bluuebunny/crossref_metadata_2025 huggingface dataset:
Fortalezas y amenazas en torno a la seguridad del paciente en hospitales públicos
Authors: Rodríguez Leonardo , Gomez Fernando , García de Camacho Silvia
Published: July 2018

La seguridad del paciente es un tema complejo y como tal la principal amenaza es hacerlo inabordable. En los últimos años estamos asistiendo al pleno desarrollo de una política y estrategia global en países con diferentes niveles de desarrollo. Objetivos: valorar las fortalezas y debilidades en torno a la seguridad del paciente hospitalizado. Material y método: El problema es abordado mediante un estudio exploratorio descriptivo. Los datos son recogidos y analizados de forma cuantitativa. La muestra corresponde a 40 agentes de enfermería del Hospital Geriátrico de Corrientes. Se aplicó una encuesta tipo matriz FODA. Los datos fueron procesados luego de una categorización teniendo en cuenta: fortalezas y oportunidades, debilidades y amenazas. Resultados: los participantes opinaron que son factores que favorecen a una cultura de seguridad: la formación y desarrollo profesional (100%), el fomento de la cultura de seguridad (100%); la investigación sobre seguridad (92%); en cuanto a las barreras o limitaciones del entorno que afectan al desarrollo de la estrategia de seguridad los participantes opinan que son: la escases de recursos humanos (100%), la falta de capacitación en seguridad (100%), la escasez de recursos materiales (97%); el nivel de formación profesional (92%); la falta de comunicación interpersonal (85%). Conclusiones: Las potencialidades que podrían favorecer el cambio, se apuntan como positivas las iniciativas emprendidas como el fomento de la cultura de seguridad, la formación y desarrollo profesional y la investigación en seguridad; sin embargo se señala como principales barreras la escasez de recursos humanos y materiales y la falta de capacitación en seguridad. 
Sosyal Medya ve Modanın Dijitalleşmesi Arasındaki İlişkiyi Tanımlamaya Yönelik Bir Durum Çalışması: Y Kuşağı Örneği
Authors: Özmen Ebru
Published: July 2018

Sosyal
medya kullanımının giderek yaygınlaştığı günümüzde, özellikle genç kuşağın
modayla ilgili yenilikleri takip etmelerinde bir takım değişiklikler meydana
gelmiştir. Bu değişiklikler, özellikle ‘Y Kuşağı’ olarak adlandırılan bu genç
kuşak temsilcilerinde, yeniliklere kolayca adapte olma ve yaygın bir şekilde
kullanma olarak kendini göstermektedir. Bu çalışmada, Y kuşağına ait moda
sektöründe çalışan profesyonel kişilerin sosyal medyada yeni bir trend olan modanın
dijitalleşmesi konusuna nasıl yaklaştıkları ve bu konu ile ilgili nasıl bir
tutum içinde oldukları incelenmiştir. Öncelikle sosyal medyada moda algısı ve
modanın dijitalleşmesi konularına yönelik kavramsal temellere yer verilmiş,
daha sonra modanın hangi dijital platformlarda daha çok takip edildiği üzerine
6 uzman kişi ile derinlemesine görüşme gerçekleştirilmiştir. Yeniliklerin
yayılımı kuramı çerçevesinde incelenen araştırmanın sonucunda, Y kuşağının
modanın dijitalleşmesi konusunda çok aktif bir kullanıma sahip olduğu, bu
platformu özellikle tercih ettiği hatta modanın gelişimine bu bağlamda yön
verdikleri ortaya çıkmıştır.
Facebook Sitesinde Kullanılan Profil Resimleri Aracılığıyla Sanal Dünyada Kadın Kimliğinin Temsili
Authors: Özgökbel Bilis Pınar
Published: July 2018

İletişimin tarihsel gelişimine bakıldığında, internet kadar hızlı değişim
ve büyüme gösteren bir başka iletişim aracına rastlanılmamaktadır. Bu sebeple
de önem ve anlam bakımından geleceğin medya aracı olarak belleklerde yerine
aldığı kabul edilmektedir.  İnternet her
ne kadar geleneksel iletişim araçlarına göre yeni bir iletişim aracı olarak
nitelendirilse de, sunduğu içerikler bakımından yeni değildir. Bu mecrada
duyulan, görülen ve yazılanlar, hala egemen toplumsal yapıları yansıtmakta ve
güçlendirmektedir. Kimlik temsillerine bakıldığında ise internetin sanal ya da
gerçek kimliklerle dolu bir dünya olduğu görülmektedir.  Burada kimlikler kimi zaman geleneksel
kodlarla kurgulanmakta, kimi zaman ise idealize edilmiş bir biçimde arzu edilen
kimlikler olarak yeniden inşa edilebilmektedir. Dolayısıyla internetin ve
burada yer alan sosyal ağların bireylere sunduğu kimlik oluşturma olanakları,
üzerinde çalışılması gereken düşünsel bir alan olarak karşımıza çıkmaktadır. Bu düşünceden yola çıkarak sanal dünyada kadınların kullandıkları profil resmi aracılığıyla,
kadına dair nasıl bir kimlik temsili yaratıldığı, çalışmanın temel sorunsalını
ifade etmektedir. Söz konusu sorunsalı çözmek için kimlik kuramından yola çıkılarak niteliksel içerik
çözümlemesi ile incelenmektedir. Çalışmanın kuramsal ve yöntemsel rotası
ışığında, Ege Üniversitesi İletişim Fakültesi’nin öğretim elemanları ve
öğrencilerinin yer aldığı toplam 104 kadın Facebook kullanıcısının profil
resimleri amaçsal olarak
belirlenmiştir.

