bluuebunny/crossref_metadata_2025 huggingface dataset:
PENGARUH KEPEMIMPINAN KEPALA UPT PUSKESMAS TERHADAP KINERJA PEGAWAI PUSKESMAS CIAWI KECAMATAN CIAWI KABUPATEN BOGOR
Authors: Maulana Irvan , Rahmawati Rita , Salbiah Euis
Published: April 2018

The main objective of this research is to know the impact of leadership and employees performance at Ciawi Local Government Clinic of Bogor Municipality.Associative method is research method used to know the relationship or impact between two or more variables. The population of this research is 37 employees. To determine the number of minimum sample, Slovin formula is used. Based on the formula, 27 employees taken as sample. To analyze data, Weight Mean Score and Rank Spearman Correlation are used for hypothetical testing purpose. In this context, H0:ρ = 0, means that there is no positive correlation between leadership and employees performance, and Ha: ρ ≠ 0, means that there is positive correlation between leadership and employees performance.The result of this research show that leadership function by Head of Local Government Clinic is in “pretty good” criteria with mean score of 2,916 (out of 5) and “pretty good” criteria in all of indicator in this variable. Meanwhile, the variable of employees performance is also categorized as “good” criteria with mean score of 3,000 (out of 5). Futhermore, based on Rank Spearman analysis with significance test for n=27 and standar error of 10%, show that Rho 0,368 with “low” criteria. And the significance test t=2,042 > 1,70814, thus, conclusion can be taken that Ho is rejected and Ha is accepted. This mean that there is positive correlation between leadership and employees performance with coefficient of determination 13,5%. In the other words, the research conclusion is the influence of leadership efforts by head of Local Government Clinic is 13,5% and the remaining 86,5% is determined by other factors (epsilon). Key word : Leadership, Performance, employees
GAMBARAN PERILAKU IBU POST PARTUM YANG MENGALAMI KETERLAMBATAN DALAM PENYEMBUHAN LUKA PERINEUM PADA TAHAP INFLAMASI
Authors: Eliyana Yayuk , Yunita Emi
Published: April 2018

Luka perineum adalah luka pada perineum karena adanya robekan pada jalan lahir baik spontan maupun karena episiotomy saat persalinan. Idealnya luka perineum sembuh pada hari ke 6-7 post partum, namun pada kenyataannya masih ada ibu post partum yang mengalami keterlambatan penyembuhan luka perineum.

Desain penelitian yang digunakan pada penelitian ini adalah deskriptif. Tehnik sampling yang digunakan adalah total populasi, dengan sampel sebanyak 13 ibu post partum yang mengalami keterlambatan dalam penyembuhan luka perineum pada tahap inflamasi di BPS Ririn Wahyuningsih, Amd. Keb Wilayah Kerja Puskesmas Panagguen Kabupaten Pamekasan. Pengambilan data menggunakan kuesioner. Variabel penelitiannya yaitu gambaran perilaku ibu post partum yang mengalami keterlambatan dalam penyembuhan luka perineum pada tahap inflamasi meliputi pengetahuan, sikap dan tindakan. Pengolahan data menggunakan table distribusi frekuensi.

Hasil penelitian ibu yang berpengetahuan kurang sebanyak 7 orang (53,85%), sikap ibu yang negatif sebanyak 8 orang (61,54%), tindakan ibu yang tidak melakukan perawatan luka perineum sebanyak 9 orang (69,23%).

Berdasarkan hasil yang diperoleh dapat disimpulkan bahwa gambaran perilaku ibu post partum yang mengalami keterlambatan dalam penyembuhanluka perineum pada tahap inflamasi di BPS Ririn Wahyuningsih, Amd.Keb Wilayah Kerja Puskesmas Panagguen Kabupaten Pamekasan berperilaku kurang dalam perawatan luka perineum.

       Diharapkan ibu post partum tidak tarak makan, melakukan mobilisasi, menjaga personal hygiene dan melakukan perawatan perineum. Bagi petugas kesehatan diharapkan meningkatkan mengalami luka perineum. Program penyuluhan atau konseling tentang perawatan luka perineum, perawatan pasca persalinan, tujuan dan manfaat perawatan perineum serta gizi pada ibu nifas terlebih ibu yang mengalami luka perineum
ДОСЛІДЖЕНННЯ ВІКОВИХ ОСОБЛИВОСТЕЙ НАВЧАЛЬНОЇ САМОЕФЕКТИВНОСТІ ДОРОСЛИХ
Authors: Galtseva Tatiana
Published: April 2018

У статті представлено дослідження навчальної самоефективності різних категорій дорослих. Надане авторське визначення конструкту «навчальна самоефективність дорослого» як феномену самосвідомості, що характеризується суб’єктивним очікуванням успіху у навчальній діяльності, констатує якісні особистісні зміни, що відбуваються у процесі навчання, характеризує людину як суб’єкта власного розвитку, здатного ефективно застосовувати навчальні компетентності, вільно орієнтуватися в освітньому просторі для вирішення професійних та особистісних задач. Визначена структура конструкту.

