bluuebunny/crossref_metadata_2025 huggingface dataset:
Maya Index dan Karakteristik Lingkungan Area Rumah dengan Kejadian Demam Berdarah Dengue
Authors: Dewi Annisa Arum Kartika , Sukendra Dyah Mahendrasari
Published: November 2018

Abstrak

Pada tahun 2017 IR DBD sebesar 124,3 per 100.000 penduduk. Tujuan penelitian ini adalah untuk mengetahui hubungan antara maya index dan karakteristik lingkungan area rumah dengan kejadian DBD di daerah endemis DBD Kelurahan Kadipiro Kota Surakarta. Jenis penelitian ini adalah analitik observasional dengan rancangan penelitian case control.  Sampel sebesar 45 kasus dan 45 kontrol dengan teknik pengambilan sampel yaitu purposive sampling. Instrumen yang digunakan adalah lembar pengukuran dan lembar observasi, kuesioner, roll meter dan dokumen rekam medik. Data dianalisis secara univariat untuk mendeskripsikan semua variabel penelitian dan secara bivariat dengan uji chi-square dan perhitungan Odds Ratio(OR). Penelitian dilakukan pada bulan Mei-Juni 2018. Hasil penelitian ini adalah maya index (p=0,408), keadaan TPA terbuka (p=0,036), ventilasi rumah tanpa kawat kassa (p=0,135), keberadaan pakain yang menggantung (p=0,021), kepadatan hunian (p=0,168), jarak antar rumah (p=1,000), keberadaan pekarangan kosong (p=0,047), keberadaan tempat minum unggas (p=1,000). Kesimpulan dari penelitian ini adalah ada hubungan antara keadaan TPA terbuka, keberadaan pakaian menggantung, keberadaan pekarangan kosong dengan kejadian DBD.

 

Abstract

In 2017 the dengue fever was 124.3 per 100,000 population. The purpose of this study is to determine the relationship between the maya index and environmental characteristics of the home area with the incidence of DHF in endemic area of DHF Kadipiro Surakarta. Type of research was analytic observasional with research design case control.  Samples of 45 cases and 45 controls by sampling technique that is purposive sampling. The instruments used are measurement sheets and observation sheets, questionnaires, roll meters and medical record documents. Data were analyzed univariat to describe all research variables and bivariate with test chi-square and calculation Odds Ratio. The study was conducted in May-June 2018. The results of this study were maya index(p=0.408), open landfill conditions(p=0,036), homeless house ventilation(p=0,135), the existence of hanging clothes(p=0,021), occupancy density(p=0,168) distance between homes(p=1,000), the existence of empty yard(p=0,047), existence of poultry drinking place(p=1,000). The conclusion, there is a relationship between the open landfill conditions, the existence of hanging clothes, the existence of empty yard with the incidence of DHF.
ANN based Short-Term Load Curve Forecasting
Authors: Chis Violeta Eugenia , Barbulescu Constantin , Kilyeni Stefan , Dzitac Simona
Published: November 2018

A software tool developed in Matlab for short-term load forecasting (STLF) is presented. Different forecasting methods such as artificial neural networks, multiple linear regression, curve fitting have been integrated into a stand-alone application with a graphical user interface. Real power consumption data have been used. They have been provided by the branches of the distribution system operator from the Southern-Western part of the Romanian Power System. This paper is an extended variant of [4].
bright field big patch swarming imaging v1
Authors: Ding Serena
Published: November 2018

For imaging swarming behaviour of 40 young adult C. elegans on a big food patch on agar using the Phoenix multi-worm tracker system. Worms are synchronised by bleaching and refeeding for 72 hours, and then 40 young adult hermaphrodites are transferred by glass pipette onto a 35 mm regular NGM plate for imaging for 20 hours at 25 fps.
Impact of miR-223-3p and miR-2909 on inflammatory factors IL-6, IL-1, and TNF-, and the TLR4/TLR2/NF-B/STAT3 signaling pathway induced by lipopolysaccharide in human adipose stem cells v2
Authors: Wu Juan
Published: November 2018

In the current study, we successfully established an acute inflammation model and a chronic inflammation model involving adipose stem cells. We used high-throughput miRNA microarray analysis to identify miRNAs that were significantly (p<0.05) differentially expressed during both acute and chronic inflammation. Lipopolysaccharide (LPS) significantly(p<0.05)reduced the expression of miR-223-3P and miR-2909, while promoting the production of pro-inflammatory cytokines, interleukin (IL) 6, IL-1b, and tumor necrosis factor (TNF)-a via the Toll-like receptor (TLR) 4/TLR2/nuclear factor (NF)-kB/signal transducer and activator of transcription (STAT) 3 signaling pathway in human adipose stem cells. Further, miR-223-3P expression was significantly(p<0.05) reduced in human adipose stem cells during activation by IL-6 stimulation. The inducible down-regulation of miR-223-3P resulted in the activation of STAT3, which was directly targeted by miR-223-3P. STAT3 directly targeted TLR4 and TLR2, promoting the production of the pro-inflammatory cytokine, IL-6, and formed a positive feedback loop to regulate IL-6 levels. Similarly, TNF-a significantly(p<0.05) increased the expression of miR-223-3p, with LPS and TLR4/TLR2/NF-kB/STAT3 forming a negative feedback loop to regulate TNF-a levels. In addition, miR-2909, which depends on NF-kB, targeted Krueppel-like factor (KLF) 4 to regulate the levels of pro-inflammatory cytokines, IL-6, IL-1b, and TNF-a. We conclude that miR-223-3p and miR-2909 form a complex regulatory network with pro-inflammatory factors and signaling pathways in adipose stem cells stimulated by LPS. These findings will inform the development of therapies against autoimmune and inflammatory diseases. 1.Establish an acute inflammation model of adipose stem cells 2.Establish a chronic inflammation model of adipose stem cells 3. miRNA microarray and data analysis 4.Target gene prediction, gene ontology (GO) enrichment, and pathway analysis 5.Prediction of target gene binding sites 6.Dual luciferase assay 7.LPS induces STAT3mRNA and protein levels in adipose stem cells, and promotes STAT3 protein phosphorylation, while miR-223-3p regulates STAT3 mRNA 8.miR-223-3p directly regulates TLR2 and TLR4, and the secretion of inflammatory cytokines IL-6, TNF-a, and IL-1b 9. STAT3 promotes phosphorylation of STAT3 protein, and regulates TLR4 and TLR2 expression 10.Treatment of adipose stem cells with IL-6, TNF-a, siIL-6, and siTNF-a affects the miR-223-3p, STAT3, and pSTAT3 levels 11.miR-2909 depends on NF-kB to target KLF4 to regulate IL-6, IL-1b, and TNF-a levels
A INSERÇÃO DOS PRINCÍPIOS DA EDUCAÇÃO AMBIENTAL NA UNIVERSIDADE TECNOLÓGICA FEDERAL: UMA ANÁLISE DOCUMENTAL
Authors: Quinelato André Luís , Lindino Terezinha Corrêa
Published: November 2018

