bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengaruh Metode Pembelajaran Praktikum Simulasi Terhadap Pencapaian Kompetensi Klinik Mahasiswa Semester VI (lima) S1 Keperawatan di STIKes Bina Generasi Polewali Mandar
Authors: Najamuddin Nur isriani
Published: July 2019

Latar Belakang:Sistem pendidikan nasional menekankan bahwa pendidikan adalah usaha sadar dan terencana untuk mewujudkan suasana belajar dan proses pembelajaran agar peserta didik secara aktif mengembangkan potensi diri, kepribadian, kecerdasan, akhlak mulia serta ketrampilan yang diperlukan dirinya, masyarakat, bangsa dan negara. Peraturan pemerintah Nomor 19 Tahun 2005 tentang standar nasional pendidikan disebutkan bahwa Rumah Sakit sebagai wahana kegiatan belajar klinik keperawatan yang bermutu dan mampu bersaing di tingkat nasional, regional dan internasional dalam pengetahuan, keterampilan, kemandirian dan sikap untuk menemukan, mengembangkan serta menerapkan ilmu, teknologi dan seni yang bermanfaat bagi kemanusiaan (Anonimous, 2009)..

Tujuan: Untuk mengetahui metodepembelajaranpraktikumsimulasi terhadap pencapaian kompetensi klinik mahasiswa semester VI (lima) S1 keperawatan di STIKes Bina Generasi Polewali Mandar.

Desain penelitian:Penelitian ini dilaksanakan mulai tanggal 29 Januari 2018 sampai 05 Februari2018. Pengambilan sampel dengan cara TotalSampling  dan banyaknya anggota sampel adalah 16 orang. Responden yang dijadikan sampel dalam penelitian ini adalah mahasiswa S1 Keperawatan STIKes Bina Generasi Kabupaten Polewali Mandar yang akan melakukan praktik klinik di rumah sakit

Hasil penelitian: Hasil analisis data dengan menggunakan dengan menggunakan Uji t berpasangandiperoleh Penilaian Sikap menunjukkan nilai p = 0,000 < α 0,05 sedangkan hasil uji untuk Penilaian Pengambilan Spesimen Darah menunjukkan nilai p = 0,000 < α 0,05. Maka ini berarti Ha diterima Ho di tolak, maka ada pengaruh metode pembelajaran  praktikum simulasi terhadap pencapaian kompetensi klinik mahasiswa semester V (lima) S1 keperawatan di STIKes Bina Generasi Polewali Mandar.

Kesimpulan:Berdasarkanhasilpenelitianinimenunjukanbahwaada pengaruh yang signifikan antara pre test dan post test metode pembelajaran  praktikum simulasi terhadap pencapaian kompetensi klinik mahasiswa semester V (lima) S1 keperawatan di STIKes Bina Generasi Polewali Mandar.       

 

Kata Kunci:metodepembelajaran, simulasi,kompetensiklinik.
Gambaran Pengetahuan Remaja Putri Tentang Pernikahan Dini Di SMPN Anreapi Kec. Anreapi Kab. Polewali Mandar
Authors: Biges Rosdiana
Published: July 2019

Latar belakang : Pernikahan dini menjadi salah satu persoalan yang terus dilakukan upaya untuk mengatasinya karena pernikahan dini menghasilkan banyak dampak negatif, tidak hanya bagi individu yang melakukan pernikahan dini tersebut, melainkan juga bagi negara karena dengan menikah dini, banyak anak-anak di Indonesia menjadi putus sekolah, akibatnya angka pengangguran di Indonesia menjadi meningkat dan kualitas SDM semakin rendah.

Kantor Urusan Agama Kecamatan Anreapi Kabupaten Polewali Mandar  mengatakan bahwa terdapat 23 orang yang melalukan pernikahan dini pada tahun 2016 dan mengalami peningkatan pada tahun 2017 yaitu mencapai  37.

Tujuan :Untukmengetahui Gambaran Pengetahuan Remaja Putri Tentang Pernikahan Dini Di SMPN Anreapi Kec. Anreapi Kab. Polewali Mandar.

Metode penelitian :Jenis penelitian yang digunakan adalah metode penelitian deskriftif kuantitatifyaitu metode yang dilakukan dengan satu tujuan membuat gambaran atau deskripsi tentang suatu keadaan secara objektif dalam bentuk angka-angka mulai dari pengumpulan data serta penampilan dari hasilnya. Jumlah populasi dalam penelitian ini adalah 65 orang siswi putri SMPN Anreapi.Penelitian ini dilaksanakan pada bulan agustus 2018 dengan menggunakan tehnik accidental. Accidental sampling adalah pengambilan sampel yang dilakukan sesaat. Sehingga sampel diperoleh adalah yang ada atau tersedia pada waktu itu.

Hasil : Secara keseluruhan gambaran pengetahuan remaja putri tentang Pernikahan Dini, dimana hasil penelitian menunjukan bahwa dari 65 responden yang memperoleh kriteria baik sebanyak 4 responden atau (6,2%),  yang memperoleh kriteria cukup sebanyak 46 responden atau (70,77%) dan yang memperoleh kriteria kurang sebanyak  15 responden atau (23,1%).

Kesimpulan : Berdasarkan penelitian diperoleh hasil tentang tingkat pengetahuan remaja putri tentang pernikahan dini di SMPN Anreapi Kecamatan Anreapi Kabupaten Polewali Mandar Tahun 2018 berada pada kategori cukup.

