bluuebunny/crossref_metadata_2025 huggingface dataset:
Inovação em serviços de saúde a partir do Teste Myers-Briggs Type Indicator (MBTI®) associado à análise de redes sociais (ARS)
Authors: Durão Iêda Lenzi , Meiriño Marcelo Jasmim , Méxas Mirian Picinini
Published: September 2018

A inovação figura como aspecto relevante para organizações uma vez que contribui para o melhor desempenho e para os atendimentos às demandas constantes e crescentes da sociedade moderna. O inventário Myers-Briggs Type Indicator (MBTI®) apresenta-se como ferramenta com potencial para a identificação de indivíduos inovadores em organizações. Este estudo tem por objetivo identificar os tipos psicológicos de profissionais com potencial para inovação que trabalham na área da saúde e o posicionamento dos mesmos dentro de suas redes sociais organizacionais. Os dados foram coletados por meio de um questionário estruturado aplicado a 37 profissionais em uma unidade de saúde no município do Rio de Janeiro, e transferidos para dois softwares - Ucinet e MBTI versão Inspiira 1. Os resultados revelaram que alguns dos indivíduos identificados como centrais para o processo de inovação, apresentaram a dimensão Intuição (N), que é apontada pela literatura como indicadora de indivíduos que têm uma maior propensão a gerar ideias inovadoras. O inventário MBTI e sua verificação por meio da análise de redes sociais (ARS) mostraram-se promissores para identificação de indivíduos inovadores e para proporcionar o seu melhor aproveitamento dentro das organizações.
Memória fraca e patrimônio queimado
Authors: Bochner Rosany
Published: September 2018

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CFD Analysis of a Backward Facing Step Flows
Authors: THABİT Thabit , THABET Senan , JASİM Yaser
Published: September 2018

This paper
introduces a lot of situations about the Computational Fluid Dynamics (CFD) analysis
of backward facing step flows. The main point of this paper is incompressible
flow in a backward step, measured by drivers and Seegmiller experiments.

The researchers concluded that validation
parameters chosen for the study are the locations of the surface hydrostatic
pressure and the reattachment compression impact downstream of the step. The
surface static pressures predicted by WIND using a two-equation SST turbulence
model are shown below. This figure includes a comparison of earlier versions of
NPARC and WIND with experimental data. The WIND code slightly overestimates the
surface pressure drop from the free flow value to about 5% of the corner value
of the separation area (base pressure). This may be due to the fact that the
transition point is experimentally unknown and not accurately predicted by the
natural transition of the turbulence model. However, this over-forecasting
predicts the previous pressure drop closer to the experimental results than the
AEDC PARC, TUFF, and GASP codes using the Baldwin Lomax, KE, and Cebeci, and
Smith models, respectively. The rest of the forecast for WIND pressure is in
good agreement with the forecast pressure.
Comparison of Common Deep Drawing Steel Sheets in terms of Blank Holder Force and Friction Conditions
Authors: ÖZDİLLİ Özgür , ERDİN M. Emin
Published: September 2018

In this study, it
is aimed to make comparison of four different steel sheet materials that are
widely used in deep drawing applications by taking blank holder force and
friction conditions into account. Comparison is made between a standard steel
which is generally used in white goods manufacturing (DC01), an ultralow carbon
steel (DC04), a deep drawing steel suitable for cold forming (DD13) and an
extra deep drawing steel resistant to ageing (DD14), which are preferred when
manufacturing a part by deep drawing, if there is not any special material
requirements. The purpose of this study is to make selection between these
mentioned materials easier. Simufact.forming, a plastic deformation analysis
software based on finite element method, and material database of the software
was used in the conducted analyzes. Various blank holder forces were applied
and friction conditions were changed for each material. By investigating
obtained results, it was seen that there is a significant difference between
deep drawing behavior of these materials and DD14 has high deep drawability
even under high blank holder forces with low energy. Moreover, it was observed
that friction conditions have a significant influence on effectiveness of deep
drawing process.
ANALISIS PERGUDANGAN DI BAGIAN GUDANG BARANG JADI (FINISHGOODS) PT NIPRESS TBK CILEUNGSI BOGOR
Authors: Yusuf Nurmaliana , Nursyanti Yevita
Published: September 2018

Penelitian ini dibuat bertujuan untuk mengetahui proses kerja pergudangan di gudang
barang jadi, yang mempunyai aktivitas utama yaitu pada proses penerimaan, penyimpanan dan
pengiriman barang. Penelitian ini dilakukan dengan cara menganalisis kondisi aktual yang
dibandingkan dengan sebuah SOP(Standard Operational Prosedure) dan Instruksi kerja. Sebuah
SOP(Standard Operational Prosedure) dibuat dan didokumentasikan secara tertulis yang memuat
prosedure atau alur kerja yang ingin diraih oleh sebuah perusahaan ataupun instansi. Selain
menganalisis aktivitas utama gudang, penelitian ini juga menganalisis proses palletize (gulung
battery), proses standar FIFO(First In First Out), dan juga proses stock opname yang ketiganya
termasuk pada bagian proses penyimpanan barang jadi. Analisis ini termasuk analisis deskriptif
yang bersifat komparatif dengan membandingkan kondisi aktual di gudang barang jadi dengan
sebuah prosedure dan instruksi kerja. Hasil yang didapat dari analisis ini adalah proses aktivitas
gudang barang jadi dari proses penerimaan, penyimpanan, stock opname, dan pengiriman lokal
belum sesuai dengan prosedure dan instruksi kerja yang ada, tetapi proses standar FIFO(First In
First Out), dan proses palletize (gulung battery) sudah dilakukan sesuai dengan prosedure dan
instruksi kerja gudang barang jadi.
PERBANDINGAN LOGISTIC PERFORMANCE INDEX (LPI) DAN PURCHASING MANAGER’S INDEX (M-PMI) DALAM MENGEVALUASI KINERJA LOGISTIK INDONESIA
Authors: Subekti Subekti , Jayawati Devi
Published: September 2018