За допомогою дисперсійного аналізу виявлено, що вік є значущим чинником,  який неоднозначно впливає на розвиток показників (компонентів) навчальної самоефективності. З віком спостерігається зростання показників «Ціннісно-смислового відношення до навчальної діяльності (освіти)» , «Відповідальності за навчання та саморозвиток» та зниження показників «Мотиваційно-цільової спрямованості у навчанні», «Впевненості у власній навчальній здатності», «Прогностично-рефлексивної здатності до навчання». У статті надані перспективи подальших  досліджень конструкту.
Моделирование разложения нефтепродуктов в почве с помощью микробных консорциумов
Authors: Щемелинина Татьяна Николаевна , Анчугова Елена Михайловна , Гуркина А Н , Лаптева Елена Морисовна
Published: April 2018

Исследовано влияние микробных консорциумов (штаммов Rhodotorula sp. VKM Y-2993D, Pseudomonas libanensis B-3041D, культур микроводорослей Acutodesmus obliquus IPPASS-2016, Chlorella sp. IPPASC-2024, Monoraphidium sp., Anabaena sp.) на очистку почвы при нефтезагрязнении. Выявлены закономерности изменения биотических показателей и содержания нефтепродуктов на различных этапах деструкции нефти в микрокосмах. Показано, что максимальный эффект при применении технологии «контурного обводнения» дает использование в комплексе с ним бактериально-дрожжевого и альго-бактериально-дрожжевого консорциумов в присутствии минеральных добавок. Степень очистки почвы от нефтепродуктов при такой технологии за 90 сут. лабораторного эксперимента составила 60-63%.
Исмаил Сыддыкович Хантимер. 120 лет со дня рождения
Authors: Кузнецова Елена Геннадьевна
Published: April 2018

В 2018 г. исполняется 120 лет со дня рождения Исмаила Сыддыковича Хантимера – крупного исследователя Севера. Результаты его научной работы пополнили теоретические основы луговедения. Им разработан специфический для Крайнего Севера эффективный прием сельскохозяйственного использования земель тундры – создание многолетних продуктивных сеяных лугов – «залужение». В настоящее время метод залужения является базовым при проведении биологической рекультивации нарушенных земель на Севере.
Генетический полиморфизм пеночки-теньковки (Phylloscopus collybita) на территории Республики Коми по данным ISSR-анализа
Authors: Селиванова Наталья Петровна , Естафьев Алексей Александрович , Велегжанинов Илья Олегович , Шадрин Дмитрий Михайлович , Пылина Яна Игоревна
Published: April 2018

В силу особенностей расположения территории Республики Коми на стыке Европы и Азии характер орнитофауны данного региона определяют европейские и сибирские виды птиц. Пограничный эффект отчетливо проявляется на подвидовом уровне. На территории между Тиманским кряжем и западным макросклоном Урала около 20 видов птиц представлены европейскими и сибирскими формами. Один из них – пеночка-теньковка (Phylloscopus collybita). Географическая неоднородность в распределении форм на территории региона была показана на основании данных акустического и морфологического анализа. Считается, что Республика Коми расположена в зоне перекрывания ареалов и возможной гибридизации восточно-европейской (Ph. c. abietinus) и сибирской (Ph. c. tristis) теньковок.Генетический полиморфизм теньковки на территории Республики Коми до настоящего времени остается практически не изученным. Авторами исследована внутривидовая изменчивость теньковки на основании результатов ISSR-анализа 17 образцов тканей птиц из разных частей Республики Коми. Проведенный анализ не выявил географических закономерностей дифференциации генетического разнообразия ни в широтном, ни в долготном отношении. Можно предположить, что генетически все теньковки региона являются представителями одной, предположительно сибирской формы.
The Social and the Spatial, Urban Models as Morphologies for a ‘Lived’ Approach to Planning
Authors: Bruyns Gerhard
Published: April 2018

How and in what manner has the social been instrumental in formulating planning policies, and does Hong Kong ascribe to any social concept that facilitates its current spatial planning framework? The legacy of the social in planning originally came to fruition within the Chicago School of Social Sciences during the early 1920s. Since then, the understanding of the social and how planning responds to the social has been wide and varied. This paper examines the social’s application in spatial notions in addition to its context within Hong Kong. At its core this argument outlines the consequences of a social notion within planning and the spatial modes of recourse. Issues of scaling are brought into question when addressing planning as well as economic focus, in both the local as well as regional governance levels, which further emphasises the dynamic proxies of social and spatial factors for territorial planning. Having neither of these, the argument then highlights the realities of economic asymmetries in the disempowerment of a local populous through land speculation and housing shortages.
Techno-Art-Activism
Authors: Wong Kacey
Published: April 2018

This photo essay comments on the influence of artactivism in the process of the ‘social’. Moving away from the conventionality of social approach to betterment, the approach follows an artistic take, amalgamating new forms of media with the processes of design and art.
Visual Soliloquy the Anti-Social of Design
Authors: Stanojevic Marko
Published: April 2018

Visual Soliloquy contributes to the discussion of how graphic and information design contributes to social through design. In linking the work to notions as self-branding, micro celebrities and self-branding in defining social value for individuals. The use of the soliloquy concept is aligned with both the anti-social undertaking and social endeavor of design as praxis within the field of communication design. As evidence, the concept is supported through examples of design work and their material explorations.
Creating Affective Social Design
Authors: Brassett Jamie
Published: April 2018

The ethics of designing has often been organised according to moral imperatives, and social design not only aligns with such moralities, but perpetuates them without providing a clear critique of the systems to which they adhere. To rid itself of such reactive ideologies, and so to create other conditions for the possibility of its creativity, social design might occupy itself with a different account of ethics altogether. This paper will seek to elucidate such a different ethics along the lines Baruch Spinoza proposed and Gilles Deleuze championed. That is, it will therefore call for an affective designing that operates by creating ethical ontologies. This article will bring an affective, ethical, ontological design to bear on a social entity that emerges from the relations affectivity requires, insofar as it is one that is designed.
Quality Evaluation of Kiwi Juice Coagulated Mozzarella Cheese
Authors: Karki Anubodh , Ojha Pravin
Published: April 2018