Söz konusu incelemede geleneksel, modern, postmodern, sosyal, hedonist ve
romantik kadın kimlik temsillerine rastlanılmakta ve iletişimin geleneksel ve
yeni mecralarında şimdinin ve geleceğin bilirkişi konumundaki kadınların yeni
medya araçlarında kendilerine dair inşa ettikleri kimlikleri hakkında bir
çerçeve oluşturulmaktadır.
The Role of Personality, Authoritarianism and Cognition in the United Kingdom’s 2016 Referendum on European Union Membership
Authors: Sumner Chris , Scofield John E. , Buchanan Erin Michelle , Evans Mimi-Rose , Shearing Matthew
Published: July 2018

The results of the United Kingdom’s 2016 referendum on European Union (EU) membership have highlighted deep societal divides. In six studies, we examined the role of personality traits, cognition and cognitive biases in relation to referendum voters' choices. A total of 11,225 participants completed questionnaires and controlled experiments, which assessed differences in personality traits, levels of authoritarianism, numeracy, thinking styles, and susceptibility to cognitive biases including ideologically motivated numeracy and reasoning, framing, and the Dunning-Kruger effect. Participants expressing an intent to vote to leave the EU reported significantly higher levels of authoritarianism and conscientiousness, and lower levels of openness and neuroticism than voters expressing an intent to vote to remain in the EU. When compared with Remain voters, Leave voters displayed significantly lower levels of numeracy and appeared more reliant on impulsive System 1 thinking. In the experimental studies, voters on both sides were found to be susceptible to the cognitive biases tested, but often, unexpectedly, to different degrees. These results raise important questions regarding the use and framing of numerical and non-numerical data for public consumption.
A SURVEY ANALYSIS OF PRE-SERVICE CHEMISTRY TEACHERS' CRITICAL THINKING SKILLS
Authors: Irwanto Irwanto
Published: July 2018

This study aimed at analyzing the level of students' critical thinking skills as well as investigating the correlation between students' critical thinking skills and their grade level. A survey involving 220 pre-service chemistry teachers of Yogyakarta State University, Indonesia was conducted. The sample was taken using the convenience sampling technique. The data were collected using a Critical Thinking Rubric (OHRCT) developed by Oliver-Hoyo (2003). The result of this study shows that (i) the average score of students' critical thinking skills was still considered low (13.95±2.151), (ii) abstract and written presentation appeared as the components that obtained the highest and the lowest score respectively, (iii) significant difference was found between the score of students' critical thinking skills based on grade level in favour of junior students (p=0.000), and (iv) a moderate positive and linear correlation existed between the students' critical thinking skills and grade level (r=0.442, p=0.000). The findings indicate that the improvement in students' critical thinking skills has certain influences on the improvement of students' cognition and learning experience after attending courses in chemistry. Based on the result, several recommendations have been proposed to improve university students' critical thinking skills.
POTENSI MISKONSEPSI ISTILAH KIMIA PADA BUKU AJAR KIMIA SMA MATERI KESETIMBANGAN KIMIA DITINJAU DARI ASPEK KEBAHASAAN
Authors: Irwanto Irwanto
Published: July 2018

Penelitian ini bertujuan untuk mendeteksi adanya potensi miskonsepsi pada buku ajar kimia SMA khususnya pada materi Kesetimbangan. Miskonsepsi kimia dapat terjadi pada buku teks kimia yang menjadi acuan para pendidik maupun peserta didik karena kosa kata yang biasa digunakan dalam kehidupan sehari-hari memiliki arti berbeda dalam kimia. Materi kesetimbangan kimia dipilih sebagai objek penelitian karena kesetimbangan merupakan salah satu materi kimia yang bersifat relatif abstrak dan sulit dipahami sehingga dapat menyebabkan miskonsepsi pada peserta didik. Desain penelitian ini adalah studi literatur dengan subjek penelitian tiga buku teks Kimia SMA kelas XI yang sering digunakan dalam kegiatan pembelajaran di sekolah, yakni karangan Michael Purba; Sandri Justiana & Muchtaridi; dan J.M.C Johari & M. Rachmawati. Adanya potensi miskonsepsi ditinjau dari aspek kebahasaan dilihat dari relevansi istilah terhadap lema (entri) yang telah didefinisikan secara internasional dalam A Concise Dictionary of Chemistry yang diterbitkan oleh Oxford University Press. Hasil penelitian menunjukkan bahwa terdapat beberapa istilah yang dapat menimbulkan potensi miskonsepsi, yaitu: (1) kesetimbangan, (2) dinamis, (3) konsentrasi, (4) endoterm, (5) proses kontak, (6) fase, dan (7) reaksi.
Unchanged EEG correlates of covert visual spatial attention after prism adaptation in healthy subjects
Authors: van der Waal Marjolein , Wijnands Inez , Farquhar Jason
Published: July 2018

Behavioural effects of prism adaptation in healthy subjects and neglect patients suggest a link between prism adaptation and spatial attention. A recent study found an effect of prism adaptation on several EEG correlates of spatial attention, but for two other correlates (the P3 component of the oddball ERP and alpha lateralization), the relationship remained unclear. In the current experiment, 10 healthy subjects performed a visual spatial attention task which was optimized for eliciting these two brain signals. This task was performed before and after adaptation to prism glasses with a leftward optical deviation. While prism adaptation induced a rightward bias on a pointing task, there was no effect of adaptation on behavioural performance on the spatial attention task. Moreover, the P3 component of the ERP and alpha lateralization were not influenced by prism adaptation. Together, these results show that some EEG correlates of visual spatial attention remain unchanged after prism adaptation, a finding which has its implications for current models of the neurocognitive mechanisms behind prism adaptation.
Psychiatrists’ Attitude Towards Personality Disorder
Authors: Tulachan Pratikchya , Chapagain Manisha , Dhungana Saraswati , Pant Sagun Ballav , Ojha Saroj Prasad
Published: July 2018

