bluuebunny/crossref_metadata_2025 huggingface dataset:
HUBUNGAN PENDIDIKAN BERKELANJUTAN DENGAN KOMPETENSI PERAWAT
Authors: Tarigan Herri Novita , Lumban Gaol Anita Theresia
Published: May 2019

Pendidikan keperawatan berkelanjutan adalah proses pengembangan keprofesian yang meliputi berbagai kegiatan yang dilakukan seseorang dalam kapasitasnya sebagai perawat praktisi, guna mempertahankan dan meningkatkan profesionalismenya sebagai perawat sesuai standar kompetensi yang ditetapkan. Tujuan dari penelitian ini dimaksudkan untuk mengetahui hubungan antara pendidikan berkelanjutan dengan kompetensi perawat di Instalasi Rawat Inap Rumah Sakit TK II Putri Hijau Kesdam I/BB Medan. Jenis penelitian ini adalah survey analitik dengan pendekatan cross sectional. Teknik yang digunakan dalam pengambilan sampel adalah total sampling yaitu teknik total pengambilan sampel dengan jumlah sampelnya adalah 48. Hasil penelitian ini menunjukkan ada hubungan pendidikan berkelanjutan dengan kompetensi perawat p-value (0,001<0,005) dan PR (0,750).Kesimpulan dari penelitian ini adanya hubungan pendidikan berkelanjutan dengan kompetensi perawat di Instalasi Rawat Inap Rumah Sakit TK II Putri Hijau Kesdam I/BB Medan. Saran yang dapat diberikan yaitu rumah sakit tetap menyediakan dan mengikutsertakan perawat dalam pendidikan berkelanjutan untuk membantu perawat dalam mengembangkan kompetensinya.
HUBUNGAN PEMBERIAN SUSU FORMULA DENGAN KEJADIAN DIARE PADA BAYI USIA 1-6 BULAN DI DESA TAMBAK CEKUR KECAMATAN SERBAJADI KABUPATEN SERDANG BEDAGAI TAHUN 2019
Authors: Hayati Kardina , Simanullang Grace Elizabeth
Published: May 2019

Formula milk was a type of prelactal food that was often given to neonates before breast milk comes out. Giving formula milk that was not good can increase the risk of diarrhea in infants because the brewing process was too thick and the way to store formula milk was wrong. The purpose of this study was to find out the relationship between the way of serving formula milk with diarrhea events in Tambak Cekur Village, Serbajadi District, Serdang Bedagai Regency in 2019. The type of research conducted in this study was non-experimental, namely collecting data or observations simultaneously between independent variables and dependent variables. by using the Total Sampling method with a sample of 20 respondents Data collection using a questionnaire given to respondents and using Chi Square test data analysis. The results obtained were p value (0.001) < (0.05) or p value = 0.34 which means there was a relationship between the way of serving formula milk with the incidence of diarrhea in infants aged 0-6 months in Tambur Tambur, Serbajadi District, Serdang Bedagai Regency, Year 2019. Infants given formula milk did not provide protection, while diarrhea occurs from infants who were given formula milk. It was hoped that medical staff working at the puskesmas will know how to prepared formula milk to babies to avoid diarrhea.

Keywords: Formula milk, Diarrhe, Infants
PENGARUH TEKNIK RELAKSASI OTOT PROGRESIF TERHADAP PENURUNAN KADAR GULA DARAH PADA PASIEN DIABETES MELLITUS TIPE 2 DI RUMAH SAKIT GRANDMED LUBUK PAKAM
Authors: Karokaro Tati Murni , Riduan Muhammad
Published: May 2019

The prevalence of diabetes occuring in 2015 is 9,3% and is expected to increase annualy. Type 2 diabetes mellitus occurs because insulin resistance, which glucose fails to enter the cell, usually occurs in the age above 30 years. One of the modalitas therapy that can be done is progressive muscle relaxation. The purpose of the study was to the identify the effect of progressive muscle relaxation therapy on the decrease in blood sugar levels in patients with type 2 diabetes mellitus at hospital GRANDMED Lubuk Pakam. This research method used pre-experimental design with one group pretest-posttest. A sample size of 10 respondents selected by sampling technique of non-probability sampling type consecutive sampling. The result of paired hypothesis test of t-test sample at significance level 95%obtained p Value < α, that is 0,001 indicates that there is influence of progressive muscle relaxation therapy to decrease blood glucose level in type 2 diabetes mellitus patient. Conclusion obtained there is significant difference between blood glucose levels before and after progressive muscle relaxation therapy. It is sugessted that health care institutions need to implement new policies related to the application of progressive muscle relaxation therapy.
KARAKTERISTIK PENDERITA YANG BERHUBUNGAN DENGAN KEJADIAN PEMBESARAN PROSTAT JINAK
Authors: Diba Farah
Published: May 2019

