bluuebunny/crossref_metadata_2025 huggingface dataset:
Influence of systemic inflammatory reactions on the course of pancreoecrosis
Authors: Boyko V. V. , Lichman V. N. , Shevchenko A. N. , Merkulov A. A. , Polikov H. O. , Myroshnychenko D. O.
Published: October 2019

Introduction. Acute pancreatitis is a common pathology in abdominal surgery, so the prevalence reaches 238 cases per million populations. It should be noted that pancreatic necrosis develops in 25% of patients with acute pancreatitis, and mortality can reach up to 20%.

Purpose of the study. The investigate effect on the pancreatic necrosis course of the systemic inflammatory response.

Materials and methods. We examined 96 patients aged from 19 to 78 years. During the course of the disease, a systemic inflammatory response developed in 79% of patients with acute necrotizing pancreatitis.

Results. It was found that the lethal cases of acute necrotic pancreatitis occurred only with the development of multiple organ failure with a score of 6 or more on the SOFA scale. The correlation coefficients between the signs, affecting the risk of developing severe multiorgan failure, were calculated. It was proved that in case of a pronounced systemic inflammatory reaction, a patient produces a large amount of free fluid in the abdominal cavity, and is a risk of an early fatal outcome. It should be noted that in the presence of obesity there was a tendency to the risk of developing severe multiorgan failure.

Conclusion. In acute necrotizing pancreatitis, the risk of severe multiorgan failure and death is only in patients with a systemic inflammatory reaction (especially in the presence of obesity and the elderly patient), and the degree of risk reliably depends on the severity of signs of an inflammatory response.
Diabetes mellitus type 2 correction, changes in c-peptidemia and insulinemia inconnection with ileoduodenoplasty
Authors: Podpryatov S. E. , Podpryatov S. S. , Starchak N. M. , Antonova A. V. , Satsyuk I. V. , Korchak V. P.
Published: October 2019

Purpose of the study. The diabetes move changes estimate and c-peptidemia and insulinemia levels changes in connection with ileoduodenoplasty.
Materials and methods. C-peptiemia and insulinemia were estimated in 45 patients with diabetes mellitus type 2. There were 20 men, 25 women, mean (M ± m) age 27,4 ± 9,5 years. Body mass index was from 23,4 to 61,4 kg/cm2.
For glycemia correction pill medication use 12 patients, insulin injection 18, first revealed diabetes or insulin resistance with poorly corrected hypertension and cardiac insufficiency of 2 stage have 15 patients. Mean (M ± m) diabetic duration was 15,1 ± 7,7 years.
Results. At 3 weeks since surgery glycemia correction by means of metformin was necessary in 6 patients, other do not need any diabetes correction. In terms 1–3, 4–6, 7–21 day, 22 day – 3 months, 3–12 months since surgery mean values of studied hormones declined gradually. In spite of this, declining in hormones level were unproportional one to another, in some patients it increases or changes in inverse mode: raising in insulinemia coincidence with decline in c-peptidemia and vice versa.
Conclusion. Performing of ileoduodenoplasty lead to disappear of insulin resistance in few days since surgery.
In term 3 weeks since surgery steady compensation of diabetes mellitus 2 type occur.
Ambiguous changes in c-peptidemia and insulinemia levels both in early and late terms since surgery already not in equivalence with glycemia point out at its interrelation with other regulators of food consumption.
SARIKAMIŞ KAYAK MERKEZİ’NİN DESTİNASYON MARKALAŞMASI ÜZERİNE BİR UYGULAMA
Authors: ÇELİK Kübra , GELİBOLU Levent
Published: October 2019

Markalaşma, destinasyonların kendilerini konumlandırma faaliyetlerinin tümüdür. Destinasyonların marka haline getirilmesi düşünüldüğünde, tarihi, coğrafi, kültürel ve ekonomik özellikleri kullanılmaktadır. Sayılan özelliklerin birine ya da birkaçına sahip olan destinasyonlar bu özellik yada özelliklerini ön plana çıkarmak isteyecektir. Ancak bu faaliyetlere başlamadan önce destinasyonun nasıl tanındığı veya algılandığının öğrenilmesi ve ona göre bir yol haritası çizilmesi gerekmektedir. Bu çalışmada Kars’ın turistik açıdan önemli yerlerinden biri olan Sarıkamış Kayak Merkezi’ni ziyaret eden yerli turistlerin, Sarıkamış Kayak Merkezi’ni destinasyon markası olarak nasıl algıladıklarının tespit edilmesi amaçlanmıştır. Bu amaç doğrultusunda Aralık 2016 - Mart 2017 tarihleri arasında, Sarıkamış Kayak Merkezi’ni ziyaret eden ve buradaki konaklama işletmelerinde en az bir gece konaklayan 400 misafire anket uygulanmıştır. Temel bulgulara göre katılımcıların yarısından fazlası Sarıkamış Kayak Merkezi’ni bir destinasyon markası olarak görmektedir. Katılımcıların çok büyük bir kısmı Sarıkamış Kayak Merkezi’ni tekrar ziyaret etmek istediğini belirtmiş ve yine katılımcıların tamamına yakını Sarıkamış Kayak Merkezi’ni çevrelerindeki insanlara tavsiye edebilecekleri yönünde görüş bildirmiştir.
ÖĞRENCİLERİN ALGILADIKLARI AİT OLMA VE ÖĞRETİM ELEMANLARI MESLEKİ YETERLİLİKLERİNİN AKADEMİK MOTİVASYONLARINI YORDAMA DÜZEYİ
Authors: ALÇI Murat , TÜMKAYA Songül
Published: October 2019

