bluuebunny/crossref_metadata_2025 huggingface dataset:
PENGARUH INTRAPRENEURSHIP TERHADAP KINERJA PERUSAHAAN MANUFAKTUR DI TANGERANG
Authors: Friana Rita , Indriana Ina
Published: December 2017

Penelitian ini bertujuan untuk meneliti pengaruh intrapreneurship terhadap kinerja perusahaan manufaktur di Tangerang. Populasi penelitian ini adalah manajer perusahan manufaktur di Provinsi Banten. Penelitian ini mengembangkan dan menguji sebuah model teoritis dimana variabel intrapreneurship dibentuk oleh faktor inovasi, risiko / ketidakpastian, resiko / tantangan, energi kompetitif, proaktif dan otonomi, dan kinerja pada variabel kinerja keuangan, variabel produktivitas serta variabel pertumbuhan dan perbaikan. Berdasarkan kuesioner, yang dipilih menggunakan metode purposive sampling diperoleh data dari sampel 25 perusahaan menengah manufaktur di Tangerang. Penelitian ini menggunakan metode analisis konfirmasi yang didasarkan pada model persamaan struktural (SEM). Model penelitian ini menggunakan AMOS 21.0. Hasil dari penelitian ini mengungkapkan bahwa intrapreneurship memiliki struktur multidimensi. Faktor inovasi, risiko / tantangan, energi kompetitif dan proaktif dapat menjelaskan intrapreneurship dengan baik. Model ini membuktikan pengaruhnya pada pertumbuhan dan perbaikan. Intrapreneurship berpengaruh terhadap pertumbuhan dan perbaikan. Penelitian ini memberikan kontribusi untuk menyoroti teori pentingnya faktor pembentuk intrapreneurship dan pengaruhnya dalam model. Hal ini bermanfaat bagi para peneliti mencari ukuran kinerja yang tepat dan intrapreneur bertujuan untuk mendukung keputusan mereka serta mengevaluasi kinerja mereka.This study aims to investigate the influence of intrapreneurship on the performance of manufacturing companies in Tangerang. The population was manager of a manufacturing company in the province of Banten. This study developed and tested a theoretical model where the variable intrapreneurship shaped by factors of innovation, risk / uncertainty, risks / challenges, competitive energy, proactive and autonomy, and performance on financial performance variables, variables and variable productivity growth and repair. Based on the questionnaire, which is selected using purposive sampling method of data obtained from a sample of 25 medium-sized companies manufacturing in Tangerang. This study uses confirmatory analysis based on structural equation modeling (SEM). This research model using AMOS 21.0. The results of this study revealed that intrapreneurship has a multidimensional structure. Innovation factors, risks / challenges, competitive and proactive energy can explain well intrapreneurship. This model proved its effect on the growth and repair. Intrapreneurship affect the growth and repair. This study contributes to theory highlights the importance of intrapreneurship-forming factors and their effects in the model. This is helpful for researchers looking for appropriate performance measures and intrapreneurs aims to support their decisions and evaluate their performance.
ANALISIS VARIABEL MAKROEKONOMI TERHADAP KINERJA REKSADANA CAMPURAN
Authors: Kurniasih Augustina , Johannes Leonardo David Yuliandy
Published: December 2017

Saat ini semakin banyak tersedia pilihan instrumen investasi. Salah satu instrumen investasi adalah reksadana. Kondisi makroekonomi Indonesia mempengaruhi kinerja investasi, termasuk investasi reksadana. Salah satu jenis reksadana adalah reksadana campuran. Penelitian ini bertujuan menguji dan menganalisis pengaruh return IHSG, return Kurs USD, return JIBOR Interest Rate dan return Obligasi Pemerintah Indonesia terhadap kinerja reksadana campuran. Periode penelitian adalah selama satu tahun (2012), menggunakan data harian. Total reksadana campuran di BEI berjumlah 120, yang memenuhi kriteria menjadi sampel sebanyak 86. Metode yang digunakan untuk menjawab permasalahan penelitian adalah regresi linier berganda. Ditemukan bahwa faktor makroekonomi yang berpengaruh signifikan terhadap return reksadana campuran adalah return IHSG dan Suku Bunga JIBOR.Nowadays investment instruments are growing. One of the investment instruments is mutual fund. Indonesian macroeconomic conditions affected the performance of investments, including on mutual funds. One type of mutual fund is balance mutual funds. This study aims to examine and analyze the effect of stock index returns, return of USD exchange rate, return of JIBOR Interest Rate, and return of government bonds of Indonesia to the performance of balance mutual funds. Observation period is one year (2012), using daily data. Total balance mutual funds in IDX are 120, which meets the criteria of the sample were 86. Method used to answer the research problem is multiple linear regressions. It found that macroeconomic factors that significantly influence the performance of balance mutual funds are returns JCI and JIBOR interest rate return.
PENGARUH KOMPENSASI DAN MOTIVASI TERHADAP KINERJA KARYAWAN PT BANK EKONOMI RAHARJA TBK AREA JAKARTA 5
Authors: Maheswari Hesti , Lutvy Lulu Rehande
Published: December 2017