Benign prostate enlargement is a global problem in older men. The risk of benign prostate enlargement is usually experienced by those in adulthood whose risk percentages vary. As a result, it also depends on how much the risk is suffered, only a small percentage of patients show clinical symptoms, which are associated with suppression of the urethra resulting in difficulty urinating or urinary retention. These two problems/complaints can be complicated by dilation to bladder hypertrophy, hydroureter, hydronephrosis, prostatitis, kidney infection, stones and infarction. This study used 100 sample people who examined themselves at the Urology Poly of the Second Level Hospital in the Kesdam I/BB Putri Hijau, Medan. The results of this study indicate that of the four characteristics analyzed, only two factors can provide a risk of benign prostate enlargement, namely age and family track record of patients with benign prostate enlargement. Two other factors, such as obesity and marital status do not provide a risk for benign prostate enlargement.
HUBUNGAN KONDISI FISIK RUMAH DENGAN KEJADIAN PENYAKIT TUBERKULOSIS PARU DI WILAYAH KERJA PUSKESMAS SIGOMPUL KEC. LINTONGNIHUTA KAB. HUMBANG HASUNDUTAN TAHUN 2018
Authors: Lubis Fithri Handayani , `Syska Syska Simamora
Published: May 2019

Tuberculosis is the old disease that is now one of the biggest in the health sector. The factor of related to the incedence of tuberculosis are ventilation, type of floor, lighting, humidity. The purpose of this study is to find out the relationship between the physical condition of the house and the incidence of pulmonary tuberculosis in the Sigompul Community Health Center Work area Kecamatan Lintongnihuta Kabupaten Humbang Hasundutan. The method research uses Analitycal Observational design with Cross sectional approach. The subject of this study were respondent of Pulmonary Tuberculosis from October to January 2019 with a population of 85 peoples. The sample selection with sistematic random sampling produce of sample 40 peoples. The data collection methods use observation sheets and data analysis using the chi- square test. The results of the study indicate that there is a relationship between ventilatio (p=0,006), type of floor (p=0,039), lighting(p=0,034) and humidity (p=0,013) with the incidence of pulmonary tuberculosis. For the community, it is expected to create a safe home environment for family, celan and healthy lifestyle. For Sigompul Health Center is expected to implement health program that have been implemented by the goverment in recuding the incidence of pulmonary tuberculosis.
ANALISA FAKTOR YANG MEMPENGARUHI KEKAMBUHAN PASIEN GANGGUAN JIWA DENGAN MODEL STRES ADAPTASI STUART DI RUMAH SAKIT JIWA DAN KETERGANTUNGAN OBAT SEMBADA MEDAN
Authors: Samura Maximilianus Dasril , Tellen Tellen Marlina
Published: May 2019

Mental disorders are very dangerous even it does directly cause death, but will cause deep suffering for the individual and a heavy burden on the family. The factors that cause mental disorders vary depending on the type of mental disorder experienced. This Research aims to determine the factors that affect relapse of mental disorder patients in the Sembada Medan Mental Hospital and Drug Dependency 2019. This research is quantitative with a cross sectional approach and sampling with a purposive sample technique. This research was conducted on 28 respondents with research variables are factors of compliance, family support, and social support. From the research that has been done, it was found that the majority of respondents aged between 31 - 46 years (64.3%), based on the sex of the respondents, the majority were male (60.7%), based on the environmental characteristics of the majority urban respondents (64.3%) , based on the family support of the respondents, the majority were good (57.1%), based on the respondents' compliance, the majority was not good (60.7%), based on environmental support the majority were not good (67.9%) ) The results of the Chi-square test show a significance value of p (0.008) α <(0.05) which means that there are significant factors between adherence, family support, and social support for recurrence in the Mental disorders Hospital and Drug Dependency Medan in 2019. It is recommended for psychiatric patients to be more obedient in taking drugs as recommended by doctors in the Mental sicknes Hospital and Drug Dependency Medan in 2019.
Relationship between Vitamin B6 Intake and LDL Levels of CHD
Authors: Ginting Wira Maria , Sembiring Ika Juita
Published: May 2019

Heart disease results from a continuous process, the heart gradually loses its ability to function normally. Early in the heart disease compensates for its inability to function and maintains normal blood circulation through an enlarged and increased pulse (compensated heart disease) (Inayati, 2014).

The aim of the study was to determine the relationship between vitamin B6 intake and LDL levels in patients with coronary heart disease. This study was observational with a cross sectional design. Data on vitamin B6 intake obtained by the food recall method for 3 days. Data processing is done by person correlation test.

The results showed that vitamin B6 intake of coronary heart disease (CHD) patients in hospitals. Dr. Pringadi Medan is 60% good and 35% is not good. Chronic LDL levels vary, 10% are normal, 65% are mid and 25% are high. The results of statistical tests showed that there was no relationship between vitamin B6 intake and LDL levels.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN ANEMIA PADA SISWI SMAN 1 TEMBILAHAN HULU KABUPATEN INDRAGIRI HILIR
Authors: Alhidayati Alhidayati , Purba Christine Vita Gloria , Tri Tri Murti
Published: May 2019

One of the phenomenal teen problems is nutritional problems. Iron nutrition anemia in adolescents is a condition where the hemoglobin (Hb) data of red blood cells is lower than the normal value due to iron deficiency. This study was aimed to determined the factors associated with the incidence of anemia in female students of SMAN 1 Tembilahan Hulu Indragiri Hilir Regency. This type of research was quantitative with Cross Sectional design. The study population was female students of SMAN 1 Tembilahan Hulu, Indragiri Hilir Regency and a sample of 82 people. Sampling was done by simple random sampling. The measuring instrument used a questionnaire. The analysis was carried out by univariate and bivariate. The results of statistical tests used the chi square test revealed that there was a relationship between knowledge (p = 0.048), attitude (p = 0.004), eating habits (p = 0.002), nutritional status (p = 0.030) with the incidence of anemia in female students of SMAN 1 Tembilahan Hulu Indragiri Hilir Regency. It is expected that the School can collaborate with the local Puskesmas in giving advice about anemia to young women in school for the knowledge and attitudes of young women about anemia problems which include signs of symptoms, complications, ways to prevent anemia and others.
HUBUNGAN TINGKAT PENGETAHUAN DENGAN TINDAKAN PERAWAT DALAM PENGELOLAAN SAMPAH MEDIS DI RSU SEMBIRING DELI TUA TAHUN 2018
Authors: Sembiring Bunga Mari , Lubis Fithri Handayani
Published: May 2019