Bu araştırmanın amacı sınıf öğretmenliği
öğrencilerinin ait olma ve algıladıkları öğretim elemanları mesleki
yeterliklerinin, akademik motivasyonlarını anlamlı bir şekilde yordayıp
yordamadığını ortaya koymaktır. Araştırma, sınıf öğretmenliği öğrencilerinin
akademik motivasyon düzeylerini etkileyen özelliklerinin saptanması ve bunların
birbirleriyle etkileşimlerinin belirlenmesini amaçlayan ilişkisel tarama
modelinde betimsel bir çalışmadır. Araştırmanın evrenini 2015-2016
eğitim-öğretim yılında Çukurova Üniversitesi Eğitim Fakültesi Sınıf Eğitimi
Anabilim Dalında öğrenim gören öğrenciler oluşturmuştur. Araştırmada örneklem
seçilmeyip evrenin tamamına ulaşılmaya çalışılmıştır. Sonuçlar, “mesleğe ait
olma” değişkeninin sınıf öğretmenliği öğrencilerinin akademik motivasyonlarını
etkileyen en önemli değişken olduğunu göstermiştir. Ayrıca sonuçlar erkeklerin
ait olma düzeylerinin kadınlara göre daha düşük olduğunu göstermiştir. Bu da
sınıf öğretmenliğinin geçmişten beri gelen “kadın” mesleği olduğu algısının
hala sürdüğüne işaret etmektedir. Son sınıf öğrencileri, birinci sınıf
öğrencilerine göre öğretim elemanlarını daha yetersiz algılamaktadır.
PEMBELAJARAN REGULASI KENDIRI PELAJAR DALAM BAHASA ARAB: SEJAUH MANA PENGAJARAN GURU MEMAINKAN PERANAN?
Authors: Ahmid Mohammad Haafiz , Abdullah Mohd Khairuddin@Jerry
Published: October 2019

Pembelajaran regulasi kendiri membolehkan pelajar menjadi aktif dan autonomi dalam pembelajaran mereka yang merangkumi aspek metakognitif, motivasi dan tingkah laku untuk mencapai objektif pembelajaran mereka sendiri. Dalam pembelajaran bahasa Arab di sekolah menengah, beberapa kajian lepas mendapati kebergantungan pelajar tehadap guru sepenuhnya untuk mendapatkan pengetahuan. Pelajar kurang didedahkan dengan pembelajaran regulasi kendiri yang bepotensi meningkatkan kemampuan belajar secara aktif. Guru kurang mempromosikan pembelajaran regulasi kendiri kerana mereka sendiri mungkin tidak menguasai cara tersebut. Hal ini boleh menyebabkan pelajar menjadi pasif di tambah lagi Bahasa Arab merupakan mata pelajaran yang mencabar bagi yang bukan penutur jati. Oleh yang demikian, kajian ini telah menjelaskan keberkesanan pengajaran guru dalam menggalakkan pembelajaran regulasi kendiri dalam kalangan pelajar bahasa Arab. Pendekatan kuantitatif digunakan dalam kajian ini serta Student Evaluation of Teaching Effectiveness Rating Scales (SETERS) dan Motivated Strategies for Learning Questionnaire (MSLQ) sebagai instrumen kajian. Data dikumpul dari 542 pelajar Bahasa Arab dan diproses dengan analisis Korelasi Pearson. Secara keseluruhan, kajian ini mendapati hubungan signifikan antara guru yang mengajar dan pembelajaran kendiri di kalangan pelajar. Oleh itu, guru perlu memastikan pengajaran mereka dapat merangsang dan menggalakkan pembelajaran regulasi kendiri dalam kalangan pelajar untuk meningkatkan prestasi bahasa Arab di sekolah.
THE RELIGIOUS CONVERSION PROCESS AS AN UNUSUAL LIFE EXPERIENCE TO THE MALAYSIAN CHINESE MUSLIM CONVERTS IN THE CONTEXT OF ADULTHOOD SELF-DIFFERENTIATION DEVELOPMENT
Authors: Loo Tuck Yee , Elias Nadiyah , Abdul Ghani Mariny
Published: October 2019

This study explores the role of religious conversion as unusual life experience in facilitating adulthood self-differentiation development in the context of Malaysia Chinese Muslim converts. It is a qualitative phenomenology study, five participants from the northern religion of Malaysia were taking part, and data were collected by semi-structured interviews. This study has identified the religious conversion has placed the Chinese Muslim converts in the hardships of (a) marginalized minority, (b) deviation and (c) association status which might facilitate self-differentiation development.
PENGGUNAAN PENDEKATAN CONSTRUCTIVICT GROUNDED THEORY DALAM KAJIAN BULI
Authors: Mohd Isa Nor Junainah
Published: October 2019

Kajian buli di Malaysia kebanyakannya menggunakan pendekatan kuantitatif sebagai reka bentuk kajian. Namun, kaedah ini dilihat tidak mampu memberikan kefahaman mendalam berhubung permasalahan tersebut. Justeru, pendekatan kualitatif dijangka dapat memberikan penjelasan tentang fenomena buli secara lebih menyeluruh. Antara reka bentuk kualitatif yang boleh digunakan adalah constructivist grounded theory (CGT) yang diperkenalkan oleh Charmaz (2006). Bagi memperlihatkan pengaplikasian CGT dalam kajian buli, kertas kerja ini akan menghuraikan pengalaman Pengkaji melaksanakannya secara langkah demi langkah. Diharapkan agar perkongsian ini memberi inspirasi kepada para pengkaji untuk menerapkan pendekatan CGT dalam kajian buli mereka.
LEARNING ENVIRONMENT OF MADRASAH EDUCATION IN THE ASIA’S LATIN CITY
Authors: Yahcob-Saddalani Sheeva M.
Published: October 2019

The madrasah education is good in both the physical plant and facilities and the teaching and learning resources but only according to the minority views. This implies the existence of some problems in these identified areas of concern of madrasah education in Zamboanga City, Philippines. Thus, there is a need to address these issues of the physical plant and facilities and the teaching and learning resource for more effective religious education in that culturally diverse community, commonly known as Asia’s Latin City.
METHOD OF TALAQQI MUSYAFAHAH IN TEACHING AL QURAN WA AL-HIFZ DINI CURRICULUM SABK IN PERAK
Authors: Muhamad Norhisham , Hashim Azmil , Abdullah Wahyu Hidayat , Kamarul Zaman Muhammad Akramin , Zamri Fatin Ardani
Published: October 2019

