bluuebunny/crossref_metadata_2025 huggingface dataset:
Akromegali Hastalarımızda AIP Mutasyonu Sonuçlarımız
Authors: YILDIRIM ŞİMŞİR İlgın , ŞARER YÜREKLİ Banu , SOLMAZ Aslı Ece , SAYGILI Füsun
Published: February 2019

Aryl hidrokarbon
reseptor ilişkili protein (AIP) gen mutasyonu, genç yaşta başlayan ve ailesel
geçiş gösteren akromegali nedenlerinden biridir. Bu mutasyonu olanlarda
hastalık daha agresif ve invazif seyreder, hızlı büyüme göstererek büyük
boyutlara ulaşır. Hastalar daha erken yaşta tanı alırlar ve ne yazık ki tedavi
direnci ile karakterizedir. Yaptığımız bu çalışmada Ege Üniversitesi Tıp
Fakültesi Endokrinoloji ve Metabolizma Hastalıkları Polikliniğinde takipli
akromegali hastalarından 40 yaş altında tanı almaları nedeniyle gönderilen AIP
gen mutasyonu sıklığı retrospektif olarak değerlendirilmiştir. Verilerine
ulaşılabilen 26 olgunun 12’si (%46.2) kadın ve 14’ü (%53.8) erkekti. Akromegali
tanısı aldıkları yaş ortalaması 33 ± 5 yıldı. Dokuz (%33.3) olgu operasyon
sonrası ilaçsız remisyonda takipteydi. Tanı anında 23 (%85.2) hastada makroadenom,
3 (%11.1) hastada mikroadenom saptanmıştır. On iki (%44.4) hastada kavernöz
sinus invazyonu, 5 (%18.5) hastada optik kiasma basısı mevcuttu. Hiçbir hastada
AIP mutasyonu saptanmamıştır. Hastalarımızın bazılarında ailesel akromegali
olmasına, bazılarının nüks etmesine, bazılarının tedaviye dirençli olmalarına
ve bazılarının özellikle 30 yaş öncesinde tanı almalarına rağmen AIP
mutasyonunun negatif olması yeni, henüz tanımlanmamış mutasyonlar olabileceğini
düşündürmektedir. Hasta grubumuzun küçük olması da çalışmamızın en büyük
yetersizliğini oluşturmaktadır. Hipofiz adenomlarının genetiği hakkındaki
bilgimizi arttırmak adenomların yapısı, davranışı ve prognozu üzerindeki
yorumlarımıza yön verecektir.
Normatização e racismo de estados: tendências da ação estatal nas políticas urbanas municipais paulistas
Authors: Mazarini Ana Carolina Lirani
Published: February 2019

O presente artigo tem como objetivo o modelo de gestão dos territórios e da população da cidade de São Paulo que está ocorrendo dentro das tendências de racionalidade neoliberal, o que acaba por proporcionar projetos urbanos que se modelam a partir de Parcerias Público-Privadas (PPP). Apoiando-se nos estudos que o filosofo Michel Foucault desenvolveu sobre o controle dos espaços e dos corpos, da produção de subjetividades, as relações de poder-saber e a respeito da governamentalidade, procuramos demonstrar como os atuais projetos urbanos buscam através de padrões normativos perpetuar a gestão da sociedade e a disciplina dos corpos, visando uma sujeição da população dentro de uma racionalidade que ao privilegiar uma organização da cidade em torno da produção e circulação do capital, legitima a institucionalização um racismo de estado.
Editorial
Authors: Toledo Rodrigo Alberto , Prando Rodrigo Augusto
Published: February 2019

O leitor tem, agora, a possibilidade de ler, refletir e dialogar a partir de mais um número da Revista Espaço de Diálogo e Desconexão, REDD. Uma revista que tem primado por se constituir num espaço plural e de qualidade científica tendo – no seu bojo – artigos de acadêmicos dos mais distintos universos das Ciências Sociais.O número atual abarca um dossiê (com seis artigos), artigos livres (três escritos) e, por fim, um estudo. Há, portanto, no dossiê, os seguintes títulos: “As correntes urbanísticas progressistas e culturalistas: a dimensão dos projetos e dos planos para as cidades brasileiras da primeira metade do século XX”, de Rodrigo Alberto Toledo; “Leitura das cidades brasileiras: segregação e espoliação urbanas”, de Matheus Henrique Souza Santos; “São Paulo e suas contradições: processos de expansão da cidade e segregação urbana”, de Richard Douglas Coelho Leão e Matheus Henrique de Souza Santos; “Transporte público e mobilidade urbana: determinantes do preço da tarifa de transporte público urbano por ônibus - um estudo do caso de Limeira/SP”, de Milena Pavan Serafim, Lissa Vanconcellos Pinheiro, Thais Aparecida Dibbern, Natasha Lais Crespo, Priscila Martins Baia, Juliana Arruda Leite e Paulo Van Noije; “Normatização e racismo de Estados: tendências da ação estatal nas políticas urbanas municipais paulistas”, de Ana Carolina Lirani Mazarini; e, fechando o dossiê, “Ciclovia: projeto de diagnóstico da ciclovia do percurso entre o Instituto de Química (IQ-UNESP) e a Faculdade de Ciências e Letras de Araraquara (UNESP/FCLAr). Araraquara”, de Emmanuel Pinto Monteiro. Há, ainda, os seguintes artigos livres: “Pós-estruturalismo: algumas considerações sobre esse movimento do pensamento”, de Jéssica Pereira Casali e Josiane Peres Goncalves; “Contribuições da democracia radical às sociedade tensionadas, de Janaina Alves de Oliveira e “Against alienation treatment, We stand for!”, de Ligia Bugelli Hermano Santos. E, completando o número da revista, o estudo “As relações étnico-raciais no Brasil: Cultura e Preconceito”, de Gabriel Papa Ribeiro Esteves...
AUTOMATIC CONTROL FORMATION OF THE ULTRASONIC OSCILLATIONS INTENSITY IN THE FLOTATION PROCESS
Authors: Morkun V.S. , Morkun N.V. , Pikilnyak A.V.
Published: February 2019