Sistem logistik yang efektif dan efisien tidak hanya menjadi ujung tombak pembangunan industri dan perdagangan nasional namun juga sebagai daya tarik investasi asing. Kinerja logistik pada tingkat makro atau nasional dievaluasi menggunakan LPI (Logistics Performance Index) yang dikeluarkan oleh Bank Dunia. Disisi lain ada indikator perekonomian yang berupa M-PMI (Manufacturing Purchasing Manager Index) yang mengevaluasi perkembangan ekonomi suatu negara dengan menilai ada tidaknya peningkatan dari tingkat produksi, pengiriman barang oleh pemasok, dan tingkat persediaan dalam industri pengolahan. Penelitian ini mengisi celah dalam mengkaji hubungan mPMI dengan LPI. Penelitian ini membahas tiga hal, pertama kondisi LPI Indonesia dan potensi perbaikannya, kedua kondisi M-PMI Indonesia tahun 2013 – 2015, dan ketiga, hubungan mPMI dengan LPI yaitu membahas kondisi perubahan mPMI Indonesia untuk capaian nilai LPI yang berbeda-beda. Metode yang digunakan adalah metode komparatif secara kualitatif. Dari analisa data didapatkan bahwa untuk LPI Indonesia dibandingkan Negara ASEAN lainnya adalah Indonesia masih memerlukan banyak perbaikan pada komponen kepabeanan dan pengiriman. Adapun untuk kurva M-PMI, untuk LPI = 2,94 pada tahun 2012 M-PMI Indonesia mengalami variasi yang cukup lebar yaitu 2,29 sedangkan pada nilai LPI 3,08 pada tahun 2014 nilai M-PMI Indonesia lebih stabil dengan variasi sebesar 1,69. Kesimpulan yang didapatkan dari penelitan ini adalah walaupun kondisi M-PMI lebih stabil pada saat LPI lebih tinggi, namun pergerakan M-PMI tidak secara signifikan dipengaruhi oleh LPI itu sendiri namun lebih pada kondisi ekonomi terutama tingkat suku bunga, daya beli masyarakat, dan produktivitas industri manufaktur.
Consciousness, law of nature, and nomological determinism
Authors: Yu Xiaoyang
Published: September 2018

Nomological determinism does not mean everything is predictable. It just means everything follows the law of nature. And the most important thing Is that the brain and consciousness follow the law of nature. In other words, there is no free will. Without life, brain and consciousness, the world follows law of nature, that is clear. The life and brain are also part of nature, and they follow the law of nature. This is due to scientific findings. There are not enough scientific findings for consciousness yet. But I think that the consciousness is a nature phenomenon, and it also follows the law of nature.
A Sharing Meanings Approach for Interdisciplinary Hazards Research
Authors: Hardy Dean
Published: September 2018

Hazards researchers frequently examine complex socio-environmental problems, a difficult undertaking which is further compounded by the challenge of navigating the many disciplinary approaches in the field. This paper draws on key insights from studies of the interdisciplinary process and proposes the Sharing Meanings Approach for improving interdisciplinary collaboration in hazards research. The Sharing Meanings Approach addresses common challenges to interdisciplinary teamwork and organizes them into four focal areas: (1) worldviews (including ontological, epistemological, and philosophical perspectives), (2) language, (3) research design, and (4) project goals. The approach emphasizes the process of sharing rather than seeking to develop a single set of shared meanings related to the four focal areas. The paper identifies common challenges and recommends strategies and actions within each focal area for guiding teams toward sharing their implicit meanings. A hypothetical example is introduced to demonstrate how the approach offers a path for revealing and overcoming the common roadblocks experienced in interdisciplinary hazards research. By making interdisciplinary hazards teams’ implicit assumptions explicit, the Sharing Meanings Approach offers an operational process to seize on moments of difference as productive tension and to see such challenges as opportunities—rather than obstacles—for innovating toward hybrid methodological research designs in hazards research.
Les Pentecôtismes à l'assaut de la sorcellerie familiale au Cameroun
Authors: Batibonak Sariette
Published: September 2018

Pour les pentecôtismes africains, les forces diaboliques trouvent leur source principale en famille. L'intimité familiale africaine est perçue comme source de danger et cadre de construction de l'histoire d'un individu. Il s'agit donc d'un cadre ambivalent où se mêlent confiance et méfiance. Au Cameroun, les pasteurs insistent ou insinuent pour la plupart, la mainmise d'un membre du cercle familial dans l'ensorcèlement des fidèles. Après déconnexion du converti de sa « famille diabolisée », les pentecôtismes se chargent de colmater le vide ainsi créé en lui offrant en échange, une « famille spirituelle ». L'Église devient, un nouvel espace familial pour ses fidèles « déparentalisés ». Cette violence passe par les paroles puis par les actes et se déporte parfois dans la sphère publique.
“Looking Out for Each Other”: Street-Involved Youth's Perspectives on Friendship
Authors: Werdal Thayne , Mitchell Lisa M.
Published: September 2018

In public discourses, friendships among street-involved youth are often regarded as sources of delinquent or risky behaviour. Through interviews with street-involved youth in Victoria, BC, we explore youth's ideas about their friendships. Our analysis suggests that the youth we interviewed have created a “relational refuge,” that is, a social space and metaphorical home constituted through trust, proximity, and sharing of emotions and resources. Our research highlights how friendships can mediate some of the harmful aspects of street life for youth by enabling collective forms and practices of generalised reciprocity, acceptance and collaboration.
The Two Lives of Sara Baartman: Gender, “Race,” Politics and the Historiography of Mis/Representation
Authors: Lyons Andrew P.
Published: September 2018