This study was conducted to identify the implementation of Talaqqi Musyafahah on teaching al-Quran in Dini Curriculum at the Perak Government Assisted Religious Schools (SABK), to study the level of achievement in Al Quran reading and the relationship between the implementation of Talaqqi Musyafahah with the achievement of Al Quran reading of SABKs’ students. Research information was obtained through quantitative methods from questionnaires involving 304 forms four SABKs’ students in Perak. The collected data were processed using the windows program of SPSS software version 22.0. The results of the study indicate that the implementation of Talaqqi Musyafahah was high (mean=4.15, sp.= 0.65) and the achievement of al Quran reading was high (mean=4.28, sp=0.52). The study also shows that there was a moderate-high relationship (r=0.514, p <0.01) between the implementation of Talaqqi Musyafahah with the achievement of the al Quran reading. Overall, the relationship between the implementation of Talaqqi Musyafahah with the achievement level was strong. This proved that Talaqqi Musyafahah is important in the teaching and learning of al-Quran. Implications from the study show that the implementation of Talaqqi Musyafahah can enhance the achievement of reading the al Quran among the students.
USING ORIGAMI TO ENHANCE VISUAL AND MATHEMATICAL THINKING SKILLS AMONG THE AUTISTICS
Authors: Wan Bakar Wan Norliza , Yusoff Fauzi Fatimah Zuhaira
Published: October 2019

Autism is a general term for a group of complex disorders that affects brain development (Autism Society of America, (2014). “Autos” means ‘you in your own self’ which is described as ‘a runaway from reality’ (Leo Kanner, (1943). Autism has its own specializations which are mathematical (Baron Cohen et al 2001), and visual thinkers (Karren Piece, 2010). They can follow steps and create designs in more creative ways than others. This paper will deliberate on how the origami technique helps escalate the development of mathematical and visual thinking skills of autistic people. Three autistics namely Che’ Suria Aishah Farhana Binti Che’ Mat, an Asperger Syndrome Autistic, Muhamad Aliff Najmi bin Che’ Kamarudin, a Classic Autistic and Mohamad Aizuddin, a Pervasive Developmental Disorder Autistic were selected. They are from a special inclusive class of SMK Kadok, Kelantan in the eastern part of West Malaysia. Based on the objectives of this research paper a qualitative study was implemented. The triangulation method comprising of observation, interview and analysis was applied. The results revealed that Asperger Syndrome Autistic has a very systematic way of learning. Her ability to develop new ideas and new designs indicates that she is a mathematical and visual thinker. The Classic Autistic too has a systematic way of learning and is able to innovate new designs that prove that he is a mathematical and visual thinker. On the other hand, the Pervasive Developmental Disorder autistic was not interested in origami. He just stared at the origami and showed no interest in it. Future research can be implemented on how to capture the interest of the Pervasive Developmental Disorder autistics.
PEMBINAAN ANAK DIDIK PEMASYARAKATAN BERORIENTASI REHABILITASI SOSIAL DI LEMBAGA PEMASYARAKATAN KELAS IIB MERAUKE
Authors: Tajuddin Mulyadi Alrianto , Abung Leonardus
Published: October 2019

The effectiveness in the existence of social rehabilitation for correctional students in Merauke Class IIB Correctional Institutions has not yet fully provided guidance in accordance with Law Number 12 of 1995 concerning Corrections because the Class IIB Correctional Institution of Merauke is a General Correctional Institution and Not a Special Penitentiary for Children. This study examines the formation of correctional students in Merauke Class IIB Correctional Institutions which are socially oriented and inhibiting factors in conducting social rehabilitation for correctional students in the Class IIB Correctional Institution of Merauke. This study uses an empirical juridical approach method with a qualitative analysis which then results are obtained that the social rehabilitation of the implementation of coaching in the Class IIB Correctional Institution of Merauke is carried out namely the fostering of religious awareness, fostering intellectual abilities (intelligence) and fostering legal awareness, However, social rehabilitation such as fostering national and state awareness, and guidance to interact with the community has not been carried out at the Merauke Class IIB Penitentiary so that social rehabilitation at the Merauke Class IIB Penitentiary has not been effective and there is also a lack of facilities and staff resources at the Class IIB Penitentiary Office in Merauke. There needs to be an increase in solutions to solutions or alternatives in the completion of social rehabilitation in the future will be achieved and carried out properly referring to Law No. 12 of 1995 concerning Corrections
Síndrome Compartimental post-angioplastía coronaria transradial: A propósito de un caso
Authors: Bavestrello Retamales Franco Paolo , Viedma Campos Macarena , Fuentes Navarrete Luis
Published: October 2019

Introducción: El síndrome compartimental se genera por aumento de presión compartimental que sobrepasa a la de perfusión. Es una entidad rara en contexto postangioplastía coronaria. Requiere alta sospecha y medidas rápidas. Caso clínico: Hombre de 41 años con diagnóstico de infarto agudo de miocardio (IAM) con supradesnivel ST (SDST) que fue trombolizado y derivado para angioplastia, que sufre sangrado en antebrazo derecho postprocedimiento y evoluciona con síndrome compartimental que requiere de fasciotomía en volar y medial. Discusión: La entidad clínica es rara en este contexto, por ende, requiere alta sospecha basándose principalmente en dolor de inicio súbito con aumento de volumen. El tratamiento es fasciotomía de urgencias. De no pesquisarse a tiempo puede evolucionar con severas alteraciones neuromusculares llevando a trastornos de la anatomía de la mano.
Evolución de artralgias posterior a cirugía Bariátrica. Valencia, Venezuela. 2011-2016
Authors: Romano Alejandra , Zapata Jorge Luis , Rosales Rafael Andrés , Ruiz Alexmar , Cardozo de A Rosa Alba , Aranguren F Luis Alejandro
Published: October 2019