Background: Worldwide mental health professionals have negative attitude towards personality disorder. Aim of this study was to assess the attitudes toward personality disorder among Nepalese psychiatrists. Methods: A cross-sectional survey study was done. Survey questionnaire was developed which consisted of 10 questions to explore the feeling and views regarding personality disorder. It was distributed via e-mail to 80 registered psychiatrist who were randomly selected and responses were analyzed.Results: Results showed only 50% of psychiatrist assessed for personality disorders whereas only 55.6% diagnosed it. Cluster ‘B’personality disorders were most commonly diagnosed personality disorder, 36.1% felt helpless for those patients, 75% felt overall treatment for personality disorder was very difficult and 50% reported they were not competent to care for personality disorder patients. Conclusions: Nepalese psychiatrists were not optimistic towards personality disorder in terms of its recognition, diagnosis and its overall management. Thus, future researches are needed to explore such attitudes in depth in same population.
Assesssment of Health Facilities for Implementation of Package of Essential Non-communicable Disease in Nepal: Baseline Study in Kailali and Ilam District
Authors: Aryal Binod Kumar , Daud Mohammad , Thapa Ambika , Mahotra Anita , Magar Sudip Ale , Malla Chandra Kumari
Published: July 2018

Background: Non-communicable Diseases are an alarming public health emergency in Nepal. Owing to the risk of NCD’s in Nepal, Government of Nepal has developed a Multisectoral Action Plan for Non-communicable Disease 2014-2020 and has adopted the World Health Organization Package of Essential Non-communicable Disease protocol. Prior for its implementation in Nepal, baseline study has been carried out to assess the status of health facilities in Nepal.Methods: A descriptive cross-sectional study was carried out in Kailali and Ilam district encompassing a total of 92 health facilities. A set of structured questionnaire and interview guideline was used to obtain the data. Collected data was transferred to Microsoft Excel, cleaned and analyzed in SPSS 16.0. Descriptive analysis was performed to express the frequencies and relative frequencies Results: Of the total health facilities, 49 and 43 health facilities of Ilam and Kailali were interviewed. The hospital of Ilam consisted all the procedure, equipment and medicine for the management of NCDs whilst, health posts lacked Oxygen services. Only 592 posts were fulfilled out of 704 sanctioned post in both the districts of which only 161 were trained in management of NCDs. Atotal of 231 patients were diagnosed with NCDs before the day of study in all the health facilities of both districts. Conclusions: Study reveals the gaps in capacity of health institution and system in terms of training, supply, equipments, and diagnostics. However, training of health workers, supply of essential medicines and improvising the service delivery would supplement the effective implementation of PEN in Nepal.
An Analysis of Intracranial Aneurysms Presenting with Subarachnoid Haemorrhage in Manipal Teaching Hospital Pokhara
Authors: Karmacharya Balgopal , Yogi Nikunja
Published: July 2018

Introduction: Rupture of intracranial aneurysms is the most common cause for spontaneous subarachnoid hemorrhage. It is a devastating stroke with high morbidity and mortality. This study was done to determine the frequency, location and size of aneurysms in patients presenting with spontaneous subarachnoid hemorrhage.Methods: This prospective cross sectional observational study was conducted in the Neurosurgery Unit of Manipal Teaching Hospital from January 2012 to June 2016. All patients who presented with spontaneous subarachnoid hemorrhage and had a positive angiography of brain were included in the study.Results: There were 39 patients who had positive angiographic results. Male: female ratio was 1:2.25. Mean age was 55.79 years. Nine patients had more than one aneurysms. More than 50% of patients were of age group 50-70 years. Anterior circulation aneurysms were found in 90% of patients. Anterior communicating artery was the commonest location of aneurysms. Most of the aneurysms had neck size less than 4 mm.Conclusion: Anterior communicating artery aneurysm was the commonest location of ruptured aneurysms.  23.07% of patients had multiple aneurysms.
Abdominal Hydatidosis-A Rare Presentation
Authors: Khadka Hensan , Sharma Saroj , Shrestha Sanjay Bikram
Published: July 2018

Hydatid disease may develop in almost any part of the body. Approximately 70% of the hydatid cysts are located in the liver followed by the lung (25%). The kidneys, spleen, mesentery, peritoneum, soft tissues and brain are uncommon locations for hydatid cysts. Involvement of pelvis is very rare, with ovary the most frequently involved genital organ. We report a rare case of abdominal  hydatidosis with cysts in the liver, spleen, peritoneal cavity and ovary.
A Complicated Urinary Bladder Diverticulum Herniation: A Case Report
Authors: Parajuli Santwana , Sharma Prakash , Gyawali Merina , Lalchan Subita , KC Subash , Acharya Ganesh Bhakta , Thapa Niraj , Tiwari Prabhat Kumar , Poudel Ramesh
Published: July 2018

Urinary bladder diverticulum presenting as an inguinal hernia is an uncommon condition found in about 1-5% of inguinal hernia.  Long standing increase of the intravesical pressure resulting from urinary bladder outlet obstruction can cause both secondary bladder diverticula and groin hernias. We present a case of urinary bladder diverticulum herniating through the left inguinal canal, which was confirmed by micturating cystourethrogram. Although these conditions are usually, diagnosed intraoperatively, radiological diagnosis still holds its utmost importance to improve the overall management.
Public – private partnership
Authors: Sandvin Johans Tveit , Bjørgo Frode , Hutchinson Gunn Strand
Published: July 2018

Public-private partnerships have long been highly valued in Western welfare states, and the valuation of such cooperation has become even stronger in light of last year’s economic turbulence, particularly with voluntary non-profit organizations (VNPOs). At the same time, the voluntary sector is changing. The broad popular movements have generally declined in favour of more individual interests as the basis for forming VNPOs, and those organisations still involved in the provision of social services are becoming more and more similar to public service, due to requirements placed on them by the public sector. This is believed to have consequences for the value of such cooperation. If voluntary organisations in public services – or other private organisations for the matter – are becoming copies of public services, there is not much value to be gained from such cooperation, except for some financial gain.In this article, we argue that this conclusion is based on a rather narrow perception of public-voluntary cooperation. Research and debate on such cooperation are mainly preoccupied by what we call supplementary relations, in which voluntary organizations are assessed according to whether they can deliver cheaper or better services than the public sector. Based on an example of public-voluntary cooperation in preventive social work among young adults in Norway, the article show that public-voluntary collaboration can be truly valuable when it is based on a complimentary relation, in which parties collaborate because they command different resources equally important to the task at hand.
Izbjeglička kriza i lokalni odaziv
Authors: Elicin Yeseren
Published: July 2018

