bluuebunny/crossref_metadata_2025 huggingface dataset:
Pasos en la construcción y verificación de un modelo explicativo sobre el ajuste psicosocial
Authors: Rodríguez-Fernández Arantzazu , Ramos-Díaz Estibaliz , Madariaga José María , Arrivillaga Ana , Galende Nuria
Published: February 2018

El presente trabajo tiene como objetivo someter a comprobación empírica un modelo explicativo sobre el ajuste psicosocial en la adolescencia, entendiendo el ajuste psicosocial en este etapa de la vida como la conjunción del ajuste escolar (o implicación en la escuela) y el bienestar subjetivo. Según este modelo hipotetizado, el ajuste psicosocial depende del autoconcepto y de la resiliencia, que a su vez funcionan como mediadores de la influencia del apoyo social percibido (de la familia, pares y profesorado) sobre dicho ajuste. Participaron en esta investigación un total de 1250 estudiantes de ESO (638 mujeres y 612 hombres) de entre 12 y 15 años (M = 13.72; DT = 1.09). Los resultados aportan evidencias de: a) la influencia de los tres tipos de apoyo percibido sobre la capacidad de resiliencia y sobre el nivel de autoconcepto, destacando el de la familia; b) del apoyo del profesorado sobre el ajuste escolar y de la familia sobre el bienestar psicológico; y c) del nulo influjo directo del apoyo de los amigos sobre el ajuste psicosocial, pero sí indirecto a través de las variables psicológicas. Estos datos se discuten tanto desde perspectivas educativas como en orden a futuras investigaciones.
El contexto familiar y escolar en la implicación escolar
Authors: Fernández-Zabala Arantza , Goñi Eider , Camino Igor , Zulaika Luis María
Published: February 2018

La familia, los pares y la escuela constituyen los tres principales contextos asociados a la implicación escolar. Este estudio trata de analizar las posibles diferencias en función del sexo y de la edad en dichas variables contextuales y en la implicación escolar, así como la relación entre ellas. Participaron un total de 1543 estudiantes de Educación Secundaria, 728 hombres (47.2%) y 815 mujeres (52.8%) con edades comprendidas entre los 12 y los 18 años (M = 14.24; SD = 1.63). Todos ellos cumplimentaron la escala de Apoyo Familiar y de Amigos (AFA), la escala de apoyo de profesores del Cuestionario Health Behaviour in School aged Children (HBSC) y el School Engagement Measure (SEM). Los resultados muestran diferencias significativas a favor de las mujeres en la percepción del apoyo de los amigos, así como en la implicación comportamental y emocional. Se hallan a su vez, puntuaciones significativamente más altas para el grupo de menor edad en cuanto a la percepción del apoyo tanto de los padres como del profesorado, y en la implicación escolar. Por otro lado, se observan índices de correlación significativos entre las variables contextuales, así como entre éstas últimas y la implicación escolar, si bien es el apoyo del profesorado el que correlaciona con más intensidad.
Hemoroit Tedavisinde Lastik Band Ligasyon Sonuçlarımız
Authors: ÇAY Ferhat , KANAT Burhan Hakan , GİRGİN Mustafa
Published: February 2018

Amaç: Çalışmamızın amacı Ocak
2015 – Ocak 2016 tarihleri arasında kliniğimizde hemoroit şikayeti nedeniyle
Lastik Band Ligasyon (LBL) yöntemi uygulanan hastaları retrospektif olarak
taramaktır. Materiyal Metot: Geriye dönük
olarak Ocak 2015 – Ocak 2016 tarihleri arasında kliniğimizde hemoroid şikayeti
nedeniyle LBL uygulanan hastaların kayıtları incelendi. Verileri eksik olan
veya tam olarak kayıtlarına ulaşılamayan hastalar çalışmaya alınmadı. Bulgular: Polikliniğimizde 25
hastaya lastik band ligasyonu uygulandı. İki hastanın verilerine tam
ulaşılamadığı için çalışma 23 hasta üzerinden yapıldı. Hastalardan 10’ u kadın, 13’ ü erkekti. Yaş ortalaması
33,4 (18-67) idi. LBL semptomatik 2. ve 3. derece hemoroidal hastalığı olan ve
cerrahi dışı yöntemlerle tedavi olmak isteyen hastalara uygulandı. 15 hastada
grade 2, 8 hastamızda grade 3 hemoroit pakesine işlem yapıldı. 16 hastada ( %
69) kanama, 6 hastada (% 14)  prolapsus,
8 hastada (% 53) dışkılama zorluğu, 14 hastada (% 61 ) ağrı ve 11 hastada da (%
49) kaşıntı şikayetleri vardı. LBL uyguladığımız hastalarımızdan 1 olguda ağrı
ve 1 olguda da minimal kanama gözlendi.

