bluuebunny/crossref_metadata_2025 huggingface dataset:
ANALISIS BEBAN KERJA TENAGA GIZI DI RSUD BANJARBARU
Authors: Aisyah Maidina , Aprianti Aprianti
Published: February 2020

Semakin baik pelayanan gizi yang diberikan oleh rumah sakit, maka semakin baik pula standar akreditasi rumah sakit tersebut. Tujuan penelitian ini dilakukan untuk menganalisis beban kerja tenaga gizi di Instalasi Gizi RSUD Banjarbaru. Penelitian ini merupakan penelitian observasional yang bersifat deskriptif kualiatif. Populasi dalam penelitian ini adalah seluruh tenaga gizi di RSUD Banjarbaru yang berjumlah 9 orang. Analisis data disajikan dalam bentuk deskriptif. Hasil penelitian ini Penggunaan waktu produkif tenaga gizi di ruang rawat inap 60,6% sedangkan di ruang penyelenggaraan 94%, waktu kerja yang tersedia bagi tenaga gizi di ruang rawat inap sebesar 34,25 jam/minggu sedangkan di ruang penyelenggaraan makanan 35 jam/minggu. Standar beban kerja tenaga gizi pertahun menunjukkan setiap kegiatan membutuhkan waktu dalam setiap standar beban kerja sesuai kegiatan dari hari kerja yang tersedia. Proporsi waktu beban kerja tenaga gizi di ruang rawat inap kurang dari standar sedangkan di ruang penyelenggaraan makanan melebihi standar waktu produktif dan waktu kerja yang tersedia tenaga gizi belum sesuai. Diharapkan dapat melanjutkan penelitian selanjutnya untuk menentukan standar kelonggaran dan kebutuhan tenaga kerja di rumah sakit lain atau ditempat lainnya.
GAMBARAN PARTISIPASI IBU BALITA DAN PENGETAHUAN IBU BALITA DI POSYANDU WILAYAH KERJA PUSKESMAS TELUK DALAM
Authors: Farhat Yasir
Published: February 2020

Keaktifan ibu pada setiap kegiatan posyandu tentu akan berpengaruh pada keaadaan status gizi anak balitanya. Karena salah satu tujuan posyandu adalah memantau peningkatan status gizi masyarakat terutama anak balita dan ibu hamil. Agar tercapai itu semua maka ibu yang memiliki anak balita hendaknya aktif dalam kegiatan posyandu agar status gizi balitanya terpantau.. Sesuai dari hasil laporan bulanan Puskesmas Teluk Dalam pada tahun 2016 cakupan partisipasi masyarakat (D/S) bayi adalah 76,72% sedangkan pada balita sebesar 72,00%, sedangkan target yang harus dicapai adalah 85%. Untuk mengetahui gambaran partisipasi ibu balita dan pengetahuan ibu balita di posyandu wilayah kerja Puskesmas Teluk Dalam  Kecamatan Banjarmasin Tengah Tahun 2017. Jenis penelitian observasional Deskriptif dengan rancangan penelitian pendekatan studi kasus. Populasi adalah ibu yang mempunyai balita dengan partisipasi rendah dan sampelnya yaitu total populasi sebanyak 20 orang Pengolahan data menggunakan program komputer yaitu software SPSS 17 for windows dan analisis dana menggunakan analisis univariat. Partisipasi ibu balita yang aktif (45%) dan yang tidak aktif (55%) sedangkan tingkat pengetahuan ibu yang baik (20%), cukup (45%) dan kurang (35%). Tingkat pengetahuan ibu masih banyak yang kurang dan partisipasi penimbangan masih banyak yang tidak aktif.
PENGARUH PROMOSI KESEHATAN DAN KESELAMATAN KERJA (K3) TERHADAP PENGETAHUAN DAN SIKAP PEMULUNG DI TEMPAT PEMBUANGAN AKHIR MEDAN MARELAN
Authors: Yolanda Rima , Ferusgel Agnes , Nuraini Nuraini
Published: February 2020

Kurangnya pengetahuan dan sikap pada pemulung menyebabkan banyak ketidaktahuan dan ketidakpahaman tentang pentingnya untuk mengetahui kesehatan dan keselamatan kerja yang dapat mencegah terjadinya kecelakaan kerja atau penyakit akibat kerja, untuk mengatasi hal tersebut promosi kesehatan dan keselamatan kerja. Penelitian ini bertujuan untuk mengetahui Pengaruh Promosi Kesehatan dan Keselamatan Kerja Terhadap Peningkatan Pengetahuan dan Sikap Pekerja Informal di Tempat Pembuangan Akhir Medan Marelan. Desain penelitian ini adalah Quasi-Eksperimen dengan rancangan one group pre-test and post test. Populasi dalam penelitian ini adalah sebanyak 220 orang denganteknik pengambilan sampel adalah simple random sampling dengan jumlah sampel sebanyak 40 orang. Analisis data dengan statistic uji wilcoxon. Hasil penelitian menunjukan terdapat pengaruh promosi kesehatan dan keselamatan kerja dengan pengetahuan dan sikap pemulung di tempat pembuangan akhir medan marelan. Disarankan kepada pemulung agar tetap meningkatkan pengetahuan tentang kesehatan dan keselamatan kerja. Diharapkan pemerintah daerah agar selalu mengadakan program promosi terkait Kesehatan dan Keselamatan Kerja dibidang sektor informal
FAKTOR YANG MEMPENGARUHI KEIKUTSERTAAN SENAM LANSIA DI WILAYAH KERJA PUSKESMAS TITUE
Authors: Karmila Karmila , Kartika Kartika , Arnita Arnita
Published: February 2020