Purpose. The method development of adaptive control of the high-energy ultrasound intensity and frequency, which are formed by means of an ultrasonic phased array.
Methodology. The problem of automatic control automation for the ultrasonic oscillations intensity in flotation process using the PID controller, Lyapunov's and gradient methods based on the adaptive control system with a reference model, self-tuning regulator based on the Kaczmarz projection iteration method is considered. The method of adaptive control of the high-energy ultrasound intensity at a given point in space, which is generated by an ultrasonic phased array based on the successive orthogonal projection of the approximation on a hyperplane is developed.
Findings. The computer simulation results of the ultrasonic exposure on the pulp flow using adaptive and PID regulators with a given intensity and time of the transient process with a linearly increasing pulp flow rate are shown. The developed method is implemented in software and allows to maintain the desired intensity of ultrasound exposure at a given point of flotation machine space with high accuracy.
Originality of the work lies in the fact that a method of adaptive control of the intensity of high-energy ultrasound at a given point in space, formed by using an ultrasonic phased array based on a sequential orthogonal design of the approximation on the hyperplane, has been developed, with error not exceeding 1.2%.
Рractical value consists in the development of algorithms and programs for adaptive control of the parameters of the gas phase of the pulp in the process of flotation.
The impact of subtitled movies on vocabulary development
Authors: Sadiku Alisa
Published: February 2019

Learning new vocabulary compromises a significant factor for success within language learning since without the adequate knowledge of words and their meaning, learners are not able to use the target language efficiently. Moreover, vocabulary tends to be forgotten if it is not acquired and used through the right methods that will provide learners with language inputs in genuine target language environment. In this regard, the increasing access to different multimedia and technology resources facilitate spontaneous vocabulary acquisition for the contemporary age learners. In particular, movies with subtitles can be a great tool in bringing students closer to authentic real life communication vocabulary. As a result, previous studies have found out several benefits of using subtitled movies by confirming that subtitles indeed improve vocabulary development.
Syrian Refugee Crisis and European Migration Policies: Rise in Xenophobic Rhetoric in Europe
Authors: Dirsehan Meltem
Published: February 2019

Syrian immigration crisis has been ignored by advanced European countries and the heaviest burden is left to developing border countries. However this ignorance has resulted in more mass influx of immigrants illegally to the borders of European Union with a target of advanced Northern countries. To evaluate the European ignorance to this humanitarian crisis, first Turkey is evaluated as a transition point for all Asian and Middle Eastern immigrants dreaming to live in Europe. By a shocking extend of sea arrivals, Europe have noticed the humanitarian crisis and made a deal with main transition point for immigrants, Turkey. However this deal is a symbol of violation human rights and vaporisation of all European values. So refugee crisis and policy changes in Europe are covered briefly. In conclusion, this position of European countries is argued as related with accelerating social support to xenophobic and Islamophobic rhetoric in politics as to elective results in advanced EU countries.
Conditions for an Effective Democracy in Multicultural Societies and Countries
Authors: Kadriu Flora
Published: February 2019

The motive behind this paper is exploration of the conditions for effective democracy in multicultural societies and countries. The two principles of social setting in the context of classical parliamentary democracy ensue from a special set of civil and political rights, as basis for cultural identity, which further underlies the collective cultural rights (CCRs) or group-differentiated rights (GDRs). Such setting is initiation into a serious process of changes in classical democracy. The cultural diversity accommodation in the political system of a given democracy is an intricate process that shifts the liberal justice concept and requires a new political system dubbed by some authors as multicultural democracy, instead of merely democracy in multicultural societies. This theory is chiefly known as “consociational theory of democracy”. In this paper, efforts are made to establish the new theoretic and experiential institutions and relations we are to call conditions for an effective multicultural democracy.
Determinants of trade in value added: the case of the Central and Eastern European Countries
Authors: Ambroziak Łukasz
Published: February 2019

The aim of the paper is to investigate determinants of trade in value added of the CEECs (Bulgaria, the Czech Republic, Estonia, Hungary, Latvia, Lithuania, Poland, Romania, Slovakia and Slovenia) in the period 2000–2014. For this purpose, it uses a generalised gravity model based on panel data. The main independent variables (GDP of trading countries and the distance between them) have the same direction of impact on both value added exports/imports and gross exports/imports. Only the values of coefficients differ. The greatest difference concerns the geographical distance. It results from indirect value added trade.
Diversification of Polish agri-food trade
Authors: Bułkowska Małgorzata
Published: February 2019

The embargo introduced in August 2014 by Russia on the food products imported from the European Union caused a strong decline in sales of food from Poland in this country. The aim of the article is to analyse the current trends and prospects of development of Polish agrifood trade with the EU and non-EU countries in 2013-2016. A special attention was paid on changes in geographical structure and the level of diversification of Polish food exports as a result of the export restriction. The analysis shows that the situation on the Russian market influenced the growth of the food exports from Poland both to the EU and non-UE markets. In the recent years, the role of third countries in Polish exports of agri-food products has steadily increased, however the trade with these countries is still relatively low and concentrated on selected products.
Paramedic Judgement, Decision-Making and Cognitive Processing: A Review of the Literature
Authors: Perona Meriem , Rahman Muhammad Aziz , O'Meara Peter
Published: February 2019

Background

Paramedics routinely perform multiple time-sensitive decisions in dynamic environments, often with limited information and equipment. Paramount to patient safety, how paramedics make judgements and decisions within their uncertain environment is important. The primary aim of this review was to identify, examine and synthesise the published literature on how paramedics working in the out-of-hospital environment use judgement and make decisions.

