bluuebunny/crossref_metadata_2025 huggingface dataset:
PHBS TATANAN RUMAH TANGGA DAN FAKTOR YANG BERHUBUNGAN
Authors: Fadhilah Nur
Published: July 2019

Perilaku Hidup Bersih dan Sehat (PHBS)adalah upaya untuk memberikan pengalaman belajar atau menciptakan suatu kondisi bagi perorangan, keluarga, kelompok dan masyarakat, dengan membuka jalur komunikasi, memberikan informasi dan melakukan edukasi.Tujuan penelitian ini adalah Diketahuinya Faktor – Faktor Berhubungan dengan Penerapan Perilaku Hidup Bersih dan Sehat (PHBS) Tatanan Rumah Tangga di Desa Madaraya Wilayah Kerja Puskesmas Bumi Ratu Kecamatan Pagelaran Kabupaten Pringsewu Tahun 2013.Penelitian ini merupakan penelitiananalitik observasional, menggunakan pendekatan cross sectional. alat ukur yang digunakan adalah lembar kuesioner, analisis data menggunakan Chi Square.Hasilpenelitian menunjukkan bahwa Tingkap pendidikan, tingkat pengetahuan, pendapatan dapat memepengaruhi Perilaku masyarakat dalam menerapkan programPHBS tatanan Rumah Tangga. Saran Program PHBS dapat menurunkan angka kesakitan, oleh karena itu kepada masyarakat hendaknya sedini mungkin mulai melaksanakan kegiatan PHBS dengan menumbuhkan sikap positif terhadap program sehingga hal tersebut dapat meningkatkan motivasi masyarakat dalam melaksanakan program PHBS.
DUKUNGAN SOSIAL DAN STATUS GIZI REMAJA
Authors: Ardina Rani
Published: July 2019

Status gizi ialah ukuran kondisi tubuh seseorang yang dilihat dari konsumsi makanan dan penggunaan zat-zat gizi di dalam tubuh. Proses pertumbuhan dan perkembangan pada masa remaja menyebabkan kebutuhan asupan nutrisi melalui makanan yang lebih besar dari masa anak-anak. Remaja sebagai kelompok berisiko, dapat terhindar dari masalah kesehatan dengan mengelola faktor – faktor risiko yang terdapat pada remaja. Penelitian ini bertujuan untuk mengetahui hubungan dukungan sosial dengan status gizi remaja. Desain yang digunakan deskriptif korelasional pendekatan cross sectional. Pengambilan sampel dengan cluster proportional 107 remaja kelas 7 dan 8 SMP. Hasil menunjukkan tidak ada hubungan bermakna dukungan sosial dengan status gizi remaja (p> 0,005), namun berkontribusi untuk meningkatkan status gizi normal pada remaja ( OR=1,176; 95%CI =0,529-2,614). Dukungan sosial dapat mempredisksi status gizi normal pada remaja. Akan tetapi banyaknya faktor yang berpengaruh terhadap status gizi juga berpengaruh terhadap perilaku pemenuhan gizi pada remaja.
PERBEDAAN AKURASI ANTARA RUMUS RISANTO DAN RUMUS JOHNSON DALAM MENGESTIMASI BERAT BAYI BERDASARKAN TINGGI FUNDUS UTERI
Authors: Wijayanti Yossy
Published: July 2019

Berat lahir bayi yang besar atau kurang akan berpotensi menimbulkan masalah kesehatan pada bayi, selanjutnya dapat mempengaruhi kehidupan dan masa depan bayi. Dengan penggunaan metoda prediksi yang akurat, bayi dengan perkiraan berat yang ekstrim lebih atau kurang dapat diketahui dan beberapa pencegahan dapat dilakukan untuk mengatasi masalah tersebut sebelum persalinan. Penelitian ini bertujuan untuk mengetahui perbedaan akurasi (ketepatan) antara taksiran berat janin berdasarkan rumus Johnson dan taksiran berat janin berdasarkan rumus Risanto. Jenis penelitian yang digunakan adalah metodeobservasional analitik, dengan pendekatancross sectional. Teknik pengambilan sampel yang digunakan adalah dengan exhaustivesampling, dimana semua populasi dipakai sampel penelitian yaitu jumlah seluruh ibu hamil dengan umur kehamilan cukup bulan yang akan melahirkan di Bidan Praktik Mandiri Wilayah Pesawaran. Data dianalisis dengan menggunakan uji t. Hasil : Didapatkan jumlah sampel sebanyak 34 responden. Berdasarkan uji paired t-test diketahui bahwa terdapat perbedaan yang signifikan antara berat bayi lahir dengan TBJ Risanto dengan beda rerata 32,37 (p=0,024) dan berat bayi lahir dengan TBJ Johnson dengan beda rerata sebesar 59,47 (p=0,000). Dari uji yang membandingkan akurasi formula Risanto dan formula Johnson didapatkan rata-rata untuk TBJ Risanto sebesar 3099,34 gram dan TBJ Johnson sebesar 3191,18 gram, dengan beda rerata sebesar 91,84 gram (p=0.000). Terdapat perbedaan yang signifikan secara statistik antara rumus Risanto dan rumus Johnson dengan berat bayi lahir yang sesungguhnya, dan Rata-rata estimasi berat janin menurut rumus Johson lebih besar dari estimasi berat janin menurut rumus Risanto.
Hubungan Responsiveness Dan Assurance Dengan Kepuasan Pasien Pemegang (Kis) Kartu Indonesia Sehat
Authors: Putri Dian Utama Pratiwi
Published: July 2019

