bluuebunny/crossref_metadata_2025 huggingface dataset:
Identifying the Wasted Spaces within Hospital Buildings in Pakistan
Authors: Shaikh Javeria Manzoor , Brohi Khan Muhammad , Qureshi Sabeen
Published: February 2020

The built environment of hospital buildings are generally not accepted to be pleasant. In the design of healthcare facility, it is quite important that its design, spatial arrangement and areal distribution must respond to curative needs of people so as the outcome emerge in the form of healing environment in the physical spaces.This kind of healing environment is quite adequately available in the developed countries of the global north. However; in developing countries of the global south like Pakistan, the healing environment in healthcare facilities is neither documented nor evident in any available published literature. Whereas, it needs to be well documented and analyzed. Thus, this study aims to identify the healing environment in two selected hospital buildings in Pakistan that is ICP (Peshawar Institute of Cardiology) and FCP (FC Hospital Peshawar) by determining the percentage of wasted spaces within the building. The selected buildings are analyzed from the following aspects; circulation pattern in the hospital, accessibility, connectivity and barrier free movement within buildings, along with the walkability status of over stressed staff inside the hospital building while navigating, functionality of the schematic designs, the problem of the users concerning repetitiveness in their circulation pattern and the way to increase the efficiency of spaces, their spread and flow in the hospital building. In general, three key factors were investigated in this study, therefore, design determinents, areal distribution and adequate spatial organization. In this regard, total eight design determinants were investigated, i.e. entry, parking, waiting area, connectivity, visibility, walkability, accessibility, and way finding. Study approached the spatial simulation method therefore 3M analysis which is a Japanese model referred as Muda (waste), Muri (over burden), Mura (unevenness) based on the Kaizen theory for eliminating wasted spaces from Hospital buildings. Based on the findings and through the approached tools, the waste spaces within the hospital buildings were removed up to 40%.
Comparison of efficacy and safety of preemptive infusion protocols of ephedrine and phenylephrine - prevention of hypotension and effects on hemodynamic parameters during spinal anesthesia for caesarean section
Authors: Vukotic Aleksandra , Green David , Jevdjic Jasna , Vukotic Milovan , Petrovic Nina , Stevanovic Predrag
Published: February 2020

Introduction/Objective. Spinal anesthesia (SA) for cesarean section may lead to significant changes in hemodynamic parameters, especially hypotension. The aim of this study was to determine and compare the efficacy and safety of preemptive infusion protocols of the two most commonly used vasopressors, ephedrine (Group E, n = 29) and phenylephrine (Group P, n = 31) not only on prevention of hypotension but also to determine their effect on hemodynamic parameters, such as stroke volume (SV) and cardiac output (CO) using a continuous non-invasive hemodynamic monitor. Methods. The infusion of ephedrine was administered at the rate of 5 mg/min. immediately after SA. Phenylephrine was administered at an infusion rate of 25 ?g/min for two minutes prior to SA. Results. In Group E, mean systolic blood pressure (SBP) and heart rate (HR) were similar to baseline. CO was higher (p < 0.001), while systemic vascular resistance (SVR) was lower than baseline (p < 0.001). In Group P, mean SBP and diastolic blood pressure (DBP) were lower than baseline, respectively (p = 0.006, p < 0.001). SBP, DBP, CO, SV, SVR, and HR were significantly different between the E and P groups (p < 0.001). Conclusion. E and P vasopressors are both effective in the prevention of hypotension during SA.
Mathematical modeling and numerical simulation of heat dissipation in led bulbs
Authors: Alarcón Diego , Balvís Eduardo. , Bendaña Ricardo , Conejero Alberto , Fernández de , Higón José , Isidro José , Michinelc Humberto
Published: February 2020

We present a detailed study of heating and cooling processes in LED luminaires with passive heat sinks. Our analysis is supported by numerical simulations as well as experimental measurements, carried on commercial systems used for outdoor lighting. We have focused our analysis on the common case of a single LED source in thermal contact with an aluminum passive heat sink, obtaining an excellent agreement with experimental measurements and the numerical simulations performed. Our results can be easily expanded, without loss of generality, to similar systems.
Trends in Clinical Characteristics and Prescribing Preferences for SGLT2 Inhibitors and GLP-1 Receptor Agonists, 2013–2018
Authors: Dave Chintan V. , Schneeweiss Sebastian , Wexler Deborah J. , Brill Gregory , Patorno Elisabetta
Published: February 2020

OBJECTIVE

There is a paucity of data evaluating recent changes in clinical and prescriber characteristics of patients initiating sodium–glucose cotransporter 2 inhibitors (SGLT2i) and glucagon-like peptide 1 receptor agonists (GLP-1RA).

RESEARCH DESIGN AND METHODS

U.S.-based administrative claims data (July 2013 to June 2018) were used to identify initiators of SGLT2i and GLP-1RA.

RESULTS

Over 5 years, empagliflozin initiation (as a proportion of SGLT2i) increased by 57.1% (P < 0.001 for trend), while canagliflozin initiation declined by 75.1% (P < 0.001). Empagliflozin was the only agent within SGLT2i with an increase in the proportion of patients with myocardial infarction, stroke, or heart failure (collectively called CVD-HF) (P < 0.001). Liraglutide initiation (as a proportion of total GLP-1RA) declined by 32.1% (P < 0.001), and dulaglutide initiation increased by 34.1% (P < 0.001); the proportion of patients with CVD-HF increased the most in liraglutide initiators (5.1% increase; P < 0.001). Most prescribers were internists or endocrinologists; cardiologist prescribing remained low (<1%).

