bluuebunny/crossref_metadata_2025 huggingface dataset:
EVALUASI PEMILIHAN PENYEDIA JASA KURIR BERDASARKAN METODE ANALYTICAL HIERARCHY PROCESS (AHP)
Authors: Astuti Juli , Fatma Erika
Published: September 2018

Aktivitas logistik memegang peranan penting dalam proses bisnis dimana terdapat proses
distribusi untuk menyalurkan produk dari produsen/penjual kepada konsumen. Saat ini
bermunculan semakin banyak perusahaan yang bergerak di bidang penyediaan pelayanan jasa
logistik, dengan berbagai kelebihan dan kekurangannya. Kondisi ini membuat pengguna jasa lebih
leluasa dalam menentukan pilihan, perusahaan kurir mana yang dipercaya untuk mengambil alih
sebagian fungsi bisnisnya.Untuk membantu pengambilan keputusan dalam pemilihan penyedia
jasa kurir, penulis melakukan penelitian mengenai kriteria yang digunakan pengguna jasa dalam
menentukan penyedia jasa terbaik. Penelitian dilakukan menggunakan metode Analytical
Hierarchy Process (AHP), metode AHP dipilih karena metode ini dapat membuat sebuah kerangka
pengambilan keputusan dengan efektif atas persoalan yang kompleks. Permasalahan yang terdiri
atas beberapa pertimbangan, kemudian disederhanakan ke dalam beberapa kriteria yang kemudian
disusunan dalam suatu hirarki.Setelah disusun dalam hierarki dapatditentukan criteria terpenting
yang menjadi pertimbangan utama pengguna jasa. Penelitian ini dibatasi pada perusahaan
penyedia jasa logistik yang bergerak pada jasa pengiriman ekspres (kurir). Reponden dibatasi pada
pengguna yang menggunakan jasa pengantaran barang (kurir) untuk keperluan penjualan online.
Tujuan penelitian ini adalah untuk mengetahui kriteria utama yang diprioritaskan sebagai
pertimbangan bagi pengguna jasa dalam pemilihan penyedia jasa logistik. Berdasarkan survey
yang dilakukan terhadap para penjual online, diketahui bahwa kriteria yang menjadi pertimbangan
utama dalam pemilihan jasa kurir adalah Reliability, yaitu keandalan suatu perusahaan jasa kurir
dalam melayani kebutuhan dan keinginan pelanggannya diikuti dengan cost (biaya pengiriman)
dan Convinience (kenyamanan).
ANALISIS RANTAI NILAI UNTUK MENINGKATKAN PENJUALAN PADA DISTRO SCREAMOUS
Authors: Bernik Merita , Gunawan (Universitas Padjadjaran) Tamara Nur WUlan
Published: September 2018

Era perdagangan bebas saat ini memacu persaingan yang ketat antara perusahaan yang menyediakan jasa atau produk yang berkualitas tinggi dengan harga yang bersaing, dan dapat memberikan nilai yang lebih pada konsumen. Distro Screamous adalah perusahaan ritel yang bergerak di bidang industri pakaian. Untuk mendapatkan nilai yang lebih Distro Screamous harus memiliki keunggulan kompetitif, salah satunya dengan menganalisis rantai nilai pada Distro Screamous. Metode yang digunakan adalah metode deskriptif yaitu metode penelitian dengan cara mengumpulkan data yang menggambarkan secara sistematis dan akurat mengenai pelaksanaan rantai nilai pada Distro Screamous. Teknik pengumpulan data yang digunakan untuk data primer dilakukan dengan wawancara, observasi dan kuesioner. Penyebaran kuesioner menggunakan metode non probability sampling. Pelaksanaan rantai nilai pada Distro Screamous sudah baik dengan memiliki nilai rata-rata sebesar 4,18. Akan tetapi, ada beberapa dalam pelaksanaan rantai nilai yang masih ada di bawah rata-rata yaitu diantaranya: Infrastruktur Perusahaan, Sumber Daya Manusia dan Operasi. Dalam pelaksanaan rantai nilai Distro Screamous memiliki beberapa kendala yang harus dihadapi sehingga Distro Screamous melakukan upaya untuk meningkatkan pelaksanaan rantai nilai.

 
Strengthening the State: Logging and neoliberal politics in East New Britain, Papua New Guinea
Authors: Tammisto Tuomas
Published: September 2018

In this paper I will examine how logging in Papua New Guinea affects the relationship between the state and the local communities on whose lands logging operations take place. The point of departure of my argument is the Ili-Wawas Integrated Project, a combined logging and agricultural project which seeks to bring economic development to the remote Pomio district of East New Britain Province by connecting existing logging roads to the limited national road network around the provincial capital. Developing the national road network and creating standardized or—to use James Scott’s concept—legible environments can be seen as an integral part of state-making and strengthening the role of the state. In addition to the environment, the state also needs to make social life legible in forms of maps, censuses and laws. As I will argue in my paper, the Ili-Wawas, and other similar projects, may indeed strengthen the role of the state not only by creating the infrastructure and legibility needed by the state, but also in unintended and accidental ways. The side effects of logging and road building include, among others, fear of crime and land disputes. It is these that create among the locals a perceived need for state institutions, which may be as significant in advancing the role of the state as is the creation of infrastructure and legibility.
تمظهرات تداولية في البلاغة العربية
Authors: Benkhouya Rabah
Published: September 2018