Sonuç: Sonuç olarak LBL
yönteminin güvenli, etkili, kolay uygulanabilen bir yöntem olması ve ayaktan
tedavi protokolü olduğu için hemoroitin cerrahi dışı tedavilerinden en sık
kullanılan tedavi yöntemidir. Fakat bu yöntemin uygulanma sonrasında düşen hemoroit
pakesinin mikroskopik tetkikinin yapılamaması bir dezavantaj olarak görülebilir.
Sistem Informasi Jadwal Perkuliahan Menggunakan Media Televisi (Studi Kasus Pada Jurusan Teknik Informatika Upn “Veteran” Yogyakarta)
Authors: Andani Sundari Retno , Wibowo Subastian , Poningsih Poningsih
Published: February 2018

Students are always confused with a schedule of lectures, about time of lectures, room that will be used, even about come or not the lecturer on class. As a result, students must always go to the education department to inquire this issue. It is very ineffective. But there is no system that helps students in overcoming this problem. In this paper, the authors build a system with the title is the information system of the schedules of lectures using television. The system is built using Delphi 6.0 programming language and uses Microsoft Access 2003 as the database. To operate this system requires a CPU and a television screen as an output device. This system provides information on the schedule of lectures to the students through a television screen. Information provided includes schedule of lectures, room that will be used, the certainty of the lecture will take place, and informing announcements and activities that will take place. These systems also support the effectiveness of the performance of educational staff in the conduct of daily operations.
Rekomendasi Pemberian Beasiswa Bantuan Siswa Miskin Menggunakan Algoritma TOPSIS
Authors: Safii Muhammad , Ningsih Surya
Published: February 2018

Poor Student Assistance is a National Program that aims to assist poor students to go to school and gain access to appropriate educational services, prevent dropping out of school, help students meet the needs of learning activities, support the Nine Years Education Program (even to upper secondary) school programs sourced from the State Budget. Several outcomes from the evaluation and study of BSM Program implementation show the weakness of this program, that is related to the accuracy of targeting of BSM where there are still many non-poor households that receive BSM and the number of inadequate. The target of BSM Program beneficiaries is still weak where many BSM recipients are not from poor households and many students from poor households / households do not receive BSM benefits and are still manuals of the methods used in establishing BSM recipients. In this research used decision support system with Technique for Order Performance by Similarity to Ideal Solution method. With this method can provide the right decision for the proper in scholarship grants for poor students.
Meningkatkan Kemampuan Komunikasi Matematis Siswa Kelas V SD Negeri 064997 Kecamatan Medan Labuhan Melalui Pendekatan Matematika Realistik
Authors: Kirana Ika Okta
Published: February 2018

This study aims to: (1) Improve students 'mathematical communication skills, and (2) Know the effectiveness of applying realistic mathematics learning to students' mathematics learning. This study is a classroom action research conducted in class V SD Negeri 064997 with the number of students as much as 19 people. Instruments used to collect data consist of tests, student and teacher activity observation sheets, and student response questionnaires. The result of the research shows: (1) realistic mathematics learning can improve students' mathematical communication ability, for class classification increased from 68,71% in cycle I to 72,96% in cycle II and 80,99% in cycle III, (2) realistic mathematics learning to the effective learning process mathematics, marked by the achievement of (i) classical mastery of 88.89% above the set criteria that is 85%, (ii) completeness of learning objectives in the third cycle reached 88.88% of students who achieve complete learning objectives 75% for each individual, (iii) the percentage of good category student activity is 77,78% at first meeting and second meeting 83,33% in cycle III, for teacher ability to manage learning equal to 82,05% %, (iv) time efficient, where the application of learning has been carried out in accordance with the time in RPP (v) student response to realistic mathematics learning dika very good categorization, to score the student's response questionnaire of 81.25% in cycle III.
Pembangunan Aplikasi Manajemen Tugas Mahasiswa Berbasis Mobile Android
Authors: Afwan Zul , Kurniawan Wahyu Joni , Putra Pandu Pratama
Published: February 2018

The task of the student is one of the assessment of student learning outcomes, the students who do not collect the task due to forgetting or not knowing the duty of the lecturer is very detrimental to the students. The tasks collected with the softcopy type sometimes troubled the students in collecting and also making it difficult for the lecturers to make all student assignments. By utilizing technology in supporting the lectures, mobile applications that are built to help students and lecturers in the lecture. Applications are built consisting of two sides, the first web application that will be used lecturers concerned in managing student tasks. Second, mobile-based applications that will be paired to student mobile devices that will interact with lecturers.
ANALISIS TINGKAT KEPUASAN PELANGGAN TERHADAP PENJUALAN AIR MINUM ISI ULANG DENGAN MENGGUNAKAN METODE ROUGH SET
Authors: Utami Tania Dian Tri , Windarto Agus Perdana , Hartama Dedy , Solikhun Solikhun
Published: February 2018

Kepuasan Pelanggan dalam penjualan air minum isi ulang merupakan hal penting. Mengingat penjulan air minum isi ulang yang semakin meningkat pada tiap daerah. Pada zaman sekarang, masyarakat lebih memilih konsumsi air minum isi ulang dikarenakan lebih hemat waktu dan biaya. Meningkatnya penjualan air minum isi ulang juga merupakan akibat dari susahnya mendapatkan air bersih untuk konsumsi. Penjualan air minum yang baik juga berdasarkan pada tingkat kebersihan air, mutu pelayanan, harga, serta waktu pengisian air tersebut. Dalam hal ini, penulis melakukan analisis pada Depot Air Minum Isi Ulang Rihata Water di Jl. Nirwana Huta VII, Desa Purbasari, Kec. Tapian Dolok, Kab. Simalungun. Analisis yang digunakan adalah dengan menggunakan metode Rough Set. Metode ini diharapkan dapat mengetahui kepuasan pelanggan terhadap penjualan air minum isi ulang. Analisis ini diharapkan dapat membantu menemukan tingkat kepuasan pelanggan terhadap penjualan air minum isi ulang. Dan dari hasilnya, analisis ini dapat menunjukkan pemberian hadiah terhadap pelanggan sesuai dengan kriteria tingkat kepuasannya.
Penyelesaian Masalah TSP Pada Rute Kunjungan ATM Dengan Pendekatan Heuristik (Tabu Search)
Authors: Simbolon Jhon Pontas , Zarlis Muhammad
Published: February 2018