CONCLUSIONS

For SGLT2i, shifts in preference for empagliflozin followed changes in drug labels and guidelines, while for GLP-1RA, other factors such as price or ease of administration may have led to a preference for dulaglutide over liraglutide.
Plent-miks Temel Tabakası Yapımında Kazınmış Asfalt Kaplama (RAP) Malzemesi Kullanımı ve Ekonomik Analizi
Authors: SEFEROĞLU Ayşegül Güneş , SEFEROĞLU Mehmet Tevfik , AKPINAR Muhammet Vefa , ÇELİK Muhammet
Published: February 2020

Bu çalışmanın amacı, Karayolu Teknik Şartnamesi (KTŞ) kriterlerine
göre tasarımı yapılacak olan bir plent-miks temel (PMT) tabakası için
kullanılabilir kazınmış asfalt kaplama (RAP) malzemesi oranlarına bağlı olarak
elde edilecek mali faydaların belirlenmesidir. Tüm RAP katkılı karışımların fayda-maliyet
analizleri yapılarak PMT tabakası yapımı ve malzemelerin nakliye harcamaları
göz önüne alındığında, RAP malzemesinin hangi uzaklıktan getirilmesi durumunda
ekonomik bir uygulama olacağı araştırılmıştır. Çalışma neticesinde RAP
malzemesinin %100 oranında PMT tabakalarında kullanımının çimento takviyesi ile
mümkün olduğu ve doğal agrega (DA) yerine kullanılması durumunda %16’nın
üzerinde kâr sağladığı belirlenmiştir. RAP malzemesinin, PMT Tip-1 tabakası
için doğal agregaya alternatif ve maliyet açısından daha ekonomik bir malzeme
olduğu sonucuna varılmıştır.
Yüksek Oranda Eş Parçacık Boyutlu CdSe Kuantum Noktaların Sentezi ve Optiksel Özelliklerinin Parçacık Boyutlarına Bağlılığı
Authors: ÇADIRCI Musa , DEMİRCİ Tuna
Published: February 2020

Benzersiz
elektriksel ve optik özelliklerinden dolayı yarıiletken kuantum noktalar birçok
uygulama alanına sahiptirler. Son yıllarda CdSe kuantum noktalar en fazla
tercih edilen nanomalzemelerin başında yer almaktadır. Sıcak enjeksiyon
metodunu kullanarak yüksek oranda eş parçacık boyutuna sahip ve altıgen tip bir
simetriye sahip çinko blend kristal tipinde CdSe kuantum noktalar sentezlendi.
Elde edilen numunelerin yapıları ve özellikleri UV-Vis, fotolüminesans, XRD ve
TEM karakterizasyon metodlarıyla aydınlatıldı. 1S, 2S ve 1P absorbsiyon
geçişleri ve Stoke kayma miktarlarının malzeme boyutlarıyla olan ilişkileri
incelendi.
PENGEMBANGAN MEDIA PEMBELAJARAN BERBASIS BLENDED LEARNING PADA MATA KULIAH SEJARAH INDONESIA KOMTEMPORER PROGRAM STUDI PENDIDIKAN SEJARAH UNIVERSITAS BATANGHARI JAMBI
Authors: Agustiningsih Nur , Fitri Nurul
Published: February 2020

The purpose of this research is to find out (1) the process of learning media development based blended learning for Indonesia Contemporary History subject of History Education Program batanghari University Jambi, (2) The eligibility of learning media based blended learning for Indonesia Contemporary History subject of History Education Program Batanghari University Jambi

The types of this research are research and development. This research emphasizes an effort to produce certain products that will be used in certain fields of science and can also be used in an activity that needs it. The development which was carried out in this research is developing of learning media based on blended learning in the form of an ebook. To determine the feasibility of the media, the media experts and material experts validated the media that had been made and then conducted a media trial to the students, the trial was carried out on three stages, one to one, small group trials, and field test trials.

The results showed that (1) the stages of developing blended learning based media in Indonesia Contemporary History subject adopted the steps or stages which were developed by ADDIE which consisted of five stages, they are: analysis, design, development, implementation, and evaluation. (2) The results of the assessment by media experts for all aspects obtained an average score of 4.25 with very good category and reasonable to be used. Furthermore, based on the media expert's assessment, the average of all aspects is 4.35 dan 4,48 after revision with a very good category so that the material reasonable to be used. The advisability of blended learning based media in Indonesia Contemporary based on student assessment in the field test obtained an average of all aspects 4.45 in the very good category so that the media was very suitable to be used in this learning activity.
Pensamiento evolutivo de Milton Gallardo: destacado biólogo chileno
Authors: Báez Tobar Oswaldo
Published: February 2020

Milton Gallardo Narcici, Ph.D. es un destacado biólogo chileno que ha visitado el Ecuador en varias ocasiones; la primera fue durante su participación en el Programa Prometeo Viejos Sabios, que mantuvo por varios años la SENESCYT. Estudió Ciencias Biológicas en la Universidad Austral de Valdivia, obtuvo su doctorado en la New Mexico State University, USA, en 1984. Su especialización es la Genética evolutiva de micromamíferos y la biología evolutiva. En este campo ha publicado 90 artículos revistas científicas especializadas como: Nature, Biological Journal of the Linnean Society, Evolution, Journal of Mammology, Genomics, Biochemical Systematics, International Journal of Mammalian Biology, Genome Research, etc. Es autor del libro: “EVOLUCIÓN: El Curso de la Vida”, publicado el año 2011 en Buenos Aires, por la Editorial Médica Panamericana. Este magnífico tratado de evolución biológica, escrito por un científico latinoamericano, aborda el apasionante tema de la evolución desde la perspectiva actual de genética y la genómica.
Actuarial Assumptions for Employees Benefits
Authors: Dănescu Tatiana , Iordache Irina Diana
Published: February 2020