Keberhasilan pemerintah dalam Pembangunan Nasional, bisa dikatakan berhasil dibuktikan dengan adanya peningkatan umur harapan hidup, yang berarti bertambah pula populasi lanjut usia. Peningkatan kesehatan pada lansia yang salah satunya dapat dilakukan dengan olahraga atau senam secara teratur, tetapi pada kenyataanya masih banyak lansia yang tidak mengikuti senam lansia. Tujuan dalam penelitian ini adalah Mengetahui faktor-faktor yang mempengaruhi keikutrsertaan senam lansia di wilayah kerja Puskesmas Titeue. Jenis penelitian yang digunakan dalam penelitian ini adalah analitik dengan pendekatan cross – sectional. Penelitian dilaksanakan di wilayah kerja Puskesmas Titue. Sample penalitian ini sebanyak 107 orang. Analisis data yang digunakan adalah uji regresi logistik berganda. Hasil penelitian menunjukkan bahwa terdapat pengaruh umur (p=0,007), fisik (p=0,000) dan motivasi (p=0,019) terhadap keikutsertaan senam lansia di Wilayah Kerja Puskesmas Titue. Diharapkan kepada Puskesmas t Titeue diharapkan dapat lebih mengoptimalkan pelayanan kesehatan lansia terutama senam lansia dengan memberikan motivasi-motivasi yang melibatkan teman sebaya lansia.
ANALISIS PERSEPSI KUALITAS LAYANAN TERHADAP KEPUASAN PASIEN PUSKESMAS TERAKREDITASI AEK LOBA KABUPATEN ASAHAN
Authors: Shabri Ibnu Yazid , Nugraha Tarsyad , Syamsul Darwin
Published: February 2020

Seiring semakin banyak pelayanan kesehatan yang tumbuh ditengah-tengah masyarakat mulai dari milik pemerintah hingga swasta, sehingga menjadikan persaingan diantara lembaga pelayanan kesehatan. Masalah utama yang muncul adalah pelayanan yang diberikan apakah sudah sesuai harapan pasien atau belum. Penelitian ini bertujuan untuk menganalisis dan menjelaskan pengaruh kausal antara variabel independen terhadap variabel dependen. Jenis penelitian bersifat analitik deskriftif. Data dianalisis dengan melakukan uji univariat, bivariat dan multivariate. Hasil uji statistik regresi logistik menunjukkan bahwa ada pengaruh positif dari variabel keberwujudan (sig = 0,019), keandalan (sig = 0,023), daya tanggap (sig = 0,020), jaminan (sig = 0,015) dan empati (sig = 0,017) terhadap kepuasan pasien. Dan variabel yang paling besar pengaruhnya terhadap kepuasan pasien adalah variabel keandalan dengan nilai exp(B) sebesar 257396.374. Kesimpulan dari penelitian ini adalah seluruh aspek kualitas layanan berupa aspek keberwujudan, keandalan, daya tanggap, jaminan dan empati berpengaruh terhadap kepuasan pasien di Puskesmas Terakreditasi Aek Loba Kabupaten Asahan.
GAMBARAN PENANGANAN IBU PADA BALITA DENGAN RIWAYAT FEBRIS BERDASARKAN ASPEK BUDAYA PIJAT DI WILAYAH KERJA PUSKESMAS TERMINAL BANJARMASIN
Authors: Dani Akhmad Faisal , Sajidah Ainun , Mariana Evi Risa
Published: February 2020

Penyakit yang paling sering menyerang balita salah satunya adalah demam. World Health Organization (WHO) memperkirakan jumlah kasus demam di seluruh dunia mencapai 16-33 juta dengan 500-600 ribu kematian setiap tahunnya. Seorang ibu dalam menangani demam sangat dipengaruhi oleh budaya dan perilaku lingkungan sekitar dimana ibu berada. Penanganan demam dengan cara di pijat memang tidak salah, akan tetapi apabila penanganan demam dengan cara pijat yang lebih diutamakan dibandingkan pengananan farmakologis hal ini akan berdampak buruk bagi anak, bahkan dapat membahayakan keselamatan anak. Penelitian ini bertujuan untuk mengetahui gambaran penanganan demam pada balita berdasarkan aspek budaya pijat di wilayah kerja Puskesmas Terminal Banjarmasin Tahun 2018. Desain penelitian ini non eksperimen dengan jenis deskriptif. Populasi ibu yang memiliki balita dengan riwayat febris berjumlah 115 orang dan sampel yang diambil dengan teknik purposive sampling berjumlah 53 orang. Cara pengumpulan data menggunakan kuesioner yang diisi oleh responden. Hasil penelitian menunjukkan penanganan ibu pada balita dengan riwayat febris berdasarkan aspek budaya pijat sebagian besar dengan kategori negatif sebanyak 32 responden (60.4%). Hendaknya ibu mengikuti kegiatan kesehatan seperti posyandu dan penyuluhan lainnya agar ibu memiliki keterampilan yang tepat dalam menangani balita yang demam dirumah serta lebih diefektifkannya sarana untuk penyuluhan mengenai penanganan demam oleh petugas kesehatan.
Impact of Leadership Styles Upon Professional Commitment
Authors: Jabeen Afshan , Khan Salahuddin , Zia-u Islam Syed
Published: February 2020

The current study aimed to assess the effect of different leadership styles (Transformational, Transactional and Laissez-faire styles) upon the professional commitment. The study population encompassed the lecturers in Physical Education of all the public colleges in the province Punjab, Pakistan. Due to accessible population, no sampling techniques were preferred in this research study. The total number of lecturers (PE) was 576, in which 210 were male and 366 were female. Selfdeveloped scales were designed and used for data collection. The total 76% return rate of responses was recorded. Inferential and descriptive statistics were used to examine the collected information. On the basis of the findings, it was concluded that there is a positive effect of transactional style of head of institutions leadership upon professional commitment of lecturers (PE). Whereas, Laissez-faire style of leadership has a negative effect upon the professional commitment of lecturers in physical education. It was recommended that seminars and workshops may be arranged for leadership styles.
Penataan Permukiman Di Kawasan Kampung Seng Kota Blitar
Authors: Gholib Agus
Published: February 2020

Arrangement of Slum in a dense residential neighborhood that tends to be slum must fulfill basic principles. First, legalization of ownership status on land and housing sites, Second, provision or improvement of technical services, such as clean water, waste and management of liquid waste, sanitation, electricity, road sidewalks, street lighting. Third, provision or improvement of social infrastructure such as schools, clinics, community centers, playgrounds, green areas. Fourth, the improvement of the physical environment, including the rehabilitation / improvement of Ineligible Houses. Fifth, if deemed necessary, the construction of new housing units is included in the up-grading scheme. Sixth, a redesign of the settlement development plan, including the harmony of buildings and road patterns in accordance with infrastructure needs. Seventh, a change in the policy or regulatory framework that is more in line with the needs and opportunities available to the urban community. However, the involvement of people who live in slum areas, from the planning process to the implementation of the arrangement and improvement of the quality of slum areas, is a must. So that in determining the priority of community activities will feel part of the improvement and development in the region. From the participation and empowerment, there will be a response from the residents' expectations of the living conditions in accordance with their needs and increased comfort.