Salah satu bentuk kepuasan adalah peningkatan kunjungan pasien. beberapa karakteristik yang digunakan untuk melihat kepuasan pasien adalah daya tanggap dan jaminan. Penelitian ini bertujuan untuk mengetahui hubungan tanggap dan jaminan terhadap kepuasan pasien pemegang kartu sehat Indonesia di Puskesmas rawat inap Seputih Banyak 2018. Jenis penelitian yang digunakan adalah kuantitatif. Metode yang digunakan adalah survei analitik dengan pendekatan Cross Sectional Survey. Populasi dalam penelitian ini berjumlah 110 responden. Sampel diambil dengan teknik accidental sampling, sampling atau responden yang kebetulan tersedia adalah 85 responden. Berdasarkan uji statistik, diketahui bahwa p-value <0,05 (Responsiveness = 0,042, Assurance = 0,003), yang berarti responsivitas dan kepastian hubungan terhadap kepuasan pasien pemegang Kartu Sehat Indonesia di Puskesmas Rawat Inap Seputih Banyak 2018. Petugas diharapkan dapat meningkatkan kualitas layanan sebagai respon dan jaminan untuk meningkatkan kepuasan pasien.
Analisis Dimensi Mutu Pelayanan Yang Berhubungan Dengan Tingkat Kepuasan Pasien Rawat Jalan
Authors: Jefanti Selia
Published: July 2019

Pelayanan yang baik dari suatu rumah sakit akan membuktikan bahwa rumah sakit tersebut bermutu baik. Salah satu 859 actor 859 te keberhasilan pelayanan kesehatan di rumah sakit adalah kepuasan pasien. Tujuan penelitian ini adalah untuk menganalisis 859 actor yang berhubungan dengan tingkat kepuasan pasien rawat jalan di Poli RSUD Pringsewu Lampung 2015. Metode yang digunakan dalam penelitian ini adalah survei analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah pasien yang 859actor berobat ke poli RSUD Pringsewu Lampung dengan sampel sebanyak 85 responden, teknik pengambilan sampel menggunakan Accidental Sampling. Analisis data yang digunakan adalah univariat dan 859actor 859te menggunakan uji chi-square. Hasil penelitian menunjukan ada hubungan antara tangibility dengan tingkat kepuasan pasien (p=0,000), reliability dengan tingkat kepuasan pasien (p=0,000), dan responsiveness dengan tingkat kepuasan pasien (p=0,001).
Penerapan Terapi Keterampilan Sosial Dan Cognitive Behaviour Therapy Pada Klien Isolasi Sosial Dan Halusinasi
Authors: Muliani Nuria
Published: July 2019

Skizofrenia adalah ganguan jiwa yang dimanifestasikan dengan penurunan dan ketidakmampuan berkomunikasi, gangguan realita, afek tumpul, gangguan kognitif serta kesulitan melakukan aktivitas sehari-hari. Tanda dan gejala negatif yang muncul mengakibatkan isolasi sosial, dan tanda gejala positif yang muncul mengakibatkan halusinasi. Tujuan penanganan kasus ini adalah diketahuinya perubahan tanda gejala dan kemampuan klien isolasi sosial dan halusinasi setelah diberikan tindakan keperawatan ners, social skill trainingdan cognitive behaviour therapy.Desain penulisan adalah studi kasus dengan responden empat orang. Penanganan kasus tentang topik yang sama sudah pernah dilakukan, namun yang membedakan dengan kasus ini adalah pendekatan teori yang digunakan yaitu teoriadaptasi Stuart dan interpersonal Peplau. Data dikumpulkan sebelum dan sesudah klien diberikan tindakan keperawatan ners, social skill training dan cognitive behavior therapy. Hasil penanganan kasus menunjukan bahwa terjadi penurunan tanda gejala isolasi sosial dan halusinasi serta peningkatan kemampuan klien bersosialisasi, kognitif dan perilaku setelah diberikan tindakan keperawatan ners, social skill training dan cognitive behaviour therapy.
Gambaran Pengetahuan Ibu Pada Tindakan Penanganan Ispa Balita Di Puskesmas 23 Ilir Palembang Tahun 2017
Authors: Mariyam Nelly , Sagita Rada
Published: July 2019

ISPA adalah suatu  keadaan dimana saluran pernafasan mengalami inflamasi yang menyebabkan terjadinya obstruksi jalan nafas dan akan menyebabkan retraksi dinding pada dada saat melakukan pernafasan. Berdasarkan (WHO) Tahun 2012 manyatakankematianakibat ISPA diseluruhduniasekitar 19% atauberkisar 1,6-2,2 juta.Daridata Kementrian Kesatuan Kesehatan Indonesia menunjukkan penderita ISPA semakin bertambah tia ptahun. Penelitian in ibertujuan untuk mengetahui informas tentang pengetahuan ibu pada tindakan penanganan ISPA balita dipuskesmas 23 ilir Palembang. Penelitian ini menggunakan studi analisis deskriptif dengan menggunakan pendekatan kualitatif, melalui wawancara mendalam (Indepth Interview) sebanyak 6 orang yaitu 5 orang informan dan 1 orang bidan. Penelitian ini dilaksanakan pada tanggal 07-11 bulan juli 2017.Dari hasil penelitian bahwa pengetahuan merupakan hasil tahu dari seorang manusia yang diperolehnya dari pengalaman serta informasi yang ada, diketahui gejalanya seperti batuk, Pilek, demam, tenggorokan berwarna merah, sesak nafas, nafas lebih dari normal, suhu tubuh meningkat lebih dari 39 °C. penyebabnya bisa terjadi karena virus-virus mikosovirus, perubahan cuaca, dan folusi udara. Adapun yang termasuk penyakit ISPA yaitu seperti batuk, pilek, demam suhu tubuh  meningka, tenggorokan berwarna merah, bernafas berbunyi seperti mengi. Dan dari Suatu sikap belum otomatis terwujud dalam suatu tindakan. Dan cara penanganan  balita Demam dikomres menggunakan air hangat kuku, kemudian diberiobat, apabila keadaan masih kurang membaik maka segera meminta pertolangan kepada petugas kesehatan. Dan cara menangani Batuk pada Balitayaitu dengan memberikan obat antibiotic sesuai dengan dosis, memberikan  minum  melebihi biasanya. Diharapkan  untuk puskesmas 23 ilir dapat meningkatkan program  pendidikan  kesehatan dan  penyuluhan  kesehatan bagi keluarga pada umumnya dan kelompok informan ISPA secara berkala menyebarkan informasi mengenai gejala, penyebab, yang termasuk, dan penanganan ISPA melalui media leaflet, poster dan sebagainnya.
Faktor Yang Berpengaruh Pada Perilaku Pasangan Usia Subur Terhadap Akses Layanan Deteksi Dini Kanker Servik
Authors: Soimah Nurul
Published: July 2019