Objetivo: En este estudio, se propuso establecer la relación entre la pérdida de peso y la evolución de las artropatías en un grupo de pacientes obesos sometidos a cirugía bariátrica.Materiales y Métodos: Investigación correlacional y de corte longitudinal, retrospectivo, donde se revisaron 33 historias de pacientes obesos mórbidos con artralgia  en cualquier articulación, sometidos a cirugía bariátrica. Se realizó el análisis descriptivo de las variables numéricas según la distribución de los datos. Como prueba de relación se utilizó la Prueba T de Student para comparación de proporciones, asumiendo un valor P<0,05.Resultados: 63,3% fueron femeninas, siendo la rodilla la principal articulación afectada (51,5%), con reducción considerable de su índice de masa corporal post cirugía. Al compararse los promedios del IMC inicial, a los 3, 6 y 12 meses se encontraron diferencias estadísticamente significativas (p<0,01). La desaparición de la artralgia en la mayoría de los pacientes ocurrió durante los primeros 3 meses, principalmente pacientes con obesidad grado I y II, en contraste con aquellos pacientes con obesidad grado III y IV, quienes requirieron un mayor lapso, para lograr  la desaparición total de la artralgia.Conclusiones: La disminución gradual del dolor articular estuvo en relación directa a la reducción de las cifras de peso del paciente ya operado, mejorando la calidad de vida de los pacientes de la muestra.
PREVALENCIA Y PERFIL EPIDEMIOLÓGICO DE LA CONSTIPACIÓN FUNCIONAL EN ADULTOS CON LOS NUEVOS CRITERIOS ROMA IV
Authors: Rodríguez Castillo Tomás Roberto , Moreno Baeza Natalia , Bocic Alvarez Gunther , Abedrapo Moreira Mario , Azolas Marcos Rodrigo , Sanguineti Montalva Antinella , Llanos Bravo Jose Luis , Diaz Beneventi Maurucio
Published: October 2019

Introducción: Los reportes extranjeros dan cuenta de la presencia de esta patología en cifras que varían entre 10 y 70 %, con sólo un reporte nacional centrado en ancianos institucionalizados. Existen diferentes formas de evaluar la presencia de constipación, en nuestra experiencia utilizamos los nuevos criterios de ROMA IV que define como constipación funcional cuando se cumplen dos o más criterios. Objetivos: Determinar la prevalencia y el perfil epidemiológico de pacientes adultos sanos con constipación Material y Método: Estudio de corte transversal realizado entre enero y marzo de 2018.  Se incluyen mayores de 18 años que acceden a completar la encuesta. Se excluye  aquellas personas con antecedentes quirúrgicos o mórbidos gastrointestinales. Se realiza encuesta aplicando los criterios de ROMA IV  considerando aspectos demográficos. Se utiliza estadística descriptiva. Resultados: De 1500 encuestas realizadas se seleccionan 1223. Un 68,4 % cumplían con dos o más criterios de constipación funcional, con diferencias estadísticamente significativas en el grupo de sexo femenino y en pacientes de mayor edad. El análisis específico de cada criterio de ROMA IV muestra que los síntomas más frecuentes fueron deposiciones duras, esfuerzo defecatorio excesivo y sensación de evacuación incompleta. Hubo diferencias estadísticamente significativas en mujeres en los ítems: menor frecuencia, deposiciones duras y esfuerzo defecatorio mientras que la mayor edad se asocia a evacuación incompleta. Las maniobras digitales fueron poco frecuentes.Conclusiones: La constipación  es frecuente en la población adulta sana afectando principalmente a mujeres de mayor edad.  Los síntomas más frecuentes fueron deposiciones duras, esfuerzo defecatorio  y sensación de evacuación incompleta.
Guías de práctica clínica basadas en la evidencia
Authors: Manterola Carlos , Otzen H. Tamara , García Nayely , Mora V. Miriam
Published: October 2019

Las Guías de Práctica Clínica (GPC), son instrumentos adecuados para sistematizar la mejor evidencia científica disponible para colaborar con los clínicos en la toma de decisiones sanitarias. El objetivo de este artículo fue describir conceptos que permitan comprender la importancia de la utilización de las GPC en la práctica clínica cotidiana.En general, las GPC surgen de una serie de pasos que requieren distintos procedimientos dependiendo de la temática, entre los que destacan los aspectos metodológicos, la revisión sistemática de la literatura, la publicación e implementación, y la revisión y actualización periódica.Entre las ventajas de contar con GPC destaca el hecho de mejorar los resultados en salud debido a que su uso ayuda a promover acciones sanitarias adecuadas, reduciendo la variabilidad injustificada en la elección de tratamientos. Por otra parte, las GPC son instrumentos de gran utilidad para quienes deben planificar y gestionar gastos en salud, debido a que permiten mejorar la eficiencia de los recursos, y controlar los costes sanitarios manteniendo la calidad asistencial.Entre las desventajas, se describen que con cierta frecuencia (y a pesar de todo) no logran cambiar una conducta, a menos que se acompañen de estrategias activas como sistemas de recordatorio, auditoria y retroalimentación, etc.; en parte, porque los profesionales de salud son resistentes a los cambios de comportamiento, ponen barreras de actitud en la aceptación de la validez de las recomendaciones, etc.
Implementación de un modelo de atención kinesiológico, temprano y prospectivo, en personas con cáncer de mama
Authors: Ramírez-Parada Karol , Mella-Abarca Williams , Nicoletti-Santoni Natalia , Torres-Riveros Gustavo , Villagrán-Gutierrez Ignacio , Petric-Guajardo Militza , Aguilera-Eguía Raúl
Published: October 2019

