bluuebunny/crossref_metadata_2025 huggingface dataset:
THE MIDDLE PALEOCENE–EARLY EOCENE (60.5–53.0 MA) STAGE OF MAGMATISM IN THE SOUTH OF THE RUSSIAN FAR EAST
Authors:   Far East Geological Institute, Far eastern branch, Russian academy of sciences, Grebennikov A.V. , Kasatkin S.A. ,   Far East Geological Institute, Far eastern branch, Russian academy of sciences, Fedoseev D.G. ,   Far East Geological Institute, Far eastern branch, Russian academy of sciences, Khanchuk A.I. ,   Far East Geological Institute, Far eastern branch, Russian academy of sciences
Published: October 2020

The Sikhote-Alin orogenic belt is a key area for understanding the evolution of the lithospheric plates’ interaction in the East Pacific margin. At the same time the precise isssotope-geochemical and geochronological data for the above said region are of a quite limited and scattered character. The new isotopic age data of the Early Paleogene magmatism are given which allow supplementing the current state of issue and establishing a specific Middle Paleocene–Early Eocene magmatic stage (60.5–53.0 Ma) in the south of the Russian Far East with the A-type acid magmatic rocks predominating during the geodynamic reconstruction of the continental margin.
GEOCHEMICAL FEATURES OF ORES AND HOST ROCKS OF THE MALO-TARYNSKY OROGENIC GOLD DEPOSIT (VERKHOYANSK-KOLYMA FOLDED AREA, NORTHEAST RUSSIA)
Authors:   Federal State Autonomous Educational Institution of Higher Education ", Polufuntikova L.I. ,   M. K. Ammosov North-Eastern Federal University", Fridovsky V.Y. ,   Institute of Diamond and Precious Metal Geology, Siberian Branch, Russian Academy of Sciences, Goryachev N.A. ,   North-East Interdisciplinary Scientific Research Institute of Far East Branch of the Russian Academy of Sciences
Published: October 2020

The paper presents the results of studying the distribution of major, rare, and rare earth elements in the terrigenous rocks, wall-rock metasomatites, and ore zones of the orogenic Malo-Tarynsky gold deposit (Upper Kolyma folded area, Northeast Russia). Hydromicatization, carbonatization, sulfidization, and silicification played an important role in the formation of metasomatites and ore zones leding to different mobility of macroelements with a predominance of acidic low-temperature carbonic-calcium metasomatism. Increase in the proportion of quartz in wall-rock metasomatites and ore zones involved the loss of the most of the rock-forming elements: К, Na, Al, Fe, Mg, and Тi, and Ca and CO2 were supplied. The ores and metasomatites of the deposit are characterized by As-Au-Sb-W geochemical specialization with low Bi, Co, Ni, Cr, Cu, and Zn and high Li, Ag, Cd, and Sc concentrations. The distribution spectra of REE contents in modified rocks are similar to that of REE in Upper Triassic host rocks showing some tendency to decreasing their amount. The removal of rare earth elements during the formation of metasomatites and ores was established. The values of the Eu/Eu* (0.61–0.88) and Ce/Ce* (0.6–1.3) anomalies indicate slightly reducing conditions of the ore formation with a limited involvement of oxidized meteoric water.
Tolstoy y su obra
Authors: Ureta Alberto
Published: October 2020

Pocos homenajes tan legítimos como el que el mundo entero ha tributado a Tolstoy con motivo da su centenario. Por la profundidad con que supo sondear la conciencia humana en la hora que le toco vivir y sus sueños de paz y de amor fraternal entre los hombres; por su redentorismo cristiano y su consagración a la causa de la justicia; por el arte maravilloso de su obra inmensa, y sobre todo por su vida, que es la más grande y noble de sus obras; Tolstoy es uno de los más hermosos genios que han honrado a la humanidad.
An approach to the implementation of international legal instruments in the area of control over administration
Authors: Sinani Blerton
Published: October 2020

In all states governed by the rule of law the administration is subject to the law and supervision by the courts on the same basis as any individual/citizen, in accordance with the principle of the supremacy of the law. The author only represents the most important instruments in the field of international law concerning control over administration, which supervise the implementation of human rights in the country that has ratified the respective instruments. Therefore, the ratification and incorporation of international normative legal instruments in the form of conventions, such as the European Convention on Human Rights within the national legal order, impose the obligation for a certain state to respect or protect the rights guaranteed by the respective Convention, as well as the case-law of the European Court of Human Rights that governs the interpretation and proper application of the Convention, the relevant European Court of Human Rights case-law setting standards for assessing the efficiency and effectiveness of public administration. Hence, this case law should act as a guideline for improving legal regulations and, under certain circumstances, avoiding the initiation of an administrative dispute before competent national courts, if objectively possible. However, due to certain reasons which will be elaborated upon in this paper, some deviations can occur and, for that matter, judicial review means review by courts of administrative action with a view to ensuring their legality as well as providing the protection and realization of the rights and legal interests of citizens in the sphere of administrative law.
Recepcija rimskog prava na glagoljici
Authors: Milotić Ivan
Published: October 2020

Zapisnik Petra Lazarića, domaćega bilježnika i kanonika, potječe iz Mošćenica iz 1621., u kojemu na glagoljičkom pismu dokumentira rješavanje privatnoga diobenog spora među sumještanima u arbitraži. Premda pisana glagoljicom i na hrvatskom jeziku, ta isprava obuhvaća pohrvaćeno latinsko (i manje talijansko) pravnotehničko nazivlje te bilježi niz načela, koncepata i instituta koji su u izvansudskom postupku rješavanja spora dosljedno i pravilno primijenjeni po uzoru na rimsko pravo. Svi bitni pravni elementi ovoga diplomatičkog izvora odražavaju snažne odjeke tradicije rimskoga prava i ius commune. Autor u dvama radovima koji slijede analizira sve relevantne institute primijenjene u arbitraži, i postupovne i materijalnopravne, povezuje ih s rimskim i kanonskim pravnim uzorima te, naposljetku, taj diplomatički izvor dovodi u svezu s druga dva pravna svjedočanstva, koja su nastala u Mošćenicama u prvoj polovici 17. stoljeća, a koja također odražavaju snažne utjecaje rimske pravne tradicije: Mošćenički statut iz 1637. i lovransko-mošćeničko razgraničenje iz 1646.
Paušalna naknada troškova naplate u poslovnim transakcijama
Authors: Tot Ivan
Published: October 2020