ABSTRACT

The hospital is one of health service units that produces medical waste. Medical waste management well be giving effect to health workers, patients and the patient’s family. Toable do medical waste management is needed good knowledge and behavior of nurses. The results of pre study at Sembiring hospital, there are activity of nurses of medical waste management like a needle, spuit, a bandage thrown away without separated. Thepurposes of this study is to know The Relationship The Level Of Knowledge With The Actions Nurse Of Medical Waste Management In Sembiring Hospital Deli tua City. The design of study is qualitative and quantitative. The method use descriptive correlative, with cross sectional approach. The populatin study are all of nurses count 50 persons. The sample wew 44 respondents, taken a sample of 44 respondents with a simple random sampling technique. The instrument study used knowledge questionnaire and questionnaire actions of medical waste management after validity and reability tested. The data then tested with Chi Square test. The result showed that 5 respondents (55,6%) with knowledge isn’t good doesn’t take action and 4 respondents (44,4 %) with that takes action of medical waste management. The result of rank the Chi Square test obtained p value = 0,010 ; α = 0,05. The conclusion of the study there were relationship the level of knowledge with the actions nurse of medical waste management in Sembiring hospital. The higher the nurse’s knowledge about medical waste management, the better the nurse’s actions in managing medical waste.
PENGARUH PEMBERIAN DAUN BANGUN – BANGUN (COLEUS AMBONICUS LOUR ) TERHADAP PRODUKSI ASI
Authors: Ariescha Putri Ayu Yessy , Tryaningsih Ucy
Published: May 2019

Exclusive breastfeeding is very important for babies aged 0-6 months and must be given in the first hour. Exclusive breastfeeding is one of the most powerful influences on children's survival, growth and development. Despite the many benefits of breastfeeding, the coverage of exclusive breastfeeding is still low. One of the causes of mothers not giving breast milk because the milk comes out very little. So the mother gives formula milk. This study aims to determine the production of breast milk produced in mothers who were given Daun Bangun-Bangun soup and analyze the effect of giving Daun Bangun-Bangun on breast milk production in Desa Biru-Biru in Candirejo. The design of this study was quasy experimental design with a total sample of 32 people with a total sampling. 16 respondent as case group dan 16 responden as intervension group. With the type of Posttest-Only Control Design. The results of the study showed that there was a significant effect of Daun Bangun-Bangun to the production of breast milk. Significant results indicate that p = 0,000 <0,005.
TINGKAT PENGETAHUAN REMAJA PUTERI TENTANG ANEMIA GIZI BESI DI SMA DHARMA BHAKTI MEDAN
Authors: Pebrianthy Lola , Agussana Dewi , Friska Era
Published: May 2019

In the stage of growth and development, adolescence is the stage where a person experiences a transition to adulthood. Nutritional needs in adolescents are higher than the age of the child. Increased nutritional requirements in adolescence were energy, protein, calcium, iron and zinc. Many problems faced by adolescents related to nutrition and health problems. As for the problems that were usually experienced in the teenage phase are Obesity and Anemia. Anemia is a condition when the number of red blood cells or the amount of hemoglobin in red blood cells was below normal. In women, normal hemoglobin is 12-16 gr percent and erythrocytes 3.5-4.5 million / mm3. Many things could be factors anemia, one of the causes was a lack of iron (Fe) so called iron deficiency anemia or iron nutritional anemia.

This research was descriptive by using primary data obtained through the use of questionnaires where the sample used was total sampling from the entire population, namely 32 female students of SMA Dharma Bhakti Medan. In this research found the majority of respondents had a sufficient level of knowledge as many as 27 people (84.37%).

For this reason, it was expected that the SMA Dharma Bhakti Medan students can expand their knowledge, especially about Iron Nutrition Anemia to find out the signs and symptoms of Iron Nutrition Anemia in order to prevent the occurrence of cases of Iron Nutrition Anemia in young women.
FAKTOR - FAKTOR YANG BERHUBUNGAN DENGAN KEPUASAN PEMANFAATAN PENOLONG PERSALINAN PADA IBU BERSALIN DI RUMAH SAKIT GRANDMED LUBUK PAKAM
Authors: Lubis Basyariah , Br.Bangun Sri Melda
Published: May 2019