Este artigo explora os mecanismos para a inserção da educação ambiental no cotidiano das universidades, selecionando-se a Universidade Tecnológica Federal do Paraná - Câmpus Toledo como lócus da pesquisa. Procuramos analisar se os princípios vinculados à educação ambiental são considerados na construção e manutenção dos documentos institucionais, incluindo-se o projeto político-pedagógico institucional (PPI), o plano de desenvolvimento institucional (PDI), os projetos pedagógicos dos cursos, além dos planos de ensino das disciplinas. Utilizou-se neste trabalho o método de análise documental para os documentos institucionais selecionados. Constatou-se que a temática ambiental e os princípios vinculados à Educação Ambiental até estão inseridos nos documentos institucionais, porém não com o destaque devido e necessário, reduzindo-se a disciplinas optativas, ocasionando a disciplinarização e aprisionamento da temática ambiental no currículo dos cursos.
FORMAÇÃO DE PROFESSORES EM INVESTIGAÇÃO MATEMÁTICA: O FORMADOR EM DESTAQUE
Authors: Wichnoski Paulo , Klüber Tiago Emanuel
Published: November 2018

Neste texto destacamos a figura do formador em um contexto de formação continuada de professores de matemática em Investigação Matemática. Sob a postura fenomenológico-hermenêutica interrogamos: o que se mostra acerca dos orientadores de professores que trabalharam sob a perspectiva da Investigação Matemática no PDE[1]? Frente ao interrogado, manifestaram-se aspectos que dizem da formação, da área de atuação e da experiência profissional dos orientadores, os quais são plurais e, por vezes, não se coadunam com a perspectiva assumida nos trabalhos orientados. Concluímos que, entre outros fatores, essa descentralização de área pode ter corroborado para o desencontro entre a formação teórica e prática evidenciado no contexto do PDE, culminando em práticas inócuas.[1] Programa de Desenvolvimento Educacional do Paraná.
ENTREVISTA COM JOAQUIM RAMOS PINTO: PRESIDENTE DA ASPEA - ASSOCIAÇÃO PORTUGUESA DE EDUCAÇÃO AMBIENTAL
Authors: Ribeiro Ivana de Campos , Fortunato Ivan
Published: November 2018

Entrevistada realizada por Ivana de Campos Ribeiro & Ivan Fortunato
A INVENÇÃO DE UMA BELA VELHICE
Authors: Goldenberg Mirian
Published: November 2018

Neste texto eu discuto os resultados de um estudo sobre gênero, corpo, envelhecimento e felicidade com 5000 homens e mulheres entre 18 e 96 anos.
Hacia un nuevo modelo de comunicación lexicográfica en el ámbito de la adquisición de lenguas extranjeras
Authors: Galván-Santana Alberto
Published: November 2018

Las consideraciones expuestas en este artículo tienen como objetivo ampliar la discusión en torno a la adquisición del lenguaje sobre los fundamentos de la teoría de la comunicación. Sobre esta base, se propone una integración del modelo de comunicación de Luhmann en el marco teórico de la lexicografía aplicada al aprendizaje de lenguas (diccionarios monolingües). La relevancia de este modelo diferencialista de la comunicación reside en la conceptualización de la gramática en cuanto código emergente; en este sentido, se argumentará que, desde este punto de vista cognitivo, la estructura lexicográfica que sostienen el acto de comunicación ostenta la capacidad, en virtud de sus propiedades mediales, de revelar este código gramatical y activar de manera implícita la adquisición de la gramática en el usuario del diccionario.
Incorporación directa e indirecta de los préstamos de origen ruso al español y nuevos términos
Authors: Molkova Svetlana
Published: November 2018

El objetivo de esta investigación consiste en determinar las vías de incorporación de los préstamos de origen ruso al español y en definir la necesidad de incorporar un número más elevado de dichos elementos en las fuentes lexicográficas del español. Se pretende señalar la vía —directa o indirecta— de la entrada de los términos del ruso en español mediante la comparación de los datos etimológicos en una selección de fuentes lexicográficas del idioma. De la misma manera, mediante el análisis de uso de una serie de elementos rusos que presentan un registro esporádico en los diccionarios y bases de datos de neologismos utilizados, se pretende destacar los que reúnan características necesarias para que pudiera ser considerada su incorporación en el DLE.
La influencia humana, clave para entender la biogeografía de especies invasoras en el Antropoceno
Authors: Gallardo B. , Vila L.
Published: November 2018