Zakonom o financijskom poslovanju i predstečajnoj nagodbi iz 2012. (ZFPPN) u hrvatsko pravo uvedena je „posebna naknada za troškove prouzročene vjerovniku dužnikovim zakašnjenjem s ispunjenjem novčane obveze u poslovnim transakcijama“ kao nova pravna posljedica dužničkoga zakašnjenja s plaćanjem. Zakonski iznos ove paušalne naknade troškova naplate propisan je odredbom čl. 13. st. 1. ZFPPN-a prema kojoj je vjerovnik novčane obveze ovlašten na paušalnu naknadu u iznosu koji odgovara kunskoj protuvrijednosti iznosa od 40 €. U radu se raspravlja o dopuštenosti ugovaranja paušalne naknade troškova naplate u iznosu različitom od iznosa iz čl. 13. st. 1. ZFPPN-a, kao i o odnosu vjerovnikova zahtjeva za isplatom paušalne naknade i njegova zahtjeva za naknadom štete zbog dužničkoga zakašnjenja.
PENYAKIT DAN KECELAKAAN AKIBAT KERJA PADA PERAWAT DI RUMAH SAKIT DAN FAKTOR-FAKTOR YANG MEMPENGARUHINYA
Authors: Nasution Salsabila Mumtaza
Published: October 2020

Keberhasilan program Kesehatan dan Keselamatan Kerja (K3) di rumah sakit tidak lepas dari sikap kepatuhan personal baik dari pihak perawat maupun pihak manajemen atas dalam melaksanaan peraturan dan kebijakan peraturan K3 untuk mendukung pencapaian zero accident di rumah sakit. Dalam melaksanakan setiap Program Keselamatan dan Kesehatan Kerja tersebut, para pekerja rumah sakit mempunyai resiko untuk terjadinya Penyakit Akibat Kerja (PAK) dan Kecelakaan Akibat Kerja (KAK). Hal ini disebabkan karena Penyakit Akibat Kerja (PAK) merupakan penyakit yang disebabkan oleh pekerjaan, alat kerja, bahan, proses maupun lingkungan kerja.Penyakit Akibat Kerja (PAK) di rumah sakit dapat menyerang perawat. Perawat mempunyai resiko untuk terpapar bahan biologi berbahaya (biohazard), dan kontak dengan alat medis sekali pakai (disposable aquipment) seperti tak sengaja tertusuk atau tersentuh jarum suntik bekas maupun selang infus bekas, terpapar virus langsung dari pasien, kontak dengan benda-benda yang terpapar virus, tak sengaja tersentuh cairan dari pasien yang terinveksi virus, dan masih banyak yang lainnya. Ada beberapa hal yang melatarbelakangi perawat di dalam terkena penyakit akibat kerja di rumah sakit, salah satunya adalah masih adanya petugas kesehatan yang tidak memakai alat pelindung diri berupa sarung tangan saat melakukan tindakan di Instalasi Gawat Darurat, pencahayaan yang kurang di ruang pasien yang dapat menyebabkan penglihatan perawat kurang dalam melakukan tindak yang dapat mengakibatkan terjadinya kesalahan tindakan bahkan dapat menimbulkan penyakit atau cedera pada perawat ataupun pada pasien, masih ada perawat yang tidak memakai desinfektan ketika sebelum dan setelah menangani pasien, dan masih banyak faktor-faktor lainnya. Pelaksanaan Keselamatan dan Kesehatan Kerja (K3) adalah salah satu bentuk upaya untuk menciptakan tempat kerja yang aman, sehat, dan bebas dari pencemaran lingkungan, sehingga dapat mengurangi dan atau bebas dari kecelakaan kerja dan penyakit akibat kerja yang pada akhirnya dapat meningkatkan efisiensi dan produktivitas kerja. Kecelakaan kerja atau penyakit akibat kerja yang terjadi pada perawat di rumah sakit tak hanya merugikan perawat saja, tetapi dapat juga menyebabkan kerugian pada pasien dan orang-orang yang berada di rumah sakit. Penyakit menular yang diderita perawat dapat tertular ke orang-orang yang berada di rumah sakit, dan jika cedera atau penyakit tidak menular yang terjadi pada perawat dapat menyebabkan kineja perawat menurut di dalam memberikan asuhan keperawatan.
MANFAAT PENERAPAN BUDAYA KESELAMATAN PASIEN DI RUMAH SAKIT
Authors: Zebua Friderikus
Published: October 2020

Keselamatan pasien merupakan suatu sistem yang harus diterapkan di rumah sakit untukmencegah terjadinya situasi yang berpontensi mengakibatkan cedera yang seharusnya tidakterjadi atau biasa disebut insiden keselamatan pasien mutu Pelayanan RS merupakan kualitas RSdalam melaksanakan pelayananannya. Mutu pelayanan yang baik akan berdampak padakepuasan pasien dan perawat sebagai pelaksana.Kesehatan dan Keselamatan Kerja (K3) merupakan suatu upaya perlindungan kepadatenaga kerja dan orang laain yang memasuki tempat kerja terhadap bahaya dari akibatkecelakaan kerja. Tujuan K3 adalah mencegah, mengurangi resiko penyakit dan kecelakaanakibat kerja (KAK) serta meningkatkan derajat kesehatan para pekerja sehingga produktivitaskerja meningkat derajat kesehatan para pekerja sehingga produktivitas kerja meningkat.Pelayanan kesehatan dirumah sakit merupakan pemenuhan kebutuhan dan tuntutan dari pemakanjasa pelaayanan atau pasien yang mengharapkan penyembuhan dan pemulihan yang berkualitasdan penyediaan pelayanan kesehatan yangnyaman dan aman.
PENDAMPINGAN BACA TULIS AL-QUR'AN
Authors: Nurul_indarsih
Published: October 2020