Factors causing high MMR (Maternal Mortality Rate) is highly diverse, among others, is the delay in deciding to seek immediate treatment / assistance, the behavior of people who do not recognize the danger signs and not aware of the existence of complications. Patient satisfaction with the use of birth attendant became one of the main components or most important. Thus, patient satisfaction is one of the goals of improving the quality of health services. In improving the management of service quality complaints / complaint of patients is needed. Until now there are still some complaints (one of which is the lack of attention of the birth attendant) of the patients and families of patients received by the hospital, either directly or indirectly. This type of research is a survey with cross sectional design. Analytical survey method used to determine the factors associated with utilization of satisfaction birth attendants in the Hospital Grand Medistra Lubukpakam The population in this study were women giving birth in hospitals Grand Medistra Lubukpakam with a sample of 73 people. The study was conducted in September s / d in October 2015. The data was obtained using a questionnaire and analyzed using multiple logistic regression test at the level of 95%. Multivariate analysis with multiple logistic regression test showed that the variables of knowledge has the most impact on satisfaction utilization birth attendants, namely in terms of the value of B = 5.041 (95% CI 1.262; 20.129), which means that the knowledge variable has the effect of five (5) times to satisfaction utilization birth attendant. For doctors and midwives Hospital Grand Medistra which helped birth is expected to further improve service to patients with more empathy for patients, providing sufficient time and be more patient to accompany a patient who was in labor, building a good relationship with the patient's family so can further improve the satisfaction in the utilization of birth attendant.
Étude exploratoire sur le leadership responsable. Mise en perspective des modèles de Danone et d’Essilor
Authors: Igalens Jacques , Pourquier Catherine
Published: May 2019

Cette étude qualitative et exploratoire dessine les contours de la notion de leadership responsable au regard d’autres types de leadership. L’étude empirique est menée dans deux entreprises du CAC40, Danone et Essilor, ayant une réputation solide en matière de RSE. Nous nous appuyons sur 20 entretiens auprès de 10 leaders dont les récurrences ont été analysées avec le logiciel Nvivo. Le concept de leader responsable est affiné dans le but de proposer un modèle original de ce leadership particulier. Ainsi le leadership responsable apparaît comme transformationnel, visionnaire et intégratif. La notion d’alignement permet de mieux comprendre le rôle intégrateur du leadership responsable. Il est en effet l’outil permettant l’alignement des valeurs RSE, des valeurs corporate et des valeurs personnelles du leader.
La RSE des PME au Cameroun : un discours entre processus sociaux et pratiques de gestion
Authors: Etogo Gabriel
Published: May 2019

Cet article questionne le processus d’intégration des processus sociaux dans les pratiques de gestion à partir du constat de la vague de responsabilisation des entreprises et d’un regard renouvelé sur le concept d’efficacité de l’entreprise. En mobilisant une analyse qualitative basée sur une approche contextualiste, l’article insiste sur la dimension significative des discours des dirigeants. Les enseignements tirés de ces discours établissent que si la question de la RSE est devenue un sujet majeur des stratégies des entreprises au Cameroun depuis quelques années, les mutations sociopolitiques en cours remettent en cause l’analyse économique de l’efficacité de l’entreprise. En sorte que les pratiques de RSE des PME relèvent d’une forme de « solidarité communautaire africaine » mouvante.
Impact de la mise en œuvre d’une réforme organisationnelle sur la perception du contrat psychologique par les enseignants-chercheurs
Authors: Diard Caroline , Hachard Virginie
Published: May 2019

Le contrat de travail détermine la relation d’emploi et la formalise. Il crée des obligations réciproques. La notion de réciprocité est également un des éléments fondateurs du contrat psychologique (Rousseau, 1990). Le salarié qui, au cours de l’exécution de son contrat de travail, perçoit une situation comme équitable aura tendance à accroitre sa contribution. Lors d’une réforme organisationnelle, quelles sont les conséquences de l’évolution des promesses de l’employeur sur l’engagement et l’implication des enseignants-chercheurs (EC) ? Cette étude exploratoire de 12 entretiens d’EC au sein d’une Business-School (BS) confronte les attentes individuelles aux promesses de l’organisation et détermine à travers la théorie du contrat psychologique et de la justice organisationnelle, l’évolution des comportements individuels. Ce travail démontre que les EC se sentent engagés dans une organisation qui a honoré ses promesses notamment en matière d’autonomie octroyée.
Les réseaux sociaux internes d’entreprise comme dispositifs ascendants de promotion de l’égalité professionnelle F/H : 2 exemples du secteur informatique
Authors: Scotto Marie-José , Tiffon Hervé
Published: May 2019

Les réseaux se développent de manière significative et acquièrent une visibilité particulière avec leur déclinaison en réseaux sociaux. Ces réseaux sociaux s’intègrent dans le corps social de l’entreprise sous forme de Réseaux Sociaux Internes aux organisations (RSI). Comment expliquer cette évolution ? Quels sont les apports de ces réseaux aux organisations et aux personnes qui y travaillent, notamment en termes d’échanges, de remontées d’information et de management ascendant dans les entreprises. Notre travail s’appuiera sur une synthèse des recherches, puis étudiera deux RSI dans des groupes mondiaux du secteur de l’informatique. La spécificité de ces réseaux est qu’ils se sont créés dans un objectif de promotion des femmes dans un univers technique « masculin ». Cette recherche exploratoire aborde ainsi une double problématique, une problématique de processus (les RSI) et une problématique de contenu (l’égalité professionnelle Femmes/Hommes) par l’étude de ces réseaux internes féminins. La recherche entreprise sur deux RSI représente le début d’un travail portant sur cette thématique.
Espionnage industriel : protections, outils de gestion et perspectives ?
Authors: Fane Oumar , Feige Jimmy
Published: May 2019