Saran : Diharapkan remaja agar dapat terus meningkatkan wawasan dan pengetahuan mengenai hal yang berhubungan dengan pernikahan dini sehingga para remaja dapat meningkatkan pengetahuan.
GAMBARAN FAKTOR-FAKTOR PENGHAMBAT PEMBERIAN ASI EKSKLUSIF PADA IBU MENYUSUI BAYI USIA 0-6 BULAN DI WILAYAH KERJA PUSKESMAS MASSENGA
Authors: Fitriani Lina
Published: July 2019

Latar belakang : ASI eksklusif merupakan nutrisi yang terbaik pada 6 bulan pertama kehidupan bayi dan terpenting untuk mencapai tumbuh kembang yang optimal. Masih rendahnya cakupan pemberian ASI eksklusif antara lain dapat disebabkan beberapa faktor yaitu perubahan sosial budaya, kekurangtahuan ibu terhadap manfaat pemberian ASI dan rendahnya tingkat pendidikan ibu.

Tujuan penelitian : adalah untuk mengetahui faktor-faktor penghambat pemberian ASI eksklusif pada ibu menyusui bayi usia 0-6 bulan di wilayah kerja Puskesmas Massengga. Metode penelitian : merupakan penelitian yang bersifat deskriptif, subjek penelitiannya yaitu ibu menyusui di Puskesmas Massenga. Sedangkan objek penelitiannya adalah gambaran faktor-faktor penghambat pemberian ASI eksklusif pada ibu menyusui bayi usia 0-6 bulan. Jumlah sampel sebanyak 78 orang dengan penentuan sampel  menggunakan multistage random sampling. Alat pengambilan data yang digunakan adalah lembar kuesioner yang terdiri dari 20 pertanyaan mengenai ASI eksklusif.
The Influence of Staff Conflict Resolution on Employee Performance at Public Service Commission in Kenya
Authors: Agusioma Nickson Lumwagi
Published: July 2019

Staff conflict within organizations is a regular phenomenon in modern day. Employees are the life blood of the organization and thus staff conflict not resolved on time could be detrimental to organization performance.  The objective of the study was to determine the effect of staff conflict resolution on employee performance at Public Service Commission in Kenya. The specific objectives were to assess the mediating role of employee participation on organization performance in the Public Service Commission in Kenya and to evaluate the impact of conflict resolutions on organization performance the Public Service Commission in Kenya. This research adopted descriptive survey research design and mixed mode research approach. The target population in this study comprised of the top, middle and low level managers in the Public Service Commission in Kenya. The study sample size of 141 respondents were selected. The study selected the respondents using stratified proportionate random sampling technique based on the management levels. Data was collected mainly by use of semi structured questionnaires. Path regression analysis was used to achieve the study objectives. The study found that conflict resolution positively and significantly affected employee performance. The study also found partial mediating effect of staff participation on the relationship between employee performances. This implied that staff conflict resolution impacts strongly and positively on performance of employees at public service commission. Staff conflict resolution will therefore be a milestone in employee performance. The study concluded that staff conflict resolution positively and significantly affect employee performance at public service commission. The important aspects of conflict resolution are participation of staff in conflict resolution and conflict resolution. Thus, conflict resolution is crucial in enhancing employee performance and hence organization performance. However, optimal results on conflict resolution cannot be achieved without employee participation. The study recommended that public service commission of Kenya should develop staff conflict resolutions mechanisms. Timely resolution of staff conflicts should be encouraged. Mechanisms of determining conflicts among the staff should be established. This will improve performance of the employees. The success of any organization is directly affected by the performance of the employees within the organization, whether or not those employees are dealing directly with customers.

Key Words: Key Words: Staff Conflict Resolution, Staff Participation, Conflict Resolution, Staff Performance, Public Service Commission in Kenya

This is an open-access article published and distributed under the terms and conditions of the  Creative Commons Attribution 4.0 International License, United States unless otherwise stated.

About the Authors:

Nickson Lumwagi Agusioma- Doctor of Philosophy Degree in Human Resource Management, Mount Kenya University, Kenya
Learning Organization Attributes and Performance of G4s Kenya Limited Mombasa County, Kenya
Authors: Otieno Diana B. A , Maina James
Published: July 2019

Learning organization refers to an organization that encourages its individuals to learn and consistently change its form. Organizations give both formal and casual procedures and structures for securing, sharing and utilization of information and abilities. Learning organizations come about due to pressures that are faced in the modern time organizations and vest these organizations to retain their aggressiveness in the business world. The learning organization urges organizations to move to a more interconnected mindset. Organizations ought to wind up more like networks that workers and its members can feel a responsibility towards them. The site of the investigation was at G4S Kenya Limited in Mombasa County. The specific objective was to determine the consequences of learning organization on the execution of G4S Kenya limited. The study was then guided by the following objectives; to find out the impact of systems thinking on performance of an organization, to determine how personal mastery affects the performance of an organization, to examine the influences of mental models on performance of an organization as well as to research on the impact of shared vision on performance of an organization. The study was guided by Argyris and Schön’s Theory and Systems Theory. The investigation was carried out on 150 representatives from G4S Kenya Limited. An adjusted Likert scale questionnaire separated into three (3) sections was created. A pilot study was done to fine-tune the instrument. Information gathered was reviewed on a PC by use of Statistical Package for Social Science (SPSS Version 22) for Windows. The collected data was then examined using statistical methods of frequencies and percentages, with the aid of MS Excel. Charts, tables and bar graphs were then used to present the information. The summary of the main component of the study conclusion was based upon the research objectives. The researcher deduced that a system thinking provides continuous learning opportunities in the organization; embraces creative tension as a source of energy and renewal, link individual performance with organizational performance. This is because the majority of the respondents indicated that system thinking link individual performance with organizational performance. This component scored highly on the adjusted Likert scale; a clear indication of the importance of system thinking on the performance of G4S Kenya Limited. The investigation on the influences of learning organization on the performance of G4S Kenya limited was recommended for further study since it has brought to light the effect of systems thinking, personal mastery, and mental models and shared vision on organization performance.
A Review of Definitions of Sustainable Food and Their Implications for All-Inclusive Holidays
Authors: Antonschmidt Hannes
Published: July 2019