Deskripsi Kegiatan Kegiatan ini dilaksanakan ba’da maghrib sampai sebelum isya dan berlangsung selama kurang lebih 30 menit.
Implentasi Sasaran Keselamatan Pasien
Authors: Angeline Florence
Published: October 2020

Sasaran Keselamatan Pasien (SKP) menjadi indikator standar dasar yang utama dalam penilaian Akreditasi Rumah Sakit versi 2012 (KARS, 2013). Ada enam sasaran keselamatan pasien yaitu Ketepatan identifikasi pasien; Peningkatan komunikasi yang efektif; Peningkatan keamanan obat yang perlu diwaspadai; Kepastian tepatlokasi, tepat-prosedur, tepat-pasien operasi; Pengurangan risiko infeksi terkait pelayanan kesehatan; dan Pengurangan risiko pasien jatuh (Permenkes Nomor 1691, 2011).
FILOSOFI PEMIMPIN CANGKUL, LINGGIS, SKOP
Authors: Padondan Daud
Published: October 2020

Kemajuan suatu bangsa sangat ditentukan oleh peran pemimpin didalamnya. Pemimpin yang mengedepankan kepentingan umum/rakyat merupakan kedamaian bagi rakyatnya. Namun, apa yang terjadi jika pemimpin tidak memproritaskan kepentingan umum tapi mementingkan kepentingan diri sendiri. Ia menggunakan kedudukannya untuk memperkaya dirinya. Pemimpin seperti ini akan membuat rakyatnya menderita dan membuat bangsanya tidak berkembang dan maju.
Hadits Tentang Kewajiban Anak Terhadap Orang Tua
Authors: Zebua Rony Sandra Yofa , Setiawan Arief
Published: October 2020

Hadits Tentang Kewajiban Anak Terhadap Orang Tua
ETIKA PERAWAT DALAM PENERAPAN KEBIJAKAN K3RS
Authors: sihite Nuraini
Published: October 2020

Perawat adalah tenaga kesehatan yang paling besar jumlahnya dan paling lama kontak dengan pasien, sehingga sangat berisiko dengan pekerjaannya, namun banyak perawat tidak menyadari terhadap risiko yang mengancam dirinya, melupakan keselamatan dan kesehatan kerja (K3).Rumah sakit yang merupakan institusi pelayanan kesehatan yang menyelenggarakan pelayanan kesehatan perorangan secara Paripurna yang meliputi rawat jalan, rawat inap, laboratorium, dan gawat darurat. Rumah sakit termasuk tempat kerja dengan berbagai potensi bahaya yang dapat menimbulkan dampak ataupun resiko terhadap keselamatan dan kesehatan kerja. Resiko ini tidak hanya terhadap para pelaku langsung yang bekerja di rumah sakit, namun juga terhadap pasien, pengunjung dan masyarakat yang berada di sekitar lingkungan rumah sakit.
Laporan kegiatan 2 minggu 5
Authors: asniar
Published: October 2020

Kuliah Kerja Lapang Plus (KKLP) Merupakan suatu Kegiatan Perkuliahan yang Bersifat intrakurikuler dalam bentuk pengabdian pada masyarakat yang di lakukan oleh mahasiswa dalam jangka waktu tertentu. Oleh karena, sifatnya intrakurikuler sehingga setiap mahasiswa yang akan menyelesaikan studi di perguruan tinggi pada suatu program strata satu (S1) harus mengikuti KKLP
Hubungan Peran Keluarga Pasien Dalam Mencegah Terjadinya Bahaya Pada Pasien Stroke
Authors: Manik Dea Kristin Sania
Published: October 2020

Keselamatan pasien merupakan sesuatu yang jauh lebih penting dari pada sekedar efisiensi pelayanan, dan perilaku dengan kemampuan perawat sangat berperan penting. Penerapan keselamatan pasien yang kurang efektif dapat terjadi pada identifikasi pasien, kesalahan dalam komunikasi, kesalahan titik operasi, kesalahan obat, infeksi di rumah sakit dan pasien jatuh. Potensi kesalahan biasa terjadi pada identifikasi pasien salah pemberian nama pasient, komunikasi pada saat discharge planning tidak lengkap, dan kurang pengontrolan pasien mengakibatkan pasien jatuh. Kesalahan penerapan keselamatan pasien terbanyak adalah komunikasi yang tidak efektif. Komunikasi di rumah sakit Swedia didapatkan faktor paling dominan yaitu 67% (Göras et al., 2013). Identifikasi risiko dari tahapan layanan dan kondisi pasien harus dilakukan untuk menentukan tindakan pengurangan risiko. Pengendalian risiko merupakan bentuk penerapan keselamatan pasien sesuai standar dapat meningkatkan mutu asuhan keperawatan.
Pentingnya Asuhan Keperawatan Terhadap Risiko dan Hazard di Rumah Sakit
Authors: Pasaribu Petra Maria Juliana
Published: October 2020