El cáncer de mama es un problema de salud pública en Chile y el mundo por su alta incidencia. El manejo principal de las personas con este cáncer incluye cirugía como intervención inicial. Hasta un 60% de las personas que reciben este manejo presentan alteraciones funcionales en el miembro superior. Existen modelos sanitarios para la rehabilitación de las alteraciones funcionales, sin embargo, en Chile no es un estándar en la atención de salud. Este artículo describe: 1) las alteraciones del miembro superior secundarias a la cirugía por cáncer de mama, y 2) un modelo de atención kinesiológico, temprano y prospectivo, para personas tratadas por cáncer de mama.
Strategy Implementation Practices and Performance of Selected Evangelical Churches in Nairobi City County, Kenya
Authors: Timbomei Jenifer , Bett Shadrack
Published: October 2019

Every entity seeks accomplish its set goals, mandate and the reason for which it is established. The concept of organizational performance refers to the degree of achievement of the organization’s objectives, which is critical to its success and sustainability. The manner in which an organization implements its strategic plan largely determines the resultant success in the achievement of its strategic objectives. The primary objective of this study was to determine the influence of strategy implementation practices on the performance of select evangelical churches within Nairobi County. The specific objectives of the study were to investigate how organizational structure influences performance; examine the influence of resource allocation on overall performance; to establish the extent to which top management commitment affects performance and; to assess the influence of organizational culture on the performance of select evangelical churches in Nairobi City County. The variables of strategy implementation studied were organizational structure, resource allocation, top management commitment and organizational culture. The study was anchored on Burke and Litwin causal model and the Seven-S Model. The study adopted a descriptive research design and focused on a variety of respondents drawn from select evangelical churches within Nairobi City County - Christ is the Answer Ministries, Nairobi Baptist Church, Nairobi Chapel, and Parklands Baptist Church. The study targeted a population of 400 comprising of pastors, employees, church leaders, volunteers and members. A sample of 20% was applied generating a sample size of 80. Relevant data was gathered using structured questionnaires with both open and closed-ended questions. Qualitative data analysis involved explanation of information obtained from the empirical literature and required the use of numeric measures to the scores of the various responses. This was done with the aid of SPSS. The output of the analysis was presented in tables and charts, and interpretations made based on the research objectives. Generalizations of the results were made. The study established that organizational structure, resource allocation, top management commitment and organizational culture have a significant influence on the performance of evangelical churches. The study recommended that churches should develop organizational structures supportive of strategy implementation. It further recommended that the resources available should be focused on priority activities for optimum performance. In addition, the management should have a supportive and committed attitude towards strategy implementation to promote organizational success. It further recommended that churches create and uphold a positive institutional culture that supports high performance and effective implementation of the strategy.
ANALISA DAN PERANCANGAN APLIKASI SISTEM INVENTORY (STUDI KASUS: PT. CAKRA MEDIKA UTAMA)
Authors: Zalukhu Sitiani
Published: October 2019

PT. Cakra Medika Utama merupakan perusahaan yang bergerak dibidang distributor alat kesehatan. Adapun masalah yang sering dihadapi pada sistem yang sedang berjalan saat ini yaitu proses pendataan dan pelaporan persediaan barang masuk dan keluar masih dilakukan secara pencatatan di buku besar yang memerlukan waktu yang cukup lama dalam menyelesaikan setiap informasi yang dibutuhkan. Adanya barang yang kadaluarsa tidak cepat di ketahui karena tidak adanya pemberitahuan. Tujuan penelitian ini adalah  membuat perancangan sistem informasi inventory barang yang dapat meminimalisir kerugian atas barang yang melewati batas minimal tanggal kadaluarsa dan meningkatkan efisiensi  pencatatan persediaan barang masuk dan keluar dengan menggunakan metode pengembangan sistem Rapid Application Development (RAD). Pada perancangan sistem informasi inventory ini dapat membantu meningkatkan efisiensi waktu dalam memberikan informasi ketersediaan stok barang yang ada di gudang secara cepat dan akuratKeywords— Perancangan Sistem Informasi Inventory, PIECES, RAD.
Desain Sistem Edutaiment Berbasis Web di Sekolah Menengah Atas
Authors: Saputera Surya Ade , Yunita Efni
Published: October 2019

Sistem Informasi Berbasis Web pada SMA akan menunjang efisiensi dan efektifitas kerja dalam memberikan materi kepada siswa dan mempermudah jalanya komunikasi antar siswa dan guru  baik dari segi waktu maupun biaya. Adapun permasalahan yang akan di teliti pada SMA yaitu kurangnya minat belajar siswa dan cara pembelajaran yang kurang menarik yang disampaikan oleh guru sehingga akan menimbulkan kurang minat belajar siswa. Tujuan penulisan ini untuk mempelajari, menganalisis, dan membangun sistem edutaiment kedalam sebuah program  aplikasi berbasis Web. Adapun metode penelitian yang di gunakan adalah menggunakan model Incremental. Hasil akhir dari penelitian pada SMA adalah program aplikasi berbasis Web yang dapat meningkatkan minat belajar siswa dan juga mempermudah untuk memberikan soal latihan maupun materi ke siswa supaya siswa bisa belajar sambil bermain, dan juga dapat  menampilkan informasi tentang pengumuman penting yang ada di SMA.Kata Kunci   : Website, Sistem pembelajaran
Romantic Pendulum in Our Literature
Authors: Supriyanto Teguh
Published: October 2019

The aim of this research is to find out and to describe (1) is the romantic ideology dominant in the works of the non- tradition of Balai Pustaka, (2) works of 1970-period, and (3) works of 2000 period. These questions arisen based on the real fact that the romantic ideology influenced the series of the history of Indonesian Literature, further more before modern Indonesian literature arisen, since 9-14 century in the old Javanese. This ideology is also find out in 19 century and in the works of Balai Pustaka tradition in 1920-1945.The data were taken by using random sampling. The structural-semiotics method and dialected method used to analize the data. The results of this research: (1) the works non Bapalai Pustaka tradition mainly in 1920 is dominated of realism ideology. (2) in popular literature (1970) is found out that romantics ideology is pseudo romanticism. The works in 1970, mainly the popular literature is as if as romanticism although pseudo-romanticism. Recently, the romantic ideology is played, distorted, re-bulit by using a “pseudo-romaticism” word.
المحددات الاجتماعية لثقافة العمل الحر: دراسة ميدانية على عينة من الشباب في مدينة مصراتة
Authors: ارفيدة فاطمة محمد
Published: October 2019