Methods

Databases Medline, PubMed, CINAHL, Embase were searched and common themes pertaining to paramedic decision-making were identified. Full text original research articles that focussed on how paramedics perform decision-making in the out-of-hospital environment were included. Papers excluded were non-English; those examining emergency medical technicians, nurse- or physician-led ambulances; paramedics operating in hospital or clinic-based environment; and studies of purely paramedic student populations. Data were managed using the ‘preview, question, read, summarise’ approach.

Results

A total of 362 abstracts and titles were reviewed; six were found to address the research aim. Of those six, four were qualitative in approach, one quantitative and one was mixed-methods. Overall, paramedics displayed the application of subconscious (intuitive) and conscious (analytical) thought processes – consistent with dual-process theory – with experience and formal education influencing factors. Paramedics gathered cues, problem solved, critically analysed, reasoned and displayed aptitude at rapid clinical impressions in critically ill patients with minimal information. Expert paramedics collected, processed and utilised information differently to novices portraying an interconnectedness of conscious and sub-conscious processing.

Conclusion

Paramedic judgement and decision-making is complex and multifaceted with multiple layers of knowledge interwoven. Implications for practice include better cognitive performance; educational course structure guidance; encouraging implementation of routine reflection and feedback, thus promoting continued improvement and better patient outcomes. Despite its importance, research was lacking.
Agreement between Student Paramedics When Measuring Blood Pressure
Authors: Hutchins Amelia , Te Momo Amanda , Tran Linda , Thyer Liz , Simpson Paul
Published: February 2019

Introduction

Blood pressure (BP) measurement is a core vital sign used by paramedics during patient examination. Throughout the out-of-hospital phase of the patient journey, several paramedics at multiple time-points may measure the BP of a single patient. An understanding of agreement in measurement of BP between paramedics may inform the reliability of serial vital signs and trends arising subsequently. The aims of this study were to assess agreement in BP when measured by student paramedics on healthy volunteers, and to validate teaching methods in an undergraduate paramedicine program.

Methods

A prospective observational design was used to investigate agreement between student paramedics. Pairs of students simultaneously auscultated BP using a dual-head stethoscope, resulting in 40 pairs of systolic and diastolic measurements. Differences in measurements were assessed using paired T-tests. Agreement was assessed using Bland Altman plot analysis and intra-class correlation (ICC).

Results

There were no significant differences between measurements for SBP (-1.1 mmHg, 95% CI -3.77–1.57; p=0.41) or DBP (1 mmHg, 95% CI -1.67–3.67; p=0.45). Regarding agreement, Bland Altman analysis showed a mean difference of 1.1 mmHg (95% limits of agreement -17.44–15.24) and 1 mmHg (95% limits of agreement -15.11–17.12) for SBP and DBP, respectively. ICC agreement was excellent for SBP (ICC 0.92; 95% CI 0.85–0.96) and good for DBP (ICC 0.82; 95% CI 0.65–0.90).

Conclusion

This study of student paramedic measurement of BP indicates there are high levels of agreement when measured concurrently by pairs of students, and validates the teaching methods used at the host university program.
Registered Paramedics, Insurance and First Aid – Looking for Coherence in Law
Authors: Eburn Michael
Published: February 2019

This article challenges the view that professional indemnity insurance is required when paramedics provide first aid at an unexpected accident or medical emergency while not at work. It is argued that an interpretation of ‘practice’ that includes emergency first aid would be inconsistent with the policy of the law reflected in ‘Good Samaritan’ legislation and would be contrary to the public interest.

The provisions of the Registration Standard ‘Professional Indemnity Insurance’ are linked to judicial decisions on what it means to practise a profession to demonstrate that an interpretation of ‘practise’ that excludes first aid is consistent with the law. The Paramedicine Board of Australia and the Australian Health Practitioner Regulation Agency should give a clear statement that providing first aid at an unexpected health emergency is not and will not be considered professional practice by an off-duty registered health professional who is at the scene of the emergency, simply by coincidence.
Misi Kristen di Indonesia: Kesaksian Kristen Protestan
Authors: Intan Benyamin Fleming
Published: February 2019

ABSTRACT: In this article, the writer reveals the presence and struggles of Protestant churches in Indonesia doing God's mission within world's largest Muslim population country. Firstly, the writer explains the challenges and strives of Protestant churches since the time of Dutch colonialism, Japanese colonization, until Indonesian independence which includes the Old Order and the New Order. This article also highlights Indonesian churchesâ€™ struggle of independence to release themselves from the control of Dutch government, fully leaning to Christ, as well as the strategic role of Christianity in preventing nationâ€™s disintegration to make Indonesia one. After that, the writer then performs critical reflection on the struggles of Protestant churches in Indonesia from the perspective of Reformed theology. The writer found that the presence of Christian mission in Indonesia is far from the force of arms and economic greed. However, churches in Indonesia cannot detach themselves from various challenges and suffering in God's mission which includes Evangelical Mandate and Cultural Mandate. Therefore, while they are still entrusted by Christ, churches in Indonesia ought to perform their dutiful calling faithfully and joyfully. KEYWORDS: God's mission, witness, evangelism, protestant church in Indonesia, ideology, religion-state relation, mission's institution
Pendapat Pimpinan-pimpinan Gereja di Bekasi tentang Izin Pendirian Rumah Ibadah dalam Peraturan Bersama Menteri Tahun 2006
Authors: Hutabarat Binsar Antoni
Published: February 2019