Kanker serviks sebagai penyebab kematian terbanyak di negara berkembang salah satu penyebabnya karena infeksi human Papilloma Virus (HPV), akses layanan pemeriksaan IVA dan Paps Smear bisa dilakukanmelalui pemanfaatan Jaminan Kesehatan Nasional (JKN), namunhal tersebut belum diketahuiolehseluruhmasyarakat Indonesia (Mampu, 2015). Tujuan penelitian agar diketahui faktor yang berpengaruh  pada perilakuPasangan Usia Subur (PUS), akses layanan deteksidinikankerserviks. Penelitian menggunakan desain kualitatif studi fenomenologi, dengan pendekatan Focus Gruop Discution (FGD) terarah pada PUS di kelompok pengajian ‘Aisyiyah Ranting Ganggom Bangunkerto,Turi, Sleman, periode Februari 2017, Populasi berjumlah 38 perempuan peserta pengajian rutin, Informan dipilih dengan teknik purposive sampling, PUS berusia antara 18 – 40 tahun sejumlah 9 informan , Instrumen panduan FGD didaptasi dari program “Mampu” Lembaga Penelitian Pengembangan ‘Aisyiyah Pimpinan Pusat ‘Aisyiyah Analisis data menggunakan model Spradley, Hasil: Faktor yang berpengaruh adalah Faktor Informasi, Ekonomi, danBudaya, dukungan suami,Informasi mengenai deteksi dini kanker serviks belum tersosialisasi, persepsi  informan mengenai biaya  periksa  mahal, masyarakat masih mengangap  tabu pemeriksaan. Saran Diperlukan sosialisasi mengenai deteksi kanker serviks khususnya di lingkungan pimpinan ranting ‘Aisyiyah.
pengaruh hypnopregnancy terhadap kecemasan ibu hamil dalam menghadapi persalinan di klinik pratama asih waluyo jati bantul yogyakarta
Authors: Puspitasari Dian , Kumorojati Ratih
Published: July 2019

Kecemasan saat hamil adalah determinan non-medis paling dominan yang mendorong ibu bersalin untuk melakukan SectioCaesarea karena rasa sakit pada persalinan. Akibat dari munculnya rasa cemas ini adalah meningkatnya sensitivitas emosi individu dengan manifestasi mudah menangis dan mudah curiga (negativethinking). Salah satu metode nonfarmakologismind-bodyintervention yang dapat diterapkan dalam mengurangi kecemasan persalinan adalah dengan metode hypnoterapi dalam kehamilan atau disebut hypnopregnancy. Tujuan penelitian ini adalah mengetahui pengaruh hypnopregnancy. dalam asuhan kehamilan. Penelitian ini merupakan penelitian Quasi-experimentalpre-testandpost-tes controlgroupdesign terhadap 16 ibu hamil pada kelompok kelas hypnopregnancy dan 16 pada kelompok control. Penelitian dilakukan di Klinik Asih Waluyo Jati pada bulan Oktober sampai dengan November 2017. Analisa data menggunakan uji chisquare. Hasil analisis menunjukkan bahwa kelas hypnopregnancy berpengaruh terhadap penurunan kecemasan ibu hamil dalam mempersiapkan persalinan, (p<0,05). Berdasarkan hasil analisis bivariabel memperlihatkan bahwa kelas hypnopregnancy berpengaruh  secara bermakna terhadap penurunan kecemasan pada ibu hamil sebesar 4,6 kali di bandingkan dengan metode konvensional. Kelas hypnopregnancy lebih efektif menurunkan kecemasan pada ibu dibandingkan dengan metode konvesional. Metode hypnopregnancy ini sangat bermanfaat untuk asuhan kebidanan sehingga perlu diterapkan dengn baik.
Aplikasi Media Pembelajaran Berbasis Serious Games (Games Education) untuk Belajar Menulis
Authors: Wahyuningtyas Nunuk , Normaningsih Normaningsih , Sagirani Tri
Published: July 2019

Merancang dan membangun aplikasi serious games (games education) dengan memanfaatkan model user experience untuk mendukung pengembangan media belajar yang tepat bagi anak berkebutuhan khusus (ABK) kelompok tuna grahita ringan yang disesuaikan dengan keterbatasan dan kemampuan anak menjadi bagian penting dalam kreatifitas pembelajaran. Dengan penyusunan aplikasi media pembelajaran ini dapat membantu proses pembelajaran berjalan dengan lebih menarik dan dapat meningkatkan motivasi belajar dan kemandirian ABK tuna grahita khususnya dalam belajar mengenal huruf, angka, kata sederhana dan belajar menuliskannya dengan memanfaatkan aplikasi media pembelajaran berbasis serious games dengan berbantuan peralatan input berupa pen tablet atau touch screen. Dari pemanfaatan aplikasi media pembelajaran ini pada siswa berkebutuhan khusus dilakukan pengukuran memanfaatkan User Experience Questionnaire (UEQ) dan diperoleh nilai excellent pada daya tarik aplikasi, kejelasan konten, efisieni dan ketepatan, dan nilai good untuk stimulasi dan kebaharuan. Hal ini dapat disimpulkan bahwa aplikasi media pembelajaran berbasis serious games untuk belajar menulis sesuai untuk digunakan sebagai alat bantu dalam pembelajaran
Rencana Strategis Teknologi Informasi pada PT XYZ dengan Kerangka Kerja Ward dan Peppard
Authors: Pratama Dicky , Alamsyah Derry
Published: July 2019