The question of food sustainability is an emerging field of interest and subject of increasing political debate. At the same time, food is one of the major pleasure components of the tourism product. This duality poses a challenge to tourism businesses to fulfill food sustainability
requirements while remaining attractive to guests. Especially all-inclusive holidays are under increasing pressure as they are sometimes regarded as a particularly unsustainable travel product. Against this background, this study systematically analyzes existing definitions of the sustainable
food concept. A five pillar framework differentiating the dimensions "Environment," "Society," "Individual/Health," "Culture," and "Economy" is applied, and the requirements along each dimension are compared to typical characteristics of all-inclusive holidays. The study finds that all-inclusive
holidays, in their current form, cannot be considered sustainable with respect to food, mainly because their basic promises run contrary to the requirement of the sustainable food concept to minimize negative environmental and cultural impact. Furthermore, the cost-intensive overconsumption
logic inherent in all-inclusive holidays puts the social and health balance under pressure. Nonetheless, the increasing guest segment that values sustainable food seems less price sensitive than "traditional" all-inclusive tourists, offering hotels some financial space to implement a change
towards sustainability. A reduction in environmental impact, however, appears only possible by allowing less, but higher quality, all-inclusive tourism.
THE EFFECT OF IFRS ADOPTION AND LAW ENFORCEMENT ON BOOK TAX AGGRESSIVENESS: EVIDENCE FROM ASEAN COUNTRIES
Authors: Damayanti Theresia Woro
Published: July 2019

Firms are arguably motivated to exhibit tax aggressiveness because tax constitutes a significant portion of firms’ total costs. This study aims to test the effects of IFRS adoption and law enforcement on book-tax aggressiveness in six developing ASEAN countries. Our sample is 29,504 firm-year observations generated from Thomson Reuters Eikon for the years 2000–2017. The results show that IFRS adoption has a positive effect on book-tax aggressiveness, indicating that firms tend to prioritize book-tax aggressiveness over book-tax conformity. Further, law enforcement negatively affects book-tax aggressiveness. All in all, our findings imply that law enforcement is very crucial for ASEAN countries to enhance managers’ awareness of not engaging the book-tax aggressiveness practice.
Anti-glitches in the Ultraluminous Accreting Pulsar NGC 300 ULX-1 Observed with NICER
Authors: Ray Paul S. , Guillot Sebastien , Ho Wynn C. G. , Kerr Matthew , Enoto Teruaki , Gendreau Keith C. , Arzoumanian Zaven , Altamirano Diego , Bogdanov Slavko , Campion Robert , Chakrabarty Deepto , Deneva Julia S. , Jaisawal Gaurava K. , Kozon Robert , Malacaria Christian , Strohmayer Tod E. , Wolff Michael T.
Published: July 2019

We present evidence for three spin-down glitches (or “anti-glitches”) in the ultraluminous accreting X-ray pulsar NGC 300 ULX-1, in timing observations made with the Neutron Star Interior Composition Explorer. Our timing analysis reveals three sudden spin-down events of magnitudes Δν = −23, −30, and −43 μHz (fractional amplitudes Δν/ν = −4.4, −5.5, and −7.7 × 10−4). We determined fully phase-coherent timing solutions through the first two glitches, giving us high confidence in their detection, while the third candidate glitch is somewhat less secure. These are larger in magnitude (and opposite in sign) than any known radio pulsar glitch. This may be caused by the prolonged rapid spin up of the pulsar, causing a sudden transfer of angular momentum between the superfluid and non-superfluid components of the star. We find no evidence for profile or spectral changes at the epochs of the glitches, supporting the conclusion that these are due to the same process as in normal pulsar glitches, but in reverse.
The Response of the Lyα Line in Different Flare Heating Models
Authors: Hong Jie , Li Ying , Ding M. D. , Carlsson Mats
Published: July 2019

The solar Lyα line is the strongest line in the ultraviolet waveband, and is greatly enhanced during solar flares. Here we present radiative hydrodynamic simulations of solar flares under different heating models, and calculate the response of this line taking into account nonequilibrium ionization of hydrogen and partial frequency redistribution. We find that in nonthermal heating models, the Lyα line can show a red or blue asymmetry corresponding to the chromospheric evaporation or condensation, respectively. The asymmetry may change from red to blue if the electron beam flux is large enough to produce a significant chromospheric condensation region. In the Lyα intensity light curve, a dip appears when the change of asymmetry occurs. In thermal models, the Lyα line intensity peaks quickly and then falls, and the profile has an overall red asymmetry, which is similar to the profiles from heating by a soft electron beam. The Lyα profile shows a single red peak at the end of thermal heating, and the whole line is formed in a very small height range.
Biological risk assessment of miltefosine in concomitant infection with opportunistic toxoplasmosis
Authors: Barakat Ashraf M , Saafan Amal E , Melek Samuel T , Behour Tahany S , Khairy Nehal M , Khairalla Ahmed S
Published: July 2019

Introduction: Although miltefosine is the first line for treatment of leishmaniasis, it could have multiple un-recognized effects if any infection accidentally takes place during therapy. The aim is to precisely evaluate the molecular and biochemical remarks of miltefosine on Toxoplasma gondii accidental infection during miltefosine therapeutic course.