For this reason, the paradigm from development to empowerment of the development and construction of settlements, requires the comfort of living to be a priority that is taken into consideration in the sustainable arrangement of settlements. Criteria for the comfort of living will be the standard of success in evaluating the results of structuring and improving the quality of slums. The success of the physical arrangement of settlements is not a benchmark for the usefulness and sustainability of an area, but a process of survival that will have a positive impact on changes in the quality of life for people who live in Kampung Seng Area Kerantil Settlements
Analisis Benchmarking Terhadap Kinerja Perusahaan Kontraktor Di Dinas Pupr Kota Blitar
Authors: Kusuma Wardani Dessy , Swasono Edy
Published: February 2020

This study aims to identify the dominant factors of the successful implementation of benchmarking on the performance of contracting companies and test the significance of the application of benchmarking on the performance of contracting companies. The research sample was saturated samples of 65 qualified contractor companies. The method and type of research used were correlational methods of multiple regression analysis using SPPS.

The results of the study concluded that 1.Benchmarking significantly influences the performance of contracting companies in the Blitar City DPUPR; 1. The ranking of success factors for the Blitar City contractor companies in the process of implementing benchmarking (1) planning, (2) data collection, (3) acception and action and (4) analysis; 2.Benchmarking has proven to significantly improve company performance as measured by increasing (1) Corporate Finance (2) Company productivity, (3) DPUPR Consumer Satisfaction, (4) Community Satisfaction, (5) Quality of the company's construction technical personnel, (6) Satisfaction employee work, (7) Project acquisition rate in one year, (8) Effective completion of construction work, (9) Construction product quality.
MENINGKATKAN HASIL BELAJAR PAI MATERI QURBAN DAN AQIQAH MELALUI PEMBELAJARAN KOOPERATIF MODEL TGT
Authors: Abdullah Yusnidar
Published: February 2020

In particular, this study aims to determine whether learning Islamic Education using Cooperative Learning TGT models can improve student learning outcomes and improve mastery of Islamic Religion subject matter in class IX of SMP Negeri 1 Darul Aman, Darul Aman District. Classroom Action Research (CAR) is carried out using two rounds of action research. Each round consists of four stages, namely: design, activity, observation and reflection. The target of this study is the class IX students of 1 Darul Aman Middle School, amounting to 40 people. Consisting of 33 male students and 7 female students. Data obtained in the form of test results and observation sheets of teaching and learning activities. From the results of the analysis it was found that student learning achievement experienced an increase from cycle I to cycle II, namely, cycle I 70.63 and cycle II 83.88. So from the results of these studies it can be concluded that through the use of cooperative learning the TGT model has a positive impact and has an advantage in improving the learning outcomes of Islamic Education Class IX Students at SMP Negeri 1 Darul Aman, Darul Aman District.
探析抗菌药物在临床内科急诊患者中的应用
Authors: 王 东梅
Published: February 2020

临床内科,尤其是临床内科急诊部门,是最贴近国民日常生活的门诊部门,与国民的身体健康息息相关,密不可分。抗菌药物作为一种在临床治疗疾病过程中最为常见的药物之一,其药物的应用与诸多患者的疾病治疗具有重要的影响作用,因此,医疗人员更要加强对于抗菌药物应用方式的重视,通过对已有的抗菌药物在临床医学之中应用的实际案例的研究与分析,进一步提高抗菌药物用药的合理性,以期将药物药性治疗效果发挥到最佳状态。本文采取收集相关病例资料,并辅以抽样调查的研究方式,进一步深入分析当前我国临床内科急诊患者中抗菌药物的实际应用的现状,进一步探讨如何提高抗菌药物用药合理性的方式,以实现将药物的副作用最小化。
La incorporación de los objetivos de desarrollo sostenible como factor de competitividad empresarial
Authors: García Navarro Verónica , Granda Revilla Germán
Published: February 2020

La Agenda 2030 para el Desarrollo Sostenible se ha consolidado en los últimos años como la hoja de ruta para la sostenibilidad global. El sector privado empresarial tiene un papel fundamental en la consecución de la agenda a la vez que puede beneficiarse de la incorporación de los Objetivos de Desarrollo Sostenible (ODS). De hecho, encontramos un consenso entre las organizaciones referentes en sostenibilidad corporativa sobre el potencial de la sostenibilidad como factor determinante de la competitividad empresarial.
Mercados y misiones: innovación al servicio de los ODS
Authors: Ospina Fadul María José , Moñux Chércoles Diego
Published: February 2020

A lo largo de este artículo examinamos el cambio de paradigma que subyace en el conjunto de políticas de apoyo a la innovación. En el contexto actual de las políticas orientadas a misiones, identificamos los rationales, que justifican el cambio de equilibrio en el conjunto de políticas que paulatinamente ha empezado a favorecer las políticas de innovación desde la demanda, e identificamos su potencial para contribuir a la consecución de los Objetivos de Desarrollo Sostenible. Finalmente, analizamos las ventajas y los retos que su aplicación puede conllevar en mercados altamente regulados y mercados en los que el gobierno es el principal comprador.
La importancia de la diversidad de género en las empresas innovadoras: un análisis de caso español
Authors: Gabaldon-Quiñones Patricia , Gimenez-Jimenez Daniela
Published: February 2020

En esta investigación examinamos cómo la diversidad de género influye en las decisiones sobre la innovación en equipos que trabajan con I+D en España. Utilizando el panel de datos de la encuesta PITEC durante el período 2008 a 2016 realizada por el Instituto Nacional de Estadística (INE), los resultados de la investigación ponen de manifiesto como la diversidad de género en estos equipos investigadores tiene un impacto positivo pero limitado sobre la innovación de servicios. Estos resultados demuestran que la incorporación de mujeres en innovación puede ayudar a fomentar la equidad de género en las organizaciones a la vez que incrementa su innovación.
Pornografia online. Correlati neurologici, processi cognitivi e comportamentali di sviluppo e mantenimento
Authors: Lambiase Emiliano
Published: February 2020