Teknologi informasi adalah aset yang sangat dibutuhkan di era modern seperti sekarang ini. Tidak hanya sebagai alat bantu namun juga sebagai sumber daya inti yang harus dimanfaatkan oleh organisasi dan perusahaan. PT XYZ adalah satu perusahaan yang memanfaatkan teknologi informasi untuk mendukung proses bisnisnya. Namun PT XYZ ragu dalam pengadaan teknologi informasi selanjutnya, mengingat biaya yang perlu dikeluarkan dalam mengadakan teknologi informasi sangat mahal. Perusahaan takut investasi yang dilakukan akan sia-sia karena belum adanya strategi teknologi informasi yang tepat untuk mendukung proses bisnisnya. Oleh karena itu perlu dibuat strategi teknologi informasi yang mengacu dengan strategi bisnis perusahaan. Penelitian ini dilakukan dengan kerangka kerja Ward dan Peppard. Sebelum menganalisis strategi teknologi informasi dengan Model SWOT Matriks sebelumnya dilakukan analisis lingkungan internal dan eksternal dengan pendekatan Value Chain dan PEST Analysis. Hasil dari penelitian ini adalah portofolio aplikasi yang akan datang yang diharapkan dapat membawa perusahaan unggul bersaing
Perancangan Pengukur Kekuatan Motor Brushless Berbasis ESP8266
Authors: Hermanto Dedy
Published: July 2019

Dunia aeromodelling saat ini dapat dibilang sedang berkembang pesat, berbagai jenis pengembangan teknologi merambah didunia ini. Penghobi dunia aeromodelling juga cukup banyak, hal ini ditandai dengan bermunculan orang-orang yang bermain aeromodelling. Ketika bicara membuat sebuah airframe yang berhubungan dengan aeromodelling, terkadang membutuhkan aktuator (motor listrik) dalam hal ini motor brushless. Motor jenis ini banyak sekali digunakan dan juga saat ini banyak sekali tersedia dipasaran. Tetapi terkadang ketika membeli motor jenis ini tidak terdapat spesifikasi motor yang jelas untuk kemampuan motor dan kombinasi propeller yang digunakan. Penelitian ini bertujuan mengetahui kemampuan maksimal gaya dorong sebuah motor brushless dengan kombinasi propeller yang berbeda. Pengujian ini dilengkasi dengan ESP8266 sebagai otak pemroses data, Load Cell ditambah modul HX711 dan sensor arus dan daya digunakan untuk memantau kemampuan motor. Penelitian ini menggunakan metodologi Prototyping. Hasil yang didapat dalam penelitian pengukur kekuatan motor brushless ini yaitu mendapatkan kemampuan maksimal dimana setiap kecepatan motor (Throttle) dinaikkan maka akan menghasilkan nilai kemampuan daya angkat meningkat. Hasil lain yaitu penggunaan jenis propeller dari ukuran dan jenis berbeda akan mendapatkan kemampuan daya angkat yang berbeda
Is Tourism Going Green? A Literature Review on Green Innovation for Sustainable Tourism
Authors: Satta Giovanni , Spinelli Riccardo , Parola Francesco
Published: July 2019

Adopting a sustainability perspective is of growing importance in developing tourism, as this can help drive value creation. Implementing "greener" and more sustainable strategies by tourism-based companies and destinations helps reflect the increasing environmental concerns influencing tourist behavior and consumption patterns. In this vein, ecofriendly initiatives represent a major focus of innovation for tourist companies and destinations in reshaping their strategies to reduce the environmental impact and manage relationships with key stakeholders. This article explores how academic research has addressed the role of green innovation in fostering the value creation activities of tourist companies and destinations. To do so, a systematic literature review was performed on 61 journal articles addressing green and sustainable innovation in the tourism industry. Findings support the academic debate on the role of green innovation for sustainable tourism by identifying the main streams and gaps in this research domain. The results return a picture of a fragmented research field—in terms of both theoretical perspectives and methodological approaches—that requires further investigation.
From Triple Bottom Line to Circular Monitoring in Evaluation of Food Tourism Events
Authors: Cortese Damiano , Cantino Valter , Solazzo Gianluca , Fassio Franco
Published: July 2019

This article proposes a first step in analyzing the integration of the triple bottom line approach to event evaluation and the Big Data produced by event participants to create a circular and participatory monitoring process that utilizes technology to engage all stakeholders (citizens;
visitors; producers; tourism organizations; policymakers; associations; and economic, social, and environmental scientists). Using a case study of Slow Food's Terra Madre Salone del Gusto (TMSG) 2016 event, this article examines systemization of a control panel for local decision makers that
encourages knowledge management and sharing for learning and sustainable entrepreneurship to create virtuous cycles and solve—through a democratic process—the typical risk of political (mis)interpretation of socioeconomic event impact measurement.
Logics Hindering Digital Transformation in Cultural Heritage Strategic Management: An Exploratory Case Study
Authors: De Bernardi Paola , Bertello Alberto , Shams S. M. Riad
Published: July 2019

