bluuebunny/crossref_metadata_2025 huggingface dataset:
An Echocardiographic Evaluation of Dilated Cardiomyopathy in a Tertiary Care Hospital
Authors: Thapa Raj Kumar , K.C Kanchan , Khatri Rishi , Khatri Devendra , Deo Rajeeb Kumar , Shah Drishti
Published: July 2019

Introduction: Cardiomyopathies are diseases of heart muscle that may originate from genetic defects, cardiac myocyte injury or infiltration of myocardial tissues. Dilated cardiomyopathy is the most common phenotype and is often a final common pathway of numerous cardiac insults. Mostly it remains unknown in the absence of echocardiography, histopathology and genetic evaluation. Though common it is underdiagnosed with not much of data available in our setup.Methods: This study was analytical cross-sectional study of hospital data on Echocardiographic findings in 65 patients of DCM visiting cardiology unit for Echocardiographic evaluation from 1st of February to 31st July 2018 for the period of six months in Shree Birendra Hospital, a tertiary care military hospital at Chhauni, Kathmandu. Pediatric age group patients and those who refused to give consent were excluded. Data obtained were entered in Microsoft Excel 2010 and analyzed by IBM SPSS 21.Results: Among 65 patients enrolled 40 (61%) were male and 25 (39%) female with male to female ratio of 1.6:1. Elderly people (61-75 years) with an average age of 65 were commonly involved and they presented mostly with congestive heart failure, 32 (49%). Echocardiographic evaluation showed 36 (55%) with mildly dilated Left Ventricle (5.6-6.0cm). Majority had reduced Left ventricular systolic function with an average Ejection fraction (EF) of 39.6%. No significant difference between male and female with the average EF% (P=0.990) and there was no significant relation between age and average EF% (P=0.091).Conclusions: Dilated Cardiomyopathy is the commonest cardiomyopathy phenotype mostly presenting with congestive heart failure. It is often underdiagnosed in our part of the world, however echocardiography will easily detect the condition.

Keywords: dilated cardiomyopathy; echocardiography; ejection fraction; left ventricle.
Practice of Breastfeeding and its Barriers among Women Working in Tertiary Level Hospitals
Authors: Singh Bhandari Mukta , Manandhar Pratibha , Tamrakar Dipesh
Published: July 2019

Introduction: Breastfeeding provides ideal food for newborns and prevents recurrent infection and malnutrition in infants. In Nepal, breastfeeding is a universal practice but exclusive breastfeeding is low. As there is increased involvement of women in workforce, practice of breastfeeding may have been compromised. The main objective of the study was to examine the practice and barriers of breastfeeding among women working in tertiary level hospitals of Nepal. Methods: This was a hospital based descriptive cross-sectional study. Study participants were wom- en working in Dhulikhel Hospital and Kathmandu Medical College and Teaching Hospital and was conducted from December 2017 to June 2018. Ethical approval was taken from institutional review committee of both institutions. Total of 208 women were included in the study and face to face interview was conducted. Data entry and analysis was done using statistical package of social sciences (SPSS).Results: Breastfeeding practice was universal and colostrum was fed by 195 (94%) women. Pre- lacteal feeding was given by 14 (7%) women and 119 (57%) initiated breastfeeding within one hour of birth. Total of 93 (45%) children were exclusively breastfed for any duration while 10 (11%) were exclusively breastfed for six months. The mean duration of breastfeeding was 14.57 months and 90 (43%) started complementary feeding before six months. Total of 97 (51%) women and 42 (47%) women stated work as barrier for not exclusively breastfeeding and early complementary feeding respectively. Conclusions: Exclusive breastfeeding was very low and children were breastfed for less than two years. Complementary feeding was also started earlier and work was stated as the main barrier for poor breastfeeding practice.

Keywords: breastfeeding; complementary feeding; working women.
Ingestion of Bell Clappers by a Shaman in Jumla, Nepal: A Case Report
Authors: Thapa Niresh , Basnyat Subi , Maharjan Muna
Published: July 2019

Accidental foreign body ingestion is a common problem encountered in Emergency. Deliberate foreign body ingestion may result due to an act of insanity or an act of daring. A shaman locally known as Dhami was brought to Emergency with the history of ingestion of bell clappers. He denied the history of psychiatric illness or substance abuse. On physical examination, there were signs of peritonitis. Laparotomy was done to remove the foreign bodies. Post-operative period was uneventful. Apart from the surgical intervention, psychological counselling was given to him. This is a rare interesting case due to the fact that the 15 cm long foreign bodies passing all the way through without significant injury and finally causing obstruction in ileocecal junction and perforation in the distal ileum.
Regulation of Surgical Procedures and Health Care Facilities Rankings in Nepal
Authors: Acharya Yogesh , Dahal Ranjan , Bista Navindra Raj , Khanal Milan Chandra , Bista Sangita
Published: July 2019

Globally, millions of surgeries are performed each year to compliment and manage a diverse set of medical conditions. Adverse surgical outcomes constitute a major proportion of avoidable death and disabilities in the hospital, especially in low-income countries like Nepal. A comprehensive study on the standards of surgical procedures and its institutional regulations is missing. We discuss here the importance of surgical regulation based on it’s financial as well as healthcare implications in the Nepalese healthcare system.