Methodology: changes implied by miltefosine daily parenteral administration to Toxoplasma-infected mice, subcutaneously or intraperitoneal, have been investigated. Tumor necrosis factor-Alfa, immunoglobulin G and M, IL-12 and interferon-gamma release assay (IGRA) were measured in the animals’ sera post-miltefosine administration in addition to monitoring Tissue parasite load by measuring the daily changes of copy number of B1 gene using quantitative PCR technique (qPCR).

Results: Miltefosine significantly increased inflammatory and immunological markers (TNF-α, IgG and IgM) measured on reference to control untreated group, with a significant increase in the parasite burden and distribution in all tested organs (F = 390.9, df = 9, P < 0.0001), (F = 4478.98, df = 4.75, P< 0.0001) and (F = 247.3, df = 4, P < 0.0001); heart, liver and lung, respectively, using MANOVA. Releasing capability of macrophages significantly increased during the first day of infection, however, it finally declined after seven consecutive doses of miltefosine (t = 7.96, P < 0.001).

Conclusion: Miltefosine could not control the pathogenesis and multiplication of accidental Toxoplasma infection. Cumulative low parenteral daily doses of miltefosine (1.5 µM) could inversely affected the normal humoral immunity against toxoplasmosis. Therefore, a periodical screening for accidental Toxoplasma infection during the course of therapy is strongly recommended.
Oecanthus mhatreae sp. nov. (Gryllidae: Oecanthinae): A new species of tree cricket from Mexico, with an irregular song pattern and unique chirp-like trill configuration
Authors: Collins Nancy , Coronado González Isabel Margarita , Govaerts Bruno Victor Alfons
Published: July 2019

A new species of Oecanthus is described from Mexico. Oecanthus mhatreaesp. nov. occurs in central Mexico in the understory of tropical deciduous forest. Oecanthus mhatreaesp. nov. is currently known only from the Corregidora area of the Mexican state of Querétaro. The widened tegmina and chirp-like brief trills song are consistent with some members of the rileyi species group; however, this new species of tree cricket is different in several aspects. The chirp-like brief trills are generally irregularly spaced, it does not have the expected grouping of the chirp pulses, and the colors of buff, light olive green, or light brown are vastly different than the four known pale green species in the rileyi species group of the Western Hemisphere. Morphology, habitat, and song details of this new species, with the common name of Otomi tree cricket, are provided in this paper. Video can be viewed at www.oecanthinae.com.
Au Japon, intégration ou coexistence des cultures ?
Authors: Konuma Isabelle
Published: July 2019

Le multiculturalisme, affiché depuis les années 1990 au Japon, pose question dans un pays qui, après-guerre, a fait de l’homogénéité ethnique et culturelle le fondement de la société. On peut s’interroger sur les motivations réelles de l’État à adopter ce concept alors qu’il est en perte de vitesse dans les pays occidentaux.
A Note on Just Taxation
Authors: Morimura Susumu
Published: July 2019

L’imposition est l’un des principaux sujets de la théorie de la propriété des droits, mais il a pourtant été assez négligé jusque récemment. La communauté académique des philosophes avance de nos jours des arguments pour discuter avec ardeur des types d’imposition qui sont légitimes, s’il en est, et l’on doit beaucoup en ce domaine à l’ouvrage de Liam Murphy et Thomas Nagel The Myth of Ownership . Dans leur ouvrage polémique, les auteurs soutiennent qu’il n’existe pas de droit légitime permettant d’imposer par préemption ni la propriété ni les droits naturels à la propriété et que le processus d’imposition n’empiète certes jamais sur les droits de propriété, qui sont le fruit d’une institution par décret gouvernemental. Murphy et Nagel prennent pour cible principale Richard Epstein qui prône une vue libertarienne ou « libérale classique » contraire à ce propos. Epstein compare l’imposition à une expropriation publique et argumente en faveur de l’impôt sur le revenu. Nous discutons ici la thèse d’Epstein sur la propriété privée, avec laquelle nous nous trouvons en accord quoique moyennant des nuances notables. Nous examinons la théorie étatiste de la propriété de Murphy et Nagel et nous soutenons que leur égalitarisme est surtout le fait d’un présupposé. Nous concluons que l’impôt sur la propriété foncière est la forme d’imposition la plus apte à être légitimée à partir de la perspective libertarienne sur les droits naturels, plus en tous cas que l’impôt sur le revenu et que la taxe sur la valeur ajoutée, formes d’impôt qui sont les plus habituelles. Surtout, nous soutenons qu’il y a là une forme d’imposition que la Constitution du Japon autorise.
A. D. Sertillanges, philosophe thomiste de la création
Authors: de Belloy Camille
Published: July 2019