Tujuan penelitian ini membahas mengenai pengaruh Kompensasi dan Motivasi terhadap Kinerja Karyawan. Data diperoleh melalui survey dengan menyebarkan kuesioner kepada 69 orang responden pada PT. Bank Ekonomi Raharta, Tbk Area Jakarta 5. Teknik pengambilan sampel yang digunakan adalah sampling jenuh, sedangkan metode analisis yang digunakan adalah analisis regresi linier berganda dan uji hipotesis menggunakan uji t untuk uji secara parsial dan uji F untuk menguji pengaruh secara simultan dengan menggunakan software SPSS versi 20. Hasil dari penelitian menunjukkan Kompensasi dan Motivasi berpengaruh terhadap Kinerja Karyawan secara simultan. Secara parsial, Kompensasi berpengaruh terhadap Kinerja Karyawan sedangkan Motivasi tidak berpengaruh terhadap Kinerja Karyawan.This Research Entitlethe Effect Of Compensation And Motivation On Employee Performance. The Data Obtained Through The Survey By Distributing Questionnaires To 69 Respondents At Pt. Bank Ekonomi Raharja, Tbk Area Jakarta 5. The Sampling Technique Use Dissaturated Sampling, Whereas The Method Of Analysis Used Is Multiple Linear Regression Analysis And Hypothesis Testusing The T-Testfor Testing The Partiallyand F-Testfor Testing The Effect Of Simultaneously Using Spss Software Version 20. The Result Of The Research Showed That Compensation And Motivation Has Influence On Employee Performance Simultaneously. Partially, Compensation Has Influence On Employee Performance Whereas Motivation Han’ts Influence On Employee Performance.
DUKUNGAN AKADEMIK DAN DUKUNGAN SOSIAL SEBAGAI PREDIKTOR NIAT BERWIRAUSAHA MAHASISWA (Studi Pada Mahasiswa Peminatan Kewirausahaan Program Studi S1 Manajemen Fakultas Ekonomi Universitas Tarumanagara)
Authors: Wiyanto Hendra
Published: December 2017

Penelitian ini dilakukan dengan tujuan untuk menguji dukungan akademik dan dukungan sosial terhadap niat berwirausaha. Sampel yang diambil dalam penelitian ini adalah 60 siswa dari Jurusan Manajemen Fakultas Ekonomi Universitas Tarumanagara melalui metode purposive sampling dengan kriteria sampel yang siswa mengikuti program spesialisasi kewirausahaan. Teknik analisis yang digunakan dalam penelitian ini adalah regresi berganda. Temuan penelitian menunjukkan bahwa (1) dukungan akademik dan sosial dukungan secara bersama-sama berpengaruh signifikan pada niat berwirausaha (2) dukungan akademis secara parsial tidak memiliki dampak yang signifikan terhadap niat berwirausaha (3) dukungan sosial secara parsial memiliki dampak signifikan pada niat berwirausaha.This study was conducted to test the support of academic and social support for entrepreneurial intentions. Samples taken in this study were 60 students from the Faculty of Management Department of Economics, University Tarumanagara through purposive sampling method with sample criteria that students follow entrepreneurship specialization program. The analysis technique used in this study is multiple regression. The findings showed that (1) support the academic and social support jointly significant effect on the intention of entrepreneurship (2) academic support partially does not have a significant impact on the intention of entrepreneurship to students (3) social support partially have a significant impact on entrepreneurial intentions.
PENGARUH KOMPENSASI DAN BUDAYA ORGANISASI TERHADAP TURNOVER INTENTION
Authors: Widayati Catur , Yunia Yolanda
Published: December 2017

This study aims to determine the effect of compensation and organizational culture on turnover intention. The object of this study are employees of the company PT HadicoPersada with businesses engaged in outsourcing, located in Central Jakarta. This study was conducted on 47 respondents. The sampling technique used in this study is saturated samples. Therefore, the analysis of the data used is the statistical analysis in the form of multiple linear regression tests. These results indicate that partially, the variable compensation has a negative and significant impact on the variable turnover intention. Variable organizational culture has a significant negative effect on the variable turnover intention.
PERAN BRAND LOYALTY SEBAGAI MEDIATOR ANTARA BRAND LOVE DAN BRAND TRUST KONSUMEN USAHA JASA PERJALANAN WISATA
Authors: Riorini Sri Vandayuli
Published: December 2017

Competition in tour & travel in gaining subscribers is increasing in line with the increment of consumer demand for traveling. Brands can be a competitive tool of a company. Research conducted is aimed at analyzing Brand Love, Brand Trust toward the Word of Mouth through Brand Loyalty. A total of 200 respondents in the sample who use the services of tour and travel is selected by using Purposive sampling technique. The method of data analysis applies the Structural Equation Model / SEM. This study finds (1) the positive and direct influence of Brand Love, Brand Trust toward Brand Loyalty, Word of Mouth. (2) Brand Loyalty plays a role in mediating the relationship between Brand Love, Brand Trust with Word of Mouth. (3) The strongest factor affecting the Word of Mouth is the Brand Trust. For further research is recommended to include Brand Commitment as antecedent of Brand Loyalty, and to apply this research to other services categories.
The effect of corporate social responsibility towards customer loyalty: the role of trust, c-c identification, and customer satisfaction
Authors: Halim Rizal E , Hermawan Ahmadan Maulana
Published: December 2017

In addition to running the rules set by the government, the activity of Corporate Social Responsibility (CSR) is also carried out by the company in increasing customer loyalty. This study aims to analyze the influence of CSR activities at the local aircraft company and local banking company to customer loyalty mediated by customer trust,C-C(Consumer-Company) identification, and customer satisfaction. Selection of these two industries because ofgrowththat hasoccurredeveryyear. The sample was consumers who have used the services of local aircraft in the last six months and consumers were registered as clients of local banks in the six months before the study began. This study uses Structural Equation Modeling (SEM) and found that for consumers from local aircraft, the company's CSR activities significantly affect customer loyalty through mediation of customer trust, while consumers from  local bank, CSR activities significantly affect the customer loyalty through mediation of c-cidentification.
PENGARUH GAYA KEPEMIMPINAN DAN PENGEMBANGAN KARIR TERHADAP INTENSI TURNOVER: KEPUASAN KERJA SEBAGAI MEDIATOR
Authors: Saklit I Wayan
Published: December 2017