Perawat merupakan petugas kesehatan dengan presentasi terbesar dan memegang peranan penting dalam pemberian pelayanan kesehatan. Dalam menjalankan tugasnya perawat berisiko mengalami gangguan kesehatan dan keselamatan kerja (K3). Kejadian pasien jatuh merupakan masalah serius di rumah sakit terutama pasien rawat inap karena kejadian pasien jatuh merupakan salah satu indikator keselamatan pasien khususnya anak dan indikator mutu rumah sakit. Pengertian resiko ialah potensi kerugian yang bisa diakibatkan apabila berkontak dengan suatu bahaya ataupun terhadap kegagalan suatu fungsi. Hazard adalah perubahan atau tindakan yang berpotensi meningkatkan risiko insiden pada pasien.Seberapa besar peluang terjadinya risiko bahaya pada pekerjaan yang dilakukan tersebut, hal ini tentu berhubungan dengan keselamatan dan kesehatan kerja. Keselamatan dan kesehatan kerja bertujuan melindungi pekerja atas keselamatannya agar dapat meningkatkan produktifitas nasional.Pencegahan kecelakaan akibat kerja dapat direncanakan, dilakukan dan dipantau dengan melakukan studi karakteristik tentang kecelakaan agar upaya pencegahan dan penanggulangannya dapat dipilih melalui pendekatan yang paling tepat.Metode: Jenis kajian ini diambil dari beberapa sumber melalui jurnal,buku maupun e-book yang isinya berfokus pada asuhan keperawatan terhadap risiko dan hazard serta k3 dirumah sakitHasil: Hasil yang di dapat dari beberapa sumber yakni bahwa risiko adalah perpaduan antara peluang dan frekuensi terjadinya peristiwa akibat yg ditimbulkannya dalam kegiatan konstruksi. pelaksanaannya berisiko sangat membahayakan keselamatan umum, harta benda, jiwa manusia, dan lingkungan serta terganggunya kegiatan konstruksi Segala sesuatu yang dikerjakan pasti memiliki tingkat risiko bahaya tergantung dari seberapa sulit suatu pekerjaan.
Peningkatan budaya keselamatan pasien oleh perawat di rumah sakit
Authors: Syafriningsih Dwi
Published: October 2020

Latar belakang: Budaya keselamatan pasien dapat diukur melalui standar pengukuran budaya keselamatan pasien yang dikembangkan beberapa organisasi dalam memberikan suatu pelayanan yang aman dan bebas dari cedera. Metode: Metode dalam penulisan ini menggunakan metode kualitatif, yaitu merupakan metode yang sifatnya memberikan suatu penjelasan dengan analisis. Hasil: Pada kerja sama adalah indikator pertama dalam budaya keselamatan pasien. Berdasarkan hasil dari penelitian sebesar 64,6% dalam melakukan tindakan asuhan keperawatan selalu bekerja sama dengan sesama perawat maupun dengan tenaga kesehatan lainnya dengan baik. Pembahasan: Budaya keselamatan pasien yang baik penting di terapkan karena merupakan unsur dari keselamatan pasien. Dan akan semakin baik bila perawat mempunyai kesadaran akan pentingnya keselamatan pasien, pengetahuan, kerjasama tim yang baik, serta motivasi dalam meningkatkan keselamatan pasien dengan menerapkan budaya keselamatan pasien.
Ethical Considerations of Photosensitive Epilepsy in Mixed Reality
Authors: South Laura , Borkin Michelle
Published: October 2020

As public interest in virtual and augmented reality increases, so do the risks faced by users with photosensitive epilepsy, a neurological condition where seizures are triggered by specific kinds of light stimuli. Most research on photosensitive epilepsy focuses on user interaction with television sets and does not necessarily transfer to other methods of interaction. Very little research has been done examining mixed reality from the perspective of photosensitive users and understanding the additional risks posed by new forms of immersive technology. Examples of hackers targeting people with photosensitive epilepsy through social media serve as a wake-up call about the possibility of similar malicious attacks in mixed reality. In this paper we draw from photosensitive epilepsy research to create recommendations for simple steps mixed reality developers can take to minimize photosensitive risk in their systems in addition to issuing a broader call for further research into understanding photosensitive epilepsy in the context of mixed reality.
Counseling Muslim Americans: Cultural and Spiritual Assessments
Authors: Ibrahim Farah A. , Dykeman Cass
Published: October 2020

In this article, the authors identify the cultural and spiritual assessments needed to conduct counseling with Muslim Americans and Muslim immigrants to the United States. Assessment processes are outlined that include cultural identity (which subsumes several variables); worldview; spiritual assessment along with acculturation level and migration concerns; impact of languages spoken; social, occupational, and educational status of the client in host culture and in home culture (if the client is an immigrant); and family composition and social supports.
Did Rural Resentment of Government Employees Elect Donald Trump?
Authors: Carpenter Stephanie M. , Brauer Markus , Niedenthal Paula
Published: October 2020

A recent “rural resentment” hypothesis holds that the rise of conservative politicians in the state of Wisconsin is explained by rural residents’ resentment of beneficiaries of economic advantages, especially government employees (Cramer 2016a). We tested a national rural resentment hypothesis using survey methodology. 3820 respondents representing all 50 US states reported the extent to which they felt resentment- and admiration-related emotions toward public school teachers, state university professors, and agents of departments of natural resources, and reported the presidential candidate they voted for in the 2016 general election. Rural and urban Americans’ resentment of government employees was significantly lower than their admiration for members of those groups. Political party affiliation and education predicted resentment of government employees more than did rural-urban residence. Although Americans residing in rural areas were more likely to have voted for Donald Trump than Americans residing in urban areas, resentment of government employees accounted for a relatively small proportion of this effect.
KONSTRUKSI COST AND BENEFIT PADA UMKM BATIK DI JAWA TENGAH
Authors: AMBONINGTYAS DHEASEY
Published: October 2020