Entities that have assumed the obligation to provide benefits to employees both during employment and post-employment, in accordance with international regulations, in particular IAS 19 “Employee benefits”, have the obligation to present to users’ financial payments and rights related to employees. The evaluation of the employees’ benefits is based on actuarial techniques and on professional judgments that require the highlighting of the arguments underlying the identification and establishment of the actuarial hypotheses. To achieve this objective, we conducted research on how to select actuarial assumptions in the process of determining the benefits of employees in an entity in the energy field. The conclusions established highlight the role of the actuarial assumptions chosen in establishing the managerial vision on the obligations to be estimated for the personnel expenses, both present and in the future, in the context of the unpredictable evolution of the dynamics of the employees, as well as of economic circumstances created by constantly changing wage policies.
Six Sigma Method Important Element of Sustainability
Authors: Legman Ioan David , Blaga Petruţa
Published: February 2020

Six Sigma is not a training, but it is business strategy which involves the entire staff. The main goal of this works represents the analysis of the implementation of Six Sigma method within a company, like future solution for growing and developing a business. As main method of research was used documentation. The research carried out in this work will try to test/research two important aspects regarding the situation of a company: applying these methods accordingly may produce positive effects on long term on the business environment and create a healthy growth and economic development within a company.
Persuasion Strategies on Instagram in Wine Communication and Branding
Authors: Veszelszki Ágnes
Published: February 2020

Objectives: On social media, or in the world of the so-called like economy, highly targeted advertising has become reality: whereas previously advertisers only suspected the whereabouts of their customers, now they know it exactly based on well-defined parameters. Likes have become a new standard of value. With the increased popularity of Like buttons, influencer marketing and content marketing have also gained in importance. This paper aims to explore the persuasion strategies used by visual content marketing as a tool of visual rhetoric. Methodology: After reviewing the relevant literature, the paper presents a case study from the field of wine communication: using the methodology of content analysis and a qualitative approach, it examines the visual and verbal characteristics of 100 Instagram posts of Hungarian wineries. The examination focused on content from a semiotic aspect, complementary verbal elements (captions, hashtags), the assumed intention of content marketing, and the characteristics of visual storytelling. Findings: Although wine communication is very much about creating a personal feeling, there was not a single person on 61 of the 100 examined Instagram photos. The potential of branded hashtags is exploited by almost every winery in their communication. The most dominant content types were the informative, aesthetically pleasing, and explicit advertising content. Suggestions: To obtain the loyalty of users, companies need a well-considered communication strategy tailored to the target audience. The most relevant social media principles are the following: long-term strategy, careful planning, conscious implementation, thorough information about and respect for the potential target audience, and content which is valuable and interesting for the target group and has real impact on its behaviour. It could also enhance user loyalty if posts had more added value. The methodology of storytelling could be exploited in wine communication for the following types of content: 1. advice and education: providing background knowledge (winemaking, viticulture, design, wine–food pairing) or instructions (“how to” videos e.g. on bottle opening); 2. help to users (information on moderate wine consumption, wine and a healthy lifestyle); 3. entertainment (people behind the bottle, family and historical stories, wine legends, anecdotes). In addition, creating a personal feeling is crucial in wine communication, which is specializing in handling uncertainty: winemakers can act as influencers in their field not only when selling wine but also in social media marketing.
Effects of sprint interval training on sloping surfaces on aerobic and anaerobic power
Authors: Hindistan I. Ethem , Ozdogan Emel Cetin , Bilgin Gürkan , Colak Omer Halil , Ozkaya Y. Gul
Published: February 2020

Study aim: Several sprint interval training applications with different slope angles in the literature mostly focused on sprint running time and kinematic and dynamic properties of running. There is a lack of comparative studies investigating aerobic and anaerobic power. Therefore, this study aimed to examine the effects of sprint interval training on sloping surfaces on anaerobic and aerobic power.

Material and methods: A total of 34 male recreationally active men aged 20.26 ± 1.68 years and having a BMI of 21.77 ± 1.74 were assigned to one of the five groups as control (CON), uphill training (EXP

1
), downhill training (EXP

2
), uphill + downhill training (EXP

3
) and horizontal running training (EXP

4
) groups. Gradually increased sprint interval training was performed on horizontal and sloping surfaces with an angle of 4°. The training period continued for three days a week for eight weeks. The initial and the final aerobic power was measured by an oxygen analyser and anaerobic power was calculated from the results of the Margaria-Kalamen staircase test.

Results: Following the training programme, an increase in aerobic power was found in all training groups (EXP

1
= 20.79%, EXP

2
= 14.95%, EXP

3
= 26.85%, p < 0.01) and EXP

4
= 20.46%) (p < 0.05) in comparison with the CON group (0.12%), but there were no differences among the training groups. However, significant increases in anaerobic power were found in uphill training (4.91%) and uphill + downhill training (8.35%) groups (p < 0.05).