Determination of optimum route is a problem that can be found in a variety of activities. Principal of the problem is how to organize the trip so the distance is the minimum distance that the optimum is best found on a map or graph. There are many algorithms available to solve them. Algorithm is divided into two parts, the exact methods and heuristic methods. Heuristic method is considered the best method because it can work quickly. Tabu search is a heuristic method that is often used in solving optimization problems. The algorithm works by improving a solution by using memory to avoid that the search process does not get stuck at a local optimum value by rejecting new solutions that may be in memory (taboo) so that the new solution will be more dispersed. The author will implement a tabu search algorithm to provide a better alternative solution to solve the problems of the effectiveness of the distribution of charging money at the ATM machine.
Sistem Pendukung Keputusan Penerima Beasiswa PPA Dan BBM Menggunakan Metode Simple Additive Weighting (SAW)
Authors: Safii M.
Published: February 2018

Improving Academic Achievement Scholarship (PPA) and Student Learning Aid (BBM) is one of the stimulus given to the government for students with the aim of motivating students to enhance the spirit of learning. In accordance with the program guidelines issued by the Directorate General of Higher Education must follow the principle of 3T is Right Target, Right Number and Timely. Computer Informatic Management Academy (AMIK) Tunas Bangsa Pematangsiantar is one of the private universities obtained on the scholarship quota. In accordance with the number of students currently as many as 1,400 people then the allocation of the scholarship must be selected carefully to fit the government guidelines. In this case we need a method that can support decision boosters system (DSS) in determining the grantee is using simple additive weighting method (SAW). With the basic concepts seek a weighted sum of the rating performance of each alternative on all attributes that require a decision matrix normalization process. This method can make an assessment criteria and detailed compound with a comprehensive framework considerations hierarchy process which then calculate the weights to each criterion in determining the priority recommendations of PPA and BBM scholarship recipients in accordance with the target.
Penilaian Prestasi Kerja Karyawan PTPN III Pematangsiantar Dengan Metode Simple Additive Weighting (SAW)
Authors: Windarto Agus Perdana
Published: February 2018

Performance appraisal of employees is absolutely done to know the achievements that have been achieved every employee. With achievement appraisal means subordinates get attention from the topics to encourage their passionate work, with reference to the process of honest and objective assessment and there follow-up. Follow-up appraisals enable employees to be promoted, demotivated, cultivated, and rewarded for service. The purpose of this study is to make a decision support system employee performance appraisal employee used to increase the class. This decision support system uses Simple Additive Weighting (SAW) Method. Where the criteria used are Work Attitude Employees, How Employees Work, Employees Work and Employee Duty Day. The sample data used is 5 with different weights on each criterion. This study took a case study of PTPN III Pematangsiantar with the calculation that 0.90 has the highest value according to SAW calculation. The value is in the name of Mr. Syamsul Arifin, SE. Therefore this method can be used to assess employees by entering actual data in the system created and can solve the selection problem in multi-process decision making.
Pidana Pengganti Denda Sebagai Bentuk Substitusi Pidana Dalam Pertanggungjawaban Pidana Koorporasi
Authors: Adriano Adriano
Published: February 2018

There are differences of characteristics between natuurlijke person (man) with rechtspersoon (legal entity or corporation) even though they both constitute legal subjects, these differences result on assembling of the criminal. Criminal fines become a major staple for corporate criminal in its application can not stand alone but must be accompanied by a fine substitute criminal law enforcement in order to run run well. Jika denda tidak dibayar oleh natuurlijke person, then the person liable to imprisonment for a fine substitute. So what if it happened to the corporation, the rechtspersoon certainly can not be imposed imprisonment in substitute of fine. This article will answer in detail the intricacies associated with it and how criminal that should be applied to the corporation.
Perkembangan Transaksi Perbankan dan Implikasinya Terhadap Pembaharuan Hukum Perdata Indonesia
Authors: Abubakar Lastuti
Published: February 2018

Transaksi perbankan Indonesia berkembang seiring perkembangan sektor jasa keuangan regional dan global. Untuk dapat memanfaatkan peluang memasuki akses pasar yang terbuka, perbankan Indonesia dituntut untuk mengembangkan layanan jasa dan produknya. Hal ini berimplikasi terhadap perkembangan transaksi dan objek transaksi perbankan, yang banyak mengadaptasi jenis transaksi dan objek transaksi dari sistem common law. Oleh karena itu, diperlukan pembaruan hukum perdata agar dapat memberikan landasan hukum yang kuat bagi perkembangan transaksi bisnis, termasuk perbankan di Indonesia.Kata kunci: Perbankan Indonesia- jenis dan objek transaksi perbankan- pembaruan hukum Perdata
Perlindungan Privasi dan Data Pribadi Konsumen Daring Pada Online Marketplace System
Authors: Indriyani Masitoh
Published: February 2018