ABSTRACT:The article, entitled "Opinion The church Leaders in Bekasi on the Permit Construction of Houses of Worship in the Joint Regulation of the Minister of the Year 2006, will be explained about the implementation of policies permit the establishment of houses of worship in Joint Regulation of the Minister (PBM) in 2006 in Bekasi, as well as the implications for church in that place, through the opinion of the church leaders in Bekasi. First, authors will describe the Guarantee Rights of Religion, Belief, Worship and Establish Home Worship based on Pancasila and the Indonesian Constitution, the Universal Declaration of Human Rights, The Covenant, and documents declarations of the United Nations (UN), and also explained about permit the establishment of houses of worship of Letters Joint Decree (SKB) until the PBM. After that, will be presented regarding the results of the opinion of the church leaders in Bekasi on the implementation of the policy permits a house of worship in Bekasi. Opinion leaders in Bekasi Church will be grouped in four categories, namely: A) The church which has a license, and not problematic. B) The church is having problems obtaining a license, a problem with the public, but finish. C) The church that does not have a license but has no problem with the community. D) The church that does not have permissions and have problem with the community, and did not finish. The findings obtained are church leaders in the four categories above found PBM on authorizing the establishment of houses of worship contrary to Pancasila and the Indonesian Constitution and the values of human rights are universal, and implementation of government policies that adversely affect the lives of religious believers in Bekasi, both in the internal relations of religion, as well as in interreligious relations.Â KEYWORDS: permit the establishment of houses of worship, Joint Ministerial Decree, Pancasila, the Indonesian constitution, human rights
Calvinisme dan Ilmu Pengetahuan: Suatu Tinjauan Filosofis terhadap Pemikiran Abraham Kuyper
Authors: Un Antonius Steven
Published: February 2019

ABSTRACT:Â This article is focused on systematic explanation of Abraham Kuypers thought on Calvinism and science. Some of significant contributions of Calvinism are the theological foundation of science and its liberation from churchs invasion. This article uses a philosophical approach in its methodology and not a theological one. Therefore, Ifrequently make critical dialogues with the philosophy of science in reading and analyzing Kuypers notion. Final ending of this research is an articulation of its implications to the ethics of science. On this point, I will consider the contribution of David Resnick.Â KEYWORDS:Â Calvinism,Â science,Â Abraham Kuyper,Â ethics.
Menghidupi Kesejatian Agama: Tawaran yang Menggugat Eksistensi Agama Sebagai Usaha Partisipatif dalam Pembangunan Indonesia
Authors: Sihombing Edy Syahputra
Published: February 2019

ABSTRACK:Â Since human culture exist, religion is also exist in its variety. Religion has became the mode existence of human being. Basically the religion is the place to which gives space for humans to communicated, meet with the ultimate reality. In the development of human culture, religion is experiencing by a growing change in form and contents. Earlier, religion is a relationship between human and the ultimate reality, that overtime turned into an institutions that has systematically conceptualised doctrine in the form of dogmatic. The purpose of religion also shifted from efforts to more close eith the ultimate reality became human attempt to increase followers. Religion seem more concerned with quantity than quality. The shifts is likely to lead a conflict and violence to many people. This became a responsibility for Indonesians religions. This paper want to explain the truth of religion supposed and looking the positive influence of Indonesians religions in an influence of Indonesians religions in an attempt to build Indonesian become to nation that able to thrive religioan pluralism.Â KEYWORD:Â Religion, Paradigm, Ideology, Religious violence, Religious repentance, Indonesian development
Membingkai Ruang Dialog Beragama: Belajar dari Hans Kung dan Seyyed Hossein Nasr
Authors: Wera Marz
Published: February 2019

ABSTRACT: Religious pluralism in Indonesia is currently in a state of confusion. The reality of religious diversity is insulated by misguided and superficial interpretations. The space for religious dialogue is entangled by group selfishness, squeezed by religious formalism, as well as claims of theological truth. The approach of dialogue, both exclusivism and inclusivism and even pluralism, has not been able to knit religious plurality. Traditions, symbols, rituals, ethical dimensions and the universal core in religions as a precondition of dialogue are actually a ignored. Such pluralism leads to the relativism of the teachings of religions. In that context, the author offers two approach concepts as a new way of interreligious dialogue. '' Global Ethics '' by Hans Kg and '' Perennial Philosophy '' by Seyyed Hossein Nasr. These two concepts provide an understanding of the unique and unique dimensions of religions that must be observed and should not be ignored. KEYWORDS: global ethics, Perennial Philosophy, traditions, dialogue, exclucivism, inclusivism, pluralism
EVALUASI TERHADAP RUMUSAN RANCANGAN UNDANG-UNDANG PESANTREN DAN PENDIDIKAN KEAGAMAAN
Authors: Hutabarat Binsar Antoni
Published: February 2019