Si les secrets de fabrication des romains étaient convoités par les celtes, et ceux des chinois par les perses (Carlton, 1992), l’espionnage industriel – phénomène ancien (Coskun Samli et Jacobs, 2003) – a relativement peu été traité par les scientifiques. Or, les entreprises s’exposent à des pertes potentielles en termes de réputation et d’avantages concurrentiels lorsque les secrets commerciaux sont compromis (OCDE, 2014). En l’occurrence, une entreprise sur cinq a été victime d’au moins une tentative de violation de ses secrets d’affaires ces dix dernières années ; et une sur quatre aurait signalé un vol d’informations en 2013, contre 18 % en 2012 (Commission européenne 2013). Après avoir clarifié le concept d’espionnage industriel en mettant en exergue les travaux effectués, nous ferons un inventaire des outils et méthodes de protection contre l’espionnage industriel dans les entreprises. Nous discuterons alors des vides et lacunes relevés dans ce domaine de gestion ; et du processus de contrôle de gestion envisageable à partir des travaux menés par Simons.
Facteurs influençant l’intention d’achat dans le contexte des sites d’information d’actualité en ligne : une étude empirique par la théorie de l’acceptation technologique
Authors: Benabid Mohamed
Published: May 2019

L’économie numérique continue d’interpeller de nombreux secteurs sur leurs modèles économiques, voire leur survie pour certains. L’industrie des médias est touchée de plein fouet par ces ruptures paradigmatiques qui ont imposé de nouvelles habitudes de diffusion et de consommation de l’information, pas assez comprises à ce jour. En mobilisant la théorie de l’acceptation technologique (TAM), l’objectif de cette recherche est d’étudier les déterminants de l’intention d’achat de l’information en ligne, un défi majeur tant du point de vue théorique que managérial. Le modèle de recherche est testé à travers deux études empiriques. La première exploratoire a ciblé un échantillon de 122 étudiants. La deuxième confirmatoire a mobilisé la méthode des équations structurelles, à la fois pour le modèle de mesure et le modèle de structure, a concerné 451 étudiants. Notre modèle a permis de valider la plupart des hypothèses proposées. Les résultats de notre analyse quantitative suggèrent également l’existence de relations significatives entre l’intention d’achat de l’information d’actualité en ligne et des construits d’ordre cognitif. Nous montrons par-là que la question de la monétisation tient à la fois à des facteurs techniques et psychosociaux qui continuent de faire barrière aux enjeux du modèle économique.
L’Europe sociale : quelles politiques, quels modèles, quels syndicalismes ?
Authors: Freyssinet Jacques
Published: May 2019

Les termes d’Europe sociale, comme ceux de modèle social européen ou de dialogue social européen sont l’objet d’inépuisables controverses. L’Europe sociale est le révélateur de contradictions, d’abord entre les institutions communautaires et les États membres, ensuite, entre les différents États membres, enfin et surtout entre patronats et syndicats. Les conflits, les alliances, les compromis entre de multiples acteurs engendrent une dynamique historique qui fait alterner des périodes d’optimisme et des diagnostics d’épuisement. Ces discontinuités s’accompagnent d’une lente sédimentation d’institutions et de normes qui conduisent à s’interroger sur la spécificité d’un modèle social européen. Confrontés à ces évolutions, les syndicats connaissent une évolution lente, parfois conflictuelle, dans la définition de leurs stratégies comme dans les modes de construction d’un acteur syndical européen.
État des lieux de la négociation collective européenne au niveau interprofessionnel
Authors: Michéa Frédérique
Published: May 2019

L’étude propose de dresser un état des lieux du dialogue social européen au niveau interprofessionnel. Sur le plan procédural, les mécanismes de ce dialogue visés dans les traités ont offert aux partenaires sociaux de solides garanties permettant l’expression de leurs intérêts dans le système juridique de l’Union. Sur le plan du contenu, la richesse des accords négociés doit être soulignée. Toutefois, les perspectives du dialogue social européen doivent être appréhendées à l’aune de deux risques spécifiques : d’une part, la concurrence de cadres conventionnels sur lesquels les syndicats ont une prise limitée, et d’autre part des dispositifs d’éviction potentielle du dialogue social dont le programme REFIT de la Commission est particulièrement emblématique.
Le dialogue social européen et les ambivalences de l’Europe sociale « triple A »
Authors: Degryse Christophe
Published: May 2019

Après avoir connu une période où les partenaires sociaux européens étaient appelés à contribuer par leurs négociations collectives à la construction d’une dimension sociale européenne, aujourd’hui des changements parfois inattendus font obstacle au développement du dialogue social européen. Le niveau interprofessionnel est affaibli par une confusion sur l’objectif même du dialogue social et ses instruments : forum de discussion pour échanger au sujet des réformes structurelles des marchés du travail (selon les employeurs), ou lieu de négociation collective en vue de créer des normes sociales améliorant les conditions de vie et de travail (selon les syndicats et… les traités). Le niveau sectoriel est quant à lui victime d’un changement inattendu d’attitude de la Commission européenne elle-même. Celle-ci fait désormais obstacle à un dialogue pouvant déboucher sur des normes juridiques contraignantes, au nom – ou sous le prétexte – d’une réglementation « affûtée et performante ». Ainsi, le blocage persistant sur le destin des accords du dialogue social sectoriel contribue à ternir l’objectif proclamé de triple A social par la Commission Juncker.
Les droits de participation des travailleurs dans les entreprises transnationales européennes, un droit européen inachevé
Authors: Dirringer Josépha
Published: May 2019