Museums play an important role in tourist flows, especially in cities that are famous for their cultural heritage. To valorize their role, these cultural institutions should open themselves to visitors as vectors of social, educational, and entertainment values. In particular, museums need to reinvent how they transmit information about their collections and how they engage visitors, keeping in mind the opportunities triggered by digitalization. Digital technologies could in fact be a powerful tool to assist in adopting a visitor-oriented approach and to stimulate a two-way communication. This article aims to analyze the extent of digitalization that should be integrated in museums' communication strategies, and to recognize the logics hindering digital transformation in cultural heritage strategic management. We developed an exploratory case study, focused on museums in Turin, Italy, gathering online data through institutional reports, museum websites, and social media, as well as onsite data mainly from semistructured interviews with museum managers. The research shows that most of the interviewees understand the strategic role of digitalization for museum development; however, the level of digital readiness remains low. Alongside the well-known systemic financial deficit of cultural institutions, there are other critical factors that hinder the integration of digitalization processes in the cultural heritage management. Common barriers include the presence of institutional pressures, and the lack of organizational and managerial coordination between different departments and functions that should be involved in the development of digital strategies and their integration in the strategic planning systems of museums. This research offers insights to tackle these challenges, allowing museums to compete in the international context of the cultural and heritage tourism.
Brain Cancer Survival in Canada 1996–2008: Effects of Sociodemographic Characteristics
Authors: Walker E. V. , Ross J. , Yuan Y. , Smith T. R. , Davis F. G.
Published: July 2019

Background: Literature suggests that factors such as rural residence and low socioeconomic status (SES) might contribute to disparities in survival for Canadian cancer patients because of inequities in access to care. However, evidence specific to brain cancer is limited. The present research estimates the effects of rural or urban residence and SES on survival for Canadian patients diagnosed with brain cancer. Methods: Adults diagnosed with primary malignant brain tumours during 1996–2008 were identified through the Canadian Cancer Registry. Brain tumours were classified using International Classification of Diseases for Oncology (3rd edition) site and histology codes. Hazard ratios (HRS) and 95% confidence intervals (CIS) were estimated using Cox proportional hazards models. Events were restricted to individuals whose underlying cause of death was cancer-related. Postal codes were used to match patient records with Statistics Canada data for rural or urban residence and neighbourhood income as a surrogate measure of SES. Results: Of 25,700 patients included in the analysis, 78% died during the study period, 21% lived in rural areas, and 19% were in the lowest income group. A modest variation in survival by rural compared with urban residence was observed for patients with glioblastoma (first 5 weeks after diagnosis hr: 0.86; 95% CI: 0.79 to 0.99) and oligoastrocytoma (first 3 years after diagnosis hr: 1.41; 95% CI: 1.03 to 1.93). Small effects of low compared with high income were seen for patients with glioblastoma (first 1.5 years after diagnosis hr: 1.15; 95% CI: 1.08 to 1.22) and diffuse astrocytoma (first 6 months after diagnosis hr: 1.17; 95% CI: 1.00 to 1.36). Conclusions: Our analysis did not yield evidence of strong effects of rural compared with urban residence or ses strata on survival in brain cancer. However, some variation in survival for patients with specific histologies warrants further research into the mechanisms by which rural or urban residence and income stratum influences survival.
Screening for New Primary Cancers in Patients with Metastatic Breast Cancer: A Provincial Analysis of the Choosing Wisely Canada Recommendations
Authors: Tesch M. , Laing K.
Published: July 2019

Introduction: Patients with metastatic cancer have a decreased life expectancy, and with screening and surveillance for new primary cancers, they run the risk of immediate harm with little chance of any benefit. Choosing Wisely Canada therefore recommends that such investigations be avoided in patients with metastatic disease. Methods: We examined cancer screening practices in a subset of patients with metastatic cancer in Newfoundland and Labrador. Patients with metastatic breast cancer seen at the provincial cancer clinic during 2014–2016 were identified from the Newfoundland and Labrador Cancer Registry. For each patient, we assessed whether any one or a combination of screening mammography, Pap (Papanicolaou) test, flexible sigmoidoscopy or colonoscopy, or fecal immunohistochemical test were performed at any point after the diagnosis of metastatic disease. Results: Of 305 patients with metastatic breast cancer, 114 (37.4%) underwent at least 1 screening investigation (mean: 2.92 investigations per screened patient). The most common screening investigations were mammography (n = 197) and Pap test (n = 107). Primary care providers ordered most of the screening investigations (70%); oncology specialists ordered 14%, and other specialists, 12%. Median overall survival for patients with breast cancer after a diagnosis of metastatic disease was 42 months, with a 5-year overall survival of 35.9%. Conclusion: A significant proportion of patients with metastatic breast cancer in Newfoundland and Labrador are still undergoing screening for new primary malignancies, which is discordant with oncology guidelines from Choosing Wisely Canada. Increased education strategies are needed if the Choosing Wisely Canada recommendations are to be implemented into routine clinical practice.
Framing of the Opioid Problem in Cancer Pain Management in Canada
Authors: Asthana R. , Goodall S. , Lau J. , Zimmermann C. , Diaz P. L. , Wan A. B. , Chow E. , De Angelis C.
Published: July 2019

Two guidelines about opioid use in chronic pain management were published in 2017: the Canadian Guideline for Opioids for Chronic Non-Cancer Pain and the European Pain Federation position paper on appropriate opioid use in chronic pain management. Though the target populations for the guidelines are the same, their recommendations differ depending on their purpose. The intent of the Canadian guideline is to reduce the incidence of serious adverse effects. Its goal was therefore to set limits on the use of opioids. In contrast, the European Pain Federation position paper is meant to promote safe and appropriate opioid use for chronic pain. The content of the two guidelines could have unintentional consequences on other populations that receive opioid therapy for symptom management, such as patients with cancer. In this article, we present expert opinion about those chronic pain management guidelines and their impact on patients with cancer diagnoses, especially those with histories of substance use disorder and psychiatric conditions. Though some principles of chronic pain management can be extrapolated, we recommend that guidelines for cancer pain management should be developed using empirical data primarily from patients with cancer who are receiving opioid therapy.
Surgery after Chemoradiotherapy in Patients with Stage III (n2 or N3, Excluding T4) Non-Small-Cell Lung Cancer: A Systematic Review
Authors: Swaminath A. , Vella E. T. , Ramchandar K. , Robinson A. , Simone C. , Sun A. , Ung Y. C. , Yasufuku K. , Ellis P. M.
Published: July 2019