The story of Sara Baartman, the so-called Hottentot Venus, who was exhibited in both London and Paris at the beginning of the nineteenth century, is part of the long narrative of scientific racism. In the years preceding and succeeding her return to South Africa from the museum in Paris where her brain and genitals were stored, her story has been told and retold countless times by anti-racist white (and predominantly male) scholars, Pan-African anti-apartheid activists, many of them feminists, African-American scholars, and scholars who claim a particular ethnic status within the Rainbow Nation. There has been much controversy concerning the right to tell Baartman's story and the images that may or may not accompany such narration. An attempt is made to explain why this is so.
Property as Sharing: A Reflection on the Nature of Land Ownership among the Cree of Eeyou Istchee after the “Paix des Braves”
Authors: Chaplier Mélanie
Published: September 2018

Since the “Paix des Braves,” a renewed land claim agreement signed in 2002, the Cree of Eeyou Istchee (James Bay, Quebec) are facing a new wave of change. While that agreement allowed for the damming of the Eastmain and Rupert rivers, it ensured a greater integration of the Crees in the economic boom resulting from resource exploitation. Central to this new partnership, the Cree family hunting territories have been invested with a new set of meanings and practices in which the tallymen have become entrepreneurs. Reflecting back on the debated question of the very nature of this land tenure, this article describes the complex entanglements resulting from the attempts to further develop and privatise Cree lands. In doing so, it demonstrates that these property relations have also been reinvented by the Cree land users to fit their own territorial model, in which stewardship and sharing remain essential.
Back to Where It All Began: Revisiting Algonquin Resource Use and Territoriality
Authors: Inksetter Leila
Published: September 2018

This article examines resource use among the Algonquin and its change over time. Archaeological and historical data show that the current importance of the moose for both food and clothing among Algonquin people is a relatively recent phenomenon: in pre-contact times up until the nineteenth century, small mammals such as beaver and hare were the most important animals used. The dichotomy between access rights to moose and fur-bearing animals also seems to be a recent phenomenon. As this dichotomy has been used as a major element in theoretical reconstructions of past territoriality and governance, this re-evaluation thus offers a renewed perspective on the history of family hunting territories among Algonquian peoples.
What Documents Do Not Do: Papering Persecution and Moments of Recognition in a Congolese Refugee Camp
Authors: Thomson Marnie Jane
Published: September 2018

Congolese refugees living in Tanzania's Nyarugusu refugee camp curate and submit documents to the United Nations High Commissioner for Refugees (UNHCR) to bolster their cases for resettlement. UNHCR representatives often resist receiving these documents, and if received, they view them as supplementary to the case. The resettlement process requires that refugees prove that they fled their homeland because of individual persecution. However, an examination of the types of documents that refugees submit to the UNHCR, shows that they do not actually provide proof of persecution. Nonetheless, both refugees and UNHCR representatives use the documents to construct a convincing narrative of persecution that can successfully pass through the resettlement process.
SÜRDÜRÜLEBİLİRLİK AÇIKLAMALARI KAPSAMINDA KURUMSAL SOSYAL SORUMLULUĞUN KÂRLILIK ÜZERİNE ETKİSİ: BİST SÜRDÜRÜLEBİLİRLİK ENDEKSİNDE BİR ARAŞTIRMA
Authors: ÖZKAN Azzem , GÜNGÖR TANÇ Şükran , TAŞDEMİR Bahşende
Published: September 2018

Sürdürülebilirlik Endeksinin Borsa İstanbul’da 2014
yılından itibaren yayınlanması ülkemizde sürdürülebilir kalkınmayı hedef alan
işletmeler açısından son derece önemli bir gelişme olmuştur. Araştırmanın temel
amacı, sürdürülebilirlik raporları kapsamında işletmelerin kurumsal sosyal
sorumluluk açıklamalarının finansal performansları üzerinde etkisi olup
olmadığını tespit etmektir. Bu araştırmanın örneklemini Borsa İstanbul
Sürdürülebilirlik Endeksinde yer alan 35 işletme oluşturmaktadır. Araştırma
bulgularına göre işletmelerin kurumsal sosyal sorumluluk açıklamalarının
kârlılık oranları üzerine pozitif
etkiye sahip olduğu tespit edilmiştir. Bulguların ardından araştırmanın bazı
kısıtları olduğuna vurgu yapılmış ve gelecekte araştırma yapacaklar için bazı
önerilerde bulunulmuştur.
Comparison of Platelet Concentrates Prepared from Platelet Rich Plasma-Platelet Concentrate and Buffy Coat Poor-Platelet Concentrate on Storage Days 1 and 5
Authors: Buathong Darinnat , Buakaew Jarin , Nukfon Chutarat
Published: September 2018