Conclusion: This study showed that all sprint interval studies on horizontal and sloping surfaces have a positive effect on aerobic power, and uphill and combined training are the most effective methods for the improvement of anaerobic power.
The Effects of Compression Garments on Stability and Lower Limb Kinematics During a Forward Lunge
Authors: Angelakos Ioannis , Mills Chris , O’Halloran Joseph
Published: February 2020

Compression garments have been used to minimise injury risk, through improvements in stability and joint positioning; yet, it is unclear whether there is an optimal length or tightness of these garments that may maximise observed benefits. This study measured the effect of three different garment types, at two different tightness levels, on lower extremity stability and alignment during a forward lunge movement. Sixteen healthy adults (7 female, 9 male; 24.3 ± 2.9 years) were recruited as participants. Stability of the lead foot, as well as lower body joint kinematics, were recorded using an Oqus 12-camera system, surrounding participants as they executed three forward lunges onto a Matscan pressure mat under seven compression conditions (Control, Light/Heavy Calf, Light/Heavy Socks, Light/Heavy Leggings). Mean minimum time-to-boundary (mmTtB) (derived from centre of pressure measures) and frontal plane kinematics (lateral pelvic tilt, knee valgus, ankle inversion/eversion) were used to assess the effect of garment tightness and length on lunge stability and joint alignment, respectively. A significant effect of tightness on mmTtB was observed (F(1,105) = 8.192; p = .005, η2 = .072), with Heavy garments eliciting longer mmTtB compared to their corresponding Light (-.18 ± .06 s; p = .015) or Control (-.28 ± .09 s; p = .007) conditions. No significant effects of garment tightness or length on lower body kinematics were evident. The results of this study suggest stability during a forward lunge is improved through the use of tight-fitted compression garments.
Muscle Thickness During Core Stability Exercises in Children and Adults
Authors: Kellis Eleftherios , Ellinoudis Athanasios , Intziegianni Konstantina , Kofotolis Nikolaos
Published: February 2020

Core stability exercises are regular part of exercise programs for asymptomatic individuals across ages. The purpose of this study was to examine deep abdominal and multifidus muscle thickness in children and adults and to determine reliability of the rehabilitative ultrasound (RUSI) imaging. Transversus abdominis and lumbar multifidus thickness at rest and during core stability exercise were examined in pre-pubertal children (N = 23), adolescents (N = 20), young adults (N = 21) and middle-aged adults (N = 22). Thirty-nine participants were re-tested one week after to establish reliability. Muscle thickness at rest was lower in children and adolescents compared with young and middle-aged adults (p < 0.008). Young adults displayed the highest relative transversus abdominis thickness upon contraction (p < 0.008). Lumbar multfidus contraction thickness was greater in young-adults than middle-aged adults and pre-pubertal children (p < 0.008), but it was similar between young-adults and adolescents (p > 0.008). Reliability was high for both muscles (ICC3,3 = 0.76 - 0.99). The age-related differences in muscle thickness indicate that core stability exercises may be beneficial for children and middle-aged adults.
Nature of Mediation Clauses from the Point of View of Private International Law
Authors: Hrnčiříková Miluše
Published: February 2020

Mediation as a popular method of ADR is more and more often used while solving cross border disputes. Although the mediation clauses are included into the commercial contracts almost automatically, no attention is paid to its validity, enforceability and other legal consequences. The article provides a study on the nature of mediation clauses that crucially influences the law governing validity of mediation clauses. It is the position of the author that mediation clauses are primary institutes of the substantive law and thus the governing law should be determined in accordance with the Rome I regulation.
Superior Responsibility in the Bemba Case – Analysis of the Court’s Findings on Necessary and Reasonable Measures
Authors: Chadimová Michala
Published: February 2020

This article critically analyses an interpretation and application of necessary and reasonable measures to prevent or repress crimes committed by the subordinates in the Bemba case. The aim of the Article is to analyse the Pre-Trial Chamber, Trial Chamber and Appeal Chamber findings on necessary and reasonable measures in connection to responsibility of person effectively acting as a military commander. In doing critically analyses of the interpretation and application, this article evaluates legal challenges faced by the ICC in using superior responsibility, with special focus on the relevance of motives behind the measures taken by a superior or commander and the issue of remote commander. This study provides first comprehensive analysis of necessary and reasonable measures requirement in the Bemba case and as such, offers the latest development on the superior responsibility doctrine applicable at the ICC.
Study of Survival in Gastric Cancer with Emphasis on Lymph Node Status as an Independent Prognostic Factor
Authors: Suciu Nicolae , Bauer Orsolya , Benedek Zalán , Ghenade Radu , Coroș Marius , Georgescu Rareș
Published: February 2020

Background: Lymph node status in gastric cancer is known as an independent prognostic factor that guides the surgical and oncological treatment and independently influences long-term survival. Several studies suggest that the lymph node ratio has a greater importance in survival than the number of metastatic lymph nodes.

Aim: The aim of this study was to evaluate the clinical and morphological factors that can influence the survival of gastric cancer patients, with an emphasis on nodal status and the lymph node ratio.

Material and methods: We conducted a retrospective study in which 303 patients with gastric cancer admitted to the Department of Surgery of the Mureș County Hospital between 2008 and 2018 were screened for study enrolment. Data were obtained from the records of the department and from the histopathological reports. The examined variables included: age, gender, tumor localization, T stage, histological type, grade of differentiation, surgical procedure, lympho-vascular invasion, excised lymph nodes, metastatic lymph nodes, lymph node ratio. After screening, the study included a total number of 100 patients, for which follow-up data was available.

Results: The mean age of the study population was 66.43 ± 10 years, and 71% were males. The average survival period was 21.42 months. Statistical analysis showed that the localization of the tumor (p = 0.021), vascular invasion (p ---lt---0.001), T (p = 0.004) and N (p ---lt---0.001) stages, type of surgery (partial gastrectomy 59% vs. total gastrectomy 41%, p = 0.005), as well as the lymph node ratio (p ---lt---0.001) were prognostic factors for survival in patients with gastric cancer undergoing surgical therapy.