Las invasiones biológicas han revolucionado el concepto de biogeografía en el Antropoceno, ya que su distribución geográfica ya no depende de su capacidad intrínseca de movimiento y las barreras biogeográficas clásicas, sino que depende directamente de actividades humanas que favorecen, intencionada o accidentalmente, su expansión. Por tanto, las técnicas de modelización geográfica han de tener en cuenta las particularidades de las especies invasoras para poder anticipar su distribución potencial en el futuro. En este estudio, utilizamos un listado de 57 de las peores especies invasoras en Europa (18 plantas, 15 vertebrados, 12 invertebrados y 12 organismos acuáticos) para comparar la influencia climática y humana en la distribución a gran escala de especies invasoras. Identificamos un total de nueve grandes vectores de introducción, entre los que destacan el transporte, el cultivo ornamental y el comercio. Localizamos siete variables relacionadas con estos vectores de introducción que utilizamos junto con variables climáticas como predictores en Modelos Ecológicos de Nicho (MEN): accesibilidad, densidad de población, PIB, grado de antropización, cobertura de uso agrícola y urbano, distancia a carreteras y puertos comerciales. La temperatura mínima anual es el predictor más importante en los modelos, seguida de la distancia a puertos, el PIB y la accesibilidad. Sorprendentemente, los modelos que incluyen variables humanas no son estadísticamente mejores que los basados en variables climáticas únicamente, si bien predicen un aumento medio del 8% en la superficie europea susceptible a la invasión. Tal incremento se produce fundamentalmente en zonas muy antropizadas donde la posibilidad de invasión es obviamente mayor. En el caso de la Península Ibérica, esto se traduce en un aumento del riesgo de invasión en la zona de levante, valle del Ebro y alrededores de grandes ciudades. Concluimos por tanto que el clima es importante, pero no suficiente para anticipar efectivamente la expansión de especies invasoras, y por tanto, cualquier información disponible que esté directamente relacionada con los vectores de introducción ha de ser incorporada de forma rutinaria en los MEN para optimizar los recursos dedicados a la prevención, respuesta rápida y control a largo plazo de especies invasoras.
Coverage in head and neck malignancies; our institutional experience
Authors: Mehta Milind A. , Ranjan Vikrant , Kumar Prayas , Sarwade Pradnya
Published: November 2018

Background: Cancer of the head and neck can have a major impact on patients. It is vitally important that the surgeon appreciate the anatomy of the head and neck, the varieties of tumours and their metastatic patterns of spread, the ablative techniques, the adjunctive treatments, and the potential need for reconstruction. The obvious advantages to immediate reconstruction of a defect after ablation of a tumor have been recognized for more than 3 decades and are still valid today.Methods: Those patients who required reconstructive management were included in the study. The patients with head and neck malignancy were operated in association with ENT surgeon’s team or Onco-surgery team. Reconstruction of the defect was done by Plastic Surgeons.Results: In this series various types of reconstructive methods ranging from Split thickness skin graft, full thickness skin graft, fasciocutaneous flaps, fascial flaps, muscle flaps and musculo-cutaneous flaps were used. The defects were primarily sutured in 11% patients. The defects were covered with split thickness skin graft in 6.6% patients. Full thickness skin graft was used in 8.8% patients. Local flaps were used in 6.6% and loco regional flaps were used in 60% for coverage of head and neck defects. Free flaps were used in 6.6% of patients.Conclusions: The study concluded that for management of such defects local flaps were reliable, quick to execute, and capable of covering large defects. It provides skin of excellent colour and texture, and most of the scars are hidden in natural skin folds.
Pre-operative prediction of difficult laparoscopic cholecystectomy from clinical, hematological and radiological parameters
Authors: Parmar Hardik , Chauhan Sahdevsinh , Arun R. , Sutaria Akshay
Published: November 2018

Background: The aim of study was to formulate a scoring system to predict difficult laparoscopic cholecystectomy (LC) pre-operatively; depending on the specific parameters of an individual patient.Methods: We have included 100 patients who underwent LC from July 2010 to December 2012. Conversion to open cholecystectomy in relation with age, sex, attack of acute cholecystitis, fever, abdominal tenderness, serum amylase and LDH level, status of GB and GB wall thickness, number of stone, leukocyte count and CBD diameter were assessed.Results: The most important reason for conversion was adhesions at Calot's triangle (60%), followed by contracted gall bladder (15%). The other reasons of conversion were empyema of the gall bladder (15%), stone at Hartmann's pouch (10%), bleeding during dissection (5%).Conclusions: This study will surely help the surgical fraternity in the future to plan the particular patients for appropriate mode of surgery, pre-operative preparation, patient counselling and most importantly to predict the score for the difficult interval Laparoscopic Cholecystectomy.
A hospital based study on the surgical outcomes of thyroid malignancies
Authors: Srinivasan R. Anuj , Rajachidambaram K. , P. Karthick , Anand M. Vijay
Published: November 2018