Objective: The purpose of this study is to assess the quality of platelet concentrates on storage days 1 and 5 prepared by platelet rich plasma-platelet concentrate (PRP-PC) and buffy coat poor-platelet concentrate (BC-PC) methods comparing to the American Association of Blood Banks (AABB) recommendations.Material and Method: Totally of 120 platelet concentrates (PC) units on storage days 1 and 5 (60 of PRP-PC triple blood bag and 60 of BC-PC quadruple AS-5 blood bag) were separated from whole blood donations at Songklanagarind Hospital. The prepared PC were assessed with 5 parameters such as volume, platelet count, white blood cell count per unit, pH, swirling phenomenon score and hypotonic shock response. The independent t-tests, paired Student’s t-tests and SPSS program were utilized in statistical analysis step.Results: The mean±standard deviation (S.D.) of each parameter were as follow : (1) Volume of PRP-PC and BC-PC met the standard (40-70 ml). (2) All of the platelet concentrates met the standard (≥ 5.5x1010/unit). The mean±S.D.: PRP-PC and BC-PC (day 1) were 6.820±1.480 x1010 and 7.010±1.300 x1010/unit (p-value=0.260), while PRP-PC and BC-PC (day 5) were 6.620±1.160x1010 and 6.720± 1.150x1010/unit (p-value=0.040). (3) The white blood cell in platelet concentrates met the standard (<0.2x1010/unit). The mean±S.D.: PRP-PC and BC-PC (day 1) were 0.030±0.017 x1010and 0.026±0.019x1010/unit (p-value=0.040), while PRP-PC and BC-PC (day 5) were0.033±0.013x1010 and 0.027±0.019x1010/unit (p-value= 0.580). (4) The pH of all units (PRP-PC and BC-PC) met the standard (≥6.2). The mean±S.D.: PRP-PC and BC-PC (day 1) were 7.430±0.330 and 7.750±0.160 (p-value=0.006), while PRP-PC and BC-PC (day 5) were 7.590±0.350 and 7.620±0.280 (p-value=0.710). The swirling phenomenon score and hypotonic shock response were the same as standard AABB and were not statistically difference.Conclusion: The quality of PRP-PC and BC-PC after storing on days 1 and 5 as follow (1) Volume of PRP-PC and BC-PC met the standard. (2) The platelet count per unit of PRP-PC and BC-PC (day 1), PRP-PC and BC-PC (day 5) were not statistically difference. (3) The white blood cell count per unit of PRP-PC and BC-PC (day 1) were statistically difference, while PRP-PC and BC-PC (day 5) were not statistically difference. (4) The pH of PRP-PC and BC-PC (day 1) were statistically difference, while PRP-PC and BC-PC (day 5) were not statistically difference. The swirling phenomenon score and hypotonic shock response of PRP-PC and BC-PC were not statistically difference. Platelet concentrates of both method storing on days 1 and 5 fulfilled the quality guideline of AABB.
Lower Gastrointestinal Bleeding in Klippel-Trenaunay Syndrome: A Case Report
Authors: Assanangkornchai Nawaporn , Aiempanakit Kumpol , Sangmala Siripan
Published: September 2018

Klippel-Trenaunay syndrome (KTS) is a rare, vascular malformation. The major clinical presentation is an overgrowth involving the extremities. The diagnosis of KTS was based on an imaging study, which revealed vascular malformations. The author’s report is of a 36-year Thai man with; hypertrophy of the right lower extremity, whilst having suffered from two-months of bloody defecation. The magnetic resonance imaging showed venous malformations with soft tissue hypertrophy of the affected limb, genitalia and rectum. The patient was diagnosed with: KTS accompanied by gastrointestinal complications.
Placental alkaline phosphatase levels in cerebrospinal fluid can have a decisive role in the differential diagnosis of intracranial germ cell tumors
Authors: Aihara Yasuo , Watanabe Sinichiro , Amano Kosaku , Komatsu Kana , Chiba Kentaro , Imanaka Kosuke , Hori Tomokatsu , Ohba Takashi , Dairoku Hitoshi , Okada Yoshikazu , Kubo Osami , Kawamata Takakazu
Published: September 2018

OBJECTIVE

Placental alkaline phosphatase (PLAP) in CSF can provide a very high diagnostic value in cases of intracranial germ cell tumors (GCTs), especially in pure germinomas, to the level of not requiring histological confirmation. Unlike other tumor markers, reliable data analysis with respect to the diagnostic value of PLAP serum or CSF levels has not been available until now. This is the first systematic and comprehensive study examining the diagnostic value of CSF PLAP in patients with intracranial GCTs.

METHODS

From 2004 to 2014, 74 patients (average age 19.6 ± 10.6 years) with intracranial GCTs were evaluated using PLAP from their CSF and histological samples. Chemiluminescent enzyme immunoassay was utilized to measure CSF PLAP in the following tumor sites: pineal (n = 32), pituitary stalk, suprasellar (n = 16), basal ganglia (n = 15), intraventricular (n = 9), and cerebellar (n = 5) regions. In addition to classifying GCT cases, all patients underwent tumor biopsy for correlation with tumor marker data.

RESULTS

PLAP in combination with other tumor markers resulted in extremely high sensitivity and specificity of the diagnostic value of intracranial GCTs. Intracranial GCT cases were classified into 1) germinomas, both “pure” and syncytiotrophoblastic giant cell types (n = 38); 2) nongerminomatous GCTs, choriocarcinomas (n = 9) and teratomas (n = 4); and 3) nongerminomas, other kinds of tumors (n = 23). Consequently, all patients received chemoradiation therapy based on elevation of PLAP and the histopathological results. It was also speculated that the level of PLAP could show the amount of intracranial germ cell components of a GCT. PLAP was 100% upregulated in all intracranial germinoma cases. The absence of CSF PLAP proved that the tumor was not a germinoma.

CONCLUSIONS

The current study is the first systematic and comprehensive examination of the diagnostic value of the tumor marker PLAP in pediatric patients with intracranial GCT. Using the level of PLAP in CSF, we were able to detect the instances of intracranial germinoma with very high reliability, equivalent to a pathological diagnosis.
Comparison of elderly and young patient populations treated with deep brain stimulation for Parkinson’s disease: long-term outcomes with up to 7 years of follow-up
Authors: Hanna Joshua A. , Scullen Tyler , Kahn Lora , Mathkour Mansour , Gouveia Edna E. , Garces Juanita , Evans Leah M. , Lea Georgia , Houghton David J. , Biro Erin , Bui Cuong J. , Sulaiman Olawale A. , Smith Roger D.
Published: September 2018

OBJECTIVE

Deep brain stimulation (DBS) is the procedure of choice for Parkinson’s disease (PD). It has been used in PD patients younger than 70 years because of better perceived intra- and postoperative outcomes than in patients 70 years or older. However, previous studies with limited follow-up have demonstrated benefits associated with the treatment of elderly patients. This study aims to evaluate the long-term outcomes in elderly PD patients treated with DBS in comparison with a younger population.

