bluuebunny/crossref_metadata_2025 huggingface dataset:
KINERJA PEMASARAN PADA UKM MEBEL DI KABUPATEN KUNINGAN
Authors: - Iskandar , Aprillianita Putri Yunita , Sani Micita , Irawan Riki , Hamidah Siti
Published: November 2018

Masalah yang ingin diteliti dalam penelitian ini adalah menurunnya kinerja pemasaran perusahaan-perusahaan UKM Mebel di Kabupaten Kuningan. Untuk bisa mengatasi masalah ini, maka perlu diketahui faktor-faktor penyebabnya. Telaah pustaka menunjukkan bahwa kinerja pemasaran ini dipengaruhi secara langsung oleh keunggulan bersaing. Sementara keunggulan bersaing dipengaruhi oleh perilaku kewirausahaan, adaptabilitas lingkungan, kualitas aset stratejik, dan orientasi pasar. Oleh karena itu, penelitian ini ingin menguji keterkaitan kelima variabel tersebut, untuk kemudian mencari solusi bagi permasalahan penurunan kinerja pemasaran di atas. Penelitian dilakukan terhadap 82 perusahaan sebagai� sampel terpilih dari populasi sejumlah 103 perusahaan. Data diperoleh dari angket yang telah teruji validitas dan reliabilitasnya, yang kemudian dianalisis dengan menggunakan path analysis. Hasil penelitian menunjukkan bahwa lemahnya keunggulan bersaing merupakan faktor utama yang menyebabkan menurunnya kinerja pemasaran perusahaan-perusahaan mebel di Kabupaten Kuningan. Sementara itu, lemahnya keunggulan bersaing disebabkan oleh lemahnya adaptabilitas lingkungan, orientasi pasar, kualitas aset stratejik, dan perilaku kewirausahaan mereka. Berdasarkan temuan penelitian ini, maka untuk meningkatkan kinerja pemasaran mereka direkomendasikan untuk: meningkatkan inovasi produk sehinga tidak kalah oleh pesaing, pantau dan perhatikan produk pesaing, sering-seringlah ikut pameran untuk menambah wawasan dan mengasah kreativitas, perbaiki hubungan dengan penyalur, ikutilah pelatihan-pelatihan marketing, serta �perluas jejaring untuk meningkatkan kapabilitas organisasi.
Pengembangan dan Desain Penyampaian Jasa
Authors: Karmela F Lili
Published: November 2018

AbstrakKebutuhan konsumen akan pelayanan jasa sangat berkaitan erat dengan pengembangan dan proses penyampaian jasa dari produsen ke konsumen. Desain pengembangan jasa baru saat ini didukung oleh inovasi teknologi, otomatisasi, serta pemberdayaan informasi. Selain itu harus juga diperhatikan pendekatan kontak dengan konsumen sehingga proses penyampaian jasa bisa tepat�Kata Kunci : Inovasi, otamatisasi, informasi
The Training for Designing Inquiry Learning Tools for Teachers of Science and Social Science in Pontianak
Authors: Hairida Hairida , Budjang Gusti , Rasmawan Rahmat
Published: November 2018

This study was motivated by the lack of knowledge and skills of junior high school students in the city of Pontianak to design learning tools, in the form of lesson plans, student worksheets, assessments, and KIT media in science and social studies learning. The method used is the implementation of in-service in the form of training and mentoring in the development of inquiry learning tools using MGMP (teacher discussion activity)-based lesson study strategies. The results of the activity showed that the IbM program designed the inquiry learning tool for teachers who were members of the Science MGMP and the Social Sciences MGMP had achieved the expected goals, namely increasing the knowledge and skills of science and social studies teachers in designing inquiry learning tools. It is shown from the acquisition of the results of the response questionnaire and the output of the activities produced.
Syndrome of thyrotoxicosis. Differential diagnosis and treatment
Authors: Mel'nichenko G A , Larina I I
Published: November 2018

Since the middle of the twentieth century, there has been a significant change in methods of the diagnosis and treatment of thyroid diseases with thyrotoxicosis syndrome. Previously doctors did not have trouble just with diagnosing diseases that occur with a typical clinical presentation (the Merzeburg triad, a multinodal goiter with fibrillation) because of no possible to determine thyroid hormones. Then in the early 70s years the appearance of immunological methods for estimating hormones in the blood has led to significant changes in our understanding of the variants of thyroid pathology with thyrotoxicosis (TT). Today, the diagnosis of the fact of thyrotoxicosis as a whole is not difficult (except for the confusion of preanalytical errors), but differential diagnosis within the declared syndrome remains extremely relevant to this day. Unfortunately, in the minds of many doctors, these diseases are sometimes perceived as a whole, and in the conditions of the "century of speeds", a modern doctor, extremely limited in time, often unjustifiably prescribes thyreostatic therapy, treatment with radioactive iodine or even surgical intervention after detecting thyrotoxicosis. The old truth "remember that a patient with thyrotoxicosis is a person with a sick heart..." has not lost relevance today. It is very important for the practicing physician be able to navigate in the spectrum of pathologies manifested by the thyrotoxicosis pattern because of the influence of excess thyroid hormones on the cardiovascular system and the hemostasis system. Hereinafter we tried to show diagnostic aspects focusing on differences in pathologies with TT syndrome in a lot of thyroid diseases and even nonthyroid diseases.
Problems of clinical diagnosis and treatment of P. falciparum malaria in Russian Federation
Authors: Sergiev V P , Baranova A M , Kozhevnikova G M , Tokmalayev A K , Chernyshov D V , Chentsov V B , Kouassi D M
Published: November 2018