ABSTRACT: This article entitled, â€œEvaluation to the Formulation of the Bill on Islamic Boarding School and Religious Educationâ€ focuses on the evaluation to the formation process and the material of the Bill on Pesantren (Islamic Boarding School) and Religious Education. The instrument used is the Law of Regulation on Drafting the Law No. 12 of 2011 on Establishment of Laws and Regulations as well as the Ministerial Regulation from the State Minister for State Apparatus Reform No.: Per/04/M.PAN/4/2007 about General Guidance on Formulation, Implementation, Work Evaluation, and Revision of Public Policy in Central and Regional Government Institutions especially in relation with the principle of public policy formulation. This study finds that the Bill on Pesantren and Religious Education is elitist and has not fulfilled the requirement of policy formulation in democratic model. And the material of the Bill on Pesantren and Religious Education as an alternative policy has not fulfilled the principle of justice and diversity as decreed in the Regulation on Drafting the Law. The writerâ€™s recommendation is that the proposed Bill on Pesantren and Religious Education as an alternative policy needs to be cancelled. KEYWORDS: public policy, pesantren (Islamic boarding school), religious education, policy evaluation
Evaluación microbiológica de pescados y mariscos expendidos en mercados de la ciudad de Huánuco
Authors: Vásquez Ampuero Juan Marco , Tasayco Alcántara Walter Richard , Chuquiyauri Talenas Miguel Ángel , Apac Sotil Santiago
Published: February 2019

La presente investigación tuvo como objetivo establecer el estado microbiológico de los pescados y mariscos expendidos en mercados y mercadillos de la ciudad de Huánuco. Para tal fin, se recolectaron muestras de todos los centros de expendio como son los mercados y mercadillos de Huánuco, Paucarbamba y Pillcomarca (n=49), las cuales se procesaron en el Laboratorio de Microbiología de la Facultad de Medicina Veterinaria y Zootecnia de la UNHEVAL, por el método de Placa de Petrifilm, hallándose que todas las muestras fueron positivas a Escherichia coli y Staphilococcus aureus, en mayor o menor grado, dependiendo del mercado de origen de la muestra. Escherichia coli se identificó con un promedio de 208, 880 UFC, y Staphilococcus aureus con 259, 120 UFC. Las muestras del Mercado Central fueron las más contaminadas con E. coli, y las del Mercadillo Don Pedrito las más contaminadas con S. aureus; asimismo, las muestras de mariscos estuvieron más contaminadas que las de pescado. Se concluye que la carne de pescado y los mariscos expendidos en los mercados de Huánuco están contaminados con los microorganismos E. coli y S. aureus; y por la forma de expendio de estos productos, son potencial riesgo para la salud pública.
Las penas impuestas por los jueces penales de Huancavelica en los casos de negligencia médica en el año 2016
Authors: Arzapalo Rodríguez Amanda
Published: February 2019

En el transcurso del tiempo el ejercicio de la medicina se fue desligando de su primitivo carácter sacerdotal y lentamente se ha transformado en un ejercicio realizado exclusivamente por los profesionales de la medicina. El objetivo de la presente investigación fue conocer si los jueces penales de Huancavelica dictan penas efectivas privativas de libertad a los médicos en los casos de negligencia médica en el año 2016. La metodología es del tipo de Investigación Jurídica Descriptiva, llamada también investigación diagnóstica, que se emplea cuando el objetivo es el de detallar cómo son y cómo se manifiestan fenómenos, situaciones, contextos y eventos. Los resultados fueron que los jueces penales de la Corte Superior de Justicia de Huancavelica no imponen penas privativas de libertad efectiva en los delitos de negligencia médica, optando por las penas suspendidas. Se determinó que el 60% de los casos, ha señalado que sí debe aplicarse la pena de inhabilitación a los médicos que sean condenados con pena privativa de libertad en los delitos de negligencia médica.
La inclusión social educativa de los reos en cárcel por delito contra el patrimonio
Authors: Najar Farro César Alfonso , Garay Robles Gerardo , Vásquez Solís Leoncio Enrique
Published: February 2019

Consideramos que la inclusión social educativa de los reos en cárcel, es la situación donde éstas personas están directamente vinculadas a procesos de integración educativa, pero desaprovechada por este grupo poblacional, alienados culturalmente, que son inducidos a optar por el delito como alternativa de vida; y que son aceptados desde un punto de vista democrático por el Estado. El desarrollo del estudio tuvo como objetivo describir la inclusión social educativa de los reos en cárcel del Centro Penitenciario de Potracancha de Huánuco, reos que purgan condena por delitos contra el patrimonio; para ello se tuvo en cuenta el tipo de muestreo criterial, encuestados que tiene un rango de edad de 18 a 72 años. Para la recogida de datos se optó por un cuestionario, el cual estuvo basado en siete dimensiones. Los resultados muestran que en las siete dimensiones mayormente no existe inclusión social educativa, en forma general; un 70% de los encuestados considera que no existe inclusión social educativa, un 22% considera ocasionalmente y solo un 8% responde afirmativamente. Estos resultados demuestran que el país enfrenta una compleja y desafiante situación interna y que desborda la capacidad de la autoridad competente para solucionarlo.
Conflicto interparental desde la perspectiva de los hijos y conductas sexuales de riesgo en adolescentes en una Institución Educativa de las Moras, Huánuco
Authors: Manrique de Lara Suárez Digna , Figueroa Sánchez Ibeth , Carrasco Muñoz Miguel , Cisneros Martínez Leo
Published: February 2019