METHODS

PD patients treated with DBS at the authors’ institution from 2008 to 2014 were divided into 2 groups: 1) elderly patients, defined as having an age at surgery ≥ 70 years, and 2) young patients, defined as those < 70 years at surgery. Functional and medical treatment outcomes were evaluated using the Unified Parkinson’s Disease Rating Scale part III (UPDRS III), levodopa-equivalent daily dose (LEDD), number of daily doses, and number of anti-PD medications. Study outcomes were compared using univariate analyses, 1-sample paired t-tests, and 2-sample t-tests.

RESULTS

A total of 151 patients were studied, of whom 24.5% were ≥ 70 years. The most common preoperative Hoehn and Yahr stages for both groups were 2 and 3. On average, elderly patients had more comorbidities at the time of surgery than their younger counterparts (1 vs 0, p = 0.0001) as well as a higher average LEDD (891 mg vs 665 mg, p = 0.008). Both groups experienced significant decreases in LEDD following surgery (elderly 331.38 mg, p = 0.0001; and young 108.6 mg, p = 0.0439), with a more significant decrease seen in elderly patients (young 108.6 mg vs elderly 331.38 mg, p = 0.0153). Elderly patients also experienced more significant reductions in daily doses (young 0.65 vs elderly 3.567, p = 0.0344). Both groups experienced significant improvements in motor function determined by reductions in UPDRS III scores (elderly 16.29 vs young 12.85, p < 0.0001); however, reductions in motor score between groups were not significant. Improvement in motor function was present for a mean follow-up of 3.383 years postsurgery for the young group and 3.51 years for the elderly group. The average follow-up was 40.6 months in the young group and 42.2 months in the elderly group.

CONCLUSIONS

This study found long-term improvements in motor function and medication requirements in both elderly and young PD patients treated with DBS. These outcomes suggest that DBS can be successfully used in PD patients ≥ 70 years. Further studies will expand on these findings.
A clinical decision rule to predict intracranial hypertension in severe traumatic brain injury
Authors: Alali Aziz S. , Temkin Nancy , Barber Jason , Pridgeon Jim , Chaddock Kelley , Dikmen Sureyya , Hendrickson Peter , Videtta Walter , Lujan Silvia , Petroni Gustavo , Guadagnoli Nahuel , Urbina Zulma , Chesnut Randall M.
Published: September 2018

OBJECTIVE

While existing guidelines support the treatment of intracranial hypertension in severe traumatic brain injury (TBI), it is unclear when to suspect and initiate treatment for high intracranial pressure (ICP). The objective of this study was to derive a clinical decision rule that accurately predicts intracranial hypertension.

METHODS

Using Delphi methods, the authors identified a set of potential predictors of intracranial hypertension and a clinical decision rule a priori by consensus among a group of 43 neurosurgeons and intensivists who have extensive experience managing severe TBI without ICP monitoring. To validate these predictors, the authors used data from a Latin American trial (n = 150; BEST TRIP). To report on the performance of the rule, they calculated sensitivity, specificity, and positive and negative predictive values with 95% confidence intervals. In a secondary analysis, the rule was validated using data from a North American trial (n = 131; COBRIT).

RESULTS

The final predictors and the clinical decision rule were approved by 97% of participants in the consensus working group. The predictors are divided into major and minor criteria. High ICP would be considered suspected in the presence of 1 major or ≥ 2 minor criteria. Major criteria are: compressed cisterns (CT classification of Marshall diffuse injury [DI] III), midline shift > 5 mm (Marshall DI IV), or nonevacuated mass lesion. Minor criteria are: Glasgow Coma Scale (GCS) motor score ≤ 4, pupillary asymmetry, abnormal pupillary reactivity, or Marshall DI II. The area under the curve for the logistic regression model that contains all the predictors was 0.86. When high ICP was defined as > 22 mm Hg, the decision rule performed with a sensitivity of 93.9% (95% CI 85.0%–98.3%), a specificity of 42.3% (95% CI 31.7%–53.6%), a positive predictive value of 55.5% (95% CI 50.7%–60.2%), and a negative predictive value of 90% (95% CI 77.1%–96.0%). The sensitivity of the clinical decision rule improved with higher ICP cutoffs up to a sensitivity of 100% when intracranial hypertension was defined as ICP > 30 mm Hg. Similar results were found in the North American cohort.

CONCLUSIONS

A simple clinical decision rule based on a combination of clinical and imaging findings was found to be highly sensitive in distinguishing patients with severe TBI who would suffer intracranial hypertension. It could be used to identify patients who require ICP monitoring in high-resource settings or start ICP-lowering treatment in environments where resource limitations preclude invasive monitoring.