Standardized milk having casein: fat ratio 0.92 was used and the processes were optimized for the manufacture of cheeses. The samples were analyzed for physico-chemical properties (moisture, total solid, fat, protein, ash, calcium, fat retention, protein retention, yield) and functional properties such as meltability, stretchability, baking quality and shreddability were also analyzed. Significant differences (p<0.05) were found in calcium content of the cheese, color and overall sensory properties. Stretchability and shreddability in relation to functional properties were also found to be significantly different. The yield for mozzarella cheese made using rennet was higher than that of cheese made using kiwi juice as milk coagulant and also it was superior in terms of overall functional properties. It was deemed that a good quality mozzarella cheese with variant characteristics can be prepared by using kiwi juice as milk coagulant.
Application of Swertia Chirayita (Roxb. ex Fleming) Karst in Wheat Flour to Design Health Food
Authors: Subedi Ishwar , Karki Tika Bahadur
Published: April 2018

Swertia Chirayita often known as Chiraito is a highly traded medicinal plant of Nepal. Its use in food industries is still under research. Application of the medicinal herb in bread prepared from wheat flour (550 types, 431 µm particle sized with moisture 12.5%) was assessed to evaluate sensory and physiochemical qualities. The antioxidant activity of the Chiraito was found to be 62% at 500 μg/ml and 15% at 100 μg/ml by radical scavenging method which shows Chiraito as the most significant antioxidants potential. Likewise, antibacterial activity of the herb extract also showed significantly inhibitory to selected pathogenic microorganism. Finding its functional properties, Chiraito powder (669 µm particle sized) with 1.0 %, 0.10%, 0.00% and 0.01% respectively were added in wheat flour to make four different type of bread and carried out sensory evaluation using 9-points (Hedonic Rating Test). The data were statistically analyzed using SPSS for Analysis of Variance (ANOVA) at 5% level of significance. The overall quality of the finished products also showed that Chiraito, as herb extract didn’t affect physico-chemical properties of the product which was measured in terms of dough yield, bread volume, elasticity, acid degree, water content, crumb porosity, texture, smell and taste. Overall acceptability showed that bread (Sample D) with 0.010% was superior and liked the most.  Since no entrance of Chiraito herb in modern food industries yet, the research would support production and commercialization of innovative functional health food globally.
Guidance on use of antiviral drugs given potential low vaccine effectiveness for the 2017–2018 influenza season
Authors: Allen Upton D , Aoki Fred Y , Evans Gerald A , Laverdière Michel , Skowronski Danuta M , Stiver H Grant
Published: April 2018

Influenza vaccine is recommended annually to reduce the influenza-associated disease burden, particularly among those at high risk of serious influenza complications ( 1 ). However, a potential for low vaccine effectiveness (VE) has been identified for the 2017–2018 influenza season. To address that concern, the following antiviral drug recommendations have been revised (see Table 1 , changes in bold) from the AMMI Canada Foundation Document ( 2 ).
Physiological characteristics and multiple- joint isokinetic strength of upper extremity in outrigger canoe paddlers: A preliminary study
Authors: Ueda Hisashi , Han Illyoung , Kim Sanghoon , Kiyota Hiroshi
Published: April 2018

BACKGROUND:

Participation in outrigger canoe racing has gained rapidly in popularity across the United States, Australia, New Zealand, and Japan. Moreover, outrigger canoe racing has recently been included as an official sport of the 2016 Paralympic games in Rio de Janeiro. Hence, evaluation of upper limb pedaling strength in outrigger canoe paddlers would be important to determine optimal sport-specific training techniques for these athletes.

OBJECTIVE:

To compare multiple-joint isokinetic strength (MI) of upper extremity, muscle strength, and overall morphology in outrigger canoe paddlers and non-athletes.

METHODS:

Nine outrigger canoe paddlers (Out-C), and eight healthy male non-athletes (Con) were recruited. The MI of the upper extremity was evaluated using an isokinetic arm ergometer.

RESULTS:

Multiple-joint isokinetic strength was greater in the Out-C group than in the Con group at all pedaling speeds ([Formula: see text] 0.05). In addition, peak moment right arm extension and left arm (RL) was significantly greater than peak moment left arm extension and right arm (LR) only in the Out-C group ([Formula: see text] 0.05). Significant correlations were identified between chest girth and MI at 110 rpm, left forearm girth and MI at 50 rpm, 70 rpm, and 90 rpm, right forearm girth and MI at 50 rpm ([Formula: see text] 0.05).

CONCLUSIONS:

Asymmetries in MI of upper extremity muscles with stronger left than right side may be an important contributing feature of performance.
Functional sit-to-stands evoke greater neuromuscular activation than orthopaedic bed exercises in healthy older adults
Authors: Gavin James P. , Immins Tikki , Burgess Louise C. , Wainwright Thomas W.
Published: April 2018

OBJECTIVE:

To compare EMG activity of the hip and thigh muscles during traditional static bed exercises and the sit-to-stand exercise in healthy older adults.

METHODS:

Twenty-four healthy, older adults (8 males; age 65 [Formula: see text] 7 y) performed four static rehabilitation exercises: isometric contractions of the gluteal, abductor, inner quadriceps and quadriceps (ten, [Formula: see text] 5 s submaximal contractions, with 60 rests), and the sit-to-stand test. Electromyographic (EMG) activity was recorded from the rectus femoris, vastus medialis, gluteus medius, biceps femoris and gluteus maximus, and root mean square-processed (RMS) in this observational preliminary study. Handgrip strength and 10 m walking speed represented participant characteristics.