El objetivo del estudio fue “Determinar la relación que existe entre el conflicto interparental desde la perspectiva de los hijos y las conductas sexuales de riesgo en adolescentes en una institución educativa de Las Moras, Huánuco-2017. Se aplicó un estudio de tipo descriptivo-prospectivo y correlacional. La muestra fueron 133 adolescentes y jóvenes entre 14 y 20 años en quienes se aplicó la Escala de Conflicto Interparental desde la Perspectiva de los Hijos (CPIC) y un cuestionario sobre conductas sexuales de riesgo. Los resultados demostraron mayores porcentajes en: sexo femenino 51,88%; edades de 16 y 17 años con 29,3% y 22,6%; tipo de familia completa 63,2%, consejos de sexualidad de amigos 30,8% y obteniendo información de la institución educativa 59,4%; el 10% ha recibido maltrato familiar; en las conductas de riesgo; el 26,3% ha iniciado relaciones coitales, la edad de inicio fue de 16 años; el 51,4% con una sola pareja, y el preservativo fue el método de mayor uso, 48,6%; un riesgo de conducta sexual alta, 30,1%, una percepción media de conflicto interparental de 55,2%. Se concluyó, que existe relación significativa baja entre las variables de estudio con un valor de “Tau b” de Kendall de 0,238 y un valor de p=0,003.
Indicadores claves de gestión y prospectiva estratégica de una empresa
Authors: Céspedes Revelo Róger Wilfredo
Published: February 2019

El objetivo central de la investigación fue determinar que los indicadores clave de gestión inciden significativamente en la Prospectiva Estratégica del Skotiabank-filial Huánuco durante el año 2016; para establecer las incidencias, se tomó en cuenta la rentabilidad, adaptabilidad y productividad como dimensiones de la variable independiente, así como la visión estratégica, mercado de servicios financieros y finanzas estratégicas, como dimensiones de la variable dependiente, materializado en 14 indicadores con datos recogidos a través de la encuesta administrada a 64 clientes del Banco con experiencia en el servicio financiero; metodológicamente se desarrolló una investigación aplicada, de tipo descriptivo, con dimensión correlacional, de nivel explicativo, caracterizando su problemática; transeccional, por ser descriptivo-explicativa y correlacional; la población de estudio lo representan las filiales de las empresas bancarias localizadas en el distrito de Huánuco; la muestra estuvo representada por el Skotiabank-filial Huánuco, escogida por su magnitud empresarial y volumen de operaciones; los métodos de investigación empleados fueron la observación, el analítico, el descriptivo-explicativo, el inductivo, el deductivo y el sintético; las técnicas e instrumentos empleados para la recopilación de datos fueron el análisis documental-ficha bibliográfica; la encuesta-- cuestionario; para el procesamiento de datos se empleó la estadística descriptiva inferencial para presentar los resultados. Los resultados obtenidos se corresponden mutuamente con el problema, los objetivos e hipótesis planteados, ya que se observa que existen promedios de estimaciones que superan los 3.5 puntos (4.40), que corresponden a los indicadores N.º 01 al 14, considerándose como favorables y reales en el proceso de investigación, llegando a la conclusión de que el el 80% de los encuestados, en promedio, consideran al Skotianbank–filial Huánuco como Banco simple, flexible, confiable, fuerte, sólido, seguro, rentable, eficiente, eficaz, adaptable, innovador y sostenible que les garantiza credibilidad y confianza.
Escepticismo y la auditoría financiera
Authors: Espinoza Huere Florencio , Rivera y Caldas Arturo
Published: February 2019

La presente investigación trata de la importancia que tiene el auditor de utilizar la corriente filosófica del escepticismo en su trabajo profesional de auditoría; la auditoría financiera es un proceso técnico que realiza el contador público en la verificación de la utilización de fondos de una entidad. El Objetivo de esta investigación fue: demostrar en qué medida el escepticismo mejorará la auditoría financiera. El Método: la utilización del escepticismo lo hace como método y técnica para hallar la evidencia. Población y muestra: estuvo constituida por treinta auditores contadores públicos, con muestra intencionada. Resultado: los treinta auditores encuestados representan el 100%, veintiocho respondieron que el auditor debe tener una actitud escéptica al planificar y desarrollar una auditoría, lo que representa el 93 %. Conclusiones: i) Quedó demostrado que el uso adecuado del escepticismo mejora el nivel de la auditoría financiera ii) La corriente filosófica del escepticismo consiste en una duda metódica iii) Quedó demostrado que sí existe relación entre el escepticismo y la auditoría financiera.
Motivación profesional y desempeño laboral de los docentes de práctica clínica de la escuela profesional de enfermería
Authors: Zuta Arriola Noemi , Castro Llaja Lindomira , Zela Pacheco Laura Margarita
Published: February 2019

La presente investigación Motivación Profesional y desempeño laboral de los docentes de práctica clínica de la escuela profesional de enfermería de la Universidad Nacional del Callao, tuvo como objetivo determinar la incidencia que tiene la motivación en el desempeño, para lo cual se ha empleado un diseño de estudio de tipo descriptivo, correlacional, comparativo y de corte transversal. Para la construcción de la parte descriptiva, se llevó a cabo una exploración de los principales hallazgos reportados en los cuestionarios. Además, se realizó un estudio de las formas de motivación dentro la escuela profesional de enfermería. El estudio se realizó a 28 docentes para verificar el grado de incidencia que tiene en la motivación y lograra su desempeño dentro de la escuela profesional. El trabajo de campo se desarrolló con el cálculo de las frecuencias y los porcentajes del software estadístico SPSS Statistics 20 con su interpretación estadística, que sirve para realizar la contrastación de las hipótesis. Llegando a la conclusión que la motivación tiene una gran influencia en el desempeño laboral de los docentes de las Práctica Clínica de la Escuela Profesional de Enfermería.
Trabajo en equipo y satisfacción laboral en profesionales de Enfermería del Hospital de Ventanilla
Authors: Romani Larrea Sergio Alfredo , Ferrer Mejía Mercedes Lulilea , Zuta Arriola Noemí
Published: February 2019