Aim. To study the causes of falciparum malaria deaths in Russian Federation and to optimize therapy for severe forms of the disease. Materials and methods. The analysis of falciparum malaria cases with deaths recorded in Russian Federation from 2013 to 2017 was conducted. The results of optimization of pathogenetic therapy of severe forms of falciparum malaria for the prevention of adverse outcomes in the intensive care unit of the Infectious Clinical Hospital №2 of Moscow in 44 patients with severe course are presented. Treatment, clinical laboratory and instrumental investigations were carried out in accordance with our intensive care protocol, which took into account the current WHO recommendations. Results. From 2013 to 2017 there were nine deaths from falciparum malaria reported in patients from African countries (6) and India (3). In Russia, due to the lack of effective drugs of artemisinin group, quinine with tetracycline or doxycycline is used for etiotropic therapy of patients with complicated form of falciparum malaria. In the management of such patients, the basis for treatment was the prevention of ischemic, reperfusion injuries of organs and hemorrhagic complications. In the infectious clinical hospital №2 of Moscow, since 2007, the intensive care unit has developed and tested a protocol for intensive therapy in patients with severe and complicated forms of falciparum malaria, including preventive methods of extracorporeal hemocorrection with prolonged veno-venous hemodiafiltration therapy and plasmapheresis, as a result of which the mortality rate decreased from 84 to 6.8% Conclusion. The country's lack of anti-malarial drugs, the insufficient awareness of the population about the risk of infection and measures to prevent malaria, late referral of cases for medical care and errors of clinical diagnosis and treatment annually lead to fatal outcomes. In such situation, the experience of optimizing the treatment of severe falciparum malaria is particularly useful, allowing decreasing the mortality.
A Study of Kinesics Category and the Manifestation Towards a Toddler Attitudes
Authors: Affini Laily Nur
Published: November 2018

Kinesics, or body language, is one of the most powerful ways that humans can communicate nonverbally. It is used to portray moods and emotions and to emphasize or contradict what is being said. From the kinesics point of view, there are several facial expressions and gestures done to express respond, and do activities toward people around. From the research finding, there are kinesics expressions done from the child. There are several classifications in kinesics; Emblems a substitute for words and phrases. Illustrators go with or reinforce verbal messages. Affect Displays Show emotion. Regulators Control the flow and pace of communication. Adaptors Release physical or emotional tension. This study investigates on how a kid expresses their non-verbal behavior using the kinesics classification and based on them, the kid’s verbal expressions belong to illustrators, affect displays and adaptor.
Eosinophilic Ascites Due to Eosinophilic Gastroenteritis – Cytological Approach
Authors: Romus Ilhami
Published: November 2018

Eosinophilic ascites (EA) merupakan kasus yang sangat jarang. EA merupakan gejala yang paling jarang dari penyakitgastroenteritis eosinofilik (EGE). EA terjadi karena adanya edema dan peradangan eosinofilik dari lapisan serosa usushalus dan dapat melibatkan segmen lain pada saluran gastrointestinal. Kami melaporkan kasus seorang wanita berusia19 tahun dengan gambaran mikroskopik sitologi cairan asites tampak eosinofil yang cukup padat dan pemeriksaanhistopatologi dari biopsi lambung menunjukkan infiltrasi eosinofil. Data klinis menunjukkan adanya nyeri abdomendifus, mual, distensi abdomen, ascites sedang, dan diare. Hasil Magnetic Resonance Imaging (MRI) menunjukkanadanya penebalan dinding usus halus difus dan tidak mendeteksi keganasan primer. Hasil tes laboratorium menunjukkaneosinofilia pada pemeriksaan darah tepi, kadar IgE serum meningkat dan negatif untuk infeksi parasit. Pasien mendapatkanterapi SLE selama 1 tahun tanpa perbaikan yang nyata. Pengobatan dengan kortikosteroid menormalkan hasil teslaboratorium dan asites teratasi segera. EGE merupakan kasus yang langka dan harus diingat pada pasien dengangejala ascites yang tidak diketahui penyebabnya.
Acute flaccid paralysis (AFP) surveillance: challenges and opportunities from 18 years’ experience, Spain, 1998 to 2015
Authors: Masa-Calles Josefa , Torner Nuria , López-Perea Noemí , Torres de Mier María de Viarce , Fernández-Martínez Beatriz , Cabrerizo María , Gallardo-García Virtudes , Malo Carmen , Margolles Mario , Portell Margarita , Abadía Natividad , Blasco Aniceto , García-Hernández Sara , Marcos Henar , Rabella Núria , Marín Celia , Fuentes Amelia , Losada Isabel , Gutiérrez Juan García , Nieto Alba , Ortúzar Visitación García , Cenoz Manuel García , Arteagoitia José María , Martínez Ángela Blanco , Rivas Ana , Castrillejo Daniel ,   Spanish AFP Surveillance Working Group
Published: November 2018

Acute flaccid paralysis (AFP) surveillance is key for global polio eradication. It allows detecting poliovirus (PV) reintroductions from endemic countries. This study describes AFP surveillance in Spain from 1998 to 2015. During this time, 678 AFP cases were reported to the Spanish National Surveillance Network. The mean notification rate was 0.58 AFP cases/100,000 population under 15 years old (range: 0.45/100,000–0.78/100,000). Two periods (P) are described: P1 (1998–2006) with the AFP notification rate ranging from 0.66/100,000 to 0.78/100,000, peaking in 2001 (0.84/100,000); and P2 (2007–2015) when the AFP rate ranged from 0.43/100,000 to 0.57/100,000, with the lowest rate in 2009 (0.31/100,000). No poliomyelitis cases were caused by wild PV infections, although two Sabin-like PVs and one imported vaccine-derived PV-2 were detected. Overall, 23 (3.4%) cases met the hot case definition. Most cases were clinically diagnosed with Guillain–Barré syndrome (76.9%; 504/655). The adequate stool collection rate ranged from 33.3% (7/21) to 72.5% (29/40). The annual proportion of AFP cases with non-polio enterovirus findings varied widely across the study period. AFP surveillance with laboratory testing for non-polio enteroviruses must be maintained and enhanced both to monitor polio eradication and to establish sensitive surveillance for prompt detection of other enteroviruses causing serious symptoms.
Impact of pneumococcal conjugate vaccines introduction on antibiotic resistance of Streptococcus pneumoniae meningitis in children aged 5 years or younger, Israel, 2004 to 2016
Authors: Ben-Shimol Shalom , Givon-Lavi Noga , Greenberg David , Stein Michal , Megged Orli , Bar-Yochai Avihu , Negari Shahar , Dagan Ron ,   on behalf of the Israel Bacteremia and Meningitis Active Surveillance Group
Published: November 2018

Background

Empiric treatment of pneumococcal meningitis includes ceftriaxone with vancomycin to overcome ceftriaxone resistant disease. The addition of vancomycin bears a risk of adverse events, including increased antibiotic resistance. We assessed antibiotic resistance rates in pneumococcal meningitis before and after pneumococcal conjugate vaccine (PCV) implementation.