Keywords: surgical procedures; health care facilities; safety; surgery; WHO.
A Comparative Analysis of Medical Education Models and Curriculums of A Medical University and A Medical Education Center
Authors: Fanwei QU , Jin HE , Hua MA , Yanling JIANG , Wenlan ZHAO , Chongsuvivatwong Virasakdi , Runsheng JIANG
Published: July 2019

Introduction: In order to solve the shortage of competent healthcare manpower at the village level of Yunnan Province, We compared the training mode of Kunming Medical University and The Medical Educational Center, Hat Yai of PSU. The aim of this study is to compare the difference of the two institutions and learn from each other’s advantages. Methods: The review covered relevant policy areas and stipulations governing general practitioner training for both countries. Quantitative research was done by using a questionnaire developed in house by the project team, students from the inaugural cohort at KMU and students from the MECH. In Qualitative research, in-depth interviews were carried out with the teaching administration and students from both schools.Results: In Kunming Medical University, besides the conventional lectures, teaching methods such as case based learning and problem based learning have been worked into the basic science, laboratory, and clerkship/internship sessions. The desired end product is a general practitioner. In Prince of Songkla University, the first and second phases consist of basic science and preclinical integrated topics taught at PSU. For the third and final phase, the students have core clinical modules and selective at MECH where the methods are learner centered, problem based, integrated and set in the context of community primary healthcare practice. Conclusions: We should start with the integration of the medical disciplines and the humanities, so as to restore the lost “art of doctoring”. We need to integrate the various foundational and clinical disciplines into an organ system based curriculum, not just in form, but also in function and purpose.

Keywords: curriculums; Hat Yai; Kunming Medical University; medical education models; Medical Education Center.
Extra Hepatic Portal Vein Obstruction with Solitary Left Kidney: A Case Report
Authors: Adhikari Pabitra , Regmi Nirajan , Chitrakar Akash , Ghimire Bikal , Singh Yogendra P.
Published: July 2019

EHPVO in individual with solitary left kidney is rare occurance. Though there is no etiological association between EHPVO and solitary left kidney but the solitary left kidney decides the modality of treatment. Eighteen year lady referred to our institute with menorrhagia for 5 years and ultrasonography finding of splenomegaly and atretic right kidney. Investigations revealed Extra Hepatic Portal Vein Obstruction with multiple cavernoma formation with oesophagogastric varices with right renal agenesis. She successfully underwent splenectomy with devascularisation. Patient with EHPVO present mainly with recurrent episodes of variceal bleeding, splenomegaly and hypersplenism. Splenectomy and esophagogastric devascularisation is an effective modality of treatment for patient with EHPVO with solitary kidney.
Prevalence of Ruptured Intracranial Aneurysms in A Tertiary Care Hospital of Nepal
Authors: Thulung Suraj , Aryal Binit , Baniya Aashish , Ranabhat Kajan , Shrestha Bibhusan Kalu
Published: July 2019

Introduction: Intracranial aneurysms affect 3-8 percent of the world’s population, with rupturedaneurysms being the most common cause of subarachnoid hemorrhage. The sensitivity of ComputedTomography Angiogram in diagnosing intracranial aneurysm is 97%. The aim of our study is to findout the prevalence of ruptured intracranial aneurysms among all the admitted cases encountered inour hospital.

Methods: A descriptive cross-sectional study was done at Upendra Devkota Memorial NationalInstitute of Neurological and Allied Sciences from 2016 to 2018. Convenience sampling method wasdone. In order to detect the site and size of aneurysms16 slice Siemens Computed Tomography withComputed Tomography angiogram was used. Ethical approval was obtained from the InstitutionalReview Board at Upendra Devkota Memorial National Institute of Neurological and Allied Sciences.Based on demographic data and computed tomography angiography findings, various morphometricparameters along with demographic parameters were considered for the study.

Results: Among 10,856 cases, prevalence of ruptured intracranial aneurysms were found in 42(0.386%) [Confidence Interval= 0.395 to 0.377]. Among 42 cases, Middle Cerebral Artery aneurysmwas present on 16 (39.02%) followed by Anterior Communicating Artery on 14 (34.14%), thenPosterior Communicating Artery on 5 (12.19%). The largest neck and dome size were seen in basilartip aneurysm with size of 11mm and 8mm respectively. The most common type was Fischer grade 4.

Conclusions: The prevalence of ruptured intracranial aneursyms were found to be higher ascompared to the other international studies.
Prevalence of Retrocaecal Appendix among Patients with Appendicitis in A Tertiary Care Hospital of Nepal
Authors: Khatun Sanzida , Thakur Dipendra , Shah Diwakar Kumar
Published: July 2019

Introduction: Appendicitis is one of the most common causes of acute abdomen. The clinicalpresentation of appendicitis and its susceptibility to acute inflammation may be affected by thelength and position of vermiform appendix. Length and position of appendix are variable. Theaim of the study was to find the prevalence of retrocaecal appendix among patients undergoingappendectomy for appendicitis.

Methods: A descriptive cross-sectional study was performed in 264 patients undergoingappendectomy in Department of Surgery, Nobel Medical College, Biratnagar, Nepal 1st May, 2018to 15th May, 2019. Ethical approval was taken. Simple random sampling was done. The position ofappendix was noted before appendectomy. Subgroup analysis was done on the basis of gender andlength of appendix recorded in centimeters with a measuring scale immediately after removal ofappendix. Data was collected in excel and was analyzed in SPSS version 16.

Results: Prevalence of retrocaecal appendix among patients with appendicitis was 95 (35.98%).Similarly, other positions noted were pelvic in 67 (25.37%), post-ileal in 61 (23.10%), pre-ileal in 11(4.16%) and subcaecal in 30 (11.36%) individuals. The length of appendix ranged from 1.7 cm to 14.7cm. The mean length was 8.67±2.44 cm.