Conclusions: The survival of gastric cancer patients is significantly influenced by tumor localization, T stage, vascular invasion, type of surgery, N stage and the lymph node ratio based on univariate analysis. Also, the lymph node ratio proved to be an independent prognostic factor for survival.
The Role of Customary Law in the Forest Preservation in Bali
Authors: Lestawi I Nengah , Bunga Dewi
Published: February 2020

The endeavors to preserve the forest in Bali cannot be isolated from the existence of local wisdom. Customary law, as a decision of Hindu religious leaders in Bali, is one of the local wisdoms which has been maintained by the society. This study examined the values of local wisdom held by indigenous people and reviewed the preservation of forests from a Hindu perspective. This research was conducted in three villages in Bali, namely Tenganan Village, Manggis Sari Village, and Sangeh Village. The residents of these villages believed that forest is a sacred area which must be maintained and preserved properly.
Determination of Ship Approach Parameters in the Polar Coordinates System
Authors: Banachowicz Andrzej , Wolski Adam
Published: February 2020

An essential aspect of the safety of navigation is avoiding collisions with other vessels and natural or man made navigational obstructions. To solve this kind of problem the navigator relies on automatic anti-collision ARPA systems, or uses a geometric method and makes radar plots. In both cases radar measurements are made: bearing (or relative bearing) on the target position and distance, both naturally expressed in the polar coordinates system originating at the radar antenna. We first convert original measurements to an ortho-Cartesian coordinate system. Then we solve collision avoiding problems in rectangular planar coordinates, and the results are transformed to the polar coordinate system. This article presents a method for an analysis of a collision situation at sea performed directly in the polar coordinate system. This approach enables a simpler geometric interpretation of a collision situation
Diversity of Photogrammetric Approaches for Multi-Purpose Applications
Authors: Bujakiewicz Aleksandra , Markiewicz Jakub , Bakuła Krzysztof , Zawierska Dorota
Published: February 2020

The presented paper shows the diversity of photogrommetric approaches by introducing a problem of camera interior orientation, data georeferencing. data integration and the issue of automatic object surface modelling. The authors discuss the abovementioned issues on the example of the work carried out at the Faculty of Geodesy and Cartography, Warsaw University of Technology referring to solutions practiced in Computer Vision. This article is an example of introduction of photogrammetry as a discipline open to achievements of close fields of science, which is widely applied in practice
Relationships between serum procalcitonin level, severity and different stresses of non-septic critically ill patients
Authors: Shi Juncheng , Shi Qiankun , Yuan Shoutao , Zhang Wenhao
Published: February 2020

Background: To explore the relationships between serum procalcitonin (PCT) level, severity and different stresses of non-septic critically ill patients.

Materials and Methods: Patients were divided into traumatic stress, stroke-induced stress and non-infectious inflammatory stress groups. According to 28-day prognosis, they were divided into survival and death groups. The factors affecting prognosis were studied by multivariate logistic regression analysis.

Results: PCT level was significantly positively correlated with Acute Physiology and Chronic Health Evaluation II (APACHE II) and sequential organ failure assessment (SOFA) scores (P=0.001). The PCT level and abnormality rate of the traumatic stress group significantly exceeded those of other groups (P---lt---0.05). The APACHE II score, SOFA score and 28-day mortality rate of traumatic stress and stroke-induced stress groups significantly exceeded those of the non-infectious inflammatory stress group (P---lt---0.05). The PCT level, APACHE II score and SOFA score of the death group significantly surpassed those of the survival group (P---lt---0.05). With rising PCT level, APACHE II score, SOFA score and 28-day mortality rate all increased, with significant intergroup differences (P---lt---0.01). Multivariate logistic analysis showed that serum PCT level, APACHE II score and SOFA score were independent risk factors for prognosis. The area under ROC curve for prognosis evaluated by PCT level was 0.797 (95%CI = 0.710~0.878, P=0.000). At a 4.3 μg/L cut-off, the sensitivity and specificity for predicting 28-day mortality were 87.4% and 78.1%, respectively.

Conclusion: The serum PCT level of non-septic critically ill patient was positively correlated with severity, which was more likely elevated by traumatic stress than other stresses.
Quality Control Strategy for Automated CBC: A Laboratory Point of View Deducted from an Internal Study Organised in an Emergency Laboratory
Authors: Oprea Oana Roxana , Hutanu Adina , Pavelea Oana , Kodori David Robert , Dobreanu Minodora
Published: February 2020

Introduction: The aim of this study was to determine the performance of the total testing process of complete blood count (CBC) on two different instruments in an emergency setting of a county hospital, and to design an appropriate internal quality control plan.

Materials and method: Two models of Statistical Quality Control (SQC) were evaluated on Sysmex XT-1800i and Cell-Dyne Ruby: 3 levels of commercial blood every 8 hours (N=9) and an alternative model using 3 levels every 12 hours (N=6) as shift changes. Total Error (TE) was calculated using the formula: TE=Bias%+1.65xCV%; Sigma score was calculated using the formula: Sigma=[(TEa%–Bias%]/CV%. Values for coefficient of variation (CV%) and standard deviation (SD) were obtained from laboratory data and Bias% from proficiency testing. For the pre-analytical phase Sigma score was calculated, while for post-analytical phase the turnaround time (TAT) was assessed.

Results: TE for all directly measured parameters, for both instruments, had lower values than Total Error allowable (TEa). CV% for almost all parameters had lower values than CV% derived from biological variation except for platelets (PLT) at low level on Sysmex XT-1800i and red blood cells (RBC) on Cell-Dyne Ruby. Sigma score ranged from as low as 2 to 10. Sigma score for pre-analytical phase was 4.2 and turnaround time was 36 minutes on average.