Methods

All pneumococcal meningitis episodes in children aged 5 years and younger, from 2004 to 2016, were extracted from the nationwide bacteremia and meningitis surveillance database. For comparison purposes, we defined pre-PCV period as 2004–2008 and PCV13 period as 2014–2016. Minimal inhibitory concentration (MIC) > 0.06 and > 0.5 μg/mL were defined as penicillin and ceftriaxone resistance, respectively.

Results

Overall, 325 episodes were identified. Pneumococcal meningitis incidence rates declined non-significantly by 17%, comparing PCV13 and pre-PCV periods. Throughout the study, 90% of isolates were tested for antibiotic susceptibility, with 26.6%, 2.1% and 0% of isolates resistant to penicillin, ceftriaxone and vancomycin, respectively. Mean proportions (± SD) of meningitis caused by penicillin-resistant pneumococci were 40.5% ± 8.0% and 9.6% ± 7.4% in the pre-PCV and the PCV13 periods, respectively, resulting in an overall 83.9% reduction (odd ratio:0.161; 95% confidence interval: 0.059–0.441) in penicillin resistance rates. The proportions of meningitis caused by ceftriaxone resistant pneumococci were 5.0% ± 0.8% in the pre-PCV period, but no ceftriaxone resistant isolates were identified since 2010.

Conclusions

PCV7/PCV13 sequential introduction resulted in > 80% reduction of penicillin- resistant pneumococcal meningitis and complete disappearance of ceftriaxone resistant disease. These trends should be considered by the treating physician when choosing an empiric treatment for pneumococcal meningitis.
ANALYSIS OF THE INFLUENCE OF SUBGRADE STIFFNESS ON THE FREQUENCIES AND MODE SHAPES OF STRUCTURES
Authors: Строк Сергей , Strok Sergey , Пшеничкина Валерия , Strok Sergey , Дроздов Вячеслав , Drozdov Vyacheslav
Published: November 2018

The results of the study of the influence of the rigidity of the soil base on the dynamic characteristics of structures, namely the frequency, modal mass, oscillation forms are given. Two types of structural solutions of structures are considered: symmetrical in plan with respect to one axis of the building and symmetric in plan with respect to two axes of the building. The parameters for modeling the stiffness dynamic characteristics of different types of soil bases are determined.
Anthropological futures for the study of cultural resilience of ‘Western’ societies in the face of climate change
Authors: Paranich Megan
Published: November 2018

Climate change, as a scientifically defined global phenomenon, threatens the cultural resiliency of societies the world over. Anthropology has accrued a rich body of ethnographic research that has illuminated the potential of cultural resiliency for indigenous and non-Western societies. This information is vital for understanding the political, social, and economic movement of these societies. However, the same research focus and academic rigor has not been applied to non-indigenous, Western societies. These societies have been examined for economic and ecological resilience, but there is a detrimental vacuum of ethnographic understanding. Research relevant to climate change is restricted to etic, survey analysis. This research is invaluable but cannot resolve deeper “why” questions regarding political, social, and economic movements in the West. Furthermore, the survey data from within Canada is severely limited, making any analysis of non-indigenous Canadian society vague and riddled with caveats. This paper discusses the academic neglect regarding the cultural resiliency of non-indigenous, Western societies. From existing literature, the author constructs a research framework for Alberta, Canada—the province placed at the crux of the national climate change debate. Anthropological institutions must ask themselves why this demographic is excluded from the same critical analysis applied to indigenous and non-Western societies and move to correct this discrepancy.
Implementasi Algoritma Backpropagation Prediksi Kegagalan Siswa Pada Mata Pelajaran Matematika
Authors: Melladia Melladia , Mardani Iis Roza
Published: November 2018

Siswa menjadi sumber daya yang dapat memajukan bangsa. Sekolah dan guru berperan penting dalam menciptakan siswa yang cerdas dan berkompeten. Namun  Sering ditemukan siswa yang gagal, salah satunya adalah gagal pada mata pelajaran matematika. Dengan ada masalah kegagalan siswa terhadap mata pelajaran matematika peniliti ingin membantu memecahkan masalah kedepannya dengan melakukan prediksi kegagalan siswa pada mata pelajaran matematika. Pada penelitian ini peneliti memilih objek penelitian yaitu di SMP Negeri 39 Padang.Hal ini cukup menjadi masalah bagi siswa saat proses belajar mengajar pada mata pelajaran matematika sehingga siswa tidak memahami mata pelajaran matematika dan masalah ini akan membuat  turunnya nilai siswa.Dengan memanfaatkan data nilai siswa maka dirancang model untuk memprediksi siswa bermasalah terhadap mata pelajaran matematika. Model menggunakan algoritma backpropagation. Variabel data di ambil dari data nilai mata pelajaran matematika siswa yaitu nilai tugas 1, nilai tugas 2, nilai rata-rata, nilai mid semester dan nilai akhir semester. Data yang digunakan pada proses prediksi adalah data 1 semester dan jumlah siswa yang di prediksi yaitu 30 siswa. Hasil prediksi dengan menggunakan model terbaik adalah pelatihan data pola 5-2-1 dengan proses epoch = 58 dan pencapaian MSE pada saat pengujian dengan MSE = 0.00989892 dengan akurasi 99.9901011. dapat disimpulkan bahwa algoritma backpropagation dapat digunakan untuk memprediksi kegagalan siswa pada mata pelajaran matematika sebagai pedoman bagi guru.
KOMPOSISI JENIS MAKROALGA DI PERAIRAN PULAU HARI SULAWESI TENGGARA (Spesies Composition Of Makroalga In Hari Island, South East Sulawesi)
Authors: Ira Ira , Rahmadani Rahmadani , Irawati Nur
Published: November 2018