تهدف الدراسة الحالية إلى مقاربة التمظهرات (أو الخصائص) التّداولية في البلاغة العربية، المُتمركزة في صميم الدّرس البلاغيّ العربي، والمُتجلية، بدايةً، في الاعتناء بـ (المُخَاطَب) أو المُتلقّي و(مقامه) أو (حاله) و (سياقه) خلال أداء الكلام وإنتاج الخطاب، وفي الاحتفاء بالمخاطِب (المتكلّم) ومقاصده. ويبدو الاهتمام التّداوليّ جلياً في كل مباحث البلاغة العربيّة وموضوعاتها وعلومها، ولكنّه يظهر، بشكل أوضح، في مباحث مُعيّنة أو مخصوصة، مثل مباحث علم المعاني. ولم يكن الاهتمام غائباً أيضاً عن أذهان من يُمارس البلاغة، بطريقة من الطرائق، تنظيراً أو توصيفاً أو تحليلاً أو تصنيفاً أو مُلاحظة وتأمّلاً في ظواهرها. وقد منح ذلك الاهتمام، بالبعد التداولي للبلاغة العربية، قيمة أخرى لخصوبة الدرس البلاغي وحيويته. كما تهدف الدراسة إلى تقريب المنهج التداولي من التراث البلاغي العربي، والاستفادة من أدواته في الدرس والقراءة، ومد جسور من المعرفة البلاغية بين المعطيين الغربي والعربي ======= The study aims at approaching rhetoric and dialectical styles in the choice of words and expressions in Arabic, depending on audience, situation and contexts. Arabic rhetoric style is present almost in all subjects and research related to rhetoric studies and poetry in general and semantics in particular. It is also part of the interests of those who practice rhetoric theoretically, analysis, classification, observation and contemplation of these phenomena. The attention to Arabic rhetoric style gave another value to the creativity and vitality of the rhetorical lesson. The study also aims at bringing dialectic approach closer to Arabic dialectical heritage, using its tools in reading and establishing bridges between Western and Arabic rhetoric styles.
Ganti Rezim Ganti Sistem
Authors: Siregar Shohibul Anshor
Published: September 2018

Saya malah memastikan penyimpangan dan kerusakan Indonesia itu terjadi setiap era kepemimpinan. Karena itu andil setiap pemimpin puncak Indonesia tidak sepi dalam peta kerusakan atau penyimpangan Indonesia itu.
Tafsir Sosiologi Sebagai Kerangka Keilmuan dan Advokasi Sebagai Kerangka Kerja: Catatan Bedah Buku Siapa Empunya Lima Roti, Pergulatan Kaum Marginal di Maluku
Authors: Anamofa Jusuf Nikolas
Published: September 2018

Menulis adalah level tertinggi dari tindakan literasi yang diawali dengan membaca dan membangun diskursus di atasnya. Ada yang langsung berujung tindakan, ada yang berujung lahirnya tulisan, ada yang tindakan sekaligus tulisan. Jika belum tiba pada tahap itu, literasi kita masih sebatas hal teknis yaitu membaca sebagai bagian dari tindakan menangkap simbol oleh indra penglihatan. Pemaknaan terhadap simbol-simbol itu hanya sebatas cakrawala makna yang telah dimiliki sebelumnya. Bedah buku adalah bagian dari proses literasi masyarakat. Suatu buku yang telah diterbitkan haruslah dibedah untuk mengetahui kekurangan dan kelebihan buku tersebut, baik dari sisi teknis maupun substansi, sekaligus menjadi semacam sosialisasi pemikiran penulis yang ditulis di sana. Oleh karena itu, materi bedah buku ini terdiri dari 2 (dua) bagian besar, yaitu (1) Tinjauan Teknis Buku; dan (2) Tinjauan Substansi Buku.
Keluar dari Penjajahan
Authors: Siregar Shohibul Anshor
Published: September 2018

Salah satu kegagalan fatal dalam konsepsi globalisasi dalam menduniakan ekonomi, politik, budaya dan mobilitas penduduk dunia itu ialah reduksi para promotor globalisasi terhadap keinginan-keinginan buas mereka untuk menjadikan Negara dan bangsa lain di luar dirinya sebagai mangsa dengan dalih dan hukum-hukum baru.
Petisi Keumatan dan kemasjidan
Authors: Siregar Shohibul Anshor
Published: September 2018

Petisi ini sendiri adalah hasil akhir dari konsultasi permasalahan aktual keumatan-kemasjidan dan konsolidasi gerakan pembelaan, yang difasilitasi oleh Lembaga Advokasi Umat Islam Majelis Ulama Indonesia (Ladui-MUI) Provinsi Sumatera Utara. Selain dihadiri para aktivis yang selama ini giat memberi advokasi dan pembelaan atas masjid-masjid yang menjadi korban gusuran di kota Medan.
Pertempuran Baru Indonesia
Authors: Siregar Shohibul Anshor
Published: September 2018

Lonjakan jumlah hutang luar negeri Indonesia adalah sesuatu yang begitu hangat dibicarakan belakangan. Hutang itu tidak untuk sesuatu yang bertujuan untuk kepentingan salah satu di antara kedua belah pihak. Jika dikatakan Negara paling beroleh keuntungan adalah penerima, boleh saja dan dengan argumen tersendiri sudah banyak jenis penjelasan untuk itu dari pihak pemerintah. Jika disebut Negara pemberi pinjaman tak mungkin tak ingin beroleh banyak manfaat dari pemberian hutang itu, E.F.Schumacher telah menegasikan pentingnya membangun atas dasar kekuatan sendiri, karena jeratan transfer of technology saja pun sangat diwaspadai sebagai mekanisme pemupukan ketergantungan yang mematikan.
Kontribusi Sektor Pertanian Terhadap Pembangunan Ekonomi Kabupaten Poso
Authors: MAMONDOL MARIANNE REYNELDA
Published: September 2018