RESULTS:

Hip and thigh muscles were activated differently between the isometric bed and sit-to-stand exercises. Greatest RMS activity was shown in the chair rising phase of the sit-to-stand exercise. No bed exercise exceeded the muscle RMS activity required to perform a sit-to-stand, and only for sit-to-stands were all muscles activated over 40% of maximal; the level required to stimulate muscle strength adaptation.

CONCLUSIONS:

Functional daily activities, such as sit-to-standing, produce greater muscle activity than static bed exercises in healthy older adults. Sit-to-stands should be included in exercise and rehabilitation programs for older adults to evoke sufficient levels of neuromuscular activation for muscle strength adaptation.
Extravasation of total parenteral nutrition into the liver from an upper extremity peripherally inserted central venous catheter
Authors: Gupta Arpit , Bhutada Alok , Yitayew Miheret , Rastogi Shantanu
Published: April 2018

Peripherally inserted central catheters (PICC) are the mainstay of central venous access in preterm infants, and one of the common procedures performed in neonatal intensive care unit (NICU). Complications of PICC include infection, mechanical dysfunction, thrombosis, migration, and extravasation of the infusate. In this report, we describe a case of PICC inserted from an upper extremity with migration into the inferior vena cava (IVC) and the hepatic vein associated with extravasation of the total parenteral nutrition (TPN) into the peritoneum and the liver. This case highlights the vigilance required not only to insert but for the maintenance of PICC to prevent complications associated with migration of PICC.
Forebrain cellular bioenergetics in neonatal mice
Authors: Narchi Hassib , Thachillath Pramathan , Souid Abdul-Kader
Published: April 2018

BACKGROUND:

Hypoglycemia occurs frequently in the neonate and may result in neurologic dysfunction. Its impact on the kinetics of cellular respiration and bioenergetics in the neonatal brain remains to be explored.

AIMS:

Develop murine model to investigate the effects of hypoglycemia on neonatal brain bioenergetics.

STUDY DESIGN:

Forebrain fragments were excised from euthanized BALB/c pups aged <24 hours to 14 days. We measured cellular respiration ( μM O2 min–1.mg–1) in phosphate-buffered saline with and without glucose, using phosphorescence oxygen analyzer, as well as cellular adenosine triphosphate (ATP, nmol.mg–1) using the luciferin-luciferase system.

RESULTS:

In the presence of glucose, although cellular respiration was 11% lower in pups ≤3 days compared to those 3– 14 days old (0.48 vs. 0.54), that difference was not statistically significant ( p = 0.14). Respiration driven by endogenous metabolic fuels (without added glucose) was 16% lower in pups ≤3 days compared to those 3– 14 days (0.35 vs. 0.42, p = 0.03), confirming their increased dependency on exogenous glucose. Although cellular ATP was similar between the two age groups (14.9 vs. 11.2, p = 0.32), the ATP content was more severely depleted without added glucose in the younger pups, especially in the presence of the cytochrome c oxidase inhibitor cyanide. The first-order rate constant of cellular ATP decay (hydrolysis) was 44% lower in 2-day-old pups compared to 14-day-old mice (0.43 vs. 0.77 min–1, p = 0.03).

CONCLUSIONS:

Forebrain cellular respiration and ATP consumption are lower in young pups than older mice. In the absence of glucose, the support for these processes is reduced in young pups, explaining their brain hypersensitivity to hypoglycemia.
Probiotic Lactococcus lactis decreases incidence and severity of necrotizing enterocolitis in a preterm animal model
Authors: Gurien L.A. , Stallings-Archer K. , Smith S.D.
Published: April 2018

BACKGROUND:

Necrotizing enterocolitis (NEC) persists as the most common and serious gastrointestinal disorder among premature infants. Lactococcus lactis ( LL), a lactic acid producing bacteria commonly found in buttermilk and cheese products, has several unique properties making it an ideal probiotic for neonates. We evaluated if the probiotic LL prevents development of NEC in a preterm rabbit model with Cronobacter sakazakii ( CS).

METHODS:

Two-day preterm New Zealand white rabbit pups were randomly assigned to three diets: control (no additives), CS, and CS+ LL. Pups were gavage fed and given daily oral ranitidine and indomethacin. Anal blockage was performed using tissue adhesive. Subjects were sacrificed on day four, with tissue from distal ileum and proximal colon graded for NEC by a pediatric pathologist blinded to group assignments. Outcomes were compared using Fisher’s exact test.

RESULTS:

All pups in the control group survived to sacrifice and none developed NEC. Survival was 26% higher ( p = 0.03) and incidence of NEC 51% less ( P < 0.001) in CS+LL group compared to CS group. Of the pups that developed NEC, all pups in the CS+LL group had Grade 1 NEC, while one-third of pups in the CS group developed Grades 2–4 NEC.

CONCLUSIONS:

In the presence of CS, LL is protective against development of NEC in a preterm rabbit model. Future studies are needed that evaluate utilization of prophylactic probiotics in the neonatal intensive care unit to determine if this intervention can successfully decrease rates of NEC in preterm infants.
Universal newborn hearing screening using A-TEOAE and A-ABR: The experience of a large public hospital
Authors: Cianfrone F. , Mammarella F. , Ralli M. , Evetovic V. , Pianura C.M. , Bellocchi G.
Published: April 2018

BACKGROUND:

Universal newborn hearing screening (UNHS) aims to identify hearing loss in the early postnatal period; prompt detection of bilateral or unilateral hearing loss is mandatory for timely intervention.