AbstractMakroalga is a large algae with a thallus body structure and has a chlorophyll pigment. Macroalga has an important role in marine waters both ecologically and economically. This study aims to provide information about the diversity of macroalgae in the waters of the Hari Island and the wealth of macroalgae in South East Sulawesi. The study was conducted in the waters of Hari Island, South East Sulawesi from mei to juli 2016. The observation was done by observing all types of macroalgae found in the area traversed. The results of the study found that the number of macroalgae species consisted of 25 species consisting of 11 orders, 14 families, 17 genera. The species composition was dominated by chlorophyta class (44%), rhodophyta class (28%) and phaeophyta class (28%). The water quality of Hari Island waters is still within the range that supports macroalgae growth.ÃÂ Keywords: Composition, macroalgae, Hari IslandÃÂ AbstrakMakroalga merupakan alga yang berukuran besar dengan struktur tubuh berupa thallus dan memiliki pigmen klorofil. Makroalga memiliki peranan penting di perairan laut baik secara ekologi maupun ekonomi. Penelitian ini bertujuan untuk memberikan informasi tentang keanekaragaman jenis makroalga di perairan Pulau Hari, sehingga diharapkan dapat memberikan gambaran kekayaan makroalga di Sulawesi Tenggara. Penelitian dilaksanakan di perairan Pulau Hari Kabupaten Konawe Selatan pada bulan mei-juli 2016. Pengamatan dilakukan dengan sistim jelajah yaitu mengamati semua jenis makroalga yang ditemukan pada area yang dilalui. Hasil penelitian jumlah jenis makroalga yang ditemukan terdiri atas 25 spesies yang meliputi 11 ordo, 14 famili, 17 genus. Komposisi jenis didominasi oleh kelas Chlorophyta (44 %), kelas Rhodophyta (28 %) dan kelas Phaeophyta (28 %). Kualitas air di perairan Pulau Hari masih berada dalam kisaran yang mendukung pertumbuhan makroalga.ÃÂ Kata kunci: Komposisi jenis, makroalga, pulau hari
DISTRIBUTION AND SURVIVAL OF MEGAPODIUS REINWARDT FOR ECOTOURISM CONTRIBUTING ON MOYO ISLAND
Authors: Yamin Muhammad , Khairuddin Khairuddin
Published: November 2018

Abstract: Megapodius reinwardt is one of the protected bird species in Indonesia. The protection toward megapodius reinwardt because of limited distribution, high economic value, has an important ecological role, has a unique, difficult breeding in captivity, the population is drastically shrinking and getting scarce.Based on this condition, the purpose of this research is to know population distribution mapping, active nest study, disturber population in order to support the atraction tourism and conservation of Megapodius reinwardt at Moyo island. Survey and observation are used to collect research data. The distributionofMegapodius reinwardt is spread around Moyo Island. The nest is located in the forest and it build by heap of soil with high 150 centimeters until 175 centimeters and diameters up to 825 cm. The location of Megapodius reinwardtnests are mostly in secundary forest than primary forest and savana at 25 m above sea level. The r-product moment correlation coefficient (r = 0,484) conclude that, Varanus sp, Sus barbatus, Prinodon linsang, Haliastur indus, Microhierax fringillarius, and human as predators are not significant to influence the nests and population of Megapodius reinwardtdecrease. So the existence of Megapodius reinwardtmanagement is needed according to in-situ cencervation on Moyo Island forEcotourism ContributingÃÂ Keywords:ÃÂ ÃÂ  Ecotourism, distribution, Megapodius, survival.
Determinación del poder corneal con un tomógrafo corneal luego de cirugía refractiva con láser excimer
Authors: Jaramillo Luis Carlos , Galvis Virgilio , Tello Alejandro , Camacho Paul , Castillo Ángela , Pareja Luis
Published: November 2018

Introducción. La determinación del poder corneal, después de la cirugía refractiva con láser excimer, es difícil. Diferentes alternativas con el uso de tomógrafos corneales se han utilizado para esta medición. Objetivo. Evaluar diversos métodos de determinación del poder corneal en pacientes operados de cirugía fotorrefractiva, incluyendo pruebas diagnósticas con medidas cuantitativas. Metodología. Estudio retrospectivo de pacientes operados de cirugía fotorrefractiva que tuvieran resultados refractivos y tomografía corneal post-operatoria al menos diez semanas luego de cirugía. Resultados. En los ojos miopes se encontraron diferencias significativas en el valor determinado por la queratometría derivada de la historia clínica al compararla con la queratometría manual promedio postoperatoria, la queratometría simulada y el Mean Pupil Power del tomógrafo Sirius®. Por otra parte, al promediar la queratometría manual promedio postoperatoria con el Mean Pupil Power postoperatorio (valor denominado Kpop promedio 1) y compararla con la queratometría derivada por el método de la historia clínica, no se observaron en los pacientes miopes diferencias estadísticamente significativas. Asimismo, al promediar la queratometría simulada postoperatoria del equipo Sirius® con el Mean Pupil Power postoperatorio (valor denominado Kpop promedio 2) y compararla con la queratometría derivada por el método de la historia clínica tampoco se observaron en los pacientes miopes diferencias estadísticamente significativas. Por otro lado, en los ojos hipermétropes y con astigmatismo mixto, los promedios de los errores del Mean Pupil Power postoperatorio, con respecto a la queratometría derivada por el método de la historia clínica, no fueron significativamente diferentes de los errores al comparar la Kpop promedio 1 y la Kpop promedio 2 con la queratometría derivada por el método de la historia clínica. Conclusiones. En ojos miopes las determinaciones del poder corneal postoperatorio con las Kpop promedio 1 y Kpop promedio 2 se aproximan más a la queratometría derivada por el método de la historia clínica que a las mediciones de la queratometría manual promedio postoperatoria, la queratometría simulada postoperatoria o el Mean Pupil Power del equipo Sirius®. [Jaramillo LC, Galvis V, Tello A, Camacho PA, Castillo A, Pareja LA. Determinación del poder corneal con un tomógrafo corneal luego de cirugía refractiva con láser excimer. MedUNAB. 2018;21(1):16-30. doi:1029375/01237047.2397].
Arteria Lusoria, reporte de un caso clínico
Authors: Suárez-Mantilla Silvia , Rey-Ayala Milena , Rodríguez-Restrepo Laura , Lubinus-Badillo Federico Guillermo
Published: November 2018