Clinical trial registration no.: NCT02059941 (clinicaltrials.gov).
Dramatic efficacy of dabrafenib in Erdheim-Chester disease (ECD): a pediatric patient with multiple large intracranial ECD lesions hidden by refractory Langerhans cell histiocytosis
Authors: Hao Xiaolei , Feng Ruie , Bi Yalan , Liu Yuhan , Li Chunde , Lu Tao , Tian Yongji
Published: September 2018

Erdheim-Chester disease (ECD) is a rare non–Langerhans cell form of histiocytosis that can affect the central nervous system. ECD predominantly affects adults, and only a few pediatric cases have been reported. The co-occurrence of ECD and Langerhans cell histiocytosis (LCH) is exceedingly rare. An 11-year-old boy, who was diagnosed with LCH 7 years previously, presented with multiple giant intracranial lesions. At the time of his initial diagnosis, only one intracranial lesion was observed, and it began to enlarge. Currently, up to 7 intracranial lesions can be observed in this patient. However, the diagnosis of ECD was not confirmed until this most recent open resection. The BRAF V600E mutation was detected in both LCH and ECD lesions. Dabrafenib therapy exhibited dramatic efficacy in this pediatric patient. This case represents the first successful application of dabrafenib in a pediatric patient with intracranial ECD lesions as well as mixed ECD and LCH. In this article, the authors describe the intricate diagnosis and treatment processes in this patient. Recent studies regarding treatment with BRAF inhibitors for neurological involvement in mixed ECD and LCH are also reviewed.
Knowledge Management: Konsep dan Metodologi
Authors: Darudiato Suparto , Setiawan Kevin
Published: September 2018

Informasi dan pengetahuan pada saat ini sangat berharga. Dengan persaingan yang sangat tinggi, sangatlah sulit bagi perusahaan untuk menjaga pengetahuan yang dimiliki karyawan terkait dengan pengetahuan si karyawan itu sendiri dan pengetahuan tentang perusahaan. Pengetahuan setiap individu didalam organisasi atau perusahaan tentunya berbeda – beda sehingga menyebabkan pengetahuan itu tidak berkembang secara merata didalam lingkungannya. Sehingga, Knowledge Management menjadi salah satu solusi untuk membantu pengolahan pengetahuan, sehingga seorang individu didalam organisasi atau perusahaan dapat memiliki pengetahuan yang sama, kemudian dengan pengetahuan yang sama itu dapat membantu mengembangkan sebuah organisasi atau pun perusahaan.

Kata kunci—pengetahuan, knowledge management, organisasi, perusahaan
Penerapan Customer Relationship Management (CRM) pada Aplikasi Pengiriman Pesan Instan Studi Kasus: WhatsApp, WeChat, Line, KakaoTalk
Authors: Ellynia Ellynia , Tjhin Viany Utami
Published: September 2018

In establish good relationship with customer, companies need to have a good customer relationship management system as well. The purpose of this study is to explore the level of development of the use of instant messaging applications that are used for mobility of companies in establishing relationships with customers; and to investigate the factors considered important for the success of the mobility of companies in establishing relationships with their customers. In this study it was found that not all instant messaging application has a feature which serves to establish rapport with customers. The results showed some of the determinants of success in the utilization of instant messaging applications is the ease of use, target the most used mobile devices, operating systems most used by users, and mobile application user interface that is used.

Index Terms - customer, relationship, management, application, messanging, instant
Tingkat Kapabilitas Tata Kelola TI Pusat Teknologi Informasi dan Komunikasi Universitas Sam Ratulangi
Authors: Wella Wella , Tampi Anasthasia
Published: September 2018

This study discusses the state of IT governance in colleges that are outside Java, Indonesia, Universitas Sam Ratulangi. This study also aimed to provide recommendations for improvement that IT governance in the region there are more improved. COBIT 5.0 be used to measuring the level of IT governance capability. Within this framework, there is measurement tool called Capability Level, which is a model capability that can help process of defining and understanding the processes of an organization. 7 of 37 Enabler Goals / Processes owned COBIT 5.0 are the main purpose of universities, among others: Ensure Risk )ptimization (EDM03), Ensure Resource Optimization (EDM04), Manage the IT Management Framework (APO01) Manage Human Resources (APO07), Manage Risk (APO12), Manage  security (APO13), and Manage Changes (BAI06). The results of the evaluation of the measurement capabilities of IT governance at universities in Manado stop at level 1, with a score that is not so good in all of its processes, with an average score obtained is 50.87. Having in mind the scores obtained, it can be given recommendations for the improvement of higher education in the city of Manado, so that IT governance in the region there equate with IT governance in Java.

Index Terms — Capability Level, COBIT 5.0, IT Governance.
Aplikasi Mobile Driver Online Berbasis Android Untuk Perusahaan Rental Kendaraan
Authors: Surahman Surawijaya , Setiawan Eko Budi
Published: September 2018

PT.XYZ is one of many companies which engaged in rental cars and driver services provider. They are still using un computerize system when doing the business, so this system makes some problems, such as low processing of data that has not been controlled due to the frequent occurrence of recording errors, errors in the calculation of transaction and the slowness in making the report. The purpose of this research is to know the running system in the company, designing, and implementing the new development system of online driver mobile applications based on android in PT.XYZ. The purpose of this research intends to add insight and knowledge as well as implementing the theory into the company. The development of this system is expected could helping the administrator staff to do the tasks and making the report easier than before.

Index Terms— Android, Driver Online, Rental Kendaraan.
Rancang Bangun Sistem Pakar untuk Deteksi Dini Katarak Menggunakan Algoritma C4.5
Authors: Jayawardanu Ivana Herliana W. , Hansun Seng
Published: September 2018

In 2010, 51% of 39 million blindness are caused by cataract. In 2013, there are 1.8% of 1.027.763 Indonesian people who suffered from cataract. Half of them are not treated yet due to their ignorance on the cataract disease. Therefore, in this research, we tried to build a system that can detect early cataract disease as the ophthalmologist would do. The system will use C4.5 algorithm that receives 150 training data set as an input, resulting in a set of rules which can be used as decision factors. To test the system, k-fold cross validation technique is been used with k equals to 10. From the analysis result, the accuracy of the system is 93.2% to detect cataract disease and 80.5% to detect the type of cataract disease one might suffered.

Index terms-C4.5 algorithm, cataract, k-fold cross validation, machine learning
Penelitian Mengenai Metode Steganografi Least Significant Bit
Authors: Jonathan Ivan , Haryono Albert Yeusiawan , Leonardi Kevin
Published: September 2018

In today's technological era, the concealment of sensitive information is the concern of many people. Because the information is often shared and discussed through a very commonly used communication medium. Steganography is one technique to hide a secret message into a file that has a larger size. In this paper, we will discuss the methods that can be used in steganography, especially the method of Least Significant Bit.