Iako Turska postupno postaje zemlja azila, zakonodavstvo koje se bavi izbjeglicama i dalje je nedostatno da bi se izbjegličkoj populaciji zajamčila osnovna prava i osigurale osnovne potrebe, primjerice smještaj, zdravstvena zaštita i zaposlenje. Izmjenama zakona uvedenih 1994. i 2013. godine državljani izvaneuropskih država stekli su mogućnost dobivanja “privremenog azila“ u Turskoj. Trenutno gotovo 90% sirijskih izbjeglica u Turskoj živi u gradovima, a najveći broj izbjeglica smještenih izvan kampova živi u Istanbulu. Status privremenog azila osigurava im osnovne potrebe. Izbjeglicama smještenima u kampovima osigurano je sklonište, hrana, voda, zdravstvena skrb i mogućnost školovanja, no ostali mogu iskoristiti pravo na besplatnu zdravstvenu skrb i lijekove jedino ako su registrirani. Stoga izbjeglice izvan kampova stvaraju velik pritisak na općine u gradovima u kojima žive. U radu se analizira turski zakonski i administrativni okvir unutar kojega se na lokalnoj razini pruža pomoć izbjeglicama. Razmatraju se iskustva istanbulskih općina niže razine te se ocjenjuju njihovi kapaciteti i načini na koji su se nosili s poteškoćama u kriznom razdoblju. U radu se u tom smislu detaljnije opisuju tri
općine: Zeytinburnu, Sultanbeyli i Sisli. Usluge namijenjene sirijskim izbjeglicama u Istanbulu znatno se razlikuju u svakoj općini. Općine niže razine obično smještaju takve usluge u područje upravljanja kriznim situacijama, posebice u područje pomoći siromašnim i potrebitim osobama. Samo mali broj općina provodi dobro osmišljene i dugoročnije programe usmjerene integraciji. Ne bi bilo netočno tvrditi da se lokalni potezi temelje na snalaženju. Glavnu prepreku unaprjeđenju lokalnih poteza čini nedovoljno jasna pravna situacija što se tiče odgovornosti lokalne administracije prema izbjeglicama kao i nedostatak dugoročne
državne politike.
Indikatori interkulturizma u lokalnim kulturnim politikama
Authors: Campagna Desirée , Jelinčić Daniela Angelina
Published: July 2018

Iako se o utjecaju multikulturalnosti i interkulturizmu sve više raspravlja, razlike između tih dvaju pojmova te njihov utjecaj na gradske kulturne politike ne istražuju se dovoljno. Vijeće Europe nastoji promicati Intercultural Cities Index (Interkulturni indeks gradova), no taj instrument sagledava samo neke aspekte kulturnih politika iz interkulturne perspektive. S obzirom na to, u radu se predlažu sveobuhvatniji indikatori koji bi mogli procijeniti razinu interkulturizma
u lokalnim kulturnim politikama. Indikatori slijede analitičku shemu kojom se nastoji utvrditi kako su dva moguća pristupa kulturnoj raznolikosti (multikulturalnost i interkulturizam) ugrađena u tri dimenzije lokalnih kulturnih politika (dimenzije diskursa, upravljanja i kulturnih sadržaja). Indikatori se odnose na eksplicitniju dimenziju kulturnih politika koja se bavi kulturnim nasljeđem i oblicima umjetničkog izražaja, no mogu se također primijeniti na implicitnu definiciju kulture kao načina života. Predlaže se dvanaest indikatora pomoću kojih su autori usporedili razine interkulturizma u tri hrvatska grada (Rijeci, Osijeku i Puli) tijekom razdoblja njihova statusa grada kandidata za Europsku prijestolnicu kulture. Ovaj europski program nudi uvjete za usporedbu promjena gradskih kulturnih politika pod istim uvjetima i pritiscima. Kao prvo, pregled tih triju gradova naglašava snažnu međusobnu povezanost različitih dimenzija lokalnih kulturnih politika. Čak i kada je nedvojbeno prisutan u dimenziji diskursa, interkulturizam se ne može u potpunosti postići bez upravljačke dimenzije koja potiče stvaranje zajedničkih kulturnih sadržaja. Kao drugo, podaci govore o povratku gastronomije kao sektora koji eksperimentira s ultikulturnim i interkulturnim pristupima. Ključna uloga hrane u promicanju kulturnih susreta ističe potrebu za razmatranjem širega spektra načina života, tradicija i običaja prilikom proučavanja multikulturalnosti i interkulturizma u lokalnim kulturnim politikama.
Multikulturalna agenda kao sastavnica izgradnje mira i kosovske države
Authors: Istrefi Remzie
Published: July 2018