Buku ini disusun dalam rangka mempelajari konstruksi pendanaan keuangan UMKM Batik di Jawa Tengah yang berorientasi pada nilai cost and benefit CSR. Buku ini ditujukan untuk mahasiswa guna menunjang proses pembelajaran serta menjadi acuan bagi pemerintah untuk melakukan pengembangan konstruksi pendanaan keuangan UMKM Batik di Jawa Tengah yang berorientasi pada nilai cost and benefit CSR. Penulis berharap dengan adanya buku ini dosen dan mahasiswa dapat terbantu dalam proses pembelajaran.
PENGARUH MEDIA HANDPHONE DALAM PENDIDIKAN KARAKTER DI SEKOLAH
Authors: Amaliyah
Published: October 2020

Karakter adalah pondasi dasar nilai-nilai baik yang tertanam sejak dini dalam pola pikir dan pola prilaku/kebiasaan dan menjadi kepribadian. Karena karakter itu dibentuk dengan pembinaan terus menerus sejak usia dini, dengan terus melihat akar masalah anak, sehingga pembinaannya dapat dilakukan secara mudah dan tepat. Handphone (HP) yang sudah membudaya dan bisa dikatakan sudah menjadi kebudayaan mempunyai pengaruh besar terhadap perilaku dan kepribadian seseorang, terutama nilai-nilai budaya (Religius, Jujur, Disiplin, Komunikasi, Peduli social) yang secara langsung mempengaruhi individu.
Intervention par visioconférence et dynamique groupale
Authors: Charles C. , Baudinet C. , Cambon L. , Imbert A. , Pons M. , Raynard B. , Sauveplane D. , Aromatario O. , Dauchy S.
Published: October 2020

Recourir à la visioconférence pour proposer des séances d’éducation, de soutien ou de psychothérapie en groupe est une des solutions pour faciliter l’accès aux soins de support. Très peu de données sont disponibles sur les spécificités interactionnelles que pourrait impliquer ce dispositif encore récent. L’article a pour objectif de rendre compte de la démarche de recherche exploratoire visant à construire une grille d’observation pour étudier cette question relationnelle à partir d’un dispositif d’ateliers thématiques collectifs mené en oncologie.
La fragmentation des parcours de santé : bilans et perspectives
Authors: Roux L.
Published: October 2020

La notion de parcours de santé a émergé afin de répondre à la transition épidémiologique. Des définitions et des cadres théoriques ont été produits, des initiatives opérationnelles déployées sur les territoires. Le parcours de santé est l’une des thématiques constituant le cadre des orientations stratégiques de France Assos Santé pour les quatre prochaines années. L’une de ses revendications porte sur la nécessité d’aller au-delà du seul parcours de soins, de prendre en compte les déterminants de la santé, les points de rupture dans les parcours et de valoriser les savoirs expérientiels. Ses travaux se déclinent en un plaidoyer qui demande à ce que les usagers ou associations d’usagers soient partie prenante dans toute réflexion ou projet autour de la constitution des parcours sur un territoire, et que soient favorisées la mise en œuvre de démarches participatives et celle de démarches d’empowerment. Des projets pilotes valorisant les parcours de santé ont été déployés par certaines de ses délégations territoriales, et par le siège. Les initiatives associatives démontrent que les associations d’usagers participent très activement à contrer les ruptures dans les parcours et qu’elles participent donc à l’efficience du système de santé.
Freud'dan Lacan'a Kaygı
Authors: HEKİMOĞLU Eylül C. , BİLİK Münevver Zuhal
Published: October 2020

Lacan’ın kaygı hakkındaki görüşleri Freud’un “Ketlemeler, Semptom ve Kaygı” adlı çalışması etrafında şekillenmektedir. Bu çalışma Lacan’ın Kaygı adını verdiği onuncu seminerine bağlı kalarak, Freud ve Lacan’ın kaygı hakkındaki görüşleri arasındaki ayrımlara ve ortak noktalara odaklanmıştır. Lacan, Freud’dan farklı olarak kaygının eksiğin eksik olmasıyla ilişkili olduğunu söylemektedir. Bu bağlamda bu çalışmada kaygı, öznenin oluşumunda arzu ve jouissance ilişkisi üzerinden açıklanmıştır. Freud’a göre kaygının sebebi kastre olma korkusu iken, Lacan’a göre kaygının sebebi kastre olamama korkusu, dolayısıyla da anne tarafından yutulma riskidir. Bu anlamda, kaygı Başka’nın arzusu ile doğrudan ilişkilidir. Özne, Başka’nın bakışında nasıl göründüğünü bilmediği bir noktada, “Benden ne istiyor?” sorusunu sorduğu anda kaygılanmaktadır. Bu bağlamda, Lacan “Kaygının nesnesi yok değildir.” diyerek kaygının nesnesinin küçük a nesnesi olduğunu ifade etmektedir. Bu çalışmada hem kaygının nesnesi hem de arzunun nesne nedeni olan küçük a nesnesinin doğası, kaygıyla olan ilişkisi üzerinden ele alınmıştır. Bununla birlikte, fobi, fetişizm, eyleme dökme ve eyleme geçme kavramları kaygı karşısında koruyucu mekanizmalar olmaları üzerinden ele alınmış; Lacanyen klinik yapılar olan nevrozda, perversiyonda ve psikozda kaygının nasıl deneyimlendiği ve bu yapıların kaygıyla başa çıkmak için kullandığı mekanizmalar vaka örnekleri üzerinden incelenmiştir.
A tribute to the late Professor Donald Simpson, Australian neurosurgeon and namesake of the Simpson grading system for meningioma extent of resection
Authors: Chicoine Michael R. , Yahanda Alexander T. , Dacey Ralph G.
Published: October 2020