Penelitian ini bertujuan untuk : (a) mengetahui kontribusi sektor pertanian terhadap pembangunan ekonomi Kabupaten Poso, dan (b) menentukan apakah sektor pertanian merupakan sektor basis atau non basis yang menggerakkan pembangunan ekonomi Kabupaten Poso. Metode survey digunakan untuk mengumpulkan data melalui studi dokumentasi terhadap PDRB Kabupaten Poso dan Provinsi Sulawesi Tengah dari tahun 2009 hingga 2013. Data dianalisis dengan menggunakan analisis kontribusi dan analisis basis ekonomi. Hasil penelitian menunjukkan bahwa sektor pertanian berkontribusi rata-rata sebesar 44,07 % selama tahun 2009 hingga 2013. Pertanian merupakan sektor basis dengan nilai LQ lebih besar daripada 1. Sub sektor yang merupakan sektor basis ialah tanaman bahan makanan, tanaman perkebunan, dan kehutanan, sedangkan peternakan dan perikanan merupakan sub sektor non basis. Hasil analisis lokalisasi menunjukkan bahwa aktivitas sektor pertanian dan semua sub sektornya belum terkonsentrasi pada wilayah-wilayah tertentu. Analisis spesialisasi juga menunjukkan bahwa belum terdapat spesialisasi produksi komoditas tertentu pada sektor pertanian Kabupaten Poso. Walaupun demikian, hasil analisis BSR dan REM memperlihatkan bahwa sektor pertanian, khususnya sub-sub sektor basisnya berperan penting dalam ekonomi regional sebagai sumber pendapatan dan lapangan kerja bagi masyarakat. Peningkatan sektor basis sebesar 1 % dapat meningkatkan produktivitas sektor non basis lebih besar daripada 1 %. Hal ini memungkinkan sektor non basis untuk berkontribusi terhadap pertumbuhan ekonomi regional.
Terorisme Global
Authors: Siregar Shohibul Anshor
Published: September 2018

Perang terhadap terorisme (war on terrorism) yang memaksa keterlibatan banyak Negara di dunia, dan terkadang secara kualitatif maupun kuantitatif mereduksi tajam kedaulatan Negara-negara yang dilibatkan dalam kerjasama, apalagi jika negara itu Negara lemah, terutama setelah peristiwa yang lebih dikenal dengan 911, begitu dahsyat untuk diabaikan dalam kajian hubungan internasional pasca perang dingin. Tentu saja pemupukan dominasi Negara adidaya dalam proses itu, yang sering terabaikan, juga sangat menarik. Aksi-aksi penistaan terstruktur satu kepada lain Negara atau penduduk Negara, dengan mandat pemerintahan internasional pula, tak dapat diabaikan.
Zakat BUMD
Authors: Siregar Shohibul Anshor
Published: September 2018

Banyak orang di Indonesia yang tidak pernah tahu bahwa dalam sebuah UU yang dibuat pada masa pemerintahan Soekarno, terdapat sebuah pengaturan tegas tentang kewajiban imperatif Badan Usaha Milik Daerah (BUMD) untuk menunaikan zakat. Ya, UU yang mewajibkan setiap BUMD di Indonesia menunaikan zakat.
Reward supports flexible orienting of attention to category information and influences subsequent memory
Authors: Poh Jia-Hou , Massar Stijn , Jamaluddin Shamsul Azrin , Chee Michael W.L.
Published: September 2018

Preparatory control of attention facilitates the efficient processing and encoding of an expected stimulus. However, this can occur at the expense of increasing the processing cost of unexpected stimuli. Preparatory control can be influenced by motivational factors, such as the expectation of a reward. Interestingly, expectation of a high reward can increase target processing, as well as reduce the cost associated with reorienting. Using a semantic cueing paradigm, we examined the interaction of reward expectation and cue-validity on semantic judgment performance and subsequent memory. Preparatory attention was assessed with pupillometry. Valid category cueing, was associated with better semantic judgment performance and better subsequent memory compared to invalidly cued items. Higher reward also resulted in larger pre-target pupil diameter, which could be indicative of increased preparatory task engagement or arousal. Critically, higher reward also reduced reorienting cost in both semantic judgment and subsequent memory performance. Our findings suggest that reward expectation can facilitate the effective control of preparatory attention for semantic information, and can support optimal goal-directed behavior based on changing task demands.
Psychological Mechanisms of Loss Aversion: A Drift-Diffusion Decomposition
Authors: Zhao Wenjia Joyce , Walasek Lukasz , Bhatia Sudeep
Published: September 2018

Decision makers often reject mixed gambles offering equal probabilities of a larger gain and a smaller loss. This important phenomenon, referred to as loss aversion, is typically explained by prospect theory, which proposes that decision makers give losses higher utility weights than gains. In this paper we consider alternative psychological mechanisms capable of explaining loss aversion, such as a fixed utility bias favoring rejection, as well as a bias favoring rejection prior to gamble valuation. We use a drift diffusion model of decision making to conceptually distinguish, formally define, and empirically measure these mechanisms. In two preregistered experiments, we show that the pre-valuation bias provides a very large contribution to model fits, predicts key response time patterns, reflects prior expectations regarding gamble desirability, and can be manipulated independently of the valuation process. Our results indicate that loss aversion is the result of multiple different psychological mechanisms, and that the pre-valuation bias is a fundamental determinant of this well-known behavioral tendency. These results have important implications for how we model behavior in risky choice tasks, and how we interpret its relationship with various psychological, clinical, and neurobiological variables.
Why is the Duration of Imagined Walking Underproduced? A dual-representation view on the mental imagery of locomotion
Authors: Yamamoto Naohide , Mach Dagmara E. , Philbeck John W. , Van Pelt Jennifer
Published: September 2018