U radu se analiziraju načini na koje je multikulturalizam zamišljen kao dio mirovnoga procesa i procesa izgradnje kosovske države u razdoblju nakon sukoba. Nakon sukoba na Kosovu 1999. godine i intervencije NATO-a, pokušaji međunarodne zajednice da se situacija normalizira odrazili su se u zakonskim i političkim rješenjima. Rezolucija 1244 Vijeća sigurnosti UN-a osigurala je zaštitu i promicanje ljudskih prava svih kosovskih građana. Ipak, s obzirom na povrede ljudskih prava i na netrpeljivost koja je vladala među nacionalnim zajednicama, međunarodna im je zajednica bila prisiljena posvetiti veću pozornost.
Zakonsku zaštitu nacionalnim zajednicama pruža Ustavni okvir Kosova
te ostali zakonski propisi Privremene administrativne misije Ujedinjenih naroda na Kosovu (UNMIK-a). Ustavni okvir uveo je zaštitu prava zajednica na Kosovu kako bi izrazio poštovanje svim zajednicama i osigurao im trajni boravak na Kosovu te kako bi prepoznao vrijednost njihovih socio-kulturoloških razlika. Vrlo visoke standarde ljudskih prava zajednicama također su zajamčili dokumenti proizašli iz političkih procesa na kojima se temeljila izgradnja državnosti Kosova. Nakon proglašenja kosovske neovisnosti prava su zajednica stekla status ustavne kategorije. To je uključivalo pravo zastupanja zajednica i pravo na sudjelovanje u javnom životu kao i pravo na ulaganje veta na zakone od značajnog interesa. Uvođenje multikulturalizma kao ustavne kategorije zakonskom zaštitom ljudskih prava označilo je preokret u načinu na koji kosovsko društvo gleda budućnost i suživot u različitostima. No usprkos zakonskim i političkim potezima međunarodnih i kosovskih vlasti, postavlja se pitanje jesu li ti potezi
uspjeli omogućiti zajednicama veći doprinos javnom životu u inkluzivnom kontekstu Kosova. Nacionalne su zajednice i dalje podijeljene te ograničeno sudjeluju u javnome životu, dok provedba zakonom zajamčene zaštite njihovih prava i dalje predstavlja izazov. Stoga je ova analiza imala cilj utvrditi jesu li nastojanja međunarodne zajednice i kosovskih vlasti da izgrade mir i državu bila uzaludna ili su ipak uspjela osnažiti zajednice te na taj način pridonijeti dugotrajnom miru i procesu pomirbe.
KAJIAN KESIAPAN SDM LOGISTIK MENGHADAPI ERA MEA
Authors: Abdul Fino Wahyudi , Harimurti Cundo , Vikaliana Resista
Published: July 2018

Asean Economic Community (AEC) implemented in 2015 is an effort to increase economic growth in Southeast Asia. Logistics is one of the priority integration sectors in the AEC.  In the logistics service sector, as a maritime country, Indonesia consists of thousands of islands which are inseparable unity. This condition makes Indonesia as a country that has import port transportation on front line and inter island transportation. In facing the , Indonesia is required to build an integrated National Logistics System (Sislognas).According to the Logistics Performance Index of World Bank 2010 Indonesia was ranked 75 out of 183 countries. Logistic system in Indonesia still need better handling, besides settling vision problem and mission which not yet integrated. In addition to infrastructure, vision and mission to support the improvement of business competitiveness in Indonesia is also not well integrated and coordinated. The system can be realized if supported by human resources who have logistics knowledge. Lack of human resources in the field of logistics more due to two factors, namely quality and speed.  With the implementation of AEC, the government and business people must be ready and face it by preparing business strategy, especially improving human resources in logistics so that Indonesia can compete in this era.Management professionalism, information systems, culture, functional strategies must run simultaneously to achieve a corporate objective. In facing the challenges of globalization of companies or businesses, government and academia need to develop national workforce such as improving the quality of curriculum, as well as effective training to support and improve the quality and motivation of human resources.
MODEL PENINGKATAN KINERJA SISTEM LOGISTIK YANG EFEKTIF DAN EFISIEN
Authors: Harimurti Cundo
Published: July 2018

Salah satu dampak globalisasi yang kemudian diikuti dengan berbagai perjanjian perdagangan bebas yang diterapkan di suatu kawasan mendorong persaingan dalam berbagai industri menjadi semakin ketat. Di kawasan ASEAN, implementasi Masyarakat Ekonomi ASEAN (MEA) memicu perlunya peningkatan kemampuan daya saing industri dalam negeri melalui peningkatan kinerja sistem logistiknya. Suatu model pengukuran peningkatan kinerja sistem logistik dirancang sebagai alat evaluasi bagi perusahaan komponen otomotif di Indonesia, untuk meningkatkan kinerja logistiknya sehingga mampu bersaing dalam konteks pasar bebas. Perancangan model pengukuran peningkatan kinerja sistem logistik ini berbasis pada perspektif Logistics Scorecard, dan terbagi dalam dua tahap: mengidentifikasi strategi bisnis rantai pasok-logistik untuk mendapatkan KPI, dan menyusun model pengukuran peningkatan kinerja sistem logistik. Terdapat 23 KPI menurut lima perspektif Logistics Scorecard. Penerapan model menghasilkan skor rata-rata kinerja logistik yang tergolong cukup baik dengan beberapa indikator yang perlu ditingkatkan. Hal ini dapat dijadikan pertimbangan dalam penentuan kebijakan dalam rangka meningkatkan kinerja sistem logistik yang efektif dan efisien yang berdaya saing tinggi.
HISTÓRICO DO COMPRIMENTO TOTAL DE TAMBAQUI (Colossoma macropomum, CHARACIFORMES: CHARACIDAE, CUVIER, 1818) DESEMBARCADO NO MERCADO DE TEFÉ, AMAZONAS, BRASIL, COM NOVE RECOMENDAÇÕES PARA O MANEJO PESQUEIRO DA ESPÉCIE
Authors: Sánchez-Botero Jorge Iván , Garcez Danielle Sequeira , Cortezão Wesllen Chaves
Published: July 2018