This study aims to determine the Style of Leadership and Career Development effect on Turnover Intention in PT. Takenaka Indonesia, either directly or through job satisfaction as an intermediary factor. PT. Takenaka Indonesia is a Japanese company, which is engaged in construction services include design, supervision and contractor, established since 1994.The approach used in this study is a quantitative approach, whereas the method used to analyze the research data is The Structural Equation Modeling (SEM). The population in this study were employees of PT. Takenaka Indonesia, both permanent employees and contract employees who were three hundred and ninety-two,and the number of samples is one hundred and ninety-two, which taken using stratified random sampling technique. Based on Statistics test results using SEM analysis technique, it was found that (1) style of leadership and career development had a positive influence on job satisfaction; and (2) The style of leadership and career development a positive influence on turnover intention, either directly or through the Job Satisfaction
Examining the Factors Affecting the Allocation of Financial Resources in Vietnam
Authors: Thanh Le Trung , Khuong Nguyen Duc
Published: December 2017

­This study presents a methodology for measuring the allocation of financial resources and examinines the impact of some factors on the economic development. Based on ​​Wurgle (2000), we expand to establish the coefficient by economic structure and examines the main impact of financial development on the allocative efficiencies from 1995 to 2016 in Vietnam and some neighboring countries. The results from the Autoregressive distribution lag model ARDL show the non-linear relationship follows invertedU-shaped between credit to the private sector and the efficiency of allocation follow the inverted U shape. This supports increasing credit to private sector in order to optimize allocation.In addition, we also provide some shreds of evidence of the impact of external financial resources, the development of the stock market, trade openness, money supply, interest rate spread and government spending affect the efficiency of the allocation financial resources.
Determinants of External Debt in Developing Countries
Authors: Khac Lich Hoang , Tu Duong Cam
Published: December 2017

This paper investigates the determinants of external debt in developing countries. By analyzing the fixed effect model, with the panel data of 50 countries during 1996-2015, it shows that external debt has been increasing dramatically. This is because of an increase in debt accumulation in the past, public investment and exchange rate. By contrast, the pace of economic growth, inflation and net exports decreases the external debt.
ETHICAL CONSUMERS IN GREECE: WHO ARE THEY?
Authors: Delistavrou Antonia , Katrandjiev Hristo , Tilikidou Irene
Published: December 2017

Presents a segmentation on the basis of the overall ethical consumption concept for the first time in Greece. Four segments were identified: Ethical Consumers (18.09%), Boycotters (20.48%), Ecological Consumers (27.86%) and Conventional Consumers (33.57%). The Ethical Consumers’ segment consists of well educated citizens, who adopt all ethical behaviours more frequently. These consumers were found to be more confident they can control politics, less materialists, most attracted by post-materialist goals as well as less sceptical towards ethical products and less indifferent about ethical consumption issues. This segment may be considered as attractive enough to be targeted by business and non for profit organisations.
Artificial Light at Night and Obesity: Does the Spread of Wireless Information and Communication Technology Play a Role?
Authors: Rybnikova Nataliya A , Portnov Boris A
Published: December 2017

Purpose: Artificial light at night (ALAN) may influence body mass via different mechanisms, including the suppression of the melatonin production by direct ALAN exposure, and by causing a shift in the food intake, due to activities enabled by ALAN. In the present paper, we attempt to separate these potential mechanisms by introducing measures of Internet and cellular phones use that reflect the proliferation of information and communication technologies (ICT) in individual countries of the world.

Methods: In addition to ICT measures, our multivariate regression models link country-specific obesity rates with ambient ALAN levels, captured by satellite sensors, with per capita GDP, urbanization, birth rate, food consumption and regional differences.

Results: As the analysis reveals, in low-income countries, the number of cellular phone subscriptions emerged as a statistically significant predictor of obesity rates (t>2.386; P<0.05), while in the rest of the world countries, obesity was found positively related to ALAN (t>2.251; P<0.05), but not to Internet and cellular phone use (P>0.1).

Conclusion: We explain these differences by the fact that Internet and cellular phones are widely spread in low resource countries, and their use may become an effective circadian disruptor, despite relatively low ambient ALAN levels, attributed to limited economic resources available.
Regulating Artificial Light at Night: A Comparison Between the South Korean and English Approaches
Authors: Morgan-Taylor Martin , Kim Jeong Tai
Published: December 2017

Artificial light at night is associated with safety and security, and the expression well-lit is usually taken to mean brightly lit.  Without it human leisure and commercial activities would cease at dusk. However, emerging research indicates that there are problems associated with its use, and these problems are becoming more pronounced with modern lighting practices. It is these problems, which are usually called light pollution, which warrant regulation.

This paper will first outline the reasons why artificial light at night should be regulated; it will then explore the different types of possible regulation, and discuss which forms may offer the best opportunities for good, sustainable lighting. It will finally critically evaluate the “bolt-on” subjective approach of the United Kingdom by way of nuisance and planning regulation, with the merits of the objective metrics system used by the South Korean Light Pollution Prevention Act 2013.
STARS4ALL Night Sky Brightness Photometer
Authors: Zamorano Jaime , García Cristóbal , Tapia Carlos , Sánchez de Miguel Alejandro , Pascual Sergio , Gallego Jesús
Published: December 2017