METHODS:

This retrospective study reports the results of the first two years of a UNHS program on 4,719 newborns in a large public Italian hospital. Screening was divided into two levels: automated transient otoacoustic emissions were used for first level; automated auditory brainstem response for second level. Second level included children with a “refer” response at first level and babies with a family history for hearing loss or other risk factors. Hearing loss diagnosis was made using clinical auditory brainstem response.

RESULTS:

During first level, 254 (5.4% ) newborns were “refer”. At retest, 130 (51.1% ) babies were PASS and 48 (18.8% ) were “refer”. 76 babies dropped out (29.9% ). 146 babies (3.1% ) were referred to the second level: 48 for a “refer” response at first level and 98 for a PASS response but potential hearing loss due to risk factors. 24 babies dropped out (16.4% ). Out of 122 newborns tested in the second level, 105 (86.1% ) had a PASS response and 17 (13.9% ) were “refer”. Our screening protocol identified 7 (0.14% ) babies with profound hearing loss; 5 had unilateral and 2 had bilateral hearing loss. 2 babies dropped out at diagnostic level (11.8% ).

CONCLUSIONS:

A correct and early diagnosis of hearing loss is mandatory to prevent permanent consequences; the spread of hearing screening programs is the optimal solution to reach this goal.
A Review of Elasto-Plastic Shakedown Analysis with Limited Plastic Deformations and Displacements
Authors: Movahedi Rad Majid
Published: April 2018

In classical plasticity the shakedown analysis is among the most important basic problems. The principles of shakedown analysis are counterparts to those of limit analysis in the sense that they provide static and kinematic approaches to the question of whether or not shakedown will occur for a body under multiple variable loading conditions. The principles of limit analysis provide static and kinematic approaches to the question of whether or not the plastic limit state will be reached by a body under proportional loading. The principles of shakedown analysis are, however, considerably more difficult to apply than those of limit analysis. In spite of these difficulties, shakedown analysis is a vital and developing topic in plasticity and a great number of applications have been made. At the application of the plastic analysis and design methods the control of the plastic behaviour of the structures is an important requirement. Since the shakedown analysis provide no information about the magnitude of the plastic deformations and residual displacements accumulated before the adaptation of the structure, therefore for their determination bounding theorems and approximate methods have been proposed.
Study of the Impact of Microstructure and Sorption Properties of the Renovation Plasters on the Wall Drying Rate
Authors: Brachaczek Waclaw
Published: April 2018

The purpose of the study was to determine the relationship between the microstructure and sorption properties of plasters and the drying rate of walls made of sandstone, silicate bricks, ceramic Gothic and Cadinen bricks. The porosity of plasters was 30%, 40% and 50%, and they differed in water sorption. The studies were carried out with one and two layers of plaster. It was demonstrated that the properties of the renovation plasters influence their drying rate. Plasters with a polymodal distribution of pore size and porosity of 50% shortened the wall drying rate, while monomodal distribution and hydrophobic plasters extended the wall drying rate.
Coronary Angiographic Findings Among the Left Bundle Branch Block Patients
Authors: Iqbal Abu Tarek , Ayub Md , Salehuddin Md , Ahmed Khurshed
Published: April 2018

Introduction: Complete Left bundle branch block(LBBB) increases the risk of cardiac mortality, and prognosis is primarily determined by the underlying coronary artery diseases. The goal of this study was to determine the association of complete left bundle branch block (LBBB), with site, severity & risk factors of coronary artery disease (CAD) diagnosed by coronary angiogram(CAG).Methods: A total of 75 symptomatic patients with LBBB were evaluated in a one year period by coronary angiography in a tertiary care hospital of Chittagong, Bangladesh. Standard protocol and procedure were followed during doing both ECG and CAG. All data were compiled and were analyzed by SPSS-20.Results: Among 75 patients analyzed male were 40(53.3%) and female was 35(46.67%). Male to female ratio was 1:1.14.. Among all 22(29.33%) patients were at age group <60 years, 48(64%) were at age group 40-60 years and 5(6.6%) were <40 years of age. 34(45.3%) patients were from rural community. Regarding risk factor analysis 19(25.2%) patients had DM, 16(21.33%) patients had different kinds of dyslipidemia, 8(10.6%) patients were obese, 3(4%) patients had high cholesterol(>400mg/dl), 26(34.66%) patients were hypertensive, 21(28%) were smoker, 2(2.66%) were taking jarda, 8(10.6%) patients had family history of coronary artery disease and one patients had history of alcoholism. Angiographic study revealed 6(8%) had single vessel disease, 16(21.33%) had double vessel disease, 5(6.66%) had triple vessel disease and 48(64.00%) patients had normal vessels.Conclusion: LBBB may be assoictaed with normal to variable involvement of coronary arteryUniversity Heart Journal Vol. 12, No. 2, July 2016; 88-90
Deconstruction and Music
Authors: Morris Christopher
Published: April 2018

Despite frequent valorizations of music in the west, the art has also been perceived as a threat to philosophy and theology, ostensibly on the grounds of its potential for danger to the polis (Plato and Aristotle), temptation to impiety (Augustine and Calvin), coercion (Kant), or lack of objective content (Hegel). Accompanying these doubts is a longstanding anxiety concerning music's relation with inarticulation or silence. Debates over the definition and ontology of music persist today in both analytic and continental traditions, with neither approach succeeding in forging consensus. Musical Platonism (Kivy, Norris) is today's uneasy default position in the academy. However, recent reassessments of speech acts (Miller) and of the Derridean world as phantasm (Naas) can return music to its structural constitution in différance – to an alternation between sound and silence. This redefinition of music and its parallel with language can contextualize Derrida's most extended engagement with the topic, his interview with Ornette Coleman.
Electrodeposition of reduced graphene oxide with chitosan based on the coordination deposition method
Authors: Liu Mingyang , Chen Yanjun , Qin Chaoran , Zhang Zheng , Ma Shuai , Cai Xiuru , Li Xueqian , Wang Yifeng
Published: April 2018