Introducción. Los anillos vasculares son una rara malformación congénita del arco aórtico que se configura alrededor de la tráquea o del esófago. La arteria subclavia derecha aberrante hace parte de estas malformaciones y se presenta en forma de anillo incompleto, por lo que cursa de manera asintomática. Hasta el momento, no se han descrito factores predisponentes o de riesgo que puedan poner en alarma al profesional de la salud sobre esta patología. El diagnóstico se basa, principalmente, en imágenes que evidencian los trayectos anómalos de la arteria. El tratamiento puede ser quirúrgico o conservador, dependiendo de cada paciente. Objetivo. Presentación de un caso clínico y revisión de la literatura, para plantear una discusión sobre la importancia del diagnóstico de arteria subclavia derecha aberrante según sea el caso y evitar diagnósticos equívocos y demoras en el tratamiento. Presentación de caso. Paciente de sexo femenino de tres meses de edad, quien empieza con episodios de vómito postprandial asociado a tos seca, atoramiento y disfagia para líquidos. El diagnóstico inicial fue de enfermedad por reflujo gastroesofágico; sin embargo, después de once meses de evolución clínica desfavorable y de realización de estudios complementarios, se pudo llegar a diagnosticar arteria subclavia derecha aberrante. Conclusiones. No existen, hasta el momento, estudios que evalúen el rendimiento de las pruebas diagnósticas para esta patología; sin embargo, la angiotomografía o la angioresonancia magnética de tórax son los métodos diagnósticos más utilizados. El conocimiento de esta patología es clave para evitar diagnósticos errados y posibles complicaciones asociadas a la patología y/o los tratamientos instaurados. [Suárez-Mantilla S, Rey-Ayala M, Rodríguez-Restrepo L, Lubinus-Badillo FG. Arteria Lusoria, reporte de un caso clínico. MedUNAB. 2018;21(1):122-129. doi: 10.29375/01237047.2611].
Clinical Application of Percutaneous Transluminal Angioplasty and Stent Implantation in Acute Lower Extremity Deep Venous Thrombosis
Authors: Zhang Lei
Published: November 2018

Purpose: To analyze the application of percutaneous transluminal angioplasty and stenting in acute deep venous thrombosis of lower extremities. Methods: 70 patients were divided into two groups according to the presence or absence of percutaneous transluminal angioplasty and stenting. Results: The mean circumferential diameter difference between the affected limbs and the healthy limbs and the knees at 15 cm was statistically significant. The cure rate and effective rate of the research group were higher than those of the control group (P<0.05). Conclusion: Percutaneous transluminal angioplasty and stenting are of high value in acute lower extremity deep venous thrombosis.
Fiziksel aktivite konusunda farkındalık eğitimi alan genç bireylerin aktivite seviyelerindeki değişimin incelenmesi
Authors: Ülger Özlem , Fil Balkan Ayla , Demirel Aynur , Keklicek Hilal , Ceren Ali Naim , Onan Dilara , Kara Dilara , Özkal Özden , Çetin Barış , Alkan Halil , Düzgün İrem , Mutlu Akmer , Karaduman Aynur Ayşe
Published: November 2018

AMAÇ: Genç bireylerin fiziksel aktivitenin sağlık üzerine etkileri hakkındaki
bilgi düzeylerinin ve farkındalıklarının artırılmasının fiziksel aktivite
düzeylerine olan etkilerini incelemektir.

GEREÇ VE YÖNTEM: Çalışmaya, yaşları 18-35
arasında ve fiziksel aktivite yapmasına engel bir sağlık problemi olmayan
gönüllüler dâhil edilmiştir. 6 Dakika Yürüme Testi(6DYT), Uluslararası Fiziksel Aktivite Anketi, Nottingham Sağlık Profili, Beck Depresyon Anketi, Pittsburgh Uyku Kalitesi İndeksi değerlendirmeleri yapılmıştır.
Aktivite günlüğü ve anketine göre, 10 bin adım kriter alınarak bireyler 10 bin
altı ve üstü adım atanlar olmak üzere iki gruba ayrılmıştır. Bireyler ilk
değerlendirmelerin ardından, egzersiz ve yürüme eğitimi programına alınmışlar
ve 1 ay sonra ikinci kez değerlendirilmişlerdir.

SONUÇLAR: 6DYT sonuçları incelendiğinde, her bir grubun eğitim öncesi ve sonrası
değerlerinin anlamlı değişiklik gösterdiği(p<0.05) ancak, grupların eğitim
sonrası değerlerinde herhangi bir farklılık olmadığı belirlenmiştir(p>0.05). Fiziksel aktivite, yaşam kalitesi,
depresyon ve uyku değerlendirme anket sonuçlarının, eğitim ile birlikte her iki
grupta olumlu yönde gelişim gösterdiği(p<0.05), grupların biribirine göre
bir üstünlüğünün olmadığı belirlenmiştir(p>0.05).

TARTIŞMA: Sonuçlar gençlerin inaktif olduğunu göstermiştir. Yürüme mesafesinin
düşük ve oksijen tüketiminin başlangıçta fazla olduğu, ancak verilen yürüme
eğitimi ile değerler gelişmiştir. İnaktiviteye bağlı ortaya çıkan depresyon,
uyku bozukluğu gibi durumların orta derecede etkilendiği, yaşam kalitesi
değerlerinin de düşük olduğu, ancak eğitim ile sonuçların daha memnun edici
olabildiği gösterilmiştir.
EVALUASI TINGKAT KELAYAKAN KUALITAS AIR DAN PENCEMARAN PADA TAMBAK POLIKULTUR BERDASARKAN KEPADATAN PLANKTON DI DESA PELANGWOT KECAMATAN LAREN KABUPATEN LAMONGAN
Authors: Rahayu Agung Pamuji , Muntalim Muntalim
Published: November 2018