Background: Thyroid cancer is a heterogeneous disease that affects all age groups. The tumors are found to be more aggressive in the elderly. The distribution of these cancers in India continues to remain uncertain. The impact of geographic locations in the incidence of thyroid malignancies is yet to be explored. This study was done to estimate the prevalence and distribution of thyroid cancers.Methods: This hospital based retrospective study was done at the Department of Surgery of our medical college hospital. About 50 medical records of patients diagnosed with thyroid cancers at our hospital were analyzed. Data on clinical examination, ultrasound findings and histopathology findings were documented.Results: Out of the 50 patients studied 16 patients had dysphagia, eight patients had dyspnoea and 24 patients had regional metastasis. The most common surgery done for the primary cancer is total thyroidectomy. Hemithyroidectomy was done in 10 patients with SNG, out of which one patient had discrete lymph node per operatively and node dissection was carried out.Conclusions: TSH suppressive doses are recommended for all patients with papillary and follicular thyroid cancers. A cohort study to analyze the survival outcomes of the patients treated with both the surgical modalities will give an insight into the management of thyroid malignancies.
Metahemoglobinemia por fenazopiridina: reporte de un caso con enfoque diagnóstico
Authors: Pérez Tuñón Jorge Guillermo , Martiñón Ríos Rocío , Figueroa Rivera Magaly
Published: November 2018

INTRODUCCIÓN: La metahemoglobinemia adquirida es un trastorno en el que la hemoglobina es oxidada por un agente externo, impidiendo el transporte y entrega del oxígeno a los tejidos. Uno de los agentes oxidantes es el clorhidrato de fenazopiridina, una anilina con efecto analgésico empleada para tratar el dolor de la vía urinaria baja.CASO CLÍNICO: Paciente de 12 años, que ingirió 250 mg de amitriptilina, 1.8 g de fenazopiridina y 14.5 mg de clonazepam en un intento suicida, desarrollando metahemoglobinemia que requirió el empleo de azul de metileno en dos ocasiones.CONCLUSIONES: La metahemoglobinemia es subdiagnosticada a pesar de poder originar complicaciones graves e, incluso, la muerte. Se diagnostica mediante cooximetría. Cuando ésta no está disponible, además de los datos clínicos, debe evaluarse la brecha de saturación y la sangre color “chocolate”.PALABRAS CLAVE: Metahemoglobinemia; hemoglobina; oxígeno; agentes oxidantes; fenazopiridina; azul de metileno.
Diseño de cohorte
Authors: Murata Chiharu , Díaz-García Luisa , Medina Vera Isabel , García de la Puente Silvestre , González Garay Alejandro
Published: November 2018

ANTECEDENTES: Un estudio de cohorte es un diseño epidemiológico que pretende estimar la relación de causalidad entre una o más variables y un desenlace de interés. Existen distintos tipos y sus aportaciones a la bibliografía científica han sido decisivos para identificar factores de riesgo para múltiples condiciones clínicas.OBJETIVO: Analizar las principales características de este diseño para facilitar la interpretación de sus resultados y apoyar su correcta conducción.DESCRIPCIÓN: Los estudios de cohorte se caracterizan por ser observacionales y longitudinales, sus observaciones permiten identificar claramente la relación causal entre variables (factores de riesgo) y desenlaces de interés (enfermedades, mortalidad, etc.). De acuerdo con la relación temporal de las variables estudiadas pueden clasificarse en cohortes prospectivas, retrospectivas o ambispectivas. La forma de reclutar a los sujetos también puede clasificarlas como incipientes, estáticas, dinámicas, etc. Las comparaciones pueden ser de carácter regional-local (cohortes internas) o, bien, permitir comparaciones con distintas poblaciones (cohortes externas). Los resultados de estos estudios han permitido conocer tasas de incidencia, riesgos relativos, riesgos atribuibles, factores de protección, etc. Aunque se consideran estudios ideales para establecer causalidad, casi siempre son costosos, largos y complicados de realizar.CONCLUSIONES: Este diseño se conidera el patrón de referencia para estimar causalidad entre variables y su aplicación práctica más común es la identificación de factores de riesgo. Conocer las características principales de los estudios de cohorte habilita para analizar críticamente sus contribuciones al campo de la Medicina.PALABRAS CLAVE: Factores de riesgo; estudio longitudinal; prospectivo; retrospectivo; incidencia.
Teaching Speaking for Professional Context Using Prezi in the Relation With Students’ Creativity
Authors: Lina Marisa Fran
Published: November 2018

This research aims at finding out whether Prezi is effective to teach speaking and the students having high creativity have better speaking skill than those having low creativity. This research was carried out at IAIN Salatiga in the academic year of 2015/2016. The population was the second semester students of English Education Department. In this research, the researcher used experimental research method. The researcher took one class for experimental class (TBI D). This class was divided into two groups (the students having high and low creativity). The research instruments consist of students’ creativity test and a speaking test. The creativity test and speaking test were readable after they were tried out in class TBI D of English Education Department of IAIN Salatiga. The data were the result of speaking test and it was analyzed by multifactor analysis of variance 2 x 2 (ANOVA). The findings of the research show that: (1) Prezi is effective for teaching speaking; (2) The students who have high creativity have better speaking skill than those having low creativity. Based on the research findings, it can be concluded that: Prezi is an effective teaching media to teach speaking and it is suggested to the English Teacher to apply Prezi in teaching speaking. Prezi is suitable for both students who have high and low creativity because it is designed in a variety of formats that helps students to process information and organize their ideas.Key words: Prezi, Teaching Speaking, Creative Students
Современное состояние и перспективы развития экономики Китая
Authors: Влазнева Светлана Алексеевна , Мишина Наталья Алексеевна , Крапчина Людмила Николаевна , Котова Людмила Геннадьевна
Published: November 2018