Ad oggi sono quasi inesistenti gli studi che hanno indagato in modo sistematico e scientificamente fondato l'eziologia della dipendenza sessuale. In modo molto generico ci sono alcuni studi che hanno trovato un'associazione con forme insicure di attaccamento (Zapf, Greiner, Carroll, 2008), oppure ci sono le ipotesi di Carnes (Carnes, 1983/1992, 1989, 1991) che la vedevano associata a delle convinzioni di base disfunzionali che riguardavano l'immagine di sé, i bisogni di base e la sessualità. Si riteneva che queste convinzioni di base fossero radicate nel sentimento della vergogna, nato all'interno di varie forme di abuso vissuto nell'infanzia. In passate pubblicazioni (Cantelmi e Lambiase, 2015) abbiamo presentato alcune ipotesi di "traiettorie eziologiche" che riguardano l'attaccamento, il funzionamento metacognitivo e la sessualizzazione culturale. In associazione a queste dinamiche, in tempi recenti, sono stati indagati con sempre maggiore approfondimento, due ambiti che riguardano soprattutto una forma di dipendenza sessuale, quella da pornografia online: le relazioni tra il comportamento sessuale e il funzionamento cognitivo e comportamentale, il rapporto tra l'uso e la dipendenza dalla pornografia e il funzionamento cerebrale. Dall'analisi di questi studi è emerso come forme di utilizzo patologico della pornografia online possono essere favorite sia da vulnerabilità e caratteristiche psicologiche, che da risposte di apprendimento condizionato caratteristiche del mezzo in sé, che possono agire sui meccanismi del cervello implicati nei processi di gratificazione, tipici delle altre forme di dipendenza da sostanze e da comportamenti
انعكاس بيئة اللقاء الخدمي في تعزيز رضا الزبـون
Authors: جثير الربيعاوي سعدون حمود , عبد العبادي فارس احمد
Published: February 2020

بسبب المنافسة الشديدة في ما بين منظمات الخدمة من جانب وازدياد متطلبات الزبائن من جانب اخر, لذا فقد سعت هذه المنظمات الى تمييز خدمتها عن طريق الاهتمام بجوانبها كافة, واحدى هذه الجوانب المهمة هي بيئة اللقاء الخدمي وما لها من انعكاسها في مشاعر الزبون وهذا كان سببا رئيسا لاختيار البحث الحالي وتوضيح مدى اهميتها وتأثيرها في رضا الزبون, وقد تمثلت مشكلة البحث في مدى اهتمام المطاعم العراقية ببيئة اللقاء الخدمي وكيف تهتم بعناصرها وهل هذا الاهتمام كافي لانعكاسه في رضا الزبون, اما عن هدف البحث الحالي فقد كان توضيح مدى تطبيق بيئة اللقاء الخدمي في المطاعم العراقية, ومعرفة درجة تأثير المتغير المستقل في التابع, ولأجل الوصول لهذا الهدف صيغت ثلاثة فرضيات رئيسة كانت الاولى (توجد علاقة ارتباط ذات دلالة معنوية بين بيئة اللقاء الخدمي ورضا الزبون), اما الثانية فقد كانت (توجد علاقة تأثير ذات دلالة معنوية لبيئة اللقاء الخدمي في رضا الزبون), بينما الفرضية الثالثة كانت (توجد علاقة تأثير ذات دلالة معنوية لأبعاد بيئة اللقاء الخدمي مجتمعة في رضا الزبون), وقد استهدف البحث القطاع الخدمي, ولا سيما قطاع المطاعم العراقية، اما مجتمع البحث فهو الزبائن المتواجدين في مطاعم الدرجة الممتازة, وقد بلغت عينة البحث (346) زبوناَ، اما جمع البيانات فقد تم باستعمال الاستبانة كأداة رئيسة, والمقابلات الشخصية, والملاحظة الشخصية للباحث في الميدان كأدوات ثانوية, وقد تم استخدام البرنامج الاحصائي (SPSS_V.19) لتحليل البيانات, وكذلك استخدام مجموعة من الوسائل الاحصائية مثل الوسط الحسابـي, والانحراف المعياري, ومعامل الاختلاف, لتحليل البيانات ووصفها, ومعامل الارتباط بيرسون (Pearson) لاختبار فرضيات الارتباط, ومعادلة الانحدار الخطي البسيط, ومعادلة الانحدار الخطي المتعدد لاختبار فرضيات التأثير, وفي النهاية توصل البحث الى مجموعة من الاستنتاجات كان اهمها ان مطاعم الدرجة الممتازة العراقية تهتم بشكل جيد ببيئة اللقاء الخدمي مع وجود بعض المعوقات التي لابد من تتداركها, وقد اوصى البحث بتعزيز التوجه والاهتمام ببيئة اللقاء الخدمي لما لها من دور كبير في تفسير رضا الزبون.
دور السياسة النقدية في تحقيق الاستقرار المالي للمصارف العراقية للمدة (2009 – 2017)
Authors: موسى حيدر طالب , مهدي صباح رحيم , عذافه حيدر حسين
Published: February 2020

ان مسؤولية البنك المركزي ومن خلال تطبيق سياسته النقدية والمتعلقة بالمحافظة على سلامة واستقرار النظام المالي والنظام الاقتصادي، لان اي صدمة داخلية كانت ام خارجية، قد تعرض النظام المالي للخطر وعدم الاستقرار، لذلك جاء البحث ليسلط الضوء على فاعلية السياسة النقدية في الحفاظ على الاستقرار المالي ، أذ كانت اهم الاستنتاجات هي وجود زيادة في رؤوس الأموال مما يعطي المصارف إمكانية لمواجهة المخاطر التي تتعرض لها، فضلا عن وجود ارتفاع في اجمالي الديون المتعثرة، مما يؤدي الى اضعاف مركزه المالي، والذي يشكل تراجع في الاستقرار المالي لتلك المصارف.
Bendamustine, followed by ofatumumab and ibrutinib in chronic lymphocytic leukemia (CLL2-BIO): primary endpoint analysis of a multicentre, open-label phase-II trial
Authors: Paula Cramer  , Julia v. Tresckow  , Sandra Robrecht  , Jasmin Bahlo  , Moritz Fürstenau  , Petra Langerbeins  , Natali Pflug  , Othman Al-Sawaf  , Werner J. Heinz  , Ursula Vehling-Kaiser  , Jan Dürig  , Eugen Tausch  , Manfred Hensel  , Stephanie Sasse  , Anna-Maria Fink  , Kirsten Fischer  , Karl-Anton Kreuzer  , Sebastian Böttcher  , Matthias Ritgen  , Michael Kneba  , Clemens-Martin Wendtner  , Stephan Stilgenbauer  , Barbara Eichhorst  , Michael Hallek
Published: February 2020