Background: Chemoradiation with curative intent is considered the standard of care in patients with locally advanced, stage III non-small-cell lung cancer (NSCLC). However, some patients with stage III (N2 or N3, excluding T4) NSCLC might be eligible for surgery. The objective of the present systematic review was to investigate the efficacy of surgery after chemoradiotherapy compared with chemoradiotherapy alone in patients with potentially resectable locally advanced NSCLC. Methods: A search of the MEDLINE, EMBASE, and PubMed databases sought randomized controlled trials (RCTS) comparing surgery after chemoradiotherapy with chemoradiotherapy alone in patients with stage III (N2 or N3, excluding T4) NSCLC. Results: Three included RCTS consistently found no statistically significant difference in overall survival between patients with locally advanced NSCLC who received surgery and chemoradiotherapy or chemoradiotherapy alone. Only one rct found that progression-free survival was significantly longer in patients treated with chemoradiation and surgery (hazard ratio: 0.77; 95% confidence interval: 0.62 to 0.96). In a post hoc analysis of the same trial, the overall survival rate was higher in the surgical group than in matched patients in a chemoradiation-only group if a lobectomy was performed (p = 0.002), but not if a pneumonectomy was performed. Furthermore, fewer treatment-related deaths occurred in patients who underwent lobectomy than in those who underwent pneumonectomy. Conclusions: For patients with locally advanced NSCLC, the benefits of surgery after chemoradiation are uncertain. Surgery after chemoradiation for patients who do not require a pneumonectomy might be an option.
Incidence of Radionecrosis in Single-Fraction Radiosurgery Compared with Fractionated Radiotherapy in the Treatment of Brain Metastasis
Authors: Donovan E. K. , Parpia S. , Greenspoon J. N.
Published: July 2019

Introduction: RIntroductionadiation-induced brain necrosis [“radionecrosis” (RN)] is a relatively uncommon but potentially severe adverse effect of stereotactic radiosurgery (SRS) for brain metastasis. Although dose, volume, and hypofractionation have been suggested to affect RN rates, patient and treatment variability in this population make it difficult to clearly delineate the risk. We set out to establish the effect of fractionation on RN rates by reviewing patients receiving simultaneous multi-fraction and single-fraction treatment at our centre. Methods: Patients receiving simultaneous (within 1 month) 1-fraction (SSRS) and 3-fraction (FSRS) radiosurgery treatments during 2012–2015 were identified in our institution’s database. Serial post-srs magnetic resonance imaging (MRI) was reviewed to determine RN and local recurrence. The effect of maximum dose, volume, whole-brain radiotherapy (WBRT), and fractionation on RN development was assessed using logistic regression for paired data. Results are reported using odds ratios (ORS) and corresponding 95% confidence intervals (CIS). Results: Of 90 patients identified, 22 had at least a 6-month mri follow-up. Median follow-up was 320 days. The most common primary tumour type was non-small-cell lung cancer, followed by breast and rectal cancer. Radionecrosis developed in 16 patients [21 of 62 lesions (34%), with 4 being symptomatic (20%)]. Of the 21 lesions in which RN developed, 11 received 3 fractions, and 10 received 1 fraction. The or for the association between the incidence of RN and maximum dose was 1.0 (95% CI: 0.9 to 1.1); for fractionation it was 1.0 (95% CI: 0.3 to 3.6); for previous wbrt, it was 0.4 (95% CI: 0.2 to 1.2); and for a 10-unit increase in volume, it was 3.1 (95% CI: 1.0 to 9.6). Local recurrence developed in 8 patients (12%), 6 of whom belonged to the ssrs group. Conclusions: Our results indicate that patients receiving srs for multiple brain metastases experience a higher rate of RN than is reported in the literature and poorer survival despite having equivalent local control. Maximum dose did not appear to be associated with RN risk in our cohort, but volume was significantly associated with RN risk. Although fractionated treatment did not directly lower the rate of RN in this population, it might have played a role in reducing the magnitude of the RN risk in large-volume lesions. Further investigation will help to delineate optimal dose and fractionation so as to minimize RN while maintaining local control in this group.
Accompanying a Peaceful Passing
Authors: Schiappacasse G. V. , Schiappacasse E. D.
Published: July 2019

For nearly a month, Mr. A had struggled to climb the clinic staircase leading to room 307.[...]
Time Delay Measurement of Mg ii Line in CTS C30.10 with SALT
Authors: Czerny Bożena , Olejak Aleksandra , Rałowski Mateusz , Kozłowski Szymon , Aldama Mary Loli Martinez , Zajacek Michal , Pych Wojtek , Hryniewicz Krzysztof , Pietrzyński Grzegorz , Figaredo Catalina Sobrino , Haas Martin , Średzińska Justyna , Krupa Magdalena , Kurcz Agnieszka , Udalski Andrzej , Gorski Marek , Karas Vladimir , Panda Swayamtrupta , Sniegowska Marzena , Naddaf Mohammad-Hassan , Bilicki Maciej , Sarna Marek
Published: July 2019

We report 6 yr monitoring of distant bright quasar CTS C30.10 (z = 0.90052) with the Southern African Large Telescope. We measured the rest-frame time lag of

days between the continuum variations and the response of the Mg ii emission line, using six different methods. This time delay, combined with other available measurements of Mg ii line delay, mostly for lower-redshift sources, shows that the Mg ii line reverberation implies a radius–luminosity relation very similar to the one based on a more frequently studied Hβ line.
A new species of Pheidole (Formicidae, Myrmicinae) from Dominican amber with a review of the fossil records for the genus
Authors: Casadei-Ferreira Alexandre , Chaul Julio C. M. , Feitosa Rodrigo M.
Published: July 2019