This study evaluates the total length of tambaqui (Colossoma macropomum ) captured in the middle Solimões river and traded during seven years (1993, 1997 and 2000 to 2005) in the Tefé market, Amazon, Brazil. The Mamirauá Institute of Sustainable Development obtained measurements of the total lengths from 42207 individuals. The length average was 45.23 ± 6.29 cm (minim um of 13 cm and maximum of 105.5 cm ) and the mode was 45 cm . From the total tambaquis, 92.86% were smaller than 55 cm and 7.14% measured 58.24 ± 5.41 cm on average. Medium and standard deviation of the lengths recorded in all years showed sizes below the established by the environmental federal agency. The Kruskal Wallis test showed that there is no significant difference between the abundances and medium sizes of the captures during all months of the year. The historical data of the tambaqui fisheries for the middle Solimões region indicate that individuals of this species have been constantly captured at sizes below the minim um length of reproduction. Nine recommendations for tambaquis fisheries management in the region related to more efficient mechanisms of inspection, auto-ecology studies of the species, environmental protection, reduction of fishery pressure, diffusion and educational cam paigns that aim to correct exploitation of this resource are presented in this manuscript.
EFEITO DA CONSTRUÇÃO DA RODOVIA PA-458 SOBRE AS FLORESTAS DE MANGUE DA PENÍNSULA BRAGANTINA, BRAGANÇA, PARÁ, BRASIL
Authors: Fernandes Marcus E. B. , Fernandes Jairo S. , Muriel-Cunha Janice , Sedovim Waldelice R. , Gomes Ivanete A. , Santana Daniela S. , Sampaio Dioniso S. , Andrade Fernanda A. G. , Oliveira Francisco P. , Brabo Lucinéia B. , Silva Júnior Milton G. , Elias Marcos P.
Published: July 2018

The PA-458 highway construction caused severe impact on mangrove Forest in the Ajuruteua peninsula, Bragança-PA, mainly at the Km 17. In order to better understand the effect of the highway construction on mangrove forest, it was undertaken a phytographic profile and a study on the structure of mangrove stands under three different levels of environmental destruction: Degraded Area (DA), Semi-Degraded Area (SDA), and Non-Degraded Area (NDA). Considering the three levels of destruction, mangrove stands comprise trees from 3 to 9 m of height, describing a gradient from the most impacted area till the non-impacted one, whereas values of mean DBH of these trees range from 4.2 to 10 cm. The trees dominance and density showed significant differences between the three different levels of impact (ANOVA, F=13.30; df=15; p
PERFIL DA CAÇA E DOS CAÇADORES NA RESERVA DE DESENVOLVIMENTO SUSTENTÁVEL AMANÃ, AMAZONAS – BRASIl.
Authors: Valsecchi João , Amaral Paulo Valsecchi do
Published: July 2018

Hunting wildlife is forbidden by Brazilian federal legislation, although it is tolerated in specific situations. the activity is important as a source of protein to rural populations. the objective of this study is to describe hunting in four communities of Amanã Sustainable Development Reserve. Structured interviews were carried out with hunters themselves, as well as other members of the communities (n=238). In addition to that, a survey of hunted game was also carried out during the period of this study. In six months of monitoring of the four communities, 373 individuals were harvested; totalling 5,932.75 Kg. Mammals were the main group hunted, representing 91,42% of the total weight produced in hunting events. the results of the study indicate that the species most susceptible to hunting are Tayassu pecari, Dasyprocta fuliginosa, Cuniculus paca, Tapirus terrestres, Alouatta seniculus, Mazama americana and Mazama gouazoubira, the river turtles of genus Podocnemis, and also the Cracidae and Anatidae.
EUROPEAN UNION’S HUMAN RIGHTS POLICY: AN ANALYSIS FROM EXTERNAL RELATIONS PERSPECTIVE
Authors: YAZGAN Hatice
Published: July 2018

Avrupa Birliği’nin (AB) amacı, insan haklarını iç ve dış politikasında korumak ve yaymaktır. Bu amacı yerine getirmek üzere AB, vatandaşlarının haklarını korumak için çeşitli mekanizmalar geliştirmiştir. Dış ilişkileri bakımından ise Birlik, üçüncü ülkelerle aktedilen ticari ve daha kapsamlı anlaşmalara insan hakları maddeleri koymaktadır. Bunun da ötesinde Birlik, AB’ye katılmak isteyen ülkeleri insan hakları uygulamaları bakımından Avrupalılaştırmak için koşulluluk ilkesini etkili bir araç olarak kullanmaktadır. Bu nedenlerle AB, sivil toplumla güçlü bağlar kurmakta ve üçüncü ülkelerde insan hakları ve demokrasiyi güçlendirme amacını dile getirmektedir. Ancak AB’nin insan hakları rejimi çeşitli yönlerden eleştirilmektedir ve bu eleştiriler mülteci krizi ve son yıllarda Birliğin genişleme ve derinleşmesinde yaşanan kimi sorunlar nedeniyle artmaktadır. Bu arka plana dayanarak bu makalenin amacı, AB’nin insan hakları rejimini incelemek ve bu rejimin mevcut etkilerini Birliğe 1999 yılından beri aday ülke olan Türkiye örneğinde ele almaktır.
Didaktik in Continental European pedagogy: An analysis of its origins and problems
Authors: Serpil Harun , Aktan Sümer
Published: July 2018

The aim of this study is to describe, in a historical and philosophical context, the foundations and developmental lines of a tradition defined as curriculum science or “didaktik” in Continental Europe, particularly in Germany and Scandinavia. The principal aim here is introducing a theoretical approach based on a different philosophy, in addition to the techno-scientific Anglo-American theoretical approach. Didaktik tradition has been of particular interest for curriculum researchers especially in the past two decades. With such an interactive focus, this paper is divided into four sections. Because this paper traces historical and philosophical pathways of inquiry, its research method is purely qualitative, based on document analysis. The findings of this analytical study are expected to contribute to the wider recognition of a philosophical-pedagogical tradition, which has not hitherto been paid much attention in Turkey.
Translational research advances a new era of prenatal diagnosis and newborn screening
Authors: Shulman Lee P. , Farrell Philip M.
Published: July 2018

This article provides a review of selected metabolic disorders resulting from genetic mutations and the methods used to identify them prenatally or facilitate diagnosis in the early neonatal period. Prenatal and neonatal diagnostic technologies have expanded and improved dramatically in the 21st century, as is their application in population-based screening and/or targeted assessment of at-risk couples. For instance, preimplantation genetic diagnosis has been a major advance. Emphasis herein has been placed on prototype diseases such as phenylketonuria, cystic fibrosis, and Tay-Sachs that have stimulated seminal efforts to improve medical practices in these fields. As more molecular strategies evolve, future developments in prenatal screening and diagnosis, along with newborn screening expansion, seem likely to continue rapid translation to the bedside.
A rhetorical situation triggers accounting communication. The case of the conflict between the Bank of German States and the Government in 1955/56
Authors: Hermann Thomas
Published: July 2018