Donald Simpson (1927–2018) was a neurosurgeon from Adelaide, Australia, who is often cited for the 1957 publication he wrote as a trainee on the relationship between extent of resection and outcomes for meningiomas. That paper summarized a series of over 300 patients operated on in England by well-known neurosurgeons Sir Hugh Cairns and Joseph Buford Pennybacker. Simpson was also known later in his career, when he was at the University of Adelaide in South Australia, for his contributions to the areas of hydrocephalus, spina bifida, craniofacial anomalies, head injury, brain abscesses, and neurosurgical history, and he published extensively on these topics. In addition to his work in clinical neurosurgery, Simpson made humanitarian contributions studying kuru in New Guinea and aiding refugees during the Vietnam War. Simpson was an active member and leader of many Australian surgical organizations and was an officer of the Order of Australia. Donald Simpson’s legacy as an adult and pediatric neurosurgeon, an academician, a leader, and a humanitarian is extensive and will prove long lasting. Professor Simpson’s life serves as an example from which all neurosurgeons may learn.
Use of a novel ball-joint guide array for magnetic resonance imaging–guided cannula placement and convective delivery: technical note
Authors: Bankiewicz Krystof S. , Pasterski Tomasz , Kreatsoulas Daniel , Onikijuk Jakub , Mozgiel Krzysztof , Munjal Vikas , Elder J. Bradley , Lonser Russell R. , Zabek Mirosław
Published: October 2020

OBJECTIVE

The objective of this study was to assess the feasibility, accuracy, effectiveness, and safety of an MRI-compatible frameless stereotactic ball-joint guide array (BJGA) as a platform for cannula placement and convection-enhanced delivery (CED).

METHODS

The authors analyzed the clinical and imaging data from consecutive patients with aromatic l-amino acid decarboxylase (AADC) deficiency who underwent infusion of adeno-associated virus (AAV) containing the AADC gene (AAV2-AADC).

RESULTS

Eleven patients (7 females, 4 males) underwent bilateral MRI-guided BJGA cannula placement and CED of AAV2-AADC (22 brainstem infusions). The mean age at infusion was 10.5 ± 5.2 years (range 4–19 years). MRI allowed for accurate real-time planning, confirmed precise cannula placement after single-pass placement, and permitted on-the-fly adjustment. Overall, the mean bilateral depth to the target was 137.0 ± 5.2 mm (range 124.0–145.5 mm). The mean bilateral depth error was 0.9 ± 0.7 mm (range 0–2.2 mm), and the bilateral radial error was 0.9 ± 0.6 mm (range 0.1–2.3 mm). The bilateral absolute tip error was 1.4 ± 0.8 mm (range 0.4–3.0 mm). Target depth and absolute tip error were not correlated (Pearson product-moment correlation coefficient, r = 0.01).

CONCLUSIONS

Use of the BJGA is feasible, accurate, effective, and safe for cannula placement, infusion MRI monitoring, and cannula adjustment during CED. The low-profile universal applicability of the BJGA streamlines and facilitates MRI-guided CED.
Back to the future: surgical rehearsal platform technology as a means to improve surgeon-patient alliance, patient satisfaction, and resident experience
Authors: Wright James M. , Raghavan Alankrita , Wright Christina H. , Shammassian Berje , Duan Yifei , Sajatovic Martha , Selman Warren R.
Published: October 2020

OBJECTIVE

Informed consent, when performed appropriately, serves many roles beyond simply obtaining the prerequisite medicolegal paperwork to perform a surgery. Prior studies have suggested that patient understanding is poor when verbal communication is the sole means of education. Virtual reality platforms have proven effective in enhancing medical education. No studies exist that have demonstrated the utility of virtual reality–facilitated informed consent (VR-IC) in improving the physician-patient alliance. The aim of this study was to determine the utility of VR-IC among patients providing consent for surgery and the impact of this educational and information technology–based strategy on enhancing the physician-patient alliance, patient satisfaction, and resident-physician perception of the consent process.

METHODS

Prospective, single-site, pre- and postconsent surveys were administered to assess patient and resident perception of informed consent performed with the aid of VR-IC at a large tertiary academic medical center in the US. Participants were adult patients (n = 50) undergoing elective surgery for tumor resection and neurosurgical residents (n = 19) who obtained patient informed consent for these surgical procedures. Outcome measures included scores on the Patient-Doctor Relationship Questionnaire (PDRQ-9), the modified Satisfaction with Simulation Experience Scale, and the Maslach Burnout Inventory. Patient pre- and postconsent data were recorded in real time using a secure online research data platform (REDCap).

RESULTS

A total of 48 patients and 2 family members provided consent using VR-IC and completed the surveys pre- and postconsent; 47.9% of patients were women. The mean patient age was 57.5 years. There was a statistically significant improvement from pre- to post–VR-IC consent in patient satisfaction scores. Measures of patient-physician alliance, trust, and understanding of their illness all increased. Among the 19 trainees, perceived comfort and preparedness with the informed consent process significantly improved.

CONCLUSIONS

VR-IC led to improved patient satisfaction, patient-physician alliance, and patient understanding of their illness as measured by the PDRQ-9. Using VR-IC contributed to residents’ increased comfort in the consent-gathering process and handling patient questions. In an era in which satisfaction scores are directly linked with hospital and service-line outcomes and reimbursement, positive results from VR-IC may augment physician and hospital satisfaction scores in addition to increasing measures of trust between physicians and patients.
Nerve graft versus nerve transfer for neonatal brachial plexus: shoulder outcomes
Authors: Smith Brandon W. , Chang Kate W. C. , Koduri Sravanthi , Yang Lynda J. S.
Published: October 2020

OBJECTIVE

The decision-making in neonatal brachial plexus palsy (NBPP) treatment continues to have many areas in need of clarification. Graft repair was the gold standard until the introduction of nerve transfer strategies. Currently, there is conflicting evidence regarding outcomes in patients with nerve grafts versus nerve transfers in relation to shoulder function. The objective of this study was to further define the outcomes for reconstruction strategies in NBPP with a specific focus on the shoulder.