L e P. Antonin Dalmace S ertillanges, o. p. (1863-1945) a consacré de nombreux travaux à l’étude philosophique de la notion de création qui ont trouvé leur synthèse finale dans le maître ouvrage de 1945, L’Idée de création et ses retentissements en philosophie. Le présent article resitue cette réflexion spéculative de Sertillanges sur la création dans la perspective qui fut la sienne, celle d’une apologétique philosophique, orientée à la fois ad extra, vers ses contemporains philosophes, et ad intra, vers ses frères chrétiens. Ainsi Sertillanges fait-il dialoguer Thomas d’Aquin et Henri Bergson pour montrer que la compréhension thomiste de la création ex nihilo échappe à la critique bergsonienne de l’idée de néant, mais il dénonce aussi les illusions où tombent maints penseurs chrétiens, anciens ou modernes, lorsqu’ils réduisent l’idée de création à celle d’un commencement temporel, ce qui les conduit à méconnaître l’apport réel du christianisme en philosophie. C’est cependant dans son analyse des textes mêmes de saint Thomas que Sertillanges se montre le plus pénétrant et le plus novateur : il oblige à saisir jusqu’en ses ultimes conséquences la doctrine thomiste de la relation de création, renversant les représentations naïves ou fausses de la causalité créatrice, conjuguant avec audace dépendance totale et autonomie radicale des créatures, et portant le regard des contemporains vers le mystère de Dieu, « l’Inconnaissable nécessaire ».
Political Variables and State Legitimacy
Authors: Blanco-González Alicia , Payne Gregory , Prado-Román Camilo
Published: July 2019

State legitimacy is a measure of citizen’s support for their institutions. Legitimacy is also a source of sustainable competitive advantage that protects states by making them less vulnerable to social, economic, and political turbulence. The level of support varies as a function of political variables such as national identity, political interest, representativeness of political elites, and political ideology. Our data was derived from the 2014 European Social Survey (ESS) on France, Germany, Spain, and the UK. Based on a sample of 9,151 citizens, the results show that political representativeness and national identity are the greatest influencers of state legitimacy. Political variables also tend to have similar effects on legitimacy across different states.
Change in fatty acid composition and evaluation of lipids and protein oxidation in the commercial cooked clams (Ruditapes decussatus)
Authors: Bejaoui S. , Rabeh I. , Ghribi F. , Aouini F. , Chetoui I. , Telahigue K. , Soudani N. , El Cafsi M.
Published: July 2019

This study aimed to provide information about the changes in fatty acid composition and quality in Ruditapes decussatus tissue after four culinary treatments (steamed, baked, grilled and fried). All treated samples showed a significant decrease in moisture and protein. In contrast, a significant increase in fat content resulted from the grilled and fried treatments. Saturated fatty acid was significantly higher in fresh clams than all cooking processes, except in fried ones. Monounsaturated fatty acid and polyunsaturated fatty acid varied significantly between fresh and cooked clams with high values recorded for fried clams. The n-3/n-6 ratio, peroxide index, EPA+DHA and atherogenicity index decreased significantly after the cooking processes particularly in fried clams. The mineral levels (Mg, Ca and Mn) of cooked clams decreased considerably with grilled and fried treatments. The impacts of cooking on the fatty acid composition and protein content in clam tissue was evaluated by lipid peroxidation (TBARS, PV, FFA, TOR) and protein oxidation (AOPP and PCO), which varied statistically in fried, steamed, grilled and baked samples; indicating alterations in cooked clam tissues structure. Based on our results, steaming is recommended for the preparation of clams because it preserves the most nutritional tissue quality.
Critical Factors Determining Adoption of Telemedicine
Authors: Abdalla Yousif Salim
Published: July 2019

Abstract— Health service is a very complex and expensive public service and it is a highly sensitive service that highly determines the human capital besides knowledge. In this study we used six technology dimensions (product design, patient relationship management, supply chain management, knowledge management, environment, and governance structure), that highly determine an effective adoption of telehealth health care service. We used DNAP model (DEMATEL and ANP) to evaluate and prioritize the weights of the factors that influence an investment in telemedicine health care service. The results of this study show that product design and patient relationship management has a higher interaction with the rest of the selected dimensions such as knowledge management, supply chain management, governance, and environment. Within the product design with respect to the rest of the dimensions, behavioral requirement ranks first, next knowledge requirement, and third technology requirement; patient relationship management with respect to the rest of the dimensions, the ranking is: social network ranks first, next patient service, and third empowerment.
Reliability Measurement in A Multi-path Transmission Network using SMP-BP Algorithm
Authors: Li Xiaoling , Zhou Xinwei
Published: July 2019

Data security is very important in the multi-path transmission networks (MTN). Efficient data security measurement in MTN is crucial so as to ensure the reliability of data transmission. To this end, this paper presents an improved algorithm using single-single minimal path based back-up path (SSMP-BP), which is designed to ensure the data transmission when the second path is out of work. From the simulation study, the proposed algorithm has the better network reliability compared with existing double minimal path based backup path (DMP-BP) approach. It could be found that, the proposed algorithm uses less back-up paths compared with DMP-BP so that less network resources like nodes are achieved.
Leadership and the Adoption of Innovative Planning
Authors: Ackerman Gary L.
Published: July 2019