Conclusions: The most common position of appendix in patients with appendicitis is retrocaecalposition followed by pelvic position in both males and females.
Prevalence of Community-Acquired Pyoderma in Dermatological Outpatient Department of A Tertiary Care Hospital
Authors: Bishwokarma Ghimire Rupak , Pokhrel Khilasha , Shrestha Sanjubabu
Published: July 2019

Introduction: Pyoderma is defined as any purulent skin disease and represents infections inepidermis and dermis or hair follicles. This study aims to find out the prevalence of communityacquired pyoderma in dermatological outpatient department of a tertiary care hospital.

Methods: A descriptive cross-sectional study was carried out among patients who presented atdermatology outpatient department of Kathmandu Medical College Teaching Hospital betweenDecember 2018 and March 2019 after ethical clearance from institutional review committee.Convenience sampling method was done. Data was collected and analysis was done using SPSSsoftware, point estimate at 95% CI was calculated along with frequency and proportion for binarydata.

Results: Out of 385 cases, 72 (18%) cases were of community-acquired pyoderma. Prevalence ofcommunity-acquired pyoderma is 72 (18%) at 95% CI(). Primary pyoderma was seen in 49 (12.72%)mainly folliculitis 17 (4.41%), furunculosis 16 (4.15%), impetigo 6 (1.55%), abscess 6 (1.55%) andbacterial paronychia 4 (1.03%). Staphylococcus aureus was the most common organism isolated in 42(58.3%) cases and Staphylococcus epidermidis was isolated in 3 (4.17%) cases. Staphylococcus aureuswas most sensitive to Vancomycin 42 (100%) followed by Gentamycin 40 (95.2%), Ciprofloxacin 40(95.2%) and Ceftriaxone 40 (95.2%). Highest resistance was seen to Azithromycin in 13 (30.95%),followed by Cloxacilllin in 11 (26.19%). Males were affected predominantly in 49 (68.06%) ascompared to females in 23 (31.94%).

Conclusions: Prevalence of community-acquired pyoderma is high among patients visitingdermatological outpatient departments of a tertiary care hospital compared to other studies.Antibiotic resistance of commonly used antibiotics are increasing and thus proper cultureand sensitivity reports may be required to guide our treatment
New genetic type of leaching zones in the salts of the verkhnekamskoe salt deposit: hydrochemical, mineralogical and structural indicators
Authors: Chaikovskiy I. I. , Korotchenkova O. V. , Trapeznikov D. E.
Published: July 2019

The brine-saturated leaching zone first encountered in the salt rocks of the Verkhnekamskoe Salt Deposit is characterized in detail. It consists of a cavernous nucleus (40×70 m), composed of an aposilvinite syngenite-halite rock with gypsum and kalistroncite, and a recrystallization halo 60–80 m wide, not containing secondary sulfates. Above the leaching zone is a linear zone of weathering and decarbonization of marls above the salt layer. This zone is controlled by the anticlinal crest of the sublatitudinal strike, extending parallel to the Durinsky Trough of the sedimentary-fault nature. The penetration of supra-salt waters into a salt deposit is associated with the manifestation of deformations in the salt mass at its hinge inflection during the formation of the Durinsky deflection in the Early Permian time. The connection of the brines of the investigated leaching zone with infiltration over-salt sulfate-calcium waters was revealed and their place was determined in the general scheme of genetic typification of natural brines and waters circulating in the salt deposit of the Verkhnekamskoe Salt Deposit.
Rare elements — setting markers of the formation of the manganese and iron ore deposits of Kalahari and Postmasburg areas (South Africa). Communication 1. Kalahari manganese field
Authors: Varentsov I. M. , Kuleshov V. N.
Published: July 2019

In manganese ores of the Hotazel Formation (Transvaal supergroup) of the Lower Proterozoic, associated with banded ferrous silicites, high concentrations of a number of rare elements (B, Ge, W, Mo, Cr, Ni, Zn, Cd, Pb, Ag, Bi, As, Sb, Te, Se) were determined. High boron contents in oxide-carbonate ores (manganese lutites) are considered as a consequence of the concentration by chemsorbtion of this element on Mn-carbonates. It is proposed that as a result of hydrothermal transformations, a wide range of ore-forming (mainly Fe, Mn) and rare elements (including REE) was removed from the underlying andesite-basaltic hyaloclastite Ongeluk Formation In manganese ores and ferruginous silicites, typical values of cerium (Ce/Ce* 0.28–1.72) and europium (Eu/Eu* 0.57–16.31) anomalies were established, which may indicate that the initial sediments accumulated in the marginal shallow sea basin with a pronounced oxide surface water layer and close to anoxide conditions near the bottom. Metalliferous (Mn, Fe) sediments of a shallow water basin at different stages of lithogenesis were enriched with europium (positive Eu/Eu*), subjected to metasomatosis (with redistribution of manganese and the formation of manganese carbonates) and, subsequently, regional metamorphism (up to the stage of sericitic green schists).
Numerical simulation of orthosilicic acid polycondensation and silica particles formation inhydrothermal solutions
Authors: Potapov V. V. , Cerdan A. A. , Kashutina I. A.
Published: July 2019

Numerical simulation of the process of polycondensation of orthosilicic acid and colloid silica particles growth under different physical and chemical conditions was done: temperature, pH, ionic strength and other. Calculated dependences of orthosilicic acid concentration and mean radius of silica particles versus time, graphs of particles dimensions distributions were received. Results of calculations were compared with experimental data. Research is important for to make clear role of colloid silica on hydrothermal mineral formation and for industrial extraction and utilization of silica, and also for mineral synthesis.
Global experience of interaction with scientific diaspora: lessons for Russia
Authors: Yurevich M. A. , Malahov V. A. , Aushkap D. S.
Published: July 2019