La presente investigación tuvo relevancia porque las intervenciones de la gestión pudieron favorecer a ambas variables, y consecuentemente a los pacientes. La presente tuvo como objetivo relacionar el trabajo en equipo y la satisfacción laboral en profesionales de Enfermería del Hospital de Ventanilla. Se utilizó el tipo de investigación cualitativa, diseño no experimental y descriptivo-correlacional. La muestra estuvo conformada por 71 profesionales de Enfermería; se empleó el muestreo no probabilístico. La técnica utilizada fue la encuesta con un cuestionario que tenía dos partes: Percepción del trabajo en equipo y satisfacción laboral, con 16 preguntas cada una. Los datos fueron analizados con la estadística descriptiva y el análisis inferencial. Los resultados indican que la percepción del trabajo en equipo (82%) y la satisfacción laboral (90%) están en nivel medio. Se encontró una asociación significativa de ambas variables en las pruebas de Chi Cuadrado (p=0.000) y correlación de Spearman (Rho=0.45). La correlación es significativa en los indicadores compromiso (0.53), coordinación (0,53), integración (0,33), equilibrio (0,33) y concertación (0,36). Se concluye que el trabajo en equipo y la satisfacción laboral tienen una asociación significativa, principalmente los indicadores compromiso y coordinación.
Cameroon and the Corruption Conundrum: Highlighting the Need for Political Will in Combatting Corruption in Cameroon
Authors: Agbor Avitus
Published: February 2019

Efforts to combat corruption in Cameroon have proved to be inadequate, ineffective and shallow due the absence of credible political will that ought to complement all legislative and institutional mechanisms in place. This article makes the case for the inclusion of political will in this regard.
Clinical Efficacy, Safety and Tolerability of a New Subcutaneous Immunoglobulin 16.5% (Octanorm [Cutaquig®]) in the Treatment of Patients With Primary Immunodeficiencies
Authors: Kobayashi Roger H. , Gupta Sudhir , Melamed Isaac , Mandujano J. Fernando , Kobayashi Ai Lan , Ritchie Bruce , Geng Bob , Atkinson Thomas Prescott , Rehman Syed , Turpel-Kantor Eva , Litzman Jiří
Published: February 2019

Introduction: Subcutaneously administered immunoglobulin (SCIG) is increasingly used to treat patients with primary immunodeficiencies (PIDs). Octanorm (marketed as cutaquig® in USA and Canada) is a new 16.5% solution of human SCIG, manufactured by a process based on that of the intravenous preparation (IVIG) octagam®.

Objectives: To investigate the efficacy, safety and tolerability of octanorm in a prospective, open-label, single-arm phase 3 study involving adult and pediatric patients with PIDs (NCT01888484; clinicaltrials.gov/ct2/show/NCT01888484).

Methods: Patients who were previously treated with IVIG received a total of 64 weekly SCIG infusions, including 12 weekly infusions during the wash-in/wash-out period, followed by 52 weekly infusions during the evaluation period.

Results: A total of 61 patients aged 2–73 years received 3,497 infusions of octanorm. The mean dose per patient was 0.175 g/kg/infusion. The mean calculated dose conversion factor from the patients' previous IVIG dose for octanorm was 1.37. No serious bacterial infections developed during the study. The rate of other infections per person-year during the primary observation period was 3.43 (upper 95% CI 4.57). All but one non-bacterial infection were mild or moderate in intensity. IgG trough levels were constant during the course of the study. Eleven patients (18.0%) experienced 14 mild or moderate systemic adverse events (AEs) related to octanorm. The rate of related AEs per infusion was 0.004. In 76.7% of infusions, no infusion site reactions were observed and only two (0.3%) reactions were deemed severe. The incidence of site reactions decreased with successive infusions.

Conclusion: The new 16.5% SCIG octanorm was shown to be efficacious in preventing infections in PIDs, and was well tolerated.
HARMONISATION OF THE VILNIUS URBAN DEVELOPMENT: PROBLEMS AND TRENDS OF ACTIONS
Authors: Juškevičius Pranciškus
Published: February 2019

The article provides the analysis of the evolution of the planning principals and physical development of the City since 1988 when the state determined planning was mandatory, covering the period since the adoption of the Law on Territorial Planning up to the present date when the City operates in the market economy conditions. The controversy of the City planning and development is pointed out, as well as the necessity to liberalise and harmonise the process.
EFFICIENCY INCREASE OF E-LEARNING BY APPLYING ON‐LINE INTELLIGENCE COMPUTER LEARNING SYSTEMS
Authors: Ginevičius Romualdas , Zavadskas Edmundas Kazimieras , Kaklauskas Artūras
Published: February 2019

Based on the analysis of existing computer learning, neural networks, information, expert and decision support systems, the following e‐learning systems were developed by authors: construction, real estate, facilities management, international trade, ethics, innovation, sustainable development, building refurbishment, etc. Application of above multiple criteria computer learning systems developed by authors allows one to determine the strengths and weaknesses of analysed alternatives and its constituent parts. Calculations were made to find out by what degree one version is better than an other and the reasons disclosed why it is namely so. Landmarks are set for an increase in the efficiency of versions, etc.
MULTIOBJECTIVE OPTIMIZATION (MOO) IN PRIVATIZATION
Authors: Brauers Willem K.
Published: February 2019