We present the main features of TESS-W, the first version of a series of inexpensive but reliable photometers that will be used to measure night sky brightness. The bandpass is extended to the red with respect of that of the Sky Quality Meter (SQM). TESS-W connects to a router via WIFI and it sends automatically the brightness values to a data repository using Internet of Things protocols. The device includes an infrared sensor to estimate the cloud coverage. It is designed for fixed stations to monitor the evolution of the sky brightness. The photometer could also be used in local mode connected to a computer or tablet to gather data from a moving vehicle. The photometer is being developed within STARS4ALL project, a collective awareness platform for promoting dark skies in Europe, funded by the EU. We intend to extend the existing professional networks to a citizen-based network of photometers.
The Impact of Light Pollution on Islamic New Moon (hilal) Observation
Authors: Shariff Nur Nafhatun Md , Hamidi Zety Sharizat , Faid Muhamad Syazwan
Published: December 2017

Muslims has differentiated between new moon and Islamic new moon (hilal). The determination of first day of months based on visibility of Islamic new moon (hilal) i.e. sightings of the first sliver of the waxing moon marking the start of each month. One major issue that has affected hilal visibility for many years is misdirected, excessive and obtrusive artificial light. The objective of this research is to study the impact of light pollution on the visibility of hilal. The data were taken using Sky Quality Meter (SQM) which records the visual magnitudes per square arcsecond (mpsas) to measure sky limiting magnitude. Result showed that reading between 16-22 mpsas, the chances to witness hilal is high. Any lower than 16mpsas, the hilal is not visible. The main result of this research is to find out a vital parameter of hilal observations which leads to propose a new criterion i.e. sky limiting magnitude.
Measuring Light Pollution with Fisheye Lens Imagery from A Moving Boat – A Proof of Concept
Authors: Jechow Andreas , Kolláth Zoltán , Lerner Amit , Hänel Andreas , Shashar Nadav , Hölker Franz , Kyba Christopher C.M.
Published: December 2017

Near all-sky imaging photometry was performed from a boat on the Gulf of Aqaba to measure the night sky brightness in a coastal environment. The boat was not anchored, and therefore drifted and rocked. The camera was mounted on a tripod without any inertia/motion stabilization. A commercial digital single lens reflex (DSLR) camera and fisheye lens were used with ISO setting of 6400, with the exposure time varied between 0.5 s and 5 s. We find that despite movement of the vessel the measurements produce quantitatively comparable results apart from saturation effects. We discuss the potential and limitations of this method for mapping light pollution in marine and freshwater systems. This work represents the proof of concept that all-sky photometry with a commercial DSLR camera is a viable tool to determine light pollution in an ecological context from a moving boat.
Observing Nightlights from Space with TEMPO
Authors: Carr James , Liu Xiong , Baker Brian , Chance Kelly
Published: December 2017

The Tropospheric Emissions: Monitoring of Pollution (TEMPO) instrument is a NASA Earth Venture Instrument set to fly in the 2018-2021 timeframe and cover North America from a geostationary orbit. TEMPO is a powerful spectrometer sampling UV and visible wavelengths in two channels (290-490 nm and 540-740 nm) in 0.2 nm steps. This spectroscopic capability will enable TEMPO to characterize many types of artificial lighting at night in addition to its regular daytime air quality and atmospheric chemistry mission. This paper describes the TEMPO instrument and our planned approach to make nighttime observations. A spectral retrieval algorithm will estimate the contributions from sources in a spectral library to map out the usage of various types of lighting (e.g., Hg vapor, high and low pressure Na vapor, LED, fluorescent, and incandescent) over North America. We calculate the sensitivities of such nightlight retrievals using the measured properties of our flight detectors and optics, and conclude that TEMPO will complement well the VIIRS Day-Night Band for the study of artificial lighting at night from space by offering a new and powerful capability to discriminate between lighting types.
Touched by Light
Authors: Appelt Siegrun
Published: December 2017

With LED as illuminant a new era of dealing with lighting has dawned. Digitalisation, light guidance and light quality take on greater significance. Physical and emotional impacts of light on the human being have become common topics in the everyday life of a modern society. The amount of light which determines the character of spaces is steadily increasing. Our visual perception has adapted and assimilated to it over the years, decades, centuries. What was once perceived as bright today can’t either be used in a functional way or even less meet current standardization regulations. The project “Langsames Licht / Slow Light” searches for ways to practically implement theoretical insights and experience from the subjects of art, science and design, allowing a targeted use of light.
Estatutos de Sociedades Mutualistas e a História Social do Trabalho: Conjecturas em Torno da Sociedade Beneficente Proteção e Auxílio da Cia. União Mercantil (Fernão Velho, 1876/1879)
Authors: Batista Acioly Maciel Osvaldo
Published: December 2017

Em torno da Fábrica de tecidos existente em Fernão Velho, à beira da Lagoa Mundaú, já podemos falar que existe um olhar historiográfico e uma memória que – por desventura, descontinuamente – vem esclarecendo aspectos da história deste “povoado”, das condições de vida e de trabalho de seus operários, bem como das lutas implementadas pela categoria contra os interesses capitalistas de seus proprietários e acionistas. Entre as obras que podemos destacar sobre o tema e que sejam de nosso conhecimento, cito o documentário de Celso Brandão, Memória da vida e do trabalho, e a pesquisa empreendida por Golbery Lessa e outros colaboradores no Trama da Memória, Urdidura do Tempo. Meu intuito aqui não será o de realizar uma contribuição significativa a esta história. Pretendo, antes, indicar como os estatutos de uma sociedade composta por tecelões pode contribuir para entendermos um pouco da história desta categoria e de toda uma classe, justamente a partir de uma comparação entre as duas primeiras versões do estatutos da Sociedade Beneficente Proteção e Auxílio da Cia. União Mercantil elaborados e em vigor nos anos 1870.
Quando a guerra faz da verdade um butim
Authors: Gonçalves Fábio Henrique
Published: December 2017

Filme: KATYN. Polônia, 2007. Direção: Andrezj Wajda.
“Os Pobres Herdarão a Terra”: Conflitos Rurais e Igreja Católica no Brasil na segunda metade do Século XX
Authors: Nonata da Silva Célia
Published: December 2017