إن الدراسة الحالية تحاول تسليط الضوء على واقع العمل الحر واتجاهات الشباب نحوه، حيث يعتبر قطاع العمل الحر "الخاص" من ضمن القطاعات الاساسية في المجتمع، وبدأ يعول عليه في تحقيق التنمية حيث هدفت الدراسة الى التعرف على مدى معرفة الشباب بثقافة العمل الحر ،وكذلك الكشف عن اهم العوامل المكونة لثقافة العمل الحر لدى الشباب ، وقد طبقت الدراسة على عينة تكونت من 30 مبحوثاً من فئة الشباب الذين يعملون في مجال العمل الحر، وتم الاعتماد على وسيلة الاستبيان لجمع البيانات حول هه الدراسة، وقد توصلت هذه الدراسة الى العديد من النتائج أهمها أن اغلبية المبحوثين على معرفة تامة بماهية الاعمال الحرة بل لم يقتصر ذلك على معرفة طبيعة العمل الحر وانما اشتملت درجة المعرفة بأنواع الاعمال الحرة التي يقبل الشباب على مزاولتها، كذلك بينت النتائج ان الاسرة تلعب دور مهم في ترسيخ ثقافة العمل الحر من خلال توجيه وتشجيع ابنائها لممارسة هذه المهنة ،إضافة الى ذلك ان وعي وقناعة عينة الدراسة بنشر ثقافة العمل الحر يتحدد في ضوء مجموعة من المبررات منها ان العمل الحر يحقق الدخل الاعلى ، والرغبة الشديدة من الشباب في الوقت الحالي لممارسة هذه المهنة وعدم الالتحاق بالأعمال الحكومية ،وان العمل الحر يساهم في تحسين الاوضاع الاجتماعية والاقتصادية للشباب وتكوين ذاتهم والاعتماد على انفسهم.
Wikipedia - bibliotekarens forlengede arm & beste venn
Authors: Haugen Morten Olsen
Published: October 2019

Presentasjon frå Wikipedia-akademiet 2015

Som bibliotekar møter du ofte de samme spørsmålene flere ganger. Du går til de samme bøkene flere ganger, forklarer at det kan være like lurt å lese avsnittet i «Norges litteraturhistorie» som å insistere på å få fjernlånt en masteroppgave fra Bergen. Hva er egentlig de nærmeste og de viktigste kildene for hun som skal skrive om Lillebror og Knerten?Noen ganger kan det også være omvendt; vi finner unike referanser til sjeldne spørsmål, og tenker «nå var jeg flink!», eller «denne kilden må jeg notere meg.» Kan Wikipedia brukes som en online notatblokk til papirbaserte og digitale kilder? Ja, sier Morten Olsen Haugen, med litt erfaring og noen forbehold kan nesten alle bibliotekarer være med på å gjøre wikipedia bedre gjennom sitt daglige arbeide. Morten er erfaren wikipedianer og rådgiver ved Nord-Trøndelag fylkesbibliotek. I denne workshopen viser han noen eksempler på hvordan bibliotekarene kan kommunisere referansearbeidet sitt gjennom Wikipedia. Det blir rom for å diskutere eksempler, og kanskje til praktisk utprøving.
Perindopril Ameliorates Hepatic Ischemia Reperfusion Injury Via Regulation of NF‐κB‐p65/TLR‐4, JAK1/STAT‐3, Nrf‐2, and PI3K/Akt/mTOR Signaling Pathways
Authors: Kamel Esam O. , Hassanein Emad H. M. , Ahmed Marwa A. , Ali Fares E. M.
Published: October 2019

Hepatic ischemia reperfusion (IR) is an inevitable clinical problem for surgical procedures such as liver transplantation and liver resection. This study was designed to evaluate the protective effect of perindopril (PER) against hepatic IR injury. Thirty‐two rats were used and randomly allocated into four groups. Sham control group was subjected to sham operation and received saline only, IR group was subjected to IR and received vehicle, PER group was pretreated with PER (one milligram per kilogram per day i.p. for 10 consecutive days), and IR+PER group was pretreated with PER then subjected to IR. Liver function biomarkers (aspartate aminotransferase and alanine aminotransferase), oxidative stress (glutathione, malondialdehyde, myeloperoxidase, and superoxide dismutase) and inflammation markers (tumor necrosis factor‐alpha, interferon‐gamma, and inteleukin‐10 [IL‐10]), mRNA expression of NF‐κB‐p65 and TLR‐4, as well as protein expression of JAK1, STAT‐3, PI3K, mTOR, Akt, and Nrf‐2 were investigated concomitantly with histopathological examination. The results indicated that, hepatic IR induced a significant alteration in liver function biomarkers and structure, oxidative stress, and inflammation. At the molecular level, up‐regulation of NF‐κB‐p65, TLR‐4, JAK1, and STAT‐3 concomitantly with down‐regulation of Nrf‐2, IL‐10, PI3K, Akt, and mTOR were observed. These disturbances were alleviated by pretreatment of IR rats with PER in concomitant with hepatic structural improvement. Conclusively, the protective effect of PER presumably may be relevant to its ability to reduce oxidative stress, ameliorate the inflammatory processes, and modify the related signaling pathways. Anat Rec, 2019. © 2019 American Association for Anatomy Anat Rec, 303:1935–1949, 2020. © 2019 American Association for Anatomy
Microclimate–forage growth linkages across two strongly contrasting precipitation years in a Mediterranean catchment
Authors: Devine Scott M. , O'Geen Anthony T. , Larsen Royce E. , Dahlke Helen E. , Liu Han , Jin Yufang , Dahlgren Randy A.
Published: October 2019