International experience has shown that close cooperation with the national scientific diaspora is crucial to strengthening the scientific and technical potential of a society. A review of academic papers revealed specific features of the global movement of scientific personnel, which causes, among other things, mutually beneficial cooperation of emigrant scientists and the donor country. For example, China, India, Korea, Taiwan, and Iran have instituted successful policies with regard to national scientific diasporas. However, the literature reveals that in Russia measures in this direction instituted by the state are inconsistent. In this study, the authors formulate proposals that should contribute to the expansion of interaction with the Russian scientific diaspora.
Scientific cooperation of Russia with post-soviet states
Authors: Kravtsov A. A.
Published: July 2019

The article defines the current state and dynamics of the scientific cooperation between Russia and non-Baltic post-Soviet states by studying researchers’ scientific co-publications indexed in the Web of Science. The statistics on the number of Russian and post-Soviet authors’ bilateral scientific articles in 2000–2017 were analyzed, as well as distribution of the articles by publication year, area of research, main sponsors, and authors’ organizational affiliations. Four groups of countries were specified, for which the dynamics of scientific publication cooperation with Russia can be described as growing, positive, stagnating, and dwindling respectively. The main areas of scientific cooperation between Russia and post-Soviet states were identified in general and for each partner country in particular, as well as the leading cooperating organizations, key areas of joint research, and major research sponsors. The comparative relevance of co-publications for the scientific community was evaluated through scientific citation indexes for each post-Soviet partner country and each key area of research. The valuable role of higher education institutions in maintaining scientific cooperation in the context of adverse political and economic environments was specified.
World trade wars: new impact estimation tools
Authors: Makarov V. L. , Wu Jie , Wu Zili , Khabriev B. R. , Bakhtizin A. R.
Published: July 2019

This article provides an overview of the most well-known tools for quantifying the effects of trade wars. The most famous and highly cited works are analyzed. In these works, mathematical models that view the economic systems of several states and participants of international relations at the same time are considered, analysis of which revealed a certain bias of results in favor of individual countries, as well as the lack of consideration of the specific features of the economic systems of most of the subjects considered. In the next work, which is a continuation of this article, we will provide information regarding the model complex being developed for assessing the effects of intercountry trade wars, allowing us to carry out calculations of measures aimed at other countries that are against Russia and China and present the results obtained.
The crisis of the new western sociological schools. That showed the XIX congress of the ISA?
Authors: Ryazantsev S. V. , Ruban L. S.
Published: July 2019

In the article the authors analyze the development of Western sociological science during 20 years that have passed between the 14th and 19th ISA Congresses held in Canada (in Montreal – in 1998 and Toronto –in 2018, respectively) and claim the crisis state of Western sociology at the moment, largely due to the departure and rejection of basic research, the transition mainly to applied and reduced professionalism in the sociological sphere. Since the Congress of the International Sociological Association is the largest scientific event, it is of interest to evaluate the results of sociological research presented in the reports of the participants, to analyze the methods used and the chosen scientific directions, as well as the potential of sociologists. And the 19th ISA Congress showed that along with the Western sociological schools that are currently experiencing a crisis, new sociological schools are being formed in South Africa and Australia, which have achieved noteworthy results.
CURHAT DI BALIK LACI: EKSPRESI LITERASI SISWA DI MADRASAH ALIYAH PESRI KENDARI
Authors: Muslim Abu
Published: July 2019

Tulisan ini menyajikan hasil penelitian tentang pengembangan budaya literasi siswa melalui pengejawantahan petuah bijak yang diekspresikan dari berbagai media. Penelitian ini menggunakan metode kualitatif deskriptif untuk mengungkap pemanfaatan petuah bijak dalam pengembangan budaya literasi siswa Madrasah Aliyah, dengan memilih secara purposif MA Pesantren Ummushabri Kota Kendari sebagai lokus pengamatan. data dikumpulkan dengan metode wawancara, dan observasi, serta melaksanakan FGD di Madrasah sasaran. Teori representasi dipilih sebagai pisau analisis untuk mengungkap makna dibalik karya siswa yang mengandung petuah-petuah bijaksana sebagai sarana motivasi diri, yang dituliskan pada media-media tertentu. Pengumpulan data dilakukan selama kurang lebih 18 hari (5 hari penjajakan + 13 hari pengumpulan data) di bulan Agustus 2016. Hasil kajian menemukan bahwa pengembangan budaya literasi siswa di MA PESRI dapat dilihat pada kreasi berbasis inisiatif yang dituliskan siswa pada berbagai media. Hasil kreasi tersebut mengandung keluh-kesah sebagai simbol beratnya beban yang harus diemban oleh siswa atas ketatnya aturan-aturan pesantren. Penelitian ini juga melihat transformasi pemaknaan dari siswa atas petuah bijak masa lalu, yang didesain ulang dengan tata bahasa yang dibuat sendiri sebagai simbol motivasi dan ekspresi bijaksana, yang bisa ditemui di balik laci, dan pintu-pintu lemari, serta tempat-tempat lainnya. Dalam aspek yang lebih luas, coretan-coretan itu menggambarkan semangat juang tinggi dari para anak-anak pesantren di kehidupan yang sangat dinamis dan penuh liku.
The Impact of Transformational Leadership and Peceived Organizational Support on Organizational Commitment: The Mediating Role of Employee Engagement
Authors: SYADINA KHANSA PUTRI , PURNOMO RATNO , ANGGRAENI ADE IRMA
Published: July 2019