Esta comunicação é uma análise sobre a Igreja Católica e a questão agrária no Brasil durante a segunda metade do século XX. O imaginário religioso constituiu a base para a ação das lideranças católicas no campo, enquanto matriz ideológica dos sujeitos participantes na estratégia de acesso à terra pelos trabalhadores rurais. Não dispensando a dinâmica da redistribuição como parte integrante no processo de acumulação de capital e da valorização do econômico como motivadores para os movimentos sociais. Entretanto, o repertório discursivo dos sujeitos sociais traduz uma consciência histórica processual desde o século XIX com o perfil de uma Igreja missionária nos sertões. As Conferências de Medellín e Puebla na América Latina (re)posicionaram a postura da Igreja sob um enfoque teórico-metodológico calcado na Doutrina Social. Esta atuação da Igreja (re)fundamentou a consciência política dos movimentos agrários para a questão da terra no país.
A Santíssima Trindade nos Sertões: Severino Tavares e a Gestação do Movimento Messiânico-Milenarista de Pau de Colher (Casa Nova, Bahia, 1934-1938)
Authors: Pinto Monteiro Filipe
Published: December 2017

A proposta do artigo é analisar a gestação de um movimento social de cunho religioso em Pau de Colher, no município de Casa Nova, interior da Bahia, na década de 1930, a partir das similitudes e diferenças que o vinculam a outras duas manifestações de religiosidade popular, identificadas em Juazeiro do Norte (1889-1934), de Padre Cícero Romão Batista (1844-1934) e Caldeirão dos Jesuítas (1926-1936), do beato José Lourenço Gomes da Silva (1872-1946).  A investigação será encaminhada tendo por base a trajetória particular de um personagem, o beato Severino Tavares, que possibilitou demonstrar o elo entre os três movimentos.
Proctite e Infeção Anoretal por Chlamydia trachomatis e Neisseria gonorrhoeae em HSH – Estudo Retrospetivo
Authors: Alves João , Azevedo Jacinta , Santo Irene , Borrego Maria José
Published: December 2017

Introdução: As infeções sexualmente transmissíveis (IST) em homens que têm sexo com homens (HSH) têm aumentado nas últimas décadas, nomeadamente as provocadas por Neisseria gonorrhoeae (NG) e por Chlamydia trachomatis (CT), ambas responsáveis por proctites e infecções anorectais.Material e Métodos: Análise retrospetiva da frequência de proctite e infecção anoretal por NG e CT em 2420 HSH observados na Consulta de Doenças Sexualmente Transmissíveis do Centro de Saúde da Lapa, entre Janeiro de 2008 e Dezembro de 2013. São avaliados dados sociodemográficos, comportamentais, clínicos e laboratoriais.Resultados: Foram encontrados sinais e/ou sintomas de proctite em 1,6% (38/2420) dos HSH, não tendo sido identificado qualquer agente infeccioso em 39,4% (15/38) destes doentes. Em 38 (16%) dos 238 HSH a infecção por NG teve localização anoretal; este local anatómico revelou-se infetado por CT em 23 (14,6%) dos 158 casos positivos, tendo sido identificado o serovar L2b em 7 dos 23 (30,4%). As infeções anorectais foram mais frequentes em doentes com antecedentes de IST, múltiplos parceiros sexuais e imigrantes. Salienta-se a elevada percentagem de HSH infetados e assintomáticos ou com sinais/sintomas pouco sugestivos de proctite: 55,3% (21 / 38) e 47,8%, (11 / 23) dos infetados por NG e CT, respetivamente.Conclusões: A frequência da infeção anoretal assintomática por CT e NG nos HSH que recorrem à consulta DST do CS Lapa é semelhante à descrita para consultas similares noutros países e justifica a necessidade da pesquisa daqueles agentes e de estirpes LGV de CT quando é referido contacto anal recetivo.
Granuloma Anular Elastolítico de Células Gigantes Associado a Policitemia Vera
Authors: Albino Cátia , Machado e Costa Carlos , Neves Manuel , Soares-de-Almeida Luis , Braz Nogueira J.
Published: December 2017

Introdução: Os autores descrevem um caso de granuloma anular elastolítico de células gigantes (GAECG) em que esta entidade se associa a policitemia vera. As duas situações regrediram com a terapêutica com hidroxiureia.Caso clínico: Um homem de 63 anos com queixas de astenia, náuseas, dor no hipocôndrio/flanco direitos e emagrecimento acentuado desde há 4 meses. No mês anterior surgiram numerosas pápulas cutâneas eritematosas agrupadas na região dorso-lombar. Palpava-se esplenomegália. A investigação laboratorial permitiu o diagnóstico de policitemia vera (mutação JAK2 positiva na medula óssea). A biopsia cutânea foi compatível com GAECG. Foi iniciada terapêutica com hidroxiureia, com normalização hematológica e regressão das lesões cutâneas.Discussão: O GAECG é, na maioria dos casos, uma dermatose isolada mas pode associar-se a outras doenças sistémicas. O nosso caso é o primeiro descrito em associação com a policitemia vera. A regressão das duas situações à hidroxiureia pode consubstanciar uma possível relação.
Doença de Paget Extramamária Axilar: Uma Apresentação Rara
Authors: Toda-Brito Helena , Arame Cabrera Rafael , Cunha Fernando , Pecegueiro Manuela
Published: December 2017

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Dermatoscopia do Granuloma Piogénico
Authors: Carneiro de Castro Carlos Gustavo , Leroy Pinto Anne Kelly , Bresciani Rodrigues Carolina , Tavares dos Santos Luiza , Amorim Brito Taiane , Simão Lopes Roberta , Tinhoso Plata Glaura
Published: December 2017