The two research questions of this paper are: How does the rhetorical situation trigger the accounting communication in a case of conflict? Which persuasive strategies are chosen to alter the situation? The paper accordingly combines Bitzer's theory of the rhetorical situation with the Aristotelian framework of persuasive appeals and insights from argumentation theory. The paper empirically demonstrates the usefulness of this framework to deepen our understanding of accounting communication in a historical case study. The historical case is the change of monetary policy of a public financial institution, the Bank deutscher Länder BdL, and its conflict with the government in 1955/56. The analysis of the rhetorical discourse focuses on the narrative part of BdL's Annual Report 1955, the Gürzenich hall speech of German Chancellor Adenauer on 23 May 1956, and the Monthly Report of May 1956. The paper demonstrates how the rhetorical situation triggers the accounting communication of the BdL. It also reveals changes in the argumentation strategy and the affective appeals as reactions to the new rhetorical situation created by the Chancellor's speech.
Transvaginal Ultrasound Findings Among the Women Presenting with Infertility
Authors: Hussain Nafeesa Binti , Das Rinku Rani
Published: July 2018

Introduction: Infertility is a difficult conditions for the obstetricians to dealwith. Transvaginal ultrasound (TVS) is a investigation that is primarily done to evaluate the cases of infertility cases. The objective of the present study was to document the Transvaginal Scan (TVS) findings in women presenting with infertility in a teaching hospital of Bangladesh.Methods: Subjects were women of reproductive age presenting at the teaching hospital with infertility over a one year period. As part of their management, transvaginal scans was done. TVS was done by the researcher herself and was checked by a second observer. Data was complied and analyzed by SPSS 20.Results: Among the 100 cases regarding anthropometric variables where mean ± SD of age was found 28 ± 6.7 years, weight was 56 ± 12.5 kg, height 1.57 ± 0.76 m and BMI was 24.5 ± 3.6 Kg/m2. Type of infertility revealed 75% cases were primarily infertile and 25% having secondary infertility. Comorbid diseases revealed 6% cases had DM, 4% cases had HTN, 11% cases had PID, 14% patients had thyroid problems. All the 100 cases undergone TVS study where PCO was found among 69(69%) cases, chronic pelvic inflammatory disease 14(14%) fibroids 6(6%) anatomical problems 19(19%) endometrial/cervical polyp 18(18%) free fluid in pelvic/abdominal cavity 7(7%) endometritis 5(5%) endometriosis 4(4%) adenomyosis 5(5%) chocolate cyst 8(8%) tubo-ovarian mass 2(2%) intrauterine and intra pelvic adhesions 2(2%) septate uterus 292%) pelvic abscess 1(1%) and ectopic pregnancy 1(1%).Conclusions: Polycystic Ovaries (PCO) is the major finding in women with infertility in our study. This hitherto poorly recorded pathology should be actively investigated in women representing with these symptoms by the use of TVS.Chatt Maa Shi Hosp Med Coll J; Vol.16 (2); July 2017; Page 31-34
Efficacy and Safety of Combine Alfuzosin and Finasteride in the Treatment of Symptomatic Benign Prostatic Hyperplasia: A Quasi-Experimental Study
Authors: Siddique Md Saifuddin Ahmed , Bashar Sharmin Nahar , Ahmed Farid Uddin
Published: July 2018

Background: Lower Urinary Tract Symptoms (LUTS) due to Benign Prostatic Hyperplasia (BPH) are common in elder men and a number of drugs alone or in combination are clinically used for this disorder. To assess the efficacy and safety of combined Alfuzosin plus Finasteride, in patients with LUTS due to BHP.Methods: In this hospital-based, Quasi-experimental study (One-Group Pre test-Post test Design) without Control Groups, 30 consecutive patients were selected as per set criteria for medical management of BPH with combination of 10mg Alfuzosin and 5mg Finasteride, for 12-months, in the outpatient Department of Urology, in Chittagong Medical College Hospital. The primary efficacy criteria were improvement in symptoms (International Prostate Symptom Score (IPSS) peak urinary flow rate and reduction of prostate volume from baseline.Results: Combination therapy with Alfuzosin plus Finasteride was effective in improving the symptoms and peak urinary flow rate from the first follow-up visit (Day 90) in comparison to baseline score. The mean change in the IPSS from baseline at endpoint was 10±1.87 (p=0.001). The percentage increase in the peak urinary flow rate was 4.8 mL/s, compared with 11.0±1.82 mL/s at baseline (p=0.001). The patients’ quality of life also significantly improved. The percentage decrease in prostate volume at end point was 15.13±11.3 cc (p=0.001). Overall, this combination therapy was well tolerated. The incidence of orthostatic hypotension as determined by systematic blood pressure measurements was only 3(10%). No clinically relevant ejaculation disorders were observed.Conclusion: Alfuzosin plus Finasteride provides effective relief from the symptoms of benign prostatic hyperplasia by reducing the size of the prostate. It is well tolerated from a cardiovascular viewpoint and is not associated with abnormal ejaculation.Chatt Maa Shi Hosp Med Coll J; Vol.16 (2); July 2017; Page 35-39
Pattern of Presentation of Chronic Venous Insufficiency in CVI Clinic of Chittagong Medical College Hospital
Authors: Salim Md , Hossain GM Zakir , Rahman Mahmudur , Alam Md Monirul , Khan Muallem Al Farukh
Published: July 2018