Online marketplace system merupakan satu diantara bentuk perkembangan aktifitas e-commerce. Online marketplace system menyediakan sarana aktifitas belanja secara daring dimana memuat berbagai layanan untuk mempermudah konsumen daring (e-consumer). Disisi lain, layanan yang mempermudah tersebut terdapat memberikan potensi ancaman bagi konsumen daring terutama terkait dengan data pribadi dan privasi konsumen daring tersebut. Penelitian ini membahas tentang perlindungan data pribadi dan privasi e-consumer pada online marketplace system dengan menggunakan metode penelitian normatif (legal research). Pendekatan penelitian yang digunakan adalah Statute Approach, Conceptual Approach, Case Approach serta Comparative Approach. Hasil dari penelitian ini tampak bahwa perkembangan e-commerce di Indonesia telah berjalan sedemikian pesat, setidaknya Negara mendorong lahirnya start up baru yang dapat memanfaatkan pelbagai program, salah satunya adaalah “1000 technopreuner” serta ada program-program lainnya. Namun, hal tersebut tidak akan berjalan efektif tanpa adanya perlindungan hukum yang memadai, khususnya terkait hak privasi dari konsumen. Di dalam regulasi nasional saat ini terdapat UU Nomor 11 Tahun 2008 tentang ITE,  PP Nomor 28 tahun 2012 tentang Penyelenggaraan Sistem dan Transaksi Elektronik. Dengan dua regulasi hukum tersebut Kemenkominfo dapat melakukan pendaftaran dan pendataan bagi pelaku usaha e-commerce melalui serangkaian proses profiling dan report databased agar konsumen terhindar dari penipuan yang dilakukan oknum yang tidak bertanggungjawab Kata kunci: perlindungan hukum, data pribadi, privasi, e-commerce, online marketplace system
Trend Analysis of the Value Added Tax in Nepal
Authors: Sutihar Deo Narayan
Published: February 2018

Value added tax (VAT) is the recent one of the sales tax family. This article tries to estimate the share of VAT in Gross Domestic Product (GDP), total tax revenue and indirect tax revenue. Besides, it also estimates the growth rate of VAT. This comprises 2.80 percent and 16.01 percent share of GDP in fiscal year 2000/01 and 2014/15 respectively. It also ranges from 30.69 percent to 37.63 percent share of tax revenue. Likewise, its share ranges from39.94 percent to 50.05 percent. The regression equation has been used to estimate annual growth rate of VAT. The estimate of the annual growth rate of VAT is found to be Rs.6.63billion. From this result, it is obvious that VAT has been increased by Rs. 6.63 billion annually during study period of the fifteen years. The coefficient of determination (R2) shows 87.76% of the total variation in VAT is explained by the variation in time variable. Similarly, the adjusted coefficient of determination (R2) exhibits that 86.82% of the total variance in VAT is explained by the variance in time variable. The calculated value of F-distribution is found to be 93.204, which is greater than critical value of F i.e. F0.05 (1,13)=4.67. It is significant at 5% level, which exhibits the best fitted regression line. From the statistical analysis, the value of autocorrelation is found to be 0.54 and its d-statistic is also found, which is significant at 5 percent level. Thus, the analysis justifies that there is a positive autocorrelation among error terms. To remove the autocorrelation, the transformation data have been used. But, the value of autocorrelation is not found corrected which needs by incorporating other important explanatory variables to further research.

 Economic Literature, Vol. XIII August 2016, page 1-8

 
Impact of Remittance on Household Income, Consumption and Poverty Reduction of Nepal
Authors: Bam Nirajan , Thagurathi Rajesh Kumar , Neupane Deepak
Published: February 2018

The study aims to identify the impact of remittance income on household per capita income, consumption, poverty headcount ratio and poverty gap by using simple linear and log linear regression model furthermore it focused on to identify the gap of income and consumption level of upper and poor quintile population and compare the income and consumption level of different development region of Nepal by using data of Nepal living standard survey III.It was found that,remittance income has statistically significant positive impact on household per capita income and consumption.There is significant negative relationship between remittance income and proportion of poor quintile population and significant positive relationship between remittance income and richest quintile population. It indicates that due to remittance income lower quintile population was decreased significantly and richest quintile population was increased significantly. Furthermore there is inverse relationship between remittance and poverty head count ratio and poverty gap, which indicates increment on average per capita remittance income reduce the poverty headcount ratio and poverty gap.

 Economic Literature, Vol. XIII August 2016, page 1-8

 
Household Economies of Chepang People in Chitwan
Authors: Sharma Ganesh , Aryal Badri
Published: February 2018

This study attempts to characterize a typical Chepang community in Chitwan  district with reference to their economy at household level based on the study conducted in Lothar Village Development Committee. Chepang are considered to be one of the highly marginalized communities in Nepal having traditional subsistence based small economies. Their houses are small with mud floor, stone walls and straw roofs. One third of the Chepang households do not have toilets. They rear small number of mixed livestocks in a house eg. Cattle, buffaloes, poultry, goat and pig. They do not have household amenities like freeze, telephone, television, computer, motorcar and motorbike; but have mobile phones. More than ninty percent of Chepang go to jungle to collect one or the other types of edibles like githavyakur, wild fruits, and chiuri.Ninty five percent of Chepang people do not have bank account, thus rely on their friends and relatives for borrowing in household needs for money. Chi-square test reveals highly significant association between size of landholding and food sufficiency months, level of education and annual income, purpose of taking loan and sources of loan; as well as estimated  annual income and account holding in bank.