This study aims to determine the influence of transfromational leadership, perceivedorganizational support, and employee engagement of organizational commitment. Thesurvey was conducted at Inspectorate Bekasi. There were 57 respondents selected throughpurposive sampling method. Respondents are permanent employees in the organizationand work for a minimum of five years. Based on the results of research by using multipleregression, and causal step mediation method, it can be conclude : (1) transformationalleadership has a positive affects to employee engagement, (2) perceived organizationalsupport has no positive affects to employee engagement, (3) transformational leadershiphas a positive affects to organizational commitment, (4) perceived organizationalcommitment has a positive affects to organizational commitment, (5) employee engagementhas a positive affects to organizational commitment, (6) employee engagement mediatesthe relationship between transformational leadership towards organizational commitment,and (7) employee engagement doesn’t mediates the relationship between perceivedorganizational support towards organizational commitment. The implication of this researchis if an organization has employees who instill a sense of employee engagement whoalways proud, enthusiasm of their work, and time feels fast at work will greatly affectorganizational commitment. Then, if having a transformational leader that directs themission to the organization, has a purpose, and expressed a sense of satisfaction inemployees will be able to increase the sense of employee engagement and organizationalcommitment. In addition, organizations that concerning of employees welfare, pride inemployees achievement, and appreciate the contribution of employees can also increaseorganizational commitment in Inspectorate Bekasi
The Impact of Perception of Glass Ceilling in Organization and Social Support on Motivation and Organizational Commitment
Authors: AYUNI SHEILA PERMATA , HARYADI HARYADI
Published: July 2019

This research takes the title: "The Influence of Individual Perception About Glass Ceilings in Organizational and Social Support Against Organizational Motivation and Commitment (Study at PT Micro Madani Institute)". The purpose of this study was to determine the effect of individual glass on the glass ceiling in the workplace and also to socialize the organization and the company. The method used is a survey with the number of respondents in this study as many as 50 respondents. The analysis used is the test of validity, reliability test, multiple regression, sobel test, and hypothesis testing. Based on the results of research and data analysis using Multiple Regression shows that: (1) Individual Perception about Glass Ceiling have an effect on to Motivation. (2) Social Support affects Motivation. (3) Motivation affects Organizational Commitment. (4) Individual Perceptions of Glass Ceiling Affects Organizational Commitment. (5) Social Support affects Organizational Commitment. (6) Motivation mediates Individual Perceptions of Glass Ceiling on Organizational Commitment. (7) Motivation mediates Social Support to Organizational Commitment. The implications of this research are the work that can be done to change the individual perceptions of glass ceiling to be better in the minds of employees by approaching female employees, providing understanding and motivation, and company policies to better accept the opinions of female employees and provide assistance to the problems faced by female employees so that female employees become more motivated to work. Co-workers who support each other and can work together, and leaders who give appreciation and appreciation will motivate employees to always give the best work of work to the company. Containers to complain of discrimination in the workplace can curb the practice of glass ceiling and enable employees to increase organizational commitment to the company. Social support from colleagues and leaders will keep employees motivated and committed and accountable to their work within the organization.
Managing Entrepreneurship: An Indonesian Context
Authors: ANGGRAENI ADE IRMA
Published: July 2019

Positive values of Western management such as efficiency, discipline and respect for therole of the individual to influence the performance of the organisation. American corporatemanagement practices cannot be separated from values and rationality embraced by thecommunity. Efforts to achieve organisational effectiveness depends on environmentalfactors, one of which cultural factors. Culture is the value system embraced by theenvironment, including the work environment. Based on Hofstede's cultural dimensions, thecollectivist, Indonesia, entrepreneurial management model has the potential to develop thebusiness goals that have value and uniqueness.
Tingkat pengetahuan penanggulangan bencana dan kesiapsiagaan bencana gempa bumi pada kepala keluarga di Dusun Kiringan Canden Jetis Bantul Yogyakarta
Authors: Setyaningrum Niken , Rumagutawan Rizal
Published: July 2019

Head of Family knowledge about earthquake disaster management is very important in disaster preparedness, it is expected that the community is ready to handle earthquake disaster. In order not to panic and grow negatively against them. The people of Kiringan village are very affected by the earthquake disaster due to disaster prone areas. The purpose of this research is to know the relationship of knowledge level of disaster management with earthquake disaster preparedness to family head in Kiringan Village, Canden, Jetis, Bantul, Yogyakarta. There search used quantitative research type with analytic observation with crosssectional design. The sampling technique using consecutive sampling and samples in this study were 57 family heads in Kiringan Village Canden Jetis Bantul Yogyakarta. Bivariate analysis using spearman rank test. There wasn’t significant correlation between knowledge level of disaster management with earthquake disaster preparedness in the head of family in Kiringan village, Canden, Jetis, Village, Bantul, Yogyakarta got value of Correlation Coefficient 0.104, with significant value equal to 0.441 (p value >0.05). There was nocorrelation between knowledge level of disaster management with earthquake disaster preparedness on family head in Kiringan Village, Canden, Jetis, Bantul, Yogyakarta.
Motivasi dan kepuasan kerja pegawai puskesmas BLUD dan non-BLUD Kabupaten Semarang
Authors: Gumilang Aswindar Adhi , Mahanggoro Tri Pitara , Aini Qurrotul
Published: July 2019