Conclusions: Given the performances of the total testing process implemented for CBC in our laboratory, performing the internal control after every 50 samples/batch seems to fulfill both the Health Ministry Order (HMO) 1301/2007 and International Organization for Standardization ISO 15189:2013 recommendation. All quality instruments must work together to assure better patient results and every laboratory should design its own control plan that is appropriate for better quality achievement.
PERAN KEUNGGULAN BERSAING DALAM MEMEDIASI CUSTOMER RELATIONSHIP MANAGEMENT TERHADAP KINERJA PEMASARAN (Studi Kasus Pada Bank Perkreditan Rakyat se-Provinsi Bali)
Authors: Ginting Albertino Persadanta , Giantari I Gusti Ayu Ketut , Sudiksa Ida Bagus
Published: February 2020

The purpose of this study is to explain the relationship between customer relationship management on the marketing performance of Rural Bank of Bali province and competitive advantage as mediating variables. The variables examined in this study are customer relationship management, marketing performance and competitive advantage. The number of samples obtained was 120 marketing staff, Marketing Manager or owner of  Rural Credit Bank in Bali Province. Data were collected through questionnaires. The analysis technique test using path analysis. Based on the analysis found the result that customer relationship management have a positive and significant effect on marketing performance Rural Credit Bank in Bali Province, customer relationship management have a positive and significat effect on competitive advantage of Rural Credit Bank in Bali Province, competitive advantage have a positive and significat effect on marketing performance of Rural Credit Bank in Bali Province, competitive advantage mediate effect of customer relationship management on marketing performance of Rural Credit Bank in whole of Bali Province.

Keyword : Customer Relationship Management, marketing performance, competitive advantage.
ANALISIS REAKSI PASAR SEBELUM DAN SESUDAH PENGUMUMAN AKUISISI DI BURSA EFEK INDONESIA (BEI)
Authors: Irawan I Kadek Redy , Candraningrat Ica Rika
Published: February 2020

Akuisisi merupakan sebuah kebijakan atau strategi yang bertujuan untuk melakukan perluasan usaha dengan mengambil alih kepemilikan perusahaan lain. Motif perusahaan dalam melakukan akuisisi akan berdampak pada reaksi pasar yang positif ataupun negatif. Perusahaan yang melakukan akuisisi dengan motif ekonomi akan direaksi positif oleh pasar, sedangkan motif non ekonomi akan direaksi negatif oleh pasar. Menguji perbedaan reaksi pasar sebelum dan sesudah pengumuman akuisisi yang dicerminkan dengan rata-rata abnormal return dalam periode lima hari sebelum dan lima hari sesudah pengumuman akuisisi merupakan tujuan dari penelitian ini. Metode pengambilan sampel menggunakan teknik purposive sampling dan menghasilkan 55 sampel perusahaan yag melakukan akuisisi di Bursa Efek Indonesia. Teknik yang digunakan adalah uji wilcoxon signed rank test. Hasil yang ditemukan bahwa tidak terdapat perbedaan reaksi pasar yang signifikan sebelum dan sesudah pengumuman akuisisi. Penyebab utama hal ini bisa terjadi adalah karena ketidaktahuan investor akan motif perusahaan melakukan akuisisi, sehingga investor ragu dalam mengambil keputusan investasi

Kata kunci: abnormal return, akuisisi, efisiensi pasar, rata-rata abnormal return.
OPTIMASI METODE EKSTRAKSI KUERSETIN DARI DAUN KELOR (Moringa oleifera L.)
Authors: Laksmiani N. P. L. , Widiantara I W. A. , Adnyani K. D. , Pawarrangan A. B. S.
Published: February 2020

Moringa plants is very abundant in Indonesia. Moringa leaves are a source of polyphenol compounds, namely flavonoids. One of the main flavonoids found in Moringa leaves is quercetin. To be able to increase the concentration of quercetin from moringa plants, extraction is necessary. This study aims to determine the most optimal extraction method in extracting quercetin from Moringa leaves. Optimization of quersein extraction methods from Moringa leaves was carried out using maceration, soxhletation, and reflux methods. The solvent used was methanol acidified with 1,2 N HCl. Determination of the concentration of quercetin in the extract used a validated TLC-densitometry method. The highest rendement obtained from the maceration extraction method was 24.08 % w/w. Extraction by reflux and sochletation methods yielded rendement of 23.44 % w/w and 10.12 % w/w respectively. Qualitative analysis of quercetin in the extract was carried out by comparing its Rf value with the standard quercetin which is 0,4. The quercetin level of the extract from maceration extraction was the highest, which was 24.45 % w/w. Extraction using the soxhletation method obtained quercetin as much as 20.95 % w/w.

 

Keywords: quercetin, Moringa oleifera leaves, extraction method, optimization
OPTIMASI WAKTU AKTIVASI DAN KARAKTERISASI ARANG AKTIF DARI BATANG TANAMAN GUMITIR DENGAN AKTIVATOR NaOH
Authors: Sahara E. , Resyana I K. Y. , Laksimawti A. A. I. A. M.
Published: February 2020

The stems of marigold plant can be used as the raw material for making activated carbon. One of the activators that can be used is NaOH with an activated time of 24 hours. The purpose of this study was to obtain an effective activation time through activation with a 2.5% NaOH activator in several variations of activation time followed by characterizing the activated carbon formed. Characterization which was carried out including the determination of water, volatile matter, ash, carbon contents, as well as the absorption capacity of methylene blue and iodine. The results of the study showed that the activation for 28 hours produced an activated carbon with characteristics in accordance with SNI 06-3730-1995, namely: water content (8.40 ± 0.72)%, volatile matter content (9.58 ± 0.95) %, ash content (4.93 ± 0.83)%, carbon content of 77.09%, absorption of iodine (758.66874 ± 1.21) mg/g and absorption of methylene blue 124.6226 mg/g. The results of the analysis with FTIR spectrophotometer on this activated charcoal showed the presence of OH, CH aliphatic, C = O and C = C functional groups.