Schools have become places filled with digital tools. Despite this fact, school leaders find technology planning to be an area of relative weakness. This chapter describes the experiences of four school leaders who adopted an unfamiliar strategy for making technology decisions. The leaders participated in a series of semi-structured interviews. Two leaders displayed characteristics of early adopters of the innovative planning strategy and two displayed characteristics of early majority users of the strategy. Profiles of the two types of leaders are presented. The aspects of the planning strategy that differentiated it from more familiar planning strategies for these leaders are discussed.
Quality Management Obsession
Authors: Zabalawi Eman A.
Published: July 2019

Entrepreneurship is a driving force to modern economies if organizational excellence is achieved. High-quality outputs are important at the local, regional, and international level due to e-commerce evolution in business industries. Therefore, factual approach to solve managerial challenges toward quality at the micro and macro level is on demand to outreach global markets. Even local companies selling locally will have to compete globally with high quality and cost-cutting strategies to gain customer loyalty. The quality challenge is to have consistency in all products and services sold anywhere in the world; this can only be achieved if standardized processes, systems, and training are adopted in a quality culture. As an entrepreneur, acquiring “Quality Strategic Management” approach helps prevention of poor outcomes by keeping failure and appraisal costs to the minimum through quality planning and quality training, quality testing, and quality auditing to avoid factors preventing competitive advantage strategies promptly.
Gender Construction in Transmedial Narration
Authors: Tombul Işıl
Published: July 2019

Transmedia is a narrative that allows a message to meet with the user in different media. With media convergence, a story has become available in different media, and this has also led to the expansion of the market. Star Wars has an important transmedia and a wide fandom. Because the film is on the concept of power, the construction of power shows itself in this area with masculine symbolism. In the post-Disney period, the female characters are prominent, but the films protect the masculine narrative. The aim of this study is to examine the construction of gender in the transmedial narrative in Star Wars films together with the discussions in fandom. For this purpose, gender construction in the transmedial narrative are analyzed by case study.
Longitudinal and Transversal Behavior of Multifilament Yarn Subjected to Longitudinal Load Using Image Analysis
Authors: Vinha Gabriel , Fangueiro Raul
Published: July 2019

The understanding of textile yarns behavior is of paramount relevance for the textile industry, mainly for technical applications. This describes the research work to introduce an alternative method for both yarns diameter and volumetric measurement using image analysis. Its main goal is to better describe the transverse dynamic behavior of multifilament yarns when submitted to tensile loads. Methods for measuring yarns diameter found in the literature are described and discussed. The proposed method presents significant advantages allowing the possibility to perform tests without interruption, as well as the ability to generate a greater amount of data, providing more accurate results. Longitudinal tensile tests using two types of multifilament polyamide yarns were performed and their actual dynamic behavior is analyzed using the experimental results.
A Hierarchical Impact Force Reconstruction Method for Aerospace Composites
Authors: de Simone Mario Emanuele , Ciampa Francesco , Meo Michele
Published: July 2019

This research work presents a hierarchical method able to reconstruct the time history of the impact force on a composite wing stringer-skin panel by using the structural responses measured by a set of surface bonded ultrasonic transducers. Time reversal method was used to identify the impact location by the knowledge of structural responses recorded from a set of excitation points arbitrarily chosen on the plane of the structure. Radial basis function interpolation approach was then used to calculate the transfer function at the impact point and reconstruct the impact force history. Experimental results showed the high level of accuracy of the proposed impact force reconstruction method for a number of low-velocity impact sources and energies.
An Advanced Extreme Environment Wireless Telemetry System for Turbine Blade Instrumentation
Authors: Fraley John R. , Mantooth Alan , Roy Sajib , Murphree Robert , Abassi Affan , Kulkarni Anand , McConkey Joshua
Published: July 2019

As advanced natural gas power generation systems evolve, the thrust for increased efficiencies and reduced emissions results in increasingly harsh conditions inside the turbine environment. These high temperatures, pressures, and corrosive atmospheres result in accelerated rates of degradation, leading to failure of turbine materials and components. The University of Arkansas (UA) and Siemens, in collaboration with the DoE's National Energy Technology Laboratory (NETL), are developing a reliable and long-term monitoring capability in the turbine hot gas path in the form of novel ceramic-based thermocouples and integrated wide band gap instrumentation electronics that will contribute to the overall reliability of gas turbines. When equipped with better monitoring and controls, power plants can operate with increased fuel-burning efficiency, improved process dynamics and gas concentrations, and increased overall longevity of the power plant components. This will result in increased turbine availability and a reduction in outages and maintenance costs.

One of the key aspects to driving forward turbine monitoring capability is the development of high temperature capable integrated circuit (IC) electronics. Previous papers have described 500 °C + electronics that were developed primarily from a combination of discrete single transistors combined with supporting high temperature passive components. While these circuits have been tested successfully in high temperature spin test environments, the move to an IC approach will greatly increase the performance and reliability of turbine monitoring systems. This program is developing such capability through the implementation of silicon carbide (SiC) based ICs, and this paper details the initial approach and early testing of the developed devices. This research represents an important step towards the realization of a field deployable high reliability turbine condition monitoring system.
Miniature Power Sources for High Temperature Industrial Sensors
Authors: Hayden Brian E. , Turner Louise M.V. , Noble Robert , Perkins Laura , Pasero Denis
Published: July 2019