The public demand for health service professionalism and transparent financial management made some Puskesmas in Semarang regency changed the status of public health center to BLUD. The implementation of Puskesmas BLUD and non-BLUD requires resources that it can work well in order to meet the expectations of the community. The aim of this study is to know the difference of work motivation and job satisfaction of employees in Puskesmas BLUD and non-BLUD. Method of this research is a comparative descriptive with a quantitative approach. The object of this research are work motivation and job satisfaction of employees in Puskesmas BLUD and non-BLUD Semarang regency. This Research showed that Sig value. (P-value) work motivation variable was 0.019 smaller than α value (0.05). It showed that there was a difference of work motivation of employees in Puskemas BLUD and non-BLUD. Sig value (P-value) variable of job satisfaction was 0.020 smaller than α value (0.05). It showed that there was a difference of job satisfaction of BLUD and non-BLUD. The average of non-BLUD employees motivation were 76.59 smaller than the average of BLUD employees were 78.25. The average of job satisfaction of BLUD employees were 129.20 bigger than the average of non-BLUD employee were 124.26. Job satisfaction of employees in Puskesmas BLUD was higher than non-BLUD employees.
The new development of India - Myanmar relations during two decades after the Cold War: The bases and achievements
Authors: Binh Nguyen Tuan
Published: July 2019

India and Myanmar are two mutual neighboring countries which have the traditional, longstanding and close relations. Over many periods of ups and downs in history, the links of politics, culture, religion, society... between India and Myanmar are the basis of this relations in the modern. After formally establishing the diplomatic relations in 1948, the relationship between two countries entered the period of peace, cooperation and development. From 1962 to 1991, the relations between two countries have become cold and declining. After the end of the Cold War, the trend of dialogue, peace and cooperation along with the development needs of India and Myanmar created new catalysts for the development of this relations. India - Myanmar relations have shifted from a cold and trained status (1962 - 1991) to improvement, consolidation and development in the years 1992 - 2014. In addition, the relationship between two countries was developed on the basis of inheriting the achievements of the previous period (1948 - 1991) but instead of being mainly in the political field, there was a complete development in many aspects (politics - diplomacy, economy, security - defense...) for two decades after the end of the Cold War. By the historical method and logical method are mainly, this article focuses on analyzing the bases which promote India - Myanmar relations's development in the years after the Cold War and this relationship's major achievements in politics - diplomacy, economy, security - defense. On that basis, the article's author drew conclusions about the development of India - Myanmar relations in the research period.
Digital Image Processing Using Machine Learning
Authors: Bansal Priya , Mamta Mrs.
Published: July 2019

Main aim of Digital Image Processing Using Machine Learning is to extract important data from images. Using this extracted information description, interpretation and understanding of the scene can be provided by the machine. Main point of image processing is to modify images in to desired manner. Image processing is called as altering and analyzing pictorial information of images. In our daily life we come across different type of image processing best example of image processing in our daily life is our brain sensing lot of images when we see images with eyes and processing is done is very less time.
浅谈基于微课程的小学信息技术教学
Authors: 尹 春莎
Published: July 2019

小学信息技术教学存在理论和操作严重割裂的情况,这是教育资源有限和课时时间较少造成的。微课作为新型教学模式,逐渐被引入应用到课堂的教学活动中。对于小学信息技术教学来说,微课教学实现理论与实操的同步,体现了信息教学的课堂延伸性,突出学生的课堂主体地位,调动起学生的学习积极性,拓展了学习空间,有着独特的教学效果。
提高党员教育质量研究
Authors: 谭 雪芹 , 刘 伟
Published: July 2019

机关党员的教育工作是党员培养的重要组成部分。党员干部作为党政事业的核心力量,在工作生活中应当充分发挥模范带头作用,为促进经济可持续发展、维护社会关系稳定贡献力量。由此可见,在新形势背景下,立足于科学发展观,全面践行党员教育工作具有实际意义。本文围绕如何提高党员教育工作质量展开系统探究,旨在强化党政先进性建设。
论国学教育与大学生人文素质培养
Authors: 南 井昌
Published: July 2019

社会经济全球化发展趋势使优秀人才成为各国竞争要素。为切实提升当代大学生人文素养,确保大学生在构建和谐文明社会中发挥出重要推动力,国家及教育部门提倡在高等院校中融入国学教育内容,借助我国优秀国学文化,切实提升大学生思想意识高度及文化创新能力。本文就基于此,对国学教育对大学生人文素质培养的重要意义及具体开展措施进行相关概述,旨在充分发挥出国学教育积极作用,向社会输送更多具备高度人文素质的优秀人才。
ANALISA UNSUR ESTETIKA DESAIN IDENTITAS VISUAL KARYA STUDIO DESAIN PENTAGRAM BERDASARKAN KACAMATA TEORI EKSPRESI DAN FORMALISME
Authors: Zulkarnain Alfiansyah , Setiana Febrianti , Kristella Felicia , Violetta Felicia
Published: July 2019

Kajian estetika atas karya desain komunikasi visual dilakukan atas hasil proyek-proyek desain identitas visual dari studio desain Pentagram, salah satu studio desain grafis berorientasi branding yang paling sukses dan ternama di dunia. Tiga studi kasus identitas visual yang dikaji yaitu identitas visual MTV World Creative Studio (perusahaan media), MIT Media Lab (laboratorium penelitian universitas), dan Saks Fifth Avenue (toko retail fashion). Kajian estetika akan dilakukan berdasarkan dua sudut pandang kacamata teoritis klasik, yaitu teori ekspresi dan formalisme. Dapat disimpulkan bahwa pada umumnya logo-logo atau identitas visual Pentagram yang sudah dikaji memiliki kualitas estetis yang variatif, tergantung dari sudut pandang kacamata teoritis yang diambil.
KAJIAN JURNALISTIK DENGAN METODE EDFAT STUDI KASUS FOTO PILKADA 2015 HARIAN SUARA MERDEKA
Authors: Gardianto Gilang Rizky , Setyanto Daniar Wikan
Published: July 2019