Уникальные достижения КНР в течение последних сорока лет реформ сосредоточили внимание исследователей на феномене китайской экономики. Китай постепенно становится не только крупнейшим мировым производителем товаров, важнейшим экспортером и импортером капитала, но и источником глобального экономического роста. Дальнейшие перспективы экономического развития этой страны привлекают внимание экспертов и определяют актуальность исследования.
Проведенное авторами исследование состояло в изучении динамики развития и современного состояния национальной экономики Китая; проведении оценки темпов роста высокотехнологичного сектора экономики; рассмотрении особенностей внешнеторговых связей, в частности, реализации проекта «Один пояс, один путь», инвестиционного сотрудничества; определении роли Китая в системе мирового хозяйства.
Авторами рассмотрены ключевые экономические индикаторы и вектор их развития, охарактеризован переход Китая к новому экономическому циклу и подтверждена его взаимосвязь с предложенной китайским правительством новой моделью глобализации.
Материалы исследования могут быть интересны широкому кругу читателей, представителям как бизнес, так и научного сообщества, а также всем, интересующимся феноменом развития китайской экономики, ее производственным и финансовым сектором, развитием стратегии внешнеэкономической деятельности.
Доступность медицинских услуг как фактор повышения человеческого капитала: данные социологических исследований
Authors: Белая Раиса Васильевна
Published: November 2018

Статья посвящена проблеме измерения доступности медицинских услуг. На основе данных социологического опроса исследовались факторы, влияющие на удовлетворенность населения доступностью и качеством оказываемой медицинской помощью по месту проживания. Выявлено, что самооценка состояния здоровья, возраст, территория проживания вносят свой вклад в измерение удовлетворенности доступностью качественных медицинских услуг. В работе предлагаются и рассчитываются поправочные коэффициенты при измерении уровня удовлетворенности населения медицинской помощью. Выявлена дифференциация населения Республики Карелия в доступности к медицинским услугам по территориальному и возрастному признакам. Исследование позволило выявить низкую доступность и качество предоставляемых медицинских услуг для молодежной когорты в малых городах, что не может не сказаться на снижении качества человеческого капитала в малых городах Республики Карелия.
Методика оценки экономической эффективности инвестиций во внедрение мероприятий бережливого производства
Authors: Суетина Татьяна Александровна , Сафина Динара Моратовна
Published: November 2018

Продуманное внедрение инструментов бережливого производства в российских компаниях нередко приносит искомый положительный эффект, выраженный в экономии финансовых, людских, временных ресурсов, энергии и производственных площадей. Однако остается открытым вопрос при каких масштабах внедрения можно достичь положительной отдачи от инвестиций в бережливое производство. В работе предлагается алгоритм расчета экономической эффективности инвестиций в мероприятия бережливого производства, основанный на оценке значения масштаба внедрения инструментов бережливого производства на предприятии. Разработанный алгоритм может быть использован на этапе анализа возможностей применения мероприятий бережливого производства в подразделениях предприятия и предварительной оценки эффективности внедрения мероприятий на уровне предприятия в целом. Предлагаемая методика позволит выбирать наиболее экономически эффективные мероприятия бережливого производства.
Кадровый аутсорсинг как эффективный способ обеспечения конкурентоспособности организации
Authors: Мыльникова Елена Михайловна , Нагибина Надежда Павловна , Якупова Ольга Викторовна
Published: November 2018

В данной статье представлены результаты исследования Российского и зарубежного опыта применения кадрового аутсорсинга. В ходе проведения исследования была определена необходимость и актуальность использования «аутсорсинга персонала», как современной методики ведения бизнеса, которая способствует обеспечению конкурентоспособности организации. Анализируя деятельность ведущих Российских и зарубежных компаний, активно использующих кадровый аутсорсинг, авторы определили главные направления, как аутсорсинга в целом, так и «аутсорсинга персонала». Выявленные направления кадрового аутсорсинга особо востребованы на сегодняшний день и вполне могут быть рассмотрены не только как способ обеспечения конкурентоспособности компании, но и как потенциальный инструмент ее повышения. Результаты исследования могут быть использованы руководящим составом организаций при принятии решений относительно применения «аутсорсинга персонала» в своей деятельности.
Enhancement of the immunogenicity of influenza A virus by the inhibition of immunosuppressive function of NS1 protein
Authors: Vasilyev Kirill A. , Yukhneva Maria A. , Shurygina Anna-Polina S. , Stukova Marina A. , Egorov Andrej Y.
Published: November 2018

The truncation of the nonstructural NS1 protein is a novel approach for the generation of immunogenic attenuated influenza viruses. However, the innate immune mechanisms that cause the increased immunogenicity of influenza viruses with altered NS1 proteins are poorly understood. The goal of this study was to compare the immune responses in mice immunized with two variants of the influenza A/Puerto Rico/8/1934 (A/PR8) virus: the wild type virus (A/PR8/full NS) and the variant with the NS1 protein shortened to 124 amino acid residues (A/PR8/NS124). The investigated parameters of immunity included cytokine production, the dynamic variation of the innate immune cell populations, and the rate of the influenza-specific T-cell responses. An intraperitoneal route of immunization was chosen due to the variability in the replication capacity of the investigated viruses in the respiratory tract. The levels of interferon β (IFNβ), tumor necrosis factor α (TNFα), monocyte chemo-attractant protein 1 (MCP1), interleukin 6 (IL6), and IL27 in peritoneal washings of mice immunized with A/PR8/NS124 were significantly higher compared to the mice immunized with the wild-type virus. The A/PR8/NS124 treated group showed a delayed attraction of monocytes and neutrophils as well as a more pronounced reduction in the percentage of dendritic cells in the peritoneal cavity. The expression level of the CD86 activation marker on the cells expressing the molecules of the major histocompatibility complex II (MHCII+) was significantly higher in mice immunized with A/PR8/NS124 than in the group immunized with A/PR8/full NS. Finally, immunization with A/PR8/NS124 led to an increased formation of influenza-specific CD8+ effector T-cells characterized by the simultaneous production of IFNγ, IL2, and TNFα. We hypothesize that elevated cytokine production, enhanced dendritic cell migration, and increased CD86 expression on antigen-presenting cells upon immunization with A/PR8/NS124 lead to a more effective presentation of viral antigens and, therefore, promote an increased antigen-specific CD8+ immune response.
Decolonizing development education policy: The case of Germany
Authors: Bendix Daniel
Published: November 2018