 Economic Literature, Vol. XIII August 2016, page 39-45
The Impact of Customer Retention Strategies in the Nepalese GSM Mobile Service Providers: A Case of Pokhara City
Authors: Bir J.B.R. Subarna
Published: February 2018

The cellular industry of Nepal has grown by many folds with the influx of more mobile network providers in the market creating a hyper competition among themselves. Retaining the existing customers rather than just focusing on the regular market expansion is, therefore, becominginevitable for them to sustain. In this realm, this research carried out with the core objective of identifying and assessing the impact of customer retention strategies adopted by GSM Cellular Network companies, primarily Ncell & Nepal Telecom within the locality of Pokhara, taking a sample of 192 network users as respondents within a survey based research design framework, surfaced some important findings. Five out of the six customer retention strategies so identified: Service quality, customer care services, price, loyalty enhancement programs and communications showed an association with the type of network customer use except for other service facilities which showed no association with the network types. Very few of users from Pokhara were thinking to switch over to other networks. Internet proved to be the most effective marketing strategies than other media. Service Quality and loyalty enhancement programs were found to be the most preferred customer retention strategies by the users of both networks.

 Economic Literature, Vol. XIII August 2016, page 1-8
Money Supply Determinants in Nepal: A Macro Analysis
Authors: Tiwari Saraswoti
Published: February 2018

This paper analyzes the major money supply determinants in Nepal in the past 10 years from FY 2004/05 - FY 20014/15. In this study monetary base is determined by two explanatory variables (i.e. NFA and NDC) and are called the 'proximate' determinants of the base money. Among the explanatory variables, the net foreign asset (NFA) is found as better determinant than net domestic assets (NDA) in Nepalese economy. For the analysis of determinants of money multiplier (MM), the three explanatory variables i.e., reserve to total deposits ratio (r), time deposits to demand deposits ratio (t) and currency to demand deposits ratio (c) have been used. The model applied in this study shows that explanatory variable of time deposits to demand deposits ratio is the best determinant of money multiplier. The reserve money (RM) is analyzed as the best determinant of money supply, net foreign assets (NFA) is the major determinant of reserve money and time deposits to demand deposits ratio is the significant determinant of money multiplier.

 Economic Literature, Vol. XIII August 2016, page 55-60
Dengue - Past, Present And Future
Authors: Chaudhary Nagendra , Pahwa V. K.
Published: February 2018

Not available.Journal of Universal College of Medical Sciences (2017) Vol.05 No.02, Issue 16, page: 1-2
Comparison of Antimicrobial Efficacy of Calcium Hydroxide and 2% Chlorhexidine as Medicaments
Authors: Tripathi Rupan , Gautam Vanita , Pahwa V. K. , Agrhari Vikas , Batra Manu , Kumar Hemant
Published: February 2018

INTRODUCTION: The use of intracanal medicaments help in elimination of bacteria that remain even after cleaning and shaping. This study isdone to compare the antimicrobial efficacy of2% chlorhexidine gel and calcium hydroxide as an intracanal medicament against E.faecalis.MATERIAL  & METHODS: Sixty extracted single-rooted human teeth were prepared with standard method. After contaminating the canals with E. Faecalis and incubated for seven days, the samples were divided into four groups (n=15). Normal saline was used as control group. The teeth in each group were treated with normal saline, calcium hydroxide and 2% chlorhexidine gel. Microbial samples were obtained from the dentinal shavings of root and colony forming units (CFU) of E.faecalis were recorded after 24hrs, 72hrs and 7 days.RESULTS: To determine the significance of the differences between the different groups, ANOVA(Analysis of variance) and Tukeys Honestly significant Difference (HSD) Post hoc test were performed. Mean CFU of calcium hydroxide group and 2% chlorhexidine group was statistically significantly different from CFU of all other groups (p<0.01).CONCLUSION: Mean CFU of calcium hydroxide was found to increase at 24 hrs and decreases at 72 hrs and 7 days.The antimicrobial efficacy 2% chlorhexidine gel was better than calcium hydroxide paste.Journal of Universal College of Medical Sciences (2017)Vol.05 No.02 Issue 16, Page: 8-11
Occupational Overuse Syndrome and its Severities in Software Professionals of Rupandehi District, Nepal
Authors: Dhakal Indra , Sharma Shanta
Published: February 2018

INTRODUCTION: Prevalence of occupational overuse syndrome (OOS) is not new in computer professionals. Occupational overuse syndromes are diseases of the modern era and rank first among the health problems in the frequency with which they affect the quality of life. As the IT has been developed in a rapid way the different health problems are emerging in the same way which is of great concern. Some are caused by occupational exposures, and are marked with direct professional relation, or the action of harmful effects in the workplace.MATERIAL & METHODS: A descriptive study was conducted in software professionals of Rupandehi district, Nepal. Data was collected as per pretested structured Performa from 270 respondents randomly and analyzed by using SPSS, MS-excel and Chi-square test to determine associations between categorical variables.RESULTS: The results of the study showed that majority of respondents belonged to 20-30 years of age, 74.4 per cent of respondents were male and 25.6 per cent were female, major occupational overuse syndrome was headache, back pain and neck pain. Majority of respondent's (56.3%) working duration was 3-6 years and increased health problems are observed with increase in work duration.CONCLUSION: The present study concluded that majority of respondents had health problems and the major occupational overuse syndromes were headache, back pains, neck pain. Study also concludes that there is a relation between working duration and health problems, and the problems increase as the duration at work increases.Journal of Universal College of Medical Sciences, Vol. 5, No, 2, 2017, Page: 26-30
Clinico-Radiological and Pathological Correlation of Breast Lesions in Patients Presenting to a Tertiary Hospital in Western Nepal
Authors: Sharma Prakash , Shrestha Elina , Tiwari Prabhat Kumar
Published: February 2018