Deregulation of public enterprises and services by privatization is very fashionable nowadays. The aim of privatization is mainly to increase effectiveness, while the government itself likes to maximize its revenue at the occasion of the takeover. Most of these public enterprises show a shortage in investment while maintenance of a reasonable employment level in the new private firm is also strongly desirable, not to mention the ecological obligations imposed on the new private firm. It means that takeover bids have to face multiple objectives and different stakeholders, i.e., all the parties interested in the issue. Traditionally the optimization of all these objectives is then judged upon in a rather subjective way. Consequently, there is a need for a more general and objective, not to say scientific, method which can compare several takeover bids for privatization optimizing multiple objectives sometimes with different units of measurement. With that purpose, a method is developed, which takes into consideration upper limits, lower bounds, dominating and nondominating effects, ending up with a set of nondominated takeover bids, which are ranked by using ratio analysis and Reference Point Theory, whereas objectivity and decreasing marginal utility are fully respected [1]. A simulation on several takeover bids for a public enterprise given multiple objectives follows the theoretical explanation.
EVALUATING HOTEL ADVERTISEMENTS EFFICIENCY USING DATA ENVELOPMENT ANALYSIS
Authors: Hadad Yossi , Friedman Lea , Israeli Aviad A.
Published: February 2019

This paper introduces popular methods for ranking alternatives with multiple inputs and multiple outputs in the DEA context. The ranking methods are based on different criteria. Consequently, the ranking of the alternatives are not always the same, particularly as regards the best alternative. The decision maker, however, must make an absolute decision as to the most favored alternative. This study proposes a new ranking method, which is based on the average of the highly correlated ranking method. The new method is applied on a case study of ranking hotels in Israel.
DETERMINING COMPETITIVE ADVANTAGE: THE ANALYTIC HIERARCHY PROCESS
Authors: Korsakiene Renata
Published: February 2019

Fundamental changes initiated by globalisation, new technologies, intensive competition, fluctuating demand of consumers, as well as economical and political changes encourage managers to be pro‐active, take greater risks and choose innovative strategies. Besides that, a company's ability to gain competitive advantage becomes an urgent problem. However, the managers lack a clear approach to the determination of competitive advantage. That is why the article analyses some important aspects concerning company's competitive advantage and presents the results of the determination of company's competitive advantage by using analytic hierarchy process.
Spectroscopic Orbits of Subsystems in Multiple Stars. V.
Authors: Tokovinin Andrei
Published: February 2019

Spectroscopic orbits are determined for inner subsystems in nine stellar hierarchies (HIP 2863, 4974, 8353, 28796, 35261, 92929, 115272, 115552, and 117596). Their periods range from 2.5 to 312 days. For each system, estimates of masses, orbital inclination, and other parameters are given.
Near-infrared Survey and Photometric Redshifts in the Extended GOODS-North Field
Authors: Hsu Li-Ting , Lin Lihwai , Dickinson Mark , Yan Haojing , Bau-Ching Hsieh , Wang Wei-Hao , Lee Chien-Hsiu , Yan Chi-Hung , Scott Douglas , Willner S. P. , Ouchi Masami , Ashby Matthew L. N. , Chen Yi-Wen , Daddi Emanuele , Elbaz David , Fazio Giovanni G. , Foucaud Sebastien , Huang Jiasheng , Koo David C. , Morrison Glenn , Owen Frazer , Pannella Maurilio , Pope Alexendra , Simard Luc , Wang Shiang-Yu
Published: February 2019

We present deep J- and H-band images in the extended Great Observatories Origins Deep Survey-North field covering an area of 0.22 deg2. The observations were taken using WIRCam on the 3.6 m Canada–France–Hawaii Telescope. Together with the reprocessed K
s-band image, the 5σ limiting AB magnitudes (in 2″ diameter apertures) are 24.7, 24.2, and 24.4 AB mag in the J, H, and K
s bands, respectively. We also release a multiband photometry and photometric redshift catalog containing 93,598 sources. For non-X-ray sources, we obtained a photometric redshift accuracy σ
NMAD = 0.036 with an outlier fraction η = 7.3%. For X-ray sources, which are mainly active galactic nuclei (AGNs), we cross-matched our catalog with the updated 2M-CDFN X-ray catalog from Xue et al. and found that 658 out of 683 X-ray sources have counterparts. GALEX UV data are included in the photometric redshift computation for the X-ray sources to give σ
NMAD = 0.040 with η = 10.5%. Our approach yields more accurate photometric redshift estimates compared to previous works in this field. In particular, by adopting AGN–galaxy hybrid templates, our approach delivers photometric redshifts for the X-ray counterparts with fewer outliers compared to the 3D-Hubble Space Telescope catalog, which fit these sources with galaxy-only templates.
Searching for the Donor Stars of ULX Pulsars
Authors: Heida M. , Harrison F. A. , Brightman M. , Fürst F. , Stern D. , Walton D. J.
Published: February 2019

We report on our search for the optical counterparts of two ultraluminous X-ray pulsars with known orbital periods, M82 X-2 and NGC 5907 X-1, in new and archival Hubble Space Telescope observations, in an effort to characterize the donor stars in these systems. We detect five near-infrared sources consistent with the position of M82 X-2 that are too bright to be single stars. We also detect seven sources in the WFC3/UVIS F336W image whose photometry matches that of 10–15 M
⊙ stars turning off the main sequence. Such stars have densities consistent with the properties of the donor star of M82 X-2 as inferred from X-ray timing analysis, although it is also possible that the donor is a lower-mass star below our detection limit or that there is a significant contribution from the accretion disk to the optical emission. We detect three candidate counterparts to NGC 5907 X-1 in the near-infrared. All of these are too bright to be the donor star of the ultraluminous X-ray source (ULX), which, based on its orbital period, is a red giant. The high background at the location of NGC 5907 X-1 precludes us from detecting this expected donor star. The recently discovered NGC 5907 ULX-2 also falls within the field of view of the near-infrared imaging; we detect four sources in the error circle, with photometry that matches asymptotic giant branch stars. The star suggested to be the counterpart of NGC 5907 ULX-2 by Pintore et al. falls outside our 2σ error circle.