Germany has only recently started to discuss the possible contribution, on a conceptual basis, of post-colonial theory to development education. Drawing on key policy papers, this article explores how post-colonial and antiracist critiques of German development education have changed
the field in the past decade. It first provides the history of development education in Germany and sketches the recent, decade-long debate on post-colonial perspectives in the field. The article then puts forward how development education policy deals with the topics of development, colonialism
and demographics. While colonial legacies had been a topic for debate in earlier times, a decidedly post-colonial critique only entered the field about a decade ago and continues to serve as a point of tension.
Evaluation of the Quality of Occupational Therapy Fieldwork Experiences
Authors:   University of British Columbia, Canada, Drynan Donna , Turnbull Jennifer ,   Med Travelers, United States, Currie Leanne ,   University of British Columbia, Canada
Published: November 2018

Practice education, or fieldwork as it is referred to in occupational therapy, is a fundamental feature of occupational therapy education, priming students to become competent entry-level practitioners. Factors reported as contributing to poor quality fieldwork experiences include: students not receiving enough feedback; lack of opportunity to develop skills; and not being made to feel welcome in the environment. These are significant contributors to the overall development of competence so it is important to understand the current context of fieldwork experiences being offered in relation to the notion of quality in those learning environments. The purpose of this study was to evaluate the quality of the fieldwork learning environment from the perspective of occupational therapists’ working in one region of Canada. A validated survey, the Quality of Occupational Therapy Fieldwork Experience (QOTFE) tool, was used to identify features of what might constitute quality fieldwork education, and to determine whether there was a difference in quality of fieldwork experience between practice settings or types of practice areas. However, there was minimal variability in scores based on practice setting and practice area variables. These findings indicate a consistent quality of fieldwork experience across practice settings and practice areas. This research presents a picture of the current quality of fieldwork experiences available to occupational therapy students. This may be a starting place for further investigation into the factors that contribute to the quality of practice education learning experiences
Using Telemedicine in Practice: Implications for Workforce Development
Authors:   University of Cumbria, UK, Marshall Alison , Bidmead Elaine ,   University of Cumbria, UK
Published: November 2018

The aim of this article is to present a discussion of the impact of telemedicine on professional practice, and the implications for the workforce. Telemedicine, or the use of video-conferencing for remote consultations between clinician(s) and patients, is now a mature technology. Many pilot studies have taken place, generally showing positive benefits to patients. There is emerging evidence that the impact on staff is more mixed; with concerns about changes to job role, skills development, and poor understanding of the organisational benefits. Evidence also highlights enablers of successful telemedicine implementation, including senior leadership, peer motivation, understanding of patient benefits, and time for safe experimentation. Following a review of qualitative data from four case study telemedicine projects undertaken within the authors’ research group, evidence from published literature is discussed. The four projects explore telemedicine services provided between an acute hospital service and nursing homes (remote assessment of swallowing difficulties), an acute hospital service and home (video-link to renal patients undergoing home dialysis), between a specialist teaching hospital service and a district general hospital (fetal abnormalities ultrasound telemedicine clinic), and a survey of mental health professionals across acute and community services within a locality. The introduction of telemedicine at scale requires an organisational and system-level approach that recognises the specific challenges and issues for the workforce. Education and training need to be provided at all levels. In conclusion: there are significant opportunities to realise the benefits of remote consultations, to improve the patient experience and staff productivity, if workforce issues are addressed.
Betwixt and Between: A Pilot Study Exploring the Experiences of Clinical Educators Teaching in a Dispersed Model of Entry-Level Physiotherapy Curriculum
Authors:   La Trobe University, Australia, Barradell Sarah , Blackstock Felicity ,   La Trobe University, Australia, Mastwyk Sally ,   La Trobe University, Australia, Tang Clarice ,   La Trobe University, Australia, Leo Joan ,   La Trobe University, Australia, McConville Janet ,   La Trobe University, Australia
Published: November 2018

Education of the future healthcare workforce has long been a partnership between university and healthcare sectors, with students learning under the shared guidance of academics and clinicians. Traditionally, academics have taught in the classroom and clinicians have engaged students at the patient bedside. Using a phenomenologically-oriented approach, this pilot project explored the experiences of clinicians who team-taught a theoretical subject in a classroom environment. Purposeful sampling of physiotherapy staff within a metropolitan healthcare organisation was used. Six clinicians were recruited and, prior to teaching, completed a blended educational program about higher education teaching and learning. The clinicians taught classes of twenty students within new classroom spaces co-located at the healthcare organisation, with curricula provided by the university. Two semi-structured interviews were conducted with each clinician at the beginning and end of the allocated teaching period. Transcripts from the semi-structured interviews were analysed and four themes emerged. First, physiotherapists initially identified as clinicians not teachers, but their perceptions later broadened. Second, the intention of teaching was patient-focused. Third, the balancing of multiple roles resulted in challenges for the clinicians; and fourth, the experience involved new immersion in digital media. This work explores a different form of educator role – likened to a pracademic – and supports the need for considered approaches to teaching and links between theory/education and practice to meet the demands of modern healthcare and university learning.
Pour une approche conceptuelle de la notion de bonne administration
Authors: Bousta Rhita
Published: November 2018