La présente étude se propose de revenir, dans une perspective juridique, sur la manière dont les travailleurs participent aux processus décisionnels au sein des entreprises transnationales européennes. Que ce soient les procédures d’information et de consultation ou les procédures de négociation collective, toutes sont promues au nom du dialogue social, devenue une valeur de l’Europe sociale. Pourtant, l’effectivité des droits de participation des travailleurs demeure fragile. D’un côté, les procédures d’information et de consultation ont été juridiquement instituées par le droit de l’Union européenne, mais les moyens pour assurer sa pleine application sont assurément insuffisants. De l’autre, les procédures de négociation collective constituent une pratique qui connaît une certaine vivacité, mais dont l’efficacité normative demeure encore trop limitée. Dans les deux cas, la participation des travailleurs à l’élaboration des normes sociales semble inachevée.
Klippel-Feil Syndrome with Sprengel Deformity
Authors: Georgiev Georgi P , Groudeva Violeta V
Published: May 2019

Coexistence of Klippel-Feil syndrome with Sprengel deformity and omovertebral bone is a rare complex bone abnormality with unknown incidence and etiology. Herein, we report a case of a 6-year-old girl with coexistence of these congenital abnormalities evaluated by three-dimensional computed tomography. We also make a brief review and discuss in details the role of this imaging modality in the evaluation of such complex cases.
Leiomyosarcoma of the Inferior Vena Cava with Hepatic and Pulmonary Metastases: Case Report
Authors: Sephien Andrew , Mousa Mina , Bui Marilyn M , Kedar Rajendra , Thomas Kerry
Published: May 2019

Sarcomas are connective tissue tumors accounting for only 1% of all adult malignancies. Leiomyosarcoma (LMS) is a sarcoma arising from smooth muscle cells, and accounts for 10-20% of all sarcomas. A subtype of LMS are those originating from the smooth muscle of blood vessels. Leiomyosarcoma of the inferior vena cava is a sarcomatous tumor, with less than 350 cases described in the literature. It carries a poor prognosis, with 5- and 10-year survival rates of 31.4% and 7.4%, respectively. We present a case of a 46-year-old female with no significant past medical history presented to the emergency department with mild abdominal pain and distention, early satiety, and weight loss for three weeks, found to have unresectable metastatic leiomyosarcoma of the inferior vena cava.
Deploying evidence-based research for socio-economic development policies in Nigeria
Authors: Yagboyaju Dhikru A.
Published: May 2019

Background: Society’s socio-economic development process, which covers ways and means of ensuring the well-being and self-actualisation of the generality of the citizens, requires viable and implementable policies.Aim: This article analyses the interconnections between evidence-based research, adequate policies and societal advancement in many parts of the developed world, as well as the underperformance in societies with obvious research–policy gaps.Setting: Using Nigeria as country of study, it focuses attention on how evidence-based research could be deployed more effectively for improved livelihood.Methods: Data are drawn from historical and contemporary documentary secondary sources. This is complemented by the analyses of selected documented interviews and special reports on aspects of society, economy and politics in the country. The article’s framework of analysis draws strength from a combination of role and ecological theories, though it adopts an interpretative research methodology.Results: It finds out that the ecology of public policies in Nigeria plays a critical role in the gap that exists between policy formulation and implementation.Conclusion: In its conclusion and recommendations, the article draws examples of best practices from around the world.
Risk of establishment of canine leishmaniasis infection through the import of dogs into South Africa
Authors: Latif Abdalla A. , Nkabinde Bonginkosi , Peba Brian , Matthee Olivier , Pienaar Ronel , Josemans Antoinette , Marumo Daniel , Labuschagne Karien , Abdelatief Nada A. , Krüger Andreas , Mans Ben J.
Published: May 2019

Canine leishmaniasis is a vector-borne disease caused by protozoa of the genus Leishmania that affect dogs, humans and wildlife. Sandflies of the genera Phlebotomus and Lutzomyia are the primary vectors. Canine leishmaniasis is an exotic and controlled disease in South Africa. The main purpose of our risk assessment study was to evaluate the likelihood that this exotic disease could enter and be established in South Africa through importation of live dogs. Risk analysis to the spread of the disease follows the World Organization for Animal Health (OIE) formal method of quantitative risk assessment documented as a step-by-step process. We have identified and discussed 11 possible risk factors involved in three steps for final assessment. The annual average number of diagnostic tests performed on imported dogs from 44 countries for 2011–2015 was 1158. Leishmania is reported to occur in 21/44 (47.7%) exporting countries. A total of 71.1% of Leishmania positive dogs were imported from these endemic countries. The yearly percentage of Leishmania positive dogs ranged from 0.2% to 2%. Three confirmed clinical and fatal cases of leishmaniasis in dogs of unidentified origin have been reported by our laboratory and the state veterinarians. The disease has been reported in neighbouring countries as well as the putative sandfly vectors. This study concluded that the risk for the introduction and degree of uncertainty of Leishmania in imported dogs in South Africa are moderate. Risk mitigation and recommendations such as investigations into possible occurrence of autochthonous leishmaniasis in the country, surveillance in its wildlife reservoirs and systematic surveillance of sandfly populations are discussed.
Family physicians’ experience and understanding of evidence-based practice and guideline implementation in primary care practice, Cape Town, South Africa
Authors: Pather Michael K. , Mash Robert
Published: May 2019