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Espessamento da pele: desafio diagnóstico
Authors: Ribeiro Luciana Alves , Martins Michelle Soares , Abinader Marina Valente Maia , Francesconi Fábio
Published: December 2017

A fasciíte eosinofílica é uma doença rara, caracterizada por edema simétrico doloroso com um progressivo espessamento da pele e tecidos moles, eosinofilia periférica, hipergamaglobulinemia policlonal e velocidade de hemossedimentação elevada. O diagnóstico pode ser feito por biópsia da pele até fáscia ou por ressonância nuclear magnética. Esta doença apresenta sintomas clínicos específicos, como o sinal do sulco que facilita o diagnóstico. Relatamos um caso de fasciíte eosinofílica em uma mulher de 48 anos de idade, com o endurecimento e espessamento da pele, que iniciou nas pernas, depois acometeu os braços e os antebraços e que apresentava o "sinal do sulco". A paciente foi tratada com sucesso com corticoterapia sistêmica e metotrexato.
O Grupo Dermatológico Atlântico – Narrativa colorida de uma história recente
Authors: Mesquita-Guimarães José
Published: December 2017

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Caso atípico de herpes zoster recorrente em paciente imunocompetente: abordagem, diagnóstico e tratamento.
Authors: Diniz Silva Ana Cristina
Published: December 2017

Herpes zoster (HZ) é uma doença infecciosa causada pela reativação do vírus varicela zoster nos gânglios sensoriais dorsais ou cranianos, caracterizada por erupções cutâneas vesiculares agrupadas que acometem um ou mais dermátomos. É mais comum em idosos, em associação ao declínio da imunidade celular que se manifesta com a idade. Em adultos jovens, a infecção por HZ correlaciona-se com condições clínicas de baixa imunidade. Esse artigo trata de caso clínico de HZ com apresentação atípica, tanto no que diz respeito à localização quanto à alta frequência de recorrência, em adulta jovem imunocompetente. O objetivo é discutir o caso, com base na evidência científica atual, enfatizando-se a sintomatologia, apresentação clínica, diagnóstico diferencial, impacto na qualidade de vida, conduta e tratamento.
Dermatologia na Ilha do Corvo Açores
Authors: Catorze Maria Goreti , Teles de Sousa João , Pinto Faustino José Luís
Published: December 2017

No âmbito do prémio «dermatologist from the Heart» atribuído pela Fondation La Roche Posay no ano de 2014, pusemos em prática o projecto vencedor «Dermatologia na ilha do Corvo». Este projecto teve como objectivo principal efectuar um rastreio da pele numa zona do país com difícil acessibilidade geográfica a cuidados de saúde especializados. A ilha dispõe de um único médico em funções- Dr. José Pinto Faustino. O rastreio efectuou-se durante 5 dias, entre 13 e 18 de Julho de 2015 na Unidade de Saúde da Ilha do Corvo. Compareceram 120 pessoas residentes na ilha que foram observadas pelos 2 dermatologistas participantes. Não foram detectadas doenças da pele com relevância estatística.
Infeção VIH: Epidemiologia, História Natural e Diagnóstico
Authors: Trigo Diva , Borges da Costa João
Published: December 2017

Ao longo dos últimos 35 anos, grandes progressos foram alcançados em termos de prevenção, diagnóstico e tratamento de infeção VIH, com redução da incidência de infeção em Portugal, na última década. Ainda assim, continua a existir uma taxa elevada de doentes com diagnóstico tardio, com consequências individuais e populacionais. Este artigo tem como objetivos: apresentar um ponto de situação da infeção VIH em Portugal, rever brevemente a evolução natural da infeção e explicitar o mais recente algoritmo de diagnóstico de infeção VIH, revisto em 2014, reforçando a necessidade de manter um elevado nível de suspeição clínica para o diagnóstico precoce de infeção.
Papulose linfomatóide em idade pediátrica: desafios no diagnóstico e follow-up
Authors: Kieselova Katarina
Published: December 2017

A papulose linfomatóide (PL) é uma doença linfoproliferativa cutânea primária, pouco comum que, na maioria dos casos, surge na idade adulta. Apesar de ter a imagem histológica de uma condição maligna, a PL é, na maioria dos casos, uma doença autolimitada e tem prognóstico favorável. Descreve-se o caso de um menino de 8 anos de idade, saudável, observado por lesões cutâneas polimórficas disseminadas por todo tegumento com 4-6 semanas de evolução. O exame histológico e imunohistoquímico confirmou o diagnóstico de PL tipo A. Discutem-se os principais desafios no tratamento, follow-up e o risco de progressão da PL para linfomas secundários nesta faixa etária.
Manifestações Cutâneas das Rasopatias
Authors: Coelho de Sousa Virgínia , Marques Fonseca Inês , Cordeiro Ana , Paiva Lopes Maria João
Published: December 2017

As rasopatias são doenças do desenvolvimento associadas a mutações da via RAS/MAPK. Nos últimos anos, o estudo das vias de sinalização intracelular permitiu a caraterização deste grupo de doenças genéticas, com manifestações clínicas variáveis e dependentes do gene afetado. As rasopatias podem associar-se a alterações do desenvolvimento cognitivo, doenças cardiovasculares, dismorfismo facial e manifestações cutâneas, assim como a um risco aumentado de neoplasias. Entre estas doenças incluem-se a síndrome de Noonan, a síndrome de LEOPARD, a neurofibromatose tipo 1, a síndrome de Legius, a síndrome de Costello e a síndrome cardio-facio-cutânea. O conhecimento das suas manifestações cutâneas é importante, uma vez que pode ajudar a estabelecer o diagnóstico clínico.
Hiperpigmentação na Doença de Addison – Relato De Caso
Authors: Gatti Rafael Figueiredo , Prohmann Caroline Medeiros , Dantas Camila Araújo , E Silva Lorena Barcelos , Machado Thalita Marçal , Mattar Fernanda Rodrigues de Oliveira , Antônio João Roberto
Published: December 2017