INTRODUCTION: Breast masses are frequently encountered problem, especially in females. Mammography and ultrasound are considered the standard imaging techniques for detection and evaluation of breast disease. The study was done to discuss the role of mammography and ultrasound in evaluation of breast mases with cytological correlation and to compare the sensitivity, specificity, positive predictive value and negative predictive value of ultrasonography6 with mammography in breast masses in different age groups and in patients with different breast density.MATERIALS AND METHODS: It was a non randomized prospective study carried out in Manipal teaching hospital Pokhara. The data for study was collected from patients with breast lump who attended the department of Radiology during the period from October 2013 to October 2014. Mammography and ultrasonography were performed on all cases presented with breast lump. A Fine needle aspiration cytology correlation was then performed with formed the basis for definitive judgement.RESULTS: The study analyzed 50 total numbers of patients presented to Radiology department who had breast lumps. Patients were aged between 20 and 75 years. Maximum numbe3r of patients were between 40 and 49 yrs constituting 40%. The mean age was 39.8 years ± 12.85 yrs. Ultrasound was significantly more sensitive than mammography in age less than 40 years. Mammogram had a significantly higher sensitivity than ultrasound in age group of more than 40 yrs. By using combined modalities (ultrasonography combined with mammogram), all benign cases were diagnosed correctly. For malignant breast masses, 10% were diagnosed as false negative but no cases were diagnosed false positive by combined modalities. Ultrasound was more sensitive than mammography in dense and heterogeneously dense breast whereas mammography was more sensitive than ultrasound in predominantly fatty breast.CONCLUSION: Combination of ultrasound and mammogram is more sensitive than other modality alone.Journal of Universal College of Medical Sciences, Vol. 5, No. 2, 2017, Page: 40-44
Unusual Case of Retropancreatic Mass Involving Portal Vein
Authors: Poudel Rajesh , Adhikari Subodh K , Basnet Surendra , Acharya Arjun , Pokhrel Sarad
Published: February 2018

Retroperitoneal Tumors are relatively rare and usually present in locally advanced stage. They present special therapeutic challenges because of their location and frequent intimate association with major vessels in retroperitoneum. Herein, we present a case report of a patient with retropancreatic mass along with features of portal hypertension in CT scan. Intraoperatively tumor was adhered to portal vein, resection and anastomosis of Portal Vein with excision of tumor was done. Leiomysarcoma was diagnosed after histopathology and immunohistochemistry report.Journal of Universal College of Medical Sciences, Vol. 5, No. 2, 2017, Page: 49-52
Pattern of Precipitating Causes of Diabetic Ketoacidosis in A Tertiary Care Hospital of Bangladesh
Authors: Rahim Muhammad Abdur , Rouf Rozana , Ahmed Ashraf Uddin , Uddin Khwaja Nazim , Latif Zafar Ahmed
Published: February 2018

Background: Diabetic ketoacidosis (DKA) is an established presenting feature of type 1 diabetes mellitus, but infection and non-compliance to anti-diabetic treatment remain the major precipitating causes of DKA among diagnosed diabetic patients. This study was designed to evaluate the precipitating causes of DKA occurring among adult patients.Methods: This cross-sectional study was done in Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) General Hospital, Dhaka, Bangladesh from 2008 to 2011. Diagnosed adult DKA cases were consecutively and purposively included in this study. Patients were evaluated clinically and by laboratory tests aiming at identification of precipitating causes along with management.Results: Total patients were 200 with slight female (56%) predominance. Mean age of the study subjects was 37.6±7.5 years. Incidence of DKA was more in known diabetic patients (71%), more among rural population (53%) and low income group (76.5%). Infection (45.5%) was the commonest precipitating cause followed by non-adherence to anti-diabetic therapy (31%). Acute pancreatitis (5%), acute myocardial infarction (2%), stroke (1%) and surgery (1.5%) were less common causes and etiology could not be identified in 14% cases. Severe acidosis (pH < 7) was less common (8.5%). Neutrophil leukocytosis was present in 87% cases. Mortality was 6.5%.Conclusion: Over two-thirds of DKA cases were precipitated by infection and non-compliance to anti-diabetic treatment in this study. In a significant number of cases, no cause could be identified. Acute pancreatitis appeared as an important cause of DKA in this study.Bangladesh J Medicine Jan 2018; 29(1) : 3-6
Vaso-occlusive retinopathy and stage IV Lupus Nephritis; Primary manifestation of a 30 year old female
Authors: Saiful Tasnuva , Elahi Quadrat E , Mostafi Mamun , Mia Abdul Ali
Published: February 2018