Fotografi Jurnalistik merupakan salah satu elemen dalam surat kabar yang memancing pembaca untuk membaca keseluruhan berita. Jurnalis foto memiliki peranan penting dalam membuat sebuah foto yang layak ditampilkan dan dapat memberikan gambaran kejadian di lapangan pada pembaca. Metode EDFAT membantu para jurnalis foto mendapatkan sebuah foto yang bernilai berita. Secara teori memang metode EDFAT mencangkup semua hal yang dibutuhkan bagi para jurnalis foto untuk menghasilkan foto berita, namun ketika di lapangan para fotografer belum tentu menggunakan metode ini secara maksimal. Data yang akan diteliti merupakan foto-foto pilkada 2015 di harian suara merdeka. foto-foto pilkada 2015 yang terdapat pada suara merdeka semenjak masa kampanye sampai hari pelantikan dikumpulkan. 8 foto dipilih dan dikaji menggunakan metode EDFAT untuk mengetahui seberapa efektif metode tersebut dalam praktikum lapangan.
PERUBAHAN VISUAL DESAIN ARSITEKTUR RUMAH ADAT TORAJA
Authors: Patriani Sepbianti Rangga
Published: July 2019

Rumah adat Toraja merupakan rumah hunian yang memiliki nilai budaya dalam desain arsitekturnya. Rumah adat Toraja dalam budaya Toraja dikenal dengan istilah Tongkonan yang merupakan suatu karya arsitektur monumental masyarakat Toraja dan memiliki nilai adat. Secara visual, konstruksi desain arsitektur rumah adat Toraja (Tongkonan) terdiri dari bagian kaki Tongkonan yang terbentuk oleh tiang-tiang kayu, atap, badan Tongkonan yang berisi ruang-ruang yang berjejer, dan atap Tongkonan yang terbuat dari bambu yang dipilah menjadi dua dan disusun saling tumpang tindih. Setiap komponen-komponennya dianggap memiliki unsur-unsur visual dan ritual yang bermakna simbolis, baik pada wujud Tongkonan itu sendiri secara utuh maupun pada unsur-unsur visual perlengkapannya. Secara fungsi rumah adat Toraja juga dibangun untuk keperluan adat yang bersifat sakral, namun karena adanya pengaruh budaya luar sehingga lebih ditujukan untuk kebutuhan praktis masa kini yaitu sebagai simbol status sosial masyarakat Toraja dan sebagai identitas budaya Toraja. Hal ini juga berdampak pada perubahan visual pada desain arsitektur rumah adat toraja secara tradisional mengikuti arsitektur yang lebih modern yang menampilkan perbedaan dalam proporsi dan unsur visual atapnya.
Robotic Process Automation ― Current State and Future Directions
Authors: Sobczak Andrzej
Published: July 2019

The increasing use of digital technologies leads to a deep transformation in the functioning of both individual entities and entire industries. These
changes are referred to as digital transformation. In the first period, the scope of transformation focused primarily on ensuring the highest quality of customer service / customer experience. Currently, more and more attention is being devoted to the digitisation of operational and business support processes. It turns out that in many organisations, the IT tools that have been used so far are fragmentary, and the so-called legacy systems are often in use. Many components of the processes require employees to manually transfer data between systems that are not integrated with each other. In order to digitise operational and support
processes, more and more entities implement IT tools classified into the currently developing category of RPA (Robotic Process Automation). The objectives of the article were (O1): to examine the current literature on issues related to business processes robotization, in particular with regards to RPA tools; (O2): general assessment of the current state of implementing RPA tools in Polish organizations, which could be classified
as leaders in computerisation; (O3): identifying the possible direction of RPA tools development. The article uses the literature research method and pilot questionnaire surveys. In addition, semi-structured interviews were conducted with persons who declared that they had carried out at least a pilot implementation of RPA tools.
Desarrollo organizacional como estrategia de modernización de la calidad del servicio de alimentos y bebidas
Authors: Montero Tapia Israel Fernando , Erazo Álvarez Juan Carlos , Narváez Zurita Cecilia Ivonne , Ormaza Andrade Jorge Edwin
Published: July 2019

Hoy en día las necesidades y el nivel de exigencia de las personas se han elevado de manera exponencial, debido a la globalización, cultura de viajes, curiosidad y facilidad para el acceso de información, por tanto, la calidad del servicio debe evolucionar acorde a estos requerimientos; generando así un marco de acción holístico en la prestación optima del servicio para las personas, haciendo de cada oportunidad una verdadera experiencia. La presente investigación se desarrolló bajo un diseño no experimental, con un enfoque cuantitativo y un alcance descriptivo – explicativo. Para el análisis de la literatura se usaron los métodos inductivos – deductivo y el analítico sintético. Entre los resultados obtenidos de la aplicación de las encuestas al cliente interno de la unidad de prácticas pre profesionales de la Universidad de Cuenca, se estableció falencias en el área de servicio, alto número de reclamos, desvirtuada estructura jerárquica, duplicidad o sobre carga de funciones, lo cual no permite un enfoque adecuado para la prestación de un servicio de calidad. A partir de estas premisas se propone diseñar un modelo de desarrollo organizacional con la finalidad de mejorar la percepción de servicio para el cliente de la Universidad de Cuenca.
Plan de social media como estrategia de posicionamiento de marca aplicado a la empresa Importadora Zumbauto
Authors: Álvarez Álvarez Verónica Alexandra , Erazo Álvarez Juan Carlos , Narváez Zurita Cecilia Ivonne , Erazo Álvarez Cristian Andrés
Published: July 2019

Algunas empresas tienen una visión borrosa sobre lo necesario que es implementar una imagen estratégica utilizando un ángulo del marketing digital; ya que cometen el error de construir estrategias en torno a las distintas plataformas sociales sin previamente haber planteado objetivos enfocados al desarrollo de un plan de social media; considerando que el avance de las mismas es de vital importancia para las empresas.