Given the complex topography of California rangelands, contrasting microclimates affect forage growth at catchment scales. However, documentation of microclimate–forage growth associations is limited, especially in Mediterranean regions experiencing pronounced climate change impacts. To better understand microclimate–forage growth linkages, we monitored forage productivity and root‐zone soil temperature and moisture (0–15 and 15–30 cm) in 16 topographic positions in a 10‐ha annual grassland catchment in California's Central Coast Range. Data were collected through two strongly contrasting growing seasons, a wet year (2016–17) with 287‐mm precipitation and a dry year (2017–18) with 123‐mm precipitation. Plant‐available soil water storage (0–30 cm) was more than half full for most of the wet year; mean peak standing forage was 2790 kg ha−1 (range: 1597–4570 kg ha−1). The dry year had restricted plant‐available water and mean peak standing forage was reduced to 970 kg ha−1 (range: 462–1496 kg ha−1). In the wet year, forage growth appeared energy limited (light and temperature): warmer sites produced more forage across a 3–4°C soil temperature gradient but late season growth was associated with moister sites spanning this energy gradient. In the dry year, the warmest topographic positions produced limited forage across a 10°C soil temperature gradient until late season rainfall in March. Linear models accounting for interactions between soil moisture and temperature explained about half of rapid, springtime forage growth variance. These findings reveal dynamic but clear microclimate–forage growth linkages in complex terrain, and thus, have implications for rangeland drought monitoring and dryland ecosystems modeling under climate change.
Changing Etiologies and Prognostic Factors in Pediatric Acute Liver Failure
Authors: Mendizabal Manuel , Dip Marcelo , Demirdjian Ezequiel , Lauferman Leandro , Lopez Susana , Minetto Julia , Costaguta Alejandro , Rumbo Carolina , Malla Ivone , Sanchez María Camila , Halac Esteban , Cervio Guillermo , Cuarterolo Miriam , Galoppo Marcela , Imventarza Oscar , Bisgniano Liliana , D’Agostino Daniel , Rubinstein Fernando
Published: October 2019

After the implementation of universal hepatitis A virus vaccination in Argentina, the outcome of pediatric acute liver failure (PALF) remains unknown. We aimed to identify variables associated with the risk of liver transplantation (LT) or death and to determine the causes and short‐term outcomes of PALF in Argentina. We retrospectively included 135 patients with PALF listed for LT between 2007 and 2016. Patients with autoimmune hepatitis (AIH), Wilson’s disease (WD), or inborn errors of metabolism (IEM) were classified as PALF–chronic liver disease (CLD), and others were classified as “pure” PALF. A logistic regression model was developed to identify factors independently associated with death or need of LT and risk stratification. The most common etiologies were indeterminate (52%), AIH (23%), WD (6%), and IEM (6%). Overall, transplant‐free survival was 35%, whereas 50% of the patients underwent LT and 15% died on the waiting list. The 3‐month risk of LT or death was significantly higher among patients with pure PALF compared with PALF‐CLD (76.5% versus 42.5%; relative risk, 1.8 [1.3‐2.5]; P < 0.001), and 3 risk factors were independently associated with worse outcome: international normalized ratio (INR) ≥3.5 (odds ratio [OR], 3.1; 95% confidence interval [CI], 1.3‐7.2]), bilirubin ≥17 mg/dL (OR, 4.4; 95% CI, 1.9‐10.3]), and pure PALF (OR, 3.8; 95% CI, 1.6‐8.9). Patients were identified by the number of risk factors: Patients with 0, 1, or ≥2 risk factors presented a 3‐month risk of worse outcome of 17.6%, 36.6%, and 82%, respectively. In conclusion, although lacking external validation, this simple risk‐staging model might help stratify patients with different transplant‐free survival rates and may contribute to establishing the optimal timing for LT.
Luminescence declining behaviors in YAG:Ce transparent ceramics for high power laser lighting
Authors: Kang Jian , Zhang Le , Li Yanbin , Ma Yuelong , Sun Bingheng , Liu Ying , Zhou Tianyuan , Selim Farida A , Wong Chingping , Chen Hao
Published: October 2019

High lumen-density laser lighting has become an advanced lighting technology.
SUPPORT TO CITIZEN RADIATION MONITORING OF RADIOACTIVITY IN THE CZECH REPUBLIC—PROJECT RAMESIS
Authors: Helebrant Jan , Kuča Petr
Published: October 2019

Project ‘RAMESIS’, solved by SURO+UTEF+NUVIA, is aimed at the improvement of population safety through supporting Citizen Monitoring in Czechia. Radiation monitoring system at the level of institutions, schools and citizens will be developed and implemented, covering equipment for both fixed-site and mobile monitoring using simple-designed and easy-to-operate detectors, enabling their usage by public and mass-production at acceptable price. The instrumentation includes central application for reception, storage, administration and publication of monitoring results analyzed and presented on web-portal, tools for user’s local online and offline data visualization on a map background, and web portal providing training and informational materials for understanding radiation problems. The system will be implemented in selected institutions and schools, initial sets of detectors are distributed free of charge among schools, institutions and the public. This article describes the technical part of the project, solved in the framework of Ministry of Interior-founded security research ID VI20152019028.
HLA and sleep parameter associations in post-H1N1 narcolepsy type 1 patients and first-degree relatives
Authors: Juvodden Hilde T , Viken Marte K , Nordstrand Sebjørg E H , Viste Rannveig , Westlye Lars T , Thorsby Per M , Lie Benedicte A , Knudsen-Heier Stine
Published: October 2019

Study Objectives

To explore HLA (human leukocyte antigen) in post-H1N1 narcolepsy type 1 patients (NT1), first-degree relatives and healthy controls, and assess HLA associations with clinical and sleep parameters in patients and first-degree relatives.

Methods

Ninety post-H1N1 NT1 patients and 202 of their first-degree relatives were HLA-genotyped (next generation sequencing) and phenotyped (semistructured interviews, Stanford Sleep Questionnaire, polysomnography, and multiple sleep latency test). HLA allele distributions were compared between DQB1*06:02-heterozygous individuals (77 patients, 59 parents, 1230 controls). A subsample (74 patients, 114 relatives) was investigated for associations between HLA-loci and continuous sleep variables using logistic regression. Identified candidate HLA-loci were explored for HLA allele associations with hypnagogic hallucinations and sleep paralysis in 90 patients, and patient allele findings were checked for similar associations in 202 relatives.