The diagnosis of systemic lupus erythematosus (SLE) depends on clinical evidence of renal, rheumatologic, cutaneous, and neurologic involvement, supported by serological markers. Ocular involvement is not included in diagnostic criteria of SLE. Vaso-occlusive retinopathy, as the primary manifestation of systemic lupus erythematosus (SLE), is relatively rare. We report a 30-year-old female, who suddenly suffered bilateral visual loss. Fundus examination revealed bilateral occlusive retinal vasculitis. She fulfilled the American College of Rheumatology criteria for diagnosing SLE; she had arthralgia, photosensitivity, positive ANA, high titre of anti-dsDNA, and proteinuria. A renal biopsy showed stage IV lupus nephritis. Treatment was initiated with pulse steroid and immunosuppressant. Best corrected visual acuity of both eye improved to finger counting after treatment. This case demonstrates that in patients with severe vaso-occlusive retinopathy, a generalized immunological disorder, like SLE, should be suspected.Bangladesh J Medicine Jan 2018; 29(1) : 36-40
Dengue Expanded Syndrome: An unusual presentation
Authors: Islam Quazi Tarikul , Hossain Homayra Tahseen , Khandaker Md Abulkashem , Ahasan HAM Nazmul , Majumder Maksudul , Jabeen Tajnuva
Published: February 2018

Dengue fever is a mosquito borne viral infection found in tropic & sub-tropic regions. The symptomatic dengue infection follows an uncomplicated course; however, unusual manifestations of this disease are now being increasingly reported as expanded dengue syndrome which incorporates wide spectrum of uncommon presentation of this common disease which does not fall into either dengue shock syndrome or dengue hemorrhagic fever. We report a case of a 30 year old lady who presented with high grade fever, rash, diffuse abdominal pain & vomiting, who ultimately developed shock and features of multi organ failure. We diagnosed her as a case of expanded dengue syndrome with multi organ failure ( hepatitis with very high transaminase levels, pancreatitis, acalculous cholecystitis, coagulation failure & acute kidney injury) with septicaemia. With prompt diagnosis and aggressive management, this potentially fatal patient was cured.Bangladesh J Medicine Jan 2018; 29(1) : 45-47
Smithian Sentimentalism Anticipated: Pufendorf on the Desire for Esteem and Moral Conduct
Authors: Haara Heikki , Lahdenranta Aino
Published: February 2018

In this paper, we argue that Samuel Pufendorf's works on natural law contain a sentimentalist theory of morality that is Smithian in its moral psychology. Pufendorf's account of how ordinary people make moral judgements and come to act sociably is surprisingly similar to Smith's. Both thinkers maintain that the human desire for esteem, manifested by resentment and gratitude, informs people of the content of central moral norms and can motivate them to act accordingly. Finally, we suggest that given Pufendorf's theory of socially imposed moral entities, he has all the resources for a sentimentalist theory of morality.
Irréformable Russie
Authors: Gousseïnov Rifat
Published: February 2018

Analysing the Gorbachev / Yeltsin era, the author addresses a fundamental question : why is it that in Russia liberalising social and economic reforms always fail ? There are several answers to this question :

1 . The reformer(s) fail to take into account the hopes and aspirations of the people themselves.

2. They have no faith in society's creative ability. Hopeless dreamers and ardent idealists, they have, generation after generation (Peter the Great, Catherine the Great, Alexander II, Lenin, Gorbachev, Yeltsin / Gaidar) either been unaware of, or chosen to ignore, their people. They have posed as saviours, deserving, as they saw it, of the people's eternal gratitude. The frequently catastrophic results of their reforms force them (or their successor) to throw the reform movement violently into reverse.

3. In terms of the State's presence in the daily lives of its citizens, Russia belongs more to Asia than to Europe. This is a State that has grown too big, owns vast tracts of land, has huge industrial interests, and innovates in many areas. Its leaders very quickly realised that as the free market developed, so their power would wither away.

4. The Russian mentality (its values and behaviours) is imbued with the collecti- vist, "solidarity" ethic, as shown by the results of a study carried out in Novosibirsk in 1997. The Orthodox Church and its anti-free market stance is a further problem. As a result, the author is highly sceptical as to the prospects for the emergence of a market economy and democracy in Russia. "In our country", he pessimistically concludes, "the market economy is the end, and the means of achieving this end is to make people suffer."
Les journalistes soviétiques durant la glasnost à travers l'exemple des animateurs de l'émission Vzgliad
Authors: Daucé Françoise
Published: February 2018

At the end of the Soviet period, journalists used freedom of expression allowed by glasnost to criticize the communist regime, thereby participating in the demise of the USSR. But what exactly did this mean in practical terms ? Through the example of the Vzgliad TV show, this article examines the changes which occurred in journalistic practices before, during and after perestroika. From 1987 to 1991, Vzgliad was generally considered as an engine of democratization. At that time, journalists who ran it openly criticized the authorities, claimed a political role for themselves, and even ran against Communist Party candidates in elections. Their actions constituted a denunciation of the regime's failures. This adventure ended in December 1991 when Vzgliad was taken off the air in the wake of the collapse of the USSR. The fate of its journalists then strongly diverged. New economic and political constraints limited their critical role in the public space, thereby highlighting the problem of consolidating media freedom after glasnost.
Les nouvelles de Grace Paley : ironie, déconstruction et spiralité
Authors: Ledoux Claudine
Published: February 2018

Grace Paley contributes to American Jewish literature in a very particular way and presents deconstructive humor and irony in a manner reminiscent of the Derridian idea of deconstruction. Irony addresses another person, creating a physical and temporal distance which produces a dialectical movement between one and the other, an effect which we link to Jacques Derrida' s concept of difference. This process forms a spiral, generating as it does so a force which pulls the reader towards an à-venir, a potential future.
Arkadi Alexandrovitch Plastov, peintre officiel de la paysannerie russe, et la notion de narodnost
Authors: Milbach Juliette
Published: February 2018