Pheidole comprises approximately 1,000 extant species distributed worldwide, being particularly diverse in the New World. In addition to its high diversity and ecological prevalence, the genus is also characterized by the predominantly intraspecific dimorphism, with major and minor workers. Currently, five fossil species are known, all of which are represented only by minor workers. A new species, †Pheidoleanticuasp. nov., is described from Dominican amber, based on a major worker. Additionally, the identity of the currently known fossil species in Pheidole is discussed and †P.cordata from Baltic amber is considered as incertae sedis, resulting in no Pheidole species currently recognized for Baltic amber
Les élections de mi-mandat de 2018 aux États-Unis
Authors: Braun Arthur
Published: July 2019

Les élections de mi-mandat ( midterms ) du 6 novembre 2018 ont constitué un important test électoral pour la présidence républicaine de Donald Trump. Il s’agissait de renouveler la totalité des 435 sièges de la Chambre des représentants, 35 sièges sur 100 au Sénat, 39 gouvernorats d’État ou de territoire et 87 des 99 législatures d’État (totalement ou partiellement). À l’issue de ces élections, les démocrates s’emparent de la Chambre des représentants et prennent sept gouvernorats d’État aux républicains. Ces derniers confortent néanmoins leur majorité au Sénat où ils gagnent deux sièges.
Les nouvelles routes de la soie en Méditerranée
Authors: Belguidoum Saïd , Souiah Farida
Published: July 2019

Initié à l’automne 2013 par le Président chinois Xi Jinping, le mégaprojet OBOR (« One belt, One road ») , devenu la BRI (Belt and Road Initiative) avec pour objectif la promotion des relations transcontinentales à une ampleur inédite, suscite bien des attentions et des spéculations. S’il est impressionnant par sa dimension, les dynamiques qu’il implique ne sont pourtant pas forcément nouvelles. La renaissance des routes de la soie était déjà avancée comme hypothèse quelques années auparavant par des économistes 1 . Elle se traduisait par de multiples initiatives, souvent discrètes, mais efficaces, développées en grande partie par des acteurs du bas, et ce depuis l’adhésion de la Chine à l’OMC en 2001. Avec l’annonce de la BRI, la présence de la Chine dans le monde prend un nouvel essor. Ce qui était une hypothèse se confirme : les routes de la soie renaissent.
Les Balkans et la Chine : les intermittences d’une longue histoire
Authors: Chiclet Christophe
Published: July 2019

En débarquant dans les Balkans depuis une dizaine d’années, la Chine n’arrive pas en terra incognita. Les relations entre ces deux espaces géo-historiques d’importance existent depuis l’Antiquité. Si elles ont connu une longue interruption de près de vingt siècles, elles reprennent dans la deuxième moitié du XX e  à la faveur des aléas du mouvement communiste international. Alexandre le Grand est arrivé aux confins de la Chine antique, Xi Jiping fait le chemin inverse. Celui-ci est d’autant le bienvenu qu’il arrive au moment adéquat, prenant la place d’une Union européenne et d’une Russie poutinienne qui ont déçu des Balkans profondément bouleversés par la chute du mur, l’implosion-explosion de la Yougoslavie, la crise financière internationale de 2008 et les oukases de la Troïka du FMI-BCE-Commission de l’UE 1 . Cet article retrace les temps forts des relations entre les Balkans et la Chine en interrogeant leur ampleur et les facteurs qui les déterminent.
Strong Duality in Monopoly Pricing
Authors: Kleiner Andreas , Manelli Alejandro
Published: July 2019

The main result in Daskalakis, Deckelbaum, and Tzamos (2017) establishes strong duality in the monopoly problem with an argument based on transportation theory. We provide a short, alternative proof using linear programming.
Application of Computer Technology in Aesthetic Education and Feature Analysis
Authors: An Lina
Published: July 2019

The synergetic development of art and technology is a common trend for the development of aesthetics and computer technology, so it is imperative to introduce computer technology to aesthetic education in Chinese colleges. This paper reviews the problems and dilemma of college aesthetic education in China, and proposes to reform college aesthetic education by information technology. Focusing on image aesthetics, the author analyzes the image aesthetic features with computer algorithms, and demonstrates the superiority of computer algorithms in optimizing image and enhancing aesthetic beauty. The proposed method can overcome the dilemma of aesthetic education in Chinese colleges, and realizes preliminary informatization reform of college aesthetic education. The research findings have theoretical guiding significance for the modernization of aesthetic education in colleges and the comprehensive development of college students.
An Innovative English Teaching System Based on Computer Aided Technology and Corpus Management
Authors: Gong Wencui
Published: July 2019

With the development of modern science and technology, more and more com-puter technologies have been successfully applied in English teaching. Based on computer aided technology and big data corpus management, this paper improves the traditional teaching method into an innovative teaching mode with a big data corpus as English learning resource. On this basis, a computer multimedia teach-ing system was set up to realize automatic matching of subtitles and vivid restora-tion of contexts. The teaching system achieved excellent results in application ver-ification. The research results can promote computer technology in English teach-ing.
SIMULATION OF CEMENT-PASTE SETTING BEHAVIOR BASED ON THE PHYSICAL PROPERTIES OF BLENDED-CEMENT POWDERS
Authors: Knop Yaniv , Peled Alva
Published: July 2019

In this study, an empirical model was developed to simulate the setting process of cement pastes, with and without limestone. Interestingly, an excellent linear correlation was found between the time required for the cement pastes to reach penetration depths of 0 mm to 40 mm (the setting process) and the physical properties of the powders comprising those pastes. The empirical model was based on this clear, linear behavior, determined by means of linear regression analysis. The developed model offers an easy way to predict and to control the setting history of any cement paste, with and without limestone additive, by simply using the available, measured physical properties of the blended cements with limestone particles of various sizes.
Storytelling as an Approach to Voice Complaints and eWOM on Social Media/Facebook
Authors: Mei Xiang Ying , Bagaas Ingrid K. , Relling Erling K. L.
Published: July 2019