The electrodeposition of graphene has drawn considerable attention due to its appealing applications for sensors, supercapacitors and lithium-ion batteries. However, there are still some limitations in the current electrodeposition methods for graphene. Here, we present a novel electrodeposition method for the direct deposition of reduced graphene oxide (rGO) with chitosan. In this method, a 2-hydroxypropyltrimethylammonium chloride-based chitosan-modified rGO material was prepared. This material disperses homogenously in the chitosan solution, forming a deposition solution with good dispersion stability. Subsequently, the modified rGO material was deposited on an electrode through codeposition with chitosan, based on the coordination deposition method. After electrodeposition, the homogeneous, deposited rGO/chitosan films can be generated on copper or silver electrodes or substrates. The electrodeposition method allows for the convenient and controlled creation of rGO/chitosan nanocomposite coatings and films of different shapes and thickness. It also introduces a new method of creating films, as they can be peeled completely from the electrodes. Moreover, this method allows for a rGO/chitosan film to be deposited directly onto an electrode, which can then be used for electrochemical detection.
Heterostuctures of 4-(chloromethyl)phenyltrichlorosilane and 5,10,15,20-tetra(4-pyridyl)-21H,23H-porphine prepared on Si(111) using particle lithography: Nanoscale characterization of the main steps of nanopatterning
Authors: Chambers Phillip C , Garno Jayne C
Published: April 2018

Nanostructures of 4-(chloromethyl)phenyltrichlorosilane (CMPS) were used as a foundation to attach and grow heterostructures of porphyrins and organosilanes. A protocol was developed with particle lithography using steps of immersion in organosilane solutions to selectively passivate the surface of Si(111) with octadecyltrichlorosilane (OTS). A methyl-terminated matrix was chosen to direct the growth of CMPS nanostructures to fill the uncovered sites of Si(111) to enable spatial confinement of the surface reaction. Silica spheres with a diameter of 500 nm were used as a surface mask to prepare nanoscopic holes within the OTS matrix film. Next, the samples were immersed in solutions of CMPS dissolved in toluene or bicyclohexane. Nanostructures of CMPS formed within the nanoholes, to furnish spatially selective sites for binding porphyrins. The samples were then characterized with AFM to evaluate the height and morphology of the CMPS nanostructures that had formed within the nanoholes of OTS. The samples were then refluxed in a porphyrin solution for selective binding to produce heterostructures. The attachment of porphyrins was evidenced by increases in the height and width of the CMPS nanopatterns. The measurements of size indicate that multiple layers of porphyrins were added. Through each step of the surface reaction the surrounding matrix of OTS showed minimal areas of nonspecific adsorption. The AFM studies provide insight into the mechanism of the self-polymerization of CMPS as a platform for constructing porphyrin heterostructures.
The Comparison of Olanzapine and Risperidone Treatment in Male Schizophrenic Patients using Positive and Negative Syndromes Scale (PANSS)
Authors: Lestari Endah Tri , Effendy Elmeida , Amin Mustafa Mahmud , Bahagia Loebis Bahagia
Published: April 2018

INTRODUCTION: The most common method to compare olanzapine and risperidone is by calculating the score of positive and negative syndromes scale (PANSS). However, there were some conflicting results mentioned from previous studies.AIM: This study aimed to compare the treatment of olanzapine and risperidone using PANSS, limited to only male patients receiving inpatient treatment to obtain more significant results.METHODS: The subjects of this study were male schizophrenic patients in the acute phase of treatment (N = 68) who were hospitalised at the Mental Hospital Prof. Dr M. Ildrem, Indonesia. These participants were divided into two groups and treated with different atypical antipsychotics (olanzapine, 20 mg/day [n = 34]; risperidone, 6 mg/day [n = 34]). The scores of PANSS from both groups were collected from pre-test and post-test after 6 -week treatment.RESULTS: The improvement of the schizophrenia symptoms measured by PANSS after 6 weeks showed significant differences in the scores of PANSS between the male patient groups treated with olanzapine and risperidone (p-value < 0.001).CONCLUSION: The group of olanzapine shows a higher improvement of the scores of PANSS than that the group of risperidone.
Job Demands, Burnout, and Teamwork in Healthcare Professionals Working in a General Hospital that Was Analysed At Two Points in Time
Authors: Mijakoski Dragan , Karadzinska-Bislimovska Jovanka , Stoleski Sasho , Minov Jordan , Atanasovska Aneta , Bihorac Elida
Published: April 2018

AIM: The purpose of the paper was to assess job demands, burnout, and teamwork in healthcare professionals (HPs) working in a general hospital that was analysed at two points in time with a time lag of three years.METHODS: Time 1 respondents (N = 325) were HPs who participated during the first wave of data collection (2011). Time 2 respondents (N = 197) were HPs from the same hospital who responded at Time 2 (2014). Job demands, burnout, and teamwork were measured with Hospital Experience Scale, Maslach Burnout Inventory, and Hospital Survey on Patient Safety Culture, respectively.RESULTS: Significantly higher scores of emotional exhaustion (21.03 vs. 15.37, t = 5.1, p < 0.001), depersonalization (4.48 vs. 2.75, t = 3.8, p < 0.001), as well as organizational (2.51 vs. 2.34, t = 2.38, p = 0.017), emotional (2.46 vs. 2.25, t = 3.68, p < 0.001), and cognitive (2.82 vs. 2.64, t = 2.68, p = 0.008) job demands were found at Time 2. Teamwork levels were similar at both points in time (Time 1 = 3.84 vs. Time 2 = 3.84, t = 0.043, p = 0.97).CONCLUSION: Actual longitudinal study revealed significantly higher mean values of emotional exhaustion and depersonalization in 2014 that could be explained by significantly increased job demands between analysed points in time.
The hidden Heuchera: How science Twitter uncovered a globally imperiled species in Pennsylvania, USA
Authors: Schuette Scott , Folk Ryan A. , Cantley Jason T. , Martine Christopher T.
Published: April 2018