After attending a religious school and a seminary in the Volga region, Plastov studied at the Stroganov and the Moscow School of Painting, Sculpture and Architecture. He became a renowned painter in the 1930s and received several distinctions for his work including the Stalin Prize in 1 946 and two Orders of Lenin in 1963 and 1968. Soviet publications and teaching materials often included some of his most famous compositions as illustrations, such as A Feast in the Kolkhoz, A Fascist flew past, Spring, and The Traktorist's Supper. While devoting most of his work to rural scenes in the Soviet era, Plastov seldom referred to political symbols in his paintings. The human figure is at the centre of his art. It is however far from the homo sovieticus we might expect : a peasant or a factory worker longing for progress and modernity. The characters are here painted in their traditional rural environment, toiling with ancestral tools, visually rooted in the nineteenth century Russian painting tradition and with elements of Christian iconography.
Les « nègres » juifs d'Anatoli Sourov, l'anti-cosmopolites
Authors: Vaissié Cécile
Published: February 2018

For historians of Soviet culture, Anatoly Surov is an extremely revealing phenomenon for at least two reasons, first of all, he played a key role in the persecutions, which were unleashed against "cosmopolitan" - that is to say, mainly, Jewish - theatre critics in 1948, during an explosion of State anti-Semitism. Second, he did not in fact write the six plays, that he signed between 1946 and 1953 and which earned him two Stalin Prizes, a considerable amount of money, a number of privileges and a prestigious position : he in fact used Jewish ghost writers, who were not fully consenting. As it turns out, there were many ghostwriters in the Soviet literature and dramaturgy. Surov's case helps to understand, what kind of processes went on, and also to better understand the protections used and enjoyed by some members of the Soviet elite.
Survival Analysis and Associated Factors in THAI Patients on Peritoneal Dialysis under the PD-First Policy
Authors: Changsirikulchai Siribha , Sriprach Suwannee , Thokanit Nintita Sripaiboonkij , Janma Jirayut , Chuengsaman Piyatida , Sirivongs Dhavee
Published: February 2018

Background

The peritoneal dialysis First (PD-First) policy means that PD is the first modality of dialysis chosen for patients with end-stage renal disease (ESRD), as put forth by the Universal Health Coverage (UHC) scheme. It was initiated in Thailand in 2008. Our aim is to analyze patient survival, technique survival, and associated factors.

Methods

Data of PD patients from January 2008 to November 2016 were studied. We calculated patient and technique survival rates (censored for death and kidney transplantation). Factors associated with survival were analyzed by the Cox proportional hazard model. Patient and technique survival rates between 2008 – 2012 and 2013 – 2016 were compared.

Results

Our study included 11,477 patients. The mean (standard deviation [SD]) age at initiation of PD was 54.0 (14.4) years. The level of education in 85.2% of cases was illiterate or primary school. A total of 60.9% of patients developed ESRD secondary to diabetes. The 1- to 5-year patient survival rates were 82.6, 71.8, 64.0, 58.5, and 54.0%, respectively. The first-year technique survival rate was 94.8%. The patient and technique survival rates during 2013 – 2016 were better than those seen during 2008 – 2012. Factors associated with lower patient survival rates were: female gender, increased age at start of PD, coverage with civil servant medical benefit scheme, low educational levels, and a history of diabetes.

Conclusion

Most patients had diabetes and low educational levels as seen in the outcomes in the previous literature. These factors impacted the survival of patients under the PD-First policy.
Prevalence-Based Targets Underestimate Home Dialysis Program Activity and Requirements for Growth
Authors: Bevilacqua Micheli U. , Er Lee , Copland Michael A. , Singh R. Suneet , Jamal Abeed , Dunne Órla Marie , Brumby Catherine , Levin Adeera
Published: February 2018

Background

Many renal programs have targets to increase home dialysis prevalence. Data from a large Canadian home dialysis pro gram were analyzed to determine if home dialysis prevalence accurately reflects program activity and whether prevalence-based assessments adequately reflect the work required for program growth.

Methods

Data from home dialysis programs in British Columbia, Canada, were analyzed from 2005 to 2015. Prevalence data were com pared to dialysis activity data including intakes and exits to describe program turnover. Using current attrition rates, recruitment rates needed to increase home dialysis prevalence proportions were identified.

Results

We analyzed 7,746 patient-years of peritoneal dialysis (PD) and 1,362 patient-years of home hemodialysis (HHD). The proportion of patients on home dialysis increased by 3.34% over the ten years examined, while the number of prevalent home dialysis patients increased 2.65% per year and the number of patients receiving home dialysis at any time in the year increased 4.04% per year. For every 1 patient net home dialysis growth, 13.6 new patients were recruited. Patient turnover included higher rates of transplantation in home dialysis than facility-based HD. Overall, the proportion dialyzing at home increased from 29.3 to 32.6%.

Conclusions

There is high patient turnover in home dialysis such that program prevalence is an incomplete marker of total program activity. This turnover includes high rates of transplantation, which is a desirable interaction that affects home dialysis prevalence. The shortcomings of this commonly used metric are important for renal programs to consider, and better understanding of the activities that support home dialysis and the complex trajectories that home dialysis patients follow is needed