The introduction of targeted agents has revolutionized the treatment of chronic lymphocytic leukemia but only few patients achieve complete remissions and minimal residual disease negativity with ibrutinib monotherapy. This multicenter, investigator-initiated phase-II study evaluates a sequential treatment with two cycles of bendamustine debulking for patients with a higher tumor load, followed by ofatumumab and ibrutinib induction and maintenance treatment. An all-comer population, irrespective of prior treatment, physical fitness and genetic factors was included. The primary endpoint was the investigator assessed overall response rate at the end of induction treatment.
Of 66 patients enrolled, one patient with early treatment discontinuation was excluded from the efficacy analysis as predefined by the protocol. Thirty-nine patients (60%) were treatment-naive and 26 patients (40%) had relapsed/refractory CLL, 21 patients (32%) had a del(17p) and/or TP53 mutation and 45 patients (69%) had an unmutated IGHV status. At the end of the induction, 60 of 65 patients (92%) responded and 9 (14%) achieved minimal residual disease negativity (
Risk Factors of Coronary Heart Disease among Civil Employees of a Tertiary Level Hospital
Authors: Rahman Md Saydur , Nahar Nurun
Published: February 2020

Background: Cardiovascular risk factors are the most inimical and deleterious elements to develop coronary heart disease (CHD). To identify the factors contributing to develop CHD is therefore of paramount importance. It needs endless attention to address the riddle. This effort is to candle the light on sociodemographic & other factors of CHD.

Methods & Materials: This cross-sectional study was conducted in CMH Dhaka from September to December 2011 on 287 respondents. Data were collected by interview using semi-structured questionnaire. Data were checked, edited, coded, categorized, cleaned and analyzed using (SPSS version 20).

Results: The study disclosed that respondent's mean age was 39.40+9.42 years, 67.2% were male and 32.8% were female. It was founded that 34.14% were smoker. The prevalence rate of HTN and DM were 14.3% and 4.5% respectably. The mean BMI was 24.55 with 58.5% had normal weight and 41.5% were overweight, 18.8% had positive family history of suffering from CHD. among the respondents 88.5% has got at least one risk factor, 60% has got 5-10 risk factors, 13.6% got 6-10 risk factors, 14.3% got>10 risk factors. Age was significantly associated with smoking (p<.049), educational status (p<.001) and blood pressure (p<.001). Physical exercise was associated with BMI (p<.001) and blood pressure (p<.001). Risk factors had highly significant association with age (p<.001).

Conclusion: All these findings suggest that a substantial evidence of risk factors of coronary heart diseases were prevailing among the study population. Proper care through positive motivation, avoidance of risk behaviour, intervention of clinical conditions can resist risk factors of coronary heart disease thus coronary heart disease can be prevented.

Anwer Khan Modern Medical College Journal Vol. 11, No. 1: Jan 2020, P 22-28
Estimation of Serum Uric Acid Level in Preeclamptic Women Determine the Severity of Preeclampsia
Authors: Nahar Khairun , Khatun Sayada Fatema , Khan Naila Atik
Published: February 2020

Background: Serum uric acid is a relatively insoluble metabolite of purine metalolism which is mainly secreted by the kidneys and the rate is dependant on renal blood flow. It increases in preeclampsia and studies show it may be a marker of severe preeclampsia.

Objective: To determine the serum uric acid level in preeclampsia, to compare the serum uric acid level between mild and sever preeclampsia and to find out any relationship of the serum uric acid level with hypertension in preeclampsia.

Methods and materials: This cross sectional study was conducted in Dhaka Medical College Hospital in eclampsia ward of Gynae & Obs department during the period from January 2010 to December 2011. This study group composed of 92 diagnosed case of preeclampsia patient. Out of the 92 cases, 42 were mild preeclampsia and 50 were severe preeclampsia.

Result: The results of the study showed that the mean serum uric acid level was significantly high in severe preeclampsia compared to mild preeclampsia and there is a positive and significant relationship of serum uric acid level with hypertension in preeclampsia.

Conclusion: There is significant association between serum uric acid level and hypertension in Preeclampsia.

Anwer Khan Modern Medical College Journal Vol. 11, No. 1: Jan 2020, P 35-40
Distribution and Determinants of Rape Victims: A Retrospective Analysis
Authors: Ferdous Nahin Fahmida , Jabin Nashat
Published: February 2020

Background: Rape is a very alarming situation in the context of Bangladesh. It is the most common form of violence against woman. In Bangladesh, rape is found as the second commonly reported form of violence against women, following dowry related harassment. However, sexual violence has a great impact on physical and mental state of health with an increased range of sexual & reproductive health problem.

Objectives: To describe rape victims medico-legal examination findings those includes sociodemographic characteristics, location of victim's residence, victims signs of struggle / violence & condition of hymen, status of victims vaginal swab test report, state of victim's mental condition & sexual abuse, state of victim's sign of Non-Genital Violence & state of accused and victim's status of pregnancy as well.

Methods: This was a descriptive type of cross-sectional study taken from a retrospective record review which was done in the Department of Forensic Medicine, Shaheed Suhrawardi Medical College, Dhaka, Bangladesh from 29th Oct 2017 to 30th Sep 2019 with the support of department faculties in reviewing the records using a checklist.