Generally, imagining an action and physically executing it are thought to be controlled by common motor representations. However, imagined walking to a previewed target tends to be terminated more quickly than real walking to the same target, raising a question as to what representations underlie the two modes of walking. To address this question, the present study put forward a hypothesis that both explicit and implicit representations of gait are involved in imagined walking, and further proposed that the underproduction of imagined walking duration largely stems from the explicit representation due to its susceptibility to a general undershooting tendency in time production (i.e., the error of anticipation). Properties of the explicit and implicit representations were examined by manipulating their relative dominance during imagined walking through concurrent bodily motions, and also by using non-spatial tasks that extracted the temporal structure of imagined walking. Results showed that the duration of imagined walking subserved by the implicit representation was equal to that of real walking, and a time production task exhibited an equivalent underproduction bias as in imagined walking tasks that were based on the explicit representation. These findings are interpreted as evidence for the dual-representation view of imagined walking.
Absence and Ambiguity: Documenting the Moment of Birth in East Lombok, Indonesia
Authors: Butt Leslie
Published: September 2018

Birth registration has become prominent among global initiatives to “leave no one behind.” Despite Indonesia's efforts to implement a national registration program, low-income rural families in East Lombok do not choose to register their children in significant numbers. By closely examining the documents and documentary practices linked to childbirth, this article unpacks the ambiguous meanings the Indonesian government and the Sasak of East Lombok hold around childbirth. Sasak family engagement with existing birth rituals highlights the exceptional convergences required to create documentary links between place, person and nation.
Foreword: Remembering the Algonquian Family Hunting Territory Debate
Authors: Morantz Toby
Published: September 2018

Thirty-two years ago Anthropologica dedicated a double issue to the controversies and arguments swirling around northern Algonquian land tenure, specifically the nature of the family hunting territories first identified and named in 1915 by Frank Speck, whose framework followed the lines of Western ideas about property. By 1970, the dominant voices on this issue were those of Eleanor Leacock and Julian Steward, both of whom refuted Speck's claim that this land tenure system was Aboriginal. They maintained that it emerged from the European fur trade. So vigorous was this opposition that it came to be seen as a debate. Anthropology students in the 1970s discovered that the family hunting territories, specifically among the east Cree of James Bay, the Eeyou Istchee, did not mirror the writings in the literature. Looking back at the 1986 publication, this foreword reviews the history of the debate and draws from the articles the major claims of each writer on Cree practices and other subarctic peoples. Some of the topics reviewed are the nature of territoriality, the flexibility of the Cree system, the expectations of the hunting bosses, the overlap of the more traditional and government systems, and resource management and historical documentation of the early existence of the family hunting territories. As a result of Leacock having framed her denial of an early development of family hunting territories within the context of primitive communism, this theme, too, is reviewed.
Defining Land Use in a Context of Proximity: Politics of Community Recognition and Identity Dynamics in Washaw Sibi
Authors: Lessard David
Published: September 2018

In the mid-2000s, in the Upper Harricana River drainage area, the Abitibiwinni and Washaw Sibi groups may be said to have “overlapping claims.” This article presents a historical overview of the area, emphasising interactions between groups and the way group identities were arbitrarily assigned by colonisers and gradually associated with residence. Ethnographic data underlines how family hunting territories played a pivotal social role for the subsistence of marginalised families. The idea that the claims of these groups “overlap” emerged recently, despite documented historical forms of coexistence, kinship ties and hunting partnerships between the Abitibiwinnik and Cree.
Territorialité et territoires de chasse familiaux chez les Atikamekw Nehirowisiwok dans le contexte contemporain
Authors: Éthier Benoit , Poirier Sylvie
Published: September 2018

Cet article analyse les modes de tenure foncière et de gestion des ressources des Atikamekw Nehirowisiwok (Haute-Mauricie, Québec), ainsi que les formes d'autorité et de responsabilité exercées au sein des territoires familiaux. Les concepts de « territorialités autochtones » et d'« ontologie relationnelle » nous permettent de mieux comprendre la nature et la teneur des relations que les Atikamekw Nehirowisiwok entretiennent avec leur univers forestier et les non-humains ; celui de « territorialité enchevêtrée » réfère aux modalités de la coexistence entre les régimes de valeurs autochtone et allochtone. Afin de démontrer la complexité et la dynamique de la territorialité nehirowisiw, l'analyse met l'accent sur quatre concepts locaux, soit Noctimik, Natoho aski, Atoske aski et Nitaskinan, chacun révélant une facette de cette territorialité dans le contexte contemporain.
Afterword: Dispossession with Possession, Governance with Colonialism: Algonquian Hunting Territories and Anthropology as Engaged Practice
Authors: Feit Harvey A.
Published: September 2018

Hunting territories have been and remain central to struggles of northern Algonquian peoples for governance of their lands, to the changes they envision, and for the responses they make when others enter their lands. Hunting territories are also envisioned by some nation-state governments and resource developers as means to disrupt Indigenous governance, communities and tenures to facilitate colonial regimes of control. What happened in this region, and how it came to be understood, has been part of the development of broad anthropological understandings of how peoples can continue living and actively governing their lands amidst colonial intrusions and relations. The anthropology of Algonquian hunting territories has throughout the last century been closely linked to several theoretical debates and to diverse anti-colonial analyses, both within and outside the discipline. Anthropologists' work has involved ever-changing relationships with northern Algonquian peoples and with the beyond-colonising movements, challenges and agreements they have initiated. These relationships have involved long-term anthropological engagements and practices that continue to be taken up in debates about anthropological scholarship and activism. The articles in this volume substantially update these northern Algonquian–state–market–anthropology relations and the analyses of Algonquian hunting territories.
Introduction: Document/ation : Pouvoir, intérêts, redevabilités
Authors: Pigg Stacy Leigh , Erikson Susan L. , Inglis Kathleen
Published: September 2018