Desde la entrada en vigor de la Carta de los Derechos Fundamentales de la Unión Europea que proclama el derecho a una “buena administración”, el uso de esta expresión se multiplica a pesar de no ser definida. La buena administración reúne intuitivamente diversos principios y derechos que existían antes de su aparición. Formulando sólidas reflexiones a la luz de algunas novedades, la presente investigación nos invita a una óptica conceptual y define la buena administración como la adaptación ponderada de los medios de la Administración pública. Abierta al debate, esta proposición de definición restrictiva permite distinguir la buena administración de otros conceptos, en particular la buena gobernanza.
Hepatocellular cancer and liver transplantation: necessity to go from chaos to order
Authors: Lerut J. , Iesari S. , Foguenne M. , Ackenin K. , Lai Q.
Published: November 2018

The care for liver-diseased patients presenting with hepatocellular cancer (HCC) is changing rapidly. Many treatment possibilities and caregivers belonging to a multitude of specialities troubled the therapeutic algorithm of the liver cancer patients. HCC in both normal and diseased livers has to be considered firstly as a surgical disease. The possibilities of surgery, including liver resections, as well as liver transplantation, have been underestimated and even been minimalized mainly as a consequence of many studies promoting in an unlimited way all different kinds of locoregional non-surgical and systemic therapies. Locoregional therapies and surgical procedures should not be seen as competing, but as complementary treatment options. Locoregional therapies are of value if surgery is not possible; in the context of transplantation they have an important role as ‘downstaging procedures’ allowing for bringing of transplantable patients into the required inclusion criteria. Systemic therapies and living donor liver transplantation will without any doubt occupy a more important role in the future therapeutic scheme of HCC.
RELIGIOUS VALUE IN NYADRAN CEREMONY IN NGEPRINGAN VILLAGE, SRAGEN
Authors: Sih Yuli Ning , Saddhono Kundharu , Setiawan Budhi
Published: November 2018

The struggle for modernity gave rise to the degradation of the value of character education. At this stage the revitalization of the value of religious local wisdom in tradition needs to be developed again. The existence of nyadran tradition in Ngepringan continues to be developed by mixing the value of local wisdom with religious values. This unique combination is a form of local wisdom against the individual culture that developed in the community, the development of modernity. This means that the community can not only uphold the cultural values of the ancestors, and also cannot adapt the tradition to conditions, and still insert religious values in it. Nyadran tradition is still played by the Ngepringan community because they are spiritual tourism and become a harmonizer political, social, economic and spiritual life. The collection of data information is through observation and interview with the Ngepringan village community. The purpose of this study is to explore religious values in the Nyadran ceremony procession. This type of research is ethnography with qualitative descriptive method. Data collection techniques use techniques, interviews, documentation, and language content. The data analysis uses interactive analysis technique. The results of this study are to reveal and describe the religious values in the ceremony procession that need to be preserved and improved by the Ngepringan village community in the face of modernity.

Pergulatan modernitas melahirkan degradasi nilai pendidikan karakter. Pada titik ini revitalisasi nilai kearifan lokal religius dalam tradisi perlu dikembangkan kembali. Eksistensi tradisi nyadran di Ngepringan terus dikembangkan dengan mencampur nilai kearifan lokal dengan nilai religius. Perpaduan yang unik ini merupakan bentuk kearifan lokal melawan budaya individualis yang berkembang di masyarakat mengikuti perkembangan modernitas. Hal ini bermakna bahwa masyarakat disana tidak hanya menjunjung nilai-nilai budaya dari para leluhur, melainkan juga mampu menyesuaikan tradisi dengan kondisi, serta masih menyisipkan nilai-nilai religius di dalamnya. Tradisi nyadran masih tetap dipertahankan oleh masyarakat Ngepringan dikarenakan nyadran sebagai wisata rohani serta menjadi penyelaras kehidupan politik, sosial, ekonomi, dan agama. Informasi data diperoleh melalui observasi dan wawancara dengan masyarakat desa Ngepringan. Tujuan studi ini untuk menggali nilai religius dalam prosesi upacara nyadran. Jenis penelitian ini adalah etnografi dengan metode deskriptif kualitatif. Teknik pengumpulan data menggunakan teknik observasi, wawancara, dokumentasi, dan analisis isi. Teknik analisis data yang digunakan adalah analisis interaktif. Hasil dari penelitian ini adalah mengungkap dan mendeskripsikan nilai religius dalam prosesi upacara nyadran yang perlu terus dilestarikan dan ditingkatkan oleh masyarakat desa Ngepringan dalam menghadapi modernitas.
AL-ADIB AL-MUSLIM WA QADHIYAH AL-ILTIZAM FI AL-ADAB الأديب المسلم وقضية الالتزام في الأدب
Authors: Abdullahi Yaqub Alhaji
Published: November 2018