Results: More than 60% victims were within 15-29 years of age with mean age 18.69 years and SD: + 5.921. Among the victims 27.5% had no formal education & almost 78% victims' occupation was student and garment workers. The study revealed that 76.3% victims were single (Unmarried) and 34.8% & 19.3% of the victims' residence was Ashulia, & Dhamrai respectively. Among the victims only 67.6% had the consent for medico-legal examination. Signs of struggle / violence was present only on 5.71% and ruptured hymen was found in 96.43% of victims respectively. Negative spermatozoa were found among all respondents. All of the respondents were found as Anxious and depressive. Moreover, state of sexual abuse was present among 98.57% respondents and 96.43% victims had the state of non-genital violence. Almost 95% of the victim's examination was done between more than 7 days to 1 month. Only 5% of the victims were found pregnant.

Conclusion: The study findings demand a growing need focusing in developing strategies for the care & support of rape victims. An adequate legal coverage for the rape victims, a post rape health and social services can be considered an unmet need for the society in deed.

Anwer Khan Modern Medical College Journal Vol. 11, No. 1: Jan 2020, P 41-45
Errata vol. 11(1)
Authors: Dipta Tashmim Farhana , Rahman H , Khatun A , Islam MA
Published: February 2020

Abstract not available

Anwer Khan Modern Medical College Journal Vol. 11, No. 1: Jan 2020, P vi
Математическая модель пространственно изменяющегося неустановившегося движения потока при прорыве напорных гидротехнических сооружений в условиях высокогорья
Authors: Striganova Marina , Shatalov Igor' , Samedov Samedaga , Nedashkovskaya Irina , Rabchenya Viktoriya
Published: February 2020

Цель. Моделирование пространственно изменяющегося неустановившегося движения потока, образующегося в результате гидродинамических аварий, на горных территориях.
Методы. Математическое моделирование неустановившегося движения потока жидкости.
Результаты. При расширении неустановившегося потока по склону рельефа местности происходит распад волны на преломленную, движение которой можно описать уравнением баланса энергий с инерционной составляющей, и отраженную, которая преобразуется в пространственное прыжковое сопряжение, описываемое уравнением баланса энергии.
Область применения исследований. Предложенные уравнения можно использовать в качестве математической модели неустановившегося плавно изменяющегося движения воды в случае разрушения или прорыва напорного гидротехнического сооружения в условиях высокогорья.
III. SLOVENSKO-ČESKÉ DNI DAŇOVÉHO PRÁVA. Pozitívna a negatívna stimulácia štátu v oblasti zdaňovania
Authors: Babčák Vladimír , Popovič Adrián , Sábo Jozef
Published: February 2020

V rámci projektu APVV-16-0160 „Daňové úniky a vyhýbanie sa daňovým povinnostiam (motivačné faktory, vznik a eliminácia)" bola zorganizovaná konferencia pod názvom III. SLOVENSKO-ČESKÉ DNI DAŇOVÉHO PRÁVA „Pozitívna a negatívna stimulácia štátu v oblasti zdaňovania". Z tejto konferencie bol pripravený rovnomenný výstup vo forme recenzovaného zborníka vedeckých prác. V rámci tejto publikácie sú uverejnené· príspevky viacerých významných osobností vedy daňového práva na Slovensku a v Českej republike. Jednotlivé príspevky mapujú daňovoprávnu legislatívu a aj zmeny podmienené vývojom daňovo-právnej regulácide, a to najmä pod vplyvom práva Európskej únie. Tieto zmeny sú priblížené v kontexte ich konkrétnych ekonomických dopadov a ich vplyvu na postavenie a právne vzťahy v podnikateľskej a spoločenskej oblasti. Nosnými témami spracovanými v rámci jednotlivých príspevkov sú predovšetkým: aktivity EÚ vo vzťahu k daňovým podvodom, daňovým únikom, vplyv konštrukcie dane na konanie adresátov daňovo-právnych noriem a daňová politika štátu a: jej ekonomické dopady. Publikácia prezentuje jednu z najaktuálnejších tém v súčasnom právnom a ekonomickom prostredí.
No Change in Serum Incretins Levels but Rise of Leptin Levels After Smoking Cessation: a Pilot Study
Authors: PANKOVA A. , KRALIKOVA E. , KAVALKOVA P. , STEPANKOVA L. , ZVOLSKA K. , HALUZIK M.
Published: February 2020

The mechanisms behind the changes of body weight after smoking cessation are only partially understood. To this end, we explored the possible effects of smoking cessation on incretin hormones, leptin and selected anthropometric, biochemical and other hormonal parameters. Twenty-two non-obese male adult smokers attending an ambulatory smoking cessation program in Prague, Czech Republic, were examined at the baseline. Thirteen patients (mean age 37.92±2.66 years, mean body mass index 25.56±0.69 kg/m2) successfully quit smoking and were examined three months after smoking cessation; relapsed smokers were not followed up. The patients underwent 2-h liquid meal test with Fresubin and repeated blood sampling for measurements of blood glucose, gastric inhibitory polypeptide (GIP), glucagon-like peptide 1 (GLP-1), amylin, insulin, leptin, peptide-YY (PYY) and pancreatic polypeptide (PP). Three months after smoking cessation, body weight increased (4.35±3.32 kg, p<0.001). Leptin levels increased significantly in all repeated samples, while levels of GIP, GLP-1, amylin, insulin, PYY and PP remained unchanged. In conclusions, smoking cessation increased leptin levels probably owing to weight gain while it did not influence incretin levels.
Predicting Blood Flow Responses to Rhythmic Handgrip Exercise From One Second Isometric Contractions
Authors: COOK M. , SMART N. A. , VAN DER TOUW T.
Published: February 2020