Kegiatan budidaya ikan Bandeng (Chanos chanos) dan Udang Vannamei (Lithopenaeus vannamei) sistem polikultur di wilayah Kabupaten Lamongan, Propinsi Jawa Timur khususnya daerah tambak sudah lama diterapkan oleh pembudidaya ikan sebagai upaya untuk meningkatkan hasil produksi perikanan budidaya sekaligus meningkatkan pendapatan masyarakat. Kegiatan budidaya sistem polikultur juga tidak luput dari permasalahan mulai dari menurunnya kualitas air hingga kematian ikan. Kualitas air merupakan salah satu faktor yang menjadi keberhasilan usaha budidaya ikan. Data dan informasi mengenai kondisi kualitas air dan tingkat pencemaran di tambak dapat diketahui dengan melakukan evaluasi kualitas air dan perhitungan indeks saprobik berdasarkan kepadatan dan komunitas plankton sehingga dapat diketahui tingkat kesesuaian kualitas air dan pencemaran air ditambak pada kondisi sekarang. Tujuan penelitian adalah mengetahui tingkat kesesuaian kualitas air dan pencemaran berdasarkan kepadatan dan komunitas plankton. Jenis penelitian adalah kuantitatif dengan metode yang digunakan adalah metode deskriptif. Berdasarkan nilai kelimpahan pada stasiun 1, 2, dan 3 maka perairan di tambak polikultur pada kategori eutropik, karena > 15.000 Ind/L. Nilai indeks keanekaragaman berada pada kisaran 0.125-0,049 artinya menunjukkan  keanekaragaman kecil dan kestabilan rendah. Sedangkan rata-rata nilai indek dominansi berkisar 0,013-0,019, mendekati angka 0, sehingga dapat disimpulkan tidak ada plankton yang mendominasi perairan. Pada pengukuran parameter kualitas air di semua stasiun , suhu berada pada kisaran 28,6-29,7 0C, DO berada pada nilai kisaran  4,1-5,6 mg/L, pH berkisar   8,4-9,5 dalam kondisi tinggi, sehingga dapat mengakibatkan pertumbuhan terganggu. Salinitas berkisar 1,9-5,0 aman untuk perairan tawar dan kecerahan cenderung pekat berkisar 17,5-20 cm. Nilai indeks saprobik di tambak polikultur menunjukkan bahwa perairan tersebut tergolong tercemar sangat ringan berada di Stasiun II dengan nilai 1,63 hingga agak tinggi (α- Mesosaprobik) pada Stasiun III, yaitu -0,73.
Síndrome metabólico en adultos mayores derechohabientes del ISSSTE
Authors: Ortiz Rodríguez María Araceli , Juárez Jiménez Anita , Villa Romero Antonio
Published: November 2018

El síndrome metabólico (SM) se ha convertido en un reto en el área de la salud pública, debido al desarrollo de la diabetes tipo 2 y a su relación con los factores cardiovasculares y cerebrovasculares. En el presente estudio se examina la prevalencia del SM, según las definiciones de ATP III, AHA/NHLBI e IDF, en una población de trabajadores derechohabientes ubicados en el rango de adultos mayores mexicanos. El análisis se realizó utilizando la base de datos de la Encuesta Nacional de Salud y Nutrición de Trabajadores y Pensionistas del Estado (ENSADES) 2007. Se realizó un muestreo probabilístico, en dos etapas y estratificado por conglomerados. El estudio se llevó a cabo de acuerdo con las directrices establecidas en la Declaración de Helsinki, los procedimientos con seres humanos fueron aprobados por el Comité de Ética en Investigación del INSP y se obtuvo el consentimiento de todos los participantes.
Écfrasis musical en tres poemas de Ángel González
Authors: Velarde Sánchez Eduardo
Published: November 2018

La écfrasis se ha identificado con obras en las que se pretende hacer una transposición de las artes plásticas hacia el discurso verbal. La misma figura se ha estudiado poco cuando se trata de la incorporación de elementos musicales al texto literario. Este artículo se centra en la identificación de esos elementos en la obra de Ángel González, pues la música es un tema recurrente en gran parte de sus poemas. Se entiende por écfrasis musical al uso de palabras propias de este ámbito –nombres propios de compositores, intérpretes, instrumentos, géneros musicales, sonidos, entre otros– en distintos niveles discursivos. En la poesía del asturiano la intermedialidad entre el discurso musical y el literario tiene lugar mediante la écfrasis decriptiva, asociativa y atributiva, y esto conlleva la recepción no sólo de imágenes visuales, sino también de imágenes auditivas que construyen el texto.
Eka Mei Ristianti_165100091
Authors: ristianti Eka mei
Published: November 2018

A.STUDI KASUS ( SK )Pertanyaan Type C : Paparkan dan jelaskan product knowledge (ks)/ produk tim anda (KP).Jawaban : PATEN Hak paten dari produk yang kami buat ini dimiliki oleh perusahaan “ Sanak Lampung.Inc “ , berasal dari bahasa lampung yang artinya ialah Anak Lampung. Kenapa kami memberi nama perusahaan kami “ Sanak Lampung.Inc “ karena produk yang kami buat ini hasil karya dari kreatifitas anak-anak Lampung. Produck ini dibuat pada tahun 2018 oleh 5 anak Lampung. MERK DAGANGKami membuat produk ini dengan menggunakan nama “MUKHANAI” berasal dari bahasa Lampung yaitu gabungan dari kata “ MULI” dan “ Mekhanai “ .Muli sendiri dapat diartikan sebagai Gadis sedangkan Makhanai sendiri dapat diartikan sebagai Bujang. Jadi maksud dari kata MUKHANAI dalam merk kami ialah, bahwa super komputer ini diciptakan oleh Gadis Bujang Lampung . MUKHANAI SERI A001 RAHASIA DAGANG Rahasia dagang Super Komputer kami terletak pada Processor intel core i7 7700K dan VGA nya yaitu assus STRIX 1060 6GBTATA LETAK SIRKUIT Tata letak sirkuit terletak pada Mainboardnya Berikut gambarnya Tampak Depan Tampak Belakang Tampak Atas
AMYATI (155100005)
Authors: amyati
Published: November 2018