 

Keywords: activated carbon, sodium hydroxide, marigold plant stems
KAPASITAS ADSORPSI SERBUK NATA DE COCO (BACTERIAL SELLULOSE) TERHADAP ION Pb2+ MENGGUNAKAN METODE BATCH
Authors: Saputri C. A.
Published: February 2020

The purpose of this research is determine adsorption capacity of nata de coco powder to the ion Pb2+. Nata de coco is a cellulose derived from the fermentation of Acetobacter xylinum bacteria. Nata de coco powder is made by  mashed nata de coco then heated at 80oC,  mashed and sifted up to 30-40 mesh size. Characterization includes  determination of  moisture content, ash content, density and amount of iodine adsorbed. Optimum contact time using batch method with time variation are 20, 40, and 60 minutes. The determination of the capacity of adsorption using the isotherm pattern of Langmuir and Freundlich using variation  concentrations Pb2+ 15, 30, 45, and 60 ppm. Amount of adsorbed ion Pb2+ measured by using the Atomic Absorption Spectrophotometry (AAS) at a maximum wavelength of  Pb2+ that is 283 nm. The results showed that the optimum time was reached at 60 minutes. Adsorption pattern  approach to the Freundlich’s Isotherm models with an adsorption capacity  2.34 mg/g.

 

Keywords: adsorption capacity, Freundlich’s isotherm, ion Pb2+, nata de coco powder
EL PENSAMIENTO POLÍTICO CATÓLICO: ¿QUÉ PUEDEN APRENDER LOS EVANGÉLICOS?
Authors: Chaplin Jonathan
Published: February 2020

El foco de este artículo es el pensamiento político católico. Esto es sólo una parte de lo que se conoce con el nombre de "doctrina social católica" (DSC), por lo que se hace necesario presentar, primeramente, un breve bosquejo de la amplia filosofía social que enmarca este cuerpo de enseñanzas para ubicar sus aspectos políticos en su contexto. Se discute qué relevancia podría tener el pensamiento político católico para la articulación de un pensamiento político evangélico o protestante.
LA NOCIÓN DE "ALMA" EN SAN JUAN DE LA CRUZ, UNA MEDITACIÓN SOBRE LAS APORTACIONES DE LA MÍSTICA A LA ANTROPOLOGÍA FILOSÓFICA
Authors: González Suárez Lucero
Published: February 2020

Ésta es una meditación filosófica sobre la obra poética y doctrinal de San Juan de la Cruz, cuyo propósito es exhibir las aportaciones de la mística sanjuanista a la antropología filosófica. Dado que para el santo, "alma" y "hombre" son nociones equivalentes. En el primer apartado se explica en qué sentido cabe distinguir dos partes del alma, una inferior y otra superior, en función del tipo de experiencias que cada una hace posibles. Posteriormente, se señalan las funciones de los sentidos externos e internos. Asimismo, al hablar de la "parte superior" del alma, se explica en qué consisten las operaciones del entendimiento, de la voluntad y de la memoria, en relación con la unión de semejanza amorosa con Dios. La conclusión a la que se arriba es que la antropología sanjuanista hace posible comprender no sólo cuáles son las estructuras esenciales del ser del hombre, sino también su origen y el fin sobrenatural de la existencia.
Los tipos ideales de Weber y la idealización
Authors: Halas Juraj
Published: February 2020

Los "tipos ideales’" de Max Weber tis han acaparado la atención de los filósofos de la ciencia. Proponentes de la Escuela de Poznan han formulado al menos dos diferentes reconstrucciones metodológicas de la concepción de Weber. Uno, debido a Izabella Nowakowa, ve los tis como elementos extremos de clasificaciones y argumenta que el procedimiento empleado en la formación de éstos no es más que un caso especial del método de la idealización. Otro, debido a Leszek Nowak, explica los enunciados de tipos ideales como enunciados analíticos que desempeñan funciones heurísticas y explicativas. En este artículo evalúo estas reconstrucciones y las confronto con los textos originales de Weber. Muestro que ambos son inadecuados y propongo una tercera, basada en una concepción revisada de la abstracción y la idealización. También muestro que la función heurística de los tis, como la discutiera Weber, consiste en su capacidad para formular explicaciones contrastantes.
¿Es la lógica de términos una lógica libre?
Authors: Castro Manzano José Martín
Published: February 2020

Los estudios sobre lógica libre están más o menos consolidados, dada la cantidad de estudios sobre lógicas libres. Esta situación contrasta con los estudios sobre lógicas de términos, ya que estos son de reciente creación. Dada esta asimetría, en este trabajo exploramos un nexo entre ambas lógicas con el propósito de sugerir que la lógica de términos de Sommers y Englebretsen se comporta como una lógica libre.
Pengaruh Rasa Takut Terhadap Profil Perilaku Pengendara Usia Remaja - Studi Dengan Driver Behaviour Questionnaire (DBQ)
Authors: Suwarto Fardzanela , Hartono Hartono , Lukman Lukman
Published: February 2020