Keywords: Steganography, Data Hiding, Steganography Algorithm, Least Significant Bit.
Implementasi Steganografi Menggunakan Metode Least Significant Bit dan Kriptografi Advanced Encryption Standard
Authors: Sari Shinta Puspita , Winarno Winarno , Sudirman Dodick Z.
Published: September 2018

Nowadays, the development of celluler device especially mobile phone is very rapid. The security of information in mobile phone becoming such an important thing, because users do not want other people can access their essential information. It means in the security in mobile phone. One way to secure the data is steganograpgy technique. This technique hides the data in a digital media. In this research the steganography technique that the is used is the Least Significant Bit (LSB) which implemented to cellular equipment with android as the operating system. The digital image which is used to hide the data is PNG. The test result shows that steganography has been implemented successfully in android phone. In the imprecebility aspect, user cannot different between the picture with message and the original picture bare eyedly. In recovery aspect, the message successfully encrypted and decrypted without changing the original content of the message. The lack occurs in fidelity aspect which the expansion of PNG file happens.

Index Terms—LSB, least significant bit, png, android, handphone
Perbandingan Metode Fuzzy dan Metode Perceptron untuk Mengecek Status Gizi pada Anak
Authors: Veronica Octaviera
Published: September 2018

Nutrition status for children was very core factor that need attention from their parent since they are toddlers. In this phase, parents had to know every nutrition that their babies need and nutrition status. For overcome this problem, this application was made. This application was made with fuzzy or perceptron method. This application need some input like weight, height, and age. This means nutrition status was affected by weight, height, and age of that child. If the calculation did by fuzzy method, this calculation will be easier to do, because fuzzy method was more simple so easier to understand. Perceptron method was more complex because this method needs learning some samples with actual data, so need training and testing phase before this application could be used properly.

Index Terms-nutrition status, fuzzy, perceptron, JST, food intake, malnutrition
Implementasi Algoritma Shortest Job First dan Round Robin pada Sistem Penjadwalan Pengiriman Barang
Authors: Santika Monica , Hansun Seng
Published: September 2018

Delivery of goods will normally be conducted in accordance with the queuing time of booking. Sometimes, it is inefficient and results in a delay on the delivery of goods. Therefore, to make a better scheduling system, the Shortest Job First and Round Robin algorithms been implemented. From the results of experiments, Shortest Job First and Round Robin algorithms successfully applied to the scheduling delivery application. Shortest Job First algorithm is better than Round Robin scheduling in the case of delivery of goods, because the algorithm execution process which takes small time will be moved before the process which takes much time, so it needs smaller time than using Round Robin algorithm.

Index Terms - Round Robin, Scheduling, Shipping, Shortest Job First
Klasifikasi Daun Dengan Perbaikan Fitur Citra Menggunakan Metode K-Nearest Neighbor
Authors: Liantoni Febri
Published: September 2018

Plants are the most important part in life on earth as oxygen supplier to breathe, groceries, fuel, medicine and more. Plants can be classified based on its leaves shape. Classification process is required well data extraction feature, so it needs fixing feature process at pre-processing level. Combining median filter and image erosion is used for fixing feature process. Whereas for feature extraction is used invariant moment method. In this research, it is used leaves classification based on leaves edge shape. K-Nearest Neighbor Method (KNN) is used for leaves classification process. KNN method is chosen because this method is known rapid in training data, effective for large training data, simple and easy to learn. Testing the result of leaves classification from image which is on dataset has been built to get accuracy value about 86,67%.

Index Terms—Classification, Median Filter, Invariant Moment, K-Nearest Neighbor.
Rancang Bangun Aplikasi Penjurusan Minat Bakat Menggunakan Metode Forward Chaining
Authors: Halim Levi Jordan , Ranny Ranny , Winarno P.M.
Published: September 2018

Plentiful choices of Student Activities Unit that offered by a campus like Multimedia Nusantara University can help students who want to choose a unit that suitable for them. The decision support system application with Forward Chaining method is built to help students choosing the Student Activity Unit that suits them. Multiple Intelligence method is used as the knowledge base at making the rules. The aspects that considered as attributes to choosing the Student Activities Unit is the initial interest and also the multiple intelligence scores that the level of conformity will be searched by using Forward Chaining method. This research has produced a knowledge-based decision support system that can help students at choosing Student Activities Unit that suitable for them with the highest accuracy of 86.67 percent. This system is designed in website with PHP and MySQL database programming language.

Index Terms—Forward Chaining, Knowledge-based, Multimedia Nusantara University, Multiple Intelligence, Student Activities Unit
Penggunaan Unsur Aksara Nusantara Pada Huruf Modern
Authors: Alfian Erwin
Published: September 2018

Huruf modern lahir karena kebutuhan akan gaya hidup dan perkembangan teknologi media. Penggunaan unsur budaya seperti Aksara Nusantara telah banyak menjadi inspirasi berbagai karya desain, termasuk Tipografi. Diperlukan beberapa adaptasi bentuk untuk dapat diselaraskan dengan tampilan huruf modern agar tetap menarik. Penggunaan prinsip Readibility, Clarity dan Legibility dibutuhkan sebagai dasar perancangan agar huruf yang dirancang dapat berfungsi sebagai penyampai pesan.