MERK : OPPO FIND XKemunculan OPPO Find X Ia tidak hanya datang dengan berbekal chipset paling mutakhir saja, namun juga sebuah inovasi desain berupa kamera bermekanisme sliding yang dapat naik turun secara otomatis. Mereka menjuluki teknologi ini dengan nama Stealth 3D Cameras.Desain ini adalah solusi mandiri dari OPPO yang ingin menampilkan sesuatu yang revolusioner, alih-alih mengadopsi desain berponi yang konvensional seperti mayoritas ponsel lain. 1 mengenai Hak Cipta :Hak Cipta adalah hak eksklusif bagi Pencipta atau penerima hak untuk mengumumkan atau memperbanyak Ciptaannya atau memberikan izin untuk itu dengan tidak mengurangi pembatasan-pembatasan menurut peraturan perundang-undangan yang berlaku. Hak cipta termasuk kedalam benda immateriil, yang dimaksud dengan hak milik immateriil adalah hak milik yang objek haknya adalah benda tidak berwujud (benda tidak bertubuh). Sehingga dalam hal ini bukan fisik suatu benda atau barang yang di hak ciptakan, namun apa yang terkandung di dalamnya yang memiliki hak cipta.Sejarah Samsung bermula pada tahun 1938 dimana Lee Byung-Chull (1910-1987) berasal dari keluarga pemilik tanah yang luas di daerah Uiryeong datang ke kota Daegu dan mendirikan Samsung Sanghoe, sebuah perusahaan perdagangan kecil dengan empat puluh karyawan yang berlokasi di Su-dong (sekarang Ingyo-dong)
RICHA OKTA SEPTIYA_155100065
Authors: septiya richa okta
Published: November 2018

A.STUDI KASUS ( SK )Pertanyaan Type B : Paparkan dan jelaskan produk knowledge/produk tim anda (KP)Jawaban : 1.Paten : di patenkan oleh PT. JAPALA2.Merk : “HADE” yang diambil dari bahasa Sunda yang berarti “bagus”3.Rahasia Dagang : harga yg terjangkau, memiliki garansi 1 tahun, hemat listrik, memiliki processor yg anti lelet.4.Desain Industri : Di desain dengan membawa cirri khas yaitu Tapis, dan terdapat logo JAPALA di bagian depan. Berukuran 21 inchi, tergabung menjadi satu bagian antara CPU, dan PC nya (all in one).Dengan Spesifikasi sebagai berikut :Hardisk : Western Digital 2TbUkuran : 21 inc, berbobot 3kgJaminan : 1 tahun garansi VGA : Gigabyte GTX690RAM : 500GB DDR3Processor : Sparc64 VIIIfx 2.0 Ghz 8 core
Makalah Transparansi Pada Pelayanan Publik - Meita Indriati
Authors: indriati Meita
Published: November 2018

Transparansi dalam penyelenggaraan publik adalah segala kegiatan pelayanan yang dilaksanakan oleh penyelenggara pelayanan publik sebagai upaya pemenuhan kebutuhan penerima pelayanan maupun pelaksanaan ketentuan peraturan perundang-undangan, yang bersifat terbuka, mudah, dan dapat diakses oleh semua pihak yang membutuhkan serta disediakan secara memadai dan mudah dimengerti oleh semua penerima kebutuhan pelayanan.Untuk mencapai hal di atas, diperlukan kondisi aktual seperti : manajemen dan pelaksanaan pelayanan publik harus diinformasikan dan mudah diakses oleh masyarakat; prosedur pelayanan harus dibuat dalam bentuk Bagan Alir; persyaratan teknis dan administratif pelayanan harus diinformasikan secara jelas pada masyarakat; kepastian rincian biaya pelayanan harus diinformasikan secara jelas pada masyarakat; kepastian dan kurun waktu penyelesaian pelayanan harus diinformasikan secara jelas pada masyarakat; pejabat/ petugas yang berwenang dan bertanggung jawab memberikan pelayanan harus ditetapkan secara formal berdasarkan SK; lokasi pelayanan harus jelas; janji (motto) pelayanan harus tertulis secara jelas; standar pelayanan publik harus realistis dan dipublikasikan pada masyarakat; serta informasi pelayanan harus dipublikasikan dan disosialisasikan pada masyarakat melalui media.Selain itu, diperlukan juga sejumlah faktor penunjang seperti dukungan kebijakan, ketersediaan teknologi, kemampuan pegawai, dukungan dan kesadaran warga, kecukupan anggaran, komitmen pegawai, pengawasan dan sanksi, budaya kerja, dan pola pelayanan yang tepat.
Extensions of the meshless Finite Volume Particle Method (FVPM) for static and dynamic free-surface flows
Authors: Quinlan Nathan
Published: November 2018

The Finite Volume Particle Method (FVPM) is a meshless method that incorporates features of both Smoothed Particle Hydrodynamics and the Finite Volume Method. Here, two new formulations are presented which enhance its performance in simulation of free surface flows. One is a method for determining the velocity of the free surface, making use of a partial Riemann problem to analyse the flow between the particle barycentre and the geometric free surface. The second is a well-balanced formulation for gravity forces that enables hydrostatic equilibrium to be preserved exactly. Results are presented for hydrostatic, 1D impact, dambreak and deep-water standing wave test cases. Computations display convergence and good agreement with experimental data. The new methods recover exact hydrostatic equilibrium, improve robustness and reduce acoustic pressure fluctuations in dambreak flows, and reduce dissipation.
PARTISIPASI MASYARAKAT DALAM PELAKSANAAN MANAJEMEN BERBASIS SEKOLAH DI SEKOLAH DASAR SUMATERA BARAT.
Authors: Firman Firman -
Published: November 2018