يخضع الأديب في تكوين شخصيته الأدبية لكثير من المؤثرات البيئية والاجتماعية والثقافية والعقدية والاقتصادية والسياسية، كما ينطلق في مزاولة فنه الأدبي من خلال المكونات التي أثرت فيه والخبرات التي حنكته. الأمر الذي يضطره في كثير من الأحايين إلى اتخاذ فكرة من الفكر أو مبدأ من المبادئ أو معتقد من المعتقدات يلتزم به فيما ينتجه من الآداب، لا يحيد عنه ولا يخالفه، بل قد يجاهد مدافعا عنه. وبهذا صارت قضية الالتزام في الأعمال الأدبية مما لا بد منه للأدباء، سواء شعروا بذلك أم لم يشعروا به، لكن الالتزام يختلف من أديب إلى آخر ومن مذهب إلى مذهب. ففي الحين الذي يتسم الالتزام في بعض المذاهب الأدبية بالإلزام والإكراه نجده لدى البعض يتحدد بالإقناع والطواعية. فالبحث محاولة إعطاء فكرة عامة عما ينتظر من أديب مسلم في إنتاجاته الأدبية، وذلك أن تكون أفكاره انعكاسا لمفهوم الإسلام وتصوره، وقد ناقش البحث الجوانب التالية: مفهوم الالتزام في الأدب والتزام الأديب المسلم وتصوره للخالق والإنسان والكون والحياة كما نظر في موقف الإسلام من العلاقة بين الجنسين. واستنتجت الدراسة أن نظرة الأديب المسلم في فنه الأدبي متسم بالالتزام الإسلامي الشامل في كل ما يكتب فيه من المواضع، وهو يشعر في التزامه هذا بالإقناع والنشوة، كما يجعل في حسبانه أن عمله الأدبي مما يحاسب عليه أمام خالقه، فلم يكن مغترا يوما بحرية مزعومة عند بعض الأدباء حتى يخوض فيما يحرم عليه من الأقوال والأفكار.

A litterateur (a person who is knowledgeable about literature) is made of different societal influences such as social, religious, economic, and politic. He is merely a reflection of his background, which is why in most cases, when he writes he seems to be committed to certain belief, ideology, and group. Thus, the issue of commitment to a certain belief, ideology can not be out-ruled in literary work. Commitment differs from one individual to another. It is characterized with force or choice and appreciation in accordance to differed school of thought (mazhab). This research gives a general out-look of what is expected of a Muslim persona in his writing or works. To achieve this objective, the study focuses on the following; the term commitment in literary work, commitment of a Muslim litterateur, his view about Allah, man, life, and the entire world. The findings of this study reveal that a Muslim litterateur is committed to Islamic values in his works and shows satisfaction and with such values attached he never writes against the Islamic teachings by hiding under so called freedom of speech.
Unleashing Hidden Team Resources: Time and Talent
Authors: Orstad Heidi
Published: November 2018

The nation's shift to value-based care requires health-care systems to consider innovative operational changes that will support high-quality care while also containing cost in order to sustain long-term growth. To do so, leaders must uncover hidden resources within their operations. In this article, a director of care coordination shares how care coordinators in her hospital support patients and families, and how she uncovered two hidden resources within the care coordination team—time, and talent—in response to an operational challenge. The time available to leaders was expanded by dividing each leadership process into its basic elements and by reducing the number of scheduled meetings and required reports, reclaiming 1000 leadership hours in 1 year. She made the most of employee's talents by identifying each team member's unique interests and expertise and introducing a “team champion” system.
Küçükbaş Hayvanlarda Pire Sorunu ve Mücadele Yöntemleri Üzerine Bir Araştırma: Siirt İli Şirvan İlçesi Örneği
Authors: TAŞKIN Turgay , AKGÜL Gülşah , KARAKAYA BİLEN Ebru , ÜN Cemal , KANDEMİR Çağrı
Published: November 2018

Amaç: Siirt ili Şirvan ilçesine bağlı merkez ve çevre köylerindeki koyun ve keçi yetiştiriciliği yapan işletmelerde pirenin önemi ve mücadele yöntemleri konusunda bir durum tespiti yapmaktır.Materyal ve Metot: Araştırma materyalini, Şirvan ilçe Tarım ve Hayvancılık İl Müdürlüğü kayıtlarından gayeli örnekleme yöntemiyle seçilen 165 küçükbaş işletmesi oluşturmuştur.Bulgular: Çalışmada, pire sorununun aile tipi işletmelerde görülme oranı % 35.6 iken bu oran ticari işletmelerde % 44.4 dür. İşletme tipleri bakımından pire görülme oranları arasında belirlenen fark istatistiki olarak önemli değildir. Aile tipi işletmelerde pire görülen hayvanlarda en tipik belirti kaşıntı (% 46.6) iken, ticari işletmelerdeki hayvanlarda birden fazla belirti (% 61.1) gözlenmiştir. Pire, aile tipi işletmelerde en çok yavrularda (% 46.6) en az sağmal hayvanlarda (% 4.8) gözlenirken, ticari işletmelerde ise en çok ergin hayvanlarda (% 38.9), en az ise gebe hayvanlarda (% 5.6) saptanmıştır. Pire, aile tipi hayvancılık işletmelerinde en çok koltuk altında (% 48.6) ve kulakta (% 22.6) gözlenirken, ticari işletmelerde kulak (% 38.9) pirenin en çok görülen vücut bölgesi olmuştur. Ticari hayvancılık işletmelerinde vücudun diğer bölgelerinde pire görülme oranı ise % 22.2 dir. Pireyle mücadelede en fazla kullanılan yöntem, aile tipi işletmelerde sıvı ilaç iken (% 45.2) ticari işletmelerde toz yöntem (% 33.3) olmuştur. Aile ve ticari işletmelerde bulunan köpeklerde pire sorunu görülme oranı sırasıyla; % 47.9 ve % 33.3 dür.Sonuç: Siirt ili Şirvan ilçesinde küçükbaş hayvan yetiştiricileri açısından pire zararının önemi vurgulanarak pireden kaynaklanan hayvan ölümleri ya da oluşan ekonomik kayıpları en aza indirecek mücadele yöntemleri belirlenmelidir.