The genus Heuchera is recognized as one of the most diverse endemic radiations of Saxifragaceae in North America, yet species delimitation and geographic distribution within the group remain controversial. Many species remain difficult to identify, including Heuchera alba, a narrow Appalachian endemic and globally imperiled (G2) taxon recorded only from West Virginia and Virginia that occurs in sympatry with H. pubescens and H. americana. A recent survey of the cliffside flora of the Shikellamy Bluffs, PA recorded dozens of Heuchera individuals that, through the use of social media, were positively identified as H. alba. Aided by examination of historical herbarium records, subsequent searches of similar habitats in Pennsylvania led to the discovery of seven more populations and established a significant range expansion for this rare species. The uncovering of H. alba in Pennsylvania is an exciting conservation outcome and an example of what can happen when botanists embrace a combination of modern and classical approaches to discovery and collaboration.
Bruggmannia chapadensis sp. nov. (Diptera: Cecidomyiidae), a new midge inducing galls on Guapira pernambucensis (Nyctaginaceae) from the Parque Nacional da Chapada dos Guimarães, Mato Grosso State, Brazil
Authors: Proença Barbara , Cid Maia Valéria
Published: April 2018

Bruggmannia >chapadensis sp. nov. is described and illustrated based on characters of the larva, pupa and adults of both sexes, from specimens collected in Cerrado areas of Parque Nacional da Chapada dos Guimarães, state of Mato Grosso, Brazil. The new species is characterized by tarsal claws bent at distal 1/3; well-developed empodia, not reaching the bend in claws; cerci rounded; hipoproct shorter than cerci; aedeagus with globose apex; gonostylus semicircular; ovipositor protrusible about 1.4 times longer than sternite 7; pupal antennal bases enlarged, conical, upper facial horns semicircular; prothoracic spiracle short, abdominal segments 2–8 with one row of dorsal spines; larval terminal segment elongate, with four setose terminal papillae. This new species was collected from lenticular leaf galls of Guapirapernambucensis (Casar.) Lundell (Nyctaginaceae). This is the first record of Bruggmannia galls on this plant species. In Brazil, 13 species of Bruggmannia were previously known, none recorded from Mato Grosso.
Analyse, anticipation, prospective
Authors: Soutou Georges-Henri
Published: April 2018

On distingue les trois étapes de tout effort de prévision : analyse, anticipation, prospective. Dans notre contexte de Stratégie, l’action reste toujours, au moins à l’horizon, en asymptote. Mais toute action menée en fonction d’une prévision modifie les données de la situation et aboutit à des changements nécessitant une nouvelle prévision. Action et prospective sont ainsi en relation dialectique.
Défis environnementaux émergents
Authors: Mondon Sylvain
Published: April 2018

Lorsque Hervé Coutau-Bégarie écrit 2030 la fin de la mondialisation ? , la question du changement climatique fait l’objet de controverses de plusieurs ordres. En partant des archives paléoclimatiques, les différentes composantes de la variabilité du climat sont mises en perspectives pour différentes échelles de temps du passé et du futur. L’enjeu du changement climatique est ainsi requalifié au titre des défis environnementaux au bénéfice des connaissances nouvelles publiées dans le domaine des sciences du climat au cours de la dernière décennie. Les différentes facettes de ce défi environnemental émergent sont explicitées et mise en relation les unes avec les autres. Rétrospectivement, il est possible désormais d’affirmer que les 30 dernières années ont vu émerger d’une tendance lourde. Il n’est plus possible aujourd’hui de ne pas aborder le changement climatique dans des travaux prospectifs quel que soit le domaine, l’échelle spatiale et l’horizon de temps considérés.
L’exhortation post-synodale Verbum Domini et la pratique de l’exégèse biblique
Authors: Artus Olivier
Published: April 2018

Promulguée en 1965, la constitution dogmatique Dei Verbum invitait à conjuguer une étude critique des texte bibliques, susceptible d’en dégager le sens littéral, et une interprétation théologique, prenant en considération leur contexte canonique d’énonciation, sans pour autant proposer de pistes qui, sur le plan de la pratique exégétique, permettraient de mieux articuler ces deux dimensions de l’exégèse biblique. L’exhortation post-synodale Verbum Domini du pape Benoît XVI cherche précisément à définir les conditions et les modalités d’une pratique exégétique susceptible de mettre au jour le sens littéral et le sens théologique de l’Écriture. Cette exhortation présuppose les études exégétiques et les recherches, qui, à partir des années 1970, ont tenté de mettre en œuvre une exégèse canonique, envisagée dans ses dimensions synchronique et diachronique.
High Reliability of Cone Cell Measurements With Adaptive Optics Scanning Laser Ophthalmoscopy in a Simulated Real-Life Clinical Setting
Authors: Davoudi Samaneh , Sevgi Damla Duriye , Yasa Cagla , Laíns Inês , Ebrahimiadib Nazanin , Roohipoor Ramak , Papavasilieou Evangelia , Comander Jason , Sobrin Lucia
Published: April 2018

BACKGROUND AND OBJECTIVE:

The authors evaluated adaptive optics scanning laser ophthalmoscopy (AO-SLO) in a simulated real-life clinical setting to identify factors that impact its reliability in this setting.