Dans cette introduction, nous avançons que l'attention ethnographique portée aux documents, un élément banal de notre quotidien, peut révéler des manœuvres sociales qui accélèrent ou préservent des configurations particulières de pouvoir et d'imputabilité. Nous employons l'expression « document/ation » pour rendre compte des possibles relevant des moments d'action. Les articles de ce numéro spécial mettent en évidence les tensions dynamiques entre la systématisation et l'ambigüité qui résultent des situations de vérification, d'appréciation et de validation.
Burden of Proof: Documentation of an HIV Prevention Program in Ghana
Authors: Inglis Kathleen
Published: September 2018

Globally, HIV programs face pressure to document their accountability and achievements using “evidence-based” criteria or “monitoring and evaluation” (“M&E”), yet little is known about how M&E occurs on the ground or its social and political effects. This paper explores how NGO actors in Ghana experienced routine documentation of a USAID-funded HIV program. Drawing upon 20 months of ethnographic fieldwork, I illustrate how M&E documentation reproduces hierarchical aid relations by engaging NGO actors to self-govern through unexpected strict adherence to documentation requirements. I explore institutional supervisors' frustration with their deference to documentation to further show how inequality is indirectly reproduced.
ORTAK KONTROLE TABİ İŞLETME BİRLEŞMELERİNDEKİ FİNANSAL RAPORLAMA FARKLILIKLARINA İLİŞKİN BIST 100 VE KURUMSAL YÖNETİM ENDEKSİ ŞİRKETLERİNİN İNCELEMESİNE YÖNELİK BİR ARAŞTIRMA
Authors: AKDOĞAN Nalan , BÜLBÜL Samet
Published: September 2018

Günümüz iş dünyasında, işletme birleşmelerinden elde edilmek
istenen faydaların artırılması, müşterek işletmeye ilişkin faaliyetlerin
kontrol edilmesi ve uygulanacak politikaların belirlenmesinde, ortak kontrole
tabi işletme birleşmeleri yaygın olarak kullanılmaktadır. Bu kapsamda, ortak
kontrole tabi işletme birleşmelerine ilişkin politika ve prosedürlerin ortaya
konulması, birleşmeye ilişkin esasların belirlenmesinde konuyla ilgili
standartların ve düzenlemelerin yerine getirilmesi gerekmektedir. Ancak, firmaların
finansal raporları ve bağımsız denetim raporlarına bakıldığında konuya ilgili
farklı uygulamaların olduğu da görülmektedir. Bu çalışmada, ortak kontrole tabi
işletme birleşmeleri ve bunun ilgili standartlar ve düzenlemeler gereğince
raporlaması ele alınmış olup, BIST 100 ve TKYD(Türkiye Kurumsal Yönetim Derneği)
Kurumsal Yönetim Endeksindeki(KEY) firmaların 2017 yılı finansal tablo ve
dipnotları incelenmiş ve ortak kontrole tabi işletme birleşmelerine ilişkin
açıklamalar ve hesaplamalar analiz edilmiştir.
Prevalence of the Z515 (Palliative Care) Diagnosis from the ICD-10 System in Cancer Patients and the Relationship between Treatment and Cost in Songklanagarind Hospital
Authors: Fumaneeshoat Orapan
Published: September 2018

Objective: To determine the prevalence of use of the diagnostic system ICD-10 code Z515 in patients diagnosed with cancer and the relationship between treatment and cost in Songklanagarind Hospital during the 2012-2016 period. Material and Methods: A retrospective descriptive study was performed in patients who were diagnosed as code Z515 in Songklanagarind Hospital from 2012-2016. Data were collected through the Hospital Information System (HIS), and the patients were divided into 2 groups based on whether they were Inpatient Department (IPD) or Outpatient Department (OPD). From the HIS, data concerning sex, age, the right of access to healthcare services, date of diagnosis, first and last department that diagnosed the Z515 code, other departments that diagnosed the same code, other codes diagnosed besides Z515, the latest treatment received, number of regularly-used medications, symptoms that persisted according to the most recent record, ward name, duration of hospitalization (for IPD cases), and the average cost of treatment were recorded on data extraction forms and analyzed as percentages with 95% confidence interval and odds ratios. Results: The prevalence of the diagnostic code Z515 in cancer patients during the study period was 0.2% in both inand outpatients. For outpatient the relationship between average cost and number of medications and average cost and type of treatment were statistically significantly different, while for inpatients the difference was not statistically significant. Conclusion: In Songklanagarind Hospital the use of code Z515 is very low, even though we know that all cancer patients should get the best palliative care support and the earlier we diagnose them as palliative, the better the care they will receive. Therefore, if the doctors are aware of this code, the patient will receive the best care in their end stages of life, and that would make them and their families feel happier. Moreover, our hospital will get reimbursement from the government to get more resources. Hence, more patients can be helped. Songklanagarind Hospital should undertake some kind of program to ensure all physicians are aware of code Z515 and how to use it in order to provide the best care for end-of-life patients.
INTERNATIONAL CONFERENCE: The 11th Postgraduate Forum on Health Systems and Policy Integrated Health Systems and Policy for Sustainable Development Goals
Authors: Prince of Songkla University Faculty of Medicine,
Published: September 2018