METHODS

A cohort of patients with NBPP and surgical repairs from a single center were reviewed. Demographic and standard clinical data, including imaging and electrodiagnostics, were gathered from a clinical database. Clinical data from physical therapy evaluations, including active and passive range of motion, were examined. Statistical analysis was performed on the available data.

RESULTS

Forty-five patients met the inclusion criteria for this study, 19 with graft repair and 26 with nerve transfers. There were no significant differences in demographics between the two groups. Understandably, there were no patients in the nerve grafting group with preganglionic lesions, resulting in a difference in lesion type between the cohorts. There were no differences in preoperative shoulder function between the cohorts. Both groups reached statistically significant improvements in shoulder flexion and shoulder abduction. The nerve transfer group experienced a significant improvement in shoulder external rotation, from −78° to −28° (p = 0.0001), whereas a significant difference was not reached in the graft group. When compared between groups, there appeared to be a trend favoring nerve transfer in shoulder external rotation, with the graft patients improving by 17° and the transfer patients improving by 49° (p = 0.07).

CONCLUSIONS

In NBPP, patients with shoulder weakness experience statistically significant improvements in shoulder flexion and abduction after graft repair or nerve transfer, and patients with nerve transfers additionally experience significant improvement in external rotation. With regard to shoulder external rotation, there appear to be some data supporting the use of nerve transfers.
Transmigration program can be failed, but transmigrant stay life: Portraits of Transmigrant Families in Sorong Regency, West Papua
Authors: Oktafiani Irin , Yogaswara Herry
Published: October 2020

Transmigration has been applied in Indonesia as a development and population distribution strategy. Historically, the Indonesian transmigration program has a long story since the Ethical Policy until now. Furthermore, transmigration had been claimed and became the primary strategy of development in the New Order. Despite all the hope about transmigration, people considered this program failed nationally because its top-down system has caused a new problem in the destination area. However, some transmigrants have been succeeded and struggled in the new area. This paper described the bright side of what-so-called failed transmigration in Segun, Sorong, West Papua. Data are collected by multi-sited ethnography with observation and in-depth interviews of two successful Javanese families in Segun. In conclusion, this paper argues that although the program has failed nationally, each transmigrant had its strategy to survive and succeed in the new area.
A Virtual Ethnography Study: Fandom and Social Impact in Digital Era
Authors: Kusuma Ade , Putri Purbantina Adiasri , Nahdiyah Vina , Khasanah Ucik Uswatun
Published: October 2020

Along with the advancement of Information and Communications Technology, the internet plays a massive role in South Korean idol groups' rapid growth. Global fans quickly become one of the crucial elements that heavily influence idol groups’ global popularity. BTS Army is one of the largest music fandoms in the past several years. This research analyzes fan culture using the case of BTS Army community in Surabaya. This research employs a qualitative method under a virtual ethnographic approach. This research conducts participant observation, in-depth interviews, focus group discussions, literature studies, and documentation on collecting the data. This research finds that online media provides a space for the mem Army community in members Surabaya to actively interact with each other as they share ideas and discussions over various BTS activities. The online interaction also leads to offline activities (e.g., regular fan-meetings, BTS members’ birthday celebrations, and other social activities). The research concludes that global fandom also acts as social agents. The observation of the BTS Army community in Surabaya shows that BTS’s charity works (e.g., Love Yourself campaign) influence the fans to be more involved in various social movements such as hosting multiple charity events.
Liebes Leben anders
Authors: Rinnert Kerstin
Published: October 2020

Was bedeutet es, dass Zweigeschlechtlichkeit und Heterosexualität in unserer Gesellschaft als „natürliche“ und „normale“, nicht erklärungsbedürftige Grundlagen erscheinen – und somit als soziale Norm wirken – für jene jungen Menschen, die sich in dieser Ordnung nicht verorten können oder wollen? Dieser Frage geht die Autorin in der vorliegenden Grounded-Theory-Studie anhand problemzentrierter Interviews mit LSBT*IQs nach. In den qualitativen Analysen kommen auf der Basis von erzählten Geschichten individuelle Handlungsentscheidungen, Bedeutungsebenen, Sinnzusammenhänge sowie subjektive Weltsichten der Akteur*innen in den Blick. Neben Diskriminierungserfahrungen als Folge einer heteronormativ geprägten und strukturierten Gesellschaft – wie sie bereits in anderen einschlägigen Studien herausgearbeitet werden konnten – stehen vor allem die Potenziale, Strategien, Räume und Ressourcen im Zentrum der Untersuchung, die LSBT*IQs entwickeln und sich zu Nutzen machen.
Best’11 strategy in cricket using MCDM, rough matrix and assignment model
Authors: Vijayabalaji Srinivasan , Balaji Parthasarathy
Published: October 2020

In 1982, Pawlak set up a fresh approach to deal with uncertainties namely rough set theory, Multiple-Criteria Decision Making (MCDM) first traced by Benjamin Franklin in 17th century. Several researchers did significant contribution to MCDM thereafter. An assignment problem involves what happens to the effective function when each of a number of sources is associated with the same number of destinations. Using MCDM, Rough matrices and Assignment model we are inducing an idea to pick Best’11 in all three formats (Test, One Day Internationals (ODI), Twenty20 International matches (T20I)) in the game of cricket with players from two nationals. Using the existing data, we are providing best batting position for any player to maximize team’s run. In addition, based on the preprocessing of informations, we are bringing some new indices to pick Indian squad for the 2019 World Cup cricket held in England from May 2019 to July 2019. After making a selection from our framework, we will compare the list of selected players by Board of Cricket Control Board in India (BCCI) and giveaway the percentage of similarity between the our selection against BCCI’s selection. We pick 11 players after selecting 15 players from 24 players to formulate the assignment model and offer the best batting order to optimize team’s run.
Treating Parkinson’s Disease with Antibodies: Previous Studies and Future Directions
Authors: Castonguay Anne-Marie , Gravel Claude , Lévesque Martin
Published: October 2020

