological study of peripheral blood cells and bone marrow in the initial period and in achieving clinical and hematologic compensation in MDS patients with refractory anemia with excess blasts (RANB). Established reduce the number of myeloid progenitor cells in the bone marrow origin in achieving clinical and hematologic compensation that can be considered as one of the criteria prognosis.Conclusion. Results of the study show that with a positive response to treatment of patients with MDS improved clinical and hematological parameters, patients achieved transfusion independence while they watch reducing hematopoietic cells in bone marrow. The dynamics of immunological parameters can be used in evaluating the effectiveness of treatment and prognosis of MDS.
The clinical course of acute myocardial infarction complicated by acute left ventricular failure after koronarografichnogo survey with stenting
Authors: Є. Х. Заремба  , В. М. Сало  , Я. В. Мизак  , О. В. Заремба
Published: December 2020

In the article the retrospective analysis of the clinical course of acute myocardial infarction (AMI ) complicated with acute left ventricular failure. The study involved 109 patients with acute myocardial infaktom with ST1segment elevation and without ST1segment elevation acute heart failure complicated. Of these, 72 (66,05%) men and 37 (33,95%) women. Average age was 54,4±3,4 years. Patients were hospitalized in the department of KMC infarknomu BSMP m. Lviv. All patients underwent interventional procedure. Patients were divided into 2 groups: the first and (n=79) group diagnosed with acute myocardial infarction with elevation segment ST, the second in minutes (n=30) – acute myocardial infarction without elevation segment ST. Complications of acute myocardial infarction as acute left ventricular failure was found in 51 cases.
Clinical and hematological characteristics of patients with multiple
Authors: Салах А.А. Абушанаб
Published: December 2020

The article presents data on the frequency and characteristics of clinical manifestation of non-Hodgkin’s lymphoma, and the results of the study characteristics of peripheral blood in patients with nonHodgkin’s lymphoma. We discuss the pathogenic mechanisms of symptoms and syndromes in patients with non-Hodgkin’s lymphoma.
The possibilities of herbal medicine in the treatment of diseases of the urinary system in the primary stage of medical care
Authors: І. А. Дудар  , А. В. Шуляк  , Е. Н. Лобода
Published: December 2020

One of somatic pathologies most often encountered in the practice of General practitioners are inflammatory diseases of the urinary tract.
Pecualirities of gastric mucosa morphological changes in rheumatoid arthritis patients depending on the treatment
Authors: Ш. Ф. Гадієва
Published: December 2020

to study morphological changes of the gastric mucosa (GM) in patients with rheumatoid arthritis (RA), depending on the anti1inflammatory and basic therapy
Endothelial vasomotor function and cerebrovascular reactivity in the initial manifestations chronic cerebral ischemia
Authors: М. А. Тріщинська  , Ю. І. Головченко
Published: December 2020

it was a study whose purpose the assessment of the nature and relationships between vasomotor endothelial function and cerebrovascular reactivity in response to functional load tests at the initial manifestations of chronic cerebral ischemia
Optimization of patients rehabilitation and cerebrovascular diseases prevention in primary health care
Authors: О. Є. Коваленко  , С. С. Совгира
Published: December 2020

Optimization of patients rehabilitation and cerebrovascular diseases prevention in primary health carecises carried out directly by the patients, provided coaching by trained specialists. Objectively prove that the complex has a positive effect on the body. Considering the clinical effectiveness, free of charge, techni1 cal simplicity and mehod’s safety, it can be offered for widespread use in primary health care.