Customer complaints are unavoidable in any businesses and how firms handle such complaints will affect the public's perception of the company's brand and reputation. While storytelling is being embraced by an increasing number of companies as a different way to communicate their brand, many customers are now also using storytelling as an approach to voice their unfavourable experiences on the social media in regards to a particular unsatisfactory purchase as part of electronic word-of-mouth (eWOM). Such creative and humorous complaints serve as a way to cut through the clutter in order to gain the company's attention. Those companies that embrace such complaints by responding in an equally humorous and creative manner as part of their service recovery process will manage to recover their customers as well as their employees. As such posts are often shared publicly on the Internet, they may become viral and thus can create great positive effect on the company's reputation. Hence, it is important to empower the employees to recover the services using untraditional responses.
Understanding e-WOM Evolution in Social Media With Network Analysis
Authors: Pinarbasi Fatih
Published: July 2019

Today's consumer is in constant interaction with the environment thanks to social media and technology. Consumers who communicate more with each other have pushed businesses to take action on this issue. In this study, network analysis will be processed by marketing approach. Previous studies focus on different aspects of network analysis while examining methodological details. There are a few integrated studies regarding to network analysis from marketing perspective. This study aims to fill this research gap with integrated approach combining marketing scenarios with network analysis methods and social media data. Study consists of two main parts: theoretical background and methodology sections. Theoretical background includes electronic word of mouth, social media and customer networks, network analysis parts. Methodology section includes four different cases regarding to network analysis, social media, and web. Businesses corporating network analysis to their marketing decision-making process can improve their marketing knowledge regarding to changing marketing environment.
Unraveling E-WOM Patterns Using Text Mining and Sentiment Analysis
Authors: Guerreiro João , Loureiro Sandra Maria Correia
Published: July 2019

Electronic word-of-mouth (e-WOM) is a very important way for firms to measure the pulse of its online reputation. Today, consumers use e-WOM as a way to interact with companies and share not only their satisfaction with the experience, but also their discontent. E-WOM is even a good way for companies to co-create better experiences that meet consumer needs. However, not many companies are using such unstructured information as a valuable resource to help in decision making: first, because e-WOM is mainly textual information that needs special data treatment and second, because it is spread in many different platforms and occurs in near-real-time, which makes it hard to handle. The current chapter revises the main methodologies used successfully to unravel hidden patterns in e-WOM in order to help decision makers to use such information to better align their companies with the consumer's needs.
When Consumers' Complaints Fall Into Public Domain
Authors: Langaro Daniela , Loureiro Sandra Maria Correia , Soares André
Published: July 2019

Despite previous studies having revealed that the content created by users in social media is predominantly positive, recent studies have challenged this understanding revealing by means of sentiment analysis the predominance of negative and neutral brand related content. The current chapter focuses on the new hybrid form of negative e-WOM in which individual´s complaints are directed at firms, which were originally limited to the domain of offline customer care teams. Thus, previous studies are reviewed from the area of crisis management and service recovery strategies with the intent to offer a relevant scope of theoretical propositions that may be considered by managers and researchers while preparing response strategies to deal with this new hybrid form of negative e-WOM. In total, eight theoretical propositions are presented and organized in three groups of guidelines associated to responses´ format, content, and context with fait-holders and hate-holders being considered as part of the negative e-WOM rhetoric.
Assessing the Impact of RFID Technology Solutions in Supply Chain Management
Authors: Pal Kamalendu
Published: July 2019

The use of Radio Frequency Identification (RFID) in Supply Chain Management (SCM) is one of the promising innovations in recent decades. This chapter first presents an introduction to the concepts and principles of RFID. It then discusses advantages and disadvantages of this technology in a supply chain setting. Application areas of RFID in the context of supply chains are reviewed to demonstrate best practices and related important implementation issues. Different industries (e.g. automotive, transport, retail) are used to emphasizing the benefits of RFID technology. The chapter also highlights operational and strategic implications of adopting RFID-based technological solutions and summarizes available evidence. Finally, a theoretical framework that links RFID key benefits and information attributes used in decision making is proposed. This chapter also provides comprehensive guidance for those considering the implementation of RFID in their supply chains.
Design of a Home Automation App to Assist Elderly and Limited Mobility People
Authors: Morais Bianca Stephanie Guimarães , Sobrinho Álvaro , Oliveira Helder , Chaves e Silva Lenardo , Macedo Robson Locatelli
Published: July 2019

This research focuses on a solution to assist elderly and limited-mobility people. It aims to improve the autonomy, and, consequently, the quality of life of this target audience by automating daily tasks conducted at home, such as turning on the lights and manipulating electronic devices. However, it is important to consider the costs and quality attributes (e.g., usability) related to the design of solutions to automate a specific environment, that may include hardware platforms and physical adaptations. In this context, the authors present in this chapter the software requirements discovery and elicitation of a home automation app considering the real needs of the elderly and limited-mobility people. Additionally, we conduct the requirements specification using the unified modeling language (UML) to improve completeness, along with graphical user interface (GUI) prototypes. Finally, we present a mobile app prototype using the Android and Arduino platforms to illustrate a use scenario of the solution.
Identifying the Components of a Smart Health Ecosystem for Asthma Patients
Authors: Iyawa Gloria Ejehiohen , Khan Asiya , Dagadu Sesinam , Magtubo Kristine Mae , Sievert Rupert Calvin
Published: July 2019

With asthma being one of the leading causes of death in different countries, the emphasis on improving the health of asthma patients is important. While the use of smart technologies is a good approach for improving the health of asthma patients, technologies need to be connected in such a way that all components of smart health form an ecosystem. However, the components of such an ecosystem have not been identified in the current literature. The purpose of this chapter was to identify the components of a smart health ecosystem for asthma patients through a systematic literature review. A total of 28 articles met the inclusion criteria. This chapter identified the components of a smart health ecosystem for asthma patients and provided a conceptual framework. The findings of the systematic literature review are expected to inform researchers on the components required for building a smart health ecosystem for asthma patients.