The 11th Postgraduate Forum on Health Systems and Policy Integrated Health Systems and Policy for Sustainable Development Goals
The Invention of Stretcher Trolley for Trauma Patient Radiography to Reduce Patient Transport Process
Authors: Yasamut Karnsinee
Published: September 2018

Objective: To design and invent a stretcher trolley for trauma patient radiography.Material and Method: The design of device size and maximum range of table movement in transverse plane was based on the height and width of a stretcher trolley at Buddhachinaraj Hospital and the average size of Thai people. The size and thickness of film cassette with grid were used to determine the size of film cassette tray. Radiation attenuation and load test of acrylic were done. The stretcher trolley design was evaluated by a professor in the Faculty of Engineering, Naresuan University. The device was made from stainless steel and acrylic. Image uniformity test was doneResults: The radiation attenuation of acrylic resembled the x-ray table top. The stretcher trolley size was 67x185x90 cm (widthxlengthxheight) and weight 55 kg. The floating top table could move in the transverse plane. The cassette tray size was 48x67 cm, the cassette tray could beapplied with the cassette of size 14x17 in and the cassette tray could move in the horizontal plane. The difference in mean pixel value was 0.1-0.4%. The device was evaluated by 7 radiological technologists at Buddhachinaraj Hospital. The results showed that the suitability of device was fair. The convenience was fair. The ability to decrease the number of workers was fair. The ability to decrease patient movement was good to excellent. The ability to decrease working time was fair.Conclusion: The overall of stretcher trolley evaluation results were fair. The stretcher trolley could probably be used for radiography.
Prevalence of Urinary Incontinence in the Elderly in Banpru Municipality, Hat Yai District, Songkhla Province, Thailand
Authors: Fumaneeshoat Orapan , Phaktongsuk Pitchaya
Published: September 2018

Objective: To study the prevalence of urinary incontinence in the elderly, the impacts of urinary incontinence, and the reasons why elderly people with urinary incontinence do not seek treatment from a doctors, and to study self-management when urinary incontinence occurs.Material and Method: This was a cross-sectional descriptive study. Interviews were performed with 300 residents aged 60 and above residing in subdistricts 1, 3, 5, 7, and 9 of Banpru municipality, Hat Yai district, Songkhla province. Thequestionnaire was modified from the International Consultation on Incontinence Modular Questionnaire and tested for content validity and reliability. The data were analyzed using descriptive statistics, chi-square test and Fisher’s exact test.Results: It was found that 23 of the 300 subjects interviewed (8.0%) had urinary incontinence. Fifteen female (65.0%) and 8 male (35.0%). Almost half of the patients (48.0%) were between 70 and 79 years old. The most common type of urinary incontinence was stress incontinence (13 persons: 57.0%). The most common impact of their urinary incontinence was givenas boredom (20 persons: 87.0%). Only 2 had seen a doctor (8.0%). Twenty-one said they were afraid to go out to see their doctor because they thought this symptom was an effect of aging (91.0%) and took no action when urinary incontinence occurred.Conclusions: The prevalence of urinary in continence in people aged 60 and above was 8.0%. Just eight percent ofthose suffering from incontinence had consulted a doctor, while the rest did not because they thought that urinaryincontinence was a characteristic of aging. Therefore, the dissemination of knowledge about urinary incontinence willincrease awareness and understanding of this symptom in the elderly.
Hemobilia: Diagnosis and Management
Authors: Pattarapuntakul Tanawat
Published: September 2018

Hemobilia is an uncommon cause of gastrointestinal hemorrhage and difficult to diagnosis. Clinical presentationsare upper gastrointestinal hemorrhage, abdominal pain and obstructive jaundice. There are various mechanisms ofhemobilia such as bleeding tumor of bile duct, ductal tear, a communication or fistula between the biliary tract andvascular system resulting from iatrogenic, trauma, tumor, gallstone, inflammation and vascular disorder. Urgent investigation should be done by endoscopy, computerized angiography and angiography for definite diagnosis and plan of treatment. The principle of therapy are resuscitation, control hemorrhage and restoration bile flow from obstruction. Multimodality approach is the mainstay of treatment including medical therapy, endoscopy, intervention radiology and surgery.
Immediate Effects of Thai Herbal Hot Pack Treatment on Pain and Lower Back Flexibility: A Pilot Study
Authors: Parasin Nichapa , Khumful Srintip , Thammachai Ajchamon
Published: September 2018

Objective: The objective of this pilot study was to investigate immediate effects of Thai herbal hot pack on pain and muscle flexibility in person with chronic low back pain.Material and Method: Twenty-two subjects with low back pain received the Thai herbal hot pack treatment which was heated by microwave oven on lower back for 30 minutes. Subjects were assessed pain and flexibility using visual analog scale and sit and reach test, respectively. Both parameters were measured at baseline and immediately after treatment.Results: The results showed that there were statistically significant difference in pain and flexibility immediately after 30 minutes of using Thai herbal hot pack (p-value<0.001 and p-value<0.050, respectively). The microwave oven-heated Thai herbal hot pack showed positive effect on pain and flexibility. Heat conduction and herbal ingredients of Thai herbal hot pack may be the main reasons that effects on parameters.Conclusion: Thai herbal hot pack may be considered as an alternative treatment for pain relieving and flexibility improving in low back pain patients.
Effect of Home-Based Cardiac Rehabilitation Program on Exercise Capacity in Open Heart Surgery Patients at Naresuan University Hospital
Authors: Paorod Phavinee , Chidnok Weerapong , Sayasathid Jarun
Published: September 2018