Parkinson’s disease is a neurodegenerative disorder mainly characterized by the degeneration of dopaminergic neurons in the substantia nigra. Degenerating neurons contain abnormal aggregates called Lewy bodies, that are predominantly composed of the misfolded and/or mutated alpha-synuclein protein. Post-translational modifications, cellular stress, inflammation and gene mutations are thought to trigger its pathological misfolding and aggregation. With alpha-synuclein pathology being strongly associated with dopaminergic neuronal toxicity, strategies aimed to reduce its burden are expected to be beneficial in slowing disease progression. Moreover, multiple sources of evidence suggest a cell-to-cell transmission of pathological alpha-synuclein in a prion-like manner. Therefore, antibodies targeting extra- or intracellular alpha-synuclein could be efficient in limiting the aggregation and transmission. Several active and passive immunization strategies have been explored to target alpha-synuclein. Here, we summarize immunotherapeutic approaches that were tested in pre-clinical or clinical studies in the last two decades in an attempt to treat Parkinson’s disease.
Lack of Association of Locus Coeruleus Pathology with Orthostatic Hypotension in Parkinson’s Disease
Authors: Tong Qiang , Chen Liam
Published: October 2020

Orthostatic hypotension (OH) is a common non-motor symptom in Parkinson’s disease (PD) and is linked with increased mortality risk among the elderly. Although the locus coeruleus (LC) is the major source of noradrenaline (NA) modulation in the brain, its role in the pathogenesis of OH in PD remains largely elusive. Here we examined 44 well characterized postmortem brains of PD patients and available clinical data to explore the relationship between OH and LC pathology in PD. Our results failed to indicate that the LC pathology as well as the substantia nigra pathology were robustly associated with the presence of OH in PD patients, suggesting targeting LC norepinephrinergic system alone may not be sufficient to treat OH in PD.
Classification of all-rounders in limited over cricket - a machine learning approach
Authors: Manage Ananda B. W. , Kafle Ram C. , Wijekularathna Danush K.
Published: October 2020

In cricket, all-rounders play an important role. A good all-rounder should be able to contribute to the team by both bat and ball as needed. However, these players still have their dominant role by which we categorize them as batting all-rounders or bowling all-rounders. Current practice is to do so by mostly subjective methods. In this study, the authors have explored different machine learning techniques to classify all-rounders into bowling all-rounders or batting all-rounders based on their observed performance statistics. In particular, logistic regression, linear discriminant function, quadratic discriminant function, naïve Bayes, support vector machine, and random forest classification methods were explored. Evaluation of the performance of the classification methods was done using the metrics accuracy and area under the ROC curve. While all the six methods performed well, logistic regression, linear discriminant function, quadratic discriminant function, and support vector machine showed outstanding performance suggesting that these methods can be used to develop an automated classification rule to classify all-rounders in cricket. Given the rising popularity of cricket, and the increasing revenue generated by the sport, the use of such a prediction tool could be of tremendous benefit to decision-makers in cricket.
The COM-B System of Behaviour Change: Properties, Problems and Prospects
Authors: Marks David F
Published: October 2020

The COM-B system of behaviour change is analysed. The system involves three processes termed "Capability", "Opportunity" and "Motivation". The crucial motivational element of "Wanting" is missing from the system. Wanting eliminates the intention-behaviour gap in explaining why people do or do not do the things necessary for their survival. Prospects for self-protective behaviour change in health emergencies such as the SARS-COV-2 pandemic will be greatly improved when the core motivational process of wanting is restored within motivational theory.
Ideología marxista y realidad soviética
Authors: Chambre Henry
Published: October 2020

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Factores humanos y sociales del desarrollo
Authors: Guerrero Fernando
Published: October 2020

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Ontology-based Sentiment Analysis for Brand Crisis Detection on Online Social Media
Authors: Mai Trung Đức , Quan Tho Thanh
Published: October 2020

This paper discusses detection of brand crisis on online social media, i.e. when a brand is being suffered from unexpectedly high frequency of negative comments on online channels such as social networks, electronic news, blog and forum. In order to do so, we combined the usage of probabilistic model for burst detection with ontology-based aspect-level sentiment analysis technique to detect negative mention. The burst on online environment is a trendy topic that is rapidly growing recently.  Thus, a burst with high frequencies of negative mentions to a brand implies a potential online crisis occurring with that brand. Our experimental results show that the aspect-level sentiment analysis technique is extremely useful for detecting of negative mentions that related with the products and brands.
The Role of Traditional Market Retribution Subsectors on Local Own Revenue in Ternate City
Authors: Kotib Mohammad
Published: October 2020

Ternate city has several modern and traditional markets. This study focuses on the traditional markets. They are found in several locations, such as in Gamalama village, Dufa-Dufa village, and Bastiong village. Meanwhile the local government builds traditional markets in Kota Baru village. The existence of traditional markets as centers for trade contribute to the Local Own-source Revenue of the region from retributions. Ternate's Own-source Revenue increased during the period of 2010 to 2015, as well as the level of retribution as one of its contributing factor. This study aims to determine the development of traditional market retribution and their perks sector of the Local Own-source Revenue of Ternate City. This study was carried out in Ternate City. This study is a descriptive research with secondary data analysis. The data were analyzed with simple linear regression tools in time series formatted as Y = β + x. The study findings reveal that there is a very strong relationship between Local Own-source Revenue and traditional market retribution. The correlation coefficient (R) of 0.987 and the coefficient of determination (R2) of 0.975 illustrate 97.5% contribution to the revenue. It recommends the Ternate Local Government to perfectly manage the retribution to realize a positive relationship between the fees taken and the service provided. This is mutually beneficial between the government and the community in general.