PATIENTS AND METHODS:

For this prospective study, macular cones were imaged in five healthy eyes using an AO-SLO prototype machine. Multilevel mixed-effect regression was used to compare the cone densities across different analysis parameters. Intergrader, intragrader, interphotographer, and intersession reliabilities were determined with intraclass correlation coefficients (ICCs).

RESULTS:

Cone densities in the largest measurement window size, 150 μm × 150 μm, were most consistent. Image quality strongly impacted cone analysis. Intragrader and intergrader ICCs were 0.99 and 0.98, respectively. Intersession and interphotographer reliability both had an ICC of 0.72.

CONCLUSIONS:

Larger measurement window sizes and higher image quality improve the reliability of cone density measurement. Although there were excellent intergrader and intragrader reliabilities, intersession and interphotographer reliabilities were not as robust.

[
Ophthalmic Surg Lasers Imaging Retina
. 2018;49:228–235.]
Highly contentious issues in the South African political and socio-economic domain
Authors: Vorster Koos
Published: April 2018

N/A
’n Onverkwiklike gesprek: Gays en die kerk
Authors: Nel Marius
Published: April 2018

No abstract available.
Conceptual change of disaster management models: A thematic analysis
Authors: Nojavan Mehdi , Salehi Esmail , Omidvar Babak
Published: April 2018

Different models have been proposed for disaster management by researchers and agencies. Despite their efficiency in some locations, disasters are still a fundamental challenge in the way of sustainable development. The purpose of this research is developing a comprehensive conceptual model for disaster management using thematic analysis. In this regard, first, disaster management models are collected. In the next stage, the themes of each model are extracted and categorised in three phases. In the first phase that is descriptive coding, available elements in each model are extracted as code and the basic themes are recognised. Then, in the phase of interpretive coding, basic themes are classified in three categories that are called organising themes (i.e. hazard assessment, risk management and management actions). In the final phase, strategic management is selected as the global or overarching theme to integrate all the other themes. Based on thematic analysis, it can be concluded that disaster management has three main elements that are the three organising themes. Therefore, comprehensive model of disaster management should include these three elements and their sub-basic themes that is called the ideal or criterion type. Results showed that some scientists have looked at disaster management one dimensionally (one theme). Even in two-dimensional models, one dimension has advantage over the other one. While the proposed typology in this study showed that the comprehensive model should include all the three mentioned elements.
Forecasting demand for qualified labour in the South African hotel industry
Authors: Makumbirofa Sandra , Saayman Andrea
Published: April 2018

As South Africa’s popularity as a tourist destination increases, the need for skilled human capital also increases. The study of skills development and human capital in all sectors of the economy has long been topical as a means to support organisational progression that can eventually lead to economic growth. Estimates suggest that tourism and hospitality employ at least 10% of the global workforce and consequently prove to be a sector that cannot be readily ignored. However, because of the complex and consumption-based nature of the tourism sector, and the general scarcity of sector-related information, data on both demand and supply of skills are few and of a qualitative rather than a quantitative nature. This research addresses this gap and aims to forecast the demand for qualified labour in the South African hotel industry. The research methodology is twofold; firstly, hotel turnover is forecasted using univariate forecasting methods and data available from Statistics South Africa; secondly, employment elasticities were determined. Linking elasticity with turnover forecasts presents an estimate of the future demand for qualified labour in the hotel industry. In addition, the typical qualifications required are based on information obtained from CATHSSETA and a survey.
Don’t bank on it: Delineating the relationship between corporate social responsibility and retail banking affinity
Authors: Beneke J. , Wannke N. , Pelteret E. , Tladi T. , Gordon D.
Published: April 2018

This research examines the extent to which the moderating variable of awareness influences the relationship between Corporate Social Responsibility beliefs and consumers’ attitudes towards their banks, and whether this significantly affects their willingness to recommend the company. The research was limited to the four major South African retail banks. The study finds that consumers’ attitudes do not, in fact, mediate the relationship between CSR beliefs and willingness to recommend. However, a direct positive relationship appears to exist between attitude and willingness to recommend. The authors find that a superficial awareness of CSR initiatives has minimal impact on their behaviour. Whilst an increased intimate knowledge of their CSR activities may thus lead to business rewards, banks should focus on their core offerings as consumers see CSR as an added benefit.
An empirical study of buyer-supplier relationships in the Taiwanese machine tool industry
Authors: Yeh C. C. , Chen C. F.
Published: April 2018

Machine tools are an essential component of advanced manufacturing technology, and the machine tool industry in Taiwan dominates the world market. However, Taiwanese machine tool plants are unique, in that approximately 62% of the total operating cost for a plant arises from its suppliers. This paper examines buyer-supplier relationships in the Taiwanese machine tool industry. In doing so, a theoretically relevant set of buyer-supplier relationship variables is identified from the literature. Factor analysis shows that buyer-supplier relationships are a two dimensional construct containing the core dimensions of a purchasing cooperative relationship and an R&D cooperative relationship. Connections between buyer-supplier relationships and manufacturing performance (quality, cost, delivery and flexibility) are then examined. This study reveals that buyer-supplier relationships are related to overall manufacturing performance, but can vary depending on the dimensions of the relationships. Finally, some discussions are presented and managerial implications are made for the industry.