Objective: To investigate the effects of home-based cardiac rehabilitation program on exercise capacity using the six-minute walk test (6-MWT) in open heart surgery patients, Naresuan University Hospital.Material and Method: In a quasi-experimental study design, seventy patients who were diagnosed with heart diseases and received open heart surgery at Cardiac Center, Naresuan University Hospital were enrolled and collected data from October 2015 - September 2016 (n=70). The patients completed 8-12 weeks home-based cardiac rehabilitation program. The patients were performed the 6-MWT before hospital discharge, the first and second follow up time point. Data were expressed as average mean and chi-square test were used to determine the relationships among outcome parameters.Results: There was a significant within-group in 6-MWT distance after completed home-based cardiac rehabilitation program (377.0±69.0 meters) compared to before hospital discharge (209.0±62.0 meters) and the first follow up time point (4-8 weeks) (306.0±88.0 meters) (p-value<0.050).Conclusion: The 8-12 weeks home-based cardiac rehabilitation program exhibited significant positive effects on exercise capacity in open heart surgery patients, Naresuan University Hospital.
Patient Motivation to Change Behavior and to Abstain from Alcohol in Songklanagarind Hospital
Authors: Muekthong Anocha , Werachattawan Nisan , Vittayanont Arnont
Published: September 2018

Objective: To investigate the motivation to change behavior for reduce binge drinking and to abstain from alcohol.Material and Method: The subjects of this study were 40 patients diagnosed with alcohol dependence and hospitalized in the psychiatric ward at Songklanagarind Hospital between September 2015 and January 2017. Selfadministers questionnaires consist of questions regarding general characteristics, drinking behavior, alcoholic treatment record, the contemplation ladder questionaire, and the University of Rhode Island Change Assessment Scale (URICA) questionaire. The data were analyzed using descriptive statistics and are presented as a percentage, average, and standard deviation.Results: This is a cross-sectional study. There were 40 male alcoholic patients: average age was 48.2 years; 85.0% of subjects lived with their spouse; and 45.0% were government officers; 47.5% of participants’ motivation to change behavior was in the action stage; 37.5% was in the preparation stage; 10.0% was in the contemplation stage, and 5.0% was in the pre-contemplation stage. Concerning the motivation to abstain from alcohol: 65.0% were in the contemplation stage and 35.0% in the pre-contemplation stage.Conclusion: The study found that participants’ motivation to change their behavior was in the action stage and were in the motivation to abstain from alcohol contemplation stage. The results can lead to plan an efficient treatment which the patients in action stage need a plan to relapse prevention while the patients in pre-contemplation stage need supportive motivate to change though and behavior to be in action stage.
Development of Cylindrical Head and Neck Phantom Using 3d Printing for Dosimetric Verification in Radiation Therapy
Authors: Kornsopa Sarayut , Udee Nuntawat , Mahasaranon Sararat , Tannanonta Chirapa
Published: September 2018

Objective: To construct the cylindrical head and neck phantom using the three-dimensional printer for dosimetric verification in radiation therapy.Material and Medthod: The cylindrical head and neck phantom was constructed the using the three-dimensional printer. Inside the model is composed of soft tissue was constructed from para rubber latex, for planning target volume (PTV), organ at risk (OAR) and wall of phantom using acrylonitrile butadiene styrene from a three-dimensional printer, bone was made from resin mixed with calcium carbonate.Results: The computed tomography (CT) number of head and neck phantom was simulated with a CT simulator show that the soft tissue, PTV and OAR lie between -2 to 56 Hounsfield units (HU), -282 to -196 HU respectively, bone lies between 731 to 852 HU and wall of phantom lie between -152 to -89 HU. The average percent dose difference between calculated dose and measured dose in three-dimensional conformal radiotherapy (3DCRT) was 0.7%.Conclusion: The cylindrical head and neck phantom can be used to evaluate 3DCRT dose treatment planning and delivery.
Evaluation of Dosimetic Characteristics of Electronic Portal Imaging Device (EPID) for Flattening Filter Free (FFF) Beams
Authors: Chanton Thadpong , Thongsawad Sangutid , Saiyo Nipon , Udee Nuntawat
Published: September 2018

Objective: To evaluatethe dosimetric characteristics of electronics portal imaging device (EPID) for 6 and 10 megavoltage(MV) of flattening filter-free (FFF) beams.Material and Method: The EPID characteristicsfor FFF beams have been evaluated as follows; saturation with sourcedetector-distance (SDD), saturation with dose rate, dose linearity response with monitor unit (MU), and the scatterd radiation with field size.Results: The saturation of signal was not occurred at 150 cm and 180 cm SDD for 6 and 10 MV of FFF beams, respectively. When the signals were measured with optimal SSD according to vendor suggestion (150 cm and 180 cm), the standard deviation for all dose rate were ±1.35 and ±1.64 CU for 6 and 10 MV of FFF beams,respectively. The dose linearity response showed that EPID has a good linearity response between signals and MU forthe both of 6 and 10 MV of FFF beams. The results of scatterd radiation with field size were found that FFF beams have different respose from flattening filter (FF) beams with the highest differences of 5.50% and 6.78% for 6 and 10 MV of FFF beams, respectively.Conclusion: EPID has a good characteristic for FFF beams, and an extended SSD can be used to reduce the satured signal effects in FFF beams.
Left Anterior Trap-Door Thoracostomy Approach for Modified Bentall’s Operation in a Patient with Severe Pectus Excavatum and Acute Aortic Dissection Type A: A Case Report
Authors: Sayasathid Jarun , Thapmongkol Siraphop , Thatsakorn Kanthachat
Published: September 2018