The aim of this work was to predict blood flow responses to rhythmic handgrip exercise from one second isometric contractions. Seven healthy men were studied. Each subject performed a single 1 s handgrip contraction at 10 %, 20 % and 40 % of the maximum handgrip strength. We then repeatedly summed hyperaemic responses from single contractions to predict hyperaemic response to a prolonged bout of rhythmic exercise. There was similarity between steady state brachial blood flow velocity (BBV) extrapolated from single handgrip contractions and during 2 min of rhythmic exercise for 20 % (10.0±3.8 cm/s vs. 10.2±2.6 cm/s, r=0.93, p=0.003) and 40 % of maximum contractions (14.2±5.5 cm/s vs. 15.6±3.4 cm/s, r=0.88, p=0.009), but not for 10 % (7.5±4.1 cm/s vs. 5.7±3.3 cm/s, r=0.94, p=0.018). BBV progressively rose substantially higher during rhythmic contractions than peak BBV observed during single contractions at matched intensity. Respective peak BBV during single contractions and steady state BBV rhythmic contractions were 4.4±2.1 and 5.7±3.3 cm.s−1 at 10 % forearm strength (p=0.14), 5.6±2.4 and 10.2±2.8 cm.s−1 at 20 % (p=0.002), and 7.0±2.5 and 15.6±3.6 cm.s−1 at 40 % (p=0.003). In conclusion, there is similarity between the summated blood flow velocity calculated from a single 1 s muscle contraction and the steady state blood flow velocity response of rhythmic exercise.
Deteksi Jumlah dan Pengenalan Wajah Manusia Menggunakan Metode Histogram Of Oriented Gradient dan Viola Jones
Authors: Antono Feni Budi , Rofii Faqih , Istiadi Istiadi
Published: February 2020

Tingkat kejahatan di lingkungan rumah saat ini semakin meningkat. Ada dua kelemahan manusia yang  dimanfaatkan pencuri, yaitu sikap individualisme dan letak rumah yang sulit terjangkau oleh pengawasan keamanan. Solusi yang dilakukan adalah memperkerjakan jasa keamanan untuk menjaga rumah. Pilihan tersebut kurang  efesien bagi pemukiman menengah ke bawah. Solusi lain yang banyak digunakan adalah  sistem keamanan rumah berbasis CCTV. Kelemahan pada sistem yang  aktif terus menerus sehingga membutuhkan penyimpanan data yang cukup besar. Kekurangan dari CCTV tersebut dapat dicover dengan menambahkan fitur-fitur teknologi yang akan menambah presentase velue pada waktu yang digunakan. Penelitian ini dilakukan untuk mengetahui bagaimana penerapan fitur-fitur teknologi tersebut pada nilai akurasi serta error yang dihasilkan pada kamera USB. Metode yang digunakan dalam penelitian ini adalah Histogram Of Oriented Gradient sebagai pendeteksi jumlah manusia dan metode Viola Jones sebagai pendeteksi pengenalan wajah. Hasil dari penelitian ini adalah kemampuan maksimal kamera dalam mendeteksi jumlah manusia didapat pada jarak 5-11 meter antara kamera dengan obyek manusia dengan tingkat nilai error yang lebih rendah dari nilai akurat. Sedangkan pada pengenalan wajah jarak optimal yang didapat adalah 1-3 meter antara kamera dengan wajah yang menghasilkan tingkat nilai error lebih tinggi dari nilai akurat dalam mengenali wajah.
Perancangan Sistem Informasi Monitoring Tim Sukses untuk Strategi Pemenangan Caleg Menggunakan Framework ITIL Versi 3
Authors: Isanto Alfian Pradana , Wibowo Achmad Teguh , Milad Mohammad Khusnu
Published: February 2020

Pemilihan Umum (pemilu) adalah sarana kedaulatan rakyat untuk memilih anggota Dewan Perwakilan Rakyat, anggota Dewan Perwakilan Daerah, Presiden, dan Wakil Presiden, dan untuk memilih anggota Dewan Perwakilan Rakyat Daerah, yang dilaksanakan secara langsung, umum, bebas, rahasia, jujur, dan adil dalam Negara Kesatuan Republik Indonesia berdasarkan Pancasila dan Undang-Undang Dasar Negara Republik Indonesia Tahun 1945, peran tim sukses pada pemilu sangat penting karena dapat mendukung elektabilitas pada partai atau calegnya. Pada kenyataan dilapangan seringkali tim sukses tidak melaksanakan tugasnya dan proses pelaporan tugas yang tidak didukung data yang valid menjadikan dampak negatif secara langsung maupun tidak langsung pada partai atau caleg. Tujuan dari penelitian ini adalah untuk membuat analisis perancangan sistem informasi monitoring tim sukses untuk strategi pemenangan caleg menggunakan framework ITIL versi 3. Analisis perancangan yang dilakukan menggunakan proses Event Management, didapatkan hasil yaitu sistem informasi monitoring berbasis web dengan dukungan koordinat yang membantu proses monitoring data dan menunjang validitas data. . Penggunaan sistem informasi monitoring dapat meningkatkan efektifitas dan efisiensi penggunaan anggaran pada partai/caleg terkait baik secara langsung maupun tidak langsung.
Paris polymorphe: égarements et détours dans Polyandre de Charles Sorel
Authors: Bellemare Alex
Published: February 2020

Polyandre (1648), roman inachevé de Charles Sorel, déconstruit le schéma picaresque traditionnellement opératoire dans le genre de l'histoire comique. Sorel, dans la préface qui accompagne le dernier avatar de sa trilogie comique, se revendique d'une esthétique de la diversité. Sorte de pícaro urbain, Polyandre, homme d’âge mûr de retour à Paris après un intermède provincial, délaisse le voyage de formation pour lui préférer la promenade. Roman bourgeois peignant la vie des figures les plus variées et médiocres, Polyandre est un impressionnant compte rendu de la topographie parisienne et des archétypes sociaux qui y circulent. Les errements de Polyandre agissent comme agrégateurs de personnages typés: le personnage picaresque, défini par sa mobilité sociale et sa perméabilité morale, devient, par inversion comique, promeneur et juge. Mais ces déplacements et décalages burlesques sont aussi, voire surtout, une expression métaphorique de la fonction même de l'histoire comique, qui devient espace d'exploration et laboratoire social.
The role of paleolimnology in climate and
environment reconstruction and lake restoration in light of research on
selected bioindicators
Authors: Wojewódka Marta , Hruševar Dario
Published: February 2020