Di Kota Semarang jumlah kecelakaan lalu lintas cenderung mengalami kenaikan setiap tahunnya. Dari seluruh kecelakaan yang terjadi di jalan raya, faktor perilaku pengemudi (human error) memiliki kontribusi paling tinggi yaitu mencapai antara 80-90 persen. Kecelakaan jalan menjadi penyebab utama kematian di kalangan remaja antara usia 14 dan 24 tahun. Hal ini disebabkan oleh beberapa faktor salah satunya persepsi pengendara. Tujuan studi ini adalah untuk melihat kecenderungan perilaku dan pengaruh faktor persepsi rasa takut dalam mempengaruhi perilaku pengemudi usia remaja di Kota Semarang, agar didapatkan pemahaman yang lebih dalam tentang perilaku pengemudi remaja dalam upaya mengurangi jumlah kecelakaan lalu lintas. Responden pengendara kendaraan usia remaja akan diminta untuk melengkapi Driver Behaviour Questionnaire (DBQ) yang meminta mereka untuk menilai frekuensi dimana mereka melakukan berbagai jenis kesalahan dan pelanggaran saat berkendara serta kuesioner persepsi rasa takut dalam berkendara. Dari Penelitian ini dapat disimpulkan bahwa persepsi terhadap rasa takut tidak memiliki hubungan yang cukup kuat terhadap keterampilan mengemudi pengendara usia remaja terlihat dari nilai korelasi Rsquare kedua variabel tersebut yaitu sebesar 1.1%. Selain itu persepsi rasa takut yang juga tidak dapat serta merta mengurangi tingkat kesalahan (lapses dan error) yang dapat dibuat tiap individu saat sedang berkendara, tetapi perasaan takut ini dapat mengurangi intensi atau keinginan pengendara remaja untuk melakukan tindakan pelanggaran ringan maupun berat (ordinary dan aggressive violations).
On the Problems of Corporate Legal Relations in the Civil Legislation of the Republic of Tajikistan
Authors: Nasirov H. T.
Published: February 2020

In the framework of this article, when considering corporate legal relations, their civil-legal component is presumed, which is based on the part of the internal relations of a legal entity existing in corporate organizations, associated with participation in these organizations or management of them. In this regard, it is proposed to consider corporate law as a special institution of civil law, the rules of which regulate civil relations in corporate organizations or their management, arising primarily between the founders of a corporate organization, as well as between the corporate organization and its founders. At the same time, having analyzed the legal status of participants of intraorganizational corporate legal relations, it is noted that due to the lack of some of them the status of the subject of civil legal relations, not all non-prohibited by law intraorganizational corporate legal relations aimed at achieving both common interests and pursuing private individual interests of members of corporations can be civil legal relations.
Tamara Petrovna Indinok: “And in Every Line of Life there is a Trace…”
Authors: Leonenko N. T.
Published: February 2020

The article is devoted to the memory of the retired Deputy Chairman of the Novosibirsk regional court, honored lawyer of the Russian Federation, holder of the order of Honor Tamara Petrovna Indinok – one of the best representatives of the judicial community of the Novosibirsk region, who gave all her knowledge and energy for the benefit of the region's development. The biography is given against the background of the most significant events in the history of the country and the region, the history of the development of law in order to preserve for future generations of lawyers the history of creation, creativity, overcoming and victories committed by the older generation. When preparing the article, archival documents, personal archive of T. I. Indinok, articles in the journal of the Judicial Department Of the Supreme Court of the Russian Federation in the Novosibirsk region and the Judicial community of the Novosibirsk region were used. The article presents an exclusively professional activity, and practically nothing about his personal life. I'm sure you can't tell everything about a person. It is remembered, at B. Pasternak about it it is told so: «and it is necessary to leave gaps // in destiny, instead of among papers, // Places and chapters of life whole // Otcherkivaya on
fields”.
VIABILIDADE DA APLICAÇÃO DA LOGÍSTICA REVERSA NO GERENCIAMENTO DOS RESÍDUOS DOS SERVIÇOS DE SAÚDE: UM ESTUDO DE CASO NO HOSPITAL X
Authors: De Souza Frank Pavan , Jacintho Manuella Guimarães , Silva Iris Thayná Peixoto , Viana Karlayne Pessanha Gomes
Published: February 2020

Os problemas ambientais gerados pelo homem são decorrentes do uso incompleto, ineficiente e ineficaz dos recursos naturais. Contudo, atualmente nota-se uma maior preocupação com os bens ambientais e com a destinação dada aos resíduos gerados pelos diferentes segmentos. Dentre esses resíduos, um grupo dos que mais preocupam são os gerados pelos serviços de saúde, devido à sua ação nociva ao ser humano e ao ambiente. O gerenciamento destes resíduos é uma alternativa encontrada para amenizar os impactos ambientais negativos que estes causam. Este trabalho tem como objetivo verificar e identificar os Resíduos de Serviços de Saúde do Hospital X que são passíveis de aplicação da Logística Reversa. A pesquisa foi aplicada no Hospital X, localizado no município de Campos dos Goytacazes, estado do Rio de Janeiro. Para o desenvolvimento da pesquisa foram realizadas atividades de campo e entrevistas com os principais responsáveis pelo plano de gerenciamento de resíduos do hospital. O trabalho em campo permitiu que se comparasse a forma de gerenciamento dos resíduos proposta pelo plano, com o que de fato é realizado pelo hospital. Ao final, percebeu-se que mesmo com as limitações da aplicação dos conceitos de Logística Reversa em grande parte dos rejeitos, é possível que sejam adotadas novas formas de gerenciamento dos resíduos da classe D, possibilitando o retorno dos produtos ao ciclo produtivo. Com isso, demonstra-se que é possível que a Logística Reversa seja adotada como uma nova proposta de produção e consumo sustentáveis.Palavras-Chave: Resíduos de Serviços de Saúde. Gestão ambiental. Logística Reversa.