Ilika has applied its heritage of patented materials discovery with leading OEMs, to develop solid state batteries which enable the powering of autonomous IoT sensors for Industry 4.0. StereaxTM solid state batteries have small size but long life and, when combined with energy harvesters, provide perpetual energy to small sensing devices in difficult-to-reach, hostile and high temperature environment (operating in Extended temperature range −40 to +150°C) without need for cabling or changing batteries regularly.
Study of Thermal Stress in Nano Silver Bonded Silicon Substrates for High Temperature Applications
Authors: Liu G.D. , Wang C.H.
Published: July 2019

The silver nanoparticle paste is a promising material for high temperature die-attach applications. In this paper, the finite element method is used to study the relationship between the thickness of the sintered silver layer and the thermal stress in the sintered silver joint. Silicon chips are bonded together with sintered silver layers of different thicknesses. In the experimental study, strain gauges are attached onto the surface of the upper silicon and used to estimate the effects of the nano silver die-attach layer. The results show that the average stress in the silver layer at the interface decreases with the increasing thickness of the silver layer, while the stress on the silicon surface increases with the increasing thickness of the silver layer.
Improved sinterability of particles to substrates by surface modifications on substrate metallization
Authors: Bhogaraju Sri Krishna , Mokhtari Omid , Pascucci Jacopo , Conti Fosca , Elger Gordon
Published: July 2019

Sintering under pressure has been in the forefront of the research and development over the past decade as an alternative to high temperature soldering and die-attach bonding for high temperature electronics. However, high bonding pressure is a deterrent to mass industrialization due to the high costs involved in the design of special tooling and complex process control parameters. Further, it can cause device cracking, especially while working with sensitive high power optoelectronics devices (e.g. high power light emitting diodes). Therefore, alternatives to enhance sinterability are highly requested. Substrate metallization is observed to play an important role while sintering. An innovative low cost method to have nanostructured surface modifications on the substrates is realized and presented here. The method is applied to enhance sinterability of Cu particles to substrate. Shear tests on samples with surface modified substrates are promising with results of ca. 25 MPa, which is 24% better than sintering on unmodified bare Cu substrate. Sintering was enabled by in-house developed hybrid Cu paste under pressureless sintering conditions of 300°C, for 60 min, and under N2 atmosphere.
Fostering community development: Utilising domiciliary physiotherapy as a tool
Authors: Futter M. J.
Published: July 2019

Following a request from the Manenberg community a domiciliary physiotherapy programme was established in order to improve the quality of life of the severely disabled persons and their caregivers living in the area.Emphasis was placed on the community development process to encourage the participants to take responsibility for their own rehabilitation needs.Forty-three disabled persons were provided with rehabilitation regimens and their caregivers were trained in the physiotherapy management of their relatives until maximum benefit had been achieved.Measurements of the functional level before and after the intervention showed a significant improvement even though the injury or onset of disease had occurred from two years to eleven years previously.This improvement demonstrated that the caregivers, many of whom were functionally illiterate, were competent at performing the physiotherapy techniques required to rehabilitate their disabled relatives.
Guillain-Barre syndrome- Rationale for physiotherapy management of the acute severe patient
Authors: Fearnhead Lynn , Fritz Vivian U.
Published: July 2019

The critical importance of supportive care including physiotherapy to the acute severe Guillain-Barre patient is emphasised in numerous reports in the literature. However, there are no systematic studies of physiotherapy in Guillain-Barre syndrome (GBS). This article examines the aetiology, pathology, clinical features, prognosis and treatment of GBS with reference to the physiotherapists’ management of the acute severe patient treated in an intensive care unit.
Facial involvement in Indian psoriatic patients and its association with disease severity and metabolic syndrome: A cross-sectional study
Authors: Ranugha P. S. S. , Bishnoi Priya , Chandrashekar Laxmisha
Published: July 2019

Background:

Face was often thought to be spared in psoriasis possibly due to the protective effect of sebum and low-dose ambient ultraviolet radiation exposure. Some have suggested that facial involvement is common and indicates disease severity. There is a paucity of data on this, particularly from India. Psoriatics have a higher prevalence of metabolic syndrome, and patients with severe disease are at greater risk.

Objective:

A study of the frequency and type of facial involvement in Indian psoriatic patients and its association with disease severity and metabolic syndrome.

Methods:

A total of 250 consecutive psoriatic patients were screened and these yielded 188 patients with facial involvement. Facial psoriatics were divided into peripherofacial, centrofacial and mixed facial types. Disease severity was assessed using whole body, scalp, facial psoriasis area severity index scores and nail area psoriasis severity index scores. Patients were evaluated for the presence of metabolic syndrome using NCEP-III criteria. All parameters were compared both between facial and nonfacial psoriatics and between cases with different types of face involvement.

Results:

The mean age (P = 0.04) and age of onset of disease (P = 0.02) was lower and median whole-body psoriasis area severity index score was higher in psoriatics with facial involvement (P < 0.001) than those without. No significant association was found between facial involvement and metabolic syndrome. Mixed facial was the commonest type of facial involvement and there was a significant association of mixed facial involvement with increased total body psoriasis area severity index scores (P < 0.001).

Limitations:

Dietary habits, physical activity level, family history of diabetes and obesity were not enquired for in our patients. Centrofacial cases were too few in number, hence statistical comparisons are not relevant.