A insuficiência adrenal primária ou doença de Addison é um raro distúrbio das glândulas supra-renais e representa uma condição de risco, já que seu diagnóstico é frequentemente não reconhecido nas fases inicias da doença. Atualmente sua principal causa é a adrenalite auto-imune, mas pode decorrer devido a causas infecciosas, traumáticas e neoplásicas. Os sintomas da patologia incluem: astenia, fraqueza, náuseas, perda de peso, hipotensão arterial e hiperpigmentação. A hiperpigmentação cutânea e mucosa é o sintoma mais característico da doença, porém pode estar presente em outros diagnósticos diferencias, como: hemocromatose, doença renal crônica, hipertireoidismo, ocronose, entre outras. Relatamos um caso de uma paciente que foi encaminhada para investigação de hiperpigmentação cutânea difusa e mucosa. A paciente ainda referia queixas de perda de peso, fadiga, anorexia, hipotensão e constipação. Foram realizados diversos exames para investigação e realizado o diagnóstico de doença de Addison.
Dermite Atópica: Os Novos Conhecimentos Sobre a Fisiopatologia da Doença
Authors: Borges Ana Sofia , Pinheiro Rita , Brasileiro Ana
Published: December 2017

A dermite atópica é uma doença inflamatória crónica caraterizada por intenso prurido e lesões eczematosas recorrentes. Observa-se com maior frequência em crianças com história pessoal e/ou familiar de atopia, porém também ocorre na idade adulta. Embora anteriormente pensada como uma doença desencadeada por uma resposta imunitária Th2 inapropriada, estudos recentes têm demonstrado que a disfunção da barreira cutânea desempenha um papel crucial para a fisiopatologia da doença. Neste artigo será feita uma revisão dos mecanismos moleculares mais recentemente implicados na fisiopatologia da dermite atópica.
Psoríase e Doença Cardiovascular: Impacto da Terapêutica com Inibidores do TNF-alfa
Authors: Andrade Filipa , Ferreira Sandra , Torres Tiago
Published: December 2017

A psoríase é uma doença inflamatória crónica que atinge 2 a 3% da população. Vários estudos têm demonstrado que a psoríase se associa a um aumento de risco de doença cardiovascular devido ao aumento da prevalência de fatores de risco cardiovasculares tradicionais, e à inflamação sistémica crónica que promove o desenvolvimento de disfunção endotelial e aterosclerose prematura. Esta revisão da literatura tem como objetivo avaliar o impacto dos inibidores do fator de necrose tumoral alfa na função endotelial e no risco de doença cardiovascular nos doentes com psoríase moderada a grave. Os estudos realizados até ao momento sugerem que o tratamento da psoríase com estes fármacos se associa a melhoria dos marcadores de disfunção endotelial e aterosclerose subclínica e a diminuição do risco de doença cardiovascular.
Genes e Melanoma
Authors: Mendonça Sanches Maria , Soares de Almeida Luís , Freitas João Pedro
Published: December 2017

A compreensão do desenvolvimento do melanoma tem sido alvo de avanços importantes na última década. A relevância fisiopatológica das alterações genéticas na oncogénese do melanoma bem como a evidência do risco familiar associado têm condicionado de forma positiva o tratamento e prognóstico dos doentes,  nomeadamente nos doentes com doença avançada.Neste artigo os autores descrevem de forma sucinta e esquemática as diferentes vias de sinalização celular, com importância na oncogénese do melanoma e que se encontram subjacentes à génese dos novos alvos terapêuticos presentemente em utilização e em desenvolvimento.
Microsurgical resection of brain arteriovenous malformations in the elderly: outcomes analysis and risk stratification
Authors: Burkhardt Jan-Karl , Lasker George F. , Winkler Ethan A. , Kim Helen , Lawton Michael T.
Published: December 2017

OBJECTIVE

Few outcomes studies have been published on microsurgical resection of arteriovenous malformations (AVMs) in elderly patients, and most are limited by a small sample size and the heterogeneous application of treatment modalities. This study aimed to determine whether functional outcomes at last follow-up (LFU) in patients 60 years or older differed when stratified by age.

METHODS

Patients 60 years or older (n = 104) who had undergone microsurgical AVM resection (total, n = 72; 60–65 years, n = 35; and > 65 years, n = 37) or observation (n = 32) were identified from a prospective database. Age, sex, Spetzler-Martin (SM) grade, supplemented SM grade, clinical presentation, AVM location, AVM-associated aneurysms, and functional outcome measured using the modified Rankin Scale (mRS score 0–2 [favorable] vs mRS score > 2 [unfavorable]) at LFU were analyzed.

RESULTS

AVM patients undergoing microsurgical resection were younger, had lower AVM grades, and were more likely to present with rupture. Overall outcome in the surgical group was favorable in 71% of the patients and was statistically significantly better in patients 60–65 years old (p = 0.039). In patients older than 65 years, outcome was dependent on SM grade and level of preexisting functional dependence. Patients with supplemented SM grades of greater than 6 points had favorable outcomes that were age dependent (p = 0.029). This difference was not observed in patients with lower supplemented SM grades or in those with low or high preoperative SM grades (SM grade ≤ 2 and grade ≥ 4, respectively).