Background: In primary care, patients present with multimorbidity and a wide spectrum of undifferentiated illnesses, which makes the application of evidence-based practice (EBP) principles more challenging than in other practice contexts.Aim: The goal of this study was to explore the experiences and understanding of family physicians (FP) in primary care with regard to EBP and the implementation of evidence-based guidelines.Setting: The study was conducted in Cape Town primary care facilities and South African university departments of Family Medicine.Methods: For this phenomenological, qualitative study, 27 purposefully selected FPs from three groups were interviewed: senior academic FPs; local FPs in public-sector practice; and local FPs in private-sector practice. Data were analysed using the framework method with the assistance of ATLAS.ti, version 6.1.Results: Guideline development should be a more inclusive process that incorporates more evidence from primary care. Contextualisation should happen at an organisational level and may include adaptation as well as the development of practical or integrated tools. Organisations should ensure synergy between corporate and clinical governance activities. Dissemination should ensure that all practitioners are aware of and know how to access guidelines. Implementation should include training that is interactive and recognises individual practitioners’ readiness to change, as well as local barriers. Quality improvement cycles may reinforce implementation and provide feedback on the process.Conclusion: Evidence-based practice is currently limited in its capacity to inform primary care. The conceptual framework provided illustrates the key steps in guideline development, contextualisation, dissemination, implementation and evaluation, as well as the interconnections between steps and barriers or enablers to progress. The framework may be useful for policymakers, health care managers and practitioners in similar settings.
The differential effect of the free maternity services policy in Kenya
Authors: Owuor Henry O. , Asito Stephen A. , Adoka Samson O.
Published: May 2019

Background: The Government of Kenya introduced the free maternity services (FMS) policy to enable mothers deliver at a health facility and thus improve maternal health indicators.Aim: The aim of this study was to determine if there was a differential effect of the policy by region (sub-county) and by facility type (hospitals vs. primary healthcare facilities [PHCFs]).Setting: The study was conducted in Nyamira County in western Kenya.Methods: This was an interrupted time series study where 42 data sets (24 pre- and 18 post-intervention) were collected for each observation. Monthly data were abstracted from the District Health Information System-2, verified, keyed into and analysed by using IBM-Statistical Package for the Social Sciences (SPSS-17).Results: The relative effect of the policy on facility deliveries in the county was an increase of 22.5%, significant up to the 12th month (p < 0.05). The effect of the policy on deliveries by region was highest in Nyamira North and Masaba North (p < 0.001 up to the 18th month). The effect was larger (46.5% vs. 18.3%) and lasted longer (18 months vs. 6 months) in the hospitals than in the PHCFs. The increase in hospital deliveries was most significant in Nyamira North (61%; p < 0.001). There was a medium-term effect on hospital deliveries in Borabu (up to 9 months) and an effect that started in the sixth month in Manga. The relative effect of the policy on facility deliveries in PHCFs was only significant in Nyamira North and Masaba North (p < 0.001).Conclusion: The effect of the FMS policy was varied by region (sub-county) and by facility type.
A tax compliance risk profile of guesthouse owners in Soweto, South Africa
Authors: Bornman Marina , Ramutumbu Pusheletso
Published: May 2019

Background: A conceptual framework to assess the particular tax situation of small business owners identifies three key aspects that distinguish small business owners’ perceptions of their tax obligation. These aspects are: they are likely to perceive more opportunities not to comply than employed taxpayers; they are likely to lack meaningful taxation knowledge and they are likely to frame the paying of taxes as a loss.Aim: The aim of this article was to sketch a tax compliance risk profile of guest house owners in Soweto to suggest strategies to negate those factors that may negatively influence their compliance behaviour.Setting: Tax compliance is a priority for tax administrations, especially in developing countries such as South Africa where small businesses are a high compliance risk group. Small guest houses’ income is usually variable and/or cash-based and not easily verifiable against third-party data, which creates a high risk of non-compliance.Methods: A mixed methods research approach was followed. Empirical evidence in the form of semi-structured questionnaires administered face-to-face with 23 guest house owners in Soweto was statistically and thematically analysed to compile a profile of the tax compliance risk according to the framework for tax compliance behaviour of small business owners.Results: Factors such as age, gender and tax morale show favourable results for tax compliant behaviour. However, perceptions of fairness, perceived opportunity for non-compliance, knowledge deficits, decision frames, industry, business size and social norms embrace a high risk of non-compliance for this population.Conclusion: Information pointing out the factors that could negatively influence tax compliance behaviour in this population was obtained. Strategies for empowering small business owners to comply voluntarily with their tax obligations are suggested and include, for example, taxpayer education and improved communication efforts from the revenue authority.
Optimizing the Orthopaedic Medical Student Rotation: Keys to Success for Students, Faculty, and Residency Programs
Authors: Campbell Sean T. , Chan Jeremy Y. , Gardner Michael J. , Bishop Julius A.
Published: May 2019

Senior medical students interested in pursuing careers in orthopaedic surgery participate in orthopaedic rotations around the country. These rotations are an important part of the application process because they allow students to demonstrate their work ethic and knowledge and learn more about the fit and culture of the residency program. Although knowledge and technical ability are important, several less tangible factors also contribute to success. These include maintaining situational awareness and a positive attitude, putting forth an appropriate effort, preparing effectively, and critically evaluating one's own performance. Attention to these details can help maximize the student's chance for a successful rotation. The hosting program and faculty can further facilitate a successful rotation by setting appropriate expectations, orienting the student to the program, carefully selecting appropriate services and faculty, and providing dedicated education to the student.
Redefining the New Public Management and Effects of Indicators: Sustainable Healthcare Mobility
Authors: Campra Maura , Secinaro Silvana , Brescia Valerio , Góis Cristina Gonçalves
Published: May 2019