Results

DQB1*06:02 heterozygous post-H1N1 NT1 patients (84.4% H1N1-vaccinated) showed several significant HLA associations similar to those reported previously in samples of mainly sporadic NT1, i.e. DQB1*03:01, DRB1*04:01, DRB1*04:02, DRB1*04:07, DRB1*11:04, A*25:01, B*35:03, and B*51:01, and novel associations, i.e. B*14:02, C*01:02, and C*07:01. Parents HLA alleles did not deviate significantly from controls. The HLA-C locus was associated with sleep parameters in patients and relatives. In patients C*02:02 seems to be associated with protective effects against sleep paralysis and hypnagogic hallucinations.

Conclusions

Our findings of similar risk/protective HLA-alleles in post-H1N1 as in previous studies of mainly sporadic narcolepsy support similar disease mechanisms. We also report novel allelic associations. Associations between HLA-C and sleep parameters were seen independent of NT1 diagnosis, supporting involvement of HLA-C in sleep subphenotypes.
Thymus size is associated with breastfeeding and having pets in a sex‐specific manner
Authors: Laursen Rikke P. , Larnkjær Anni , Ritz Christian , Frøkiær Hanne , Rytter Maren J. H. , Mølgaard Christian , Michaelsen Kim F.
Published: October 2019

Aim

The aim was to examine associations between thymus size and anthropometric measurements, sex, age, breastfeeding status, presence of siblings, household pets, and infections and allergies since birth in 8‐ to 13‐month‐old healthy Danish infants.

Methods

Data collected from 256 healthy infants enrolled in the ProbiComp study were used. Thymus size was assessed using sonographic measures, and thymic index (TI) and thymus weight index (TWI) was used as an absolute and a relative volume estimate, respectively.

Results

In terms of TI and TWI, boys had approximately 15% and 5% larger thymus than girls (P < .001 and P < .02, respectively). TWI was larger in girls who were still breastfed than girls who were no longer breastfed (β: 0.16 cm3/kg; 95% CI: 0.004, 0.29; P = .01), but no difference was observed for boys. Having household pets was associated with a larger TI (P = .02), which seemed to be driven by associations for boys (β: 1.38 cm3; 95% CI: 0.02, 2.74). No other factors associated with thymus size were identified.

Conclusion

Thymus size was associated with current breastfeeding in girls and with having household pets in boys. Sex‐specific associations should be further explored in future studies on factors associated with thymus size.
The Politicization of the European Central Bank: What Is It, and How to Study It?
Authors: Tortola Pier Domenico
Published: October 2019

The politicization of the European Central Bank (ECB) is a recurrent theme in debates on the EU after the crisis, yet it is one that still suffers from a considerable degree of vagueness. This is unfortunate as it hinders the development of useful discussions on the place and legitimacy of the ECB within Europe's institutional order. To tackle this problem, this article presents a systematic analysis of the concept of ECB politicization and an agenda for future research on this phenomenon. After reviewing existing uses of the term in the form of three dichotomies – politicization versus independence, impartiality, and convention – the article proposes an alternative, preference‐based definition of politicization as a deviation from technocratic policy‐making in the ECB. Building on this definition, the article then indicates three avenues for the empirical study of politicization centred, respectively, on elite interviews and surveys, the analysis of central bankers’ networks and the study of ECB language.
MiR-126 targets IL-17A to enhance proliferation and inhibit apoptosis in high-glucose-induced human retinal endothelial cells
Authors: Chen Xiujuan , Yu Xuequn , Li Xinxiang , Li Li , Li Fang , Guo Ting , Guan Cuihong , Miao Liping , Cao Guoping
Published: October 2019

Diabetic retinopathy (DR) is a common complication of diabetes mellitus (DM), which results in vision loss. This study explored the role of miR-126 in high-glucose-induced human retinal endothelial cells (HRECs) and its underlying molecular mechanisms. The results showed that the expression levels of miR-126 and interleukin-17A (IL-17A) in high-glucose-induced HRECs were downregulated and upregulated, respectively. Functionally, overexpression of miR-126 promoted proliferation and suppressed apoptosis in high-glucose-induced HRECs, while IL-17A reversed the effects induced by miR-126. However, overexpression of IL-17A inhibited the proliferation and induced apoptosis, while knockdown of IL-17A accelerated the proliferation and repressed apoptosis. In addition, miR-126 repressed the expression of IL-17A, Bax, and caspase-3, while promoting the expression of survivin and phosphorylation of PI3K and AKT; restoration of IL-17A rescued these effects. Furthermore, IL-17A was identified as a target of miR-126. This indicates that miR-126 enhances proliferation and inhibits apoptosis in high-glucose-induced HRECs by activating the PI3K–AKT pathway, increasing survivin levels, and decreasing Bax and caspase-3 expression by targeting IL-17A, suggesting that miR-126 could be a novel target for preventing DR.
Nonconservative traceless type gravity
Authors: Daouda Mahamadou , Fabris J. C. , Oliveira A. M. , Smirnov F. , Velten H. E. S.
Published: October 2019

Extensions of the gravity theory in order to obtain traceless field equations have been widely considered in the literature. The leading example of such class of theories is the unimodular gravity, but there are other possibilities like the mimetic gravity and the Rastall gravity with a coupling parameter [Formula: see text]. The unimodular gravity proposal is a very interesting approach in order to address the cosmological constant problem. When coupled to matter, such theories may imply that the energy–momentum tensor is not divergence free anymore. In this paper, a unimodular type theory will be developed by evading the conservation [Formula: see text]. The cosmological consequences of the later, both at background as well as for scalar and tensor perturbations, are explored. Possible further extensions of this approach are discussed as well as its connection with the traditional unimodular gravity.