This study aimed to show that : (1) People participation in the implementation of MBS (Management Based School),and (2) The problem implementation of MBS at Elementary School in West Sumatra.This study used qualitative method and the implementation are selected purposively by snow ball technique. Collecting data are carried out by observation participant, interview and document analysis. The data is analyzed inductively to follow the model that used by Miles and Huberman (1992).Based on this study it show that : (1) People participation have not optimal yet to applicant MBS at Elementary School in West Sumatra because they still considered that they only as motivator in the education implementation fluently at Elementary School, (2) The unit who responsible in sosialize the MBS and the coordination between school, DIKNAS, and society have not optimal yet. The cooperation network was implemented still by student’ parents whereas people like in the LSM, entrepreneur, government instantion or private entrepreneur, Lembaga Kerapatan Adat Nagari, Majelis Ulama Indonesia have not performed yet. Meanwhile people feel confused to join in MBS implementation at Elementary School West Sumatra.
INVESTIGATING THE INFLUENCE OF THINK-PAIR-SHARE APPROACH TOWARD STUDENTS’ READING ACHIEVEMENT
Authors: Sumekto Didik Rinan
Published: November 2018

This research aimed at investigating the influence of think-pair-share approach on the performance of ninth-grade students’ reading achievement. This classroom action research involved 35 public secondary school students in Pandowoharjo, Sleman, Special Region of Yogyakarta. They were selected by purposive sampling method. Data collection used the naturalistic observation technique and narrative reading text in the selected meetings. After a series of reading activity, a twenty-numbers multiple choice test was given to all respondents. Data were analyzed by using mixed analysis; self-reflective spiral model and descriptive statistics. Think-pair-share stimulated students’ participation and performance in reading, in which it increased the functional communication, discussion, decision taking, and conflict reduction in groups learning. The finding also showed that students’ mean of reading performance was 63,85 in the first cycle and increased to 66,00 in the second cycle. These cyclical outputs fulfill the minimal passing grade criteria. This research concludes that applying think-pair-share as a suitably alternative learning approach that helps the students develop their collaborative skills.
PIDATO PRABOWO “TAMPANG BOYOLALI” DITINJAU DARI TEORI PRINSIP REFLEKSIF HATI NURANI MANUSIA
Authors: Kristian Krisensia Diahratna
Published: November 2018

Penulisan paper ini bertujuan untuk memaparkan bahwa seorang publik figur harus mempunyai hati nurani dalam bertindak maupun dalam bertutur kata, sehingga seorang publik figur disegani oleh masyarakatnya. Adapun yang menjadi latar belakang penulisan ini karena di Indonesia mempunyai banyak bahasa yang digunakan oleh warga Negara Indonesia sehingga setiap daerah mempunyai bahasa dan logat yang berbeda-beda. Namun dalam hal ini bahasa Indonesia merupakan bahasa nasional untuk kita bisa berkomunikasi dengan orang yang berbeda daerah dengan kita.Untuk itu seorang publik figur dalam bertutur kata harus memilih kata yang sesuai jika ingin berkomunikasi dengan orang yang bukan daerahnya. Seperti Prabowo Subianto dalam pidatonya di Boyolali yang menyebutkan “Tampang Boyolali” dirasa kurang pas karena bisa menyinggung warga Boyolali. Bagi Prabowo hal itu dirasa hal yang biasa dan menjadi bahan candaan, tetapi tampang Boyolali bagi warga Boyolali merupakan hal yang dirasa merendahkan warga Boyolali. Pentingnya hati nurani disini adalah untuk mengontrol setiap tindakan dan tutur kata seseorang. Jika seseorang memiliki hati nurani yang baik maka, dia mampu membedakan mana yang baik dan mana yang dianggap kurang pas. Maka disinilah peran penting hati nurani manusia.
Treatment Resistance: A Time-Based Approach For Early Identification in First Episode Samples
Authors: Dempster Kara , Norman Ross , Palaniyappan Lena
Published: November 2018

Background: Although approximately 1/3 of individuals with schizophrenia are Treatment Resistant (TR), identifying these subjects prospectively for early intervention remains challenging. The Treatment Response and Resistance in Psychosis (TRIPP; Howes et al, 2017) working group recently published consensus guidelines defining lack of response as a <20% improvement in symptoms. However, it is unclear whether these criteria are sensitive in First Episode Schizophrenia (FES). Method: Patients experiencing a first episode of psychosis referred to the Prevention and Early Intervention Program for Psychosis (PEPP) in London, Canada were followed-up with longitudinal symptom assessments. We evaluated two improvement thresholds for ‘probable TR’ classifications; <20% (as per TRIPP) and <50% to identify subjects satisfying ‘probable TR’ based on positive, negative, and total symptom domains.Results: Using the criterion of <50% total, or <20% negative symptom improvement,resulted in ‘probable TR’ rates of 37% and 33% respectively, with notable overlap between the 2criteria (77% satisfying both). Using a 20% cut-off for positive and total symptomsresulted in very low rates of ‘probable TR’. Logistic regression analyses demonstrated that poorpremorbid functioning, longer duration of untreated illness, and limited treatment response atmonths one and two were significantly associated with probable TR (<50% totalsymptom improvement).Conclusions: Our results suggest that probable TR may be identified at 6 months after FESusing a time-based approach only by including negative symptoms (either alone, with a 20%improvement threshold, or in addition to positive symptoms, with a total 50%threshold) in the definition.
Is There a Fatherhood Wage Premium? A Cautionary Tale from Modified Male-Breadwinner Societies
Authors: Mari Gabriele
Published: November 2018

The transition to parenthood deepens economic inequalities between women and men. In labour markets, motherhood leads to substantial wage penalties for women, whereas the wage progression of men marches on come fatherhood. Yet relatively little evidence exists on whether fatherhood grants men a wage premium or superior wages spur the transition to fatherhood instead. Also, most longitudinal studies have focused on theUS, neglecting a comparative perspective that may unravel the contextual underpinnings of fatherhood wage premiums (if any). I carry out here a comparative and longitudinal analysis of how fatherhood may affectmen's wages. Micro-level mechanisms supporting the idea of a wage premium - changes in men's work effort, couple specialization, and employer discrimination - are discussed in light of stability and changes in the institutional settings of two modi?ed male-breadwinner societies, the UK and Germany. Empirical evidence in this study, however, cannot support the idea of a causal premium for men, even in such contexts. Rather, I highlight the role of previously neglected sources of selection into fatherhood, particularly on the basis of prior wage growth.