Conclusion:

Facial involvement in psoriatics is associated with severe disease but not metabolic syndrome. Mixed facial type might be considered a marker of overall psoriasis disease severity in the Indian population.
An abstract characterization of noncommutative projective lines
Authors: Nyman Adam
Published: July 2019

Let

k

be a field.We describe necessary and sufficient conditions for a

k

-linear abelian category to be a noncommutative projective line, i.e. a noncommutative

\mathbb P^1

-bundle over a pair of division rings over

k

. As an application, we prove that

\mathbb P^1_n

, Piontkovski’s

n

th noncommutative projective line, is the noncommutative projectivization of an

n

-dimensional vector space.
A free product pair rigidity result in von Neumann algebras
Authors: Ueda Yoshimichi
Published: July 2019

We prove that the free product pair of finitely many copies of the unique amenable type III

_1

factor endowed with weakly mixing states remembers the number of free components and the given states.
Rough index theory on spaces of polynomial growth and contractibility
Authors: Engel Alexander
Published: July 2019

We will show that for a polynomially contractible manifold of bounded geometry and of polynomial volume growth every coarse and rough cohomology class pairs continuously with the

K

-theory of the uniform Roe algebra.

As an application we will discuss non-vanishing of rough index classes of Dirac operators over such manifolds, and we will furthermore get higher-codimensional index obstructions to metrics of positive scalar curvature on closed manifolds with virtually nilpotent fundamental groups.

We will give a computation of the homology of (a dense, smooth subalgebra of) the uniform Roe algebra of manifolds of polynomial volume growth.
Ultrasound Characterization of Salivary Lesions
Authors: Joshi Alpana N , Kamble Rajesh C , Mestry Pravin J
Published: July 2019

Evolution in ultrasound technology leads to birth of high frequency, high resolution linear transducers which in turn revolutionized the imaging of superficial structures. The majority of cases presenting to clinician in day-to-day practice as facial lumps or neck lump could be evaluated using ultrasound and help in imaging of salivary gland lesions. The age of the clinical presentation and morphological characteristics of lesions on ultrasound helped us in making confident diagnosis which was correlated on fine needle aspiration cytology/histopathology studies.
Intranasal Pleomorphic Adenoma
Authors: Patil Rashmi Mallanagouda , Kushtagi Anirudha Vasant
Published: July 2019

Pleomorphic adenoma is a benign tumor arising from major salivary glands and also has been reported in salivary glands of palate rarely in nasopharynx, oropharynx and larynx and lacrimal glands. We report a case pleomorphic adenoma of nasal septum and discuss the clinical features, management along with review of literature.
Stamps-smart Bombs To Streptococcus Mutans
Authors: Reddy V.V. Subba , Naik Sathyajith , Krishnakumar R. , Srinivasan S.
Published: July 2019

Plaque on the surface of the tooth consists of a bacterial film that produces acids as a by-product of its metabolism. To be specific, certain bacteria within the oral diseases, such as dental caries and periodontal disease, should be considered as consequences of ecologically driven imbalances of oral microbial biofilms. The ecological disruption resulting from antibiotic treatment frequently results in secondary infections or other negative clinical consequences. To address this problem, researchers have recently developed a new class of pathogen-selective molecules, called specifically (or selectively) targeted antimicrobial peptides (STAMPs), and based on the fusion of a species-specific targeting peptide domain with a wide-spectrum antimicrobial peptide domain.
Sclerotic or Translucent Dentin: A Review
Authors: Selvamani M
Published: July 2019

Sclerosis of dentinal tubules may be a response to pathological or physiological insult in the crown & root that starts in the root and gradually extend to the crown of the tooth in case of physiological sclerotic dentin. The exact mechanism of the formation of sclerotic dentin is not known, however various authors have proposed different possible mechanisms, which are not universally accepted but, it is generally agreed that sclerotic areas of root dentin increases in size with age.
COMPLEX OROFACIAL DEFECTS -A RECONSTRUCTIVE CHALLENGE
Authors: Kamath Rajay A. D. , Bharani K. S. N. Shiva , Shubha Lakshmi S , Hadhimane Amith
Published: July 2019

Introduction

Oral cavity cancers account for 30% of head and neck cancers and represent a significant challenge to clinicians. Treatment requires multi disciplinary expertise and is complicated by. the complex role that the oral cavity plays in speech, mastication, and swallowing. Surgery remains the cornerstone of most treatment regimens; the primary objective is cure, not withstanding preservation of form and function to retain a good quality of life that can be further improved by reconstructive techniques using various local flaps, distant flaps or microvascular reconstruction. The pectoralis major [PM] flap has many advantages in that it is very reliable, and allows a single-stage reconstruction of most head and neckdefects to the level of the maxilla with well-vascularized tissue capable of carrying a large skin paddle. The donor site morbidity is surprisingly low, and few patients complain of difficulties with arm movement.

Aims & Objectives

This paper revisits the surgical anatomy and technique of harvesting the Pectoralis Major myocutaneous flap used to reconstruct complex defects of the lower face following composite therapeutic resection. In addition, we describe our experience using this flap and discuss associated
merits and demerits and complications.

Conclusion

Despite contemporary micro vascular techniques, the Pectoralis Major myocutaneous flap continues to be a versatile option in the reconstruction of complex head and neck defects following ablative surgery. However, regardless of the site, stage and degree of tumor differentiation, such cases will always pose as a therapeutic challenge to the reconstructive surgeon.