Key words : Aksara Nusantara, Huruf, Modern.
Desain Tokoh Dalam Proyek Armobyte
Authors: Martyastiadi Yusup Sigit , Purwaningsih Dominika Anggraeni
Published: September 2018

Desain tokoh memiliki peran yang sangat penting dalam film dan animasi. Setiap tokoh yang didesain dengan baik harus unik serta mampu bercerita dengan sendirinya kepada penonton mengenai kepribadian dan latar belakang masing-masing. Karena itulah dibutuhkan konsep yang benar-benar matang untuk dapat menciptakan tokoh yang unik sehingga mudah diingat oleh penonton. Jurnal ini membahas mengenai proses mendesain tokoh mulai dari sketsa, hingga model 3D yang siap diaplikasikan dalam proyek animasi 3D Armobyte.

Keywords: desain tokoh, model 3D, texture, film pendek animasi 3D
The Naturalisation of Growth: Marx, the Regulation Approach and Bourdieu
Authors: Koch Max
Published: September 2018

This paper analyses the hegemony of the growth paradigm through the example of its naturalisation in capitalist production and consumption relations. Applying a combination of theoretical elements from the Marxian tradition, the Regulation approach and Bourdieusian sociology, emphasis is placed on how the growth imperative is reflected in people's minds and bodies. It becomes hegemonic because it appears to be the natural way of steering economy and society. As a result, all people – including working people – benefit from the continuation of growth. To overcome the growth paradigm, activists would need to build on a crisis of the ‘objective’ structures of economy and society.
Widening the Evaluative Space for Ecosystem Services: A Taxonomy of Plural Values and Valuation Methods
Authors: Arias-Arévalo Paola , Gómez-Baggethun Erik , Martín-López Berta , Pérez-Rincón Mario
Published: September 2018

Researchers working in the field of ecosystem services (ES) have long acknowledged the importance of recognising multiple values in ecosystems and biodiversity. Yet the operationalisation of value pluralism in ES assessments remains largely elusive. The aim of this research is to present a taxonomy of values and valuation methods to widen the evaluative space for ES. First, we present our preanalytic positions in regards to the values and valuation of ES. Second, we review different value definitions that we deem relevant for the discussion of ES valuation. Third, we propose a taxonomy of ES values based on different conceptions of human–nature relationships. Finally, we present a taxonomy of different methods that can be used to recognise plural values in ES. This taxonomy for a plural valuation can help ES scientists and practitioners with their aim of representing people's multiple and context-specific ways of valuing nature. The taxonomy can also serve to pay broader attention to ES values that are overlooked or misrepresented in assessments that restrict their focus to monetary valuations.
ORGANIC-GEOCHEMICAL STUDY OF OIL SHALES IN PRE-CASPIAN-GUBA REGION (AZERBAIJAN)
Authors: Aliyev Ad. A. , Abbasov O. R. , Ibadzade А. J. , Mammadova А. N.
Published: September 2018

Based on the results of the studies, an insignificant difference in the geochemical characteristics of oil shales were established within the study area. The amount of OM in the samples taken from the outcrops and pits varies from 13,3 to 32,1 %. Based on the data of gravimetric studies and two-stage pyrolysis, the maturity of OM was assessed and the aliphatic type of OM was established. The Tmax obtained during the cracking process indicates the immaturity of the OM of shale rocks for the generation of hydrocarbons.
Trump macht ernst – mit der Unterwerfung der Weltwirtschaft unter „America First“
Authors: van Scherpenberg Jens
Published: September 2018

Die Handelspolitik der Regierung Trump ist Ausdruck einer tiefen Unzufriedenheit in den USA über die Resultate der bisherigen globalisierten Wirtschaftsordnung: den Aufstieg starker Konkurrenten, China und die EU, und den gleichzeitigen Niedergang der USA als Wirtschaftsstandort – für Trump Folge der handelspolitischen Verträge und Bindungen, die Amerika zu seinem Nachteil eingegangen sei. Daher setzt er die ganze Wirtschafts- und Finanzmacht der USA mit all ihren Druckmitteln ein, um bilateral vorteilhaftere „Deals“ mit den Konkurrenten und Rivalen zu erreichen und unbotmäßige Nationen zum Einlenken zu zwingen. Für Trump gilt als alleinige Maxime: „America First“.
Warum protestieren die Leute? Zum Stand der Forschung in den Sozialwissenschaften
Authors: Opp Karl-Dieter
Published: September 2018

In diesem Beitrag werden die wichtigsten Erklärungen politischen Protests und sozialer Bewegungen dargestellt. Nach einigen grundsätzlichen terminologischen Bemerkungen und Überlegungen über die Vorgehensweise bei der Erklärung von Protest und sozialen Bewegungen werden die Theorie kollektiven Handelns, die Perspektive der Ressourcen-Mobilisierung, die Theorie der politischen Opportunitäten, der Framing-Ansatz und der Identitätsansatz behandelt. Abschließend wird gezeigt, wie diese unterschiedlichen Erklärungsansätze zu einer einheitlichen Theorie integriert werden können.
Was denken (zukünftige) Ökonom*innen? Befunde aus dem Feld der Soziologie ökonomischen Denkens und ihre Konsequenzen für das Studium der Wirtschaftswissenschaften
Authors: Lenger Alexander , Buchner Martin
Published: September 2018

Der Beitrag diskutiert die Frage des Selbstselektions- und Indoktrinationseffekts und die Konsequenzen eines so genannten Verstärkungseffektes. Er zeigt, dass empirische Befunde die Persönlichkeitseigenschaften von Wirtschaftswissenschaftler*innen und Wirtschaftslehrer*innen, also ihre fachspezifischen Präferenzen sowie die Sozialisation in diese spezifische Fachkultur, in den Mittelpunkt des Forschungsinteresses rücken. Entsprechend gilt es die Frage zu klären, wie die spezifischen Eigenarten von Wirtschaftswissenschaftler*innen erklärt werden können und welche Konsequenzen sich daraus für das Studium der Wirtschaftswissenschaften ergeben.