Paleolimnologists
and ecologists study biotic and abiotic variables to track long-term and
short-term environment changes. Microscopic invertebrates, phytoplankton of
freshwater ecosystems, and pollen grains have been extensively studied during
the last decades. Surveys of modern and fossil biota composition might provide
information about past changes caused by climate alteration and human activity.
Furthermore, research on the modern population of these biological proxies may
be utilized to assess environmental quality and restoration measures. This
paper synthesizes knowledge of the use of selected microscopic invertebrates
(Cladocera, Copepoda, Ostracoda, Rotifera), phytoplankton, and pollen grains
for the aforementioned issues. This review shows that the ability of these
biological proxies to indicate environment changes is versatile. Some of them
may be utilized to track long-term changes of temperature (pollen) or pH
(Diatomeae). Others are useful to reconstruct paleosalinity (Ostracoda) or
conductivity (Ostracoda, Diatomeae), while the utilization of Rotifera and
Copepoda in paleoreconstruction, due to the very poor preservation of the
remains, is very limited, although these fauna are very useful for assessing
modern water quality. Larger species of Cladocera are significant for lake
restoration
Complex Contagion Features without Social Reinforcement in a Model of Social Information Flow
Authors: Pond Tyson , Magsarjav Saranzaya , South Tobin , Mitchell Lewis , Bagrow James P.
Published: February 2020

Contagion models are a primary lens through which we understand the spread of information over social networks. However, simple contagion models cannot reproduce the complex features observed in real-world data, leading to research on more complicated complex contagion models. A noted feature of complex contagion is social reinforcement that individuals require multiple exposures to information before they begin to spread it themselves. Here we show that the quoter model, a model of the social flow of written information over a network, displays features of complex contagion, including the weakness of long ties and that increased density inhibits rather than promotes information flow. Interestingly, the quoter model exhibits these features despite having no explicit social reinforcement mechanism, unlike complex contagion models. Our results highlight the need to complement contagion models with an information-theoretic view of information spreading to better understand how network properties affect information flow and what are the most necessary ingredients when modeling social behavior.
Some Notes on Counterfactuals in Quantum Mechanics
Authors: Elitzur Avshalom , Cohen Eliahu
Published: February 2020

Counterfactuals, i.e., events that could have occurred but eventually did not, play a unique role in quantum mechanics in that they exert causal effects despite their non-occurrence. They are therefore vital for a better understanding of quantum mechanics (QM) and possibly the universe as a whole. In earlier works, we have studied counterfactuals both conceptually and experimentally. A fruitful framework termed quantum oblivion has emerged, referring to situations where one particle seems to "forget" its interaction with other particles despite the latter being visibly affected. This framework proved to have significant explanatory power, which we now extend to tackle additional riddles. The time-symmetric causality employed by the Two State-Vector Formalism (TSVF) reveals a subtle realm ruled by “weak values,” already demonstrated by numerous experiments. They offer a realistic, simple and intuitively appealing explanation to the unique role of quantum non-events, as well as to the foundations of QM. In this spirit, we performed a weak value analysis of quantum oblivion and suggest some new avenues for further research.
Metabolic Dynamics of Ecosystems Realizing Steady Log-Uniform Distributions: The Case of Commodities in Shops
Authors: Sakoda Gen , Takayasu Hideki , Takayasu Misako
Published: February 2020

From the viewpoint of statistical physics, ecosystems in the real world are very attractive targets of research as examples of far-from thermal equilibrium systems where various kinds of components are coming in and out continuously while keeping the whole systems quasi-stationary. As a fortunate example of a fully-observable ecosystem, we analyzed the comprehensive data of convenience stores where approximately 5% of the commodity species is replaced by new ones daily. The share of stores for each species fluctuates significantly; however, the entire distribution of shares is fairly stationary and follows the log-uniform distribution, that is, the power law distribution with exponent 0. We introduce an empirical time evolution model of shares and firstly deduce that the key mechanism of realizing this stationary distribution is random multiplicative diffusion in finite size spaces. Our model based on the general stochastic process is expected to be applicable to various dynamic systems, especially complex systems with highly nonlinear interactions.
The Threshold Effect of Leveraged Trading on the Stock Price Crash Risk: Evidence from China
Authors: Peng Zhen , Hu Changsheng
Published: February 2020

The stock price crash constitutes one part of the complexity in the stock market. We aim to verify the threshold effect of leveraged trading on the stock price crash risk from the perspective of feedback trading. We empirically demonstrate that leveraged trading has a threshold effect on the stock price crash risk on the basis of monthly data on leveraged trading in the Chinese stock market from January 2014 to December 2016. At a low leverage ratio, leveraged trading reduces the stock price crash risk; however, as the leverage ratio increases and exceeds a certain threshold, leveraged trading asymmetrically increases the stock price crash risk. These findings provide new insights in understanding the complexity in the Chinese stock market.
Modelling the Coevolution of the Fuel Ethanol Industry, Technology System, and Market System in China: A History-Friendly Model
Authors: Bi Chao , Zeng Jingjing , Zhang Wanli , Wen Yonglin
Published: February 2020

The interaction among the fuel ethanol industry, the technology system, and the market system has a substantial effect on the growth of the fuel ethanol industry which plays a key role in the formation of a sustainable energy system in China. However, we know little about the relationships among them and it is difficult to explore the nexus using econometric method due to the lack of statistics on China’s fuel ethanol industry. This paper develops a history-friendly coevolutionary model to describe the relationships among the fuel ethanol industry, the technology system, and the market system in China. Based on the coevolutionary model, we further assess the impacts of entry regulations, production subsidies, R&D subsidies, and ethanol mandates on the growth of the fuel ethanol industry in China using a simulation method. The results of historical replication runs show that the model can appropriately reflect the multidirectional causalities between the fuel ethanol industry, the technology system, and the market system. We also found that entry regulation is conducive to weakening the negative economic impacts induced by the growth of the grain-based fuel ethanol industry without affecting the long-term total output of the industry; production subsidies to traditional technology firms are helpful for the expansion of the fuel ethanol industry, but they also impede technology transfer in the industry; only when firms inside the industry are not in the red can R&D subsidies promote technological progress and then further accelerate the growth of the fuel ethanol industry; the ethanol mandate has a significant impact on industrial expansion only when a production subsidy policy is implemented simultaneously. Our findings suggest that more attention could be paid to consider the cumulative effects caused by coevolutionary mechanisms when policymakers assess the effects of exogenous policies on the growth of the fuel ethanol industry. More attention also could be paid to the conditions under which these policies can work effectively.