El presente artículo se refiere a la propuesta de un plan de social media como estrategia de posicionamiento de marca mediante el uso efectivo de la red social Facebook desde un enfoque empresarial aplicado a la empresa automotriz Importadora Zumbauto. El problema principal de la organización en estudio radica en el estancamiento del crecimiento de la demanda conllevando a un posicionamiento poco visible de la marca en el mercado automotriz.

El objetivo de este estudio consistió en proponer un plan de social media creativo e interactivo que contenga herramientas útiles como Pixton, Thinglink y Social Tools; así como también una matriz de contenidos estructurada en tiempo y espacio con la finalidad de interactuar con los clientes en base a una planificación. La investigación se desarrolló bajo un diseño no experimental con un enfoque mixto donde prevalece el análisis cualitativo, los métodos empleados fueron el inductivo-deductivo, analítico-sintético e histórico-lógico. Se emplearon como técnicas de investigación la encuesta dirigida a clientes externos e internos y entrevista dirigida al gerente de la empresa; los cuales conllevaron a los resultados que permitieron plantear la propuesta final de la investigación.
RELACIÓN DE CARIES DENTAL Y GINGIVITIS CON EL ESTADO NUTRICIONAL EN NIÑOS DE 6 A 9 AÑOS DE LA I.E. CRNL. GREGORIO ALBARRACÍN, TACNA-2017
Authors: Otazú Zavaleta Jorge Luis , Martínez Cántaro Noelia Yésica
Published: July 2019

INTRODUCCIÓN: Las enfermedades bucales predominantes son: la caries dental y la enfermedad periodontal; siendo la niñez y la adolescencia, las edades con más susceptibilidad de contraer estas enfermedades. En la actualidad, la vivencia cotidiana ha experimentado cambios en los cuales se ha involucrado a la niñez, la cual es expuesta a malos hábitos de alimentación, además del sedentarismo a través de la mínima actividad física. Consecuentemente, la salud del niño se ha visto involucrada, haciéndose vulnerable a enfermedades que pueden persistir en la etapa juvenil y adulta. Esta investigación tiene como objetivo identificar la relación de caries dental y ingivitis con el estado nutricional. MATERIALES Y MÉTODOS: Este estudio es de tipo prospectivo y observacional, de corte transversal y nivel descriptivo relacional, se trabajó con las variables dependientes: caries dental y gingivitis; y la variable independiente: el estado nutricional. La hipó tesis planteada refiere la probabilidad de que exista relación del estado nutricional en las patologías bucales más frecuentes como la caries y la gingivitis. La técnica realizada fue la observación clínica, y se empleó como instrumento una ficha documental. Los índices evaluados fueron: el CPOD, el ceod, el índice gingival e IHOS y el estado nutricional por IMC. 137 niños fueron eleccionados según los criterios de inclusión y exclusión. Los resultados fueron analizados mediante la prueba estadística del chi cuadrado con un nivel de significancia del 95% (0.05). RESULTADOS: 1) El estado nutricional fue de 59.1% de estudiantes con obesidad; 22.6% de estudiantes con peso normal; 17.5% con sobrepeso y 0.7% con riesgo de desnutrición. 2) El índice CPOD fue de 1.89 y ceod fue de 3.92. 3) el 51.8 % no presentó alteración gingival, el 11.7% presentó un índice gingival de moderado; en cuanto al IHOS 55.5% es regular y 44.5% bueno. CONCLUSIÓN: Existe relación significativa del índice CPOD con el estado nutricional, hallándose CPOD 1.71 en niños normales; además de 2.29 y 7 en niños con sobrepeso y riesgo de desnutrición respectivamente. No se encontró relación significativa entre el índice ceod con el estado nutricional, siendo el ceod de 3.81 en niños normales; y de 5.13 y 3.65 en niños con sobrepeso y obesidad. No existe relación significativa con el Índice Gingival y el IHOS, ya que el 58.1% de los estudiantes con estado nutricional normal no presentan alteración gingival, al igual que el 55.6% de estudiantes obesos. Adicionalmente, el IHOS se encuentra regular en obesos con un 51.9% y 61.3% en niños normales.
USO CLÍNICO DEL AGREGADO DE TRIÓXIDO MINERAL (MTA) EN EL TRATAMIENTO DE LESIONES RADICULARES
Authors: Verástegui Baldárrago Guiselle Andrea
Published: July 2019

Las lesiones Periapicales entre ellos las perforaciones radiculares son una complicación indeseada del tratamiento endodóntico que provoca la pérdida de la integridad de la raíz y posterior destrucción del tejido periodontal adyacente. Investigaciones señalan que el Agregado de Trióxido Mineral (MTA) es un excelente material de sellado utilizado en la actualidad en muchas situaciones clínicas como reparación de perforaciones radiculares y regeneración del tejido dental. El presente caso clínico describe el sellado de una perforación radicular utilizando MTA en la pieza 1.2; la cual fue provocada por un anterior tratamiento al colocar un perno colado. Luego se procedió a realizar una apicectomía, tras una lesión periapical ocasionada por una perforación radicular. Algunos de los dientes tratados quirúrgicamente pueden no evolucionar hacia la reparación, por lo tanto, el desafío que afrontamos es la posibilidad de eliminar los factores que puedan afectar el éxito del tratamiento.