Background: Chronic Venous Insufficiency (CVI) is a common but often ignored problem in primary health care, sign and symptoms may ranges from mild leg heaviness or aching, dilated or unsightly veins, or troublesome odema to fibroses subcutaneous panniculitis associated with recurrent cellulitis and chronic ulceration.Methods: The prospective observational study was carried out Depaertment of Surgery, Chittagong Medical College Hospital, Chittagong. The primary purpose of the present study was to evaluate the impact of the diagnostic approach on patient of chronic venous insufficiency, varicose vein to difference primary and secondary venous insufficiency.Results: Most common sign flebedema found in 56 (65.12%) patients was followed by dermo-hypodermatitis in 15(17.44) patients, stasis eczema in 09(10.47) patients and thrombophlebitis in 06(6.98) patients. Most frequent lower leg symptoms are heaviness 82 (95.35%) & the lowest is throbbing 55(63.95%). The others are according to order of Frequency cramps 66 (70.0%) Itching 63 (73.26%) Burning 61(70.93%) Tiredness 69 (80.23%) Restless leg 71 (82.55%) Pain aching 76 (88.37%). CVI (Chronic Venous Insufficiency) studied 04 (4.65%) were in C1, 54(62.79%) were in C2, 03(3.49%) were in C3, 11(12.79%) were in C4, 6 (6.98%) were in C5 and 8(9.30%) were in C6 according to clinical CEAP classification.Conclusion: Majority of patients presented with the complains of heaviness of leg and unexplained leg swelling, sex predilection is almost same for male and female but advanced stages are more common in male patients. Increasing age is associated with more advanced stage of the disease.Chatt Maa Shi Hosp Med Coll J; Vol.16 (2); July 2017; Page 51-55
Study of Severe Acute Maternal Morbidity (SAMM) in A Tertiary Care Hospital
Authors: Jahan Raunak , Hossain Md Shahadat , Shila Sultana Afroj , Lipi Lutfa Begum , Susan Zobaida Sultana , Chowdhury Sanjukta
Published: July 2018

Background : Severe maternal morbidity also known as ‘near miss’ may be a good indicator of the quality and effectiveness of obstetric care, as it may identify priorities in maternal care more rapidly than mortality alone.Objective : The objectives of this study was to observe the pattern of severe acute maternal morbidity (SAMM) and its associated factors in a tertiary care hospital.Study design and setting : This descriptive cross-sectional study was done from August 2011 to February 2012 at Dhaka Medical College Hospital (DMCH), which is a tertiary care hospital in Dhaka city.Methods : A total 100 consecutive cases of SAMM were taken from Obstetrics and Gynaecology department of DMCH. Five factor scoring system was used to identify the SAMM cases from all the severe obstetric morbidity. For each case of SAMM, data was collected on a) Nature of obstetric complication(s) b) Units of blood transfusion c) Presence of organ-system dysfunction/ failure d) ICU admission e) Length of hospital stay.Results : In this study severe acute maternal morbidities occur in a prevalence of 2.68% and ratio of maternal death was 6.43 per 1000 deliveries. The most frequent primary obstetric factors of severe morbidity detected in this sample were post partum hemorrhage (29%), eclampsia (24%) and sepsis (16%). Other causes were ectopic pregnancy (8%), obstructed labour (7%), ante-partum hemorrhage (5%), abortion (4%), ruptured uterus (3%), anesthetic complication (2%) and miss matched blood transfusion (2%).Conclusion : This study suggests that the treatment of SAMM cases may be improved by developing evidence-based protocols for the management of hemorrhage, eclampsia and infection.J Shaheed Suhrawardy Med Coll, December 2016, Vol.8(2); 58-62
Efficacy of Low Dose Topiramate and Propranolol in Migraine Prophylaxis
Authors: Khan Muhammad Abdul Momen , Ferdous Jannatul , Kabir AKM Golam , Rashid Md Mamnur , Islam Md Enayet Ul , Khan SM Dastegir
Published: July 2018

Background: Migraine, the second most common cause of headache that can significantly impair the lives of people. Various drugs are available for migraine prophylaxis but all of which have varying degrees of adverse effects that may significantly limit their use.Objectives: To observe whether low dose topiramate is more effective compared to propranolol in migraine prophylaxis.Methods: Total 120 patients the age range of 18 to 50 years were recruited as study population of migraine in the Out Patient Department (OPD) & Headache Clinic,BSMMU.60 patients were administered by Tab.Topiramate 50 mg/ day named as group-I and rest of 60 patients were administered by Tab. Propranolol 80 mg /day named as group-II. Out of them in total 96 patients had completed the study. 47 patients had completed study in group-I and 49 patients in group-II. During trial, three follow up visits were taken for both groups, 1st follow up after 4 weeks of baseline information, 2nd follow up after 4 weeks of treatment, 3rd follow up after 8 weeks of treatment. Efficacy of treatment was measured by frequency, duration and severity of headache as measured by the visual analogue scale (VAS).Results: The mean (SD) age of group-I (topiramate) and group-II (propranolol) group were found 29.72±9.58 years and 30.96±10.11 years respectively. Female sex was found predominant in both groups. At final follow up, there was statistically significant difference in mean (SD) value of frequency of migraine between topiramate and propranolol group (4.72±2.80 vs. 3.48±2.20; p=0.024]. Propranolol appeared statistically significant than topiramate [TPM 5.53±2.98 vs. PRO 4.36±1.55; p=0.047].Regarding severity of headache, better results also were observed in the propranolol group than topiramate (p< 0.05). Both drugs appeared significant in efficacy measurement (p<0.001). Patient drop out was more in the topiramate group than the propranolol group (21.68 % vs. 18.34%). Furthermore, in the topiramate group, patients complained of more adverse effects than propranolol group (23.4% vs. 14.3%), which was statistically significant.Conclusion: The present study suggests that low dose topiramate and propranolol are effective for migraine prophylaxis in reduction of frequency, severity and duration of migraine individually and propranolol appears more effective compared to that of topiramate.J Shaheed Suhrawardy Med Coll, December 2017, Vol.9(2); 49-54