Acute aortic dissection type A is an urgent condition that requires a surgical treatment. Especially in patientswith Marfan syndrome and severe Pectus excavatum, the surgery could be more complicated and life-threatening. Among these, we reported a successful left anterior trap-door thoracostomy approach for urgency modified Bentall’s operation without operation for Pectus excavatum and no complication was found.
Prevalence of Aspirin Prescriptions among Type 2 Diabetic Patients in Songklanagarind Hospital
Authors: Chootong Rattanaporn , Jamulitrat Silom
Published: September 2018

Objective: The American Diabetes Association (ADA) and the American Heart Association (AHA) recommend aspirin use for primary and secondary prevention of cardiovascular disease in patients with diabetes. There are, however, some doubts regarding the prescription of aspirin therapy to prevent cardiovascular events in diabetic patients, aspects of its safety, and contraindications of the drug administration. This study was conducted in order to evaluate the amount of prescribed aspirin for diabetic patients who received the treatment at Songklanagarind Hospital.Material and Method: A cross-sectional study was conducted to review the medical records of diabetic patients who received the treatment at outpatient departments from 1st-31st December 2013.Results: A total of 1,342 diabetic patients are included in this study: 80.3% from the primary prevention group and 19.7% from the secondary prevention group. Mean age was 64.3 years old. Of the patients, 44.7% were male. The study revealed that prescribed aspirin accounted for one-third of total prescriptions (31.7%). The primary prevention group was 19.0% (95% confidence interval (CI)=12.0-21.3) and the secondary prevention group was 83.7% (95% CI=78.6-87.9). The departments that frequently prescribed aspirin for the primary prevention group was endocrinology (21.2%) and for the secondary prevention group it was the Primary Care Unit (87.5%). Aspirin side effects were gastrointestinal 1.0% and tinnitus 0.1%. Aspirin contraindications were active peptic ulcer (0.1%), history of gastrointestinal bleeding (0.4%), bleeding disorders (0.2%), history of recent intracranial bleeding (0.2%) and severe liver disease (0.9%). There was a positive correlation between age, hemoglobin A1c (HbA1c) and the dose of prescribed aspirin (p-value<0.001, 0.003 respectively). These patients were more likely to have the dose of aspirin increased as age and HbA1c increased.Conclusion: Despite aspirin being a safe, inexpensive and readily available therapy that is effective in preventing cardiovascular disease in diabetic patients and likely to provide benefits rather than side effects and contraindications. The author found significant underuse of aspirin therapy, especially in the primary prevention of cardiovascular disease in diabetic patients.
Portrait
Authors: Woodhead Linda , Richardson James T. , Percy Martyn , Wessinger Catherine , Barker Eileen
Published: September 2018

I wish I had been present at the 1993 annual meeting of the Society for the Scientific Study of Religion (SSSR) when Professor Eileen Barker delivered her subversive presidential address: “The Scientific Study of Religion? You Must Be Joking!” I imagine that not all audience members were delighted. The address lives up to its billing, driving a cart and horses through pervasive positivistic assumptions in the study of religion and ushering in a very different approach. I will not pretend that it changed my life the first time I read it, but I have gone back to it time and again, and it continues to illuminate and inspire.
Reduced long-term cost and increased patient satisfaction with rechargeable implantable pulse generators for deep brain stimulation
Authors: Hitti Frederick L. , Vaughan Kerry A. , Ramayya Ashwin G. , McShane Brendan J. , Baltuch Gordon H.
Published: September 2018

OBJECTIVE

Deep brain stimulation (DBS) has revolutionized the treatment of neurological disease, but its therapeutic efficacy is limited by the lifetime of the implantable pulse generator (IPG) batteries. At the end of the battery life, IPG replacement surgery is required. New IPGs with rechargeable batteries (RC-IPGs) have recently been introduced and allow for decreased reoperation rates for IPG replacements. The authors aimed to examine the merits and limitations of these devices.

METHODS

The authors reviewed the medical records of patients who underwent DBS implantation at their institution. RC-IPGs were placed either during initial DBS implantation or during an IPG change. A cost analysis was performed that compared RC-IPGs with standard IPGs, and telephone patient surveys were conducted to assess patient satisfaction.

RESULTS

The authors identified 206 consecutive patients from 2011 to 2016 who underwent RC-IPG placement (mean age 61 years; 67 women, 33%). Parkinson’s disease was the most common indication for DBS (n = 144, 70%), followed by essential tremor (n = 41, 20%), dystonia (n = 13, 6%), depression (n = 5, 2%), multiple sclerosis tremor (n = 2, 1%), and epilepsy (n = 1, 0.5%). DBS leads were typically placed bilaterally (n = 192, 93%) and targeted the subthalamic nucleus (n = 136, 66%), ventral intermediate nucleus of the thalamus (n = 43, 21%), internal globus pallidus (n = 21, 10%), ventral striatum (n = 5, 2%), or anterior nucleus of the thalamus (n = 1, 0.5%). RC-IPGs were inserted at initial DBS implantation in 123 patients (60%), while 83 patients (40%) were converted to RC-IPGs during an IPG replacement surgery. The authors found that RC-IPG implantation resulted in $60,900 of cost savings over the course of 9 years. Furthermore, patient satisfaction was high with RC-IPG implantation. Overall, 87.3% of patients who responded to the survey were satisfied with their device, and only 6.7% found the rechargeable component difficult to use. In patients who were switched from a standard IPG to RC-IPG, the majority who responded (70.3%) preferred the rechargeable IPG.

CONCLUSIONS

RC-IPGs can provide DBS patients with long-term therapeutic benefit while minimizing the need for battery replacement surgery. The authors have implanted rechargeable stimulators in 206 patients undergoing DBS surgery, and here they demonstrate the cost-effectiveness and high patient satisfaction associated with this procedure.