New Public Management has changed the way we perceive and at the same time govern public health companies. The applied method is quantitative subjective, the theory of New Public Management is redefined. The carried-out elaboration, after having identified the variables considered and the possible mathematical relationship between variables (for example a synthetic index of mobility), defines the relationship between them through linear regression and multivariate statistical analysis. The choice of mobility for acute performance in the ordinary regime between regions in Italy is used as a case study. The challenge of the new millennium is the identification of non-economic indicators useful to support the traditional economic indicators that are not always representative of the real welfare of the population in a modern redefinition of New Public Management approach.
Building Strategic University-Industry Partnerships and Sustainable Growth: The Lebanese Experience
Authors: Takieddine Abir R.
Published: May 2019

The relationship between academia and industry is old. However, a twist is necessary to move from the traditional exchange of funding for research to the creation of long-term strategic partnerships of mutual benefit. The purpose of this study is to explore the effort made in Lebanon to forge the industry-academia link and to highlight the challenges faced. The researcher relied on both secondary and primary data. A review of the literature is made to set the theoretical framework regarding the need for creating strategic partnerships between academia and industry and its impact on sustainable economic growth. The researcher distinguished strategic partnership from the conventional exchange of research for funding approach. Moreover, she described the lessons learned from international experiences. Primary data are collected about Lebanon through interviewing key actors both in the industry and in academia. The study revealed that Lebanon realized several years ago the need to link academia to industry, several actors took measures to facilitate the collaboration. However, some measures did not reach their full potential yet due to some challenges. The author suggests few recommendations to overcome these challenges and strengthen the academia-industry collaboration.
Netwerksturing
Authors: IJssels Karen , Mathijssen Suzan
Published: May 2019

Netwerksturing

In dit artikel gaan we in op de aanleiding voor het onderzoek dat wij in 2016 uitvoerden naar het programma Stad en Regio van de provincie Gelderland en de uitkomsten van het onderzoek. Daarnaast laten we zien hoe we hebben ingezet op de doorwerking van het onderzoek, ook buiten het provinciehuis. Die doorwerking leidde uiteindelijk tot het winnen van de Goudvink, de prijs voor het beste rekenkamerrapport.
De stand van de stelselherziening: de parlementaire behandeling als opmaat naar een zorgvuldige invoering
Authors: de Vos H.W. (Wilco)
Published: May 2019

De stand van de stelselherziening: de parlementaire behandeling als opmaat naar een zorgvuldige invoering

In deze bijdrage gaat de auteur in op de voortgang van de stelselherziening omgevingsrecht (de Omgevingswet). In deze aflevering staat het proces centraal van de parlementaire behandeling van de voorstellen voor de Invoeringswet en de Aanvullingswetten bodem, natuur, geluid en grondeigendom.
On some Ostrowski type inequalities via Montgomery identity and Taylor's formula II
Authors: Aljinovic A. Aglic , Pecaric J. , Vukelic A.
Published: May 2019

A new extension of the weighted Montgomery identity is given, by using Taylor's formula and used to obtain some Ostrowski type inequalities and estimations of the difference of two integral means.
A note on a certain retarded integral inequality
Authors: Pachpatte B. G.
Published: May 2019

In the present note we establish explicit bound on a certain retarded integral inequality which can be used as a tool in the study of retarded differential and integral equations.
Existence of solutions of nonlinear integrodifferential equations with nonlocal conditions
Authors: Anguraj A. , Navaneethan A. R. , Sukanya T. S.
Published: May 2019

In this paper we prove the existence of mild and strong solutions of semilinear integrodifferential equations in Banach spaces with nonlocal initial conditions. We prove the existence theorems by using Schaefer's fixed point theorem.
The asymptotic and integral closure operations in multiplicative lattice modules
Authors: Foster Sylvia M. , Johnson Johnny A.
Published: May 2019

This paper is primarily concerned with the integral and asymptotic closure operations on a multiplicative lattice relative to the greatest element of a lattice module having the ascending chain condition. We show that a cancellation law holds for the asymptotic closure of elements of the multiplicative lattice and we ultimately show, by means of multiplicative filtrations and filtration transforms, that the asymptotic closure of an element in a multiplicative lattice relative to the greatest element of a lattice module, coincides with its integral closure relative to this element in the lattice module.
Growth estimates on certain integral inequalities in two variables involving iterated integrals
Authors: Pachpatte B. G.
Published: May 2019

The aim of the present paper is to establish growth estimates on some new integral inequalities in two independent variables involving iterated double integrals, which can be used to study the qualitative behavior of solutions of certain partial integrodifferential and integral equations. Applications are also given to illustrate the usefulness of one of our results.
On some Ostrowski type inequalities via Montgomery identity and Taylor's formula
Authors: Aljinovic A. Aglic , Pecaric J.
Published: May 2019

A new extension of the weighted Montgomery identity is given, by using Taylor's formula, and used to obtain some Ostrowski type inequalities and the estimations of the difference of two integral means.
Some inequalities of slant submanifolds in generalized complex space forms
Authors: Song Aimin , Liu Ximin
Published: May 2019

In this paper, we obtain an inequality about Ricci curvature and squared mean curvature of slant submanifolds in generalized complex space forms. We also obtain an inequality about the squared mean curvature and the normalized scalar curvature of slant submanifolds in generalized coplex space forms.