CONCLUSIONS

This study demonstrates that favorable outcomes can be achieved with microsurgical resection of AVMs in elderly patients, with careful patient selection. Outcomes in more elderly patients (> 65 years of age) are more dependent on preoperative SM and supplemented SM grading than those in younger cohorts.
Developing a pediatric neurosurgical training model
Authors: Craven Claudia L. , Cooke Martyn , Rangeley Clare , Alberti Samuel J. M. M. , Murphy Mary
Published: December 2017

OBJECTIVE

One of the greatest challenges of pediatric neurosurgery training is balancing the training needs of the trainee against patient safety and parental expectation. The traditional “see one, do one, teach one” approach to training is no longer acceptable in pediatric neurosurgery. The authors have developed the baby Modeled Anatomical Replica for Training Young Neurosurgeons (babyMARTYN). The development of this new training model is described, its feasibility as a training tool is tested, and a new approach of integrating simulation into day-to-day training is suggested.

METHODS

In part 1 (development), a prototype skull was developed using novel model-making methods. In part 2 (validation), 18 trainee neurosurgeons (at various stages in training) performed the following 4 different procedures: 1) evacuation of a posterior fossa hematoma; 2) pterional craniotomy; 3) tapping of the fontanelle to obtain a CSF specimen; and 4) external ventricular drain insertion. Completion of the procedural stages (scored using a curriculum-based checklist) was used to test the feasibility of babyMARTYN as a training tool. Likert scale–based questionnaires were used to assess the model for face and content validity. Training benefit was assessed using pre- and posttraining ratings on the Physician Performance Diagnostic Inventory Scale (PPDIS). To determine the significance of improvement in median PPDIS score, the Wilcoxon matched-pairs signed-rank test was performed.

RESULTS

In part 1 (development), the model was successfully developed with good fidelity. In part 2 (validation), the validation data demonstrated feasibility, face, and content validity. The PPDIS score significantly increased for all groups after babyMARTYN training, thereby indicating a potential future role for babyMARTYN in the training of pediatric neurosurgeons.

CONCLUSIONS

This recent collaborative neurosurgical development by the Royal College of Surgeons of England is designed to supplement current neurosurgical training. High-fidelity, portable, operation-specific models enable preoperative planning and have the potential to be used in an operating room environment prior to novel operations. A “see one, simulate one, do one” approach for pediatric neurosurgical training using babyMARTYN is suggested.
An MILP Method for Design of Distributed Energy Resource System Considering Stochastic Energy Supply and Demand
Authors: Duan Zhigang , Yan Yamin , Yan Xiaohan , Liao Qi , Zhang Wan , Liang Yongtu , Xia Tianqi
Published: December 2017

A distributed energy resource (DER) system, which can be defined as a medium or small energy conversion and utilization system with various functions for meeting multiple targets, is directly oriented towards users and achieves on-site production and energy supply according to users’ demands. Optimization research on system construction has recently become an important issue. In this paper, simple stochastic mathematical equations were used to interpret the optimal design problem of a DER system, and based on this, a novel method for solving the optimization problem, which has multi-dimensional stochastic uncertainties (involving the price of input-energy and energy supply and demand), was put forward. A mixed-integer linear programming (MILP) model was established for the optimal design of the DER system by combining the ideas of mean value and variance, aiming to minimize the total costs, including facility costs, energy purchase costs, and loss caused by energy supply shortage, and considering the energy balance and facility performance constraints. In the end, a DER system design for an office building district in Xuzhou, China, was taken as an example to verify the model. The influences of uncertainty on the selection of system facilities and the economic evaluation were analyzed. The result indicated that uncertainty of energy demand played a significant role in optimal design, whereas energy price played a negligible role. With respect to economy, if uncertainties are not considered in system design, it will result in a short supply, and therefore the total cost will increase considerably. The calculation convergence was compared with previous work. The implementation results showed the practicality and efficiency of the proposed method.
Managing Fire and Biodiversity in the Wildland-Urban Interface: A Role for Green Firebreaks
Authors: Curran Timothy , Perry George , Wyse Sarah , Alam Md
Published: December 2017

In the wildland-urban interface, the imperative is often to protect life and property from destructive fires, while also conserving biodiversity. One potential tool for achieving this goal is the use of green firebreaks: strips of low flammability species planted at strategic locations to help reduce fire spread by slowing or stopping the fire front, extinguishing embers or blocking radiant heat. If comprised of native species, green firebreaks also have biodiversity benefits. Green firebreaks have been recommended for use throughout the world, including the Americas, Europe, Asia, Africa and Australasia. However, despite this widespread endorsement, there has been little empirical testing of green firebreaks, particularly with field experiments. This knowledge gap needs addressing. Green firebreaks should be considered as part of the revegetation strategy following recent extensive wildfires in places such as New Zealand and Chile.
Demand for Long-Term Care Insurance in China
Authors: Wang Qun , Zhou Yi , Ding Xinrui , Ying Xiaohua
Published: December 2017

The aim of this study was to estimate willingness to pay (WTP) for long-term care insurance (LTCI) and to explore the determinants of demand for LTCI in China. We collected data from a household survey conducted in Qinghai and Zhejiang on a sample of 1842 households. We relied on contingent valuation methods to elicit the demand for LTCI and random effects logistic regression to analyze the factors associated with the demand for LTCI. Complementarily, we used document analysis to compare the LTCI designed in this study and the current LTCI policies in the pilot cities. More than 90% of the respondents expressed their willingness to buy LTCI. The median WTP for LTCI was estimated at 370.14 RMB/year, accounting for 2.29% of average annual per capita disposable income. Price, age, education status, and income were significantly associated with demand for LTCI. Most pilot cities were found to mainly rely on Urban Employees Basic Medical Insurance funds as the financing source for LTCI. Considering that financing is one of the greatest challenges in the development of China’s LTCI, we suggest that policy makers consider individual contribution as an important and possible option as a source of financing for LTCI.